Cost of reviews and reports
| Authority | Manx Care |
|---|---|
| Date received | 2025-11-26 |
| Outcome | Some information sent but part exempt |
| Outcome date | 2026-01-19 |
| Case ID | 5123161 |
Summary
The requester asked for a breakdown of Manx Care's spending on external reviews and reports since April 2021. The authority responded by providing data from previous Tynwald questions and a list of commissioned reviews for 2024/25 and 2025/26, noting that some information was withheld as it was already reasonably accessible.
Key Facts
- Manx Care cited Section 20 of the Freedom of Information Act 2015 to withhold information already reasonably accessible via Tynwald questions.
- The response includes a total spend of £663,149 for reviews commissioned in 2024/25 and 2025/26 YTD.
- Data excludes reports for capital schemes such as feasibility reports.
- The authority warned that other reports may exist but are not included due to how costs are recorded in their financial system.
- Specific external bodies mentioned include Mersey Internal Audit Agency, Develop Consulting, and Cordis Bright Ltd.
Data Disclosed
- £663,149
- 1 April 2021
- 2024/25
- 2025/26
- £50k - £100k
- £20k - £50k
- £250k - £500k
- £10k - £20k
- £20.3m
- 26 November 2025
- 16 January 2026
Exemptions Cited
- Section 20 of the Freedom of Information Act 2015 (Information already reasonably accessible)
Original Request
Please could you provide a breakdown by year of Manx Care's spending on reviews and reports by external bodies since its inception on 1 April 2021.
Data Tables (6)
| Department | Title of the review / report | External company name | Purpose of the engagement | What was delivered as a result of the reviews | Year of review | Date of delivery |
|---|---|---|---|---|---|---|
| Manx Care | Cost Improvement Programme Review | Mersey Internal Audit Agency | The purpose of the MIAA engagement was to support the delivery of Manx Care's Cost Improvement Programme (CIP). | The work supported delivery of £20.3m CIP Savings as: 21/22 - £1.9m 22/23 - £9.9m 23/24 - £8.5m 24/25 - £12.0m (expected savings) | 2020/21, 2021/22, 2022/23, 2023/24 | Ongoing |
| Manx Care | Utilisation of Theatres Review | Develop Consulting | The purpose of the Develop Consulting engagement was to support the Theatres Improvement project. | This project delivered improved theatre safety and efficiency and led to the achievement of Association of Perioperative Practice (AFPP) accreditation in 2022 for the | 2021/22 | 2021/22 |
| Theatre Complex in Nobles Hospital. This is a standard accreditation that recognises highest quality standards of practice in theatres. | ||||||
|---|---|---|---|---|---|---|
| Manx Care | Cost Improvement Programme Review | Mersey Internal Audit Agency | The purpose of the MIAA engagement was to support the delivery of Manx Care's Cost Improvement Programme (CIP). | The work supported delivery of £20.3m CIP Savings as: 21/22 - £1.9m 22/23 - £9.9m 23/24 - £8.5m 24/25 - £12.0m (expected savings) | 2020/21, 2021/22, 2022/23, 2023/24 | Ongoing |
| Department | Title of the review/ report | External company name | Band (Total Cost) | Oot-21 to Mar-:22 | Apr-22to Mar-23 | Apr-23 to Nov-23 |
|---|---|---|---|---|---|---|
| Manx Care | JAG Accreditation | Anonymised | £0-£lOk | 0 | ||
| Manx Care | Short Break Review | Disability Awareness | £0-£lOk | 0 | ||
| Manx Care | ENT Royal College Review | Animus Services (NW) Ltd | £0-£lOk | 0 | ||
| Manx Care | ENT Royal College Review | Anonymised | £0-£lOk | 0 | ||
| Manx Care | Operational Function of the ESJCR | The Association of Ambulance Chief Executives | £0-£lOk | 0 | ||
| Manx Care | MEDS Review | Primary Care Commissioning CIC | £0-£lOk | 0 | ||
| Manx Care | GP Funding | Primary Care Commissioning CIC | £0-£lOk | 0 | ||
| Manx Care | Royal College of Midwives. | National Revie11.i of Maternity Services | £0-£l0k | 0 |
| 2024/25 | Total (Band) |
|---|---|
| Cordis Bright Ltd (Adult Learning Disabilities Service Independent Review) Liverpool University Hospitals NHS Foundation Trust (Governance Review) Meridian Productivity Ltd Royal College of Paediatrics and Child Health ORH (Ambulance Demand & Capacity Review) | £50k - £100k £20k - £50k £250k - £500k £10k - £20k £20k - £50k |
| 2025/26 | Total (Band) |
|---|---|
| Housden Group | £10k - £20k |
Full Response Text
Manx Care Noble’s Hospital, Strang Braddan, Isle of Man IM4 4R (01624) 650 000
Our ref: 5123161 16 January 2026
Dear
We write further to your request, received 26 November 2025, which states:
"Please could you provide a breakdown by year of Manx Care's spending on reviews and reports by external bodies since its inception on 1 April 2021." Response While our aim is to provide information whenever possible, under section 20 of the Act, we are not required to provide information in response to a request if it is already reasonably accessible to you, whether free of charge or on payment of a fee.
