Manx Care
483 FOI requests | Full disclosure rate: 49.5%
The Freedom of Information requests to Manx Care reveal an authority grappling with the dual pressures of pandemic-era scrutiny and systemic data limitations. A dominant theme is the reliance on the 'information not held' exemption, particularly regarding mortality data. In over a dozen cases (e.g., 1812503, 1994741, 2210085), Manx Care consistently refused to provide death statistics or cause-of-death breakdowns, stating they do not hold death certificates and directing requesters to the General Registry. This creates a significant blind spot in public understanding of health outcomes, as the authority holds admission and treatment data but claims no access to the final mortality records. Similarly, requests regarding the scientific specifics of the pandemic response (virus isolation, PCR thresholds) were met with clarifications that Manx Care does not perform these advanced procedures, effectively outsourcing the scientific narrative to UK laboratories while refusing to generate new data on adverse events.
Key Cases
Case 1786213 — Highlights a significant transparency gap where Manx Care refused to provide advertising authorizations, invoices, and payments under a 'practical refusal' exemption, despite disclosing the budget. This suggests potential opacity in how public funds are authorized and spent on marketing.
Case 2175541 — Reveals the massive financial reliance on agency and bank workers, providing a clear picture of the cost of staffing shortages. The inability to differentiate between nurses and HCAs due to shared finance codes also exposes weaknesses in the authority's financial tracking systems.
Case 2371715 — Directly addresses patient safety and accountability by disclosing 'Duty of Candour' incidents. The revelation of 20 incidents, including one escalated to a formal complaint, provides concrete evidence of systemic failures and the authority's response to them.
Case 1873690 — A pivotal case in the pandemic narrative where Manx Care explicitly stated they do not perform virus isolation procedures. This clarifies the scope of their laboratory capabilities and counters claims that they are hiding evidence of virus isolation, while simultaneously admitting they do not hold the data requested by skeptics.
Case 2082778 — Clarifies the financial relationship with the UK government regarding vaccines. By confirming the Isle of Man paid nothing for the vaccines themselves (provided free by the UK), it shifts the focus of public spending inquiries to administration and distribution costs rather than procurement.
Related FOI Stories
The 'Not Held' Defense on Mortality and Death Data — #1812503, #1812501, #1941281, #1988313, #1994741
Virology, PCR Protocols, and Vaccine Skepticism — #1845993, #1861725, #1873689, #1873690, #1880753
Financial Transparency and Spending — #1786213, #1799406, #1820933, #1943113, #2007297
Hospital Performance, Waiting Lists, and Staffing — #1782317, #1821533, #1838029, #1931457, #1940485
Data Compilation and System Limitations — #1786213, #1812503, #1820933, #1915369, #1919333
All (483)
All information sent (239) ·
Some information sent but not all held (82) ·
Information not held (71) ·
Some information sent but part exempt (44) ·
No information sent - all held but exempt (22) ·
Not required to fulfill request (9) ·
Upheld - partial (5) ·
Request lapsed - requested information not provided (4) ·
Not upheld (3) ·
Upheld - full (2) ·
Withdrawn (1) ·
Neither confirm or deny information held (1) ·
| Date | Title | Outcome |
|---|---|---|
| 2022-05-16 | Triage | All information sent |
| The requester asked for the average time to see a triage nurse in A&E in 2021 and the target times. Manx Care disclosed that the national target is 15 minutes, while the actual average in 2021 was 21 minutes, attributing the delay to COVID-19 protocols and the implementation of the Manchester Triage System. | ||
| 2022-05-16 | Waiting times and targets | Request lapsed - requested information not provided |
| The requester sought detailed waiting times and targets for seven specific medical departments at Manx Care, including a comparison report from May 2021. Manx Care provided a waiting times report for May 2021 and 2022 but refused to provide a separate breakdown for cataract treatment, citing the inability to derive the data from existing digital records. | ||
| 2022-05-05 | Pharmacy services | Some information sent but part exempt |
| The request sought a breakdown of pharmacy services, remuneration details, and payment data for the last three years from Manx Care. The authority disclosed service volume statistics for the period April 2018 to March 2021 and a service specification document, but withheld specific remuneration details and full payment records citing partial exemptions. | ||
| 2022-05-04 | Manx Care considerations of provision of PrEP at GUM clinic | All information sent |
| The requester asked for an update on the review of PrEP provision policy in the Isle of Man following the conclusion of English and Welsh studies. Manx Care disclosed the original 2018 policy document stating that PrEP is not currently funded due to uncertainties regarding demand, cost, and real-world implementation, with a review pending the results of the IMPACT and PrEPared studies. | ||
