Complaints and Locum costs

AuthorityManx Care
Date received2025-08-18
OutcomeAll information sent
Outcome date2025-09-08
Case ID4881135

Summary

Manx Care provided a detailed breakdown of patient complaints and orthopaedic locum costs over the last three years, but declined to investigate a generic query regarding MRI referral delays due to insufficient specific details.

Key Facts

  • Complaint data was provided for financial years 2022/2023, 2023/2024, 2024/2025, and partial data for 2025/2026.
  • Total orthopaedic locum costs over three years were split between Bank staff and Agency staff.
  • The authority could not investigate the MRI referral delay claim because it lacked specific patient details or dates.
  • The request was received on 18 August 2025 and closed on 5 September 2025.
  • No information was withheld under FOI exemptions; the refusal to investigate was based on the generic nature of the query.

Data Disclosed

  • 209 complaints (April-August 2025/2026)
  • 564 complaints (2024/2025)
  • 429 complaints (2023/2024)
  • 454 complaints (2022/2023)
  • £1,478,968.95 total Bank locum costs
  • £538,786.50 total Agency locum costs
  • £495,200.71 Bank cost (2022/2023)
  • £306,912.76 Agency cost (2022/2023)
  • £604,105.99 Bank cost (2023/2024)
  • £231,873.74 Agency cost (2023/2024)
  • £379,662.25 Bank cost (2024/2025)
  • £0.00 Agency cost (2024/2025)

Original Request

Good Afternoon Could you please provide a full breakdown of how many complaints have been received by ManxCare by patients over the last three year period. Also can you advise the cost for locums in the orthopaedic department over the last 3 years . In addition to this please advise why it is taking over two weeks for an mri referral by orthopaedics to be passed on to the radiology department.

Data Tables (3)

Financial Year Month Number Of Complaints
2025/2026 209
April 43
May 39
June 38
July 60
August 29
2024/2025 564
January 46
February 48
March 38
April 53
May 42
June 41
July 68
August 42
September 47
October 47
November 43
49
2023/2024 429
January 33
February 54
March 40
April 29
May 37
June 39
July 31
August 38
September 32
October 38
November 29
December 29
2022/2023 454
January 26
February 36
March 52
April 33
May 45
June 35
July 48
August 29
September 35
October 49
November 39
December 27
Bank Agency
1st April 2022 to 31st March 2023 495,200.71 306,912.76
1st April 2023 to 31st March 2024 604,105.99 231,873.74
1st April 2024 to 31st March 2025 379,662.25 0.00
Totals 1,478,968.95 538,786.50

Full Response Text

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

Our ref: 4881135 5 September 2025

Dear ###

We write further to your request, received 18 August 2025, which states:

"Good Afternoon

Could you please provide a full breakdown of how many complaints have been received by ManxCare by patients over the last three year period.

Also can you advise the cost for locums in the orthopaedic department over the last 3 years.

In addition to this please advise why it is taking over two weeks for an MRI referral by orthopaedics to be passed on to the radiology department."

Response

Could you please provide a full breakdown of how many complaints have been received by ManxCare by patients over the last three year period.

Financial Year Month Number Of Complaints 2025/2026

209

April 43

May 39

June 38

July 60

August 29 2024/2025

564

January 46

February 48

March 38

April 53

May 42

June 41

July 68

August 42

September 47

October 47

November 43

December 49 2023/2024

429

January 33

February 54

March 40

April 29

May 37

June 39

July 31

August 38

September 32

October 38

November 29

December 29 2022/2023

454

January 26

February 36

March 52

April 33

May 45

June 35

July 48

August 29

September 35

October 49

November 39

December 27

Also can you advise the cost for locums in the orthopaedic department over the last 3 years.

Bank
Agency 1st April 2022 to 31st March 2023 495,200.71 306,912.76 1st April 2023 to 31st March 2024 604,105.99 231,873.74 1st April 2024 to 31st March 2025 379,662.25 0.00 Totals 1,478,968.95 538,786.50

In addition to this please advise why it is taking over two weeks for an MRI referral by orthopaedics to be passed on to the radiology department."

Given the volume of MRI referral activity that is undertaken by the Orthopaedic service without specific patient details and time that this alleged delay took place, it is not possible to investigate this generic statement and any reasons for delay.

Please quote the reference number 4881135 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.