Manx Care

Overview

Outcome Breakdown

Requests by Year

Top Topics

• Healthcare & Public Health (372 requests)
• Finance & Tax (25 requests)
• Government & Administration (15 requests)
• Planning & Housing (14 requests)
• Immigration & Population (12 requests)

Notable Cases (176)

[+] Frauds relation to Nursing or Medical qualifications and identity

2026-02-13 | All information sent

The request sought details on fraud investigations regarding staff qualifications and identity at Manx Care over the last five years, along with vetting procedures. The authority disclosed three specific investigations resulting in dismissals or warnings and outlined recruitment vetting standards, though it noted it does not vet agency staff.

• Three investigations into fraudulent qualifications or identity were conducted in the last five years.
• Two staff members (a Scientist and a Nurse) were dismissed following disciplinary hearings.
• A third staff member received a final written warning and subsequently resigned.

Data: 3 investigations, May 2024, October 2024, February 2025, March 2025

[+] Agreements with Clatterbridge Cancer Centre and Liverpool Hospitals

2026-02-11 | All information sent

A request was made for all agreements between Manx Care and Clatterbridge Cancer Centre or Liverpool Hospitals from 2018 to present, and the authority responded by sending all requested information, including a specific 2023 commissioning contract.

• Manx Care confirmed that all information requested regarding off-island treatment agreements was sent.
• A specific contract (Ref: 1707) with Clatterbridge Cancer Centre NHS Foundation Trust was disclosed.
• The Clatterbridge contract commenced on 1 April 2023 with an initial term of three years.

Data: 2026-03-16, 2026-02-11, 450, 26, 01 January 2018

[~] Quofora Irrigation Kit NHS Prescription

2026-02-09 | Some information sent but not all held

The requester asked for the number of patients prescribed bowel irrigation kits on the NHS in the Isle of Man, but Manx Care could only provide data on the number of items issued rather than unique patient counts. The authority cited a practical refusal under Section 11(3)(a) as they do not hold patient-level data, though they shared item statistics for 2024/2025 and December 2025.

• Manx Care does not hold information on the number of patients prescribed bowel irrigation kits, only the number of items issued.
• The request was partially refused under Section 11(3)(a) of the Freedom of Information Act 2015 due to the information not being held.
• Data provided covers the financial year 2024/2025 and a specific update for December 2025.

Data: 2026-02-09, 2026-03-20, 2024/2025, December 2025, 1

Exemptions: Section 11(3)(a) of the Freedom of Information Act 2015 (Practical refusal: information not held)

[+] Residential On Call Rates

2026-01-29 | All information sent

The request sought a breakdown of Manx Care staff groups providing residential on-call services at Noble's Hospital and their specific hourly rates. The authority disclosed that while some roles like Operating Department Practitioners have a fixed hourly rate, most clinical staff are paid via annualised contracts or local agreements rather than a standard per-hour standing rate.

• Operating Department Practitioners receive a fixed rate of £10 per hour for residential on-call.
• Consultant Radiologists are paid under a local agreement where the first 2 hours of weekday shifts and specific weekend hours are classed as resident on-call.
• 1st on-call anaesthetists are paid based on a contracted rate where a 'PA' counts as 4 hours during weekdays or 3 hours during nights/weekends.

Data: £10, 2 hours, 9am-7pm, 07:00 – 19:00, 19:00 – 07:00

[-] Brain Death

2026-01-26 | Some information sent but part exempt

The requester asked Manx Care for detailed protocols on brain death determination, organ donation statistics since 2011, and clinical procedures for organ retrieval. Manx Care responded that specific clinical guidance is already publicly accessible via an NHS link and provided a form regarding patient care, citing Section 20 of the Act to withhold the detailed information requested.

• Manx Care determined that the requested information on brain death diagnosis and clinical management is already reasonably accessible to the public.
• The authority directed the requester to the NHS Organ Donation and Transplantation website for best practice guidance on donation after brainstem death.
• A document titled 'Frm7261' was attached to the response to explain the care of patients after death.

Data: 26 January 2026, 16 February 2026, 11th October 2011, Section 20, Frm7261

Exemptions: Section 20 of the Act (Information already reasonably accessible)

[~] Loganair Patient Transfers

2026-01-26 | Information not held

The requester asked for the total gross amount paid by Manx Care to Loganair for patient transfers between 2021 and 2024. Manx Care responded that they do not hold this information because no money was paid directly to Loganair during those years, as the contract was held by the Department of Infrastructure.

• Manx Care does not hold the requested financial figures for Loganair patient transfers.
• No money was paid by Manx Care to Loganair between 2021 and 2024.
• The contract for Patient Transfer Services was part of a wider air services contract held by the Department of Infrastructure (DOI).

Data: 2021, 2022, 2023, 2024, 2026-01-26

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

[+] NHS Dental Waiting List Allocations & Patient Preferences

2026-01-12 | All information sent

Manx Care responded to a Freedom of Information request regarding NHS dental waiting list statistics and patient preference recording for the period between May 2025 and January 2026. The authority disclosed full data on waiting list size, allocation numbers, and confirmed that patient preferences are recorded and auditable.

• As of 12 January 2026, there were 1,397 patients remaining on the NHS dental waiting list.
• A total of 6,469 patients were allocated to an NHS dental provider between 1 May 2025 and January 2026.
• Of the accepted allocations, 231 patients were offered their preferred dental practice, while 4,490 were allocated within their preferred geographical area.

