Noble's Hospital Administrative Review

AuthorityDepartment of Health and Social Care
Date received2017-06-23
OutcomeSome information sent but part exempt
Outcome date2017-08-18
Case ID355213

Summary

A request was made for a 2015-2016 independent review of clinical administration staffing and processes at Noble's Hospital. The Department of Health and Social Care provided the report partially, withholding certain sections under statutory exemptions.

Key Facts

  • The requested document is the 'Department of Health and Social Care Noble's Hospital Clinical Administration Review Report'.
  • The review was dated 15 January 2016 and covered clinical administration teams staffing and processes.
  • The response was issued on 15 August 2017 by the Department of Health and Social Care.
  • The request was made under the Freedom of Information Act 2015.
  • The response included a Redactions Log detailing the reasons for exemptions.

Data Disclosed

  • 23 June 2017
  • 15 January 2016
  • 15 August 2017
  • 102
  • IM92-737i
  • 01624 642621

Exemptions Cited

  • Statutory exemptions (specific sections not detailed in the provided text, referenced in Redactions Log)

Data Tables (26)

Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
03 of 82 Contents; 04 of 82 Contents; 07 of 82 1.6 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. If the information is about a process and by releasing the information it would allow someone to circumvent the process. Where a matter is live. E
07 of 82 1.7; 08 of 82 1.7 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
11 of 82 2.2.7; 15 of 82 3.1.3 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. If the information is about a process and by releasing the information it would allow someone to circumvent the process. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. E
13 of 82 3.1.2; 14 of 82 3.1.2 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. If the information is about a process and by releasing the information it would allow someone to circumvent the process. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
15 of 82 3.1.3.2; 16 of 82 3.1.3.2; 16 of 32 3.1.3.3 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. If the information is about a process and by releasing the information it would allow someone to circumvent the process. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
18 of 82 3.1.3.4 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. If the information is about a process and by releasing the information it would allow someone to circumvent the process. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. E
19 of 82 3.1.3.5 ; 19 of 82 3.1.3.5 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government and confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
20 of 82 3.1.3.5 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. Where a matter is live. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). E
22 of 82 3.1.4.2; 23 of 82 3.1.4.2 ; 23 of 82 3.1.4.2 ; 24 of 82 3.1.4.4 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
26 of 82 3.1.4.9; 27 of 82 3.1.4.10; 27 of 82 3.1.4.10 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. E
28 of 82 3.1.4.12 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
29 of 82 3.2.2; 30 of 82 3.2.2 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. If the information is about a process and by releasing the information it would allow someone to circumvent the process. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. Could lead to lay misunderstanding. E
30 of 82 3.2.3.1 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). E
34 of 82 3.3.3 Section 35(c) The disclosure would have an adverse effect on the ability of the Department E Increase trust in Government. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
35 of 82 3.3.3 otherwise to prejudice the effective conduct of public business to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose Increased confidence in the decision making process. Informing public debate on important matters. unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. If the information is about a process and by releasing the information it would allow someone to circumvent the process. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. Could lead to lay misunderstanding.
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
35 of 82 3.3.4 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
35 of 82 3.3.5 Section 30(2)(b) Economy and commercial interests Disclosure of the information would affect a company’s ability to participate competitively in a commercial activity (directly or indirectly)? Disclosure of would be revealing commercially sensitive information. Prejudice would be likely to occur as having a detrimental impact on commercial revenue or the ability to obtain supplies or secure finance. Prejudice would also be likely to occur has weakening their position in a competitive environment by revealing market sensitive information or information of potential usefulness to competitors. E Showing where public money is being spent, how much public money is being spent and how the supplier arrived at the process. The need to hold public authorities to account for their stewardship of public resources. Need to ensure that commercial activities, including the procurement process, are conducted in an open and honest way. Business can respond better to public sector opportunities. Where information has been received from confidential sources and these relationships would be damaged by disclosure and reduce the likelihood of information being made available in the future. The need to protect the commercial interests of the private sector, which plays an important role in the general health of the economy. Consideration of matters such as the maintenance of intellectual property rights and the need to protect the flow of commercial secrets to public authorities. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
35 of 82 3.3.5 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
36 of 82 3.3.5; 36 of 82 3.3.5; 37 of 82 3.3.5; 37 of 82 3.3.5 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. Could lead to lay misunderstanding. E
