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 |
|---|---|---|
| 2021-12-15 | 2147901 Money paid per covid-19 vaccine | All information sent |
| The requester asked if the Isle of Man provides extra payments per COVID-19 vaccine to medical staff or GPs, similar to the UK system. Manx Care confirmed that participating GP practices receive enhanced service payments per vaccine, detailing the specific amounts and dates of rate changes. | ||
| 2021-12-15 | 2148102 Pneumonia | All information sent |
| The requester asked for an update on influenza and pneumonia hospitalization and death statistics for Q1 and Q2 2021 following a previous FOI request. Manx Care disclosed that between July and December 2021, there was one influenza admission with zero deaths, and 393 pneumonia admissions with 60 deaths recorded as the discharge reason. | ||
| 2021-12-13 | 2140041 Cardiology dept appointments and admissions | All information sent |
| The request sought monthly data on cardiology appointments, admissions, and emergency presentations for heart-related issues and strokes between 2017 and 2021. Manx Care provided detailed monthly statistics for Nobles and Ramsey hospitals, noting that data for 'elsewhere on the Island' was unavailable and emergency coding only commenced in 2018. | ||
| 2021-12-10 | 2139942 Covid vaccine adverse events | All information sent |
| The requester asked Manx Care about data collection on COVID-19 vaccine adverse events, staff awareness of side effects, and public reporting mechanisms. Manx Care disclosed that they rely on UK MHRA data, provide staff with updated Patient Group Directions and the Green Book, and clarified that 111 does not handle vaccination consent. | ||
| 2021-12-09 | 2138109 Cancer Statistics 2010-2019 | Information not held |
| The requester asked for annual cancer incidence, mortality, prevalence, and survival statistics for the Isle of Man from 2010 to 2019, split by gender. The authority responded that the specific incidence data requested is not held, though they provided a mortality report containing total death figures and cancer-related statistics for 2018 and 2019. | ||
| 2021-12-09 | 2138709 Covid & Still births after the DNA altering mrna gene threapy | Some information sent but not all held |
| The requester asked Manx Care for statistics on stillbirths, deaths under anesthesia, ICU deaths, and immunocompromised patients, alongside questions about mRNA clinical trials. Manx Care provided stillbirth and miscarriage data for 2017-2021 but refused requests for earlier years and specific mortality/clinical trial data citing that the information was not held. | ||
| 2021-12-07 | 2131314 Heart Attacks/problems 2015-2021 | Some information sent but not all held |
| The requester asked for monthly totals of all cardiac events on the Isle of Man from 2015 to 2021, including community cases. Manx Care disclosed monthly discharge episode data with 'Cardiac Event' as the primary diagnosis for Noble's and Ramsey hospitals but withheld community data due to lack of collation and excessive compilation costs. | ||
| 2021-12-07 | 2132845 Dexamethasone usage 2015-2021 | All information sent |
| The requester asked for monthly dosage and volume data for Dexamethasone usage between 2015 and 2021. Manx Care provided monthly issue volumes for Nobles Hospital but noted that specific dose sizes for Primary Care were unavailable. | ||
| 2021-12-07 | 2132846 Organ failures 2015-2021 | Some information sent but not all held |
| The requester asked for monthly organ failure statistics from 2015-2021 cross-referenced with COVID-19 status and specific medications, but Manx Care only provided annual admission totals by organ type for Nobles Hospital, stating they could not derive the requested medication links. | ||
| 2021-12-07 | 2135047 Elective surgery cancellations | All information sent |
| 2021-12-06 | 2131713 Brain tumour admissions | All information sent |
| The requester asked for monthly brain tumour admission data at Noble's Hospital from January 2016 to the present. Manx Care provided the data aggregated annually instead of monthly due to small numbers, covering specific malignant, benign, and uncertain behaviour diagnoses. | ||
| 2021-12-01 | Covid statistics | Information not held |
| A request for detailed statistics on Covid-19 deaths, vaccination status, and vaccine adverse effects in the Isle of Man was submitted to Manx Care. The authority responded that it does not hold the requested information, citing the lack of death registration data and the use of the UK's Yellow Card scheme for adverse event reporting. | ||