| 2022-05-03 | Covid 19 Vaccination - children | Some information sent but not all held |
| The requester asked for specific vaccination uptake numbers for children on the Isle of Man up to April 6, 2022, but the authority provided a general medical chapter on SARS-CoV-2 instead of the requested statistics. | ||
| 2022-05-03 | Covid Testing | Some information sent but not all held |
| The requester asked about genomic sequencing practices and variant percentages for SARS-CoV-2 in the Isle of Man. Manx Care confirmed they are not currently sequencing all PCR tests due to UKHSA prioritization and refused to provide variant percentages because no such data is held. | ||
| 2022-04-28 | Data protection | Upheld - partial |
| A request was made for all Data Protection Impact Assessments (DPIAs), data breach logs, and data protection team salary details from Manx Care. The authority partially upheld the request, disclosing a specific DPIA for the Public Access Defibrillator Scheme while withholding other requested documents. | ||
| 2022-04-26 | Medefer and Manx care privacy policy | Some information sent but part exempt |
| The requester sought privacy policies and data storage details regarding the contract between Manx Care and Medefer Limited. Manx Care responded by providing Medefer's Records Management Policy, which outlines data handling procedures, though the response indicates some information was exempt. | ||
| 2022-04-26 | PCR test protocol for babies in neonatal | Some information sent but not all held |
| The requester sought details on COVID-19 testing protocols, consent procedures, staff training, and benefit-harm analyses for babies in Manx Care neonatal units. Manx Care provided the testing protocol and details on consent and training but confirmed that no benefit vs harm analysis exists. | ||
| 2022-04-19 | Premature Births on the Isle of Man | All information sent |
| A request was made to Manx Care for statistics on premature births on the Isle of Man between 2016 and 2021, specifically for births before 37 weeks and before 32 weeks gestation. The authority responded by providing the complete dataset for all requested years and categories. | ||
| 2022-04-13 | Remdesivir | Information not held |
| The requester asked for the number of patients prescribed Remdesivir and their mortality rates within 6 weeks of treatment. Manx Care stated they do not hold patient-level prescription or death data, but provided aggregate drug issuance statistics for January to April 2022. | ||
| 2022-04-12 | Surgery catchment areas | All information sent |
| A request was made to Manx Care for details on the catchment areas of all GP surgeries on the Isle of Man, and the authority responded by providing specific geographic boundaries for each practice. | ||
| 2022-04-11 | NHS DENTAL CONTRACT | Upheld - partial |
| 2022-04-07 | Staff and Salaries | All information sent |
| The requester asked for the total number of permanent staff and salary spend at Manx Care, broken down by department. The authority responded with Full Time Equivalent (FTE) staff numbers and salary costs for January to March 2022, categorized by terms and conditions rather than specific job roles, with some groups anonymized to protect individual identities. | ||
| 2022-04-06 | Duty of Candour reports - Nobles Hospital | All information sent |
| A request was made for headline information regarding Duty of Candour incidents at Nobles Hospital since the regulations were introduced, including service areas, incident types, and follow-up actions. Manx Care disclosed that 20 incidents occurred, detailing their distribution across care groups and types, and confirmed that apologies were issued and one incident escalated to a formal complaint. | ||
| 2022-04-05 | Administration of Midazolam within health care settings | Upheld - partial |
| The requester asked Manx Care for data on Midazolam administration to Covid-19 deceased patients and any payments received for listing such deaths. Manx Care refused both requests under Section 11(3)(a) of the Act, stating they do not hold the information as death certificates are managed by the Central Registry. | ||
| 2022-04-05 | Full term still births | All information sent |
| A request was made to Manx Care for the total number of full-term stillbirths in the Isle of Man over the last 15 years. The authority responded by providing a complete annual breakdown of stillbirths with a gestation of 37 weeks or more from 2007 to 2021. | ||
| 2022-03-24 | Surgery data 2 | All information sent |
| A request was made to Manx Care for prescription data broken down by surgery and pharmacy for the past three years. The authority disclosed all requested information, providing detailed statistics for 13 surgeries and 23 pharmacies covering the periods from 2018/19 to 2021/22. | ||
| 2022-03-24 | Lateral Flow Tests. | Some information sent but not all held |
| The requester asked about spending on Lateral Flow Tests (LFTs) and limits on test kit requests, including potential retrospective charges. Manx Care disclosed the total cost of LFTs but refused to provide specific details on request limits or stockpiling charges, citing that the information was not held. | ||
| 2022-03-22 | Surgery data | All information sent |
