{ "dataset": "healthcare", "description": "Patient data, waiting times, hospital statistics, prescriptions, and public health information", "source": "Isle of Man Freedom of Information Disclosure Log", "record_count": 310, "table_count": 2955, "row_count": 54311, "generated": "2026-04-06", "cases": [ { "case_id": 354255, "title": "Beamans Report 2014 - Modernising Ministerial Government", "authority": "Cabinet Office", "date_received": "2017-03-05", "outcome": "All information sent", "summary": "A request for the 2014 Beamans Report regarding the modernization of ministerial government was fulfilled by the Cabinet Office, which provided the full 45-page document reviewing senior management structures.", "key_facts": [ "The report is titled 'Modernising Ministerial Government: Review of Senior Management Structures'.", "The review covers the Cabinet Office, Department of Health & Social Care, Manx Utilities Authority, and Department of Community, Culture & Leisure.", "The structural changes outlined in the report were scheduled to take effect on 1 April 2014.", "The review was conducted in collaboration with the Office of Human Resources and Chief Executives.", "The report includes annexes with reconciliation charts highlighting changes to staffing dispositions." ], "data_mentioned": [ "2014", "2017-03-05", "2017-03-14", "2017-03-06", "1 April 2014", "December 2013", "45", "1", "IM80101I", "14 – 23", "24 – 29", "30 – 33", "34 – 36", "37 – 42" ], "exemptions_cited": [], "tables": [ { "headers": [ "Grade Level", "Role Title" ], "rows": [ [ "Corporate Leadership Group JESP 14 – 18", "• Chief Executive\n• Chief Operating Officer" ], [ "Corporate Leadership Group JESP 9 – 13", "• Chief Executive\n• Executive Director\n• Managing Director" ], [ "Corporate Leadership Group JESP 5 – 8", "• Director of" ], [ "Grade 7", "• Head of" ], [ "SEO", "• Manager of" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Department", "Grades SEO to Chief Executive", "", "Net Change\n+/ -", "Estimated Savings\n(Salary Costs)" ], "rows": [ [ "", "Existing", "Proposed", "", "" ], [ "Cabinet Office", "38.2", "35.2", "- 3", "£175k" ], [ "DHSC", "24", "21", "- 3", "£205k" ], [ "MUA", "24", "19", "- 5", "£285k" ], [ "DCCL", "5", "3", "- 2", "£145k" ], [ "TOTAL", "91.2", "78.2", "- 13", "£810k" ] ], "row_count": 6, "col_count": 5 }, { "headers": [ "Role", "Grade Level", "Existing", "Proposed", "Change\n+/ -", "Proposed Savings" ], "rows": [ [ "Chief\nExecutive", "CLG JESP 14 – 18", "1", "1", "-", "" ], [ "Managing or\nExecutive\nDirector", "CLG JESP 9 – 13", "3", "3", "-", "" ], [ "Director", "CLG JESP 5 – 8", "5", "4", "-1", "£75k" ], [ "Head of", "Grade 7", "6.6", "6.6", "-", "" ], [ "Manager", "SEO", "22.6", "19.6", "-3", "£100k" ], [ "TOTAL", "", "38.2", "35.2", "-3", "£175k" ] ], "row_count": 6, "col_count": 6 }, { "headers": [ "Role", "Grade Level", "Existing", "Proposed", "Change\n+/ -", "Estimated\nSavings/\n(Costs)", "NOTES" ], "rows": [ [ "Chief\nExecutive", "CLG JESP\n14 – 18", "1", "1", "-", "", "" ], [ "Managing or\nExecutive\nDirector", "CLG JESP\n9 – 13", "3", "2", "-1", "£95k", "" ], [ "Director", "CLG JESP\n5 – 8", "9", "7", "-2", "£150k", "" ], [ "Head of", "Grade 7", "2", "4", "+2", "(£140k)", "NB: To provide more\nresilience in the Noble’s\nHospital Management\nStructure" ], [ "Manager", "SEO", "9", "7", "-2", "£100k", "" ], [ "TOTALS", "", "24", "21", "-3", "£205k", "" ] ], "row_count": 6, "col_count": 7 }, { "headers": [ "Role", "Grade Level\n(Including MEA\nEquivalents)", "Existing", "Proposed", "Change\n+/ -", "Estimated\nSavings/ (Costs)" ], "rows": [ [ "Chief Executive", "CLG JESP 14-18", "0", "0", "-", "" ], [ "Managing or Executive\nDirector", "CLG JESP 9 -13", "2", "1", "-1", "£95k" ], [ "Director", "CLG JESP 5 – 8", "3", "2", "-1", "£75k" ], [ "Head of", "Grade 7", "3", "6", "+3", "(£210k)" ], [ "Manager", "SEO", "16", "10", "- 6", "£325k" ], [ "TOTAL", "", "24", "19", "- 5", "£285k" ] ], "row_count": 6, "col_count": 6 }, { "headers": [ "Role", "Grade Level", "Existing", "Proposed", "Change +/ -", "Estimated Savings" ], "rows": [ [ "Chief Executive", "CLG JESP 14-18", "0", "0", "-", "" ], [ "Chief Executive,\nManaging or\nExecutive Director", "CLG JESP 9 -13", "1", "0", "-1", "£95k" ], [ "Director", "CLG JESP 5 – 8", "1", "1", "1", "" ], [ "Head of", "Grade 7", "0", "0", "0", "" ], [ "Manager", "SEO", "3", "2", "-1", "£50k" ], [ "TOTAL", "", "5", "3", "-2", "£145k" ] ], "row_count": 6, "col_count": 6 }, { "headers": [ "Grade\nLevel", "CSO", "ISD", "OHR", "EAD", "Other", "Current\nTotal", "Current Posts", "Future\nTotal", "+/-", "Proposed posts" ], "rows": [ [ "14-18", "1", "0", "0", "0", "0", "1", "Chief Officer, Scope of Government*", "1", "-", "Chief Operating Officer" ], [ "9-13", "1", "0", "1", "1", "0", "3", "Director of External Relations\nChief Officer OHR\nEconomic Adviser", "3", "-", "Exec Director External Relations\nExec Director HR\nExec Director Policy" ], [ "5-8", "1", "1", "2", "0", "1", "5", "Director of Performance & Delivery\nDirector, ISD\nHR Director\nDirector of Corporate Services OHR\nHead of MIT DH", "4", "-1", "Director Government Technology\nDirector HR Management\nDirector Workforce Reform\nDirector Business Change and Reform" ], [ "OS7", "2", "2", "1.6", "0", "1", "6.6", "Programme Director CSO*\nDirector of Brussels Office CSO\nChief Technical Officer ISD\nHead of Enablement ISD\nHead of Personal Development (0.6)\nHead of LODD OHR\nHead of Education & Training DH", "6.6", "-", "Director of Brussels Office\nHead of Enablement\nHead of Personal Development (0.6)\nHead of Learning and Development\nHead of Economic Policy\nHead of Social Policy\nHead of E&I Policy" ] ], "row_count": 4, "col_count": 11 }, { "headers": [ "Grade\nLevel", "DH", "DSC", "Current\nTotal", "Current Posts", "Proposed\nDHSC", "+/-", "Proposed posts" ], "rows": [ [ "14-18", "1", "0", "1", "Chief Executive DH", "1", "-", "Chief Executive DHSC" ], [ "9-13", "2", "1", "3", "Deputy Chief Executive DH\nDirector Health Strategy & Performance DH\nChief Executive DSC", "2", "-1", "Exec Director Community\nExec Director Hospital" ], [ "5-8", "5", "4", "9", "Director of Community Nursing DH (MPTC 8D)*\nDirector of Housing DSC\nDirector of Adult Services DSC (D804)\nDirector of C&F DSC (D804)\nDirector of Mental Health DH (D713)\nDirector of Finance and Legislation DH\nHospital Manager DH\nDirector of Estates DH (analogous CS)\nDirector of Finance & Corp DSC", "7", "-2", "Director of Primary Care (Community)\nDirector of Housing (Community)\nDirector of Adult (Community)\nDirector of C&F (Community)\nDirector of Mental Health (Community)\nDirector of Hospital Services (Hospital)\nDirector of Exec Office (Finance Director)" ], [ "OS7", "1", "1", "2", "Children’s Partnership Strategy Co-ordinator DSC (D713)\nBusiness Change DH (MPTC 8B)*", "4", "2", "Head of Commissioning (Exec Office)\nHead of Policy & Legislation (Exec Office)\nHead of Performance & Improvement (Hospital)\nManagement Accountant (Hospital)" ] ], "row_count": 4, "col_count": 8 }, { "headers": [ "Grade\nLevel", "MEA", "WASA", "Current\nTotal", "Current Posts", "Proposed\nMUA", "+/-", "Proposed posts" ], "rows": [ [ "Exec\nDirector", "1", "1", "2", "Chief Executive MEA\nChief executive WASA", "1", "-1", "Chief Executive MUA" ], [ "Director", "2", "1", "3", "Finance Director MEA\nDirector of Network Services MEA\nDirector of Operations WASA", "2", "-1", "Director of Finance & Corporate Services\nDirector of Electricity Network" ], [ "Head of", "3", "0", "3", "Generation Manager MEA\nGas Systems Manager MEA\nStrategy & Bus Devt Manager MEA", "6", "+3", "Generation Manager\nGas Systems Manager\nStrategy & Bus Development Manager\nDirector of Water\nDirector of Sewerage\nDirector of Projects" ], [ "Senior\nManager", "8", "8", "16", "HR Manager MEA\nRisk & Compliance Manager MEA\nCompany Sec/Commercial MEA\nOperations Manager MEA\nPlant Engineering Manager MEA\nNetwork & Client Manager MEA\nAsset Manager MEA\nIT Manager MEA\nStrategy & Tech Services Manager WASA\nSewerage Operations Manager WASA\nProject Delivery Manager WASA\nWater Services Manager WASA\nM&E Manager WASA\nWater Quality Manager WASA\nWater Production Manager\nFinance Services Manager WASA", "10", "-6", "HR Manager\nRisk & Compliance Manager\nOperations Manager\nPlant Engineering Manager\nNetwork & Client Manager\nAsset Manager\nIT Manager\nWater & Sewerage Project Manager\nWater Production Manager\nWater DistributionManager" ], [ "Total", "14", "10", "24", "", "19", "-5", "" ] ], "row_count": 5, "col_count": 8 }, { "headers": [ "Grade\nLevel", "DCCL", "Current Posts", "Retained", "+/-", "Proposed posts" ], "rows": [ [ "Exec\nDirector", "1", "Chief Executive", "0", "-1", "" ], [ "Director", "1", "Director of Public Transport", "1", "-", "Director of Public Transport" ], [ "Head of", "0", "Chief Operating Officer NB: LTA non-\nresource funded. No revenueor head-\ncount saving", "0", "-", "" ], [ "Senior\nManager", "4", "Director of Corporate Services\nCentreManager NSC\nSports Development Manager\nManager,Villa Marina / Gaiety Theatre", "3", "-1", "Centre Manager NSC\nSports Development Manager\nManager, Villa Marina / Gaiety Theatre" ], [ "Total", "6", "", "4", "-2", "" ] ], "row_count": 5, "col_count": 6 } ] }, { "case_id": 355121, "title": "Request for Numerous Wheelchair Service Policies, Procedures and Processes", "authority": "Department of Health and Social Care", "date_received": "2017-01-19", "outcome": "All information sent", "summary": "The Department of Health and Social Care responded to a Freedom of Information request regarding wheelchair service policies, procedures, and repair processes by providing the full 'Eligibility Criteria and Provision of Wheelchairs and Specialist Seating' policy document. The response detailed specific repair timeframes, contractor information, and liability waiver procedures for decommissioned equipment.", "key_facts": [ "Wheelchair repairs are carried out by the Department of Infrastructure (DOI), Health at Noble's Hospital.", "Non-emergency repairs for Category 3 users or operable chairs must be completed within 3 working days.", "Emergency repairs for Category 1, 2, and 4 users where the chair is unsuitable for use must be completed within 24 hours.", "Users wishing to retain a decommissioned wheelchair must sign a waiver of liability.", "The response included the 'Primary Care Directorate, Community Health Services, Eligibility Criteria and Provision of Wheelchairs and Specialist Seating Version 2.2' policy dated June 2016." ], "data_mentioned": [ "2017-01-19", "2017-01-30", "23 January 2017", "June 2016", "Version 2.2", "3 working days", "24 hours", "IM74750I", "25", "1" ], "exemptions_cited": [], "tables": [ { "headers": [ "Reader Information", "", "", "" ], "rows": [ [ "Policy Number", "PC49", "", "" ], [ "Title", "Eligibility Criteria and Provision of Wheelchairs, and Specialist\nSeating", "", "" ], [ "Author/Contact\nDetails", "Michelle Breed\nTherapy Service Manager\nCrookall House", "", "" ], [ "Publication Date", "June 2016", "", "" ], [ "Target Audience", "Colleagues and Users", "", "" ], [ "Description", "This document describes the situations in which the Isle of Man\nWheelchair Service assesses for, provides, services and repairs\nlong term loan wheelchairs. Wheelchairs are provided in\ninstances where the limitation of mobility / walking seriously\nlimits, or increases the risk, of a patient’s ability to safely\nparticipate in everyday activities and where providing a\nwheelchair will enable them to do so.", "", "" ], [ "Changes", "", "", "" ], [ "Cross Reference", "", "", "" ], [ "Superseded\nDocuments", "1", "", "" ] ], "row_count": 9, "col_count": 4 }, { "headers": [ "Type of Wheelchair", "Definition of the Chair Group", "Usual Criteria for Issue" ], "rows": [ [ "Attendant Manual\nWheelchair", "A standard chair that requires an attendant\nto push the chair. Small wheels at the back\nprevent user being able to propel the chair.\nThese chairs are foldable for transportation", "The patient has a carer, who is able and willing to manage and manoeuvre\nthe wheelchair safely. The patient is not medically fit to self propel." ], [ "Self – Propelled\nManual Wheelchair", "A standard chair with large wheels at the\nrear allowing the user to propel themselves\nor have an attendant assist them. These\nchairs are foldable for transportation", "The patient must be deemed medically fit to self propel and this should not\nbe detrimental to their medical condition.\nThe patient has ability and will use a self-propelling wheelchair to allow a\ndegree of indoor/outdoor mobility, which will increase independence and\nfunction.\nIn exceptional circumstances, may be provided for carers who would\nbenefit from improved, manoeuvrability gained by large rear wheels" ], [ "Active User Manual\nWheelchair (quickie\nstyle)", "Originally designed for sport, active user\nchairs are more flexible than the standard\nchairs and can be adjusted to meet the\nindividual requirements of users so that\nhe/she can achieve the maximum amount of\nmobility. They have quick release wheels,\nmultiple axle positions and frames that are\navailable in a wide variety of sizes.", "The criteria for a self-propelling wheelchair must be met.\nThe patient is dependent on wheelchair mobility equipment indoors and\noutdoors for the majority of the day.\nThe patient’s medical condition results in a reduced strength and/or major\nexcessive activity would result in deterioration of the patient’s medical\ncondition.\nThe patient meets the criteria and their lifestyle needs and ability must be\nsuch that maximum independence and mobility will be gained by such\nprovision." ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "Type of Wheelchair", "Definition of the Chair Group", "Usual Criteria for Issue" ], "rows": [ [ "Standard Buggy", "A buggy is a type of pushchair allowing a\npatient (generally a child) clinically\nappropriate mobility beyond that which can\nbe provided through generally available\npushchairs.", "Meets criteria re assistance with outdoor mobility i.e. can only walk short\ndistances due to physical problems To facilitate opportunities to participate\nin activities such as playing in the playground, where they would not have\nthe energy to do so if they had had to walk there first. Child typically over\n30 months of age and are either too tall or heavy for a commercial buggy\nfor mobility need" ], [ "Specialist Buggy", "A buggy is a type of pushchair allowing a\npatient (generally a child) clinically\nappropriate seating and mobility beyond that\nwhich can be provided through generally\navailable pushchairs.", "Buggies may be provided as an alternative to a wheelchair, where it best\nmeets the clinical and mobility needs, usually issued to children.Child\nrequires additional postural support to provide a good symmetrical posture\nand enable them to be upright for their physical wellbeing and social\ninteraction.Where a wheelchair is not deemed the most suitable option or\nparents/guardians are not at a stage of acceptance to transition from using\na buggy to a wheelchair for practical or emotional reasons." ], [ "Tilt in Space\nWheelchair\n(Manual)", "A tilt in space chair is one with a mechanism\nthat allows for the whole seat system to be\ntilted, rather than just the back rest reclined,\nthus aiding a change in position for pressure\nrelief while maintaining postural support.", "These wheelchairs are provided where the tilt facility is the only way of\nmaintaining sitting balance/posture within a chair, in combination with\nmanaging the requirements of the patient’s physical needs.\nThe patient is fully dependent on the provision of a chair for postural\nsupport, positioning and comfort. Pressure care will be considered in all\nwheelchairs.\nCarers can demonstrate that they are able to operate the system safely,\naccess transport and detach component parts for safety and comfort of the\npatient.\nThese chairs will not be provided solely to overcome moving, handling and\nhoisting issues." ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "HIGH", "MEDIUM", "LOW" ], "rows": [ [ "Children with a rapidly deteriorating condition\nor short prognosis.", "Assessment required to enable issue of\ncorrect size wheelchair.", "None." ], [ "Children requiring independent mobility\n(manual or powered) indoors.", "Existing commercial buggy outgrown or\ntransportable buggy required for school\nattendance.", "(Requests for provision of standard Major\nElite buggies will be met via direct issue)." ], [ "The inability to sit in a commercially available\nbuggy and a requirement for postural\nsupport to enable outdoor mobility.", "Children requiring increased postural support\nbut not immediately at risk in current\nprivately owned equipment.", "" ], [ "The long term need for a wheelchair (self or\nattendant propelled) for essential mobility\nindoors, to enable discharge from hospital.", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Grade", "Description of User", "Equipment Needs" ], "rows": [ [ "1.\n(CAT 4)", "PART TIME USER\nSHORT TERM – Temporary\nrequirement due to accident or\noperation. (May include terminal care)", "Pushed or self-propelling standard.\nSpecial chair may be required e.g.\nrecliner for full leg plaster or hip spica." ], [ "2.\n(CAT 3)", "PART TIME USER\nLONG TERM – Ability to walk short\ndistances. Requires wheelchair on\nregular basis for outdoor use or to\nenhance quality of life for user/carer.", "Pushed standard or lightweight self\npropelling standard.\nBuggies for children." ], [ "3.\n(CAT 2)", "PART TIME USER\nLONG TERM – variable walking\nability due to fluctuating condition.\nHigh degree of independent life-style\nbut requires wheelchair to maintain\nlevel of independence and quality of\nlife.", "Self propelling standard or\nlightweight." ], [ "4.\n(CAT 1)", "FULL TIME USER\nLOW ACTIVITY – limited or lack\nof ability to self propel.\nDependent for many daily living\nneeds.", "Pushed or self propelling standard or\nbuggy. Specialist chassis for custom-\nmade seat." ], [ "5.\n(CAT 1)", "FULL TIME USER\nACTIVE – unable to self propel.\nIndependent mobility with\npowered wheelchair. Degree of\nindependence in daily living activities.", "EPIC & EPIOC depending on\nability/environment + motivation +\ntransit.\nTransit for travel." ], [ "6.\n(CAT 1)", "FULL TIME USER\nACTIVE – Independent mobility\nand lifestyle. Appropriate\nequipment reduces dependence on\nothers and improves quality of life.", "Self propelling standard or high\nperformance (adjustable stability by\nchange of wheel position)." ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "Referrals", "Minimum Response Time in\nWorking Days" ], "rows": [ [ "", "" ], [ "All referrals will be screened by approved personnel within the service", "2" ], [ "", "" ], [ "Referrals will be acknowledged to the referrer", "5" ], [ "", "" ], [ "Incomplete referrals will be returned to the referrer", "2" ], [ "", "" ], [ "From receipt of referral to assessment", "15" ], [ "", "" ], [ "From prescription to delivery for following types of equipment:", "" ], [ "1 Locally held stock.", "15" ], [ "", "" ], [ "2 Orders from manufacturers", "30" ], [ "", "" ], [ "3 Made to measure", "30 to 65" ], [ "", "" ], [ "For Type 3 the Service will obtain an estimated date of delivery from\nthe manufacturer and inform the client within:", "5" ], [ "", "" ], [ "Non-emergency Repairs will be completed in:", "3" ], [ "Cat 3 user or if chair is operable and safe without urgent repair", "" ], [ "Emergency Repairs/Responses will be within:", "24 hours" ], [ "Cat 1 ,Cat 2 and Cat 4 users where the chair is unsuitable for use\nwithout repair", "" ], [ "Deliveries will be completed within:", "5" ], [ "", "" ], [ "Collections should be completed within:", "5" ] ], "row_count": 25, "col_count": 2 }, { "headers": [ "ISLE OF MAN WHEELCHAIR SERVICE REFERRAL FORM\nThis form must be completed by a GP or AHP. When fully completed, please send the form to the Wheelchair Service, CCHC, Douglas:- Tel:\n01624 642147 Email: Maria.Efthymiou@nobles.dhss.gov.im\n(Nb. Incomplete forms may be returned and therefore could result in a delay to the assessment of a wheelchair)" ], "rows": [ [ "REFERRERS NAME/ROLE TEL NO: DATE OF REFERRAL:" ], [ "HAS THE CLIENT CONSENTED TO THIS REFERRAL? PLEASE CIRCLE YES NO\nCLIENT DETAILS" ], [ "SURNAME TITLE: MR/MRS/MISS/MS/MASTER" ], [ "FORENAME(S): DATE OF BIRTH:" ], [ "ADDRESS/POSTCODE:" ], [ "TEL NO:" ], [ "NOK’S NAME/TEL NO: RELATIONSHIP: CONSENT TO CONTACT: YES/NO" ], [ "G.P/SURGERY" ], [ "IS AN INTERPRETER REQUIRED?  NO  YES\nWHAT LANGUAGE?:" ], [ "PHYSICAL INFORMATION" ], [ "DIAGNOSIS AND ONSET:" ], [ "PREVIOUS MEDICAL HISTORY – INCLUDING CARDIAC/RESPIRATORY/NEUROLOGICAL/POSTURAL LIMITATIONS:" ], [ "MEDICATION, IF KNOWN" ], [ "HEIGHT: WEIGHT:\nPRESSURE CARE ISSUES? PLEASE CIRCLE & STATE YES NO\nMOBILITY/TRANSFER METHOD: CARER LIMITATIONS:" ], [ "VISION:  NO PROBLEMS  NEEDS GLASSES  VISUAL IMPAIRMENT (STATE)  REGISTERED BLIND" ], [ "HEARING:  NO PROBLEMS  IMPAIRED  DEAF" ], [ "COGNITIVE/PERCEPTUAL IMPAIRMENT?" ], [ "SEATED MEASUREMENTS - HIP WIDTH: HIP DEPTH: LEG LENGTH:" ], [ "REASON FOR WHEELCHAIR REQUEST" ], [ "CURRENT WHEELCHAIR:  YES*  NO *IF YES, GIVE DETAILS (MODEL/ASSET NO IF CCHC STOCK/?PRIVATE)" ], [ "CATEGORY OF NEED: PERMANENT NEED HOSPITAL DISCHARGE-PERMANENT SHORT TERM REHAB" ], [ "TYPE OF WHEELCHAIR REQUESTED:  ATTENDANT PROPELLED  SELF-PROPELLED  POWERED" ], [ "HOW OFTEN WILL THE WHEELCHAIR BE USED?:  <3 DAYS A WEEK  OVER 3 DAYS A WEEK  DAILY" ], [ "WHERE WILL THE WHEELCHAIR WANT TO BE USED?  INDOORS ONLY  OUTDOORS ONLY  IN & OUTDOORS\nWORK SOCIAL ENVIRONMENT NEEDS TO BE CONSIDERED EG. ACCESS ISSUES/DOOR WIDTHS?" ], [ "TRANSPORT USED: (PLEASE STATE)-" ] ], "row_count": 25, "col_count": 1 } ] }, { "case_id": 355131, "title": "Abortion", "authority": "Department of Health and Social Care", "date_received": "2017-01-26", "outcome": "All information sent", "summary": "The requester asked for documents provided to the Minister regarding the feasibility of amending the Isle of Man's Abortion legislation. The Department of Health and Social Care disclosed a feasibility report titled 'Termination of Pregnancy (Medical Defences) Act 1995: Feasibility of an Amendment Bill during the 2017/18 legislative session'.", "key_facts": [ "The current abortion legislation in the Isle of Man was enacted in 1995.", "A previous review attempt by a DHSC sub-committee in 2005 did not result in comprehensive proposals.", "The disclosed document compares Isle of Man laws with other jurisdictions in the British Isles and Gibraltar.", "The report analyzes clinical evidence regarding the physical and mental health impacts of termination.", "The Department was asked to recommend whether to progress an Amendment Bill or conduct further public engagement." ], "data_mentioned": [ "1995", "2005", "2017/18", "2017-01-26", "2017-02-06", "12 pages", "1 document", "355131", "IM75662I" ], "exemptions_cited": [], "tables": [ { "headers": [ "Jurisdiction\n(Law)", "Grounds for termination", "", "", "", "" ], "rows": [ [ "", "Immediate\nneed to\npreserve\nlife of\nmother", "Prevention\nof grave\npermanent\ninjury to\nphysical or\nmental\nhealth of\nwoman\n(Time\nlimit)", "Risk to physical\nor mental health\nof the woman or\nexisting children\ngreater than\nfrom\ncontinuance of\npregnancy(social\ngrounds)\n(Time limit)", "Significant\nrisk of\nserious\nhandicap\nin child", "Pregnancy\nresulting\nfrom\nsexual\ncrimes" ], [ "Isle of Man\n(Termination of\nPregnancy\n(Medical\nDefences) Act\n1995)", "Yes*", "Yes*", "No", "Yes (24\nweeks)", "Yes (12\nweeks)" ], [ "England,\nScotland,\nWales\n(Abortion Act\n1967)", "Yes", "Yes (no\ntime limit)", "Yes (24 weeks)", "Yes (no\ntime limit)", "Would be\ncovered\nby other\ngrounds" ], [ "Jersey\n(Termination of\nPregnancy\n(Jersey) Law\n1997", "Yes", "Yes (no\ntime limit)", "Yes (distress –12\nweeks)", "Yes (24\nweeks)", "“" ], [ "Guernsey\n(The Abortion\n(Guernsey)\nLaw, 1997)", "Yes", "Yes (no\ntime limit)", "Yes (12 weeks)", "Yes (24\nweeks)", "“" ], [ "Northern\nIreland\n(Offences\nAgainst the\nPerson Act\n1861)", "Yes", "Yes – as a\nresult R v.\nBourne\n[1939]", "No", "No", "No" ], [ "Gibraltar\n(Crimes Act\n2011)", "Yes", "No", "No", "No", "No" ], [ "Ireland\n(Constitution\n8th Amendment,\n1983)", "Yes", "No", "No", "No", "No" ] ], "row_count": 8, "col_count": 6 } ] }, { "case_id": 355135, "title": "Mental Health Act", "authority": "Department of Health and Social Care", "date_received": "2017-02-01", "outcome": "All information sent", "summary": "A Freedom of Information request to the Isle of Man Department of Health and Social Care sought data on mental health patient suicides and complaint statistics. The authority disclosed annual suicide figures for patients and inpatients from 2012 to 2016, provided complaint data from 2011 to 2017, and noted that two legal questions were withdrawn by the requester.", "key_facts": [ "Seven mental health patients under care committed suicide between 2012 and 2016 according to coroner records.", "Two mental health inpatients committed suicide during the same period.", "Questions regarding the legal admissibility of Barring Orders as witness evidence were withdrawn by the requester.", "Complaint data is available from 2011 to 2017, but outcomes favoring specific parties are not recorded.", "Complaint recording procedures were standardized within the Mental Health Service following a review in 2012." ], "data_mentioned": [ "2012", "2013", "2014", "2015", "2016", "2011", "7", "2", "1", "0", "27th February 2017", "1st Feb 2017", "1st January 2011", "1st January 2017" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "2011", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "1", "Communication/Information to Patient (written and oral)", "Family Member" ], [ "1", "Attitude of Staff", "Family Member" ], [ "2", "Total", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "Year", "2012", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "6", "Attitude of Staff", "Patient" ], [ "1", "Attitude of Staff", "Family Member" ], [ "2", "Personal Records (including medical and/or complaint)", "Patient" ], [ "3", "Clinical Treatment", "Family Member" ], [ "2", "Clinical Treatment", "Other" ], [ "1", "Failure to Follow Procedures", "Family Member" ], [ "1", "Patient Privacy & Dignity", "Family Member" ], [ "16", "Total", "" ] ], "row_count": 10, "col_count": 3 }, { "headers": [ "Year", "2013", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "2", "Attitude of Staff", "Family Member" ], [ "7", "Clinical Treatment", "Patient" ], [ "14", "Clinical Treatment", "Family Member" ], [ "2", "Clinical Treatment", "Other" ], [ "1", "Transport", "Patient" ], [ "1", "Admission Transfer and Discharge Arrangements", "Family Member" ], [ "1", "Attitude of Staff", "Patient" ], [ "1", "Attitude of Staff", "Other" ], [ "1", "Complaints Handling", "Patient" ], [ "1", "Personal Records (including medical and/or complaint)", "Other" ], [ "1", "Personal Records (including medical and/or complaint)", "Family Member" ] ], "row_count": 13, "col_count": 3 }, { "headers": [ "Year", "2014", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "12", "Clinical Treatment", "Patient" ], [ "10", "Clinical Treatment", "Family Member" ], [ "1", "Clinical Treatment", "Other" ], [ "1", "Accommodation", "Other" ], [ "1", "Communication/Information to Patient (written and oral)", "Family Member" ], [ "1", "Other", "Family Member" ], [ "1", "Other", "Patient" ], [ "27", "Total", "" ] ], "row_count": 10, "col_count": 3 }, { "headers": [ "Year", "2015", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "1", "Clinical Treatment", "Other" ], [ "1", "Policy and Commercial Decisions", "Family Member" ], [ "2", "Appointments Delay/Cancellation Outpatient", "Family Member" ], [ "2", "Communication/Information to Patient (written and oral)", "Patient" ], [ "3", "Communication/Information to Patient (written and oral)", "Family Member" ], [ "1", "Communication/Information to Patient (written and oral)", "Other" ], [ "7", "Clinical Treatment", "Family Member" ], [ "3", "Clinical Treatment", "Patient" ], [ "1", "Attitude of Staff", "Other" ], [ "1", "Other", "Family Member" ], [ "22", "Total", "" ] ], "row_count": 13, "col_count": 3 }, { "headers": [ "Year", "2016", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "2", "Admission Transfer and Discharge arrangements", "Family Member" ], [ "1", "Appointments delay/cancellation outpatient", "Family Member" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "2", "Communication/Information to Patient (written and oral)", "Family Member" ], "rows": [ [ "4", "Other", "Family Member" ], [ "3", "Other", "Patient" ], [ "4", "Other", "Other" ], [ "3", "Clinical Treatment", "Patient" ], [ "10", "Clinical Treatment", "Family Member" ], [ "2", "Clinical Treatment", "Other" ], [ "31", "Total", "" ] ], "row_count": 7, "col_count": 3 }, { "headers": [ "Year", "2017", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "1", "Other", "Family Member" ], [ "1", "Total", "" ] ], "row_count": 4, "col_count": 3 } ] }, { "case_id": 355157, "title": "CAMHS - SMT Minutes", "authority": "Department of Health and Social Care", "date_received": "2017-03-01", "outcome": "All information sent", "summary": "The Department of Health and Social Care responded to a request for CAMHS treatment numbers, waiting list data, total demand, and senior management minutes, disclosing most statistics but noting that some waiting list data was not held on a monthly basis.", "key_facts": [ "As of 28 February 2017, the CAMHS current caseload was 683.", "The Older Persons Mental Health Service, Drug & Alcohol Team, and Acute In-patient Services have not held waiting lists since January 2013.", "The Psychological Therapies Service was closed in March 2015 and replaced by the Community Well Being Service in June 2016.", "Total referrals to Mental Health and CAMHS services between January 2013 and February 2017 numbered 12,956.", "The Community Mental Health Team for Adults does not hold waiting list information on a month-by-month basis." ], "data_mentioned": [ "683", "145", "14", "28th February 2017", "January 2013", "March 2015", "June 2016", "9208", "1080", "2507", "61", "12,956" ], "exemptions_cited": [], "tables": [ { "headers": [ "Child & Adolescent Mental Health Service", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "Year", "Jan", "Feb", "Mar", "", "", "Apr", "", "", "May", "", "", "Jun", "", "", "Jul", "", "", "Aug", "", "", "Sept", "", "", "Oct", "", "", "Nov", "", "", "Dec", "", "" ], [ "2013", "49", "41", "54", "", "", "44", "", "", "44", "", "", "59", "", "", "65", "", "", "41", "", "", "53", "", "", "48", "", "", "48", "", "", "50", "", "" ], [ "2014", "49", "65", "61", "", "", "77", "", "", "46", "", "", "43", "", "", "38", "", "", "34", "", "", "27", "", "", "29", "", "", "34", "", "", "36", "", "" ], [ "2015", "36", "41", "47", "", "", "47", "", "", "47", "", "", "59", "", "", "70", "", "", "62", "", "", "72", "", "", "82", "", "", "89", "", "", "90", "", "" ], [ "2016", "65", "58", "67", "", "", "62", "", "", "56", "", "", "59", "", "", "68", "", "", "61", "", "", "50", "", "", "57", "", "", "68", "", "", "76", "", "" ], [ "2017", "78", "90", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 6, "col_count": 33 }, { "headers": [ "Psychological Therapies Service", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "Year", "Jan", "Feb", "Mar", "Apr", "", "", "May", "", "", "Jun", "", "", "Jul", "", "", "Aug", "", "", "Sept", "", "", "Oct", "", "", "Nov", "", "", "Dec", "", "" ], [ "2013", "93", "100", "136", "148", "", "", "146", "", "", "144", "", "", "149", "", "", "161", "", "", "150", "", "", "163", "", "", "167", "", "", "180", "", "" ], [ "2014", "177", "184", "197", "194", "", "", "192", "", "", "193", "", "", "202", "", "", "201", "", "", "211", "", "", "177", "", "", "159", "", "", "154", "", "" ], [ "2015", "121", "129", "136", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 4, "col_count": 31 }, { "headers": [ "Community Well Being Service", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "Year", "Jan", "", "", "Feb", "", "", "Mar", "", "", "Apr", "", "", "May", "", "", "Jun", "", "", "Jul", "", "", "Aug", "", "", "Sept", "", "", "Oct", "", "", "Nov", "", "", "Dec", "", "" ], [ "2016", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "124", "", "", "151", "", "", "231", "", "", "250", "", "", "244", "", "", "245", "", "", "252", "", "" ], [ "2017", "242", "", "", "220", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 3, "col_count": 37 }, { "headers": [ "Method of Referral", "Total number of referrals 01/01/13 - 28/02/17" ], "rows": [ [ "GP", "9208" ], [ "Self", "1080" ], [ "Nobles (Medical)", "2507" ], [ "UK Trusts (Medical)", "61" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Team", "Average Waiting Times\nUrgent Referral", "Average Waiting Times\nNon-Urgent Referral" ], "rows": [ [ "Child & Adolescent Mental\nHealth Service (CAMHS)", "Seen immediately", "Neurodevelopmental\nDisorder Clinic (NDD) - 8\nmonths; CAMHS-4 months" ], [ "Crisis Response Home\nTreatment Team (CRHTT)", "4 hours", "N/A" ], [ "Community Wellbeing\nService:", "As required/ appropriate in\nline with NICE\nGUIDELINES for:\nPsychological issues,\nObsessive Compulsive\nDisorder, Maternal mental\nhealth, Post-Traumatic\nStress Disorder", "" ], [ "- Low Intensity Therapy", "", "10 months" ], [ "- Counselling for Depression", "", "17 weeks" ], [ "- Counselling & Therapies\nService – screening", "", "2-14 days depending on\ndate referral received" ], [ "- Counselling & Therapies\nService – allocation", "", "8 weeks" ], [ "Drug & Alcohol Team (DAT)", "High criteria patients\nwithin a couple of days if\nthe risks warrant this.", "DAT criteria “High” – 2\nweeks; “Medium” – 4\nweeks; “Low” – 6 weeks" ], [ "Older Persons Mental Health\nService (OPMHS)", "24 hours\n(Crisis situations will be\nresponded to within same\nworking day)", "Community Nurses – 10\nworking days from receipt\nof referral\nPsychiatry – 3 months" ], [ "Adult Occupational Therapy", "6 weeks", "6 weeks" ], [ "Psychiatry", "24 hours via Crisis\nResponse Home\nTreatment Team\nPsychiatrist", "Out-patient assessments/\nreviews: Douglas - 2-4\nweeks; Port Erin/ Peel/\nRamsey - 4-8 weeks" ], [ "Community Mental Health\nService for Adults (CMHSA)", "CRHTT same day;\nCommunity Mental Health\nProcessional 1 week", "4 weeks" ], [ "- Psychology", "Within 4 weeks", "Art Therapy - 13 months\nPsychology - 11 months" ], [ "In-patient Acute Admissions", "4 hours", "N/A" ] ], "row_count": 14, "col_count": 3 } ] }, { "case_id": 355159, "title": "Patient Transfers Taxi Tender", "authority": "Department of Health and Social Care", "date_received": "2017-03-06", "outcome": "All information sent", "summary": "The Department of Health and Social Care responded to a Freedom of Information request regarding the tender process for a patient transfer taxi service from Liverpool airport to hospitals, disclosing all requested documents including tender invitations and correspondence.", "key_facts": [ "The request covered documents for a taxi service transferring patients from Liverpool John Lennon Airport to Merseyside and North West hospitals.", "The Department provided eight appendices including the Expression of Interest, Invitation to Tender, and unsigned agreements.", "The service requires contractors to accommodate up to 14 passengers per vehicle and provide assistance with luggage and mobility.", "The tender process was managed by Procurement Services at the Attorney General's Office.", "The service is required to operate 24 hours a day, 365 days a year, excluding Christmas Day." ], "data_mentioned": [ "2017-03-06", "2017-03-30", "2016-09-07", "14 persons", "24 hours", "365 days", "06.00", "21.00", "91 pages", "DHSC/2016/030", "IM80-067i" ], "exemptions_cited": [], "tables": [ { "headers": [ "Bank Holiday Monday", "5" ], "rows": [ [ "Tuesday", "25" ], [ "Wednesdays", "31" ], [ "Thursday", "30" ], [ "Friday", "32" ], [ "Saturday", "4" ], [ "Sunday", "7" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "Pick-up", "Destination", "", "Number of", "", "Journey Cost (£)" ], "rows": [ [ "", "", "", "Passengers", "", "" ], [ "Liverpool", "Liverpool Women’s > Royal Liverpool", "7", "", "", "" ], [ "Liverpool", "St Helens > Whiston", "3", "", "", "" ], [ "Liverpool", "Alder Hey", "7", "", "", "" ], [ "Liverpool", "Whiston > Aintree", "6", "", "", "" ], [ "Liverpool", "Aintree", "15", "", "", "" ], [ "Liverpool", "Clatterbridge > Arrowe Park", "6", "", "", "" ], [ "Liverpool", "Royal Liverpool", "10", "", "", "" ], [ "Liverpool", "Alder Hey", "11", "", "", "" ], [ "Liverpool", "Liverpool City Centre Hotel", "2", "", "", "" ], [ "Liverpool", "Broadgreen", "9", "", "", "" ], [ "Liverpool", "Alder Hey > Broadgreen", "6", "", "", "" ], [ "Liverpool", "Royal Liverpool > Broadgreen", "4", "", "", "" ], [ "Manchester Airport", "Alder Hey", "5", "", "", "" ], [ "Alder Hey", "Manchester", "3", "", "", "" ], [ "Liverpool", "Royal Albert Edward Infirmary (Wigan\nInfirmary)", "2", "", "", "" ], [ "Liverpool", "Walton", "3", "", "", "" ], [ "Liverpool", "Clatterbridge", "7", "", "", "" ], [ "Liverpool", "Liverpool University Dental Hospital", "1", "", "", "" ], [ "Alder Hey >\nBroadgreen", "Liverpool Airport", "6", "", "", "" ], [ "Liverpool Women’s", "Royal Liverpool", "10", "", "", "" ], [ "Broadgreen", "Liverpool", "6", "", "", "" ], [ "Manchester Airport", "Broadgreen", "6", "", "", "" ], [ "Manchester Airport", "Royal Liverpool", "11", "", "", "" ], [ "Manchester Airport", "Clatterbridge", "7", "", "", "" ] ], "row_count": 25, "col_count": 6 }, { "headers": [ "Destination", "Liverpool JL\n£", "", "Manchester", "", "Liverpool Pier\n£", "Heysham\n£" ], "rows": [ [ "", "", "", "Airport", "", "", "" ], [ "", "", "", "£", "", "", "" ], [ "Aintree Hospital/ The Walton\nCentre for Neurology &\nNeurosurgery", "", "", "", "", "", "" ], [ "Alder Hey Children’s NHS\nFoundation Trust / Clatterbridge\nCentre for Oncology", "", "", "", "", "", "" ], [ "Arrowe Park Hospital", "", "", "", "", "", "" ], [ "Broadgreen Hospital / Liverpool\nHeart and Chest Hospital NHS\nTrust", "", "", "", "", "", "" ], [ "Countess of Chester", "", "", "", "", "", "" ], [ "Liverpool Women’s Hospital", "", "", "", "", "", "" ], [ "Royal Liverpool University\nHospital", "", "", "", "", "", "" ], [ "The Robert Jones and Agnes\nHunt Orthopaedic and District\nHospital NHS Trust", "", "", "", "", "", "" ], [ "Royal Albert Edward Infirmary\n(Wigan Infirmary)", "", "", "", "", "", "" ], [ "Southport General Hospital", "", "", "", "", "", "" ], [ "Warrington and Halton Hospital", "", "", "", "", "", "" ], [ "Whiston Hospital (St Helen’s\nand Knowlsey)", "", "", "", "", "", "" ], [ "Wrightington, Wigan and Leigh\nHospital", "", "", "", "", "", "" ], [ "Wythenshawe Hospital", "", "", "", "", "", "" ], [ "The Christie, Manchester", "", "", "", "", "", "" ] ], "row_count": 17, "col_count": 7 }, { "headers": [ "Item", "Additional Services Rates", "£" ], "rows": [ [ "1", "", "" ], [ "2", "", "" ], [ "3", "", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Score", "", "", "Criteria for awarding Score", "" ], "rows": [ [ "0", "", "", "Completely fails to meet required standard or does not provide a proposal.", "", "" ], [ "1", "", "", "Proposal significantly fails to meet the standards required, contains significant shortcomings and/or is\ninconsistent with other proposals", "", "" ], [ "2", "", "", "Proposal falls short of achieving expected standard in a number of identifiable respects.", "", "" ], [ "3", "", "", "Proposal meets the required standard in most material respects, but is lacking or inconsistent in others.", "", "" ], [ "4", "", "", "Proposal meets the required standard in all material respects.", "", "" ], [ "5", "", "", "Proposal meets the required standard in all material respects and exceeds some or all of the major\nrequirements.", "", "" ] ], "row_count": 6, "col_count": 6 }, { "headers": [ "", "Service Requirements", "", "", "", "", "" ], "rows": [ [ "Req.\nNo.", "", "", "Minimum", "", "Scope", "" ], [ "", "", "", "Score or", "", "", "" ], [ "", "", "", "Pass/Fail", "", "", "" ], [ "", "", "", "Question", "", "", "" ], [ "3.1", "", "Minimum\nScore\napplies", "Minimum", "", "Describe the experience that your company has of undertaking specific contract work,\nparticularly contract work that demonstrates experience in patient related services.\nExtend experience to confirm your ability to meet the daily activity needs of this service.", "" ], [ "", "", "", "Score", "", "", "" ], [ "", "", "", "applies", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 8, "col_count": 7 }, { "headers": [ "Page and paragraph\nnumber, or other reference\nfor the element of\ninformation you regard as\nconfidential", "Marking - either\n‘in confidence’ or\n‘commercially sensitive’", "Why you consider element\nof information to be\nconfidential" ], "rows": [ [ "", "", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "Bank Holiday Monday", "5" ], "rows": [ [ "Tuesday", "25" ], [ "Wednesdays", "31" ], [ "Thursday", "30" ], [ "Friday", "32" ], [ "Saturday", "4" ], [ "Sunday", "7" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "Details of your Organisation cont." ], "rows": [ [ "Is your company owned by an individual or individuals who are resident in the Isle of Man\nYes N o\nfor tax purposes?\nIf Yes please provide owner name/names:" ], [ "Financial Information" ], [ "What was your turnover in the last two years (if this applies)?\n£ for year ended / /\n£ for year ended / /\nHas your organisation met the terms of its banking facilities and loan agreements (if any)? Yes No\nIf No what were the reasons, and what has been done to put things right?\nHas your organisation met all its obligations to pay its creditors and staff during the past year? Yes No\nIf No please explain why not:\nIs your organisation in debt to any Department, Board or Office of the Isle of Man Government? Yes No\nIf Yes please explain why:\nHas your organisation met all its obligations regarding payment of social security obligations\nYes No\nand taxes to the Isle of Man Government?\nIf No what were the reasons, and what is being done to put things right?\nWhat is the name and branch of your bankers (who could provide a reference)?\nName:\nBranch:\nContact Details:" ], [ "Page 2" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Financial Information cont." ], "rows": [ [ "If asked, would you be able to provide at least one of the following?\nA copy of your most recent audited accounts (for the last two years if this applies) Yes No\nA statement of your turnover, profit & loss account and cash flow for the most\nYes No\nrecent year of trading\nA statement of your cash flow for the current year and a bank letter outlining the\nYes No\ncurrent cash and credit position" ], [ "Business Activities and Standing" ], [ "What are the main business activities of your organisation?\nHow many staff does your organisation employ (if you are a sole trader, please say so)?\nHave you had any contracts terminated for poor performance in the last three years, or\nYes No\nany contracts where damages have been claimed by the contracting authority?\nIf Yes please give details:\nDo any of the following apply to your organisation, or to (any of) the director(s) / partners / proprietor(s)?\nIs it in a state of bankruptcy, insolvency, compulsory winding up, receivership,\ncomposition with creditors, or subject to relevant proceedings1? Yes No\nHas been convicted of a criminal offence related to business or professional conduct? Y es No\nHas committed an act of grave misconduct in the course of business?\nYes No\nHas not fulfilled obligations related to payment of taxes?\nYes No\nIs guilty of serious misrepresentation in supplying information?\nYes No\nIs not in possession of relevant licences or membership of an appropriate\norganisation where required by law? Yes No\nIf the answer to any of these is Yes please give brief details below, including what has been done to put things right." ], [ "Insurance" ], [ "Please provide details of your current insurance cover Value\nEmployers Liability £\nPublic Liability £\nProfessional Indemnity £\nOther (please provide Details) £" ], [ "Page 3" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "Quality Assurance" ], "rows": [ [ "Does your organisation hold a recognised quality management certification for example\nBS/EN/ISO 9000 or equivalent? Yes No\nIf not does your organisation have a quality management system2? Yes No\nIf you do not have a quality certification or a quality management system in place, please explain why:" ], [ "Health & Safety" ], [ "Does your organisation have a written health and safety at work policy3? Yes No\nDoes your organisation have a health and safety at work system2?\nYes No\nIf No, to either of the above please explain why:" ], [ "Equal Opportunities" ], [ "Does your organisation have an equal opportunities policy to avoid discrimination? Yes No" ], [ "Investors in People" ], [ "Does your organisation hold Investors in People status? Yes No" ], [ "Environmental Management" ], [ "Does your organisation have an environmental management system2? Yes No" ], [ "Declaration" ], [ "I declare that to the best of my knowledge the answers submitted in this pre-qualification questionnaire (and any\nsupporting documentation) are correct. I understand that the information will be used in the evaluation process to\nassess my organisation’s suitability to be invited to tender for the Government’s requirement. Completed by:\nName: Position (Job Title):\nSignature: Date: / /" ] ], "row_count": 11, "col_count": 1 }, { "headers": [ "", "Question", "", "Details", "Response" ], "rows": [ [ "", "Number", "", "", "" ], [ "1.", "", "", "The specification states that the provider will need to have a\nvehicle that can accommodate 14 passengers. We would like to\nunderstand whether you would be happy for a provider to\nperhaps provide two vehicles that could split the number of\npatients between them i.e. 7 in each vehicle or is there a\nrequirement that all 14 passengers must travel in one vehicle?", "Ultimately the Contractor is responsible for defining how they can\nmeet the requirements of the specification within their written\nresponse and demonstrating vehicle capacity to undertake multiple\ncollections on a daily basis. Splitting the requirement is acceptable but\nthe cost to do so should be clearly stated in the tender response.\nContractors should be mindful to developing a response that is\neconomically attractive to the Department." ], [ "2.", "", "", "The table on page 13 of the specification details a single week of\njourney activity in August 2016. Please could you clarify, do the\nfigures included represent the number of individual journeys\nmade on a single day or the number of passengers for one\njourney?", "The figures stated in the specification is journey activity per day, not\npassengers in a journey." ], [ "3.", "", "", "Are you able to provide any clarity around when you envisage\nawarding the contract and when you would expect the contract to\ncommence? I note the specification states the agreement would\nstart Winter 2016.", "Contract award is likely late November 2016 with formal\nimplementation and contract commencement in February 2017. The\nexact dates can be discussed with the successful bidder." ], [ "4.", "", "", "Do you have a financial envelope / maximum that providers must\nmeet?", "There is no financial envelope provided with this tender as the\nfrequency of service will fluctuate. Bearing this in mind the advice to\nbidders would be to submit a first and final rate (best rate)." ], [ "5.", "", "", "Who is the current provider?", "Bridgewater Taxis" ] ], "row_count": 6, "col_count": 5 }, { "headers": [ "", "Question", "", "Details", "Response", "", "" ], "rows": [ [ "", "Number", "", "", "", "", "" ], [ "6.", "", "", "Will TUPE apply?", "The contract is governed by Manx Law where TUPE doesn’t apply.", "", "" ], [ "7.", "", "", "We may propose minibuses with a capacity less than 14\npassenger seats, probably 8, thus not requiring D1 on UK driving\nlicence. Would this be acceptable (understanding that more than\none vehicle will be required on occasion)?", "Yes see Q1.", "", "" ], [ "8.", "", "", "Can the Department advise any minimum vehicle requirements", "Based upon frequency and location variance it is suggested that a\nContractor will require a minimum of 12 vehicles. This assumes\noperation of at least one minibus.", "", "" ], [ "9.", "", "", "Please confirm in Section 1 Scenarios, pick up listed as Liverpool\nrefers to Liverpool JL or Liverpool Pier", "All scenarios marked ‘Liverpool’ refer to Liverpool John Lennon", "", "" ], [ "10.", "", "", "In relation to the parking permit supplied by IOM, does this\nnegate the Liverpool John Lennon Airport £2.00 barrier charge, or\ndo we need to incorporate the charge in the prices?", "Yes", "", "" ], [ "11.", "", "", "Document 1 – Form of Tender – can you please explain how\nwe calculate the sum for the supply of the whole of the services –\nis this based on an average fare value of scenarios in section 1 x\nby number of trips detailed in Section 3 – Detail of requirement?", "To insert a total in the Form of Tender, calculate a combined total\nvalue for all scenarios in section 1.", "", "" ], [ "12.", "", "", "Is it possible to get the PQQ as a Word Document so I can type\nour responses?", "It’s one of the biggest requests we have but unfortunately we don’t\nhave a Word Version. You may have a Publisher app that can convert\nit to assist", "", "" ], [ "13.", "", "", "It states in tender document - Wherever possible and practical\nwith due regard to patients individual appointment times,\npassengers travelling to or from the same destination area should\nbe carried in the same vehicle.\nDoes this mean we will also receive the patients appointment\ntime when bookings are made?", "The Department would be prepared to provide the contractor with\nindividual appointment times if that would assist in minimising the\nnumber of vehicle journeys required.", "", "" ], [ "14.", "", "", "Can you confirm the total number of parking permits that will be\navailable for Liverpool airport and also should there be a change\nin flight schedules in the future and more passengers are routed", "", "Currently the Department provides 4 parking appointments at", "" ], [ "", "", "", "", "", "Liverpool. If more permits are required, the Department would be", "" ], [ "", "", "", "", "", "prepared to discuss this with the contractor. If there is a change in", "" ], [ "", "", "", "", "", "the flow of patients, resulting in greater traffic to Manchester then the", "" ] ], "row_count": 13, "col_count": 7 }, { "headers": [ "It states in tender document - Wherever possible and practical" ], "rows": [ [ "with due regard to patients individual appointment times," ], [ "passengers travelling to or from the same destination area should" ], [ "be carried in the same vehicle." ], [ "" ], [ "Does this mean we will also receive the patients appointment" ], [ "time when bookings are made?" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "", "Question", "", "Details", "Response" ], "rows": [ [ "", "Number", "", "", "" ], [ "", "", "", "through Manchester airport. Will there be provisions to\naccommodate parking charges at Manchester.", "Department will be prepared to discuss the provision of parking\npermits." ], [ "15.", "", "", "Can the Department provide further comment regarding Child Car\nSeats, frequency and what information is issued to parents\ntravelling with a child.", "The Department will continue to emphasise that it is better for a\nparent to take their own child seat rather than relying on one provided\nby the contractor. The advantages listed are mentioned to parents. It\nis therefore not envisaged that the contractor will be regularly\nrequired to provide car seats for children. However, because UK\nregulations clearly state that children under 3 must travel in a car seat\nfor all scheduled journeys, and these journeys are pre-booked and\ntherefore scheduled, both the Department and the contractor could\nface legal action if a child was not provided with a car seat." ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "The Department will continue to emphasise that it is better for a" ], "rows": [ [ "parent to take their own child seat rather than relying on one provided" ], [ "by the contractor. The advantages listed are mentioned to parents. It" ], [ "is therefore not envisaged that the contractor will be regularly" ], [ "required to provide car seats for children. However, because UK" ], [ "regulations clearly state that children under 3 must travel in a car seat" ], [ "for all scheduled journeys, and these journeys are pre-booked and" ], [ "therefore scheduled, both the Department and the contractor could" ], [ "face legal action if a child was not provided with a car seat." ] ], "row_count": 8, "col_count": 1 } ] }, { "case_id": 355213, "title": "Noble's Hospital Administrative Review", "authority": "Department of Health and Social Care", "date_received": "2017-06-23", "outcome": "Some information sent but part exempt", "summary": "A request was made for a 2015-2016 independent review of clinical administration staffing and processes at Noble's Hospital. The Department of Health and Social Care provided the report partially, withholding certain sections under statutory exemptions.", "key_facts": [ "The requested document is the 'Department of Health and Social Care Noble's Hospital Clinical Administration Review Report'.", "The review was dated 15 January 2016 and covered clinical administration teams staffing and processes.", "The response was issued on 15 August 2017 by the Department of Health and Social Care.", "The request was made under the Freedom of Information Act 2015.", "The response included a Redactions Log detailing the reasons for exemptions." ], "data_mentioned": [ "23 June 2017", "15 January 2016", "15 August 2017", "102", "IM92-737i", "01624 642621" ], "exemptions_cited": [ "Statutory exemptions (specific sections not detailed in the provided text, referenced in Redactions Log)" ], "tables": [ { "headers": [ "Page\nand\nsection", "Exemption\nto be\nApplied", "Exemption Rationale (including\nprejudice test)", "Exemption\nDisclose/\nExempt", "PIT Rationale - In\nfavour of\ndisclosure", "PIT Rationale - In favour of exemption", "PIT\nDisclose/\nExempt" ], "rows": [ [ "29 of 82\n3.2.2;\n30 of 82\n3.2.2", "Section\n35(c)\notherwise\nto prejudice\nthe\neffective\nconduct of\npublic\nbusiness", "The disclosure would have an adverse\neffect on the ability of the Department\nto offer an effective public service or to\nmeet its wider objectives or purpose\nThe disclosure would prejudice the\nability of the Department to offer an\neffective public service or to meet its\nwider objectives or purpose", "E", "Increase trust in\nGovernment.\nIncreased confidence\nin the decision\nmaking process.\nInforming public\ndebate on important\nmatters.", "Impact of disclosure on core authority functions\ne.g. if disclosure may leave the authority\nunprepared or unable to cope with a reaction,\nwhich might affect the performance of core\nfunctions, disclosure may not be in the public\ninterest.\nIf the information is about a process and by\nreleasing the information it would allow someone\nto circumvent the process.\nThe authority needs a “safe space” in which to\ndevelop ideas or make decisions and disclosure\nmay prejudice this and/or interfere with or\ndistract from the processing any other way, or\nwould prejudice or undermine the decision itself,\nrather that the frankness of the discussions\nspecifically. (Note, that this is time specific and\nwill likely only be relevant until a decision has\nbeen made, or not long thereafter).\nWhere a matter is live.\nCould lead to lay misunderstanding.", "E" ], [ "30 of 82\n3.2.3.1", "Section\n35(c)\notherwise\nto prejudice\nthe\neffective\nconduct of\npublic\nbusiness", "The disclosure could have an adverse\neffect on the ability of the Department\nto offer an effective public service or to\nmeet its wider objectives or purpose\nThe disclosure would prejudice the\nability of the Department to offer an\neffective public service or to meet its\nwider objectives or purpose", "E", "Increase trust in\nGovernment.\nIncreased confidence\nin the decision\nmaking process.\nInforming public\ndebate on important\nmatters.", "The authority needs a “safe space” in which to\ndevelop ideas or make decisions and disclosure\nmay prejudice this and/or interfere with or\ndistract from the processing any other way, or\nwould prejudice or undermine the decision itself,\nrather that the frankness of the discussions\nspecifically. (Note, that this is time specific and\nwill likely only be relevant until a decision has\nbeen made, or not long thereafter).", "E" ], [ "34 of 82\n3.3.3", "Section\n35(c)", "The disclosure would have an adverse\neffect on the ability of the Department", "E", "Increase trust in\nGovernment.", "Impact of disclosure on core authority functions\ne.g. if disclosure may leave the authority", "E" ] ], "row_count": 3, "col_count": 7 } ] }, { "case_id": 355215, "title": "Number of consultant, junior doctor and doctor posts and waiting times for operations", "authority": "Department of Health and Social Care", "date_received": "2017-07-03", "outcome": "Some information sent but part exempt", "summary": "The request sought staffing numbers and vacancy rates for doctors at Noble's Hospital, operation waiting times, and a specific letter regarding the Chief Executive. The Department of Health and Social Care disclosed staffing figures but refused to provide waiting times in the requested format or the letter citing personal data and public business exemptions.", "key_facts": [ "Total posts for Consultants, Doctors, and Junior Doctors at Noble's Hospital were 146 as of 30 June 2017.", "There were 20 vacant posts across these categories as of 30 June 2017.", "Waiting times for all operations were not provided because the Department does not hold the data in the requested format.", "A letter regarding the Chief Executive was withheld under exemptions for personal data and conduct of public business.", "The response was issued on 27 July 2017 following a request received on 3 July 2017." ], "data_mentioned": [ "57", "65", "24", "146", "5", "15", "0", "20", "30 June 2017", "27 July 2017", "01 July 2017", "01 April 2017", "August 2017" ], "exemptions_cited": [ "Section 11(3)(b) - Information not held in requested format", "Section 8(3) - Not required to create or derive information", "Section 19 - Absolute exemption for confirming or denying existence of information", "Section 25(2) - Absolutely exempt personal information", "Section 35(c) - Conduct of public business" ], "tables": [ { "headers": [ "", "Post type", "", "", "Number of posts*", "" ], "rows": [ [ "Consultants", "", "", "57", "", "" ], [ "Doctors", "", "", "65", "", "" ], [ "Junior Doctors", "", "", "24", "", "" ], [ "Total", "", "", "146", "", "" ] ], "row_count": 4, "col_count": 6 }, { "headers": [ "", "Post type", "", "", "Number of vacant posts†", "" ], "rows": [ [ "Consultants", "", "", "5", "", "" ], [ "Doctors‡", "", "", "15", "", "" ], [ "Junior Doctors", "", "", "0", "", "" ], [ "Total", "", "", "20", "", "" ] ], "row_count": 4, "col_count": 6 } ] }, { "case_id": 355219, "title": "Endoscopy 1", "authority": "Department of Health and Social Care", "date_received": "2017-07-03", "outcome": "All information sent", "summary": "A request was made to the Isle of Man Department of Health and Social Care for data on endoscopy operations at Nobles Hospital, including historical completion rates, current waiting list numbers, and future planned procedures. The authority responded by providing full disclosure of weekly statistics for the previous 12 weeks, the total number of patients waiting, and a schedule of booked and available slots for the upcoming 12 weeks.", "key_facts": [ "The request covered endoscopy operations at Nobles Hospital for the last 12 weeks and the next 12 weeks.", "As of July 2017, there were 1,320 patients on the waiting list for endoscopy procedures.", "Weekly completed procedures ranged from 45 to 62 over the 12-week period ending July 2017.", "Future planning data includes specific counts for booked procedures and urgent cancer endoscopy slots.", "The response was issued on 28 July 2017 with all information provided." ], "data_mentioned": [ "1,320 patients", "45 procedures", "51 procedures", "50 procedures", "52 procedures", "49 procedures", "48 procedures", "60 procedures", "62 procedures", "57 procedures", "10 April 2017", "03 July 2017", "10 July 2017", "18 September 2017", "93 booked", "16 urgent cancer", "53 available" ], "exemptions_cited": [], "tables": [ { "headers": [ "Week commencing", "Endoscopy Procedures Completed" ], "rows": [ [ "10 April 2017*", "45" ], [ "17 April 2017*", "51" ], [ "24 April 2017", "50" ], [ "01 May 2017", "50" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "15 May 2017", "49" ], "rows": [ [ "22 May 2017", "48" ], [ "29 May 2017", "50" ], [ "05 June 2017*", "50" ], [ "12 June 2017", "60" ], [ "19 June 2017", "62" ], [ "26 June 2017", "57" ], [ "03 July 2017*", "60" ] ], "row_count": 7, "col_count": 2 }, { "headers": [ "Week commencing", "", "Endoscopy", "", "", "Urgent cancer", "", "", "Endoscopy", "" ], "rows": [ [ "", "", "procedures", "", "", "endoscopy", "", "", "procedures", "" ], [ "", "", "booked", "", "", "procedures", "", "", "available", "" ], [ "", "", "to date", "", "", "available to date", "", "", "to date", "" ], [ "10 July 2017", "93", "", "", "-", "", "", "-", "", "" ], [ "17 July 2017", "90", "", "", "-", "", "", "-", "", "" ], [ "24 July 2017", "87", "", "", "-", "", "", "-", "", "" ], [ "31 July 2017", "77", "", "", "16", "", "", "-", "", "" ], [ "07 August 2017", "70", "", "", "22", "", "", "-", "", "" ], [ "14 August 2017", "68", "", "", "24", "", "", "-", "", "" ], [ "21 August 2017", "59", "", "", "33", "", "", "-", "", "" ], [ "28 August 2017*", "20", "", "", "28", "", "", "-", "", "" ], [ "04 September 2017", "24", "", "", "29", "", "", "37", "", "" ], [ "11 September 2017", "23", "", "", "28", "", "", "40", "", "" ], [ "18 September 2017", "5", "", "", "27", "", "", "53", "", "" ] ], "row_count": 14, "col_count": 10 } ] }, { "case_id": 355221, "title": "Metal Hip Replacements", "authority": "Department of Health and Social Care", "date_received": "2017-07-03", "outcome": "All information sent", "summary": "The Department of Health and Social Care provided data on the number of metal hip replacements performed on Manx residents for 2015, 2016, and part of 2017. The response clarified that these figures exclude metal-on-metal replacements, which are not performed locally but are followed up for patients who received them in the UK.", "key_facts": [ "The request was made on 01 July 2017 and responded to on 28 July 2017.", "109 metal hip implants were inserted in 2015.", "142 metal hip implants were inserted in 2016.", "65 metal hip implants were inserted as of 18 July 2017.", "Metal-on-metal hip replacements are not performed at Noble's Hospital." ], "data_mentioned": [ "109", "142", "65", "2015", "2016", "18 July 2017", "01 July 2017", "28 July 2017", "25 patients" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "", "", "", "Number of “metal hip” implants inserted", "" ], "rows": [ [ "2015", "", "", "109", "", "" ], [ "2016", "", "", "142", "", "" ], [ "As at 18 July 2017", "", "", "65", "", "" ] ], "row_count": 3, "col_count": 6 } ] }, { "case_id": 355223, "title": "Endoscopy 2", "authority": "Department of Health and Social Care", "date_received": "2017-07-06", "outcome": "Some information sent but not all held", "summary": "The Department of Health and Social Care provided endoscopy procedure statistics for Noble's Hospital and Ramsey, along with costs for UK-based procedures, but refused to disclose the specific usage count of transferred equipment due to practical limitations.", "key_facts": [ "Endoscopy procedure data was provided monthly from April 2016 to April 2017 and weekly thereafter.", "56 endoscopy procedures were carried out on Manx residents in the UK during the 2016-17 financial year.", "The cost of UK-based procedures to the Department was £22,067.", "Equipment from Ramsey was transferred to Noble's Hospital on 08 June 2017 and became available for use on 14 June 2017.", "The specific number of times the transferred equipment has been used could not be provided as it is now in general circulation." ], "data_mentioned": [ "56", "£22,067", "08 June 2017", "14 June 2017", "244", "202", "267", "2016-17", "2-3 times per day" ], "exemptions_cited": [ "Section 11 of the Freedom of Information Act 2015 (Practical refusal reason: information not held or cannot be found after reasonable steps)" ], "tables": [ { "headers": [ "Month", "", "Endoscopy Procedures at", "", "", "Endoscopy Procedures at", "" ], "rows": [ [ "", "", "Noble’s Hospital", "", "", "Ramsey and District", "" ], [ "April 2016", "244", "", "", "56", "", "" ], [ "May 2016", "202", "", "", "100", "", "" ], [ "June 2016", "242", "", "", "34", "", "" ], [ "July 2016", "214", "", "", "56", "", "" ], [ "August 2016", "235", "", "", "28", "", "" ], [ "September 2016", "241", "", "", "56", "", "" ], [ "October 2016", "217", "", "", "39", "", "" ], [ "November 2016", "267", "", "", "37", "", "" ], [ "December 2016", "195", "", "", "42", "", "" ], [ "January 2017", "208", "", "", "47", "", "" ], [ "February 2017", "220", "", "", "56", "", "" ], [ "March 2017", "212", "", "", "55", "", "" ], [ "April 2017", "218", "", "", "52", "", "" ] ], "row_count": 14, "col_count": 7 }, { "headers": [ "Week Commencing", "", "Endoscopy Procedures at", "", "", "Endoscopy Procedures at", "" ], "rows": [ [ "", "", "Noble’s Hospital", "", "", "Ramsey and District", "" ], [ "01 May 2017", "50", "", "", "11", "", "" ], [ "08 May 2017", "52", "", "", "12", "", "" ], [ "15 May 2017", "49", "", "", "10", "", "" ], [ "22 May 2017", "48", "", "", "9", "", "" ], [ "29 May 2017", "50", "", "", "0", "", "" ], [ "05 June 2017", "50", "", "", "0", "", "" ], [ "12 June 2017", "60", "", "", "0", "", "" ], [ "19 June 2017", "62", "", "", "0", "", "" ], [ "26 June 2017", "57", "", "", "0", "", "" ], [ "03 July 2017", "60", "", "", "0", "", "" ] ], "row_count": 11, "col_count": 7 } ] }, { "case_id": 355229, "title": "Methadone and Drug Substitutes", "authority": "Department of Health and Social Care", "date_received": "2017-07-27", "outcome": "All information sent", "summary": "A Freedom of Information request was made to the Isle of Man Department of Health and Social Care for spending data and patient registration numbers regarding methadone and drug substitutes for 2015/2016 and 2016/2017. The authority responded by providing full disclosure of prescribing costs from 2013/14 to 2016/17 and annual patient snapshots for November 2015 and October 2016.", "key_facts": [ "The Department of Health and Social Care provided spending data for drug substitutes covering financial years 2013/14 through 2016/17.", "Buprenorph HCl/Naloxone HCl was the most expensive drug substitute category in all reported years.", "Patient registration numbers for Opiate Replacement Medication increased from 122 in November 2015 to 142 in October 2016.", "The total cost for all listed drug substitutes across the four-year period was £302,693.26.", "No information was withheld; the outcome was classified as 'All information sent'." ], "data_mentioned": [ "2015/2016", "2016/2017", "£302,693.26", "20,816 total items", "122 patients (November 2015)", "142 patients (October 2016)", "£63,563.99 (Buprenorph HCl/Naloxone HCl 2016/17)", "£8,739.21 (Methadone Hydrochloride 2016/17)" ], "exemptions_cited": [], "tables": [ { "headers": [ "Financial Year", "“Drug substitute”", "Total Items", "Total Cost" ], "rows": [ [ "2013/14", "Buprenorph HCl/Naloxone HCl", "2,236", "£57,238.72" ], [ "", "Buprenorphine Hydrochloride", "568", "£3,724.11" ], [ "", "Lofexidine Hydrochloride", "6", "£257.25" ], [ "", "Methadone Hydrochloride", "1,845", "£9,545.56" ], [ "", "Naltrexone Hydrochloride", "259", "£769.29" ], [ "2014/15", "Buprenorph HCl/Naloxone HCl", "2,310", "£57,697.89" ], [ "", "Buprenorphine Hydrochloride", "614", "£5,113.89" ], [ "", "Lofexidine Hydrochloride", "3", "£80.41" ], [ "", "Methadone Hydrochloride", "1,653", "£9,455.85" ], [ "", "Naltrexone Hydrochloride", "20", "£297.49" ], [ "2015/16", "Buprenorph HCl/Naloxone HCl", "2,470", "£57,371.69" ], [ "", "Buprenorphine Hydrochloride", "842", "£8,447.82" ], [ "", "Lofexidine Hydrochloride", "1", "£49.58" ], [ "", "Methadone Hydrochloride", "1,828", "£9,448.69" ], [ "", "Naltrexone Hydrochloride", "75", "£465.70" ], [ "2016/17", "Buprenorph HCl/Naloxone HCl", "2,908", "£63,563.99" ], [ "", "Buprenorphine Hydrochloride", "1,085", "£9,807.01" ], [ "", "Lofexidine Hydrochloride", "2", "£171.82" ], [ "", "Methadone Hydrochloride", "2,028", "£8,739.21" ], [ "", "Naltrexone Hydrochloride", "63", "£447.27" ], [ "Total", "", "20,816", "£302,693.26" ] ], "row_count": 21, "col_count": 4 }, { "headers": [ "“Snapshot year”", "", "Number of patients prescribed Opiate", "" ], "rows": [ [ "", "", "Replacement Medication", "" ], [ "November 2015", "122", "", "" ], [ "October 2016", "142", "", "" ] ], "row_count": 3, "col_count": 4 } ] }, { "case_id": 355263, "title": "Endoscopy procedures carried out in Nobles Hospital in the Month of July 2017", "authority": "Department of Health and Social Care", "date_received": "2017-08-15", "outcome": "All information sent", "summary": "A request was made for the number of endoscopy procedures performed at Nobles Hospital in July 2017, and the Department of Health and Social Care disclosed the total count along with a breakdown by procedure type.", "key_facts": [ "362 endoscopy procedures were undertaken in July 2017 at Nobles Hospital.", "The procedures included 137 colonoscopies, 120 OGDs, and 61 urological endoscopies.", "The total number of procedures does not equal the number of patients, as some had multiple procedures.", "The response was issued on 30 August 2017 following a request received on 15 August 2017.", "No information was withheld under any exemptions." ], "data_mentioned": [ "362", "1", "2", "120", "41", "137", "61", "July 2017", "15 August 2017", "30 August 2017", "IM99-209i" ], "exemptions_cited": [], "tables": [ { "headers": [ "Type of Endoscopy Performed", "Number of Endoscopies Performed" ], "rows": [ [ "Bronchoscopies", "1" ], [ "Capsule Endoscopies", "2" ], [ "OGD", "120" ], [ "Flexible Sigmoidoscopies", "41" ], [ "Colonoscopies", "137" ], [ "Urological Endoscopy", "61" ], [ "Total", "362" ] ], "row_count": 7, "col_count": 2 } ] }, { "case_id": 355269, "title": "prescriptions issued", "authority": "Department of Health and Social Care", "date_received": "2017-08-18", "outcome": "Some information sent but not all held", "summary": "A request was made for prescription statistics and patient counts for specific age groups in the Isle of Man between March 2016 and April 2017. The Department of Health and Social Care provided data on patient numbers and total prescriptions issued but refused to disclose the specific number of individuals who paid for prescriptions, citing the cost of compilation.", "key_facts": [ "The request covered the period from March 2016 to April 2017.", "There were 7,833 patients aged over 75 registered with a GP as of July 1, 2017.", "There were 56,103 patients aged 16-65 registered with a GP as of July 1, 2017.", "471,955 prescriptions were issued to patients over 75 during the specified period.", "672,671 prescriptions were issued to patients aged 16-65 during the specified period." ], "data_mentioned": [ "7,833", "56,103", "471,955", "336,259", "672,671", "10%", "01-Jul-17", "01-Apr-16", "31-Mar-17", "March 2016", "April 2017" ], "exemptions_cited": [ "S11(3)(b) of the Freedom of Information Act 2015 (substantial compilation or collation of information)" ], "tables": [ { "headers": [ "Question", "Response" ], "rows": [ [ "Question 01: How many people over 75?", "As of the 01-Jul-17, there are 7,833 patients aged over 75 years old, registered with a GP on the Isle of Man." ], [ "Question 02: How many prescriptions were issued to over the over 75 in this period?", "For the period 01-Apr-16 and 31-Mar-17, 471,955 prescriptions were issued to patients aged over 75 years old." ], [ "Additional Information (Question 02)", "For the period 01-Apr-16 and 31-Mar-17, there were 336,259 prescriptions issued for patients aged between 65-74 years old." ], [ "Question 03: How many people 16- 65?", "As of the 01-Jul-17, there are 56,103 patients aged between 16-65 years old, registered with a GP on the Isle of Man." ], [ "Question 04: How many prescriptions were issued to over those aged 16-65 in this period?", "For the period 01-Apr-16 and 31-Mar-17, 672,671 prescriptions were issued to patients aged between 16-65 years old." ], [ "Question 05: How many of those in Question 04 paid for their prescriptions in this period?", "Information cannot be provided as it would require creating or deriving information and substantial compilation (S11(3)(b) of the Act). However, 10% of items prescribed in the period 01-Apr-16 and 31-Mar-17 attracted a fee." ] ], "row_count": 6, "col_count": 2 } ] }, { "case_id": 355275, "title": "Prescribing of Statins", "authority": "Department of Health and Social Care", "date_received": "2017-08-29", "outcome": "Some information sent but not all held", "summary": "A request for detailed data on statin prescribing, costs, and patient volumes in the Isle of Man was partially fulfilled, with information provided for primary care and hospital outpatients but withheld for inpatients and specific cost breakdowns due to data limitations.", "key_facts": [ "The Department of Health and Social Care provided data on statin products and dosages for Primary Care (GPs) and Noble's Hospital Outpatients.", "Information on Noble's Hospital Inpatient prescriptions was withheld because compiling it would require substantial research into individual patient records.", "Total cost data for the last three financial years could not be provided as the Pharmaceutical Advisor's data is not processed to allow for such extrapolation.", "Data regarding dental prescriptions and costs per care home was not held by the authority.", "Noble's Hospital Pharmacy dispenses inpatient medication based on a specific contract brand formulary rather than individual prescriptions." ], "data_mentioned": [ "28 February 2017", "25 September 2017", "5 pages", "IM100-487i", "Rosuvastatin" ], "exemptions_cited": [ "S11(3)(b) - Substantial compilation or collation of information", "S11(3)(a) - Information not held or cannot be found after reasonable steps" ], "tables": [ { "headers": [ "", "Statin", "", "BNF Name", "", "2014-15 Total", "", "", "", "", "", "2015/16 Total", "", "", "", "", "", "2016/17 Total", "", "", "", "", "", "2017/18 Total*", "", "", "", "" ], "rows": [ [ "", "Type", "", "", "", "Items", "", "", "Act Cost", "", "", "Items", "", "", "Act Cost", "", "", "Items", "", "", "Act Cost", "", "", "Items", "", "", "Act Cost", "" ], [ "Generic", "", "", "Atorvastatin", "25,467", "", "", "£70,531.34", "", "", "28,866", "", "", "£79,056.48", "", "", "32,994", "", "", "£73,465.66", "", "", "8,756", "", "", "£18,030.78", "", "" ], [ "", "", "", "Fluvastatin", "70", "", "", "£773.71", "", "", "73", "", "", "£872.15", "", "", "77", "", "", "£821.17", "", "", "21", "", "", "£362.13", "", "" ], [ "", "", "", "Pravastatin", "5,739", "", "", "£19,313.39", "", "", "5,167", "", "", "£13,857.40", "", "", "4,754", "", "", "£9,195.20", "", "", "1,115", "", "", "£2,009.29", "", "" ], [ "", "", "", "Rosuvastatin", "2,297", "", "", "£72,455.20", "", "", "2,205", "", "", "£69,289.01", "", "", "2,359", "", "", "£72,775.01", "", "", "622", "", "", "£19,087.95", "", "" ], [ "", "", "", "Simvastatin", "40,246", "", "", "£66,983.23", "", "", "37,175", "", "", "£60,548.39", "", "", "33,883", "", "", "£46,440.97", "", "", "8,078", "", "", "£12,799.13", "", "" ], [ "", "", "", "Simvastatin &\nEzetimibe", "205", "", "", "£11,700.55", "", "", "173", "", "", "£9,927.80", "", "", "134", "", "", "£7,837.43", "", "", "33", "", "", "£2,054.24", "", "" ], [ "Generic Totals", "", "", "", "74,024", "", "", "£241,757.42", "", "", "73,648", "", "", "£233,551.23", "", "", "40,318", "", "", "£210,535.44", "", "", "81,625", "", "", "£54,343.52", "", "" ], [ "Branded", "", "", "Crestor", "13", "", "", "£463.29", "", "", "50", "", "", "£556.96", "", "", "60", "", "", "£481.04", "", "", "16", "", "", "£97.78", "", "" ], [ "", "", "", "Dorisin", "0", "", "", "£0.00", "", "", "0", "", "", "£0.00", "", "", "0", "", "", "£0.00", "", "", "0", "", "", "£0.00", "", "" ], [ "", "", "", "Inegy", "6", "", "", "£370.68", "", "", "6", "", "", "£370.98", "", "", "7", "", "", "£433.38", "", "", "2", "", "", "£123.81", "", "" ], [ "", "", "", "Lescol", "4", "", "", "£225.51", "", "", "5", "", "", "£282.39", "", "", "3", "", "", "£226.08", "", "", "2", "", "", "£169.70", "", "" ], [ "", "", "", "Lipitor", "235", "", "", "£8,054.59", "", "", "211", "", "", "£7,209.20", "", "", "203", "", "", "£6,708.63", "", "", "45", "", "", "£1,579.88", "", "" ], [ "", "", "", "Luvinsta", "0", "", "", "£0.00", "", "", "0", "", "", "£0.00", "", "", "0", "", "", "£0.00", "", "", "0", "", "", "£0.00", "", "" ], [ "", "", "", "Nandovar XL", "0", "", "", "£0.00", "", "", "0", "", "", "£0.00", "", "", "0", "", "", "£0.00", "", "", "0", "", "", "£0.00", "", "" ], [ "", "", "", "Pinmactil", "0", "", "", "£0.00", "", "", "0", "", "", "£0.00", "", "", "0", "", "", "£0.00", "", "", "0", "", "", "£0.00", "", "" ], [ "", "", "", "Simvador", "0", "", "", "£0.00", "", "", "1", "", "", "£0.97", "", "", "1", "", "", "£2.86", "", "", "0", "", "", "£0.00", "", "" ], [ "", "", "", "Zocor", "32", "", "", "£953.86", "", "", "11", "", "", "£413.03", "", "", "3", "", "", "£164.98", "", "", "0", "", "", "£0.00", "", "" ], [ "Branded Totals", "", "", "", "290", "", "", "£9,114.07", "", "", "284", "", "", "£8,833.53", "", "", "277", "", "", "£8,016.97", "", "", "65", "", "", "£1,971.17", "", "" ] ], "row_count": 19, "col_count": 28 }, { "headers": [ "", "Prescriber", "", "BNF Name", "", "2014/15 Total", "", "", "", "", "", "2015/16", "", "", "", "", "", "2016/17", "", "", "", "" ], "rows": [ [ "", "Name", "", "", "", "Items", "", "", "Cost", "", "", "Items", "", "", "Cost", "", "", "Items", "", "", "Cost", "" ], [ "RDC Hospital", "", "", "Atorvastatin", "20", "", "", "£33.03", "", "", "19", "", "", "£29.23", "", "", "20", "", "", "£26.71", "", "" ], [ "", "", "", "Pravastatin", "5", "", "", "£9.31", "", "", "7", "", "", "£11.23", "", "", "3", "", "", "£4.11", "", "" ], [ "", "", "", "Rosuvastatin", "1", "", "", "£6.44", "", "", "4", "", "", "£88.10", "", "", "3", "", "", "£55.38", "", "" ], [ "", "", "", "Simvastatin", "42", "", "", "£42.19", "", "", "31", "", "", "£31.71", "", "", "26", "", "", "£23.22", "", "" ], [ "Diabetic Centre", "", "", "Atorvastatin", "31", "", "", "£56.74", "", "", "41", "", "", "£92.62", "", "", "74", "", "", "£108.78", "", "" ], [ "", "", "", "Pravastatin", "4", "", "", "£6.77", "", "", "3", "", "", "£8.94", "", "", "4", "", "", "£5.30", "", "" ], [ "", "", "", "Rosuvastatin", "10", "", "", "£236.01", "", "", "21", "", "", "£686.31", "", "", "21", "", "", "£717.20", "", "" ], [ "", "", "", "Simvastatin", "34", "", "", "£43.96", "", "", "36", "", "", "£56.98", "", "", "29", "", "", "£33.23", "", "" ], [ "Emergency\nMedicine", "", "", "Atorvastatin", "4", "", "", "£11.13", "", "", "4", "", "", "£55.04", "", "", "9", "", "", "£14.76", "", "" ], [ "", "", "", "Rosuvastatin", "3", "", "", "£131.37", "", "", "1", "", "", "£64.39", "", "", "0", "", "", "£0", "", "" ], [ "", "", "", "Simvastatin", "5", "", "", "£5.14", "", "", "13", "", "", "£10.37", "", "", "13", "", "", "£8.77", "", "" ], [ "Hospice IOM", "", "", "Atorvastatin", "3", "", "", "£6.51", "", "", "0", "", "", "£0", "", "", "0", "", "", "£0", "", "" ], [ "", "", "", "Rosuvastatin", "1", "", "", "£18.03", "", "", "0", "", "", "£0", "", "", "0", "", "", "£0", "", "" ], [ "", "", "", "Simvastatin", "1", "", "", "£0.90", "", "", "0", "", "", "£0", "", "", "1", "", "", "£0.84", "", "" ], [ "Medical\nDirectorate", "", "", "Atorvastatin", "126", "", "", "£560.30", "", "", "146", "", "", "£375.26", "", "", "249", "", "", "£401.97", "", "" ], [ "", "", "", "Fluvastatin", "2", "", "", "£3.78", "", "", "2", "", "", "£5.10", "", "", "0", "", "", "£0", "", "" ], [ "", "", "", "Pravastatin", "23", "", "", "£32.94", "", "", "14", "", "", "£18.02", "", "", "8", "", "", "£8.39", "", "" ], [ "", "", "", "Rosuvastatin", "21", "", "", "£499.37", "", "", "5", "", "", "£108.18", "", "", "10", "", "", "£191.80", "", "" ], [ "", "", "", "Simvastatin", "200", "", "", "£240.98", "", "", "112", "", "", "£115.55", "", "", "103", "", "", "£96.26", "", "" ], [ "", "", "", "Simvastatin &\nEzetimibe", "1", "", "", "£33.42", "", "", "1", "", "", "£66.84", "", "", "0", "", "", "£0", "", "" ], [ "Noble’s Hospital", "", "", "Atorvastatin", "5", "", "", "£25.67", "", "", "0", "", "", "£0", "", "", "0", "", "", "£0", "", "" ], [ "Orthopaedics", "", "", "Atorvastatin", "4", "", "", "£6.21", "", "", "4", "", "", "£3.92", "", "", "7", "", "", "£9.86", "", "" ], [ "", "", "", "Pravastatin", "0", "", "", "£0", "", "", "0", "", "", "£0", "", "", "1", "", "", "£1.20", "", "" ], [ "", "", "", "Rosuvastatin", "1", "", "", "£9.02", "", "", "0", "", "", "£0", "", "", "0", "", "", "£0", "", "" ], [ "", "", "", "Simvastatin", "4", "", "", "£3.38", "", "", "5", "", "", "£5.24", "", "", "6", "", "", "£3.84", "", "" ], [ "Psychiatry", "", "", "Atorvastatin", "7", "", "", "£4.45", "", "", "36", "", "", "£100.81", "", "", "7", "", "", "£4.93", "", "" ], [ "", "", "", "Pravastatin", "3", "", "", "£3.34", "", "", "0", "", "", "£0", "", "", "0", "", "", "£0", "", "" ], [ "", "", "", "Rosuvastatin", "1", "", "", "£18.03", "", "", "0", "", "", "£0", "", "", "0", "", "", "£0", "", "" ], [ "", "", "", "Simvastatin", "22", "", "", "£8.86", "", "", "15", "", "", "£9.99", "", "", "25", "", "", "£10.57", "", "" ], [ "Surgical\nDirectorate", "", "", "Atorvastatin", "11", "", "", "£95.27", "", "", "15", "", "", "£170.62", "", "", "20", "", "", "£127.64", "", "" ], [ "", "", "", "Pravastatin", "3", "", "", "£2.88", "", "", "1", "", "", "£0.73", "", "", "3", "", "", "£1.85", "", "" ], [ "", "", "", "Rosuvastatin", "0", "", "", "£0.00", "", "", "2", "", "", "£63.11", "", "", "1", "", "", "£52.04", "", "" ], [ "", "", "", "Simvastatin", "9", "", "", "£5.03", "", "", "8", "", "", "£5.48", "", "", "9", "", "", "£5.51", "", "" ], [ "Women &\nChildren\nDirectorate", "", "", "Atorvastatin", "8", "", "", "£114.17", "", "", "3", "", "", "£2.17", "", "", "1", "", "", "£1.09", "", "" ], [ "", "", "", "Pravastatin", "1", "", "", "£0.44", "", "", "1", "", "", "£0.80", "", "", "0", "", "", "£0", "", "" ], [ "", "", "", "Rosuvastatin", "7", "", "", "£330.98", "", "", "4", "", "", "£180.30", "", "", "6", "", "", "£252.42", "", "" ], [ "", "", "", "Simvastatin", "0", "", "", "£0", "", "", "6", "", "", "£5.62", "", "", "5", "", "", "£4.29", "", "" ], [ "Generic Totals", "", "", "", "623", "", "", "£2,606.05", "", "", "560", "", "", "£2,372.66", "", "", "664", "", "", "£2,171.96", "", "" ] ], "row_count": 39, "col_count": 22 } ] }, { "case_id": 355279, "title": "Noble's Records", "authority": "Department of Health and Social Care", "date_received": "2017-08-31", "outcome": "All information sent", "summary": "A request was made for details regarding medical records management, storage locations, and the MediViewer digital system at Noble's Hospital. The Department of Health and Social Care disclosed contact details for records management, confirmed onsite storage of archives, and outlined retention periods, but withheld the disaster recovery plan citing national security and health safety exemptions.", "key_facts": [ "Mrs Gaye Miller is the qualified Records Management staff member at Noble's Hospital.", "All archived medical records are stored onsite at Noble's Hospital, not by private contractors.", "Deceased patient paper records are archived no later than twelve months after death.", "Living patient records are maintained in the active library with parts archived based on capacity needs.", "The disaster recovery plan for the MediViewer system was withheld." ], "data_mentioned": [ "12 months", "18 April 2017", "15 May 2017", "01624 656071", "IM84-711i" ], "exemptions_cited": [ "Section 28 (national security and defence)", "Section 36 (Health and Safety)" ], "tables": [ { "headers": [ "Field", "Value" ], "rows": [ [ "Department", "Department of Health and Social Care / Rheynn Slaynt as Kiarail y Theay" ], [ "Chief Executive", "Malcolm Couch" ], [ "Address", "Crookall House, Demesne Road, Douglas, Isle of Man, IM1 3QA" ], [ "Tel", "(01624) 642621" ], [ "Email", "foi.dhsc@gov.im" ], [ "Website", "www.gov.im/dhsc" ], [ "Date", "15 May 2017" ], [ "FOI Reference", "IM84-711i" ] ], "row_count": 8, "col_count": 2 }, { "headers": [ "Question", "Response Summary" ], "rows": [ [ "Question 01", "Provide the contact details of who in your hospital is qualified in Records Management?" ], [ "Question 02", "Confirm whether archived medical records are stored in Nobles hospital or by private contractors?" ], [ "Question 03", "Provide the name of who stores Nobles hospital archived medical records for you (if this is the case) and where they are stored (IOM or U.K.)" ], [ "Question 04", "Confirm when medical records for Nobles patients are classed as records that require archiving? What I mean by this is, how long are paper medical records held 'before' they are sent to be archived (retention dates etc)?" ], [ "Question 05", "Provide the disaster recovery plan (drp) for the new digital health record system (MediViewer) which is mentioned in your current records retention policy" ], [ "Question 06", "Provide the contact details of the manager who is in total charge of the new digital health record system (MediViewer)" ], [ "Question 07", "Does Nobles hospital scan their own medical records? If yes, provide the scanning of medical records (or similar named document) policy and scanning of medical records quality assurance policy or procedure" ], [ "Question 08", "Is Nobles Hospital now using MediViewer? If yes, which wards, departments, areas are using this new system?" ] ], "row_count": 8, "col_count": 2 }, { "headers": [ "Question", "Response", "Exemption / Reason" ], "rows": [ [ "Question 01", "One member of staff at Noble's Hospital is qualified in Records Management (Mrs Gaye Miller).", "None" ], [ "Question 02", "All archived medical records are stored onsite at Noble's Hospital.", "None" ], [ "Question 03", "All archived medical records are stored onsite at Noble's Hospital.", "None" ], [ "Question 04", "Deceased patient records: archived no later than 12 months after death. Living patient records: maintained in active library, parts archived based on capacity. Normal retention period applies to both.", "None" ], [ "Question 05", "Unable to provide the Disaster Recovery Plan (DRP).", "Section 28 (National security and defence) and Section 36 (Health and Safety). Public interest test favors withholding." ], [ "Question 06", "Senior Officer Responsible for Digital Health Records is the Medical Director, Dr Jugnu Mahajan (part of Noble's Digital Programme Board).", "None" ], [ "Question 07", "(Response text cut off in source)", "N/A" ], [ "Question 08", "(Response text cut off in source)", "N/A" ] ], "row_count": 8, "col_count": 3 } ] }, { "case_id": 355317, "title": "Emergency Dental Services", "authority": "Department of Health and Social Care", "date_received": "2017-10-23", "outcome": "All information sent", "summary": "A Freedom of Information request sought annual costs, practitioner breakdowns, and patient statistics for Isle of Man emergency dental services from 2012 to 2017. The Department of Health and Social Care disclosed total annual costs and monthly patient attendance figures but refused requests for per-practitioner breakdowns and per-patient payment rates, citing that creating such data is not required under the Act.", "key_facts": [ "Emergency dental services are provided on a rotational basis by registered providers on weekends and bank holidays between 9am and 11am.", "The total cost for the service increased from £34,490.40 in 2012-2013 to £43,228.50 in 2014-2015 before dropping to £41,435.75 in 2015-2016.", "Dentists work from their own practices using their own staff, equipment, and materials for these emergency sessions.", "The authority refused to provide cost breakdowns by practice or per-patient payment amounts because doing so would require creating new information.", "Monthly data on the number of people calling versus the number of people seen was provided for the period January 2012 to October 2017." ], "data_mentioned": [ "£34,490.40", "£38,142.50", "£43,228.50", "£41,435.75", "£22,090.00", "2012-2013", "2013-2014", "2014-2015", "2015-2016", "2016-2017", "9am - 11am", "23 October 2017", "18 November 2017" ], "exemptions_cited": [ "Information creation exemption: The Department is not required to create or derive information from existing data under the Freedom of Information Act 2015." ], "tables": [ { "headers": [ "Financial Year", "Emergency Dental Service Cost" ], "rows": [ [ "2012-2013", "£34,490.40" ], [ "2013-2014", "£38,142.50" ], [ "2014-2015", "£43,228.50" ], [ "2015-2016", "£41,435.75" ], [ "2016-2017 (to end of October 2017)", "£22,090.00" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Month", "No. of People\nWho Called", "No. of People\nSeen" ], "rows": [ [ "Jan-12", "52", "41" ], [ "Feb-12", "48", "48" ], [ "Mar-12", "71", "62" ], [ "Apr-12", "95", "95" ], [ "May-12", "83", "76" ], [ "Jun-12", "96", "78" ], [ "Jul-12", "96", "96" ], [ "Aug-12", "64", "64" ], [ "Sep-12", "69", "66" ], [ "Oct-12", "59", "57" ], [ "Nov-12", "62", "46" ], [ "Dec-12", "110", "110" ], [ "Jan-13", "48", "39" ], [ "Feb-13", "71", "56" ], [ "Mar-13", "76", "74" ], [ "Apr-13", "54", "54" ], [ "May-13", "78", "78" ], [ "Jun-13", "74", "69" ], [ "Jul-13", "51", "44" ], [ "Aug-13", "65", "52" ], [ "Sep-13", "58", "58" ], [ "Oct-13", "40", "20" ], [ "Nov-13", "40", "40" ], [ "Dec-13", "87", "87" ], [ "Jan-14", "51", "51" ], [ "Feb-14", "62", "53" ], [ "Mar-14", "62", "50" ], [ "Apr-14", "71", "66" ], [ "May-14", "84", "72" ], [ "Jun-14", "79", "65" ], [ "Jul-14", "68", "62" ], [ "Aug-14", "86", "72" ], [ "Sep-14", "64", "61" ], [ "Oct-14", "41", "41" ], [ "Nov-14", "52", "47" ], [ "Dec-14", "70", "64" ] ], "row_count": 36, "col_count": 3 }, { "headers": [ "Month", "No. of People\nWho Called", "No. of\nPeople Seen" ], "rows": [ [ "Jan-15", "63", "63" ], [ "Feb-15", "44", "40" ], [ "Mar-15", "40", "36" ], [ "Apr-15", "81", "81" ], [ "May-15", "93", "86" ], [ "Jun-15", "64", "48" ], [ "Jul-15", "64", "56" ], [ "Aug-15", "74", "68" ], [ "Sep-15", "71", "63" ], [ "Oct-15", "62", "52" ], [ "Nov-15", "64", "63" ], [ "Dec-15", "76", "67" ], [ "Jan-16", "68", "67" ], [ "Feb-16", "48", "40" ], [ "Mar-16", "66", "62" ], [ "Apr-16", "54", "54" ], [ "May-16", "75", "62" ], [ "Jun-16", "57", "53" ], [ "Jul-16", "78", "78" ], [ "Aug-16", "60", "57" ], [ "Sep-16", "56", "55" ], [ "Oct-16", "64", "52" ], [ "Nov-16", "39", "33" ], [ "Dec-16", "70", "59" ], [ "Jan-17", "83", "54" ], [ "Feb-17", "65", "48" ], [ "Mar-17", "47", "36" ], [ "Apr-17", "97", "78" ], [ "May-17", "71", "65" ], [ "Jun-17", "60", "52" ], [ "Jul-17", "82", "75" ], [ "Aug-17", "73", "60" ], [ "Sep-17", "79", "60" ] ], "row_count": 33, "col_count": 3 } ] }, { "case_id": 355331, "title": "Dental Services", "authority": "Department of Health and Social Care", "date_received": "2017-10-30", "outcome": "All information sent", "summary": "The Department of Health and Social Care responded to a request for data on NHS dental services, providing specific UDA contract figures for 2017-2018 and achievement rates for 2016-2017, while directing the requester to previous FOI responses for historical data from 2014-2016.", "key_facts": [ "The average value of a Unit of Dental Activity (UDA) on the Isle of Man is £27.31.", "Information for years 2014-2016 regarding completed UDAs and funds recovered was deemed already reasonably accessible via previous FOI responses.", "A table of contracted UDAs for the 2017-2018 period was provided for 11 individual dental practices.", "UDA achievement percentages for the 2016-2017 year ranged from 69% to 115% across different practices.", "The response was issued on 18 November 2017 under the Freedom of Information Act 2015." ], "data_mentioned": [ "£27.31", "2017-10-30", "2017-11-18", "2014-2017", "2016-2017", "21,321.00", "7,000.00", "14,800.00", "21,100.00", "20,000.00", "18,000.00", "750.00", "18,500.00", "2,608.00", "12,000.00", "6,000.00", "100%", "102%", "96%", "95%", "69%", "93%", "115%" ], "exemptions_cited": [ "Section 20 of the Freedom of Information Act 2015 (Information already reasonably accessible)" ], "tables": [ { "headers": [ "Dental Provider", "Dental Practice", "", "Contracte", "" ], "rows": [ [ "", "", "", "d UDAs", "" ], [ "", "", "", "2017-", "" ], [ "", "", "", "2018", "" ], [ "Tsivos & Loli", "Port Erin Dental Practice, Port Erin", "21,321.00", "", "" ], [ "Tsivos & Loli", "The Square, Douglas", "7,000.00", "", "" ], [ "Sanet Du Toit", "Thie Roisen, Port Erin", "14,800.00", "", "" ], [ "JH Van Rooyen & A Lewis", "65 Woodbourne Road, Douglas", "21,100.00", "", "" ], [ "JH Van Rooyen & D Hennig", "Westview, Douglas", "20,000.00", "", "" ], [ "A Vogelzang", "Regent Dental Care - Peel", "18,000.00", "", "" ], [ "Tracey Bell", "The Tracey Bell Clinic, Douglas", "750.00", "", "" ], [ "Ravat & Ray Dental Care", "Off Ballerkermeen Road,Douglas", "18,500.00", "", "" ], [ "Thanos Karezis", "Grove Mount Dental Practice, Ramsey", "2,608.00", "", "" ], [ "Pip Dhariwal", "Smile Dental Care, Ramsey", "12,000.00", "", "" ], [ "ADP Limited", "Avondale Dental Practice, Onchan", "6,000.00", "", "" ] ], "row_count": 14, "col_count": 5 }, { "headers": [ "Provider Practice", "", "Contract UDA Achievement", "" ], "rows": [ [ "", "", "2016-2017", "" ], [ "65 Woodbourne Road", "100%", "", "" ], [ "Avondale", "102%", "", "" ], [ "Grove Mount", "96%", "", "" ], [ "Port Erin/The Square", "95%", "", "" ], [ "Ravat & Ray", "69%", "", "" ], [ "Smile", "93%", "", "" ], [ "Thie Roisen", "100%", "", "" ], [ "Tracey Bell", "115%", "", "" ], [ "Westview, Douglas", "96%", "", "" ] ], "row_count": 10, "col_count": 4 } ] }, { "case_id": 355333, "title": "Drug and Alochol abuse", "authority": "Department of Health and Social Care", "date_received": "2017-10-27", "outcome": "All information sent", "summary": "A Freedom of Information request was made to the Isle of Man Department of Health and Social Care for statistics on drug and alcohol abuse admissions to Nobles Hospital over the last three years. The authority disclosed full data including admission counts by financial year and a comprehensive list of specific drug diagnoses involved.", "key_facts": [ "The data covers admissions to Nobles Hospital excluding private patients.", "Drug poisoning admissions were restricted to cases with intentional diagnosis.", "Alcohol abuse admissions included diagnoses such as acute intoxication and alcoholic liver disease.", "The response provided statistics for financial years 2014/15 through 2017/18.", "A detailed list of ICD 10 codes for various drug poisonings was supplied." ], "data_mentioned": [ "2014/15: 186 drug admissions", "2015/16: 176 drug admissions", "2016/17: 134 drug admissions", "2017/18: 86 drug admissions", "2014/15: 1175 alcohol admissions", "2015/16: 1058 alcohol admissions", "2016/17: 1333 alcohol admissions", "2017/18: 990 alcohol admissions", "Request date: 2017-10-27", "Response date: 2017-12-18" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "Financial year", "", "", "Count", "" ], "rows": [ [ "", "2014/15", "", "", "186", "" ], [ "", "2015/16", "", "", "176", "" ], [ "", "2016/17", "", "", "134", "" ], [ "", "2017/18", "", "", "86", "" ] ], "row_count": 4, "col_count": 6 }, { "headers": [ "", "ICD 10 Primary", "", "", "Primary diagnosis", "" ], "rows": [ [ "", "T360", "", "", "Poisoning: Penicillins", "" ], [ "", "T368", "", "", "Poisoning: Other systemic antibiotics", "" ], [ "", "T381", "", "", "Poisoning: Thyroid hormones and substitutes", "" ], [ "", "T383", "", "", "Poisoning: Insulin and oral hypoglycaemic [antidiabetic] drugs", "" ], [ "", "T388", "", "", "Poisoning: Other and unspecified hormones and their synthetic substitutes", "" ], [ "", "T390", "", "", "Poisoning: Salicylates", "" ], [ "", "T391", "", "", "Poisoning: 4-Aminophenol derivatives", "" ], [ "", "T393", "", "", "Poisoning: Other nonsteroidal anti-inflammatory drugs [NSAID]", "" ], [ "", "T401", "", "", "Poisoning: Heroin", "" ], [ "", "T402", "", "", "Poisoning: Other opioids", "" ], [ "", "T404", "", "", "Poisoning: Other synthetic narcotics", "" ], [ "", "T405", "", "", "Poisoning: Cocaine", "" ], [ "", "T406", "", "", "Poisoning: Other and unspecified narcotics", "" ], [ "", "T407", "", "", "Poisoning: Cannabis (derivatives)", "" ], [ "", "T420", "", "", "Poisoning: Hydantoin derivatives", "" ], [ "", "T421", "", "", "Poisoning: Iminostilbenes", "" ], [ "", "T422", "", "", "Poisoning: Succinimides and oxazolidinediones", "" ], [ "", "T424", "", "", "Poisoning: Benzodiazepines", "" ], [ "", "T425", "", "", "Poisoning: Mixed antiepileptics, not elsewhere classified", "" ], [ "", "T426", "", "", "Poisoning: Other antiepileptic and sedative-hypnotic drugs", "" ], [ "", "T427", "", "", "Poisoning: Antiepileptic and sedative-hypnotic drugs, unspecified", "" ], [ "", "T430", "", "", "Poisoning: Tricyclic and tetracyclic antidepressants", "" ], [ "", "T432", "", "", "Poisoning: Other and unspecified antidepressants", "" ], [ "", "T433", "", "", "Poisoning: Phenothiazine antipsychotics and neuroleptics", "" ], [ "", "T435", "", "", "Poisoning: Other and unspecified antipsychotics and neuroleptics", "" ], [ "", "T436", "", "", "Poisoning: Psychostimulants with abuse potential", "" ], [ "T443", "", "", "", "Poisoning: Other parasympatholytics [anticholinergics and antimuscarinics] and", "" ], [ "", "T443", "", "", "spasmolytics, not elsewhere classified", "" ], [ "", "T447", "", "", "Poisoning: Beta-adrenoreceptor antagonists, not elsewhere classified", "" ], [ "", "T450", "", "", "Poisoning: Antiallergic and antiemetic drugs", "" ], [ "", "T452", "", "", "Poisoning: Vitamins, not elsewhere classified", "" ], [ "", "T454", "", "", "Poisoning: Iron and its compounds", "" ], [ "", "T455", "", "", "Poisoning: Anticoagulants", "" ], [ "", "T464", "", "", "Poisoning: Angiotensin-converting-enzyme inhibitors", "" ], [ "", "T465", "", "", "Poisoning: Other antihypertensive drugs, not elsewhere classified", "" ], [ "", "T466", "", "", "Poisoning: Antihyperlipidaemic and antiarteriosclerotic drugs", "" ], [ "", "T471", "", "", "Poisoning: Other antacids and anti-gastric-secretion drugs", "" ], [ "", "T480", "", "", "Poisoning: Oxytocic drugs", "" ], [ "", "T481", "", "", "Poisoning: Skeletal muscle relaxants [neuromuscular blocking agents]", "" ], [ "", "T509", "", "", "Poisoning: Other and unspecified drugs, medicaments and biological substances", "" ] ], "row_count": 40, "col_count": 6 }, { "headers": [ "", "Financial year", "", "", "Count", "" ], "rows": [ [ "", "14/15", "", "", "1175", "" ], [ "", "15/16", "", "", "1058", "" ], [ "", "16/17", "", "", "1333", "" ], [ "", "17/18", "", "", "990", "" ] ], "row_count": 4, "col_count": 6 } ] }, { "case_id": 355335, "title": "Number of Endoscopy procedures for Aug, Sept & Oct '17", "authority": "Department of Health and Social Care", "date_received": "2017-11-01", "outcome": "All information sent", "summary": "A request was made for the number of endoscopy procedures performed at Nobles Hospital in August, September, and October 2017. The Department of Health and Social Care disclosed the data, revealing a total of 1,105 procedures for that period, representing a 35.4% increase compared to the same timeframe in 2016.", "key_facts": [ "The request covered endoscopy procedures at Nobles Hospital for August, September, and October 2017.", "A total of 1,105 endoscopies were performed during the requested three-month period in 2017.", "This figure represents a 35.4% increase in activity compared to the same period in 2016.", "The response was issued by the Department of Health and Social Care on 30 November 2017.", "No information was withheld; all requested data was provided." ], "data_mentioned": [ "1,105", "816", "35.4%", "August 2017", "September 2017", "October 2017", "2016", "2017/18", "2016/17", "276", "270", "263", "297", "256", "282", "362", "361", "338", "406" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "297", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "263", "", "", "", "", "", "", "", "256", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 9, "col_count": 19 } ] }, { "case_id": 355339, "title": "Hand therapies data", "authority": "Department of Health and Social Care", "date_received": "2017-11-14", "outcome": "All information sent", "summary": "The requester asked for hand therapy referral data from 2004 to 2017, but the Department of Health and Social Care only provided statistics for the period between October 2011 and October 2017 due to the applicability of the Freedom of Information Act 2015.", "key_facts": [ "The request covered the period 2004-2017, but data prior to 11 October 2011 falls under a different Code of Practice.", "The response provided a breakdown of 1,563 total referrals received between 11 October 2011 and 9 October 2017.", "Orthopaedic consultants were the largest source of referrals with 843 cases.", "The request was handled by the Department of Health and Social Care on the Isle of Man.", "The outcome was classified as 'All information sent' for the applicable period." ], "data_mentioned": [ "2004 - 2017", "11 October 2011", "09-October-2017", "69", "843", "167", "173", "123", "12", "29", "54", "52", "41", "1563" ], "exemptions_cited": [], "tables": [ { "headers": [ "Referring authority/source", "", "Numbers of", "" ], "rows": [ [ "", "", "referrals received", "" ], [ "Consultant", "69", "", "" ], [ "Orthopaedic", "843", "", "" ], [ "Rheumatology", "167", "", "" ], [ "UK", "173", "", "" ] ], "row_count": 5, "col_count": 4 }, { "headers": [ "GP and GP suggested self-referral", "123" ], "rows": [ [ "Occupational therapists in IOM and; UK; and Specialist Nurses", "12" ], [ "Self", "29" ], [ "Physiotherapist", "54" ], [ "A and E", "52" ], [ "Other", "41" ], [ "Total", "1563" ] ], "row_count": 6, "col_count": 2 } ] }, { "case_id": 355345, "title": "Vaccine Ingredients", "authority": "Department of Health and Social Care", "date_received": "2017-11-28", "outcome": "All information sent", "summary": "The requester asked about vaccine suppliers and whether the Health Service discloses the use of aborted human foetus cell lines in consent forms. The Department of Health and Social Care confirmed they purchase via the Immform system, explained that specific vaccines use historical cell lines from legal abortions in the 1960s, and stated that this information is not currently provided to patients on consent forms.", "key_facts": [ "Vaccines are purchased via the Immform vaccine procurement system on behalf of Public Health England, not directly from manufacturers.", "Only the rubella component of MMR vaccines and shingles/chickenpox vaccines use human cell-lines (WI-38 and MRC-5).", "The cell-lines were established in the 1960s from lung cells of two aborted foetuses, and no new foetuses are required to maintain them.", "The original abortions were legal and consented to by the mothers, but were not performed for vaccine development purposes.", "The Department of Health and Social Care does not provide information on cell lines as part of patient consent forms." ], "data_mentioned": [ "2017-11-28", "2018-01-05", "1960s", "50 years", "IM111-870i", "3 pages" ], "exemptions_cited": [], "tables": [ { "headers": [ "Zostavax", "Varicella-zoster virus", "", "", "", "", "", "", "", "" ], "rows": [ [ "Bexsero", "Meningococcal B Vaccine", "", "", "", "", "", "", "", "" ], [ "Nimenrix", "Meningococcal ACWY", "", "", "", "", "", "", "", "" ], [ "Infanrix - hexa", "diphtheria, tetanus, pertussis (acellular), poliomyelitis (inactivated), hepatitis b (rDNA) haemophilu", "", "", "", "", "", "s influenzae type b (Hib) vaccine", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "Rotarix tube", "live attenuated rotavirus vaccine", "", "", "", "", "", "", "", "" ], [ "Revaxis", "diphtheria, tetanus and poliomyelitis", "", "", "", "", "", "", "", "" ], [ "MMR Vaxpro", "measles, mumps and rubella vaccine (live)", "", "", "", "", "", "", "", "" ], [ "PRI1V Priorix", "rubella vaccine, measles vaccine, mumps vaccine", "", "", "", "", "", "", "", "" ], [ "Boostrix -IPV", "diphtheria, tetanus, pertussis (acellular) and poliomyelitis (inactivated)", "", "", "", "", "", "", "", "" ], [ "diphtheria, tetanus, pertussis (acellular) and poliomyelitis (inactivated)", "", "", "", "", "", "", "", "", "" ], [ "Menitorix 1", "Rotavirus", "", "", "", "", "", "", "", "" ], [ "Rotarix", "live attenuated rotavirus vaccine", "", "", "", "", "", "", "", "" ], [ "Fluenz nasal spray", "influenza vaccine", "", "", "", "", "", "", "", "" ], [ "Prevenar 13", "Pneumococcal polysaccharide conjugate vaccine,", "", "", "", "", "", "", "", "" ], [ "Pediacel", "diphtheria, tetanus, pertussis (acellular), hib vaccine and poliomyelitis", "", "", "", "", "", "", "", "" ], [ "Gardasil", "human papillomavirus vaccine", "", "", "", "", "", "", "", "" ], [ "BCG", "weakened (attenuated) version of a bacteria called Mycobacterium bovis", "", "", "", "", "", "", "", "" ], [ "Enzira", "influenza vaccine", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 19, "col_count": 10 } ] }, { "case_id": 355351, "title": "Private Contract hours/Hope Home Contract", "authority": "Department of Health and Social Care", "date_received": "2017-12-19", "outcome": "All information sent", "summary": "The request sought names, hourly rates, and payment amounts for private home care providers commissioned by the Department of Health and Social Care. The authority disclosed the names of providers and their weekly hours but withheld specific hourly rates and total payments due to commercial interest exemptions.", "key_facts": [ "The Home Care Service delivers 700 hours of care per week, supported by 300 hours from private providers.", "Twelve private providers were listed as delivering services as of 4 January 2018.", "Specific hourly rates and total payments for the last three months were withheld under Section 30 of the Freedom of Information Act 2015.", "Hourly rates for standard domiciliary care generally range between £17 and £25.", "The response was issued on 9 January 2018 following a request dated 24 November 2017." ], "data_mentioned": [ "700 hours", "300 hours", "24 November 2017", "9 January 2018", "4 January 2018", "£17", "£25", "66 hours (Manx Homecare)", "97.5 hours (Adorn)", "Section 30" ], "exemptions_cited": [ "Section 30 (qualified exempt information having economy and commercial interests)" ], "tables": [ { "headers": [ "Providers presently delivering a\nservice commissioned through\nFlexible Funding as of\n04/01/2018", "Number of present hours\ncommissioned\n(per week)", "Number of clients" ], "rows": [ [ "Manx Homecare", "66", "5" ], [ "Bespoke Care", "17", "3" ], [ "Hope Homecare", "61", "8" ], [ "Adorn", "97.5", "13" ], [ "Caros Care", "8", "1" ], [ "Hadron Ltd (Brookfield)", "2", "1" ], [ "Leonard Cheshire Disability", "7", "1" ], [ "1st Care at Home", "35", "4" ], [ "Able Home Care", "3", "1" ], [ "Complete care", "3", "1" ], [ "Crossroads", "3", "1" ], [ "Kiarail Ghraihagh Domiciliary\nSupport", "25", "2" ] ], "row_count": 12, "col_count": 3 } ] }, { "case_id": 355353, "title": "A&E/ Renal Dept closure", "authority": "Department of Health and Social Care", "date_received": "2017-12-26", "outcome": "All information sent", "summary": "The requester asked for A&E waiting times on December 26, 2017, and several questions regarding the Renal Department closure, but withdrew all questions except the waiting time inquiry. The Department of Health and Social Care disclosed the specific average waiting time for that date and provided comparative attendance statistics.", "key_facts": [ "The requester withdrew questions regarding the Renal Department closure, procedures for missed dialysis, and associated costs.", "The average waiting time in the Emergency Department on December 26, 2017, was 252 minutes.", "This waiting time was 23% longer than the average for the period between December 20, 2017, and January 2, 2018.", "Emergency Department attendances on December 26, 2017, were 89, which was 78% higher than the 50 attendances on Christmas Day.", "The average number of daily ED attendances for the specified period was 76." ], "data_mentioned": [ "252 minutes", "205 minutes", "47 minutes", "23%", "76 per day", "50", "89", "78%", "13", "26th December 2017", "20th December 2017", "2nd January 2018", "25th December 2017" ], "exemptions_cited": [], "tables": [ { "headers": [ "Question Number", "Original Question", "Status/Clarification" ], "rows": [ [ "01", "Kindly advise waiting times for A&E on 26th December 2017", "Confirmed: Kindly advise waiting times for A&E on 26th December 2017?" ], [ "02", "Kindly advise why Renal shut department with a patient needing dialysis in A&E from 3pm on same date", "Withdrawn" ], [ "03", "Kindly advise the procedure for a dialysis patient that misses the bus due to illness but needs dialysis the same day and is taken to A&E by family.", "Withdrawn" ], [ "04", "Kindly advise if there is extra cost to the tax-payer for the renal department having to re-open to treat patient who was kept waiting in A&E after renal dept shut.", "Withdrawn" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Metric", "Value", "Notes" ], "rows": [ [ "Average waiting time (26th Dec 2017)", "252 minutes", "" ], [ "Average waiting time (20th Dec 2017 - 2nd Jan 2018)", "205 minutes", "26th Dec is 47 minutes (23%) longer than period average" ], [ "Average daily ED attendances (Period)", "76 per day", "" ], [ "Attendances (25th Dec)", "50", "Christmas Day" ], [ "Attendances (26th Dec)", "89", "78% greater than previous day; 13 greater than period average" ] ], "row_count": 5, "col_count": 3 } ] }, { "case_id": 355359, "title": "Records retention and destruction FOI", "authority": "Department of Health and Social Care", "date_received": "2017-04-06", "outcome": "Not upheld", "summary": "A request was made to the Isle of Man Department of Health and Social Care for details on records retention policies, destruction statistics, and senior management contacts. The authority disclosed the name of the senior records manager, provided multiple retention policies, and released aggregate destruction figures for 2014-2016, though full copies of destruction certificates were withheld.", "key_facts": [ "Mrs Gaye Miller is identified as the Head of Information and Records Management.", "Seven specific retention policies were disclosed covering areas such as Adult Services, Children & Families, and Mental Health.", "A total of 4,834 records were destroyed in the 2014-2015 period.", "A total of 4,869 records were destroyed in the 2015-2016 period.", "The authority provided a destruction certificate template but withheld full copies of certificates for the requested years." ], "data_mentioned": [ "2017-04-06", "2017-05-09", "2014-2015", "2015-2016", "4,834", "4,869", "1997-2000", "01624 656071", "gaye.miller@gov.im" ], "exemptions_cited": [], "tables": [ { "headers": [ "" ], "rows": [ [ "This schedule lists record types with brief descriptions and their minimum required" ], [ "retention period. Note that retention periods apply to both paper and electronic" ], [ "records. At the end of their retention period, a sample of records from a series should" ], [ "be reviewed before destruction to confirm that they are no longer required." ], [ "" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Some records may have a long-term research value outside the Department that" ], "rows": [ [ "created them (e.g. both administrative and clinical records from a number of" ], [ "different hospitals have been used to study the 1918 influenza epidemic). The" ], [ "Information Governance team will liaise with the Public Records Office to determine" ], [ "the current and potential research uses of records." ], [ "" ], [ "The following factors must be considered when storing records:" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "It is important that libraries are well managed to ensure space is efficiently utilised" ], "rows": [ [ "and the width of aisles and general layout of storage areas conform to fire, health" ], [ "and safety regulations. In addition all records must be stored off the floor to" ], [ "provide some protection from flood, dampness and dust." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "It is important that where other paper records are stored, e.g. offices etc, these" ], "rows": [ [ "need to be stored effectively, conform to fire and health and safety precautions. In" ], [ "addition, all records must be stored off the floor to provide some protection from" ], [ "flood, dampness and dust." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "Non-paper storage includes electronic and microfilm formats." ], [ "" ], [ "Electronic and microfilm formats are used to capture and store images of otherwise" ], [ "bulky or deteriorating archival material. However managers must be aware of issues" ], [ "around storing records particularly in microfilm format where there may be a" ], [ "reduction in the clarity of records printed." ], [ "" ] ], "row_count": 7, "col_count": 1 }, { "headers": [ "When records identified for disposal are destroyed, a register of these records needs" ], "rows": [ [ "to be kept. When records have reached the end of their retention period the" ], [ "Information Governance Team should be contacted to assist with the secure disposal" ], [ "of the records or transfer to the Public Record Office." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "In the case of electronic records please note that a record is not deleted if it is merely" ], "rows": [ [ "sent to the ‘recycle bin’. It must also be deleted from this folder to be considered fully" ], [ "deleted. This is important in terms of the Freedom of Information Act 2015." ], [ "" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Records which do not contain personal or sensitive material may be disposed of in" ], "rows": [ [ "the normal manner i.e. shredding or confidential wheelie bin or other recycling" ], [ "facilities where possible. Contractors employed to shred confidential" ], [ "information/records will be asked to produce written certificates as proof of" ], [ "destruction." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "Records not selected for archival preservation and which have reached the end of" ], [ "their administrative life will be destroyed." ], [ "" ], [ "If a record due for destruction is known to be the subject of a request for information" ], [ "or potential legal action the records must not be destroyed. The minimum retention" ], [ "periods should be calculated from the end of the calendar year following the last" ], [ "entry in the record." ], [ "" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "In the majority of cases records will be disposed of when they reach their retention" ], "rows": [ [ "period. However, when assessing whether records or information is required to be" ], [ "retained for a longer period than that identified within the Retention Schedule," ], [ "consideration should be given to the holding of information for longer than necessary" ], [ "which incurs extra storage costs and leaves the Department vulnerable to risks of" ], [ "theft, misuse, disclosure, legal discovery and non-compliance fines." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "Records which have been identified in the Retention Schedule as permanent" ], [ "records are to be transferred to the Public Record Office. The Information" ], [ "Governance Manager is responsible for co-ordinating this process with the Public" ], [ "Record Office. If records are to be reviewed prior to selection this should be carried" ], [ "out by the Information Governance Manager in conjunction with the Public Record" ], [ "Office and any criteria or sampling processes used recorded for future use." ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "The Director of Adult Services is responsible for the implementation and" ], [ "enforcement with the policy." ], [ "" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "Divisional Plans", "25 years", "Records Management\nISO 15489 9.2\nInformation Security\nISO 2700-1 4.3.2 (f);\n4.3.3.\nEngland & Wales best\npractice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Divisional Reports", "25 years", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Divisional Strategies", "25 years", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Minutes of Departmental\nMeetings", "2 years as master copy will be held\nby CEO Office", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Minutes of Divisional Meetings", "30 years", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Minutes of other non-\nDepartmental/Divisional\nmeetings", "2 years unless relating to an\nindividual then use retention period\nfor records of individuals", "Division best practice", "No", "Destroy" ], [ "Papers of minor or short lived\nimportance not covered\nelsewhere - e.g. advertising\nmatter\n- covering & appointment letters", "2 years", "Division best practice", "No", "Destroy" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "- reminders; drafts\n- registers complied for\ntemporary purposes; routine\nreports", "", "", "", "" ], "rows": [ [ "Office Diaries", "2 years after the end of the\ncalendar year to which they refer", "Division best practice", "No", "Destroy" ], [ "Social Work Diaries", "6 years after year to which they\nrelate", "Division best practice", "No", "Destroy" ], [ "Phone Message Books", "2 years\nNB Any service user information\nshould be transferred to the service\nuser record", "Division best practice", "No", "Destroy" ], [ "Information Leaflets", "2 years", "National Audit Office\nbest practice", "One copy of each", "Transfer one copy to the Public\nRecord Office after 25 years for\npermanent retention; destroy\nduplicates after 2 years" ], [ "Divisional Policies/Procedures/\nProtocols", "10 years", "Division best practice", "Review", "Select for permanent preservation\nonly those that relate to core\nactivities and transfer to the Public\nRecord Office after 25 years" ], [ "Project Files", "10 years after completion of\nproject", "National Audit Office\nbest practice", "Review", "Review with the Public Record\nOffice to select which should be\npermanently preserved. Transfer\nselected records to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "Major Reports", "30 years", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Consultants – records relating to\ntheir appointment", "5 years", "Division best practice", "Review", "Review with the Public Record\nOffice to select which should be" ] ], "row_count": 8, "col_count": 5 }, { "headers": [ "", "", "", "", "permanently preserved. Transfer\nselected records to the Public\nRecord Office after 25 years for\npermanent retention" ], "rows": [ [ "Tynwald questions (held by the\nDepartment)", "10 years", "Division best practice", "No", "Destroy" ], [ "Investigations commissioned by\nDivision (not OHR\nInvestigations)", "30 years", "Division best practice", "Review", "Review with the Public Record\nOffice to select which should be\npermanently preserved. Transfer\nselected records to the Public\nRecord Office after 25 years for\npermanent retention." ], [ "Contracts", "10 years after termination of\ncontract", "Division best practice", "Review", "Review with the Public Record\nOffice to select which should be\npermanently preserved. Transfer\nselected records to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "Building Management including\nleases (Operational managers to\nmaintain)", "Period of lease plus 12 years", "Division best practice", "No", "Destroy" ], [ "Building Plans (Department\nheld)", "Lifetime of building", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Maintenance Contracts", "6 years from end of contract", "Division best practice", "No", "Destroy" ], [ "Insurance (Department held)", "6 years after policy expiry", "Division best practice", "No", "Destroy" ], [ "Funerals under the National\nAssistance Act 1951", "6 years after completion of funeral", "Division best practice", "No", "Destroy" ], [ "Procedures in relation to funeral\napplications under the National\nAssistance Act 1951", "Permanent", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ] ], "row_count": 9, "col_count": 5 }, { "headers": [ "Trust Housing", "12 years after termination of\ntenancy agreement", "Division best practice", "No", "Destroy" ], "rows": [ [ "Trust Housing unsuccessful\napplications", "2 years", "Division best practice", "No", "Destroy" ], [ "Endowment committees", "1 year", "Division best practice", "No", "Destroy" ], [ "Endowment committees minutes", "6 years", "Permanent retention", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Blind Register/BD8 forms", "Until individual moves away from\nthe Isle of Man or until death", "Division best practice", "No", "Destroy" ], [ "Blue Badges – after refusal,\nissue or renewal", "3 years", "Division best practice", "No", "Destroy" ], [ "Disabled Register/ Green\napplication form completed by\napplicant", "1 year", "Division best practice", "No", "Destroy" ], [ "Bus Passes", "1 year", "Division best practice", "No", "Destroy" ], [ "Unsuccessful tender documents", "Life of successful contract", "Division best practice", "No", "Destroy" ], [ "Missing Persons notifications\nfrom other authorities", "6 years", "Division best practice", "No", "Destroy" ], [ "Budgets and Estimates", "6 y e a r s a f t e r e n d of financial year\nto which they relate", "Division best practice", "No", "Destroy" ], [ "Accounts – annual", "6 years after end of financial year\nto which they relate", "Division best practice", "No", "Destroy" ], [ "Accounts – minor records - e.g.