ADHD service business case submitted by CMHSA to Manx Care

Summary

The requester sought a business case and related communications regarding an adult ADHD service submitted by CMHSA to Manx Care. The Department of Health and Social Care refused the request stating they do not hold the information as it is managed by the operationally independent Manx Care.

Key Facts

• The Department of Health and Social Care does not hold the requested business case or communications.
• The Community Mental Health Service for Adults (CMHSA) and the Manx Care Business Case Review Group are operated by Manx Care.
• The Department advises the requester to submit a new request directly to Manx Care.
• The Department has mandated Manx Care to scope an adult ADHD diagnosis pathway.
• Manx Care was expected to present a proposal for the ADHD pathway by 30 September 2024, which has not yet been received.

Data Disclosed

• 4205807
• 2024-10-22
• 2024-11-15
• November 2023
• 01 April 2021
• 2024-25
• 30 September 2024
• end of November 2024

Exemptions Cited

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

Original Request

In November 2023, the Community Mental Health Service for Adults (CMHSA) presented a business case to the Manx Care Business Case Review Group that describes development of a service which can assess and treat adults with ADHD. The case has remained with the Business Case Review Group since then, and CMHSA were recently asked to review and update financial figures contained within the business case. I would like to request a copy of the following: 1. the business case that was submitted by CMHSA to the Manx Care Business Case Review Group; 2. communication between the Manx Care Business Case Review Group and CMHSA explaining why the financial figures needed to be updated, and 3. the response from CMHSA to the Manx Care Business Case Review Group with the updated financial figures.

Data Tables (1)

Full Response Text

Chief Officer: Paul Richardson Freedom of Information Team First Floor Belgravia House Circular Road Douglas IM1 1AE

Our ref: 4205807 15 November 2024

Dear ###

We write further to your request received 22 October 2024, which states:

"In November 2023, the Community Mental Health Service for Adults (CMHSA) presented a business case to the Manx Care Business Case Review Group that describes development of a service which can assess and treat adults with ADHD.

The case has remained with the Business Case Review Group since then, and CMHSA were recently asked to review and update financial figures contained within the business case.

I would like to request a copy of the following:
1. the business case that was submitted by CMHSA to the Manx Care Business Case Review Group;
2. communication between the Manx Care Business Case Review Group and CMHSA explaining why the financial figures needed to be updated, and
3. the response from CMHSA to the Manx Care Business Case Review Group with the updated financial figures."

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 Freedom of Information Act 2015 (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. It may be held by Manx Care as both Community Mental Health Service for Adults and the Manx Care Business Case Review Group referenced in the request are operated by 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 may be able to help you.

In line with the Department of Health and Social Care’s duty to provide advice and assistance with your request under Section 15 of the Act, the Department of Health and Social Care redesigned on 01 April 2021 as a direct result of Sir Jonathan Michael’s Independent Review of the Isle of Man Health and Social Care System. This Review

continues to be a catalyst for change and improved service provision. The redesigned Department ensures the separation between the setting of policy and strategy and the delivery of services by Manx Care.

The Department is responsible for supporting the planning and assurance of health and social care services on the island. Our health services are primarily delivered by Manx Care, which is an arms-length, operationally independent statutory board, directly providing health and social care services.

The Department manages this relationship and the quality standards for health and social care services, with two key documents/processes: 1. The Mandate Framework 2. The Mandate to Manx Care

Assurance means making sure that what needs to be happening, is happening in practice. Our systems to do this are continuously developing, and this means that we regularly review the Mandate Framework and the Mandate.

During 2024-25 financial year The Department has, via The Mandate, asked Manx Care to scope what would be required to establish a diagnosis pathway for adults with attention deficit hyperactivity disorder (ADHD), the ways in which it will seek evidence of progress against this objective are as follows: - • Scoping document for the establishment of an adult ADHD diagnosis pathway, brought through a Manx Care Board sub-committee. • Proposal for ADHD diagnosis pathway presented to the Department by 30 September 2024.

The Department meets with Manx Care throughout the year to understand progress against all mandated objectives and wider system performance. The Department has not received the “Proposal for ADHD diagnosis pathway” from Manx Care. It would therefore expect to receive an update on this particular objective at the meeting scheduled for the end of November 2024. Since both the Community Mental Health Service for Adults and the Manx Care Business Case Review Group referenced in the request are operated by Manx Care, you may wish to direct this enquiry to them.

Please quote the reference number 4205807 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.