| 2021-12-01 | Anaphylaxis | All information sent |
| The requester asked for monthly figures on emergency department attendances and hospital admissions for anaphylaxis and allergic reactions from 2019 to December 2021. Manx Care disclosed total attendance statistics by diagnosis group and confirmed 15 inpatient admissions for specific allergic reactions, noting that broader 'allergic reaction' data was too general to capture for admissions. | ||
| 2021-12-01 | 2123353 Stillbirths, miscarriages and preterm births | All information sent |
| The requester asked for monthly figures on stillbirths, miscarriages, and preterm births at Noble's Hospital from 2019 to December 2021. Manx Care responded by providing the complete annual and monthly statistical data for all three categories as requested. | ||
| 2021-12-01 | Cancer rates | Some information sent but not all held |
| A request for cancer admission, diagnosis, and breast clinic scan data was partially fulfilled by Manx Care, which provided revised admission figures and scan counts but refused to provide total diagnosis numbers as the data was not held. | ||
| 2021-11-29 | Privacy of DNA data on PCR swabs | Some information sent but part exempt |
| The requester asked Manx Care about the disposal of COVID PCR samples, legislation preventing their sale, and privacy policies. Manx Care confirmed that extracted RNA is destroyed within a week, primary samples are kept for less than a month, and they will never sell biological samples to third parties. | ||
| 2021-11-29 | Covid related | Some information sent but not all held |
| 2021-11-26 | Covid-19 vaccinations isle of man | No information sent - all held but exempt |
| The requester asked for detailed dates and monthly statistics regarding the Isle of Man's COVID-19 vaccination rollout by category and dose. Manx Care refused to provide the data directly, citing that the information is already reasonably accessible via the official government website. | ||
| 2021-11-26 | Remdesivir and hospital codes add-on payment | Some information sent but not all held |
| The requester asked for updated Remdesivir usage statistics and details on add-on payments for specific hospital codes. Manx Care provided a usage table but confirmed they do not receive add-on payments for Remdesivir or other specific codes. | ||
| 2021-11-26 | Midazolam, morphine and diamorphine update | All information sent |
| The requester asked for updated dispensing figures for Midazolam and Morphine, clarification on negative numbers in spreadsheets, and five years of Diamorphine data. Manx Care responded by providing detailed monthly Midazolam dispensing statistics from January 2010 to November 2021, noting that negative figures represent returns or adjustments. | ||
| 2021-11-17 | FOI - Ambulance Service | Some information sent but not all held |
| A request was made regarding the usage, mileage, and policies of Isle of Man Ambulance Service (IMAS) vehicles, specifically questioning personal use. Manx Care disclosed that there are 10 communal vehicles with zero personal mileage claims, but stated they do not hold a specific policy document for vehicle retention during on-call duties. | ||
| 2021-11-10 | Salary | All information sent |
| A request was made to Manx Care for the total annual salary cost of its sixteen board members. The authority responded by disclosing the total figure, explicitly excluding on-costs such as National Insurance and pension contributions. | ||
| 2021-11-10 | Cost of Covid-19 vaccines | All information sent |
| The requester asked for the specific purchase costs of various COVID-19 vaccines and the total expenditure by the Isle of Man Government up to October 2021. Manx Care responded that there was no cost to the government because all vaccines were provided free of charge by the UK Government. | ||
| 2021-11-08 | Foreign sports people vax status 2021 | No information sent - all held but exempt |
| A request was made for the COVID-19 vaccination status of foreign sports personnel visiting the Isle of Man between January and November 2021. Manx Care refused to confirm or deny holding the information, citing an absolute exemption for personal data. | ||
| 2021-11-05 | covid query | Some information sent but part exempt |