Manx Care have provided information for previous Government wide Tynwald Questions on reviews, this covers years 23/24:
https://tynwald.org.im/spfile?file=/business/BusinessHansardIndex2126/W-202401-
1121.pdf
Extraction of Manx Care from W-202401-1121
Department Title of the
review /
report
External company
name
Purpose of
the
engagement
What was delivered
as a result of the
reviews
Year of
review
Date of
delivery
Manx Care
Cost
Improvement
Programme
Review
Mersey Internal
Audit Agency
The purpose
of the MIAA
engagement
was to
support the
delivery of
Manx Care's
Cost
Improvement
Programme
(CIP).
The work supported
delivery of £20.3m
CIP Savings as:
21/22 - £1.9m
22/23 - £9.9m
23/24 - £8.5m
24/25 - £12.0m
(expected savings)
2020/21,
2021/22,
2022/23,
2023/24
Ongoing
Manx Care
Utilisation of
Theatres
Review
Develop
Consulting
The purpose
of the
Develop
Consulting
engagement
was to
support the
Theatres
Improvement
project.
This project
delivered improved
theatre safety and
efficiency and led to
the achievement of
Association of
Perioperative
Practice (AFPP)
accreditation in
2022 for the
2021/22 2021/22
Theatre Complex in
Nobles Hospital.
This is a standard
accreditation that
recognises highest
quality standards of
practice in theatres.
Manx Care
Cost
Improvement
Programme
Review
Mersey Internal
Audit Agency
The purpose
of the MIAA
engagement
was to
support the
delivery of
Manx Care's
Cost
Improvement
Programme
(CIP).
The work supported
delivery of £20.3m
CIP Savings as:
21/22 - £1.9m
22/23 - £9.9m
23/24 - £8.5m
24/25 - £12.0m
(expected savings)
2020/21,
2021/22,
2022/23,
2023/24
Ongoing
https://www.tynwald.org.im/spfile?file=/business/BusinessHansardIndex2126/W-
202301-0901.pdf
Extraction of Manx Care from W-202301-0901
Department
Title of the
review/ report
External
company name
Band
(Total Cost)
Oot-21
to
Mar-:22
Apr-22to
Mar-23
Apr-23 to
Nov-23
Manx Care
JAG
Accreditation
Anonymised
£0-£lOk
0
Manx Care
Short Break
Review
Disability
Awareness
£0-£lOk
0
Manx Care
ENT Royal
College Review
Animus Services
(NW) Ltd
£0-£lOk
0
Manx Care
ENT Royal
College Review
Anonymised
£0-£lOk
0
Manx Care
Operational
Function of the
ESJCR
The Association
of Ambulance
Chief Executives
£0-£lOk
0
Manx Care
MEDS Review Primary Care
Commissioning
CIC
£0-£lOk
0
Manx Care
GP Funding
Primary Care
Commissioning
CIC
£0-£lOk
0
Manx Care
Royal College
of Midwives.
National
Revie11.i of
Maternity
Services
£0-£l0k
0
For the financial years 2024/25 & 2025/26 YTD, the following reviews and reports have been commissioned: 2024/25 Total (Band) Cordis Bright Ltd (Adult Learning Disabilities Service Independent Review) £50k - £100k Liverpool University Hospitals NHS Foundation Trust (Governance Review) £20k - £50k Meridian Productivity Ltd £250k - £500k Royal College of Paediatrics and Child Health £10k - £20k ORH (Ambulance Demand & Capacity Review) £20k - £50k 2025/26 Total (Band) Housden Group £10k - £20k Total Spend £663,149
The list has been sorted into bands of spend which is consistent with the previous information provided. The data excludes reports for capital schemes such as feasibility reports. The information has been taken from a search in the relevant account codes within Manx Care’s financial system, but it is feasible that other reports exist that are not included in the list above due to how the costs are recorded.
Please quote the reference number 5123161 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.
Yours sincerely