Data: 1,397, 6,469, 231, 4,490, 1,748

[~] Respiratory Services Inc. Obstructive Sleep Apnoea (OSA)

2026-01-09 | Some information sent but not all held

A request was made for data on Obstructive Sleep Apnoea (OSA) waiting lists and staffing trends at Manx Care's Nobles Hospital. The authority provided current waiting numbers and staffing updates but refused historical trend data for the past five years citing that the information was not held prior to August 2023.

• In December 2025, 251 patients were waiting for a first outpatient appointment and 576 for a follow-up within Respiratory Medicine.
• Historical data on patient waiting numbers and staff changes prior to August 2023 is not held by Manx Care.
• The diagnosis to treatment pathway for OSA currently takes around 3 months.

Data: 251, 576, 26, 15, 11

Exemptions: Section 11(3)(a) of the Act (Practical refusal: information not held or cannot be found after reasonable steps)

[~] Gastroenterology Waiting Times and Readmittance Statistics

2026-01-09 | Some information sent but not all held

A request for Gastroenterology waiting times and readmittance statistics at Nobles Hospital was partially fulfilled by Manx Care, which provided outpatient waiting figures and inpatient discharge data but refused requests regarding diagnosis-based waiting lists and treatment plans due to data limitations.

• In December 2025, 533 patients were waiting for an initial gastroenterology appointment.
• In December 2025, 1,841 patients were waiting for a follow-up gastroenterology appointment.
• Manx Care does not store diagnosis information for waiting list entries in a reportable format.

Data: 533, 1,841, 154, December 2025, 2024/2025

Exemptions: Section 11(3)(a) of the Act (practical refusal: information not held or cannot be found after reasonable steps)

[+] Actions Taken to Prevent a Recurrence of Data Breach

2025-12-31 | All information sent

The requester asked Manx Care to outline measures taken to prevent a recurrence of a 2022 data breach involving patient health details. Manx Care disclosed that the original fine was stayed and detailed seven specific remediation steps, including technology reviews, staff training updates, and Global Address List restrictions.

• The original £170,500 fine issued in July 2022 was stayed by the Information Commissioner after remediation steps were taken.
• Manx Care reviewed and cleansed the Global Address List by removing dormant accounts and limiting access to wider government lists.
• Mandatory staff training on data protection was refreshed and updated on the eLearnVannin platform.

Data: £170,500, 1,870 recipients, August 2022, July 2022, 31 December 2025

[+] Community Dental Service Remit

2025-12-30 | All information sent

The requester asked for the definition of 'does not fit the remit' and related policies for the Isle of Man Community Dental Service. Manx Care responded by disclosing the service's objective to support vulnerable groups, detailing specific clinical criteria for access, and describing alternative pathways such as telephone advice for low-risk patients.

• The Community Dental Service targets priority groups including vulnerable adults, children, and those with complex medical or mental health conditions.
• Patients assessed as 'low risk' by dental practices are directed to general dental services for the full range of provision.
• 'High risk' patients receive telephone advice, antibiotics, or pain relief unless their condition is life-threatening.

Data: 16 July 2020, 135-159kg, 16 years old, 44 pages, 5 documents

[-] Post Covid Synaptik cataract procedures

2025-12-23 | Some information sent but part exempt

The requester asked for statistics and cost data regarding cataract procedures performed by Synaptik for Manx Care post-Covid. Manx Care disclosed the number of procedures and the duration of the contract but withheld cost information citing commercial sensitivity.

• Synaptik performed 2,150 cataract procedures for Manx Care patients.
• The procedures took place between March 2022 and July 2023, lasting approximately 74 weeks.
• Cost data for the procedures and associated administration was withheld.

Data: 2,150, March 2022, July 2023, 74 weeks, S30 (2)(b)

Exemptions: S30 (2)(b) - Commercial sensitivity

[-] Clarification of Enforcement of Sickness Policy

2025-12-17 | Some information sent but part exempt

A request was made to Manx Care for details on their sickness absence monitoring system, staff score distributions, corrective actions, and financial costs. The authority disclosed specific statistics and budget figures, while noting that general policy information is already publicly accessible on their website.

• Manx Care uses a scoring system similar to the Bradford Factor to monitor staff sickness absence.
• General policy information regarding sickness and absence is already available on the OHR website.
• Corrective actions were applied to 204 staff members in the most recent full year.

Data: 1221, 283, 248, 138, 437

Exemptions: Section 20 of the Act (Information reasonably accessible)

[~] Patient waiting times palatine health centre

2025-12-08 | Some information sent but not all held

The requester asked for specific GP waiting times at Palatine Health Centre, challenging a reported island-wide average of 7.4 days. Manx Care responded that specific practice-level data is not held due to data aggregation limitations and announced an upcoming shift to a triage system.

• The 7.4-day waiting time figure is an average across all GP practices on the Isle of Man, not specific to Palatine.
• Manx Care does not hold data distinguishing between new problems and follow-up appointments.
• Waiting times can be extended if patients insist on seeing a specific doctor who is in high demand or absent.

Data: 7.4 days, October 2025, 4 weeks, 8 December 2025, 5 January 2026

Exemptions: Information not held or cannot be found after taking reasonable steps

[-] Cost of reviews and reports

2025-11-26 | Some information sent but part exempt

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.

• 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.

Data: £663,149, 1 April 2021, 2024/25, 2025/26, £50k - £100k

Exemptions: Section 20 of the Freedom of Information Act 2015 (Information already reasonably accessible)

Most Cited Exemptions

See Also

• Transparency Scorecard
• Outcome Trends