\n- accounts of petty cash\n- travel & subsistence accounts\n- minor vouchers; order books\n- receipt books; - income\nrecords", "6 years after end of financial year\nto which they relate", "Division best practice", "No", "Destroy" ], [ "Audit records (internal and", "2 years from the date of", "Division best practice", "No", "Destroy" ] ], "row_count": 13, "col_count": 5 }, { "headers": [ "external audit) original\ndocuments", "completion of the audit", "", "", "" ], "rows": [ [ "Audit reports – internal and\nexternal letters, value for money\nreports and system/final\naccounts memoranda)", "2 years after formal completion by\nstatutory auditor", "Division best practice", "No", "Destroy" ], [ "Cash books", "6 years after end of financial year\nto which they relate", "Limitation Act 1984", "No", "Destroy" ], [ "Cash sheets", "6 years after end of financial year\nto which they relate", "Limitation Act 1984", "No", "Destroy" ], [ "Invoices", "6 years after end of financial year\nto which they relate", "Division best practice", "No", "Destroy" ], [ "Bank Statements", "2 years from completion of audit", "Division best practice", "No", "Destroy" ], [ "Financial Audit records", "2 years from completion of audit", "Division best practice", "No", "Destroy" ], [ "Business Continuity Plans", "20 years", "Division best practice", "Plans that were put\ninto action as part\nof a major incident\nare selected for\npermanent\npreservation. All\nother plans are not\nselected.", "Transfer records selected for\npermanent preservation to\nIOMPRO when 25 years old.\nDestroy records not selected by\nIOMPRO at the end of the retention\nperiod." ], [ "Technical Documentation", "20 years", "Division best practice", "Review", "Review with the Public Record\nOffice to select which should be\npermanently preserved.\nTransfer selected records to the\nPublic Record Office after 25 years\nfor permanent retention." ], [ "Complaints, correspondence,", "10 years from completion of action", "Division best practice", "No", "Destroy" ] ], "row_count": 9, "col_count": 5 }, { "headers": [ "investigations and outcomes\n(stage 1 and 2)", "", "", "", "" ], "rows": [ [ "Complaints that result in change\nof practice (stage 3)", "20 years", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Close circuit TV images (CCTV)", "31 days", "UK Information\nCommissioner’s Code\nof Conduct", "No", "Destroy" ], [ "Flexi working hours (personal\nrecord of hours actually worked)", "12 months", "Division best practice", "No", "Destroy" ], [ "Health and safety\ndocumentation", "3 years", "Division best practice", "No", "Destroy" ], [ "Press cuttings", "1 year", "Division best practice", "No", "Destroy" ], [ "Press Releases", "7 years", "Division best practice", "No", "Destroy" ], [ "Public Consultations e.g. about\nfuture provision of services", "5 years", "Division best practice", "Review\nDocumentation\nthat relate to\nselected records.", "Review with the Public Record\nOffice to select which should be\npermanently preserved. Transfer\nselected records to the Public\nRecord Office after 25 years for\npermanent retention." ], [ "Receipts for registered, recorded\nor special delivery mail", "2 years following the end of the\nfinancial year to which they relate", "Division best practice", "No", "Destroy" ], [ "Records of custody and transfer\nof keys", "2 years after last entry", "Division best practice", "No", "Destroy" ], [ "Requests for information\n Data Protection Act (Subject\nAccess Request)\n Access to Health Records &\nReports Act\n Code of Practice for Access to", "3 years after last action", "Division best practice", "No", "Destroy" ] ], "row_count": 10, "col_count": 5 }, { "headers": [ "Government Information", "", "", "", "" ], "rows": [ [ "Freedom of Information (FOI)\nrequests", "3 years after full disclosure;\n10 years if information is redacted\nor the information requested is not\ndisclosed", "Division best practice", "No", "Destroy" ], [ "Information Security Compliance\nAudit", "Audit to ascertain compliance with\ninformation\nsecurity requirements - Retain\nrecords for 3 years\nafter Date Closed", "Data Protection Act\n2002", "No", "Destroy" ], [ "Incident Response &\nInvestigation – Data Breaches;\nResponse to & investigation of\nsecurity breach Incidents\n(correspondence, investigation\nreport, subsequent action;\nresolution of incident)", "Retain records 6 years\nafter Date Created", "Limitation Act 1984\nComputer Security Act\n1992", "No", "Destroy" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention\nPeriod", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "Referrals/ NFA’s - i.e. does not\nbecome a case", "6 years", "Division best practice", "No", "Destroy" ], [ "Social Work/Duty Manager/\nPractitioner Diaries", "6 years after year to which\nthey relate", "Division best practice", "No", "Destroy" ], [ "Service User records – record kept for", "10 years", "Division best practice", "Sample as agreed", "Transfer sample to the Public" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "life, then after death (including\nresident financial records)", "", "", "(see below)", "Record Office after 25 years for\npermanent retention" ], "rows": [ [ "Health & Safety audits", "5 years from completion of\naudit", "Division best practice", "No", "Destroy" ], [ "Incident forms/Accident books", "10 years", "Division best practice", "Review with the\nPublic Record\nOffice to select\nwhich should be\npermanently\npreserved.", "Transfer selected records to the\nPublic Record Office after 25\nyears for permanent retention." ], [ "Quality Assurance audits", "5 years from completion of\naudit", "Division best practice", "Sample records\nrelating to\nchanges in policy\nor procedures", "Transfer sample to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "Local/team procedures & work\ninstructions (see above for divisional\nprocedures)", "7 years", "Division best practice", "No", "Destroy" ], [ "Duty Rotas", "4 years", "National Audit Office\nguidance", "No", "Destroy" ], [ "Communication Book\nReport Books\nDaily logs", "7 years", "Division best practice", "No", "Destroy" ], [ "Occupancy Forms", "12 months", "Division best practice", "No", "Destroy" ], [ "Timesheets", "12 months", "Division best practice", "No", "Destroy" ], [ "MAR Sheets", "7 years", "Department of Health best\npractice", "No", "Destroy" ], [ "Controlled Drugs Book", "20 years", "Division best practice\nMisuse of Drugs Act 1971\nMisuse of Drugs Regulations\n2001", "No", "Destroy" ] ], "row_count": 10, "col_count": 5 }, { "headers": [ "", "", "Safer management of\ncontrolled drugs: a guide to\ngood practice in secondary\ncare (England). October\n2007\nDept. of Health, 17th\nOctober 2007\nhttp://www.dh.gov.uk/en/P\nublicationsandstatistics/Publ\nications/PublicationsPolicyA\nndGuidance/DH_079618", "", "" ], "rows": [ [ "Books or sheets used to record\nchecks and tests on equipment such\nas oxygen cylinders, glucometers,\nsuction machines etc.", "8 years", "Division best practice", "No", "Destroy" ], [ "Nurse Call system\n(printouts)", "2 years", "Division best practice", "No", "Destroy" ], [ "Maintenance Reports\n(record of maintenance\nreports & job references)\nArjo (reports re: hoists etc. which are\nsent to Estates)", "2 years", "Division best practice", "No", "Destroy" ], [ "Vehicle Log Sheets", "6 months", "Division best practice", "No", "Destroy" ], [ "Temperature log books (Food/Hygiene\nand Medication)", "2 years", "Division best practice", "No", "Destroy" ], [ "Person with offences against\nchildren – record kept for life,\nthen after death", "10 years after death", "Division best practice based\non common practice", "No", "Destroy" ], [ "Fire Registers", "6 months", "Division best practice", "No", "Destroy" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "Fire Risk Assessments", "2 years", "Division best practice", "No", "Destroy" ], "rows": [ [ "Visitors Books", "7 years", "Division best practice", "No", "Destroy" ], [ "Receipts for items bought by service\nuser", "6 years and current", "Division best practice based\non Financial Regulations", "No", "Destroy" ], [ "Cash handover sheets", "12 months plus current\nyear", "Division best practice", "No", "Destroy" ], [ "Order books & Invoices", "See Finance", "", "", "" ], [ "Staff Records (leavers)", "Passed to HR for retention", "", "", "" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention\nPeriod", "Rationale", "PRA\nselection", "Final action" ], "rows": [ [ "Referrals/ NFA’s - i.e. does not\nbecome a case", "6 years", "Division best practice", "No", "Destroy" ], [ "Social Work/ Practitioner Diaries", "6 years after year to which\nthey relate", "Division best practice", "No", "Destroy" ], [ "Service user record following no\nfurther contact after a decision\nto close a case or to take no further\naction", "10 years after closure or\n10 years after death", "Division best practice", "Sample as\nagreed (see\nbelow)", "Transfer sample to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "Home Care record following no\nfurther contact after a decision\nto close a case or to take no further\naction", "6 years after closure or 6\nyears after death", "Division best practice", "Sample as\nagreed (see\nbelow)", "Transfer sample to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "Home Care Expense Forms", "12 months", "Division best practice", "No", "Destroy" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "", "", "", "", "" ], "rows": [ [ "Home Care Observation Sheets", "2 years", "Division best practice", "No", "Destroy" ], [ "Home Care timesheets", "12 months", "Division best practice", "No", "Destroy" ], [ "Home Care Staff Records", "6 years after leaving at\nwhich time a summary\nrecord must be kept until\nthe individual’s 70th\nbirthday", "Division best practice", "No", "Destroy" ], [ "Meals on Wheels", "1 year", "Division best practice", "No", "Destroy" ], [ "Adult with MH\ninvolvement on SW\nrecord", "20 years after date of last\ncontact or 10 years after\nthe person’s death if\nsooner.\nRecords may be kept for\n30 years before review but\nafter first 20 years records\nmay be summarised and\nkept in the summary\nformat for the further 10\nyears", "Division best practice.\nWhen records come to the end of\ntheir retention period they must\nbe reviewed not automatically\ndestroyed. Such review must take\naccount of any genetic\nimplications of the patient’s\nillness. If it is decided to retain\nthe records they must be subject\nto regular review", "Sample as\nagreed (see\nbelow)", "Transfer sample to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "Deceased Person – after death", "10 years", "Division best practice", "Sample as\nagreed (see\nbelow)", "Transfer sample to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "MAR Sheets", "7 years", "Department of Health best\npractice", "No", "Destroy" ], [ "Registration & Inspection Reports and\ncorrespondence", "5 years", "Division best practice", "No", "Destroy" ] ], "row_count": 8, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention\nPeriod", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "Corporate and Partnerships:\nContracts files", "10 years after\ntermination of\ncontract", "Division best\npractice", "Selected: contract files relating to\ncare delivery, pending PRO review\nat end of retention period. Not\nselected: contract files relating to\nsecondary functions such as\ncleaning and maintenance.", "Selected files: Review with the\nPublic Record Office to select\nwhich should be permanently\npreserved. Transfer selected\nrecords to the Public Record\nOffice after 25 years for\npermanent retention. Not\nselected: destroy at end of\nretention period" ], [ "Corporate and Partnerships:\nGrants files", "10 years after\ntermination of Grant", "Division best\npractice", "No", "Destroy at end of retention\nperiod" ], [ "Corporate and Partnerships:\nGrant minutes", "10 years after\ntermination of Grant", "Division best\npractice", "Permanent", "Transfer to PRO at 25 years" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "Divisional Plans", "25 years", "Records Management\nISO 15489 9.2\nInformation Security\nISO 2700-1 4.3.2 (f);\n4.3.3.\nEngland & Wales best\npractice", "Permanent", "Transfer to the Public Record\nOffice after 25 years for\npermanent retention" ], [ "Divisional Reports", "25 years", "Division best practice", "Permanent", "Transfer to the Public Record\nOffice after 25 years for\npermanent retention" ], [ "Divisional Strategies", "20 years", "Division best practice", "Permanent", "Transfer to the Public Record\nOffice after 25 years for\npermanent retention" ], [ "Minutes of Departmental\nMeetings", "2 years as master copy will be held\nby CEO Office", "Division best practice", "Permanent", "Transfer to the Public Record\nOffice after 25 years for\npermanent retention" ], [ "Meetings and minutes\npapers of\nmajor/significant\ncommittees and\nsub-committees (master\ncopies)", "30 years", "Division best practice", "Permanent", "Transfer to the Public Record\nOffice after 25 years for\npermanent retention" ], [ "Meetings and minutes\npapers (other, including\nreference copies of major\ncommittees)", "2 years unless relating to an\nindividual then use retention period\nfor records of individuals", "Division best practice", "No", "Destroy" ], [ "Papers of minor or short\nlived importance not\ncovered elsewhere - e.g.\nadvertising matter\n- covering & appointment\nletters", "2 years", "Division best practice", "No", "Destroy" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "- reminders; drafts\n- registers complied for\ntemporary purposes;\nroutine reports;\nappointments\nanonymous or\nunintelligible letters;\ndrafts;\nduplicates of documents\nknown to be – preserved\nelsewhere (unless they\nhave important minutes\non them);\nindices and registers\ncompiled for – temporary\npurposes;\nroutine reports;\npunched cards.", "", "", "", "" ], [ "Diaries Health\nProfessionals", "2 [MG1]years after end of year to\nwhich diary relates. Patient specific\ninformation should be transferred to\nthe patient record. Any notes made\nin the diary as an ’aide memoire’\nmust also be transferred to the\npatient record as soon as possible.", "Division best practice", "No", "Destroy" ], [ "Information Leaflets", "2 years", "National Audit Office\nbest practice", "Review One copy of each\nMajor version.", "Transfer one copy to the Public\nRecord Office after 25 years for\npermanent retention; destroy\nduplicates after 2 years" ], [ "Divisional\nPolicies/Procedures/\nProtocols", "10 years", "Division best practice", "Review", "Select for permanent\npreservation only those that\nrelate to core activities and\ntransfer to the Public Record" ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "", "", "", "", "Office after 25 years" ], [ "Project Files", "10 years after completion of project", "National Audit Office\nbest practice", "Review", "Review with the Public Record\nOffice to select which should be\npermanently preserved.\nTransfer selected records to\nthe Public Record Office after\n25 years for permanent\nretention" ], [ "Major Reports including\nWorking papers", "30 years", "Division best practice", "Permanent", "Transfer to the Public Record\nOffice after 25 years for\npermanent retention" ], [ "Tynwald questions (held\nby the Department)", "10 years", "Division best practice", "No", "Destroy" ], [ "Investigations\ncommissioned by Division\n(not OHR Investigations)", "30 years", "Division best practice", "Review", "Review with the Public Record\nOffice to select which should be\npermanently preserved.\nTransfer selected records to the\nPublic Record Office after 25\nyears for permanent retention." ], [ "Contracts", "15 years after termination of\ncontract", "Division best practice", "Review", "Review with the Public Record\nOffice to select which should be\npermanently preserved.\nTransfer selected records to the\nPublic Record Office after 25\nyears for permanent retention" ], [ "Maintenance Contracts", "6 years from end of contract", "Division best practice", "No", "Destroy" ], [ "Manuals (operating)", "Lifetime of equipment", "Review if issues (e.g.\nHSE) are outstanding", "No", "Destroy" ], [ "Equipment – records of\nnon-fixed equipment,\nincluding specification,\ntest records, maintenance\nrecords and logs", "11 years. If the records relate to\nvehicles (ambulances, responder\ncars, fleet vehicles etc.) and where\nthe vehicle no longer exists,\nproviding there is a record that it", "Consumer Protection\nAct 1991", "No", "Destroy" ] ], "row_count": 9, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "", "was scrapped, the records can be\ndestroyed", "", "", "" ], [ "Inventories of plant and\npermanent or fixed\nequipment", "5 years after date of inventory", "Division best practice", "Asset –Guidelines lifetime\nof products are\ndetermined when needed\nto destroy.", "Destroy" ], [ "Medical device alerts", "Retain until updated or withdrawn\n(check MHRA website)", "www.mhra.gov.uk", "No", "Destroy[MG2]" ], [ "Site files", "Lifetime of site", "Division best practice", "IOMPRO to review at the\nend of the retention\nperiod. Records relating to\nmajor works, including\nsignificant public buildings,\nhigh-value, high-profile or\ncontroversial projects,\nmay be required for\npermanent preservation.", "Set further retention periods for\nrecords still of current business\nuse." ], [ "Accounts – minor records\n(pass books, paying-in\nslips, cheque counterfoils,\ncancelled/discharged\ncheques (for cheques\nbearing printed receipts,\nsee Receipts), accounts of\npetty cash expenditure,\ntravel and subsistence\naccounts, minor vouchers,\nduplicate receipt books,\nincome records, laundry\nlists and receipts)", "6 years after end of financial year to\nwhich they relate", "Division best practice", "No", "Destroy" ], [ "Audit records (internal\nand external audit)\noriginal documents", "2 years from the date of completion\nof the audit", "Division best practice", "No", "Destroy" ], [ "Audit reports – internal", "2 years after formal completion by", "Division best practice", "No", "Destroy" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "and external letters, value\nfor money reports and\nsystem/final accounts\nmemoranda)", "statutory auditor", "", "", "" ], [ "Cash books", "6 years after end of financial year to\nwhich they relate", "Limitation Act 1984", "No", "Destroy" ], [ "Cash sheets", "6 years after end of financial year to\nwhich they relate", "Limitation Act 1984", "No", "Destroy" ], [ "Contracts – financial", "Approval files – 15 years\nApproved suppliers lists – 11 years", "Division best practice", "Review", "Review with the Public Record\nOffice to select which should be\npermanently preserved.\nTransfer selected records to the\nPublic Record Office after 25\nyears for permanent retention" ], [ "Contractual arrangements\nwith hospitals or other\nbodies outside the NHS,\nincluding papers relating\nto financial settlements\nmade under the contract\n(e.g. waiting list initiative,\nprivate finance initiative)", "6 years after end of financial year to\nwhich they relate", "Division best practice", "Review", "Review with the Public Record\nOffice to select which should be\npermanently preserved.\nTransfer selected records to the\nPublic Record Office after 25\nyears for permanent retention" ], [ "General Medical Services\npayments", "6 years after year end", "", "", "" ], [ "Invoices", "6 years after end of financial year to\nwhich they relate", "Division best practice", "No", "Destroy" ], [ "Patient Monies (i.e.\nsmaller sums of donated\nmoney)", "6 years", "", "", "" ], [ "Bank Statements", "2 years from completion of audit", "Division best practice", "No", "Destroy" ], [ "Requests for information\n Data Protection Act\n(Subject Access\nRequest)", "3 years after last action", "Division best practice", "No", "Destroy" ] ], "row_count": 10, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ " Access to Health\nRecords & Reports Act\n Code of Practice for\nAccess to Government\nInformation", "", "", "", "" ], [ "Freedom of Information\n(FOI) requests", "3 years after full disclosure;\n10 years if information is redacted or\nthe information requested is not\ndisclosed", "Division best practice", "No", "Destroy" ], [ "Business Continuity Plans", "20 years", "Division best practice", "Plans that were put into\naction as part of a major\nincident are selected for\npermanent preservation.\nAll other plans are not\nselected.", "Transfer records selected for\npermanent preservation to\nIOMPRO when 25 years old.\nDestroy records not selected by\nIOMPRO at the end of the\nretention period." ], [ "Technical Documentation", "20 years", "Division best practice", "Review Documentation\nthat relate to selected\nrecords.", "Review with the Public Record\nOffice to select which should be\npermanently preserved.\nTransfer selected records to the\nPublic Record Office after 25\nyears for permanent retention." ], [ "Complaints,\ncorrespondence,\ninvestigations and\noutcomes (stage 1 and 2)", "10 years from completion of action", "Division best practice", "No", "Destroy" ], [ "Complaints that result in\nchange of practice (stage\n3)", "20 years", "Division best practice", "Permanent\nEach complaint has an\naction plan attached and\nheld in Patient Safety and\nQuality.", "Transfer to the Public Record\nOffice after 25 years for\npermanent retention" ], [ "Exposure monitoring\nrecords", "5 years from the date the record\nwas made", "Control of Substances\nHazardous to Health\nRegulations 2002 (reg.", "No", "Destroy" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "", "", "10(5))", "", "" ], [ "Time sheets (relating to a\nGroup or Department e.g.\nWard where the\ntimesheets are kept as a\ntool to manage resources,\nstaffing levels)", "12 months", "Division best practice", "No", "Destroy" ], [ "GMS1 forms (registration\nwith GP)", "3 years", "Division best practice", "No", "Destroy" ], [ "Health and safety\ndocumentation", "3 years", "Division best practice", "No", "Destroy" ], [ "Incident forms", "10[MG3] years", "Division best practice", "Records relating to major,\nsignificant, controversial or\nhigh-profile incidents may\nbe selected for permanent\npreservation. Review with\nthe Public Record Office to\nselect which should be\npreserved permanently", "Transfer selected records to the\nPublic Record Office after 25\nyears for permanent retention." ], [ "Patient Surveys (re access\nto services etc.)", "2 years", "Division best practice", "No", "Destroy" ], [ "Phone Message Books", "2[MG4] years\nNB Any clinical information should be\ntransferred to the patient health\nrecord", "Division best practice", "No", "Destroy" ], [ "Police Statements (made\nin the context of Accident\nand Emergency episodes.\nStatements are requested\nby the Police to the A&E\nstaff in relation to alleged", "10 years (congruent retention period\nas Incident Forms)", "Division best practice", "No", "Destroy" ] ], "row_count": 8, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "injuries of or by patients\ncoming through A&E)", "", "", "", "" ], [ "Public Consultations e.g.\nabout future provision of\nservices", "5 years", "Division best practice", "Review Documentation\nthat relate to selected\nrecords.", "Review with the Public Record\nOffice to select which should be\npermanently preserved.\nTransfer selected records to the\nPublic Record Office after 25\nyears for permanent retention." ], [ "Quality and Outcomes\nFramework (QOF)\ndocuments", "2 years", "Division best practice", "Review Documentation\nthat relate to selected\nrecords.", "Review with the Public Record\nOffice to select which should be\npermanently preserved.\nTransfer selected records to the\nPublic Record Office after 25\nyears for permanent retention." ], [ "Quality assurance records\n(e.g. Healthcare\nCommission, Audit\nCommission,\nOrganisational Audit,\nInvestors in People)", "12 years", "", "No", "Destroy" ], [ "Research ethics\ncommittee records", "3 years from date of decision", "Division best practice", "Review Documentation\nthat relate to selected\nrecords.", "Review with the Public Record\nOffice to select which should be\npermanently preserved.\nTransfer selected records to the\nPublic Record Office after 25\nyears for permanent retention." ], [ "Surgical appliances forms\nAP 1, 2, 3 and 4", "2 years from completion of audit", "Division best practice", "No", "Destroy" ], [ "Data Input Forms\n(where the\ndata/information has\nbeen input to a", "2 years", "Division best practice", "No", "Destroy" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "computer system)", "", "", "", "" ], [ "Job descriptions", "3 years", "Division best practice", "No", "Destroy" ], [ "Contractor Applications\n(Doctors, Dentists,\nOpticians &\nPharmacists)", "6 years after end of contract for\napprovals\n6 years for non-approvals.", "Division best practice", "No", "Destroy" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "", "have genetic implications for the\nfamily of the deceased, the\nadvice of clinicians should be\nsought as to whether to retain\nthe records for a longer period", "", "", "" ], [ "Ambulance records -\npatient identifiable\ncomponent\n(including paramedic\nrecords made on behalf of\nthe Ambulance Service)", "10 years\n(applies to ALL Ambulance Clinical\nRecords)\nNB Where a patient is transferred to\nthe care of another NHS organisation\nall relevant clinical information must\nbe transferred to the patients’ health\nrecord held at that organisation)", "Limitation Act 1984\nNHS Code of\nPractice", "No", "Destroy" ], [ "Ambulance Records –\nAdministrative (i.e. records\ncontaining non-clinical\ndetails only) e.g. records of\njourneys", "2 years from the end of the year to\nwhich they relate", "NHS Code of Practice", "No", "Destroy" ], [ "Equipment – records of\nnon-fixed equipment,\nincluding specification, test\nrecords, maintenance\nrecords and logs", "11 yearsIf the records relate to\nvehicles (ambulances, responder\ncars, fleet vehicles etc) and where\nthe vehicle no longer exists, providing\nthere is a record that it was\nscrapped, the records can be\ndestroyed", "Consumer Protection\nAct 1991\nNHS Code of Practice", "No", "Destroy" ], [ "Air Ambulance Helicopter\nServices", "Permanent", "Division best\npractice", "No", "Destroy" ], [ "EMS Paramedic Protocols", "Permanent", "Division best\npractice", "No", "Destroy" ], [ "CPR Instructorship", "Permanent until updated", "Division best", "No", "Destroy" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "Information", "", "practice", "", "" ], [ "EMS General Education\nInformation", "Permanent until updated", "Division best\npractice", "No", "Destroy" ], [ "EMS Key Roster", "Permanent until updated", "Division best\npractice", "No", "Destroy" ], [ "Hazardous Materials\nGuidelines", "Permanent until updated", "Division best\npractice", "No", "Destroy" ], [ "Emergency Joint Control\nUntil Guidelines", "Permanent until updated", "Division best\npractice", "No", "Destroy" ], [ "Traction Equipment\nInformation/Inventory", "Permanent until updated", "Division best\npractice", "No", "Destroy" ], [ "Ambulance Run Log\n(also called Emergency\nCall Log, Ambulance Trip\nReport)", "6 Years", "Division best\npractice", "No", "Destroy" ], [ "Court Affidavit Request", "6 Years", "Division best\npractice", "Review with the Public\nRecord Office to select\nwhich should be\npermanently preserved.", "Transfer selected records to\nthe Public Record Office after\n25 years for permanent\nretention." ], [ "Daily Vehicle\nMaintenance and\nEquipment Checklists", "5 years", "Division best\npractice", "No", "Destroy" ], [ "Drugbox Drug List", "5 years", "Division best\npractice", "No", "Destroy" ], [ "EMS Master Log", "5 Years", "Division best\npractice", "No", "Destroy" ], [ "Ambulance Forms\n[MG5]", "5 Years", "Division best\npractice", "No", "Destroy" ], [ "Supervisor Reports\n[MG6]", "5 Years including audit", "Division best\npractice", "No", "Destroy" ], [ "Patient Statements", "3 Years", "Division best", "No", "Destroy" ] ], "row_count": 14, "col_count": 5 }, { "headers": [ "Details", "", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "", "", "", "practice", "", "" ], [ "Ambulance Inspection\nReports", "", "3 Years", "Division best\npractice", "No", "Destroy" ], [ "Ambulance Equipment\nChecklists", "", "2 Years", "Division best\npractice", "No", "Destroy" ], [ "Ambulance License\nApplications", "", "1 Year", "Division best\npractice", "No", "Destroy" ], [ "EMT License Applications", "", "1 year", "Division best\npractice", "No", "Destroy" ], [ "EMS Work Schedules", "", "1 Year", "Division best\npractice", "No", "Destroy" ], [ "Audit Trails (Electronic\nHealth Records)", "", "Life of the electronic system", "Division best\npractice", "No", "Destroy" ], [ "Child Health Record", "", "Retain until the patient’s 25th\nbirthday or 26th if young person\nwas 17 at conclusion of\ntreatment, or 8 years after\ndeath. If the illness or death\ncould have potential relevance to\nadult conditions or have genetic\nimplications for the family of the\ndeceased, the advice of clinicians\nshould be sought as to whether\nto retain the records for a longer\nperiod", "Division best\npractice", "No", "Destroy" ], [ "Safeguarding Child Health\nRecord", "", "Retain the patient’s 75th birthday", "Division best\npractice", "No", "Destroy" ], [ "Clinical audit records", "", "5 years", "Division best\npractice", "No", "Destroy" ], [ "", "Controlled drug", "Requisitions – 2 years", "Misuse of Drugs Act\n1971 (UK)", "No", "Destroy" ], [ "", "documentation (Moved", "", "", "", "" ] ], "row_count": 12, "col_count": 6 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "referral letters, consultants’\nreports, clinical\nphotographs, results of\nspecial investigations, drug\nprescriptions, laboratory\nprescriptions, patient\nidentification information,\nand a comprehensive\nmedical history)", "", "", "", "" ], [ "Dental Patient Records –\nChild", "11 years after last entry or until they\nreach 25 years, whichever the longer.", "NHS", "No", "Destroy" ], [ "Dental Orthodontic Models.", "Retain the original pre- and post-\noperative models for 11 years;\ndiscard any intermediates after a\nperiod of five years.", "NHS", "No", "Destroy" ], [ "Dental epidemiological\nsurveys", "30 years", "NHS", "No", "Destroy" ], [ "Dental, ophthalmic and\nauditory screening records\nincluding Orthodontic\nRecords and Models.", "Community Records\nFor Adults 11 years\nFor Children 11 years or up to their\n25th birthday, whichever is the\nlonger\nHospital Records\nAdult records – Retain for 8 years\nChildren and young people – Retain\nuntil the patient’s 25th birthday or\n26th if young person was 17 at\nconclusion of treatment, or 8 years\nafter death. If the illness or death\ncould have potential relevance to\nadult conditions or have genetic", "British Dental\nAssociation", "No", "Destroy" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "", "implications, the advice of clinicians.", "", "", "" ], [ "De-registered patients", "11 years after last entry", "NHS", "No", "Destroy" ], [ "Personnel/human resources\nrecords –major (eg personal\nfiles, letters of appointment,\ncontracts, references and\nrelated correspondence,\nregistration authority forms,\ntraining records, equal\nopportunity monitoring\nforms (if retained)) NB\nIncludes locum doctors", "6 years after individual leaves\nservice, at which time a summary of\nthe file must be kept until the\nindividual’s 70th birthday. Summary\nto be retained until individual’s 70th\nbirthday or until 6 years after\ncessation of employment if aged over\n70 years at the time. The summary\nshould contain everything except\nattendance books, annual leave\nrecords, duty rosters, clock cards,\ntimesheets, study leave applications,\ntraining plans.", "Records Management:\nNHS Code of Practice\nPart 2", "No", "Destroy" ], [ "Dietetic and nutrition", "Retain for the period of time\nappropriate to the\npatient/specialty,\ne.g. children’s records should be\nretained as per the retention\nperiod for the records of\nchildren and young people;\nmentally disordered persons\n(within the meaning of the\nMental Health Act 1983) 20 years\nafter the last entry in the record\nor 8 years after the patient’s\ndeath if patient died while in the\ncare of the organisation", "Division best\npractice", "No", "Destroy" ], [ "District nursing records", "Retain for the period of time\nappropriate to the\npatient/specialty, eg children’s", "Division best\npractice", "No", "Destroy" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "", "records should be retained as per\nthe retention period for the\nrecords of children and young\npeople or 8 years after the\npatient’s death if patient died\nwhile in the care of the\norganisation", "", "", "" ], [ "Duplicate patient record\nnotification forms", "2 years after the decision of\nwhether or not to merge unless\nthere is a business need to retain\nfor longer.", "Division best\npractice", "No", "Destroy" ], [ "Family planning records", "For records of adults – retain for\n8 years after last entry. For\nclients under 18 – retain until\n25th birthday or for 8 years after\nlast entry, whichever is the longer\ni.e. records for clients aged 16-17\nshould be retained for 8 years\nand records for clients under 16\nshould be retained until age 25\n(i.e. still retained for at least 8\nyears). Records of deceased\npersons should be retained for 8\nyears after death", "Division best\npractice", "No", "Destroy" ], [ "MEDS Doctors Pay", "6 years after termination of\nemployment", "Division best practice\nbased on common\npractice from other\njurisdictions and in\nline with Records\nManagement: NHS\nCode of Practice Part", "No", "Destroy" ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "", "", "2", "", "" ], [ "MEDS contact sheets\n(contains patient and\npresenting symptoms when\nattending MEDS)", "10 years", "Division best practice\nbased on common\npractice from other\njurisdictions and in\nline with Records\nManagement: NHS\nCode of Practice Part\n2", "No", "Destroy" ], [ "Ophthalmic accounts", "7 years", "Division best practice\nbased on the UK NHS\n(General Ophthalmic\nServices) Regs 1986.", "No", "Destroy" ], [ "NHS Spectacle\nVoucher/form", "7 years", "Division best practice\nbased on common\npractice from other\njurisdictions and in\nline with Records\nManagement: NHS\nCode of Practice Part\n2", "No", "Destroy" ], [ "NHS Replacement or repair\nof glasses vouchers/form", "7 years", "Division best practice\nbased on common\npractice from other\njurisdictions and in\nline with Records\nManagement: NHS\nCode of Practice Part\n2", "No", "Destroy" ], [ "VAT records", "6 years after end of financial year to\nwhich they relate", "Division best practice\nbased on common\npractice from other\njurisdictions and in\nline with Records", "No", "Destroy" ] ], "row_count": 6, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "", "", "Management: NHS\nCode of Practice Part\n2", "", "" ], [ "Sight tests", "7 years", "Division best practice\nbased on the\nNHS(General\nOphthalmic Services)\nRegs 1986:", "No", "Destroy" ], [ "Exemption application under\nthe national Health Service\n(Isle of Man) Charges\nRegulations 1979", "6 years", "Division best practice", "No", "Destroy" ], [ "F1 application form", "6 years", "Division best practice", "No", "Destroy" ], [ "Medical Exemptions", "2 years", "Division best practice", "No", "Destroy" ], [ "GP records, including\nmedical records relating\nto HM Armed Forces or\nthose serving a period of\nimprisonment", "GP Records, wherever they are\nheld, other than the records listed\nbelow retain for 10 years after\ndeath or after the patient has\npermanently left the country\nunless the patient remains in the\nEuropean Union.\nIn the case of a child if the illness\nor death could have potential\nrelevance to adult conditions or\nhave genetic implications for the\nfamily of the deceased, the\nadvice of clinicians should be\nsought as to whether to retain\nthe records for a longer period.\nMaternity records – 25 years after\nlast live birth.", "Division best practice", "No", "Destroy" ] ], "row_count": 6, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "", "GPs should also receive summary\nrecords when ex-Service\npersonnel register with them.\nWhat GPs do with them then is a\nmatter for their professional\njudgement, taking into account\nclinical need and DPA\nrequirements – they should not,\nfor example, retain information\nthat is not relevant to their\nclinical care of the patient.\nRecords relating to those serving\na prison sentence. See also Prison\nHealth Records (below) for\nguidance on scanning of hospital\nletters.", "", "", "" ], [ "Electronic patient records", "Electronic patient records (EPRs)\nmust not be destroyed, or\ndeleted, for the foreseeable\nfuture.", "NHS (UK) Good\nPractice Guidelines\nfor General Practice\nElectronic Patient\nRecords (version\n3.1).", "No", "Destroy" ], [ "Health visitor records", "8 years.", "Division best\npractice", "No", "Destroy" ], [ "Hospital acquired infection\nrecords", "6 years", "Division best\npractice", "No", "Destroy" ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "Standard operating\nprocedures (current and\nold)", "30 years", "Division best\npractice", "No", "Destroy" ], [ "FP10, TTOs,\noutpatient , private\n[MG8]", "2 years\n(Electronic Patient Records will\neventually hold all details)", "NB: Inpatient\nprescriptions held as\npart of health record", "No", "Destroy" ], [ "Worksheets\nResuscitation box", "1 year after the expiry of the\nlongest dated item", "Applies only to\nrepackaged items\ne.g. ampoules\nseparated from\nouter packaging)", "No", "Destroy" ], [ "Quality Assurance\nEquipment validation", "Lifetime of the equipment", "Division best\npractice", "No", "Destroy" ], [ "Quality Control\ndocumentation,\ncertificates of analysis", "5 years or 1 year after expiry of\nbatch (whichever is longer)", "Article 51(3)\nDirective 2001/83", "No", "Destroy" ], [ "Refrigerator temperature", "1 year\nRefrigerator records to be retained\nfor the life of the product stored\ntherein, particularly vaccines)", "Division best\npractice", "No", "Destroy" ], [ "Physiotherapy records", "Retain for the period of time\nappropriate to the\npatient/specialty,\ne.g. children’s records should be\nretained as per the retention\nperiod for the records of children\nand young people; mentally\ndisordered persons (within the\nmeaning of the Mental Health Act", "Division best\npractice", "No", "Destroy" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "", "1983) 20 years after the last entry\nin the record or 8 years after the\npatient’s death if patient died\nwhile in the care of the\norganisation", "", "", "" ], [ "Podiatry records", "Retain for the period of time\nappropriate to the\npatient/specialty, eg children’s\nrecords should be retained as per\nthe retention period for the\nrecords of children and young\npeople or 8 years after the\npatient’s death if patient died\nwhile in the care of the\norganisation", "Division best\npractice", "No", "Destroy" ], [ "Prison healthcare records\n(see also GP records)", "Where hospital letters for serving\nprisoners are scanned into the\nPrison Health computer system\nand the paper copy is also filed\ninto the paper records the paper\ncopy may be destroyed once it\nhas been scanned into the system\nproviding the scanning process\nand procedures are compliant with\nBSI’s “BIP:0008 – Code of Practice\nfor Legal Admissibility and\nEvidential Weight of Information\nStored Electronically”. Once the\nletters have been scanned they\ncan be destroyed under\nconfidential conditions.", "Division best\npractice", "No", "Destroy" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "Records/documents\nrelated to any litigation", "As advised by the organisation’s\nlegal advisor. All records to be\nreviewed. Normal review 10 years\nafter the file is closed", "Division best\npractice", "Review", "Those that were high profile\nset a precedent or led to a\nsignificant change in policy or\nprocedures are selected for\npermanent preservation." ], [ "Records of destruction of\nindividual health records\n(case notes) and other\nhealth-related records\ncontained in this\nretention schedule (in\nmanual or computer\nformat)", "Permanently", "BS ISO 15489\n(section 9.10)", "No", "Destroy" ], [ "Risk Assessment Records", "Retain the latest risk assessment\nuntil a new one replaces it.", "Division best\npractice", "No", "Destroy" ], [ "Speech and language\ntherapy records", "Retain for the period of time\nappropriate to the\npatient/specialty,\ne.g. children’s records should be\nretained as per the retention\nperiod for the records of children\nand young people or 8 years after\nthe patient’s death if patient died\nwhile in the care of the\norganisation", "Division best\npractice", "No", "Destroy" ], [ "Video records/voice\nrecordings relating\n[MG9]\nto patient care/video\nrecords/video-\nconferencing records\nrelated to patient", "8 years subject to the following\nexceptions or where there is a\nspecific statutory obligation to\nretain records for longer periods:\nChildren and young people:", "Guidance on use of\nvideo- conferencing\nin healthcare:\nhttp://www.wales.n\nhs.uk/sites/doc\numents/351/1_mult", "Review by Public Record\nOffice", "The teaching and historical\nvalue of such recordings\nshould be considered,\nespecially where innovative\nprocedures or unusual\nconditions are involved." ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "Electronic\nrecord no (e.g.\nMedway, RiO)", "Name", "DoB", "Destruction\nDate", "Destruction\nMethod", "Destroyed by\nInitials", "Witness by\nInitials" ], "rows": [ [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 6, "col_count": 7 } ] }, { "case_id": 355361, "title": "Orthodontic and Salaried Dental Services", "authority": "Department of Health and Social Care", "date_received": "2017-04-10", "outcome": "All information sent", "summary": "", "key_facts": [], "data_mentioned": [], "exemptions_cited": [], "tables": [ { "headers": [ "", "Financial Year", "", "", "No of UDAs Reimbursed", "", "", "Total Value of Reimbursement (£)", "" ], "rows": [ [ "2012-13", "", "", "784.70", "", "", "19,958.33", "", "" ], [ "2013-14", "", "", "1,430.20", "", "", "65,925.68", "", "" ], [ "2014-15", "", "", "4,474.00", "", "", "80,106.01", "", "" ], [ "2015-16", "", "", "1,959.40", "", "", "49,417.97", "", "" ] ], "row_count": 4, "col_count": 9 }, { "headers": [ "Dental Surgery", "Provider", "", "Contracted", "", "", "Contracted", "", "", "Contracted", "", "", "Contracted", "" ], "rows": [ [ "", "", "", "UDAs", "", "", "UDAs", "", "", "UDAs", "", "", "UDAs", "" ], [ "", "", "", "2012-13", "", "", "2013-14", "", "", "2014-15", "", "", "2015-16", "" ], [ "65 Woodbourne Road", "Mr J H Van Rooyen", "14,100.00", "", "", "15,100.00", "", "", "15,100.00", "", "", "16,600.00", "", "" ], [ "Avondale Dental Surgery", "Avondale", "5,000.00", "", "", "5,000.00", "", "", "5,000.00", "", "", "5,000.00", "", "" ], [ "Grove Mount Dental Practice", "Miss U Shah", "600.00", "", "", "600.00", "", "", "0.00", "", "", "0.00", "", "" ], [ "", "Mr G Hill", "900.00", "", "", "900.00", "", "", "900.00", "", "", "800.00", "", "" ], [ "", "Mr M Tancurin", "600.00", "", "", "500.00", "", "", "0.00", "", "", "0.00", "", "" ], [ "", "Mr R Jones", "1,200.00", "", "", "0.00", "", "", "0.00", "", "", "0.00", "", "" ], [ "", "Mr T Karezis", "0.00", "", "", "0.00", "", "", "2,608.00", "", "", "2,608.00", "", "" ], [ "", "Mrs A Gibb", "90.00", "", "", "200.00", "", "", "200.00", "", "", "200.00", "", "" ], [ "Hailwood Dental Practice", "Mrs T Cojocaru", "7,740.00", "", "", "7,740.00", "", "", "6,540.00", "", "", "4,500.00", "", "" ], [ "Port Erin Dental Surgery", "Mr E Ahlbom", "21,811.00", "", "", "23,500.00", "", "", "24,811.00", "", "", "0.00", "", "" ], [ "", "Mr E Ahlbom, Tsivos & Loli", "0.00", "", "", "0.00", "", "", "0.00", "", "", "24,811.00", "", "" ], [ "Ravat & Ray Dental Practice", "Ravat & Ray", "0.00", "", "", "0.00", "", "", "2,500.00", "", "", "15,500.00", "", "" ], [ "Smile Dental Surgery", "Mr P Dhariwal", "0.00", "", "", "2,334.00", "", "", "12,000.00", "", "", "12,000.00", "", "" ], [ "Thie Roisen Dental Practice", "Mrs S Du Toit", "13,000.00", "", "", "13,800.00", "", "", "13,800.00", "", "", "13,800.00", "", "" ], [ "Tracey Bell Clinic", "Tracey Bell", "900.00", "", "", "750.00", "", "", "750.00", "", "", "750.00", "", "" ], [ "Westview (Peel & Douglas)", "JH Van Rooyen & A Vogelzang", "0.00", "", "", "0.00", "", "", "0.00", "", "", "29,980.00", "", "" ], [ "", "Mr J H Van Rooyen", "0.00", "", "", "29,980.00", "", "", "29,980.00", "", "", "0.00", "", "" ], [ "", "Mr R Birnie & JH Van Rooyen", "28,035.00", "", "", "0.00", "", "", "0.00", "", "", "0.00", "", "" ] ], "row_count": 20, "col_count": 14 }, { "headers": [ "", "Surgery/Provider", "", "", "Year", "", "", "Contracted", "", "", "Completed", "" ], "rows": [ [ "13 Kensington Road: Mrs M Greenough & Mr M Hain", "", "", "2010-11", "", "", "6,140.00", "", "", "6,201.80", "", "" ], [ "", "", "", "2011-12", "", "", "6,845.00", "", "", "7,027.80", "", "" ], [ "13 Kensington Road: Mrs M Greenough", "", "", "2012-13", "", "", "5,957.00", "", "", "4,978.00", "", "" ], [ "", "", "", "", "2013-14", "", "", "6,140.00", "", "", "853.00", "" ], [ "", "", "", "2014-15", "", "", "6,140.00", "", "", "42.00", "", "" ], [ "13 Kensington Road: Mrs M Greenough & Miss E Thomas", "", "", "2015-16", "", "", "6,140.00", "", "", "4,169.00", "", "" ], [ "13 Kensington Road: Miss E Thomas", "", "", "2016-17", "", "", "3,070.00", "", "", "1,094.00", "", "" ] ], "row_count": 7, "col_count": 12 }, { 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year.", "319 Section 46 enquiries were undertaken by the Initial Response Team, which typically handles new referrals.", "There were 508 single assessments and 80 initial assessments conducted regarding referrals received in 2016/17.", "Of the 508 single assessments, 179 required a Strategy Discussion, 245 received short-term support, and 74 received longer-term planned services.", "The response included caveats that provided data covers all service activity rather than just new referrals as specifically requested." ], "data_mentioned": [ "319", "508", "80", "179", "245", "74", "4", "6", "36", "2016/17", "2017-04-13", "2017-05-04", "18 April 2017", "04 May 2017" ], "exemptions_cited": [ "Information not held or cannot be produced after reasonable steps" ], "tables": [ { "headers": [ "", "June 2016", "", "60" ], "rows": [ [ "", "July 2016", "", "57" ], [ "", "August 2016", "", "49" ], [ "", "September 2016", "", "49" ], [ "", "October 2016", "", "52" ], [ "", "November 2016", "", "57" ], [ "", "December 2016", "", "59" ], [ "", "January 2017", "", "66" ], [ "", "February 2017", "", "69" ], [ "", "March 2017", "", "76" ] ], "row_count": 9, "col_count": 4 }, { "headers": [ "", "April 2016", "", "37" ], "rows": [ [ "", "May 2016", "", "35" ], [ "", "June 2016", "", "32" ], [ "", "July 2016", "", "29" ], [ "", "August 2016", "", "25" ], [ "", "September 2016", "", "24" ], [ "", "October 2016", "", "25" ], [ "", "November 2016", "", "29" ], [ "", "December 2016", "", "30" ], [ "", "January 2017", "", "31" ], [ "", "February 2017", "", "34" ], [ "", "March 2017", "", "38" ] ], "row_count": 11, "col_count": 4 }, { "headers": [ "", "Referral by CIN Category", "", "", "No.", "" ], "rows": [ [ "N1 - Abuse or neglect", "", "", "584", "", "" ], [ "N2 - Child's Disability", "", "", "39", "", "" ], [ "N3 - Parental illness or disability", "", "", "14", "", "" ], [ "N4 - Family in acute stress", "", "", "71", "", "" ], [ "N5 - Family dysfunction", "", "", "202", "", "" ], [ "N6 - Socially Unacceptable Behaviour", "", "", "27", "", "" ], [ "N8 - Absent Parenting", "", "", "45", "", "" ], [ "N9 - Cases other than children in need", "", "", "7", "", "" ], [ "Total", "", "", "989", "", "" ] ], "row_count": 9, "col_count": 6 } ] }, { "case_id": 355385, "title": "Use of latex at Noble's", "authority": "Department of Health and Social Care", "date_received": "2017-05-16", "outcome": "All information sent", "summary": "A request was made for information regarding the use of latex at Noble's Hospital, including policies on medical equipment and gloves. The Department of Health and Social Care disclosed the full information by providing the 'Policy for the Management of Latex Allergy' and the 'Urethral Catheterisation' policy with highlighted latex references.", "key_facts": [ "The request was received on 15 May 2017 and responded to on 18 May 2017.", "Two specific documents were provided: the Latex Allergy Management Policy and the Urethral Catheterisation Policy.", "The Latex Allergy policy was originally issued in February 2003 and most recently updated in March 2017.", "The policy aims to safeguard patients and staff in the perioperative environment from latex exposure.", "References to latex in the catheterisation policy are located on pages 3, 6, 11, and 14-16." ], "data_mentioned": [ "15 May 2017", "18 May 2017", "February 2003", "March 2017", "November 2013", "November 2014", "June 2015", "May 2020", "pages 3, 6, 11, 14-16", "Health and Safety at Work Act 1974" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "Reader Information", "", "", "", "" ], "rows": [ [ "Policy Number", "", "", "", "", "" ], [ "Title", "", "", "Policy for the Management of Latex Allergy", "", "" ], [ "Author/Contact Details", "", "", "Lynn Reid, Operating Department Manager", "", "" ], [ "Publication Date", "", "", "February 2003, Up-dated March 2017", "", "" ], [ "Target Audience", "", "", "All Operating Department Theatre and Medical Staff", "", "" ], [ "Description", "", "", "This policy identifies actions to be taken if a patient is identified as latex allergic", "", "" ], [ "Changes", "", "", "June 2015 - Theatre rest time following environmental preparation reduced. May\n2017 – specific environmental areas identified in section 7", "", "" ], [ "Cross Reference", "", "", "", "", "" ], [ "Superseded Documents", "", "", "Latex Allergy Policy", "", "" ] ], "row_count": 9, "col_count": 6 }, { "headers": [ "Procedure for Urethral Catheterisation of the Male Urinary\nBladder", "" ], "rows": [ [ "Procedure for Urethral Catheterisation of the Female Urinary\nBladder", "" ], [ "Guidance Notes -Appendix", "12" ], [ "Appendix 1 - Decision to Catheterise", "13" ], [ "Appendix 1 - Indications for Catheterisation", "13" ], [ "Appendix 2 - Assessment", "14 -15" ], [ "Appendix 3 - Consent", "16" ], [ "Appendix 4 - Equipment", "17" ], [ "Appendix 5 - Indwelling Catheter Selection", "18 -20" ], [ "Appendix 6 - Catheter Size", "21" ], [ "Appendix 7 - Catheter Length", "22 -24" ], [ "Appendix 8 - Catheter Balloon Volume", "25" ], [ "Appendix 9 - Selecting a Drainage System", "26" ], [ "Appendix 10 - Trouble Shooting / Potential Problems", "27 -29" ], [ "Appendix 11 - Patient Information Leaflet", "30" ], [ "Appendix 12 - Urethral Catheterisation Training Programme", "31 - 42" ], [ "Appendix 13 - Reflective Practice Record", "39" ], [ "Appendix 14 - Declaration of Self Competence", "43" ], [ "References", "44 -46" ] ], "row_count": 18, "col_count": 2 }, { "headers": [ "PROCEDURE", "RATIONALE" ], "rows": [ [ "Introduce yourself and any colleagues involved at the contact\nScreen bed area", "To gain patient co-operation\nTo ensure patients privacy and dignity" ], [ "Verbally confirm the identity of the patient by asking for their\nfull name and date of birth. If patient unable to confirm, check\nidentity by use of patient arm band/ family/carer", "To avoid mistaken identity" ], [ "Explain procedure to patient, including risks and benefits and\ngain informed verbal consent. If patient unable to give consent,\nact in patients best interests by following The Noble's Hospital\nConsent Policy. Appendix 3", "To ensure patient understands procedure and\nenable patient to make informed decisions" ], [ "Provide written information leaflet to support this discussion\n(Noble's Hospital You and your Urethral Catheter Booklet).\nAppendix 11", "" ], [ "Offer patient a chaperone and document decision in health\nrecords", "It is the patients' choice to have a chaperone if\nwanted. Discuss with line manager if nurse\nconsiders a chaperone is needed as part of risk\nassessment" ], [ "Adhere to Isle of Man Infection Control Manual , Personal\nProtective Equipment Policy and Hand Hygiene Policy, DH\nInfection Prevention and Control Policy", "To reduce risk of infection" ], [ "Check the patient's health records / assess patient for past\nproblems / complication associated with urethral\ncatheterisation. Appendix 2", "To assess for previous problems / complications" ], [ "Check for any allergies e.g. lignocaine, chlorhexidine or latex", "To reduce risk of anaphylaxis" ], [ "Ensure all equipment is gathered before commencing the\nprocedure\nClean and prepare trolley, placing all equipment required on\nthe bottom shelf\nAppendix 4", "To prevent contamination of sterile equipment\nand to ensure the procedure is not commenced\nwithout all necessary equipment\nTop shelf acts as a clean working surface" ], [ "Select appropriate standard length, ch. size catheter. (40 -\n45cm)\nAppendix 7", "Ensure female length catheter IS NOT used in\nmale patient\nFemale only catheters can cause severe trauma\nand haemorrhage if used in male patients" ], [ "Wash and dry hands prior to procedure and put on personal\nprotective Equipment (PPE)", "To reduce the risk of transfer of transient micro -\norganisms on the health care workers hands.\nTo prevent cross infection and environmental\ncontamination" ], [ "Assist the patient into a semi recumbent position. Place\nincontinence pad underneath patient's buttocks and", "To maintain patients dignity and comfort. To\navoid soiling of patient or bedclothes" ] ], "row_count": 12, "col_count": 2 }, { "headers": [ "incontinence pad I protective towel across the patient's thighs\nand under penis. Do not leave the patient unduly exposed at\nthis stage of the procedure", "" ], "rows": [ [ "Follow aseptic principles, wash hands prior to touching sterile\nmaterials, open outer cover of sterile dressing pack, and slide\nthe pack onto the top shelf of the previously cleaned dressing\ntrolley. Place all sterile single use equipment within sterile field\nincluding catheter and drainage system", "To maintain asepsis and prevent contamination\nof sterile equipment." ], [ "If not first catheterisation, remove existing catheter attach\nempty syringe to catheter port. Do not draw back on the\nsyringe; allow the catheter balloon to deflate using gravity.\nWhen catheter balloon is deflated, support the penis, place a\npiece of sterile gauze around the catheter and slowly withdraw\nthe catheter.\nRemove and dispose of PPE", "To avoid vacuuming of bladder mucosa\nPPE must be changed in between different tasks\non the same patient" ], [ "If first catheterisation, remove cover that is maintaining\npatient's dignity, expose the area to be catheterised", "" ], [ "Wash hands and continue procedure with PPE and sterile\ngloves", "" ], [ "Arrange sterile clinical sheet in place so that the penis passes\nthrough the opening in the sheet\nPosition the sterile receiver to catch the urine", "To create sterile field" ], [ "Use a sterile gauze swab to lift the penis with non-dominant\nhand, retract the foreskin (if not circumcised), and clean with\nnormal saline 0.9% beginning with the foreskin, the glans and\nurethral meatus at the end. Cleanse away from the urethral\nmeatus down the shaft of the penis. Use a new swab for each\npart of the procedure\nIf tight phimosis evident and the meatus is not visible seek\nsenior advice.", "To help minimise risk of urinary tract infection\nInadequate preparation of the urethral meatus is\na major cause of infection following\ncatheterisation." ], [ "Following cleansing, Use sterile gauze to hold penis gently\nbehind the glans. Slowly insert single use anaesthetic gel into\nthe urethra. Gently compress penis behind the glans to retain\nanaesthetic gel and massage the gel downwards. Advise the\npatient slight stinging may be experienced. Wait the\nrecommended manufacturer's time I 5 minutes for\nanaesthetic gel to take effect", "Adequate lubrication helps prevent urethral\ntrauma, reduces risk of infection and minimises\ndiscomfort experienced by patient." ], [ "Remove gloves, decontaminate hands and apply new sterile\ngloves", "To reduce the risk of transfer of transient micro -\norganisms on the health care workers hands" ], [ "Examine, prepare and check expiry date of catheter", "To ensure patient safety" ], [ "Wrap sterile folded gauze around the penis and use to support\nthe penis at a 90 degree angle", "This straightens out the first curve of the urethra;\nthe gauze will contain any excess gel." ], [ "Whilst maintaining an angle of 90 degree angle, insert the\ncatheter slowly 2-3 cm at a time into urethra.\nThere may be a slight resistance at the external sphincter, ask\nthe patients to cough or try to pass urine and the catheter\nshould pass through the prostatic urethra easily.\nIf resistance is felt at the external urethra, change the position\nof the penis to a 45 degree angle.\nIf resistance continues to be evident and you unable to\nprogress the catheter, stop, do not forcefully advance the\ncatheter. Seek senior advice.", "Avoid handling the catheter tip and length, use of\nforceps or plastic catheter sleeve will help\nreduce risk of catheter contamination\nTo aid insertion\nThis will help relax the pelvic floor and sphincter\nmuscle\nTo prevent trauma as there could be an\nobstruction" ] ], "row_count": 11, "col_count": 2 }, { "headers": [ "Insert catheter until urine has started to drain, then insert a\nfurther 2-3cm or almost up to the bifurcation point.\nIf no urine drains gently apply pressure over the symphysis\npubis area.", "Ensures the catheter is within the bladder." ], "rows": [ [ "Do not inflate the catheter balloon unless urine is freely\ndraining into the kidney dish\nIf Prefilled balloon: Release clamp of balloon and allow slow\nrelease of water. Observe for verbal and non-verbal signs of\npain.\nIf not prefilled balloon:\nSlowly inflate the balloon with 10mls of sterile water according\nto manufacturer's instructions.", "Balloon inflation should be pain free. If the\npaUent is experiencing any pain or discomfort\nduring balloon inflation, the balloon may be\npositioned in the urethra. Deflate the balloon and\nadvance the catheter a few more centimetres\nbefore trying again.\nOver inflation of the balloon may cause irritation\nof the bladder trigone inducing bladder spasm\nwhich in turn causes \"by passing\" of urine\naround the urethral orifice." ], [ "Once the balloon is inflated withdraw the catheter gently until\nresistance is felt", "To confirm positioning of the catheter" ], [ "Collect catheter specimen of urine, preform urinalysis and\nforward this specimen to microbiology if appropriate. Ensure\nresults of CSU are reviewed and appropriately acted on if\nnecessary.", "" ], [ "Attach the catheter to a previously selected closed drainage\nsystem", "To reduce infection and maintain closed circuit\nsystem" ], [ "Ensure foreskin (if present) is replaced over the glans (if\nnot replaced it is not unusual of the patient to need an A&E\nadmission due to Phimosis) Patient may end up requiring\nemergency surgical care to reduce Paraphimosis", "Constriction and oedema of the foreskin behind\nthe glans penis (paraphimosis) may occur if fore\nskin is not replaced" ], [ "Secure catheter tube to medial thigh\nEnsure catheter does not become taught when patient is\nmobilising or when penis becomes erect", "To maintain patient comfort and to reduce the\nrisk of urethral and bladder neck trauma" ], [ "Place drainage bag below the level of the bladder and off the\nfloor", "To aid bladder drainage\nTo reduce risk of infection" ], [ "Help the patient into a comfortable position. Ensure that the\npatient's skin and bedding is clean and dry and patient's dignity\nis maintained prior to leaving the bed area.", "If the area is left wet or moist, secondary\ninfection and skin irritation may occur" ], [ "Measure and document urine output on fluid balance chart if\nindicated.\nAfter 15 minutes of catheter insertion measure and document\nthe amount of urine drained", "To be aware of bladder capacity for patients who\nhave presented with urinary retention. To\nmonitor renal function and fluid balance" ], [ "On completion of procedure, clear away equipment into a\nplastic clinical waste bag or sharps box as appropriate. Seal\nbefore moving the trolley. Dispose of PPE to comply with\nNobles Hospital Health Care Waste Management Policy.", "To prevent cross infection and environmental\ncontamination" ], [ "Decontaminate hands following removal of PPE", "To remove any accumulation of transient skin\nflora that may have built up under gloves and\npossible contamination following removal of PPE" ], [ "Record information in patient's health records\nRefer to \"catheter label' and stick in patient's health records\nInsertion date and time\n·\nCatheter material! expiry date\n·\nCharriere size and length\n·\nBalloon size\n·\nBatch number\n·\nCleansing and anaesthetic agents", "To document event and have a permanent\nrecord for reference and monitoring of future\ncare planning.\nCatheter plan or date of catheter removal I\nchange is essential for safety of patient" ] ], "row_count": 12, "col_count": 2 }, { "headers": [ "PROCEDURE", "RATIONALE" ], "rows": [ [ "Introduce yourself and any colleagues involved at the contact\nScreen bed area", "To gain patient co-operation\nTo ensure patients privacy and dignity" ], [ "Verbally confirm the identity of the patient by asking for their\nfull name and date of birth. If patient unable to confirm, check\nidentity by use of patient arm band/ family/carer", "To avoid mistaken identity" ], [ "Explain procedure to patient, including risks and benefits and\ngain informed verbal consent. If patient unable to give consent,\nact in patients best interests by following The Noble's Hospital\nConsent Policy. Appendix 3", "To ensure client understands procedure and\nenable patient to make informed decisions" ], [ "Provide written information leafiet to support this discussion\nAppendix 11", "" ], [ "Offer patient a chaperone and document decision in health\nrecords", "It is the patients' choice to have a chaperone if\nwanted. Discuss with line manager if nurse\nconsiders a chaperone is needed as part of risk\nassessment" ], [ "Adhere to Department of Health Infection Prevention and\nControl Policy, Personal Protective Equipment Policy and Hand\nHygiene Policy", "To reduce risk of infection" ], [ "Check the patient's hea~h records / assess patient for past\nproblems / complication associated with urinary catheterisation\nAppendix 2", "To assess for previous problems / complications" ], [ "Check for any allergies e.g. lignocaine, chlorhexidine or latex", "To reduce risk of anaphylaxis" ], [ "Ensure all equipment is gathered before commencing the\nprocedure\nClean and prepare trolley, placing all equipment required on\nthe bottom shelf\nAppendix 4", "To prevent contamination of sterile equipment\nand to ensure the procedure is not commenced\nwithout all necessary equipment\nTop shelf acts as a clean working surface" ], [ "Select appropriate Female length, ch. size catheter. (20 -\n26cm females only)\nAppendix 7", "Female length catheters (shorter length) are for\nfemales only.\nPooling of urine in a loop of catheter is likelv in" ] ], "row_count": 10, "col_count": 2 }, { "headers": [ "", "women catheterised with a standard length\ncatheter, which can lead to an increased risk of\ninfection.\nSome women with very large thighs or obese\nmay find the female catheter too short, and may\nrequire the longer standard length." ], "rows": [ [ "Wash and dry hands prior to procedure and put on personal\nprotective Equipment (PPE)", "To reduce the risk of transfer of transient micro-\norganisms on the health care workers hands.\nTo prevent cross infection and environmental\ncontamination" ], [ "Place incontinence pad underneath patient's buttocks. Do not\nleave the patient unduly exposed at this stage of the\nprocedure", "" ], [ "If not first catheterisation, remove existing catheter attach\nempty syringe to catheter port. Do not draw back on the\nsyringe; allow the catheter balloon to deflate using gravity.\nWhen catheter balloon is deflated place a piece of sterile\ngauze around the catheter and slowiy withdraw the catheter.\nRemove and dispose of PPE (Personal Protective Equipment)\nWash hands.", "To avoid vacuuming of bladder mucosa\nPPE must be changed in between different tasks\non the same patient" ], [ "Follow aseptic principles, open outer cover of sterile dressing\npack, and slide the pack onto the top shelf of the previously\ncleaned dressing trolley. Place all sterile single use equipment\nwithin sterile field including catheter and drainage system", "To maintain asepsis and prevent contamination\nof sterile equipment." ], [ "Assist the patient into supine position, with knees bent and\nhips flexed and feet comfortable apart (if able l.", "To maintain patients dignity and comfort. To\navoid soiling of patient or bedclothes" ], [ "Wash hands and continue procedure with PPE and sterile\ngloves", "" ], [ "Arrange sterile clinical sheet in place\nSeparate the labia and identify urethral meatus,\nUsing sterile gauze soaked with 0.9% normal saline, clean the\nmeatus: labia majora, then the labia minor and finally the\nurethral meatus. One swab one wipe anterior to posterior", "To help minimise risk of urinary tract infection\nInadequate preparation of the urethral meatus is\na major cause of infection following\ncatheterisation." ], [ "Separate the labia with one hand and give gentle traction\nupwards", "To have a good view of the meatus and to\nminimise the risk of contamination of the urethra" ], [ "Apply a little of the anaesthetic lubricating gel to the meatus\nand then insert the nozzle of the syringe with anaesthetic\nlubricating gel in the meatus and slowly instil 6 mls of the gel\ninto the urethra. Advise the patient slight stinging may be\nexperienced. Wait the recommended manufacturer's time I 5\nminutes for anaesthetic gel to take effect", "Adequate anaesthetic and lubrication helps\nprevent urethral trauma, reduces risk of infection\nand minimises discomfort experienced by\npatient." ], [ "Remove gloves, decontaminate hands and apply new sterile\ngloves", "To reduce the risk of transfer of transient micro -\norganisms on the health care workers hands" ], [ "Examine, prepare and check expiry date of catheter", "To ensure pa~ent safety" ], [ "Arrange sterile towel to cover the surrounding area and\nmaintain dignity Position the sterile receiver to catch the\nurine", "To create sterile field and help prevent\ncontamination" ], [ "Insert the catheter in to the meatus; gently advance the\ncatheter along the urethra until it reaches the bladder.\n(ApprOXimately 5 - 6 cm). Once urine has started draining\ninsert the catheter a further 2 -3 cm deeper.\nIf no urine drains gently apply pressure over the symphysis\npubis area.", "Avoid handling the catheter tip and length, use of\nforceps or the plastic catheter sleeve will help\nreduce risk of catheter contamination\nTo ensure catheter balloon is in the bladder" ] ], "row_count": 13, "col_count": 2 }, { "headers": [ "If at any point patient experiences any undue pain or there is\nresistance when passing the catheter, stop and seek senior\nadvice", "" ], "rows": [ [ "Do not inflate the catheter balloon unless urine is freely\ndraining into the kidney dish\nIf Prefilled balloon: Release clamp of balloon and allow slow\nrelease of water. Observe for verbal and non-verbal signs of\npain.\nIf not prefilled balloon:\nSlowly inflate the balloon with 10mls of sterile water according\nto manufacturer's instructions.", "Balloon inflation should be pain free. If the\npatient is experiencing any pain or discomfort\nduring balloon inflation, the balloon may be\npositioned in the urethra. Deflate the balloon and\nadvance the catheter a few more centimetres\nbefore trying again.\nOver inflation of the balloon may cause irritation\nof the bladder trigone inducing bladder spasm\nwhich in turn causes \"by passing\" of urine\naround the urethral orifice." ], [ "Once the balloon is inflated withdraw the catheter gently until\nresistance is felt", "To confirm positioning of the catheter" ], [ "Collect catheter specimen of urine, preform urinalysis and\nforward this specimen to microbiology if appropriate. Ensure\nresults of CSU are reviewed and appropriately acted on if\nnecessary.", "" ], [ "Attach the catheter to a previously selected closed drainage\nsystem", "To reduce infection and maintain closed circuit\nsystem" ], [ "Secure catheter tube to medial thigh\nEnsure catheter does not become taught when patient is\nmobilising", "To maintain patient comfort and to reduce the\nrisk of urethral and bladder neck trauma" ], [ "Place drainage bag below the level of the bladder and off the\nfloor", "To aid bladder drainage\nTo reduce risk of infection" ], [ "Secure catheter tube to medial thigh with appropriate catheter\nfixation device", "To maintain patient comfort and to reduce the\nrisk of urethral and bladder neck trauma" ], [ "Help the patient into a comfortable position. Ensure that the\npatient's skin and bedding is clean and dry and patient's dignrty\nis maintained prior to leaving the bed area.", "If the area is left wet or moist, secondary\ninfection and skin irritation may occur" ], [ "Measure and document urine output on fluid balance chart if\nindicated.\nAfter 15 minutes of catheter insertion measure and document\nthe amount of urine drained", "To be aware of bladder capacity for patients who\nhave presented with urinary retention. To\nmonitor renal function and fluid balance" ], [ "On completion of procedure, clear away equipment into a\nplastic clinical waste bag or sharps box as appropriate. Seal\nbefore moving the trolley. Dispose of PPE to comply with\nNobles Hospital Health Care Waste Management Programme", "To prevent cross infection and environmental\ncontamination" ], [ "Decontaminate hands following removal of PPE", "To remove any accumulation of transient skin\nflora that may have built up under gloves and\npossible contamination following removal of PPE" ], [ "Record information in patient's health records\nRefer to \"catheter label\" and stick in patient's health records\n·\nInsertion date and time\n·\nCatheter materiall expiry date\n·\nCharriere size and length\n·\nBalloon size\n·\nBatch number\n·\nCleansing and anaesthetic agents\n·\nUrine drainage system", "To document event and have a permanent\nrecord for reference and monitoring of future\ncare planning.\nCatheter plan or date of catheter removal I\nchange is essential for safety of patient" ] ], "row_count": 12, "col_count": 2 }, { "headers": [ "Type of\nCatheter", "When Used", "Maximum Time\nto be left insitu", "Advantages", "Disadvantages" ], "rows": [ [ "Silicone\n100%", "Management for\npatients with:\nRetention of\nurine,\nincomplete\nbladder\nemptying,\nintractable\nurinary\nincontinence ....", "\"Long Term\ncatheter\"\nMaximum\n12 week duration\nChange every 12\nweeks or before", ". Reduces tissue\nirritation and\nencrustation.\n• Suitable for patients\nwith latex allergy.\n• Thin walled\ncatheter with a\nlarger lumen than\ncoated catheters.", "• May predispose to internal\nencrustation\n• Silicone is semi-permeable,\nwhich may lead to\ndeflation of balloon and\npremature failure of the\ncatheter\n• Formation of a \"cuff\" on\ndeflation of the balloon" ], [ "Hydrogel\ncoated\nlatex", "Long term\nmanagement for\npatients with:\nRetention of\nurine,\nincomplete\nbladder\nemptying,\nintractable\nurinary\nincontinence", "\"Long Term\ncatheter\"\nMaximum\n12 week duration\nChange every 12\nweeks or before", "• Biocompatible\n• Low surface friction\n• Minimises bacterial\nadherence and\nencrustation.", "• Unsuitable for patients who\nlatex allergy" ], [ "Hydrogel\ncoated\nsilicone", "Management for\npatients with:\nRetention of\nurine,\nincomplete\nbladder\nemptying,\nintractable\nurinary\nincontinence", "\"Long Term\ncatheter\"\nMaximum\n12 week duration\nChange every 12\nweeks or before", "• Inert material\nSUitable for patients\nwith latex allergy\n• Reduced irritation\n• Thin walled\ncatheter with a\nlarger lumen than\ncoated catheters\n• Hydrogel coatin\nenhances patient\ncomfort and may\nreduce resistance\nto blockage.", "• Crescent shaped lumen\nmay predispose to internal\nencrustation\n• Silicone is semi-permeable,\nwhich may lead to deflation\nof the balloon and\npremature failure of the\ncatheter\ng. Formation of a \"cuff\" on\ndeflation of the balloon of\nall silicone catheters causes\ndifficulty in removal." ], [ "PTFE\n(Poly\nTetra\nFluroethyl\nene)\nTeflon\ncoated\nlatex\ncore.", "• To monitor\nurine output,\nto treat\nurinary\nretention for\npost-\noperative\nand critically\nill patients\n• To instil\nsolutions to", "\"Short Term\ncatheter\"\nMaximum\n28 days duration\nChange before 28\ndays", "• Flexible shaft gives\nuniform, strong\nwalls that resist\ncollapse and\nkinking.\n• Round drainable\nlumen ensures\nmaximum flow rate\nand lessens the risk\nof blockage of\ndebris.", "• Do not use if latex allergy\n• Coating is likely to wear off\nif left longer than\nmanufacturers\nrecommendations (28 day)\n• Not suita ble for long term\nuse." ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "Charriere\n(Ch)", "Indication" ], "rows": [ [ "Ch 12 - 14", "Clear urine, no debris, no grit, no haematuria" ], [ "Ch 16", "Slightly cloudy urine, light haematuria, with or without small clots,\nnone or mild grit, none or mild debris" ], [ "Ch 18 - 20", "Haematuria with moderate clots. Moderate to heavy grit, moderate\nto heavy debris. Usually post urological surgery. Seek advice from\nUrology Department" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "SELECTING THE DRAINAGE\nSYSTEM", "ADVICE" ], "rows": [ [ "Urine drainage bags \"Leg Bags\",\n\"Day Bags\"", "Available in 500mls and 750mls\nWill normally be leg bags for people who are\nambulant to use in the day.\nFollow manufacturer's instructions that indicate\nthat the bag will normally be changed every 5 -\n7 days." ], [ "For overnight drainage use a link\nsystem", "A 2-litre night bag is attached to the leg bag." ], [ "Catheter valves", "Used following individual patient assessment\nguidance in relation to manufacturer's\ninstructions and following clinical assessment.\nSeek advice from Urology Department" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "", "Procedure", "Assessor's\ncomments.", "Assessor's\nsignature" ], "rows": [ [ "", "", "", "and date" ], [ "Patient", "• Establishes patient identity.\n• Explains procedure and allows questioning\n(where appropriate) - gaining informed consent.\n• Maintains patients comfort, dignity and privacy.\n• Checks for allergies.", "", "" ], [ "Eguil!ment", "• Prepares and collects all equipment:\n(As listed in appendix 4)", "", "" ], [ "Princil!les of\ninfection", "• Demonstrates correct hand washing technique\nand the use of alcohol rub.\n• Maintains universal precautions.", "", "" ], [ "control", "", "", "" ], [ "Prel!aration", "• Maintains patients comfort, dignity and privacy\n• Equipment opened, checked and assembled", "", "" ], [ "Procedure", "• As described in Policy titled, Urethral\nCatheterisation of the Male and Female\nUrinary Bladder", "", "" ], [ "Safety", "• Explanation and care of urinary catheter\nexplained to patient. Appendix 11\n• Maintains patient comfort.\n• Answers questions appropriately.\n• Specimens and forms correctly labelled if CSU\nneeded.\n• Specimens forwarded to lab.\n• Sharps disposed of correctly.", "", "" ], [ "Records", "• Documents procedure and relevant information\nin patient's health care records.\nInsertion date and time\nSize of Catheter\nBalloon volume\nReason for catheterisation\nLocal anaesthetic used\nAll batch number\nAny problems negotiated during the procedure\nCatheter plan - plan for change or removal.", "", "" ] ], "row_count": 9, "col_count": 4 }, { "headers": [ "No", "Date", "Male or\nFemale", "Assessor's\nSignature" ], "rows": [ [ "1", "", "", "" ], [ "2", "", "", "" ], [ "3", "", "", "" ], [ "4", "", "", "" ], [ "5", "", "", "" ], [ "6", "", "", "" ], [ "7", "", "", "" ], [ "8", "", "", "" ] ], "row_count": 8, "col_count": 4 } ] }, { "case_id": 355387, "title": "Endoscopy, Sigmodoioscopy and Colonoscopy", "authority": "Department of Health and Social Care", "date_received": "2017-05-22", "outcome": "All information sent", "summary": "The Department of Health and Social Care responded to a request for endoscopy procedure volumes and waiting list statistics for Ramsey District Cottage Hospital and Noble's Hospital between April 2016 and March 2017. The authority disclosed all requested data, providing monthly breakdowns of procedures conducted and the total number of patients waiting.", "key_facts": [ "The request covered endoscopy procedures (gastroscopy, colonoscopy, flexible sigmoidoscopy) and waiting lists for the period 01/04/16 to 31/03/17.", "Data was provided for two locations: Noble's Hospital and Ramsey District Cottage Hospital (RDCH).", "Cystoscopies were included in the procedure counts as they also take place in the Endoscopy Suite.", "The total number of procedures conducted was 3,289, performed on 2,615 unique patients.", "The waiting list grew from 1,582 patients in April 2016 to 2,028 patients in March 2017." ], "data_mentioned": [ "3289", "2615", "2697", "592", "1582", "2028", "01/04/16", "31/03/17", "25 May 2017", "21 May 2017" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "", "", "", "Number of", "", "", "Number of", "", "Total Procedures", "", "" ], "rows": [ [ "", "", "", "", "procedures at", "", "", "procedures at", "", "", "", "" ], [ "", "", "", "", "Noble's Hospital", "", "", "RDCH", "", "", "", "" ], [ "", "April 2016", "", "", "244", "", "", "50", "", "", "294", "" ], [ "", "May 2016", "", "", "202", "", "", "106", "", "", "308", "" ], [ "", "Jun 2016", "", "", "242", "", "", "31", "", "", "273", "" ], [ "", "July 2016", "", "", "214", "", "", "53", "", "", "267", "" ], [ "", "August 2016", "", "", "235", "", "", "30", "", "", "265", "" ], [ "", "September 2016", "", "", "241", "", "", "69", "", "", "310", "" ], [ "", "October 2016", "", "", "217", "", "", "38", "", "", "255", "" ], [ "", "November 2016", "", "", "267", "", "", "35", "", "", "302", "" ], [ "", "December 2016", "", "", "195", "", "", "44", "", "", "239", "" ], [ "", "January 2017", "", "", "208", "", "", "39", "", "", "247", "" ], [ "", "February 2017", "", "", "220", "", "", "50", "", "", "270", "" ], [ "", "March 2017", "", "", "212", "", "", "47", "", "", "259", "" ], [ "", "Total Procedures", "", "", "2697", "", "", "592", "", "", "3289*", "" ] ], "row_count": 15, "col_count": 12 }, { "headers": [ "", "", "", "", "Total Number Waiting", "" ], "rows": [ [ "", "April 2016", "", "", "1582", "" ], [ "", "May 2016", "", "", "1576", "" ], [ "", "Jun 2016", "", "", "1638", "" ], [ "", "July 2016", "", "", "1652", "" ], [ "", "August 2016", "", "", "1729", "" ], [ "", "September 2016", "", "", "1720", "" ], [ "", "October 2016", "", "", "1738", "" ], [ "", "November 2016", "", "", "1791", "" ], [ "", "December 2016", "", "", "1801", "" ], [ "", "January 2017", "", "", "1859", "" ], [ "", "February 2017", "", "", "1928", "" ], [ "", "March 2017", "", "", "2028", "" ] ], "row_count": 12, "col_count": 6 } ] }, { "case_id": 356073, "title": "Unauthorised Computer Access", "authority": "Department of Health and Social Care", "date_received": "2018-01-11", "outcome": "All information sent", "summary": "The request sought the number of Department of Health and Social Care employees facing disciplinary proceedings for unauthorized computer access since 2011. The authority disclosed data for 2013 to 2016 but refused to provide information for 2011 and 2012 due to database limitations.", "key_facts": [ "The Department of Health and Social Care responded to a Freedom of Information request regarding employee disciplinary proceedings.", "Data was provided for the years 2013, 2014, 2015, and 2016.", "Information for 2011 and 2012 was withheld because the HR database does not hold records for cases concluded prior to April 2014.", "The total number of employees facing proceedings in the disclosed years was 5.", "The response was issued on 31st January 2018." ], "data_mentioned": [ "2011", "2012", "2013", "2014", "2015", "2016", "1", "0", "3", "April 2014", "2018-01-11", "2018-01-31" ], "exemptions_cited": [ "Section 11 of the Freedom of Information Act 2015 (Practical refusal reason: information not held or cannot be found after reasonable steps)" ], "tables": [ { "headers": [ "Year", "Number of Employees" ], "rows": [ [ "2013", "1" ], [ "2014", "1" ], [ "2015", "0" ] ], "row_count": 3, "col_count": 2 } ] }, { "case_id": 356085, "title": "HPV Vaccine", "authority": "Department of Health and Social Care", "date_received": "2018-01-18", "outcome": "All information sent", "summary": "The request sought annual HPV vaccination statistics, consent procedures, and adverse reaction reporting data for the Isle of Man since 2008. The Department of Health and Social Care disclosed vaccination uptake rates from 2010 to 2016, clarified that Patient Information Leaflets are provided at the time of vaccination rather than beforehand, and explained that adverse reaction data is aggregated by the UK's MHRA and not returned to the local department.", "key_facts": [ "HPV vaccination was introduced into the routine schedule in 2010 using Cervarix, with Gardasil used from 2011 onwards.", "Patient Information Leaflets (PILs) are supplied with the vaccination, not prior to giving informed consent.", "Adverse effects are recorded via the MHRA Yellow Card scheme, but specific Isle of Man reports are not fed back to the local DHSC.", "Vaccination uptake rates for eligible girls ranged between 84.2% and 92.3% from 2010 to 2016.", "No vaccination data was provided for 2008 or 2009 as the program had not yet started." ], "data_mentioned": [ "2010", "2011", "2012", "2013", "2014", "2015", "2016", "465", "532", "445", "402", "458", "414", "430", "395", "491", "403", "360", "416", "376", "362", "84.9%", "92.3%", "90.6%", "89.6%", "90.8%", "84.2%" ], "exemptions_cited": [], "tables": [ { "headers": [ "School Year 2010 2011 2012 2013 2014 2015 2016", "", "", "", "", "", "", "" ], "rows": [ [ "Eligible Cohort", "465", "532", "445", "402", "458", "414", "430" ], [ "HPV Received", "395", "491", "403", "360", "416", "376", "362" ], [ "% HPV Received", "84.9%", "92.3%", "90.6%", "89.6%", "90.8%", "90.8%", "84.2%" ] ], "row_count": 3, "col_count": 8 } ] }, { "case_id": 358145, "title": "CRC advice/reccommendations Translarna 2016", "authority": "Department of Health and Social Care", "date_received": "2017-02-09", "outcome": "All information sent", "summary": "The Department of Health and Social Care provided the Clinical Recommendations Committee's 2016 advice regarding the funding of Translarna for Duchenne Muscular Dystrophy. The committee recommended the drug be classified as a low priority due to inadequate evidence for clinical and cost effectiveness.", "key_facts": [ "The CRC recommended Ataluren (Translarna) as a LOW PRIORITY for DHSC funding in May 2016.", "The decision was based on inadequate evidence for clinical and cost effectiveness given other resource demands.", "NICE proposed funding Ataluren within a managed access agreement, which the CRC noted reflected the current evidence base.", "Duchenne Muscular Dystrophy is a rare disorder affecting 1-9 per 100,000 people, with an estimated 1-4 cases on the Isle of Man.", "Approximately 15-30% of DMD cases are caused by a nonsense mutation, potentially affecting around one person on the Isle of Man." ], "data_mentioned": [ "12 May 2016", "09th February 2017", "10th February 2017", "1-9 per 100,000", "1 and 4 people", "15-30%", "30 years of age", "5 years", "aged 5 or over" ], "exemptions_cited": [], "tables": [ { "headers": [ "Summary of evidence considered by CRC" ], "rows": [ [ "• Duchenne Muscular Dystrophy (DMD) is a rare, X-linked recessive disorder that mainly" ], [ "affects males." ], [ "• The prevalence is 1-9 per 100,000, meaning we would expect to have between 1 and 4" ], [ "people on the Isle of Man with the condition." ], [ "• About 15-30% of DMD cases are caused by a specific gene mutation (nonsense mutation)." ], [ "Around one person on the Isle of Man with DMD might have this mutation." ], [ "• DMD causes progressive muscle weakness from childhood. Patients eventually lose the" ], [ "ability to walk. The condition affects other body systems leading to death from respiratory" ], [ "or cardiac failure at around 30 years of age." ], [ "• Ataluren is a new drug which can restore muscle protein synthesis in patients with nonsense" ], [ "mutation DMD." ], [ "• Ataluren has been considered by NICE and a final evaluation document setting out NICE’s" ], [ "recommendation was published in April. NICE’s final recommendation (highly specialised" ], [ "technology guidance) will be published in May." ], [ "• If NICE approves ataluren, it will be mandatory for NHS England to fund it for English" ], [ "patients." ], [ "• NICE has no status on the Isle of Man but Manx patients are treated within English" ], [ "specialised services and so a policy is required." ], [ "• NICE are proposing to recommend ataluren for nonsense mutation DMD within a managed" ], [ "access agreement with the manufacturers. The drug would be an option for all nonsense" ], [ "mutation DMD patients aged 5 or over who are able to walk. The price agreed with the" ], [ "company is confidential. The agreement will run for five years and be subject to evaluation" ], [ "of clinical outcomes." ], [ "• Clinical Effectiveness: NICE considered two randomised controlled trials (studies 070 and" ], [ "020). Both studies included patients who were fully able to walk and patients whose walking" ], [ "ability had already started to decline. The studies both lasted for 48 months. Analysis of the" ] ], "row_count": 26, "col_count": 1 }, { "headers": [ "effects of ataluren in the full study populations did not show any benefit from ataluren" ], "rows": [ [ "compared to placebo. Sub-group analysis of patients who were already in the decline phase" ], [ "at study entry showed that ataluren did slow further decline in walking compared to" ], [ "placebo. This slowing of decline was highly valued by patients and parents." ], [ "• The duration of the studies was too short to demonstrate impact of ataluren on loss of" ], [ "walking (not just decline) or mortality." ], [ "• In clinical practice, specialists would want to prescribe ataluren for all patients over 5 who" ], [ "can still walk (with the intention of preventing/delaying onset of decline), not just those" ], [ "whose walking is already declining. The evidence of benefit across this whole group is" ], [ "uncertain." ], [ "• Cost effectiveness: because of the uncertainties around clinical effectiveness and the" ], [ "assumptions around clinical course, it is not possible to precisely estimate how many Quality" ], [ "Adjusted Life Years ataluren may give compared to best supportive care. Estimates of the" ], [ "number of QALYs gained range from 2.389 to 8.562. The costs agreed in the managed" ], [ "access scheme are confidential so we have no estimate of incremental cost per QALY at this" ], [ "price. The cost per incremental QALY gained at list price is around £1.18 million." ], [ "• The average cost of treatment per patient per year at list price is around £250,000." ], [ "• NICE considers the incremental cost per QALY under the managed access scheme is" ], [ "appropriate value for money for the NHS. However, they note that the cost per QALY is" ], [ "significantly greater than other drugs covered by Highly Specialised Technology Guidance" ], [ "and that there are considerable uncertainties around clinical benefits." ], [ "• Therefore, the managed access scheme will run for 5 years at the end of which monitoring" ], [ "and outcomes data will be reviewed to inform revised policy (which could include" ], [ "withdrawing NHS funding)." ], [ "• We have confirmed that DHSC could access ataluren at the cost agreed by NHS England for" ], [ "the managed access scheme. This cost cannot be included in this document as it is" ], [ "confidential." ] ], "row_count": 26, "col_count": 1 } ] }, { "case_id": 358149, "title": "Nurses posts, admin posts and volunteer redundancies", "authority": "Department of Health and Social Care", "date_received": "2017-07-30", "outcome": "Some information sent but part exempt", "summary": "The Department of Health and Social Care provided detailed statistics on nursing and administrative post vacancies as of July 2017 but withheld individual voluntary redundancy data due to privacy exemptions, though a total payout figure was disclosed.", "key_facts": [ "Total nursing posts across all service areas numbered 878, with 767 filled and 66 vacant as of 31 July 2017.", "Administrative posts totaled 192, comprising 148 filled and 44 vacant positions.", "Individual voluntary redundancy details were withheld under Section 25 of the Freedom of Information Act 2015.", "The total amount paid for voluntary redundancies over the last three years was £273,201.33.", "Some nursing data for Adult Services Social Care was withheld due to small numbers posing data protection risks." ], "data_mentioned": [ "31 July 2017", "878", "767", "66", "192", "148", "44", "£273,201.33", "Section 25", "Data Protection Act 2002" ], "exemptions_cited": [ "Section 25 of the Freedom of Information Act 2015 (absolutely exempt personal information)", "Data Protection Act 2002 (data protection principles regarding fair and lawful disclosure)" ], "tables": [ { "headers": [ "", "", "", "", "No. of posts", "No. of posts", "" ], "rows": [ [ "", "", "", "No. of", "", "", "" ], [ "Service", "", "No. of filled", "", "not yet in", "in", "" ], [ "", "Band", "", "vacant", "", "", "Total posts" ], [ "Area", "", "posts*", "", "active", "recruitment", "" ], [ "", "", "", "posts†", "", "", "" ], [ "", "", "", "", "recruitment±", "process§", "" ], [ "", "", "", "", "", "", "" ], [ "Community\nHealth", "Band 05", "50", "2", "0", "5", "57" ], [ "", "Band 06", "38", "2", "0", "0", "40" ], [ "", "Band 07", "27", "1", "0", "0", "28" ], [ "", "Band 08", "14", "1", "0", "0", "15" ], [ "Total", "", "129", "11", "0", "0", "140" ], [ "Mental\nHealth", "Band 05", "53", "2", "0", "0", "55" ], [ "", "Band 06", "58", "0", "1", "15‖", "68" ], [ "", "Band 07", "44", "7", "2", "", "59" ], [ "", "Band 08", "22", "7", "2", "0", "31" ], [ "Total", "", "177", "16", "5", "15", "213" ], [ "Adult\nServices\nSocial Care", "Band 05", "¶", "¶", "¶", "¶", "¶" ], [ "", "Band 06", "", "", "", "", "" ], [ "", "Band 07", "", "", "", "", "" ], [ "", "Band 08", "", "", "", "", "" ], [ "Total", "", "¶", "¶", "¶", "¶", "13" ], [ "Noble’s\nHospital /\nAcute Care", "Band 05", "189", "24", "2", "24‖", "233" ], [ "", "Band 06", "121", "10", "1", "", "135" ], [ "", "Band 07", "67", "4", "1", "", "74" ], [ "", "Band 08", "35", "0", "1", "", "37" ], [ "Total", "", "412", "38", "5", "24", "479" ], [ "DHSC Total", "", "767", "66", "13", "40", "878" ] ], "row_count": 28, "col_count": 7 }, { "headers": [ "", "Administrative", "", "", "Number of Filled", "", "", "Number of Vacant", "", "", "Total Number of", "" ], "rows": [ [ "", "Grade", "", "", "Posts", "", "", "Posts", "", "", "Posts", "" ], [ "Assistant (AA)", "", "", "78", "", "", "28", "", "", "106", "", "" ], [ "Officer (AO)", "", "", "70", "", "", "16", "", "", "86", "", "" ], [ "Total", "", "", "148", "", "", "44", "", "", "192", "", "" ] ], "row_count": 4, "col_count": 12 } ] }, { "case_id": 358151, "title": "retention schedules", "authority": "Department of Health and Social Care", "date_received": "2017-08-03", "outcome": "Some information sent but not all held", "summary": "The requester asked for data on record retention schedules and detailed information regarding the MediViewer digital health project at Nobles Hospital. The Department of Health and Social Care issued a revised response correcting an error on retention data and provided partial information on record destruction, while withholding other requested project details.", "key_facts": [ "The Department issued a revised response on 01 September 2017 to correct an error regarding records held beyond their retention schedule.", "Adult Social Care Home Care Team held 80 service user records due for destruction.", "Children and Families Social Care identified 28,680 files beyond their retention date, with 23,568 destroyed on 25 August 2017.", "Cummal Mooar and Southlands care homes held no records outside their retention period.", "The response indicates that some requested information regarding MediViewer audits, budgets, and training could not be provided." ], "data_mentioned": [ "2017-08-03", "2017-09-01", "2017-08-25", "80", "28,680", "23,568", "February 2017", "BS10008" ], "exemptions_cited": [], "tables": [ { "headers": [ "Area", "", "", "Total no of\nstaff to\ntrain", "Total no of\nstaff\nbooked\nonto\ntraining", "", "Total no", "", "Total no. of\nstaff\ntrained" ], "rows": [ [ "", "", "", "", "", "", "of staff", "", "" ], [ "", "", "", "", "", "", "trained", "", "" ], [ "", "", "", "", "", "", "w/s", "", "" ], [ "", "", "", "", "", "", "31/07/17", "", "" ], [ "Admin", "", "", "1", "1", "0", "", "", "1" ], [ "", "Anaesthetists", "", "9", "9", "0", "", "", "9" ], [ "Breast Unit", "", "", "2", "2", "0", "", "", "2" ], [ "Cancer Multidisciplinary Team", "", "", "4", "3", "0", "", "", "3" ], [ "Cancer Services", "", "", "4", "4", "0", "", "", "4" ], [ "Cardio Respiratory", "", "", "11", "10", "0", "", "", "10" ], [ "Community Nurses", "", "", "1", "1", "0", "", "", "1" ], [ "Consultants / Doctors", "", "", "45", "45", "0", "", "", "45" ], [ "Core Medical Trainees", "", "", "4", "4", "4", "", "", "4" ], [ "Day Assessment Treatment\nUnit", "", "", "14", "14", "0", "", "", "14" ], [ "Dental Nurses", "", "", "3", "3", "0", "", "", "3" ], [ "Dietetics", "", "", "11", "10", "0", "", "", "10" ], [ "Ear Nose and Throat", "", "", "1", "1", "0", "", "", "1" ], [ "Emergency Department", "", "", "31", "30", "0", "", "", "30" ], [ "Endoscopy", "", "", "3", "3", "0", "", "", "3" ], [ "Foundation 1 Doctors", "", "", "21", "21", "0", "", "", "21" ], [ "Foundation 2 Doctors", "", "", "11", "8", "0", "", "", "8" ], [ "GPs with Special Interest", "", "", "1", "1", "0", "", "", "1" ], [ "Intensive Care Unit", "", "", "18", "18", "0", "", "", "18" ], [ "Locum Consultants", "", "", "7", "7", "2", "", "", "7" ], [ "Medical Coding", "", "", "6", "5", "0", "", "", "5" ], [ "Medical Records", "", "", "1", "1", "0", "", "", "1" ], [ "Medical Secretaries", "", "", "60", "59", "0", "", "", "59" ], [ "MHS", "", "", "62", "17", "0", "", "", "17" ], [ "Middle Grade Doctors", "", "", "3", "3", "0", "", "", "3" ], [ "Obstetrics and Gynaecology\nMedical Consultants", "", "", "7", "7", "0", "", "", "7" ], [ "Obstetrics and Gynaecology\nMedical Secretaries", "", "", "3", "3", "0", "", "", "3" ], [ "Occupational Therapy", "", "", "6", "4", "0", "", "", "4" ], [ "Oral Surgery Out Patients\nDepartment", "", "", "7", "7", "0", "", "", "7" ], [ "Out-patient Department", "", "", "32", "31", "0", "", "", "31" ], [ "PAC", "", "", "1", "1", "0", "", "", "1" ] ], "row_count": 35, "col_count": 9 }, { "headers": [ "Total no of" ], "rows": [ [ "staff" ], [ "booked" ], [ "onto" ], [ "training" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Paediatric Outpatients", "", "", "7", "", "", "3", "", "", "0", "", "", "3", "", "" ], "rows": [ [ "Paediatricians", "", "", "9", "", "", "2", "", "", "0", "", "", "2", "", "" ], [ "Pathology", "", "", "16", "", "", "14", "", "", "0", "", "", "14", "", "" ], [ "Patient Safety and\nGovernance", "", "", "6", "", "", "4", "", "", "0", "", "", "4", "", "" ], [ "Pharmacists", "", "", "6", "", "", "6", "", "", "5", "", "", "6", "", "" ], [ "Physiotherapy", "", "", "53", "", "", "26", "", "", "0", "", "", "26", "", "" ], [ "Podiatrists", "", "", "5", "", "", "5", "", "", "4", "", "", "5", "", "" ], [ "Private Patients", "", "", "19", "", "", "19", "", "", "0", "", "", "19", "", "" ], [ "Radiology", "", "", "10", "", "", "7", "", "", "0", "", "", "7", "", "" ], [ "Ramsey and District Cottage\nHospital", "", "", "49", "", "", "47", "", "", "0", "", "", "47", "", "" ], [ "Ramsey GPs", "", "", "8", "", "", "8", "", "", "0", "", "", "8", "", "" ], [ "Renal Unit", "", "", "2", "", "", "2", "", "", "0", "", "", "2", "", "" ], [ "Senior Nurses", "", "", "1", "", "", "1", "", "", "0", "", "", "1", "", "" ], [ "Social Workers", "", "", "6", "", "", "6", "", "", "0", "", "", "6", "", "" ], [ "Specialty Doctors", "", "", "5", "", "", "5", "", "", "0", "", "", "5", "", "" ], [ "Specialty Nurses", "", "", "11", "", "", "8", "", "", "0", "", "", "8", "", "" ], [ "Speech and Language\nTherapists", "", "", "7", "", "", "4", "", "", "0", "", "", "4", "", "" ], [ "Theatres", "", "", "67", "", "", "34", "", "", "0", "", "", "34", "", "" ], [ "Ward 1", "", "", "32", "", "", "18", "", "", "0", "", "", "18", "", "" ], [ "Ward 10", "", "", "58", "", "", "20", "", "", "0", "", "", "20", "", "" ], [ "Ward 11/12", "", "", "44", "", "", "24", "", "", "0", "", "", "24", "", "" ], [ "Ward 14 DPS", "", "", "29", "", "", "16", "", "", "0", "", "", "16", "", "" ], [ "Ward 16 Special Care Baby\nUnit", "", "", "16", "", "", "9", "", "", "2", "", "", "9", "", "" ], [ "Ward 18 Coronary Care Unit", "", "", "4", "", "", "4", "", "", "1", "", "", "4", "", "" ], [ "Ward 2", "", "", "26", "", "", "15", "", "", "0", "", "", "15", "", "" ], [ "Ward 20 Oncology", "", "", "7", "", "", "4", "", "", "0", "", "", "4", "", "" ], [ "Ward 3", "", "", "24", "", "", "16", "", "", "1", "", "", "16", "", "" ], [ "Ward 4", "", "", "17", "", "", "17", "", "", "0", "", "", "17", "", "" ], [ "Ward 5", "", "", "33", "", "", "33", "", "", "0", "", "", "33", "", "" ], [ "Ward 6", "", "", "7", "", "", "7", "", "", "0", "", "", "7", "", "" ], [ "Ward 7", "", "", "6", "", "", "6", "", "", "1", "", "", "6", "", "" ], [ "Ward 8", "", "", "4", "", "", "4", "", "", "3", "", "", "4", "", "" ], [ "Ward 9", "", "", "2", "", "", "2", "", "", "0", "", "", "2", "", "" ], [ "Other", "", "", "8", "", "", "8", "", "", "0", "", "", "8", "", "" ], [ "", "Total", "", "", "994", "", "", "737", "", "", "23", "", "", "737", "" ] ], "row_count": 34, "col_count": 15 } ] }, { "case_id": 360137, "title": "Information regarding underperformance of UDAs", "authority": "Department of Health and Social Care", "date_received": "2018-03-12", "outcome": "All information sent", "summary": "The Department of Health and Social Care disclosed detailed tables showing Units of Dental Activity (UDAs) contracted, completed, and achievement percentages for various dental providers across the 2014/2015, 2015/2016, and 2016/2017 financial years. The response also included specific year-end agreements regarding how providers addressed shortfalls, such as financial reimbursement or creating capacity for new NHS patients.", "key_facts": [ "Information was released for three financial years: 2014/2015, 2015/2016, and 2016/2017.", "Providers who failed to meet 100% of contracted UDAs were required to either reimburse the shortfall financially or create capacity for new NHS patients.", "Some providers carried forward unachieved UDAs to the following financial year as part of their agreement.", "One provider, Ravat & Ray Dental Practice, had a UDA shortfall dispute recorded for the 2015/2016 period.", "The data supersedes previous Freedom of Information responses regarding UDA delivery." ], "data_mentioned": [ "2018-03-12", "2018-04-06", "2014-2015", "2015-2016", "2016-2017", "6,540.00", "6066.80", "93%", "24,811.00", "100%", "101%", "80.4%", "1,002 new patients", "99%", "109%", "31%", "40%", "87%", "107%", "97%", "105%", "114%", "85%", "28.6%", "88%", "76%", "95%", "100.1%", "100.3%", "96%", "527 new patients", "265 new patients" ], "exemptions_cited": [], "tables": [ { "headers": [ "S Du Toit\nThie Rosien Dental\nPractice", "13,800.00", "13883.80", "101%", "N/A" ], "rows": [ [ "JH Van Rooyen\n65 Woodbourne\nRoad Dental Practice", "", "", "", "" ], [ "JH Van Rooyen\nWestview Dental\nPractices (Douglas &\nPeel)", "29,980.00", "29,732.2", "99%", "Provider carried forward the\nshortfall of 1% to be achieved\nin the following financial year\n(2015-2016)" ], [ "T Bell\nThe Tracey Bell Clinic", "", "", "", "" ], [ "M Ray / I Ravat\nRavat & Ray Dental\nPractice", "2,500.00", "777.00", "31%", "Provider reimbursed full\namount of shortfall to the\nDepartment" ], [ "A Gibb\nGrove Mount Dental\nPractice", "", "", "", "" ], [ "G Hill\nGrove Mount Dental\nPractice", "900.00", "728.80", "81%", "Provider reimbursed full\namount of shortfall to the\nDepartment" ], [ "A Karezis\nGrove Mount Dental\nPractice", "", "", "", "" ], [ "J S Dhariwal\nSmile Dental Practice", "12,000.00\n(plus a carry-forward\nfrom previous year of\n1,510.8 UDAs", "11819.60", "87%", "Agreement for the Provider to\ncarry forward 4% to the\nfollowing financial year 2015-\n2016 (480 UDAs) and the\nProvider reimbursed the\nremainder of the shortfall to\nthe Department" ], [ "S Kopacz / T Michalec\nAvondale Dental\nPractice", "", "", "", "" ] ], "row_count": 9, "col_count": 5 }, { "headers": [ "JH Van Rooyen / A\nLewis\n65 Woodbourne\nRoad Dental\nPractice", "16,655.00", "17,411.60", "105%", "N/A" ], "rows": [ [ "JH Van Rooyen / A\nVogelzang\nWestview Dental\nPractices (Douglas\n& Peel)", "", "", "", "" ], [ "T Bell\nThe Tracey Bell\nClinic", "750.00", "855.20", "114%", "N/A" ], [ "M Ray / I Ravat\nRavat & Ray Dental\nPractice", "", "", "", "" ], [ "A Gibb\nGrove Mount\nDental Practice", "200.00", "57.20", "28.6%", "Provider reimbursed full amount of\nshortfall to the Department" ], [ "G Hill\nGrove Mount\nDental Practice", "", "", "", "" ], [ "A Karezis\nGrove Mount\nDental Practice", "2,608.00", "1,978.00", "76%", "Provider reimbursed full amount of\nshortfall to the Department" ], [ "Mr J S Dhariwal\nSmile Dental\nPractice", "", "", "", "" ], [ "S Kopacz / T\nMichalec\nAvondale Dental\nPractice", "5,000", "5,199.2", "104%", "N/A" ] ], "row_count": 8, "col_count": 5 }, { "headers": [ "Provider & Practice", "Contracted UDAs", "Complete\nd UDAs", "% of\nUDAs\nAchieve\nd", "Year-End\nAgreement\nbetween the\nDepartment and\nthe Provider" ], "rows": [ [ "V Tsivos / V Loli\nPort Erin Dental\nPractice & The\nSquare Dental\nPractice", "28,321 (plus 720.4 C/O from 2015-\n2016)", "27,462.60", "95%", "Provider created\ncapacity for new NHS\npatients to join the\npractice in lieu of\nfinancial\nreimbursement to the\nDepartment. 527\nnew patients were\nallocated." ], [ "S Du Toit\nThie Rosien Dental\nPractice", "", "", "", "" ], [ "JH Van Rooyen / A\nLewis\n65 Woodbourne\nRoad Dental", "21,100.00", "21171.80", "100.3%", "N/A" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "Practice", "", "", "", "" ], "rows": [ [ "JH Van Rooyen / D\nHennig\nWestview Dental\nPractice (Douglas)", "", "", "", "" ], [ "A Vogelzang\nRegent Dental Care\n(Peel)", "18,000.00", "14753.80", "82%", "Provider created\ncapacity for new NHS\npatients to join the\npractice from\nSeptember 2016-April\n2017 following the\nremoval of the dental\npatient waiting list.\nAgreed for a full UDA\ncarryover of 18% to\nbe achieved in 2017-\n2018." ], [ "T Bell\nThe Tracey Bell\nClinic", "", "", "", "" ], [ "M Ray / I Ravat\nRavat & Ray Dental\nPractice", "18,500", "12824.00", "69%", "In Dispute" ], [ "G Hill\nGrove Mount\nDental Practice", "", "", "", "" ], [ "A Karezis\nGrove Mount\nDental Practice", "2,608.00", "2515.00", "96%", "Provider carried\nforward the shortfall\nof 4% to be achieved\nin the following\nfinancial year (2017-\n2018)" ], [ "Mr J S Dhariwal\nSmile Dental\nPractice", "", "", "", "" ], [ "S Kopacz / T\nMichalec\nAvondale Dental\nPractice", "6,000.00", "6121.40", "102%", "N/A" ] ], "row_count": 8, "col_count": 5 } ] }, { "case_id": 369652, "title": "Food Safety Inspection Reports", "authority": "Department of Environment, Food and Agriculture", "date_received": "2018-03-26", "outcome": "Request lapsed - requested information not provided", "summary": "A request was made for food safety inspection reports for premises in Castletown since January 2015, but the requester subsequently withdrew the request in total after clarification discussions.", "key_facts": [ "The request was submitted to the Department of Environment, Food and Agriculture on 2018-03-26.", "The requester sought full food safety reports for Castletown businesses issued since 1st January 2015.", "The authority sent a clarification email on 4th April 2018 which was initially routed to the requester's spam folder.", "Following a telephone conversation, the requester formally withdrew the FOI request on 17 April 2018.", "The requester cited the number of premises and the nature of visits as reasons for the withdrawal." ], "data_mentioned": [ "2018-03-26", "1st January 2015", "4th April 2018", "17 April 2018", "11:41", "10:01:42", "195.10.102.252", "IM4 3AS" ], "exemptions_cited": [], "tables": [ { "headers": [ "Field", "Value" ], "rows": [ [ "Status", "Submitted on 04/04/2018 09:35" ], [ "Entered by", "IP address 195.10.102.252" ], [ "Request reference", "Context Information request 369652" ] ], "row_count": 3, "col_count": 2 } ] }, { "case_id": 408233, "title": "GDS contracted UK qualification", "authority": "Department of Health and Social Care", "date_received": "2018-03-27", "outcome": "All information sent", "summary": "The request sought details on the qualifications of Isle of Man NHS dentists holding General Dentistry Service contracts, specifically asking for the number with UK qualifications and the countries of origin for others. The Department of Health and Social Care disclosed a full list of 24 providers, confirming that 11 obtained their qualifications in the UK while providing the specific countries for the remainder.", "key_facts": [ "11 out of 24 current NHS GDS Contract Providers gained their dental qualification in the UK.", "The remaining dentists qualified in countries including Greece, South Africa, Poland, India, and the Czech Republic.", "The authority provided the data voluntarily despite noting it is accessible via the General Dental Council website.", "The response included dentists from community services and the hospital as requested.", "The request was received on 27 March 2018 and concluded on 13 April 2018." ], "data_mentioned": [ "11", "24", "2018-03-27", "2018-04-13", "408233" ], "exemptions_cited": [], "tables": [ { "headers": [ "Contract Providers", "Qualification Gained", "", "", "", "", "", "", "", "" ], "rows": [ [ "• Vyron Tsivos\n• Vasiliki Loli", "", "DDS", "Athens", "", "", "", "", "", "" ], [ "", "", "DipD", "S Athens", "", "", "", "", "", "" ], [ "• Sanet Du Toit", "", "BDS", "University", "", "", "", "", "", "of" ], [ "", "", "Witwatersrand", "", "", "", "", "", "", "" ], [ "• Johannes Hermanus Van Rooyen\n• Allan Lewis", "", "BChD", "Stell", "", "", "", "19", "", "" ], [ "", "", "MSc", "Lond", "", "", "", "", "", "" ], [ "", "", "BDS", "Birm", "", "", "", "", "", "" ], [ "", "", "LDS", "RCS", "", "Edin", "", "", "", "" ], [ "• Johannes Hermanus Van Rooyen", "", "BChD", "Stell", "", "", "", "", "", "" ] ], "row_count": 9, "col_count": 10 }, { "headers": [ "• Dirk Hennig", "", "", "", "", "BChD", "", "", "", "Pretoria", "", "", "", "" ], "rows": [ [ "• Andre Vogelzang", "", "", "", "", "BChD", "", "", "", "Stel", "l", "", "", "" ], [ "• Tracey Bell", "", "", "", "", "BDS", "", "", "Manc", "", "", "", "", "" ], [ "• Irfan Ravat\n• Mark Ray", "", "", "", "", "BDS", "", "", "Manc", "", "K)", "", "", "" ], [ "", "", "", "", "", "MFGDP(U", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "BDS", "", "", "Birm", "", "", "", "", "" ], [ "•", "Athanasios", "", "Karezis", "", "DipDS", "", "", "", "Thessaloniki", "", "", "", "" ], [ "• Jaswinder Dhariwal", "", "", "", "", "BDS", "", "", "Wale", "", "s", "", "", "" ], [ "• Tomasz Michalec\n• Stanislaw Kopacz", "", "", "", "", "Lek", "", "Stom", "", "", "Warsaw", "", "", "" ], [ "", "", "", "", "", "Lek", "", "Stom", "", "", "Warsaw", "", "", "" ], [ "• Madhusudan Reddy Malikireddy", "", "", "", "Tamil Nadu", "", "", "", "", "", "", "", "", "" ], [ "• Charles Nwumga Dohvoma", "", "", "", "Bristol University", "", "", "", "", "", "", "", "", "" ], [ "• Alison Jane Qualtrough", "", "", "", "Leeds University", "", "", "", "", "", "", "", "", "" ], [ "• Bev McClung", "", "", "", "UK", "", "", "", "", "", "", "", "", "" ], [ "• Bev Dyer", "", "", "", "UK", "", "", "", "", "", "", "", "", "" ], [ "• Kirsty Reynolds", "", "", "", "UK", "", "", "", "", "", "", "", "", "" ], [ "• Nigel Armstrong", "", "", "", "UK", "", "", "", "", "", "", "", "", "" ], [ "• Zygmunt Mirski", "", "", "", "Poland", "", "", "", "", "", "", "", "", "" ], [ "• Michaela Duchnova", "", "", "", "Czech Republic", "", "", "", "", "", "", "", "", "" ] ], "row_count": 18, "col_count": 14 } ] }, { "case_id": 420033, "title": "NHS dental services on the Isle of Man", "authority": "Department of Health and Social Care", "date_received": "2018-03-13", "outcome": "Some information sent but part exempt", "summary": "A request for data on NHS dental services in the Isle of Man was partially fulfilled, with the Department of Health and Social Care providing UDA contract numbers, average values, and completion percentages for specific years, while citing existing public availability for total contracted figures.", "key_facts": [ "The average value of a Unit of Dental Activity (UDA) on the Isle of Man is £27.31.", "Information on total contracted UDAs was deemed already reasonably accessible via a previous FOI response from May 2017.", "The response included a table of contracted UDAs for the 2017-2018 period for 11 individual dental practices.", "Completion percentages for 2016-2017 were provided for several practices, ranging from 95% to 102%.", "An apology was issued for an initial omission regarding the completion percentage for Regent Dental Care (82%)." ], "data_mentioned": [ "£27.31", "2017-2018", "2016-2017", "2014-2017", "21,321.00", "7,000.00", "14,800.00", "21,100.00", "20,000.00", "18,000.00", "750.00", "18,500.00", "2,608.00", "12,000.00", "6,000.00", "100%", "102%", "96%", "95%", "82%", "19-May-2017", "13 March 2018", "IM108-739i", "IM84-057i" ], "exemptions_cited": [ "Section 20 of the Freedom of Information Act 2015 (Information already reasonably accessible)" ], "tables": [ { "headers": [ "Dental Provider", "Dental Practice", "", "Contracte", "" ], "rows": [ [ "", "", "", "d UDAs", "" ], [ "", "", "", "2017-", "" ], [ "", "", "", "2018", "" ], [ "Tsivos & Loli", "Port Erin Dental Practice, Port Erin", "21,321.00", "", "" ], [ "Tsivos & Loli", "The Square, Douglas", "7,000.00", "", "" ], [ "Sanet Du Toit", "Thie Roisen, Port Erin", "14,800.00", "", "" ], [ "JH Van Rooyen & A Lewis", "65 Woodbourne Road, Douglas", "21,100.00", "", "" ], [ "JH Van Rooyen & D Hennig", "Westview, Douglas", "20,000.00", "", "" ], [ "A Vogelzang", "Regent Dental Care - Peel", "18,000.00", "", "" ], [ "Tracey Bell", "The Tracey Bell Clinic, Douglas", "750.00", "", "" ], [ "Ravat & Ray Dental Care", "Off Ballerkermeen Road,Douglas", "18,500.00", "", "" ], [ "Thanos Karezis", "Grove Mount Dental Practice, Ramsey", "2,608.00", "", "" ], [ "Pip Dhariwal", "Smile Dental Care, Ramsey", "12,000.00", "", "" ], [ "ADP Limited", "Avondale Dental Practice, Onchan", "6,000.00", "", "" ] ], "row_count": 14, "col_count": 5 }, { "headers": [ "Provider Practice", "", "Contract UDA Achievement", "" ], "rows": [ [ "", "", "2016-2017", "" ], [ "65 Woodbourne Road", "100%", "", "" ], [ "Avondale", "102%", "", "" ], [ "Grove Mount", "96%", "", "" ], [ "Port Erin/The Square", "95%", "", "" ], [ "Ravat & Ray", "69%", "", "" ], [ "Smile", "93%", "", "" ], [ "Thie Roisen", "100%", "", "" ], [ "Tracey Bell", "115%", "", "" ], [ "Westview, Douglas", "96%", "", "" ], [ "Regent Dental Care", "82%", "", "" ] ], "row_count": 11, "col_count": 4 } ] }, { "case_id": 427433, "title": "Organ Donation", "authority": "Department of Health and Social Care", "date_received": "2018-04-10", "outcome": "Upheld - full", "summary": "A request was made to the Isle of Man Department of Health and Social Care for detailed statistics and protocols regarding organ donation, harvesting, and transplantation over the preceding five years. The response provided in the text is a review letter confirming the request details and the review process, but it does not contain the actual statistical data or answers to the specific questions asked.", "key_facts": [ "The request was received on 10 April 2018 and a response was sent on 13 April 2018.", "A review of the response was requested on 13 April 2018.", "The review was carried out by Mr Tim Casemore.", "The request covered 16 specific questions regarding organ donation statistics, protocols, and promotion.", "The provided text is a procedural review letter and does not disclose the actual organ donation data." ], "data_mentioned": [ "10 April 2018", "13 April 2018", "Case reference 427433", "9 pages", "2 documents" ], "exemptions_cited": [], "tables": [ { "headers": [ "Process Step", "Date" ], "rows": [ [ "Request received", "10th April 2018" ], [ "Response sent", "13th April 2018" ], [ "Review requested", "13th April 2018" ] ], "row_count": 3, "col_count": 2 } ] }, { "case_id": 440242, "title": "Registered patients", "authority": "Department of Health and Social Care", "date_received": "2018-04-20", "outcome": "Some information sent but not all held", "summary": "The request sought patient registration figures for all GP and dentist surgeries on the Isle of Man. The authority provided total GP patient numbers by practice as of April 2018 but could not provide dentist figures because patients are not registered with dentists under the current commissioning model.", "key_facts": [ "Total number of patients registered with GP practices on the island was 87,325 as of 1 April 2018.", "Ramsey Group Practice had the highest number of registered patients at 14,099.", "Information on registered patients for dentist surgeries was not held because dentists are commissioned on Units of Dental Activity (UDAs) rather than a capitation basis.", "The response was issued by the Department of Health and Social Care under the Freedom of Information Act 2015.", "The request was received on 20 April 2018 and the outcome was communicated on 1 May 2018." ], "data_mentioned": [ "87325", "14099", "10013", "9409", "5424", "7552", "4362", "4564", "8025", "3874", "7044", "4491", "8468", "2018-04-20", "2018-05-01", "1st April 2018", "31 March 2018" ], "exemptions_cited": [ "Information not held or cannot be found after reasonable steps" ], "tables": [ { "headers": [ "GP Practice", "Registered Patients as of 31 March 2018" ], "rows": [ [ "Kensington Group Practice", "10013" ], [ "Palatine Group Practice", "9409" ], [ "Snaefell Surgery", "5424" ], [ "Hailwood Medical Centre", "7552" ], [ "Promenade Medical Centre", "4362" ], [ "Finch Hill Health Centre", "4564" ], [ "Ramsey Group Practice", "14099" ], [ "Laxey/Village Walk Health\nCentres", "8025" ], [ "Castletown Medical Centre", "3874" ], [ "Southern Group Practice", "7044" ], [ "Ballasalla Medical Centre", "4491" ], [ "Peel Group Practice", "8468" ], [ "Total", "87325" ] ], "row_count": 13, "col_count": 2 } ] }, { "case_id": 440853, "title": "Noble's Hospital - consultants", "authority": "Department of Health and Social Care", "date_received": "2018-04-20", "outcome": "All information sent", "summary": "A Freedom of Information request to the Isle of Man Department of Health and Social Care sought data on consultant turnover, locum employment, and bowel surgery availability at Noble's Hospital. The authority disclosed full statistics on consultant departures over five years, confirmed seven current locum consultants, and verified that bowel surgery is performed locally.", "key_facts": [ "Consultant departures at Noble's Hospital ranged from 3 to 11 over the last five years.", "As of April 2018, there were seven locum consultants working at the hospital.", "Three of the current locum consultants are agency workers, while five are bank staff.", "Bowel surgery is confirmed to be undertaken on Isle of Man patients at Noble's Hospital.", "Two of the nine consultants who left in 2017/18 were on limited term appointments." ], "data_mentioned": [ "2013-14: 3", "2014-15: 6", "2015-16: 11", "2016-17: 7", "2017-18: 9", "24th April 2018", "7 Consultants", "3 agency workers", "5 bank staff", "2018-04-20", "2018-05-18", "440853" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Number" ], "rows": [ [ "2013-14", "3" ], [ "2014-15", "6" ], [ "2015-16", "11" ], [ "2016-17", "7" ], [ "2017-18*", "9" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 467333, "title": "Care of Elderly", "authority": "Department of Health and Social Care", "date_received": "2018-05-15", "outcome": "All information sent", "summary": "A request was made for statistics on falls resulting in serious injury or death among elderly patients at Noble's Hospital within specific timeframes. The Department of Health and Social Care disclosed five-year data showing 27 serious injuries and 2 deaths, with specific timing details for the fatalities.", "key_facts": [ "The data covers a five-year period at Noble's Hospital.", "There were 27 falls resulting in serious injury.", "There were 2 deaths as a result of a fall.", "One death occurred within 48 hours of the fall.", "One death occurred within 72 hours of the fall." ], "data_mentioned": [ "27", "2", "48 hours", "72 hours", "2018-05-15", "2018-05-25", "467333" ], "exemptions_cited": [], "tables": [ { "headers": [ "Category", "Count" ], "rows": [ [ "Falls resulting in serious injury", "27" ], [ "Deaths as a result of a fall", "2" ], [ "Deaths within 48 hours", "1" ], [ "Deaths within 72 hours", "1" ] ], "row_count": 4, "col_count": 2 } ] }, { "case_id": 477837, "title": "Cost of gluten free foods on prescription", "authority": "Department of Health and Social Care", "date_received": "2018-05-31", "outcome": "All information sent", "summary": "The request sought the cost of gluten-free staple foods on prescription for financial years 2012/13 to 2017/18, including a breakdown by patient age. The Department of Health and Social Care provided cost data for 2013/14 to 2017/18 but stated that age-specific breakdowns could not be provided because the prescription pricing bureau does not collect demographic data.", "key_facts": [ "The Department of Health and Social Care provided prescription costs for gluten-free foods for five financial years.", "Data for the 2012/13 financial year was not included in the response.", "The prescription pricing bureau does not collect patient demographic data such as age or sex.", "Consequently, the requested breakdown of costs by patients under and over 18 could not be provided.", "The total cost for the provided years was approximately £152,225.84." ], "data_mentioned": [ "2013/2014: 679 items, £9,715.08", "2014/2015: 2669 items, £40,018.53", "2015/2016: 2451 items, £35,955.00", "2016/2017: 2351 items, £33,989.19", "2017/2018: 2107 items, £32,548.04", "Grand Total: 10257 items, £152,225.8359", "Request received: 2018-05-31", "Response date: 2018-06-22", "Case ID: 477837" ], "exemptions_cited": [], "tables": [ { "headers": [ "Row Labels", "No. of Items\n(Primary Axis)", "Actual Cost (Secondary\nAxis)" ], "rows": [ [ "2013/2014", "679", "£9,715.08" ], [ "2014/2015", "2669", "£40,018.53" ], [ "2015/2016", "2451", "£35,955.00" ], [ "2016/2017", "2351", "£33,989.19" ], [ "2017/2018", "2107", "£32,548.04" ], [ "Grand Total", "10257", "152225.8359" ] ], "row_count": 6, "col_count": 3 } ] }, { "case_id": 487133, "title": "Appointment of Sir Jonathan Michael for Review of Healthcare System", "authority": "Treasury", "date_received": "2018-05-28", "outcome": "Some information sent but part exempt", "summary": "The request sought emails, interview details, applicant lists, and conflict of interest forms regarding Sir Jonathan Michael's appointment to lead a healthcare system review. The Treasury disclosed correspondence confirming his acceptance of the role and discussions on terms, but withheld information on the interview panel, other applicants, and specific costs.", "key_facts": [ "Sir Jonathan Michael agreed to undertake the Independent Review of the healthcare system in March 2018.", "The review was scheduled to launch on 23 March 2018 with briefings for the Council of Ministers and Tynwald.", "Sir Jonathan expressed concern that the Tynwald motion's January 2019 deadline was incompatible with a realistic 12-month review period.", "He proposed a revised report date of the end of March 2019 due to existing commitments and the need to mobilize a secretariat.", "Information regarding the interview panel composition, other applicants, and the total cost of the review was not disclosed." ], "data_mentioned": [ "14 March 2018", "13 March 2018", "09 March 2018", "02 March 2018", "01 March 2018", "23 March 2018", "January 2019", "March 2019", "12 month period", "30 mins", "45 mins", "26 pages", "5 documents" ], "exemptions_cited": [], "tables": [ { "headers": [ "Jonathan Michael", "", "" ], "rows": [ [ "14 March 2018 17:15", "", "" ], [ "Randall, Caldric", "", "" ], [ "Re: Independent Review - Confidential", "", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "Randall, Caldric" ], "rows": [ [ "22 March 2018 16:49" ], [ "Cannan, Alfred (MHK)" ], [ "FW: Appointment of Sir Jonathan Michael" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Randall, Caldric" ], "rows": [ [ "03 April 2018 15:12" ], [ "'Jonathan Michael'" ], [ "RE: Contract with Beechlawn Consulting Ltd" ] ], "row_count": 3, "col_count": 1 } ] }, { "case_id": 499637, "title": "dental patient charges", "authority": "Department of Health and Social Care", "date_received": "2018-06-15", "outcome": "All information sent", "summary": "The requester asked for the total amount of patient charges deducted from dentists' scheduled payments for the financial years 2015/2016, 2016/2017, and 2017/2018. The Department of Health and Social Care provided the specific total figures for each of these years in full compliance with