| The requester asked Manx Care for the number of full-time equivalent GPs and registered patients at each surgery on the Isle of Man. The authority responded by providing a complete list of FTE GP partners as of March 2022 and patient registration numbers as of January 2022 for all listed practices. | ||
| 2022-03-17 | Cost of Remdesivir | Some information sent but not all held |
| The requester asked for the cost of Remdesivir prescriptions between November 2020 and December 2021. Manx Care disclosed that there were no direct charges for the drug during this period but could not isolate internal costs for dispensing and administration. | ||
| 2022-03-17 | Patient Group Direction | All information sent |
| The requester asked for a signed copy of the Patient Group Direction (PGD) for the rollout of COVID-19 vaccinations on the Isle of Man. Manx Care disclosed the full information, including the PGD for the AstraZeneca vaccine and a covering letter confirming its endorsement and legal status under Isle of Man legislation. | ||
| 2022-03-16 | Incidence of Myocarditis, Pericarditis and Cardiac Arrests on island | All information sent |
| A request was made for the number of confirmed diagnoses of myocarditis, pericarditis, and cardiac arrest on the Isle of Man between 2017 and 2021. Manx Care disclosed the total number of hospital admissions for these conditions combined but withheld a breakdown by specific condition to protect patient anonymity. | ||
| 2022-03-15 | Staff absences due to mental ill health | Some information sent but not all held |
| A request for annual staff absence days due to mental ill health among front-line health workers from 2019 to 2022 was partially fulfilled, with data provided for 2019-2021 but 2022 figures withheld due to system issues. | ||
| 2022-02-28 | Remdesivir | All information sent |
| The requester asked for the number of times Remdesivir was prescribed on the Isle of Man between 2018 and 2021. Manx Care disclosed the total quantity of Remdesivir issued by month and formulation, noting that patient-level data was unavailable. | ||
| 2022-02-28 | Elevated Heart Conditions and Strokes | All information sent |
| 2022-02-24 | HIV / Aids tests | Information not held |
| The applicant requested annual statistics on positive HIV test results and total tests conducted in the Isle of Man from 2015 to early 2022. Manx Care responded that they do not hold the specific data requested, citing section 11(3)(a) of the Freedom of Information Act 2015. | ||
| 2022-02-24 | Cost of Manx Care signage and branding | All information sent |
| The requester asked for a breakdown of costs incurred by Manx Care to replace DHSC logos and signage with new branding. Manx Care disclosed that the total spend was approximately £10,000, covering 106 signs across 11 sites, while noting that uniforms and stationery utilized existing stock to minimize costs. | ||
| 2022-02-23 | Patient Group Direction | All information sent |
| The requester asked for details on who signed the Patient Group Directions (PGDs) enabling the Isle of Man's COVID-19 vaccination rollout and when. Manx Care disclosed that they adopted UKHSA/NHS PGDs signed by the Medical Director, Director of Nursing, and Lead Pharmaceutical Advisor, and provided specific signing dates for four vaccines. | ||
| 2022-02-21 | Medefer | Some information sent but part exempt |
| The requester sought the contract, cost, and duration of the agreement between Manx Care and Medefer for virtual outpatient services. Manx Care disclosed the service details, contract length, and estimated cost, but withheld commercially sensitive and GDPR-specific information from the full contract document. | ||
| 2022-02-16 | Primary Care Responsible Officer Advisory Group | All information sent |
| A request was made to Manx Care for the composition, payment details, and budget of the Primary Care Responsible Officer Advisory Group. The authority disclosed the current committee members, confirmed that only the lay member receives attendance fees and mileage, and stated there is no designated budget for the group. | ||
| 2022-02-16 | Dental treatments provided | All information sent |
| The applicant requested statistics on NHS root canal treatments in the Isle of Man from 2016 to February 2022, broken down by year and practice, along with data on private referrals. Manx Care provided the treatment statistics but refused the request for private referral data as it is not held by the authority. | ||
| 2022-02-16 | David John Ashford Information Held | Information not held |
| A request was made to Manx Care for information regarding oaths, insurance, and payment entities for David John Ashford in his role as Health Minister. The authority responded that they do not hold the requested information and suggested contacting the Office of the Clerk of Tynwald instead. | ||
| 2022-02-15 | Alcohol and Drug Deaths 2010-2022 | Information not held |
| A request was made for monthly totals of alcohol and drug-related deaths in the Isle of Man from 2010 to 2022. Manx Care responded that the information is not held because they do not possess death certificates or cause of death data. | ||
| 2022-02-07 | Dentist waiting lists | All information sent |
| The request sought the number of people on the NHS dental waiting list and their wait times as of February 7, 2022. Manx Care disclosed that 2,336 people were on the list with an average wait of 141 days and provided a detailed monthly breakdown of list growth and allocations since April 2019. | ||
