Brain Haemorrhage Data

Summary

The requester asked for detailed statistics on brain haemorrhage and aneurysm admissions at Noble's Hospital over five years, including demographics, transfers to the Walton Centre, and mortality rates. Manx Care provided total admission numbers for 2016-2020 but refused requests for demographic breakdowns, population ratios, and Walton Centre data, citing that the information was not held.

Key Facts

• Manx Care provided total admission figures for brain haemorrhage/aneurysm cases from 2016 to 2020.
• The authority stated that clinical coding data validity is unknown due to unqualified staff and backlogs.
• Information regarding patient age, gender, and specific mortality timescales was not held.
• Data on transfers to the Walton Centre and outcomes there was not held by Manx Care.
• The request for population ratio comparisons with England and Wales was refused as the data was not available.

Data Disclosed

• 2016: 32 admissions
• 2017: 47 admissions
• 2018: 43 admissions
• 2019: 22 admissions
• 2020: 2 admissions
• Total: 146 admissions
• Reference number: 1838029
• Date received: 10 June 2021
• Outcome date: 8 July 2021
• Section 11(3)a of the Act

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 (1)

Full Response Text

Manx Care Noble’s Hospital, Strang Braddan, Isle of Man IM4 4R (01624) 650 000

Our ref: 1838029 8 July 2021

Dear ###

We write further to your request which was received on 10 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"

While our aim is to provide information whenever possible, in this instance the public authority does not hold or cannot, after taking reasonable steps to do so, find some of the information that you have requested.

I have detailed below the information that is held. 1. IOM Resident Admissions to IOM Hospitals Year Admissions 2016 32 2017 47 2018 43 2019 22 2020 2 TOTAL 146 Up until 31st March 2021, clinical coding within the Isle of Man Hospitals Directorate has been carried out by locally trained but unqualified clinical coding staff and as such the validity of the coded data that this query is derived from is unknown. There is also a considerable backlog of uncoded finished consultant episodes from 2019 and 2020 which could contribute to the low numbers seen in these results. Manx Care is actively working to develop a sustainable, accurate and timely clinical coding function to address this situation. 2. Ratio of the total number of diagnoses per head and comparison to the same ratio for England and Wales. While our aim is to provide information whenever possible, in this instance Manx Care 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. 3. Walton Centre Statistics While our aim is to provide information whenever possible, in this instance Manx Care 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. We suggest you submit an FOI request to them directly. Please quote the reference number 1838029 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 This data illustrates the number of admissions rather than the number of residents admitted in each year and is derived from clinically coded data.

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.