37 of 82 3.3.6 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
37 of 82 3.3.7 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
37 of 82 3.3.7 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. Disclosure would be likely to inhibit the ability of public authority staff and others to express themselves openly, honestly and completely, or to explore extreme options, when providing advice or giving their views as part of the process of deliberation. Disclosing such information could therefore impair the quality of decision making by the public authority Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
38 of 82 3.3.7 Section 30(2)(b) Economy and commercial interests Disclosure of the information would affect a company’s ability to participate competitively in a commercial activity (directly or indirectly)? Disclosure of would be revealing commercially sensitive information. Prejudice would be likely to occur as having a detrimental impact on commercial revenue or the ability to obtain supplies or secure finance. Prejudice would also be likely to occur has weakening their position in a competitive environment by revealing market sensitive information or information of potential usefulness to competitors. E Showing where public money is being spent, how much public money is being spent and how the supplier arrived at the process. The need to hold public authorities to account for their stewardship of public resources. Need to ensure that commercial activities, including the procurement process, are conducted in an open and honest way. Business can respond better to public sector opportunities. Where information has been received from confidential sources and these relationships would be damaged by disclosure and reduce the likelihood of information being made available in the future. The need to protect the commercial interests of the private sector, which plays an important role in the general health of the economy. Consideration of matters such as the maintenance of intellectual property rights and the need to protect the flow of commercial secrets to public authorities. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
38 of 82 3.4.1; 43 of 82 3.7.2 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
45 of 82 3.7.2; 47 of 82 3.7.2; 48 of 82 3.7.2; 49 of 82 3.7.2; 50 of 82 3.7.2; 51 of 82 3.7.2; 52 of 82 3.7.2 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
53 of 82 3.7.2; 54 of 82 3.7.2 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Disclosure would be likely to inhibit the ability of public authority staff and others to express themselves openly, honestly and completely, or to explore extreme options, when providing advice or giving their views as part of the process of deliberation. Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
55 of 82 3.7.2 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Disclosure would be likely to inhibit the ability of public authority staff and others to express themselves openly, honestly and completely, or to explore extreme options, when providing advice or giving their views as part of the process of deliberation. Where a matter is live. Could lead to lay misunderstanding. E
56 of 82 3.7.2; 57 of 82 3.7.2 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. Where a matter is live. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
58 of 82 3.7.2; 59 of 82 3.7.2; 60 of 82 3.7.2; 61 of 82 3.7.2; 62 of 82 3.7.2 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. Where a matter is live. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. Could lead to lay misunderstanding. E
63 of 82 App 05 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
64 of 82 App 05 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. Disclosure would be likely to inhibit the ability of public authority staff and others to express themselves openly, honestly and completely, or to explore extreme options, when providing advice or giving their views as part of the process of deliberation. Disclosing such information could therefore impair the quality of decision making by the public authority. Where a matter is live. Could lead to lay misunderstanding. E
65 of 82 App 06 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
68 of 82 App 06; 68 of 82 App 06; 68 of 82 App 06 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. Where a matter is live. Could lead to lay misunderstanding. E
69 of 82 App 06; 69 of 82 App 06 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. Where a matter is live. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
75 of 82 App 07 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
76 of 82 App 08 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. Disclosure would be likely to inhibit the ability of public authority staff and others to express themselves openly, honestly and completely, or to explore extreme options, when providing advice or giving their views as part of the process of deliberation. Disclosing such information could therefore impair the quality of decision making by the public authority. Where a matter is live. Could lead to lay misunderstanding. E
Page and section Exemption to be Applied Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt
77 of 82 App 08; 78 of 82 App 09; 79 of 82 App 09; 80 of 82 App 09; 81 of 82 App 09 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Increase trust in Government. Increased confidence in the decision making process. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. Disclosure would be likely to inhibit the ability of public authority staff and others to express themselves openly, honestly and completely, or to explore extreme options, when providing advice or giving their views as part of the process of deliberation. Disclosing such information could therefore impair the quality of decision making by the public authority. Where a matter is live. Could lead to lay misunderstanding. E
82 of 82 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Transparency Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. If the information is about a process and by releasing the information it would allow someone to circumvent the process. E

