Brain Haemorrhage/Aneurysm Data

Summary

A request was made for detailed statistics on brain haemorrhage and aneurysm admissions at Nobles Hospital over the last five years, including mortality rates and transfers to the Walton Centre. The Department of Health and Social Care refused the request, stating the information is not held due to a recent organizational restructuring.

Key Facts

• The Department of Health and Social Care does not hold the requested data on brain haemorrhage or aneurysm admissions.
• The refusal is based on Section 11(3)a of the Freedom of Information Act 2015 as a practical reason.
• The Department was redesigned on 1 April 2021 following Sir Jonathan Michael's Independent Review.
• Service delivery responsibilities were separated from policy setting and transferred to Manx Care.
• The requester was advised to re-submit the request to Manx Care.

Data Disclosed

• 1834330
• 2021-06-08
• 2021-06-10
• 1 April 2021
• 5 calendar years
• Section 11(3)a

Exemptions Cited

• Section 11(3)a of the Freedom of Information Act 2015 (Information not held)

Original Request

How many IOM resident persons have been admitted to Nobles Hospital in each of the last 5 calendar years who have on admission or subsequently on diagnosis been diagnosed as having had a Brain Haemorrhage or Brain Aneurysm, broken down by the following: * Age (ranges) * Gender * The number transferred to the Walton Centre for specialist treatment etc. * Have died within the following timescales: * <24 hours * >24 hours - 1 week * >1 week - 1 month Provide the ratio of the total number of diagnoses per head of IOM population, and compare with the same ratio for England & Wales. Of those patients transferred to the Walton Centre, how many: * Died there * Stayed there for the following timescales: * <1week * 1 week - 1 month * 1 month - 3 months * 3 months - 6 months * >6 months

Data Tables (2)

Full Response Text

Chief Executive: Kathryn Magson Freedom of Information Team Crookall House Demesne Road Douglas Isle of Man IM1 3QA Tel: (01624) 686324 Email: dhsc@foi.gov.im Website: www.gov.im/dhsc

Our ref: 1834330 10 June 2021

Dear ###

We write further to your request which was received 8 June 2021 and which states:

"How many IOM resident persons have been admitted to Nobles Hospital in each of the last 5 calendar years who have on admission or subsequently on diagnosis been diagnosed as having had a Brain Haemorrhage or Brain Aneurysm, broken down by the following: * Age (ranges) * Gender * The number transferred to the Walton Centre for specialist treatment etc. * Have died within the following timescales: * <24 hours * >24 hours - 1 week * >1 week - 1 month Provide the ratio of the total number of diagnoses per head of IOM population, and compare with the same ratio for England & Wales. Of those patients transferred to the Walton Centre, how many: * Died there * Stayed there for the following timescales: * <1week * 1 week - 1 month * 1 month - 3 months * 3 months - 6 months * >6 months"

Our response to your request:

While our aim is to provide information whenever possible, in this instance the Department of Health and Social Care ('the Department') is unable to provide the

information that you have requested. This is in line with Section 11(3)a of the Act, as a practical refusal reason applies; namely we do not hold or cannot, after taking reasonable steps to do so, find the information that you have requested. To provide advice and assistance, The Department of Health and Social Care redesigned on 1 April 2021 as a direct result of Sir Jonathan Michael’s Independent Review of the Isle of Manx Health and Care System. This Review continues to be a catalyst for change and improved service provision. The redesigned DHSC ensures the separation between the setting of policy and strategy and the delivery of services by Manx Care. Further details on what services Manx Care deliver is available at: www.gov.im/about-the-government/statutory-boards/manx-care/ You may wish to re-submit your request to Manx Care, which is an option available on the Freedom of Information request portal, who will process your request accordingly. If you require further advice and assistance on how to submit your request to Manx Care please do not hesitate to contact me.

Please quote the reference number 1834330 in any future communications.

Your right to request a review

If you are unhappy with this response to your freedom of information request, you may ask us to carry out an internal review of the response, by completing a complaint form and submitting it electronically or by delivery/post.

An electronic version of our complaint form can be found by going to our website at https://services.gov.im/freedom-of-information/Review . If you would like a paper version of our complaint form to be sent to you by post, please contact me and I will be happy to arrange for this. Your review request should explain why you are dissatisfied with this response, and should be made as soon as practicable. We will respond as soon as the review has been concluded.

If you are not satisfied with the result of the review, you then have the right to appeal to the Information Commissioner for a decision on; 1. Whether we have responded to your request for information in accordance with Part 2 of the Freedom of Information Act 2015; or 2. Whether we are justified in refusing to give you the information requested.
In response to an application for review, the Information Commissioner may, at any time, attempt to resolve a matter by negotiation, conciliation, mediation or another form of alternative dispute resolution and will have regard to any outcome of this in making any subsequent decision. More detailed information on your right to a review can be found on the Information Commissioner’s website at www.inforights.im.

Should you have any queries concerning this letter, please do not hesitate to contact me. Further information about freedom of information requests can be found at: www.gov.im/foi

I will now close your request as of this date.

Yours sincerely