the request.", "key_facts": [ "The request was received on 15 June 2018 and responded to on 4 July 2018.", "The authority confirmed that patient charges are deducted from dentists' scheduled payments monthly.", "Total patient charges deducted in 2015/2016 were £801,617.64.", "Total patient charges deducted in 2016/2017 were £890,747.70.", "Total patient charges deducted in 2017/2018 were £930,455.60." ], "data_mentioned": [ "2015/2016", "2016/2017", "2017/2018", "£801,617.64", "£890,747.70", "£930,455.60", "2018-06-15", "2018-07-04", "499637" ], "exemptions_cited": [], "tables": [ { "headers": [ "Financial Year", "Total Amount of Patient Charges\nDeducted" ], "rows": [ [ "2015/2016", "£801,617.64" ], [ "2016/2017", "£890,747.70" ], [ "2017/2018", "£930,455.60" ] ], "row_count": 3, "col_count": 2 } ] }, { "case_id": 501634, "title": "Ambulance calls for falls within the home", "authority": "Department of Health and Social Care", "date_received": "2018-06-11", "outcome": "All information sent", "summary": "A request was made for statistics on 999 ambulance calls for elderly residents falling at home, specifically asking for cases with no injury or hospital conveyance. The authority disclosed that age and exact location data are not captured, but provided total fall call statistics and the number of calls resulting in no conveyance for the period May 2017 to May 2018.", "key_facts": [ "The Ambulance Service does not capture the age of the patient, preventing specific data on 'elderly' residents.", "Call data is based on information given by the caller rather than confirmed scene findings.", "Ambulance records the location of the emergency call, which may not be the patient's home address.", "The response covers the period from 1st May 2017 to 31st May 2018.", "706 calls were closed as 'Lift Up Only' or 'Vehicle Not Required', indicating no conveyance to hospital." ], "data_mentioned": [ "1941", "706", "1st May 2017", "31st May 2018", "2018-06-11", "2018-06-21", "501634" ], "exemptions_cited": [], "tables": [ { "headers": [ "Statistic Description", "Value" ], "rows": [ [ "Number of calls classified by ESJCR as \"Falls\"", "1941" ], [ "Number of Calls closed as Lift Up Only or Vehicle Not Required (No Conveyance)", "706" ] ], "row_count": 2, "col_count": 2 } ] }, { "case_id": 544738, "title": "Dental Restorative Service", "authority": "Department of Health and Social Care", "date_received": "2018-08-14", "outcome": "Some information sent but part exempt", "summary": "A request was made for details regarding the Dental Restorative Service provided by consultant Alison Qualtrough, including costs, patient numbers, and treatment breakdowns. The Department of Health and Social Care disclosed the service start date, annual cost, travel arrangements, and patient statistics from 2016, but refused to provide treatment breakdowns due to the practical burden of compiling the data.", "key_facts": [ "The dental restorative service has been in operation since September 2012.", "The annual cost of the service is £3,411.00.", "The Department does not pay for the consultant's travel or accommodation.", "There are 25 patients currently under the consultant's care.", "Patient data is only held from April 2016 onwards." ], "data_mentioned": [ "September 2012", "£3,411.00", "25 patients", "April 2016", "58 patients (2016/17)", "67 patients (2017/18)", "48 patients (2018/19 up to November 2018)" ], "exemptions_cited": [ "Section 11(2)(b) of the Act (Practical refusal reason)", "Section 11(3)(b) of the Act", "Section 8(3) of the Act (Requirement to create, derive, research, analyze, or substantially compile information)" ], "tables": [ { "headers": [ "Financial Year", "Number of Patients Seen" ], "rows": [ [ "2016/17", "58" ], [ "2017/18", "67" ], [ "2018/19 (up to November 2018)", "48" ] ], "row_count": 3, "col_count": 2 } ] }, { "case_id": 545033, "title": "Crohns & Ulcerative Colitus - Inflammatory Bowel Disease (IBD)", "authority": "Department of Health and Social Care", "date_received": "2018-07-23", "outcome": "Some information sent but part exempt", "summary": "A request was made for island-wide statistics on Crohn's and Ulcerative Colitis to support an awareness campaign, but the Department of Health and Social Care could only provide data from Noble's Hospital due to privacy exemptions regarding children.", "key_facts": [ "The Department does not hold island-wide information as it excludes GP practices.", "Provided data is limited to Noble's Hospital records up to 5th August 2018.", "Information on patients under 18 was withheld to prevent individual identification.", "The request was partially exempt under Section 25 of the Freedom of Information Act 2015.", "The requester intended to launch a campaign with the slogan 'Not every Disability is Visible'." ], "data_mentioned": [ "934", "274", "30", "1026", "460", "2018-07-23", "2018-08-15", "2018-08-05", "545033" ], "exemptions_cited": [ "Section 25 (b) (i) and (ii) - Absolutely exempt personal information", "Data Protection (Application of GDPR) Order 2018 - Article 5 and Article 6" ], "tables": [ { "headers": [ "Condition", "Count" ], "rows": [ [ "Episodes of care with Crohns as a diagnosis code (adults)", "934" ], [ "Patients (adults) with a diagnosis of Crohns disease", "274" ], [ "Episodes of care with Crohns as a diagnosis code (under 18)", "30" ], [ "Episodes of care with Colitis as a diagnosis code (adults)", "1026" ], [ "Patients (adults) with a diagnosis of Colitis", "460" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 548535, "title": "Recorded deaths by suicide on the Isle of Man in the last 20 years.", "authority": "Cabinet Office", "date_received": "2018-07-24", "outcome": "Some information sent but not all held", "summary": "A request for suicide death records on the Isle of Man over the last 20 years was partially fulfilled, with the Cabinet Office providing data only for the years 2008 to 2014.", "key_facts": [ "The Cabinet Office does not hold suicide statistics for the full 20-year period requested.", "Available data covers the years 2008 through 2014, broken down by gender and age group.", "Information from 2008 to 2011 was released under the Code of Practice on Access to Government Information rather than the Freedom of Information Act 2015.", "The data includes both confirmed suicides and open verdicts.", "Requesters were advised to contact the General Registry for information outside the provided date range." ], "data_mentioned": [ "2008", "2014", "2011 Census Population", "41971", "42526", "11 October 2011", "24 July 2018", "15 August 2018", "548535" ], "exemptions_cited": [ "Information not held by the authority", "Pre-FOI Act date (11 October 2011) requiring use of Code of Practice on Access to Government Information" ], "tables": [ { "headers": [ "Gender", "Age\nGroup", "2011\nCensus\nPopulat\nion", "2008 N\nof\nSuicide\ns +\nopen\nverdicts", "2009 N\nof\nSuicide\ns +\nopen\nverdicts", "2010 N\nof\nSuicide\ns +\nopen\nverdicts", "2011 N\nof\nSuicide\ns +\nopen\nverdicts", "2012 N\nof\nSuicide\ns +\nopen\nverdicts", "2013 N\nof\nSuicide\ns +\nopen\nverdicts", "2014 N\nof\nSuicide\ns +\nopen\nverdicts" ], "rows": [ [ "Male", "<1", "470", "0", "0", "0", "0", "0", "0", "0" ], [ "", "1-4", "1916", "0", "0", "0", "0", "0", "0", "0" ], [ "", "5-9", "2373", "0", "0", "0", "0", "0", "0", "0" ], [ "", "10-14", "2543", "0", "0", "0", "0", "0", "0", "0" ], [ "", "15-19", "2627", "0", "1", "0", "0", "0", "0", "0" ], [ "", "20-24", "2441", "0", "1", "1", "0", "0", "0", "0" ], [ "", "25-29", "2228", "0", "0", "0", "0", "1", "0", "0" ], [ "", "30-34", "2423", "1", "0", "1", "1", "1", "1", "0" ], [ "", "35-39", "2754", "0", "3", "0", "1", "1", "0", "0" ], [ "", "40-44", "3297", "1", "2", "1", "1", "2", "0", "1" ], [ "", "45-49", "3430", "1", "1", "0", "1", "1", "4", "0" ], [ "", "50-54", "3017", "0", "3", "2", "1", "1", "0", "0" ], [ "", "55-59", "2707", "0", "1", "0", "2", "1", "1", "1" ], [ "", "60-64", "2953", "0", "2", "1", "1", "0", "0", "0" ], [ "", "65-69", "2239", "0", "0", "0", "0", "1", "0", "1" ], [ "", "70-74", "1748", "1", "0", "0", "0", "0", "1", "0" ], [ "", "75-79", "1280", "0", "0", "1", "0", "0", "0", "0" ], [ "", "80-85", "850", "0", "0", "0", "0", "0", "0", "0" ], [ "", "85+", "675", "0", "0", "0", "0", "0", "0", "0" ], [ "", "All ages", "41971", "4", "14", "7", "8", "9", "8", "3" ], [ "", "<1", "472", "0", "0", "0", "0", "0", "0", "0" ], [ "", "1-4", "1776", "0", "0", "0", "0", "0", "0", "0" ], [ "", "5-9", "2144", "0", "0", "0", "0", "0", "0", "0" ], [ "", "Oct-14", "2342", "0", "0", "0", "0", "0", "0", "0" ], [ "", "15-19", "2481", "0", "0", "0", "0", "1", "1", "0" ], [ "", "20-24", "2278", "0", "0", "0", "0", "0", "0", "0" ], [ "", "25-29", "2341", "0", "0", "1", "0", "0", "0", "0" ], [ "", "30-34", "2512", "0", "0", "0", "0", "1", "0", "0" ], [ "", "35-39", "2921", "0", "0", "1", "0", "0", "0", "0" ], [ "", "40-44", "3220", "0", "0", "0", "0", "0", "0", "0" ], [ "", "45-49", "3318", "2", "0", "0", "0", "0", "1", "0" ], [ "Female", "50-54", "3038", "0", "1", "0", "0", "0", "0", "0" ], [ "", "55-59", "2628", "0", "0", "1", "0", "0", "0", "0" ], [ "", "60-64", "2861", "0", "0", "0", "1", "0", "0", "1" ], [ "", "65-69", "2273", "0", "0", "0", "0", "0", "0", "0" ], [ "", "70-74", "1833", "0", "0", "0", "0", "0", "0", "1" ], [ "", "75-79", "1443", "0", "0", "0", "0", "0", "0", "0" ], [ "", "80-85", "1272", "0", "0", "0", "0", "0", "0", "0" ], [ "", "85+", "1373", "0", "0", "0", "0", "0", "0", "0" ], [ "", "All ages", "42526", "2", "1", "3", "1", "2", "2", "2" ] ], "row_count": 40, "col_count": 10 } ] }, { "case_id": 577934, "title": "Applications to Foster", "authority": "Department of Health and Social Care", "date_received": "2018-08-20", "outcome": "Some information sent but not all held", "summary": "The requester asked for the number of potential foster carers who voluntarily withdrew from the process between August 2015 and August 2018. The Department of Health and Social Care stated it does not hold this specific data because fostering services are delivered by a contracted provider, but provided alternative statistics on initial enquiries, visits, applications, training, and approvals for 2016-2018.", "key_facts": [ "The Department of Health and Social Care does not directly deliver fostering services; they are contracted to a Service Provider organisation.", "The authority does not hold specific data on whether prospective foster carers voluntarily withdrew or were rejected as unsuitable.", "There is no agreed definition of 'voluntary' withdrawal, as some applicants may be counselled out of the process.", "Data held for the year 2015 was incomplete and could not be compiled for comparison.", "The response included a table of figures for initial enquiries, visits, applications, training, and approvals for 2016, 2017, and the first half of 2018." ], "data_mentioned": [ "Aug 2015 to Aug 2018", "2016", "2017", "2018 (Jan-June)", "56", "43", "20", "19", "5", "9", "2", "11", "21", "4", "8", "4", "1", "2018-08-20", "2018-09-07", "577934" ], "exemptions_cited": [ "Information not held by the public authority", "Information cannot be found after taking reasonable steps" ], "tables": [ { "headers": [ "", "2016", "2017", "2018 (Jan-June)" ], "rows": [ [ "Initial Enquiries", "56", "43", "20" ], [ "Initial Visits", "N/A", "19", "5" ], [ "Applications", "N/A", "9", "2" ], [ "Prep Training", "11", "21", "4" ], [ "Approvals", "8", "4", "1" ] ], "row_count": 5, "col_count": 4 } ] }, { "case_id": 610671, "title": "Waiting times", "authority": "Department of Health and Social Care", "date_received": "2018-09-28", "outcome": "All information sent", "summary": "The request sought current waiting times for Capsule Endoscopies and MRI scans from the Department of Health and Social Care. The authority disclosed that the next available routine appointment for a Capsule Endoscopy is July 2019, while MRI waiting times range from 4-6 weeks for urgent cases to 5 months for routine referrals.", "key_facts": [ "The next available appointment for a Capsule Endoscopy is 29th July 2019 if all current patients are booked.", "Urgent patients for Capsule Endoscopy may be booked earlier depending on specific factors.", "MRI waiting times for urgent referrals are 4 to 6 weeks.", "MRI waiting times for routine referrals are 5 months.", "The waiting time data for MRI scans was current as of 11th October 2018." ], "data_mentioned": [ "29th July 2019", "11th October 2018", "4 – 6 Weeks", "5 Months", "610671" ], "exemptions_cited": [], "tables": [ { "headers": [ "Referral Type", "Waiting Time" ], "rows": [ [ "Urgent referrals", "4 – 6 Weeks" ], [ "Routine referrals", "5 Months" ] ], "row_count": 2, "col_count": 2 } ] }, { "case_id": 624670, "title": "Mental Health waiting list", "authority": "Department of Health and Social Care", "date_received": "2018-10-12", "outcome": "Some information sent but part exempt", "summary": "The requester asked for the number and reasons for cancelled mental health Step 1 and 2 appointments between January and October 2018. The Department of Health and Social Care disclosed that 2,496 appointments were cancelled but refused to provide reasons for 1,040 of them due to practical refusal grounds.", "key_facts": [ "2,496 health appointments were cancelled by Health Care Practitioners between 1 January 2018 and 12 October 2018.", "Reasons for cancellation were not recorded in an easily reportable format for 1,040 of the cancelled appointments.", "The Department refused to provide the missing reasons under Section 11(3)(b) of the Freedom of Information Act 2015.", "The refusal was based on the practical reason that complying would require creating, deriving, or substantially compiling information.", "Recorded reasons for the remaining cancellations included 'Rescheduled Appointment' (1,113) and 'Clinic Cancelled' (133)." ], "data_mentioned": [ "2,496", "1,040", "133", "15", "36", "67", "1,113", "62", "30", "1st January 2018", "12th October 2018", "29th October 2018", "2015 - 2020" ], "exemptions_cited": [ "Section 11(2)(b) of the Freedom of Information Act 2015 (Practical refusal reason)", "Section 11(3)(b) of the Freedom of Information Act 2015 (Refusal on grounds of creating or deriving information)" ], "tables": [ { "headers": [ "Reason for Cancellation", "Number of Appointments" ], "rows": [ [ "Clinic Cancelled", "133" ], [ "Clinic Overrun", "15" ], [ "Over-booked", "36" ], [ "Staff Sickness", "67" ], [ "Rescheduled Appointment", "1113" ], [ "Rescheduled Clinic", "62" ], [ "Slot Cancelled", "30" ] ], "row_count": 7, "col_count": 2 } ] }, { "case_id": 650268, "title": "Complaints Request", "authority": "Department of Health and Social Care", "date_received": "2018-11-12", "outcome": "All information sent", "summary": "A request was made for the total number of complaints against Nobles Hospital from January 2015 to October 2018, and the Department of Health and Social Care provided a full breakdown of formal complaints and patient contacts for that period.", "key_facts": [ "The data covers the period from January 2015 to October 2018.", "From January 2018 onwards, the data includes Ambulance Services and Ramsey District Cottage Hospital due to restructuring.", "A total of 838 formal complaints were recorded across the specified timeframe.", "The total number of approximate patient contacts was 689,024.", "0.12% of all patient contacts resulted in a complaint." ], "data_mentioned": [ "203", "233", "198", "204", "838", "179,711", "177,623", "177,806", "153,884", "689,024", "0.12%", "January 2015", "December 2017", "January 2018", "October 2018", "2018-11-12", "2018-11-28", "650268" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Formal\nComplaints", "Approximate patient\ncontacts" ], "rows": [ [ "Jan - Dec 2015", "203", "179,711" ], [ "Jan - Dec 2016", "233", "177,623" ], [ "Jan - Dec 2017", "198", "177,806" ], [ "Jan - October\n2018", "204", "153,884" ], [ "Total", "838", "689,024" ] ], "row_count": 5, "col_count": 3 } ] }, { "case_id": 659165, "title": "MS patients", "authority": "Department of Health and Social Care", "date_received": "2018-11-21", "outcome": "Some information sent but not all held", "summary": "A request for comprehensive Multiple Sclerosis statistics in the Isle of Man since 1990 was partially fulfilled, with the Department of Health and Social Care providing data from 2007 onwards based on hospital records while refusing pre-2007 data and specific village-level breakdowns.", "key_facts": [ "There are 146 unique live patients with an MS diagnosis recorded in Nobles Hospital data since 2007.", "The gender split among these patients is 113 females and 33 males.", "The average age at the first recorded hospital episode for MS is 52 years, ranging from 18 to 82.", "Geographic data is provided for broad regions (e.g., Douglas and Onchan) but not individual towns due to privacy exemptions.", "Data prior to 2007 is not held in an easily-reportable format and was refused." ], "data_mentioned": [ "146", "2007", "1990", "50", "32", "31", "26", "7", "33", "113", "52", "18", "82", "2018-11-29", "2018-11-21" ], "exemptions_cited": [ "Section 11 (3)(a) of the Freedom of Information Act 2015 (information not held)", "Exemption 9.5 of the Code of Practice on Access to Government Information (information not held in easily-reportable format)", "Section 25 of the Act (absolutely exempt personal information due to low figures)" ], "tables": [ { "headers": [ "Area(s)", "Of the 146 identified patients" ], "rows": [ [ "Douglas and Onchan", "50" ], [ "East, Peel and Central", "32" ], [ "North", "31" ], [ "South", "26" ], [ "No longer reside on the Island", "7" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Year", "Count of Year" ], "rows": [ [ "2007", "5" ], [ "2008", "26" ], [ "2009", "11" ], [ "2010", "18" ], [ "2011", "12" ], [ "2012", "7" ], [ "2013", "11" ], [ "2014", "13" ], [ "2015", "14" ], [ "2016", "13" ], [ "2017", "7" ], [ "2018", "9" ], [ "Grand Total", "146" ] ], "row_count": 13, "col_count": 2 } ] }, { "case_id": 662468, "title": "Vacancy and resignation numbers", "authority": "Department of Health and Social Care", "date_received": "2018-11-28", "outcome": "Some information sent but part exempt", "summary": "The request sought resignation statistics and reasons for Noble's Hospital since 2013, but the authority only provided a partial list of job advertisements for 2018, citing exemptions for the remaining data.", "key_facts": [ "The request covered resignation numbers, reasons, and advertisement counts for Noble's Hospital since 2013.", "The response was partially exempt, providing only advertisement data for the year 2018.", "Information regarding resignation reasons and historical data prior to 2018 was withheld.", "The disclosed data lists specific job titles, divisions, and advertisement counts for 2018.", "The Department of Health and Social Care issued the response on December 24, 2018." ], "data_mentioned": [ "2018", "2013", "16 pages", "2 documents", "25", "6", "9", "18.5 hours", "3 months", "12 months", "20 hours", "32 Hours", "Band 6", "Band 7", "ST3/4", "Ward 8", "Ward 9", "Ward 7", "Ward 6" ], "exemptions_cited": [], "tables": [ { "headers": [ "Division", "Job Title", "Year Advertised", "Count" ], "rows": [ [ "Core Services - Outpatients Appointments", "Outpatient Appointment Clerk", "2018", "1" ], [ "Core Services Division", "Clinical Senior Secretary - Part Time (18.5 hours a week) - Limited Term Appointment (3 months)", "2018", "2" ], [ "Core Services Division", "Clinical Administration Manager - Limited Term Appointment until June 2018", "2018", "3" ], [ "Core Services Division", "Clinical Administration Manager - Limited Term Appointment until June 2018", "2018", "4" ], [ "Core Services Division", "Clinical Secretary - Part Time (18 hours 30 minutes) - Limited Term Appointment for 6 months", "2018", "5" ], [ "Core Services Division", "Clinical Senior Secretary - Limited Term Appointment (Up to 12 Months)", "2018", "6" ], [ "Core Services Division", "Sister - Band 6 - Outpatients Department", "2018", "7" ], [ "Core Services Division", "Clinical Secretary - Limited Term Appointment (Up to 12 months)", "2018", "8" ], [ "Core Services Division", "Clinical Senior Secretary - Part Time (18.5 hours a week)- Limited Term Appointment (12months)", "2018", "9" ], [ "Core Services Division", "Personal Secretary/Clinical Secretarial Co-ordinator - Limited Term Appointment", "2018", "10" ], [ "Core Services Division", "Housekeeper", "2018", "11" ], [ "Core Services Division", "Clinical Administration Manager - Limited Term Appointment", "2018", "12" ], [ "Core Services Division - Outpatients Clinics Services", "Registered Nurse - Outpatients Department - Part Time (20 hours)", "2018", "13" ], [ "Core Services Division - Outpatients Clinics Services", "Registered Nurse - Outpatients Department - Part Time (32 Hours)", "2018", "14" ], [ "Core Services Division - Outpatients Clinics Services", "Health Care Assistant - Outpatients Department", "2018", "" ], [ "HS N Core Services Accomodation", "Accommodation Officer", "2018", "" ], [ "HS N Core Services Housekeeping", "Housekeeper", "2018", "" ], [ "HS N Core Services Housekeeping", "Evening Housekeeper - Part Time 20 Hours - Re-Advertisement", "2018", "" ], [ "HS N Core Services Housekeeping", "Readvertisement - Evening Housekeeper - Part Time (20 Hours)", "2018", "" ], [ "HS N Core Services Housekeeping", "Readvertisement - Evening Housekeeper - Part Time (20 Hours)", "2018", "" ], [ "HS N Core Services Laundry", "Laundry Operative", "2018", "" ], [ "HS N Core Services Laundry", "Re-Advertisement - Laundry Operative", "2018", "" ], [ "HS N Core Services Portering", "Readvertisement - Bank Porter", "2018", "" ], [ "HS N Core Services Portering", "Porter - Nobles Hospital", "2018", "" ], [ "Noble's Administration", "Patient Transfer Officer", "2018", "25" ], [ "Diagnostics Division", "Administrative Officer - Radiology - Internal Only", "2018", "" ], [ "Diagnostics Division", "Anatomical Pathology Technologist/ Bereavement Officer", "2018", "" ], [ "Diagnostics Division", "Pharmacist", "2018", "" ], [ "Diagnostics Division", "Biomedical Scientist (Haematology) Band 6 / 7", "2018", "" ], [ "Diagnostics Division", "Chief Biomedical Scientist - Histopathology", "2018", "" ], [ "Diagnostics Division", "Consultant Radiologist - Re-Advertisement", "2018", "6" ], [ "Hospitals Directorate", "ON HOLD - Senior Medical Occupational Therapist (With Special Interest in Urgent Care)", "2018", "" ], [ "Hospitals Directorate", "Rotational Physiotherapist", "2018", "" ], [ "Hospitals Directorate", "Re-advertisement - Senior Medical Occupational Therapist (With Special Interest in Urgent Care)", "2018", "" ], [ "Hospitals Directorate", "Re-advertised - Rotational Physiotherapist", "2018", "" ], [ "Hospitals Directorate", "Administrative Assistant - Acute Therapy Services - Part Time (18 Hours 30 Minutes)", "2018", "" ], [ "Hospitals Directorate", "Cardiorespiratory Physiotherapist - Band 7", "2018", "" ], [ "Hospitals Directorate", "Band 6 Senior Occupational Therapist in Neurology", "2018", "" ], [ "Hospitals Directorate", "Administrative Assistant", "2018", "" ], [ "Hospitals Directorate", "Generic Technical Instructor - Internal Applicants Only", "2018", "9" ], [ "Medical Division", "(Readvertisement) Registered Nurse - Renal Services", "2018", "" ], [ "Medical Division", "Diabetes Support Nurse - Part Time (21 Hours 30 Minutes)", "2018", "" ], [ "Medical Division", "Readvertisement - Registered Nurse - Ward 8", "2018", "" ], [ "Medical Division", "Readvertisement - Registered Nurse - Ward 8 - Nobles Hospital", "2018", "" ], [ "Medical Division", "Health Care Assistant - Ward 6", "2018", "" ], [ "Medical Division", "Re-advertisement - Health Care Assistant - Ward 6", "2018", "" ], [ "Medical Division", "ON HOLD FOR REDEPLOYMENT- Ward Clerk - Part Time - Ward 8", "2018", "" ], [ "Medical Division", "REGISTERED NURSE - BAND 5 - ACUTE MEDICAL UNIT", "2018", "" ], [ "Medical Division", "Clinical Fellow (ST3/4 equivalent grade) in Acute Integrated Medicine - Limited Term Appointment (12 Months)", "2018", "" ], [ "Medical Division", "Highly Specialised Clinical Physiologist (Respiratory & Sleep) - Internal Only", "2018", "" ], [ "Medical Division", "Specialty Doctor in Oncology/Haematology", "2018", "" ], [ "Medical Division", "Z - Temporary Staffing Administrator - Limited Term Appointment (1 Year) - Re-advertisement from DOH&-006151", "2018", "" ], [ "Medical Division", "Cancer Multi-Disciplinary Team Co-ordinator - Part Time (18 Hours 30 Minutes) - Limited Term Appointment (6 Months)", "2018", "" ], [ "Medical Division", "Sister / Charge Nurse - Band 6 Coronary Care Unit", "2018", "" ], [ "Medical Division", "Registered Nurse - Ward 8 - Full Time - Limited Term Appointment until 31st August", "2018", "" ], [ "Medical Division", "Registered Nurse - Ward 9", "2018", "" ], [ "Medical Division", "Registered Nurse - Ward 7 - Full and Part Time (37.5 Hours)", "2018", "" ], [ "Medical Division", "Registered Nurse - Ward 6 - Part Time (20 Hours 25 Minutes)", "2018", "" ], [ "Medical Division", "Registered Nurse - Acute Medical Unit - Ward 6", "2018", "42", "Not classified as dangerous.;" ] ], "row_count": 4, "col_count": 6 }, { "headers": [ "Components", "Exposure Guidelines" ], "rows": [ [ "Potassium salt of glyphosate", "No specific occupational exposure limit has been established." ], [ "Alkylpolyglycoside", "No specific occupational exposure limit has been established." ], [ "Nitroryl", "No specific occupational exposure limit has been established." ], [ "Water and minor formulating\ningredients", "No specific occupational exposure limit has been established." ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Physical form changes (melting, boiling, etc.):", "" ], "rows": [ [ "Melting point:", "Not applicable." ], [ "Boiling point:", "No data." ], [ "Flash point:", "Does not flash." ], [ "Explosive properties:", "No explosive properties" ], [ "Auto ignition temperature:", "> 600 °C" ], [ "Self-accelerating decomposition\ntemperature (SADT):", "No data." ], [ "Oxidizing properties:", "No data." ], [ "Specific gravity:", "1,2647 @ 20 °C / 4 °C" ], [ "Vapour pressure:", "No significant volatility; aqueous solution." ], [ "Vapour density:", "Not applicable." ], [ "Evaporation rate:", "No data." ], [ "Dynamic viscosity:", "12,4 mPa·s @ 20 °C" ], [ "Kinematic viscosity:", "9,82 cSt @ 20 °C" ], [ "Density:", "1,2647 g/cm3 @ 20 °C" ], [ "Solubility:", "Water: Completely miscible." ], [ "pH:", "4,1" ], [ "Partition coefficient:", "log Pow: -3,2 @ 25 °C (glyphosate)" ] ], "row_count": 17, "col_count": 2 }, { "headers": [ "Components", "Classification" ], "rows": [ [ "Potassium salt of glyphosate", "Aquatic Chronic - Category 2\nH411 Toxic to aquatic life with long lasting effects." ], [ "Alkylpolyglycoside", "Eye damage/irritation - Category 1\nH318 Causes serious eye damage." ], [ "Nitroryl", "Acute toxicity - Category 4\nSkin corrosion/irritation - Category 2\nEye damage/irritation - Category 1\nAquatic Chronic - Category 3\nH302+332 Harmful if swallowed or if inhaled\nH315 Causes skin irritation.\nH318 Causes serious eye damage.\nH412 Harmful to aquatic life with long lasting effects." ], [ "Water and minor formulating\ningredients", "Not classified as dangerous." ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Chemical Name", "CAS-No.", "EC-No.", "Annex I Index\nno.", "Classification", "Concentration" ], "rows": [ [ "N-(phosphonomethyl)\nglycine, compound with\n2-propylamine (1:1)", "38641-94-0", "254-056-8", "-", "N; R51/53", "41.5 %" ], [ "Tallow alkylamine\nethoxylate", "61791-26-2", "-", "-", "Xn; R22, R41\nN; R51/53", "15.5 %" ], [ "Other ingredients", "-", "-", "-", "-", "to 100%" ] ], "row_count": 3, "col_count": 6 } ] }, { "case_id": 833065, "title": "Pancreatic Cancer in the Isle of Man", "authority": "Department of Health and Social Care", "date_received": "2019-05-20", "outcome": "All information sent", "summary": "A request was made for statistics on total deaths, cancer deaths, and pancreatic cancer diagnoses, treatments, and survival rates in the Isle of Man between 2013 and 2018. The Department of Health and Social Care provided annual death and cancer statistics, pancreatic cancer diagnosis numbers from 2014 onwards, and treatment breakdowns, but noted that validated survival rate data was not yet available.", "key_facts": [ "Total deaths on the Isle of Man ranged from 778 in 2013 to 919 in 2018.", "Cancer accounted for between 229 and 272 deaths annually during the requested period.", "Pancreatic cancer diagnosis data was not collected in 2013 due to the absence of the Somerset Cancer Registry System.", "Diagnoses of pancreatic cancer increased from 2 in 2014 to 8 in 2018.", "A total of 27 pancreatic cancer patients received first-line treatment, with Palliative Care being the most common type (15 cases).", "Validated average survival rates for pancreatic cancer were not available at the time of the response." ], "data_mentioned": [ "2013", "2014", "2015", "2016", "2017", "2018", "778", "805", "852", "856", "836", "919", "255", "260", "239", "229", "243", "272", "2", "5", "6", "8", "27", "15", "5", "3", "2", "833065", "2019-05-20", "2019-05-29" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Total Deaths" ], "rows": [ [ "2013", "778" ], [ "2014", "805" ], [ "2015", "852" ], [ "2016", "856" ], [ "2017", "836" ], [ "2018", "919" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "Year", "Deaths Caused by Cancer" ], "rows": [ [ "2013", "255" ], [ "2014", "260" ], [ "2015", "239" ], [ "2016", "229" ], [ "2017", "243" ], [ "2018", "272" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "Year", "Pancreatic Cancer Diagnoses" ], "rows": [ [ "2013", "no data *" ], [ "2014", "2" ], [ "2015", "5" ], [ "2016", "6" ], [ "2017", "6" ], [ "2018", "8" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "1st Treatment Type", "Count" ], "rows": [ [ "Active Monitoring", "2" ], [ "Chemotherapy", "3" ], [ "Other", "2" ], [ "Palliative Care", "15" ], [ "Surgery", "5" ], [ "Total", "27" ] ], "row_count": 6, "col_count": 2 } ] }, { "case_id": 863365, "title": "Data on child social care", "authority": "Department of Health and Social Care", "date_received": "2019-06-21", "outcome": "Some information sent but not all held", "summary": "The requester asked for data on complaints regarding inaccurate social worker reports and related legal actions over the last 24 months. The Department of Health and Social Care disclosed statistics on complaints but refused to provide data on refusals to correct reports, court usage of inaccurate reports, or disciplinary actions, citing that the information was not held or would require creating new data.", "key_facts": [ "There were 11 complaints in the last 24 months regarding reports alleged to be inaccurate, misleading, or unbalanced.", "Of the 11 complaints, 3 were concluded as upheld, 1 was partially upheld, 4 were not upheld, and 3 were pending.", "The authority refused to answer questions about refusals to correct reports or letters filed proving inaccuracies because it would require creating new information.", "The authority stated it does not hold data on how many inaccurate reports were used in court.", "The response was issued on 15th July 2019 by the Department of Health and Social Care." ], "data_mentioned": [ "11 complaints", "3 upheld", "1 partially upheld", "4 not upheld", "3 pending", "24 months", "2019-06-21", "2019-07-15" ], "exemptions_cited": [ "Section 8(3) / Section 11(3)(b) - Requirement to create or derive information", "Section 11(3)(a) - Information not held or cannot be found after reasonable steps" ], "tables": [ { "headers": [ "Question", "Response" ], "rows": [ [ "Question 1: How many parents have in the last 24 month period have complained that social workers reports or statements are inaccurate, misleading or false or any words to the same effect?", "There have been 11 complaints over the last 24 months which related to information being alleged to have been inaccurate, misleading or presented in an unbalanced way. 3 have yet to come to a conclusion, 4 were not upheld, 3 upheld and 1 partially upheld." ], [ "Question 2: How many times have social workers or managers refused to correct reports or statements?", "Complying with the request for information would require the public authority to do one or more of the matters mentioned in section 8(3) (things a public authority is not required to do by the Act S11(3)(b)). While our aim is to provide information whenever possible, in this instance, complying with your request for information would require us to create or derive information from information that we hold." ], [ "Question 3: How many times have social workers or managers said they would put letters on file proving reports are inaccurate?", "Complying with the request for information would require the public authority to do one or more of the matters mentioned in section 8(3) (things a public authority is not required to do by the Act S11(3)(b)). While our aim is to provide information whenever possible, in this instance, complying with your request for information would require us to create or derive information from information that we hold." ], [ "Question 4: How many of the said reports that are inaccurate, misleading or false have been used in court?", "While our aim is to provide information whenever possible, in this instance Department of Health and Social Care (\"the Department\") is unable to provide the information 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." ], [ "Question 5: We have been told that notes of inaccuracies are added to the LA computer system. Should any notes of inaccurate, misleading or false statements or reports be applied on the LA's computer system does these full notes of inaccuracies show up if any other professional prints out or reads data. Do professionals show these notes to courts that the reports that they are giving the courts are proven to be inaccurate?", "The Division's procedure for correcting inaccuracies that come to light is clear that the original recording is maintained and the correction added in red with the date of correction addition, reason for correction addition and who has made the addition so it is clear and obvious to anyone subsequently reading the record what has been amended, when, why and by whom. This would be clear on any printed copies made of that report or document." ], [ "Question 6: Are there any laws broken by making false reports and if so what? how many social workers have been caught making false reports?", "If this question relates to reports in a Court process it is illegal to wilfully make false statements in/to a Court. Such conduct would likely be subject to criminal investigation as a potential act of perjury. During a Court process the parties have opportunity to challenge what they consider to be inaccurate information and if necessary the Court can make a finding regarding the veracity of specific information presented. The Data Protection Act 2018 requires that information processed by Data Controllers must be 'accurate' therefore to create a false report and process that would be a violation of that requirement. It would also be contrary to the Standards of Proficiency for social work registrants (Health & Care Professions Council), standard 10 being: \"be able to maintain records appropriately; 10.1 be able to keep accurate, comprehensive and compreh\"" ] ], "row_count": 6, "col_count": 2 } ] }, { "case_id": 866165, "title": "Waiting times and GPs", "authority": "Department of Health and Social Care", "date_received": "2019-06-26", "outcome": "All information sent", "summary": "A request was made to the Isle of Man Department of Health and Social Care for data on GP staffing, appointment availability, patient registration, waiting times, and Patient Access app usage. The authority disclosed all requested information, providing detailed breakdowns by practice and specific statistics for the period between March and July 2019.", "key_facts": [ "There were 54 GPs working across 12 NHS practices on the island as of June 27, 2019.", "A total of 87,718 patients were registered across all GP practices as of March 31, 2019.", "Waiting times for non-emergency appointments varied significantly by practice and month, ranging from 0 to 22 days.", "The Department set a target of 20% for practices to attain regarding Patient Access app registration.", "Ramsey Group Practice had the highest number of registered patients (14,274) and the highest average weekly appointments (1,036).", "No information was withheld; the outcome was 'All information sent'." ], "data_mentioned": [ "87718", "54", "20%", "2019-06-27", "2019-03-31", "22 days", "14274", "1036", "3945", "2019-07-19" ], "exemptions_cited": [], "tables": [ { "headers": [ "GP Practice", "No of GPs" ], "rows": [ [ "Kensington", "5" ], [ "Laxey/Onchan", "5" ], [ "Peel", "6" ], [ "Hailwood", "4" ], [ "Palatine", "7" ], [ "Ballasalla", "3" ], [ "Finch Hill", "1" ], [ "Snaefell", "3" ], [ "Promenade", "3" ], [ "Ramsey", "7" ], [ "Castletown", "4" ], [ "Southern", "6" ] ], "row_count": 12, "col_count": 2 }, { "headers": [ "Practice", "Total No of Appointments Per Week", "", "", "", "Average" ], "rows": [ [ "", "MAR", "APR", "MAY", "JUNE", "" ], [ "Kensington", "213", "380", "352", "396", "335" ], [ "Laxey/Onchan", "580", "511", "352", "482", "481" ], [ "Peel", "670", "275", "441", "538", "481" ], [ "Hailwood", "355", "295", "263", "369", "321" ], [ "Palatine", "554", "549", "443", "553", "525" ], [ "Ballasalla", "386", "306", "345", "333", "343" ], [ "Finch Hill", "366", "196", "149", "226", "234" ], [ "Snaefell", "329", "329", "261", "329", "312" ], [ "Promenade", "180", "180", "210", "182", "188" ], [ "Ramsey", "814", "840", "1363", "1125", "1036" ], [ "Castletown", "416", "333", "271", "276", "324" ], [ "Southern", "506", "386", "387", "423", "426" ] ], "row_count": 13, "col_count": 6 }, { "headers": [ "GP Practice", "Patients Registered" ], "rows": [ [ "Kensington", "9081" ], [ "Laxey/Onchan", "8242" ], [ "Peel", "8641" ], [ "Hailwood", "7538" ], [ "Palatine", "9660" ], [ "Ballasalla", "4452" ], [ "Finch Hill", "4836" ], [ "Snaefell", "5532" ], [ "Promenade", "4368" ], [ "Ramsey", "14274" ], [ "Castletown", "3952" ], [ "Southern", "7142" ], [ "Total", "87718" ] ], "row_count": 13, "col_count": 2 }, { "headers": [ "GP Practice", "April", "", "May", "", "June", "", "July", "" ], "rows": [ [ "", "Days", "Excluding\nweekends", "Days", "Excluding\nweekends", "Days", "Excluding\nweekends", "Days", "Excluding\nweekends" ], [ "Kensington", "14", "10", "4", "2", "1", "1", "3", "3" ], [ "Laxey/Onchan", "3", "3", "4", "4", "9", "5", "9", "7" ], [ "Peel", "9", "7", "8", "6", "1", "1", "2", "2" ], [ "Hailwood", "2", "0", "8", "6", "6", "4", "7", "5" ], [ "Palatine", "2", "0", "5", "3", "1", "1", "10", "8" ], [ "Ballasalla", "0", "0", "9", "7", "2", "2", "3", "3" ], [ "Finch Hill", "7", "5", "12", "8", "7", "5", "0", "0" ], [ "Snaefell", "9", "7", "5", "3", "1", "1", "1", "1" ], [ "Promenade", "3", "0", "6", "4", "0", "0", "0", "0" ], [ "Ramsey", "2", "0", "3", "1", "3", "3", "7", "6" ], [ "Castletown", "2", "0", "0", "0", "3", "3", "3", "3" ], [ "Southern", "18", "14", "3", "3", "17", "13", "22", "16" ] ], "row_count": 13, "col_count": 9 }, { "headers": [ "Organisation", "%", "Males", "Females", "Total" ], "rows": [ [ "Ramsey Group Practice", "32%", "1574", "2371", "3945" ], [ "Southern Group Practice", "22%", "566", "786", "1352" ], [ "Promenade Medical Centre", "28%", "434", "585", "1019" ], [ "Palatine Group Practice", "36%", "1196", "1761", "2957" ], [ "Finch Hill Health Centre", "25%", "392", "584", "976" ], [ "Castletown Medical Centre", "29%", "388", "573", "961" ], [ "Laxey & Village Walk Health Centres", "25%", "619", "1051", "1670" ], [ "Ballasalla Medical Centre", "36%", "555", "833", "1388" ], [ "Kensington Group Practice", "25%", "777", "1175", "1952" ], [ "Snaefell Surgery", "27%", "490", "730", "1220" ], [ "Hailwood Medical Centre", "29%", "705", "1104", "1809" ], [ "Peel Group Practice", "33%", "937", "1425", "2362" ] ], "row_count": 12, "col_count": 5 } ] }, { "case_id": 870565, "title": "Waiting list and patients not sleeping on wards in the last 6 weeks", "authority": "Department of Health and Social Care", "date_received": "2019-07-01", "outcome": "Some information sent but not all held", "summary": "", "key_facts": [], "data_mentioned": [], "exemptions_cited": [], "tables": [ { "headers": [ "Specialty", "Total live\nreferrals", "Total waiting\nfor 1st\nappointment", "Booked 1st\nappointment", "AVG time\nwaiting for 1st\nappointment\ntotal (days)", "Max time\nwaiting for 1st\nappointment\ntotal (days)", "Waiting for 1st\nappointment -\n2WW ref", "AVG time\nwaiting for 1st\nappointment\n2WW (days)", "Max time\nwaiting for 1st\nappointment\n2WW (days)", "Waiting for 1st\nappointment -\nUrgent ref", "AVG time\nwaiting for 1st\nappointment\nUrgent (days)", "Max time\nwaiting for 1st\nappointment\nUrgent (days)", "Waiting for 1st\nappointment -\nRoutine ref", "AVG time\nwaiting for 1st\nappointment\nRoutine (days)", "Max time\nwaiting for 1st\nappointment\nRoutine (days)", "Waiting for\nfollow up\nappointment", "Booked follow up\nappointment", "Referrals with\nappointments without\nan outcome", "Total appointments\nwithout an outcome" ], "rows": [ [ "Acute Internal Medicine", "1", "0", "0", "", "0", "0", "", "0", "0", "", "0", "0", "", "0", "1", "0", "0", "0" ], [ "Adult Mental Illness", "1", "1", "0", "1,166", "1,166", "0", "", "0", "0", "", "0", "1", "1,166", "1,166", "0", "0", "0", "" ], [ "Anaesthetics", "3", "3", "0", "658", "795", "0", "", "0", "0", "", "0", "3", "658", "795", "0", "0", "0", "" ], [ "Audiological Medicine", "1", "1", "0", "355", "355", "0", "", "0", "0", "", "0", "1", "355", "355", "0", "0", "0", "" ], [ "Breast Surgery", "823", "17", "49", "58", "403", "5", "13", "33", "0", "15", "25", "12", "146", "403", "163", "567", "27", "27" ], [ "Cardiology", "3011", "586", "197", "185", "731", "0", "", "0", "49", "42", "402", "537", "214", "731", "413", "1773", "42", "42" ], [ "Child and Adolescent Psychiatry", "1", "1", "0", "737", "737", "0", "", "0", "0", "", "0", "1", "737", "737", "0", "0", "0", "" ], [ "Clinical Oncology", "2", "2", "0", "499", "997", "0", "", "0", "0", "", "0", "2", "499", "997", "0", "0", "0", "" ], [ "Clinical Physiology", "218", "174", "5", "200", "600", "0", "", "0", "2", "31", "59", "172", "202", "600", "23", "16", "0", "0" ], [ "Colorectal Surgery", "9", "9", "0", "62", "242", "0", "", "0", "2", "39", "69", "7", "68", "242", "0", "0", "0", "" ], [ "Colposcopy", "181", "7", "25", "41", "530", "0", "8", "13", "3", "17", "33", "4", "74", "530", "42", "104", "3", "3" ], [ "Community Paediatrics", "4", "4", "0", "241", "640", "0", "", "0", "1", "74", "74", "3", "296", "640", "0", "0", "0", "" ], [ "Critical Care Medicine", "5", "3", "2", "648", "1,315", "0", "", "0", "0", "5", "5", "3", "808", "1,315", "0", "0", "0", "0" ], [ "Dermatology", "2275", "1021", "163", "530", "1,339", "2", "9", "24", "24", "58", "416", "995", "581", "1,339", "487", "589", "15", "16" ], [ "Diabetic Medicine", "1353", "174", "38", "531", "1,405", "0", "", "0", "1", "99", "804", "173", "552", "1,405", "65", "913", "163", "168" ], [ "Dietetics", "1", "1", "0", "128", "128", "0", "", "0", "0", "", "0", "1", "128", "128", "0", "0", "0", "" ], [ "Endocrinology", "865", "273", "68", "607", "1,831", "0", "", "0", "17", "193", "914", "256", "650", "1,831", "40", "399", "85", "85" ], [ "ENT", "2743", "1263", "139", "293", "1,116", "0", "8", "12", "15", "71", "620", "1248", "309", "1,116", "164", "1152", "25", "25" ], [ "Fertility", "93", "12", "11", "70", "212", "0", "", "0", "0", "", "0", "12", "70", "212", "25", "38", "7", "7" ], [ "Gastroenterology", "1643", "196", "204", "148", "1,314", "6", "34", "75", "67", "80", "801", "123", "192", "1,314", "150", "1074", "19", "20" ], [ "General Medical Practice", "5", "2", "0", "1,052", "1,154", "0", "", "0", "0", "", "0", "2", "1,052", "1,154", "3", "0", "0", "0" ], [ "General Medicine", "1510", "33", "82", "128", "3,282", "0", "5", "5", "10", "217", "3,282", "23", "108", "879", "25", "1341", "29", "29" ], [ "General Surgery", "3944", "358", "339", "90", "849", "15", "53", "255", "43", "51", "349", "300", "102", "849", "2189", "945", "113", "113" ], [ "Gynaecology", "1658", "43", "205", "48", "887", "0", "11", "23", "3", "21", "65", "40", "52", "887", "570", "809", "31", "31" ], [ "Nephrology", "553", "12", "60", "91", "753", "0", "", "0", "1", "63", "207", "11", "99", "753", "93", "377", "11", "11" ], [ "Neurology", "1294", "524", "25", "271", "843", "0", "", "0", "18", "62", "338", "506", "282", "843", "146", "553", "46", "46" ], [ "Obstetrics", "480", "12", "112", "35", "360", "0", "", "0", "1", "27", "60", "11", "36", "360", "41", "289", "26", "26" ], [ "Old Age Psychiatry", "1", "1", "0", "55", "55", "0", "", "0", "0", "", "0", "1", "55", "55", "0", "0", "0", "" ], [ "Ophthalmology", "7519", "903", "373", "274", "1,291", "0", "", "0", "58", "107", "597", "845", "293", "1,291", "968", "4527", "748", "755" ], [ "Oral Surgery", "1586", "592", "209", "177", "999", "1", "4", "6", "18", "53", "489", "573", "209", "999", "33", "738", "14", "14" ], [ "Orthodontics", "350", "50", "0", "539", "823", "0", "", "0", "5", "516", "527", "45", "542", "823", "300", "0", "0", "0" ], [ "Orthoptics", "1", "1", "0", "26", "26", "0", "", "0", "0", "", "0", "1", "26", "26", "0", "0", "0", "" ], [ "Paediatric Audiology Medicine", "1", "1", "0", "991", "991", "0", "", "0", "0", "", "0", "1", "991", "991", "0", "0", "0", "" ], [ "Paediatric Ear Nose and Throat", "11", "11", "0", "124", "215", "0", "", "0", "0", "", "0", "11", "124", "215", "0", "0", "0", "" ], [ "Paediatric Neurology", "78", "9", "0", "264", "877", "0", "", "0", "0", "", "0", "9", "264", "877", "59", "0", "10", "10" ], [ "Paediatric Ophthalmology", "92", "5", "35", "48", "116", "0", "", "0", "1", "60", "116", "4", "43", "88", "8", "17", "27", "27" ], [ "Paediatric Trauma and Orthopaedics", "50", "8", "20", "135", "737", "0", "", "0", "2", "30", "35", "6", "143", "737", "8", "14", "0", "0" ], [ "Paediatrics", "1703", "26", "214", "55", "773", "0", "", "0", "5", "31", "125", "21", "58", "773", "250", "1209", "4", "4" ], [ "Pain Management", "515", "131", "27", "143", "1,082", "0", "", "0", "14", "123", "754", "117", "145", "1,082", "150", "197", "10", "10" ], [ "Physiotherapy", "5", "5", "0", "274", "548", "0", "", "0", "0", "", "0", "5", "274", "548", "0", "0", "0", "" ], [ "Plastic Surgery", "303", "6", "35", "82", "762", "0", "", "0", "4", "35", "151", "2", "143", "762", "72", "164", "26", "28" ], [ "Podiatry", "1", "1", "0", "73", "73", "0", "", "0", "0", "", "0", "1", "73", "73", "0", "0", "0", "" ], [ "Respiratory Medicine (Thoracic Medicine)", "1122", "52", "148", "93", "450", "2", "8", "16", "6", "39", "219", "44", "101", "450", "235", "676", "11", "11" ], [ "Respiratory Physiology", "7", "7", "0", "286", "1,081", "0", "", "0", "0", "", "0", "7", "286", "1,081", "0", "0", "0", "" ], [ "Restorative Dentistry", "27", "1", "1", "80", "132", "0", "", "0", "0", "", "0", "1", "80", "132", "9", "16", "0", "0" ], [ "Rheumatology", "1970", "253", "276", "251", "941", "0", "", "0", "13", "164", "635", "240", "272", "941", "202", "1035", "204", "206" ], [ "Stroke Medicine", "20", "1", "4", "172", "503", "0", "", "0", "0", "", "0", "1", "172", "503", "1", "14", "0", "0" ], [ "Thoracic Surgery", "58", "0", "1", "6", "6", "0", "", "0", "0", "6", "6", "0", "", "0", "49", "8", "0", "0" ], [ "Transient Ischaemic Attack", "1", "1", "0", "80", "80", "0", "", "0", "1", "80", "80", "0", "", "0", "0", "0", "0", "" ], [ "Trauma & Orthopaedics", "3463", "1263", "295", "236", "1,038", "0", "", "0", "20", "16", "569", "1243", "258", "1,038", "868", "925", "112", "112" ], [ "Urogynae", "222", "7", "11", "191", "989", "0", "", "0", "2", "31", "44", "5", "212", "989", "43", "157", "4", "4" ], [ "Urology", "1617", "524", "98", "230", "1,402", "5", "28", "132", "33", "62", "919", "486", "261", "1,402", "720", "260", "15", "15" ], [ "Vascular Surgery", "11", "11", "0", "164", "450", "0", "", "0", "2", "13", "13", "9", "197", "450", "0", "0", "0", "" ] ], "row_count": 53, "col_count": 19 } ] }, { "case_id": 906825, "title": "Mental Health Unit", "authority": "Department of Health and Social Care", "date_received": "2019-07-30", "outcome": "All information sent", "summary": "", "key_facts": [], "data_mentioned": [], "exemptions_cited": [], "tables": [ { "headers": [ "2019-2020", "MH01", "MH02", "MH03", "MH04", "MH05", "MH06", "MH07", "MH08", "MH09", "MH10", "MH11", "MH12" ], "rows": [ [ "", "Current\nOpen\nSpecialist\nIncludes\nCWS\nfigures", "Current\nCPA\nEnhanced", "12 Month\n+ CPA", "Current\nInpatient\nIncludes\nthose on\nLeave from\nthe Ward", "Current\nMH Act", "Current\nOffisland", "Offisland\n3 Months", "Current\nD iagnosis", "CPA\nEmployment\nRun PMF & This\nreport now\nINCLUDES CWS", "Discharged\nInpatient", "Discharged\nCommunity\nIncludes CWS\nfigures", "Discharged\nInpatient 5\nday Follow\nUp %" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "APRIL\nMAY\nJUNE", "4427", "224\n230\n232", "97\n97\n99", "32\n30\n29", "24\n18\n18", "20", "19", "1596\n1774", "686\n723\n483", "12\n16\n19", "573", "90.0%\n72.0%\n93.00%" ], [ "", "4403", "", "", "", "", "20", "16", "", "", "", "717", "" ], [ "", "4359", "", "", "", "", "20", "16", "1597", "", "", "605", "" ], [ "QUARTER 1", "4359", "232", "99", "29", "18", "20", "16", "1597", "483", "47", "1895", "85%" ] ], "row_count": 6, "col_count": 13 }, { "headers": [ "MH13", "MH14", "MH15", "MH16", "MH17", "MH18", "MH19", "MH20", "", "", "", "", "", "", "", "" ], "rows": [ [ "Inpatient\nAWOL", "Inpatient\nEmergency", "Re-\nreferrals", "Current\nEthnicity\n%", "Current\nAccomm.\n%", "Current\nCrisis Plan", "Current\nRisk Mgmt\nPlan", "Admissions\nInpatients", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "GP", "MENTAL\nHEALTH", "MDT", "CMHSA &\nCMHT", "CAMHS", "CRHTT", "DAT", "MEDICAL\nSTAFF" ], [ "0\n0\n0", "6\n12\n12", "111\n132\n108", "52.4%\n52.5%\n52.2%", "31.4%\n31.3%\n19.1%", "842\n841\n838", "1931\n1924\n1890", "10\n14\n18", "", "", "", "", "", "", "", "" ], [ "0", "30", "351", "52%", "27%", "838", "1890", "42", "20% 9% 7% 7% 2% 5% 2% 4%", "", "", "", "", "", "", "" ] ], "row_count": 4, "col_count": 16 }, { "headers": [ "", "", "", "", "", "", "MH22 (Add all figures together as per team breakdowns)", "", "", "", "", "", "", "", "MH23" ], "rows": [ [ "", "", "", "", "", "", "Attendance Telephone Total Cancelled Cancelled DNA DNA % Unoutcomed\nContact Cancelled by HCP b y Client Appointments\n(within (within\ntotal) total)", "", "", "", "", "", "", "", "Length of\nStay\n(Average)" ], [ "POLICE", "SCHOOL/C\nOLLEGE", "SELF", "A&E &\nNOBLES", "PRISON", "OTHER", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "1.8%", "8.4%", "4889", "126", "1029", "155", "260", "682", "12.0%", "568", "27\n22\n16" ], [ "", "", "", "", "2.6%", "6.9%", "4586", "138", "1159", "195", "302", "633", "11.8%", "573", "" ], [ "", "", "", "", "", "", "3910", "120", "939", "141", "245", "533", "11.7%", "517", "" ], [ "10% 2% 14% 10% 2% 7%", "", "", "", "", "", "13385", "384", "3127", "491", "807", "1848", "12%", "1658", "22" ] ], "row_count": 6, "col_count": 15 }, { "headers": [ "MH24", "", "", "MH25", "MH26", "", "", "", "", "", "", "", "", "MH27", "MH28", "", "", "" ], "rows": [ [ "Bed Occupancy %\nClients to beds used", "", "", "Current\n115", "Current Postcode %", "", "", "", "", "", "", "", "", "C u r r e n t\nEducation", "C u r r ent Gender %", "", "", "" ], [ "OVERALL", "HARBOUR\nSUITE", "GLEN\nSUITE", "", "IM1", "IM2", "IM3", "IM4", "IM5", "IM6", "IM7", "IM8", "IM9", "", "FEMALE", "MALE", "UNSPECIFIED", "-18" ], [ "98.0%\n99.0%\n93.0%", "99.0%\n94.0%\n98.0%", "93.0%\n96.0%\n96.0%", "94\n95\n96", "10.8% 27.5% 9.3% 9.8% 5.9% 0.9% 6.1% 10.8% 18.9%", "", "", "", "", "", "", "", "", "1.99%\n2.1%\n1.5%", "48.58% 46.55% 0.05%", "", "", "" ], [ "", "", "", "", "9.6% 26.1% 7.5% 10.7% 8.0% 0.7% 6.6% 9.3% 21.4%", "", "", "", "", "", "", "", "", "", "51.3% 48.7% 0.1%", "", "", "" ], [ "", "", "", "", "11.0% 28.4% 8.7% 8.7% 8.3% 0.6% 5.9% 8.3% 20.3%", "", "", "", "", "", "", "", "", "", "51.0% 49.0% 0.0%", "", "", "" ], [ "97%", "97%", "95%", "96", "10% 27% 8% 10% 7% 1% 6% 9% 20%", "", "", "", "", "", "", "", "", "2%", "50% 48% 0%", "", "", "19%" ] ], "row_count": 6, "col_count": 18 }, { "headers": [ "", "", "", "MH30", "MH31", "", "", "MH32", "MH33" ], "rows": [ [ "", "", "", "I n c i d ents", "Current\nAlcohol", "Current\nDrugs", "Both\nAlcohol &\nDrugs", "Referrals\nIncludes\nCWS\nfigures", "Physical\nHealth\nCheck\nCompliance\nRun MHS\nPhysical\nHealth Check\nCompliance" ], [ "18-35", "36-69", "70+", "", "", "", "", "", "" ], [ "", "", "", "79", "61\n63\n64", "214\n213\n211", "99\n101\n106", "592", "13.81%" ], [ "", "", "", "29", "", "", "", "713", "14.41%" ], [ "", "", "", "40", "", "", "", "639", "15.12%" ], [ "25% 35% 21%", "", "", "148", "64", "211", "106", "1944", "14%" ] ], "row_count": 6, "col_count": 9 }, { "headers": [ "Year end 1st\nApril 2018 to\n31st March\n2019", "MH01", "MH02", "MH03", "MH04", "MH05", "MH06", "MH07", "MH08", "MH09", "MH10", "MH11", "MH12" ], "rows": [ [ "", "Current\nOpen\nSpecialist\nIncludes CWS\nfigures", "Current CPA\nEnhanced", "12 Month +\nCPA", "Current\nInpatient\nIncludes those\non Leave from\nthe Ward", "Current\nMH Act", "Current\nOffisland", "Offisland 3\nMonths", "Current\nDiagnosis", "CPA\nEmployment", "Discharged\nInpatient", "Discharged\nCommunity\nIncludes CWS\nfigures", "Discharged\nInpatient 5 day\nFollow Up %" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "4389", "201", "81", "37", "22", "19", "17", "3433", "631", "195", "7881", "94%" ] ], "row_count": 3, "col_count": 13 }, { "headers": [ "MH13", "MH14", "MH15", "MH16", "MH17", "MH18", "MH19", "MH20", "", "", "", "", "", "", "", "" ], "rows": [ [ "Inpatient\nAWOL", "Inpatient\nEmergency", "Re-referrals", "Current\nEthnicity %", "Current\nA c c omm. %", "Current\nC r i s is Plan", "Current Risk\nMgmt Plan", "Admissions\nInpatients", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "GP", "MENTAL\nHEALTH", "MDT", "CMHSA &\nCMHT", "CAMHS", "CRHTT", "DAT", "MEDICAL\nSTAFF" ], [ "0", "147", "1215", "51.8%", "31.8%", "850", "1938", "201", "", "", "", "", "", "", "", "" ] ], "row_count": 3, "col_count": 16 }, { "headers": [ "", "", "", "", "", "", "MH22 (Add all figures together as per team breakdowns)", "", "", "", "", "", "", "", "MH23" ], "rows": [ [ "", "", "", "", "", "", "Attendance Telephone Total Cancelled Cancelled DNA DNA % Unoutcomed\nContact Cancelled by HCP by Client Appointments\n(within (within\ntotal) total)", "", "", "", "", "", "", "", "Length of\nStay\n(Average)" ], [ "POLICE", "SCHOOL/CO\nLLEGE", "SELF", "A&E &\nNOBLES", "PRISON", "OTHER", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "53478", "1600", "15279", "1669", "3182", "7302", "11.2%", "465", "25" ] ], "row_count": 3, "col_count": 15 }, { "headers": [ "MH24", "", "", "MH25", "MH26", "", "", "", "", "", "", "", "", "MH27", "MH28", "", "", "", "" ], "rows": [ [ "Bed Occupancy %", "", "", "Current\n115", "Current Postcode %", "", "", "", "", "", "", "", "", "C u r r e n t\nEducation", "Current Gender %", "", "", "", "" ], [ "OVERALL", "HARBOUR\nSUITE", "GLEN\nSUITE", "", "IM1", "IM2", "IM3", "IM4", "IM5", "IM6", "IM7", "IM8", "IM9", "", "FEMALE", "MALE", "UNSPECIFIED", "-18", "18-35" ], [ "97.0%", "98.0%", "95.0%", "92", "12.6% 29.7% 9.8% 10.2% 7.7% 0.0% 9.5% 9.5% 14.7%", "", "", "", "", "", "", "", "", "1.9%", "50.7% 49.2% 0.1%", "", "", "", "" ] ], "row_count": 3, "col_count": 19 }, { "headers": [ "", "", "MH30", "MH31", "", "", "MH32", "MH33" ], "rows": [ [ "", "", "Incidents", "Current\nAlcohol", "Current\nDrugs", "Both\nAlcohol &\nDrugs", "Referrals\nIncludes CWS\nfigures", "Physical\nHealth Check\nCompliance" ], [ "36-69", "70+", "", "", "", "", "", "" ], [ "", "", "742", "68", "207", "99", "8114", "" ] ], "row_count": 3, "col_count": 8 } ] }, { "case_id": 927817, "title": "BREXIT - No Deal preparations", "authority": "Cabinet Office", "date_received": "2019-09-09", "outcome": "Some information sent but part exempt", "summary": "A request was made for comprehensive documents regarding the Isle of Man's 'No Deal' Brexit preparations, including meeting minutes, impact assessments, and specific policy details on healthcare and trade. The Cabinet Office responded by releasing some information, specifically a Council of Ministers paper from August 2018, while withholding other requested materials under exemptions.", "key_facts": [ "The request was submitted on 2019-09-09 and the outcome was determined on 2019-10-04.", "The authority handling the request was the Cabinet Office.", "The outcome was classified as 'Some information sent but part exempt'.", "A disclosed document is Council of Ministers Paper No. 18/221 titled 'Brexit, Secondary Legislation Update'.", "The request covered sensitive topics including civil unrest preparations, NHS privatisation, and food standards." ], "data_mentioned": [ "2019-09-09", "2019-10-04", "23 August 2018", "Paper No. 18/221", "28 pages", "5 documents" ], "exemptions_cited": [ "Part exempt (specific exemption clauses not detailed in the provided text)" ], "tables": [ { "headers": [ "Department/Board/Office", "Cabinet Office" ], "rows": [ [ "Chief Officer", "Will Greenhow" ], [ "Responsible Officer", "Hirelle Moore, Brexit Legal Officer" ], [ "Cut ups to be sent to", "Della Fletcher, David Corlett, Hirelle Moore" ], [ "Date of Council Meeting", "23 August 2018" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "", "Not applicable", "", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "Not applicable", "", "", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "", "Not applicable", "", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Not applicable", "", "", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "", "Yes", "", "", "" ], [ "If yes, which other Departments are involved?", "All", "", "", "", "", "", "" ], [ "What is the intention of this paper?", "Information Only", "", "", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "Choose an item.", "", "", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "Choose an item.", "", "", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Choose an item.", "", "", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "Choose an item.", "", "", "", "", "" ], [ "Purpose of the Paper:\nTo provide an update of the legislative progress being made on the Isle of Man to\nprepare for the UK’s exit from the European Union", "", "", "", "", "", "", "" ] ], "row_count": 11, "col_count": 8 }, { "headers": [ "Department affected", "Drafting\nplan sent", "Other implications" ], "rows": [ [ "Cabinet Office", "Being\nfinalised", "" ], [ "Communications Commission", "Yes", "UK legislation is applied to the Isle of Man\nthrough Order in Council. We have not as\nyet seen what the UK is going to do in\nthis area however it will require a further\nOrder in Council to be drafted." ], [ "DESC", "Yes", "" ], [ "DfE", "Being\nfinalised", "is liaising with the UK\nIntellectual Property Office and drafting\nan Order in Council. There are also other\ndirectives which need to be prepared post\nexit.\nis preparing the Order in" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "Council regarding the amendments to the\nTakeover Panel provisions in the UK\nCompanies Act 2006 (Act of Parliament)\nwhich is applied to the Isle of Man." ], "rows": [ [ "DHSC", "Being\nfinalised", "We have met with and she is\nlooking to resource this." ], [ "Treasury", "Yes", "" ], [ "DEFA and OFT", "Yes", "2 different drafting plans sent." ], [ "IOM Post Office", "Yes", "" ], [ "DOI", "Yes", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "Actions", "Deadline" ], "rows": [ [ "For Departments", "" ], [ "Department officers to finalise amendments/corrections to existing\nlegislation to be made using powers under the Withdrawal Bill", "30th November 2018" ], [ "Departments to each obtain Ministerial/Department Board approval for\nthe amendments/corrections", "" ], [ "Instrument(s) making the amendments/corrections to be drafted", "" ], [ "Instruments to be provided to AGs for consideration", "" ], [ "Cabinet Office/Brexit Team", "" ], [ "Finalisation of:\n Legislation\n Explanatory memo (Members and public versions)\n Council of Ministers paper\n Covering COPG paper\nSubmission of Council paper to Chief Secretary for approval to put to\nCabinet Office Political Group", "20th December 2018" ], [ "Approval by Cabinet Office Political Group", "TBC (January meeting)" ], [ "Obtain Council of Ministers paper number", "9th January 2019" ], [ "Submission to Council of Ministers", "10th January 2019" ], [ "Approval at Council of Ministers", "17th January 2019" ], [ "Members Briefing on the secondary legislation", "22nd January 2019\n(Barrool Suite\nprovisionally confirmed for\n1pm)" ], [ "Submission of Chief Minister’s speaking notes to Chief Secretary for\napproval", "30th January 2019" ], [ "Approval at Council of Ministers as an item of Government business for\nFebruary Tynwald", "31st January 2019" ], [ "Obtain SD number(s) from Clerk of Tynwald’s Office. Advise Executive\nOffice of number(s)\nMemo to be produced for the Chief Secretary to sign the instrument(s)\nSpeaking notes passed to Chief Minister", "1st February 2019" ], [ "Tynwald Members Briefing on the secondary legislation in advance of\nFebruary Tynwald", "TBC" ], [ "Chief Secretary to sign instrument(s)\nSubmission of motion, explanatory memo and documents to Clerk of\nTynwald’s Office (by 5pm) (including procedure for supplementary order\npaper if Royal Assent of Bill to be announced at February Tynwald)", "4th February 2019" ], [ "Approval at February 2019 sitting of Tynwald", "19th-21th February 2019" ], [ "Public Records Office cover sheet to be prepared and original signed\ninstrument(s) to be sent to PRO", "28th February 2019" ], [ "Exit Day", "29th March 2019" ] ], "row_count": 20, "col_count": 2 }, { "headers": [ "Department/Board/Office", "Cabinet Office" ], "rows": [ [ "Chief Officer", "Will Greenhow" ], [ "Responsible Officer", "David Corlett, Head of Brexit" ], [ "Cut ups to be sent to", "Della Fletcher, David Corlett" ], [ "Date of Council Meeting", "23 August 2018" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "", "Not applicable", "", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "Not applicable", "", "", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "", "Not applicable", "", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Not applicable", "", "", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "", "Yes", "", "", "" ], [ "If yes, which other Departments are involved?", "All", "", "", "", "", "", "" ], [ "What is the intention of this paper?", "Information Only", "", "", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "Choose an item.", "", "", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "Choose an item.", "", "", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Choose an item.", "", "", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "Choose an item.", "", "", "", "", "" ], [ "Purpose of the Paper:\nTo inform and update Council on the UK’s intention to issue Technical Notices\nrelating to its preparations for a ‘no-deal’ exit from the European Union.", "", "", "", "", "", "", "" ] ], "row_count": 11, "col_count": 8 }, { "headers": [ "Department/Board/Office", "Cabinet Office" ], "rows": [ [ "Chief Officer", "Will Greenhow" ], [ "Responsible Officer", "David Corlett, Head of Brexit" ], [ "Cut ups to be sent to", "Della Fletcher, David Corlett" ], [ "Date of Council Meeting", "23 August 2018" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "", "Not applicable", "", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "Not applicable", "", "", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "", "Not applicable", "", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Not applicable", "", "", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "", "Yes", "", "", "" ], [ "If yes, which other Departments are involved?", "All", "", "", "", "", "", "" ], [ "What is the intention of this paper?", "Information Only", "", "", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "Choose an item.", "", "", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "Choose an item.", "", "", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Choose an item.", "", "", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "Choose an item.", "", "", "", "", "" ], [ "Purpose of the Paper:\nTo update Council on the UK’s withdrawal from the EU and the White Paper\npublished by the UK on its future relationship with the EU.", "", "", "", "", "", "", "" ] ], "row_count": 11, "col_count": 8 }, { "headers": [ "On 28 August 2019 we sought clarification from you regarding the information" ], "rows": [ [ "requested and advised that initial searches identified around 1,900 documents falling" ], [ "potentially within the scope of your request. In order to provide you with the specific" ], [ "information you require and in order to manage the work required to respond to this" ], [ "request, we asked whether you would be willing to refine the scope of your request;" ], [ "specifically" ], [ "" ], [ "* Are there particular dates between which you are interested in having the" ], [ "information for? (i.e. say, in the last six months?)" ], [ "* Are there any specific items you are interested in. The list of the types of documents" ], [ "is wide ranging, therefore are you able to refine this at all?" ], [ "* Are there sub-topics which are particularly of interest ?" ] ], "row_count": 11, "col_count": 1 }, { "headers": [ "“To refine this request and avoid further delay, I will ask for the following:", "", "" ], "rows": [ [ "", "", "" ], [ "", "• All Council of Ministers meeting notes, minutes, agendas, board papers and", "" ], [ "", "phone transcriptions pertaining to No Deal BREXIT. All assessments, impact", "" ], [ "", "assessments and lists of key dates (with descriptions) pertaining to No Deal", "" ], [ "", "Brexit that have been advised to or sent to, or communicated to the Council of", "" ], [ "", "Ministers.", "" ], [ "", "", "" ], [ "", "• All Government department requisition notes and lists of new employees by", "" ], [ "", "position pertaining to No Deal Brexit.", "" ], [ "", "", "" ], [ "", "• Briefing papers prepared for, and assessments, impact assessments and lists of", "" ], [ "", "key dates (with descriptions) communicated to the Council of Ministers, all", "" ], [ "", "pertaining to No Deal BREXIT and the following:", "" ], [ "", "", "" ], [ "", "", "•All business, social, GDP and other economic indicator impact" ], [ "", "", "assessments and discussion papers pertaining to No Deal" ], [ "", "", "•Isle of Man Chamber of Commerce discussions and meetings" ], [ "", "", "•Supply issues post No Deal BREXIT" ], [ "", "", "•Civil unrest preparations post No Deal BREXIT" ], [ "", "", "•Relaxation of food standards" ], [ "", "", "•The sale or privatisation of the Manx NHS or any facets or functions of" ], [ "", "", "Manx healthcare" ], [ "", "", "•Protection of Isle of Man Fisheries and rights to Manx territorial waters" ], [ "", "", "•Access to the Galileo satellite" ], [ "", "", "•Negotiations of the future economic partnership with the UK" ], [ "", "", "•Free trade agreements between the Isle of Man and any other country" ], [ "", "", "or territory" ], [ "", "", "•Whether US beef and chlorinated chicken will be allowed to be sold in" ], [ "", "", "the IOM" ], [ "", "", "•Budgetary concerns and expectations for drawing down on reserves to" ], [ "", "", "balance future IOM budgets”" ] ], "row_count": 31, "col_count": 3 } ] }, { "case_id": 937849, "title": "Return of expats and EU nationals to the Isle of Man", "authority": "Cabinet Office", "date_received": "2019-09-09", "outcome": "Information not held", "summary": "The requester asked for documents regarding the return of expats and EU nationals to the Isle of Man post-Brexit and their impact on infrastructure and health services. The Cabinet Office responded that no such information is held because the Immigration Service does not track British citizens returning from the EU, as they are not under immigration control.", "key_facts": [ "The Cabinet Office does not hold the requested information regarding the return of expats and EU nationals.", "The Immigration Service has not conducted work on British or Manx persons living in the EU returning to the Isle of Man.", "British citizens are not subject to immigration controls, which is why no data is held on their return.", "EU, EEA, and Swiss citizens wishing to return prior to Exit Day could apply to the IOM European Union Settlement Scheme (EUSS).", "The EUSS has been in operation since 29 March 2019 and aligns with the UK's scheme." ], "data_mentioned": [ "26 August 2019", "27 August 2019", "9 September 2019", "24 September 2019", "29 March 2019", "5 years", "2 years", "937849", "page 271" ], "exemptions_cited": [ "Information not held" ], "tables": [ { "headers": [ "On 27 August 2019 we subsequently asked for clarification from you to identify the", "" ], "rows": [ [ "information requested, in accordance with Section 14(1)(i) of the Freedom of", "" ], [ "Information Act 2015. In particular, relating to your request for information", "" ], [ "\"...regarding the return of expats and EU nationals to the Isle of Man post No Deal", "" ], [ "Brexit....\"; we asked if you could clarify:", "" ], [ "", "" ], [ "", "“i) whether by expats you mean British citizens living outside the United Kingdom;" ], [ "", "and" ], [ "", "ii) whether by EU nationals you mean those EU nationals who hold an immigration" ], [ "", "status under the European Union Settlement Scheme." ], [ "", "" ], [ "", "An immigration status under the European Union Settlement Scheme set out in" ], [ "", "Appendix EU of the Immigration Rules means" ], [ "", "i) indefinite leave to remain under which you can spend up to 5 years in a row" ], [ "", "outside of the UK and Islands without losing your status," ], [ "", "ii) limited leave to remain under which you can spend up to 2 years in a row outside" ], [ "", "of the UK and Islands without losing your status.”" ] ], "row_count": 16, "col_count": 2 }, { "headers": [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "am", "", "", "", "trying", "", "", "to" ], "rows": [ [ "establish", "", "", "", "", "what", "", "", "", "", "the", "", "", "impact", "", "", "", "", "will", "", "be", "", "", "", "(with", "", "reference", "", "", "", "", "to", "", "my", "", "", "", "FOI", "", "", "", "request)", "", "", "", "fo", "r", "the", "", "", "", "Isle", "of", "" ], [ "Man", "", "from", "", "", "", "British/Manx", "", "", "", "", "", "", "", "", "", "", "persons", "", "", "", "", "currently", "", "", "", "", "", "living", "", "in", "the", "", "", "", "EU", "", "", "", "who", "", "", "", "will/may", "", "", "be", "", "", "forced", "", "", "to", "" ], [ "return", "", "", "", "to", "the", "", "", "Isle", "", "", "", "of", "", "", "Man.”", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 3, "col_count": 54 } ] }, { "case_id": 946173, "title": "Village Connect Services to Doctors and/or Cottage Hospital", "authority": "Department of Infrastructure", "date_received": "2019-09-03", "outcome": "All information sent", "summary": "The request sought statistics on Village Connect transport usage for Ramsey medical facilities and any policies regarding unarranged pickups. The Department of Infrastructure disclosed usage figures since the service's inception and confirmed there is no specific policy for unarranged pickups beyond standard procedures.", "key_facts": [ "The Village Connect service (ConnectVILLAGES) provides transport to and from Ramsey Group Practice and Ramsey Cottage Hospital.", "No specific internal policy exists for unarranged pickups at these locations; standard procedure applies.", "For unarranged pickups, the service aims to dispatch a bus as quickly as possible once a passenger indicates readiness.", "The response was issued by the Department of Infrastructure on 11 September 2019.", "All requested information was provided without redaction." ], "data_mentioned": [ "Martin Ward: 96 dropped off, 89 collected", "Ramsey District Cottage Hospital: 175 dropped off, 113 collected", "Ramsey Group Practice: 134 dropped off, 73 collected", "Request received: 2019-09-03", "Response date: 2019-09-11", "Case reference: 946173" ], "exemptions_cited": [], "tables": [ { "headers": [ "Location", "Dropped Off", "Collected" ], "rows": [ [ "Martin Ward", "96", "89" ], [ "Ramsey District Cottage\nHospital", "175", "113" ], [ "Ramsey Group Practice", "134", "73" ] ], "row_count": 3, "col_count": 3 } ] }, { "case_id": 963997, "title": "Disclosure Log - Mental Health Inquiry", "authority": "Department of Health and Social Care", "date_received": "2019-09-16", "outcome": "Some information sent but not all held", "summary": "The requester asked about FOI publication practices and sought copies of mental health treatment plan templates following a recent inquiry. The authority responded by providing detailed Anxiety and Bipolar Affective Disorder pathway templates based on NICE guidelines, though the response text does not explicitly address the questions regarding publication policies.", "key_facts": [ "The Department of Health and Social Care provided Anxiety and Bipolar Affective Disorder treatment pathways.", "The pathways are based on NICE Clinical Guidance (QS53, CG113, CG159) and British Association for Psychopharmacology Guidelines.", "The Anxiety pathway outlines interventions across three steps: Primary Care, Community Wellbeing Service, and CMHSA.", "The Bipolar pathway details medication options for manic and depressive episodes and referral criteria.", "The outcome of the request was recorded as 'Some information sent but not all held'." ], "data_mentioned": [ "2019-09-16", "2019-10-09", "22 pages", "2 documents", "QS53", "CG113", "CG159", "2014", "2016", "14 sessions", "3-4 months", "7-14 hours", "16-20 hours", "3 hours", "9 sessions", "2, 4, 6, 12 months", "8-12 mth intervals", "1-2 wks", "2-4 wks", "3 or more depressive episodes" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "e\nr\na\nC\ny\nr\na\nm\ni\nr\nP\n:\n1\np\ne\nt\nS", "", "Intermittent episodes of panic or anxiety,\nand taking action to prevent these\nfeelings", "", "", "Over arousal,\nirritability, poor\nconcentration, poor\nsleeping and worry\nabout several areas\nmost of the time.", "", "", "", "Fear of embarrassment", "" ], "rows": [ [ "", "", "", "", "", "", "", "", "", "", "causing avoidance of", "" ], [ "", "", "", "", "", "", "", "", "", "", "doing things or", "" ], [ "", "", "", "", "", "", "", "", "", "", "speaking to people;", "" ], [ "", "", "", "", "", "", "", "", "", "", "avoidance of being", "" ], [ "", "", "", "", "", "", "", "", "", "", "centre of attention;", "" ], [ "", "", "", "", "", "", "", "", "", "", "being embarrassed or", "" ], [ "", "", "", "", "", "", "", "", "", "", "looking stupid are", "" ], [ "", "", "", "", "", "", "", "", "", "", "among the worst fears.", "" ], [ "", "", "", "", "Offer: bibliotherapy, information on support groups, explain & promote the benefits of", "", "", "", "", "", "", "" ], [ "", "", "", "", "exercise", "", "", "", "", "", "", "" ], [ "", "", "", "", "Panic disorder with or without", "", "", "Generalised anxiety", "", "", "Social Anxiety", "" ], [ "", "", "", "", "agoraphobia", "", "", "disorder", "", "", "Disorder", "" ], [ "", "", "", "SSRIs, (best started at a lower dose),\nsome TCAs (Clomipramine, Imipramine,\nLofepramine), Venlafaxine, some\nBenzodiazepines in emergencies but NICE\ndoes not recommend them (clonazepam,\ndiazepam, lorazepam), sodium valproate\n(an anticonvulsant).", "SSRIs, (best started at a lower dose),", "", "SSRI. 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"", "", "" ], [ "", "", "", "", "- significant comorbidity, such as substance misuse, personality disorder or complex", "", "", "", "", "", "", "" ], [ "", "", "", "", "physical health problems or", "", "", "", "", "", "", "" ], [ "", "", "", "", "- self-neglect or", "", "", "", "", "", "", "" ], [ "", "", "", "", "- an inadequate response to step 2 interventions", "", "", "", "", "", "", "" ], [ "", "", "", "", "Reassess patient, undertake comprehensive risk assessment, do risk management plan.", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 56, "col_count": 12 }, { "headers": [ "Over arousal," ], "rows": [ [ "irritability, poor" ], [ "concentration, poor" ], [ "sleeping and worry" ], [ "about several areas" ], [ "most of the time." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Panic Disorder Specific:" ], "rows": [ [ "- Individual non-facilitated self-help" ], [ "- Individual guided self help" ], [ "- Group based 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"", "", "" ], [ "", "", "", "", "", "- Mania or severe depression who are a danger to themselves or others", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "- Overactive, disturbed behaviour", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "- Three or more depressive episodes and history of overactive, disinhibited behaviour", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "For those already diagnosed, follow the crisis plans developed within Step 3", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "- Review treatment and care, including medication, at least annually and more often if the", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "person, carer or healthcare professional has any concerns.", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "A\nS\nH\nM\nC\n:\n3\np\ne\nt\nS", "", "", "", "Full psychiatric & physical health assessment and review medication and side effects,", 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"" ], [ "", "", "", "", "", "Use the Mood Disorder Questionnaire to inform diagnosis and monitoring thereafter", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Follow the physical health monitoring policy.", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "For pregnant women with\nacute symptoms consider\npharmacological therapy", "For pregnant women with", "", "", "Carefully consider drug\noptions, rapid cycling, risk,\nbehaviour disturbance", "", "", "", "", "", "", "For those with persistent", "" ], [ "", "", "", "", "", "acute symptoms consider", "", "", "", "", "", "", "", "", "", "depressive symptoms and no", "" ], [ "", "", "", "", "", "pharmacological therapy", "", "", "", "", "", "", "", "", "", "recent history of rapid cycling", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "consider structured", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "psychological therapy", "" ], [ "", "", "", "", 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"associated pathway", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Long-term management of Bipolar Disorder", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "- Lithium (Mania, depression, suicide)\n- Dopamine antagonists and partial\nagonists, valproate (mainly mania)\n- Lamotrigine (depression)", "- Lithium (Mania, depression, suicide)", "", "", "", "", "", "", "", "Consider offering befriending", "", "", "" ], [ "", "", "", "", "", "- Dopamine antagonists and partial", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "agonists, valproate (mainly mania)", "", "", "", "", "", "", "", "Consider joint working:", "", "", "" ], [ "", "", "", "", "", "- Lamotrigine (depression)", "", "", "", "", "", "", "", "CRHTT - suicidal patients", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "DAT- substance abuse", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "Consider focused family intervention", 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"drug interactions.", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Consider ECT within in-patient treatment for severe, life-threatening depression and when a", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "rapid response is required, or when other treatments have failed.", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 54, "col_count": 17 }, { "headers": [ "Consider Psychological interventions" ], "rows": [ [ "specifically developed for adults with" ], [ "bipolar disorder such as: individual CBT," ], [ "group or family intervention and WRAP." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "For patients with severe or resistant" ], "rows": [ [ "depression: continue to offer high-intensity" ], [ "psychological interventions with increase of" ], [ "intensity and duration." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "CPA Review", "Name", "Signature", "Date" ], "rows": [ [ "Care Co-Coordinator", "", "", "" ], [ "Client", "", "", "" ], [ "Carer", "", "", "" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "CPA Distribution List", "", "", "" ], "rows": [ [ "Name", "Role", "Location", "Telephone Number" ], [ "", "", "", "" ], [ "", "", "", "" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "", "e\nr\na\nC\ny\nr\na\nm\ni\nr\nP\n:\n1\np\ne\nt\nS", "", "", "", "", "Screening patients in primary care with a history of past depression or other mental", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "health problems such as dementia and chronic physical health problems with associated", "", "", "" ], [ "", "", "", "", "", "", "functional impairment.", "", "", "" ], [ "", "", "", "", "", "", "Watchful waiting by GP, offering a follow-up appointment within two weeks.", "", "", "" ], [ "", "", "", "", "", "", "Discuss the presenting problem(s) and any concerns and provide advice on sleep", "", "", "" ], [ "", "", "", "", "", "", "hygiene, anxiety management and the benefits of exercise.", 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"", "", "Low-intensity psychosocial interventions or group-based:", "", "", "" ], [ "", "", "", "", "", "", "- Individual guided self-help based on CBT principles (and including behavioural", "", "", "" ], [ "", "", "", "", "", "", "activation and problem-solving techniques) 6–8 sessions (face-to-face and by", "", "", "" ], [ "", "", "", "", "", "", "telephone) over 9–12 weeks, including follow-up;", "", "", "" ], [ "", "", "", "", "", "", "- Physical activity programme (group based, 45-60 minutes, 3 sessions per week for 12", "", "", "" ], [ "", "", "", "", "", "", "weeks);", "", "", "" ], [ "", "", "", "", "", "", "- Individual CBT: CBT 16-20 sessions over 3-4 months.", "", "", "" ], [ "", "", "", "", "", "", "- Individual Occupational Therapy 14 sessions over 3-4 months", "", "", "" ], [ "", "", "", "", "", "", "- Consider individual counselling if you think the patient may benefit or they request it:", "", "", "" ], [ "", "", "", "", "", "", "offer 6–10 sessions over 8–12 weeks.", 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For moderate or severe depression, consider 2 sessions per week", "", "", "" ], [ "", "", "", "", "", "", "for the first 3–4 weeks.", "", "", "" ], [ "", "e\ns\np\na\nl\ne\nR\n3\np\ne\nt\nS", "n\no\ni\nt\nn\ne\nv\ne\nr\nP", "", "", "", "- At remission: continue medication for at least 6 months and then review", "", "", "" ], [ "", "", "", "", "", "", "- Risk of relapse: advise use of antidepressants for at least 2 years and then review", "", "", "" ], [ "", "", "", "", "", "", "- Individual CBT if relapse despite antidepressants and for people with a significant", "", "", "" ], [ "", "", "", "", "", "", "history of depression and residual symptoms despite treatment - 16–20 sessions over", "", "", "" ], [ "", "", "", "", "", "", "3–4 months.", "", "", "" ], [ "", "", "", "", "", "", "- If more are needed to achieve remission, deliver 2 sessions per week for the first 2–3", "", "", "" ], [ "", "", "", "", "", "", "weeks; also include 4–6 follow-up sessions in the next 6 months or", "", "", "" ], [ "", "", "", "", "", "", "- WRAP", "", "", "" ], [ "", "t\nn\ne\ni\nt\na\np\nn\nI\n:\n4\np\ne\nt\nS", "&\nt\nn\ne\nm\ne\ng\na\nn\na\nm", "t\nn\ne\nm\nt\na\ne\nr\nt", "", "", "Severe and complex depression who are at significant risk of suicide, self-harm or self-", "", "", "" ], [ "", "", "", "", "", "", "neglect.", "", "", "" ], [ "", "", "", "", "", "For patients with treatment resistant\ndepression and a chronic physical health\nproblem work closely with physical\nhealth services and be aware of possible\nadditional drug interactions.", "For patients with treatment resistant", "For patients with severe or resistant\ndepression, including inpatient care:\n- High-intensity psychological interventions\nwith increase of intensity and duration.", "For patients with severe or resistant", "" ], [ "", "", "", "", "", "", "depression and a chronic physical health", "", "depression, including inpatient care:", "" ], [ "", "", "", "", "", "", "problem work closely with physical", "", "- High-intensity psychological interventions", "" ], [ "", "", "", "", "", "", "health services and be aware of possible", "", "with increase of intensity and duration.", "" ], [ "", "", "", "", "", "", "additional drug interactions.", "", "", "" ], [ "", "", "", "", "", "", "Consider ECT within in-patient treatment for severe, life-threatening depression and", "", "", "" ], [ "", "", "", "", "", "", "when a rapid response is required, or when other treatments have failed.", "", "", "" ] ], "row_count": 50, "col_count": 10 }, { "headers": [ "", "e\nr\na\nC\ny\nr\na\nm\ni\nr\nP\n:\n1\np\ne\nt\nS", "", "", "Target Groups: Young people with low BMI compared to age norms, physical signs of", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "starvation, academic related stress, depression and/or self harm, women with gastrointestinal", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "problems/repeated vomiting/Type 1 Diabetes/women reporting erratic periods or", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "amenorrhoea, adults who exercise compulsively and children with poor growth,", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "Assessment: Use the SCOFF (appendix 1) and assess physical", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "(diabetes/osteoporosis/pregnant/growth & BMI), psychological & social needs, risk to self and", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "indicators of abuse (in children).", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "Low/moderate risk:\nAge 8-17: refer to\nthe CAMHS", "Low/moderate risk:", "Referral upon\ndischarge\nfrom CAMHS\n≥18", "", "", "", "High risk: severe emancipation, serious risk of self-", "", "", "", "", "", "", "" ], [ "", "", "", "", "Age 8-17: refer to", "", "", "", "", "harm, severe deterioration, poor response to treatment.", "", "", "", "", "", "", "" ], [ "", "", "", "", "the CAMHS", "", "", "", "", "Consider prompt assessment from endocrinologist at", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "Noble’s Hospital and urgent referral to specialist", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "inpatient service via the OATS panel.", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "Age 8-18: refer to the CAMHS (transition to CMHSA at", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "18)", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "Age ≥18: refer to the CMHSA", "", "", "", "", "", "", "" ], [ "", "A\nS\nH\nM\nC\n:\n3\np\ne\nt\nS", "", "", "Use the EDE 17.0 to measure of eating disorder psychopathology or the EDE-Q when it is", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "impracticable or undesirable to complete the EDE. Use the CIA immediately after the EDE-Q", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "to monitor severity (repeat as outcome measure). Complete Assessment form for ED-MH.", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "Bulimia Nervosa", "Bulimia Nervosa", "", "", "Binge Eating", "", "", "", "OSFED", "", "", "Anorexia Nervosa", "Anorexia Nervosa", "" ], [ "", "", "", "", "", "", "", "Disorder", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "If appropriate consider encouraging family/significant others to support through treatment.", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "Guided self-help programme", "Guided self-help programme", "", "", "", "", "", "", "", "Treat for most", "", "BAM - to improve\nmotivation for change", "BAM - to improve", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "closely", "", "", "motivation for change", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "resembled", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "disorder.", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "Consider SSRI Fluoxetine increase gradually to", "", "", "", "", "", "", "", "One of the following 3:", "", "", "", "" ], [ "", "", "", "", "60mg", "", "", "", "", "", "", "", "1. CBT-ED – 40 sessions/40 weeks", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "2. MANTRA – 20 sessions (+10 if", "", "", "", "" ], [ "", "", "", "CBT-ED: 20 sessions\nover 20 weeks; twice\nweekly appointments in\nfirst phase.", "CBT-ED: 20 sessions", "", "", "CBT-ED: 16 weekly", "", "", "", "", "complex)", "", "", "", "" ], [ "", "", "", "", "over 20 weeks; twice", "", "", "90 minute group", "", "", "", "", "3. SSCM - ≥20 sessions", "", "", "", "" ], [ "", "", "", "", "weekly appointments in", "", "", "session over 4", "", "", "", "", "------------------------", "", "", "", "" ], [ "", "", "", "", "first phase.", "", "", "months.", "", "", "", "", "If inappropriate consider: Focal", "", "", "", "" ], [ "", "", "", "", "", "", "", "CBT-ED: 16-20", "", "", "", "", "Psychodynamic Therapy", "", "", "", "" ], [ "", "", "", "", "", "", "", "sessions", "", "", "", "", "40 sessions/40 weeks", "", "", "", "" ], [ "", "", "", "", "If vomiting or using laxatives frequently assess fluid and electrolyte balance", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "Consider ECG if: rapid weight loss, excessive exercise, severe purging behaviours,", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "bradycardia, hypotension, excessive caffeine, prescribed or non-prescribed medications,", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "muscular weakness, electrolyte imbalance, previous abnormal heart rhythm.", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "t\nn\ne\ni\nt\na\np\nn\nI\n:\n4\np\ne\nt\nS", "t\nn\ne\nm\ne\ng\na\nn\na\nM", "", "Psychological treatment, structured symptom focused treatment regimen, focus on eating", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "behaviour and individual psychosocial issues.", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "If the patient requires refeeding refer to Noble’s Hospital – Liaise with the Consultant", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "Endocrinologist. Refeeding should follow MARSIPAN guidance", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "Medical inpatient admission: if a person's physical health is at serious risk due to their eating", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "disorder, they do not consent to treatment, and they can only be treated safely in an inpatient", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "setting, follow the legal framework for compulsory treatment in the Mental Health Act 1983.", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "Feeding people without their consent should only be done by multidisciplinary teams who are", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "competent to do so.", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "Consider specialist Eating Disorder placement (see OATS policy)", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "Consider MH inpatient admission for those who have: (1) High/ moderate physical risk, (2)", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "significant risk of suicide/ self harm, (3) have not improved with appropriate out-patient", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "treatment.", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "Psychological pre assessment and follow-up.", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 53, "col_count": 17 }, { "headers": [ "Referral upon" ], "rows": [ [ "discharge" ], [ "from CAMHS" ], [ "≥18" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "", ":\n1\np\ne\nt\nS", "y\nr\na\nm\ni\nr\nP", "e\nr\na\nC", "", "", "Grief is normal after bereavement and most people manage without professional", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "intervention. Many people, however, lack understanding of grief after immediate", "", "", "", "" ], [ "", "", "", "", "", "", "bereavement.", "", "", "", "" ], [ "", "", "", "", "", "", "All bereaved people should be offered information about the experience of bereavement", "", "", "", "" ], [ "", "", "", "", "", "", "and given information on how to access other forms of support. Family and friends will", "", "", "", "" ], [ "", "", "", "", "", "", "provide much of this support.", "", "", "", "" ], [ "", "s\ne\nc\ni\nv\nr\ne\nS\ny\nr\na\nt\nn\nu\nl\no\nV", "", "", "", "Some people may require a more formal opportunity to review and reflect on their loss\nexperience, but this does not necessarily have to involve professionals. Volunteer\nbereavement support workers/befrienders, self-help groups, faith groups and community\ngroups will provide much of the support at this level.", "Some people may require a more formal opportunity to review and reflect on their loss", "", "", "", "" ], [ "", "", "", "", "", "", "experience, but this does not necessarily have to involve professionals. Volunteer", "", "", "", "" ], [ "", "", "", "", "", "", "bereavement support workers/befrienders, self-help groups, faith groups and community", "", "", "", "" ], [ "", "", "", "", "", "", "groups will provide much of the support at this level.", "", "", "", "" ], [ "", "", "", "", "", "Cruse Bereavement", "", "Hospice: offer support which\nis extended to families of\npatients and their bereaved.", "", "Manx Cancer Help:", "" ], [ "", "", "", "", "", "", "", "", "", "offer support which is", "" ], [ "", "", "", "", "", "", "", "", "", "extended to families of", "" ], [ "", "", "", "", "", "", "", "", "", "patients and their bereaved.", "" ], [ "", "", "", "", "", "", "Voluntary services may support Primary Care to ensure that when cases involving more", "", "", "", "" ], [ "", "", "", "", "", "", "complex needs emerge, referrals are made to appropriate health and social care", "", "", "", "" ], [ "", "", "", "", "", "", "professionals, with the ability to deliver more specialist interventions.", "", "", "", "" ], [ "", "y\nt\ni\nn\nu\nm\nm\no\nC\n:\n2\np\ne\nt\nS", "s\ne\nc\ni\nv\nr\ne\nS\ng\nn\nie\nb\nl\nle\nW", "", "", "", "A minority of people will require specialist interventions. This will involve referral to the", "", "", "", "" ], [ "", "", "", "", "", "", "Community Wellbeing Service. To ensure that people are severe enough to warrant clinical", "", "", "", "" ], [ "", "", "", "", "", "", "intervention, they must have high-distress levels or grief-related impairment persisting at", "", "", "", "" ], [ "", "", "", "", "", "", "least 12 months following the loss and have symptoms out of proportion or inconsistent", "", "", "", "" ], [ "", "", "", "", "", "", "with cultural, religious, or age-appropriate norms.", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "Assessment – use the Prolonged Grief Disorder (PG – 13) assessment tool.", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "Individuals with complicated grief should be assessed for suicide risk and comorbid", "", "", "", "" ], [ "", "", "", "", "", "", "conditions such as depression and PTSD.", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "Counselling should be offered as the initial treatment of choice, unless the patient has", "", "", "", "" ], [ "", "", "", "", "", "", "comorbid depression or PTSD, in which case treat as per the relevant pathway.", "", "", "", "" ] ], "row_count": 29, "col_count": 11 }, { "headers": [ "", "e\nr\na\nC\ny\nr\na\nm\ni\nr\nP\n:\n1\np\ne\nt\nS", "", "", "Routinely explore possibility of comorbid BDD for people at higher risk, including those", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "with:", "", "", "", "", "", "" ], [ "", "", "", "", "Depression, social phobia, alcohol or substance misuse, OCD, eating disorder, mild", "", "", "", "", "", "" ], [ "", "", "", "", "disfigurements/ blemishes seeking cosmetic surgery or attending dermatology clinics.", "", "", "", "", "", "" ], [ "", "", "", "", "Assess Risks: intrusive sexual, aggressive or death-related thoughts are common themes", "", "", "", "", "", "" ], [ "", "", "", "", "which are often misinterpreted as indicating risk.", "", "", "", "", "", "" ], [ "", "", "", "", "Mild functional impairment", "", "Moderate functional", "", "Severe functional\nimpairment", "Severe functional", "" ], [ "", "", "", "", "or for OCD patient prefers", "", "impairment", "", "", "impairment", "" ], [ "", "", "", "", "low intensity approach", "Consider use of SSRI", "Consider use of SSRI", "", "", "", "" ], [ "", "e\nc\ni\nv\nr\ne\nS\ng\nn\ni\ne\nb\nl\nl\ne\nW\ny\nt\ni\nn\nu\nm\nm\no\nC\n:\n2\np\ne\nt\nS", "", "", "OCD: Assess using the OCI BDD: Assess using the BDD - YBOCS", "", "", "", "", "", "" ], [ "", "", "", "", "OCD and BDD can have a fluctuating or episodic course, or relapse may occur after", "", "", "", "", "", "" ], [ "", "", "", "", "successful treatment. Therefore, people who have been successfully treated and", "", "", "", "", "", "" ], [ "", "", "", "", "discharged should be seen as soon as possible if re-referred with further occurrences of", "", "", "", "", "", "" ], [ "", "", "", "", "OCD or BDD, rather than placed on a routine waiting list.", "", "", "", "", "", "" ], [ "", "", "", "", "- Offer CBT (inc. Exposed", "OCD/BDD\nMore intensive course of 1:1\nCBT (inc. ERP) > 10 hrs.", "", "", "", "Combined treatment:", "" ], [ "", "", "", "", "Response Prevention):", "", "", "", "", "- CBT (inc. 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Review patient in remission for 12 months duration; discharge to", "", "", "", "", "", "" ], [ "", "", "", "", "GP if recovery is maintained.", "", "", "", "", "", "" ], [ "", ":\n4\np\ne\nt\nS", "t\nn\ne\ni\nt\na\np\nn\nI", "n\no\ni\ns\ns\ni\nm\nd\nA", "Consider inpatient admission if: there is risk to life, severe self-neglect, extreme distress or", "", "", "", "", "", "" ], [ "", "", "", "", "functional impairment, no response to adequate trials of", "", "", "", "", "", "" ], [ "", "", "", "", "pharmacological/psychological/combined treatments over long periods of time in other", "", "", "", "", "", "" ], [ "", "", "", "", "settings, additional diagnoses that make outpatient treatment more complex, reversal of", "", "", "", "", "", "" ], [ "", "", "", "", "normal night/day patterns that make attendance at any daytime therapy impossible, or the", "", "", "", "", "", "" ], [ "", "", "", "", "compulsions and avoidance behaviour are so severe or habitual that they cannot", "", "", "", "", "", "" ], [ "", "", "", "", "undertake normal activities of daily living.", "", "", "", "", "", "" ] ], "row_count": 51, "col_count": 11 }, { "headers": [ "", "e\nr\na\nC\ny\nr\na\nm\ni\nr\nP\n:\n1\np\ne\nt\nS", "", "", "", "Discuss with all women of childbearing potential who have a new, existing or past mental health", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "problem:", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "- the use of contraception and any plans for a pregnancy", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "- how pregnancy and childbirth might affect a mental health problem, including the risk of relapse", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "- how a mental health problem and its treatment might affect the woman, the fetus and baby", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "- how a mental health problem and its treatment might affect parenting.", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Screen to see if there is a need for Preconception counselling.", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Psychotropic medication", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "When prescribing psychotropic medication for women of childbearing potential, take account of the", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "latest data on the risks to the fetus and baby.", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Do not offer valproate for acute or long-term treatment of a mental health problem in women of", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "childbearing potential.", "", "", "", "", "", "", "", "", "", "" ], [ "", "y\nl\nr\na\nE", "n\no\ni\nt\nn\ne\nv\nr\ne\nt\nn\nI", "", "Monthly Groups lead by Health Visitors and Mental Health Professionals, for mothers identified as\nstruggling.\nProvide: information giving, wellbeing skills and signposting.\nCover: anxiety, depression, self-care, medication and sleep.", "Monthly Groups lead by Health Visitors and Mental Health Professionals, for mothers identified as", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "struggling.", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Provide: information giving, wellbeing skills and signposting.", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Cover: anxiety, depression, self-care, medication and sleep.", "", "", "", "", "", "", "", "", "", "" ], [ "", "e\nc\ni\nv\nr\ne\nS\ng\nn\ni\ne\nb\nl\nl\ne\nW\ny\nt\ni\nn\nu\nm\nm\no\nC\n:\n2\np\ne\nt\nS", "", "", "", "When a woman with a known or suspected mental health problem is", "", "", "", "", "", "A\nS\nH\nM\nC\n:\n3\np\ne\nt\nS", "", "", "If a woman has any", "" ], [ "", "", "", "", "", "referred in pregnancy or the postnatal period, will be offered an", "", "", "", "", "", "", "", "", "past or present", "" ], [ "", "", "", "", "", "assessment for treatment within 2 weeks of referral. 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Screen for alcohol consumption.", "", "", "", "", "", "", "", "", "psychosis in the", "" ], [ "", "", "", "", "", "If appropriate provide psychological interventions within 1 month of initial", "", "", "", "", "", "", "", "", "first 2 weeks after", "" ], [ "", "", "", "", "", "assessment.", "", "", "", "", "", "", "", "", "childbirth.", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Interventions may include: groups for anxiety or depression, CBT, Art", "", "", "", "", "", "", "", "", "If a woman has", "" ], [ "", "", "", "", "", "Therapy (individual or group) or Counselling, depending on the identified", "", "", "", "", "", "", "", "", "sudden onset of", "" ], [ "", "", "", "", "", "need", "", "", "", "", "", "", "", "", "symptoms", "" ], [ "", "", "", "", "Support after traumatic birth, miscarriage or\nstillbirth. 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If suffering PTSD follow the PTSD", "", "", "be screened for alcohol", "", "", "", "", "", "postpartum", "" ], [ "", "", "", "", "", "pathway.", "", "", "use.", "", "", "", "", "", "psychosis, refer to", "" ], [ "", "", "", "", "", "", "", "", "If alcohol misuse is", "", "", "", "", "", "the CMHSA for", "" ], [ "", "", "", "", "", "", "", "", "suspected – consider", "", "", "", "", "", "immediate", "" ], [ "", "", "", "", "", "", "", "", "supporting self-referral", "", "", "", "", "", "assessment (within", "" ], [ "", "", "", "", "", "", "", "", "to Motiv-8.", "", "", "", "", "", "4 hours of referral).", "" ], [ "", "A\nS\nH\nM\nC\n:\n3\np\ne\nt\nS", "", "", "", "Refer to Step 3 for assessment and treatment", "", "If harmful or dependent drug or alcohol misuse is\nidentified then consider referral to DAT.", "If harmful or dependent drug or alcohol misuse is", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "if:", "", "", "identified then consider referral to DAT.", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "- She has or you suspect she has a severe", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "mental illness", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "- She has a history of severe mental illness", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "(during a pregnancy or the postnatal period or", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "at any other time).", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Assess and monitor symptoms (for example, by using validated self-report questionnaires – see above)", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Allocation to CMHP", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Psychological interventions may include: Occupational Therapy or CBT.", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Allocation of a Psychiatrist", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 48, "col_count": 16 }, { "headers": [ "", "t\nn\ne\ni\nt\na\np\nn\nI\n:\n4\np\ne\nt\nS", "", "", "A pregnant woman requiring rapid tranquillisation should be treated according to NICE's", "" ], "rows": [ [ "", "", "", "", "recommendations on rapid tranquillisation for violence and aggression and behaviour that challenges in", "" ], [ "", "", "", "", "relation to psychosis and schizophrenia, except that:", "" ], [ "", "", "", "", "• she should not be secluded after rapid tranquillisation", "" ], [ "", "", "", "", "• restraint procedures should be adapted to avoid possible harm to the fetus", "" ], [ "", "", "", "", "• when choosing an agent for rapid tranquillisation in a pregnant woman, an antipsychotic or a", "" ], [ "", "", "", "", "benzodiazepine with a short half-life should be considered; if an antipsychotic is used, it should be at", "" ], [ "", "", "", "", "the minimum effective dose because of neonatal extrapyramidal symptoms; if a benzodiazepine is", "" ], [ "", "", "", "", "used, the risks of floppy baby syndrome should be taken into account", "" ], [ "", "", "", "", "• during the perinatal period, the woman's care should be managed in close collaboration with a", "" ], [ "", "", "", "", "paediatrician and an anaesthetist.", "" ] ], "row_count": 10, "col_count": 6 }, { "headers": [ "", ":\n1\np\ne\nt\nS", "e\nr\na\nC\ny\nr\na\nm\nir\nP", "", "If personality disorder is suspected, the patient should be\nassessed using the SAPAS and referred to Step 3 for further\nassessment.", "", "", "", "", "", "S\nH\nM\nA\nC", "", "A structured and phased transition\nplan should be in place as part of\nCPA for patients from CAMHS\ntransitioning to the CMHSA.", "", "", "", "" ], "rows": [ [ "", "A\nS\nH\nM\nC\n:\n3\np\ne\nt\nS", "", "", "", "Psychologist undertakes a structured clinical assessment using the SCID-V, develops a comprehensive", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "formulation and considers patient suitability for psychological therapy (are they psychologically minded?)", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Patients with moderate to severe learning disability: should not normally be diagnosed with BPD; refer to", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "the Learning Disabilities Services (LDS) for assessment (NICE 1.1.2.4).", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Patients with Mild Learning Disabilities: consult with the LDS when developing care plans and strategies", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "for managing challenging behaviour (NICE 1.1.2.3).", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Multi-professional assessments/meetings should be arranged for patients with ambiguous/complex", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "presentations; particularly when: there are risks to others, a comorbid condition(s), child protection or", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "forensic concerns, or when there is a difference of opinion within the care team.", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Psychiatric assessment and medication review:", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "NICE recommends not prescribing specifically for BPD or for the individual symptoms or behaviour", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "associated with the disorder; for example, repeated self-harm, marked emotional instability, risk-taking", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "behaviour and transient psychotic symptoms (NICE 1.3.5.1). However, clinicians should use their clinical", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "judgment and consider the following when treating crisis and comorbid conditions:", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "POMH-UK (2012) argues that antipsychotic drugs should not be prescribed for more than four", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "consecutive weeks in the absence of a co-morbid psychotic illness. Z-hypnotics and Benzodiazepines", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "should not be prescribed for more than four consecutive weeks.", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "NICE recommends that for comorbid conditions, a clinician should choose a drug that has: (1) a low side-", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "effect profile, low addictive properties, minimum potential for misuse and relative safety in overdose; (2)", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "use the minimum effective dose; (3) prescribe fewer tablets more frequently, if there is a significant risk", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "of overdose; (4) agree target symptoms, monitoring arrangements and anticipated duration of treatment;", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "(5) agree a plan for adherence; (6) discontinue the drug after a trial period if the target symptoms do not", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "improve.", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Full assessment and risk management & crisis plan (CPA)", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Sleep problems: provide general advice about sleep hygiene.", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Does the patient want family carers to be involved in their care?", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Consider co-morbid presentations which may necessitate alternative care/pathway: substance/alcohol", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "misuse, cognitive impairment (learning disability/dementia/brain injury) and offending behaviour/history.", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Assessment of need to include allocation of CMHP", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "Structured Clinical Management", "Structured Clinical Management", "", "DBT", "", "", "", "", "", "", "", "Schema", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "Therapy", "" ], [ "", "", "", "", "", "Patients who are not psychologically minded", "", "", "Borderline Personality Disorder", "", "", "", "", "", "Any\nPersonality\nDisorder", "", "" ], [ "", "", "", "", "", "Allocate CMHP as care-coordinator", "", "", "Refer to DBT pre-treatment", "", "", "", "", "", "", "Any", "" ], [ "", "", "", "", "", "Access Clinical Supervision from the Personality", "", "", "Full program: for more chronic,", "", "", "", "", "", "", "Personality", "" ], [ "", "", "", "", "", "Disorder Team", "", "", "frequent self-harming behaviour", "", "", "", "", "", "", "Disorder", "" ], [ "", "", "", "", "Consider referral to WRAP prior to discharge", "Consider referral to WRAP prior to discharge", "", "", "Skills Group: for Less chronic,", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "frequent self-harming behaviour", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "If there is a query regarding further treatment following completion of a therapeutic path,", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "schedule a further review in 3-months.", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Before considering admission to an acute psychiatric inpatient unit, first refer to the CRHTT.", "", "", "", "", "", "", "", "", "", "", "" ], [ "", ":\n4\np\ne\nt\nS", "t\nn\ne\nit\na\np\nn\nI", "", "", "Only consider people with Borderline Personality Disorder for admission to an acute psychiatric inpatient", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "unit for: the management of crises involving significant risk to self or others that cannot be managed", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "within other services, or detention (for any reason) under the Mental Health Act (NICE 1.4.1.2).", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "If not already diagnosed, consider assessment with the MCMI-IV to inform differential diagnosis", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Consider referring to the CMHSA for assessment/treatment upon discharge", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Only consider SCID-5 assessment if the patient is NOT acutely unwell and is admitted for safety only", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 48, "col_count": 17 }, { "headers": [ "" ], "rows": [ [ "If personality disorder is suspected, the patient should be" ], [ "assessed using the SAPAS and referred to Step 3 for further" ], [ "assessment." ], [ "" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "A structured and phased transition" ], [ "plan should be in place as part of" ], [ "CPA for patients from CAMHS" ], [ "transitioning to the CMHSA." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "", ":\n1\np\ne\nt\nS", "e\nr\na\nC\ny\nr\na\nm\nir\nP", "", "Individuals with suspected Psychosis are identified and referred urgently to the Community Mental\nHealth Service for Adults (CMHSA) for assessment.", "", "", "", "" ], "rows": [ [ "", "d\nn\na\nn\no\nit\na\nit\nin\ni\nt\nn\ne\nm\nt\na\ne\nr\nT\n:\n3\np\ne\nt\nS", "e\nd\no\ns\nip\ne\ne\nt\nu\nc\nA", "", "", "Use the Clinician-Rated Dimensions of Psychosis Symptom Severity to inform diagnosis and monitoring", "", "", "" ], [ "", "", "", "", "", "thereafter", "", "", "" ], [ "", "", "", "", "", "Clinical diagnosis to be made using ICD-10 classification system", "", "", "" ], [ "", "", "", "", "", "Upon receipt of referral, the patient will begin treatment within a Specialist Mental Health Service within", "", "", "" ], [ "", "", "", "", "", "two weeks. Allocation to Psychiatrist for decision on antipsychotic medication. Provide information and", "", "", "" ], [ "", "", "", "", "", "discuss the likely benefits and possible side effects of each drug. Include the service user in decision", "", "", "" ], [ "", "", "", "", "", "making and take into account the views of the carer if the service user agrees.", "", "", "" ], [ "", "", "", "", "", "If the person's symptoms and behaviour suggest an affective psychosis or disorder, including bipolar", "", "", "" ], [ "", "", "", "", "", "disorder and unipolar psychotic depression, consider interventions within the Bipolar", "", "", "" ], [ "", "", "", "", "", "disorder/Depression pathways.", "", "", "" ], [ "", "", "", "", "", "Offer clozapine to people with schizophrenia whose illness has not responded adequately to treatment", "", "", "" ], [ "", "", "", "", "", "despite the sequential use of adequate doses of at least 2 different antipsychotic drugs. At least 1 of the", "", "", "" ], [ "", "", "", "", "", "drugs should be a non-clozapine second-generation antipsychotic.", "", "", "" ], [ "", "", "", "", "", "Medication to be reviewed and changed as necessary. Assess impact of side effects using GASS", "", "", "" ], [ "", "", "", "", "", "measure.", "", "", "" ], [ "", "", "", "", "", "Monitor under the Physical Health Policy. Consider: metabolic, extrapyramidal, cardiovascular, hormonal", "", "", "" ], [ "", "", "", "", "", "and other factors.", "", "", "" ], [ "", "", "", "", "", "Allocation of CMHP", "", "", "" ], [ "", "-\nt\ns\no\nP\ny\nlr\na\nE\n:\n3\np\ne\nt\nS", "e\nd\no\ns\nip\ne\ne\nt\nu\nc\na", "", "", "Comprehensive multidisciplinary assessment", "", "", "" ], [ "", "", "", "", "", "- Plan psychological and pharmacological interventions", "", "", "" ], [ "", "", "", "", "", "- Formulate care plan with service user and carers as soon as possible", "", "", "" ], [ "", "", "", "", "", "- Consider: (1) service user group; (2) consider family interventions", "", "", "" ], [ "", "", "", "", "Consider interventions within the PTSD pathway; as people with psychosis/schizophrenia are likely to\nhave experienced adverse events/trauma associated with the development of the psychosis or as a\nresult.", "Consider interventions within the PTSD pathway; as people with psychosis/schizophrenia are likely to", "", "", "" ], [ "", "", "", "", "", "have experienced adverse events/trauma associated with the development of the psychosis or as a", "", "", "" ], [ "", "", "", "", "", "result.", "", "", "" ], [ "", ":\n4\np\ne\nt\nS", "t\nn\ne\nit\na\np\nn\nI", "", "If the patient is receiving psychological therapy such as CBT or Art Therapy within the community,\nassess their capacity to receive ongoing input during their admission. If psychological therapies are not\nalready in place, assess suitability for psychological intervention on the ward, or make a referral to the\nCommunity Team prior to discharge.\nMarked behavioural disturbances may require rapid tranquilisation – see policy.", "", "", "", "" ], [ "", "d\nn\na\nn\no\nit\nn\ne\nv\ne\nr\np\ne\ns\np\na\nle\nR\n:\n3\np\ne\nt\nS", "y\nr\ne\nv\no\nc\ne\nr\nf\no\nn\no\nit\no\nm\no\nr\np", "", "Support service users to develop their own ‘Recovery’ and relapse prevention plans", "", "", "", "" ], [ "", "", "", "", "Support for employment", "", "Psychological intervention", "Pharmacological intervention &\nmonitoring", "" ], [ "", "", "", "", "", "CBT is offered to any individual with schizophrenia, especially those with persistent psychotic", "", "", "" ], [ "", "", "", "", "", "symptoms.", "", "", "" ], [ "", "", "", "", "", "CBT should involve 16 ≥ sessions for more than 6 months duration.", "", "", "" ], [ "", "", "", "", "", "Consider offering arts therapies (provided in groups) for those with negative symptoms, unless", "", "", "" ], [ "", "", "", "", "", "difficulties with access and engagement indicate otherwise.", "", "", "" ], [ "", "", "", "", "", "Family interventions/support may be offered to any family member who lives with or is in close contact", "", "", "" ], [ "", "", "", "", "", "with a family member with schizophrenia, especially if the individual has experienced relapse, or at risk", "", "", "" ], [ "", "", "", "", "", "of relapse or has persisting symptoms. Offer regular planned sessions between 3 months and 1 year.", "", "", "" ], [ "", "", "", "", "", "Family interventions should involve regular sessions for more than six months duration.", "", "", "" ], [ "", "", "", "", "", "Consider referral to WRAP", "", "", "" ], [ "", "", "", "", "Discharge to GP for regular monitoring and physical health checks.", "Discharge to GP for regular monitoring and physical health checks.", "", "", "" ] ], "row_count": 39, "col_count": 9 }, { "headers": [ "If the patient is receiving psychological therapy such as CBT or Art Therapy within the community," ], "rows": [ [ "assess their capacity to receive ongoing input during their admission. If psychological therapies are not" ], [ "already in place, assess suitability for psychological intervention on the ward, or make a referral to the" ], [ "Community Team prior to discharge." ], [ "Marked behavioural disturbances may require rapid tranquilisation – see policy." