Performance

Summary

A request was made to Manx Care for staff numbers in specific teams and data on off-island referrals and external companies used for performance improvement. The authority disclosed staff counts for Performance, Quality, Finance, and Contracts teams, confirmed the use of four off-island companies, and detailed the data held on referrals, though it noted some functions cannot be split strictly by healthcare settings.

Key Facts

• There are 4 staff employed as Performance Managers or officers within the Performance & Business Intelligence Team.
• 4 off-island companies have been engaged in the last 3 years to improve performance, waiting lists, or appointments.
• The Quality & Safety Team consists of 12 staff members.
• Finance functions are provided via a Shared Service Agreement with Treasury, with a dedicated Finance Advisory Service team of 9.6 FTE.
• Manx Care does not have a Commissioning team but has a Contracts Team made up of 11 staff managing around 520 contracts.

Data Disclosed

• 4
• 12
• 9.6 fte
• 11
• 520
• 2025-02-11
• 2025-04-03
• last 3 years

Original Request

Within healthcare settings only ie not social care How many staff are employed as Performance Managers or officers In the last 3 years how many off island companies have been employed to improve performance, waiting lists or appointments How many staff work within the Quality team or have been employed to improve the quality if healthcare How many staff work in the finance team and whether they have used any off island companies How many staff work in the commissioning team What information is held by Manx Care on off island referrals and follow up appointments - specifically for the health the number of off Island referrals made to UK hospitals in the last 3 years broken down by hospital and by financial year.

Data Tables (1)

Data Tables (reformatted)

Full Response Text

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

Our ref: 4433565 25 March 2025

Dear

We write further to your request, received 11 February 2025, which states:

"Within healthcare settings only i.e. not social care

How many staff are employed as Performance Managers or officers

In the last 3 years how many off island companies have been employed to improve performance, waiting lists or appointments

How many staff work within the Quality team or have been employed to improve the quality of healthcare

How many staff work in the finance team and whether they have used any off island companies

How many staff work in the commissioning team

What information is held by Manx Care on off island referrals and follow up appointments - specifically for the health the number of off Island referrals made to UK hospitals in the last 3 years broken down by hospital and by financial year."

Response

“Within healthcare settings only i.e. not social care How many staff are employed as Performance Managers or officers”

There are 4 members of staff within the Performance function of the Performance & Business Intelligence Team employed as Performance Managers or officers.

The Performance function is responsible for the implementation of Manx Care’s Performance & Accountability Framework. This includes:

· Production of Manx Care’s Integrated Performance Report (IPR)
· Performance management of each Care Group against DHSC Mandated and internal Key Performance Indicators (KPIs)
· Management and implementation of waiting list validation
· Production and development of Manx Care’s Access Policy
· Support improvement work, such as the Restoration & Recovery programme

· This is an integrated system that provides support across all areas of the organisation, not just healthcare settings so it is not possible to split as requested.

“In the last 3 years how many off island companies have been employed to improve performance, waiting lists or appointments”

In the last 3 years, 4 off-island companies have been engaged to improve performance, waiting lists or appointments.

“How many staff work within the Quality team or have been employed to improve the quality of healthcare”

The Quality & Safety Team support the operational/ clinical and care teams across Manx Care to ensure there are systems and process in place to investigate and identify any learning from a wide range of topics including but not limited to;

• Accidents & Incidents
• Complaints
• Serious Incidents • Coroners Inquests • Clinical Negligence Claims
• Employee Liability Claims

The team also support Manx Care with processes around
• Clinical Audit
• Policy and Guideline development
• Oversee and report on implementation of duty of candour
• Man the Manx Care wide complaint telephone line
• Central point of contact with the Coroner of inquests / Police/ Advocates
• Central Point of contact and ensure responsiveness to the Health and Social Care Ombudsman
• Chair and administer a variety of quality governance committees and groups • Maintain the Manx Care wide quality dashboard
• Produce monthly quarterly assurance reports to a range of sub groups

The team consists of 12 staff.

“How many staff work in the finance team and whether they have used any off island companies?”

All finance functions are provided to Manx care Vis a Shared Service Agreement with Treasury. Treasury provide a range of support services to Manx Care. However, there is a Finance Advisory Service team dedicated to Manx Care which comprises 9.6 fte.

“How many staff work in the commissioning team?”

Manx Care do not have a Commissioning team, instead they have a Contracts Team, which is made up of 11 staff For context the Team arranges and manages around 520 contracts across Manx Care in line with the requirements of our Financial Regulations. This includes Primary Care contracts with GP’s & Dentists , main Tertiary contracts with

North West Trusts and one off arrangements with out of area specialist hospital Trusts in England Social Care & Mental Health contracts.

“What information is held by Manx Care on off island referrals and follow up appointments”

The performance team hold Service Level Agreement Monitoring (SLAM) datasets for each of the off-island Tertiary Providers. This includes patient level activity and finance information detailing the activity undertaken by each provider in the reporting month, split by specialty and covering each point of delivery such as outpatient attendances, inpatient procedures, critical care bed days and high cost drugs and devices. The performance team has recently become sighted on patient tracking list (PTL) data sets that list all patients referred to each provider that are currently on their waiting lists.
A copy of the letter referring any individual off Island to a Tertiary centre is held on the patient record. The Trusts send on a monthly basis a document called SLAM (Service Level Agreement Monitoring) which contains data on all activity delivered by the Trust in the month and the price for each treatment and charges passed on for such items as drugs administered and medical devices provided. This is broken down by specialty and PoD’s (Point of Delivery) so we can see for instance the Outpatients appointments delivered by specialty (broken down by First Appointment, Follow Up or Outpatient Procedure). The NHS number of each unique patient who received each service is recorded on the SLAM.
Manx Care also keep a copy of the appointment letter that patients bring to our Patient Transport Team when requesting that their travel to the appointment is booked (this could be for any type of appointment – Outpatients follow up, first appointment, procedure and inpatient for elective procedures etc).
When a patient is discharged a letter from the Trust will be received regarding the outcome of their treatment, which will be held on the patients’ record.

Please quote the reference number 4433565 in any future communications.

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I will now close your request as of this date.

Yours sincerely