| The requester asked for monthly hospital admission and death statistics from 2018 to 2021, updated influenza and pneumonia data, and information regarding blood donation policies for vaccinated individuals. Manx Care provided the requested statistical tables and clarified that blood donation guidelines are publicly available, while noting that blood products are screened and filtered. | ||
| 2021-11-05 | Stroke | All information sent |
| The requester asked Manx Care for updated statistics on stroke and heart attack admissions at Noble's Hospital from March 2019 to November 2021. Manx Care provided the full dataset in an appendix, noting a potential undercount for 2020 due to a backlog in clinical coding. | ||
| 2021-11-03 | MHK and MLC Covid Vaccination Status | No information sent - all held but exempt |
| The requester asked for the vaccination status of all MHKs, MLCs, and civil servants, specifically regarding COVID-19. Manx Care refused to confirm or deny holding the information, citing an absolute exemption for personal data. | ||
| 2021-11-03 | Vaccination status ALL Manx Care/Nobles/GP's staff | No information sent - all held but exempt |
| The requester asked for the vaccination status of all Manx Care, Nobles Hospital, and GP staff, specifically regarding COVID-19. The authority refused to confirm or deny holding the information, citing an absolute exemption for personal data. | ||
| 2021-11-03 | Full Covid-19 Vax Ingredients | Information not held |
| A request was made for the full ingredients list of COVID-19 vaccines used on the Isle of Man, but Manx Care refused to provide the information stating they do not hold it. | ||
| 2021-11-01 | Accuracy of LFD testing regime | All information sent |
| The requester asked for records on the specificity and sensitivity of COVID-19 testing procedures used on the Isle of Man in October 2021, specifically noting a lack of LFD data on the government website. Manx Care confirmed the website data was accurate and directed the requester to a House of Keys Official Report from October 26, 2021, which discusses LFD testing accuracy. | ||
| 2021-11-01 | CAMHS Waiting list times and standards | Some information sent but not all held |
| The requester asked for CAMHS waiting list statistics and an audit report against Royal College of Psychiatrists standards. Manx Care disclosed a draft audit report from November 2021 but did not provide specific waiting list numbers or reasons for delays in the provided text. | ||
| 2021-10-28 | Covid 19 Adverse Events | Information not held |
| The requester asked for detailed reports on Covid-19 vaccination adverse events and deaths in the Isle of Man, but Manx Care refused the request stating they do not hold this information separately. | ||
| 2021-10-21 | Staffing | Neither confirm or deny information held |
| The requester asked for staff headcounts at Noble's Hospital and details on staff dismissals or suspensions since Manx Care took over. Manx Care refused to provide the headcount data as it would require creating new information and denied confirming or denying the disciplinary data due to personal information exemptions. | ||
| 2021-10-14 | Waiting Lists | All information sent |
| A request was made to Manx Care for the average waiting times for first appointments across all clinics at Noble's Hospital. The authority disclosed a comprehensive list of waiting times for 48 specialties as of November 2021, alongside a note regarding data validation challenges. | ||
| 2021-10-14 | Is vaccine status private medical information? | Information not held |
| A requester asked Manx Care whether vaccine status is considered private medical information and if it is legal to require its disclosure. Manx Care responded that they do not hold the specific information requested and advised the requester to contact the Attorney General's Office instead. | ||
| 2021-10-13 | Operations | Some information sent but not all held |
| The requester asked for the number of operations cancelled since April 1, 2021, and specifically how many were due to staff shortages. Manx Care provided a breakdown of cancellations by various recorded reasons but stated they do not record 'staff shortages' as a specific category, though they acknowledged ongoing staff issues in a separate public statement. | ||
| 2021-10-11 | Information | All information sent |
| The requester asked for Manx Care's financial and FOI policies, request statistics, and copies of all FOI replies since April 2021. The authority responded by providing the full Manx Care Financial Regulations document, which outlines statutory financial directions and practice notes. | ||
| 2021-10-08 | Pharmacy closures | Some information sent but not all held |