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "", ":\n1\np\ne\nt\nS", "e\nr\na\nC\ny\nr\na\nm\ni\nr\nP", "", "", "Individuals with symptoms consistent with trauma and Post Traumatic Stress", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "Disorder (PTSD) are identified by primary care and non-mental health settings.", "", "", "", "" ], [ "", "", "", "", "", "Family/carers of individuals are identified and assessed for trauma and PTSD also.", "", "", "", "" ], [ "", "", "", "", "", "Treatment is based on the severity of symptoms and the time since the trauma.", "", "", "", "" ], [ "", "", "", "", "", "Four weeks or less since trauma; mild symptoms; watchful waiting; follow up", "", "", "", "" ], [ "", "", "", "", "", "contact with GP within one month.", "", "", "", "" ], [ "", "", "", "", "", "If the patient is a Veteran, consider referral directly to step 3", "", "", "", "" ], [ "", "g\nn\ni\ne\nb\nl\nl\ne\nW\ny\nt\ni\nn\nu\nm\nm\no\nC\n:\n2\np\ne\nt\nS", "e\nc\ni\nv\nr\ne\nS", "", "", "Assess with the PC-PTSD screen", "", "", "", "" ], [ "", "", "", "", "", "Assess with the National Stressful Events Survey PTSD Short Scale (NSESSS)", "", "", "", "" ], [ "", "", "", "", "If the PC-PTSD screen indicates trauma and the NSESSS does not indicate the likely\npresence of PTSD offer 1:1 Counselling", "If the PC-PTSD screen indicates trauma and the NSESSS does not indicate the likely", "", "", "", "" ], [ "", "", "", "", "", "presence of PTSD offer 1:1 Counselling", "", "", "", "" ], [ "", "", "", "", "If the NSESSS indicates the likely presence of PTSD:", "", "", "", "", "" ], [ "", "", "", "", "", "Consider third sector providers such as Combat Stress", "", "", "", "" ], [ "", "", "", "", "", "If the patient is a Veteran, consider referral to Step 3", "", "", "", "" ], [ "", "", "", "", "", "Symptoms severe within 3 months:", "", "", "For mild to moderate symptoms lasting", "" ], [ "", "", "", "", "", "", "", "", "more than 4 weeks:", "" ], [ "", "", "", "", "", "5 sessions trauma focused CBT. Sessions", "", "", "8-12 sessions trauma focused CBT.", "" ], [ "", "", "", "", "", "weekly, up to 90 minutes.", "", "", "Sessions weekly, up to 90 minutes.", "" ], [ "", "", "", "", "", "Patients who refuse trauma focused CBT/EMDR can be offered counselling. EMDR", "", "", "", "" ], [ "", "", "", "", "", "should not be offered for combat-related trauma.", "", "", "", "" ], [ "", "A\nS\nH\nM\nC\n:\n3\np\ne\nt\nS", "", "", "", "Severe/complex/multi trauma/not improved following intervention at Step 2.", "", "", "", "" ], [ "", "", "", "", "", "8-12 sessions CBT or EMDR. Sessions weekly, up to 90 minutes", "", "", "", "" ], [ "", "", "", "", "", "EMDR should not be offered for combat-related trauma.", "", "", "", "" ], [ "", "", "", "", "", "Some patients may require a CMHP.", "", "", "", "" ], [ "", "", "", "", "", "If a patient is a veteran, they may be assessed by a CMHP with a special interest in", "", "", "", "" ], [ "", "", "", "", "", "Veterans and offered a Cognitive Behavioural Approach (CBA), under the direct", "", "", "", "" ], [ "", "", "", "", "", "supervision of a Clinical Psychologist", "", "", "", "" ], [ "", "", "", "", "", "Extend past 12 sessions if necessary, particularly in the following circumstances:", "", "", "", "" ], [ "", "", "", "", "", "● After multiple traumatic events", "", "", "", "" ], [ "", "", "", "", "", "● After traumatic bereavement", "", "", "", "" ], [ "", "", "", "", "", "● Where chronic disability results from trauma", "", "", "", "" ], [ "", "", "", "", "", "● When significant co-morbid disorders or social problems are present.", "", "", "", "" ], [ "", "", "", "", "", "Patients who refuse trauma focused CBT/EMDR can be offered pharmacological", "", "", "", "" ], [ "", "", "", "", "", "treatments:", "", "", "", "" ], [ "", "", "", "", "", "Pharmacological: for acute treatment of chronic post-traumatic stress disorder", "", "", "", "" ], [ "", "", "", "", "", "consider an SSRI for first-line pharmacological treatment (paroxetine, sertraline) or", "", "", "", "" ], [ "", "", "", "", "", "SNRI (venlafaxine).", "", "", "", "" ], [ "", "", "", "", "", "If no improvement consider other trauma focused psychological treatment", "", "", "", "" ], [ "", "", "", "", "", "Or pharmacological treatment and trauma focused psychological treatment.", "", "", "", "" ], [ "", ":\n4\np\ne\nt\nS", "t\nn\ne\ni\nt\na\np\nn\nI", "", "Veterans may be referred to Combat Stress for Step 4 veteran specific input", "Veterans may be referred to Combat Stress for Step 4 veteran specific input", "", "", "", "" ] ], "row_count": 39, "col_count": 10 } ] }, { "case_id": 970761, "title": "Mental Health waiting list cancellations.", "authority": "Department of Health and Social Care", "date_received": "2019-09-23", "outcome": "Some information sent but not all held", "summary": "The requester asked for data on mental health appointment cancellations between October 2018 and September 2019 and the outcomes of previously rescheduled appointments. The Department of Health and Social Care provided detailed cancellation statistics but refused the request for rescheduling outcomes as that data is not collated.", "key_facts": [ "1,864 health appointments were cancelled by Health Care Practitioners between 13 October 2018 and 22 September 2019.", "The most common reason for cancellation was 'Cancelled by HCP' with 1,505 instances.", "300 additional cancelled appointments were included for transparency but their origin (HCP or Patient) was unclear.", "Information regarding the results or outcomes of 1,113 rescheduled appointments and 62 rescheduled clinics was not held.", "The authority cited Section 8(3) of the Freedom of Information Act 2015 to refuse the request for rescheduling outcomes." ], "data_mentioned": [ "1864", "1505", "55", "2", "18", "136", "24", "80", "31", "13", "300", "28", "5", "267", "1113", "62", "13th October 2018", "22nd September 2019", "23rd September 2019", "8th October 2019", "Ref: 624670", "Ref: 970761" ], "exemptions_cited": [ "Section 8(3) of the Freedom of Information Act 2015 (information not held or would require creation/derivation of data)" ], "tables": [ { "headers": [ "Reason", "Count" ], "rows": [ [ "Cancelled by HCP", "1505" ], [ "Clinic Cancelled", "55" ], [ "Clinic Overrun", "2" ], [ "Overbooked", "18" ], [ "Staff Sickness", "136" ], [ "Rescheduled by HCP", "24" ], [ "Rescheduled Clinic", "80" ], [ "Slot Cancelled", "31" ], [ "Other", "13" ] ], "row_count": 9, "col_count": 2 }, { "headers": [ "Reason", "Count" ], "rows": [ [ "Cancellation Given", "28" ], [ "Cancellation after letter sent", "5" ], [ "Cancelled by Admin", "267" ] ], "row_count": 3, "col_count": 2 } ] }, { "case_id": 989501, "title": "Number of Residents Diagnosed with Crohns & Colitis", "authority": "Department of Health and Social Care", "date_received": "2019-10-23", "outcome": "All information sent", "summary": "A request was made to the Department of Health and Social Care for the number of Isle of Man residents diagnosed with Crohn's and Colitis under the care of Nobles Hospital as of September 30, 2019. The authority disclosed that 132 patients were being treated for Crohn's and 102 for Ulcerative Colitis.", "key_facts": [ "The request was received on 23 October 2019 and responded to on 29 October 2019.", "The data covers residents under the care of the Gastroenterology Team at Nobles Hospital.", "As of 30 September 2019, 132 patients were actively treated for Crohn's disease.", "As of 30 September 2019, 102 patients were actively treated for Ulcerative Colitis.", "The response was issued by the Interim Chief Executive, Angela Murray." ], "data_mentioned": [ "30th September 2019", "132", "102", "23 October 2019", "29th October 2019", "989501" ], "exemptions_cited": [], "tables": [ { "headers": [ "Condition", "Number of Patients" ], "rows": [ [ "Crohn's", "132" ], [ "Ulcerative colitis", "102" ] ], "row_count": 2, "col_count": 2 } ] }, { "case_id": 1037462, "title": "Malpractice cases at Nobles", "authority": "Department of Health and Social Care", "date_received": "2019-11-20", "outcome": "All information sent", "summary": "A request was made for data on malpractice cases involving Nobles Hospital over the last three years, specifically regarding financial payouts and court settlements. The Department of Health and Social Care disclosed that no cases went to trial, while providing specific monetary amounts paid for out-of-court settlements across four time periods.", "key_facts": [ "No malpractice cases involving Nobles Hospital went to court trial between March 2016 and October 2019.", "All reported cases during this period were settled out of court.", "The number of out-of-court settlements in each period was reported as less than 10.", "The total amount paid out for settlements across the four periods exceeds £300,000.", "The request defined malpractice as negligence in medication or misdiagnosis resulting in trauma or complications." ], "data_mentioned": [ "31st March 2016 to 1st April 2017", "1st April 2017 to 31st March 2018", "1st April 2018 to 31st March 2019", "1st April 2019 to 31st October 2019", "0", "< 10", "£75,698.49", "£39,500.00", "£159,000.00", "£131,500.00" ], "exemptions_cited": [], "tables": [ { "headers": [ "Date", "Number of cases at\ncourt trial", "Number of cases\nsettled without\nneeding to go to\ncourt", "Amount paid" ], "rows": [ [ "31st March 2016 to\n1st April 2017", "0", "< 10", "£75,698.49" ], [ "1st April 2017 to\n31st March 2018", "0", "< 10", "£39,500.00" ], [ "1st April 2018 to\n31st March 2019", "0", "< 10", "£159,000.00" ], [ "1st April 2019 to\n31st October 2019", "0", "< 10", "£131,500.00" ] ], "row_count": 4, "col_count": 4 } ] }, { "case_id": 1096061, "title": "Community Dental Services", "authority": "Department of Health and Social Care", "date_received": "2019-12-11", "outcome": "Some information sent but part exempt", "summary": "A request was made for detailed staffing, salary, financial, and patient data regarding the Isle of Man Community Dental Services, to which the Department of Health and Social Care responded with a job description for a Community Dental Officer while withholding specific financial and individual salary information.", "key_facts": [ "The Community Dental Service provides care to priority groups including vulnerable and special needs patients.", "The service offers emergency treatment for patients without access to General Dental Services (GDS).", "Clinicians are entitled to 21 days of study leave within a three-year period.", "The service provides domiciliary care for patients unable to attend the clinic.", "The response included a job description for a Community Dental Officer at Band A (Enhanced salary Band B)." ], "data_mentioned": [ "37.5 hours per week", "21 days study leave", "three year period", "2019-12-11", "2020-01-08", "1 December 2019", "April 2018" ], "exemptions_cited": [], "tables": [ { "headers": [ "Month", "CCHC Total\nPatients Seen", "CCHC Failed\nAppointments", "Prison Total\nPatients Seen", "Prison Failed\nAppts", "Ramsey Total\nPatients Seen", "Ramsey Failed\nAppts", "Total Number\nPatients Seen\nCCHC/Prison/\nRamsey", "Total Failed\nAppointments", "% Failed\nAppointments" ], "rows": [ [ "April", "1,143", "83", "30", "0", "93", "8", "1,266", "91", "7" ], [ "May", "1,081", "81", "30", "0", "81", "13", "1,192", "94", "8" ], [ "June", "1,172", "94", "28", "0", "52", "3", "1,252", "97", "8" ], [ "July", "1,037", "82", "23", "0", "81", "8", "1,141", "90", "8" ], [ "August", "1,094", "79", "38", "0", "79", "5", "1,211", "84", "7" ], [ "September", "1,047", "64", "27", "0", "88", "10", "1,162", "74", "6" ], [ "October", "1,214", "94", "27", "0", "85", "4", "1,326", "98", "7" ], [ "November", "1,205", "91", "32", "0", "88", "10", "1,325", "101", "8" ], [ "December", "924", "73", "20", "0", "54", "6", "998", "79", "8" ], [ "January", "1,198", "92", "29", "0", "76", "4", "1,303", "96", "7" ], [ "February", "1,010", "90", "29", "0", "78", "8", "1,117", "98", "9" ], [ "March", "1,098", "67", "37", "0", "83", "8", "1,218", "75", "6" ], [ "Total", "13,223", "990", "350", "0", "938", "87", "14,511", "1,077", "7" ] ], "row_count": 13, "col_count": 10 }, { "headers": [ "Month", "CCHC Total\nPatient Seen", "CCHC Failed\nAppts", "Prison Total\nPatients Seen", "Prison Failed\nAppts", "Ramsey Total\nPatients Seen", "Ramsey Failed\nAppts", "Total Number\nPatients Seen\nCCHC / Prison\n/ Ramsey", "Total Failed\nAppointments", "% failed\nappts" ], "rows": [ [ "April", "1,015", "61", "30", "0", "81", "6", "1,126", "67", "6" ], [ "May", "853", "50", "26", "0", "70", "3", "949", "53", "6" ], [ "June", "901", "47", "16", "1", "42", "1", "959", "49", "5" ], [ "July", "1,044", "78", "23", "0", "84", "14", "1,151", "92", "8" ], [ "August", "1,074", "77", "30", "0", "76", "9", "1,180", "86", "7" ], [ "September", "843", "43", "28", "0", "54", "5", "925", "48", "5" ], [ "October", "891", "54", "33", "0", "74", "7", "998", "61", "6" ], [ "November", "701", "62", "23", "1", "60", "10", "784", "73", "9" ], [ "December", "832", "48", "19", "1", "34", "3", "885", "52", "6" ], [ "January", "832", "48", "33", "0", "69", "6", "934", "54", "6" ], [ "February", "744", "46", "24", "0", "55", "4", "823", "50", "6" ], [ "March", "798", "51", "26", "0", "48", "3", "872", "54", "6" ], [ "Total", "10,528", "665", "311", "3", "747", "71", "11,586", "739", "6" ] ], "row_count": 13, "col_count": 10 }, { "headers": [ "Expenditure", "2016/17", "2017/18", "2018/19", "2019/20\nUp to Nov 19" ], "rows": [ [ "Income", "(105,997)", "(91,941)", "(73,297)", "(31,027)" ], [ "Employee Costs", "1,989,822", "1,324,729", "1,215,193", "849,014" ], [ "Other Costs", "239,285", "207,949", "215,872", "89,352" ], [ "Net Cost", "2,123,110", "1,440,737", "1,357,768", "907,339" ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "Employee Costs", "2016/17", "2017/18", "2018/19", "2019/20\nUp to Nov 19" ], "rows": [ [ "Salaries (inc on-costs)", "1,644,887", "1,305,710", "1,207,123", "843,426" ], [ "Restructure\nPayments", "274,763", "0", "0", "0" ], [ "Other Employee Costs", "70,172", "19,019", "8,070", "5,588" ], [ "Total Employee Costs", "1,989,822", "1,324,729", "1,215,193", "849,014" ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "Period", "Patient Contributions Received" ], "rows": [ [ "April 2016 – March 2017", "£91,794.70" ], [ "April 2017 – March 2018", "£78,011.00" ], [ "April 2018 – March 2019", "£79,177.90" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Period", "Total\nNumber of\nReferrals\nReceived", "No. of Referrals\nDeclined\n(included in Total\nReceived)", "No. of\nDomiciliary\nReferrals\nReceived\n(Included in Total\nReceived)" ], "rows": [ [ "April 2016 – March 2017", "1062", "29", "226" ], [ "April 2017 – March 2018", "1007", "65", "202" ], [ "April 2018 – March 2019", "721", "77", "181" ], [ "April 2019 – up to December\n2019", "420", "30", "136" ] ], "row_count": 4, "col_count": 4 } ] }, { "case_id": 1110261, "title": "Hospital Referral Times", "authority": "Department of Health and Social Care", "date_received": "2019-12-19", "outcome": "Request lapsed - requested information not provided", "summary": "A request was made for waiting times at Noble's Hospital across 11 specialities for both routine and urgent pathways. The Department of Health and Social Care stated it does not hold data for General Surgery and Gastroenterology, but provided performance targets and referral counts for the remaining specialities.", "key_facts": [ "The request was received on 2019-12-19 and lapsed on 2020-03-12.", "Information for General Surgery and Gastroenterology was not held by the authority.", "Referrals are graded as 2 Week Wait, Urgent, or Routine.", "The target is for 93% of suspected cancer referrals to be seen within 2 weeks.", "The target is for 100% of patients to be seen for their first outpatient appointment within 52 weeks." ], "data_mentioned": [ "2019-12-19", "2020-03-12", "23rd January 2020", "93%", "73.3%", "100%", "52 weeks", "73%", "4 weeks", "96%", "1021", "386", "94", "1159", "722", "1302", "478", "144", "86" ], "exemptions_cited": [ "Section 11(3)a of the Act (practical refusal reason: information not held or cannot be found after reasonable steps)" ], "tables": [ { "headers": [ "Waiting Time in Months", "", "", "", "", "", "", "" ], "rows": [ [ "Specialty", "0-02", "03-05", "06-11", "12-17", "18-23", "24", "Total" ], [ "Dermatology", "219", "90", "124", "118", "99", "371", "1021" ], [ "Rheumatology", "89", "76", "79", "60", "45", "37", "386" ], [ "Breast Surgery", "88", "1", "2", "3", "0", "0", "94" ], [ "ENT", "211", "156", "269", "260", "240", "23", "1159" ], [ "Oral Surgery", "208", "113", "272", "125", "0", "4", "722" ], [ "Trauma & Orthopaedics", "351", "230", "282", "187", "184", "68", "1302" ], [ "Urology", "109", "77", "124", "140", "27", "1", "478" ], [ "Gynaecology", "140", "3", "0", "1", "0", "0", "144" ], [ "Paediatrics", "79", "4", "2", "0", "0", "1", "86" ] ], "row_count": 10, "col_count": 8 } ] }, { "case_id": 1121125, "title": "John Spicer, Health and Care Transformation Director", "authority": "Cabinet Office", "date_received": "2020-01-03", "outcome": "All information sent", "summary": "A request was made for the employment contract of John Spicer, Health and Care Transformation Director, and the Cabinet Office disclosed the full Statement of Written Particulars.", "key_facts": [ "John Spicer was appointed as Health and Care Transformation Director for a limited term of 2 years.", "The annual salary for the role is £125,000.", "The standard working hours are 37 per week with no overtime pay.", "The employee is entitled to 30 days of annual leave inclusive of bank holidays.", "There is no contractual entitlement to Maternity or Paternity pay under this agreement." ], "data_mentioned": [ "£125,000", "2 years", "37 hours", "30 days", "2020-01-03", "2020-01-30", "1121125", "1st April", "31st March", "25th day" ], "exemptions_cited": [], "tables": [ { "headers": [ "Field", "Details" ], "rows": [ [ "Name", "John Spicer" ], [ "The Role", "Health and Care Transformation Director - 2 Year LTA on the staff of the Cabinet Office. Your duties are as outlined in your Job Description for this post." ], [ "Place of Work", "Your normal place of work will be Cabinet Office but in the interest of the service you may be relocated elsewhere on the Isle of Man." ], [ "Start Date", "Your start date in this role will be set out in your Confirmation of Appointment letter which will be issued upon completion of your pre-employment checks and should be read in conjunction with this statement of written particulars." ], [ "Continuous Service", "Your period of continuous service will commence from your start date within this role." ], [ "End Date", "This appointment will be for a limited term of 2 years from the date of commencement. Your last day of service will be set out in your Confirmation of Appointment letter. Please note you will not receive any further written notification of your end date unless your end date is to be changed." ], [ "Salary", "The salary for this post is £125,000 per annum. Your salary would be paid monthly by Bankers Automated Clearing System (BACS) on the 25th day of each month, or the nearest working day prior to the 25th if this falls on a weekend/public holiday. Pay information, including your payslip will be given to you electronically via our self-service HR and Payroll system. In the event of any error leading to an overpayment of salary, the provisions of the Isle of Man Government Financial Regulations will apply." ], [ "Hours of Work", "You will be required to work 37 hours per week. The pattern of attendance will be subject to agreement with your Reporting Officer. Overtime is not available for this role however due to the nature of the role, ability and willingness to work outside normal conditioned hours may be required. This role does not attract additional pay for hours worked in excess of the stipulated hours or for work undertaken at weekends or on public holidays." ], [ "Annual Leave", "Our holiday year runs from 1st April to 31st March and you are entitled to have 30 days leave per annum, this is inclusive of bank holidays." ], [ "Sick Leave", "PSC civil servants may be allowed sick leave in accordance with the following scale: during the first year of service – one months’ full pay and one months’ half pay; during the second year of service – two months’ full pay and two months’ half pay. Your Department will provide you with further information relating to procedures for notification of absence upon commencement in this role." ], [ "Maternity/Paternity Leave and Pay", "There is no entitlement to contractual Maternity/Paternity pay under this agreement. Maternity/Paternity leave will be granted in accordance with any statutory provision." ], [ "Smoking Policy", "You will be expected to comply with the Isle of Man Government Smoking Policy, and for the policy within the building in which you are appointed, in accordance with the Public Health (Tobacco) Act 2006." ], [ "Outside Employment", "Any employment outside of the Department of Economic Development will be subject to the approval of the Accounting Officer in your Department." ], [ "Notice Period", "When an appointment is ter" ] ], "row_count": 14, "col_count": 2 } ] }, { "case_id": 1131625, "title": "R & I inspection reports", "authority": "Department of Health and Social Care", "date_received": "2020-01-14", "outcome": "All information sent", "summary": "The requester asked for inspection reports for 26 specific adult care homes on the Isle of Man, citing a discrepancy between the government website's promise of public availability and the actual access method. The Department of Health and Social Care responded by sending all requested information, including a sample unannounced inspection report for 17 Kensington Road.", "key_facts": [ "The request covered 26 specific adult care homes including 23 Farmhill Meadows and 17 Kensington Road.", "The Department of Health and Social Care provided all requested information without redaction.", "The response included a detailed unannounced inspection report for 17 Kensington Road conducted in April 2018.", "The requester questioned why reports were not easily visible on the gov.im website despite official statements.", "The inspection framework used is based on the Regulation of Care Act 2013." ], "data_mentioned": [ "2020-01-14", "2020-02-06", "411", "26", "18 April 2018", "26 April 2018", "21/6/17", "22/6/17", "Two (2)", "(01624) 617409", "IM1 1EF", "IM1 3EP", "Section 37" ], "exemptions_cited": [], "tables": [ { "headers": [ "No", "Standard", "Requirements/recommendations from\nprevious inspection", "", "Met/", "" ], "rows": [ [ "", "", "", "", "not", "" ], [ "", "", "", "", "met", "" ], [ "1.", "Standard 1.1", "An easy read statement of purpose should be\ndeveloped.\nTimescale: September 2017", "Met", "", "" ], [ "2.", "Standard 1.6", "During the admission process, the person being\nadmitted and / or their representative are\nprovided with a written contract that includes\ndetails of:\n Terms and conditions of residency;\nincluding fees for services not included in\nthe contract.\n Details of notice served, support provided\nand timeframes.\n Details of services / items provided (such as\nnewspapers, hairdressing, chiropody etc.)\nand if there is an additional charge.\n Insurance information for personal\nbelongings.\nTimescale: October 2017", "Met", "", "" ], [ "3.", "Standard 4.1", "Staff must complete annual refresher training on\nsafeguarding adults.\nTimescale: Immediate", "Not\nmet", "", "" ], [ "4.", "Standard 4.5", "The home must have a policy and procedure\nspecific to physical intervention and restraint.\nTimescale: November 2017", "Met", "", "" ], [ "5.", "Standard 4.10", "Staff must receive fire safety training annually.\nTimescale: Immediate", "Met", "", "" ], [ "6.", "Standard 4.10", "Emergency lighting checks to be carried out\nmonthly.\nNot met\nCarried over June 2017\nTimescale: Immediate", "Met", "", "" ], [ "7.", "Standard 4.11", "1. Staff should sign to acknowledge that they\nagree with their responsibilities regarding health\nand safety in the home.\n2. The health and safety inspection and audit\nchecklist should have a completed action plan.", "Met\nMet", "", "" ] ], "row_count": 9, "col_count": 6 }, { "headers": [ "", "", "Timescale: August 2017", "" ], "rows": [ [ "8.", "Standard 4.12", "Staff must receive training on infection control.\nTimescale: August 2017", "Not\nmet" ], [ "9.", "Standard 4.16", "An electrical installation condition report on the\nbuilding’s wiring must be made available.\nTimescale: August 2017", "Met" ], [ "10.", "Standard 6.3", "Staff files containing evidence of pre-employment\nchecks must be available for the inspector to verify\nthat all appropriate checks have been carried out.\nTimescale: Immediate", "Not\nmet" ], [ "11.", "Standard 6.9", "All staff must receive mandatory training in:\n Values into practice\n Communication awareness\nTimescale: Immediate", "Not\nmet" ], [ "12.", "Standard 6.13", "All staff must have an annual appraisal of their\nperformance / PDR.\nTimescale: Immediate", "Not\nmet" ], [ "13.", "Standard 2.1", "Some woodwork in the communal areas needs\nrepainting.\nTimescale: December 2017", "Not\nmet" ], [ "14.", "Standard 7.2", "All shift leaders must hold a QCF level 3\nDiploma in Health and Social Care or equivalent.\nTimescale: April 2019", "On-\ngoing" ], [ "15.", "Standard 2.1", " Areas of damp were present in one\nresident’s bedroom and must be actioned\n The top of a radiator in a shower room was\nrusty and should be repaired\n An area of flooring by the stairs on the top\nfloor of the house needs repairing\nTimescale: September 2017", "Met\nMet\nMet" ], [ "16.", "Standard 3.16", " Support plans must be reviewed\nas required, but at least every 6\nmonths\n Community Living Assessments\nmust be reviewed every 6\nmonths\nTimescale: Immediate", "Met" ], [ "17.", "Standard 3.19", "Risk assessments are reviewed when a person’s\nneeds change, or at least every 6 months\nTimescale: Immediate", "Met" ], [ "18.", "Standard 7.14", "Twice yearly written reports must be produced\nfollowing a quality assessment in relation to the\npremises, staffing levels and skills, resident\nsatisfaction and records.\nTimescale: December 2017", "Met" ], [ "1.", "", "Recommendations\n1. Fire drills should be clearly recorded in the\nfire log book.\n2. PAT testing by an electrician to take place.", "Met\nMet" ] ], "row_count": 12, "col_count": 4 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 2 - Daily Living", "" ], [ "", "People are supported to set and carry out their activities and routines in suitable surroundings. The", "" ], [ "", "environment is conducive to people’s well-being and safety. People live in a home that is safe,", "" ], [ "", "warm clean and comfortable. People have access to the aids, equipment and facilities they need.", "" ], [ "", "2.10, 2.11, 2.12, 2.13, 2.14, 2.15", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 3 – Daily Support", "" ], [ "", "People are confident that the staff will support them to maintain their health and to support their", "" ], [ "", "social and welfare requirements.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 - Environmental and Personal Safety and Comfort", "" ], [ "", "Systems, checks, policies, procedures and staff training ensure that people’s dignity, well-being", "" ], [ "", "and safety is promoted and protected.", "" ], [ "", "4.1, 4.2, 4.3, 4.4, 4.8, 4.9, 4.10, 4.16, 4.17", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 6 - Staffing", "" ], [ "", "Staff are recruited following a rigorous and robust recruitment programme. There are sufficient", "" ], [ "", "numbers of trained competent staff (including ancillary staff) to meet the needs of the people at", "" ], [ "", "the home. There are robust policies in place to ensure effective supervision and continuous", "" ], [ "", "professional development.", "" ], [ "", "6.3, 6.20, 6.21, 6.22, 6.23", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "People have confidence that the systems in place support the smooth running of the home. The", "" ], [ "", "registered manager is qualified and competent to manage the home. People are consulted about", "" ], [ "", "how the home is run and their opinions are taken into account. The home has an annual", "" ], [ "", "development plan that makes provision for the home to develop and improve.", "" ], [ "", "7.9", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 1 – Information, Assessment and Admission", "" ], [ "", "People are confident that the home’s information reflects the services practice and that", "" ], [ "", "written information is accurate and current. The registered provider is able to clearly", "" ], [ "", "establish that the home’s facilities and staff can meet the individual’s specific needs and", "" ], [ "", "requirements. The admission process is planned and people are clear on the terms and", "" ], [ "", "conditions surrounding their residency.", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.10 The fire safety and fire safety management in the home meets the requirements", "" ], [ "", "contained within the Health and Safety at Work etc. Act 1974 (UK), the Management of", "" ], [ "", "Health and Safety at Work Regulations 1999 (UK) and the schedule thereafter; in", "" ], [ "", "addition:", "" ], [ "", " The home has a suitable and sufficient fire risk assessment that is compliant with the", "" ], [ "", "above Regulations and the Isle of Man Fire Safety guidance and instructions.", "" ], [ "", "", "" ], [ "", " Staff to have appropriate fire safety training on induction and receive further training", "" ], [ "", "not more than 3 months following induction. Thereafter training is renewed", "" ], [ "", "annually. This training to be carried out by a recognised provider.", "" ], [ "", "", "" ], [ "", " The means of escape to be adequately maintained and kept free from hazards.", "" ], [ "", "", "" ], [ "", " Fire safety systems to be installed throughout the premises and to be installed in", "" ], [ "", "accordance with the relevant British and European Standards.", "" ], [ "", "", "" ] ], "row_count": 17, "col_count": 3 }, { "headers": [ "", " Testing and maintenance of all fire safety systems to be carried out in accordance", "" ], "rows": [ [ "", "with the relevant British and European Standards.", "" ], [ "", "", "" ], [ "", " Records confirm that weekly alarm tests monthly firefighting equipment (including", "" ], [ "", "emergency lighting) checks, and fire drills carried out at least twice per annum are", "" ], [ "", "carried out.", "" ], [ "", "", "" ], [ "", " Records of all testing, maintenance and training to be kept on the premises and", "" ], [ "", "these records are to be produced on request of a duly authenticated inspecting", "" ], [ "", "officer.", "" ], [ "", "", "" ], [ "", " If the Home has a fire certificate issued under the Fire Precautions Act 1975 (IOM) &", "" ], [ "", "Fire Precautions Amendment Act 1992 (IOM) it will be compliant with the Isle of Man", "" ], [ "", "Fire Safety Department requirements and recommendations. In all other homes any", "" ], [ "", "advice provided by either the Isle of Man Fire Safety Department or the DHSC Fire", "" ], [ "", "Officer will be followed.", "" ] ], "row_count": 15, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.11 The registered person makes available a range of policies and procedures that support", "" ], [ "", "safety, health and hygiene and ensures the home complies with relevant legislation", "" ], [ "", "including the Health and Safety at Work Act 1977 (IOM); Health and Safety at Work Act", "" ], [ "", "1974 (UK) and Management of Health and Safety at Work Regulations 2003.", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.12 Staff have received training and follow robust policies in relation to cross infection and", "" ], [ "", "hygiene control and are able to demonstrate their understanding and practice in their", "" ], [ "", "routines. The policies in place are in line with recognised good practice guidelines.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.13 The Food Hygiene Regulations 2007 (UK) are complied with and records made to", "" ], [ "", "demonstrate compliance.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.14 Advice, guidance and records in relation to the Control of Substances Hazardous to", "" ], [ "", "Health Regulations (COSHH) 1999 (UK) are maintained.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.15 Reporting Injuries, Diseases and Dangerous Occurrences Regulations 1985 (IOM)", "" ], [ "", "(RIDDOR) are complied with and recorded.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.16 Electricity at Work Regulations 1989 (UK) is complied with. A certificate of", "" ], [ "", "conformity/safety is available for the home’s electrical installations that are in", "" ], [ "", "compliance with ‘The 17th Edition, Wiring Regulations’ or equivalent. Portable Electrical", "" ], [ "", "Appliance Tests (PAT) are carried out and recorded in compliance with current guidance", "" ], [ "", "and instruction.", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.17 Regulation of water temperatures and design solutions to control the risk of exposure", "" ], [ "", "to Legionella micro-organisms (water stored in tanks at 60 °c degrees) and risk from", "" ], [ "", "hot water temperatures (not exceeding 44 degrees °c for baths and 41 degrees °c for", "" ], [ "", "showers and wash hand basins) are carried out in keeping with requirements and", "" ], [ "", "guidance and recorded. (Water Supply (Water Fittings) Regulations 1999 (UK)).", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.18 Central heating and boiler maintenance is carried out and recorded, and where", "" ], [ "", "appropriate compliance with Gas Safety (Installation and Use) Regulations 1994 is", "" ], [ "", "complied with.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 6 – Staffing", "" ], [ "", "Staff files (including volunteers) contain:", "" ], [ "", " A completed application form and interview notes.", "" ], [ "", " All pre-employment checks.", "" ], [ "", " The names and addresses of two referees (not family members) who may be", "" ], [ "", "approached to comment on the applicant’s suitability (one of those referees is the", "" ], [ "", "applicant last employer). Those references are taken up and contained in the file by", "" ], [ "", "the employer.", "" ], [ "", " Evidence of a relevant Disclosure and Barring Scheme check (DBS) and that these", "" ], [ "", "checks have been reviewed by the Employer every 3 years. (Providers will have 3", "" ], [ "", "years to implement this across their service from the introduction of these revised", "" ], [ "", "standards – 2020).", "" ], [ "", " Evidence that a check with the DHSC Social Services has been undertaken (when", "" ], [ "", "introduced).", "" ], [ "", " A statement that the applicant has no known medical condition that will debar them", "" ], [ "", "from carrying out their duties.", "" ], [ "", " Certificates of qualifications and achievements, for all staff.", "" ], [ "", " Registration and revalidation details for Registered Nurses, Social Workers and other", "" ], [ "", "professionals.", "" ] ], "row_count": 19, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.8 Formal quality assurance systems are in place and the registered person uses a range", "" ], [ "", "of tools to measure the quality of the service provided. 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The policies in place are in line with recognised good practice guidelines.", "" ], [ "", "https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/449049/Code", "" ], [ "", "_of_practice_280715_acc.pdf", "" ], [ "", "https://www.nice.org.uk/guidance/cg139?&utm_medium=email&utm_source=shemail&utm_camp", "" ], [ "", "aign=cg139", "" ] ], "row_count": 8, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.13 The Food Hygiene Regulations 2007 (UK) are complied with and records made to", "" ], [ "", "demonstrate compliance.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.14 Advice, guidance and records in relation to the Control of Substances Hazardous to", "" ], [ "", "Health Regulations (COSHH) 1999 (UK) are maintained.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.15 Reporting Injuries, Diseases and Dangerous Occurrences Regulations 1985 (IOM)", "" ], [ "", "(RIDDOR) are complied with and recorded.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.16 Electricity at Work Regulations 1989 (UK) is complied with. A certificate of", "" ], [ "", "conformity/safety is available for the home’s electrical installations that are in", "" ], [ "", "compliance with ‘The 17th Edition, Wiring Regulations’ or equivalent. 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(Water Supply (Water Fittings) Regulations 1999 (UK)).", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.18 Central heating and boiler maintenance is carried out and recorded, and where", "" ], [ "", "appropriate compliance with Gas Safety (Installation and Use) Regulations 1994 is", "" ], [ "", "complied with.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 6 – Staffing", "" ], [ "", "6.3 Staff files (including volunteers) contain:", "" ], [ "", " A completed application form and interview notes.", "" ], [ "", " All pre-employment checks.", "" ], [ "", " The names and addresses of two referees (not family members) who may be", "" ], [ "", "approached to comment on the applicant’s suitability (one of those referees is the", "" ], [ "", "applicant last employer). 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(Providers will have 3", "" ], [ "", "years to implement this across their service from the introduction of these revised", "" ], [ "", "standards – 2020).", "" ], [ "", " Evidence that a check with the DHSC Social Services has been undertaken (when", "" ], [ "", "introduced).", "" ], [ "", " A statement that the applicant has no known medical condition that will debar them", "" ], [ "", "from carrying out their duties.", "" ] ], "row_count": 16, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.8 Formal quality assurance systems are in place and the registered person uses a range", "" ], [ "", "of tools to measure the quality of the service provided. 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The registered provider is able to clearly", "" ], [ "", "establish that the home’s facilities and staff can meet the individual’s specific needs and", "" ], [ "", "requirements. 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This training to be carried out by a recognised provider.", "" ], [ "", "", "" ] ], "row_count": 12, "col_count": 3 }, { "headers": [ "", " The means of escape to be adequately maintained and kept free from hazards.", "" ], "rows": [ [ "", "", "" ], [ "", " Fire safety systems to be installed throughout the premises and to be installed in", "" ], [ "", "accordance with the relevant British and European Standards.", "" ], [ "", "", "" ], [ "", " Testing and maintenance of all fire safety systems to be carried out in accordance", "" ], [ "", "with the relevant British and European Standards.", "" ], [ "", "", "" ], [ "", " Records confirm that weekly alarm tests monthly firefighting equipment (including", "" ], [ "", "emergency lighting) checks, and fire drills carried out at least twice per annum are", "" ], [ "", "carried out.", "" ], [ "", "", "" ], [ "", " Records of all testing, maintenance and training to be kept on the premises and", "" ], [ "", "these records are to be produced on request of a duly authenticated inspecting", "" ], [ "", "officer.", "" ], [ "", "", "" ], [ "", " If the Home has a fire certificate issued under the Fire Precautions Act 1975 (IOM) &", "" ], [ "", "Fire Precautions Amendment Act 1992 (IOM) it will be compliant with the Isle of Man", "" ], [ "", "Fire Safety Department requirements and recommendations. In all other homes any", "" ], [ "", "advice provided by either the Isle of Man Fire Safety Department or the DHSC Fire", "" ], [ "", "Officer will be followed.", "" ] ], "row_count": 20, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.11 The registered person makes available a range of policies and procedures that support", "" ], [ "", "safety, health and hygiene and ensures the home complies with relevant legislation", "" ], [ "", "including the Health and Safety at Work Act 1977 (IOM); Health and Safety at Work Act", "" ], [ "", "1974 (UK) and Management of Health and Safety at Work Regulations 2003.", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.12 Staff have received training and follow robust policies in relation to cross infection and", "" ], [ "", "hygiene control and are able to demonstrate their understanding and practice in their", "" ], [ "", "routines. The policies in place are in line with recognised good practice guidelines.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.13 The Food Hygiene Regulations 2007 (UK) are complied with and records made to", "" ], [ "", "demonstrate compliance.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.14 Advice, guidance and records in relation to the Control of Substances Hazardous to", "" ], [ "", "Health Regulations (COSHH) 1999 (UK) are maintained.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.15 Reporting Injuries, Diseases and Dangerous Occurrences Regulations 1985 (IOM)", "" ], [ "", "(RIDDOR) are complied with and recorded.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.16 Electricity at Work Regulations 1989 (UK) is complied with. A certificate of", "" ], [ "", "conformity/safety is available for the home’s electrical installations that are in", "" ], [ "", "compliance with ‘The 17th Edition, Wiring Regulations’ or equivalent. 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(Water Supply (Water Fittings) Regulations 1999 (UK)).", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.18 Central heating and boiler maintenance is carried out and recorded, and where", "" ], [ "", "appropriate compliance with Gas Safety (Installation and Use) Regulations 1994 is", "" ], [ "", "complied with.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 6 – Staffing", "" ], [ "", "Staff files (including volunteers) contain:", "" ], [ "", " A completed application form and interview notes.", "" ], [ "", " All pre-employment checks.", "" ], [ "", " The names and addresses of two referees (not family members) who may be", "" ], [ "", "approached to comment on the applicant’s suitability (one of those referees is the", "" ], [ "", "applicant last employer). 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(Providers will have 3", "" ], [ "", "years to implement this across their service from the introduction of these revised", "" ], [ "", "standards – 2020).", "" ], [ "", " Evidence that a check with the DHSC Social Services has been undertaken (when", "" ], [ "", "introduced).", "" ], [ "", " A statement that the applicant has no known medical condition that will debar them", "" ], [ "", "from carrying out their duties.", "" ], [ "", " Certificates of qualifications and achievements, for all staff.", "" ], [ "", " Registration and revalidation details for Registered Nurses, Social Workers and other", "" ], [ "", "professionals.", "" ] ], "row_count": 19, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.8 Formal quality assurance systems are in place and the registered person uses a range", "" ], [ "", "of tools to measure the quality of the service provided. This will include:", "" ], [ "", " numbers and types of complaints received and any learning resulting from this;", "" ], [ "", " comments and compliments about the service from a range of stakeholders and any", "" ], [ "", "actions taken as a result of stakeholder feedback;", "" ], [ "", " accident and incident reports;", "" ], [ "", " observations of those using the service;", "" ], [ "", " views of staff working at the service;", "" ], [ "", " reports from the responsible person’s visits to the home (or their nominated person)", "" ], [ "", "which must include the notes of the visits.", "" ], [ "", "", "" ] ], "row_count": 12, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.9 An annual report lists the success of the service and introduces a written", "" ], [ "", "development/improvement plan based on the outcomes of the quality assessment", "" ], [ "", "exercise. The plan is displayed and available to all. 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The", "" ], [ "", "environment is conducive to people’s well-being and safety. People live in a home that is safe,", "" ], [ "", "warm clean and comfortable. People have access to the aids, equipment and facilities they need.", "" ], [ "", "2.10, 2.11, 2.12, 2.13, 2.14, 2.15", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 3 – Daily Support", "" ], [ "", "People are confident that the staff will support them to maintain their health and to support their", "" ], [ "", "social and welfare requirements.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 - Environmental and Personal Safety and Comfort", "" ], [ "", "Systems, checks, policies, procedures and staff training ensure that people’s dignity, well-being", "" ], [ "", "and safety is promoted and protected.", "" ], [ "", "4.1, 4.2, 4.3, 4.4, 4.8, 4.9, 4.10, 4.16, 4.17", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 6 - Staffing", "" ], [ "", "Staff are recruited following a rigorous and robust recruitment programme. There are sufficient", "" ], [ "", "numbers of trained competent staff (including ancillary staff) to meet the needs of the people at", "" ], [ "", "the home. There are robust policies in place to ensure effective supervision and continuous", "" ], [ "", "professional development.", "" ], [ "", "6.3, 6.20, 6.21, 6.22, 6.23", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "People have confidence that the systems in place support the smooth running of the home. The", "" ], [ "", "registered manager is qualified and competent to manage the home. People are consulted about", "" ], [ "", "how the home is run and their opinions are taken into account. The home has an annual", "" ], [ "", "development plan that makes provision for the home to develop and improve.", "" ], [ "", "7.9", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 1 – Information, Assessment and Admission", "" ], [ "", "People are confident that the home’s information reflects the services practice and that", "" ], [ "", "written information is accurate and current. The registered provider is able to clearly", "" ], [ "", "establish that the home’s facilities and staff can meet the individual’s specific needs and", "" ], [ "", "requirements. The admission process is planned and people are clear on the terms and", "" ], [ "", "conditions surrounding their residency.", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.10 The fire safety and fire safety management in the home meets the requirements", "" ], [ "", "contained within the Health and Safety at Work etc. Act 1974 (UK), the Management of", "" ], [ "", "Health and Safety at Work Regulations 1999 (UK) and the schedule thereafter; in", "" ], [ "", "addition:", "" ], [ "", " The home has a suitable and sufficient fire risk assessment that is compliant with the", "" ], [ "", "above Regulations and the Isle of Man Fire Safety guidance and instructions.", "" ], [ "", "", "" ], [ "", " Staff to have appropriate fire safety training on induction and receive further training", "" ], [ "", "not more than 3 months following induction. 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The policies in place are in line with recognised good practice guidelines.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.13 The Food Hygiene Regulations 2007 (UK) are complied with and records made to", "" ], [ "", "demonstrate compliance.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.14 Advice, guidance and records in relation to the Control of Substances Hazardous to", "" ], [ "", "Health Regulations (COSHH) 1999 (UK) are maintained.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.15 Reporting Injuries, Diseases and Dangerous Occurrences Regulations 1985 (IOM)", "" ], [ "", "(RIDDOR) are complied with and recorded.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.16 Electricity at Work Regulations 1989 (UK) is complied with. 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In all other homes any", "" ], [ "", "advice provided by either the Isle of Man Fire Safety Department or the DHSC Fire", "" ], [ "", "Officer will be followed.", "" ] ], "row_count": 18, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.11 The registered person makes available a range of policies and procedures that support", "" ], [ "", "safety, health and hygiene and ensures the home complies with relevant legislation", "" ], [ "", "including the Health and Safety at Work Act 1977 (IOM); Health and Safety at Work Act", "" ], [ "", "1974 (UK) and Management of Health and Safety at Work Regulations 2003.", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.12 Staff have received training and follow robust policies in relation to cross infection and", "" ], [ "", "hygiene control and are able to demonstrate their understanding and practice in their", "" ], [ "", "routines. The policies in place are in line with recognised good practice guidelines.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.13 The Food Hygiene Regulations 2007 (UK) are complied with and records made to", "" ], [ "", "demonstrate compliance.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.14 Advice, guidance and records in relation to the Control of Substances Hazardous to", "" ], [ "", "Health Regulations (COSHH) 1999 (UK) are maintained.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.15 Reporting Injuries, Diseases and Dangerous Occurrences Regulations 1985 (IOM)", "" ], [ "", "(RIDDOR) are complied with and recorded.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.16 Electricity at Work Regulations 1989 (UK) is complied with. A certificate of", "" ], [ "", "conformity/safety is available for the home’s electrical installations that are in", "" ], [ "", "compliance with ‘The 17th Edition, Wiring Regulations’ or equivalent. Portable Electrical", "" ], [ "", "Appliance Tests (PAT) are carried out and recorded in compliance with current guidance", "" ], [ "", "and instruction.", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.17 Regulation of water temperatures and design solutions to control the risk of exposure", "" ], [ "", "to Legionella micro-organisms (water stored in tanks at 60 °c degrees) and risk from", "" ], [ "", "hot water temperatures (not exceeding 44 degrees °c for baths and 41 degrees °c for", "" ], [ "", "showers and wash hand basins) are carried out in keeping with requirements and", "" ], [ "", "guidance and recorded. (Water Supply (Water Fittings) Regulations 1999 (UK)).", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.18 Central heating and boiler maintenance is carried out and recorded, and where", "" ], [ "", "appropriate compliance with Gas Safety (Installation and Use) Regulations 1994 is", "" ], [ "", "complied with.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 6 – Staffing", "" ], [ "", "Staff files (including volunteers) contain:", "" ], [ "", " A completed application form and interview notes.", "" ], [ "", " All pre-employment checks.", "" ], [ "", " The names and addresses of two referees (not family members) who may be", "" ], [ "", "approached to comment on the applicant’s suitability (one of those referees is the", "" ], [ "", "applicant last employer). Those references are taken up and contained in the file by", "" ], [ "", "the employer.", "" ], [ "", " Evidence of a relevant Disclosure and Barring Scheme check (DBS) and that these", "" ], [ "", "checks have been reviewed by the Employer every 3 years. (Providers will have 3", "" ], [ "", "years to implement this across their service from the introduction of these revised", "" ], [ "", "standards – 2020).", "" ], [ "", " Evidence that a check with the DHSC Social Services has been undertaken (when", "" ], [ "", "introduced).", "" ], [ "", " A statement that the applicant has no known medical condition that will debar them", "" ], [ "", "from carrying out their duties.", "" ], [ "", " Certificates of qualifications and achievements, for all staff.", "" ], [ "", " Registration and revalidation details for Registered Nurses, Social Workers and other", "" ], [ "", "professionals.", "" ] ], "row_count": 19, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.8 Formal quality assurance systems are in place and the registered person uses a range", "" ], [ "", "of tools to measure the quality of the service provided. This will include:", "" ], [ "", " numbers and types of complaints received and any learning resulting from this;", "" ], [ "", " comments and compliments about the service from a range of stakeholders and any", "" ], [ "", "actions taken as a result of stakeholder feedback;", "" ], [ "", " accident and incident reports;", "" ], [ "", " observations of those using the service;", "" ], [ "", " views of staff working at the service;", "" ], [ "", " reports from the responsible person’s visits to the home (or their nominated person)", "" ], [ "", "which must include the notes of the visits.", "" ] ], "row_count": 11, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.9 An annual report lists the success of the service and introduces a written", "" ], [ "", "development/improvement plan based on the outcomes of the quality assessment", "" ], [ "", "exercise. The plan is displayed and available to all. 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The registered provider is able to clearly", "" ], [ "", "establish that the home’s facilities and staff can meet the individual’s specific needs and", "" ], [ "", "requirements. The admission process is planned and people are clear on the terms and", "" ], [ "", "conditions surrounding their residency.", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.10 The fire safety and fire safety management in the home meets the requirements", "" ], [ "", "contained within the Health and Safety at Work etc. Act 1974 (UK), the Management of", "" ], [ "", "Health and Safety at Work Regulations 1999 (UK) and the schedule thereafter; in", "" ], [ "", "addition:", "" ], [ "", " The home has a suitable and sufficient fire risk assessment that is compliant with the", "" ], [ "", "above Regulations and the Isle of Man Fire Safety guidance and instructions.", "" ], [ "", "", "" ], [ "", " Staff to have appropriate fire safety training on induction and receive further training", "" ], [ "", "not more than 3 months following induction. Thereafter training is renewed", "" ], [ "", "annually. This training to be carried out by a recognised provider.", "" ], [ "", "", "" ], [ "", " The means of escape to be adequately maintained and kept free from hazards.", "" ], [ "", "", "" ], [ "", " Fire safety systems to be installed throughout the premises and to be installed in", "" ], [ "", "accordance with the relevant British and European Standards.", "" ], [ "", "", "" ], [ "", " Testing and maintenance of all fire safety systems to be carried out in accordance", "" ], [ "", "with the relevant British and European Standards.", "" ], [ "", "", "" ], [ "", " Records confirm that weekly alarm tests monthly firefighting equipment (including", "" ], [ "", "emergency lighting) checks, and fire drills carried out at least twice per annum are", "" ], [ "", "carried out.", "" ], [ "", "", "" ], [ "", " Records of all testing, maintenance and training to be kept on the premises and", "" ], [ "", "these records are to be produced on request of a duly authenticated inspecting", "" ], [ "", "officer.", "" ], [ "", "", "" ], [ "", " If the Home has a fire certificate issued under the Fire Precautions Act 1975 (IOM) &", "" ], [ "", "Fire Precautions Amendment Act 1992 (IOM) it will be compliant with the Isle of Man", "" ], [ "", "Fire Safety Department requirements and recommendations. In all other homes any", "" ], [ "", "advice provided by either the Isle of Man Fire Safety Department or the DHSC Fire", "" ], [ "", "Officer will be followed.", "" ] ], "row_count": 33, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.11 The registered person makes available a range of policies and procedures that support", "" ], [ "", "safety, health and hygiene and ensures the home complies with relevant legislation", "" ], [ "", "including the Health and Safety at Work Act 1977 (IOM); Health and Safety at Work Act", "" ], [ "", "1974 (UK) and Management of Health and Safety at Work Regulations 2003.", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.12 Staff have received training and follow robust policies in relation to cross infection and", "" ], [ "", "hygiene control and are able to demonstrate their understanding and practice in their", "" ], [ "", "routines. The policies in place are in line with recognised good practice guidelines.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.13 The Food Hygiene Regulations 2007 (UK) are complied with and records made to", "" ], [ "", "demonstrate compliance.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.14 Advice, guidance and records in relation to the Control of Substances Hazardous to", "" ], [ "", "Health Regulations (COSHH) 1999 (UK) are maintained.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.15 Reporting Injuries, Diseases and Dangerous Occurrences Regulations 1985 (IOM)", "" ], [ "", "(RIDDOR) are complied with and recorded.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.16 Electricity at Work Regulations 1989 (UK) is complied with. A certificate of", "" ], [ "", "conformity/safety is available for the home’s electrical installations that are in", "" ], [ "", "compliance with ‘The 17th Edition, Wiring Regulations’ or equivalent. Portable Electrical", "" ], [ "", "Appliance Tests (PAT) are carried out and recorded in compliance with current guidance", "" ], [ "", "and instruction.", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.17 Regulation of water temperatures and design solutions to control the risk of exposure", "" ], [ "", "to Legionella micro-organisms (water stored in tanks at 60 °c degrees) and risk from", "" ], [ "", "hot water temperatures (not exceeding 44 degrees °c for baths and 41 degrees °c for", "" ], [ "", "showers and wash hand basins) are carried out in keeping with requirements and", "" ], [ "", "guidance and recorded. (Water Supply (Water Fittings) Regulations 1999 (UK)).", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.18 Central heating and boiler maintenance is carried out and recorded, and where", "" ], [ "", "appropriate compliance with Gas Safety (Installation and Use) Regulations 1994 is", "" ], [ "", "complied with.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 6 – Staffing", "" ], [ "", "Staff files (including volunteers) contain:", "" ], [ "", " A completed application form and interview notes.", "" ], [ "", " All pre-employment checks.", "" ], [ "", " The names and addresses of two referees (not family members) who may be", "" ], [ "", "approached to comment on the applicant’s suitability (one of those referees is the", "" ], [ "", "applicant last employer). Those references are taken up and contained in the file by", "" ], [ "", "the employer.", "" ], [ "", " Evidence of a relevant Disclosure and Barring Scheme check (DBS) and that these", "" ], [ "", "checks have been reviewed by the Employer every 3 years. (Providers will have 3", "" ], [ "", "years to implement this across their service from the introduction of these revised", "" ], [ "", "standards – 2020).", "" ], [ "", " Evidence that a check with the DHSC Social Services has been undertaken (when", "" ], [ "", "introduced).", "" ], [ "", " A statement that the applicant has no known medical condition that will debar them", "" ], [ "", "from carrying out their duties.", "" ], [ "", " Certificates of qualifications and achievements, for all staff.", "" ], [ "", " Registration and revalidation details for Registered Nurses, Social Workers and other", "" ], [ "", "professionals.", "" ] ], "row_count": 19, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.8 Formal quality assurance systems are in place and the registered person uses a range", "" ], [ "", "of tools to measure the quality of the service provided. This will include:", "" ], [ "", " numbers and types of complaints received and any learning resulting from this;", "" ], [ "", " comments and compliments about the service from a range of stakeholders and any", "" ], [ "", "actions taken as a result of stakeholder feedback;", "" ], [ "", " accident and incident reports;", "" ], [ "", " observations of those using the service;", "" ], [ "", " views of staff working at the service;", "" ], [ "", " reports from the responsible person’s visits to the home (or their nominated person)", "" ], [ "", "which must include the notes of the visits.", "" ], [ "", "", "" ] ], "row_count": 12, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.9 An annual report lists the success of the service and introduces a written", "" ], [ "", "development/improvement plan based on the outcomes of the quality assessment", "" ], [ "", "exercise. The plan is displayed and available to all. The annual report could include:", "" ], [ "", " achievements in the year;", "" ], [ "", " plans for the future;", "" ], [ "", " outcomes of the quality assessment exercise;", "" ], [ "", " medication audits;", "" ], [ "", " equipment audits;", "" ], [ "", " care plan audits and;", "" ], [ "", " compliments and complaints received and any changes made as a result of concerns", "" ], [ "", "raised.", "" ] ], "row_count": 12, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.10 The registered person has in place recording systems to check and monitor staff", "" ], [ "", "activity to ensure compliance with the terms and conditions of their employment and", "" ], [ "", "the home’s policy and procedural requirements.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.13 The registered person ensures confidentiality of personal information and complies with", "" ], [ "", "the principles outlined within the Data Protection Act 2002.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "No", "Standard", "Requirements/recommendations from\nprevious inspection", "Met/not\nmet" ], "rows": [ [ "1", "4.4", "The induction template must be amended to\ninclude safeguarding within the first week.\nTimescale: 31 January 2018", "Met" ], [ "2", "4.7", "Issues relating to the freedom of movement\nand personal liberty must be considered in a\nmulti-disciplinary meeting and decisions\nrecorded.\nTimescale: With immediate effect", "Met" ], [ "3", "4.10", " The annual fire safety audit checklist\nmust be reviewed.\n The six monthly, fire door\nmaintenance checklist must be\nreviewed.\nTimescale: With immediate effect", "Met" ], [ "4", "4.11", "The health and safety checklist must be\nreviewed.\nTimescale: 31 January 2018", "Met" ], [ "5", "4.12", "The infection prevention and control self-\naudit and toolkit must be reviewed.\nTimescale: With immediate effect", "Met" ], [ "6", "4.16", " A full and valid electrical installations\ncondition report must be in place and\navailable for inspection.\n PAT testing and inspection must be\nconducted in line with timescales\nidentified in the service policy.\nTimescale: With immediate effect\nCarried forward: December 2017", "Met\nNot met" ], [ "7", "6.2 and 6.3", "Staff files must contain details of the\nfollowing: Application form, interview notes,\ntwo references, DBS check, health statement\nand a contract including terms and\nconditions of employment.\nTimescale: 31 March 2018", "Not met" ] ], "row_count": 7, "col_count": 4 }, { "headers": [ "8", "6.5", "The induction pack must be amended to\ncover all aspects of the care certificate\nstandards.\nTimescale: 31 March 2018", "Met" ], "rows": [ [ "9", "6.8", "Six supervision sessions per year must be\nconducted for all staff members.\nTimescale: 31 March 2018", "Met" ], [ "10", "6.9", " All staff members must access\nmandatory training in\ncommunication, health and safety\nand nutrition, values in practice.\n Staff must update training in food\nhygiene, first aid and fire safety.\nTimescale: 31 March 2018", "Met" ], [ "11", "6.13", "An annual appraisal must be completed for\nall staff members.\nTimescale: 31 March 2018", "Met" ], [ "12", "6.16", "A minimum of fifty per cent of the staff team\nmust be qualified to Quality Care Framework\n(QCF) level two or three.\nTimescale: Ongoing", "Not met" ], [ "13", "6.18", "All training must be evaluated to determine\nimpact on staff practice.\nTimescale: 31 March 2018", "Met" ], [ "14", "6.19", "Team meeting minutes must be improved by\nclearly identifying actions and carrying them\nforward to the next team meeting.\nTimescale: With immediate effect", "Met" ], [ "15", "7.3", "Policies and procedures must be dated on\ncompletion, have a review date identified\nand followed up with a timely review.\nTimescale: 31 March 2018", "Met" ], [ "16", "7.8", "More focussed efforts must be made to seek\nfeedback from relatives on how the service is\nrun, to feed in to the annual report.\nTimescale: 31 March 2018\nCarried forward: December 2017", "Met" ], [ "17", "7.9", "The annual report development plan must be\nmore clearly linked to outcomes of all quality\nassurance exercises.\nTimescale: 31 March 2018", "Met" ], [ "18", "3.16", "All support plans must be reviewed\nTimescale: With immediate effect", "Met" ], [ "19", "3.19", "All risk assessments must be reviewed.\nTimescale: With immediate effect", "Met" ], [ "20", "3.2", "Support plans and risk assessments must\nevidence involvement of service users\nrelatives/representatives where service users\nthemselves do not have capacity to sign,\nconfirming their understanding and\nagreement with the content.", "Met" ] ], "row_count": 12, "col_count": 4 }, { "headers": [ "", "", "Timescale: With immediate effect", "" ], "rows": [ [ "21", "2.1", "The hot tap in the kitchen must be mended.\nTimescale: July 2017\nCarried forward: December 2017", "Met" ], [ "22", "7.2", "Shift leaders must be registered for or\nqualified to QCF level three.\nTimescale: 31 October 2017\nCarried forward: December 2017", "Not met" ], [ "23", "7.6 and 7.7", "More focussed efforts must be made to seek\nfeedback from relatives, professionals and\nstaff members on how the service is run, to\nfeed in to the annual report.\nTimescale: 31 March 2017\nCarried forward: December 2017", "Met" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 2 - Daily Living", "" ], [ "", "People are supported to set and carry out their activities and routines in suitable surroundings. The", "" ], [ "", "environment is conducive to people’s well-being and safety. People live in a home that is safe,", "" ], [ "", "warm clean and comfortable. People have access to the aids, equipment and facilities they need.", "" ], [ "", "2.10, 2.11, 2.12, 2.13, 2.14, 2.15", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 3 – Daily Support", "" ], [ "", "People are confident that the staff will support them to maintain their health and to support their", "" ], [ "", "social and welfare requirements.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 - Environmental and Personal Safety and Comfort", "" ], [ "", "Systems, checks, policies, procedures and staff training ensure that people’s dignity, well-being", "" ], [ "", "and safety is promoted and protected.", "" ], [ "", "4.1, 4.2, 4.3, 4.4, 4.8, 4.9, 4.10, 4.16, 4.17", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 6 - Staffing", "" ], [ "", "Staff are recruited following a rigorous and robust recruitment programme. There are sufficient", "" ], [ "", "numbers of trained competent staff (including ancillary staff) to meet the needs of the people at", "" ], [ "", "the home. There are robust policies in place to ensure effective supervision and continuous", "" ], [ "", "professional development.", "" ], [ "", "6.3, 6.20, 6.21, 6.22, 6.23", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "People have confidence that the systems in place support the smooth running of the home. The", "" ], [ "", "registered manager is qualified and competent to manage the home. People are consulted about", "" ], [ "", "how the home is run and their opinions are taken into account. The home has an annual", "" ], [ "", "development plan that makes provision for the home to develop and improve.", "" ], [ "", "7.9", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013, Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 1 – Information, Assessment and Admission", "" ], [ "", "People are confident that the home’s information reflects the services practice and that", "" ], [ "", "written information is accurate and current. The registered provider is able to clearly", "" ], [ "", "establish that the home’s facilities and staff can meet the individual’s specific needs and", "" ], [ "", "requirements. The admission process is planned and people are clear on the terms and", "" ], [ "", "conditions surrounding their residency.", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.10 The fire safety and fire safety management in the home meets the requirements", "" ], [ "", "contained within the Health and Safety at Work etc. Act 1974 (UK), the Management of", "" ], [ "", "Health and Safety at Work Regulations 1999 (UK) and the schedule thereafter; in", "" ], [ "", "addition:", "" ], [ "", " The home has a suitable and sufficient fire risk assessment that is compliant with the", "" ], [ "", "above Regulations and the Isle of Man Fire Safety guidance and instructions.", "" ], [ "", "", "" ], [ "", " Staff to have appropriate fire safety training on induction and receive further training", "" ], [ "", "not more than 3 months following induction. Thereafter training is renewed", "" ], [ "", "annually. This training to be carried out by a recognised provider.", "" ], [ "", "", "" ], [ "", " The means of escape to be adequately maintained and kept free from hazards.", "" ], [ "", "", "" ], [ "", " Fire safety systems to be installed throughout the premises and to be installed in", "" ], [ "", "accordance with the relevant British and European Standards.", "" ], [ "", "", "" ], [ "", " Testing and maintenance of all fire safety systems to be carried out in accordance", "" ], [ "", "with the relevant British and European Standards.", "" ], [ "", "", "" ], [ "", " Records confirm that weekly alarm tests monthly firefighting equipment (including", "" ], [ "", "emergency lighting) checks, and fire drills carried out at least twice per annum are", "" ], [ "", "carried out.", "" ], [ "", "", "" ], [ "", " Records of all testing, maintenance and training to be kept on the premises and", "" ], [ "", "these records are to be produced on request of a duly authenticated inspecting", "" ], [ "", "officer.", "" ], [ "", "", "" ], [ "", " If the Home has a fire certificate issued under the Fire Precautions Act 1975 (IOM) &", "" ], [ "", "Fire Precautions Amendment Act 1992 (IOM) it will be compliant with the Isle of Man", "" ], [ "", "Fire Safety Department requirements and recommendations. In all other homes any", "" ], [ "", "advice provided by either the Isle of Man Fire Safety Department or the DHSC Fire", "" ], [ "", "Officer will be followed.", "" ] ], "row_count": 33, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.11 The registered person makes available a range of policies and procedures that support", "" ], [ "", "safety, health and hygiene and ensures the home complies with relevant legislation", "" ], [ "", "including the Health and Safety at Work Act 1977 (IOM); Health and Safety at Work Act", "" ], [ "", "1974 (UK) and Management of Health and Safety at Work Regulations 2003.", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.12 Staff have received training and follow robust policies in relation to cross infection and", "" ], [ "", "hygiene control and are able to demonstrate their understanding and practice in their", "" ], [ "", "routines. The policies in place are in line with recognised good practice guidelines.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.13 The Food Hygiene Regulations 2007 (UK) are complied with and records made to", "" ], [ "", "demonstrate compliance.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.14 Advice, guidance and records in relation to the Control of Substances Hazardous to", "" ], [ "", "Health Regulations (COSHH) 1999 (UK) are maintained.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.15 Reporting Injuries, Diseases and Dangerous Occurrences Regulations 1985 (IOM)", "" ], [ "", "(RIDDOR) are complied with and recorded.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.16 Electricity at Work Regulations 1989 (UK) is complied with. A certificate of", "" ], [ "", "conformity/safety is available for the home’s electrical installations that are in", "" ], [ "", "compliance with ‘The 17th Edition, Wiring Regulations’ or equivalent. Portable Electrical", "" ], [ "", "Appliance Tests (PAT) are carried out and recorded in compliance with current guidance", "" ], [ "", "and instruction.", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.17 Regulation of water temperatures and design solutions to control the risk of exposure", "" ], [ "", "to Legionella micro-organisms (water stored in tanks at 60 °c degrees) and risk from", "" ], [ "", "hot water temperatures (not exceeding 44 degrees °c for baths and 41 degrees °c for", "" ], [ "", "showers and wash hand basins) are carried out in keeping with requirements and", "" ], [ "", "guidance and recorded. (Water Supply (Water Fittings) Regulations 1999 (UK)).", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 4 – Environmental and Personal Safety and Comfort", "" ], [ "", "4.18 Central heating and boiler maintenance is carried out and recorded, and where", "" ], [ "", "appropriate compliance with Gas Safety (Installation and Use) Regulations 1994 is", "" ], [ "", "complied with.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 6.3 – Staffing", "" ], [ "", "Staff files (including volunteers) contain:", "" ], [ "", " A completed application form and interview notes.", "" ], [ "", " All pre-employment checks.", "" ], [ "", " The names and addresses of two referees (not family members) who may be", "" ], [ "", "approached to comment on the applicant’s suitability (one of those referees is the", "" ], [ "", "applicant last employer). Those references are taken up and contained in the file by", "" ], [ "", "the employer.", "" ], [ "", " Evidence of a relevant Disclosure and Barring Scheme check (DBS) and that these", "" ], [ "", "checks have been reviewed by the Employer every 3 years. (Providers will have 3", "" ], [ "", "years to implement this across their service from the introduction of these revised", "" ], [ "", "standards – 2020).", "" ], [ "", " Evidence that a check with the DHSC Social Services has been undertaken (when", "" ], [ "", "introduced).", "" ], [ "", " A statement that the applicant has no known medical condition that will debar them", "" ], [ "", "from carrying out their duties.", "" ], [ "", " Certificates of qualifications and achievements, for all staff.", "" ], [ "", " Registration and revalidation details for Registered Nurses, Social Workers and other", "" ], [ "", "professionals.", "" ] ], "row_count": 19, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.8 Formal quality assurance systems are in place and the registered person uses a range", "" ], [ "", "of tools to measure the quality of the service provided. This will include:", "" ], [ "", " numbers and types of complaints received and any learning resulting from this;", "" ], [ "", " comments and compliments about the service from a range of stakeholders and any", "" ], [ "", "actions taken as a result of stakeholder feedback;", "" ], [ "", " accident and incident reports;", "" ], [ "", " observations of those using the service;", "" ], [ "", " views of staff working at the service;", "" ], [ "", " reports from the responsible person’s visits to the home (or their nominated person)", "" ], [ "", "which must include the notes of the visits.", "" ], [ "", "", "" ] ], "row_count": 12, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.9 An annual report lists the success of the service and introduces a written", "" ], [ "", "development/improvement plan based on the outcomes of the quality assessment", "" ], [ "", "exercise. The plan is displayed and available to all. The annual report could include:", "" ], [ "", " achievements in the year;", "" ], [ "", " plans for the future;", "" ], [ "", " outcomes of the quality assessment exercise;", "" ], [ "", " medication audits;", "" ], [ "", " equipment audits;", "" ], [ "", " care plan audits and;", "" ], [ "", " compliments and complaints received and any changes made as a result of concerns", "" ], [ "", "raised.", "" ] ], "row_count": 12, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.10 The registered person has in place recording systems to check and monitor staff", "" ], [ "", "activity to ensure compliance with the terms and conditions of their employment and", "" ], [ "", "the home’s policy and procedural requirements.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Regulation of Care Act 2013 Part 2 (37) and Care Services Regulations Part 3 (9)", "" ], "rows": [ [ "", "Standard 7 – Management Quality and Improvement", "" ], [ "", "7.13 The registered person ensures confidentiality of personal information and complies with", "" ], [ "", "the principles outlined within the Data Protection Act 2002.", "" ] ], "row_count": 3, "col_count": 3 } ] }, { "case_id": 1157621, "title": "Numbers of patients & waiting times at General Practitioner (GP) practices.", "authority": "Department of Health and Social Care", "date_received": "2020-01-30", "outcome": "All information sent", "summary": "The Department of Health and Social Care responded to a request for data on GP practices by disclosing patient registration numbers, doctor headcounts, and average waiting times for routine appointments.", "key_facts": [ "Total patient registrations across all GP practices were 88,032 as of 31 December 2019.", "Waiting time data for routine appointments was provided for the period from August to December 2019.", "Doctor numbers are reported as both headcount and Whole Time Equivalent (WTE) as of 3 February 2020.", "Ramsey GP practice had the highest number of registered patients at 14,386.", "Southern GP practice recorded the longest waiting times, reaching 14 days in September and October 2019." ], "data_mentioned": [ "88032", "14386", "9752", "9033", "8744", "8237", "7472", "7200", "5468", "4924", "4530", "4313", "3973", "31st December 2019", "3rd February 2020", "August to December 2019", "14 days", "8 days", "6 days", "5.9 WTE", "5.8 WTE", "4.9 WTE", "4.5 WTE", "4 WTE", "3.6 WTE", "2.6 WTE", "2.2 WTE", "2.1 WTE", "1.8 WTE" ], "exemptions_cited": [], "tables": [ { "headers": [ "GP Practice", "Patients Registered" ], "rows": [ [ "Kensington", "9033" ], [ "Laxey/Onchan", "8237" ], [ "Peel", "8744" ], [ "Hailwood", "7472" ], [ "Palatine", "9752" ], [ "Ballasalla", "4530" ], [ "Finch Hill", "4924" ], [ "Snaefell", "5468" ], [ "Promenade", "4313" ], [ "Ramsey", "14386" ], [ "Castletown", "3973" ], [ "Southern", "7200" ], [ "Total", "88032" ] ], "row_count": 13, "col_count": 2 }, { "headers": [ "GP Practice", "No of GPs", "WTE" ], "rows": [ [ "Kensington", "5", "4" ], [ "Laxey/Onchan", "5", "4.5" ], [ "Peel", "7", "4.9" ], [ "Hailwood", "4", "3.6" ], [ "Palatine", "6", "5.9" ], [ "Ballasalla", "3", "2.6" ], [ "Finch Hill", "4", "2.1" ], [ "Snaefell", "3", "2.1" ], [ "Promenade", "2", "1.8" ], [ "Ramsey", "8", "5.8" ], [ "Castletown", "4", "2.2" ], [ "Southern", "6", "4" ] ], "row_count": 12, "col_count": 3 }, { "headers": [ "GP Practice", "August", "September", "October", "November", "December" ], "rows": [ [ "", "Days", "Days", "Days", "Days", "Days" ], [ "Kensington", "6", "0", "2", "1", "1" ], [ "Laxey/Onchan", "7", "6", "2", "3", "8" ], [ "Peel", "1", "1", "1", "5", "3" ], [ "Hailwood", "2", "2", "1", "0", "1" ], [ "Palatine", "0", "7", "0", "0", "0" ], [ "Ballasalla", "4", "4", "4", "4", "4" ], [ "Finch Hill", "5", "3", "3", "3", "0" ], [ "Snaefell", "2", "2", "3", "8", "2" ], [ "Promenade", "0", "0", "0", "0", "0" ], [ "Ramsey", "2", "1", "3", "0", "0" ], [ "Castletown", "2", "2", "3", "6", "6" ], [ "Southern", "0", "14", "14", "8", "12" ] ], "row_count": 13, "col_count": 6 } ] }, { "case_id": 1158721, "title": "National Health and Care Service Charter, cost cutting and complaints", "authority": "Department of Health and Social Care", "date_received": "2020-01-30", "outcome": "Some information sent but part exempt", "summary": "A request was made to the Isle of Man Department of Health and Social Care regarding the National Health and Care Service Charter, Executive Leadership Team pay, and complaint statistics. The authority partially fulfilled the request by providing links to public performance documents but exempted specific data on targets, pay grades, and complaint outcomes due to the substantial compilation required.", "key_facts": [ "The request was received on 2020-01-30 and the outcome was issued on 2020-03-11.", "The Department of Health and Social Care cited Section 11(3)(b) to exempt information requiring substantial compilation.", "The Chief Executive at the time of response was Kathryn Magson.", "The authority directed the requester to publicly available Service Delivery Plans and Performance Reports instead of compiling specific charter data.", "Questions regarding ELT pay grades and detailed complaint statistics for the last five years were not answered directly in the provided text." ], "data_mentioned": [ "2020-01-30", "2020-03-11", "1158721", "2019 – 2020", "S11(3)(b)", "section 8(3)" ], "exemptions_cited": [ "S11(3)(b) - Substantial compilation or collation of information", "Section 8(3) - Matters a public authority is not required to do" ], "tables": [ { "headers": [ "Year", "No of complaints" ], "rows": [ [ "2015/16", "255" ], [ "2016/17", "See below" ], [ "2017/18", "320" ], [ "2018/19", "499" ], [ "2019/20", "458 * up to 3rd quarter Dec ‘19" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Year", "No" ], "rows": [ [ "2015/16", "22" ], [ "2016/17", "See below" ], [ "2017/18", "17" ], [ "2018/19", "23" ], [ "2019/20", "17 * up to 3rd quarter Dec ‘19" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Year", "No" ], "rows": [ [ "2015/16", "3" ], [ "2016/17", "6" ], [ "2017/18", "4" ], [ "2018/19", "4" ], [ "2019/20", "1* up to 3rd quarter Dec ‘19" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 1203949, "title": "CAMHS & Adult Services", "authority": "Department of Health and Social Care", "date_received": "2020-02-28", "outcome": "Some information sent but not all held", "summary": "The requester asked for statistics on adolescents refused adult mental health services and the policies authorizing such refusals. The Department of Health and Social Care responded with an operational policy document but stated that not all requested information was held.", "key_facts": [ "The request covered the last 5 calendar years up to 31-12-2019 regarding adolescents transitioning from CAMHS to Adult Services.", "The authority responded with the 'Adult Community Mental Health Service Operational Policy'.", "The policy was ratified by Ross Bailey, Manager of Community Mental Health Service for Adults.", "The policy has been active since March 2018.", "The outcome was classified as 'Some information sent but not all held'." ], "data_mentioned": [ "31-12-2019", "March 2018", "2020-02-28", "2020-03-26", "45 pages", "3 documents", "18 - 65 Age Group", "16 Years", "65 Years" ], "exemptions_cited": [], "tables": [ { "headers": [ "See Appendix 8 – Policy for Storage and Administration of Depot Injections in a Community" ], "rows": [ [ "Setting" ], [ "See Appendix 9 – Standards for Depot Clinic" ], [ "See Appendix 11 – Guidelines for Administration of Long Acting Olanzapine Injection in a" ], [ "Community Setting" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "The Performance and Development Review ('PDR') has been developed to provide support for the" ], "rows": [ [ "ongoing performance management of all MPTC and civil service staff and forms a core function of" ], [ "management supervision. It allows staff to reflect on, and assess, how they have performed over" ], [ "the previous 12 month period. It also allows staff to plan ahead by identifying any development" ], [ "required for them to become more effective in their job and to progress on their chosen career" ], [ "pathway." ], [ "Participation in the PDR scheme is mandatory for all MPTC and Civil Service staff regardless of" ], [ "grade." ], [ "For Civil Servants, The PDR scheme runs annually from the 1 April to the 31 March." ], [ "For MPTC staff, the PDR scheme runs annually between increment dates." ], [ "" ] ], "row_count": 10, "col_count": 1 }, { "headers": [ " Personal Delivery Plan (PDP): This involves looking forward to the next 12 month" ], "rows": [ [ "period and planning what needs to be achieved, how to do this and identifying any" ], [ "development needed. This information comprises the personal development plan and is" ], [ "usually completed immediately after the Final Review." ], [ " Interim review(s): The interim review establishes whether staff are on target to meeting" ], [ "the requirements of the PDP. These are generally held at 6 months but during probation" ], [ "periods will be more frequent." ], [ " Final Review: This involves reflection on what was achieved during the previous year and" ], [ "how it was achieved. It allows decisions to be made regarding whether the individual met" ], [ "their agreed objectives and competencies." ] ], "row_count": 9, "col_count": 1 }, { "headers": [ "1. Justify the purpose(s)" ], "rows": [ [ "Every single proposed use or transfer of patient identifiable information within or from an" ], [ "organisation should be clearly defined and scrutinised, with continuing uses regularly" ], [ "reviewed, by an appropriate guardian." ], [ "2. Don't use patient identifiable information unless it is necessary" ], [ "Patient identifiable information items should not be included unless it is essential for the" ], [ "specified purpose(s) of that flow. The need for patients to be identified should be" ], [ "considered at each stage of satisfying the purpose(s)." ], [ "3. Use the minimum necessary patient-identifiable information" ], [ "Where use of patient identifiable information is considered to be essential, the inclusion of" ], [ "each individual item of information should be considered and justified so that the" ], [ "minimum amount of identifiable information is transferred or accessible as is necessary for" ], [ "a given function to be carried out." ], [ "4. Access to patient identifiable information should be on a strict need-to-know" ], [ "basis" ], [ "Only those individuals who need access to patient identifiable information should have" ], [ "access to it, and they should only have access to the information items that they need to" ], [ "see. This may mean introducing access controls or splitting information flows where one" ], [ "information flow is used for several purposes." ], [ "5. Everyone with access to patient identifiable information should be aware of" ], [ "their responsibilities" ], [ "Action should be taken to ensure that those handling patient identifiable information -" ], [ "both clinical and non-clinical staff - are made fully aware of their responsibilities and" ], [ "obligations to respect patient confidentiality." ], [ "6. Understand and comply with the law" ], [ "Every use of patient identifiable information must be lawful. Someone in each organisation" ], [ "handling patient information should be responsible for ensuring that the organisation" ], [ "complies with legal requirements." ], [ "7. The duty to share information can be as important as the duty to protect patient" ], [ "confidentiality" ] ], "row_count": 29, "col_count": 1 }, { "headers": [ "Title", "Policy for Transition from Child and\nAdolescent Mental Health Service\n(CAMHS) to Community Mental Health\nService for Adults (CMHSA)." ], "rows": [ [ "Purpose of document", "This policy is designed to provide\nguidance for the procedure and practice\nin the transition of young people from\nCAMHS to CMHSA" ], [ "Authors", "Nicola Howard- CMHSA\nEmma McClean- CAMHS" ], [ "Ratified by", "Emma McClean CAMHS Manager &\nRoss Bailey, CMHSA Manager" ], [ "Status", "Operational since 2010" ], [ "Date of this version", "May 2017" ], [ "Circulated to", "CAMHS\nCMHSA" ], [ "Next Review Date", "May 2020 or before if service area\nspecifications change." ] ], "row_count": 7, "col_count": 2 }, { "headers": [ "mental health of children and young people. Driven by young people’s experiences they" ], "rows": [ [ "campaign, research and influence policy and practice. The two links below provide guides" ], [ "for young people and their parents on transition and can be used as a resource to help" ], [ "young people and to guide professional practice." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ " Young people should have an assessment of their needs and have a care plan setting", "" ], "rows": [ [ "out what support they will need before they leave CAMHS.", "" ], [ "", "" ], [ " Transition planning should take place in good time so that young people know what", "" ], [ "to expect and when.", "" ] ], "row_count": 4, "col_count": 2 } ] }, { "case_id": 1231682, "title": "stress and anxiety related prescriptions national trend", "authority": "Department of Health and Social Care", "date_received": "2020-03-16", "outcome": "Some information sent but not all held", "summary": "The request sought patient prescription numbers for stress and anxiety medications by dose over five years and a comparison with other jurisdictions. The Department of Health and Social Care disclosed aggregate item counts and costs for antidepressants, hypnotics, and proton pump inhibitors but refused to provide patient-specific data or international comparisons due to data limitations.", "key_facts": [ "The authority cannot link specific drugs to conditions like stress or anxiety as they are used for multiple purposes.", "Data provided is from the EPACT2 system and contains no patient details or diagnoses.", "International comparisons with the UK, Republic of Ireland, Jersey, and Guernsey were refused as the Department does not hold that data.", "The request for information by dose and patient count was partially refused under Section 11(3)(b) as it would require creating new information.", "Aggregate prescription data was provided for the financial years 2014/2015 through 2018/2019." ], "data_mentioned": [ "2014/2015", "2015/2016", "2016/2017", "2017/2018", "2018/2019", "80,939", "664,171.96", "100,522", "336,603.17", "59,168", "292,862.76", "74,989", "236,641.26", "1231682", "2020-03-16", "2020-04-17" ], "exemptions_cited": [ "Section 11(3)(b) - Information not held or would require creation/derivation", "Section 11(3)(a) - Practical refusal reason (information not held)" ], "tables": [ { "headers": [ "Financial\nYear", "Country plus\nCode", "BNF Section", "Items", "Net\nIngredient\nCost" ], "rows": [ [ "2014/2015", "ISLE OF MAN\n(4)", "Antidepressant\ndrugs", "80,939", "664,171.96" ], [ "2015/2016", "ISLE OF MAN\n(4)", "Antidepressant\ndrugs", "89,009", "710,418.97" ], [ "2016/2017", "ISLE OF MAN\n(4)", "Antidepressant\ndrugs", "92,863", "591,132.27" ], [ "2017/2018", "ISLE OF MAN\n(4)", "Antidepressant\ndrugs", "97,226", "408,803.65" ], [ "2018/2019", "ISLE OF MAN\n(4)", "Antidepressant\ndrugs", "100,522", "336,603.17" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "Financial\nYear", "Country plus\nCode", "BNF Section", "Items", "Net\nIngredient\nCost" ], "rows": [ [ "2014/2015", "ISLE OF MAN\n(4)", "Hypnotics\nand\nanxiolytics", "59,168", "292,862.76" ], [ "2015/2016", "ISLE OF MAN\n(4)", "Hypnotics\nand\nanxiolytics", "57,263", "257,784.52" ], [ "2016/2017", "ISLE OF MAN\n(4)", "Hypnotics\nand\nanxiolytics", "56,874", "224,601.74" ], [ "2017/2018", "ISLE OF MAN\n(4)", "Hypnotics\nand\nanxiolytics", "57,392", "220,810.65" ], [ "2018/2019", "ISLE OF MAN\n(4)", "Hypnotics\nand\nanxiolytics", "59,578", "218,718.70" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "Financial\nYear", "Country plus\nCode", "BNF\nParagraph", "Items", "Net\nIngredient\nCost" ], "rows": [ [ "2014/2015", "ISLE OF MAN\n(4)", "Proton pump\ninhibitors", "74,989", "236,641.26" ], [ "2015/2016", "ISLE OF MAN\n(4)", "Proton pump\ninhibitors", "78,078", "234,045.00" ], [ "2016/2017", "ISLE OF MAN\n(4)", "Proton pump\ninhibitors", "79,638", "201,620.25" ], [ "2017/2018", "ISLE OF MAN\n(4)", "Proton pump\ninhibitors", "80,002", "183,182.04" ], [ "2018/2019", "ISLE OF MAN\n(4)", "Proton pump\ninhibitors", "78,527", "163,973.20" ] ], "row_count": 5, "col_count": 5 } ] }, { "case_id": 1247481, "title": "Diabetes technologies used", "authority": "Department of Health and Social Care", "date_received": "2020-03-25", "outcome": "All information sent", "summary": "A request was made to the Isle of Man Department of Health and Social Care for statistics on diabetes technologies and patient registrations. The authority disclosed the specific number of adults and children using insulin pumps and the total count of Type 1 Diabetes patients registered with the Diabetes Centre and Paediatric Department.", "key_facts": [ "72 adults are currently using an insulin pump.", "36 children are currently using an insulin pump.", "393 adults with Type 1 Diabetes are registered at the Diabetes Centre.", "44 children with Type 1 Diabetes are registered with the Paediatric Department.", "Children transition from the Paediatric Department to the Diabetes Centre at age 16." ], "data_mentioned": [ "72", "36", "393", "44", "16", "2020-03-25", "2020-04-20", "1247481" ], "exemptions_cited": [], "tables": [ { "headers": [ "Category", "Adults", "Children" ], "rows": [ [ "Patients using an insulin pump", "72", "36" ], [ "Patients with Type 1 Diabetes registered at the Diabetes Centre", "393", "44" ] ], "row_count": 2, "col_count": 3 } ] }, { "case_id": 1274745, "title": "Key workers", "authority": "Cabinet Office", "date_received": "2020-04-27", "outcome": "All information sent", "summary": "The request sought sector-specific data on exemptions granted under the Emergency Powers Act for key workers to return to the Isle of Man and avoid self-isolation. The Cabinet Office disclosed detailed statistics on travel and self-isolation exemptions issued up to 13 May 2020, clarifying that no quarantine exemptions were issued.", "key_facts": [ "A total of 501 travel exemptions were issued to key workers by 13 May 2020.", "399 travel exemptions were granted for personnel vital to critical national infrastructure, primarily transport links.", "442 self-isolation exemptions were issued by 13 May 2020, with the majority (377) for transportation of essential goods and workers.", "The authority clarified that it does not issue exemptions for quarantine, only for travel and self-isolation.", "Patient transfer exemptions (75) are now certified by the Department of Health and Social Care following legislative revisions." ], "data_mentioned": [ "501", "399", "47", "12", "36", "75", "442", "24", "30", "377", "13 May 2020", "27 April 2020", "29 May 2020", "160", "68", "63", "26", "Less than 10", "0" ], "exemptions_cited": [], "tables": [ { "headers": [ "A person who the Department of Health and Social Care has\ncertified is a medical expert or professional whose skills are\nessential to the Island’s medical infrastructure and the health\nof its community", "47" ], "rows": [ [ "the Department of Health and Social Care has certified is a\nsupplier of goods or services that are essential for the\nIsland’s infrastructure or the health of its community", "12" ], [ "the Department of Home Affairs has certified is a police\nofficer or a fire officer employed by that Department or in\nrespect of whom an offer of employment as a police officer\nor a fire officer in that Department has been made", "Less than 10" ], [ "Exempted by Council of Ministers or Chief Secretary", "36" ], [ "Total", "501" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Category\n(as at close of business 13th May 2020)", "Total Number of Self\nIsolation Exemptions\nIssued" ], "rows": [ [ "(a) Healthcare worker", "24" ], [ "(b) Children & Young Persons Act 2001", "0" ], [ "(c) IOM Ports personnel", "Less than 10" ], [ "(d) Essential Public Utilities / Services", "30" ], [ "(e) Transportation of essential goods/workers", "377" ], [ "(f) Emergency Services personnel", "Less than 10" ], [ "(g) Judiary (including tribunals)", "0" ], [ "(h) General Registry / Courts personnel", "0" ], [ "(i) Logistical (including postal)", "Less than 10" ], [ "(j) Other (see Regulations 11 (1) & (2))", "Less than 10" ], [ "Total", "442" ] ], "row_count": 11, "col_count": 2 } ] }, { "case_id": 1275545, "title": "Covid advice", "authority": "Cabinet Office", "date_received": "2020-04-28", "outcome": "Not upheld", "summary": "The requester sought all Covid-19 advice and Council of Ministers minutes regarding health, borders, human rights, and schools since January 1, 2020, resulting in a 'Not upheld' outcome with the disclosure of specific papers on childcare risks and border re-entry quarantine protocols.", "key_facts": [ "The request was initially broad but was narrowed to focus on health advice, border closures, human rights, and schools.", "Public Health advice indicated that adults under 70 not in the extremely vulnerable group would not face elevated risk providing childcare.", "Extending childcare provision for all parents was identified as having the largest economic impact but also the greatest virus transmission risk.", "A proposal was made to allow ordinarily resident individuals to return to the Island on a phased basis.", "Returnees were required to undergo mandatory 14-day quarantine at a designated facility rather than self-isolating at home due to transmission risks." ], "data_mentioned": [ "January 1, 2020", "2020-04-28", "2020-12-15", "27 April 2020", "Paper No 2020/156", "Paper 2020/123", "03/03/2020", "14 days", "under 70", "£500,000" ], "exemptions_cited": [], "tables": [ { "headers": [ "Department/Board/Office", "DoI/DHA/Cabinet Office/DHSC" ], "rows": [ [ "Chief Officer", "Nick Black/Dan Davies" ], [ "Responsible Officer", "" ], [ "Cut ups to be sent to", ", Henrietta Ewart" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "Internal" ], "rows": [ [ "Are there any resource/personnel implications?", "Yes" ], [ "Do you have the statutory vires?\n(If yes, provide confirmation of the source within ‘Background’)", "Yes" ], [ "Are there any inter-Departmental implications?", "Yes" ], [ "If yes, which other Departments are involved?", "DHSC, CabO, DHA,\nDoI" ], [ "Major Policy Proposal/Primary Legislation?", "No" ], [ "Have you completed an impact assessment?\nIf yes, please append a copy to this paper", "No" ], [ "If Primary Legislation, has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the legislative\nprogramme", "Not Applicable" ], [ "Decision date of the Council Legislation Subcommittee", "" ], [ "Does the recommendation have Political approval within\nthe Department/Board/Office?", "Yes" ], [ "Date approval granted", "NSG recommended\n03/03/2020" ], [ "Are there any Financial Implications?", "Yes" ], [ "GDPR Implications", "" ], [ "Data Protection Impact Assessment undertaken?", "No" ], [ "Detailed evaluation undertaken?", "No" ], [ "Are there any Equality Act Implications?\nAppend a copy of the impact assessment", "No" ], [ "Fund Claim Application?\nNote that any claims in excess of £500,000 must be accompanied\nby a CoMin paper and that Treasury will submit the CoMin paper\non behalf of the relevant body. Approval will not be confirmed\nuntil after CoMin’s decision.", "No" ], [ "Purpose of the Paper:\nFor information:\nTo propose an approach to Council of Ministers to allow people ordinarily resident in the\nIsle of Man who are currently in the UK to return on a phased basis.", "" ] ], "row_count": 17, "col_count": 2 }, { "headers": [ "Department/Board/Office", "Enterprise" ], "rows": [ [ "Chief Officer", "Mark Lewin" ], [ "Responsible Officer", "Mark Lewin" ], [ "Cut ups to be sent to", "the above" ], [ "Date of Council Meeting", "8th April 2020" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "Not applicable", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "No", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "Not applicable", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Not applicable", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "Yes", "", "" ], [ "If yes, which other Departments are involved?", "All", "", "", "", "" ], [ "What is the intention of this paper?", "Seek Approval", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "No", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "No", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "No", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "", "Yes", "", "" ], [ "Purpose of the Paper:\nTo seek approval to a proposed framework that allows the Island to respond in the medium\nterm to the issues from CV-19 by finding a balance of sustainable social and economic\nmeasures.\nThis proposes a tight border position to be maintained, together with a “lockdown lite”\nposition within the Island, supporting activity within the internal economy to ensure the\nmeasures are more sustainable.", "", "", "", "", "" ] ], "row_count": 11, "col_count": 6 }, { "headers": [ "Department/Board/Office", "Enterprise" ], "rows": [ [ "Chief Officer", "Mark Lewin" ], [ "Responsible Officer", "Mark Lewin" ], [ "Cut ups to be sent to", "Mark Lewin, Kathryn Magson Caldric Randall,\nRichard Wild" ], [ "Date of Council Meeting", "20th April 2020" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "Not applicable", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "No", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "Not applicable", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Not applicable", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "Yes", "", "" ], [ "If yes, which other Departments are involved?", "All", "", "", "", "" ], [ "What is the intention of this paper?", "Seek Approval", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "No", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "No", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Yes", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "", "Yes", "", "" ], [ "Purpose of the Paper:\nTo formally update Council on the work undertaken since the “lockdown lite” paper 2020/129, as\nsummarised in the presentation on 16th April 2020 to Council, and to seek approval to a medium\nterm approach with specific next steps that allows the Island to respond to CV-19 by finding a\nbalance of sustainable social, economic and health mitigations.\nThe initial stage proposes that a tight border position should be maintained alongside other\nexisting public health measures to contain the rate of transmission of the virus and to maintain\ncapability to respond to the pandemic, whilst supporting phased additional activities within\nsociety and the internal economy to provide a more sustainable medium term approach.", "", "", "", "", "" ] ], "row_count": 11, "col_count": 6 }, { "headers": [ "Department/Board/Office", "Cabinet Office & DOI" ], "rows": [ [ "Chief Officer", "Will Greenhow & Nick Black" ], [ "Responsible Officers", "Ste Stanley," ], [ "Cut ups to be sent to", "Ste Stanley, , Kirsty\nHemsley" ], [ "Date of Council Meeting", "23 April 2020" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "Not applicable", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "No", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "Not applicable", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Yes", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "Yes", "", "" ], [ "If yes, which other Departments are involved?", "CO, DOI, DHSC", "", "", "", "" ], [ "What is the intention of this paper?", "Seek Approval", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "No", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "No", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Not applicable", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "Not applicable", "", "", "" ], [ "Purpose of the Paper: To seek approval from Council on the approach to issues relating\nto exemptions to the Island’s current border closure and provide a further update on\nrepatriation.", "", "", "", "", "" ] ], "row_count": 11, "col_count": 6 }, { "headers": [ "Department/Board/Office", "Cabinet Office" ], "rows": [ [ "Chief Officer", "Will Greenhow" ], [ "Responsible Officer", "Nick Black" ], [ "Cut ups to be sent to", "Mark Lewin, Jon Callister, Jeff Robinson" ], [ "Date of Council Meeting", "27th April 2020" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "Not applicable", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "No", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "Not applicable", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Not applicable", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "Yes", "", "" ], [ "If yes, which other Departments are involved?", "All", "", "", "", "" ], [ "What is the intention of this paper?", "Seek Approval", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "No", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "No", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Yes", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "", "Yes", "", "" ], [ "Purpose of the Paper:\nTo update Council on the implementation plan in support of masks for public servants where\nthey request them, in line with the proposed amended public health advice.", "", "", "", "", "" ] ], "row_count": 11, "col_count": 6 }, { "headers": [ "Department/Board/Office", "Cabinet Office & DOI" ], "rows": [ [ "Chief Officer", "Will Greenhow & Nick Black" ], [ "Responsible Officers", "Ste Stanley," ], [ "Cut ups to be sent to", "Ste Stanley, , Kirsty\nHemsley" ], [ "Date of Council Meeting", "27 April 2020" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "Not applicable", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "No", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "Not applicable", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Yes", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "Yes", "", "" ], [ "If yes, which other Departments are involved?", "CO, DOI, DHSC", "", "", "", "" ], [ "What is the intention of this paper?", "Seek Approval", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "No", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "No", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Not applicable", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "Not applicable", "", "", "" ], [ "Purpose of the Paper: To seek approval from Council on the approach to exemptions for\nresidents that work off-Island in roles that are critical to the UK during the Island’s current\nborder closure and a number of other matters concerning the border closure", "", "", "", "", "" ] ], "row_count": 11, "col_count": 6 }, { "headers": [ "Department/Board/Office", "Cabinet Office" ], "rows": [ [ "Chief Officer", "Will Greenhow" ], [ "Responsible Officer", "Will Greenhow" ], [ "Cut ups to be sent to", "Mark Lewin, Kathryn Magson, Dan Davies, Richard\nWild" ], [ "Date of Council Meeting", "30th April 2020" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "Not applicable", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "No", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "Not applicable", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Not applicable", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "Yes", "", "" ], [ "If yes, which other Departments are involved?", "All", "", "", "", "" ], [ "What is the intention of this paper?", "Seek Approval", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "No", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "No", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Yes", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "", "Yes", "", "" ], [ "Purpose of the Paper:\nTo provide Council of Ministers with an early view of the potential policy options for\nrecommendation on the 8th May 2020.", "", "", "", "", "" ] ], "row_count": 11, "col_count": 6 }, { "headers": [ "Department/Board/Office", "Department of Health and Social Care" ], "rows": [ [ "Chief Officer", "Kathryn Magson" ], [ "Responsible Officer", "Kathryn Magson" ], [ "Cut ups to be sent to", "Will Greenhow, Nick Black, Daniel Davies" ], [ "Date of Council Meeting", "30 April 2020" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "Not applicable", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "Yes", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "Not applicable", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Yes", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "Yes", "", "" ], [ "If yes, which other Departments are involved?", "All", "", "", "", "" ], [ "What is the intention of this paper?", "Seek Approval", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "No", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "No", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Yes", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "", "Yes", "", "" ], [ "Purpose of the Paper:\nTo update Council on the proposed changes to the process of repatriation for Isle of Man\nResidents and request Council’s support to the proposed changes.", "", "", "", "", "" ] ], "row_count": 11, "col_count": 6 }, { "headers": [ "Department/Board/Office", "", "", "Infrastructure", "", "", "", "", "", "", "" ], "rows": [ [ "Chief Officer", "", "", "Will Greenhow", "", "", "", "", "", "", "" ], [ "Responsible Officer", "", "", "", "", "", "", "", "", "", "" ], [ "Cut ups to be sent to", "", "", "", "", "", "", "", "", "", "" ], [ "Date of Council Meeting", "", "", "25th March 2020", "", "", "", "", "", "", "" ], [ "Title", "Further restrictions on the movement of persons to and on the Isle of Man", "", "", "", "", "", "", "", "", "" ], [ "*Collective\nResponsibility:\n(Mandatory field,\nplease choose an\noption)\nMatter of National\nImportance", "", "*Which of the 3\nGovernment Strategic\nObjectives does this\nproposal comply with?\nNot Applicable", "", "Which of the Council\nof Ministers Sub-\nCommittees has\nconsidered this\nproposal?\nNot applicable", "", "The proposal relates\nonly to the\nDepartment’s core or\nstatutory\nresponsibilities\nNot Applicable", "", "", "", "" ], [ "Has appropriate internal and/or public consultation taken place?", "", "", "", "", "", "", "Not applicable", "", "", "" ], [ "Are there any resource/personnel implications?", "", "", "", "", "", "", "", "No", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "", "", "", "", "", "Not applicable", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "", "", "", "", "Not applicable", "", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "", "", "", "", "", "No", "", "" ], [ "If yes, which other Departments are involved?", "", "", "", "", "N/A", "", "", "", "", "" ], [ "What is the intention of this paper?", "", "", "", "", "Seek Approval", "", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "", "", "", "", "No", "", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "", "", "", "", "No", "", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "", "", "", "", "Yes", "", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "", "", "", "", "", "", "Yes", "", "" ], [ "Purpose of the Paper:\nCouncil is invited to agree that it is content to recommend a range of measures\ndesigned to restrict movement to and on the Isle of Man for the purpose of\ncontrolling the spread of coronavirus, preserving healthcare resources,\npreserving public safety and confidence and supporting a controlled and speedy\nreturn to normality.", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 18, "col_count": 11 }, { "headers": [ "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "If at three weeks, the infection rate is no lower there", "", "", "", "" ], [ "may be no option but to consider further restrictions. If the infection rate has slowed, then", "", "", "", "", "", "", "", "", "" ], [ "consideration will be given to relaxing criteria on evidence-led basis.", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 14, "col_count": 10 }, { "headers": [ "This option is complicated by the substantial predicted numbers of students identified a" ], "rows": [ [ "returning to the Isle of Man. This group of people presents perceived significantly higher" ], [ "risk to the population than other groups because of the higher level of social interaction" ], [ "" ], [ "" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Meeting\nDate:", "Minute Ref:", "Minute Extract(s)", "Exemption Applied:" ], "rows": [ [ "10.03.2020", "180/2020 – Coronavirus (COVID-19)\nPlanning Brief", "• Council further noted it was imperative that the advice and\nguidance provided by Public Health England was publicised\nand adhered to.", "" ], [ "12.03.2020", "196/2020 – Covid-19 (Coronavirus\nUpdate)", "• The need for large, clear and accurate public information\npoints and posters at ports and strategic locations, which\nwas being addressed.", "" ], [ "12.03.2020", "202/2020 – Covid-19 (Coronavirus\nUpdate)", "• Council agreed that: Isle of Man Government move to the\n“Delay” phase of planning with immediate effect and\nmaintain that the current position of following the advice\nissues by Public Health England.", "" ], [ "16.03.2020", "205/2020 – DHSC Update – current\nglobal coronavirus overview, PHE\nposition, DHSC planning, capacity\nand risk management", "• In line with the Public Health England, we are now in the\ndelay phase of our response to COVID-19.\n• It was clinically considered that the time was right to invite\nCouncil to consider appropriate policy responses.\n• [Interim Chief Executive DHSC] advised that Isle of Man\n(IOM) modelling, was based on available Public Health\ninformation, noting the situation remained fluid and would\nevolve daily.\n• Council noted the IOM (like the UK) was using ‘swab\ntesting’. The existence of other testing methods (e.g.\nthose being used in Singapore and South Korea) but noted\nDHSC advice that these platforms required UK NHS\napproval and assessment in the first instance and\nspecialist training.", "" ], [ "19.03.2020", "227/2020 - b) Matters arising from\nthe minutes Monday 16 March 2020", "• The CO DHSC advised that the clinical advice remained the\nsame regarding mass gatherings and that such should be", "" ] ], "row_count": 5, "col_count": 4 }, { "headers": [ "", "", "• The Minister for Education, Sport and Culture (“the\nMinister”) advised that due to the low uptake of places at\nHub Schools there was capacity to extend the provision\nbeyond the prescribed list and that at present parents\nwere being asked to use their own judgement to\ndetermine key worker status.\n• Council noted that engagement with teaching staff and\ntrade unions was essential in respect of the operation of\nHub Schools and prior to any decision being taken\nregarding the reopening of schools.", "" ], "rows": [ [ "27.04.2020", "394/2020 – Approach to Issues re\nExemptions for Residents working\noff-Island.", "• The CO, DHSC advised that temperature checks could be\ncarried out at ports but that there was no evidence to\nsuggest that arbitrary testing would provide protection\nfrom the transmission of the virus.", "" ], [ "30.04.2020", "403/2020 – Policy Options for Stay\nSafe Review on 8 May 2020", "• Council, noting that the clinical group supported the\nfurther consideration of limited gatherings between\nhouseholds based around members of immediate family,\ndiscussed such.", "" ], [ "30.04.2020", "407/2020 – Repatriation move to\nself-isolation", "• The CO, DHSC advised that the review process continued\nto focus on the UK viral load position; the learning from\nthe previous repatriation journeys; and the current IoM\nCOVID-19 situation report.