Diabetes retinopathy provision

Summary

The request sought progress on diabetic retinal screening implementation and specific spending figures from the Healthcare Transformation Fund, including KPMG costs. The authority provided links to policy documents regarding progress but refused to disclose specific monetary amounts, citing that the data is not held separately from a wider portfolio of work.

Key Facts

• Information on screening progress is available in the DHSC – Manx Care Mandate 2025/26 on page 11.
• The Health and Care Transformation Programme (HCTP) produced a business case for Diabetic Eye Screening in February 2022.
• Specific costs for diabetic retinal screening cannot be isolated as the work was part of a wider portfolio with KPMG.
• No specific surveys were conducted for diabetic eye screening, though patient engagement occurred during 2020 Pathfinders work on general diabetes.
• The costed business case was transferred to the Department for approval around April 2022.

Data Disclosed

• 2025-03-12
• 2025-04-09
• 2021
• February 2022
• April 2022
• 2020
• Page 11
• 4508725

Exemptions Cited

• Section 11(3)(a) of the Freedom of Information Act 2015 (Information not held or cannot be found after reasonable steps)
• Section 20 of the Freedom of Information Act 2015 (Information accessible by other means)

Original Request

1. What progress has been made on plans to implement diabetic retinal screening on the Isle of Man? 2. How much has been spent on diabetic retinal screening implementation as part of the Healthcare Transformation Fund to date? This is to include the cost of all surveys, consultations and work outsourced to KPMG.

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: 4508725 08 April 2025

Dear ###

We write further to your request, received 12 March 2025, which states:

"1. What progress has been made on plans to implement diabetic retinal screening on the Isle of Man?

1. How much has been spent on diabetic retinal screening implementation as part of the Healthcare Transformation Fund to date? This is to include the cost of all surveys, consultations and work outsourced to KPMG."

The Department of Health & Social Care (the Department) can provide the following responses to your Freedom of Information request;

1. While our aim to provide information whenever possible, under Section 20 of the Freedom of Information Act 2015 (Information accessible to applicant by other means), the Department can provide you the following link(s) for information in relation to your request;

(a) Information on this decision can be found on Pg. 11 in the DHSC – Manx Care Mandate 2025/26 linked below.

https://www.gov.im/news/2025/mar/04/island-focused-solution-for-manx-care- mandate-2025- 26/#:~:text%20=%20The%20Mandate%20sets%20out%20the,%2C%20sust ainable%20and%20patient%2Dfriendly.

(b) Information can also be found on the Care Pathways & Service Delivery Transformation website linked below.

https://www.gov.im/about-the-government/departments/health-and-social- care/health-care-transformation/health-care-transformation-projects/care- pathways-and-service-delivery-transformation/

1. While our aim is to provide information whenever possible, in this instance 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.

Under Section 15 of the Freedom of Information Act 2015 (Duty to provide advice and assistance), the Department the Health & Care Transformation Programme have provided the following information.

The Health and Care Transformation Programme’s (HCTP) involvement with Diabetic Eye Screening (DES) in 2021, focused on providing options for potential delivery models; the output of this was a February 2022 business case (at this time HCTP was part of The Cabinet Office).

When this work was delivered by the Care Pathways Project (and their external partner KPMG) it was part of a wider portfolio of work. It is therefore difficult to assess the monetary value allocated to this one area of work but for some context it was a relatively small part of the portfolio (in relation to resource allocation).

There is no evidence available to suggest any surveys were done during this time (patient engagement was undertaken as part of the 2020 Pathfinders work on the more general subject of Diabetes).

As the delivery of DES was considered a policy decision (as not currently provided on Island), this costed business case was transferred to the Department (circa April 2022) for approval and for onward discussion with the Screening Board and Manx Care.

Please quote the reference number 4508725 in any future communications.

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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.