| The requester asked for pharmacy contracts, a three-year list of closures, and details on fines; Manx Care disclosed closure data from October 2020 to November 2021 but refused the contract copy and fine details, citing that penalties do not exist and creating a three-year list would require deriving new information. | ||
| 2021-10-08 | Surgery data | All information sent |
| The requester asked for patient registration numbers and monthly prescription item counts for each surgery on the Isle of Man over the last three years. Manx Care disclosed the monthly prescription data for 12 surgeries from April 2017 to February 2021 but did not provide the requested patient registration figures. | ||
| 2021-10-08 | covid query | All information sent |
| The requester asked Manx Care for weekly COVID-19 admission data, total hospital admissions for 2019-2020, missing annexes regarding medication, and details on Ivermectin and Remdesivir usage. Manx Care provided the requested statistical data, confirmed the missing annexes were posted online, and stated that Ivermectin is not used for COVID-19 treatment. | ||
| 2021-10-08 | Deaths of persons vaccinated for Covid | Not upheld |
| The requester asked Manx Care for statistics on Covid-19 deaths in the Isle of Man categorized by vaccination status between January and October 2021. Manx Care refused the request, stating they do not hold death certificates and cannot provide the specific data requested. | ||
| 2021-10-01 | Cost of lateral flow testing | All information sent |
| A request was made to Manx Care for details on the volume and costs of lateral flow testing devices issued to Isle of Man residents up to September 2021. The authority disclosed the total number of devices distributed, unit costs, transportation and distribution expenses, and the overall total cost to the taxpayer. | ||
| 2021-09-29 | Travel and Accommodation | All information sent |
| A request was made to Manx Care for travel and accommodation costs incurred by board members for meetings since April 1, 2021, excluding clinical staff. The authority disclosed the total spending figures for the period between April 1 and October 7, 2021. | ||
| 2021-09-24 | Pharmacy applications | Information not held |
| The requester asked for details of all pharmacy applications made on the Isle of Man in the last three years, but Manx Care responded that no such information is held because no formal applications were submitted during that period. | ||
| 2021-09-24 | Covid-19 Deaths | Information not held |
| The requester asked Manx Care for a breakdown of deaths 'by' versus 'with' Covid-19, but the authority refused the request stating they do not hold death certificates. | ||
| 2021-09-15 | underlying cause of death was Covid-19 | Not required to fulfill request |
| The requester asked Manx Care for statistics on Covid-19 deaths, including underlying causes, pre-existing conditions, and ages of the deceased. Manx Care refused the request, stating they do not hold death certificates and would need to create new information by accessing individual health records. | ||
| 2021-09-14 | clinical evidence for mask requirements | Information not held |
| The requester asked Manx Care for clinical studies and data used to justify mask requirements in healthcare settings. The authority responded that the specific information was not held, instead providing a link to UK-wide infection prevention and control guidance. | ||
| 2021-09-13 | Expense Claims | Upheld - full |
| A request was made for expense claims of all Manx Care Board Members from April 1, 2021, to the date of response, which was fully upheld with a breakdown of costs provided. | ||
| 2021-09-10 | Deaths from Covid versus deaths with Covid | Not required to fulfill request |
| A request was made to Manx Care for detailed statistics on Covid-19 deaths, including causes and underlying conditions, but the authority refused to fulfill it because the data would require creation or derivation rather than retrieval of existing records. | ||
| 2021-09-09 | Transfer of doctors from DHSC to Manx Care | All information sent |
| The request sought confirmation on the number of medical doctors transferred from the Department of Health and Social Care to Manx Care upon the board's establishment in April 2021. Manx Care disclosed that 162 contracted doctors and 146 bank/locum doctors were transferred, with only one non-clinical doctor remaining with DHSC. | ||
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