\n• that there was no evidence that arbitrary testing of\nrepatriates would provide protection from the transmission\nof the virus.", "" ] ], "row_count": 3, "col_count": 4 } ] }, { "case_id": 1277045, "title": "Local Maternity System lead query", "authority": "Department of Health and Social Care", "date_received": "2020-04-29", "outcome": "All information sent", "summary": "The requester asked for the structure and lead contacts for local maternity services in the Isle of Man. The Department of Health and Social Care disclosed the names and roles of the Head of Midwifery and several Lead Midwives, noting that the structure is currently under review.", "key_facts": [ "Barbara Roberts is the Head of Midwifery.", "Verity Imlach is the Lead Midwife for Safeguarding and Community Services.", "Regan Baggley is the Lead Midwife for In-patient services.", "Liza Munro is the Lead Midwife for Governance.", "The position for Antenatal services is currently vacant.", "The maternity service structure is under review and expected to change." ], "data_mentioned": [ "2020-04-29", "2020-05-26", "1277045", "651052", "01624 650030", "six (6)", "24/7" ], "exemptions_cited": [], "tables": [ { "headers": [ "Role", "Name", "Contact Details" ], "rows": [ [ "Head of Midwifery", "Barbara Roberts", "Tel 651052" ], [ "Lead Midwife for Safeguarding and Community Services", "Verity Imlach", "" ], [ "Lead Midwife for In patient services", "Regan Baggley", "" ], [ "Lead Midwife for Governance", "Liza Munro", "" ], [ "Lead Midwife for Antenatal services", "Vacant", "" ], [ "Lead Midwife for Delivery suite and theatre", "Melanie Capewell", "" ], [ "Lead Midwife for Bereavement and practice development", "Dianne Rubery", "" ] ], "row_count": 7, "col_count": 3 } ] }, { "case_id": 1278645, "title": "Mental Health Manannan Court Readmissions", "authority": "Department of Health and Social Care", "date_received": "2020-05-01", "outcome": "All information sent", "summary": "A request was made to the Department of Health and Social Care for data on Manannan Court readmissions in 2019, specifically asking for the number of individuals with three or more admissions split by age. The authority disclosed that out of 149 total admissions, 11 individuals aged 65 and under had three or more admissions, while no individuals over 65 met this criterion.", "key_facts": [ "The total number of individuals admitted to Manannan Court in 2019 was 149.", "Zero individuals over the age of 65 had three or more admissions in 2019.", "Eleven individuals aged 65 and under had three or more admissions in 2019.", "The request was received on 1 May 2020 and the response was issued on 27 May 2020.", "138 individuals (93%) had fewer than three admissions in 2019." ], "data_mentioned": [ "149", "0", "0%", "11", "7%", "138", "93%", "2019", "2020-05-01", "2020-05-27", "1278645" ], "exemptions_cited": [], "tables": [ { "headers": [ "Total number of individuals admitted to Manannan Court in\n2019", "149", "" ], "rows": [ [ "", "", "" ], [ "Total number of individuals with 3 or more admissions (over age\n65)", "0", "0%" ], [ "Total number of individuals with 3 or more admissions (age 65 and\nunder)", "11", "7%" ], [ "Total number of individuals with less than 3 admissions", "138", "93%" ] ], "row_count": 4, "col_count": 3 } ] }, { "case_id": 1285745, "title": "National Strategy Group", "authority": "Cabinet Office", "date_received": "2020-05-07", "outcome": "Some information sent but part exempt", "summary": "A request was made for details on the National Strategy Group's membership, qualifications, minutes, and the scientific advice underpinning the Isle of Man's State of Emergency and key worker definitions. The authority responded with some information, including Hansard records, but withheld parts of the request citing exemptions.", "key_facts": [ "The request was received on 2020-05-07 and the outcome was determined on 2020-06-08.", "The response included 278 pages across 4 documents.", "The requester sought clarification on the medical and scientific expertise of NSG members regarding virus science.", "The authority requested clarification on the broad scope of the minutes request before providing a response.", "The disclosed documents include the Official Report (Hansard) from the Tynwald Court sitting on 31st March 2020." ], "data_mentioned": [ "2020-05-07", "2020-06-08", "278", "4", "31st March 2020", "Volume 137, No. 15", "500" ], "exemptions_cited": [ "Part exempt" ], "tables": [ { "headers": [ "National Strategy Group", "" ], "rows": [ [ "Department", "Attendee" ], [ "Chair of the NSG – Coronavirus", "Chief Minister" ], [ "Treasury", "Treasury Minister" ], [ "Department for 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"row_count": 7, "col_count": 6 }, { "headers": [ "Year", "Welfare secure", "Remand", "Custody", "Total" ], "rows": [ [ "2016", "2", "6", "4", "12" ], [ "2017", "0", "6", "1", "7" ], [ "2018", "1", "20", "8", "29" ], [ "2019 to date", "1", "11", "3", "15" ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "", "2014-15", "2015-16", "2016-17", "2017-18", "2018-19" ], "rows": [ [ "Motorbikes", "6,537", "6,535", "6,676", "6,666", "6,831" ], [ "Motor cars", "67,372", "67,709", "68,880", "69,439", "69,529" ], [ "Heavy Goods", "506", "532", "532", "503", "535" ], [ "Electric", "42", "70", "102", "187", "283" ] ], "row_count": 4, "col_count": 6 }, { "headers": [ "Motorbikes", "£135,386" ], "rows": [ [ "Motor cars", "£13,005,362" ], [ "Goods vehicles", "£100,847" ], [ "Electric vehicles", "£0" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Department", "Capacity", "Attendee" ], "rows": [ [ "Department of\nEnvironment, Food and\nAgriculture", "Official", "Deputy Chief Executive and Head\nof Operations Control - Silver\nCommand" ], [ "Department of Home\nAffairs", "Official", "Chief Executive\n[Note: also attends in the capacity\nof Critical Infrastructure, Safety &\nCommunity Sub-Group of Silver\nCommand]" ], [ "Department of\nInfrastructure", "Advisory", "Chief Executive" ], [ "Cabinet Office, Public\nHealth Directorate", "Advisory", "Director of Public Health" ], [ "Cabinet Office", "Advisory", "Director of Change and Reform" ], [ "Cabinet Office", "Advisory", "Head of Government\nCommunication Service" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "Description (as at close of business 13th May 2020)", "Total Number of travel\nexemptions issued" ], "rows": [ [ "A person who the Department of Infrastructure has certified\nis vital to the Island’s critical national infrastructure", "399" ], [ "A person who the Department of Health and Social Care has\ncertified is a medical expert or professional whose skills are\nessential to the Island’s medical infrastructure and the health\nof its community", "47" ], [ "the Department of Health and Social Care has certified is a\nsupplier of goods or services that are essential for the\nIsland’s infrastructure or the health of its community", "12" ], [ "the Department of Home Affairs has certified is a police\nofficer or a fire officer employed by that Department or in\nrespect of whom an offer of employment as a police officer\nor a fire officer in that Department has been made", "Less than 10" ], [ "Exempted by Council of Ministers or Chief Secretary", "36" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Key Changes Control Sheet", "" ], "rows": [ [ "Paragraph", "Amendment" ], [ "Throughout", "Updated reference from Delegations to Authority to Exercise Functions" ], [ "Throughout", "Update references to Freedom of Information Act 2015, Data Protection\nAct 2002 and Code of Practice on Access to Government Information" ], [ "Throughout", "Update references to Public Service with Civil Service" ], [ "Throughout", "Update references and definition of Department, Board and Office, and\nCouncil of Ministers" ], [ "Throughout", "Addition of reference to Electronic Communications and Social Media\nPolicy, Standards and Guidelines" ], [ "Throughout", "Addition of reference to Minute Taking Guidance" ], [ "1.26 – 1.34", "Updated collective responsibility guidance" ], [ "Annex 1.1", "Updated Seating Arrangements for Council of Ministers" ], [ "2.12", "Addition of Standards and Members Interests paragraph" ], [ "2.36", "Updated Hospitality values" ], [ "Annex 2.2", "Updated Members of Tynwald required Standards of Conduct" ], [ "Annex 2.3", "Removal of Annex 2.3 Provision of Information to Members of Tynwald\npending further revision" ], [ "Annex 4.3", "Updated Model Authorisation to Exercise Functions" ], [ "6.40", "Updated Hospitality values" ], [ "Appendix 1", "Addition of Minute Taking Guidance" ], [ "Appendix 2", "Addition of Electronic Communications and Social 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"", "[titled by each topic and cross referenced to last minute and file", "", "" ], [ "", "", "", "", "reference]", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "a) Topic", "", "" ], [ "", "", "", "", "Minute Ref: XXX/YY", "", "" ], [ "", "", "", "", "File Ref: XXX", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "Text", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "b) Topic", "", "" ], [ "", "", "", "", "Minute Ref: XXX/YY", "", "" ], [ "", "", "", "", "File Ref: XXX", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "Text", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 30, "col_count": 7 }, { "headers": [ "XXX/YY", "", "Title of first agenda item [e.g. IT Equipment]", "", "Chief\nExecutive" ], "rows": [ [ "", "", "Paper Number: YY/XXX", "", "" ], [ "", "", "File Ref: XXX", "", "" ], [ "", "", "", "", "" ], [ "", "", "The Committee considered a paper submitted by the Department", "", "" ], [ "", "", "concerning the IT equipment. The paper outlined the following", "", "" ], [ "", "", "three options:", "", "" ], [ "", "", "", "", "" ], [ "", "", "a) ……………………...", "", "" ], [ "", "", "b) ………………………", "", "" ], [ "", "", "c) ……………………….", "", "" ], [ "", "", "", "", "" ], [ "", "", "In view of ……………………….... it was agreed to accept", "", "" ], [ "", "", "option....", "", "" ], [ "", "", "", "", "" ], [ "XXX/YY", "", "Any other business (titled by each topic)", "", "" ], [ "", "", "", "", "" ], [ "", "", "a) Topic", "", "" ], [ "", "", "File Ref: XXX", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "Text", "", "" ], [ "", "", "", "", "" ], [ "XXX/YY", "", "Date of next meeting (if not known)", "", "Secretary" ], [ "", "", "", "", "" ], [ "", "", "The Committee requested that the next meeting should be", "", "" ], [ "", "", "arranged on a suitable date in [Month].", "", "" ] ], "row_count": 26, "col_count": 5 }, { "headers": [ "" ], "rows": [ [ "" ], [ "" ], [ "" ], [ "" ], [ "" ], [ "" ], [ "" ], [ "" ], [ "" ], [ "" ], [ "Chief" ], [ "Executive" ] ], "row_count": 12, "col_count": 1 }, { "headers": [ "", "Background:", "", "" ], "rows": [ [ "", "", "", "" ], [ "Current position", "", "", "" ], [ "Key issues", "", "", "" ], [ "Legal Advice", "", "", "" ], [ "Decision", "", "", "" ], [ "Reasons for decision", "", "", "" ] ], "row_count": 6, "col_count": 4 }, { "headers": [ "Chief Executive\ncomments", "", "", "", "", "" ], "rows": [ [ "Agreed by Chief\nExecutive", "", "", "YES / NO\n(delete as\nappropriate)", "", "" ], [ "", "", "", "", "Signature of Chief Executive", "Date" ], [ "", "Ministerial / Member", "", "", "", "" ], [ "", "comments", "", "", "", "" ], [ "Agreed by Minister/\nMember", "", "", "YES / NO\n(delete as\nappropriate)", "", "" ], [ "", "", "", "", "Signature of Minister/Member", "Date" ], [ "", "Signed copies to:", "", "Chief Minister; Minister and/or Member\nChief Executive Officer; Responsible Department Officer", "", "" ], [ "", "", "", "", "", "" ] ], "row_count": 8, "col_count": 6 } ] }, { "case_id": 1286147, "title": "Cancellation of Senior Race Day 2020", "authority": "Cabinet Office", "date_received": "2020-05-08", "outcome": "All information sent", "summary": "The request sought information regarding the cancellation of the 2020 Senior Race Day bank holiday and the establishment of a replacement holiday in August. The Cabinet Office disclosed all information, including the statutory order cancelling the holiday due to the cancellation of the Tourist Trophy races and Council of Ministers minutes approving a replacement holiday on August 28, 2020.", "key_facts": [ "The Senior Race Day bank holiday for 2020 was cancelled because the Tourist Trophy motorcycle races did not take place.", "The Bank Holidays (Amendment) Order 2020 was made on 4 May 2020 and came into operation on 1 June 2020.", "The Council of Ministers approved Friday 28 August 2020 as a replacement bank holiday.", "The replacement holiday weekend was themed to recognize the Isle of Man's response to the COVID-19 pandemic.", "The Treasury and Department for Enterprise were tasked with leading stakeholder consultation on the replacement holiday's activities." ], "data_mentioned": [ "2020", "1 June 2020", "4 May 2020", "28 August 2020", "31 August 2020", "12 June 2020", "12 May 2020", "11 May 2020", "28 April 2020", "206/2020a", "20/184", "686409", "2019", "1989", "2020/0285", "2019/0304" ], "exemptions_cited": [], "tables": [ { "headers": [ "Department/Board/Office", "Treasury" ], "rows": [ [ "Chief Officer", "Caldric Randall" ], [ "Responsible Officer", "" ], [ "Cut ups to be sent to", "Caldric Randall" ], [ "Date of Council Meeting", "4th May 2020" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "Not applicable", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "No", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "", "Yes", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Not applicable", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "Not applicable", "", "", "" ], [ "If yes, which other Departments are involved?", "Treasury", "", "", "", "" ], [ "What is the intention of this paper?", "Seek Direction", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "No", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "No", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Not applicable", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "", "Yes", "", "" ], [ "Purpose of the Paper:\nTo seek direction from the Council of Ministers on whether the Bank Holiday normally\nfalling on Senior Race Day should be removed for 2020.", "", "", "", "", "" ] ], "row_count": 11, "col_count": 6 }, { "headers": [ "From", "Treasury" ], "rows": [ [ "Chief Officer", "Caldric Randall" ], [ "Responsible Departmental\nOfficers", "As above" ], [ "Cut ups to be sent to", "As above" ], [ "Date of Meeting", "11 May 2020" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Does the paper refer to a specific corporate objective or target?", "", "", "Ref:", "", "", "" ], "rows": [ [ "", "Has appropriate consultation taken place?", "", "", "Not applicable", "", "" ], [ "", "Are there any resource/personnel implications?", "", "", "Yes", "", "" ], [ "", "Are there any inter-Departmental implications?", "", "", "Yes", "", "" ], [ "If yes, which others Departments are involved?", "", "", "Treasury, DfE,", "", "", "" ], [ "What is the intention of this paper?", "", "", "Seek Approval", "", "", "" ], [ "Purpose of the Paper:\nFor Council of Ministers to confirm 28th August 2020 as a Bank Holiday to replace the TT\nSenior Race Day holiday of 12th June, the consultation and process for determining the\nholiday theme and activities.", "", "", "", "", "", "" ] ], "row_count": 6, "col_count": 7 } ] }, { "case_id": 1286345, "title": "Number and list of Petitions to Tynwald on record and the outcome.", "authority": "Office of the Clerk of Tynwald", "date_received": "2020-05-11", "outcome": "Some information sent but part exempt", "summary": "The requester asked for a list of all petitions to Tynwald on record and their outcomes, receiving a partial disclosure covering petitions from 2007 to 2010 with some information exempt.", "key_facts": [ "The response covers petitions for redress from 2007 to 2019, though the provided text only details entries up to 2010.", "Many petitions were 'laid on table' and subsequently lapsed without being picked up by Tynwald.", "Some petitions were rejected due to procedural issues, such as lack of petitioner's address or not being presented at St. John's.", "Successful petitions were considered by Select Committees and resulted in approved reports and recommendations.", "The outcome of the FOI request was classified as 'Some information sent but part exempt'." ], "data_mentioned": [ "2007", "2008", "2009", "2010", "2019", "9th July 2019", "2020-05-11", "2020-06-23", "14 pages", "2 documents", "Article 8", "Road Transport Act 2001", "National Service (Armed Forces) Act 1939" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "IN", "PICKED", "", "", "", "", "" ], [ "DATE", "PETITIONER", "GRIEVANCE", "", "", "RESOLUTION", "ACTION", "STATUS", "REPORTING DATE", "LAPSED" ], [ "", "", "", "ORDER?", "UP?", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "2007", "Margaret Bendall", "Social equality, pension\nsupplement", "Yes", "No", "_", "_", "Lay on table", "_", "July 2011" ], [ "2007", "Patricia Anne\nKelly", "Injury while at Rushen\nSchool, subsequent events,\nreparation", "Yes", "No", "_", "_", "Lay on table", "_", "July 2011" ], [ "2007", "Edward Michael\nThomas McBride", "Children at risk, DHSS\nconduct", "Yes", "No", "_", "_", "Lay on table", "_", "July 2011" ], [ "2007", "Brenda Elizabeth\nWilliams", "Post Office issue of driving\nlicenses", "Yes", "No", "_", "_", "Lay on table", "_", "July 2011" ], [ "2008", "David Edwin\nBoyles", "MNH actions contrary to\nArticle 8 of the European\nConvention on Human Rights", "Yes", "No", "_", "_", "Lay on table", "_", "July 2012" ], [ "2008", "Joseph Duffy", "Decline in NHS Dental and\nOrthodontic Services", "Yes", "No", "_", "_", "Lay on table", "_", "July 2012" ], [ "2008", "Christopher\nRobert Farrer\nCliff Clague\nWendy Buttery\nDave McWilliams", "Immediate financial provision\nfor newly diagnosed\nchronically ill", "Yes", "No", "_", "_", "Lay on table", "_", "July 2012" ], [ "2008", "Rodger Gimbert", "Transfer of data on Manx\nResidents to other\njurisdictions", "Yes", "No", "_", "_", "Lay on table", "_", "July 2012" ], [ "2008", "Kevin Anthony\nGlynn and Greeba\nSkinner", "Fluoridation campaign,\nmethodology of dental review", "Yes", "No", "_", "_", "Lay on table", "_", "July 2012" ], [ "2008", "Graham Peter\nJoughin", "Fluoridation campaign, use of\nmaterial by DHSS and Isle of\nMan Newspapers, bias and\nbalance", "Yes", "No", "_", "_", "Lay on table", "_", "July 2012" ], [ "2008", "Robert David\nKelly", "Water Authority charging\nprocedures", "Yes", "No", "_", "_", "Lay on table", "_", "July2012" ] ], "row_count": 16, "col_count": 10 }, { "headers": [ "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "IN", "PICKED", "", "", "", "", "" ], [ "DATE", "PETITIONER", "GRIEVANCE", "", "", "RESOLUTION", "ACTION", "STATUS", "REPORTING DATE", "LAPSED" ], [ "", "", "", "ORDER?", "UP?", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "2008", "Margaret\nLombard-Chibnall", "DHSS residential homes", "No\nLack of\npetitioner’s\naddress", "No", "_", "_", "Rejected", "_", "Rejected" ], [ "2008", "Martin Moore", "Road Transport Act 2001,\ninadequate appeals\nprocedure", "Yes", "No", "_", "_", "Lay on table", "_", "July 2012" ], [ "2008", "Donald Whittaker", "Planning, Petitions of\nDoleance adding to planning\nprocedures, extra cost", "Yes", "Mr\nCregeen", "22-23.10.2008\np157-172 T126", "Select\nCommittee", "Considered", "Report and\nrecommendations\n(with amendment)\napproved 16.12.09\np575 T127", "Reported" ], [ "2008", "Patricia Anne\nKelly", "Failure to act on previous\nPetitions for Redress", "No\nNot\npresented\nat\nSt.John’s,\ne-mailed\nlater to\nClerk", "No", "_", "_", "Rejected", "_", "Rejected" ], [ "2009", "Francis Bernard\nArrowsmith", "Consequences of the National\nService (Armed Forces)Act\n1939 (UK Parliament", "Yes", "Mr\nSpeaker\n(Mr\nRodan)", "19.01.10\nMotion lost p712\nT127", "_", "Lay on table", "_", "July 2013" ], [ "2009", "Stephen Broad", "Civil Legal Aid awarded to\none side in family cases", "Yes", "Mr Teare", "21.10.09", "Select\nCommittee", "Considered", "Report and\nrecommendations\napproved 13.07.10\np1871 T127", "Reported" ], [ "2009", "David Buttery", "Domestic rating system", "Yes", "Mr\nThomas", "19.03.14", "Select\nCommittee", "Considered", "Reported and\nrecommendations\nApproved 22.10.14", "Reported" ], [ "2009", "Sheila Jean\nCarrickford", "Water rates for single person\nhouseholds; water meters", "Yes", "No", "_", "_", "Lay on table", "_", "July 2013" ], [ "2009", "Leslie Vernon\nCrellin", "Home Affairs complaints\nprocedure", "No", "No", "_", "_", "Rejected", "_", "Rejected" ] ], "row_count": 14, "col_count": 10 }, { "headers": [ "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "IN", "PICKED", "", "", "", "", "" ], [ "DATE", "PETITIONER", "GRIEVANCE", "", "", "RESOLUTION", "ACTION", "STATUS", "REPORTING DATE", "LAPSED" ], [ "", "", "", "ORDER?", "UP?", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "2009", "Stephen Holmes", "Maladministration in court\norders re children etc.", "Yes", "No", "_", "_", "Lay on table", "_", "July2013" ], [ "2009", "John Michael\nLeather", "Obtaining medical justice", "Yes", "No", "_", "_", "Lay on table", "_", "July 2013" ], [ "2009", "Helen Parry, Pat\nCostain, Brenda\nWilloughby,\nMargaret Kelly\nand Margaret\nCubbon", "Free nursery places in state\nschools before 2010/11", "Yes", "Mr.\nWatterso\nn", "21.10.09,\nadjourned to\nMarch 2010 for\nDept of\nEducation to\nreport", "_", "Lay on table", "Dept of Education\nreport\nProposal for free\nPre-School\nEducation (GD\n13/10) approved\n16.03.10. Extended\nto areas of\nrecognised shortage", "Reported" ], [ "2009", "Gloria Anne\nRothwell", "Planning process, lack of\nreview of approval decisions", "Yes", "No", "_", "_", "Lay on table", "_", "July 2013" ], [ "2009", "Ian David Torbet", "KSF (IoM) Ltd, refunding of\nsavings of depositors", "Yes", "No", "_", "_", "Lay on table", "_", "July 2013" ], [ "2010", "Charmian Perston", "Complaints procedure,\nprivate medical patients", "Yes", "No", "_", "_", "Lay on table", "", "July 2015" ], [ "2010", "Marjorie\nMacMullen,\nYvonne Williams,\nMichael Cook,\nDorothy Cook and\nJune Young", "Service charges with specific\nreference to freehold property", "Yes", "Mr Teare", "20.10.10", "Select\nCommittee", "Considered", "Report and\nrecommendation\napproved: 12.04.11\nT128", "Reported" ], [ "2010", "Paul Smith", "Administration of justice,\nfamily matters, complaints\nprocedure in relation to\ndecisions by Legal Aid\nCertifying Officer", "Yes", "Mr\nMalarkey", "13.07.10", "Select\nCommittee", "Considered", "Report and\nrecommendations\napproved 19.10.10\nT128; Further\nreport approved:\n12.04.11 T128\nCoMin to report\nfurther Jan 2012", "reported 2010\n(twice)" ] ], "row_count": 13, "col_count": 10 }, { "headers": [ "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "IN", "PICKED", "", "", "", "", "" ], [ "DATE", "PETITIONER", "GRIEVANCE", "", "", "RESOLUTION", "ACTION", "STATUS", "REPORTING DATE", "LAPSED" ], [ "", "", "", "ORDER?", "UP?", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "2011", "Neil Alan Cushing\nand others (Simon\nCharles Turton\nand Helen Anne\nPrince)", "Route and design\nspecifications of a Peel by-\npass", "No\n(related to\na matter\nthat could\nbe subject\nto an\nappeal\nprocedure\nand\nsought to\ntake\nstatutory\nduty from\nthe DOI)", "No", "-", "-", "Rejected", "Rejected", "Rejected" ], [ "2011", "Aileen Fraser and\nMarion Ashcroft", "The constitution of the\nAdvocates Disciplinary\nTribunal and Appeals Panel", "Yes", "No", "-", "-", "Lay on table", "-", "July 2016" ], [ "2011", "Joseph Rae\nHamilton", "The responsibilities of local\nauthorities where\ndeclarations of interest are\nconcerned", "Yes", "Yes", "15.11.11", "Select\nCommittee", "Considered", "Report and\nrecommendations\napproved 16.08.12", "Reported" ], [ "2011", "Robert Powell\nHendry", "The conduct of the\nDepartment of Community,\nCulture and Leisure and its\npredecessor body in relation\nto historic rolling stock\nowned by the Isle of Man\nRailway and Tramway\nPreservation Society Limited", "Yes", "No", "-", "-", "Lay on table", "-", "July 2016" ], [ "2011", "Stephen Holmes", "Access to justice in cases\ninvolving children", "Yes", "No", "-", "-", "Lay on\nTable", "-", "July 2016" ], [ "2011", "Tristram\nLlewellyn Jones", "Children and Families Social\nServices", "Yes", "No", "-", "-", "Lay on table", "-", "July 2016" ], [ "2011", "David Nicholas\nSykes and others", "Risk of flooding", "Yes", "Mr\nSinger", "15.11.11\nMotion lost", "-", "Lay on\nTable", "-", "July 2016" ] ], "row_count": 12, "col_count": 10 }, { "headers": [ "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "IN", "PICKED", "", "", "", "", "" ], [ "DATE", "PETITIONER", "GRIEVANCE", "", "", "RESOLUTION", "ACTION", "STATUS", "REPORTING DATE", "LAPSED" ], [ "", "", "", "ORDER?", "UP?", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "2012", "Stephen Holmes", "Creation of Children’s\ncommissioner", "Yes", "No", "-", "-", "Lay on table", "-", "July 2017" ], [ "2012", "Graeme John\nNash", "Responsibilities of buyers and\nsellers in the property\ntransaction process", "Yes", "No", "-", "-", "Lay on table", "-", "July 2017" ], [ "2012", "Christopher\nThomas Charles", "Fairness of government\nHuman resource selection", "Yes", "No", "-", "-", "Lay on table", "-", "July 2017" ], [ "2013", "Amy Burns and\nLisa Morris", "Free preschool education", "Yes", "No", "-", "-", "Lay on table", "-", "July 2018" ], [ "2013", "Michael Henthorn\nand others", "Public information about\nplanning conditions\ncompliance", "Yes", "No", "-", "-", "Lay on table", "-", "July 2018" ], [ "2013", "Stephen Holmes", "Family Division of the High\nCourt in relation to children", "No", "Rejected", "-", "-", "Rejected", "-", "Rejected" ], [ "2013", "David McWilliams", "Welfare provision for the\nvulnerable", "Yes", "No", "-", "-", "Lay on table", "-", "July 2018" ], [ "2013", "Michael Geoffrey\nSpeers", "Independent review body and\nNoble’s Hospital", "Yes", "Mr\nThomas", "10.12.13\nAdjourned sine\ndie", "-", "Lay on table", "-", "July 2018" ], [ "2013", "Phillip James\nWalmsley", "Upbringing of children in\nbroken relationships", "Yes", "Mr\nGawne", "10.12.13", "Select\nCommittee", "Considered", "Report and\nrecommendations\napproved 22.10.14", "Reported" ], [ "2013", "Sarah Lee\nWatterson", "Laws relating to property\nmatters", "Yes", "Mr\nKarran", "10.12.13", "Select\nCommittee", "Considered", "Papers laid\n17.03.2015", "" ], [ "2014", "Samantha A\nBlackford", "Flood protection in\nCastletown", "Yes", "No", "-", "-", "Lay on table", "-", "July 2019" ], [ "2014", "Millie Blenkinsop-\nFrench", "Assisted Dying", "Yes", "No", "-", "-", "Lay on table", "-", "July 2019" ], [ "2014", "Joseph Rae\nHamilton", "Complaints against Local\nAuthority members and\nofficers", "Yes", "No", "-", "-", "Lay on table", "-", "July 2019" ] ], "row_count": 18, "col_count": 10 }, { "headers": [ "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "IN", "PICKED", "", "", "", "", "" ], [ "DATE", "PETITIONER", "GRIEVANCE", "", "", "RESOLUTION", "ACTION", "STATUS", "REPORTING DATE", "LAPSED" ], [ "", "", "", "ORDER?", "UP?", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "2014", "Roseleen Harrison", "Animal welfare legislation", "Yes", "Mrs\nBeecroft", "19.11.14", "Select\ncommittee", "Considered", "Report and\nrecommendations\napproved 17.05.17", "Reported" ], [ "2014", "G. Stephen\nHolmes", "Failures in the general\nregistry relating to children", "Yes", "No", "-", "-", "Lay on table", "-", "July 2019" ], [ "2014", "Phillip Donald\nand Kirrie Anne\nJenkins", "Planning and building control", "Yes", "Mr\nThomas", "17.11.2015", "Select\nCommittee", "Considered", "Report and\nrecommendations\napproved 21.07.16", "Reported" ], [ "2014", "Christopher\nMcEvoy", "Review membership of\nTynwald", "Yes", "Mr\nGawne", "22.1014\nMotion lost", "-", "Lay on\nTable", "-", "July 2019" ], [ "2014", "James David\nMoore", "Countryside care scheme", "Yes", "No", "-", "-", "Lay on table", "-", "July 2019" ], [ "2015", "Charles Guard", "Stewardship of historic and\ngraded buildings", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2020" ], [ "2015", "Craig Morris", "Divorce laws", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2020" ], [ "2015", "Residents of\nHarcroft Meadows", "First time buyer scheme", "Yes\nalthough\nadditional\nsignatures\nwere not", "Mr\nThomas", "21.10.15", "Select\ncommittee", "Considered", "Report laid\n19.04.16. Report\nand\nrecommendations\napproved 22.06.16", "Reported" ], [ "2015", "John Ffynlo\nCraine & Annie\nAndree Jeannine\nJommet", "Land registration", "Yes", "Mr\nColeman", "21.10.15", "Select\ncommittee", "considered", "Report and\nrecommendations\napproved 21.07.16", "Reported" ], [ "2015", "Rvd Cannon Dr\nJules Gomes", "Employment rights of clergy", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2020" ], [ "2015", "Rvd Cannon Dr\nJules Gomes", "Racial harassment and\nhatred", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2020" ], [ "2016", "Leonard Trevor\nCowin", "Complaints procedure\nagainst government and\nTynwald", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2021" ] ], "row_count": 17, "col_count": 10 }, { "headers": [ "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "IN", "PICKED", "", "", "", "", "" ], [ "DATE", "PETITIONER", "GRIEVANCE", "", "", "RESOLUTION", "ACTION", "STATUS", "REPORTING DATE", "LAPSED" ], [ "", "", "", "ORDER?", "UP?", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "2016", "Leonard Trevor\nCowin", "Complaint about a member-\nMr Bell- and related matters", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2021" ], [ "2016", "Leonard Trevor\nCowin", "Complaint about a member-\nMr Gawne- and related\nmatters", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2021" ], [ "2016", "Mrs J Bell, Mrs L\nOwen and Mrs\nRichards", "Erection of a Sophia Jane\nGoulden statue", "Yes", "Mrs\nCaine", "17.04.18\nFor the motion", "Tynwald\nsupported\nerection of\nstatue", "Motion\ncarried", "N/A", "Motion\ncarried" ], [ "2016", "Robert Powell\nHendry", "Care for looked after children", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2021" ], [ "2016", "Neil Cheetham\nand Dr Rebecca\nFoulger", "Penalty for animal cruelty", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2021" ], [ "2016", "James Corlett", "Salaries and remuneration of\nsenior public servants", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2021" ], [ "2016", "Anna Maria\nKawalek", "Island’s drainage", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2021" ], [ "2016", "James Anthony\nBrown OBE and\nColin Leather TC", "Swearing-in ceremony of the\nLieutenant-Governor", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2021" ], [ "2016", "Stephen Broad,\nChristopher Clegg\nand Peter Howe", "Proposed Road Transport\nregulations", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2021" ], [ "2016", "Louise Whitelegg\non behalf of the\ncommittee of the\n0.7 campaign", "Funding to contribute to the\nglobal fight against poverty in\nthe developing world", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2021" ], [ "2016", "Carol; Quine,\nLynn Siredefield\nand Richard\nHalsall", "Free TV licences for 75+", "Yes", "Mr\nCretney", "Motion tabled for\n18.10.16 but not\nmoved as\nfunding already\nagreed in sitting.", "-", "Lay on\nTable", "-", "Will lapse\nJuly 2021" ] ], "row_count": 16, "col_count": 10 }, { "headers": [ "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "IN", "PICKED", "", "", "", "", "" ], [ "DATE", "PETITIONER", "GRIEVANCE", "", "", "RESOLUTION", "ACTION", "STATUS", "REPORTING DATE", "LAPSED" ], [ "", "", "", "ORDER?", "UP?", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "2016", "Carol Quine, Lynn\nSirdefield and\nRichard Halsall", "Free Train and Tram travel\nfor 75+", "Yes", "Mr\nShimmin\ns", "18.10.16", "Select\ncommittee", "Considered", "Report laid\n21.03.17, report\nand\nrecommendations\napproved 16.05.17", "Reported" ], [ "2016", "Jonathan Frank\nEdward Irving", "Best practise of “Good\nGovernment”", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2021" ], [ "2016", "Leonard Trevor\nCowin", "Complaint about Tynwald\nstandards and Members’\ninterest committee and\nrelated matters", "No", "No", "Rejected", "-", "Rejected", "-", "Rejected" ], [ "2016", "Leonard Trevor\nCowin", "Complaint about a member-\nMr Bell- and related matters\nfollowing a complaint against\nMembers of the Civil service\ncommission", "No", "No", "Rejected", "-", "Rejected", "-", "Rejected" ], [ "2016", "Jonathan Frank\nEdward Irving", "Handling of winding up and\nother legal issues", "No", "No", "Rejected", "-", "Rejected", "-", "Rejected" ], [ "2017", "Ms Patricia Anne\nKelly", "Procedures within the justice\nsystem", "No", "No", "Rejected", "-", "Rejected", "-", "Rejected" ], [ "2017", "Mr Gavin Organ", "Cannabis for personal and\nmedicinal use", "No", "No", "Rejected", "-", "Rejected", "-", "Rejected" ], [ "2017", "Ms Patricia\nNewton", "Stewardship of the historical\nbuilt environment", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2022" ], [ "2017", "Ms Chrissie\nParkes", "Review of the rating system\nfor water and related services", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2022" ], [ "2017", "Mr Christopher\nMichael Quirk", "Establishment of a Criminal\nCase Review Commission", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2022" ], [ "2017", "Mr Alan Grace,\nChairman, and\nMr Alastair\nHamilton, Clerk,", "Rights of way to foreshores,\nports, and other areas of\nunregistered land", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2022" ] ], "row_count": 16, "col_count": 10 }, { "headers": [ "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "IN", "PICKED", "", "", "", "", "" ], [ "DATE", "PETITIONER", "GRIEVANCE", "", "", "RESOLUTION", "ACTION", "STATUS", "REPORTING DATE", "LAPSED" ], [ "", "", "", "ORDER?", "UP?", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "of the Port St\nMary\ncommissioners", "", "", "", "", "", "", "", "" ], [ "2017", "Mr G. Stephen\nHolmes", "Lieutenant Governor to\nexamine miscarriages of\njustice in relation to family\nmatters", "No", "No", "Rejected", "-", "Rejected", "-", "Rejected" ], [ "2018", "Mr Brendan\nO’Brien", "Law on Property service\ncharges and shared freeholds", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2023" ], [ "2018", "Mr Leonard\nTrevor Cowin", "Appeals process against\nplanning decisions", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2023" ], [ "2018", "Mr Robert Powell\nHendry", "Children subjected to\ncontested care orders", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2023" ], [ "2018", "Mr Gerrard\nChristopher\nPower", "Police complaints system", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2023" ], [ "2018", "Mr Andrew Smith", "Landlord and Tenant Act", "Yes", "No", "-", "-", "Lay on table", "-", "Will Lapse\nJuly 2023" ], [ "2019", "Millie Blenkinsop-\nFrench", "Choice and dignity in dying", "Yes", "", "", "", "", "", "" ], [ "2019", "Mark Jason\nCleator", "Law of adverse possession", "Yes", "", "", "", "", "", "" ], [ "2019", "Leonard Trevor\nCowin", "Appeals against Planning\nCommittee decisions", "Yes", "", "", "", "", "", "" ], [ "2019", "Leonard Trevor\nCowin", "Appeals against Planning\nCommittee decisions", "Yes", "", "", "", "", "", "" ], [ "2019", "Leonard Trevor\nCowin", "A report by the Tynwald\nCommissioner for\nAdministration (Mr Cornwall-\nKelly)", "Yes", "", "", "", "", "", "" ] ], "row_count": 17, "col_count": 10 }, { "headers": [ "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "IN", "PICKED", "", "", "", "", "" ], [ "DATE", "PETITIONER", "GRIEVANCE", "", "", "RESOLUTION", "ACTION", "STATUS", "REPORTING DATE", "LAPSED" ], [ "", "", "", "ORDER?", "UP?", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "2019", "Leonard Trevor\nCowin", "Demolition of Glenfaba House", "Yes", "", "", "", "", "", "" ], [ "2019", "Leonard Trevor\nCowin", "Complaints procedures\nagainst Ministers etc.", "Yes", "", "", "", "", "", "" ], [ "2019", "Leonard Trevor\nCowin", "Appointment of the current\nTynwald Commissioner for\nAdministration", "No", "", "", "", "", "", "" ], [ "2019", "Peter Dawson", "Peter Dawson: Horse\ntramway", "Yes", "", "", "", "", "", "" ], [ "2019", "Paula Gerrard", "Provision for those in the IQ\n70+ category", "Yes", "", "", "", "", "", "" ], [ "2019", "Courtenay\nHeading", "HPV Vaccine", "No", "", "", "", "", "", "" ], [ "2019", "Stefanie Elizabeth\nKerwin", "Wireless radiation", "Yes", "", "", "", "", "", "" ], [ "2019", "Simon Edgar\nMann", "Funding and provision of\nurgent medical services in the\ncommunity", "Yes", "", "", "", "", "", "" ], [ "2019", "Simon Edgar\nMann", "Isle of Man Health Service\nIndependent Review Body", "Yes", "", "", "", "", "", "" ], [ "2019", "Simon Edgar\nMann", "Standing Orders of Tynwald", "Yes", "", "", "", "", "", "" ], [ "2019", "Terence Anthony\nMiles and Heather\nHazel Miles", "Reform of the law relating to\nwelfare of grandchildren", "Yes", "", "", "", "", "", "" ], [ "2019", "Craig Morris", "Provision for ME sufferers", "Yes", "", "", "", "", "", "" ], [ "2019", "Michael Anthony\nAshley Osborne", "Prosecution of Motoring\nOffences", "Yes", "", "", "", "", "", "" ] ], "row_count": 18, "col_count": 10 }, { "headers": [ "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "IN", "PICKED", "", "", "", "", "" ], [ "DATE", "PETITIONER", "GRIEVANCE", "", "", "RESOLUTION", "ACTION", "STATUS", "REPORTING DATE", "LAPSED" ], [ "", "", "", "ORDER?", "UP?", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "2019", "Peel Town\nCommissioners", "Electoral Register", "No", "", "", "", "", "", "" ], [ "2019", "Daniel\nRichardson", "Low impact sustainable living\nsolutions", "Yes", "", "", "", "", "", "" ], [ "2019", "Dorothy Salmon\nand Philip Salmon", "Code of Conduct for Public\nServants", "Yes", "", "", "", "", "", "" ], [ "2019", "Petra Trudi\nStetina", "5G technology", "Yes", "", "", "", "", "", "" ], [ "2019", "Lee-Anne\nElizabeth Taylor", "Reform of the law on sexual\noffences", "Yes", "", "", "", "", "", "" ], [ "2019", "Henry George\nMartin Uniacke", "Renewable Energy", "Yes", "", "", "", "", "", "" ], [ "2019", "David John Watts", "Academic performance in\nschools", "Yes", "", "", "", "", "", "" ] ], "row_count": 12, "col_count": 10 } ] }, { "case_id": 1294377, "title": "Entry Excemption Certificates", "authority": "Cabinet Office", "date_received": "2020-05-18", "outcome": "Some information sent but part exempt", "summary": "The requester asked for statistics and copies of Entry Exemption Certificates issued under Regulation 6 between March and May 2020. The Cabinet Office responded with a partial disclosure, providing template documents and specific exemption certificates issued in May 2020, while withholding the total number of certificates issued.", "key_facts": [ "The request covered Entry Exemption Certificates granted under paragraph 6 of the Emergency Powers (Entry Restrictions) Regulations 2020.", "The response included exemption templates signed by the Chief Secretary and the Department of Health and Social Security.", "Holders of these certificates were required to self-isolate for 14 days upon entry to the Isle of Man.", "Specific exemption periods cited in the response include 18/05/2020 to 01/06/2020 and 17/05/2020 to 25/05/2020.", "The authority withheld the total count of certificates issued for individuals and corporate bodies." ], "data_mentioned": [ "27th March 2020", "13th May 2020", "5th May 2020", "18/05/2020", "01/06/2020", "17/05/2020", "25/05/2020", "14 days", "20 seconds", "2 metres", "Regulation 6", "42 pages", "20 documents" ], "exemptions_cited": [], "tables": [ { "headers": [ "Wash your hands regularly for 20 seconds, each time using soap and water, or use hand" ], "rows": [ [ "sanitiser" ], [ "Aim to keep 2 metres (3 steps) away from people. 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If you do not" ], [ "have one to hand, sneeze into the crook of your elbow, not into your hand." ], [ "Dispose of tissues into a disposable rubbish bag and immediately wash your hands with soap" ], [ "and water or use a hand sanitiser." ], [ "You should not use" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "avoid touching your eyes, nose, and mouth with unwashed hands" ], "rows": [ [ "If you are staying overnight, you will be given a designated hotel/accommodation where you" ], [ "will stay. You should only travel from your arrival point to your place of work and back to your" ], [ "hotel. You must self-isolate while at your hotel, following the Isle of Man Government’s" ], [ "guidance at gov.im/coronavirus" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Wash your hands regularly for 20 seconds, each time using soap and water, or use hand" ], "rows": [ [ "sanitiser" ], [ "Aim to keep 2 metres (3 steps) away from people. If you can, you should use a separate" ], [ "bathroom from other people." ], [ "Cover your mouth and nose with disposable tissues when you cough or sneeze. If you do not" ], [ "have one to hand, sneeze into the crook of your elbow, not into your hand." ], [ "Dispose of tissues into a disposable rubbish bag and immediately wash your hands with soap" ], [ "and water or use a hand sanitiser." ], [ "You should not use" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "avoid touching your eyes, nose, and mouth with unwashed hands" ], "rows": [ [ "If you are staying overnight, you will be given a designated hotel/accommodation where you" ], [ "will stay. You should only travel from your arrival point to your place of work and back to your" ], [ "hotel. You must self-isolate while at your hotel, following the Isle of Man Government’s" ], [ "guidance at gov.im/coronavirus" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Wash your hands regularly for 20 seconds, each time using soap and water, or use hand" ], "rows": [ [ "sanitiser" ], [ "Aim to keep 2 metres (3 steps) away from people. If you can, you should use a separate" ], [ "bathroom from other people." ], [ "Cover your mouth and nose with disposable tissues when you cough or sneeze. If you do not" ], [ "have one to hand, sneeze into the crook of your elbow, not into your hand." ], [ "Dispose of tissues into a disposable rubbish bag and immediately wash your hands with soap" ], [ "and water or use a hand sanitiser." ], [ "You should not use" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "avoid touching your eyes, nose, and mouth with unwashed hands" ], "rows": [ [ "If you are staying overnight, you will be given a designated hotel/accommodation where you" ], [ "will stay. You should only travel from your arrival point to your place of work and back to your" ], [ "hotel. You must self-isolate while at your hotel, following the Isle of Man Government’s" ], [ "guidance at gov.im/coronavirus" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Wash your hands regularly for 20 seconds, each time using soap and water, or use hand" ], "rows": [ [ "sanitiser" ], [ "Aim to keep 2 metres (3 steps) away from people. If you can, you should use a separate" ], [ "bathroom from other people." ], [ "Cover your mouth and nose with disposable tissues when you cough or sneeze. If you do not" ], [ "have one to hand, sneeze into the crook of your elbow, not into your hand." ], [ "Dispose of tissues into a disposable rubbish bag and immediately wash your hands with soap" ], [ "and water or use a hand sanitiser." ], [ "You should not use" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "avoid touching your eyes, nose, and mouth with unwashed hands" ], "rows": [ [ "If you are staying overnight, you will be given a designated hotel/accommodation where you" ], [ "will stay. You should only travel from your arrival point to your place of work and back to your" ], [ "hotel. You must self-isolate while at your hotel, following the Isle of Man Government’s" ], [ "guidance at gov.im/coronavirus" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Wash your hands regularly for 20 seconds, each time using soap and water, or use hand" ], "rows": [ [ "sanitiser" ], [ "Aim to keep 2 metres (3 steps) away from people. If you can, you should use a separate" ], [ "bathroom from other people." ], [ "Cover your mouth and nose with disposable tissues when you cough or sneeze. If you do not" ], [ "have one to hand, sneeze into the crook of your elbow, not into your hand." ], [ "Dispose of tissues into a disposable rubbish bag and immediately wash your hands with soap" ], [ "and water or use a hand sanitiser." ], [ "You should not use" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "avoid touching your eyes, nose, and mouth with unwashed hands" ], "rows": [ [ "If you are staying overnight, you will be given a designated hotel/accommodation where you" ], [ "will stay. You should only travel from your arrival point to your place of work and back to your" ], [ "hotel. You must self-isolate while at your hotel, following the Isle of Man Government’s" ], [ "guidance at gov.im/coronavirus" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Wash your hands regularly for 20 seconds, each time using soap and water, or use hand" ], "rows": [ [ "sanitiser" ], [ "Aim to keep 2 metres (3 steps) away from people. If you can, you should use a separate" ], [ "bathroom from other people." ], [ "Cover your mouth and nose with disposable tissues when you cough or sneeze. If you do not" ], [ "have one to hand, sneeze into the crook of your elbow, not into your hand." ], [ "Dispose of tissues into a disposable rubbish bag and immediately wash your hands with soap" ], [ "and water or use a hand sanitiser." ], [ "You should not use" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "avoid touching your eyes, nose, and mouth with unwashed hands" ], "rows": [ [ "If you are staying overnight, you will be given a designated hotel/accommodation where you" ], [ "will stay. You should only travel from your arrival point to your place of work and back to your" ], [ "hotel. You must self-isolate while at your hotel, following the Isle of Man Government’s" ], [ "guidance at gov.im/coronavirus" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Category", "Number of\nPeople" ], "rows": [ [ "(b) (ii) / 6A (1) (a)a person who the Department of Health and Social Care has\ncertified as returning to the Island after having undergone essential medical\ntreatment", "75" ], [ "(c) a person to whom an exemption notice has been granted by the Council of\nMinisters", "19" ], [ "(b) in respect of whom an exemption notice under paragraph (3) applies. -\nChief Secretary", "17" ], [ "(a) a person who the Department for Infrastructure has certified is vital to the\nIsland’s critical national infrastructure AND (i) the Department of Infrastructure\nhas certified is vital to the Island’s critical national infrastructure;", "399" ], [ "(b)(i) a person who the Department of Health and Social Care has certified as\na medical expert or professional whose skills are essential to the Island’s\nmedical infrastructure and the health of its community AND (iv) the\nDepartment of Health and Social Care has certified is a medical expert or\nprofessional whose skills are essential to the Island’s medical infrastructure and\nthe health of its community;", "47" ], [ "(ii) the Department of Health and Social Care has certified is a supplier of goods\nor services that are essential for the Island’s infrastructure or the health of its\ncommunity;", "12" ], [ "(iii) the Department of Home Affairs has certified is a police officer or a fire\nofficer employed by that Department or in respect of whom an offer of\nemployment as a police officer or a fire officer in that Department has been\nmade; or", "7" ], [ "Total across all Categories", "576" ] ], "row_count": 8, "col_count": 2 } ] }, { "case_id": 1335009, "title": "Non Co-operation by Unions during Covid-19 Emergency Period", "authority": "Department of Education, Sport and Culture", "date_received": "2020-06-17", "outcome": "Not upheld", "summary": "The requester sought evidence of union non-cooperation and remote learning guidance during the COVID-19 emergency, but the Information Commissioner's Office determined the complaint was not upheld. The response included 181 pages of documents detailing pedagogical strategies for remote learning, such as chunking lessons and using digital platforms, rather than specific evidence of union disputes.", "key_facts": [ "The FOI complaint regarding union non-cooperation was not upheld by the Information Commissioner's Office on 2020-08-26.", "The Department of Education, Sport and Culture released 181 pages across 17 documents in response to the request.", "The disclosed material focuses on 'Delivering Remote Learning' and 'Shared Professional Development' principles.", "Guidance emphasizes preventing cognitive overload by presenting material in small steps with student practice.", "The response references the use of platforms like Itslearning and Google Forms for remote assessment and feedback." ], "data_mentioned": [ "2020-06-17", "2020-08-26", "181", "17", "Autumn 2019" ], "exemptions_cited": [], "tables": [ { "headers": [ "All time has been taken working towards making school safe for a return" ], "rows": [ [ "On return, children will have only have missed 12 weeks of school so will catch back up." ], [ "Can't ensure each house has access to technology or the internet" ], [ "Cant engage younger children over zoom, its too abstract for them" ], [ "Research suggests children can do a maximum of 2hrs home learning a day." ], [ "Working parents may not have time to set up the calls for children or the time to supervise younger children on calls" ], [ "Cant be compared with King Bills, we don't have their budget" ], [ "I'd like to see someone do a maths lesson with 26 7yr olds over a jumpy zoom" ], [ "ItsLearning is a rubbish platform" ], [ "Lots of other apps children can be using" ], [ "Children can go into hub school under trade categorisation" ], [ "When deputies tested use of video con some teachers decided it was a risk and complained to the unions so it was\nstopped" ], [ "It has to be all or nothing as every child has the right to an education but some don't have access to tech" ], [ "The 10mins that you give them a day will be more concentrated than they get in school anyway." ], [ "Schools will know that children are months behind when they go back to school" ], [ "Schools are due to go back in June" ], [ "Teaching resource has been too busy working in hub schools" ], [ "Problems with Google Classroom" ], [ "Micorosoft teams meetings may not be suitable for all year groups and must be at the discretion of the school teacher\nIt has been something which cannot be transitioned over night and takes time" ] ], "row_count": 18, "col_count": 1 }, { "headers": [ "Members will not undertake any work related activities outside pupil session times including\na. Implementing any new policies and initiatives introduced after the date the NASUWT action starts\nwhich have not been workload impact assessed and agreed with the NASUWT\nb. Meetings, events, supervision of pupils or other activities before or after pupil sessions or during\nthe lunch break\nc. Sending or answering work related emails" ], "rows": [ [ "NASUWT members will refuse to carry out any routine administration or clerical tasks which do not\nrequire the skills and abilities of a qualified teacher" ], [ "Members will not cooperate with the scrutiny by other staff of pupils books, conduct book scrutiny of\nother staff colleagues or submit their teacher planners or lesson plans to members of the SMT or anyone\nacting on their behalf" ], [ "Members will not undertake any additional planning or preparation for inspection" ], [ "Members will prepare for their timetabled lessons and mark and assess pupils work. Members will use\ntheir professional judgement on marking and assessment unless there is a marking and assessment\npolicy in place which has been agreed with the NASUWT" ], [ "With regard to voluntary/extra-curricular activities members will continue to support extra-curricular\nactivities:\na. Which are part of a recognised ongoing qualification\nb. Where students have already paid to enter a competition\nc. Where a school trip is planned and for which payment has already been made" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Laxey", "Redacted", "Max Kelly", "A single document for March and one for April. As of May\nparents are directed to the Oak National Academy." ], "rows": [ [ "Manor Park", "Redacted", "Mrs. Tuyet\nRamsey", "Posting activities on website." ], [ "Marown", "Ian Longshaw", "Ian Longshaw", "ItsLearning Learning hub with separate section for the different\nyear groups and some whole school materials on the main\npage. Now includes sessions being done over Teams with large\ngroups." ], [ "Michael", "Redacted", "Karen Riley", "Have an itsLearning course for whole school with sections for\neach class/year group. Evidence of teachers putting daily and\nweekly updates of work and responding with comments to\nwhat they children have posted." ], [ "Onchan", "Redacte", "Jo Richardson", "Posting activities on websites with different levels of updating\nwith the different classes." ], [ "Peel Clothworkers", "Redacte", "Anna Jackson", "Putting stuff out on their website on a weekly basis and then\nmonitoring overall usage. Moving to itsLearning in the future." ], [ "Rushen", "Redacted", "Ms S Owens", "Weekly updates on the websites for each class, each week." ], [ "Scoill Phurt le Moirrey", "Redacted", "Ange Callaghan", "Putting stuff on the school website. Thinking of using Facebook\ngoing forward to contact new parents for next academic year." ], [ "Scoill Vallajeelt", "Redacted", "Miss D Lyon", "Mixed bag. Each week/fortnight your child’s class teacher will release\na learning pack that will contain a variety of tasks and suggested\nresources that your child can choose from while they are off. Some\nclasses will receive their learning by email (Rec, Y3/5), some classes\nvia ItsLearning (Y1/2/4) and some via Google Classroom (Y6).\nIf by email, this will be sent to parents via the school administrator\neach Monday morning. All communication will go through the school\nadministrator." ], [ "", "", "", "If by email, this will be sent to parents via the school administrator" ], [ "", "", "", "each Monday morning. All communication will go through the school" ], [ "", "", "", "administrator." ], [ "Scoill yn Jubilee", "Redacted", "Jayne Adamson", "Have well established courses on itsLearning which have been\nadded too over the school closure. The teachers update\nregularly and have regular contact with the children through\nthe chat function checking on well being." ], [ "St. Johns", "Redacted", "Mrs T Willoughby", "Comprehensive weekly activities posted on the website on a\nweekly basis. All areas of the curriculum covered." ], [ "St Marys RC School", "Redacted", "Mrs D Martin", "Weekly activities rather than learning activities are set for each\nof the year groups." ], [ "St. Thomas’s CoE\nSchool", "Redacted", "Mrs C Manser", "Not clear. There is nothing on the website or itsLearning. They\nmight be doing something on Google classroom or they might\nbe using facebook (closed group) which I can’t see." ], [ "Sulby", "Redacted", "Mr M Jackson", "Have google classrooms set up for each individual year group\nwith headteacher having overall view of what is being done." ], [ "Victoria Road", "Redacted", "Ian Postlethwaite", "Comprehensive lists of weekly activities and resources that the\nchildren will need to complete them. Get to it through website\nthat takes parents to a link in google drive." ], [ "Willaston", "Redacted", "Rose Burton", "Comprehensive lists of activities for each week publish in PDF\nform on the school websites plus they have been phoning on a\nweekly basis since the start of the lockdown." ] ], "row_count": 18, "col_count": 4 }, { "headers": [ "SNHS", "Redacted", "Chris Coole", "Comprehensive website offering, plus use of Google classroom\nand a weekly video presentation to each year group." ], "rows": [ [ "BHS", "", "Adrienne Burnett", "Use of Zoom conferencing with some pupils. Use of some\nItslearning and some google classroom to provide learning." ], [ "CRHS", "", "Keith Winstanley", "CRHS has focused on providing clear and consistent advice and\nguidance to staff, parents and students. Staff are\nusing Itslearning, Google Classroom, Seneca and My Maths at\npresent. Staff have benefited from the guides provided to us\nand issue a weekly remote teaching newsletter to staff. There is\nalso a weekly remote learning newsletter to students and\nparents. Also encouraging staff to continue to work on their\nCPD and have also just issued a remote CPD brochure for staff\ndetailing some of the best remote options currently available.\nMostly about staff however and not a great deal of information\nabout pupils." ], [ "QEII", "KS leaders", "Sue Moore", "Varied menu depending on subject. A mixture of platforms\nbeing used including Google Classroom and Itslearning. School\nnotified parents regarding trying VC lessons 2 weeks ago but\nnothing has been received since." ], [ "RGS", "", "Annette Baker", "Weekly contact made by all teachers to their students. Mixture\nof Google and Itslearning used to provide learning. Virtual\nclassrooms set up of transition groups." ] ], "row_count": 4, "col_count": 4 }, { "headers": [ "Scoill Yn Jubilee (Itslearning)" ], "rows": [ [ "A little update as to how ItsLearning is being used across Jubilee." ], [ "This has been a real success story and it is the combined effort of the entire staff," ], [ "including support staff." ], [ "When the lockdown hit, all of the staff worked hard to let me know which children were" ], [ "having teething issues logging on and we are now hopeful that all are resolved." ], [ "Every child in Jubilee is on the system and all have logged on since the lockdown" ], [ "began. Teaching staff, Senior Leaders and Support staff have all posted information" ], [ "and messages for the children which is amazing. Every Monday, challenges and work" ], [ "is uploaded to each year group page and daily updates are posted and messages sent." ], [ "I have done a ‘how to’ video on quicktime of how to add an assignment and staff are" ], [ "now experimenting with this. I have also posted video and audio feedback for children" ], [ "in my class, and posted a video to my children explaining some of the challenges." ], [ "I am absolutely delighted with how staff are now running with ItsLearning, and our" ], [ "parents and children are loving the interaction." ], [ "Redacted" ] ], "row_count": 15, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "Bunscoill Ghaelgagh (using MS teams with pupils)" ], [ "Just a quick update as promised. We've done two drop-in sessions using MS teams" ], [ "with pupils. Children muted and singing along with me, then going round the group for" ], [ "news time-very successful, all very pleased to see each other. I did a small group" ], [ "session this morning sharing screens. Discovered that they can’t read pdfs doing this," ], [ "but ibooks work very well and we had a nice reading session. I’m now in the process of" ], [ "scheduling a timetable for small groups next week and tomorrow will be holding live" ], [ "auditions for our school play! I’ll do another drop-in assembly style session on Friday" ], [ "for anyone who hasn’t managed to have a go yet." ], [ "Redacted" ] ], "row_count": 10, "col_count": 1 }, { "headers": [ "Distance learning at Marown School has evolved over the weeks with our main aim to", "" ], "rows": [ [ "stay connected. Initially our school website allowed resources to be uploaded in a ‘blog'", "" ], [ "area, however it was evident that both children and teachers were seeking a platform to", "" ], [ "effectively communicate in a safe environment, and whilst tweaks and adjustments still", "" ], [ "need to be made, Itslearning has proved to be a more accessible away to achieve", "" ], [ "this.", "" ], [ "Our welcome page has general links to topical issues, whilst each year group's folder", "" ], [ "invites children into learning opportunities through weekly learning grids. Class", "" ], [ "discussion areas have enabled children to say hello and keep in touch which is our", "" ], [ "main focus. Maintaining a feeling of belonging to our school is essential, to create a", "" ], [ "virtual community which children can acess independently and progressively, learning", "" ], [ "new skills on the journey. We hope using this platform will allow us to tackle this", "" ], [ "challenge together and stay connected.", "" ], [ "", "" ], [ "Redacted", "" ], [ "", "" ], [ "", "" ], [ "Cronk Y Berry Primary (Itslearning interaction and feedback)", "" ], [ "The news of schools closing and learning transferring to the home last month gave us a", "" ], [ "chance to step into itslearning with our pupils. We felt this site gave us the tools to", "" ], [ "allow our community of staff, children and their parents to continue learning and", "" ], [ "connecting remotely. The safety of our pupils is always central to our choices, and", "" ], [ "itslearning allowed us to be creative with our resources, whilst keeping them in this site.", "" ], [ "For example, being able to bring YouTube clips inside this application meant we were", "" ], [ "fulfilling our role in their online safety. Itslearning has also given us an opportunity to", "" ], [ "explore other ways to keep some of our personalised classroom routines going – one", "" ], [ "of which being the ability to record our class story books (with the permission of the", "" ], [ "publishers) – meaning our children can hear us reading them a story, like they would in", "" ], [ "the classroom. We can also hold a p4c enquiry as a class wherever we are!", "" ], [ "We enjoy hearing from our children either through the message feature, or the sharing", "" ], [ "of their learning at home. With the click of a button, we have also been able to make a", "" ], [ "special VE Day course available to our entire school, which allows us to feel that as a", "" ], [ "school community, we are learning and celebrating it together.", "" ], [ "This step into itslearning with our pupils and staff at Cronk y Berry did take careful time,", "" ], [ "but we feel it is a worthwhile investment, with all continuing to explore its capabilities to", "" ], [ "support teaching and learning way beyond this current period.", "" ], [ "Redacted", "" ] ], "row_count": 36, "col_count": 2 }, { "headers": [ "" ], "rows": [ [ "Onchan School (Google Classroom and others)" ], [ "Prior to the lockdown, our UKS2 children used Google Classroom daily, to access" ], [ "resources and submit learning online. We have continued to use this platform for UKS2" ], [ "home learning and have also expanded the year groups using it to LKS2. Teachers" ], [ "have been posting regularly where their class can reply and ask questions about the" ], [ "tasks set. They have also been uploading PowerPoints, questions with answers and" ], [ "links to videos to support their learning. Google Classroom has not only been an" ] ], "row_count": 7, "col_count": 1 }, { "headers": [ "excellent way to share learning but also for checking in on our children and hearing" ], "rows": [ [ "about how they are." ], [ "Although we have come along way during the lockdown, we are still learning and will" ], [ "continue to adapt to what our children and parents need." ], [ "Video Uploads" ], [ "To support our learning uploaded onto Google Classroom and share our ‘Class Read’" ], [ "with our children, some of our teachers have been uploading lessons and reading onto" ], [ "Youtube and Class Dojo. The feedback we have received from parents on the videos" ], [ "has been fantastic! They have really appreciated the support with structuring learning" ], [ "at home and many parents have commented on the videos supporting their children’s" ], [ "wellbeing by reconnecting with a familiar voice of Onchan School." ], [ "Class Dojo" ], [ "We have used Class Dojo at Onchan for a few years now and find the ‘Class Stories’" ], [ "section really useful to convey whole school, year group or class messages to parents" ], [ "along with other channels, such as the website or the Facebook page. We have" ], [ "continued to use this option to allow us to post video links of stories or class reads," ], [ "updates and links to our website, letters and other messages to our children and" ], [ "parents." ], [ "Redacted" ] ], "row_count": 18, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "Bunscoill Rhumsaa (The 'Learning Lab' using Itslearning)" ], [ "We are trying to be as interactive as possible to encourage the children to engage with" ], [ "the Learning Lab. The quizzes and polls are part of this." ], [ "We like that it doesn’t require pupils to be glued to a screen. That they can look at the" ], [ "learning, success criteria, additional films/support materials and then go and" ], [ "do, uploading their efforts later. We find that changing things routinely is also important" ], [ "to maintain engagement. It is a lot of work as for elements like the guided reading" ], [ "surveys – We like to send direct messages to give feedback." ], [ "" ], [ "Redacted" ] ], "row_count": 10, "col_count": 1 }, { "headers": [ "", "", "", "", "", "" ], "rows": [ [ "Castle Rushen High School (Multi-Platform)", "", "", "", "", "" ], [ "Since we have been working remotely, CRHS has focused on providing clear and", "", "", "", "", "" ], [ "consistent advice and guidance to staff, parents and students. Staff are", "", "", "", "", "" ], [ "using", "Itslearning, Google Classroom, Seneca and My Maths at present. We have", "", "", "", "" ], [ "benfited from the guides provided to us and", "", "issue a weekly remote teaching newsletter", "", "", "" ], [ "to staff. There is also a weekly remote learning newsletter to students and parents. We", "", "", "", "", "" ], [ "are also encouraging staff to continue to work on their CPD and have also just issued a", "", "", "", "", "" ], [ "remote CPD brochure for staff detailing some of the best remote options currently", "", "", "", "", "" ], [ "available.", "", "", "", "", "" ] ], "row_count": 9, "col_count": 6 }, { "headers": [ "Castle Rushen High School (Delivering the 'Quest' Curriculum remotely)" ], "rows": [ [ "Since lockdown we've been using Itslearning to host our Y7 'Quests'. The platform is" ], [ "really inutuitive for pupils grappling both with themselves and other pupils and the" ], [ "teacher. The learning process is stimulated by discussions, blogs and surveys linked to" ], [ "the Quest topic. It shows that Quest is flexible in terms of mediums for delivery, and" ], [ "that it works at home too. Here is some parental feedback:" ], [ "“The quest topic of 'Rebel Rebel' has lead to some interesting conversations at home" ], [ "and we are enjoying discussing the topic with Gypsy. Please thank the Quest team for" ], [ "the work set. Since September I have been impressed with the Quest way for" ], [ "teaching/learning and seeing more of the topic discussions first hand has only" ], [ "confirmed that this is an excellent way of learning. I hope this can continue in future" ], [ "years.\"" ], [ "Redacted" ] ], "row_count": 12, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "QEII High School (Use of Learning platforms to aid pupils' transition to IGCSE" ], [ "studies)" ], [ "The PE department, whilst continuing to support the current Year 10, have also" ], [ "enrolled all pupils in the current Y9 that have chosen PE to their Itslearning course." ], [ "This is the most we have used learning that is direct, as opposed to using the platform" ], [ "as a resource bank. Rather than worksheets, we are incorporating open answered" ], [ "assignments and short tests with diagrams and video tutorials to accompany them." ], [ "Pupils are interacting well so far and we've ironed out any glicthes. We've had this" ], [ "feedback from a parent" ], [ "Yeah the instant stuff is really good. I do think the download and edit/complete diagrams is" ], [ "worthwhile though as it gets them to manipulate their thinking, and is what they'd do in lessons." ], [ "You never know, these kids going into Y10 may not actually be 'behind' when they return to school" ], [ "- thanks to your work with this platform." ], [ "" ], [ "QEII PE Department" ] ], "row_count": 15, "col_count": 1 }, { "headers": [ "agreement,", "", "" ], "rows": [ [ "emergency will not have their induction period automatically extended. This means", "", "" ], [ "that", "NQTs", "who are currently undertaking statutory induction can complete their" ], [ "induction this academic year as expected, provided they meet the", "", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "I realise that most colleagues would not usually be asked to work on a Bank Holiday" ], "rows": [ [ "and would like to offer particular thanks to those who have volunteered to do so tomorrow" ], [ "and on Monday. As with all of the activity undertaken by schools at the moment, such work" ], [ "is important in supporting the Government’s strategy for fighting the coronavirus and will be" ], [ "much appreciated, I’m sure, by the wider community." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Dear Colleagues" ], "rows": [ [ "" ], [ "Please forgive me beginning this update today by saying a personal thank you to so" ], [ "many of you for your very many positive comments to me today. I’ve said before how" ], [ "important it is that we all work together during such troubled times and it’s particularly" ], [ "reassuring that colleagues report feeling well supported by EIS at the moment. Having" ], [ "spoken to colleagues in almost all but one of the hubs today, it was striking how people are" ], [ "finding optimism and opportunity in our current situation. While nobody would have sought" ], [ "out the situation we all currently find ourselves in, it strikes me that overwhelmingly, people" ], [ "are trying to make the best of it. I commend you for your positive outlook." ], [ "" ] ], "row_count": 10, "col_count": 1 }, { "headers": [ "", "", "", "" ], "rows": [ [ "With border restrictions in place, a temporary policy has been established on off-Island", "", "", "" ], [ "travel for public servants.", "", "Colleagues are strongly advised not to travel off-Island unless", "" ], [ "they have permission from a manager at Director level or above to do so, or other manager", "", "", "" ], [ "with delegated authority (this would include headteachers). You can", "", "", "Redacted" ], [ "Redac\nted", "", "", "" ] ], "row_count": 5, "col_count": 4 }, { "headers": [ "I couldn’t agree more with the sentiment expressed within it that ‘The virus" ], "rows": [ [ "and the measures we have had to take to contain it have been unprecedented and" ], [ "have changed our community, our economy and our Island profoundly. Even within" ], [ "the darkest of days though, our community has shone.We have looked out for each" ], [ "other and we have played by the rules. We have made huge personal sacrifices," ], [ "staying away from those that we hold most dear, because it was the right thing to" ], [ "do.’ Of course, this applies to the education community as much as most and I take" ], [ "the opportunity to thank you for your strength and public-spiritedness in continuing" ], [ "to work so tirelessly in (and away from) schools." ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "compassion to your colleagues. As we all know well from our work in classrooms, anxiety" ], "rows": [ [ "can manifest in any number of ways, including fight, flight, flee and freeze responses." ], [ "During this turbulent period, I find myself thinking back to previous training, whether on the" ], [ "Chimp Paradox, Maslow’s hierarchy or E4L and trying to apply the key messages of this" ], [ "training – the need to be self-aware, compassionate and understanding. There may be" ], [ "something in the following link that is of interest;-" ], [ "" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "Redacted", "", "", "d\nwhere hand washing with", "" ], "rows": [ [ "soap and water is difficult to achieve.", "Redacted", "has also suggested that", "", "WDS would" ], [ "install dispensers at each location where it was thought it would be beneficial to all staff", "", "", "", "" ], [ "though some thought will also have to be given to not creating trip hazards from spillages", "", "", "", "" ], [ "etc if positioned inappropriately.", "", "", "", "" ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "Talking about mental health and feelings surrounding returning to school" ], "rows": [ [ "Digital wellbeing" ], [ "Issues and anxieties around transition to Secondary School given the disruption to the" ], [ "usual routines" ], [ "‘Find Your Brave’ – Supporting a range of definitions of 'Bravery', aside from traditional" ], [ "tropes" ], [ "‘How Many Positives’ – to encourage pupils to focus on the positives that await them" ], [ "both now and in the future at Secondary School" ] ], "row_count": 7, "col_count": 1 } ] }, { "case_id": 1349444, "title": "Complaints - DHSC", "authority": "Department of Health and Social Care", "date_received": "2020-06-30", "outcome": "Some information sent but part exempt", "summary": "The request sought complaint statistics for specific medical specialties and clinician names from 2010 to 2020. The authority provided aggregated data for 2018-2020 but refused data for 2010-2018 due to system limitations and withheld clinician names citing personal data exemptions.", "key_facts": [ "Complaint data for 2010-2018 could not be extracted by specialty as it was stored under broader divisions (Medical, Surgical, Women's and Children's).", "Complaint data for 2018-2020 was successfully provided for Gastroenterology, General Surgery, Urology, and Obstetrics & Gynaecology.", "Clinician names were withheld entirely as absolutely exempt personal information.", "The response was issued on 28 July 2020 regarding a request received on 30 June 2020.", "The Department of Health and Social Care uses the Prism system for historical data and Datix for recent data." ], "data_mentioned": [ "492", "699", "121", "15", "36", "12", "3", "19", "8", "2", "0", "4", "2010", "2018", "2020", "01/01/2010", "04/12/2018", "05/12/2018", "02/07/2020", "1349444" ], "exemptions_cited": [ "Section 11(3)a (Practical refusal: information not held or cannot be found after reasonable steps)", "Section 25 (Absolutely exempt personal information)" ], "tables": [ { "headers": [ "Division name", "Number of Complaints reported on Prism" ], "rows": [ [ "Medical (all specialities)", "492" ], [ "Surgical (all specialities)", "699" ], [ "Women’s and Children’s", "121" ], [ "Maternity", "15" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Division name", "Number of Complaints reported on\nDatix" ], "rows": [ [ "Digestive Diseases (Gastroenterology,\nColorectal Surgery & Endoscopy\nServices)", "36" ], [ "General Surgery", "12" ], [ "Urology", "3" ], [ "Obstetrics & Gynaecology", "19" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Division name", "Number of\nComplaints\nreported on\nDatix", "Upheld", "Not\nUpheld", "Partially\nUpheld", "Ongoing" ], "rows": [ [ "Digestive Diseases\n(Gastroenterology,\nColorectal Surgery &\nEndoscopy Services)", "36", "8", "8", "19", "1" ], [ "General Surgery", "12", "2", "4", "6", "0" ], [ "Urology", "3", "0", "2", "1", "0" ], [ "Obstetrics &\nGynaecology", "19", "4", "9", "6", "0" ] ], "row_count": 4, "col_count": 6 } ] }, { "case_id": 1350742, "title": "Research and Development Manager", "authority": "Department of Health and Social Care", "date_received": "2020-06-30", "outcome": "Some information sent but not all held", "summary": "The requester sought recruitment details for a Research and Development Manager role at the Department of Health and Social Care, but the authority disclosed a job description for a 'Research and Development Fellow' instead, noting that not all requested information was held.", "key_facts": [ "The Department of Health and Social Care appointed a research role in February/March 2020.", "The disclosed job description is for a 'Research and Development Fellow' at Grade EO, not the requested 'Manager'.", "The role is based within the Corporate Services division and reports to the Head of Research and Development.", "The authority stated that some information was sent but not all was held.", "The job requires a first degree in health, social care, or life sciences and a postgraduate degree or equivalent experience." ], "data_mentioned": [ "February/March 2020", "2020-06-30", "2020-07-16", "Grade EO", "20 pages", "3 documents" ], "exemptions_cited": [], "tables": [ { "headers": [ "Civil Service", "Authority of the Post Holder" ], "rows": [ [ "Disciplinary Procedure", "Up to Final Written Warning" ], [ "", "Appeals up to Final Written Warning" ], [ "Capability Procedure", "Up to Stage 2/ Formal Warning Stage" ], [ "Grievance Procedure", "Up to Stage 2" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Job Title:", "Research and Development Manager" ], "rows": [ [ "Department:", "Health and Social Care" ], [ "Division:", "Corporate Services" ], [ "Grade:", "EO" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Civil Service", "Authority of the Post Holder" ], "rows": [ [ "Disciplinary Procedure", "Up to Final Written Warning" ], [ "", "Appeals up to Final Written Warning" ], [ "Capability Procedure", "Up to Stage 2/ Formal Warning Stage" ], [ "Grievance Procedure", "Up to Stage 2" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Job Title:", "Research and Development Manager" ], "rows": [ [ "Department:", "Health and Social Care" ], [ "Division:", "Corporate Services" ], [ "Grade:", "HEO" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "healthcare or clinical environment.", "", "" ], "rows": [ [ "Character\nAble to work autonomously and\ncollaboratively within a small Research\nand Development Unit.\nAn ability to balance the competing\npressures of a complex job.\nExcellent team working skills.\nIntellectual flexibility and excellent\nattention to detail.", "E\nE\nE\nE", "Application/CV\nInterview" ], [ "Skills and Abilities\nExcellent organisational skills, with\nexperience of managing multiple projects\nand a keen interest to work in a busy,\nresearch environment.\nAnalytic skills, with the ability to analyse\nhighly complex and critical information\nand communicate this effectively to\nothers.\nExpertise with MS Word, Excel, Power\npoint and Access or equivalent software.\nExcellent organisational, management\nand supervisory skills and an ability to\nwork to strict deadlines.\nAbility to compile expert level documents.\nExemplary record-keeping and data\ncollection skills.\nEstablished track record of developing\nand delivering strategy.\nExperience of using and interpreting\ncomplex statistics in a healthcare setting\nExperience of using statistics software\n(e.g. SPSS/STATA)\nExperience of using qualitative research\nsoftware (e.g. NVivo/ATLAS.ti)", "E\nE\nE\nE\nE\nE\nD\nD\nD\nD", "Application/CV\nInterview" ], [ "Circumstances and Interests\nAbility to fulfil role within a variety of\nlocations and settings.\nFull valid driving license with access to\nown vehicle\nIsle of Man Worker", "E\nD\nD", "Application/CV\nPre-employment\nChecks\nInterview" ] ], "row_count": 3, "col_count": 3 } ] }, { "case_id": 1359641, "title": "Reports of Racism at Noble's Hospital", "authority": "Department of Health and Social Care", "date_received": "2020-07-09", "outcome": "All information sent", "summary": "A request was made for data on racism incidents, complaint procedures, and staff ethnicity at Noble's Hospital from 2011 to 2020. The Department of Health and Social Care disclosed annual incident counts, detailed their disciplinary and training policies, and provided a breakdown of staff ethnicity based on voluntary self-declaration.", "key_facts": [ "Total reported racism incidents between 2011 and July 2020 were 10.", "Most incidents involved patients making racist comments or being abusive towards staff.", "Staff ethnicity data is voluntary, with 471 employees withholding their ethnic origin.", "The department uses the 'Equality & Diversity Essentials' online training course for all staff.", "Complaints are handled via internal procedures, the Fairness at Work Policy, or Whistleblowing Policy depending on the source." ], "data_mentioned": [ "2011: 2 incidents", "2014: 1 incident", "2016: 1 incident", "2017: 1 incident", "2018: 3 incidents", "2019: 1 incident", "2020 (until 13/07): 1 incident", "Total staff with ethnicity data: 1970", "Staff withholding ethnicity: 471", "White - British staff: 155", "Asian - Any other Asian background: 14", "Black - African staff: 5", "Reference number: 1359641", "Date received: 2020-07-09", "Outcome date: 2020-08-03" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Total", "Reason" ], "rows": [ [ "2011", "2", "Staff complaining about patient making racist comments\nx 2" ], [ "2012", "0", "" ], [ "2013", "0", "" ], [ "2014", "1", "Staff complaining about a patient making a comment\nabout a staff member" ], [ "2015", "0", "" ], [ "2016", "1", "Staff complaining about a patient being racially abusive" ], [ "2017", "1", "Staff complaining about a patient being abusive and\nracist" ], [ "2018", "3", "Staff reporting patient being verbally abusive x2\nStaff reporting patient being aggressive" ], [ "2019", "1", "Staff member made racist comments to a member of\nstaff" ], [ "2020 (Until\n13/07/2020)", "1", "Staff member complaining about a patient making a\ncomment about a staff member" ] ], "row_count": 10, "col_count": 3 }, { "headers": [ "Ethnic Origin", "Male", "Female", "Gender\nwithheld", "Number of\nEmployees" ], "rows": [ [ "", "", "", "", "" ], [ "Withheld", "471", "1494", "5", "1970" ], [ "Asian - Any other Asian\nbackground", "4", "10", "0", "14" ], [ "Asian - Bangladeshi", "0", "1", "0", "1" ], [ "Asian - Chinese", "1", "0", "0", "1" ], [ "Asian - Indian", "5", "0", "0", "5" ], [ "Asian - Pakistani", "5", "0", "0", "5" ], [ "Black - African", "4", "1", "0", "5" ], [ "Black - Caribbean", "0", "1", "0", "1" ], [ "Mixed - White and Asian", "0", "1", "0", "1" ], [ "Other - Any other background", "0", "2", "0", "2" ], [ "Prefer not to say", "0", "1", "0", "1" ], [ "White - Any other White\nbackground", "2", "11", "0", "13" ], [ "White - British", "43", "112", "0", "155" ], [ "White - Irish", "3", "7", "0", "10" ] ], "row_count": 15, "col_count": 5 } ] }, { "case_id": 1366405, "title": "THE MEDICAL ADVICE AND ACTION ON THE BORDERS", "authority": "Cabinet Office", "date_received": "2020-07-14", "outcome": "All information sent", "summary": "The request sought documents and dates regarding medical advice that led to the Isle of Man's border closure in March 2020. The Cabinet Office disclosed Council meeting minutes from March 16, 2020, detailing the clinical advice received and the subsequent decision to implement inbound self-isolation rules.", "key_facts": [ "On 16 March 2020, the Interim Chief Executive of DHSC advised that it was clinically the right time to consider policy responses.", "The Minister for Health and Social Care initially favored closing borders to all except residents and essential freight, but the Council did not support this at that time.", "The Council approved an inbound travel rule requiring 7 days self-isolation for symptomatic individuals and 14 days for asymptomatic individuals.", "The approved measures were implemented immediately on 16 March 2020.", "The Council later revised the self-isolation period to 14 days for all in line with UK guidance." ], "data_mentioned": [ "16.03.2020", "22 March 2020", "1 May 2020", "7 days", "14 days", "Minute 205/2020", "Minute 206/2020", "Minute 216/2020" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "", "", "", "3. Exceptions for essential healthcare workers – with returning workers from risk\nareas to be considered by clinical line management.\nCouncil noted the fluid nature of the situation and that the situation would be kept\nunder review.\nPost Meeting Note: With respect to the above, at Minute 206/2020, Council\nsubsequently revised the period of self-isolation in line with UK guidance to 14 days.", "" ], "rows": [ [ "16.03.2020", "Council", "216/2020", "N/A", "IOM Government Strategic Approach – Update\n• The Chief Minister advised that it was a priority for Government to take\nnecessary measures to protect Manx residents and, as such, clear lines and\napplication of measures were required\n• The Minister for Education, Sport and Culture advised of the importance of\ntaking decisions on healthcare grounds, routed in Public Health guidance.\n• The Minister for Health and Social Care concurred and supported the\nappropriate application of agreed measures.", "" ], [ "20/03/2020", "NSG", "029/2020", "Slides", "b) Policy Responses\n8. Borders\n• Recommendation: Align to UK – Advise against non-essential travel.\n• Action: NSG agreed to maintain advice against non-essential travel.", "" ], [ "22/03/2020", "NSG", "038/2020", "N/A", "c) Borders and Imminent Actions\nNSG considered matters concerning the border and imminent actions on such.\nDiscussion included:\n• MIN DHSC supported a border closure for at least 12 weeks – to allow\nauthorities to control the situation in a managed fashion\n• KM noted the clinical advice was to apply stronger border measures at the\nsoonest opportunity.\n• NSG supported the principle of tighter border controls and closing borders to\nall non-Manx residents.", "" ], [ "22/03/2020", "NSG", "039/2020", "N/A", "a) Borders (Revisited)", "" ] ], "row_count": 4, "col_count": 6 }, { "headers": [ "", "", "", "", "• Officers advised measures in line with the model previously outlined to NSG.\nAgreed: NSG agreed to stricter border regime (Manx Residents only) − with the\nexception of key workers granted authorisation from the Chief Secretary.", "" ], "rows": [ [ "22/03/2020", "NSG", "040/2020", "N/A", "Policy Decisions Overview\nDraft Framework for Policy Decisions at 22.03.2020\na) Key Policy Decisions for 22.03.2020:\n• The timing of the application of closure of ports to non Manx residents was\nagreed as at midnight of 22.03.2020.\n• Ministers noted the collation and distribution of data to enable effective\noperation of the revised border protocol.\n• KM and HE advised a clinical recommendation for increased measures to\nprevent spread of Covid-19.", "" ], [ "22.03.2020", "Council", "244/2020", "Slides", "DHSC Update\n[Interim Chief Executive DHSC] advised the following update:\n• If no further action was taken, by model scenario day 22 the local ICU would\nbe at maximum capacity before too long.\n• Central focus was now was: “contain, supress and delay”.", "" ], [ "22.03.2020", "Council", "245/2020", "Slides", "Policy Decisions Overview\nOfficers provided a summary of the measures considered and recommended by\nNSG at its morning meeting of 22.03.2020, comprising:\n1. Shut borders from 9am (23.03.2020) to all non-Island residents except for\n'essential workers', with checks to take place at the sea and airports.\nAfter consideration, Council agreed with the National Strategy Group’s measures.", "" ], [ "24/03/2020", "NSG", "051/2020", "", "b) Proposal for an Island “Shut Down”:\n• The Treasury Minister favoured shutting down the Island from Friday 27 March\n2020 for timescale, to maximum capacity. To allow residents and businesses to", "" ] ], "row_count": 4, "col_count": 6 }, { "headers": [ "The remaining parts of your request considered by the Cabinet Office are" ], "rows": [ [ "" ], [ "“In relation to Statement 1:" ], [ "" ], [ "1. Please provide the document (or documents as the case may be), any memoranda" ], [ "and any and all communications that contain or convey the advice that the Chief" ], [ "Minister referred to as 'the latest clinical advice…' in the announcement by the Chief" ], [ "Minister on 22 March 2020." ] ], "row_count": 7, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "2. On what date was the Chief Minister provided with that advice?" ], [ "" ], [ "4. What other medical or clinical advice did the Chief Minister receive in relation to the" ], [ "borders and when was that?" ], [ "" ], [ "In relation to Statement 2:" ], [ "" ], [ "7. Please provide the document (or documents as the case may be), any memoranda" ], [ "and any and all communications that contain or convey the advice that the Chief" ], [ "Minister referred to as '…the advice of our medical professionals and Members who" ], [ "advocated closing our border' at the PAC on 1 May 2020." ], [ "" ], [ "8. On what date was the Chief Minister provided with that advice?" ], [ "" ], [ "10. What other medical or clinical advice did the Chief Minister receive in relation to" ], [ "the borders and when was that?" ], [ "" ], [ "Generally:" ], [ "" ], [ "15. How many days was it between the Chief Minister receiving the medical / clinical" ], [ "advice to take action over the borders and that action being taken.”" ], [ "" ] ], "row_count": 22, "col_count": 1 } ] }, { "case_id": 1376637, "title": "Details of Exemption from Isolation certificates", "authority": "Cabinet Office", "date_received": "2020-07-20", "outcome": "Some information sent but part exempt", "summary": "The requester asked for a list of parties and groups granted Exemption from Isolation certificates for Critical National Infrastructure and professionals between March and August 2020. The Cabinet Office provided a list of applications but redacted the names of the applicants, citing an absolute exemption for personal data.", "key_facts": [ "The request covered exemptions for Critical National Infrastructure and other professionals.", "The specified time period for the request was from 31 March 2020 to 6 August 2020.", "The authority provided a list of exemption certificates but withheld the names of the applicants.", "The names were withheld under Section 25 of the Freedom of Information Act 2015 as absolutely exempt personal information.", "The response included 10 pages and 2 documents." ], "data_mentioned": [ "31/03/2020", "06 August 2020", "20 July 2020", "13 August 2020", "10 pages", "2 documents", "Section 25", "Article 5", "Article 6" ], "exemptions_cited": [ "Section 25 of the Freedom of Information Act 2015 (Absolutely exempt personal information)", "Data Protection (Application of GDPR) Order 2018 (Article 5 and Article 6)" ], "tables": [ { "headers": [ "Group /\nIndividual", "Application\nStatus", "Name of\nApplicant", "Relevant exemption applied", "Date\napplication\nreceived" ], "rows": [ [ "Group", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "31/03/2020" ], [ "Group", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "31/03/2020" ], [ "Group", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "31/03/2020" ], [ "Group", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "31/03/2020" ], [ "Group", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "31/03/2020" ], [ "Group", "Complete", "REDACTED", "Other", "02/04/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "05/04/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "06/04/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "06/04/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "06/04/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "06/04/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "06/04/2020" ], [ "Group", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "09/04/2020" ], [ "Individual", "Complete", "REDACTED", "(c.) IOM Ports personnel", "17/04/2020" ], [ "Individual", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "18/04/2020" ], [ "Individual", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "22/04/2020" ], [ "Individual", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "24/04/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "28/04/2020" ], [ "Group", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "29/04/2020" ], [ "Group", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "04/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "05/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "05/05/2020" ], [ "Single", "Complete", "REDACTED", "Other", "05/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "06/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "12/05/2020" ] ], "row_count": 25, "col_count": 5 }, { "headers": [ "Group /\nIndividual", "Application\nStatus", "Name of\nApplicant", "Relevant exemption applied", "Date\napplication\nreceived" ], "rows": [ [ "Group", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "13/05/2020" ], [ "Group", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "13/05/2020" ], [ "Group", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "13/05/2020" ], [ "single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "13/05/2020" ], [ "Single", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "13/05/2020" ], [ "Single", "Complete", "REDACTED", "Other", "13/05/2020" ], [ "Single", "Complete", "REDACTED", "Other", "13/05/2020" ], [ "Single", "Complete", "REDACTED", "(i) Logistical (including postal)", "14/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "18/05/2020" ], [ "Group", "Complete", "REDACTED", "(i) Logistical (including postal)", "18/05/2020" ], [ "Group", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "18/05/2020" ], [ "Single", "Complete", "REDACTED", "Other", "19/05/2020" ], [ "Single", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "20/05/2020" ], [ "Single", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "20/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "20/05/2020" ], [ "Single", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "21/05/2020" ], [ "Group", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "22/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "22/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "22/05/2020" ], [ "Single", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "26/05/2020" ], [ "Single", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "26/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "27/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "27/05/2020" ], [ "Group", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "27/05/2020" ], [ "Group", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "27/05/2020" ], [ "Group", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "27/05/2020" ] ], "row_count": 26, "col_count": 5 }, { "headers": [ "Group /\nIndividual", "Application\nStatus", "Name of\nApplicant", "Relevant exemption applied", "Date\napplication\nreceived" ], "rows": [ [ "Group", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "27/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "27/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "28/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "28/05/2020" ], [ "Group", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "28/05/2020" ], [ "Group", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "28/05/2020" ], [ "Single", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "29/05/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "01/06/2020" ], [ "Single", "Complete", "REDACTED", "(d) Essential Public Utilities /\nServices", "02/06/2020" ], [ "Single", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "09/06/2020" ], [ "Single", "Complete", "REDACTED", "(e.) Transformation of essential\ngoods/workers", "09/06/2020" ], [ "Single", "Complete", "REDACTED", "(e.) 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The authority disclosed the meeting minutes and notes but withheld the updated document citing exemptions related to ongoing criminal investigations.", "key_facts": [ "The DHSC Executive Team approved the Abbotswood Safeguarding Procedural Framework on 28 April 2020.", "Debbie Brayshaw and Cath Quilliam were responsible for developing the framework.", "The Chair of the Safeguarding Board confirmed they were happy with the framework.", "An external investigation was noted as not being required at the time of the meeting.", "The updated version of the document was withheld to protect an ongoing investigation that may lead to criminal proceedings." ], "data_mentioned": [ "2020-07-27", "2020-08-25", "28 April 2020", "23/04/2020", "12pm to 1pm", "1387929", "6 pages", "3 documents", "section 31(1)(a)(i)", "section 31(2)(a)" ], "exemptions_cited": [ "Section 31(1)(a)(i) of the Act: Information obtained or recorded for the purposes of an investigation that the Department has a duty to conduct to ascertain whether a person should be charged with an offence.", "Section 31(2)(a) of the Act: Information obtained or recorded for the purposes of functions relating to an investigation that may lead to criminal proceedings." ], "tables": [ { "headers": [ "Minute\nNumber", "Item", "Action" ], "rows": [ [ "1.", "Abbotswood\nSafeguarding:\nDB & CQ have worked up a framework. Document on Teams for\ninformation. Confirmed that the Chair of the Safeguarding Board\nhappy with it. SCMR referral held back. It has been prepared and\nwill be done post investigation. Another meeting to take place with\neveryone relevant. All happy with this to date. Noted that external\nsupport not required at the moment.", "" ], [ "2.", "", "" ], [ "3.", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 } ] }, { "case_id": 1405457, "title": "Public Health Directorate", "authority": "Cabinet Office", "date_received": "2020-08-04", "outcome": "Some information sent but part exempt", "summary": "A request was made for the diary and communications of the Isle of Man Public Health Director regarding COVID-19 between January and June 2020. The authority released partial diary entries for February and March 2020 but withheld other information under exemptions.", "key_facts": [ "The request targeted the diary and communications of Dr. Henrietta Ewart, the Public Health Director.", "Disclosed information includes specific meeting schedules for February and March 2020.", "Meetings listed include NSG (National Security Group), Gold Command, and COVID Clinical Group sessions.", "The response outcome was 'Some information sent but part exempt'.", "The authority handling the request was the Cabinet Office." ], "data_mentioned": [ "31 January 2020", "30 June 2020", "10th March 2020", "10 May 2020", "17 February 2020", "23 February 2020", "9 March 2020", "15 March 2020", "23 March 2020", "29 March 2020", "28 pages", "2 documents", "2020-08-04", "2020-09-15" ], "exemptions_cited": [], "tables": [ { "headers": [ "17 February 2020 - February 2020 March 2020\nMo TuWe Th Fr Sa Su Mo TuWe Th Fr Sa Su\n1 2 1\n23 February 2020 3 4 5 6 7 8 9 2 3 4 5 6 7 8\n10 11 12 13 14 15 16 9 10 11 12 13 14 15\n17 18 19 20 21 22 23 16 17 18 19 20 21 22\n24 25 26 27 28 29 23 24 25 26 27 28 29\n30 31", "", "", "" ], "rows": [ [ "17 February\n00:00 LEAVE (Off Island)\n09:00 - 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09:00 Gold Command Meeting (Microsoft Teams Meeting)\n-\n12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-\n13:00 - 13:30 COVID-19 Silver Command Meeting (Microsoft\nTeams Meeting) -\n13:30 - 14:30 Senior Medical Team - Local Plans (COVID-19)\n(Boardroom, Noble's Hospital) - Ranson, Rosalind\n16:00 - 16:30 Scenario Planning (Microsoft Teams Meeting) -\n17:45 - 18:15 CT Call Centre - decision required (Microsoft Teams\nMeeting) -" ], [ "3 April\n10:45 - 11:30 FW: CMO Covid-19 briefing to DsPH (PS Lead: JH)\n12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-\n13:00 - 13:30 COVID-19 Silver Command Meeting (Microsoft\nTeams Meeting) -\n16:00 - 16:30", "4 April\n12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-\n13:00 - 13:30 COVID-19 Silver Command Meeting (Microsoft\nTeams Meeting) -" ], [ "", "5 April\n12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-\n13:00 - 13:30 COVID-19 Silver Command Meeting (Microsoft\nTeams Meeting) -" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "30 March" ], "rows": [ [ "09:00 - 10:00 NSG - 30.03.2020 (Microsoft Teams Meeting/King\nOrry Room) -" ], [ "10:00 - 11:00 Gold Command Meeting - 30.03.20 (Microsoft\nTeams Meeting/King Orry Room) -" ], [ "11:00 - 12:00 Modelling (MS Teams) - Magson, Kathryn" ], [ "11:00 - 11:30 Modelling (Microsoft Teams Meeting) - ," ], [ "12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-" ], [ "13:00 - 13:30 COVID-19 Silver Command Meeting (Microsoft\nTeams Meeting) -" ], [ "14:00 - 15:00 COVID Clinical Group\n(https://zoom.us/j/854473472?pwd=dkc3cVdGQlZWcmticmlyZXNRLy\n9LQT09) -" ], [ "15:30 - 16:30 Tel call - temp role within PH (Telephone Call) -\nEwart, Henrietta" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "31 March" ], "rows": [ [ "12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-" ], [ "13:00 - 13:30 COVID-19 Silver Command Meeting (Microsoft\nTeams Meeting) -" ], [ "14:00 - 15:00 COVID Clinical Group\n(https://zoom.us/j/854473472?pwd=dkc3cVdGQlZWcmticmlyZXNRLy\n9LQT09) -" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "2 April" ], "rows": [ [ "08:00 - 09:00 Gold Command Meeting (Microsoft Teams Meeting)\n-" ], [ "12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-" ], [ "13:00 - 13:30 COVID-19 Silver Command Meeting (Microsoft\nTeams Meeting) -" ], [ "13:30 - 14:30 Senior Medical Team - Local Plans (COVID-19)\n(Boardroom, Noble's Hospital) - Ranson, Rosalind" ], [ "16:00 - 16:30 Scenario Planning (Microsoft Teams Meeting) -" ], [ "17:45 - 18:15 CT Call Centre - decision required (Microsoft Teams\nMeeting) -" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "3 April" ], "rows": [ [ "10:45 - 11:30 FW: CMO Covid-19 briefing to DsPH (PS Lead: JH)" ], [ "12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-" ], [ "13:00 - 13:30 COVID-19 Silver Command Meeting (Microsoft\nTeams Meeting) -" ], [ "16:00 - 16:30" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "27 April 2020 - April 2020 May 2020\nMo TuWe Th Fr Sa Su Mo TuWe Th Fr Sa Su\n1 2 3 4 5 1 2 3\n3 May 2020 6 7 8 9 10 11 12 4 5 6 7 8 9 10\n13 14 15 16 17 18 19 11 12 13 14 15 16 17\n20 21 22 23 24 25 26 18 19 20 21 22 23 24\n27 28 29 30 25 26 27 28 29 30 31", "" ], "rows": [ [ "27 April\n16:00 - 16:30 Pre-Meet. Walkthrough of Contact Tracing\nDashboard (Microsoft Teams Meeting) - (GTS)", "28 April\n10:30 - 11:30 Cluster Investigation Reporting (MS Teams - I'll dial\nyou both in) -\n11:05 - 11:30 CT Dashboard Demo - rerun before Wed\npresentation (Microsoft Teams Meeting) -" ], [ "29 April\n11:30 - 12:30 CMO & DsPH Covid-19 briefing call (Microsoft\nTeams Meeting) -", "30 April\n16:00 - 17:00 **Agenda attached** Coronavirus update\nteleconference - South Atlantic and European UKOTs & Crown\nDependencies (Skype meeting) -" ], [ "1 May\n14:00 - 15:00 Silver Sub Group Meeting - Community Mental\nHealth and Wellbeing (Microsoft Teams Meeting) -\n15:00 - 16:00 Lancashire Public Health Collaborative Weekly\nCOVID19 Teleconference (Skype - details below) -", "2 May" ], [ "", "3 May" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "4 May 2020 - May 2020 June 2020\nMo TuWe Th Fr Sa Su Mo TuWe Th Fr Sa Su\n1 2 3 1 2 3 4 5 6 7\n10 May 2020 4 5 6 7 8 9 10 8 9 10 11 12 13 14\n11 12 13 14 15 16 17 15 16 17 18 19 20 21\n18 19 20 21 22 23 24 22 23 24 25 26 27 28\n25 26 27 28 29 30 31 29 30", "" ], "rows": [ [ "4 May", "5 May" ], [ "6 May\n10:00 - 10:30 Gold Command Meeting (Microsoft Teams Meeting)\n-\n11:30 - 12:00 Catch Up (Microsoft Teams Meeting) -\n12:00 - 13:00 CMO & DsPH Covid-19 briefing call (Microsoft\nTeams Meeting) -\n15:00 - 16:00 SB Extraordinary meeting - moved by half an hour\nto start at 3pm by request. (Microsoft Teams Meeting) -\n15:30 - 16:30 SB - Extraordinary Board Meeting (Committee\nRooms - Government Offices 3rd Floor ) - (Cabinet\nOffice)", "7 May\n09:00 - 10:00 Bronze Command Meeting (Microsoft Teams\nMeeting) -\n10:00 - 12:30 Collaborative Leadership Meeting (Skype - Details\nBelow) -\n13:00 - 13:45 A New Public Service (Microsoft Teams Meeting) -\n14:00 - 15:30 DHSC - Tynwald Members Briefing (Microsoft\nTeams Meeting) -\n15:00 - 16:00 **Agenda attached** Coronavirus update\nteleconference - South Atlantic and European UKOTs & Crown\nDependencies (Skype Meeting) -" ], [ "8 May\nPublic Holiday - VE day", "9 May" ], [ "", "10 May\n17:13 - Notification of course deadline. -\neLearnvanninhelp@gov.im" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "6 May", "", "" ], "rows": [ [ "10:00 - 10:30 Gold Command Meeting (Microsoft Teams Meeting)\n-", "", "" ], [ "11:30 - 12:00 Catch Up (Microsoft Teams Meeting) -", "", "" ], [ "12:00 - 13:00 CMO & DsPH Covid-19 briefing call (Microsoft\nTeams Meeting) -", "", "" ], [ "15:00 - 16:00 SB Extraordinary meeting - moved by half an hour\nto start at 3pm by request. (Microsoft Teams Meeting) -", "", "" ], [ "15:30 - 16:30 SB - Extraordinary Board Meeting (Committee\nRooms - Government Offices 3rd Floor ) - (Cabinet\nOffice)", "", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "7 May" ], "rows": [ [ "09:00 - 10:00 Bronze Command Meeting (Microsoft Teams\nMeeting) -" ], [ "10:00 - 12:30 Collaborative Leadership Meeting (Skype - Details\nBelow) -" ], [ "13:00 - 13:45 A New Public Service (Microsoft Teams Meeting) -" ], [ "14:00 - 15:30 DHSC - Tynwald Members Briefing (Microsoft\nTeams Meeting) -" ], [ "15:00 - 16:00 **Agenda attached** Coronavirus update\nteleconference - South Atlantic and European UKOTs & Crown\nDependencies (Skype Meeting) -" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "11 May 2020 - May 2020 June 2020\nMo TuWe Th Fr Sa Su Mo TuWe Th Fr Sa Su\n1 2 3 1 2 3 4 5 6 7\n17 May 2020 4 5 6 7 8 9 10 8 9 10 11 12 13 14\n11 12 13 14 15 16 17 15 16 17 18 19 20 21\n18 19 20 21 22 23 24 22 23 24 25 26 27 28\n25 26 27 28 29 30 31 29 30", "" ], "rows": [ [ "11 May\n13:30 - 14:30 1:1 /HE (Dr Henrietta Ewart's Office, Cronk Coar) -\nEwart, Henrietta\n15:30 - 16:30 Applying the Regulations (and Guidelines)\n(Microsoft Teams Meeting) - Wheeler, Jennie\n16:00 - 17:00 Press conference with DESC", "12 May\n14:30 - 15:30 COVID Testing Strategy Working Group (MS Teams\ntbc) - Ewart, Henrietta" ], [ "13 May\n12:00 - 13:00 CMO & DsPH Covid-19 briefing call (Microsoft\nTeams Meeting) -\n12:30 - 13:30 ACTIVE TRAVEL STEERING GROUP TEAMS\nMEETING (Microsoft Teams Meeting) - Cowin, Tim (DOI)", "14 May\n13:00 - 14:00 A New Public Service (Microsoft Teams Meeting) -\nHannah, Ruth\n16:00 - 17:00 **Agenda attached** Coronavirus update\nteleconference - South Atlantic and European UKOTs & Crown\nDependencies (Skype Meeting) -" ], [ "15 May\n14:00 - 15:00 COVID Testing Strategy (Microsoft Teams Meeting) -\nEwart, Henrietta\n15:00 - 16:00 Lancashire Public Health Collaborative Weekly\nCOVID19 Teleconference (Skype - details below) -", "16 May" ], [ "", "17 May" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "11 May" ], "rows": [ [ "13:30 - 14:30 1:1 /HE (Dr Henrietta Ewart's Office, Cronk Coar) -\nEwart, Henrietta" ], [ "15:30 - 16:30 Applying the Regulations (and Guidelines)\n(Microsoft Teams Meeting) - Wheeler, Jennie" ], [ "16:00 - 17:00 Press conference with DESC" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "18 May 2020 - May 2020 June 2020\nMo TuWe Th Fr Sa Su Mo TuWe Th Fr Sa Su\n1 2 3 1 2 3 4 5 6 7\n24 May 2020 4 5 6 7 8 9 10 8 9 10 11 12 13 14\n11 12 13 14 15 16 17 15 16 17 18 19 20 21\n18 19 20 21 22 23 24 22 23 24 25 26 27 28\n25 26 27 28 29 30 31 29 30", "" ], "rows": [ [ "18 May\n09:00 - 09:30 Test & Trace relaunch (Microsoft Teams Meeting) -\nWild, Richard\n15:00 - 16:00 Community Mental Health and Wellbeing Group\nMeeting (Microsoft Teams Meeting) -\n15:00 - 16:00 Applying Regulations / Government Guidelines\n(Teams) - Wheeler, Jennie", "19 May\n11:00 - 12:00 Canceled: Cabinet Office response linked to PH -\nopportunities for smarter working (Microsoft Teams Meeting) -\n(GTS)\n14:30 - 16:00 Testing and Surveillance Strategy Working Group\n(Microsoft Teams Meeting) - Ewart, Henrietta" ], [ "20 May\n11:00 - 12:00 CMO & DsPH Covid-19 briefing call (Microsoft\nTeams Meeting) -\n11:30 - 12:30 Commissioning Contracting and Performance\nCommittee (Boardroom, Crookall ) - DHSC, CH Exec Office Meetings\n12:30 - 17:00 Merseyside CDOP Neonatal Meeting (Microsoft\nTeams Meeting) -\n15:30 - 16:00 Daily Report - Improvements Demo (Microsoft\nTeams Meeting) -", "21 May\n09:00 - 10:00 Pre-meet PAC (KEM, HE & RR) (Microsoft Teams\nMeeting) -\n11:00 - 12:00 111 & Contact Tracing Services Process Flow\n(Microsoft Teams Meeting) -\n16:00 - 17:00 **Agenda attached** Coronavirus update\nteleconference - South Atlantic and European UKOTs & Crown\nDependencies (Skype Meeting) -" ], [ "22 May\n10:00 - 10:30 Pre Meet ahead of PAC hearing (Microsoft Teams\nMeeting) - Hemsley, Kirsty (CSO)\n10:45 - 11:45 PAC Emergency Scrutiny Oral Evidence Hearing\n(Microsoft Teams Meeting) - Corkish, Joann (Gov)\n16:00 - 17:00 ADPH Webinar - Test, Track and Trace (Microsoft\nTeams Meeting) - ADPH Membership", "23 May" ], [ "", "24 May" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "18 May" ], "rows": [ [ "09:00 - 09:30 Test & Trace relaunch (Microsoft Teams Meeting) -\nWild, Richard" ], [ "15:00 - 16:00 Community Mental Health and Wellbeing Group\nMeeting (Microsoft Teams Meeting) -" ], [ "15:00 - 16:00 Applying Regulations / Government Guidelines\n(Teams) - Wheeler, Jennie" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "20 May" ], "rows": [ [ "11:00 - 12:00 CMO & DsPH Covid-19 briefing call (Microsoft\nTeams Meeting) -" ], [ "11:30 - 12:30 Commissioning Contracting and Performance\nCommittee (Boardroom, Crookall ) - DHSC, CH Exec Office Meetings" ], [ "12:30 - 17:00 Merseyside CDOP Neonatal Meeting (Microsoft\nTeams Meeting) -" ], [ "15:30 - 16:00 Daily Report - Improvements Demo (Microsoft\nTeams Meeting) -" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "21 May" ], "rows": [ [ "09:00 - 10:00 Pre-meet PAC (KEM, HE & RR) (Microsoft Teams\nMeeting) -" ], [ "11:00 - 12:00 111 & Contact Tracing Services Process Flow\n(Microsoft Teams Meeting) -" ], [ "16:00 - 17:00 **Agenda attached** Coronavirus update\nteleconference - South Atlantic and European UKOTs & Crown\nDependencies (Skype Meeting) -" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "22 May" ], "rows": [ [ "10:00 - 10:30 Pre Meet ahead of PAC hearing (Microsoft Teams\nMeeting) - Hemsley, Kirsty (CSO)" ], [ "10:45 - 11:45 PAC Emergency Scrutiny Oral Evidence Hearing\n(Microsoft Teams Meeting) - Corkish, Joann (Gov)" ], [ "16:00 - 17:00 ADPH Webinar - Test, Track and Trace (Microsoft\nTeams Meeting) - ADPH Membership" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "25 May 2020 - May 2020 June 2020\nMo TuWe Th Fr Sa Su Mo TuWe Th Fr Sa Su\n1 2 3 1 2 3 4 5 6 7\n31 May 2020 4 5 6 7 8 9 10 8 9 10 11 12 13 14\n11 12 13 14 15 16 17 15 16 17 18 19 20 21\n18 19 20 21 22 23 24 22 23 24 25 26 27 28\n25 26 27 28 29 30 31 29 30", "" ], "rows": [ [ "25 May\nPublic Holiday\n09:00 - 17:00 Bank Holiday", "26 May\n09:00 - 09:30 Last Date for Submission - Department Papers -\nDHSC, CH Exec Office Meetings\n10:00 - 10:30 Webinar planning - Rebecca George\n13:00 - 14:00 Testing Strategy Working Group (Microsoft Teams\nMeeting) - Ewart, Henrietta\n14:00 - 15:00 Health & Beauty industry return to work webinar -\nRebecca George\n15:30 - 16:30 Health Protection planning (Microsoft Teams\nMeeting) - Ewart, Henrietta" ], [ "27 May\n12:00 - 13:00 CMO & DsPH Covid-19 briefing call (Microsoft\nTeams Meeting) -\n14:00 - 16:30 Canceled: Emergency Planning Strategic Group\n(DHA HQ Conference Room) -", "28 May\n14:00 - 15:30 Professor Sir Harry Burns conversation\n(https://us02web.zoom.us/j/692881057?pwd=WFdhRitlTGVrODJkbD\nBwb1hER3F5Zz09) - Peake, Ralph\n16:00 - 17:00 CRC/IFR/CDOP catchup (Dr Henrietta Ewart's Office,\nCronk Coar) - Ewart, Henrietta\n16:00 - 17:00 **Agenda attached** Coronavirus update\nteleconference - South Atlantic and European UKOTs & Crown\nDependencies (Skype Meeting) -" ], [ "29 May\n10:00 - 11:00 Community Health and Wellbeing Group (Microsoft\nTeams Meeting) -\n10:30 - 11:00 PAC pre-briefing -\n10:30 - 11:00 Pre-brief ahead of PAC (Microsoft Teams Meeting) -\n10:45 - 12:15 PAC Emergency Scrutiny Oral Evidence Hearing\n(Microsoft Teams Meeting) - Corkish, Joann (Gov)\n13:30 - 14:00 tho\n15:00 - 16:00 Lancashire Public Health Collaborative Weekly\nCOVID19 Teleconference (Skype - details below) -", "30 May" ], [ "", "31 May" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "26 May" ], "rows": [ [ "09:00 - 09:30 Last Date for Submission - Department Papers -\nDHSC, CH Exec Office Meetings" ], [ "10:00 - 10:30 Webinar planning - Rebecca George" ], [ "13:00 - 14:00 Testing Strategy Working Group (Microsoft Teams\nMeeting) - Ewart, Henrietta" ], [ "14:00 - 15:00 Health & Beauty industry return to work webinar -\nRebecca George" ], [ "15:30 - 16:30 Health Protection planning (Microsoft Teams\nMeeting) - Ewart, Henrietta" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "28 May" ], "rows": [ [ "14:00 - 15:30 Professor Sir Harry Burns conversation\n(https://us02web.zoom.us/j/692881057?pwd=WFdhRitlTGVrODJkbD\nBwb1hER3F5Zz09) - Peake, Ralph" ], [ "16:00 - 17:00 CRC/IFR/CDOP catchup (Dr Henrietta Ewart's Office,\nCronk Coar) - Ewart, Henrietta" ], [ "16:00 - 17:00 **Agenda attached** Coronavirus update\nteleconference - South Atlantic and European UKOTs & Crown\nDependencies (Skype Meeting) -" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "29 May", "", "" ], "rows": [ [ "10:00 - 11:00 Community Health and Wellbeing Group (Microsoft\nTeams Meeting) -", "", "" ], [ "10:30 - 11:00 PAC pre-briefing -", "", "" ], [ "10:30 - 11:00 Pre-brief ahead of PAC (Microsoft Teams Meeting) -", "", "" ], [ "10:45 - 12:15 PAC Emergency Scrutiny Oral Evidence Hearing\n(Microsoft Teams Meeting) - Corkish, Joann (Gov)", "", "" ], [ "13:30 - 14:00 tho", "", "" ], [ "15:00 - 16:00 Lancashire Public Health Collaborative Weekly\nCOVID19 Teleconference (Skype - details below) -", "", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "1 June 2020 - June 2020 July 2020\nMo TuWe Th Fr Sa Su Mo TuWe Th Fr Sa Su\n1 2 3 4 5 6 7 1 2 3 4 5\n7 June 2020 8 9 10 11 12 13 14 6 7 8 9 10 11 12\n15 16 17 18 19 20 21 13 14 15 16 17 18 19\n22 23 24 25 26 27 28 20 21 22 23 24 25 26\n29 30 27 28 29 30 31", "" ], "rows": [ [ "1 June\n12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-", "2 June\n09:15 - 10:00 Ops Update Meeting: 111, CT and TNS Services\n(GTS, Birkdale meeting room;) -\n10:30 - 11:30 Feedback - Focus Groups public perception re\nCovid-19 measures (online - Teams) -\n12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-\n13:00 - 14:30 Testing Strategy Working Group (Microsoft Teams\nMeeting) - Ewart, Henrietta" ], [ "3 June\n11:00 - 11:30 Disease statistics for COMiN (Teams) - Wild, Richard\n12:00 - 13:00 CMO & DsPH Covid-19 briefing call (Microsoft\nTeams Meeting) -\n12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-\n13:00 - 14:00 COVID-19 Silver Command Meeting (Microsoft\nTeams Meeting) -\n14:00 - 17:00 NPS - Critical Discussion & Next Steps (Microsoft\nTeams Meeting) -\n14:00 - 17:00 New Public Service - Critical Discussion & Next\nSteps (Lecture Theatre, Keyll Darree, Strang) - Hannah, Ruth", "4 June\n10:00 - 10:30 Border Force - Views (Microsoft Teams Meeting) -\nHannah, Ruth\n12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-\n16:00 - 17:00 Public Health Move to Cabinet Office (Phase2) -\nTransformation Programme Check-in (Microsoft Teams Meeting) -\n16:00 - 17:00 **Agenda attached**Coronavirus update\nteleconference - South Atlantic and European UKOTs & Crown\nDependencies (Skype Meeting) -" ], [ "5 June\n09:15 - 10:00 Ops Update Meeting: 111, CT and TNS Services\n(GTS, Birkdale meeting room;) -\n10:00 - 11:00 Community Health and Wellbeing Group (Microsoft\nTeams Meeting) -\n12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-\n15:00 - 16:00 Lancashire Public Health Collaborative Weekly\nCOVID19 Teleconference (Skype - details below) -", "6 June" ], [ "", "7 June" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "2 June" ], "rows": [ [ "09:15 - 10:00 Ops Update Meeting: 111, CT and TNS Services\n(GTS, Birkdale meeting room;) -" ], [ "10:30 - 11:30 Feedback - Focus Groups public perception re\nCovid-19 measures (online - Teams) -" ], [ "12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-" ], [ "13:00 - 14:30 Testing Strategy Working Group (Microsoft Teams\nMeeting) - Ewart, Henrietta" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "3 June" ], "rows": [ [ "11:00 - 11:30 Disease statistics for COMiN (Teams) - Wild, Richard" ], [ "12:00 - 13:00 CMO & DsPH Covid-19 briefing call (Microsoft\nTeams Meeting) -" ], [ "12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-" ], [ "13:00 - 14:00 COVID-19 Silver Command Meeting (Microsoft\nTeams Meeting) -" ], [ "14:00 - 17:00 NPS - Critical Discussion & Next Steps (Microsoft\nTeams Meeting) -" ], [ "14:00 - 17:00 New Public Service - Critical Discussion & Next\nSteps (Lecture Theatre, Keyll Darree, Strang) - Hannah, Ruth" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "4 June" ], "rows": [ [ "10:00 - 10:30 Border Force - Views (Microsoft Teams Meeting) -\nHannah, Ruth" ], [ "12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-" ], [ "16:00 - 17:00 Public Health Move to Cabinet Office (Phase2) -\nTransformation Programme Check-in (Microsoft Teams Meeting) -" ], [ "16:00 - 17:00 **Agenda attached**Coronavirus update\nteleconference - South Atlantic and European UKOTs & Crown\nDependencies (Skype Meeting) -" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "5 June" ], "rows": [ [ "09:15 - 10:00 Ops Update Meeting: 111, CT and TNS Services\n(GTS, Birkdale meeting room;) -" ], [ "10:00 - 11:00 Community Health and Wellbeing Group (Microsoft\nTeams Meeting) -" ], [ "12:00 - 13:00 Executive Team Meeting (Microsoft Teams Meeting)\n-" ], [ "15:00 - 16:00 Lancashire Public Health Collaborative Weekly\nCOVID19 Teleconference (Skype - details below) -" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "8 June 2020 - June 2020 July 2020\nMo TuWe Th Fr Sa Su Mo TuWe Th Fr Sa Su\n1 2 3 4 5 6 7 1 2 3 4 5\n14 June 2020 8 9 10 11 12 13 14 6 7 8 9 10 11 12\n15 16 17 18 19 20 21 13 14 15 16 17 18 19\n22 23 24 25 26 27 28 20 21 22 23 24 25 26\n29 30 27 28 29 30 31", "" ], "rows": [ [ "8 June\n13:30 - 14:30 1:1 /HE (Dr Henrietta Ewart's Office, Cronk Coar) -\nEwart, Henrietta", "9 June\n09:15 - 10:00 Ops Update Meeting: 111, CT and TNS Services\n(GTS, Birkdale meeting room;) -\n10:00 - 12:00 BAU Contact Tracing/111 service - new new world\n(GTS, Board Room Markwell House) -\n12:00 - 12:30 1:1 /HE (tbc) - Ewart, Henrietta\n13:00 - 14:00 COVID Testing Strategy Working Group (Microsoft\nTeams Meeting) - Ewart, Henrietta\n15:00 - 16:00 tender process (tbc) - Ewart, Henrietta" ], [ "10 June\n10:00 - 12:30 Collaborative Leadership Meeting (Skype) -\n13:00 - 14:00 E&I Lead Officer Group (Microsoft Teams Meeting) -\n14:30 - 15:30 Community Health and Wellbeing Group (Microsoft\nTeams Meeting) -\n18:30 - 19:30 Planning for the ‘new normal’ in your Early Years\nSetting - webinar - Rebecca George", "11 June\n10:00 - 11:00 NICE TA teleconference (Teams or Zoom) - Bell,\nMaria\n10:00 - 11:00 IoM meeting - NICE project (Home) -\n(NHS MIDLANDS AND LANCASHIRE COMMISSIONING SUPPORT\nUNIT)\n11:00 - 12:00 Cabinet Office response linked to PH -\nopportunities for smarter working (Microsoft Teams Meeting) -\n(GTS)\n16:00 - 17:00 **Agenda attached**Coronavirus update\nteleconference - South Atlantic and European UKOTs & Crown\nDependencies (Skype Meeting) -" ], [ "12 June\nPostponed Public Holiday to 28th August\n09:15 - 10:00 Ops Update Meeting: 111, CT and TNS Services\n(GTS, Birkdale meeting room;) -\n11:00 - 12:00 CMO & DsPH Covid-19 briefing call (Microsoft\nTeams Meeting) -\n14:00 - 15:00 Island water issue ( TEAMS - EPSG) -", "13 June" ], [ "", "14 June" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "9 June", "", "" ], "rows": [ [ "09:15 - 10:00 Ops Update Meeting: 111, CT and TNS Services\n(GTS, Birkdale meeting room;) -", "", "" ], [ "10:00 - 12:00 BAU Contact Tracing/111 service - new new world\n(GTS, Board Room Markwell House) -", "", "" ], [ "12:00 - 12:30 1:1", "", "/HE (tbc) - Ewart, Henrietta" ], [ "13:00 - 14:00 COVID Testing Strategy Working Group (Microsoft\nTeams Meeting) - Ewart, Henrietta", "", "" ], [ "15:00 - 16:00 tender process (tbc) - Ewart, Henrietta", "", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "10 June", "" ], "rows": [ [ "10:00 - 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"", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "Modelling work relating to SARS-COV2 infection rates in the Isle of Man.", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Our response:", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "While", "", "our aim", "is to provide i", "", "nformation", "", "", "", "whenever", "", "", "", "", "po", "ssible,", "", "in", "this in", "", "stance", "", "", "we", "ar", "e", "", "", "", "" ], [ "unabl", "", "e to prov", "ide the", "information", "", "t", "hat y", "", "ou have", "", "", "", "requested", "", "", "", "because", "", "", "a practical", "", "", "", "refusal", "", "", "", "", "" ], [ "reaso", "", "n applies", "under", "section", "11(3)(a) of", "", "", "", "the", "Act,", "", "", "", "as", "the", "Public", "", "Healt", "", "h 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"", "staff with", "suppor", "t from", "Governmen", "", "", "", "t Technolog", "", "", "", "", "", "y Services", "", "", ".", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 11, "col_count": 30 }, { "headers": [ "3. A copy of any advice provided by the lsle of Man Public Health" ], "rows": [ [ "Directorate that Key Workers granted an exemption to enter the lsle of Man" ], [ "did or did not require testing for Covid 19." ], [ "Our response:" ], [ "While our aim is to provide information whenever possible, in this instance we are" ], [ "unable to provide the information that you have requested because a practical refusal" ], [ "reason applies under section 11(3)(a) of the Act, as the Public Health Directorate does" ], [ "not (and never has) provided assessment and guidance on what testing might be" ], [ "appropriate for individuals covered by exemption, as such the Cabinet Office does not" ], [ "hold the information requested." ], [ "In the interests of providing advice and assistance, the Public Health Directorate" ], [ "provided verbal input to the 'essential worker testing pathways' which were developed" ], [ "and are owned by Department of Health and Social Care." ] ], "row_count": 12, "col_count": 1 } ] }, { "case_id": 1415223, "title": "Independent Review Body (\"IRB\") - Healthcare Complaints", "authority": "Department of Health and Social Care", "date_received": "2020-08-10", "outcome": "Some information sent but not all held", "summary": "A request was made for details regarding the Independent Review Body (IRB) for healthcare complaints, including staffing, costs, reports, and procedures. The Department of Health and Social Care disclosed the number of convenors and staff but refused to provide salary and expense details, citing that the information would need to be created or derived.", "key_facts": [ "There are currently six IRB Convenors and one IRB Clerk.", "Salary, attendance allowance, and expense details for IRB Convenors and the Governor were withheld.", "The withholding of financial details was based on the requirement to create or derive information from existing records.", "The response was issued on 21st September 2020 regarding a request received on 10th August 2020.", "The authority stated that complying with the financial request falls under section 8(3) of the Act." ], "data_mentioned": [ "6 IRB Convenors", "1 IRB Clerk", "2020-08-10", "2020-09-21", "section 8(3)", "S11(3)(b)" ], "exemptions_cited": [ "Section 8(3) of the Act (information not required to be created or derived)", "Section 11(3)(b) of the Act" ], "tables": [ { "headers": [ "Financial Year", "Sum of Actuals £" ], "rows": [ [ "2016 to 2017", "£66,316.05" ], [ "2017 to 2018", "£66,612.09" ], [ "2018 to 2019", "£82,232.27" ], [ "2019 to 2020", "£51,464.15" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Financial Year", "Sum of Actuals £" ], "rows": [ [ "2016 to 2017", "£66,316.05" ], [ "2017 to 2018", "£66,612.09" ], [ "2018 to 2019", "£82,232.27" ], [ "2019 to 2020", "£51,464.15" ] ], "row_count": 4, "col_count": 2 } ] }, { "case_id": 1478505, "title": "NHS Dentists", "authority": "Department of Health and Social Care", "date_received": "2020-09-17", "outcome": "All information sent", "summary": "The request sought the number of people on the NHS dental waiting list and average wait times in the Isle of Man. The Department of Health and Social Care disclosed that 1,540 patients were waiting as of September 2020, with 59% waiting between 6 months and a year, largely due to COVID-19 practice closures.", "key_facts": [ "As of 17 September 2020, there were 1,540 patients on the NHS Dental Waiting List.", "59% of patients had waited between 6 months and 1 year.", "Almost 50% of patients were added to the list following dental practice closures in March 2020 due to COVID-19.", "Primary Care Services instructed providers to cease holding their own waiting lists on 30 September 2019 to ensure fair allocation.", "Negotiations with NHS Dental Providers regarding contractual arrangements and access were planned to clear the waiting list." ], "data_mentioned": [ "1,540", "40%", "59%", "1%", "50%", "17th September 2020", "23rd September 2020", "March 2020", "July 2020", "30th September 2019", "1478505" ], "exemptions_cited": [], "tables": [ { "headers": [ "Month", "Number", "Month", "Number", "Month", "Number", "Month", "Number" ], "rows": [ [ "Apr-19", "2", "Oct-19", "69", "Feb-20", "231", "Jun-20", "78" ], [ "Jul-19", "6", "Nov-19", "71", "Mar-20", "141", "Jul-20", "168" ], [ "Aug-19", "6", "Dec-19", "190", "Apr-20", "16", "Aug-20", "173" ], [ "Sep-19", "1", "Jan-20", "214", "May-20", "38", "Sep-20", "136" ], [ "", "", "", "", "", "", "Total", "1540" ] ], "row_count": 5, "col_count": 8 } ] }, { "case_id": 1499433, "title": "Key worker exemptions", "authority": "Cabinet Office", "date_received": "2020-10-05", "outcome": "Some information sent but not all held", "summary": "The request sought sector-specific data on key worker exemptions under the Emergency Powers Act since April 2020, including travel details from ports. The Cabinet Office provided exemption counts by sector but confirmed it does not hold data on how many workers traveled away from ports.", "key_facts": [ "The Cabinet Office does not hold information on how many key workers travelled away from the ports to work.", "Exemption data covers the period from 27 April to 2 October 2020.", "A total of 1,150 exemptions were granted across all sectors during the specified period.", "The Department for Health and Social Care received the highest number of exemptions at 509.", "The Department of Infrastructure received 384 exemptions." ], "data_mentioned": [ "27 April 2020", "2 October 2020", "509", "384", "35", "184", "38", "1150", "1499433" ], "exemptions_cited": [], "tables": [ { "headers": [ "Exemption sector", "From", "Total" ], "rows": [ [ "Department for Health and\nSocial Care", "27 April to 2 October", "509" ], [ "Department of\nInfrastructure", "27 April to 2 October", "384" ], [ "Department of Home Affairs", "27 April to 2 October", "35" ], [ "Department for Enterprise", "27 April to 2 October", "184" ], [ "Other", "27 April to 2 October", "38" ], [ "Total", "", "1150" ] ], "row_count": 6, "col_count": 3 } ] }, { "case_id": 1506165, "title": "Key Workers", "authority": "Department of Health and Social Care", "date_received": "2020-10-08", "outcome": "Not upheld", "summary": "The requester asked for copies of entry certificates issued to key workers under coronavirus regulations, but the Information Commissioner's Office did not uphold the complaint regarding the Department's response.", "key_facts": [ "The request was made to the Department of Health and Social Care on 2020-10-08.", "The outcome was 'Not upheld' on 2020-12-04.", "The response included a sample entry certificate template dated 15 July 2020.", "Key workers were permitted 'modified self-isolation' allowing travel to designated work premises.", "Certificates were issued by the Cabinet Office under the Emergency Powers (Coronavirus) (Entry Restrictions) (No 2) (Amendment) Regulations 2020." ], "data_mentioned": [ "2020-10-08", "2020-12-04", "15 July 2020", "Regulation 6", "14 consecutive days", "24 pages", "5 documents" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "Isle of Man local workplace specific" ], "rows": [ [ "COVID-19 mitigation measures. This may include the mandatory use of PPE and social distancing", "" ], [ "or collection of personal details for contact tracing purposes. For further information please liaise", "" ], [ "with the Isle of Man Site Sponsor or Designated Person for the workplace", "" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ " If you are self-isolating in a household with others who are not required to self-isolate" ], "rows": [ [ "you must avoid contact as far as possible. This means having your own room and remaining in" ], [ "it as far as possible. You must not share a bedroom with anyone who is not self-isolating. Your" ], [ "room should be well-ventilated with a window to the outside that can be opened. Keep the door" ], [ "closed." ], [ " Use a separate bathroom from the rest of the household, if available. If you have to" ], [ "share a bathroom regular cleaning will be required. If a separate bathroom is not available," ], [ "consider drawing up a bathroom rota for washing or bathing. You should use the facilities last," ], [ "before thoroughly cleaning the bathroom. You should use separate towels from other household" ], [ "members, both for drying yourself after bathing or showering and for hand hygiene purposes." ], [ " You should avoid using shared spaces such as the kitchen whilst others are present. Take" ], [ "your meals back to your room to eat. Use a dishwasher (if available) to clean and dry your used" ], [ "crockery and cutlery. If this is not possible, wash them by hand using detergent and warm water" ], [ "and dry them thoroughly, using a separate tea towel." ] ], "row_count": 13, "col_count": 1 }, { "headers": [ "", "Isle of Man local workplace specific" ], "rows": [ [ "COVID-19 mitigation measures. This may include the mandatory use of PPE and social distancing", "" ], [ "or collection of personal details for contact tracing purposes. For further information please liaise", "" ], [ "with the Isle of Man Site Sponsor or Designated Person for the workplace", "" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ " If you are self-isolating in a household with others who are not required to self-isolate" ], "rows": [ [ "you must avoid contact as far as possible. This means having your own room and remaining in" ], [ "it as far as possible. You must not share a bedroom with anyone who is not self-isolating. Your" ], [ "room should be well-ventilated with a window to the outside that can be opened. Keep the door" ], [ "closed." ], [ " Use a separate bathroom from the rest of the household, if available. If you have to" ], [ "share a bathroom regular cleaning will be required. If a separate bathroom is not available," ], [ "consider drawing up a bathroom rota for washing or bathing. You should use the facilities last," ], [ "before thoroughly cleaning the bathroom. You should use separate towels from other household" ], [ "members, both for drying yourself after bathing or showering and for hand hygiene purposes." ], [ " You should avoid using shared spaces such as the kitchen whilst others are present. Take" ], [ "your meals back to your room to eat. Use a dishwasher (if available) to