| 2022-02-02 | Nobles Admissions past 5 years | All information sent |
| A request was made for a list of in-patient admissions to Nobles Hospital over the past five years, broken down by category and month. Manx Care fulfilled the request by providing an attached Excel spreadsheet containing the data. | ||
| 2022-02-01 | Renumeration for Remdesivir | Information not held |
| The requester asked Manx Care about financial payments for prescribing Remdesivir and mortality statistics for patients receiving the drug. Manx Care confirmed no financial payments were made but refused to provide mortality data, citing that the information is not held. | ||
| 2022-02-01 | Board Meetings | Some information sent but part exempt |
| The requester asked for specific costs and details regarding Manx Care board meetings held at MNH, including venue rental and technical services. Manx Care withheld exact figures citing commercial prejudice but disclosed the number of meetings and provided cost ranges for the services. | ||
| 2022-01-27 | Ambulance Waits | All information sent |
| A request was made for the average and longest ambulance wait times on the Isle of Man for the previous 12 months. Manx Care responded by providing the requested data in an attached table and a link explaining the ambulance standards. | ||
| 2022-01-24 | Request of the organisation and team structures of Adult social work | Information not held |
| The requester asked for the organizational team structure of the Adult Social Work service under Manx Care, excluding individual names. Manx Care responded that the information is not currently held, though an organizational chart is expected to be drafted shortly. | ||
| 2022-01-24 | Died OF covid Solely feb20-dec21 | Information not held |
| A request was made for statistics on deaths caused solely by COVID-19 between February 2020 and December 2021, broken down by age and gender. Manx Care responded that the information is not held and advised the requester to contact the General Registry. | ||
| 2022-01-24 | CoMorbidities | Information not held |
| The requester asked Manx Care for a chronological list of co-morbidities for individuals who died with COVID-19 as recorded on death certificates. Manx Care refused the request stating they do not hold this information and advised contacting the General Registry instead. | ||
| 2022-01-21 | CAMHS | Information not held |
| A request was made for CAMHS waiting list figures broken down by specific time durations, but Manx Care refused to provide the data because their clinical record system cannot generate the information in the requested format without creating new data. | ||
| 2022-01-11 | 2185601 Diabetes diagnosis in children | All information sent |
| The requester asked for annual diabetes diagnosis statistics for children under 18 on the Isle of Man over the last five years. Manx Care provided complete data for children under 16 but could not supply reliable statistics for those aged 16-18 due to limitations in their legacy IT system. | ||
| 2022-01-05 | 2175541 Cost of Agency Bank Workers | All information sent |
| The requester asked for the financial costs of agency and bank nurses and HCAs from 2015 to the present, and Manx Care provided total spending data for various staff categories across departments and Nobles Hospital, noting that nurses and HCAs could not be differentiated due to shared finance codes. | ||
| 2021-12-24 | c section rate | All information sent |
| A request was made to Manx Care for detailed statistics on births, caesarean sections, inductions, and maternal mortality from 2015 to 2021. The authority responded by providing a comprehensive table breaking down these figures by year and category, including elective versus emergency procedures. | ||
| 2021-12-21 | 2156225 Covid and the mrna damage being done. | All information sent |
| A request for hospital capacity, staffing, vaccination status of patients, virus isolation details, malpractice investigations, and anaphylaxis ambulance callouts was submitted to Manx Care. The authority provided full capacity data and anaphylaxis statistics, but withheld staffing numbers due to data structure, redirected vaccination queries to a public dashboard, and referred virus isolation questions to the Cabinet Office. | ||
| 2021-12-20 | 2152199 ambulance call outs | All information sent |
| The requester asked Manx Care for an update on ambulance call-out statistics following a previous FOI request. Manx Care disclosed a detailed table of daily emergency, routine, and urgent ambulance dispatches for the period from September 1, 2021, to December 31, 2021. | ||
| 2021-12-15 | 2147501 Miscarriages and stillbirths | All information sent |
| The requester asked for monthly figures on miscarriages and stillbirths in the Isle of Man from 2017 to 2021, and Manx Care provided the complete data in a table format. | ||
| 2021-12-15 | 2147702 Covid hospital numbers update | Some information sent but part exempt |
| The request sought updated weekly COVID-19 admissions, monthly total hospital admissions, and stroke statistics for the Isle of Man. Manx Care provided the requested data covering periods from March 2020 through December 2021, with some figures extending into January 2022. | ||
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