Full Response Text

Department of Health and Social Care Rheynn Slaynt as Kiarail y Theay Page 1 of 102 FOIA/DHSC/rvsd/01 Chief Executive: Malcolm Couch By email: Freedom of Information Team Department of Health & Social Care Chief Executive’s Office Crookall House Demesne Road Douglas Isle of Man, IM1 3QA Tel: Email: Website: Date: FOI Reference: (01624) 642621 foi.dhsc@gov.im www.gov.im/dhsc 15 August 2017 IM92-737i Dear REQUEST UNDER THE FREEDOM OF INFORMATION ACT 2015 (“the Act”) Thank you for your request to the Department of Health and Social Care, dated 23 June 2017 Your request You asked for: Question 01: “I am requesting a copy of a Review Document completed toward the end of 2015, into 2016. This covered clinical administration teams staffing and processes at Nobles hospital; this report had an independent review.” Response to your request We are pleased to be able to provide a partial response to your request; while our aim is to provide information whenever possible, in this instance we are unable to provide the Review in its entirety.
The review, entitled “Department of Health and Social Care Noble’s Hospital Clinical Administration Review Report” dated 15 January 2016, has been included as Appendix 01; the reasons and statutory exemption sections are shown as part of the Redactions Log in Appendix 02.
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 to the FOI Co-ordinator, Department of Health & Social Care, Chief Executive’s Officer, Crookall House, Demesne Road, Douglas, Isle of Man, IM1 3QA. An electronic version and paper version of our complaint form can be found by going to our website www.gov.im/about-the-government/freedom-of-information/how-to- make-a-freedom-of-information-request/ . Your review request should explain why you are

Page 2 of 102 FOIA/DHSC/rvsd/01 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; 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.
    Further information about Freedom of Information requests can be found on the Information Commissioner’s website at: www.inforights.im/information-centre/freedom-of-information. Should you have any queries concerning this letter, please do not hesitate to contact us. Yours Sincerely

Freedom of Information Team Department of Health and Social Care

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Page 1 of 102 FOIA/DHSC/rvsd/01 Appendix 02 - Redaction Log

Page and section Exemption to be Applied
Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt 03 of 82 Contents; 04 of 82 Contents; 07 of 82 1.6 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. If the information is about a process and by releasing the information it would allow someone to circumvent the process. Where a matter is live. E 07 of 82 1.7; 08 of 82 1.7 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest.
The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. E

Page 2 of 102 FOIA/DHSC/rvsd/01 Page and section Exemption to be Applied
Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt 11 of 82 2.2.7; 15 of 82 3.1.3 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. If the information is about a process and by releasing the information it would allow someone to circumvent the process. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. E 13 of 82 3.1.2; 14 of 82 3.1.2 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. If the information is about a process and by releasing the information it would allow someone to circumvent the process. E

Page 3 of 102 FOIA/DHSC/rvsd/01 Page and section Exemption to be Applied
Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt 15 of 82 3.1.3.2; 16 of 82 3.1.3.2; 16 of 32 3.1.3.3 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure could have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. If the information is about a process and by releasing the information it would allow someone to circumvent the process. The authority needs a “safe space” in which to develop ideas or make decisions and disclosure may prejudice this and/or interfere with or distract from the processing any other way, or would prejudice or undermine the decision itself, rather that the frankness of the discussions specifically. (Note, that this is time specific and will likely only be relevant until a decision has been made, or not long thereafter). Where a matter is live. E

Page 4 of 102 FOIA/DHSC/rvsd/01 Page and section Exemption to be Applied
Exemption Rationale (including prejudice test) Exemption Disclose/ Exempt PIT Rationale - In favour of disclosure PIT Rationale - In favour of exemption PIT Disclose/ Exempt 18 of 82 3.1.3.4 Section 35(c) otherwise to prejudice the effective conduct of public business The disclosure would have an adverse effect on the ability of the Department to offer an effective public service or to meet its wider objectives or purpose The disclosure would prejudice the ability of the Department to offer an effective public service or to meet its wider objectives or purpose E Release of information would give an insight into whether a process was followed correctly. Increase trust in Government. Increased confidence in the decision making process. Informing public debate on important matters. Impact of disclosure on core authority functions e.g. if disclosure may leave the authority unprepared or unable to cope with a reaction, which might affect the performance of core functions, disclosure may not be in the public interest. If the information is about a process and by releasing the information it would all

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