clean and dry your used" ], [ "crockery and cutlery. If this is not possible, wash them by hand using detergent and warm water" ], [ "and dry them thoroughly, using a separate tea towel." ] ], "row_count": 13, "col_count": 1 }, { "headers": [ "", "Isle of Man local workplace specific" ], "rows": [ [ "COVID-19 mitigation measures. This may include the mandatory use of PPE and social distancing", "" ], [ "or collection of personal details for contact tracing purposes. For further information please liaise", "" ], [ "with the Isle of Man Site Sponsor or Designated Person for the workplace", "" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ " If you are self-isolating in a household with others who are not required to self-isolate" ], "rows": [ [ "you must avoid contact as far as possible. This means having your own room and remaining in" ], [ "it as far as possible. You must not share a bedroom with anyone who is not self-isolating. Your" ], [ "room should be well-ventilated with a window to the outside that can be opened. Keep the door" ], [ "closed." ], [ " Use a separate bathroom from the rest of the household, if available. If you have to" ], [ "share a bathroom regular cleaning will be required. If a separate bathroom is not available," ], [ "consider drawing up a bathroom rota for washing or bathing. You should use the facilities last," ], [ "before thoroughly cleaning the bathroom. You should use separate towels from other household" ], [ "members, both for drying yourself after bathing or showering and for hand hygiene purposes." ], [ " You should avoid using shared spaces such as the kitchen whilst others are present. Take" ], [ "your meals back to your room to eat. Use a dishwasher (if available) to clean and dry your used" ], [ "crockery and cutlery. If this is not possible, wash them by hand using detergent and warm water" ], [ "and dry them thoroughly, using a separate tea towel." ] ], "row_count": 13, "col_count": 1 }, { "headers": [ "", "Isle of Man local workplace specific" ], "rows": [ [ "COVID-19 mitigation measures. This may include the mandatory use of PPE and social distancing", "" ], [ "or collection of personal details for contact tracing purposes. For further information please liaise", "" ], [ "with the Isle of Man Site Sponsor or Designated Person for the workplace", "" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ " If you are self-isolating in a household with others who are not required to self-isolate" ], "rows": [ [ "you must avoid contact as far as possible. This means having your own room and remaining in" ], [ "it as far as possible. You must not share a bedroom with anyone who is not self-isolating. Your" ], [ "room should be well-ventilated with a window to the outside that can be opened. Keep the door" ], [ "closed." ], [ " Use a separate bathroom from the rest of the household, if available. If you have to" ], [ "share a bathroom regular cleaning will be required. If a separate bathroom is not available," ], [ "consider drawing up a bathroom rota for washing or bathing. You should use the facilities last," ], [ "before thoroughly cleaning the bathroom. You should use separate towels from other household" ], [ "members, both for drying yourself after bathing or showering and for hand hygiene purposes." ], [ " You should avoid using shared spaces such as the kitchen whilst others are present. Take" ], [ "your meals back to your room to eat. Use a dishwasher (if available) to clean and dry your used" ], [ "crockery and cutlery. If this is not possible, wash them by hand using detergent and warm water" ], [ "and dry them thoroughly, using a separate tea towel." ] ], "row_count": 13, "col_count": 1 } ] }, { "case_id": 1515529, "title": "Essential Workers", "authority": "Cabinet Office", "date_received": "2020-10-14", "outcome": "Some information sent but not all held", "summary": "A request was made for statistics on overseas essential workers in the Isle of Man over the last six months, including testing data, length of stay, and duration of visits. The Cabinet Office disclosed the number of approved applications and average stay duration but confirmed it did not hold data regarding pre-arrival COVID testing.", "key_facts": [ "There were 1,390 approved applications for key workers from overseas up to 14 October 2020.", "The Cabinet Office does not hold information on how many workers were tested for Covid prior to arrival.", "The average length of stay for a key worker is 23 days.", "The average stay figure is inflated by Department of Health and Social Care workers staying for extended periods.", "618 applications were approved for essential workers to stay on the island for more than 7 days." ], "data_mentioned": [ "1390", "23 days", "618", "14 October 2020", "16 October 2020", "7 days" ], "exemptions_cited": [], "tables": [ { "headers": [ "" ], "rows": [ [ "…of that number what workers are tested for Covid prior to arriving at the" ], [ "Isle of Man" ], [ "While our aim is to provide information whenever possible, in this instance the Cabinet" ], [ "Office does not hold the information that you have requested." ], [ "" ], [ "And what is the average length of stay of those essential workers?" ], [ "The average length of stay for a key worker is 23 days. However it is important to note" ], [ "that this number is inflated the inclusion of workers for the Department of Health and" ], [ "Social Care who stay for extended periods of time" ], [ "" ], [ "Lastly of these essential workers how many stay on island for more than 7" ], [ "days at a time?" ], [ "618 applications were approved for essential workers to stay on island for more than 7" ], [ "days" ] ], "row_count": 14, "col_count": 1 } ] }, { "case_id": 1554877, "title": "Anxiety Medication Prescriptions", "authority": "Department of Health and Social Care", "date_received": "2020-11-11", "outcome": "All information sent", "summary": "The Department of Health and Social Care provided a complete dataset of anxiety medication prescriptions in the Isle of Man from 2017 to 2020, detailing item counts and costs for both GP and hospital settings.", "key_facts": [ "The request covered anxiety medication prescriptions from January 1, 2017, to the most recent available figures in 2020.", "Data was disclosed for 24 specific chemical substances including Diazepam, Pregabalin, and Sertraline.", "The response distinguishes between prescriptions issued by GP practices and those issued by hospitals.", "2020 data represents only 8 months of the calendar year.", "Pregabalin accounted for the highest net ingredient cost in GP prescriptions in 2017 at over £518,000." ], "data_mentioned": [ "131,064 GP items in 2017", "£1,103,185 total GP net ingredient cost in 2017", "21,520 Diazepam GP items in 2017", "£518,150.92 Pregabalin GP cost in 2017", "103,489 GP items in 2020 (8 months)", "2017-2020" ], "exemptions_cited": [], "tables": [ { "headers": [ "BNF Chemical Substance", "2017 - GP\nItems", "2017 - GP Net\nIngredient\nCost", "2017 -\nHospital Items", "2017 -\nHospital Net\nIngredient\nCost", "2018 - GP\nItems", "2018 - GP Net\nIngredient\nCost", "2018 -\nHospital Items", "2018 -\nHospital Net\nIngredient\nCost", "2019 - GP\nItems", "2019 - GP Net\nIngredient\nCost", "2019 -\nHospital Items", "2019 - Hospital\nNet Ingredient\nCost", "2020 - GP\nItems", "2020 - GP Net\nIngredient\nCost", "2020 - Hospital\nItems", "2020 - Hospital\nNet Ingredient\nCost" ], "rows": [ [ "Meprobamate", "2", "£131.76", "0", "£0.00", "1", "£65.88", "0", "£0.00", "0", "0.00", "0", "£0.00", "87", "£2,273.57", "25", "£774.89" ], [ "Buspirone hydrochloride", "725", "£15,911.20", "51", "£941.54", "860", "£7,448.61", "76", "£981.55", "1,228", "£7,159.96", "25", "£510.84", "757", "£5,872.55", "12", "£343.08" ], [ "Chlordiazepoxide hydrochloride", "342", "£1,797.07", "36", "£256.56", "377", "£1,668.35", "25", "£355.87", "341", "£1,665.08", "32", "£244.36", "193", "£1,017.98", "13", "£159.33" ], [ "Clomipramine hydrochloride", "367", "£1,330.10", "4", "£10.54", "338", "£1,257.46", "36", "£121.03", "273", "£1,743.67", "4", "£9.54", "174", "£1,483.95", "10", "£38.64" ], [ "Clonazepam", "1,386", "£17,280.57", "38", "£1,184.47", "1,185", "£15,552.47", "72", "£1,399.49", "1,185", "£18,781.50", "125", "£2,390.84", "849", "£14,152.88", "63", "£1,450.38" ], [ "Diazepam", "21,520", "£26,933.56", "1,487", "£1,562.21", "22,874", "£20,680.24", "1,590", "£1,909.74", "24,420", "£24,935.44", "1,800", "£2,056.62", "16,453", "£23,887.42", "1,568", "£3,110.97" ], [ "Duloxetine hydrochloride", "6,311", "£39,262.62", "374", "£2,493.17", "6,988", "£57,173.78", "388", "£3,690.91", "7,869", "£19,983.62", "301", "£904.15", "5,545", "£14,357.71", "278", "£807.20" ], [ "Escitalopram", "2,528", "£5,621.00", "57", "£80.65", "2,808", "£5,413.94", "58", "£154.72", "3,006", "£13,681.58", "74", "£400.53", "1,997", "£8,465.82", "91", "£268.08" ], [ "Fluoxetine hydrochloride", "9,089", "£22,584.41", "344", "£2,357.03", "9,648", "£20,700.29", "315", "£3,521.09", "8,983", "£28,302.82", "379", "£5,361.88", "6,043", "£24,288.41", "320", "£4,091.63" ], [ "Hydroxyzine hydrochloride", "559", "£655.18", "15", "£17.93", "528", "£737.21", "1", "£0.80", "434", "£715.37", "6", "£11.11", "206", "£616.74", "2", "£5.92" ], [ "Lorazepam", "2,509", "£19,436.16", "142", "£708.30", "2,398", "£12,312.15", "172", "£561.39", "2,262", "£10,532.67", "145", "£652.25", "1,677", "£10,140.65", "128", "£758.00" ], [ "Lormetazepam", "174", "£1,995.13", "20", "£780.66", "188", "£1,475.05", "14", "£325.11", "175", "£1,305.84", "13", "£226.60", "0", "£0.00", "0", "£0.00" ], [ "Mirtazapine", "13,131", "£33,359.51", "728", "£1,936.87", "13,744", "£21,139.27", "748", "£1,065.36", "15,281", "£23,986.50", "525", "£899.30", "10,050", "£22,122.94", "424", "£1,041.06" ], [ "Nitrazepam", "3,825", "£2,077.59", "37", "£63.35", "3,409", "£1,437.18", "58", "£72.70", "3,478", "£1,975.73", "78", "£142.54", "2,199", "£4,668.18", "58", "£346.99" ], [ "Oxazepam", "489", "£10,524.23", "5", "£71.74", "488", "£9,229.73", "8", "£155.43", "387", "£4,042.07", "4", "£28.35", "199", "£2,152.40", "6", "£53.93" ], [ "Paroxetine hydrochloride", "1,531", "£8,998.53", "15", "£72.78", "1,433", "£7,898.27", "33", "£323.90", "1,344", "£6,557.34", "22", "£166.44", "892", "£4,510.29", "3", "£19.33" ], [ "Pregabalin", "21,174", "£518,150.92", "987", "£47,364.24", "23,688", "£99,235.87", "1,218", "£11,498.30", "27,553", "£93,068.90", "818", "£7,563.21", "19,980", "£58,870.35", "455", "£3,045.93" ], [ "Promethazine hydrochloride", "2,035", "£7,677.58", "47", "£175.22", "1,931", "£6,754.45", "108", "£533.09", "1,991", "£6,737.05", "152", "£865.48", "1,443", "£4,624.97", "135", "£824.72" ], [ "Propranolol hydrochloride", "10,728", "£46,571.41", "118", "£314.03", "10,253", "£58,371.98", "136", "£739.31", "10,225", "£59,436.11", "111", "£773.69", "7,374", "£40,477.24", "80", "£290.82" ], [ "Quetiapine", "5,551", "£130,014.60", "660", "£14,156.08", "5,123", "£93,234.38", "570", "£11,365.15", "6,079", "£38,136.46", "598", "£7,531.42", "4,214", "£18,500.23", "598", "£5,051.91" ], [ "Sertraline hydrochloride", "14,368", "£21,096.24", "469", "£842.85", "16,344", "£19,698.66", "631", "£758.58", "19,255", "£32,059.61", "819", "£1,836.54", "13,514", "£127,483.35", "633", "£8,031.08" ], [ "Temazepam", "2,341", "£8,106.87", "122", "£71.32", "2,253", "£9,581.97", "135", "£96.92", "1,944", "£9,148.67", "141", "£138.16", "1,248", "£5,306.50", "70", "£66.41" ], [ "Trazodone hydrochloride", "3,108", "£86,116.63", "276", "£4,550.95", "3,129", "£37,229.35", "260", "£1,384.54", "3,091", "£19,725.80", "185", "£727.69", "2,275", "£11,864.45", "197", "£664.30" ], [ "Venlafaxine", "7,271", "£77,551.81", "559", "£7,898.16", "7,693", "£45,068.59", "629", "£5,676.36", "8,475", "£51,919.33", "680", "£6,594.04", "6,120", "£40,574.77", "571", "£6,304.45" ], [ "TOTAL", "131,064", "1,103,185", "6,591", "87,911", "137,681", "553,365", "7,281", "46,691", "149,279", "475,601", "7,037", "40,036", "103,489", "447,713", "5,740", "37,549" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "* 8 months data only", "", "", "" ] ], "row_count": 26, "col_count": 17 }, { "headers": [ "Calendar Year", "Country plus\nCode", "Practice Type", "BNF Chemical 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hydrochloride", "197", "664.30" ], [ "2020 (8 Months)", "ISLE OF MAN (4)", "HOSPITAL", "Venlafaxine", "571", "6,304.45" ] ], "row_count": 14, "col_count": 6 } ] }, { "case_id": 1555077, "title": "Referrals", "authority": "Department of Education, Sport and Culture", "date_received": "2020-11-11", "outcome": "Some information sent but not all held", "summary": "The requester asked for annual school referral data to mental health services from 2016 to 2020, and the Department of Education provided partial figures while noting that not all schools maintain such records.", "key_facts": [ "The Department of Education does not hold complete data as not all schools keep records of annual referrals.", "Collating the missing data would require searching individual pupil files, which is exempt under Section 8(3) of the FOI Act 2015.", "The Department advised that the Department of Health and Social Care (CAMHS) may hold more comprehensive data.", "An updated response was issued on 21 December 2020 after receiving data from the majority of schools.", "One school's response was outstanding at the time of the initial response but included in the update." ], "data_mentioned": [ "2016", "2017", "2018", "2019", "2020", "21", "17", "38", "36", "40", "223", "15", "30", "24", "23", "161", "39", "1555077", "2020-11-11", "2020-12-08", "2020-12-14", "2020-12-21", "2020-12-30" ], "exemptions_cited": [ "Section 8(3) of the Freedom of Information Act 2015 (no requirement to create, derive, research, analyze, or substantially compile information)" ], "tables": [ { "headers": [ "", "2016", "2017", "2018", "2019", "2020", "Total*" ], "rows": [ [ "Primary Schools", "21", "17", "38", "36", "40", "223" ], [ "Secondary Schools", "", "15", "30", "24", "23", "161" ], [ "Higher Education (UCM)", "", "", "", "", "", "39" ] ], "row_count": 3, "col_count": 7 } ] }, { "case_id": 1570637, "title": "DHSC Annual Complaints Report 2017-2020", "authority": "Department of Health and Social Care", "date_received": "2020-11-23", "outcome": "All information sent", "summary": "The requester asked for clarification on Nobles Hospital complaint figures, specifically regarding 'simple complaints' logged as concerns, and requested copies of DHSC policies and IRB report follow-ups. The authority responded by providing the full 'Complaints Policy and Guidance' document, which defines the distinction between formal complaints and informal concerns, but the provided text cuts off before answering the specific statistical questions or detailing IRB follow-up procedures.", "key_facts": [ "Nobles Hospital recorded 196 complaints in 2017/18, 226 in 2018/19, and 227 in 2019/20.", "Simple complaints resolvable within 5 working days are logged as 'concerns' rather than formal complaints under the Hospitals Directorate.", "The DHSC policy defines a 'Concern/Informal Complaint' as an issue with potential to become formal but resolved informally with priority.", "The Independent Review Body (IRB) reported in 2019/20 that local resolution for complex cases was less effective and file management was incomplete.", "The provided response document was last reviewed in November 2018 and ratified by Cath Quilliam." ], "data_mentioned": [ "196", "226", "227", "2017/18", "2018/19", "2019/20", "5 working days", "24 hours", "November 2018", "November 2021", "January 2018", "8 November 2016", "April 2018" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "Reader Information", "", "" ], "rows": [ [ "Primary author contact details", "", "Cath Quilliam (Head of Care, Quality and Safety)", "" ], [ "Original publication date", "", "", "" ], [ "Last reviewed date", "", "November 2018", "" ], [ "Next review date due", "", "November 2021", "" ], [ "Ratified by", "", "Cath Quilliam (Head of Care, Quality and Safety)", "" ], [ "Superseded Documents", "", " Community Health Services Guidelines & Standard\nOperating Procedure for Dealing with Complaints –\nJanuary 2018\n Adult Social Care Services Complaints Policy &\nGuidance – 8 November 2016\n Mental Health Service Guidance for Managing\nComplaints – April 2018", "" ] ], "row_count": 6, "col_count": 4 }, { "headers": [ "Registration and Inspection Unit" ], "rows": [ [ "Ground Floor" ], [ "St Georges Court" ], [ "Hill Street" ], [ "Douglas" ], [ "Isle of Man" ], [ "IM1 1EF" ], [ "Telephone: 01624 642422 Email: R.Iadults.DHSC@gov.im" ], [ "" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "", "", "", "", "", "" ], "rows": [ [ "", "COMMUNITY CARE: LEARNING FROM COMPLAINTS", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "DATE COMPLAINT OPENED", "", "", "", "", "" ], [ "DATE COMPLAINT CLOSED", "", "", "", "", "" ], [ "COMPLAINT MANAGER", "", "", "", "", "" ], [ "", "SUMMARY OF COMPLAINT", "", "", "", "" ], [ "", "(Include service area and general nature of complaint, but do not include names)", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "OUTCOME OF COMPLAINT", "", "", "", "" ], [ "", "(Indicate if the complaint was resolved to the complainant’s satisfaction)", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "A USER-LED VISION FOR RAISING COMPLAINTS", "", "", "", "" ], [ "", "(Please expand on answers where possible / appropriate)", "", "", "", "" ], [ "Considering a complaint\nDid the complainant feel confident to speak up?", "", "", "", "", "" ], [ "Making a complaint\nDid the complainant feel that making a complaint\nwas straight forward?", "", "", "", "", "" ], [ "Staying informed\nDid the complainant feel listened to and\nunderstood?", "", "", "", "", "" ], [ "Receiving outcomes\nDid the complainant feel their complaint made a\ndifference?", "", "", "", "", "" ], [ "Reflecting on experience\nWould the complainant feel confident in making a\ncomplaint in the future?", "", "", "", "", "" ], [ "", "ANALYSIS / LEARNING", "", "", "", "" ], [ "", "(Include learning from the actual complaint as well as learning from management of the process.", "", "", "", "" ], [ "", "What actions are recommended, by whom and in what time frame? Has an action plan been", "", "", "", "" ], [ "", "drafted?)", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "DATE REPORT SUBMITTED TO CQ&S TEAM", "", "", "", "" ] ], "row_count": 43, "col_count": 6 }, { "headers": [ "Year", "Community\nHealth", "Mental\nHealth", "Hospitals", "Adult\nSocial\nCare", "Primary\nCare", "Children\n&\nFamilies" ], "rows": [ [ "2017/18", "2", "0", "Included", "Included", "0", "0" ], [ "2018/19", "9", "2", "Included", "Included", "0", "0" ], [ "2019/20", "3", "6", "Part year *", "Included", "0", "0" ] ], "row_count": 3, "col_count": 7 } ] }, { "case_id": 1584097, "title": "GP private consultation in regard to prescribing Cannabis to patients", "authority": "Department of Health and Social Care", "date_received": "2020-12-01", "outcome": "All information sent", "summary": "The requester asked for information regarding a government consultation with GPs on prescribing medicinal cannabis. The Department of Health and Social Care disclosed the content of an email sent to GPs and the resulting survey responses indicating low interest in prescribing.", "key_facts": [ "An email was sent to GPs on 1st December 2020 to gauge interest in prescribing NICE approved medicinal cannabis.", "GPs were informed that prescribing would require registration on the 'specialist register' with the GMC.", "A total of 19 responses were received from GPs within two weeks of the email.", "17 GPs stated they would not be interested in prescribing medicinal cannabis.", "2 GPs expressed interest in undertaking the prescribing of medicinal cannabis." ], "data_mentioned": [ "1st December 2020", "15th December 2020", "19 Responses", "17 GPs", "2 GPs", "2019", "1584097" ], "exemptions_cited": [], "tables": [ { "headers": [ "Category", "Count" ], "rows": [ [ "Total Responses received", "19" ], [ "GPs not interested in prescribing", "17" ], [ "GPs interested in prescribing", "2" ] ], "row_count": 3, "col_count": 2 } ] }, { "case_id": 1588461, "title": "Consultation regarding GPs prescribing Cannabis", "authority": "Department of Health and Social Care", "date_received": "2020-12-03", "outcome": "All information sent", "summary": "The requester asked for details regarding an internal consultation with GPs about prescribing medical cannabis, specifically seeking the number of participants, questions asked, and responses. The Department of Health and Social Care disclosed the full content of the consultation email, the voting results, and specific feedback comments from the GPs.", "key_facts": [ "The consultation was conducted via email sent to GPs on 1st December 2020.", "A total of 19 responses were received within two weeks.", "17 GPs stated they would not be interested in prescribing medicinal cannabis.", "2 GPs expressed interest in prescribing medicinal cannabis.", "Respondents cited NICE guidance requiring doctors to be on the specialist register, excluding standard GP registration." ], "data_mentioned": [ "1st December 2020", "19 Responses", "17 GPs", "2 GPs", "1588461", "2019", "2020-12-03", "2020-12-17" ], "exemptions_cited": [], "tables": [ { "headers": [ "Category", "Count/Detail" ], "rows": [ [ "Total Responses Received", "19" ], [ "GPs not interested in prescribing", "17" ], [ "GPs interested in prescribing", "2" ] ], "row_count": 3, "col_count": 2 } ] }, { "case_id": 1606082, "title": "Travel Notification Service Open Data", "authority": "Cabinet Office", "date_received": "2020-12-16", "outcome": "All information sent", "summary": "The requester sought clarification on whether the 'Age, Gender, Travel History' open data file represented daily entry figures for the Isle of Man. The Cabinet Office responded that the data actually shows cumulative COVID-19 positive cases broken down by age, gender, and travel history, not the number of people entering the island.", "key_facts": [ "The requested dataset is titled 'Age, Gender, Travel History'.", "Columns B to G show cumulative COVID cases by age range.", "Columns H and I show cumulative COVID cases by gender.", "Columns J and K show cumulative COVID cases by travel history.", "The data does not record the number of people entering the island on any given day." ], "data_mentioned": [ "1606082", "2020-12-16", "2021-01-20", "1st March 2020", "https://covid19.gov.im/media/1466/age-gender-travelhistory-data.csv" ], "exemptions_cited": [], "tables": [ { "headers": [ "Columns H and I show the cumulative number of COVID cases to date broken down by" ], "rows": [ [ "gender." ], [ "Columns J and K show the cumulative number of COVID cases to date broken down by" ], [ "travel history." ], [ "You referred to the data set in this link:" ], [ "https://covid19.gov.im/media/1466/age-gender-travelhistory-data.csv" ], [ "The Cabinet Office can confirm that the information in the open data file (link above)" ], [ "referred to as \"Age, Gender, Travel History\" relates to positive case statistics on the" ], [ "age band, gender and whether the person with the positive test had recent travel" ], [ "history. The data does not relate to the number of people entering the Island on each" ], [ "day." ] ], "row_count": 10, "col_count": 1 } ] }, { "case_id": 1606981, "title": "Independence of the Independent Review Body for health complaints Part 2", "authority": "Department of Health and Social Care", "date_received": "2020-12-17", "outcome": "Some information sent but not all held", "summary": "The request sought details on consultations regarding NHS Regulations 2004, public consultation intentions, and specific information about a complaints training program initiated in December 2020. The authority responded that not all information was held, providing instead a generic medico-legal guide on the NHS complaints procedure in England rather than Isle of Man-specific documents.", "key_facts": [ "Minister Ashford stated the Department of Health and Social Care cannot instruct or influence the Independent Review Body (IRB).", "The IRB is described as totally independent from the Department of Health and Social Care, except for funding.", "The IRB explicitly states in their public leaflet that they are not part of the Government or the Isle of Man NHS.", "The response provided a guide based on the NHS complaints procedure introduced in England on 1 April 2009.", "The outcome was classified as 'Some information sent but not all held'." ], "data_mentioned": [ "15th December 2020", "9th December 2020", "1 April 2009", "NHS Regulations 2004", "Freedom of Information Act 2000", "16 years old", "three working days", "one working day", "48 pages", "4 documents" ], "exemptions_cited": [], "tables": [ { "headers": [ "Staff area", "Numbers\nattending\n9/12/20", "Staff area", "Numbers\nattending\n9/12/20" ], "rows": [ [ "Ambulance Service", "3", "Nurses/Midwives", "26" ], [ "Health Care\nAssistants", "4", "Matrons", "2" ], [ "Consultants", "13", "Doctors", "14" ], [ "Clinical\nDirectors/Deputy\nClinical Directors", "2", "Other Clinicians", "3" ] ], "row_count": 4, "col_count": 4 } ] }, { "case_id": 1612510, "title": "Request for copies of the ACMD Annual Reports", "authority": "Cabinet Office", "date_received": "2020-12-23", "outcome": "Some information sent but part exempt", "summary": "The requester asked for ACMD annual reports from 2013 to 2020, but the Cabinet Office disclosed only the 2013 report as it is publicly available and confirmed that no separate reports were produced for subsequent years due to changes in the council's remit.", "key_facts": [ "The last ACMD annual report was published in 2013.", "No separate ACMD reports were produced between 2014 and 2020.", "ACMD activities are now largely integrated into the Substance Misuse Strategy Steering Group.", "A new report covering responses on industrial hemp and medicinal cannabis was scheduled for publication in 2021.", "The 2013 report recommended not renewing the banning order on MDAI, which was later made illegal under the Psychoactive Substances Act 2016." ], "data_mentioned": [ "2013", "2014", "2015", "2016", "2017", "2018", "2019", "2020", "2021", "2013-GD-0031.pdf", "Misuse of Drugs Act 1976", "Psychoactive Substances Act 2016", "Freedom of Information Act 2015", "Section 20", "1612510" ], "exemptions_cited": [ "Section 20 of the Freedom of Information Act 2015 (information already reasonably accessible)" ], "tables": [ { "headers": [ "also members of the Substance Misuse Strategy Steering Group and are able to" ], "rows": [ [ "provide professional expertise and observation directly into the strategy process." ], [ "ACMD is convened as required to provide advice to government on specific drug" ], [ "related issues, for example, medicinal cannabis and industrial hemp." ], [ "The last report published by ACMD was for 2013. This consists of a summary of" ], [ "substance misuse strategy workstreams, a reference to the British Irish Council" ], [ "substance misuse workstream and a recommendation that the banning order on MDAI" ], [ "(a novel psychoactive substance then legal in the UK) should not be renewed. No" ], [ "rationale for this recommendation was provided. The first two items listed now come" ], [ "within the remit of the Substance Misuse Strategy Steering Group and do not require a" ], [ "summary in an ACMD report (since ACMD are not responsible for them). Despite" ], [ "ACMD’s recommendation, the banning orders for MDAI continued to be renewed until" ], [ "it, along with other novel psychoactive substances, became illegal under the" ], [ "Psychoactive Substances Act 2016." ], [ "In view of the fact that ACMD does not deliver work programmes and its input is now" ], [ "largely through the Substance Misuse Strategy structures and processes, a separate" ], [ "report has not been provided in recent years. A report will be published in 2021 to" ], [ "provide copies of the responses submitted by ACMD to the consultations on industrial" ], [ "hemp and medicinal cannabis, noted above." ] ], "row_count": 18, "col_count": 1 } ] }, { "case_id": 1613609, "title": "Key Worker Pathways", "authority": "Cabinet Office", "date_received": "2020-12-23", "outcome": "Not upheld", "summary": "The applicant requested all versions of Key Worker pathways, supporting policy documents, and evidence regarding their creation and approval since the March 2020 border closure. The Cabinet Office provided an application form but refused to supply previous pathway versions, citing that they are already publicly available via Emergency Regulations.", "key_facts": [ "The request was received on 2020-12-23 and updated on 1 March 2021.", "The Cabinet Office provided a copy of the application form for key workers.", "Previous versions of Key Worker pathways were withheld as they are published in Emergency Regulations.", "The authority cited section 20(2)(b) of the Act to refuse providing information already accessible online.", "The case outcome was 'Not upheld' as of 2021-04-01." ], "data_mentioned": [ "2020-12-23", "1 March 2021", "2021-04-01", "27 March 2020", "s20(2)(b)", "8 pages", "2 documents" ], "exemptions_cited": [ "s20(2)(b) of the Act (Information accessible to the applicant by other means)" ], "tables": [ { "headers": [ "This point of your request has not been significantly narrowed. In order to gather any" ], "rows": [ [ "information on the basis of your request for this point, without narrowing the scope" ], [ "there will be an extremely large number of documents that would require a significant" ], [ "number of hours for the team to review and redact certain information. As such the" ], [ "Cabinet Office will not be able to provide this information as a practical refusal reason" ], [ "applies in line with s11.3(d) of the Freedom of Information Act 2015." ], [ "s11.3(d) - the request for information is vexatious, malicious, frivolous, misconceived" ], [ "or lacking in substance;" ], [ "Section 2.4(b) in the Code of Practice provides indicators of when a request may be" ], [ "considered to be vexatious due to the burden on an authority, i.e. the effort required" ], [ "to meet the request being be disproportionate in terms of the strain on time and" ], [ "resources; and that an Authority cannot reasonably be expected to comply, no matter" ], [ "how legitimate the subject matter or valid the in intentions of the applicant." ], [ "If you think the scope of your request can be narrowed on this point then we would be" ], [ "pleased to consider a narrowed request." ] ], "row_count": 14, "col_count": 1 }, { "headers": [ "", "APPLICANT(S) Group or individual travelling to the Isle of Man", "", "", "" ], "rows": [ [ "", "Single or Group Application", "", "", "" ], [ "Full Name of Lead Applicant", "Full Name of Lead Applicant", "", "Name:\nMobile Number / Contact Number:\nEmail Address:", "" ], [ "Full name/s of all Other applicant(s)\nContact details for each applicant\n(a phone number must be provided for\neach applicant to enable the Travel\nNotification Team to contact the individual\nwhile on island)", "", "", "Name:\nMobile Number:\nEmail:\nName:\nMobile Number:\nEmail:\nName:\nMobile Number:\nEmail:", "" ], [ "", "Company Name (Who applicant/s work", "", "", "" ], [ "", "for)", "", "", "" ], [ "", "Date of arrival on island", "", "", "" ], [ "", "Date of departure from island", "", "", "" ], [ "Address where you intend to stay\nwhilst working on the Isle of Man:", "Address where you intend to stay", "", "", "" ], [ "", "whilst working on the Isle of Man:", "", "", "" ], [ "", "Place(s) you intend to work at:", "", "", "" ], [ "", "(if more than one location please provide", "", "", "" ], [ "", "details for each, use separate sheet if", "", "", "" ], [ "", "necessary)", "", "", "" ], [ "Manx Sponsor Company Name", "Manx Sponsor Company Name", "", "", "" ], [ "Sponsor Company Contact\n(if possible provide mobile phone number\nas applicants may need to contact them\nout of hours)", "", "", "Name:", "" ], [ "", "", "", "Mobile Number / Contact Number:", "" ], [ "", "", "", "Email Address:", "" ], [ "", "What is the nature of your", "", "", "" ], [ "", "employment:", "", "", "" ], [ "", "(e.g. engineer, training specialist)", "", "", "" ], [ "Details of work to be carried out", "Details of work to be carried out", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 30, "col_count": 5 }, { "headers": [ "Full name/s of all Other applicant(s)" ], "rows": [ [ "" ], [ "Contact details for each applicant" ], [ "(a phone number must be provided for" ], [ "each applicant to enable the Travel" ], [ "Notification Team to contact the individual" ], [ "while on island)" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "Sponsor Company Contact" ], "rows": [ [ "(if possible provide mobile phone number" ], [ "as applicants may need to contact them" ], [ "out of hours)" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "", "State why is it essential for the work", "", "" ], "rows": [ [ "", "to take place at this time.", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "Describe the impact in the event of", "", "" ], [ "", "the work not being done.", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "Explain why the work cannot be done", "", "" ], [ "", "by on-island person/company.", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "Explain the consequences of this", "", "" ], [ "", "request being declined.", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "Any other information in support of", "", "" ], [ "", "your application.", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "Intended level of contact with", "", "Please submit a separate risk assessment clearly stating\nthe actions that will be taken to mitigate the risk of\ntransmission of Covid-19 to support this application." ], [ "", "persons already on Isle of Man:", "", "" ], [ "", "", "", "" ] ], "row_count": 27, "col_count": 4 }, { "headers": [ "", "Under which exemption is the application made?", "", "" ], "rows": [ [ "", "A Category A person may be exempted from the prohibition of entry to the Isle of Man under the Public", "", "" ], [ "", "Health Protection (Coronavirus) Regulations 2020. Please indicate which type of Category A person the", "", "" ], [ "", "applicant is from the following options (please tick the appropriate type):", "", "" ], [ "3A non-resident key workers", "", "", "" ], [ "(1) (a) the non-resident is a member of the merchant navy (DOI)", "", "", "" ], [ "(1) (b) the non-resident is a person who is vital to critical national infrastructure of the\nIsland and who enters the Island to provide services for that infrastructure (DOI)", "", "", "" ], [ "(1) (c) the non-resident is a supplier of goods or services that are essential for the Island’s\nhealth infrastructure or for the health or care of the community (DHSC)", "", "", "" ], [ "(1) (d) the non-resident is a member of the armed forces who enters the Island for the\nprotection of life or property (DHA)", "", "", "" ], [ "(1) (e) the non-resident is a police officer or a fire officer employed by that Department\n(DHA)", "", "", "" ], [ "(1) (f) the non-resident is a person to whom an offer of employment as a police officer or a\nfire officer in that Department has been made by it (DHA)", "", "", "" ], [ "(1) (g) the non-resident is a member of the Island’s judiciary appointed under section 3 or\n3B of the High Court Act 1991 and who the Chief Registrar is satisfied enters the Island for\na judicial purpose (Chief Registrar)", "", "", "" ] ], "row_count": 11, "col_count": 4 }, { "headers": [ "(1) (h) the non-resident is the holder of a temporary advocate’s licence issued by the First\nDeemster under section 15 of the Advocates Act 1995 and who the Chief Registrar is\nsatisfied enters the Island to participate in proceedings before any court, tribunal or other\nperson exercising a judicial function under a Manx enactment (Chief Registrar)", "" ], "rows": [ [ "(1) (i) the non-resident is a person who the Chief Registrar is satisfied enters the Island to\nparticipate in proceedings before any court, tribunal or other person exercising a judicial\nfunction under a Manx enactment, whether as a witness or a party to the proceedings\n(Chief Registrar)", "" ], [ "(1) (j) the non-resident is a person who the Chief Registrar is satisfied enters the Island as\na chaperone to a person referred to in paragraph (i) (Chief Registrar)", "" ], [ "(1) (k) the non-resident is a person whose presence in the Island is in the interests of the\neconomy of the Island (DFE)", "" ], [ "(1) (l) the non-resident is a person whose presence in the Island is necessary for\ncompliance with international obligations that apply to the Island or for the provision of\ndiplomatic, consular or related services (CS)", "" ], [ "(1) (m) the Chief Secretary is satisfied, following consultation with the Department of\nHealth and Social Care or the Director of Public Health that the failure to exempt a non-\nresident from the prohibition in regulation 11 poses a greater risk to public safety and the\nlife of the community than the risk of exempting that person (DHSC)", "" ], [ "(1) (n) the non-resident is a person whose presence in the Island is in the public interest\nas specified in guidance published by the Chief Secretary (CS)", "" ], [ "8A. Emergency services - A person who is employed or engaged in the provision of\nemergency services and who enters the Island to perform those services is a Category A\nperson. “Emergency services” means — (a) emergency search and rescue services; (b) air\nambulance services; and (c) services as an air accident inspector with the United Kingdom\nAir Accidents Investigation Branch. (CS)", "" ], [ "11A. Planning appeal inquiries - the individual is — (a) a planning inspector, as defined\nin the Town and Country Planning (Development Procedure) Order 2019; or (b) an expert\nor professional with appropriate and essential expertise, whose attendance at a planning\nappeal inquiry is necessary. (CS)", "" ], [ "12A. Removal and transportation services - A person who provides removal or\ntransportation of furniture, personal effects and personal property services into, and out of,\nthe Island. (CS)", "" ] ], "row_count": 9, "col_count": 2 }, { "headers": [ "", "Are self-isolation modifications being sought?", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "" ], [ "", "No", "", "", "Please note if you select this option the individuals will be required to self-isolate for\nthe full self-isolation period before attending work.", "" ], [ "", "", "", "", "", "" ], [ "Yes", "Yes", "", "", "Please specify the modified conditions you are requesting (testing pathway).", "" ], [ "Please note that any request for modification to self-isolation needs to be approved by the\nDHSC and is not guaranteed. Conditions approved will be clearly stated on the certificate.", "", "", "", "", "" ], [ "The Cabinet Office is the data controller and will retain your information with your consent required if\nyou wish to seek an exemption from self-isolation upon return to the Isle of Man. Our Privacy Statement\ncan be found here: www.gov.im/about-the-government/departments/cabinet-office/privacy-notice/ or\nclick on this [link] and has been updated to set out the purposes for collection of your data.", "", "", "", "", "" ] ], "row_count": 6, "col_count": 6 }, { "headers": [ "", "Consultation with the relevant sponsoring Government Department", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "", "", "" ], [ "Decision:", "Decision:", "Supported", "", "", "Not", "", "", "" ], [ "", "", "", "", "", "Supported", "", "", "" ], [ "Chief Executive:", "", "", "", "", "", "", "", "" ], [ "Department:", "", "", "", "", "", "", "", "" ], [ "Date:", "", "", "", "", "", "", "", "" ] ], "row_count": 6, "col_count": 9 }, { "headers": [ "", "Self-isolation modifications", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "" ], [ "Decision:", "Decision:", "Supported", "", "Not Supported", "", "" ], [ "Validating Chief Executive:", "", "", "", "", "", "" ], [ "Department:", "", "", "", "", "", "" ], [ "Date:", "", "", "", "", "", "" ], [ "Comments from DHSC (approved testing pathway)", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 7, "col_count": 7 }, { "headers": [ "", "Chief Secretary Decision", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "" ], [ "Decision:", "Decision:", "Certified", "", "Not Certified", "", "" ], [ "Certifier:", "", "", "", "", "", "" ], [ "Date:", "", "", "", "", "", "" ], [ "The Cabinet Office is the data controller and will retain your information with your consent required if\nyou wish to seek an exemption from self-isolation upon return to the Isle of Man. Our Privacy Statement\ncan be found here: www.gov.im/about-the-government/departments/cabinet-office/privacy-notice/ or\nclick on this [link] and has been updated to set out the purposes for collection of your data.", "", "", "", "", "", "" ] ], "row_count": 5, "col_count": 7 } ] }, { "case_id": 1613809, "title": "Keyworker pathways", "authority": "Department of Health and Social Care", "date_received": "2020-12-23", "outcome": "Information not held", "summary": "The requester asked for all documents, versions, and approval processes regarding Keyworker pathways for border exemptions during the pandemic. The Department of Health and Social Care responded that they do not hold the requested information, citing a practical refusal, but noted that the Cabinet Office likely holds the data and provided a specific risk mitigation pathway for health and social care workers.", "key_facts": [ "The Department of Health and Social Care does not hold the requested information on Keyworker pathways.", "The request was refused under Section 11(3)a of the Act as a practical refusal reason.", "The Cabinet Office is identified as the authority that administers the Public Health Protection (Coronavirus) Regulations 2020 and likely holds the information.", "The Department provided a specific Risk Mitigation Pathway for health and social care essential workers who cannot self-isolate.", "The requester was advised to re-submit the request to Public Health within the Cabinet Office." ], "data_mentioned": [ "2020-12-23", "2021-01-22", "1613809", "Section 11(3)a", "14 days", "Public Health Protection (Coronavirus) Regulations 2020" ], "exemptions_cited": [ "Section 11(3)a of the Act (Information not held)" ], "tables": [ { "headers": [ "Condition / Test Result", "Pathway", "Requirements / Actions", "Outcome" ], "rows": [ [ "PCR Test on arrival: Negative", "Pathway 1", "Healthcare and other Essential Workers", "Allowed to work with appropriate PPE" ], [ "PCR Test on arrival: Positive", "N/A", "Self-isolate for 14 days", "N/A" ], [ "Day Visitors here for <24hrs", "Pathway 3(A)", "Rapid Test", "N/A" ], [ "Needs to be in service immediately and staying >24hrs", "Pathway 2", "Exit PCR test on Day 13", "If negative (well/asymptomatic): Allowed to work" ], [ "No need to be in service immediately", "N/A", "Self-isolation for 8 days; Repeat PCR test @ 7th day", "N/A" ], [ "Additional Requirements for ALL Pathways (1, 2, or 3A): - Type IIR Mask - Hand Hygiene - Respiratory Etiquette - Social distancing when working", "", "", "" ] ], "row_count": 6, "col_count": 4 } ] }, { "case_id": 1623997, "title": "Tele-psychiatry and Longitudinal Data", "authority": "Department of Health and Social Care", "date_received": "2021-01-08", "outcome": "Some information sent but not all held", "summary": "A request was made for longitudinal data on the uptake and efficacy of Kooth and Quell tele-psychiatry services during the pandemic, but the authority only provided general mental health referral statistics for 2020 as specific service data was not held.", "key_facts": [ "The request was made on 2021-01-08 for data on Kooth and Quell services.", "The Department of Health and Social Care responded on 2021-02-15 stating some information was sent but not all was held.", "The response provided referral data for the period 01/01/2020 to 31/12/2020 instead of specific tele-psychiatry metrics.", "Total mental health referrals for 2020 were 7,295 across various teams including ACUTE, CAMHS, and CMHSA.", "Demographic breakdowns for age, gender, and ethnicity were provided for the 2020 referral data." ], "data_mentioned": [ "7295", "2275", "591", "1900", "1132", "336", "1061", "3816", "3463", "16", "01/01/2020", "31/12/2020", "2021-01-08", "2021-02-15", "1623997" ], "exemptions_cited": [], "tables": [ { "headers": [ "MHS Team", "Number of Referrals" ], "rows": [ [ "ACUTE", "2275" ], [ "CAMHS", "591" ], [ "CMHSA", "1900" ], [ "CWS", "1132" ], [ "DAT", "336" ], [ "OPMHS", "1061" ], [ "Grand Total", "7295" ] ], "row_count": 7, "col_count": 2 }, { "headers": [ "Age", "Number of Referrals" ], "rows": [ [ "17 & Under", "698" ], [ "18-25", "1361" ], [ "26-35", "1356" ], [ "36-45", "1148" ], [ "46-55", "850" ], [ "56-65", "662" ], [ "66-75", "385" ], [ "76-85", "507" ], [ "86-95", "311" ], [ "96+", "17" ], [ "Grand Total", "7295" ] ], "row_count": 11, "col_count": 2 }, { "headers": [ "Gender", "Number of Referrals" ], "rows": [ [ "Female", "3816" ], [ "Male", "3463" ], [ "X", "16" ], [ "Grand Total", "7295" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Ethnic Origin", "Number of Referrals" ], "rows": [ [ "Any Other Group", "13" ], [ "Asian or Asian British - Any other background", "2" ], [ "Asian or Asian British - British", "1" ], [ "Asian or Asian British - Indian", "4" ], [ "Asian or Asian British - Pakistani", "2" ], [ "Black or Black British - Caribbean", "1" ], [ "Mixed - Any other mixed background", "8" ], [ "Mixed - Asian and Chinese", "1" ], [ "Mixed - Manx", "7" ], [ "Mixed - Other/Unspecified", "6" ], [ "Mixed - White & Asian", "8" ], [ "Mixed - White & Black Caribbean", "1" ], [ "Not Known by Referrer", "250" ], [ "Not Stated (Client Refused)", "61" ], [ "Not Stated (Not Requested)", "2776" ], [ "Other Ethnic Groups - Any Other Group", "3" ], [ "Other Ethnic Groups - Chinese", "4" ], [ "Other Ethnic Groups - Filipino", "10" ], [ "White - All Republics of former USSR", "1" ], [ "White - Any other background", "24" ], [ "White - British", "1127" ], [ "White - Cornish", "1" ], [ "White - Cypriot (part not stated)", "3" ], [ "White - English", "500" ], [ "White - Irish", "45" ], [ "White - Italian", "10" ], [ "White - Manx", "1415" ], [ "White - Mixed White", "8" ], [ "White - Northern Irish", "12" ], [ "White - Other European", "53" ], [ "White - Other/Unspecified", "857" ], [ "White - Polish", "2" ], [ "White - Scottish", "56" ], [ "White - Turkish Cypriot", "1" ], [ "White - Welsh", "22" ], [ "Grand Total", "7295" ] ], "row_count": 36, "col_count": 2 }, { "headers": [ "Referral Reasons", "Number of Referrals" ], "rows": [ [ "Adult Protection", "2" ], [ "Advice/Information", "108" ], [ "Agoraphobia", "3" ], [ "Anxiety", "286" ], [ "Appropriate Adult", "2" ], [ "Assessment", "592" ], [ "Assessment & Treatment of Drug & Alcohol Problems", "290" ], [ "Assessment (H4L)", "136" ], [ "At Risk/Concern – Child", "1" ], [ "At Risk/Concern – Drug/Alcohol", "1" ], [ "Crisis Intervention Assessment", "189" ], [ "Depression", "380" ], [ "Drug Testing", "1" ], [ "Eating Disorder", "2" ], [ "Family Problems", "2" ], [ "Home Treatment Assessment", "11" ], [ "Housing/Homeless Problems", "1" ], [ "Information Received", "38" ], [ "Learning Disabilities", "2" ], [ "MARM Meeting Request", "10" ], [ "Mental Health", "4373" ], [ "Mental Health Act", "7" ], [ "Mental Health Act Assessment", "3" ], [ "Missing Person", "3" ], [ "OCD", "14" ], [ "Other", "89" ], [ "Panic Disorder", "14" ], [ "Perinatal", "6" ], [ "Personality Disorder", "1" ], [ "Physical Illness/Disability", "1" ], [ "Prolonged Grief", "1" ], [ "PTSD", "12" ], [ "Request for Information", "3" ], [ "Section 132 Assessment", "8" ], [ "Social Phobia", "1" ], [ "Stress", "17" ], [ "Therapeutic Approach", "38" ], [ "Trauma", "36" ], [ "No referral reason specified", "611" ], [ "Grand Total", "7295" ] ], "row_count": 40, "col_count": 2 } ] }, { "case_id": 1624102, "title": "Flu vaccine 5 year uptake.", "authority": "Cabinet Office", "date_received": "2021-01-11", "outcome": "Some information sent but not all held", "summary": "The request sought five years of flu vaccine uptake data for the Isle of Man, but the Cabinet Office only provided statistics for the 2019/2020 season, noting that not all requested information was held. The response includes detailed breakdowns by age group, risk category, and medical practice for October, November, and December 2019.", "key_facts": [ "The authority stated that some information was sent but not all was held, limiting the data to the 2019/2020 flu season.", "Overall flu vaccine uptake for the 65+ age group in the Isle of Man reached 51.2% by the end of December 2019.", "Uptake for at-risk groups aged 18-64 was 60.1%, while uptake for at-risk children under 18 was significantly lower at 18.4%.", "Pregnant women had a vaccination uptake rate of 45.5% by the end of December 2019.", "Data was provided for 12 specific medical centres across the Isle of Man, showing varying uptake rates between practices." ], "data_mentioned": [ "51.2%", "40.9%", "60.1%", "18.4%", "45.5%", "2019/2020", "October 2019", "November 2019", "December 2019", "18875", "8963", "22195", "8306", "70.2%", "40.1%" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "", "", "", "", "", "", "", "", 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dated 3 December 2020 regarding border frameworks and testing.", "The paper sought approval to move to '3A of Borders Framework' and reinstate the Guernsey Airbridge.", "Risk assessments were conducted based on UK prevalence rates, factoring in a 4-fold under-reporting estimate.", "Calculations estimated that 16.5 to 28.4 infected travellers might enter the Island per month depending on regional prevalence.", "The response noted that the decision to relax restrictions depends on the government's risk appetite amidst winter healthcare challenges." ], "data_mentioned": [ "165 per 100,000", "600-700 people entering per week", "16.5 infected travellers per month", "0.15 infected travellers released after 14 days isolation", "0.33 infected travellers released after 10 days isolation", "216 per 100,000", "147 per 100,000", "246 per 100,000", "250 per 100,000", "1000 per 100,000", "28.4 infected travellers per month", "0.28 infected travellers released after 14 days isolation", "0.57 infected travellers released after 10 days isolation", "3 December 2020", "1 January 2021", "14 December 2020" ], "exemptions_cited": [], "tables": [ { "headers": [ "Department/Board/Office", "Cabinet Office" ], "rows": [ [ "Chief Officers", "Will Greenhow" ], [ "Responsible Officers", "Henrietta Ewart, Kathryn Magson, Ste Stanley" ], [ "Cut ups to be sent to", "Henrietta Ewart, Kathryn Magson, Ste Stanley" ], [ "Date of Council Meeting", "3 December 2020" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "", "Internal", "", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "", "No", "", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "Not applicable", "", "", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Not applicable", "", "", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "", "Yes", "", "", "" ], [ "If yes, which other Departments are involved?", "DHSC", "", "", "", "", "", "" ], [ "What is the intention of this paper?", "Seek Approval", "", "", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "No", "", "", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "Choose an item.", "", "", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Not applicable", "", "", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "Not applicable", "", "", "", "", "" ], [ "Purpose of the Paper:\n1. To provide an update on the current IOM and UK COVID-19 situation;\n2. To seek Council’s direction on whether Council to move to 3A of the Borders\nFramework ahead of Christmas;\n3. To provide a proposed implementation plan for a move to provide a Day 1 and Day 10\ntesting pathway for entrants to the Island and their households;\n4. To seek Council’s approval on whether it wishes to reinstate the Guernsey Air-bridge\nand if so from what date.", "", "", "", "", "", "", "" ] ], "row_count": 11, "col_count": 8 }, { "headers": [ "Department", "Cabinet Office" ], "rows": [ [ "Chief Officer", "Will Greenhow" ], [ "Responsible Departmental\nOfficer", "Steven Stanley" ], [ "Cut ups to be sent to", "Henrietta Ewart, Kathryn Magson, Kevin Willson,\nMark Lewin" ], [ "Date of Council Meeting", "21st December 2020 – Urgent Meeting 4pm-5pm" ], [ "Title", "COVID19 Borders Review" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "", "Has appropriate internal and/or public consultation taken place?", "", "", "", "Internal", "", "", "", "" ], "rows": [ [ "", "Are there any resource/personnel implications?", "", "", "", "", "Yes", "", "", "" ], [ "", "Has Treasury concurrence been obtained where necessary?", "", "", "Not applicable", "", "", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "", "", "Yes", "", "", "", "", "", "" ], [ "", "Are there any inter-Departmental implications?", "", "", "", "", "Yes", "", "", "" ], [ "If yes, which other Departments are involved?", "", "", "DHSC, Cabo, DHA", "", "", "", "", "", "" ], [ "What is the intention of this paper?", "", "", "Seek Direction", "", "", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "", "", "Yes", "", "", "", "", "", "" ], [ "", "Does this initiative/announcement have a communications plan?", "", "", "", "", "Yes", "", "", "" ], [ "Purpose of the Paper:\nTo update Council on the emerging situation in the UK and consider a review of the\ncurrent Borders position and mitigations to protect the Island.", "", "", "", "", "", "", "", "", "" ] ], "row_count": 9, "col_count": 10 }, { "headers": [ "Department", "Cabinet Office" ], "rows": [ [ "Chief Officer", "Will Greenhow" ], [ "Responsible Departmental\nOfficer", "Ste Stanley" ], [ "Cut ups to be sent to", "Henrietta Ewart, Kathryn Magson, Kevin Willson," ], [ "Date of Council Meeting", "4 January 2020" ], [ "Title", "Review of Border Measures introduced in response to new\nvariant" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "", "Internal", "", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "", "Yes", "", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "Not applicable", "", "", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Yes", "", "", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "", "Yes", "", "", "" ], [ "If yes, which other Departments are involved?", "DHSC, Cabo, DHA", "", "", "", "", "", "" ], [ "What is the intention of this paper?", "Seek Direction", "", "", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Yes", "", "", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "", "", "Yes", "", "", "" ], [ "Purpose of the Paper:\nTo update Council on the current situation in the UK and consider a review of the Border\nmeasures and mitigations to protect the Island introduced 23 December 2020", "", "", "", "", "", "", "" ] ], "row_count": 9, "col_count": 8 }, { "headers": [ "Department/Board/Office", "Cabinet Office" ], "rows": [ [ "Chief Officer", "Will Greenhow" ], [ "Responsible Officer", "Will Greenhow" ], [ "Cut ups to be sent to", "Ste Stanley, Jo Taylor" ], [ "Date of Council Meeting", "7th January 2021 – by email out of committee" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "Not applicable", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "No", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "Not applicable", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Not applicable", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "Yes", "", "" ], [ "If yes, which other Departments are involved?", "All", "", "", "", "" ], [ "What is the intention of this paper?", "Seek Approval", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "No", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "No", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Yes", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "", "Yes", "", "" ], [ "Purpose of the Paper:\nTo seek approval from Council of Ministers to suspend arrivals temporarily of individuals in\npossession of pre-approved certificates for compassionate and contractual entry.", "", "", "", "", "" ] ], "row_count": 11, "col_count": 6 }, { "headers": [ "Department", "Cabinet Office" ], "rows": [ [ "Chief Officer", "Will Greenhow" ], [ "Responsible Departmental\nOfficer", "Will Greenhow" ], [ "Cut ups to be sent to", "Kayleigh Parkinson" ], [ "Date of Council Meeting", "6th January 2021 – by email out of committee" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "Not applicable", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "", "No", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "Not applicable", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Not applicable", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "Yes", "", "" ], [ "If yes, which other Departments are involved?", "All", "", "", "", "" ], [ "What is the intention of this paper?", "Seek Direction", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Yes", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "", "Yes", "", "" ], [ "Purpose of the Paper:\nTo seek direction from the Council of Ministers on matters that have been raised\nand require direction and clarification.", "", "", "", "", "" ] ], "row_count": 9, "col_count": 6 }, { "headers": [ "", "", "", "", "", "• Dog Walking businesses to", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "remain open, for essential workers", "", "", "", "" ], [ "", "", "", "", "", "and those that are", "", "", "", "" ], [ "", "", "", "", "", "disabled/vulnerable or isolating", "", "", "", "" ], [ "", "", "", "", "", "• Trades – including Kitchen/", "", "", "", "" ], [ "", "", "", "", "", "Bathroom fitters / appliance", "", "", "", "" ], [ "", "", "", "", "", "providers closed other than essential", "", "", "", "" ], [ "", "", "", "", "", "repairs – this will include making", "", "", "", "" ], [ "", "", "", "", "", "property safe / ensuring water and", "", "", "", "" ], [ "", "", "", "", "", "cooking and washing facilities are", "", "", "", "" ], [ "", "", "", "", "", "available, and building is safe and", "", "", "", "" ], [ "", "", "", "", "", "weatherproof;", "", "", "", "" ], [ "", "", "", "", "", "• Conveyancing – to remain", "", "", "", "" ], [ "", "", "", "", "", "open and operative , working from", "", "", "", "" ], [ "", "", "", "", "", "home where possible but in line with", "", "", "", "" ], [ "", "", "", "", "", "general services and financial", "", "", "", "" ], [ "", "", "", "", "", "services, allows for essential services", "", "", "", "" ], [ "", "", "", "", "", "to be undertaken face to face with", "", "", "", "" ], [ "", "", "", "", "", "appropriate mitigations;", "", "", "", "" ], [ "", "", "", "", "", "• House Removals – to remain", "", "", "", "" ], [ "", "", "", "", "", "open, with a request to defer where", "", "", "", "" ], [ "", "", "", "", "", "possible and only complete where", "", "", "", "" ], [ "", "", "", "", "", "contractually obliged to do so;", "", "", "", "" ], [ "", "", "", "", "", "• House viewings - to cease,", "", "", "", "" ], [ "", "", "", "", "", "even by Estate Agencies, and be", "", "", "", "" ], [ "", "", "", "", "", "reviewed in 21 days;", "", "", "", "" ], [ "", "", "", "", "", "• Vehicle sharing – e.g. Driving", "", "", "", "" ], [ "", "", "", "", "", "Instructors and Car Sharing – to", "", "", "", "" ], [ "", "", "", "", "", "cease, in line with restrictions on", "", "", "", "" ], [ "", "", "", "", "", "household mixing, unless required", "", "", "", "" ], [ "", "", "", "", "", "for essential services (e.g.", "", "", "", "" ], [ "", "", "", "", "", "emergency services, critical", "", "", "", "" ], [ "", "", "", "", "", "infrastructure, waste management)", "", "", "", "" ] ], "row_count": 32, "col_count": 10 }, { "headers": [ "critical services, such as Hospitals, Energy" ], "rows": [ [ "From Waste plant, Utilities." ], [ "Council noted that the manufacturing sector" ], [ "had remained operational during the earlier" ], [ "response in 2020, and agreed that it will" ], [ "remain open, with social distancing" ], [ "measures and hygiene protocols." ], [ "Council agreed that waste management –" ], [ "such as bring-banks and civic amenity sites" ], [ "would remain open." ], [ "" ], [ "Non-Essential Shops Closure" ], [ "Council required that a definition be" ], [ "provided in relation to essential retail, which" ], [ "would include builders’ merchants (for" ], [ "emergency supplies), agricultural supplies" ], [ "(including pet food), hardware stores and" ], [ "garden centres which could remain open." ], [ "" ], [ "Indoor Leisure Facilities" ], [ "Council discussed indoor leisure facilities," ], [ "such as swimming pools, sports halls, gyms" ], [ "and other clubs and groups meetings, and" ], [ "agreed that all would be closed. 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[ "", "", "", "", "", "Care favoured the introduction of a mid-", "", "" ], [ "", "", "", "", "", "point test for the traveller within the same", "", "" ], [ "", "", "", "", "", "charging structure – i.e. £50 for three tests", "", "" ], [ "", "", "", "", "", "– Day 1, Day 7 and Day 13.", "", "" ], [ "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "The Chief Officer, Department of Health and", "", "" ], [ "", "", "", "", "", "Social Care advised that significant changes", "", "" ], [ "", "", "", "", "", "implemented on 00:01 23 December 2020", "", "" ], [ "", "", "", "", "", "had strengthened border entry criteria,", "", "" ], [ "", "", "", "", "", "alongside clinically driven testing regimes", "", "" ], [ "", "", "", "", "", "and strong contact tracing, and that Level", "", "" ] ], "row_count": 32, "col_count": 8 }, { "headers": [ "", "", "", "", "", "5A or 5B would impact staffing resources", "", "" ], "rows": [ [ "", "", "", "", "", "across health and care services and critical", "", "" ], [ "", "", "", "", "", "national infrastructure.", "", "" ], [ "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Council noted that the current suspension of", "", "" ], [ "", "", "", "", "", "daily outdoor exercise during quarantine", "", "" ], [ "", "", "", "", "", "was supported by the Clinical Advisory", "", "" ], [ "", "", "", "", "", "Group and Public Health.", "", "" ], [ "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "Council noted that the public ought to be", "", "" ], [ "", "", "", "", "", "urged to stick to the Direction Notices", "", "" ], [ "", "", "", "", "", "issued, to be mindful that the pandemic", "", "" ], [ "", "", "", "", "", "continued across all neighbouring", "", "" ], [ "", "", "", "", "", "jurisdictions, and that the key aims of the", "", "" ], [ "", "", "", "", "", "Local Community Elimination Strategy were:", "", "" ], [ "", "", "", "", "", "Protection of life, Maintain critical national", "", "" ], [ "", "", "", "", "", "infrastructure, Maintain public safety,", "", "" ], [ "", "", "", "", "", "confidence and welfare and Support a", "", "" ], [ "", "", "", "", "", "controlled return to normality, balancing", "", "" ], [ "", "", "", "", "", "social, economic and health impacts.", "", "" ], [ "", "", "", "", "", "", "", "" ], [ "UK situation\nIOM situation\nTravellers\nManx residents\nQuarantine/isolation", "21 Dec", "1235/2020", "None", "", "COVID-19 (Coronavirus) Verbal", "", "" ], [ "", "", "", "", "", "Update", "", "" ], [ "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "The Director of Public Health provided an", "", "" ], [ "", "", "", "", "", "update which covered the following points:", "", "" ], [ "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "• The situation in the UK showed an", "", "" ], [ "", "", "", "", "", "increasing rise in positive cases;", "", "" ], [ "", "", "", "", "", "• Focus on the London area and the", "", "" ], [ "", "", "", "", "", "South East of England as the areas where a", "", "" ], [ "", "", "", "", "", "UK variant of the virus was the dominant", "", "" ], [ "", "", "", "", "", "strain;", "", "" ] ], "row_count": 32, "col_count": 8 }, { "headers": [ "UK situation" ], "rows": [ [ "IOM situation" ], [ "Travellers" ], [ "Manx residents" ], [ "Quarantine/isolation" ], [ "" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "", "", "", "", "", "• The new variant has been shown to", "", "" ], "rows": [ [ "", "", "", "", "", "be more transmissible;", "", "" ], [ "", "", "", "", "", "• There was evidence that the new", "", "" ], [ "", "", "", "", "", "variant was also present in positive cases", "", "" ], [ "", "", "", "", "", "across Europe;", "", "" ], [ "", "", "", "", "", "• It should be noted that viruses", "", "" ], [ "", "", "", "", "", "mutate and that the coronavirus that caused", "", "" ], [ "", "", "", "", "", "COVID-19 was new and would mutate as", "", "" ], [ "", "", "", "", "", "part of the normal evolution – there have", "", "" ], [ "", "", "", "", "", "been at least 14 mutations since the virus", "", "" ], [ "", "", "", "", "", "was first detected in December 2019;", "", "" ], [ "", "", "", "", "", "• A variant was emerging in South", "", "" ], [ "", "", "", "", "", "Africa with similar mutations to the protein", "", "" ], [ "", "", "", "", "", "spike;", "", "" ], [ "", "", "", "", "", "• The response of various European", "", "" ], [ "", "", "", "", "", "countries was unclear and disproportionate", "", "" ], [ "", "", "", "", "", "• There was no evidence that the", "", "" ], [ "", "", "", "", "", "vaccine efficiency has been altered in", "", "" ], [ "", "", "", "", "", "relation to the mutations;", "", "" ], [ "", "", "", "", "", "• The UK have modified the Tiered", "", "" ], [ "", "", "", "", "", "measures to provide a further tier with", "", "" ], [ "", "", "", "", "", "stricter restrictions.", "", "" ], [ "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "The Chief Officer, DHSC advised that in", "", "" ], [ "", "", "", "", "", "relation to the Channel Islands, specifically", "", "" ], [ "", "", "", "", "", "Guernsey, had increased community spread", "", "" ], [ "", "", "", "", "", "and that the local Government had", "", "" ], [ "", "", "", "", "", "implemented an entry and self-", "", "" ], [ "", "", "", "", "", "isolation/quarantine exit testing regime for", "", "" ], [ "", "", "", "", "", "travellers and their households, alongside a", "", "" ], [ "", "", "", "", "", "21 day self-isolation/quarantine period", "", "" ], [ "", "", "", "", "", "should an offered test not be taken up.", "", "" ], [ "", "", "", "", "", "", "", "" ] ], "row_count": 32, "col_count": 8 }, { "headers": [ "", "", "", "", "", "isolation/quarantine period would be 21", "", "" ], "rows": [ [ "", "", "", "", "", "days;", "", "" ], [ "", "", "", "", "", " Increased monitoring would be", "", "" ], [ "", "", "", "", "", "implemented for all self-isolation/quarantine", "", "" ], [ "", "", "", "", "", "and particular any positive cases as a result", "", "" ], [ "", "", "", "", "", "of Day 1 testing;", "", "" ], [ "", "", "", "", "", " All daily exercise windows for", "", "" ], [ "", "", "", "", "", "resident and non-resident be temporarily", "", "" ], [ "", "", "", "", "", "suspended;", "", "" ], [ "", "", "", "", "", " All modifications for self-", "", "" ], [ "", "", "", "", "", "isolation/quarantine amendments be", "", "" ], [ "", "", "", "", "", "revoked and disallowed;", "", "" ], [ "", "", "", "", "", " That all received exemptions would", "", "" ], [ "", "", "", "", "", "be processed.", "", "" ], [ "", "", "", "", "", " That all processed and issued", "", "" ], [ "", "", "", "", "", "exemptions up to 00:01 Wednesday 23", "", "" ], [ "", "", "", "", "", "December 2020 with planned travel", "", "" ], [ "", "", "", "", "", "arrangements would be honoured.", "", "" ], [ "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "• Testing Pathway", "", "" ], [ "", "", "", "", "", "o Decision 6", "", "" ], [ "", "", "", "", "", " 7 Day testing pathway for patient", "", "" ], [ "", "", "", "", "", "transfers and for UK based key workers be", "", "" ], [ "", "", "", "", "", "revoked and disallowed.", "", "" ], [ "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "• Guernsey Airbridge", "", "" ], [ "", "", "", "", "", "o Decision 7", "", "" ], [ "", "", "", "", "", " Reopening of the Airbridge including", "", "" ], [ "", "", "", "", "", "private pilots’ flights be paused.", "", "" ], [ "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "• Review period", "", "" ] ], "row_count": 30, "col_count": 8 }, { "headers": [ "", "", "", "", "", "transportation. CO-DHSC advised that the", "", "" ], "rows": [ [ "", "", "", "", "", "potential vaccine being produced by", "", "" ], [ "", "", "", "", "", "Oxford–AstraZeneca would be logistically", "", "" ], [ "", "", "", "", "", "easier as the product would not require", "", "" ], [ "", "", "", "", "", "such complex storage or transportation.", "", "" ], [ "", "", "", "", "", "", "", "" ] ], "row_count": 5, "col_count": 8 } ] }, { "case_id": 1633689, "title": "COVID Travel requests", "authority": "Cabinet Office", "date_received": "2021-01-18", "outcome": "All information sent", "summary": "The requester asked for statistics on individuals granted permission to enter the Isle of Man between August 2020 and February 2021, categorized by residency and reason. The Cabinet Office disclosed the total numbers for residents, non-residents on compassionate or contractual grounds, and key workers.", "key_facts": [ "The data covers the period from August 2020 to February 5, 2021.", "12,428 Isle of Man residents registered to travel, though this does not confirm they left the island.", "1,440 non-residents were granted permission for compassionate reasons.", "643 non-residents were granted permission for contractual reasons.", "1,126 key workers were granted permission to enter the island." ], "data_mentioned": [ "12428", "1440", "643", "1126", "August 2020", "2021-02-05", "2021-01-18", "1633689" ], "exemptions_cited": [], "tables": [ { "headers": [ "Criteria", "Number", "" ], "rows": [ [ "Isle of Man\nResidents", "12428", "This is the number of residents who have registered to\ntravel. They are granted automatic permission to return,\nhowever this does not mean have actually left the Iisland." ], [ "Non resident\ncompassionate", "1440", "The criteria for this can be found on the website here\nhttps://covid19.gov.im/general-\ninformation/compassionate-visits-to-the-isle-of-man/" ], [ "Non resident\ncontractual", "643", "The criteria for this can be found on the website here\nhttps://covid19.gov.im/general-information/non-residents-\ntravelling-to-live-or-work-in-the-isle-of-man/" ], [ "Key worker", "1126", "These are workers who are deemed critical to national\ninfrastructure, the preservation of life or to the economy\nof the island." ] ], "row_count": 4, "col_count": 3 } ] }, { "case_id": 1646813, "title": "COVID-19/21,", "authority": "Department of Health and Social Care", "date_received": "2021-01-26", "outcome": "Some information sent but not all held", "summary": "The request sought information on SARS-CoV-2 isolation, PCR testing parameters, mask risk assessments, and flu death statistics. The Department of Health and Social Care confirmed PCR details and internal mask assessments but stated the virus was not isolated or purified, while refusing to provide business-specific risk assessments and flu death numbers due to lack of held information.", "key_facts": [ "The Department stated that SARS-CoV-2 has not been isolated or purified.", "PCR tests used for SARS-CoV-2 run at 45 cycles of amplification.", "The Department conducts its own risk assessments regarding masks.", "Information on risk assessments by individual businesses was not held by the Department.", "Seasonal flu death numbers for 2019 and 2020 are held by Public Health within the Cabinet Office, not the Department of Health and Social Care." ], "data_mentioned": [ "2021-01-26", "2021-02-19", "1646813", "45 cycles", "2019", "2020" ], "exemptions_cited": [ "Section 11(3)a of the Act (practical refusal reason: information not held or cannot be found after reasonable steps)" ], "tables": [ { "headers": [ "As", "a", "public", "", "", "authority,", "", "", "", "", "the", "", "", "Department", "", "", "", "", "of", "Health", "", "", "and", "", "", "", "Socia", "", "", "l", "Care", "", "", "", "", "(the", "", "‘Department’)", "", "", "", "", "", "", "", "", "is" ], "rows": [ [ "fully", "", "committed", "", "", "", "to", "", "", "meeting", "", "", "", "both", "", "", "the", "spirit", "", "and", "", "th", "e", "letter", "", "", "", "", "of", "the", "", "", "Freedom", "", "", "", "", "", "", "of", "Information", "", "", "", "", "", "" ], [ "Act.", "", "It", "has", "", "come", "", "", "", "to", "the", "", "a", "ttention", "", "", "", "of", "th", "e", "Department", "", "", "", "", "", "", "", "that", "", "", "disclosure", "", "", "", "", "", "", "", "to", "", "a", "previous", "", "", "", "" ], [ "request", "", "", "", "for", "information", "", "", "", "", "", "", "(FOI", "", "", "1646813", "", "", "C", "ovid-19/21,", "", "", "", "", "", "", "", "dated", "", "", "", "18", "", "th", "", "February", "", "", "", "", "", "2021)", "", "", "has", "", "" ], [ "caused", "", "", "confusion", "", "", "", "", "regarding", "", "", "", "", "answers", "", "", "", "provided", "", "", "", "to", "Q1", "", "", "and", "", "", "Q2", "", "(below)", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 4, "col_count": 47 }, { "headers": [ "Firstly it is incorrect to say that the virus that causes Covid-19 has not been isolated", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "globally, therefore the Department in answering Q1 and Q2 based those original", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "answers on information held by the Department and on the presumption that the", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "requestor was asking if SARS-CoV-2 was isolated and purified by the Department.", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "The original team that dealt with these questions should have requested further", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "clarification from the applicant though based their response on ‘information held by", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "a public authority’.", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "This was a genuine error and on behalf of the Department I apologise.", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Isolating a virus means taking a pure sample of a virus from an infected being so it", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "can be studied. There are numerous reports of the virus being isolated by teams", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "around the world.", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "SARS-CoV2", "", "", "has", "", "been", "sampled", "", "", "", "", "numerous", "", "", "times", "", "over", "", "from", "", "infected", "", "people,", "", "including" ], [ "thos", "e o", "riginally", "", "found", "", "to", "", "be", "infected", "", "", "in", "China.", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 12, "col_count": 25 } ] }, { "case_id": 1647213, "title": "Statistics of children on care orders in the IOM.", "authority": "Department of Health and Social Care", "date_received": "2021-01-27", "outcome": "Some information sent but not all held", "summary": "The requester asked for annual statistics on children placed on care orders in the Isle of Man from 2009 to 2020. The Department of Health and Social Care provided data for 2010 through 2020 but confirmed that records for 2009 were not held.", "key_facts": [ "Data for the year 2009 was not held by the Department and could not be provided.", "The statistics provided exclude Interim Care Orders.", "The Freedom of Information Act 2015 technically allows requests from October 11, 2011, but the authority voluntarily provided earlier data where available.", "The highest number of care orders in the provided period was 18 in 2017.", "The lowest number of care orders in the provided period was 1 in 2015." ], "data_mentioned": [ "2009", "2010", "2011", "2012", "2013", "2014", "2015", "2016", "2017", "2018", "2019", "2020", "15", "10", "13", "9", "2", "1", "5", "18", "3", "7", "11th October 2011", "27th January 2021", "4th February 2021" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Number of Care\nOrders", "Year", "Number of Care\nOrders" ], "rows": [ [ "2010", "15", "2016", "5" ], [ "2011", "10", "2017", "18" ], [ "2012", "13", "2018", "9" ], [ "2013", "9", "2019", "3" ], [ "2014", "2", "2020", "7" ], [ "2015", "1", "", "" ] ], "row_count": 6, "col_count": 4 } ] }, { "case_id": 1678258, "title": "Part time General Practitioners", "authority": "Department of Health and Social Care", "date_received": "2021-02-22", "outcome": "All information sent", "summary": "A request was made to the Department of Health and Social Care regarding the number of practicing GPs in the Isle of Man, specifically focusing on part-time workers and their gender distribution. The authority disclosed that there are 103 GPs on the Performers List, provided a breakdown of part-time sessions by practice, and stated that 55% of part-time GPs are female.", "key_facts": [ "There are 103 GPs on the Isle of Man Performers List, including partners, locums, salaried GPs, and trainees.", "Full-time work is defined as 8 sessions per week.", "Part-time GP session counts vary by practice, with Peel having the highest at 4 and Hailwood having 0.", "55% of GPs working part time in practices are female.", "The gender statistic excludes locums who choose their own working hours and locations." ], "data_mentioned": [ "103", "2021-02-22", "2021-03-16", "15 March 2021", "8 sessions", "3", "2", "0", "4", "55%", "1678258" ], "exemptions_cited": [], "tables": [ { "headers": [ "Finch Hill", "3" ], "rows": [ [ "Kensington", "3" ], [ "Snaefell", "2" ], [ "Hailwood", "0" ], [ "Palatine", "3" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Laxey/Village Walk", "2" ], "rows": [ [ "Ramsey", "2" ], [ "Peel", "4" ], [ "Ballasalla", "2" ], [ "Castletown", "2" ], [ "Port Erin", "3" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 1690513, "title": "Number of Hip Replacements carried out", "authority": "Department of Health and Social Care", "date_received": "2021-03-02", "outcome": "Some information sent but not all held", "summary": "The request sought monthly breakdowns of hip replacement surgeries and waiting list removal statistics for 2019 and 2020 at Nobles Hospital. The authority disclosed aggregate surgery counts and detailed waiting list removal reasons but could not provide monthly breakdowns due to incomplete clinical coding.", "key_facts": [ "Monthly breakdowns for hip arthroplasty surgeries (2019-2020) were not provided due to incomplete and unaudited clinical coding.", "A total of 16 prosthetic replacements of the head of femur were recorded between January 2019 and December 2020.", "All 16 recorded hip replacement procedures were classified as emergency admissions.", "113 orthopaedic waiting list entries were removed due to consultant decision between 2019 and 2020.", "6 orthopaedic waiting list entries were removed due to patient death between 2019 and 2020." ], "data_mentioned": [ "16 Prosthetic replacements of head of femur procedures", "01/01/2019 to 31/12/2020", "113 Consultant Decision removals", "71 Patient's decision removals", "31 Procedure provided by other provider removals", "9 Entered in Error/Admin Error removals", "2 Outpatient Attendance removals", "2 Patient admitted as an emergency removals", "1 Did Not Attend removal", "1 Removed/Attend no treatment removal", "6 Patient died removals" ], "exemptions_cited": [], "tables": [ { "headers": [ "Removal reason", "Count of\nwaiting\nlist\nentries" ], "rows": [ [ "Consultant Decision", "113" ], [ "Patient's decision", "71" ], [ "Procedure provided by other provider", "31" ], [ "Entered in Error/Admin Error", "9" ], [ "Outpatient Attendance", "2" ], [ "Patient admitted as an emergency for the same condition", "2" ], [ "Did Not Attend", "1" ], [ "Removed/Attend no treatment", "1" ] ], "row_count": 8, "col_count": 2 } ] }, { "case_id": 1704505, "title": "Referred to by department of health", "authority": "Cabinet Office", "date_received": "2021-03-11", "outcome": "Some information sent but not all held", "summary": "The requester asked the Cabinet Office for various statistics including flu death rates, vaccination status of flu deaths, and legal questions regarding common law and vaccine passports. The Cabinet Office confirmed it does not hold information on Ct/Cq thresholds, flu deaths by vaccination status, or legal definitions, but provided specific flu death statistics for 2018-2020.", "key_facts": [ "The Cabinet Office does not hold information regarding the Ct/Cq threshold for positive cases, suggesting the Department of Health and Social Care instead.", "Information on flu deaths specifically categorized by vaccination status (vaccinated vs. unvaccinated) is not held by the authority.", "Questions regarding common law jurisdiction, court history, vaccine passports, cannabis classification, and murder as a common law crime were excluded from the response.", "The authority cited a practical refusal reason under section 11(3)(a) of the Freedom of Information Act 2015 for information not held.", "The requester was advised to submit separate FOI requests to relevant departments for the excluded legal questions." ], "data_mentioned": [ "2018 – 1", "2019 – 1", "2020 – 2", "2015 to present", "1704505", "167725", "2021-03-11", "2021-04-01" ], "exemptions_cited": [ "Section 11(3)(a) of the Freedom of Information Act 2015 (Information not held)" ], "tables": [ { "headers": [ "We will leave out points 2-6 and work on a response for your other" ], "rows": [ [ "questions asked within this FOI request as per your clarification." ], [ "" ], [ "We can only respond to points raised specifically in this FOI request. Any" ], [ "other requests for information need to be submitted officially through the" ], [ "FOI requests to the relevant department." ] ], "row_count": 5, "col_count": 1 } ] }, { "case_id": 1708433, "title": "Entry Certificates", "authority": "Cabinet Office", "date_received": "2021-03-15", "outcome": "Upheld - full", "summary": "The request sought daily statistics on entry certificates issued by the Isle of Man Cabinet Office between February and March 2021, categorized by key workers, compassionate grounds, and other reasons. The authority fully upheld the request, disclosing a detailed daily breakdown of certificate numbers for the specified period.", "key_facts": [ "The request covered entry certificates issued from 1st February 2021 to 15th March 2021.", "Data was categorized into Key Workers, Compassionate grounds, and Other categories.", "The highest number of Key Worker certificates issued on a single day was 115 on 24th February 2021.", "The Cabinet Office Travel Notification Service was the issuing authority for these certificates.", "The Freedom of Information request was fully upheld with no information withheld." ], "data_mentioned": [ "115", "01/02/2021", "15/03/2021", "1708433", "2021-04-06" ], "exemptions_cited": [], "tables": [ { "headers": [ "Date", "Key\nWorkers", "Compassionate", "Other" ], "rows": [ [ "01/02/2021", "3", "6", "7" ], [ "02/02/2021", "0", "11", "7" ], [ "03/02/2021", "12", "7", "7" ], [ "04/02/2021", "3", "16", "9" ], [ "05/02/2021", "4", "4", "6" ], [ "06/02/2021", "0", "", "" ], [ "07/02/2021", "0", "", "1" ], [ "08/02/2021", "6", "4", "4" ], [ "09/02/2021", "3", "4", "10" ], [ "10/02/2021", "1", "5", "5" ], [ "11/02/2021", "19", "3", "5" ], [ "12/02/2021", "16", "5", "6" ], [ "13/02/2021", "0", "", "1" ], [ "14/02/2021", "0", "", "" ], [ "15/02/2021", "1", "5", "7" ], [ "16/02/2021", "3", "15", "5" ], [ "17/02/2021", "6", "1", "6" ], [ "18/02/2021", "6", "5", "4" ], [ "19/02/2021", "12", "4", "2" ], [ "20/02/2021", "0", "", "" ], [ "21/02/2021", "0", "1", "1" ], [ "22/02/2021", "9", "6", "8" ], [ "23/02/2021", "5", "", "9" ], [ "24/02/2021", "115", "3", "3" ], [ "25/02/2021", "9", "3", "4" ], [ "26/02/2021", "11", "3", "" ], [ "27/02/2021", "0", "", "" ], [ "28/02/2021", "0", "", "" ], [ "01/03/2021", "4", "5", "6" ], [ "02/03/2021", "10", "2", "8" ], [ "03/03/2021", "1", "3", "2" ], [ "04/03/2021", "16", "2", "3" ], [ "05/03/2021", "8", "3", "5" ], [ "06/03/2021", "0", "2", "2" ], [ "07/03/2021", "0", "2", "2" ], [ "08/03/2021", "7", "1", "8" ], [ "09/03/2021", "8", "10", "2" ], [ "10/03/2021", "1", "", "12" ], [ "11/03/2021", "7", "5", "4" ], [ "12/03/2021", "6", "3", "5" ], [ "13/03/2021", "0", "", "" ], [ "14/03/2021", "0", "", "" ], [ "15/03/2021", "5", "4", "4" ] ], "row_count": 43, "col_count": 4 }, { "headers": [ "Date", "Key Workers", "Compassionate", "Other" ], "rows": [ [ "01/02/2021", "3", "6", "7" ], [ "02/02/2021", "0", "11", "7" ], [ "03/02/2021", "12", "7", "7" ], [ "04/02/2021", "3", "16", "9" ], [ "05/02/2021", "4", "4", "6" ], [ "06/02/2021", "0", "", "" ], [ "07/02/2021", "0", "", "1" ], [ "08/02/2021", "6", "4", "4" ], [ "09/02/2021", "3", "4", "10" ], [ "10/02/2021", "1", "5", "5" ], [ "11/02/2021", "19", "3", "5" ], [ "12/02/2021", "16", "5", "6" ], [ "13/02/2021", "0", "", "1" ], [ "14/02/2021", "0", "", "" ], [ "15/02/2021", "1", "5", "7" ], [ "16/02/2021", "3", "15", "5" ], [ "17/02/2021", "6", "1", "6" ], [ "18/02/2021", "6", "5", "4" ] ], "row_count": 18, "col_count": 4 }, { "headers": [ "19/02/2021", "12", "4", "2" ], "rows": [ [ "20/02/2021", "0", "", "" ], [ "21/02/2021", "0", "1", "1" ], [ "22/02/2021", "9", "6", "8" ], [ "23/02/2021", "5", "", "9" ], [ "24/02/2021", "115", "3", "3" ], [ "25/02/2021", "9", "3", "4" ], [ "26/02/2021", "11", "3", "" ], [ "27/02/2021", "0", "", "" ], [ "28/02/2021", "0", "", "" ], [ "01/03/2021", "4", "5", "6" ], [ "02/03/2021", "10", "2", "8" ], [ "03/03/2021", "1", "3", "2" ], [ "04/03/2021", "16", "2", "3" ], [ "05/03/2021", "8", "3", "5" ], [ "06/03/2021", "0", "2", "2" ], [ "07/03/2021", "0", "2", "2" ], [ "08/03/2021", "7", "1", "8" ], [ "09/03/2021", "8", "10", "2" ], [ "10/03/2021", "1", "", "" ] ], "row_count": 19, "col_count": 4 } ] }, { "case_id": 1711165, "title": "Number of visitors (outpatients and signed in visitors) Nobles", "authority": "Department of Health and Social Care", "date_received": "2021-03-16", "outcome": "Some information sent but not all held", "summary": "The request sought data on hospital visitors, outpatients, and staff numbers for March 2021, broken down by time of day. The Department of Health and Social Care provided detailed outpatient appointment statistics by location and media type but did not hold data on general visitors or staff numbers.", "key_facts": [ "The authority responded that some information was sent but not all was held.", "Data provided covers outpatient appointments between 08/03/2021 and 16/03/2021.", "The response includes breakdowns by clinic location, appointment media (Face to Face, Telephone, Virtual), and time (Morning/Afternoon).", "Information regarding general visitors and staff on duty was not provided as it was not held.", "The request was received on 2021-03-16 and the outcome was issued on 2021-04-09." ], "data_mentioned": [ "08/03/2021", "16/03/2021", "2021-03-16", "2021-04-09", "3", "4", "5", "6", "7", "8", "14", "12", "26", "20", "17", "24", "37", "13", "35", "31", "18", "19", "46", "10", "22", "21", "15" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "Appointment", "", "Appointment media", "", "", 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"", "", "Virtual Clinic", "", "", "floor", "", "", "" ], [ "20210315", "", "Face to Face", "", "PAC Clinic, Day Procedures Suite, First Floor", "", "", "9", "4" ], [ "", "", "communication", "", "", "", "", "", "" ], [ "20210315", "", "Face to Face", "", "Radiology Department", "", "", "0", "5" ], [ "", "", "communication", "", "", "", "", "", "" ], [ "20210315", "", "Face to Face", "", "Ramsey Outpatient Department", "", "", "26", "29" ], [ "", "", "communication", "", "", "", "", "", "" ], [ "20210315", "Telephone", "", "", "Ramsey Outpatient Department", "", "", "1", "7" ], [ "20210315", "Virtual Clinic", "", "", "Ramsey Outpatient Department", "", "", "0", "9" ], [ "", "", "Virtual Clinic", "", "", "Ramsey Outpatient Department", "", "", "" ], [ "20210315", "", "Face to Face", "", "", "Renal Community room, Medical Outpatient", "", "6", "3" ], [ "", "", "communication", "", "", "Dept", "", "", "" ], [ "20210315", "Telephone", "", "", "", "Renal Community room, Medical Outpatient", "", "4", "1" ], [ "", "", "Telephone", "", "", "Dept", "", "", "" ], [ "20210315", "", "Face to Face", "", "", "Surgical OP dept, Suite A, West Wing, ground", "", "11", "19" ], [ "", "", "communication", "", "", "floor", "", "", "" ], [ "20210315", "Telephone", "", "", "", "Surgical OP dept, Suite A, West Wing, ground", "", "2", "0" ], [ "", "", "", "", "", "floor", "", "", "" ], [ "20210315", "Virtual Clinic", "", "", "", "Surgical OP dept, Suite A, West Wing, ground", "", "0", "1" ], [ "", "", "Virtual Clinic", "", "", "floor", "", "", "" ], [ "20210315", "", "Face to Face", "", "", "Women & Children, Suite E, East Wing, ground", "", "25", "9" ], [ "", "", "communication", "", "", "floor", "", "", "" ], [ "20210315", "Telephone", "", "", "", "Women & Children, Suite E, East Wing, ground", "", "11", "2" ], [ "", "", "", "", "", "floor", "", "", "" ], [ "20210315", "Virtual Clinic", "", "", "", "Women & Children, Suite E, East Wing, ground", "", "0", "1" ], [ "", "", "Virtual Clinic", "", "", "floor", "", "", "" ], [ "20210316", "", "Face to Face", "", "Audiology, First Floor, adjacent to ENT Suite", "", "", "3", "2" ], [ "", "", "communication", "", "", "Audiology, First Floor, adjacent to ENT Suite", "", "", "" ], [ "20210316", "", "Face to Face", "", "", "Day Assessment Treatment Unit, Newlands", "", "7", "24" ], [ "", "", "communication", "", "", "Building", "", "", "" ] ], "row_count": 81, "col_count": 9 }, { "headers": [ "20210316", "", "Face to Face", "", "Diabetes Centre", "", "", "9", "3" ], "rows": [ [ "", "", "communication", "", "", "", "", "", "" ], [ "20210316", "Telephone", "", "", "Diabetes Centre", "", "", "9", "5" ], [ "", "", "Telephone", "", "", "Diabetes Centre", "", "", "" ], [ "20210316", "", "Face to Face", "", "", "General OP Depart, Suite C West Wing, ground", "", "23", "19" ], [ "", "", "communication", "", "", "floor", "", "", "" ], [ "20210316", "", "Face to Face", "", "Manx Breast Care Unit, West Wing, ground floor", "", "", "0", "18" ], [ "", "", "communication", "", "", "Manx Breast Care Unit, West Wing, ground floor", "", "", "" ], [ "20210316", "", "Face to Face", "", "", "Medical OP Depart, Suite D East Wing, ground", "", "13", "11" ], [ "", "", "communication", "", "", "floor", "", "", "" ], [ "20210316", "Telephone", "", "", "", "Medical OP Depart, Suite D East Wing, ground", "", "2", "9" ], [ "", "", "", "", "", "floor", "", "", "" ], [ "20210316", "Virtual Clinic", "", "", "", "Medical OP Depart, Suite D East Wing, ground", "", "3", "1" ], [ "", "", "Virtual Clinic", "", "", "floor", "", "", "" ], [ "20210316", "", "Face to Face", "", "PAC Clinic, Day Procedures Suite, First Floor", "", "", "4", "3" ], [ "", "", "communication", "", "", "", "", "", "" ], [ "20210316", "", "Face to Face", "", "Ramsey Outpatient Department", "", "", "30", "21" ], [ "", "", "communication", "", "", "", "", "", "" ], [ "20210316", "Telephone", "", "", "Ramsey Outpatient Department", "", "", "0", "1" ], [ "20210316", "Virtual Clinic", "", "", "Ramsey Outpatient Department", "", "", "3", "0" ], [ "", "", "Virtual Clinic", "", "", "Ramsey Outpatient Department", "", "", "" ], [ "20210316", "", "Face to Face", "", "", "Renal Community room, Medical Outpatient", "", "6", "3" ], [ "", "", "communication", "", "", "Dept", "", "", "" ], [ "20210316", "Virtual Clinic", "", "", "", "Renal Community room, Medical Outpatient", "", "3", "1" ], [ "", "", "Virtual Clinic", "", "", "Dept", "", "", "" ], [ "20210316", "", "Face to Face", "", "", "Surgical OP dept, Suite A, West Wing, ground", "", "6", "15" ], [ "", "", "communication", "", "", "floor", "", "", "" ], [ "20210316", "Telephone", "", "", "", "Surgical OP dept, Suite A, West Wing, ground", "", "5", "4" ], [ "", "", "", "", "", "floor", "", "", "" ], [ "20210316", "Virtual Clinic", "", "", "", "Surgical OP dept, Suite A, West Wing, ground", "", "11", "4" ], [ "", "", "Virtual Clinic", "", "", "floor", "", "", "" ], [ "20210316", "", "Face to Face", "", "Thie Rosien, Castletown Road, Port Erin", "", "", "0", "1" ], [ "", "", "communication", "", "", "", "", "", "" ], [ "20210316", "Telephone", "", "", "Thie Rosien, Castletown Road, Port Erin", "", "", "0", "1" ], [ "", "", "Telephone", "", "", "Thie Rosien, Castletown Road, Port Erin", "", "", "" ], [ "20210316", "", "Face to Face", "", "", "Women & Children, Suite E, East Wing, ground", "", "17", "21" ], [ "", "", "communication", "", "", "floor", "", "", "" ], [ "20210316", "Telephone", "", "", "", "Women & Children, Suite E, East Wing, ground", "", "13", "7" ], [ "", "", "", "", "", "floor", "", "", "" ], [ "20210316", "Virtual Clinic", "", "", "", "Women & Children, Suite E, East Wing, ground", "", "1", "0" ], [ "", "", "", "", "", "floor", "", "", "" ] ], "row_count": 40, "col_count": 9 } ] }, { "case_id": 1717362, "title": "PCR CT", "authority": "Department of Health and Social Care", "date_received": "2021-03-22", "outcome": "Some information sent but part exempt", "summary": "The requester asked for PCR cycle thresholds, scientific advice on lockdowns, and risk assessments regarding face masks. The Department of Health and Social Care disclosed two PPE risk assessment documents for healthcare staff but withheld information on PCR thresholds and specific scientific advisors, citing partial exemptions.", "key_facts": [ "The response included two Manx Care PPE Risk Assessments for COVID-19 (Level 1 and Level 2).", "The Level 1 assessment was dated 11 August 2020 and reviewed on 11 October 2021.", "The Level 2 assessment was dated 29 September 2020 and ratified by the Senior Clinical and Public Health Leadership Group.", "Fit testing for FFP3 masks was available for 2,000 staff across the DHSC.", "Information regarding PCR Cycle Amplification Thresholds and the names of scientists advising on lockdowns was not provided in the disclosed documents." ], "data_mentioned": [ "11 August 2020", "11/10/21", "29th September 2020", "2,000 staff", "Risk Rating 15", "Risk Rating 10", "Risk Rating 25", "2 metre distance" ], "exemptions_cited": [], "tables": [ { "headers": [ "Likelihood Rating (L)", "Assessment", "Severity Rating (S)", "Likely result", "Risk Rating (L x S)" ], "rows": [ [ "Rating 1", "Almost impossible to occur", "Rating 1", "No symptoms", "0 – 8 (Low Risk)" ], [ "Rating 2", "Unlikely", "Rating 2", "Minor illness or symptoms", "" ], [ "Rating 3", "Possible", "Rating 3", "Expected symptoms- fever, dry cough,\ntemperature", "9 – 15 (Medium Risk)" ], [ "Rating 4", "Very likely", "Rating 4", "Long term/latent health conditions", "" ], [ "Rating 5", "Almost certain", "Rating 5", "Fatality or disabling conditions", "16 + (High Risk)" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "Likelihood Rating (L)", "Assessment", "Severity Rating (S)", "Likely result", "Risk Rating (L x S)" ], "rows": [ [ "Rating 1", "Almost impossible to occur", "Rating 1", "No symptoms", "0 – 8 (Low Risk)" ], [ "Rating 2", "Unlikely", "Rating 2", "Minor illness or symptoms", "" ], [ "Rating 3", "Possible", "Rating 3", "Expected symptoms- fever, dry cough,\ntemperature", "9 – 15 (Medium Risk)" ], [ "Rating 4", "Very likely", "Rating 4", "Long term/latent health conditions", "" ], [ "Rating 5", "Almost certain", "Rating 5", "Fatality or disabling conditions", "16 + (High Risk)" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "", "Reader Information", "", "" ], "rows": [ [ "Primary author contact details", "", "Infection Prevention & Control Team", "" ], [ "Original publication date", "", "22 March 2021", "" ], [ "Last reviewed date", "", "N/A", "" ], [ "Next review date due", "", "22 May 2021", "" ], [ "Ratified by", "", "Bronze Command 23 March 2021", "" ], [ "Superseded Documents", "", "N/A", "" ] ], "row_count": 6, "col_count": 4 } ] }, { "case_id": 1733953, "title": "Child Protection Register 2011 - 2021", "authority": "Department of Health and Social Care", "date_received": "2021-03-31", "outcome": "All information sent", "summary": "The requester asked for annual statistics on children placed on the Child Protection Register in the Isle of Man from 2011 to 2021. The Department of Health and Social Care provided the requested data for each year, noting that figures represent children placed on a Child Protection Plan and that some children may have had multiple periods on the plan.", "key_facts": [ "The request was received on 31 March 2021 and responded to on 25 April 2021.", "Data covers the number of children placed on a Child Protection Plan annually from 2011 to 2020.", "The highest number of placements occurred in 2019 with 120 children.", "The lowest number of placements in the provided dataset occurred in 2013 with 52 children.", "The authority noted that 21 of the 79 children placed in 2011 had plans commencing between October and December of that year." ], "data_mentioned": [ "2011: 79", "2012: 66", "2013: 52", "2014: 74", "2015: 97", "2016: 82", "2017: 116", "2018: 107", "2019: 120", "2020: 91", "21 children (Oct-Dec 2011)", "31 March 2021", "25 April 2021", "1733953" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Number of Children Placed on\nChild Protection Plan" ], "rows": [ [ "2011", "79" ], [ "2012", "66" ], [ "2013", "52" ], [ "2014", "74" ], [ "2015", "97" ], [ "2016", "82" ], [ "2017", "116" ], [ "2018", "107" ], [ "2019", "120" ], [ "2020", "91" ] ], "row_count": 10, "col_count": 2 } ] }, { "case_id": 1782317, "title": "Urgent referrals to breast clinic", "authority": "Manx Care", "date_received": "2021-05-07", "outcome": "All information sent", "summary": "The requester asked for monthly statistics on urgent breast clinic referrals and average waiting times for the 12 months prior to May 2021. Manx Care disclosed the complete dataset covering May 2020 to April 2021, including a total of 232 referrals and an overall average wait time of 26 days.", "key_facts": [ "The data covers urgent breast surgery referrals from May 2020 to April 2021.", "A total of 232 urgent referrals were recorded during this 12-month period.", "The overall average waiting time for these referrals was 26 days.", "The highest number of referrals in a single month was 28 in March 2021.", "The longest average wait time in a single month was 41 days in November 2020." ], "data_mentioned": [ "232", "26", "May 2020", "April 2021", "10", "21", "18", "12", "11", "19", "12", "17", "23", "20", "26", "24", "26", "41", "25", "38", "16", "21", "16", "22", "28", "26", "21", "33", "9th June 2021", "7 May 2021", "10 June 2021", "1782317" ], "exemptions_cited": [], "tables": [ { "headers": [ "Urgent Breast Surgery" ], "rows": [ [ "Year Month Number of Average wait\nUrgent referrals time (days)" ], [ "2020 May 10 21" ], [ "2020 June 18 12" ], [ "2020 July 11 19" ], [ "2020 August 12 17" ], [ "2020 September 23 20" ], [ "2020 October 26 24" ], [ "2020 November 26 41" ], [ "2020 December 25 38" ], [ "2021 January 16 21" ], [ "2021 February 16 22" ], [ "2021 March 28 26" ], [ "2021 April 21 33" ], [ "TOTAL 232 26" ] ], "row_count": 14, "col_count": 1 } ] }, { "case_id": 1790477, "title": "Employee headcount on a FTE Basis", "authority": "Cabinet Office", "date_received": "2021-05-13", "outcome": "All information sent", "summary": "The request sought the total employee headcount on a Full-Time Equivalent (FTE) basis for the Isle of Man government as of March 31, 2016, and March 31, 2021. The Cabinet Office disclosed the total figures for both dates and provided a detailed breakdown of the 424.4 FTE increase across various departments and roles.", "key_facts": [ "The total government employee headcount increased from 7280.8 FTE in 2016 to 7705.3 FTE in 2021.", "The net increase of 424.4 FTE was attributed to new roles, insourced services, and conversions from self-employed or contractor status.", "The Department of Health & Social Care accounted for the largest portion of the increase with 104.0 FTE across insourced services, medical, and nursing roles.", "Significant increases were also noted in the Cabinet Office (54.1 FTE for COVID response) and Department of Environment Food & Agriculture (26.8 FTE).", "The response included details on apprenticeships increasing from 9 to 39 and the creation of new roles for Information Governance & GDPR." ], "data_mentioned": [ "7280.8", "7705.3", "424.4", "31 March 2016", "31 March 2021", "54.1", "24.6", "20.3", "104.0", "26.8", "22.9", "30.0", "12.50", "38.8", "9 to 39" ], "exemptions_cited": [], "tables": [ { "headers": [ "Reconciliation of Headcount 2016 - 2021", "", "", "" ], "rows": [ [ "", "", "", "" ], [ "Net Increase in New Roles since 31 March 2016", "FTE @ 31/3/21", "", "Notes/Examples" ], [ "", "", "", "" ], [ "Cabinet Office", "", "", "" ], [ "COVID Response Team", "54.1", "", "Contact Tracing/111 and Travel Notification Service" ], [ "GTS Digital Strategy/Business Change", "24.6", "", "Roles converted from self-employed to employee status" ], [ "Health & Care Transformation", "20.3", "", "Implementation of Manx Care" ], [ "Public Health", "6.0", "", "Public Health Intelligence & Health Promotion" ], [ "Climate Change Transformation & Communications", "7.0", "", "Transformation Team" ], [ "", "", "", "" ], [ "Department for Enterprise", "", "", "" ], [ "Executive Agencies", "10.0", "", "Business Development Roles" ], [ "Marketing & Enterprise Support", "12.0", "", "Vacancies filled and contractors converted" ], [ "", "", "", "" ], [ "Department of Education, Sport and Culture", "2.0", "", "Strategic Education Advice & Legislation/Policy (Beamans)" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "Department of Environment Food & Agriculture", "26.8", "", "Planning, Climate Change, Brexit, Forestry, Fisheries,\nEnvironment & Regulation" ], [ "", "", "", "" ], [ "Department of Health & Social Care", "", "", "" ], [ "Insourced Services", "27.6", "", "Family Placement Services, Age Concern, Hospital Shop" ], [ "Medical and Dental", "14.1", "", "A&E, Acute Medical, Care of Elderly, Obstetrics, Paediatrics,\nRadiology, Surgery and Urology" ], [ "Nurse & Professions Allied to Medicine", "44.6", "", "Reablement Service, Western Integrated Health Team,\nCOVID Vaccination Team, Scheduled & Unscheduled Care" ], [ "NJC Social Care", "18.7", "", "Adult Social Care" ], [ "Manx Care Implementation", "19.0", "", "Board, Senior Management & other key positions" ], [ "", "", "", "" ], [ "Department of Home Affairs", "", "", "" ], [ "Constabulary", "22.9", "", "Police Officers and Office of Cyber Security" ], [ "", "", "", "" ], [ "Department of Infrastructure", "", "", "" ], [ "Airport", "10.0", "", "Airport Safety, Air Traffic Control, Airfield Ops and Met Office" ], [ "Public Estates and Housing", "4.0", "", "Project Management Unit" ], [ "Highway Services", "4.0", "", "Engineering" ], [ "Public Transport", "10.9", "", "Conversion of Seasonal Contracts to Permanent/Annualised\nHours" ], [ "", "", "", "" ], [ "The Treasury", "4.7", "", "Customs and Excise (Law Enforcement, Brexit and VAT\nAssurance)" ], [ "", "", "", "" ], [ "Various Departments", "", "", "" ], [ "Apprentices", "30.0", "", "Increase from 9 to 39 since 2016 (Cabinet Office,\nInfrastructure and DHSC)" ], [ "Information Governance & GDPR", "12.50", "", "Cabinet Office, DHA, DHSC, DfE, DEFA & Treasury" ], [ "", "", "", "" ], [ "Boards and Offices", "38.8", "", "e.g. widened remit for Communications & Regulatory\nAuthority and Gambling Supervision, formation of Financial\nIntelligence Unit, Conversion of Seasonal Contracts to\nAnnualised Hours in MNH and additional legal officers in\nAttorney General's Chambers" ], [ "", "", "", "" ], [ "Grand Total", "424.4", "", "" ] ], "row_count": 44, "col_count": 4 } ] }, { "case_id": 1821533, "title": "Nobles discharges", "authority": "Manx Care", "date_received": "2021-06-02", "outcome": "All information sent", "summary": "The requester asked for patient discharge statistics for specific dates in May 2021, a copy of the Hospital Discharge Policy, and details on recent audits. Manx Care provided the discharge figures, the current policy documents, and confirmed that no audits regarding discharge adherence were conducted in the specified 12-month period.", "key_facts": [ "Manx Care provided discharge statistics for Nobles and Ramsey hospitals for four Fridays in May 2021.", "The current Hospital Discharge Policy on file was written in 2014, with a new version pending launch.", "A Patient Discharge Planning Tool from June 2019 was also provided.", "No audits regarding Hospital Discharges or policy adherence were conducted between May 1, 2020, and May 31, 2021.", "The request was received on June 2, 2021, and the response was issued on June 29, 2021." ], "data_mentioned": [ "97", "92", "81", "78", "2", "1", "3", "0", "99", "93", "84", "78", "2014", "2019", "2020-05-01", "2021-05-31", "2021-06-02", "2021-06-29" ], "exemptions_cited": [], "tables": [ { "headers": [ "Date", "Total Nobles discharges", "Total Ramsey discharges", "Total discharges" ], "rows": [ [ "07.05.2021", "97", "2", "99" ], [ "14.05.2021", "92", "1", "93" ], [ "21.05.2021", "81", "3", "84" ], [ "28.05.2021", "78", "0", "78" ] ], "row_count": 4, "col_count": 4 } ] }, { "case_id": 1838029, "title": "Brain Haemorrhage Data", "authority": "Manx Care", "date_received": "2021-06-10", "outcome": "Some information sent but not all held", "summary": "The requester asked for detailed statistics on brain haemorrhage and aneurysm admissions at Noble's Hospital over five years, including demographics, transfers to the Walton Centre, and mortality rates. Manx Care provided total admission numbers for 2016-2020 but refused requests for demographic breakdowns, population ratios, and Walton Centre data, citing that the information was not held.", "key_facts": [ "Manx Care provided total admission figures for brain haemorrhage/aneurysm cases from 2016 to 2020.", "The authority stated that clinical coding data validity is unknown due to unqualified staff and backlogs.", "Information regarding patient age, gender, and specific mortality timescales was not held.", "Data on transfers to the Walton Centre and outcomes there was not held by Manx Care.", "The request for population ratio comparisons with England and Wales was refused as the data was not available." ], "data_mentioned": [ "2016: 32 admissions", "2017: 47 admissions", "2018: 43 admissions", "2019: 22 admissions", "2020: 2 admissions", "Total: 146 admissions", "Reference number: 1838029", "Date received: 10 June 2021", "Outcome date: 8 July 2021", "Section 11(3)a of the Act" ], "exemptions_cited": [ "Section 11(3)a of the Freedom of Information Act 2015 (Information not held)" ], "tables": [ { "headers": [ "Year", "Admissions" ], "rows": [ [ "2016", "32" ], [ "2017", "47" ], [ "2018", "43" ], [ "2019", "22" ], [ "2020", "2" ], [ "TOTAL", "146" ] ], "row_count": 6, "col_count": 2 } ] }, { "case_id": 1849795, "title": "Covid and pcr figures", "authority": "Department of Health and Social Care", "date_received": "2021-06-16", "outcome": "Some information sent but not all held", "summary": "The requester asked for PCR settings, mortality figures, undertaker death data, vaccine reaction reports, and legal resolution compliance; the Department of Health and Social Care disclosed that it does not hold most of this data, directing the requester to other bodies like Manx Care and Public Health, while confirming the use of the UK Yellow Card scheme for vaccine reactions.", "key_facts": [ "PCR testing information up to 15 June 2021 is available via the FOI disclosure log, but data after that date is not held by the Department.", "Overall mortality figures for 2019, 2020, and 2021 are not held by the Department and should be requested from Public Health within the Cabinet Office.", "The Department does not receive statistical information regarding deaths from undertakers.", "The Isle of Man uses the UK Yellow Card scheme for adverse vaccine reactions rather than a bespoke local scheme.", "The Department does not hold separated data on IOM residents' adverse vaccine reactions, which are aggregated under England in weekly summaries." ], "data_mentioned": [ "15 June 2021", "16 June 2021", "8 July 2021", "1 April 2021", "2019", "2020", "2021", "08/04/2021", "Resolution 2361-2021", "paragraphs 7.3.1 and 7.3.2", "Section 20 of the Act", "Section 11(3)a of the Act", "UK Freedom of Information Act 2000" ], "exemptions_cited": [ "Section 20 of the Act (Information reasonably accessible)", "Section 11(3)a of the Act (Practical refusal: information not held or cannot be found)" ], "tables": [ { "headers": [ "To provide advice and assistance, the Medicines and Healthcare products Regulatory" ], "rows": [ [ "Agency (the ‘MHRA’) regulates medicines, medical devices and blood components for" ], [ "transfusion in the UK. The MHRA is an executive agency, sponsored by the UK" ], [ "Department of Health and Social Care." ], [ "The MHRA works closely with the UK devolved administrations as well as the" ], [ "governments of the Crown Dependencies. All individuals receiving a vaccine are" ], [ "encouraged to report side effects to COVID-19 vaccines to the Yellow Card scheme by" ], [ "the governments in these territories." ], [ "Whilst the Department does hold this data, the following exemption applies, namely," ], [ "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." ] ], "row_count": 11, "col_count": 1 } ] }, { "case_id": 1856025, "title": "Hospitalisation due influenza", "authority": "Department of Health and Social Care", "date_received": "2021-06-21", "outcome": "Information not held", "summary": "The requester asked for 15 years of data on hospitalizations and deaths from influenza and pneumonia, but the Department of Health and Social Care refused the request stating the information is not held by them.", "key_facts": [ "The request was received on 2021-06-21 and responded to on 2021-06-24.", "The Department of Health and Social Care does not hold the requested data.", "The information may be held by Manx Care, a separate entity.", "The Department was redesigned on 1 April 2021 to separate policy setting from service delivery.", "The requester was advised to re-submit the request to Manx Care." ], "data_mentioned": [ "15 years", "2020", "2021-06-21", "2021-06-24", "1 April 2021", "11 October 2011", "1856025" ], "exemptions_cited": [ "Section 11(3)a of the Act (Information not held)" ], "tables": [ { "headers": [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "e D", "epartmen", "", "", "t", "of", "", "Health", "", "", "", "", "and", "", "", "Social", "", "", "", "", "Care", "", "", "" ], "rows": [ [ "redesigned", "", "", "on", "", "1", "", "April", "", "2021", "", "", "as", "a", "direct", "", "", "resu", "lt", "of", "Sir", "Jonathan", "", "", "", "", "", "Michael’s", "", "", "", "", "Independent", "", "", "", "", "", "", "", "" ], [ "Review", "of", "the", "", "", "Isle", "", "", "of", "Manx", "", "", "Healt", "", "h", "and", "", "Care", "System.", "", "", "This", "", "", "Review", "", "", "", "", "continues", "", "", "", "", "", "to", "", "be", "", "", "a" ], [ "catalyst", "for", "", "", "chang", "", "", "", "e a", "nd", "", "i", "mproved", "", "", "", "service", "", "provision", "", "", ".", "The", "", "", "redesigned", "", "", "", "", "", "", "Department", "", "", "", "", "", "", "", "" ], [ "ensures", "the", "", "", "separation", "", "", "", "", "", "betwee", "", "", "n t", "he", "", "setting", "", "of", "policy a", "", "nd", "s", "trategy", "", "", "", "", "a", "nd", "", "th", "e", "delivery", "", "", "", "", "", "of", "" ], [ "services", "by", "", "Manx", "", "", "", "Care", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 5, "col_count": 41 }, { "headers": [ "You", "", "ma", "", "y", "also", "find", "useful", "", "", "t", "hat", "FOIA", "", "", "applies", "", "", "in", "r", "elatio", "n", "to", "information", "", "", "", "", "held", "", "", "by", "", "", "public", "", "" ], "rows": [ [ "authorities", "", "", "", "", "that", "was", "created", "", "", "", "on", "or", "afte", "", "r", "11", "October", "", "", "201", "1.", "It", "operates", "", "", "in", "addition", "", "", "", "", "", "to,", "", "", "and" ], [ "not", "", "in", "s", "ubstitution", "", "", "for", ",", "the", "", "Code", "", "of", "", "Practice", "", "", "on", "", "Access", "", "t", "o", "", "Government", "", "", "", "Information", "", "", "", "", "", "", "" ], [ "2016", "", "", "approved", "", "", "and", "issued b", "", "", "", "y t", "he", "Council", "", "", "", "of", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 3, "col_count": 37 } ] }, { "case_id": 1861725, "title": "Covid and PCR", "authority": "Manx Care", "date_received": "2021-06-22", "outcome": "Some information sent but not all held", "summary": "Manx Care provided hospitalization and death statistics for influenza and pneumonia from 2010 to 2021, along with PCR CT level information, but refused requests for specific death certificate data and virus genome sequencing as they do not hold this information.", "key_facts": [ "Manx Care does not sequence SARS-CoV-2 genomes on the Isle of Man.", "The PCR CT level threshold has remained constant at 40 since March 2020.", "Death certificate data regarding cause of death is held by the General Registry, not Manx Care.", "Clinical coding data prior to March 2021 may be invalid due to unqualified staff and backlogs.", "Total influenza admissions from 2010 to 2021 were 155 with 4 deaths recorded in hospital discharge data." ], "data_mentioned": [ "PCR CT Level: 40", "Influenza Admissions (2010-2021): 155", "Influenza Deaths (2010-2021): 4", "Pneumonia Admissions (2010-2021): 4806", "Pneumonia Deaths (2010-2021): 937", "Date received: 2021-06-22", "Outcome date: 2021-07-20", "Case ID: 1861725" ], "exemptions_cited": [ "Section 11(3)a of the Act (Information not held or cannot be found after reasonable steps)" ], "tables": [ { "headers": [ "Year", "Admissions", "Deaths" ], "rows": [ [ "2010", "2", "0" ], [ "2011", "2", "0" ], [ "2012", "0", "0" ], [ "2013", "1", "0" ], [ "2014", "3", "0" ], [ "2015", "0", "0" ], [ "2016", "8", "0" ], [ "2017", "14", "0" ], [ "2018", "89", "4" ], [ "2019", "33", "0" ], [ "2020", "1", "0" ], [ "2021", "2", "0" ], [ "Total", "155", "4" ] ], "row_count": 13, "col_count": 3 }, { "headers": [ "Year", "Admissions", "Deaths" ], "rows": [ [ "2010", "357", "78" ], [ "2011", "379", "111" ], [ "2012", "352", "91" ], [ "2013", "389", "81" ], [ "2014", "389", "99" ], [ "2015", "411", "86" ], [ "2016", "560", "80" ], [ "2017", "701", "115" ], [ "2018", "716", "116" ], [ "2019", "338", "37" ], [ "2020", "69", "15" ], [ "2021", "145", "28" ], [ "Total", "4806", "937" ] ], "row_count": 13, "col_count": 3 } ] }, { "case_id": 1903073, "title": "Hospital admissions", "authority": "Manx Care", "date_received": "2021-07-14", "outcome": "All information sent", "summary": "", "key_facts": [], "data_mentioned": [], "exemptions_cited": [], "tables": [ { "headers": [ "Revised Primary diagnosis Jan.20 Feb.20 Mar.20 Apr.20 May.20 Jun.20 Jul.20 Aug.20 Sep.20 Oct.20 Nov.20 Dec.20 Jan.21 Feb.21 Mar.21 Apr.21 May.21 Jun.21" ], "rows": [ [ "Unknown 1450 1348 1190 538 825 1006 1216 1337 1544 1662 1774 1590 1505 1612 1254 200 238 217" ], [ "Cataract, unspecified 34 46 23 22 18 11 10 25 45" ], [ "Severe depressive episode without psychotic symptoms 10" ], [ "Barrett oesophagus 10 21 27 38" ], [ "Viral infection, unspecified 10" ], [ "COVID-19, virus identified 20 14" ], [ "Gastro-oesophageal reflux disease with oesophagitis 13 16 15 27" ], [ "Lobar pneumonia, unspecified 11 19 15" ], [ "Singleton, born in hospital 40 30 22" ], [ "Malignant neoplasm: Breast, unspecified 37 47 51" ], [ "Diverticular disease of large intestine without perforation or abscess 30 25 39" ], [ "Multiple myeloma 29 27 24" ], [ "Constipation 22 16 16" ], [ "Urinary tract infection, site not specified 19 14 16" ], [ "Polyp of colon 18 28 16" ], [ "Pain localized to other parts of lower abdomen 17 10 13" ], [ "Malignant neoplasm: Bladder, unspecified 14 11 10" ], [ "Malignant neoplasm of rectum 14 11 13" ], [ "Acute appendicitis, other and unspecified 14" ], [ "Congestive heart failure 13 11 12" ], [ "Second degree haemorrhoids 13 11 19" ], [ "Syncope and collapse 12" ], [ "Atrial fibrillation and atrial flutter, unspecified 12 22" ], [ "Essential (primary) hypertension 11" ], [ "Malignant neoplasm of rectosigmoid junction 11" ], [ "Other and unspecified abdominal pain 10 27 17" ], [ "Malignant neoplasm: Upper-outer quadrant of breast 10" ], [ "Malignant neoplasm of prostate 10 13 15" ], [ "Malignant neoplasm: Upper lobe, bronchus or lung 15" ], [ "Acute subendocardial myocardial infarction 14" ], [ "Tendency to fall, not elsewhere classified 13" ], [ "Gastritis, unspecified 12" ], [ "Dental caries, unspecified 12 12" ], [ "Diaphragmatic hernia without obstruction or gangrene 12 15" ], [ "Carpal tunnel syndrome 11" ], [ "Gonarthrosis, unspecified 11 13" ], [ "Calculus of gallbladder without cholecystitis 11" ], [ "Sepsis, unspecified 10" ], [ "Pain localized to upper abdomen 10" ] ], "row_count": 39, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan.20 Feb.20 Mar.20 Apr.20 May.20 Jun.20 Jul.20 Aug.20 Sep.20 Oct.20 Nov.20 Dec.20 Jan.21 Feb.21 Mar.21 Apr.21 May.21 Jun.21" ], "rows": [ [ "Poisoning: 4-Aminophenol derivatives 10" ], [ "Coxarthrosis, unspecified 16" ], [ "Calculus of gallbladder with other cholecystitis 13" ], [ "Unilateral or unspecified inguinal hernia, without obstruction or gangrene 13" ], [ "Rectal polyp 13" ], [ "Acute upper respiratory infection, unspecified 11" ], [ "Unspecified haematuria 11" ], [ "Acute renal failure, unspecified 10" ], [ "Gastro-oesophageal reflux disease without oesophagitis 10" ], [ "Impacted teeth 10" ], [ "other 215 222 146 134 44 59 102 93 111 97 49 39 23 48 288 991 932 1008" ] ], "row_count": 11, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Abdominal aortic aneurysm, without mention of rupture 1" ], [ "Abnormal bowel sounds 1" ], [ "Abnormal findings in specimens from female genital organs Abnormal cytological findings 2" ], [ "Abnormal findings on diagnostic imaging of lung 5" ], [ "Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum 1" ], [ "Abnormal findings on diagnostic imaging of other parts of digestive tract 8" ], [ "Abnormal findings on diagnostic imaging of other specified body structures 3" ], [ "Abnormal findings on diagnostic imaging of urinary organs 1" ], [ "Abnormal results of cardiovascular function studies 1" ], [ "Abnormal sputum 1" ], [ "Abnormal uterine and vaginal bleeding, unspecified 6" ], [ "Abnormal weight loss 7" ], [ "Abscess of Bartholin gland 1" ], [ "Abscess of vulva 3" ], [ "Achalasia of cardia 1" ], [ "Acquired absence of breast(s) 3" ], [ "Acquired absence of genital organ(s) 1" ], [ "Acquired absence of part of stomach 1" ], [ "Acute abdomen 1" ], [ "Acute appendicitis with localized peritonitis 6" ], [ "Acute appendicitis, other and unspecified 16" ], [ "Acute bronchiolitis due to human metapneumovirus 2" ], [ "Acute bronchiolitis due to other specified organisms 1" ], [ "Acute bronchiolitis due to respiratory syncytial virus 5" ], [ "Acute bronchiolitis, unspecified 13" ], [ "Acute bronchitis, unspecified 1" ], [ "Acute cholecystitis 6" ], [ "Acute ischaemic heart disease, unspecified 11" ], [ "Acute lymphadenitis of face, head and neck 1" ], [ "Acute lymphoblastic leukaemia [ALL] 1" ], [ "Acute mastoiditis 1" ], [ "Acute myeloblastic leukaemia [AML] 16" ], [ "Acute myocardial infarction, unspecified 1" ], [ "Acute obstructive laryngitis [croup] 10" ], [ "Acute pancreatitis, unspecified 13" ], [ "Acute peritonitis 1" ], [ "Acute pharyngitis, unspecified 1" ], [ "Acute renal failure, unspecified 12" ], [ "Acute respiratory failure 2" ], [ "Acute sinusitis, unspecified 1" ], [ "Acute subendocardial myocardial infarction 22" ], [ "Acute tonsillitis due to other specified organisms 1" ], [ "Acute tonsillitis, unspecified 34" ], [ "Acute transmural myocardial infarction of anterior wall 8" ], [ "Acute transmural myocardial infarction of inferior wall 5" ], [ "Acute transmural myocardial infarction of unspecified site 2" ], [ "Acute upper respiratory infection, unspecified 29" ], [ "Acute vascular disorders of intestine 2" ], [ "Adenovirus infection, unspecified site 1" ], [ "Adhesive capsulitis of shoulder 2" ], [ "Adjustment and management of cardiac devices 8" ], [ "Adjustment and management of vascular access device 1" ], [ "Adult hypertrophic pyloric stenosis 2" ], [ "Agranulocytosis 2" ], [ "Alcoholic cirrhosis of liver 7" ], [ "Alcoholic gastritis 1" ], [ "Alcoholic hepatitis 2" ], [ "Alcoholic liver disease, unspecified 6" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Alcoholic myopathy 1" ], [ "Alcohol-induced acute pancreatitis 1" ], [ "Allergic contact dermatitis due to other agents 1" ], [ "Alzheimer,s disease, unspecified 2" ], [ "Anaemia in neoplastic disease 12" ], [ "Anaemia, unspecified 41" ], [ "Anal abscess 3" ], [ "Anal fissure, unspecified 1" ], [ "Anal fistula 1" ], [ "Anal polyp 4" ], [ "Anaphylactic shock due to adverse effect of correct drug or medicament properly administered 2" ], [ "Aneurysm and dissection of carotid artery 1" ], [ "Angina pectoris with documented spasm 1" ], [ "Angina pectoris, unspecified 5" ], [ "Angiodysplasia of colon 3" ], [ "Angioneurotic oedema 1" ], [ "Anogenital (venereal) warts 1" ], [ "Anomalies of pupillary function 3" ], [ "Anomalies of tooth position 1" ], [ "Anorexia 1" ], [ "Anoxic brain damage, not elsewhere classified 1" ], [ "Anxiety disorder, unspecified 1" ], [ "Aortic (valve) stenosis 5" ], [ "Aortic (valve) stenosis with insufficiency 1" ], [ "Aplastic anaemia, unspecified 28" ], [ "Arthritis, unspecified Ankle and foot 1" ], [ "Arthritis, unspecified Lower leg 2" ], [ "Arthritis, unspecified Pelvic region and thigh 1" ], [ "Arthrosis, unspecified Ankle and foot 1" ], [ "Arthrosis, unspecified Multiple sites 1" ], [ "Arthrosis, unspecified Pelvic region and thigh 1" ], [ "Arthrosis, unspecified Shoulder region 6" ], [ "Ascites 7" ], [ "Asthma, unspecified 30" ], [ "Atherosclerosis of arteries of extremities without gangrene 4" ], [ "Atherosclerosis of other arteries 1" ], [ "Atherosclerosis of renal artery without gangrene 1" ], [ "Atherosclerotic heart disease 1" ], [ "Atopic dermatitis, unspecified 3" ], [ "Atrial fibrillation and atrial flutter, unspecified 22" ], [ "Atrioventricular block, complete 1" ], [ "Attention to ileostomy 2" ], [ "Autoimmune hepatitis 2" ], [ "Bacterial foodborne intoxication, unspecified 1" ], [ "Bacterial infection, unspecified 1" ], [ "Bacterial sepsis of newborn, unspecified 1" ], [ "Balanoposthitis 1" ], [ "Barrett oesophagus 15" ], [ "B-cell lymphoma, unspecified 1" ], [ "Bell palsy 2" ], [ "Benign intracranial hypertension 2" ], [ "Benign lipomatous neoplasm of other sites 1" ], [ "Benign lipomatous neoplasm of skin and subcutaneous tissue of limbs 1" ], [ "Benign lipomatous neoplasm of skin and subcutaneous tissue of other and unspecified sites 1" ], [ "Benign lipomatous neoplasm of skin and subcutaneous tissue of trunk 1" ], [ "Benign neoplasm of breast 4" ], [ "Benign neoplasm of ovary 2" ], [ "Benign neoplasm of thyroid gland 2" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Benign neoplasm: Anus and anal canal 1" ], [ "Benign neoplasm: Ascending colon 6" ], [ "Benign neoplasm: Bladder 1" ], [ "Benign neoplasm: Bronchus and lung 1" ], [ "Benign neoplasm: Caecum 14" ], [ "Benign neoplasm: Cerebral meninges 1" ], [ "Benign neoplasm: Descending colon 6" ], [ "Benign neoplasm: Peripheral nerves and autonomic nervous system 1" ], [ "Benign neoplasm: Pituitary gland 1" ], [ "Benign neoplasm: Rectum 18" ], [ "Benign neoplasm: Sigmoid colon 23" ], [ "Benign neoplasm: Transverse colon 12" ], [ "Benign neoplasm: Ureter 1" ], [ "Benign neoplasm: Vertebral column 1" ], [ "Benign paroxysmal vertigo 3" ], [ "Bilateral inguinal hernia, without obstruction or gangrene 3" ], [ "Biliary acute pancreatitis 8" ], [ "Bipolar affective disorder, unspecified 1" ], [ "Birth injury to eye 1" ], [ "Birth injury to face 2" ], [ "Bladder disorder, unspecified 6" ], [ "Bladder-neck obstruction 2" ], [ "Bradycardia, unspecified 3" ], [ "Bronchiectasis 2" ], [ "Bronchitis, not specified as acute or chronic 1" ], [ "Bronchopneumonia, unspecified 2" ], [ "Bullous pemphigoid 1" ], [ "Burn of first degree of head and neck 1" ], [ "Burn of second degree of hip and lower limb, except ankle and foot 1" ], [ "Burn of second degree of trunk 1" ], [ "Burn of unspecified degree of hip and lower limb, except ankle and foot 1" ], [ "Calculus in bladder 7" ], [ "Calculus of bile duct with cholangitis 4" ], [ "Calculus of bile duct with cholecystitis 3" ], [ "Calculus of bile duct without cholangitis or cholecystitis 16" ], [ "Calculus of gallbladder with acute cholecystitis 13" ], [ "Calculus of gallbladder with other cholecystitis 17" ], [ "Calculus of gallbladder without cholecystitis 7" ], [ "Calculus of kidney 1" ], [ "Calculus of kidney with calculus of ureter 5" ], [ "Calculus of ureter 18" ], [ "Campylobacter enteritis 2" ], [ "Candidiasis of other sites 1" ], [ "Carcinoma in situ: Cervix, unspecified 2" ], [ "Cardiac arrest with successful resuscitation 3" ], [ "Cardiac arrest, unspecified 1" ], [ "Cardiac arrhythmia, unspecified 2" ], [ "Cardiac murmur, unspecified 1" ], [ "Cardiomyopathy, unspecified 1" ], [ "Carpal tunnel syndrome 7" ], [ "Cataract, unspecified 16" ], [ "Cauda equina syndrome 1" ], [ "Cellulitis of finger and toe 1" ], [ "Cellulitis of other parts of limb 26" ], [ "Cellulitis of other sites 1" ], [ "Cellulitis, unspecified 2" ], [ "Cerebral amyloid angiopathy 1" ], [ "Cerebral infarction due to thrombosis of cerebral arteries 4" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries 14" ], [ "Cerebral infarction, unspecified 13" ], [ "Cerebrovascular disease, unspecified 2" ], [ "Cervicalgia 1" ], [ "Change in bowel habit 31" ], [ "Chest pain, unspecified 23" ], [ "Cholangitis 5" ], [ "Cholecystitis, unspecified 1" ], [ "Cholesteatoma of middle ear 4" ], [ "Chondrocostal junction syndrome [Tietze] 2" ], [ "Chronic anal fissure 1" ], [ "Chronic apical periodontitis 1" ], [ "Chronic atrial fibrillation 1" ], [ "Chronic cholecystitis 2" ], [ "Chronic gastritis, unspecified 8" ], [ "Chronic ischaemic heart disease, unspecified 1" ], [ "Chronic kidney disease, stage 3 1" ], [ "Chronic kidney disease, stage 5 2" ], [ "Chronic laryngitis 1" ], [ "Chronic lymphocytic leukaemia of B-cell type 8" ], [ "Chronic maxillary sinusitis 1" ], [ "Chronic mucoid otitis media 1" ], [ "Chronic obstructive pulmonary disease with acute exacerbation, unspecified 12" ], [ "Chronic obstructive pulmonary disease with acute lower respiratory infection 30" ], [ "Chronic obstructive pulmonary disease, unspecified 6" ], [ "Chronic periodontitis 3" ], [ "Chronic respiratory failure Type II [hypercapnic] 1" ], [ "Chronic rhinitis 3" ], [ "Chronic sinusitis, unspecified 2" ], [ "Cluster headache syndrome 1" ], [ "Coeliac disease 3" ], [ "Colostomy and enterostomy malfunction 5" ], [ "Combined immunodeficiency, unspecified 3" ], [ "Concussion without open intracranial wound 2" ], [ "Congenital hydrocele 1" ], [ "Congenital hypotonia 1" ], [ "Congenital malformation of heart, unspecified 1" ], [ "Congenital malformation syndromes predominantly associated with short stature 1" ], [ "Congenital pneumonia, unspecified 1" ], [ "Congestive heart failure 9" ], [ "Constipation 26" ], [ "Contusion of abdominal wall 1" ], [ "Contusion of breast 1" ], [ "Contusion of elbow 1" ], [ "Contusion of external genital organs 1" ], [ "Contusion of eyelid and periocular area 2" ], [ "Contusion of hip 1" ], [ "Contusion of knee 1" ], [ "Contusion of shoulder and upper arm 1" ], [ "Coronary thrombosis not resulting in myocardial infarction 1" ], [ "Corpus luteum cyst 1" ], [ "Cough 5" ], [ "COVID-19 vaccines causing adverse effects in therapeutic use 1" ], [ "COVID-19, virus identified 15" ], [ "COVID-19, virus not identified 4" ], [ "Coxarthrosis, unspecified 17" ], [ "Crohn disease of large intestine 1" ], [ "Crohn disease of small intestine 5" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Crohn disease, unspecified 9" ], [ "Cryptosporidiosis 1" ], [ "Cutaneous abscess, furuncle and carbuncle of limb 2" ], [ "Cutaneous abscess, furuncle and carbuncle of neck 1" ], [ "Cutaneous abscess, furuncle and carbuncle of trunk 5" ], [ "Cyanosis 1" ], [ "Cyst of kidney 1" ], [ "Cystic fibrosis with pulmonary manifestations 1" ], [ "Cystitis, unspecified 2" ], [ "Cystocele 2" ], [ "Degeneration of macula and posterior pole 1" ], [ "Degenerative disease of nervous system, unspecified 1" ], [ "Delirium superimposed on dementia 3" ], [ "Delirium, unspecified 9" ], [ "Dental caries, unspecified 17" ], [ "Depressive episode, unspecified 11" ], [ "Derangement of meniscus due to old tear or injury Anterior cruciate ligament or Anterior horn of medial meniscus 3" ], [ "Derangement of meniscus due to old tear or injury Multiple sites 3" ], [ "Derangement of meniscus due to old tear or injury Posterior cruciate ligament or Posterior horn of medial meniscus 2" ], [ "Derangement of meniscus due to old tear or injury Unspecified ligament or Unspecified meniscus 3" ], [ "Dermatitis, unspecified 6" ], [ "Deviated nasal septum 2" ], [ "Diagnostic skin and sensitization tests 10" ], [ "Diaper [napkin] dermatitis 1" ], [ "Diaphragmatic hernia without obstruction or gangrene 14" ], [ "Diffuse brain injury without open intracranial wound 1" ], [ "Diffuse large B-cell lymphoma 5" ], [ "Diplopia 2" ], [ "Discitis, unspecified Lumbar region 1" ], [ "Disease of intestine, unspecified 1" ], [ "Disease of oesophagus, unspecified 1" ], [ "Disease of pericardium, unspecified 1" ], [ "Diseases of bronchus, not elsewhere classified 1" ], [ "Diseases of lips 2" ], [ "Diseases of the digestive system complicating pregnancy, childbirth and the puerperium 2" ], [ "Dislocation of acromioclavicular joint 1" ], [ "Dislocation of ankle joint 1" ], [ "Dislocation of shoulder joint 3" ], [ "Dislocation of tooth 1" ], [ "Disorder of bone, unspecified Ankle and foot 1" ], [ "Disorder of brain, unspecified 3" ], [ "Disorder of prostate, unspecified 3" ], [ "Disorders of both mitral and aortic valves 1" ], [ "Disorders of calcium metabolism 6" ], [ "Disorders of magnesium metabolism 7" ], [ "Disorders of phosphorus metabolism and phosphatases 1" ], [ "Disorientation, unspecified 9" ], [ "Disruption of operation wound, not elsewhere classified 1" ], [ "Dissection of aorta [any part] 1" ], [ "Diverticular disease of intestine, part unspecified, without perforation or abscess 3" ], [ "Diverticular disease of large intestine with perforation and abscess 6" ], [ "Diverticular disease of large intestine without perforation or abscess 36" ], [ "Diverticulum of appendix 1" ], [ "Diverticulum of bladder 1" ], [ "Diverticulum of oesophagus, acquired 1" ], [ "Dizziness and giddiness 6" ], [ "Dorsalgia, unspecified 1" ], [ "Drug-induced headache, not elsewhere classified 1" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Duodenal ulcer Acute with both haemorrhage and perforation 1" ], [ "Duodenal ulcer Acute with haemorrhage 2" ], [ "Duodenal ulcer Chronic or unspecified with haemorrhage 2" ], [ "Duodenal ulcer Unspecified as acute or chronic, without haemorrhage or perforation 2" ], [ "Duodenitis 11" ], [ "Dyskinesia of oesophagus 1" ], [ "Dysphagia 18" ], [ "Dysphasia and aphasia 1" ], [ "Dyspnoea 7" ], [ "Dysuria 1" ], [ "Eating disorder, unspecified 1" ], [ "Ectopic pregnancy, unspecified 1" ], [ "Effusion of joint Lower leg 2" ], [ "Effusion of joint Upper arm 1" ], [ "Embolism and thrombosis of abdominal aorta 1" ], [ "Embolism and thrombosis of arteries of lower extremities 3" ], [ "Embolism and thrombosis of arteries of upper extremities 1" ], [ "Embolism and thrombosis of iliac artery 2" ], [ "Embryonic cyst of broad ligament 1" ], [ "Emphysema, unspecified 3" ], [ "Encephalitis, myelitis and encephalomyelitis, unspecified 1" ], [ "Encephalopathy, unspecified 2" ], [ "Endometrial adenomatous hyperplasia 1" ], [ "Endometrial glandular hyperplasia 5" ], [ "Endometriosis of pelvic peritoneum 1" ], [ "Endometriosis of uterus 1" ], [ "Endometriosis, unspecified 1" ], [ "Enterocolitis due to Clostridium difficile 2" ], [ "Enterovirus infection, unspecified site 1" ], [ "Enthesopathy, unspecified Ankle and foot 1" ], [ "Eosinophilia 1" ], [ "Epidermal cyst 3" ], [ "Epilepsy, unspecified 7" ], [ "Epistaxis 2" ], [ "Erythema multiforme, unspecified 1" ], [ "Essential (primary) hypertension 15" ], [ "Examination and observation for other specified reasons 2" ], [ "Excessive and frequent menstruation with regular cycle 8" ], [ "Extranodal NK/T-cell lymphoma, nasal type 1" ], [ "Failed medical abortion, complicated by delayed or excessive haemorrhage 1" ], [ "Fasciculation 1" ], [ "Febrile convulsions 5" ], [ "Female pelvic inflammatory disease, unspecified 1" ], [ "Fetus and newborn affected by forceps delivery 1" ], [ "Fetus and newborn affected by other compression of umbilical cord 3" ], [ "Fetus and newborn affected by other malpresentation, malposition and disproportion during labour and delivery 2" ], [ "Fever, unspecified 9" ], [ "Fibromyalgia Multiple sites 1" ], [ "First degree haemorrhoids 23" ], [ "First degree perineal laceration during delivery 1" ], [ "Fitting and adjustment of urinary device 23" ], [ "Flat foot [pes planus] (acquired) 1" ], [ "Flatulence and related conditions 1" ], [ "Fluid overload 1" ], [ "Focal brain injury without open intracranial wound 1" ], [ "Folate deficiency anaemia, unspecified 1" ], [ "Follicular cyst of skin and subcutaneous tissue, unspecified 2" ], [ "Follicular lymphoma grade IIIa 1" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Follicular lymphoma, unspecified 3" ], [ "Follow-up care involving removal of fracture plate and other internal fixation device 6" ], [ "Follow-up examination after chemotherapy for malignant neoplasm 3" ], [ "Follow-up examination after chemotherapy for other conditions 9" ], [ "Follow-up examination after combined treatment for malignant neoplasm 14" ], [ "Follow-up examination after combined treatment for other conditions 7" ], [ "Follow-up examination after other treatment for other conditions 8" ], [ "Follow-up examination after psychotherapy 1" ], [ "Follow-up examination after surgery for malignant neoplasm 29" ], [ "Follow-up examination after surgery for other conditions 26" ], [ "Follow-up examination after unspecified treatment for malignant neoplasm 3" ], [ "Follow-up examination after unspecified treatment for other conditions 2" ], [ "Foreign body accidentally left in body cavity or operation wound following a procedure 2" ], [ "Foreign body in alimentary tract, part unspecified 1" ], [ "Foreign body in ear 1" ], [ "Foreign body in nostril 1" ], [ "Foreign body in oesophagus 4" ], [ "Foreign body in stomach 1" ], [ "Foreign body in urethra 1" ], [ "Fracture of acetabulum closed 1" ], [ "Fracture of base of skull closed 2" ], [ "Fracture of bone following insertion of orthopaedic implant, joint prosthesis, or bone plate 2" ], [ "Fracture of bone in neoplastic disease Pelvic region and thigh 1" ], [ "Fracture of calcaneus closed 2" ], [ "Fracture of clavicle closed 9" ], [ "Fracture of fibula alone closed 1" ], [ "Fracture of first metacarpal bone closed 1" ], [ "Fracture of lateral malleolus closed 5" ], [ "Fracture of lower end of both ulna and radius closed 4" ], [ "Fracture of lower end of femur closed 1" ], [ "Fracture of lower end of humerus closed 3" ], [ "Fracture of lower end of radius closed 18" ], [ "Fracture of lower end of radius open 1" ], [ "Fracture of lower end of tibia closed 4" ], [ "Fracture of lumbar vertebra closed 3" ], [ "Fracture of mandible closed 1" ], [ "Fracture of metatarsal bone closed 2" ], [ "Fracture of nasal bones 1" ], [ "Fracture of nasal bones closed 2" ], [ "Fracture of navicular [scaphoid] bone of hand closed 1" ], [ "Fracture of neck of femur 1" ], [ "Fracture of neck of femur closed 26" ], [ "Fracture of neck, part unspecified closed 1" ], [ "Fracture of other and unspecified parts of lumbar spine and pelvis 1" ], [ "Fracture of other finger open 1" ], [ "Fracture of other tarsal bone(s) closed 1" ], [ "Fracture of pubis closed 8" ], [ "Fracture of rib closed 2" ], [ "Fracture of sacrum closed 1" ], [ "Fracture of second cervical vertebra closed 1" ], [ "Fracture of shaft of humerus closed 2" ], [ "Fracture of shaft of tibia closed 4" ], [ "Fracture of shaft of ulna closed 1" ], [ "Fracture of shafts of both ulna and radius closed 3" ], [ "Fracture of thoracic vertebra closed 2" ], [ "Fracture of thumb closed 1" ], [ "Fracture of tooth closed 2" ], [ "Fracture of upper end of humerus closed 6" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Fracture of upper end of radius closed 3" ], [ "Fracture of upper end of tibia closed 3" ], [ "Fracture of upper end of ulna closed 3" ], [ "Fracture of upper end of ulna open 1" ], [ "Fractures of other parts of lower leg closed 4" ], [ "Fractures of other parts of lower leg open 1" ], [ "Fractures of other skull and facial bones closed 1" ], [ "Functional diarrhoea 1" ], [ "Functional dyspepsia 1" ], [ "Ganglion 1" ], [ "Gangrene, not elsewhere classified 3" ], [ "Gastric ulcer Unspecified as acute or chronic, without haemorrhage or perforation 1" ], [ "Gastritis, unspecified 35" ], [ "Gastroduodenitis, unspecified 8" ], [ "Gastroenteritis and colitis of unspecified origin 28" ], [ "Gastrointestinal haemorrhage, unspecified 30" ], [ "Gastro-oesophageal laceration-haemorrhage syndrome 2" ], [ "Gastro-oesophageal reflux disease with oesophagitis 34" ], [ "Gastro-oesophageal reflux disease without oesophagitis 16" ], [ "Generalized idiopathic epilepsy and epileptic syndromes 4" ], [ "Generalized oedema 1" ], [ "Glossitis 1" ], [ "Gonarthrosis, unspecified 5" ], [ "Gout, unspecified 1\nGrand Total 4601" ], [ "Guillain-Barré syndrome 2" ], [ "Haemangioma, any site 3" ], [ "Haematemesis 6" ], [ "Haemoptysis 5" ], [ "Haemorrhage and haematoma complicating a procedure, not elsewhere classified 2" ], [ "Haemorrhage in early pregnancy, unspecified 3" ], [ "Haemorrhage of anus and rectum 3" ], [ "Haemorrhoids, unspecified 14" ], [ "Hairy-cell leukaemia 1" ], [ "Hallux valgus (acquired) 1" ], [ "Headache 24" ], [ "Hearing loss, unspecified 1" ], [ "Heart failure, unspecified 9" ], [ "Heartburn 1" ], [ "Hepatic failure, unspecified 4" ], [ "Hereditary haemorrhagic telangiectasia 1" ], [ "Herpesviral infection of genitalia and urogenital tract 1" ], [ "Hiccough 1" ], [ "HIV disease resulting in multiple infections 1" ], [ "HIV disease resulting in Pneumocystis jirovecii pneumonia 1" ], [ "Hodgkin lymphoma, unspecified 4" ], [ "Huntington disease 1" ], [ "Hydrocele, unspecified 4" ], [ "Hydronephrosis with renal and ureteral calculous obstruction 3" ], [ "Hydronephrosis with ureteral stricture, not elsewhere classified 4" ], [ "Hyperemesis gravidarum with metabolic disturbance 1" ], [ "Hyperkalaemia 6" ], [ "Hyperplasia of prostate 22" ], [ "Hypertensive heart and renal disease with both (congestive) heart failure and renal failure 1" ], [ "Hypertensive heart and renal disease, unspecified 1" ], [ "Hypertensive renal disease with renal failure 1" ], [ "Hypoglycaemia, unspecified 3" ], [ "Hypokalaemia 8" ] ], "row_count": 57, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Hypo-osmolality and hyponatraemia 5" ], [ "Hypotension due to drugs 1" ], [ "Hypotension, unspecified 4" ], [ "Hypothermia of newborn, unspecified 1" ], [ "Hypothyroidism, unspecified 3" ], [ "Idiopathic thrombocytopenic purpura 12" ], [ "Idiopathic urticaria 1" ], [ "Impacted teeth 20" ], [ "Impetigo [any organism] [any site] 1" ], [ "Impingement syndrome of shoulder 1" ], [ "Incisional hernia with obstruction, without gangrene 2" ], [ "Incisional hernia without obstruction or gangrene 7" ], [ "Incomplete uterovaginal prolapse 1" ], [ "Indeterminate colitis 3" ], [ "Induratio penis plastica 1" ], [ "Infarction of spleen 1" ], [ "Infection and inflammatory reaction due to cardiac valve prosthesis 1" ], [ "Infection and inflammatory reaction due to internal fixation device [any site] 2" ], [ "Infection and inflammatory reaction due to internal joint prosthesis 3" ], [ "Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts 3" ], [ "Infection and inflammatory reaction due to prosthetic device, implant and graft in urinary system 4" ], [ "Infection following a procedure, not elsewhere classified 8" ], [ "Infection of amputation stump 1" ], [ "Infective dermatitis 1" ], [ "Inflammatory disease of cervix uteri 2" ], [ "Inflammatory disease of prostate, unspecified 1" ], [ "Inflammatory disorders of breast 3" ], [ "Inflammatory disorders of other specified male genital organs 1" ], [ "Inflammatory polyarthropathy Lower leg 1" ], [ "Inflammatory polyneuropathy, unspecified 1" ], [ "Inflammatory polyps 1" ], [ "Influenza with other respiratory manifestations, virus not identified 1" ], [ "Influenza with pneumonia, seasonal influenza virus identified 1" ], [ "Ingrowing nail 5" ], [ "Injury of digital nerve of other finger 1" ], [ "Injury of dorsal artery of foot 1" ], [ "Injury of extensor muscle and tendon of other finger at wrist and hand level 1" ], [ "Injury of extensor muscle and tendon of thumb at wrist and hand level 1" ], [ "Injury of flexor muscle and tendon of other finger at wrist and hand level 2" ], [ "Injury of muscle and tendon of other parts of biceps 1" ], [ "Injury of other and unspecified muscles and tendons at thigh level 1" ], [ "Injury of other muscles and tendons at wrist and hand level 1" ], [ "Injury of quadriceps muscle and tendon 1" ], [ "Injury to multiple structures of knee 1" ], [ "Insulin-dependent diabetes mellitus With ophthalmic complications 2" ], [ "Insulin-dependent diabetes mellitus With renal complications 1" ], [ "Intestinal adhesions [bands] with obstruction 3" ], [ "Intra-abdominal and pelvic swelling, mass and lump 1" ], [ "Intracerebral haemorrhage in brain stem 1" ], [ "Intracerebral haemorrhage in hemisphere, cortical 1" ], [ "Intracerebral haemorrhage, multiple localized 1" ], [ "Intracerebral haemorrhage, unspecified 5" ], [ "Intraductal carcinoma in situ 1" ], [ "Iron deficiency 1" ], [ "Iron deficiency anaemia, unspecified 33" ], [ "Irradiation cystitis 1" ], [ "Irregular menstruation, unspecified 2" ], [ "Irritable bowel syndrome with diarrhoea 1" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Irritable bowel syndrome without diarrhoea 4" ], [ "Kinking and stricture of ureter without hydronephrosis 8" ], [ "Labour and delivery complicated by other cord complications 1" ], [ "Labyrinthine dysfunction 1" ], [ "Labyrinthitis 1" ], [ "Lactose intolerance, unspecified 1" ], [ "Left sided colitis 2" ], [ "Left ventricular failure 7" ], [ "Leiomyoma of uterus, unspecified 5" ], [ "Leukaemia, unspecified 3" ], [ "Leukoplakia of penis 1" ], [ "Lobar pneumonia, unspecified 21" ], [ "Local infection of skin and subcutaneous tissue, unspecified 1" ], [ "Localized oedema 1" ], [ "Localized swelling, mass and lump, lower limb 2" ], [ "Localized swelling, mass and lump, neck 3" ], [ "Low back pain 1" ], [ "Low back pain Lumbar region 8" ], [ "Low back pain Lumbosacral region 1" ], [ "Low back pain Site unspecified 2" ], [ "Lumbar and other intervertebral disc disorders with radiculopathy 4" ], [ "Magnesium deficiency 3" ], [ "Malaise and fatigue 8" ], [ "Malignant neoplasm of base of tongue 5" ], [ "Malignant neoplasm of kidney, except renal pelvis 12" ], [ "Malignant neoplasm of other and ill-defined sites: Abdomen 2" ], [ "Malignant neoplasm of ovary 21" ], [ "Malignant neoplasm of prostate 5" ], [ "Malignant neoplasm of rectosigmoid junction 11" ], [ "Malignant neoplasm of rectum 2" ], [ "Malignant neoplasm of thyroid gland 2" ], [ "Malignant neoplasm, primary site unknown, so stated 2" ], [ "Malignant neoplasm, primary site unspecified 5" ], [ "Malignant neoplasm: Ascending colon 8" ], [ "Malignant neoplasm: Biliary tract, unspecified 1" ], [ "Malignant neoplasm: Bladder, unspecified 23" ], [ "Malignant neoplasm: Body of stomach 2" ], [ "Malignant neoplasm: Brain, unspecified 2" ], [ "Malignant neoplasm: Breast, unspecified 7" ], [ "Malignant neoplasm: Bronchus or lung, unspecified 21" ], [ "Malignant neoplasm: Caecum 8" ], [ "Malignant neoplasm: Cardia 4" ], [ "Malignant neoplasm: Central portion of breast 3" ], [ "Malignant neoplasm: Cervix uteri, unspecified 2" ], [ "Malignant neoplasm: Choroid 2" ], [ "Malignant neoplasm: Colon, unspecified 2" ], [ "Malignant neoplasm: Connective and soft tissue of abdomen 5" ], [ "Malignant neoplasm: Connective and soft tissue of head, face and neck 4" ], [ "Malignant neoplasm: Connective and soft tissue of lower limb, including hip 6" ], [ "Malignant neoplasm: Connective and soft tissue of thorax 2" ], [ "Malignant neoplasm: Connective and soft tissue, unspecified 1" ], [ "Malignant neoplasm: Descending colon 8" ], [ "Malignant neoplasm: Dome of bladder 2" ], [ "Malignant neoplasm: Endometrium 13" ], [ "Malignant neoplasm: Extrahepatic bile duct 3" ], [ "Malignant neoplasm: Head of pancreas 15" ], [ "Malignant neoplasm: Hepatic flexure 4" ], [ "Malignant neoplasm: Intestinal tract, part unspecified 1" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Malignant neoplasm: Intrahepatic bile duct carcinoma 1" ], [ "Malignant neoplasm: Lesser curvature of stomach, unspecified 2" ], [ "Malignant neoplasm: Liver cell carcinoma 7" ], [ "Malignant neoplasm: Liver, unspecified 1" ], [ "Malignant neoplasm: Lower lobe, bronchus or lung 7" ], [ "Malignant neoplasm: Lower third of oesophagus 8" ], [ "Malignant neoplasm: Lower-inner quadrant of breast 4" ], [ "Malignant neoplasm: Main bronchus 5" ], [ "Malignant neoplasm: Malignant melanoma of lower limb, including hip 4" ], [ "Malignant neoplasm: Malignant melanoma of other and unspecified parts of face 1" ], [ "Malignant neoplasm: Malignant melanoma of scalp and neck 1" ], [ "Malignant neoplasm: Malignant melanoma of trunk 5" ], [ "Malignant neoplasm: Malignant melanoma of upper limb, including shoulder 1" ], [ "Malignant neoplasm: Middle third of oesophagus 4" ], [ "Malignant neoplasm: Nasal cavity 1" ], [ "Malignant neoplasm: Oesophagus, unspecified 10" ], [ "Malignant neoplasm: Oropharynx, unspecified 1" ], [ "Malignant neoplasm: Overlapping lesion of bladder 1" ], [ "Malignant neoplasm: Overlapping lesion of breast 4" ], [ "Malignant neoplasm: Overlapping lesion of pancreas 1" ], [ "Malignant neoplasm: Pancreas, unspecified 5" ], [ "Malignant neoplasm: Retina 1" ], [ "Malignant neoplasm: Sigmoid colon 10" ], [ "Malignant neoplasm: Skin of ear and external auricular canal 1" ], [ "Malignant neoplasm: Skin of lower limb, including hip 3" ], [ "Malignant neoplasm: Skin of other and unspecified parts of face 3" ], [ "Malignant neoplasm: Skin of scalp and neck 2" ], [ "Malignant neoplasm: Skin of trunk 5" ], [ "Malignant neoplasm: Skin of upper limb, including shoulder 2" ], [ "Malignant neoplasm: Small intestine, unspecified 6" ], [ "Malignant neoplasm: Spinal meninges 1" ], [ "Malignant neoplasm: Tail of pancreas 1" ], [ "Malignant neoplasm: Testis, unspecified 2" ], [ "Malignant neoplasm: Thoracic part of oesophagus 1" ], [ "Malignant neoplasm: Transverse colon 10" ], [ "Malignant neoplasm: Upper lobe, bronchus or lung 18" ], [ "Malignant neoplasm: Upper-inner quadrant of breast 10" ], [ "Malignant neoplasm: Upper-outer quadrant of breast 20" ], [ "Malignant neoplasm: Ureteric orifice 2" ], [ "Malignant neoplasm: Vulva, unspecified 5" ], [ "Malposition of uterus 1" ], [ "Malunion of fracture Forearm 3" ], [ "Mammary duct ectasia 3" ], [ "Manganese deficiency 5" ], [ "Mantle cell lymphoma 4" ], [ "Maternal care due to uterine scar from previous surgery 1" ], [ "Mechanical complication of cardiac electronic device 2" ], [ "Mechanical complication of gastrointestinal prosthetic devices, implants and grafts 1" ], [ "Mechanical complication of internal fixation device of bones of limb 1" ], [ "Mechanical complication of internal joint prosthesis 4" ], [ "Mechanical complication of intrauterine contraceptive device 1" ], [ "Mechanical complication of other bone devices, implants and grafts 1" ], [ "Mechanical complication of other prosthetic devices, implants and grafts in genital tract 2" ], [ "Mechanical complication of other urinary devices and implants 2" ], [ "Mechanical complication of urinary (indwelling) catheter 1" ], [ "Mechanical complication of vascular dialysis catheter 1" ], [ "Medical abortion Complete or unspecified, with other and unspecified complications 1" ], [ "Medical abortion Complete or unspecified, without complication 1" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Medical abortion Incomplete, without complication 1" ], [ "Melaena 8" ], [ "Melanocytic naevi of trunk 1" ], [ "Melanoma in situ of ear and external auricular canal 1" ], [ "Melanoma in situ of trunk 1" ], [ "Mental and behavioural disorders due to use of alcohol Acute intoxication 6" ], [ "Mental and behavioural disorders due to use of alcohol Dependence syndrome 4" ], [ "Mental and behavioural disorders due to use of alcohol Harmful use 2" ], [ "Mental and behavioural disorders due to use of alcohol Withdrawal state 14" ], [ "Mental and behavioural disorders due to use of alcohol Withdrawal state with delirium 2" ], [ "Mental and behavioural disorders due to use of hallucinogens Unspecified mental and behavioural disorder 1" ], [ "Mental disorder, not otherwise specified 1" ], [ "Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium 1" ], [ "Mesothelioma, unspecified 3" ], [ "Metatarsalgia 1" ], [ "Migraine with aura [classical migraine] 1" ], [ "Migraine, unspecified 8" ], [ "Missed abortion 5" ], [ "Monoclonal gammopathy of undetermined significance (MGUS) 1" ], [ "Motor neuron disease 1" ], [ "Multiple fractures of cervical spine closed 1" ], [ "Multiple fractures of lumbar spine and pelvis closed 1" ], [ "Multiple fractures of ribs closed 10" ], [ "Multiple myeloma 1" ], [ "Multiple sclerosis 4" ], [ "Myalgia Multiple sites 1" ], [ "Myasthenia gravis 2" ], [ "Myelodysplastic syndrome, unspecified 14" ], [ "Myeloid leukaemia, unspecified 1" ], [ "Nasal polyp, unspecified 1" ], [ "Nausea and vomiting 16" ], [ "Neonatal cardiac dysrhythmia 1" ], [ "Neonatal cutaneous haemorrhage 1" ], [ "Neonatal difficulty in feeding at breast 1" ], [ "Neonatal erythema toxicum 2" ], [ "Neonatal hypertension 1" ], [ "Neonatal jaundice from breast milk inhibitor 1" ], [ "Neonatal jaundice, unspecified 10" ], [ "Neoplasm of uncertain or unknown behaviour: Bladder 1" ], [ "Neoplasm of uncertain or unknown behaviour: Colon 1" ], [ "Neoplasm of uncertain or unknown behaviour: Connective and other soft tissue 1" ], [ "Nephrogenic diabetes insipidus 1" ], [ "Nephrotic syndrome Diffuse membranous glomerulonephritis 1" ], [ "Neuralgia and neuritis, unspecified 1" ], [ "Nodular sclerosis (classical) Hodgkin lymphoma 1" ], [ "Non-Hodgkin lymphoma, unspecified 15" ], [ "Noninfective gastroenteritis and colitis, unspecified 16" ], [ "Noninflammatory disorder of uterus, unspecified 1" ], [ "Noninflammatory disorder of vulva and perineum, unspecified 1" ], [ "Non-insulin-dependent diabetes mellitus With peripheral circulatory complications 1" ], [ "Non-neuropathic heredofamilial amyloidosis 1" ], [ "Nonspecific mesenteric lymphadenitis 1" ], [ "Nontoxic goitre, unspecified 2" ], [ "Nontoxic multinodular goitre 2" ], [ "Nontoxic single thyroid nodule 1" ], [ "Nonunion of fracture [pseudarthrosis] Lower leg 1" ], [ "Normal-pressure hydrocephalus 1" ], [ "Nystagmus and other irregular eye movements 3" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Observation for other suspected diseases and conditions 10" ], [ "Observation for suspected disease or condition, unspecified 1" ], [ "Observation for suspected malignant neoplasm 1" ], [ "Obstruction of bile duct 1" ], [ "Obstruction of duodenum 1" ], [ "Obstructive and reflux uropathy, unspecified 1" ], [ "Occlusion and stenosis of carotid artery 2" ], [ "Occlusion and stenosis of other cerebral artery 1" ], [ "Occlusion and stenosis of vertebral artery 1" ], [ "Oedema of larynx 1" ], [ "Oesophageal obstruction 21" ], [ "Oesophageal varices with bleeding 1" ], [ "Oesophageal varices without bleeding 3" ], [ "Oesophagitis 9" ], [ "Old myocardial infarction 2" ], [ "Olecranon bursitis 1" ], [ "Open wound of breast 1" ], [ "Open wound of ear 1" ], [ "Open wound of elbow 1" ], [ "Open wound of eyelid and periocular area 2" ], [ "Open wound of lip and oral cavity 1" ], [ "Open wound of lower leg, part unspecified 1" ], [ "Open wound of other parts of forearm 1" ], [ "Open wound of other parts of head 12" ], [ "Open wound of other parts of lower leg 1" ], [ "Open wound of scalp 2" ], [ "Open wound of thigh 1" ], [ "Open wound of toe(s) without damage to nail 1" ], [ "Open wound of wrist and hand, part unspecified 1" ], [ "Orchitis, epididymitis and epididymo-orchitis without abscess 2" ], [ "Orthostatic hypotension 6" ], [ "Osteogenesis imperfecta 1" ], [ "Osteomyelitis, unspecified Ankle and foot 3" ], [ "Osteomyelitis, unspecified Other 2" ], [ "Osteomyelofibrosis 1" ], [ "Osteoporosis, unspecified Other 1" ], [ "Otalgia 1" ], [ "Other adverse food reactions, not elsewhere classified 2" ], [ "Other and unspecified abdominal pain 15" ], [ "Other and unspecified abnormal findings in urine 1" ], [ "Other and unspecified abnormal involuntary movements 1" ], [ "Other and unspecified abnormalities of breathing 3" ], [ "Other and unspecified abnormalities of gait and mobility 5" ], [ "Other and unspecified cirrhosis of liver 3" ], [ "Other and unspecified complications of amputation stump 1" ], [ "Other and unspecified convulsions 17" ], [ "Other and unspecified gastroenteritis and colitis of infectious origin 4" ], [ "Other and unspecified hydronephrosis 1" ], [ "Other and unspecified infectious diseases 1" ], [ "Other and unspecified intestinal obstruction 10" ], [ "Other and unspecified ovarian cysts 4" ], [ "Other and unspecified skin changes 1" ], [ "Other and unspecified speech disturbances 1" ], [ "Other and unspecified symptoms and signs involving cognitive functions and awareness 2" ], [ "Other and unspecified symptoms and signs involving the nervous and musculoskeletal systems 2" ], [ "Other and unspecified symptoms and signs involving the urinary system 12" ], [ "Other and unspecified ventral hernia without obstruction or gangrene 2" ], [ "Other apnoea of newborn 1" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Other bacterial meningitis 1" ], [ "Other benign mammary dysplasias 3" ], [ "Other cardiovascular disorders originating in the perinatal period 3" ], [ "Other cerebral infarction 1" ], [ "Other chest pain 10" ], [ "Other chronic cystitis 2" ], [ "Other chronic pancreatitis 2" ], [ "Other chronic sinusitis 3" ], [ "Other complications of genitourinary prosthetic devices, implants and grafts 5" ], [ "Other complications of internal orthopaedic prosthetic devices, implants and grafts 1" ], [ "Other complications of internal prosthetic devices, implants and grafts, not elsewhere classified 1" ], [ "Other complications of procedures, not elsewhere classified 1" ], [ "Other congenital deformities of feet 2" ], [ "Other Crohn disease 2" ], [ "Other cysts of oral region, not elsewhere classified 2" ], [ "Other deformities of toe(s) (acquired) 1" ], [ "Other delirium 3" ], [ "Other difficulties with micturition 1" ], [ "Other diseases of tongue 1" ], [ "Other diseases of vocal cords 1" ], [ "Other disorders of lung 3" ], [ "Other disorders of pituitary gland 1" ], [ "Other disorders resulting from impaired renal tubular function 1" ], [ "Other eating disorders 1" ], [ "Other ectopic pregnancy 1" ], [ "Other faecal abnormalities 14" ], [ "Other feeding problems of newborn 1" ], [ "Other forms of acute ischaemic heart disease 2" ], [ "Other forms of angina pectoris 5" ], [ "Other forms of stomatitis 1" ], [ "Other gastritis 23" ], [ "Other giant cell arteritis 2" ], [ "Other heavy for gestational age infants 11" ], [ "Other ill-defined heart diseases 1" ], [ "Other immediate postpartum haemorrhage 1" ], [ "Other impaction of intestine 2" ], [ "Other inflammatory polyneuropathies 3" ], [ "Other injuries of eye and orbit 1" ], [ "Other internal derangements of knee Anterior cruciate ligament or Anterior horn of medial meniscus 1" ], [ "Other interstitial pulmonary diseases with fibrosis 11" ], [ "Other intracerebral haemorrhage 1" ], [ "Other intracranial injuries without open intracranial wound 1" ], [ "Other iron deficiency anaemias 15" ], [ "Other low birth weight 3" ], [ "Other meniscus derangements Lateral collateral ligament or Anterior horn of lateral meniscus 1" ], [ "Other osteomyelitis Ankle and foot 1" ], [ "Other plastic surgery for unacceptable cosmetic appearance 1" ], [ "Other polyp of sinus 2" ], [ "Other postprocedural disorders of digestive system, not elsewhere classified 3" ], [ "Other postprocedural disorders of genitourinary system 1" ], [ "Other preterm infants 2" ], [ "Other respiratory distress of newborn 1" ], [ "Other rupture of muscle (nontraumatic) Hand 1" ], [ "Other signs and symptoms in breast 1" ], [ "Other specified abnormal findings of blood chemistry 14" ], [ "Other specified abnormal uterine and vaginal bleeding 6" ], [ "Other specified cardiac arrhythmias 3" ], [ "Other specified cerebrovascular diseases 3" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Other specified complications of cardiac and vascular prosthetic devices, implants and grafts 5" ], [ "Other specified diabetes mellitus Without complications 1" ], [ "Other specified diseases of anus and rectum 1" ], [ "Other specified diseases of biliary tract 2" ], [ "Other specified diseases of gallbladder 3" ], [ "Other specified diseases of intestine 3" ], [ "Other specified diseases of oesophagus 2" ], [ "Other specified diseases of spinal cord 1" ], [ "Other specified diseases of stomach and duodenum 2" ], [ "Other specified disorders of bladder 12" ], [ "Other specified disorders of brain 1" ], [ "Other specified disorders of eyelid 1" ], [ "Other specified disorders of kidney and ureter 2" ], [ "Other specified disorders of male genital organs 4" ], [ "Other specified disorders of prostate 1" ], [ "Other specified disorders of urethra 3" ], [ "Other specified fever 1" ], [ "Other specified haemorrhoids 1" ], [ "Other specified headache syndromes 2" ], [ "Other specified noninfective gastroenteritis and colitis 3" ], [ "Other specified noninflammatory disorders of uterus 2" ], [ "Other specified noninflammatory disorders of vagina 1" ], [ "Other specified noninflammatory disorders of vulva and perineum 1" ], [ "Other specified orthopaedic follow-up care 1" ], [ "Other specified paralytic syndromes 1" ], [ "Other specified perinatal digestive system disorders 2" ], [ "Other specified respiratory conditions of newborn 4" ], [ "Other specified respiratory disorders 1" ], [ "Other specified sepsis 1" ], [ "Other specified soft tissue disorders Pelvic region and thigh 1" ], [ "Other specified special examinations 1" ], [ "Other specified symptoms and signs involving the circulatory and respiratory systems 1" ], [ "Other specified symptoms and signs involving the digestive system and abdomen 2" ], [ "Other spontaneous pneumothorax 1" ], [ "Other superficial injuries of abdomen, lower back and pelvis 1" ], [ "Other superficial injuries of eyelid and periocular area 1" ], [ "Other superficial injuries of lower leg 1" ], [ "Other symptoms and signs involving emotional state 1" ], [ "Other synovitis and tenosynovitis Shoulder region 1" ], [ "Other thyrotoxicosis 1" ], [ "Other urethral stricture 1" ], [ "Other urethritis 2" ], [ "Other vasculitis limited to skin 1" ], [ "Other viral infections of unspecified site 1" ], [ "Other viral pneumonia 1" ], [ "Other visual disturbances 1" ], [ "Otitis externa, unspecified 1" ], [ "Otitis media, unspecified 1" ], [ "Ovulation bleeding 1" ], [ "Pain in joint Lower leg 1" ], [ "Pain in joint Multiple sites 1" ], [ "Pain in joint Pelvic region and thigh 4" ], [ "Pain in joint Shoulder region 3" ], [ "Pain in limb Ankle and foot 1" ], [ "Pain in limb Lower leg 1" ], [ "Pain localized to other parts of lower abdomen 10" ], [ "Pain localized to upper abdomen 23" ], [ "Painful micturition, unspecified 1" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Palmar fascial fibromatosis [Dupuytren] 6" ], [ "Palpitations 4" ], [ "Parastomal hernia with obstruction, without gangrene 2" ], [ "Parastomal hernia without obstruction or gangrene 1" ], [ "Parkinson disease 2" ], [ "Paroxysmal atrial fibrillation 19" ], [ "Pathological fracture, not elsewhere classified Pelvic region and thigh 1" ], [ "Pathological fracture, not elsewhere classified Upper arm 1" ], [ "Pelvic and perineal pain 7" ], [ "Perforation of gallbladder 1" ], [ "Perforation of intestine (nontraumatic) 2" ], [ "Perforation of tympanic membrane, unspecified 1" ], [ "Periapical abscess without sinus 12" ], [ "Pericardial effusion (noninflammatory) 1" ], [ "Peripheral vascular disease, unspecified 3" ], [ "Peritoneal adhesions 2" ], [ "Peritonitis, unspecified 1" ], [ "Peritonsillar abscess 2" ], [ "Persistent atrial fibrillation 3" ], [ "Person consulting for explanation of investigation findings 1" ], [ "Person with feared complaint in whom no diagnosis is made 1" ], [ "Personal history of allergy to penicillin 1" ], [ "Personal history of chemotherapy for neoplastic disease 1" ], [ "Personal history of diseases of the digestive system 3" ], [ "Personal history of malignant neoplasm of digestive organs 2" ], [ "Personal history of malignant neoplasms of other organs and systems 1" ], [ "Pertrochanteric fracture closed 15" ], [ "Phlebitis and thrombophlebitis of femoral vein 3" ], [ "Phlebitis and thrombophlebitis of other deep vessels of lower extremities 4" ], [ "Pilonidal cyst with abscess 3" ], [ "Pilonidal cyst without abscess 2" ], [ "Plagiocephaly 1" ], [ "Pleural effusion, not elsewhere classified 7" ], [ "Pneumocystosis 1" ], [ "Pneumonia due to Klebsiella pneumoniae 2" ], [ "Pneumonia, unspecified 22" ], [ "Pneumonitis due to food and vomit 16" ], [ "Poisoning: 4-Aminophenol derivatives 9" ], [ "Poisoning: Angiotensin-converting-enzyme inhibitors 1" ], [ "Poisoning: Antiallergic and antiemetic drugs 1" ], [ "Poisoning: Anticoagulants 1" ], [ "Poisoning: Antiparkinsonism drugs and other central muscle-tone depressants 2" ], [ "Poisoning: Benzodiazepines 2" ], [ "Poisoning: Beta-adrenoreceptor antagonists, not elsewhere classified 1" ], [ "Poisoning: Insulin and oral hypoglycaemic [antidiabetic] drugs 1" ], [ "Poisoning: Monoamine-oxidase-inhibitor antidepressants 1" ], [ "Poisoning: Other and unspecified antipsychotics and neuroleptics 2" ], [ "Poisoning: Other and unspecified drugs, medicaments and biological substances 3" ], [ "Poisoning: Other antiepileptic and sedative-hypnotic drugs 1" ], [ "Poisoning: Other nonsteroidal anti-inflammatory drugs [NSAID] 3" ], [ "Poisoning: Other opioids 1" ], [ "Poisoning: Other synthetic narcotics 1" ], [ "Poisoning: Psychostimulants with abuse potential 1" ], [ "Polyarteritis with lung involvement [Churg-Strauss] 1" ], [ "Polycythaemia vera 1" ], [ "Polyneuropathy, unspecified 1" ], [ "Polyp of cervix uteri 3" ], [ "Polyp of colon 10" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Polyp of corpus uteri 12" ], [ "Polyp of middle ear 1" ], [ "Polyp of nasal cavity 1" ], [ "Polyp of stomach and duodenum 17" ], [ "Polyp of vocal cord and larynx 1" ], [ "Portal hypertension 1" ], [ "Postcoital and contact bleeding 2" ], [ "Postconcussional syndrome 1" ], [ "Postmenopausal bleeding 10" ], [ "Post-term infant, not heavy for gestational age 2" ], [ "Preauricular sinus and cyst 1" ], [ "Precordial pain 14" ], [ "Presence of other cardiac and vascular implants and grafts 1" ], [ "Primary biliary cirrhosis 1" ], [ "Problem related to life-management difficulty, unspecified 1" ], [ "Procedure not carried out because of contraindication 2" ], [ "Procedure not carried out because of patient,s decision for other and unspecified reasons 1" ], [ "Prophylactic surgery for risk-factors related to malignant neoplasms 1" ], [ "Pseudocyst of pancreas 1" ], [ "Pulmonary candidiasis 1" ], [ "Pulmonary collapse 2" ], [ "Pulmonary embolism without mention of acute cor pulmonale 11" ], [ "Pyogenic arthritis, unspecified Lower leg 3" ], [ "Pyothorax without fistula 1" ], [ "Pyrexia of unknown origin following delivery 1" ], [ "Radicular cyst 1" ], [ "Radiculopathy Lumbar region 1" ], [ "Rash and other nonspecific skin eruption 10" ], [ "Reaction to severe stress, unspecified 1" ], [ "Rectal fistula 1" ], [ "Rectal polyp 18" ], [ "Rectal prolapse 1" ], [ "Rectocele 2" ], [ "Recurrent and persistent haematuria Unspecified 2" ], [ "Recurrent cholesteatoma of postmastoidectomy cavity 1" ], [ "Recurrent dislocation and subluxation of joint Other 1" ], [ "Recurrent dislocation and subluxation of joint Shoulder region 1" ], [ "Recurrent dislocation of patella 1" ], [ "Redundant prepuce, phimosis and paraphimosis 2" ], [ "Respiratory failure, unspecified Type I [hypoxic] 1" ], [ "Respiratory failure, unspecified Type II [hypercapnic] 2" ], [ "Retained dental root 3" ], [ "Retention of urine 20" ], [ "Rheumatoid arthritis, unspecified Lower leg 1" ], [ "Rheumatoid lung disease 1" ], [ "Rotator cuff syndrome 2" ], [ "Sarcoidosis, unspecified 1" ], [ "Scar conditions and fibrosis of skin 2" ], [ "Scarlet fever 1" ], [ "Scoliosis, unspecified Multiple sites in spine 1" ], [ "Second degree haemorrhoids 18" ], [ "Second degree perineal laceration during delivery 1" ], [ "Secondary and unspecified malignant neoplasm: Axillary and upper limb lymph nodes 1" ], [ "Secondary and unspecified malignant neoplasm: Inguinal and lower limb lymph nodes 4" ], [ "Secondary and unspecified malignant neoplasm: Lymph nodes of head, face and neck 1" ], [ "Secondary malignant neoplasm of adrenal gland 1" ], [ "Secondary malignant neoplasm of bladder and other and unspecified urinary organs 1" ], [ "Secondary malignant neoplasm of brain and cerebral meninges 3" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Secondary malignant neoplasm of large intestine and rectum 1" ], [ "Secondary malignant neoplasm of liver and intrahepatic bile duct 9" ], [ "Secondary malignant neoplasm of lung 3" ], [ "Secondary malignant neoplasm of other specified sites 5" ], [ "Secondary malignant neoplasm of pleura 2" ], [ "Secondary malignant neoplasm of retroperitoneum and peritoneum 1" ], [ "Secondary malignant neoplasm, unspecified site 1" ], [ "Secondary polycythaemia 1" ], [ "Senile nuclear cataract 6" ], [ "Senility 3" ], [ "Sepsis due to anaerobes 2" ], [ "Sepsis due to other Gram-negative organisms 10" ], [ "Sepsis due to other specified staphylococcus 1" ], [ "Sepsis due to Staphylococcus aureus 3" ], [ "Sepsis due to Streptococcus pneumoniae 2" ], [ "Sepsis due to streptococcus, group D 1" ], [ "Sepsis of newborn due to streptococcus, group B 1" ], [ "Sepsis, unspecified 24" ], [ "Seronegative rheumatoid arthritis 1" ], [ "Severe cervical dysplasia, not elsewhere classified 1" ], [ "Severe depressive episode without psychotic symptoms 2" ], [ "Sick sinus syndrome 4" ], [ "Single live birth 1" ], [ "Singleton, born in hospital 3" ], [ "Sleep apnoea 1" ], [ "Small cell B-cell lymphoma 3" ], [ "Solitary cyst of breast 2" ], [ "Somatoform disorder, unspecified 1" ], [ "Somnolence 2" ], [ "Special epileptic syndromes 1" ], [ "Special screening examination for congenital malformations, deformations and chromosomal abnormalities 1" ], [ "Special screening examination for neoplasm of intestinal tract 6" ], [ "Special screening examination for neoplasms of other sites 2" ], [ "Spinal stenosis Lumbar region 1" ], [ "Spondylosis, unspecified Lumbar region 1" ], [ "Spontaneous abortion Complete or unspecified, without complication 7" ], [ "Spontaneous abortion Incomplete, without complication 2" ], [ "Spontaneous ecchymoses 1" ], [ "Spontaneous rupture of flexor tendons 1" ], [ "Spontaneous vertex delivery 3" ], [ "Sprain and strain of ankle 1" ], [ "Stage III decubitus ulcer 1" ], [ "Status asthmaticus 1" ], [ "Stenosis of anus and rectum 1" ], [ "Sterilization 8" ], [ "Stricture of artery 1" ], [ "Stroke, not specified as haemorrhage or infarction 3" ], [ "Subdural haemorrhage (acute)(nontraumatic) 2" ], [ "Subtrochanteric fracture closed 5" ], [ "Sudden cardiac death, so described 1" ], [ "Superficial injuries involving multiple regions of upper limb(s) with lower limb(s) 2" ], [ "Superficial injury of head, part unspecified 3" ], [ "Superficial injury of lower leg, unspecified 2" ], [ "Superficial injury of other and unspecified parts of thorax 1" ], [ "Superficial injury of other parts of head 5" ], [ "Superficial injury of scalp 1" ], [ "Supraventricular tachycardia 2" ], [ "Surveillance of (intrauterine) contraceptive device 4" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Syncope and collapse 31" ], [ "Syndrome of infant of mother with gestational diabetes 1" ], [ "Synovitis and tenosynovitis, unspecified Hand 1" ], [ "Tachycardia, unspecified 2" ], [ "Temporomandibular joint disorders 1" ], [ "Tendency to fall, not elsewhere classified 25" ], [ "Third degree haemorrhoids 14" ], [ "Thoracic aortic aneurysm, without mention of rupture 2" ], [ "Threatened abortion 1" ], [ "Thrombocytopenia, unspecified 2" ], [ "Thyrotoxicosis from ectopic thyroid tissue 1" ], [ "Thyrotoxicosis with diffuse goitre 2" ], [ "Thyrotoxicosis, unspecified 1" ], [ "Torticollis 1" ], [ "Toxic effect: Ethanol 1" ], [ "Toxic effect: Fusel oil 1" ], [ "Toxic effect: Organic solvent, unspecified 1" ], [ "Toxic effect: Other metals 2" ], [ "Toxic gastroenteritis and colitis 3" ], [ "Toxic liver disease with cholestasis 1" ], [ "Tracheostomy malfunction 1" ], [ "Transient cerebral ischaemic attack, unspecified 12" ], [ "Traumatic anuria 2" ], [ "Traumatic haemopneumothorax without open wound into thoracic cavity 1" ], [ "Traumatic ischaemia of muscle 1" ], [ "Traumatic pneumothorax 1" ], [ "Traumatic pneumothorax without open wound into thoracic cavity 2" ], [ "Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) 2" ], [ "Traumatic subarachnoid haemorrhage 1" ], [ "Traumatic subarachnoid haemorrhage without open intracranial wound 2" ], [ "Traumatic subdural haemorrhage without open intracranial wound 7" ], [ "Tremor, unspecified 1" ], [ "Trichilemmal cyst 11" ], [ "Trigger finger 1" ], [ "Trigonitis 2" ], [ "Tubulo-interstitial nephritis, not specified as acute or chronic 9" ], [ "Type 1 diabetes mellitus With ketoacidosis 5" ], [ "Type 1 diabetes mellitus Without complications 4" ], [ "Type 2 diabetes mellitus With coma 1" ], [ "Type 2 diabetes mellitus With ketoacidosis 1" ], [ "Type 2 diabetes mellitus With peripheral circulatory complications 7" ], [ "Type 2 diabetes mellitus Without complications 3" ], [ "Ulcer of lower limb, not elsewhere classified 5" ], [ "Ulcer of oesophagus 7" ], [ "Ulcerative (chronic) pancolitis 2" ], [ "Ulcerative (chronic) proctitis 2" ], [ "Ulcerative (chronic) rectosigmoiditis 1" ], [ "Ulcerative colitis, unspecified 15" ], [ "Umbilical hernia with obstruction, without gangrene 2" ], [ "Umbilical hernia without obstruction or gangrene 9" ], [ "Undescended testicle, unilateral 1" ], [ "Unilateral or unspecified femoral hernia, without obstruction or gangrene 2" ], [ "Unilateral or unspecified inguinal hernia, with obstruction, without gangrene 1" ], [ "Unilateral or unspecified inguinal hernia, without obstruction or gangrene 20" ], [ "Unspecified abdominal hernia with obstruction, without gangrene 2" ], [ "Unspecified acute lower respiratory infection 40" ], [ "Unspecified appendicitis 3" ], [ "Unspecified complication of internal orthopaedic prosthetic device, implant and graft 1" ] ], "row_count": 58, "col_count": 1 }, { "headers": [ "Revised Primary diagnosis Jan2020-Jun2021" ], "rows": [ [ "Unspecified contact dermatitis due to other agents 1" ], [ "Unspecified dementia 5" ], [ "Unspecified haematuria 34" ], [ "Unspecified injury of ankle and foot 1" ], [ "Unspecified injury of head 26" ], [ "Unspecified injury of lower leg 1" ], [ "Unspecified injury of thorax 1" ], [ "Unspecified jaundice 2" ], [ "Unspecified nephritic syndrome Other 2" ], [ "Unspecified osteoporosis with pathological fracture Other 2" ], [ "Unspecified osteoporosis with pathological fracture Site unspecified 1" ], [ "Unspecified renal colic 1" ], [ "Unspecified urinary incontinence 2" ], [ "Unspecified viral infection characterized by skin and mucous membrane lesions 1" ], [ "Unstable angina 17" ], [ "Urethral diverticulum 1" ], [ "Urethral stricture, unspecified 21" ], [ "Urinary tract infection, site not specified 17" ], [ "Uterovaginal prolapse, unspecified 3" ], [ "Varicella without complication 1" ], [ "Varicose veins of lower extremities with ulcer 1" ], [ "Varicose veins of lower extremities without ulcer or inflammation 10" ], [ "Vascular dementia, unspecified 1" ], [ "Vascular disorder of intestine, unspecified 1" ], [ "Vascular disorders of male genital organs 2" ], [ "Vasculitis limited to skin, unspecified 3" ], [ "Ventricular premature depolarization 1" ], [ "Ventricular tachycardia 4" ], [ "Vesicointestinal fistula 2" ], [ "Viral infection, unspecified 39" ], [ "Viral intestinal infection, unspecified 11" ], [ "Viral pneumonia, unspecified 1" ], [ "Visual disturbance, unspecified 1" ], [ "Volume depletion 6" ], [ "Volvulus 3" ], [ "Vomiting of pregnancy, unspecified 1" ], [ "Wheezing 1" ], [ "Zoster ocular disease 2" ] ], "row_count": 38, "col_count": 1 } ] }, { "case_id": 1907073, "title": "Disability impact assessment", "authority": "Cabinet Office", "date_received": "2021-07-15", "outcome": "Information not held", "summary": "The requester asked for disability impact assessments regarding the reduction of border controls since moving from Level 3 of the pandemic framework. The Cabinet Office responded that it does not hold the specific documents requested, though it explained that equality considerations were integrated into the border control measures.", "key_facts": [ "The Cabinet Office does not hold the specific inequality disability impact assessments requested.", "Border control regulations apply to both Island residents and visitors.", "Digital access considerations included provisions for non-digital options before travel or at arrival.", "The government aims to end border restrictions by the end of August 2021, though this is not guaranteed.", "Vaccination status is not a protected characteristic under the Equality Act, but exclusion risks are recognized." ], "data_mentioned": [ "1907073", "2021-07-15", "2021-08-11", "Level 3", "end of August 2021", "IM1 3PN", "01624 686244" ], "exemptions_cited": [ "Information not held" ], "tables": [ { "headers": [ "The Regulations underpinning the border controls are applied to Island residents and" ], "rows": [ [ "visitors alike. Where the Regulations require digital access consideration has been" ], [ "given to the provision of additional non-digital options either before travel or at the" ], [ "point of arrival." ], [ "The overall approach is designed to protect the population as a whole including those" ], [ "people who could by the nature of a protected characteristic be particularly vulnerable" ], [ "to COVID-19. The evidence is clear that the risk of serious illness or death is highest" ], [ "amongst the elderly population and those with underlying health conditions." ], [ "The purpose of the border controls to date has been to enable the Isle of Man" ], [ "Government to manage the pandemic and the effect on the Island and its people." ], [ "From the start of the pandemic it was clear to Government that a robust and urgent" ], [ "response was required to protect the people of the Isle of Man and to ensure that the" ], [ "health and care services on the Island were not overwhelmed. The approach is" ], [ "considered to have been proportionate and necessary given the serious threat to life" ], [ "that COVID-19 represents without the protection of vaccination. This includes" ], [ "measures at the ports of arrival." ], [ "The introduction of the vaccine exemption for arrivals is clearly a sensitive issue for" ], [ "some people however it represents an opportunity for society to start returning to" ], [ "some degree of normality. This is an opportunity for all, including those most at risk" ], [ "from COVID-19 due to age or health conditions. The vaccine represents a main route," ], [ "albeit not the only route, out of the pandemic globally not just for our Island. Although" ], [ "being unvaccinated in itself does not represent a protected characteristic under the" ], [ "Equality Act, it is recognised that it can lead to people feeling excluded if not dealt with" ] ], "row_count": 22, "col_count": 1 }, { "headers": [ "sensitively. The vaccine is one of several public health measures that also include hand" ], "rows": [ [ "washing, use of face coverings, social distancing and other measures." ], [ "In terms of the border then the restrictions introduced remain relevant, proportionate" ], [ "and necessary in the face of the continued threat from COVID-19 and where the" ], [ "vaccination exemption is not available, then various testing pathways are available to" ], [ "be utilised for the population as a whole. Government must have the flexibility to" ], [ "respond to arguably the biggest public health threat in a century." ], [ "It is anticipated that the measures will be temporary with the ambition to end" ], [ "restrictions at the border by the end of August 2021 however that remains an" ], [ "ambition, informed by the virus and the global threat posed by it. Although an" ], [ "ambition, it is not a certainty, and it should be recognised that some form of measures" ], [ "will likely remain in place until the formal ending of the pandemic." ], [ "The Isle of Man is not alone in dealing with this challenge and the temporary" ], [ "adjustment to border control based on vaccination status is also being adopted by" ], [ "many countries around the world." ] ], "row_count": 14, "col_count": 1 } ] }, { "case_id": 1907174, "title": "Modelling data", "authority": "Cabinet Office", "date_received": "2021-07-15", "outcome": "Information not held", "summary": "A request was made for modelling data regarding hospital admissions and deaths from reduced border controls, to which the Cabinet Office responded that the specific information was not held, though they provided a preliminary report from the University of Warwick outlining modelling assumptions and caveats.", "key_facts": [ "The Cabinet Office stated the requested information was not held.", "Modelling was conducted by the University of Warwick (Louise Dyson, Edward Hill, Michael Tildesley, and Matt Keeling).", "The model assumes no control measures are in place to simulate the impact of reduced border restrictions.", "The analysis covers scenarios for the B.1.1.7 (Kent) variant and notes potential risks from the B.1.351 (South African) variant.", "The report explicitly states these are scenarios and assumptions, not predictions or forecasts." ], "data_mentioned": [ "1 January to 30th June", "17/04/2021", "60%", "85%", "65%", "80%", "90%", "14 days", "24th to 30th March", "11 weeks", "18th February 2021", "B.1.1.7", "B.1.351" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "Pfizer", "", "AstraZeneca", "" ], "rows": [ [ "", "Dose 1", "Dose 2", "Dose 1", "Dose 2" ], [ "Efficacy against\ninfection", "60%", "85%", "60%", "65%" ], [ "Efficacy against\nhospitalisation /\ndeath", "80%", "90%", "80%", "90%" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "Madhi, Shabir A., et al. (2021) \"Efficacy of the ChAdOx1 nCoV-19 Covid-19 Vaccine against" ], "rows": [ [ "the B. 1.351 Variant.\" New England Journal of Medicine" ], [ "Planas, Delphine, et al. (2021) \"Sensitivity of infectious SARS-CoV-2 B. 1.1. 7 and B. 1.351" ], [ "variants to neutralizing antibodies.\" bioRxiv" ], [ "Kustin, Talia, et al. (2021) \"Evidence for increased breakthrough rates of SARS-CoV-2" ], [ "variants of concern in BNT162b2 mRNA vaccinated individuals.\" medRxiv" ] ], "row_count": 5, "col_count": 1 } ] }, { "case_id": 1911669, "title": "Vaccines", "authority": "Department of Health and Social Care", "date_received": "2021-07-19", "outcome": "Information not held", "summary": "The requester asked for vaccination percentages by age and vulnerability brackets, but the Department of Health and Social Care stated the specific data was not held. Instead, the authority directed the requester to a public dashboard and provided formulas to calculate the percentages themselves.", "key_facts": [ "The Department of Health and Social Care does not hold the specific percentage data requested.", "The refusal is based on Section 11(3)a of the Freedom of Information Act 2015 as a practical refusal reason.", "Vaccination statistics are available via a public dashboard at covid19.gov.im.", "The dashboard updates automatically at 90-minute intervals during the day.", "The authority provided mathematical equations for the requester to calculate the desired percentages from available data." ], "data_mentioned": [ "1911669", "2021-07-19", "2021-07-29", "90 minute intervals", "8am", "9.30am", "11am", "12.30pm", "2pm", "3.30pm", "5pm", "6.30pm", "Section 11(3)a" ], "exemptions_cited": [ "Section 11(3)a of the Freedom of Information Act 2015 (Information not held)" ], "tables": [ { "headers": [ "As noted on the webpage; the COVID-19 vaccination statistics summary is" ], "rows": [ [ "automatically updated at 90 minute intervals each day at: 8am, 9.30am, 11am," ], [ "12.30pm, 2pm, 3.30pm, 5pm, 6.30pm" ], [ "Please note, during operational hours the data is drawn from multiple systems so may" ], [ "appear out of sync for a short period." ], [ "There may be a delay in displaying data relating to vaccinations not given in the main" ], [ "hubs – those administered in the community, at care homes for instance." ], [ "No personal identifiable information is displayed within this dashboard." ], [ "" ], [ "Additionally, if the Department did hold this information, disclosure would only provide" ], [ "a snapshot at that time. However, the following equations may enable you to seek the" ], [ "information you require:" ], [ "" ], [ "Select the required ‘Vaccination Administered by Age Bands’ cohort" ], [ "" ] ], "row_count": 14, "col_count": 1 } ] }, { "case_id": 1919133, "title": "Death certifications", "authority": "Cabinet Office", "date_received": "2021-07-22", "outcome": "Some information sent but not all held", "summary": "The requester asked for all death certificates or a list of deaths 'from' and 'with' COVID-19 for 2019, 2020, and 2021. The Cabinet Office disclosed a spreadsheet containing death registration data for 2020 and the first half of 2021, but confirmed they do not hold the actual certificates and noted there were no COVID-19 deaths in 2019.", "key_facts": [ "The Cabinet Office does not hold physical death certificates; these are held by the Civil Registry.", "Public Health receives weekly spreadsheets containing cause of death information but excludes the name of the person who registered the death.", "There were no deaths due to COVID-19 recorded in 2019.", "Data for 2020 is fully coded to distinguish between deaths 'from' and 'with' COVID-19.", "Data for 2021 has not yet been coded, so the distinction relies on the narrative within the death certificate." ], "data_mentioned": [ "2019", "2020", "2021", "first 6 months of 2021", "1919133", "2021-07-22", "2021-08-10", "3 pages", "1 document" ], "exemptions_cited": [], "tables": [ { "headers": [ "When a d", "eath is", "registered,", "", "", "", "a c", "ertificate", "", "", "is c", "ompleted", "", "", "", "", "–", "that", "", "same", "", "information", "", "", "", "", "is", "then", "", "" ], "rows": [ [ "transferre", "d onto", "a", "spreadsheet", "", "", "", "which", "", "P", "ublic", "Health,", "", "", "Cabinet", "", "", "", "", "Offic", "", "e", "receive", "", "weekly", "", "", "", "", "" ], [ "(though i", "t excludes", "", "the", "person", "", "", "who", "registered t", "", "", "", "he death).", "", "", "", "", "", "This", "", "contains", "", "", "th", "e", "cause", "", "", "s", "of" ], [ "death an", "d so Publi", "", "c Health", "", "c", "an", "see", "thos", "", "e th", "at a", "re from", "", "", "", "", "COVID-19", "", "", "", "pneumonia.", "", "", "", "", "", "", "", "" ] ], "row_count": 3, "col_count": 30 }, { "headers": [ "Public He", "alth, Cabinet", "", "", "", "Office", "", "", "do", "not", "", "hold", "death", "", "certificates", "", "", ", P", "ublic", "", "", "Health", "", "", "", "just", "", "", "hold", "", "the" ], "rows": [ [ "informati", "on that", "", "is", "contained", "", "", "", "on", "a", "c", "ertificat", "", "e. To", "produce", "", "t", "he", "FOI", "", "", "request", "", "", "", "P", "ublic", "", "", "Health", "" ], [ "have use", "d their", "", "database", "", "", "", "of", "information", "", "", "", "becaus", "", "e it", "contains", "", "", "the", "", "same", "", "", "information", "", "", "", "", "", "", "as" ], [ "what is o", "n a certificate", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 3, "col_count": 31 }, { "headers": [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "The", "", "Civil", "", "R", "egistry", "", "", "", "do", "hold" ], "rows": [ [ "death cer", "", "", "tificates,", "however,", "", "you", "would", "", "nee", "d to", "contact", "", "them", "", "", "directly", "", "", "", "as", "to", "whethe", "", "", "" ], [ "they can", "", "", "be released.", "", "Death", "certificates", "", "", "would p", "", "rovide", "", "cause", "", "", "and", "", "the", "", "extra", "", "information", "", "", "" ], [ "of", "", "who it", "was that", "registered", "", "th", "e", "death", "i.e.", "the r", "elative’", "", "s", "name.", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 3, "col_count": 26 }, { "headers": [ "" ], "rows": [ [ "Civil Registry" ], [ "The Registries Building" ], [ "Deemsters Walk" ], [ "Bucks Road" ], [ "Douglas" ], [ "Isle of Man" ], [ "IM1 3AR" ], [ "E-mail: civil@registry.gov.im" ], [ "Telephone: +44 1624 687039" ] ], "row_count": 9, "col_count": 1 } ] }, { "case_id": 1919933, "title": "Modification of Covid Direction Notices", "authority": "Cabinet Office", "date_received": "2021-07-22", "outcome": "Some information sent but not all held", "summary": "The request sought statistics on applications, modifications, and withdrawals of Covid Direction Notices, as well as the number of officials with delegated powers. The Cabinet Office disclosed specific figures for Key Workers and Returning Residents but stated it did not hold data on the total number of applications made by Returning Residents.", "key_facts": [ "There were 332 Key Worker applications for modified direction notices.", "310 Key Workers and 258 Returning Residents had their notices modified.", "14 Key Worker notices were withdrawn and 8 were declined.", "No modified direction notices were withdrawn for Returning Residents.", "51 officers currently hold authorisations to carry out the Chief Secretary's Public Health Regulation functions." ], "data_mentioned": [ "332", "310", "258", "14", "8", "51", "2021-07-22", "2021-08-12", "1919933" ], "exemptions_cited": [], "tables": [ { "headers": [ "Category", "Modified", "Withdrawn", "Declined" ], "rows": [ [ "Key Workers", "310", "14", "8" ], [ "Returning Residents", "258", "0", "N/A" ] ], "row_count": 2, "col_count": 4 } ] }, { "case_id": 1931457, "title": "Stroke admissions", "authority": "Manx Care", "date_received": "2021-08-02", "outcome": "All information sent", "summary": "The requester asked for monthly statistics on stroke and heart attack admissions at Noble's Hospital from March 2019 to July 2021. Manx Care provided the data but noted that 2020 figures may be lower due to a backlog of uncoded clinical episodes.", "key_facts": [ "The request covered admissions for strokes, heart attacks, and elevated heart rates at Noble's Hospital.", "Data was requested for the period from March 2019 to July 2021, split month by month.", "Manx Care clarified that the stroke data includes generic and haemorrhagic strokes.", "The heart condition data includes heart attacks, high blood pressure, and elevated blood pressure without a hypertension diagnosis.", "A significant backlog of uncoded consultant episodes from 2020 may have resulted in lower reported numbers for that year." ], "data_mentioned": [ "March 2019", "July 2021", "2020", "25", "31", "22", "15", "7", "14", "4", "3", "5", "17", "33", "36", "30", "1931457", "2021-08-02", "2021-09-10" ], "exemptions_cited": [], "tables": [ { "headers": [ "Primary\nDiagnosis", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec" ], "rows": [ [ "2019", "", "", "25", "31", "22", "15", "7", "14", "4", "3", "3", "5" ], [ "2020", "3", "4", "2", "4", "4", "1", "2", "2", "", "", "2", "2" ], [ "2021", "1", "7", "17", "33", "36", "30", "31", "", "", "", "", "" ] ], "row_count": 3, "col_count": 13 } ] }, { "case_id": 1936589, "title": "Registered Deaths", "authority": "Department for Enterprise", "date_received": "2021-08-03", "outcome": "All information sent", "summary": "A request was made for monthly registered death statistics in the Isle of Man from July 2019 to July 2021, and the Department for Enterprise provided the complete dataset as requested.", "key_facts": [ "The request was received on 3 August 2021 and responded to on 7 September 2021.", "The authority handling the request was the Department for Enterprise.", "Data was provided for 36 months covering July 2019 through July 2021.", "The highest number of registered deaths in a single month was 100 in January 2020.", "The outcome was classified as 'All information sent' with no redactions." ], "data_mentioned": [ "July 2019: 74", "August 2019: 67", "September 2019: 66", "October 2019: 57", "November 2019: 68", "December 2019: 83", "January 2020: 100", "February 2020: 74", "March 2020: 69", "April 2020: 95", "May 2020: 86", "June 2020: 73", "July 2020: 77", "August 2020: 71", "September 2020: 64", "October 2020: 74", "November 2020: 68", "December 2020: 82", "January 2021: 70", "February 2021: 62", "March 2021: 77", "April 2021: 70", "May 2020: 61", "June 2020: 68", "July 2021: 71", "Case ID: 1936589" ], "exemptions_cited": [], "tables": [ { "headers": [ "Registered Deaths – Isle of Man", "Total Registrations" ], "rows": [ [ "July 2019", "74" ], [ "August 2019", "67" ], [ "September 2019", "66" ], [ "October 2019", "57" ], [ "November 2019", "68" ], [ "December 2019", "83" ], [ "January 2020", "100" ] ], "row_count": 7, "col_count": 2 }, { "headers": [ "February 2020", "74" ], "rows": [ [ "March 2020", "69" ], [ "April 2020", "95" ], [ "May 2020", "86" ], [ "June 2020", "73" ], [ "July 2020", "77" ], [ "August 2020", "71" ], [ "September 2020", "64" ], [ "October 2020", "74" ], [ "November 2020", "68" ], [ "December 2020", "82" ], [ "January 2021", "70" ], [ "February 2021", "62" ], [ "March 2021", "77" ], [ "April 2021", "70" ], [ "May 2020", "61" ], [ "June 2020", "68" ] ], "row_count": 16, "col_count": 2 } ] }, { "case_id": 1939653, "title": "IOM Deaths by year.", "authority": "Cabinet Office", "date_received": "2021-08-05", "outcome": "Not required to fulfill request", "summary": "The requester asked for monthly death totals in the Isle of Man from 2013 to 2021, but the Cabinet Office refused to provide monthly data or 2021 figures due to lack of availability and the requirement to create new information. Instead, the authority disclosed annual death totals by gender for the years 2013 through 2020.", "key_facts": [ "The Cabinet Office does not hold monthly death data for the requested period.", "The request for 2021 data was refused because the annual processing work was not yet complete.", "The authority cited Section 11(3)(b) of the Freedom of Information Act 2015 as a practical refusal.", "Annual death statistics by gender were provided for the years 2013 to 2020.", "The requester was advised to contact the authority again later for 2021 figures." ], "data_mentioned": [ "2013: 778 total deaths (411 male, 367 female)", "2014: 805 total deaths (378 male, 427 female)", "2015: 852 total deaths (418 male, 434 female)", "2016: 856 total deaths (428 male, 428 female)", "2017: 836 total deaths (409 male, 427 female)", "2018: 919 total deaths (457 male, 462 female)", "2019: 840 total deaths (419 male, 421 female)", "2020: 917 total deaths (479 male, 438 female)", "Request received: 2021-08-05", "Response date: 2021-08-20", "Case reference: 1939653" ], "exemptions_cited": [ "Section 11(3)(b) of the Freedom of Information Act 2015 (Practical refusal)", "Section 8(3) of the Freedom of Information Act 2015 (Not required to create or derive information)" ], "tables": [ { "headers": [ "Year", "Number of Deaths Registered", "Male", "Female" ], "rows": [ [ "2013", "778", "411", "367" ], [ "2014", "805", "378", "427" ], [ "2015", "852", "418", "434" ], [ "2016", "856", "428", "428" ], [ "2017", "836", "409", "427" ], [ "2018", "919", "457", "462" ], [ "2019", "840", "419", "421" ], [ "2020", "917", "479", "438" ] ], "row_count": 8, "col_count": 4 } ] }, { "case_id": 1940485, "title": "Children hospitalised re: covid", "authority": "Manx Care", "date_received": "2021-08-06", "outcome": "All information sent", "summary": "A request was made to Manx Care for statistics on children under 16 hospitalized with COVID-19 in July 2021, including attendance numbers, admissions, length of stay, and percentages relative to total cases. The authority disclosed all requested information, confirming 6 emergency attendances and 4 admissions with an average stay of 2.5 days.", "key_facts": [ "The data covers the period from 1 July 2021 to 31 July 2021.", "There were 6 emergency department attendances by children under 16 with COVID-19.", "4 children under 16 were admitted to hospital with confirmed COVID-19.", "The average length of stay for admitted children was 2.5 days.", "Children under 16 represented 9% of total COVID-19 emergency attendances and 16% of total admissions." ], "data_mentioned": [ "6 attendances", "4 admissions", "2.5 days", "9%", "16%", "01/07/2021", "31/07/2021", "1940485", "2021-08-06", "2021-09-14" ], "exemptions_cited": [], "tables": [ { "headers": [ "Question", "Response Details", "Value" ], "rows": [ [ "Q1: Number of children who presented at hospital", "Between 01/07/2021 and 31/07/2021 there were 6 attendances to the Emergency department of people under the age of 16 with Snomed code \"Disease caused by 2019-nCoV (novel coronavirus)\" assigned to the attendance", "6" ], [ "Q2: Number of children who were admitted to hospital", "Between 01/07/2021 and 31/07/2021 there were 4 people admitted to hospital under the age of 16 with the ICD10 coding \"U071\" (COVID-19, virus identified) in the first 10 diagnosis positions", "4" ], [ "Q3: Average length of a child's stay if admitted", "The average length of stay of the above 4 admissions", "2.5 days" ], [ "Q4: Percentage of children who presented at hospital (percentage of total presentations including adults)", "Between 01/07/2021 and 31/07/2021 of all attendances to the Emergency department with Snomed code \"Disease caused by 2019-nCoV (novel coronavirus)\" assigned to the attendance", "9%" ], [ "Q5: Percentage of children who were admitted to hospital (percentage of total admissions including adults)", "Between 01/07/2021 and 31/07/2021 of all patients admitted to hospital with the ICD10 coding \"U071\" (COVID-19, virus identified) in the first 10 diagnosis positions", "16%" ] ], "row_count": 5, "col_count": 3 } ] }, { "case_id": 1950073, "title": "Morphine and Midazolam", "authority": "Manx Care", "date_received": "2021-08-16", "outcome": "All information sent", "summary": "The request sought monthly prescription statistics for Midazolam and Morphine from 2010 to 2021, along with COVID-19 treatment protocols. The authority disclosed all requested information, providing detailed monthly dispensing data for various Midazolam formulations.", "key_facts": [ "The request was made to Manx Care on 2021-08-16 and concluded on 2021-09-15.", "The outcome was 'All information sent' with no exemptions applied.", "The response includes 24 pages of data across 3 documents.", "Detailed monthly dispensing figures for Midazolam are provided from January 2010 through July 2019.", "The data covers multiple Midazolam formulations including injections, infusions, and oral solutions." ], "data_mentioned": [ "2021-08-16", "2021-09-15", "24 pages", "3 documents", "Jan.10", "Jul.19", "01/2010 to 07/2021", "Midazolam 50mg/50mL INFUSION", "Midazolam 10mg/2mL INJECTION" ], "exemptions_cited": [], "tables": [ { "headers": [ "Jan.10", "4", "0", "10", "0", "81", "0", "0", "0", "0", "0" ], "rows": [ [ "Feb.10", "0", "0", "100", "0", "101", "0", "0", "0", "0", "0" ], [ "Mar.10", "0", "0", "1", "0", "142", "0", "0", "0", 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Manx Care disclosed that there were 257 discharges with relevant clinical codes between September 2011 and August 2021, providing a breakdown by year and area.", "key_facts": [ "The request covered primary brain tumour diagnoses for Isle of Man residents over a 10-year period.", "Manx Care reported 257 discharges clinically coded with brain tumour diagnoses between 1st September 2011 and 31st August 2021.", "The data includes a breakdown of discharges by year and by specific geographic areas (IM1-IM9).", "The highest number of discharges in a single year was 40, occurring in both 2015 and 2017.", "The lowest number of discharges in a single year was 3, recorded in 2020." ], "data_mentioned": [ "257", "1st September 2011", "31st August 2021", "13", "25", "23", "30", "40", "21", "33", "3", "16", "99", "39", "34", "17", "15", "10", "6", "5" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year Discharges" ], "rows": [ [ "2011 13" ], [ "2012 25" ], [ "2013 23" ], [ "2014 30" ], [ "2015 40" ], [ "2016 21" ], [ "2017 40" ], [ "2018 33" ], [ "2019 13" ], [ "2020 3" ], [ "2021 16" ], [ "TOTAL 257" ] ], "row_count": 12, "col_count": 1 }, { "headers": [ "Area Discharges" ], "rows": [ [ "IM2 99" ], [ "IM9 39" ], [ "IM8 34" ], [ "IM4 17" ], [ "IM7 16" ], [ "IM3 16" ], [ "IM5 15" ], [ "IM1 10" ], [ "NULL or non IM 6" ], [ "IM6 5" ], [ "TOTAL 257" ] ], "row_count": 11, "col_count": 1 } ] }, { "case_id": 1969226, "title": "Ambulance callouts", "authority": "Manx Care", "date_received": "2021-08-31", "outcome": "All information sent", "summary": "A request was made to Manx Care for ambulance callout statistics and reasons from August 2015 to August 2021, and the authority confirmed that all requested information was sent.", "key_facts": [ "The request covered a period from August 2015 to August 2021 inclusive.", "Manx Care responded with 16 pages of data across 2 documents.", "The outcome was 'All information sent' with no redactions or exemptions applied.", "Data includes monthly breakdowns of callout types such as Falls, Breathing Problems, and Chest Pain.", "The response distinguishes between total callouts and 'Vehicle Not Required' (VNR) incidents." ], "data_mentioned": [ "2015-08-31", "2021-09-24", "16 pages", "2 documents", "7,960 total callouts in 2015", "8,271 total callouts in 2016", "1,756 Falls in 2017", "1,411 VNR in 2015", "1,624 VNR in 2016" ], "exemptions_cited": [], "tables": [ { "headers": [ "Call Out Type", "VNR", "Total", "Jan15", "Feb15", "Mar15", "Apr15", "May15", "Jun15", "Jul15", "Aug15", "Sep15", "Oct15", "Nov15", "Dec15" ], "rows": [ [ "Abdominal Pain / Problems", "15", "1,587", "122", "114", "126", "139", "146", "133", "150", "127", "134", "133", "115", "148" ], [ "Allergic Reactions /\nEnvenomations", "10", "1,148", "90", "97", "91", "74", "105", "92", "99", "97", "100", "97", "97", "109" ], [ "Animal Bites / Attacks", "7", "769", "76", "68", "60", "62", "62", "59", "58", "65", "60", "60", "69", "70" ], [ "Assault / Sexual 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"clinical evidence for mask requirements", "authority": "Manx Care", "date_received": "2021-09-14", "outcome": "Information not held", "summary": "The requester asked Manx Care for clinical studies and data used to justify mask requirements in healthcare settings. The authority responded that the specific information was not held, instead providing a link to UK-wide infection prevention and control guidance.", "key_facts": [ "The request was made to Manx Care on 2021-09-14.", "The outcome was 'Information not held' as of 2021-10-11.", "The response included a link to UK Health Security Agency guidance on infection prevention and control.", "The guidance states that no changes to PPE recommendations were made following a review of new variant strains.", "Organisations adopting practices differing from national guidance are responsible for their own risk assessments." ], "data_mentioned": [ "2021-09-14", "2021-10-11", "11/10/2021, 15:27", "29 September 2021", "1974", "72 pages", "3 documents" ], "exemptions_cited": [], "tables": [ { "headers": [ "GOV.UK", "", "Menu", "", "" ], "rows": [ [ "", "", "", "", "" ], [ "Coronavirus (COVID-19) (/coronavirus)\nGuidance and support", "", "", "", "" ], [ "1. Home (https://www.gov.uk/)\n2. Coronavirus (COVID-19) (https://www.gov.uk/coronavirus-taxon)\n3. Healthcare workers, carers and care settings during coronavirus\n(https://www.gov.uk/coronavirus-taxon/healthcare-workers-carers-and-care-settings)\n4. COVID-19: infection prevention and control (IPC)\n(https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-\nand-control)\nUK Health\nSecurity\nAgency (https://www.gov.uk/government/organisations/uk-health-security-agency)\nGuidance\nCOVID-19: guidance for\nmaintaining services within\nhealth and care settings –\ninfection prevention and control", "", "", "", "" ], [ "recommendations\nUpdated 29 September 2021\nContents\n1. Main messages and explanation of updates\n2. Introduction\n3. Governance and responsibilities\n4. COVID-19 care pathways\n5. Standard infection prevention control precautions (SICPs) - all pathways or settings\n6. Aerosol generating procedures – procedures that create a higher risk of respiratory infection\ntransmission\n7. Low risk pathway – key principles\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 1/35", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 6, "col_count": 5 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\n8. Transmission based precautions (TBPs)\n9. Medium risk pathway – key principles\n10. High risk pathway – key principles\n11. Occupational health and staff deployment\n12. Glossary of terms\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 2/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\n© Crown copyright 2021\nThis publication is licensed under the terms of the Open Government Licence v3.0 except where\notherwise stated. To view this licence, visit nationalarchives.gov.uk/doc/open-government-\nlicence/version/3 or write to the Information Policy Team, The National Archives, Kew, London TW9\n4DU, or email: psi@nationalarchives.gov.uk.\nWhere we have identified any third party copyright information you will need to obtain permission\nfrom the copyright holders concerned.\nThis publication is available at https://www.gov.uk/government/publications/wuhan-novel-coronavirus-\ninfection-prevention-and-control/covid-19-guidance-for-maintaining-services-within-health-and-care-\nsettings-infection-prevention-and-control-recommendations\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 3/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\n1. Main messages and explanation of updates\n1.1 About this guidance\nThis guidance is issued jointly by the Department of Health and Social Care (DHSC), Public Health\nWales (PHW), Public Health Agency (PHA) Northern Ireland, Health Protection Scotland\n(HPS)/National Services Scotland, Public Health England (PHE) and NHS England as official\nguidance.\nAmendments have been made to strengthen existing messaging and provide further clarity where\nneeded, including updates on the hierarchy of controls, clarity over the use of valved respirators, and\nhighlighting the need to protect those previously shielding and who are considered clinically\nextremely vulnerable from coronavirus (COVID-19).\nFollowing a clinical and scientific review, no changes to the recommendations, including personal\nprotective equipment (PPE), have been made in response to the new variant strains at this stage,\nhowever this position will remain under constant review. Organisations who adopt practices that differ\nfrom those recommended/stated in the national guidance are responsible for ensuring safe systems\nof work, including the completion of a risk assessment approved through local governance\nprocedures.\nAll NHS organisations should ensure reliable application of all infection prevention and control (IPC)\nrecommendations and assurance on adherence, that PPE is available and in supply, and that all staff\ntraining is up to date.\nThis guidance seeks to ensure a consistent and resilient UK wide approach, however some\ndifferences in operational details and organisational responsibilities may apply in Northern Ireland,\nEngland, Wales and Scotland.\nPlease note that this guidance is of a general nature and that an employer should consider the\nspecific conditions of each individual place of work and comply with all applicable legislation,\nincluding the Health and Safety at Work etc. Act 1974\n(https://www.legislation.gov.uk/ukpga/1974/37/contents).\nThe IPC principles in this document apply to all health and care settings including acute, diagnostics,\nindependent sector, mental health and learning disabilities, primary care, care homes, care at home,\nmaternity and paediatrics (this list is not exhaustive).\nThis guidance does not apply to adult social care settings in England. Adult social care providers in\nEngland should refer to existing guidance (https://www.gov.uk/government/collections/coronavirus-covid-19-\nsocial-care-guidance) already in place. DHSC/PHE will continuously review this guidance and update\nas needed.\nThis IPC guidance will be updated in line with service need and as the evidence evolves. The\nadministrative measures outlined in the guidance are consistent with World Health Organization\n(WHO) guidance (https://www.who.int/publications/i/item/WHO-2019-nCoV-IPC-2021.1).\n1.2 Main messages\nLocal and national prevalence and incidence data will continue to guide services as advised by\ncountry-specific/public health organisations. Identification of new variants of concern is inevitable and\non each new identification evidence for any change in transmissibility, mode of transmission, disease\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 4/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nseverity and any evidence of vaccine evasion will need to be considered as well as local incidence\nand prevalence of any new variant of concern. It may be necessary to change the IPC measures\nrequired on the basis of any new evidence.\nFor further information on the variants of concern:\nThreat Assessment Brief: Emergence of SARS-CoV-2 B.1.617 variants in India and situation in\nthe EU/EEA (https://www.ecdc.europa.eu/en/publications-data/threat-assessment-emergence-sars-cov-2-\nb1617-variants)\nInvestigation of SARS-CoV-2 variants of concern: technical briefings\n(https://www.gov.uk/government/publications/investigation-of-novel-sars-cov-2-variant-variant-of-concern-\n20201201)\nFor further guidance on investigating and managing variants of concern:\nGuidance for investigating and managing individuals with a possible or confirmed SARS-CoV-2\nVariant of Concern or Variant Under Investigation (https://www.gov.uk/government/publications/sars-\ncov-2-voc-investigating-and-managing-individuals-with-a-possible-or-confirmed-case/guidance-for-\ninvestigating-and-managing-individuals-with-a-possible-or-confirmed-sars-cov-2-variant-of-concern)\nThis data will continue to be used to ensure patients/individuals’ treatment, care and support can be\nmanaged in the 3 COVID-19 pathways, which remain as:\nhigh risk - this includes patients/individuals who are confirmed COVID-19 positive by a SARS-\nCoV-2 polymerase chain reaction (PCR) test or are symptomatic and suspected to have COVID-\n19 (awaiting result)\nmedium risk - this includes patients/individuals who are waiting for their SARS-CoV-2 PCR test\nresult and who have no symptoms of COVID-19 and individuals who are asymptomatic with\nCOVID-19 contact/exposure identified\nlow risk - this includes patients/individuals who have been triaged/tested (negative)/clinically\nassessed with no symptoms or known recent COVID-19 contact/exposure\nTo ensure maximum workplace risk mitigation, organisations should undertake local risk\nassessments based on the measures as prioritised in the hierarchy of controls. If an unacceptable\nrisk of transmission remains following this risk assessment\n(https://www.england.nhs.uk/coronavirus/publication/every-action-counts/), it may be necessary to consider\nthe extended use of respiratory protective equipment (RPE) for patient care in specific situations. The\nrisk assessment should include evaluation of the ventilation in the area, and prevalence of\ninfection/new variants of concern in the local area.\nIndividuals who are clinically extremely vulnerable from COVID-19 will require protective IPC\nmeasures depending on their medical condition and treatment whilst receiving healthcare, for\nexample priority for single room isolation.\nSessional use of single use PPE/RPE items continues to be minimised and only applies to extended\nuse of face masks (all pathways) or filtering face piece (FFP3) respirators (together with eye/face\nprotection) in the medium and high risk pathways for healthcare workers (HCWs) where airborne\nprecautions are indicated.\nThe use of face masks or face coverings across the UK remains as an IPC measure. In addition to\nsocial distancing, hand hygiene for staff, patients/individuals and visitors is advised in both clinical\nand non-clinical areas to further reduce the risk of transmission.\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 5/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nPatients in all care areas should still be encouraged and supported to wear a face mask, providing it\nis tolerated and is not detrimental to their medical or care needs.\nPhysical distancing of 2 metres remains in place as standard practice in all health and care settings,\nunless providing clinical or personal care and wearing appropriate PPE.\nPatients/individuals on a low-risk pathway require standard infection control precautions (SICPs) for\nall care including surgery or procedures.\nTriaging and SARS-CoV-2 testing must be undertaken for all patients either at point of admission or\nas soon as possible/practical following admission across all the pathways.\nThe IPC measures recommended are underpinned by the National Infection Prevention and Control\nManual (NIPCM) practice guide and associated literature reviews (http://www.nipcm.hps.scot.nhs.uk/).\nNHS England is using this an opportunity to introduce and adopt the NICPM as set out in the UK\nFive-year Tackling Antimicrobial Resistance National Action Plan (2019 to 2024)\n(https://www.gov.uk/government/publications/uk-5-year-action-plan-for-antimicrobial-resistance-2019-to-2024).\n1.3 Explanation of the updates to IPC guidance\nThe guidance is issued jointly by DHSC, PHW, PHA Northern Ireland, HPS/National Services\nScotland, PHE and NHS England for health and care organisations as the UK moves to maintain\nhealthcare services. The content is consistent with the administrative measures outlined in WHO IPC\nduring healthcare when COVID-19 is suspected or confirmed: Interim Guidance, June 2020\n(https://apps.who.int/iris/handle/10665/332879). In addition, the updates to this guidance are informed by\nthe paper produced for the Scientific Advisory Group for Emergencies Masks for healthcare workers\nto mitigate airborne transmission of SARS-CoV-2 (23 April 2021)\n(https://www.gov.uk/government/publications/emg-masks-for-healthcare-workers-to-mitigate-airborne-\ntransmission-of-sars-cov-2-25-march-2021).\nMaintaining services continues to require ‘new ways’ of working during the ongoing pandemic.\nContinual assessment of the available evidence/science and feedback from guidance users,\nprofessional bodies and associations, has identified the amendments required to the guidance to\nassist in supporting services in this ‘new and changing’ environment whilst COVID-19 remains a\nthreat. This is based upon emerging evidence, experience and expert opinion.\n1.4 Main changes to the guidance\nThe main amendments to this version of the guidance are:\n1. Inclusion of the hierarchy of controls as these apply to COVID-19, with definitions and\nsupporting materials for implementation. Also, where an unacceptable risk of transmission\nremains following the hierarchy of controls risk assessment, it may be necessary to consider the\nextended use of RPE for patient care in specific situations. The risk assessment should include\nevaluation of the ventilation in the area, operational capacity, and prevalence of infection/new\nvariants of concern in the local area.\n2. Further advice on the use of valved respirators with examples of sterile procedures in the clinical\nsetting.\n3. Further advice on minimising sessional or extended use of gowns where cohorts of confirmed\nCOVID-19 patients are managed and there is a lack of single rooms/isolation rooms.\n4. Amendment to the aerosol generating procedure (AGP) list to state ‘upper gastro-intestinal\nendoscopy where open suction of the upper respiratory tract occurs beyond the oro-pharynx’.\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 6/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/\n2\n2\nT\nm\nT\nin\nc\nre\nri\ns\nT\np\nm\nC\nM\na\nb\nW\nin\ng\nb\nT\na\ng\nre\nT\nfo\nIP\nhtt", "10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\n5. Individuals who are clinically extremely vulnerable from COVID-19 will require protective IPC\nmeasures depending on their medical condition and treatment whilst receiving healthcare, for\nexample, priority for single room isolation.\n. Introduction\n.1 Scope and purpose\nhis document sets out the IPC advice for health and care organisations as the UK continues to\naintain healthcare services during the ongoing pandemic.\nhe IPC principles in this document apply to all health and care settings, including the\ndependent/private sector, mental health and learning disabilities, primary care areas, care homes,\nare at home, maternity and paediatrics (this list is not exhaustive, please refer to specific country\nsources for setting specific guidance). It includes key IPC control recommendations and includes\nsk assessed patient pathway scenarios to help guide the implementation of measures to provide\nafe and effective care locally and is based on the best available evidence.\nhe challenge facing the NHS is to maintain healthcare services and manage NHS capacity whilst\nroviding a safe and equitable service for staff, visitors and patients/individuals including those who\nay present with COVID-19, those who have recovered from COVID-19 and those with no history of\nOVID-19, until public health strategies such as mass vaccination are complete.\naintaining services requires a continuous review of ways of working to respond to the pandemic\nnd guidance for working in a changing environment requires continual and ongoing development\nased upon emerging evidence, experience and expert opinion.\nhile this document seeks to ensure a consistent and resilient UK-wide approach, some differences\noperational details and organisational responsibilities may apply, where current legislation,\nuidance, for example, clinical definitions, already exists. Links can be accessed in the resources\nelow.\nhis guidance does not apply to adult social care settings in England given existing guidance for\ndult social care settings (https://www.gov.uk/government/collections/coronavirus-covid-19-social-care-\nuidance) has already been provided and continues to be relevant. DHSC/PHE will continuously\nview this guidance and update as needed.\nhis document does not provide links throughout the sections. Follow the country-specific resources,\nr example visiting guidance, testing, discharge policies.\nC COVID-19 resources for:\nEngland can be found at Infection Prevention and Control supporting documentation\n(https://www.england.nhs.uk/coronavirus/publication/infection-prevention-and-control-supporting-\ndocumentation/) and coronavirus (COVID-19) (https://www.gov.uk/coronavirus)\nScotland can be found at COVID-19 compendium (https://hps.scot.nhs.uk/web-resources-\ncontainer/covid-19-compendium/) and Scottish COVID-19 Infection Prevention and Control\nAddendum for Acute Settings (http://www.nipcm.hps.scot.nhs.uk/scottish-covid-19-infection-prevention-\nand-control-addendum-for-acute-settings/)\nWales can be found at Health and social care professionals: coronavirus (https://gov.wales/health-\nprofessionals-coronavirus)\nps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 7/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nNorthern Ireland can be found at Guidance for professionals and organisations\n(https://www.publichealth.hscni.net/covid-19-coronavirus/guidance-professionals-and-organisations)\nFurther updates will be made to this document as new data/evidence emerges and as the COVID-19\nalert levels change\n(https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/884352/slide\ns_-_11_05_2020.pdf). This is a scale of 1 to 5 which the UK government uses to reflect the degree of\nthreat to the country from the current COVID-19 pandemic.\n3. Governance and responsibilities\nOrganisations and employers including NHS Trusts, NHS Boards, Health and Social Care Trusts\n(Northern Ireland), local authorities, and independent sector providers, through their Chief Executive\nOfficer (CEO) or equivalent, must ensure:\nmonitoring of IPC practices, as recommended in this guidance, and ensure that resources are in\nplace to implement and measure adherence to good IPC practice. This must include all care\nareas and all staff (permanent, agency and external contractors)\ntesting and self-isolation strategies are in place with a local policy for the response if\ntransmission rates of COVID-19 increase\ntraining in IPC measures is provided to all staff, including: the correct use of PPE including a\nface fit test if wearing a FFP3, respirator, and the correct technique for putting on and removing\n(donning/doffing) safely\nrisk assessment(s) is undertaken for any staff members in at risk or clinically extremely\nvulnerable groups, including pregnant and Black, Asian and Minority Ethnic (BAME) staff.\nGuidance on carrying out risk assessments can be found by following the links to the country\nspecific resources in section 2.1\npatients/individuals at high risk/extremely high risk of severe illness are protected from COVID-\n19. This must include consideration of families and carers accompanying patients/individuals for\ntreatments/procedures\nhealth and care settings are COVID-19 secure workplaces as far as practical, that is, that any\nworkplace risk(s) are mitigated maximally for everyone. This may entail local risk assessments\nbased on the measures as prioritised in the hierarchy of controls in the context of managing\ninfectious agents and should be communicated to staff\nDisclaimer:\nWhen an organisation adopts practices that differ from those recommended/stated in this national\nguidance, that individual organisation is responsible for ensuring safe systems of work, including the\ncompletion of a risk assessment(s) approved through local governance procedures, for example\nIntegrated Care System level, Health Board.\n4. COVID-19 care pathways\nThese pathways are specific to the COVID-19 pandemic and are examples of how organisations may\nseparate COVID-19 risks. It is important to note that these pathways do not necessarily define a\nservice to a particular pathway and should not impact the delivery and duration of care for the patient\nor individual. Moving patients between pathways should be based on their infectious status (testing\nrequired), clinical need, availability of services and this should be agreed locally. Implementation\nstrategies must be underpinned by patient/procedure risk assessment, appropriate testing regimens\n(as per organisations or country specific) and epidemiological data. Additional information on specific\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 8/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nsettings can be found in: NICE (2020) COVID-19 rapid guideline: arranging planned care in hospitals\nand diagnostic services (https://www.nice.org.uk/guidance/ng179/resources/covid19-rapid-guideline-\narranging-planned-care-in-hospitals-and-diagnostic-services-pdf-66141969613765).\nTriaging and testing within all health and other care facilities must be undertaken to enable early\nrecognition of COVID-19 cases. See Appendix 1\n(https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1021294/202", "" ], [ "", "10118_COVID-19_Infection_prevention_control_Appendix_1_Sample_triage_tool.pdf) for an example of\ntriage questions. Triage should be undertaken by clinical staff who are trained and competent in the\napplication of the clinical case definition (https://www.gov.uk/government/publications/wuhan-novel-\ncoronavirus-initial-investigation-of-possible-cases/investigation-and-initial-clinical-management-of-possible-\ncases-of-wuhan-novel-coronavirus-wn-cov-infection) prior to arrival at a care area, or as soon as possible\non arrival, and allocated to the appropriate pathway. This should include screening for other\ninfections/multi-drug resistant organisms, including as per national screening requirements.\nInfection risk and IPC precautions, for example SICPs or transmission based precautions (TBPs)\nmust be communicated between care areas/pathways, including when discharge planning.\nPatients with respiratory symptoms should be assessed in a segregated area, ideally a single room,\npending test result to define the causative organism.\nIndividuals who are clinically extremely vulnerable from COVID-19 will require protective IPC\nmeasures depending on their medical condition and treatment whilst receiving healthcare, for\nexample priority for single room isolation.\n4.1 High risk COVID-19 pathway\nAny care facility where:\na) Untriaged individuals present for assessment or treatment (symptoms unknown).\nor\nb) Confirmed SARS-CoV-2 PCR positive individuals are cared for.\nor\nc) Symptomatic or suspected COVID-19 individuals including those with a history of contact with a\nCOVID-19 case, who have been triaged/clinically assessed and are waiting test results.\nor\nd) Symptomatic individuals decline testing.\nExamples of patient (individual) groups/facilities within this pathway (this list is not exhaustive):\ndesignated areas within emergency/resuscitation departments\nGP surgeries/walk-in centres\nfacilities where confirmed or suspected/symptomatic COVID-19 individuals are cared for, for\nexample:\nemergency admissions to inpatient areas (adult and children)\nmental health\nmaternity\ncritical care units\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 9/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nrenal dialysis units\n4.2 Medium risk COVID-19 pathway\nAny care facility where:\na) Triaged/clinically assessed individuals are asymptomatic and are waiting a SARS-CoV-2 PCR test\nresult.\nor\nb) Triaged/clinically assessed individuals are asymptomatic with COVID-19 contact/exposure\nidentified.\nor\nc) Testing is not required or feasible on asymptomatic individuals and infectious status is unknown.\nor\nd) Asymptomatic individuals decline testing.\nExamples of patient (individual) groups/facilities within this pathway (this list is not exhaustive):\ndesignated areas within emergency/resuscitation departments, GP surgeries and walk-in\ncentres\nnon-elective admissions\nprimary care facilities, for example general dental and general practice\nfacilities where individuals are cared for, for example:\ninpatients (adult and children)\nmental health\nmaternity\ncritical care units\noutpatient departments including diagnostics and endoscopy\ncare homes*\nprisons\n*This guidance does not apply to adult social care settings in England.\n4.3 Low risk COVID-19 pathway\nAny care facility where:\na) Triaged/clinically assessed individuals with no symptoms or known recent COVID-19\ncontact/exposure.\nand\nHave a negative SARS-CoV-2 PCR test within 72 hours of treatment and, for planned admissions,\nhave self-isolated for the required period or from the test date.\nor\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 10/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nb) Individuals who have recovered (14 days) from COVID-19 and have had at least 48 hours without\nfever or respiratory symptoms.\nor\nc) Patients or individuals are part of a regular formal NHS testing plan and remain negative and\nasymptomatic.\nExamples of the patient (individual) groups/facilities within this pathway (this list is exhaustive):\nplanned/elective surgical procedures including day cases\noncology/chemotherapy patients and/or facilities\nplanned inpatient admissions (adult and children), mental health, maternity\noutpatients including diagnostics/endoscopy\ncare homes*\nprisons\n*This guidance does not apply to adult social care settings in England.\n4.4 Administration measures for the pathways\n1. Establish separation of patient pathways and staff flow to minimise contact between pathways.\nFor example, this could include provision of separate entrances and exits (if available) or use of\none-way entrance and exit systems, clear signage and restricted access to communal areas:\ncare areas (for example, ward, clinic, GP practice, care home) may designate self-\ncontained area(s) or ward(s) for the treatment and care of patients/individuals at high,\nmedium and low risk of COVID-19. Temporal separation may be used in clinics/primary\ncare settings\nas a minimum in smaller facilities or primary care outpatient settings physical or temporal\nseparation of patients/departments at high risk of COVID-19 from the rest of the\nfacility/patients\n2. Ensure that hygiene facilities, IPC measures and messaging are available for all\npatients/individuals, staff and visitors to minimise COVID-19 transmission such as:\nhand hygiene facilities including instructional posters\ngood respiratory hygiene measures\nmaintaining physical distancing of 2 metres at all times (unless wearing PPE due to clinical\ncare or personal care as per pathways)\nincreasing frequent decontamination of equipment and environment\nconsidering improving ventilation by opening windows (natural ventilation) if mechanical\nventilation is not available\nclear advice on use of face coverings and face masks by patients/individuals, visitors and\nby staff in non-patient facing areas - this will include:\nuse of face masks/coverings by all outpatients (if tolerated) and visitors when entering\na hospital, GP/dental surgery or other care settings\nuse of a surgical face mask (Type II or Type IIR) by all patients across all pathways, if\nthis can be tolerated and does not compromise their clinical care, such as when\nreceiving oxygen therapy. This will minimise the dispersal of respiratory secretions and\nreduce environmental contamination\nextended use of face masks by all staff in both clinical and non-clinical areas within the\nhealthcare or care setting\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 11/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nwhere visitors are unable to wear face coverings due to physical or mental health\nconditions or a disability, clinicians/person in charge should consider what other IPC\nmeasures are in place, such as physical distancing and environmental cleaning, to\nensure sufficient access depending on the patient’s condition and the care pathway\n3. Where possible and clinically appropriate remote consultations rather than face-to-face should\nbe offered to patients/individuals.\n4. Ensure restricted access between pathways if possible (depending on size of the facility,\nprevalence/incidence rates), by other patients/individuals, visitors or staff, including patient\ntransfer and in communal staff areas (changing rooms/restaurant). If the prevalence/incidence\nrates decline this may not be necessary between pathways providing the IPC measures are\nreliably maintained.\n5. Ensure areas/wards are clearly signposted, using physical barriers as appropriate to ensure\npatients/individuals and staff understand the different risk areas.\n6. Ensure local standard operating procedures detail the measures to segregate equipment and\nstaff, including planning for emergency scenarios, as the prevalence/incidence of COVID-19\nmay increase or decrease until cessation of the pandemic.\n7. Ensure a rapid and continued response through ongoing surveillance of rates of infection within\nthe local population and for hospital/organisation onset cases (staff and patients/individuals).\nPositive cases identified after admission who fit the criteria for a healthcare associated infection\nshould trigger a case investigation. If 2 or more cases are linked in time and place, an outbreak\ninvestigation should be conducted. Refer to country-specific definitions.\n8. If the prevalence/incidence rate for COVID-19 is high, where possible, assign separate teams of\nhealth and other care workers, including domestic staff, to care for individuals in isolation/cohort\nrooms or areas/pathways. If a member of staff is required to move between\nsites/hospitals/cohort areas due to the unique function of their role, all IPC measures including\nphysical distancing must be maintained.\n9. Providers of planned services should be responsive to local and national prevalence/incidence\ndata on COVID-19 and adapt processes so that services can be stepped-up or down. This can\nbe assessed using the respective countries weekly COVID-19 surveillance report/SARS-CoV-2\npositivity data on admission, and local capacity and resources.\n10. Safe systems of work outlined in the hierarchy of controls\n(https://www.cdc.gov/niosh/topics/hierarchy/default.html) including elimination, substitution,\nengineering, administrative controls and PPE/RPE are an integral part of IPC measures.\nOrganisations should undertake risk assessments based on these measures, prioritised in the\nhierarchy of controls in the context of managing infectious agents. If an unacceptable risk of\ntransmission remains following a risk assessment taking these controls into account, it may be\nnecessary to consider the extended use of RPE for patient care in specific situations. The risk\nassessment should include evaluation of the ventilation in the area, operational capacity, and\nprevalence of infection/new variants of concern in the local area.\nSupporting tools for local risk assessment are available at NHS England Every Action Counts\nResources (https://www.england.nhs.uk/coronavirus/publication/every-action-counts/).\n4.5 Community settings\nAreas where triaging for COVID-19 is not possible, for example community pharmacies:\nsignage at entry points advising of the necessary precautions\nstaff should maintain 2 metres physical distance with customers/service users, using floor\nmarkings, clear screens or wear surgical face masks (Type IIR) where this is not possible\npatients/individuals with symptoms should be advised not to enter the premises\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 12/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/10\n4.6\nIn\nSA\nan\ntre\nout\nIn s\nind\nonl\nad\nses\n5.\nse\nSIC\nfro\npat\nexc\nthe\nTh\nind\nan\nSIC\npat\nsta\nto t\nTh\nhttps:", "/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nOutpatient/primary/day care\noutpatient, primary care and day care settings:\nwhere possible and appropriate, services should utilise virtual consultation\nif attending outpatients or diagnostics, service providers should consider timed appointments\nand strategies such as asking patients/individuals to wait to be called to the waiting area with\nminimum wait times\npatients/individuals should not attend if they have symptoms of COVID-19 or are isolating as a\ncontact/exposure and communications should advise actions to take in such circumstances for\nexample for patients/individuals receiving chemotherapy and renal dialysis\ncommunications prior to appointments should provide advice on what to do if patients/individuals\nsuspect they have come into contact with someone who has COVID-19 prior to their\nappointment\noutpatient letters should be altered to advise patients/individuals on parking, entrances, IPC\nprecautions and COVID-19 symptoms\npatients/individuals must be instructed to remain in waiting areas and not visit other parts of the\nfacility\nprior to admission to the waiting area, all patients/individuals and accompanying persons should\nbe triaged for COVID-19 symptoms and assessed for exposure to contacts\npatients/individuals and accompanying persons will also be asked to wear a mask/face covering\nat all times\nRS-CoV-2 confirmed positive patients/individuals or those self-isolating should still be assessed\nd reviewed following the high/medium care pathway in these settings, to ensure urgent\natment/appointments are accommodated. This is important to avoid unwarranted poor patient\ncomes.\nome clinical outpatient settings, such as vaccination/injection clinics, where contact with\nividuals is minimal, the need for PPE items for each encounter, for example gloves and aprons are\ny recommended when there is (anticipated) exposure to blood/body fluids or non-intact skin. Staff\nministering vaccinations/injections must apply hand hygiene between patients and wear a\nsional face mask.\nStandard infection prevention control precautions (SICPs) - all pathways or\nttings\nPs are the basic IPC measures necessary to reduce the risk of transmitting infectious agents\nm both recognised and unrecognised sources of infection and are required across all COVID-19\nhways. Sources of (potential) infection include blood and other body fluids secretions or\nretions (excluding sweat), non-intact skin or mucous membranes and any equipment or items in\ncare environment that could have become contaminated.\ne application of SICPs during care delivery is determined by an assessment of risk to and from\nividuals and includes the task, level of interaction and/or the anticipated level of exposure to blood\nd/or other body fluids.\nPs must therefore be used by all staff, in all care settings, at all times and for all\nients/individuals, whether infection is known or not, to ensure the safety of patients/individuals,\nff and visitors. This section highlights the key measures for the COVID-19 pathways. Please refer\nhe practice guide* for additional information on the other elements which remain unchanged.\ne elements of SICPs are:\n//www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 13/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\npatient placement and assessment for infection risk (screening/triaging/testing)\nhand hygiene\nrespiratory and cough hygiene\npersonal protective equipment\nsafe management of the care environment\nsafe management of care equipment\nsafe management of healthcare linen\nsafe management of blood and body fluids\nsafe disposal of waste (including sharps)\noccupational safety: prevention and exposure management\nmaintaining social/physical distancing (new SICP due to COVID-19)\n*Practice guides and literature reviews to support SICPs can be found for England and Scotland\n(http://www.nipcm.hps.scot.nhs.uk/), Wales (https://phw.nhs.wales/services-and-teams/harp/infection-\nprevention-and-control/nipcm/) and Northern Ireland (https://www.niinfectioncontrolmanual.net/).\n5.1 Personal protective equipment (PPE)\nFor the purpose of this document, the term ‘personal protective equipment’ is used to describe\nproducts that are either PPE or medical devices that are approved by the Health and Safety\nExecutive (HSE) and the Medicines and Healthcare products Regulatory Agency (MHRA) as\nprotective solutions in managing the COVID-19 pandemic.\nLocal or national uniform policies (https://www.england.nhs.uk/about/equality/equality-hub/uniforms-and-\nworkwear/) should be considered when wearing PPE.\nAll PPE should be:\nlocated close to the point of use (where this does not compromise patient safety, for example,\nmental health/learning disabilities). In domiciliary care PPE must be transported in a clean\nreceptacle\nstored safely and in a clean, dry area to prevent contamination\nwithin expiry date (or had the quality assurance checks prior to releasing stock outside this date)\nsingle use unless specified by the manufacturer or as agreed for extended/sessional use\nincluding surgical face masks\nchanged immediately after each patient and/or after completing a procedure or task (unless\nsessional use has been agreed and local risk assessment undertaken)\ndisposed into the correct waste stream depending on setting, for example domestic\nwaste/offensive (non-infectious) or infectious clinical waste\ndiscarded if damaged or contaminated\nsafely doffed (removed) to avoid self-contamination. See guidance on donning (putting on) and\ndoffing (removing) (https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-\nuse-for-aerosol-generating-procedures)\ndecontaminated after each use following manufacturer’s guidance if reusable PPE is used,\nspecifically non-disposable goggles/face shields/visors\nGloves must:\nbe worn when exposure to blood and/or other body fluids, non-intact skin or mucous\nmembranes is anticipated or likely*\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 14/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nbe changed immediately after each patient and/or after completing a procedure/task even on the\nsame patient\nbe put on immediately before performing an invasive procedure and removed on completion\nnot be decontaminated with alcohol based hand rub (ABHR) or soap between use\nDouble gloving is not recommended for routine clinical care of COVID-19 cases.\n*Vinyl medical gloves should only be worn in care situations where there is no anticipated exposure\nto blood and/or body fluids.\nAprons must be:\nworn to protect uniform or clothes when contamination is anticipated or likely\nworn when providing direct care within 2 metres of suspected/confirmed COVID-19 cases\nchanged between patients and/or after completing a procedure or task\nFull body gowns or fluid repellent coveralls must be:\nworn when there is a risk of extensive splashing of blood and/or body fluids\nworn when undertaking AGPs\nworn when a disposable apron provides inadequate cover for the procedure or task being\nperformed (surgical procedures)\nchanged between patients/individuals and immediately after completing a procedure or task\nEye or face protection (including full-face visors) must:\nbe worn if blood and/or body fluid contamination to the eyes or face is anticipated or likely – for\nexample, by members of the surgical theatre team and always during AGPs\nnot be impeded by accessories such as piercings or false eyelashes\nnot be touched when being worn\nRegular corrective spectacles are not considered as eye protection.\nFluid resistant surgical face mask (FRSM Type IIR) masks must:\nbe worn with eye protection if splashing or spraying of blood, body fluids, secretions or\nexcretions onto the respiratory mucosa (nose and mouth) is anticipated or likely\nbe worn when providing direct care within 2 metres of a suspected/confirmed COVID-19 case\nbe well-fitting and fit for purpose, fully cover the mouth and nose (manufacturer’s instructions\nmust be followed to ensure effective fit and protection)\nnot be touched once put on or allowed to dangle around the neck\nbe replaced if damaged, visibly soiled, damp, uncomfortable or difficult to breathe through\nSurgical face masks Type II must be:\nworn for extended use by HCWs when entering the hospital or care setting (Type IIR is also\nsuitable). Type I is suitable in some settings, refer to the country specific resources in section\n2.1\nHead/footwear:\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 15/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/10/20\nt\nf\nPPE\ntheir\n6. A\nresp\nAn A\nrespir\nagent\nThis i\nand a\nt\nt\ni\nr\ni\n*The\nwith a\nventil\nthe U\nthat i\ncurre\nMedi\nCerta\nsecre\nin this\nvia n\nhttps://w", "21, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nheadwear is not routinely required in clinical areas (even if undertaking an AGP) unless part of\nheatre attire or to prevent contamination of the environment such as in clean rooms\nheadwear worn for religious reasons (for example, turban, kippot veil, headscarves) are\npermitted provided patient safety is not compromised - these must be washed and/or changed\nbetween each shift or immediately if contaminated and comply with additional attire in, for\nexample, theatres\noot/shoe coverings are not required or recommended for the care of COVID-19 cases\nmay restrict communication with some individuals and other ways of communicating to meet\nneeds should be considered.\nerosol generating procedures – procedures that create a higher risk of\niratory infection transmission\nGP is a medical procedure that can result in the release of airborne particles (aerosols) from the\natory tract when treating someone who is suspected or known to be suffering from an infectious\ntransmitted wholly or partly by the airborne or droplet route.\ns the list of medical procedures for COVID-19 that have been reported to be aerosol generating\nre associated with an increased risk of respiratory transmission:\nracheal intubation and extubation\nmanual ventilation\nracheotomy or tracheostomy procedures (insertion or removal)\nbronchoscopy\ndental procedures (using high speed devices, for example ultrasonic scalers/high speed drills)\nnon-invasive ventilation (NIV); bi-level positive airway pressure ventilation (BiPAP) and\ncontinuous positive airway pressure ventilation (CPAP)\nhigh flow nasal oxygen (HFNO)\nhigh frequency oscillatory ventilation (HFOV)\nnduction of sputum using nebulised saline\nespiratory tract suctioning*\nupper ear, nose and throat (ENT) airway procedures that involve respiratory suctioning*\nupper gastro-intestinal endoscopy where open suction of the upper respiratory tract* occurs\nbeyond the oro-pharynx\nhigh speed cutting in surgery/post-mortem procedures if respiratory tract/paranasal sinuses\nnvolved\navailable evidence relating to respiratory tract suctioning is associated with ventilation. In line\nprecautionary approach, open suctioning of the respiratory tract regardless of association with\nation has been incorporated into the current (COVID-19) AGP list. It is the consensus view of\nK IPC cell that only open suctioning beyond the oro-pharynx is currently considered an AGP,\ns oral/pharyngeal suctioning is not an AGP. The evidence on respiratory tract suctioning is\nntly being reviewed by the AGP Panel which is an independent panel set up by the 4 Chief\ncal Officers (CMOs) to review new or further evidence for consideration.\nin other procedures or equipment may generate an aerosol from material other than patient\ntions but are not considered to represent a significant infectious risk for COVID-19. Procedures\ncategory include administration of humidified oxygen, administration of Entonox or medication\nebulisation.\nww.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 16/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nThe New and Emerging Respiratory Viral Threat Assessment Group (NERVTAG) advised that during\nnebulisation, the aerosol derives from a non-patient source (the fluid in the nebuliser chamber) and\ndoes not carry patient-derived viral particles. If a particle in the aerosol coalesces with a\ncontaminated mucous membrane, it will cease to be airborne and therefore will not be part of an\naerosol. Staff should use appropriate hand hygiene when helping patients to remove nebulisers and\noxygen masks. In addition, the current expert consensus from NERVTAG\n(https://www.swast.nhs.uk/assets/1/cpr_as_an_agp_-\n_evidence_review_and_nervtag_consensus.pdf#:~:text=NERVTAG%20consensus%20statement%20on%20Car", "" ], [ "", "diopulmonary%20Resuscitation%20%28CPR%29%20as,increased%20risk%20of%20transmission%20of%20ac", "" ], [ "", "ute%20respiratory%20infections) is that chest compressions are not considered to be procedures that\npose a higher risk for respiratory infections including COVID-19.\nFurther information on AGPs for neonates (https://hubble-live-\nassets.s3.amazonaws.com/bapm/redactor2_assets/files/729/COVID__FAQ_19.10.20.docx.pdf) and a\nliterature review for AGPs during COVID-19 (https://hps.scot.nhs.uk/web-resources-container/sbar-\nassessing-the-evidence-base-for-medical-procedures-which-create-a-higher-risk-of-respiratory-infection-\ntransmission-from-patient-to-healthcare-worker/) are available.\n7. Low risk pathway – key principles\nThis pathway applies to any care facility where:\na) Triaged/clinically assessed individuals with no symptoms or known recent COVID-19\ncontact/exposure.\nand\nHave a negative SARS-CoV-2 PCR test result within 72 hours of treatment and, for planned\nadmissions, have self-isolated for the required period or from the test date.\nor\nb) Individuals who have recovered (14 days) from COVID-19 and have had at least 48 hours without\nfever or respiratory symptoms.\nor\nc) Patients or individuals are part of a regular formal NHS testing plan and remain negative and\nasymptomatic.\nClinicians should advise people who are at greater risk of getting COVID-19, or having a poorer\noutcome from it, that they may want to self-isolate for 14 days before a planned procedure. The\ndecision to self-isolate will depend on their individual risk factors and requires individualised care and\nshared decision making.\nSome individuals who have recovered from COVID-19 may continue to test positive for SARS-CoV-2\nby PCR for up to 90 days from their initial illness onset. If they do not have any new COVID-19\nsymptoms and have not had a known COVID-19 exposure they are unlikely to be infectious.\nHowever, advice should be sought from an infection specialist (infectious\ndisease/virologist/microbiologist) for severely immunosuppressed individuals who continue to test\npositive.\nPatients/individuals on a low risk pathway require SICPs for all care including surgery or procedures.\n7.1 Maintaining physical distancing\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 17/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "" ], [ "11/\nA\n(u\n7\nP\n*\ns\nA\np\nd\n7\nD\n(p\nsi\nIn\nfo\nfl\n7\nW\nre\n7\nW\na\nu\n7\no\nA\np\nd\nhtt", "10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nll staff and other care workers must maintain social/physical distancing of 2 metres where possible\nnless providing clinical or personal care and wearing PPE as per care pathway).\n.2 Personal protective equipment\nPE required for SICPs when following the low risk pathway is as follows:", "", "", "", "", "" ], [ "", "SICPs/PPE (all\nsettings / all\npatients/individuals", "Disposable\ngloves\n)", "Disposable\napron/gown", "Face masks", "Eye/face protection\n(visor)", "" ], [ "", "If contact with blood\nand/or body fluids is\nanticipated", "Single use", "Single use\napron (gown\nif risk of\nspraying /\nsplashing)", "FRSM Type IIR\nfor direct patien\ncare and surgic\nmask Type II* fo\nextended use", "Risk assess and use if\nt required for care\nal procedure/task where\nr anticipated blood/body\nfluids spraying/splashes", "" ], [ "", "Sessional/extended use of face masks applies across the UK for HCWs in any health or other care\nettings.\nirborne precautions are not required for AGPs on patients/individuals in the low risk COVID-19\nathway, providing the patient has no other known or suspected infectious agent transmitted via the\nroplet or airborne route.\n.3 Safe management of environment/equipment and blood/body fluids\nuring the pandemic, the frequency of cleaning of both the environment and equipment in care\natient) areas should be increased to at least twice daily, this includes frequently touched\ntes/points and communal facilities such as shared toilets.\nthe low risk COVID-19 pathway, organisations may choose to revert to general purpose detergents\nr cleaning, as opposed to widespread use of disinfectants (with the exception of blood and body\nuids, where a chlorine releasing agent (or a suitable alternative) solution should be used).\n.3.1 Safe management of waste\naste must be segregated in line with the respective countries’ national regulation and there is no\nquirement to dispose of all waste as infectious waste in the low risk pathway.\n.3.2 Operating theatres and procedure rooms\nithin the low risk COVID-19 pathway, standard theatre cleaning and time for air changes provides\nppropriate levels of IPC and there is no requirement for additional cleaning or theatre down time\nnless the patient has another infectious agent that requires additional IPC measures.\n.4 Aerosol generating procedures (AGPs): procedures that create a higher risk\nf respiratory infection transmission\nirborne precautions are not required for AGPs on patients/individuals in the low risk COVID-19\nathway, providing the patient has no other known or suspected infectious agent transmitted via the\nroplet or airborne route.\nps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 18/35", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 7, "col_count": 7 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/1\nTh\nof\n7.4\nPr\nthe\nde\nne\nCO\n7.4\nPa\nin\n7.\nAs\nre\nsh\nbe\n7.\nTh\nwh\nof\nIn\npr\nIm\nas\nca\nbe\nDi\n2.1\n8.\nTB\nor\nTB\na)\nUs\nthe\nof\nb)\nhttps", "0/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nere is no additional requirement for ventilation or downtime in this pathway, providing safe systems\nwork, including engineering controls are in place.\n.1 Critical care areas\noviding suspected/confirmed COVID-19 cases can be cared for in single rooms or isolation rooms,\ndepartment should no longer be classified as an AGP ‘hot spot’ or ‘high risk area’. This should be\nfined locally depending on prevalence/incidence data and the subsequent pathway assigned. This\ngates the requirement for the routine wearing of airborne PPE including a respirator in the low risk\nVID-19 pathway.\n.2 Operating theatres\ntients/individuals in the low risk COVID-19 pathway do not need to be anaesthetised or recovered\nthe operating theatre if intubation/extubation (AGP) is required.\n5 Visitor guidance\noutlined in the administration measures for the pathways (section 4.4), hand hygiene and\nspiratory hygiene, and the wearing of a face covering (if tolerated) along with social distancing\nould be encouraged and maintained. Therefore visitors require no additional PPE. Visitors should\ntriaged.\n6 Discharge or transfer\nere is no restriction on discharge unless the patient/individual is entering a long-term care facility\nere testing may be required. If someone in the patient’s household has COVID-19 or is a contact\na COVID-19 case and is self-isolating, the discharge guidance will be provided by the clinician.\nEngland, to ensure testing does not delay a timely discharge to a care home, all patients who have\neviously tested negative should be re-tested for SARS-CoV-2 again 48 hours prior to discharge.\nmunocompetent patients who have tested positive within the previous 90 days, and remain\nymptomatic, do not need to be re-tested. The information from the test results, with any supporting\nre information, must be communicated and transferred to the relevant care home. No one should\ndischarged from hospital directly to a care home without the involvement of the local authority.\nscharge arrangements may differ between countries, refer to country specific resources in section\n.\nTransmission based precautions (TBPs)\nPs are additional measures (to SICPs) required when caring for patients/individuals with a known\nsuspected infection such as COVID-19.\nPs are based upon the route of transmission and include the following precautions:\nContact precautions\ned to prevent and control infections that spread via direct contact with the patient or indirectly from\npatient’s immediate care environment (including care equipment). This is the most common route\ncross-infection transmission. COVID-19 can be spread via this route.\nDroplet precautions\n://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 19/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nUsed to prevent and control infections spread over short distances (at least 3 feet/1 metre) via\ndroplets (>5µm) from the respiratory tract of individuals directly onto a mucosal surface or\nconjunctivae of another individual. Droplets penetrate the respiratory system to above the alveolar\nlevel. COVID-19 is predominantly spread via this route and the precautionary distance has been\nmaintained at 2 metres in care settings.\nc) Airborne precautions\nUsed to prevent and control infection spread without necessarily having close patient contact via\naerosols (≤5µm) from the respiratory tract of one individual directly onto a mucosal surface or\nconjunctivae of another individual. Aerosols penetrate the respiratory system to the alveolar level.\nCOVID-19 can spread via this route. This can be mitigated by safe systems of work outlined in the\nhierarchy of controls. AGPs increase the risk of spread by the airborne route.\n8.1 Transmission characteristics\nTransmission of SARS-CoV-2 implications for infection prevention precautions is contained within the\nWHO scientific briefing paper (https://www.who.int/news-room/commentaries/detail/transmission-of-sars-cov-\n2-implications-for-infection-prevention-precautions) and CDC’s scientific brief\n(https://www.cdc.gov/coronavirus/2019-ncov/more/scientific-brief-sars-cov-2.html).\nLiterature reviews to support evidence for transmission characteristics\n(https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/979441/S116", "" ], [ "", "9_Facemasks_for_health_care_workers.pdf) and TBPs (http://www.nipcm.hps.scot.nhs.uk/resources/literature-\nreviews/) are available.\nNew SARS-CoV-2 variants of concern have been identified in the UK. For further information on the\nvariants refer to Threat Assessment Brief: Emergence of SARS-CoV-2 B.1.617 variants in India and\nsituation in the EU/EEA (https://www.ecdc.europa.eu/en/publications-data/threat-assessment-emergence-\nsars-cov-2-b1617-variants) and Investigation of SARS-CoV-2 variants of concern: technical briefings\n(https://www.gov.uk/government/publications/investigation-of-novel-sars-cov-2-variant-variant-of-concern-\n202012011).\n9. Medium risk pathway – key principles\nThis pathway applies to any care facility where:\na) Triaged/clinically assessed individuals are asymptomatic and are waiting a SARS-CoV-2 PCR test\nresult.\nor\nb) Triaged/clinically assessed individuals are asymptomatic with COVID-19 contact/exposure\nidentified.\nor\nc) Testing is not required or feasible on asymptomatic individuals and therefore infectious status is\nunknown.\nor\nd) Asymptomatic individuals decline testing.\n9.1 Maintaining physical distancing and patient placement\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 20/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nIt is important to:\nmaintain physical distancing of 2 metres at all times (unless the member of staff is wearing\nappropriate PPE to provide clinical care) and to advise other patients/visitors to comply\nensure cohorted patients/individuals are physically separated from each other, for example with\nscreens and privacy curtains between the beds to minimise opportunities for close contact - this\nshould be locally risk assessed to ensure patient safety is not compromised\n9.2 Personal protective equipment: patients/individuals with no COVID-19\nsymptoms and no test results", "", "", "", "", "" ], [ "", "PPE required by type of\ntransmission/exposure", "Disposable\ngloves", "Disposable apron/gown", "Face masks", "Eye/face\nprotection\n(visor)*", "" ], [ "", "Droplet/contact PPE for\ndirect patient care <2\nmetres", "Single\nuse**", "Single use apron (gown\nrequired if risk of\nspraying/splashing)", "FRSM Type\nIIR†", "Single use\nor\nreusable*", "" ], [ "", "Airborne PPE (when\nundertaking or if AGPs\nare likely)", "Single use", "Single use apron or gown", "FFP3†† or\nrespirator/\nhood for AGPs", "Single use\nor reusable", "" ], [ "", "† FRSM can be worn sessionally if providing care for COVID-19 cohorted patients/individuals.\n††FFP3 can be worn sessionally (includes eye/face protection) in high risk areas where AGPs are\nundertaken for COVID-19 cohorted patients/individuals.\n*Risk assess and use if required for care procedure/task where anticipated blood/body fluids\nspraying/splashes.\n**Gloves are not required when: undertaking administrative tasks, for example using the telephone,\nusing a computer or tablet, writing in the patient chart; giving oral medications, distributing or\ncollecting patient dietary trays.\n9.3 Safe management of care environment/equipment/blood and body fluids\n9.3.1 Equipment\nImportant considerations in the use of equipment are:\npatient care equipment should be single use items where practicable\nreusable (communal) non-invasive equipment should be allocated to an individual patient or\ncohort of patients/individuals\nall reusable (communal) non-invasive equipment must be decontaminated:\nbetween each and after patient/individual\nafter blood and body fluid contamination\nat regular intervals as part of routine equipment cleaning\ndecontamination of equipment must be performed using either:\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 21/35", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 8, "col_count": 7 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\na combined detergent/disinfectant solution at a dilution of 1,000 parts per million available\nchlorine (ppm av.cl.); or\na general-purpose neutral detergent in a solution of warm water followed by a disinfectant\nsolution of 1,000ppm av.cl.\nalternative cleaning agents/disinfectant products may be used with agreement of the IPC\nteam/health protection team (HPT)\ncleaning of care equipment as per manufacturer’s guidance/instruction and recommended\nproduct ‘contact time’ must be followed for all cleaning/disinfectant solutions/products\nan increased frequency of decontamination should be considered for all reusable non-invasive\ncare equipment when used in isolation/cohort areas\nthe use of fans in high and medium risk pathways should be risk assessed - refer to Estates\nguidance\n9.3.2 Environment\nImportant considerations for environmental cleaning and disinfection are:\ncleaning frequencies of the care environment in COVID-19 care areas must be enhanced and\nsingle rooms, cohort areas and clinical rooms (including rooms where PPE is removed) cleaned\nat least twice daily\nroutine cleaning must be performed using either:\na combined detergent/disinfectant solution at a dilution of 1,000ppm av.cl.; or\na general-purpose neutral detergent in a solution of warm water followed by a disinfectant\nsolution of 1,000ppm av.cl\nalternative cleaning agents/disinfectants may be used with agreement of the local IPC\nteam/HPT\nthe increased frequency of decontamination/cleaning should be incorporated into the\nenvironmental decontamination schedules for all COVID-19 areas, including where there may\nbe higher environmental contamination rates, including for example:\ntoilets/commodes particularly if patients/individuals have diarrhoea\n‘frequently touched’ surfaces such as medical equipment, door/toilet handles, locker tops,\npatient call bells, over bed tables, bed rails, phones, lift buttons/communal touch points and\ncommunication devices (for example, mobile phones, tablets, desktops, keyboards)\nparticularly where these are used by many people, should be cleaned at least twice daily\nwith solution of detergent and 1,000ppm chlorine or an agreed alternative when known to\nbe contaminated with secretions, excretions or body fluids\ndedicated or disposable equipment (such as mop heads, cloths) must be used for environmental\ndecontamination\nreusable equipment (such as mop handles, buckets) must be decontaminated after use with a\nchlorine-based disinfectant or locally agreed disinfectant\nsingle (isolation) rooms must be terminally cleaned as above following resolution of symptoms,\ndischarge or transfer (this includes removal and laundering of all curtains and bed screens)\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 22/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/1\n9.\nof\nAG\npr\nris\n9.\nDr\npr\nth\nC\niso\nm\naft\n9.\nPa\nint\nre\n9.\nTB\nth\nth\nco\n9.\nVi\nde\nIP\nAll\nTh\nap\n9.\nTh\nen\nC\npr\nDi\nse\nAm\nind\nhttps", "0/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\n4 Aerosol generating procedures (AGPs): procedures that create a higher risk\nrespiratory infection transmission\nPs should only be carried out when essential and only staff who are needed to undertake the\nocedure should be present, wearing airborne PPE/RPE precautions (see information in the high\nk pathway guidance).\n4.1 Critical care areas\noplet precautions apply when within 2 metres and providing direct patient care. Airborne\necautions are required when undertaking AGPs. However, consideration may need to be given to\ne application of sessional use of FFP3 masks where the number of cases of suspected/possible\nOVID-19 requiring AGPs increases and patients/individuals cannot be managed in single or\nlation rooms that is patient cohort. Sessional use of FFP3 masks (includes eye/face protection)\nay be considered. All other items of PPE (gloves/gown) must be changed between patients and/or\ner completing a procedure or task.\n4.2 Operating theatres\ntients/individuals should be anaesthetised and recovered in the operating theatre if\nubation/extubation (AGP) is required. For local, neuraxial or regional anaesthesia the patient is not\nquired to be anaesthetised/recovered in theatre.\n5 Duration of TBPs\nPs should only be discontinued in consultation with clinicians and should take into consideration\ne individual’s PCR test results and clinical symptoms. If test results are not available (for example\ne patient/individual declines) TBPs can be discontinued after 14 days (inpatients) depending on\nntact exposure and providing the patient/individual remains symptom free.\n6 Visitor guidance\nsiting may be limited during increases in incidence and prevalence of COVID-19, however as cases\ncline and restrictions ease, visitors should be permitted to enter the facility and be educated in the\nC measures required as outlined in the information on administration measures for the pathways.\nvisitors should be triaged.\nis includes accompanying individuals when attending outpatient appointments, such as antenatal\npointments and therapy groups.\n7 Discharge or transfer\nere is no restriction on discharge if the patient/individual is well, unless the patient/individual is\ntering a long-term facility and testing may be required. If someone in the patient’s household has\nOVID-19 or is a contact of a COVID-19 case and is self-isolating, the discharge guidance will be\novided by the clinician.\nscharge information for patients/individuals should include an understanding of their need for any\nlf-isolation, as well as their family members (where applicable).\nbulance services and the receiving facilities must be informed of the infectious status of the\nividual.\n://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 23/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nDischarge arrangements may differ between countries, refer to country specific resources in section\n2.1.\nIn England, to ensure testing does not delay a timely discharge to a care home, all patients who have\npreviously tested negative should be re-tested for SARS-CoV-2 again 48 hours prior to discharge.\nImmunocompetent patients who have tested positive within the previous 90 days, and remain\nasymptomatic, do not need to be re-tested. The information from the test results, with any supporting\ncare information, must be communicated and transferred to the relevant care home. No one should\nbe discharged from hospital directly to a care home without the involvement of the local authority.\n10. High risk pathway – key principles\nThis pathway applies to any emergency/urgent care facility where:\na) Untriaged individuals present for assessment or treatment (symptoms unknown*).\nor\nb) Confirmed SARS-CoV-2 (COVID-19) PCR positive patients are cared for.\nor\nc) Symptomatic or suspected COVID-19 individuals including those with a history of contact with a\nCOVID-19 case who have been triaged/clinically assessed and are waiting test results.\nor\nd) Symptomatic individuals decline testing.\n*Once assessed, if asymptomatic with no contact history, patients/individuals may move to the\nmedium risk pathway awaiting test result.\n10.1 Patient placement\nIf the patient/individual has symptoms or a history of contact/exposure with a case, they should be\nprioritised for single room isolation or cohorted (if an isolation room is unavailable) until their test\nresults are known, for example use privacy curtains between bed spaces to minimise opportunities\nfor close contact between patients/individuals. This should be locally risk assessed to ensure this\ndoes not compromise patient safety.\nIf single rooms are in short supply, priority should be given to patients with excessive cough and\nsputum production, diarrhoea or vomiting and to those at high risk/extremely high risk of severe\nillness.\nLocal risk assessments and clinical decisions must be made regarding placement of\npatients/individuals with availability of single rooms taken into consideration.\n10.2 Personal protective equipment (PPE): suspected/confirmed COVID-19\npatient/individual", "", "", "", "", "" ], [ "", "PPE required by type of\ntransmission/exposure g", "Disposable\nloves", "Disposable\napron/gown", "Face\nmasks", "Eye/face\nprotection\n(visor)", "" ], [ "", "", "", "", "", "", "" ], [ "", "ttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 24/35", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 7, "col_count": 7 }, { "headers": [ "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…", "", "", "", "", "" ], [ "", "PPE required by type of\ntransmission/exposure", "Disposable\ngloves", "Disposable\napron/gown", "Face\nmasks", "Eye/face\nprotection\n(visor)", "" ], [ "", "Droplet/contact PPE", "Single use", "Single use apron\nand gown if risk\nof spraying /\nsplashing)", "FRSM\nType IIR\nfor direc\npatient\ncare†", "Single use\nt\nor reusable", "" ], [ "", "Airborne PPE (when undertaking or if\nAGPs are likely)*\nIf an unacceptable risk of\ntransmission remains following\nrigorous application of the hierarchy\nof control**", "Single use", "Single use gown", "FFP3††\nrespirato\n/ hood fo\nAGPs", "or\nr Single use\nr or reusable", "" ], [ "", "†FRSM can be worn sessionally (includes eye/face protection) if providing care for COVID -19\ncohorted patients/individuals.\n††FFP3 can be worn sessionally (includes eye/face protection) in high risk areas where AGPs are\nundertaken for COVID-19 cohorted patients/individuals.\n*Consideration may need to be given to the application of airborne precautions where the number of\ncases of COVID-19 requiring AGPs increases and patients/individuals cannot be managed in single\nor isolation rooms.\n**Or if an unacceptable risk of transmission remains following rigorous application of the hierarchy of\ncontrol, taking these controls into account, it may be necessary to consider the extended use of RPE\nfor patient care in this situation.\n10.2.1 Respiratory protective equipment (RPE)/FFP3 (filtering face piece or hood)\nRespirators are used to prevent inhalation of small airborne particles arising from AGPs.\nRespirators should:\nbe well fitting, covering both nose and mouth\nalways be worn when undertaking an AGP on a COVID-19 confirmed or suspected\npatient/individual\nnot be allowed to dangle around the neck of the wearer or hang from one ear after or between\neach use\nnot be touched once put on\nbe removed outside the patient’s/individual’s room or cohort area or COVID-19 ward\nrespirators can be single use or single session use (disposable or reusable) and fluid-resistant\nall staff who are required to wear an FFP3 respirator must be fit tested for the relevant model to\nensure an adequate seal or fit (according to the manufacturer’s guidance)\nwhere fit testing fails, suitable alternative equipment must be provided, or the HCW should be\nmoved to an area where FFP3 respirators are not required\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 25/35", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 8, "col_count": 7 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nfit checking (according to the manufacturer’s guidance) is necessary when a respirator is put on\n(donned) to ensure an adequate seal has been achieved\nrespirators should be compatible with other facial protection used (protective eyewear) so that\nthis does not interfere with the seal of the respiratory protection\nthe respirator should be discarded and replaced and not be subject to continued use if the facial\nseal is compromised, it is uncomfortable, or it is difficult to breathe through\nreusable respirators can be utilised by individuals if they comply with HSE recommendations -\nreusable respirators should be decontaminated according to the manufacturer’s instructions\nValved respirators are not fluid-resistant unless they are also ‘shrouded’. Valved non-shrouded FFP3\nrespirators should be worn with a full-face shield if blood or body fluid splashing is anticipated. Valved\nrespirators should not be worn by an HCW/operator when sterility directly over the surgical field is\nrequired, for example in theatres/surgical settings or when undertaking a sterile procedure, as the\nexhaled breath is unfiltered.\nExamples of sterile procedures include:\nany surgical or invasive procedure that routinely requires maximal sterile barrier precautions to\nprevent infection, for example sterile gowns, sterile gloves, face mask as required for surgical\nantisepsis/ANTT - these are commonly but not exclusively undertaken in operating theatres,\ncritical care or emergency departments\nthose sterile percutaneous or invasive procedures such as interventional radiology/cardiac\ncatheterisation, PICC or other central venous catheter insertions\nThe ongoing use of valved respirators in theatres and surgical settings should be based on a local\nrisk assessment. The risk of an asymptomatic HCW transmitting COVID-19 infection if wearing a\nvalved respirator is considered ‘very small’, as the HCW would need to be excreting virus and the\npatient would need to be negative for COVID-19 (FFP3 use is when an HCW is managing a\nsuspected/confirmed COVID-19 positive patient undergoing AGPs in the medium or high risk\npathway).\n10.2.2 Full body gowns or fluid repellent coveralls\nFull body gowns or fluid repellent coveralls must be:\nworn when there is a risk of extensive splashing of blood and/or body fluids\nworn when undertaking AGPs\nworn when a disposable apron provides inadequate cover for the procedure or task being\nperformed for example, surgery changed between patients/individuals and immediately after\ncompleting a procedure or task\nSessional or extended use of gowns must be minimised and only used in areas where cohorts of\nconfirmed COVID-19 patients are managed and there is a lack of single rooms/isolation rooms. If\nsessional use is required, an individual patient risk assessment must be undertaken and reviewed\ndaily. Gowns are not required when moving around a unit or department.\n10.3 Safe management of care environment/equipment/blood and body fluids\nPlease refer to information given in the medium risk pathway.\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 26/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nIn addition if there are clusters or outbreaks of COVID-19 (2 or more cases linked by time and place)\nwith significant respiratory symptoms in communal settings cleaning frequencies should be\nincreased.\n10.4 Aerosol generating procedures (AGPs): procedures that create a higher risk\nof respiratory infection transmission and operating theatres\n10.4.1 Critical care\nDroplet precautions would apply, however consideration may need to be given to the application of\nairborne precautions where the number of cases of COVID-19 requiring AGPs increases and\npatients/individuals cannot be managed in single or isolation rooms.\n10.4.2 Operating theatres (including day surgery)\nPatients/individuals should be anaesthetised and recovered in the theatre if intubation/extubation\n(AGP) is required using airborne precautions. This is not required for regional, neuraxial or local\nanaesthesia.\nVentilation in both laminar flow and conventionally ventilated theatres should remain in full operation\nduring surgical procedures where patients/individuals have suspected/confirmed COVID-19. Air\npassing from operating theatres to adjacent areas will be highly diluted and is not considered to be a\nrisk.\n10.5 Duration of precautions\nIn general, patients with COVID-19 who are admitted to hospital will have more severe disease than\nthose who can remain in the community, especially if they have been severely unwell or have pre-\nexisting conditions such as severe immunosuppression. Therefore, it is recommended that these\nindividuals should be isolated within hospital or remain in self-isolation on discharge for 14 days from\ntheir first positive SARS-CoV-2 PCR test.\nWhilst in hospital patients/individuals should remain in isolation/cohort with TBPs applied for at least\n14 days after onset of symptoms and should be 48 hours without a fever (without use of antipyretic\nmedication) or respiratory symptoms. The decision to modify the duration of, or ‘stand down’ TBPs\n(contact/droplet/airborne) should be made by the clinical team managing the individual’s care.\nFor clinically suspected COVID-19 patients who have tested negative or have not been tested for\nSARS-CoV-2 and whose condition is severe enough to require hospitalisation, then the 14 day\nisolation period should be measured from the day of admission.\nTesting for virological clearance is encouraged in severely immunosuppressed patients. For these\npatients, IPC measures should be continued unless there is evidence of virological clearance prior to\ndischarge or there has been a complete resolution of all symptoms. This is different to other advice\nsections but reflects the complex health needs of such patients and likelihood for prolonged\nshedding, with risk of spread in healthcare settings. Upon discharge such patients may be retested at\nfirst follow-up appointment to help inform actions at any next medical appointment.\n10.6 Visitor guidance\nIn this pathway, visiting should continue to be limited to only essential visitors, for example birthing\npartner, carer/parent/guardian. Hospitals/organisations will provide advice and guidance to support\npatients during these restrictions. Visitor guidance may differ between countries, refer to country\nspecific resources in section 2.1.\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 27/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nWhilst face masks/coverings are recommended the need for visitors to wear additional PPE should\nbe individually assessed.\n10.7 Discharge or transfer\nDischarge from an inpatient facility can occur when the individual is well enough and the clinician has\nprovided them with discharge such as advice to self-isolate for at least 14 days from the date of the\npositive SARS-CoV-2 PCR test (providing their symptoms resolve during this period). Refer to\ncountry specific resources in section 2.1.\nAdvice should include written information, such as patients with a cough or a loss of, or change in,\nnormal sense of smell or taste (anosmia), may persist in some individuals for several weeks following\nCOVID-19 recovery, and is not currently considered an indication of ongoing infection when other\nsymptoms have resolved.\nPrior to discharge (if the patient is within the 14 days) clinicians should ascertain if there are any\nclinically extremely vulnerable individuals who live in the household and are currently not infected. If\nso, it is highly advisable for patients to be discharged to a different home until they have finished their\nself-isolation period. If these individuals cannot be moved to a different household, then ensure that\nthe discharged patient is advised on IPC measures as outlined in the Stay at home guidance\n(https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance/stay-at-home-guidance-for-\nhouseholds-with-possible-coronavirus-covid-19-infection).\nAdvice on ongoing medical needs should be provided for patients who are discharged within their\nself-isolation period. If patients deteriorate at home or in a care setting, they or their carer should\nseek advice from NHS 111 online (https://111.nhs.uk/) or by telephone, or through pre-existing services\nsuch as GP practice links with care homes. In an emergency, 999 should be called. In either case,\nthey should inform the call attendant that they have been recently discharged from hospital with\nconfirmed COVID-19.\nDischarge information for patients/individuals to their own home should include an understanding of\ntheir need for any self-isolation, as well as their family/household members.\nAmbulance services and the receiving facilities must be informed of the infectious status of the\nindividual and the ongoing need to continue with infection control precautions.\nDischarge arrangements may differ between countries as discharge to other areas is dependent on\ntesting and/or isolation facilities available. Refer to country specific resources in section 2.1.\nIn England, to ensure testing does not delay a timely discharge to a care home, patients who have\ntested negative should be re-tested for SARS-CoV-2 again 48 hours prior to discharge. All SARS-\nCoV-2 positive patients who are discharged within their 14 day self-isolation period will need to be\ndischarged to a designated setting. The information from the test results, with any supporting care\ninformation, must be communicated and transferred to the relevant care home. No one should be\ndischarged from hospital directly to a care home without the involvement of the local authority.\n11. Occupational health and staff deployment\nPrompt recognition of cases of COVID-19 among healthcare staff is essential to limit the spread.\nHealth and social care staff with symptoms of COVID-19 or a positive COVID-19 test result should\nnot come to work. Refer to country specific testing requirements.\nAs a general principle, healthcare staff who provide care in settings for suspected or confirmed\npatients/individuals should not care for other patients. However, this has to be a local decision based\non local epidemiology and the configuration of the organisation.\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 28/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nA risk assessment is required for health and social care staff at high risk of complications from\nCOVID-19, or clinically extremely vulnerable groups, including pregnant and BAME staff. Guidance\non carrying out risk assessments can be found by following the links to the country specific resources\nin section 2.1.\nEmployers should:\ndiscuss with employees who are clinically extremely vulnerable, including those who are\npregnant and of BAME origin, the need to be deployed away from areas used for the care of\nthose who have, or are clinically suspected of having, COVID-19; or, in primary care settings,\nclinics set up to manage people with COVID-19 symptoms\nensure that advice is available to all health and social care staff, including specific advice to\nthose at risk from complications\nBank, agency and locum staff who fall into these categories should follow the same deployment\nadvice as permanent staff.\nAs part of their employer’s duty of care, providers have a role to play in ensuring that staff understand\nand are adequately trained in safe systems of working, including donning and doffing of PPE. A fit\ntesting programme should be in place for those who may need to wear respiratory protection.\nIn the event of a breach in infection control procedures, staff should be reviewed by occupational\nhealth.\nOccupational health departments should lead on the implementation of systems to monitor staff\nillness, absence and vaccination against COVID-19.\n12. Glossary of terms\nAerosol generating procedures (AGPs)\nCertain medical and patient care activities that can result in the release of airborne particles\n(aerosols). AGPs can increase the risk transmission of infections.\nAirborne transmission\nThe spread of infection from one person to another by airborne particles (aerosols) containing\ninfectious agents.\nAirborne particles\nVery small particles that may contain infectious agents. They can remain in the air for long periods of\ntime and can be carried over long distances by air currents. Airborne particles can be released when\na person coughs or sneezes, and during AGPs. ‘Droplet nuclei’ are aerosols formed from the\nevaporation of larger droplet particles (see droplet transmission). Aerosols formed from droplet\nparticles in this way behave as other aerosols.\nAirborne precautions\nMeasures used to prevent and control infection spread without necessarily having close patient\ncontact via aerosols (less than or equal to 5μm) from the respiratory tract of one individual directly\nonto a mucosal surface or conjunctivae of another individual. Aerosols can penetrate the respiratory\nsystem to the alveolar level.\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 29/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nBS/EN standards\nMandatory technical specifications created by either the British Standards Institute (BS) or European\nStandardisation Organisations (EN) in collaboration with government bodies, industry experts and\ntrade associations. They aim to ensure the quality and safety of products, services and systems.\nClinically vulnerable or extremely clinically vulnerable\nPeople who are defined as clinically extremely vulnerable\n(https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-\npersons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19#cev)\nare at very high risk of severe illness from COVID-19. Those included in this category will been\nidentified by:\nhaving one or more of conditions list, or\na clinician or GP has added the individual to the Shielded Patient List\nCohort area\nAn area (room, bay, ward) in which 2 or more patients (a cohort) with the same confirmed infection\nare placed. A cohort area should be physically separate from other patients.\nContact precautions\nMeasures used to prevent and control infections that spread via direct contact with the patient or\nindirectly from the patient’s immediate care environment (including care equipment). This is the most\ncommon route of infection transmission.\nContact transmission\nContact transmission is the most common route of transmission, and consists of 2 distinct types:\ndirect contact and indirect contact. Direct transmission occurs when microorganisms are transmitted\ndirectly from an infectious individual to another individual without the involvement of another\ncontaminated person or object (fomite). Indirect transmission occurs when microorganisms are\ntransmitted from an infectious individual to another individual through a contaminated object (fomite)\nor person.\nCOVID-19\nCOVID-19 is a highly infectious respiratory disease caused by a novel coronavirus. The disease was\ndiscovered in China in December 2019 and has since spread around the world.\nDroplet precautions\nMeasures used to prevent and control infections spread over short distances (at least 1 metre or 3\nfeet) via droplets (greater than 5μm) from the respiratory tract of one individual directly onto a\nmucosal surface or conjunctivae of another individual. Droplets penetrate the respiratory system to\nabove the alveolar level. COVID-19 is predominantly spread via this route and the precautionary\ndistance has been maintained at 2 metres in care settings.\nDroplet transmission\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 30/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/1\nTh\nEy\nW\npro\nFlu\nA\nof\npro\nde\nFlu\nA t\nwh\nFr\nSu\nHe\nWa\nHi\nTh\nEn\nHi\nDis\nHi\nHF\na f\nHi\nInt\nres\nup\npe\nInc\nhttps", "0/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\ne spread of infection from one person to another by droplets containing infectious agents.\ne or face protection\norn when there is a risk from splashing of secretion (including respiratory secretions). Eye or face\ntection can be achieved using any one of:\na surgical mask with integrated visor\na full face visor or shield\ngoggles\nid-resistant (Type IIR) surgical face mask (FRSM)\ndisposable fluid-resistant mask worn over the nose and mouth to protect the mucous membranes\nthe wearer’s nose and mouth from splashes and infectious droplets. FRSMs can also be used to\ntect patients. When recommended for infection control purposes a ‘surgical face mask’ typically\nnotes a fluid-resistant (Type IIR) surgical mask.\nid-resistant\nerm applied to fabrics that resist liquid penetration, often used interchangeably with ‘fluid-repellent’\nen describing the properties of protective clothing or equipment.\nequently touched surfaces\nrfaces of the environment which are commonly touched or come into contact with human hands.\nalthcare or clinical waste\nste produced as a result of healthcare activities, for example soiled dressings, sharps.\nerarchy of controls\ne hierarchy of controls is used to identify the appropriate controls with Elimination, Substitution,\ngineering Controls, Administrative Controls, Personal Protective Equipment.\nerarchy of Controls: The National Institute for Occupational Safety and Health (NIOSH), Centers for", "" ], [ "", "ease Control and Prevention (CDC) (https://www.cdc.gov/niosh/topics/hierarchy/default.html)\ngh-flow nasal cannula (HFNC) therapy\nNC is an oxygen supply system capable of delivering up to 100% humidified and heated oxygen at\nlow rate of up to 60 litres per minute.\ngher risk acute care area/units\nensive care units, intensive therapy units, high dependency units, emergency department\nuscitation areas, wards with non-invasive ventilation, operating theatres, endoscopy units for\nper respiratory, ENT or upper GI endoscopy, and other clinical areas where AGPs are regularly\nrformed. Referred to as ‘AGP hot spots’.\nubation period\n://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 31/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nThe period between the infection of an individual by a pathogen and the manifestation of the illness\nor disease it causes.\nInduction of sputum\nInduction of sputum typically involves the administration of nebulised saline to moisten and loosen\nrespiratory secretions (this may be accompanied by chest physiotherapy (percussion and vibration))\nto induce forceful coughing.\nInfectious linen\nLinen that has been used by a patient who is known or suspected to be infectious and/or linen that is\ncontaminated with blood/other body fluids, for example faeces.\nLong term health condition\nThis covers:\nchronic obstructive pulmonary disease, bronchitis, emphysema or asthma\nheart disease\nkidney disease\nliver disease\nstroke or a transient ischaemic attack (TIA)\ndiabetes\nlowered immunity as a result of disease or medical treatment, such as steroid medication or\ncancer treatment\na neurological condition, such as Parkinson’s disease, motor neurone disease, multiple sclerosis\n(MS), cerebral palsy, or a learning disability\nany problem with the spleen, including sickle cell disease, or had spleen removed\na BMI of 40 or above (obese)\nPersonal protective equipment (PPE)\nEquipment a person wears to protect themselves from risks to their health or safety, including\nexposure to infectious agents. The level of PPE required depends on the:\nsuspected or known infectious agent\nseverity of the illness caused\ntransmission route of the infectious agent\nprocedure or task being undertaken\nRespiratory droplets\nA small droplet, such as a particle of moisture released from the mouth during coughing, sneezing, or\nspeaking.\nRespiratory protective equipment\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 32/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/\nR\nin\nre\np\nF\nF\nw\nR\nR\nS\nP\nS\nS\nh\nS\nS\nS\nS\nhttp", "10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nespiratory protection that is worn over the nose and mouth designed to protect the wearer from\nhaling hazardous substances, including airborne particles (aerosols). There are 2 types of\nspiratory protection that can be used, tight-fitting disposable FFP respirators and loose-fitting\nowered hoods (TH2).\nFP stands for filtering face piece. There are 3 categories of FFP respirator: FFP1, FFP2 and FFP3.\nFP3 and loose-fitting powered hoods provide the highest level of protection and are recommended\nhen caring for patients in areas where high risk AGPs are being performed.\nespiratory symptoms\nespiratory symptoms include:\nrhinorrhoea (runny nose)\nsore throat\ncough\ndifficulty breathing or shortness of breath\negregation\nhysically separating or isolating from other people.\nARS-CoV\nevere acute respiratory syndrome coronavirus, the virus responsible for the 2003 outbreak of\numan coronavirus disease.\nARS-CoV-2\nevere acute respiratory syndrome coronavirus 2, the virus responsible for the COVID-19 pandemic.\neverely immunosuppressed\neverely immunosuppressed is defined in the Green Book on Immunisation as:\nimmunosuppression due to acute and chronic leukaemias and lymphoma (including Hodgkin’s\nlymphoma)\nsevere immunosuppression due to HIV/AIDS (British HIV Association advice\n(https://www.bhiva.org/BHIVA-and-THT-statement-on-COVID-19-and-advice-for-the-extremely-vulnerable))\ncellular immune deficiencies (such as severe combined immunodeficiency, Wiskott-Aldrich\nsyndrome, 22q11 deficiency/DiGeorge syndrome)\nbeing under follow up for a chronic lymphoproliferative disorder including haematological\nmalignancies such as indolent lymphoma, chronic lymphoid leukaemia, myeloma and other\nplasma cell dyscrasias\nhaving received an allogenic (cells from a donor) stem cell transplant in the past 24 months and\nonly then if they are demonstrated not to have ongoing immunosuppression or graft versus host\ndisease (GVHD)\nhaving received an autologous (using their own stem cells) haematopoietic stem cell transplant\nin the past 24 months and only then if they are in remission\ns://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 33/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/10\nSta\nSIC\nag\nSin\nA r\nan\nSta\nWh\nPa\n‘as\nTra\nAd\nsus\nA\nv\nhttps:", "/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nthose who are receiving, or have received in the past 6 months, immunosuppressive\nchemotherapy or radiotherapy for malignant disease or non-malignant disorders\nthose who are receiving, or have received in the past 6 months, immunosuppressive therapy for\na solid organ transplant (with exceptions, depending upon the type of transplant and the immune\nstatus of the patient)\nthose who are receiving, or have received in the past 12 months, immunosuppressive biological\ntherapy (such as monoclonal antibodies), unless otherwise directed by a specialist\nthose who are receiving, or have received in the past 3 months, immunosuppressive therapy\nincluding:\nadults and children on high-dose corticosteroids (>40mg prednisolone per day or 2mg/\nkg/day in children under 20kg) for more than 1 week\nadults and children on lower dose corticosteroids (>20mg prednisolone per day or\n1mg/kg/day in children under 20kg) for more than 14 days\nadults on non-biological oral immune modulating drugs, for example methotrexate >25mg\nper week, azathioprine >3.0mg/kg/day or 6-mercaptopurine >1.5mg/kg/day\nchildren on high doses of non-biological oral immune modulating drugs\nndard infection control precautions (SICPs)\nPs are the basic IPC measures necessary to reduce the risk of transmission of an infectious\nent from both recognised and unrecognised sources of infection.\ngle room\noom with space for one patient and usually contains (as a minimum) a bed, a locker or wardrobe\nd a clinical wash-hand basin.\nff cohorting\nen staff care for one specific group of patients and do not move between different patient cohorts.\ntient cohorts may include for example ‘symptomatic’, ‘asymptomatic and exposed’, or\nymptomatic and unexposed’ patient groups.\nnsmission based precautions\nditional precautions to be used in addition to SICPs when caring for patients with a known or\npected infection or colonisation.", "" ], [ "", "", "" ], [ "", "ll content is available under the Open Government Licence\n3.0, except where otherwise stated © Crown copyright", "" ], [ "", "//www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 34/35", "" ], [ "", "", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "GOV.UK", "", "Menu", "", "" ], "rows": [ [ "", "", "", "", "" ], [ "Coronavirus (COVID-19) (/coronavirus)\nGuidance and support", "", "", "", "" ], [ "1. Home (https://www.gov.uk/)\n2. Coronavirus (COVID-19) (https://www.gov.uk/coronavirus-taxon)\n3. Healthcare workers, carers and care settings during coronavirus\n(https://www.gov.uk/coronavirus-taxon/healthcare-workers-carers-and-care-settings)\n4. COVID-19: infection prevention and control (IPC)\n(https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-\nand-control)\nUK Health\nSecurity\nAgency (https://www.gov.uk/government/organisations/uk-health-security-agency)\nGuidance\nCOVID-19: guidance for\nmaintaining services within\nhealth and care settings –\ninfection prevention and control", "", "", "", "" ], [ "recommendations\nUpdated 29 September 2021\nContents\n1. Main messages and explanation of updates\n2. Introduction\n3. Governance and responsibilities\n4. COVID-19 care pathways\n5. Standard infection prevention control precautions (SICPs) - all pathways or settings\n6. Aerosol generating procedures – procedures that create a higher risk of respiratory infection\ntransmission\n7. Low risk pathway – key principles\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 1/35", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 6, "col_count": 5 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\n8. Transmission based precautions (TBPs)\n9. Medium risk pathway – key principles\n10. High risk pathway – key principles\n11. Occupational health and staff deployment\n12. Glossary of terms\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 2/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\n© Crown copyright 2021\nThis publication is licensed under the terms of the Open Government Licence v3.0 except where\notherwise stated. To view this licence, visit nationalarchives.gov.uk/doc/open-government-\nlicence/version/3 or write to the Information Policy Team, The National Archives, Kew, London TW9\n4DU, or email: psi@nationalarchives.gov.uk.\nWhere we have identified any third party copyright information you will need to obtain permission\nfrom the copyright holders concerned.\nThis publication is available at https://www.gov.uk/government/publications/wuhan-novel-coronavirus-\ninfection-prevention-and-control/covid-19-guidance-for-maintaining-services-within-health-and-care-\nsettings-infection-prevention-and-control-recommendations\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 3/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\n1. Main messages and explanation of updates\n1.1 About this guidance\nThis guidance is issued jointly by the Department of Health and Social Care (DHSC), Public Health\nWales (PHW), Public Health Agency (PHA) Northern Ireland, Health Protection Scotland\n(HPS)/National Services Scotland, Public Health England (PHE) and NHS England as official\nguidance.\nAmendments have been made to strengthen existing messaging and provide further clarity where\nneeded, including updates on the hierarchy of controls, clarity over the use of valved respirators, and\nhighlighting the need to protect those previously shielding and who are considered clinically\nextremely vulnerable from coronavirus (COVID-19).\nFollowing a clinical and scientific review, no changes to the recommendations, including personal\nprotective equipment (PPE), have been made in response to the new variant strains at this stage,\nhowever this position will remain under constant review. Organisations who adopt practices that differ\nfrom those recommended/stated in the national guidance are responsible for ensuring safe systems\nof work, including the completion of a risk assessment approved through local governance\nprocedures.\nAll NHS organisations should ensure reliable application of all infection prevention and control (IPC)\nrecommendations and assurance on adherence, that PPE is available and in supply, and that all staff\ntraining is up to date.\nThis guidance seeks to ensure a consistent and resilient UK wide approach, however some\ndifferences in operational details and organisational responsibilities may apply in Northern Ireland,\nEngland, Wales and Scotland.\nPlease note that this guidance is of a general nature and that an employer should consider the\nspecific conditions of each individual place of work and comply with all applicable legislation,\nincluding the Health and Safety at Work etc. Act 1974\n(https://www.legislation.gov.uk/ukpga/1974/37/contents).\nThe IPC principles in this document apply to all health and care settings including acute, diagnostics,\nindependent sector, mental health and learning disabilities, primary care, care homes, care at home,\nmaternity and paediatrics (this list is not exhaustive).\nThis guidance does not apply to adult social care settings in England. Adult social care providers in\nEngland should refer to existing guidance (https://www.gov.uk/government/collections/coronavirus-covid-19-\nsocial-care-guidance) already in place. DHSC/PHE will continuously review this guidance and update\nas needed.\nThis IPC guidance will be updated in line with service need and as the evidence evolves. The\nadministrative measures outlined in the guidance are consistent with World Health Organization\n(WHO) guidance (https://www.who.int/publications/i/item/WHO-2019-nCoV-IPC-2021.1).\n1.2 Main messages\nLocal and national prevalence and incidence data will continue to guide services as advised by\ncountry-specific/public health organisations. Identification of new variants of concern is inevitable and\non each new identification evidence for any change in transmissibility, mode of transmission, disease\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 4/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nseverity and any evidence of vaccine evasion will need to be considered as well as local incidence\nand prevalence of any new variant of concern. It may be necessary to change the IPC measures\nrequired on the basis of any new evidence.\nFor further information on the variants of concern:\nThreat Assessment Brief: Emergence of SARS-CoV-2 B.1.617 variants in India and situation in\nthe EU/EEA (https://www.ecdc.europa.eu/en/publications-data/threat-assessment-emergence-sars-cov-2-\nb1617-variants)\nInvestigation of SARS-CoV-2 variants of concern: technical briefings\n(https://www.gov.uk/government/publications/investigation-of-novel-sars-cov-2-variant-variant-of-concern-\n20201201)\nFor further guidance on investigating and managing variants of concern:\nGuidance for investigating and managing individuals with a possible or confirmed SARS-CoV-2\nVariant of Concern or Variant Under Investigation (https://www.gov.uk/government/publications/sars-\ncov-2-voc-investigating-and-managing-individuals-with-a-possible-or-confirmed-case/guidance-for-\ninvestigating-and-managing-individuals-with-a-possible-or-confirmed-sars-cov-2-variant-of-concern)\nThis data will continue to be used to ensure patients/individuals’ treatment, care and support can be\nmanaged in the 3 COVID-19 pathways, which remain as:\nhigh risk - this includes patients/individuals who are confirmed COVID-19 positive by a SARS-\nCoV-2 polymerase chain reaction (PCR) test or are symptomatic and suspected to have COVID-\n19 (awaiting result)\nmedium risk - this includes patients/individuals who are waiting for their SARS-CoV-2 PCR test\nresult and who have no symptoms of COVID-19 and individuals who are asymptomatic with\nCOVID-19 contact/exposure identified\nlow risk - this includes patients/individuals who have been triaged/tested (negative)/clinically\nassessed with no symptoms or known recent COVID-19 contact/exposure\nTo ensure maximum workplace risk mitigation, organisations should undertake local risk\nassessments based on the measures as prioritised in the hierarchy of controls. If an unacceptable\nrisk of transmission remains following this risk assessment\n(https://www.england.nhs.uk/coronavirus/publication/every-action-counts/), it may be necessary to consider\nthe extended use of respiratory protective equipment (RPE) for patient care in specific situations. The\nrisk assessment should include evaluation of the ventilation in the area, and prevalence of\ninfection/new variants of concern in the local area.\nIndividuals who are clinically extremely vulnerable from COVID-19 will require protective IPC\nmeasures depending on their medical condition and treatment whilst receiving healthcare, for\nexample priority for single room isolation.\nSessional use of single use PPE/RPE items continues to be minimised and only applies to extended\nuse of face masks (all pathways) or filtering face piece (FFP3) respirators (together with eye/face\nprotection) in the medium and high risk pathways for healthcare workers (HCWs) where airborne\nprecautions are indicated.\nThe use of face masks or face coverings across the UK remains as an IPC measure. In addition to\nsocial distancing, hand hygiene for staff, patients/individuals and visitors is advised in both clinical\nand non-clinical areas to further reduce the risk of transmission.\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 5/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nPatients in all care areas should still be encouraged and supported to wear a face mask, providing it\nis tolerated and is not detrimental to their medical or care needs.\nPhysical distancing of 2 metres remains in place as standard practice in all health and care settings,\nunless providing clinical or personal care and wearing appropriate PPE.\nPatients/individuals on a low-risk pathway require standard infection control precautions (SICPs) for\nall care including surgery or procedures.\nTriaging and SARS-CoV-2 testing must be undertaken for all patients either at point of admission or\nas soon as possible/practical following admission across all the pathways.\nThe IPC measures recommended are underpinned by the National Infection Prevention and Control\nManual (NIPCM) practice guide and associated literature reviews (http://www.nipcm.hps.scot.nhs.uk/).\nNHS England is using this an opportunity to introduce and adopt the NICPM as set out in the UK\nFive-year Tackling Antimicrobial Resistance National Action Plan (2019 to 2024)\n(https://www.gov.uk/government/publications/uk-5-year-action-plan-for-antimicrobial-resistance-2019-to-2024).\n1.3 Explanation of the updates to IPC guidance\nThe guidance is issued jointly by DHSC, PHW, PHA Northern Ireland, HPS/National Services\nScotland, PHE and NHS England for health and care organisations as the UK moves to maintain\nhealthcare services. The content is consistent with the administrative measures outlined in WHO IPC\nduring healthcare when COVID-19 is suspected or confirmed: Interim Guidance, June 2020\n(https://apps.who.int/iris/handle/10665/332879). In addition, the updates to this guidance are informed by\nthe paper produced for the Scientific Advisory Group for Emergencies Masks for healthcare workers\nto mitigate airborne transmission of SARS-CoV-2 (23 April 2021)\n(https://www.gov.uk/government/publications/emg-masks-for-healthcare-workers-to-mitigate-airborne-\ntransmission-of-sars-cov-2-25-march-2021).\nMaintaining services continues to require ‘new ways’ of working during the ongoing pandemic.\nContinual assessment of the available evidence/science and feedback from guidance users,\nprofessional bodies and associations, has identified the amendments required to the guidance to\nassist in supporting services in this ‘new and changing’ environment whilst COVID-19 remains a\nthreat. This is based upon emerging evidence, experience and expert opinion.\n1.4 Main changes to the guidance\nThe main amendments to this version of the guidance are:\n1. Inclusion of the hierarchy of controls as these apply to COVID-19, with definitions and\nsupporting materials for implementation. Also, where an unacceptable risk of transmission\nremains following the hierarchy of controls risk assessment, it may be necessary to consider the\nextended use of RPE for patient care in specific situations. The risk assessment should include\nevaluation of the ventilation in the area, operational capacity, and prevalence of infection/new\nvariants of concern in the local area.\n2. Further advice on the use of valved respirators with examples of sterile procedures in the clinical\nsetting.\n3. Further advice on minimising sessional or extended use of gowns where cohorts of confirmed\nCOVID-19 patients are managed and there is a lack of single rooms/isolation rooms.\n4. Amendment to the aerosol generating procedure (AGP) list to state ‘upper gastro-intestinal\nendoscopy where open suction of the upper respiratory tract occurs beyond the oro-pharynx’.\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 6/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/\n2\n2\nT\nm\nT\nin\nc\nre\nri\ns\nT\np\nm\nC\nM\na\nb\nW\nin\ng\nb\nT\na\ng\nre\nT\nfo\nIP\nhtt", "10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\n5. Individuals who are clinically extremely vulnerable from COVID-19 will require protective IPC\nmeasures depending on their medical condition and treatment whilst receiving healthcare, for\nexample, priority for single room isolation.\n. Introduction\n.1 Scope and purpose\nhis document sets out the IPC advice for health and care organisations as the UK continues to\naintain healthcare services during the ongoing pandemic.\nhe IPC principles in this document apply to all health and care settings, including the\ndependent/private sector, mental health and learning disabilities, primary care areas, care homes,\nare at home, maternity and paediatrics (this list is not exhaustive, please refer to specific country\nsources for setting specific guidance). It includes key IPC control recommendations and includes\nsk assessed patient pathway scenarios to help guide the implementation of measures to provide\nafe and effective care locally and is based on the best available evidence.\nhe challenge facing the NHS is to maintain healthcare services and manage NHS capacity whilst\nroviding a safe and equitable service for staff, visitors and patients/individuals including those who\nay present with COVID-19, those who have recovered from COVID-19 and those with no history of\nOVID-19, until public health strategies such as mass vaccination are complete.\naintaining services requires a continuous review of ways of working to respond to the pandemic\nnd guidance for working in a changing environment requires continual and ongoing development\nased upon emerging evidence, experience and expert opinion.\nhile this document seeks to ensure a consistent and resilient UK-wide approach, some differences\noperational details and organisational responsibilities may apply, where current legislation,\nuidance, for example, clinical definitions, already exists. Links can be accessed in the resources\nelow.\nhis guidance does not apply to adult social care settings in England given existing guidance for\ndult social care settings (https://www.gov.uk/government/collections/coronavirus-covid-19-social-care-\nuidance) has already been provided and continues to be relevant. DHSC/PHE will continuously\nview this guidance and update as needed.\nhis document does not provide links throughout the sections. Follow the country-specific resources,\nr example visiting guidance, testing, discharge policies.\nC COVID-19 resources for:\nEngland can be found at Infection Prevention and Control supporting documentation\n(https://www.england.nhs.uk/coronavirus/publication/infection-prevention-and-control-supporting-\ndocumentation/) and coronavirus (COVID-19) (https://www.gov.uk/coronavirus)\nScotland can be found at COVID-19 compendium (https://hps.scot.nhs.uk/web-resources-\ncontainer/covid-19-compendium/) and Scottish COVID-19 Infection Prevention and Control\nAddendum for Acute Settings (http://www.nipcm.hps.scot.nhs.uk/scottish-covid-19-infection-prevention-\nand-control-addendum-for-acute-settings/)\nWales can be found at Health and social care professionals: coronavirus (https://gov.wales/health-\nprofessionals-coronavirus)\nps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 7/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nNorthern Ireland can be found at Guidance for professionals and organisations\n(https://www.publichealth.hscni.net/covid-19-coronavirus/guidance-professionals-and-organisations)\nFurther updates will be made to this document as new data/evidence emerges and as the COVID-19\nalert levels change\n(https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/884352/slide\ns_-_11_05_2020.pdf). This is a scale of 1 to 5 which the UK government uses to reflect the degree of\nthreat to the country from the current COVID-19 pandemic.\n3. Governance and responsibilities\nOrganisations and employers including NHS Trusts, NHS Boards, Health and Social Care Trusts\n(Northern Ireland), local authorities, and independent sector providers, through their Chief Executive\nOfficer (CEO) or equivalent, must ensure:\nmonitoring of IPC practices, as recommended in this guidance, and ensure that resources are in\nplace to implement and measure adherence to good IPC practice. This must include all care\nareas and all staff (permanent, agency and external contractors)\ntesting and self-isolation strategies are in place with a local policy for the response if\ntransmission rates of COVID-19 increase\ntraining in IPC measures is provided to all staff, including: the correct use of PPE including a\nface fit test if wearing a FFP3, respirator, and the correct technique for putting on and removing\n(donning/doffing) safely\nrisk assessment(s) is undertaken for any staff members in at risk or clinically extremely\nvulnerable groups, including pregnant and Black, Asian and Minority Ethnic (BAME) staff.\nGuidance on carrying out risk assessments can be found by following the links to the country\nspecific resources in section 2.1\npatients/individuals at high risk/extremely high risk of severe illness are protected from COVID-\n19. This must include consideration of families and carers accompanying patients/individuals for\ntreatments/procedures\nhealth and care settings are COVID-19 secure workplaces as far as practical, that is, that any\nworkplace risk(s) are mitigated maximally for everyone. This may entail local risk assessments\nbased on the measures as prioritised in the hierarchy of controls in the context of managing\ninfectious agents and should be communicated to staff\nDisclaimer:\nWhen an organisation adopts practices that differ from those recommended/stated in this national\nguidance, that individual organisation is responsible for ensuring safe systems of work, including the\ncompletion of a risk assessment(s) approved through local governance procedures, for example\nIntegrated Care System level, Health Board.\n4. COVID-19 care pathways\nThese pathways are specific to the COVID-19 pandemic and are examples of how organisations may\nseparate COVID-19 risks. It is important to note that these pathways do not necessarily define a\nservice to a particular pathway and should not impact the delivery and duration of care for the patient\nor individual. Moving patients between pathways should be based on their infectious status (testing\nrequired), clinical need, availability of services and this should be agreed locally. Implementation\nstrategies must be underpinned by patient/procedure risk assessment, appropriate testing regimens\n(as per organisations or country specific) and epidemiological data. Additional information on specific\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 8/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nsettings can be found in: NICE (2020) COVID-19 rapid guideline: arranging planned care in hospitals\nand diagnostic services (https://www.nice.org.uk/guidance/ng179/resources/covid19-rapid-guideline-\narranging-planned-care-in-hospitals-and-diagnostic-services-pdf-66141969613765).\nTriaging and testing within all health and other care facilities must be undertaken to enable early\nrecognition of COVID-19 cases. See Appendix 1\n(https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1021294/202", "" ], [ "", "10118_COVID-19_Infection_prevention_control_Appendix_1_Sample_triage_tool.pdf) for an example of\ntriage questions. Triage should be undertaken by clinical staff who are trained and competent in the\napplication of the clinical case definition (https://www.gov.uk/government/publications/wuhan-novel-\ncoronavirus-initial-investigation-of-possible-cases/investigation-and-initial-clinical-management-of-possible-\ncases-of-wuhan-novel-coronavirus-wn-cov-infection) prior to arrival at a care area, or as soon as possible\non arrival, and allocated to the appropriate pathway. This should include screening for other\ninfections/multi-drug resistant organisms, including as per national screening requirements.\nInfection risk and IPC precautions, for example SICPs or transmission based precautions (TBPs)\nmust be communicated between care areas/pathways, including when discharge planning.\nPatients with respiratory symptoms should be assessed in a segregated area, ideally a single room,\npending test result to define the causative organism.\nIndividuals who are clinically extremely vulnerable from COVID-19 will require protective IPC\nmeasures depending on their medical condition and treatment whilst receiving healthcare, for\nexample priority for single room isolation.\n4.1 High risk COVID-19 pathway\nAny care facility where:\na) Untriaged individuals present for assessment or treatment (symptoms unknown).\nor\nb) Confirmed SARS-CoV-2 PCR positive individuals are cared for.\nor\nc) Symptomatic or suspected COVID-19 individuals including those with a history of contact with a\nCOVID-19 case, who have been triaged/clinically assessed and are waiting test results.\nor\nd) Symptomatic individuals decline testing.\nExamples of patient (individual) groups/facilities within this pathway (this list is not exhaustive):\ndesignated areas within emergency/resuscitation departments\nGP surgeries/walk-in centres\nfacilities where confirmed or suspected/symptomatic COVID-19 individuals are cared for, for\nexample:\nemergency admissions to inpatient areas (adult and children)\nmental health\nmaternity\ncritical care units\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servic… 9/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nrenal dialysis units\n4.2 Medium risk COVID-19 pathway\nAny care facility where:\na) Triaged/clinically assessed individuals are asymptomatic and are waiting a SARS-CoV-2 PCR test\nresult.\nor\nb) Triaged/clinically assessed individuals are asymptomatic with COVID-19 contact/exposure\nidentified.\nor\nc) Testing is not required or feasible on asymptomatic individuals and infectious status is unknown.\nor\nd) Asymptomatic individuals decline testing.\nExamples of patient (individual) groups/facilities within this pathway (this list is not exhaustive):\ndesignated areas within emergency/resuscitation departments, GP surgeries and walk-in\ncentres\nnon-elective admissions\nprimary care facilities, for example general dental and general practice\nfacilities where individuals are cared for, for example:\ninpatients (adult and children)\nmental health\nmaternity\ncritical care units\noutpatient departments including diagnostics and endoscopy\ncare homes*\nprisons\n*This guidance does not apply to adult social care settings in England.\n4.3 Low risk COVID-19 pathway\nAny care facility where:\na) Triaged/clinically assessed individuals with no symptoms or known recent COVID-19\ncontact/exposure.\nand\nHave a negative SARS-CoV-2 PCR test within 72 hours of treatment and, for planned admissions,\nhave self-isolated for the required period or from the test date.\nor\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 10/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nb) Individuals who have recovered (14 days) from COVID-19 and have had at least 48 hours without\nfever or respiratory symptoms.\nor\nc) Patients or individuals are part of a regular formal NHS testing plan and remain negative and\nasymptomatic.\nExamples of the patient (individual) groups/facilities within this pathway (this list is exhaustive):\nplanned/elective surgical procedures including day cases\noncology/chemotherapy patients and/or facilities\nplanned inpatient admissions (adult and children), mental health, maternity\noutpatients including diagnostics/endoscopy\ncare homes*\nprisons\n*This guidance does not apply to adult social care settings in England.\n4.4 Administration measures for the pathways\n1. Establish separation of patient pathways and staff flow to minimise contact between pathways.\nFor example, this could include provision of separate entrances and exits (if available) or use of\none-way entrance and exit systems, clear signage and restricted access to communal areas:\ncare areas (for example, ward, clinic, GP practice, care home) may designate self-\ncontained area(s) or ward(s) for the treatment and care of patients/individuals at high,\nmedium and low risk of COVID-19. Temporal separation may be used in clinics/primary\ncare settings\nas a minimum in smaller facilities or primary care outpatient settings physical or temporal\nseparation of patients/departments at high risk of COVID-19 from the rest of the\nfacility/patients\n2. Ensure that hygiene facilities, IPC measures and messaging are available for all\npatients/individuals, staff and visitors to minimise COVID-19 transmission such as:\nhand hygiene facilities including instructional posters\ngood respiratory hygiene measures\nmaintaining physical distancing of 2 metres at all times (unless wearing PPE due to clinical\ncare or personal care as per pathways)\nincreasing frequent decontamination of equipment and environment\nconsidering improving ventilation by opening windows (natural ventilation) if mechanical\nventilation is not available\nclear advice on use of face coverings and face masks by patients/individuals, visitors and\nby staff in non-patient facing areas - this will include:\nuse of face masks/coverings by all outpatients (if tolerated) and visitors when entering\na hospital, GP/dental surgery or other care settings\nuse of a surgical face mask (Type II or Type IIR) by all patients across all pathways, if\nthis can be tolerated and does not compromise their clinical care, such as when\nreceiving oxygen therapy. This will minimise the dispersal of respiratory secretions and\nreduce environmental contamination\nextended use of face masks by all staff in both clinical and non-clinical areas within the\nhealthcare or care setting\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 11/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nwhere visitors are unable to wear face coverings due to physical or mental health\nconditions or a disability, clinicians/person in charge should consider what other IPC\nmeasures are in place, such as physical distancing and environmental cleaning, to\nensure sufficient access depending on the patient’s condition and the care pathway\n3. Where possible and clinically appropriate remote consultations rather than face-to-face should\nbe offered to patients/individuals.\n4. Ensure restricted access between pathways if possible (depending on size of the facility,\nprevalence/incidence rates), by other patients/individuals, visitors or staff, including patient\ntransfer and in communal staff areas (changing rooms/restaurant). If the prevalence/incidence\nrates decline this may not be necessary between pathways providing the IPC measures are\nreliably maintained.\n5. Ensure areas/wards are clearly signposted, using physical barriers as appropriate to ensure\npatients/individuals and staff understand the different risk areas.\n6. Ensure local standard operating procedures detail the measures to segregate equipment and\nstaff, including planning for emergency scenarios, as the prevalence/incidence of COVID-19\nmay increase or decrease until cessation of the pandemic.\n7. Ensure a rapid and continued response through ongoing surveillance of rates of infection within\nthe local population and for hospital/organisation onset cases (staff and patients/individuals).\nPositive cases identified after admission who fit the criteria for a healthcare associated infection\nshould trigger a case investigation. If 2 or more cases are linked in time and place, an outbreak\ninvestigation should be conducted. Refer to country-specific definitions.\n8. If the prevalence/incidence rate for COVID-19 is high, where possible, assign separate teams of\nhealth and other care workers, including domestic staff, to care for individuals in isolation/cohort\nrooms or areas/pathways. If a member of staff is required to move between\nsites/hospitals/cohort areas due to the unique function of their role, all IPC measures including\nphysical distancing must be maintained.\n9. Providers of planned services should be responsive to local and national prevalence/incidence\ndata on COVID-19 and adapt processes so that services can be stepped-up or down. This can\nbe assessed using the respective countries weekly COVID-19 surveillance report/SARS-CoV-2\npositivity data on admission, and local capacity and resources.\n10. Safe systems of work outlined in the hierarchy of controls\n(https://www.cdc.gov/niosh/topics/hierarchy/default.html) including elimination, substitution,\nengineering, administrative controls and PPE/RPE are an integral part of IPC measures.\nOrganisations should undertake risk assessments based on these measures, prioritised in the\nhierarchy of controls in the context of managing infectious agents. If an unacceptable risk of\ntransmission remains following a risk assessment taking these controls into account, it may be\nnecessary to consider the extended use of RPE for patient care in specific situations. The risk\nassessment should include evaluation of the ventilation in the area, operational capacity, and\nprevalence of infection/new variants of concern in the local area.\nSupporting tools for local risk assessment are available at NHS England Every Action Counts\nResources (https://www.england.nhs.uk/coronavirus/publication/every-action-counts/).\n4.5 Community settings\nAreas where triaging for COVID-19 is not possible, for example community pharmacies:\nsignage at entry points advising of the necessary precautions\nstaff should maintain 2 metres physical distance with customers/service users, using floor\nmarkings, clear screens or wear surgical face masks (Type IIR) where this is not possible\npatients/individuals with symptoms should be advised not to enter the premises\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 12/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/10\n4.6\nIn\nSA\nan\ntre\nout\nIn s\nind\nonl\nad\nses\n5.\nse\nSIC\nfro\npat\nexc\nthe\nTh\nind\nan\nSIC\npat\nsta\nto t\nTh\nhttps:", "/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nOutpatient/primary/day care\noutpatient, primary care and day care settings:\nwhere possible and appropriate, services should utilise virtual consultation\nif attending outpatients or diagnostics, service providers should consider timed appointments\nand strategies such as asking patients/individuals to wait to be called to the waiting area with\nminimum wait times\npatients/individuals should not attend if they have symptoms of COVID-19 or are isolating as a\ncontact/exposure and communications should advise actions to take in such circumstances for\nexample for patients/individuals receiving chemotherapy and renal dialysis\ncommunications prior to appointments should provide advice on what to do if patients/individuals\nsuspect they have come into contact with someone who has COVID-19 prior to their\nappointment\noutpatient letters should be altered to advise patients/individuals on parking, entrances, IPC\nprecautions and COVID-19 symptoms\npatients/individuals must be instructed to remain in waiting areas and not visit other parts of the\nfacility\nprior to admission to the waiting area, all patients/individuals and accompanying persons should\nbe triaged for COVID-19 symptoms and assessed for exposure to contacts\npatients/individuals and accompanying persons will also be asked to wear a mask/face covering\nat all times\nRS-CoV-2 confirmed positive patients/individuals or those self-isolating should still be assessed\nd reviewed following the high/medium care pathway in these settings, to ensure urgent\natment/appointments are accommodated. This is important to avoid unwarranted poor patient\ncomes.\nome clinical outpatient settings, such as vaccination/injection clinics, where contact with\nividuals is minimal, the need for PPE items for each encounter, for example gloves and aprons are\ny recommended when there is (anticipated) exposure to blood/body fluids or non-intact skin. Staff\nministering vaccinations/injections must apply hand hygiene between patients and wear a\nsional face mask.\nStandard infection prevention control precautions (SICPs) - all pathways or\nttings\nPs are the basic IPC measures necessary to reduce the risk of transmitting infectious agents\nm both recognised and unrecognised sources of infection and are required across all COVID-19\nhways. Sources of (potential) infection include blood and other body fluids secretions or\nretions (excluding sweat), non-intact skin or mucous membranes and any equipment or items in\ncare environment that could have become contaminated.\ne application of SICPs during care delivery is determined by an assessment of risk to and from\nividuals and includes the task, level of interaction and/or the anticipated level of exposure to blood\nd/or other body fluids.\nPs must therefore be used by all staff, in all care settings, at all times and for all\nients/individuals, whether infection is known or not, to ensure the safety of patients/individuals,\nff and visitors. This section highlights the key measures for the COVID-19 pathways. Please refer\nhe practice guide* for additional information on the other elements which remain unchanged.\ne elements of SICPs are:\n//www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 13/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\npatient placement and assessment for infection risk (screening/triaging/testing)\nhand hygiene\nrespiratory and cough hygiene\npersonal protective equipment\nsafe management of the care environment\nsafe management of care equipment\nsafe management of healthcare linen\nsafe management of blood and body fluids\nsafe disposal of waste (including sharps)\noccupational safety: prevention and exposure management\nmaintaining social/physical distancing (new SICP due to COVID-19)\n*Practice guides and literature reviews to support SICPs can be found for England and Scotland\n(http://www.nipcm.hps.scot.nhs.uk/), Wales (https://phw.nhs.wales/services-and-teams/harp/infection-\nprevention-and-control/nipcm/) and Northern Ireland (https://www.niinfectioncontrolmanual.net/).\n5.1 Personal protective equipment (PPE)\nFor the purpose of this document, the term ‘personal protective equipment’ is used to describe\nproducts that are either PPE or medical devices that are approved by the Health and Safety\nExecutive (HSE) and the Medicines and Healthcare products Regulatory Agency (MHRA) as\nprotective solutions in managing the COVID-19 pandemic.\nLocal or national uniform policies (https://www.england.nhs.uk/about/equality/equality-hub/uniforms-and-\nworkwear/) should be considered when wearing PPE.\nAll PPE should be:\nlocated close to the point of use (where this does not compromise patient safety, for example,\nmental health/learning disabilities). In domiciliary care PPE must be transported in a clean\nreceptacle\nstored safely and in a clean, dry area to prevent contamination\nwithin expiry date (or had the quality assurance checks prior to releasing stock outside this date)\nsingle use unless specified by the manufacturer or as agreed for extended/sessional use\nincluding surgical face masks\nchanged immediately after each patient and/or after completing a procedure or task (unless\nsessional use has been agreed and local risk assessment undertaken)\ndisposed into the correct waste stream depending on setting, for example domestic\nwaste/offensive (non-infectious) or infectious clinical waste\ndiscarded if damaged or contaminated\nsafely doffed (removed) to avoid self-contamination. See guidance on donning (putting on) and\ndoffing (removing) (https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-\nuse-for-aerosol-generating-procedures)\ndecontaminated after each use following manufacturer’s guidance if reusable PPE is used,\nspecifically non-disposable goggles/face shields/visors\nGloves must:\nbe worn when exposure to blood and/or other body fluids, non-intact skin or mucous\nmembranes is anticipated or likely*\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 14/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nbe changed immediately after each patient and/or after completing a procedure/task even on the\nsame patient\nbe put on immediately before performing an invasive procedure and removed on completion\nnot be decontaminated with alcohol based hand rub (ABHR) or soap between use\nDouble gloving is not recommended for routine clinical care of COVID-19 cases.\n*Vinyl medical gloves should only be worn in care situations where there is no anticipated exposure\nto blood and/or body fluids.\nAprons must be:\nworn to protect uniform or clothes when contamination is anticipated or likely\nworn when providing direct care within 2 metres of suspected/confirmed COVID-19 cases\nchanged between patients and/or after completing a procedure or task\nFull body gowns or fluid repellent coveralls must be:\nworn when there is a risk of extensive splashing of blood and/or body fluids\nworn when undertaking AGPs\nworn when a disposable apron provides inadequate cover for the procedure or task being\nperformed (surgical procedures)\nchanged between patients/individuals and immediately after completing a procedure or task\nEye or face protection (including full-face visors) must:\nbe worn if blood and/or body fluid contamination to the eyes or face is anticipated or likely – for\nexample, by members of the surgical theatre team and always during AGPs\nnot be impeded by accessories such as piercings or false eyelashes\nnot be touched when being worn\nRegular corrective spectacles are not considered as eye protection.\nFluid resistant surgical face mask (FRSM Type IIR) masks must:\nbe worn with eye protection if splashing or spraying of blood, body fluids, secretions or\nexcretions onto the respiratory mucosa (nose and mouth) is anticipated or likely\nbe worn when providing direct care within 2 metres of a suspected/confirmed COVID-19 case\nbe well-fitting and fit for purpose, fully cover the mouth and nose (manufacturer’s instructions\nmust be followed to ensure effective fit and protection)\nnot be touched once put on or allowed to dangle around the neck\nbe replaced if damaged, visibly soiled, damp, uncomfortable or difficult to breathe through\nSurgical face masks Type II must be:\nworn for extended use by HCWs when entering the hospital or care setting (Type IIR is also\nsuitable). Type I is suitable in some settings, refer to the country specific resources in section\n2.1\nHead/footwear:\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 15/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/10/20\nt\nf\nPPE\ntheir\n6. A\nresp\nAn A\nrespir\nagent\nThis i\nand a\nt\nt\ni\nr\ni\n*The\nwith a\nventil\nthe U\nthat i\ncurre\nMedi\nCerta\nsecre\nin this\nvia n\nhttps://w", "21, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nheadwear is not routinely required in clinical areas (even if undertaking an AGP) unless part of\nheatre attire or to prevent contamination of the environment such as in clean rooms\nheadwear worn for religious reasons (for example, turban, kippot veil, headscarves) are\npermitted provided patient safety is not compromised - these must be washed and/or changed\nbetween each shift or immediately if contaminated and comply with additional attire in, for\nexample, theatres\noot/shoe coverings are not required or recommended for the care of COVID-19 cases\nmay restrict communication with some individuals and other ways of communicating to meet\nneeds should be considered.\nerosol generating procedures – procedures that create a higher risk of\niratory infection transmission\nGP is a medical procedure that can result in the release of airborne particles (aerosols) from the\natory tract when treating someone who is suspected or known to be suffering from an infectious\ntransmitted wholly or partly by the airborne or droplet route.\ns the list of medical procedures for COVID-19 that have been reported to be aerosol generating\nre associated with an increased risk of respiratory transmission:\nracheal intubation and extubation\nmanual ventilation\nracheotomy or tracheostomy procedures (insertion or removal)\nbronchoscopy\ndental procedures (using high speed devices, for example ultrasonic scalers/high speed drills)\nnon-invasive ventilation (NIV); bi-level positive airway pressure ventilation (BiPAP) and\ncontinuous positive airway pressure ventilation (CPAP)\nhigh flow nasal oxygen (HFNO)\nhigh frequency oscillatory ventilation (HFOV)\nnduction of sputum using nebulised saline\nespiratory tract suctioning*\nupper ear, nose and throat (ENT) airway procedures that involve respiratory suctioning*\nupper gastro-intestinal endoscopy where open suction of the upper respiratory tract* occurs\nbeyond the oro-pharynx\nhigh speed cutting in surgery/post-mortem procedures if respiratory tract/paranasal sinuses\nnvolved\navailable evidence relating to respiratory tract suctioning is associated with ventilation. In line\nprecautionary approach, open suctioning of the respiratory tract regardless of association with\nation has been incorporated into the current (COVID-19) AGP list. It is the consensus view of\nK IPC cell that only open suctioning beyond the oro-pharynx is currently considered an AGP,\ns oral/pharyngeal suctioning is not an AGP. The evidence on respiratory tract suctioning is\nntly being reviewed by the AGP Panel which is an independent panel set up by the 4 Chief\ncal Officers (CMOs) to review new or further evidence for consideration.\nin other procedures or equipment may generate an aerosol from material other than patient\ntions but are not considered to represent a significant infectious risk for COVID-19. Procedures\ncategory include administration of humidified oxygen, administration of Entonox or medication\nebulisation.\nww.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 16/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nThe New and Emerging Respiratory Viral Threat Assessment Group (NERVTAG) advised that during\nnebulisation, the aerosol derives from a non-patient source (the fluid in the nebuliser chamber) and\ndoes not carry patient-derived viral particles. If a particle in the aerosol coalesces with a\ncontaminated mucous membrane, it will cease to be airborne and therefore will not be part of an\naerosol. Staff should use appropriate hand hygiene when helping patients to remove nebulisers and\noxygen masks. In addition, the current expert consensus from NERVTAG\n(https://www.swast.nhs.uk/assets/1/cpr_as_an_agp_-\n_evidence_review_and_nervtag_consensus.pdf#:~:text=NERVTAG%20consensus%20statement%20on%20Car", "" ], [ "", "diopulmonary%20Resuscitation%20%28CPR%29%20as,increased%20risk%20of%20transmission%20of%20ac", "" ], [ "", "ute%20respiratory%20infections) is that chest compressions are not considered to be procedures that\npose a higher risk for respiratory infections including COVID-19.\nFurther information on AGPs for neonates (https://hubble-live-\nassets.s3.amazonaws.com/bapm/redactor2_assets/files/729/COVID__FAQ_19.10.20.docx.pdf) and a\nliterature review for AGPs during COVID-19 (https://hps.scot.nhs.uk/web-resources-container/sbar-\nassessing-the-evidence-base-for-medical-procedures-which-create-a-higher-risk-of-respiratory-infection-\ntransmission-from-patient-to-healthcare-worker/) are available.\n7. Low risk pathway – key principles\nThis pathway applies to any care facility where:\na) Triaged/clinically assessed individuals with no symptoms or known recent COVID-19\ncontact/exposure.\nand\nHave a negative SARS-CoV-2 PCR test result within 72 hours of treatment and, for planned\nadmissions, have self-isolated for the required period or from the test date.\nor\nb) Individuals who have recovered (14 days) from COVID-19 and have had at least 48 hours without\nfever or respiratory symptoms.\nor\nc) Patients or individuals are part of a regular formal NHS testing plan and remain negative and\nasymptomatic.\nClinicians should advise people who are at greater risk of getting COVID-19, or having a poorer\noutcome from it, that they may want to self-isolate for 14 days before a planned procedure. The\ndecision to self-isolate will depend on their individual risk factors and requires individualised care and\nshared decision making.\nSome individuals who have recovered from COVID-19 may continue to test positive for SARS-CoV-2\nby PCR for up to 90 days from their initial illness onset. If they do not have any new COVID-19\nsymptoms and have not had a known COVID-19 exposure they are unlikely to be infectious.\nHowever, advice should be sought from an infection specialist (infectious\ndisease/virologist/microbiologist) for severely immunosuppressed individuals who continue to test\npositive.\nPatients/individuals on a low risk pathway require SICPs for all care including surgery or procedures.\n7.1 Maintaining physical distancing\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 17/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "" ], [ "11/\nA\n(u\n7\nP\n*\ns\nA\np\nd\n7\nD\n(p\nsi\nIn\nfo\nfl\n7\nW\nre\n7\nW\na\nu\n7\no\nA\np\nd\nhtt", "10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nll staff and other care workers must maintain social/physical distancing of 2 metres where possible\nnless providing clinical or personal care and wearing PPE as per care pathway).\n.2 Personal protective equipment\nPE required for SICPs when following the low risk pathway is as follows:", "", "", "", "", "" ], [ "", "SICPs/PPE (all\nsettings / all\npatients/individuals", "Disposable\ngloves\n)", "Disposable\napron/gown", "Face masks", "Eye/face protection\n(visor)", "" ], [ "", "If contact with blood\nand/or body fluids is\nanticipated", "Single use", "Single use\napron (gown\nif risk of\nspraying /\nsplashing)", "FRSM Type IIR\nfor direct patien\ncare and surgic\nmask Type II* fo\nextended use", "Risk assess and use if\nt required for care\nal procedure/task where\nr anticipated blood/body\nfluids spraying/splashes", "" ], [ "", "Sessional/extended use of face masks applies across the UK for HCWs in any health or other care\nettings.\nirborne precautions are not required for AGPs on patients/individuals in the low risk COVID-19\nathway, providing the patient has no other known or suspected infectious agent transmitted via the\nroplet or airborne route.\n.3 Safe management of environment/equipment and blood/body fluids\nuring the pandemic, the frequency of cleaning of both the environment and equipment in care\natient) areas should be increased to at least twice daily, this includes frequently touched\ntes/points and communal facilities such as shared toilets.\nthe low risk COVID-19 pathway, organisations may choose to revert to general purpose detergents\nr cleaning, as opposed to widespread use of disinfectants (with the exception of blood and body\nuids, where a chlorine releasing agent (or a suitable alternative) solution should be used).\n.3.1 Safe management of waste\naste must be segregated in line with the respective countries’ national regulation and there is no\nquirement to dispose of all waste as infectious waste in the low risk pathway.\n.3.2 Operating theatres and procedure rooms\nithin the low risk COVID-19 pathway, standard theatre cleaning and time for air changes provides\nppropriate levels of IPC and there is no requirement for additional cleaning or theatre down time\nnless the patient has another infectious agent that requires additional IPC measures.\n.4 Aerosol generating procedures (AGPs): procedures that create a higher risk\nf respiratory infection transmission\nirborne precautions are not required for AGPs on patients/individuals in the low risk COVID-19\nathway, providing the patient has no other known or suspected infectious agent transmitted via the\nroplet or airborne route.\nps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 18/35", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 7, "col_count": 7 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/1\nTh\nof\n7.4\nPr\nthe\nde\nne\nCO\n7.4\nPa\nin\n7.\nAs\nre\nsh\nbe\n7.\nTh\nwh\nof\nIn\npr\nIm\nas\nca\nbe\nDi\n2.1\n8.\nTB\nor\nTB\na)\nUs\nthe\nof\nb)\nhttps", "0/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nere is no additional requirement for ventilation or downtime in this pathway, providing safe systems\nwork, including engineering controls are in place.\n.1 Critical care areas\noviding suspected/confirmed COVID-19 cases can be cared for in single rooms or isolation rooms,\ndepartment should no longer be classified as an AGP ‘hot spot’ or ‘high risk area’. This should be\nfined locally depending on prevalence/incidence data and the subsequent pathway assigned. This\ngates the requirement for the routine wearing of airborne PPE including a respirator in the low risk\nVID-19 pathway.\n.2 Operating theatres\ntients/individuals in the low risk COVID-19 pathway do not need to be anaesthetised or recovered\nthe operating theatre if intubation/extubation (AGP) is required.\n5 Visitor guidance\noutlined in the administration measures for the pathways (section 4.4), hand hygiene and\nspiratory hygiene, and the wearing of a face covering (if tolerated) along with social distancing\nould be encouraged and maintained. Therefore visitors require no additional PPE. Visitors should\ntriaged.\n6 Discharge or transfer\nere is no restriction on discharge unless the patient/individual is entering a long-term care facility\nere testing may be required. If someone in the patient’s household has COVID-19 or is a contact\na COVID-19 case and is self-isolating, the discharge guidance will be provided by the clinician.\nEngland, to ensure testing does not delay a timely discharge to a care home, all patients who have\neviously tested negative should be re-tested for SARS-CoV-2 again 48 hours prior to discharge.\nmunocompetent patients who have tested positive within the previous 90 days, and remain\nymptomatic, do not need to be re-tested. The information from the test results, with any supporting\nre information, must be communicated and transferred to the relevant care home. No one should\ndischarged from hospital directly to a care home without the involvement of the local authority.\nscharge arrangements may differ between countries, refer to country specific resources in section\n.\nTransmission based precautions (TBPs)\nPs are additional measures (to SICPs) required when caring for patients/individuals with a known\nsuspected infection such as COVID-19.\nPs are based upon the route of transmission and include the following precautions:\nContact precautions\ned to prevent and control infections that spread via direct contact with the patient or indirectly from\npatient’s immediate care environment (including care equipment). This is the most common route\ncross-infection transmission. COVID-19 can be spread via this route.\nDroplet precautions\n://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 19/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nUsed to prevent and control infections spread over short distances (at least 3 feet/1 metre) via\ndroplets (>5µm) from the respiratory tract of individuals directly onto a mucosal surface or\nconjunctivae of another individual. Droplets penetrate the respiratory system to above the alveolar\nlevel. COVID-19 is predominantly spread via this route and the precautionary distance has been\nmaintained at 2 metres in care settings.\nc) Airborne precautions\nUsed to prevent and control infection spread without necessarily having close patient contact via\naerosols (≤5µm) from the respiratory tract of one individual directly onto a mucosal surface or\nconjunctivae of another individual. Aerosols penetrate the respiratory system to the alveolar level.\nCOVID-19 can spread via this route. This can be mitigated by safe systems of work outlined in the\nhierarchy of controls. AGPs increase the risk of spread by the airborne route.\n8.1 Transmission characteristics\nTransmission of SARS-CoV-2 implications for infection prevention precautions is contained within the\nWHO scientific briefing paper (https://www.who.int/news-room/commentaries/detail/transmission-of-sars-cov-\n2-implications-for-infection-prevention-precautions) and CDC’s scientific brief\n(https://www.cdc.gov/coronavirus/2019-ncov/more/scientific-brief-sars-cov-2.html).\nLiterature reviews to support evidence for transmission characteristics\n(https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/979441/S116", "" ], [ "", "9_Facemasks_for_health_care_workers.pdf) and TBPs (http://www.nipcm.hps.scot.nhs.uk/resources/literature-\nreviews/) are available.\nNew SARS-CoV-2 variants of concern have been identified in the UK. For further information on the\nvariants refer to Threat Assessment Brief: Emergence of SARS-CoV-2 B.1.617 variants in India and\nsituation in the EU/EEA (https://www.ecdc.europa.eu/en/publications-data/threat-assessment-emergence-\nsars-cov-2-b1617-variants) and Investigation of SARS-CoV-2 variants of concern: technical briefings\n(https://www.gov.uk/government/publications/investigation-of-novel-sars-cov-2-variant-variant-of-concern-\n202012011).\n9. Medium risk pathway – key principles\nThis pathway applies to any care facility where:\na) Triaged/clinically assessed individuals are asymptomatic and are waiting a SARS-CoV-2 PCR test\nresult.\nor\nb) Triaged/clinically assessed individuals are asymptomatic with COVID-19 contact/exposure\nidentified.\nor\nc) Testing is not required or feasible on asymptomatic individuals and therefore infectious status is\nunknown.\nor\nd) Asymptomatic individuals decline testing.\n9.1 Maintaining physical distancing and patient placement\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 20/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nIt is important to:\nmaintain physical distancing of 2 metres at all times (unless the member of staff is wearing\nappropriate PPE to provide clinical care) and to advise other patients/visitors to comply\nensure cohorted patients/individuals are physically separated from each other, for example with\nscreens and privacy curtains between the beds to minimise opportunities for close contact - this\nshould be locally risk assessed to ensure patient safety is not compromised\n9.2 Personal protective equipment: patients/individuals with no COVID-19\nsymptoms and no test results", "", "", "", "", "" ], [ "", "PPE required by type of\ntransmission/exposure", "Disposable\ngloves", "Disposable apron/gown", "Face masks", "Eye/face\nprotection\n(visor)*", "" ], [ "", "Droplet/contact PPE for\ndirect patient care <2\nmetres", "Single\nuse**", "Single use apron (gown\nrequired if risk of\nspraying/splashing)", "FRSM Type\nIIR†", "Single use\nor\nreusable*", "" ], [ "", "Airborne PPE (when\nundertaking or if AGPs\nare likely)", "Single use", "Single use apron or gown", "FFP3†† or\nrespirator/\nhood for AGPs", "Single use\nor reusable", "" ], [ "", "† FRSM can be worn sessionally if providing care for COVID-19 cohorted patients/individuals.\n††FFP3 can be worn sessionally (includes eye/face protection) in high risk areas where AGPs are\nundertaken for COVID-19 cohorted patients/individuals.\n*Risk assess and use if required for care procedure/task where anticipated blood/body fluids\nspraying/splashes.\n**Gloves are not required when: undertaking administrative tasks, for example using the telephone,\nusing a computer or tablet, writing in the patient chart; giving oral medications, distributing or\ncollecting patient dietary trays.\n9.3 Safe management of care environment/equipment/blood and body fluids\n9.3.1 Equipment\nImportant considerations in the use of equipment are:\npatient care equipment should be single use items where practicable\nreusable (communal) non-invasive equipment should be allocated to an individual patient or\ncohort of patients/individuals\nall reusable (communal) non-invasive equipment must be decontaminated:\nbetween each and after patient/individual\nafter blood and body fluid contamination\nat regular intervals as part of routine equipment cleaning\ndecontamination of equipment must be performed using either:\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 21/35", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 8, "col_count": 7 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\na combined detergent/disinfectant solution at a dilution of 1,000 parts per million available\nchlorine (ppm av.cl.); or\na general-purpose neutral detergent in a solution of warm water followed by a disinfectant\nsolution of 1,000ppm av.cl.\nalternative cleaning agents/disinfectant products may be used with agreement of the IPC\nteam/health protection team (HPT)\ncleaning of care equipment as per manufacturer’s guidance/instruction and recommended\nproduct ‘contact time’ must be followed for all cleaning/disinfectant solutions/products\nan increased frequency of decontamination should be considered for all reusable non-invasive\ncare equipment when used in isolation/cohort areas\nthe use of fans in high and medium risk pathways should be risk assessed - refer to Estates\nguidance\n9.3.2 Environment\nImportant considerations for environmental cleaning and disinfection are:\ncleaning frequencies of the care environment in COVID-19 care areas must be enhanced and\nsingle rooms, cohort areas and clinical rooms (including rooms where PPE is removed) cleaned\nat least twice daily\nroutine cleaning must be performed using either:\na combined detergent/disinfectant solution at a dilution of 1,000ppm av.cl.; or\na general-purpose neutral detergent in a solution of warm water followed by a disinfectant\nsolution of 1,000ppm av.cl\nalternative cleaning agents/disinfectants may be used with agreement of the local IPC\nteam/HPT\nthe increased frequency of decontamination/cleaning should be incorporated into the\nenvironmental decontamination schedules for all COVID-19 areas, including where there may\nbe higher environmental contamination rates, including for example:\ntoilets/commodes particularly if patients/individuals have diarrhoea\n‘frequently touched’ surfaces such as medical equipment, door/toilet handles, locker tops,\npatient call bells, over bed tables, bed rails, phones, lift buttons/communal touch points and\ncommunication devices (for example, mobile phones, tablets, desktops, keyboards)\nparticularly where these are used by many people, should be cleaned at least twice daily\nwith solution of detergent and 1,000ppm chlorine or an agreed alternative when known to\nbe contaminated with secretions, excretions or body fluids\ndedicated or disposable equipment (such as mop heads, cloths) must be used for environmental\ndecontamination\nreusable equipment (such as mop handles, buckets) must be decontaminated after use with a\nchlorine-based disinfectant or locally agreed disinfectant\nsingle (isolation) rooms must be terminally cleaned as above following resolution of symptoms,\ndischarge or transfer (this includes removal and laundering of all curtains and bed screens)\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 22/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/1\n9.\nof\nAG\npr\nris\n9.\nDr\npr\nth\nC\niso\nm\naft\n9.\nPa\nint\nre\n9.\nTB\nth\nth\nco\n9.\nVi\nde\nIP\nAll\nTh\nap\n9.\nTh\nen\nC\npr\nDi\nse\nAm\nind\nhttps", "0/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\n4 Aerosol generating procedures (AGPs): procedures that create a higher risk\nrespiratory infection transmission\nPs should only be carried out when essential and only staff who are needed to undertake the\nocedure should be present, wearing airborne PPE/RPE precautions (see information in the high\nk pathway guidance).\n4.1 Critical care areas\noplet precautions apply when within 2 metres and providing direct patient care. Airborne\necautions are required when undertaking AGPs. However, consideration may need to be given to\ne application of sessional use of FFP3 masks where the number of cases of suspected/possible\nOVID-19 requiring AGPs increases and patients/individuals cannot be managed in single or\nlation rooms that is patient cohort. Sessional use of FFP3 masks (includes eye/face protection)\nay be considered. All other items of PPE (gloves/gown) must be changed between patients and/or\ner completing a procedure or task.\n4.2 Operating theatres\ntients/individuals should be anaesthetised and recovered in the operating theatre if\nubation/extubation (AGP) is required. For local, neuraxial or regional anaesthesia the patient is not\nquired to be anaesthetised/recovered in theatre.\n5 Duration of TBPs\nPs should only be discontinued in consultation with clinicians and should take into consideration\ne individual’s PCR test results and clinical symptoms. If test results are not available (for example\ne patient/individual declines) TBPs can be discontinued after 14 days (inpatients) depending on\nntact exposure and providing the patient/individual remains symptom free.\n6 Visitor guidance\nsiting may be limited during increases in incidence and prevalence of COVID-19, however as cases\ncline and restrictions ease, visitors should be permitted to enter the facility and be educated in the\nC measures required as outlined in the information on administration measures for the pathways.\nvisitors should be triaged.\nis includes accompanying individuals when attending outpatient appointments, such as antenatal\npointments and therapy groups.\n7 Discharge or transfer\nere is no restriction on discharge if the patient/individual is well, unless the patient/individual is\ntering a long-term facility and testing may be required. If someone in the patient’s household has\nOVID-19 or is a contact of a COVID-19 case and is self-isolating, the discharge guidance will be\novided by the clinician.\nscharge information for patients/individuals should include an understanding of their need for any\nlf-isolation, as well as their family members (where applicable).\nbulance services and the receiving facilities must be informed of the infectious status of the\nividual.\n://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 23/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nDischarge arrangements may differ between countries, refer to country specific resources in section\n2.1.\nIn England, to ensure testing does not delay a timely discharge to a care home, all patients who have\npreviously tested negative should be re-tested for SARS-CoV-2 again 48 hours prior to discharge.\nImmunocompetent patients who have tested positive within the previous 90 days, and remain\nasymptomatic, do not need to be re-tested. The information from the test results, with any supporting\ncare information, must be communicated and transferred to the relevant care home. No one should\nbe discharged from hospital directly to a care home without the involvement of the local authority.\n10. High risk pathway – key principles\nThis pathway applies to any emergency/urgent care facility where:\na) Untriaged individuals present for assessment or treatment (symptoms unknown*).\nor\nb) Confirmed SARS-CoV-2 (COVID-19) PCR positive patients are cared for.\nor\nc) Symptomatic or suspected COVID-19 individuals including those with a history of contact with a\nCOVID-19 case who have been triaged/clinically assessed and are waiting test results.\nor\nd) Symptomatic individuals decline testing.\n*Once assessed, if asymptomatic with no contact history, patients/individuals may move to the\nmedium risk pathway awaiting test result.\n10.1 Patient placement\nIf the patient/individual has symptoms or a history of contact/exposure with a case, they should be\nprioritised for single room isolation or cohorted (if an isolation room is unavailable) until their test\nresults are known, for example use privacy curtains between bed spaces to minimise opportunities\nfor close contact between patients/individuals. This should be locally risk assessed to ensure this\ndoes not compromise patient safety.\nIf single rooms are in short supply, priority should be given to patients with excessive cough and\nsputum production, diarrhoea or vomiting and to those at high risk/extremely high risk of severe\nillness.\nLocal risk assessments and clinical decisions must be made regarding placement of\npatients/individuals with availability of single rooms taken into consideration.\n10.2 Personal protective equipment (PPE): suspected/confirmed COVID-19\npatient/individual", "", "", "", "", "" ], [ "", "PPE required by type of\ntransmission/exposure g", "Disposable\nloves", "Disposable\napron/gown", "Face\nmasks", "Eye/face\nprotection\n(visor)", "" ], [ "", "", "", "", "", "", "" ], [ "", "ttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 24/35", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 7, "col_count": 7 }, { "headers": [ "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…", "", "", "", "", "" ], [ "", "PPE required by type of\ntransmission/exposure", "Disposable\ngloves", "Disposable\napron/gown", "Face\nmasks", "Eye/face\nprotection\n(visor)", "" ], [ "", "Droplet/contact PPE", "Single use", "Single use apron\nand gown if risk\nof spraying /\nsplashing)", "FRSM\nType IIR\nfor direc\npatient\ncare†", "Single use\nt\nor reusable", "" ], [ "", "Airborne PPE (when undertaking or if\nAGPs are likely)*\nIf an unacceptable risk of\ntransmission remains following\nrigorous application of the hierarchy\nof control**", "Single use", "Single use gown", "FFP3††\nrespirato\n/ hood fo\nAGPs", "or\nr Single use\nr or reusable", "" ], [ "", "†FRSM can be worn sessionally (includes eye/face protection) if providing care for COVID -19\ncohorted patients/individuals.\n††FFP3 can be worn sessionally (includes eye/face protection) in high risk areas where AGPs are\nundertaken for COVID-19 cohorted patients/individuals.\n*Consideration may need to be given to the application of airborne precautions where the number of\ncases of COVID-19 requiring AGPs increases and patients/individuals cannot be managed in single\nor isolation rooms.\n**Or if an unacceptable risk of transmission remains following rigorous application of the hierarchy of\ncontrol, taking these controls into account, it may be necessary to consider the extended use of RPE\nfor patient care in this situation.\n10.2.1 Respiratory protective equipment (RPE)/FFP3 (filtering face piece or hood)\nRespirators are used to prevent inhalation of small airborne particles arising from AGPs.\nRespirators should:\nbe well fitting, covering both nose and mouth\nalways be worn when undertaking an AGP on a COVID-19 confirmed or suspected\npatient/individual\nnot be allowed to dangle around the neck of the wearer or hang from one ear after or between\neach use\nnot be touched once put on\nbe removed outside the patient’s/individual’s room or cohort area or COVID-19 ward\nrespirators can be single use or single session use (disposable or reusable) and fluid-resistant\nall staff who are required to wear an FFP3 respirator must be fit tested for the relevant model to\nensure an adequate seal or fit (according to the manufacturer’s guidance)\nwhere fit testing fails, suitable alternative equipment must be provided, or the HCW should be\nmoved to an area where FFP3 respirators are not required\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 25/35", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 8, "col_count": 7 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nfit checking (according to the manufacturer’s guidance) is necessary when a respirator is put on\n(donned) to ensure an adequate seal has been achieved\nrespirators should be compatible with other facial protection used (protective eyewear) so that\nthis does not interfere with the seal of the respiratory protection\nthe respirator should be discarded and replaced and not be subject to continued use if the facial\nseal is compromised, it is uncomfortable, or it is difficult to breathe through\nreusable respirators can be utilised by individuals if they comply with HSE recommendations -\nreusable respirators should be decontaminated according to the manufacturer’s instructions\nValved respirators are not fluid-resistant unless they are also ‘shrouded’. Valved non-shrouded FFP3\nrespirators should be worn with a full-face shield if blood or body fluid splashing is anticipated. Valved\nrespirators should not be worn by an HCW/operator when sterility directly over the surgical field is\nrequired, for example in theatres/surgical settings or when undertaking a sterile procedure, as the\nexhaled breath is unfiltered.\nExamples of sterile procedures include:\nany surgical or invasive procedure that routinely requires maximal sterile barrier precautions to\nprevent infection, for example sterile gowns, sterile gloves, face mask as required for surgical\nantisepsis/ANTT - these are commonly but not exclusively undertaken in operating theatres,\ncritical care or emergency departments\nthose sterile percutaneous or invasive procedures such as interventional radiology/cardiac\ncatheterisation, PICC or other central venous catheter insertions\nThe ongoing use of valved respirators in theatres and surgical settings should be based on a local\nrisk assessment. The risk of an asymptomatic HCW transmitting COVID-19 infection if wearing a\nvalved respirator is considered ‘very small’, as the HCW would need to be excreting virus and the\npatient would need to be negative for COVID-19 (FFP3 use is when an HCW is managing a\nsuspected/confirmed COVID-19 positive patient undergoing AGPs in the medium or high risk\npathway).\n10.2.2 Full body gowns or fluid repellent coveralls\nFull body gowns or fluid repellent coveralls must be:\nworn when there is a risk of extensive splashing of blood and/or body fluids\nworn when undertaking AGPs\nworn when a disposable apron provides inadequate cover for the procedure or task being\nperformed for example, surgery changed between patients/individuals and immediately after\ncompleting a procedure or task\nSessional or extended use of gowns must be minimised and only used in areas where cohorts of\nconfirmed COVID-19 patients are managed and there is a lack of single rooms/isolation rooms. If\nsessional use is required, an individual patient risk assessment must be undertaken and reviewed\ndaily. Gowns are not required when moving around a unit or department.\n10.3 Safe management of care environment/equipment/blood and body fluids\nPlease refer to information given in the medium risk pathway.\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 26/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nIn addition if there are clusters or outbreaks of COVID-19 (2 or more cases linked by time and place)\nwith significant respiratory symptoms in communal settings cleaning frequencies should be\nincreased.\n10.4 Aerosol generating procedures (AGPs): procedures that create a higher risk\nof respiratory infection transmission and operating theatres\n10.4.1 Critical care\nDroplet precautions would apply, however consideration may need to be given to the application of\nairborne precautions where the number of cases of COVID-19 requiring AGPs increases and\npatients/individuals cannot be managed in single or isolation rooms.\n10.4.2 Operating theatres (including day surgery)\nPatients/individuals should be anaesthetised and recovered in the theatre if intubation/extubation\n(AGP) is required using airborne precautions. This is not required for regional, neuraxial or local\nanaesthesia.\nVentilation in both laminar flow and conventionally ventilated theatres should remain in full operation\nduring surgical procedures where patients/individuals have suspected/confirmed COVID-19. Air\npassing from operating theatres to adjacent areas will be highly diluted and is not considered to be a\nrisk.\n10.5 Duration of precautions\nIn general, patients with COVID-19 who are admitted to hospital will have more severe disease than\nthose who can remain in the community, especially if they have been severely unwell or have pre-\nexisting conditions such as severe immunosuppression. Therefore, it is recommended that these\nindividuals should be isolated within hospital or remain in self-isolation on discharge for 14 days from\ntheir first positive SARS-CoV-2 PCR test.\nWhilst in hospital patients/individuals should remain in isolation/cohort with TBPs applied for at least\n14 days after onset of symptoms and should be 48 hours without a fever (without use of antipyretic\nmedication) or respiratory symptoms. The decision to modify the duration of, or ‘stand down’ TBPs\n(contact/droplet/airborne) should be made by the clinical team managing the individual’s care.\nFor clinically suspected COVID-19 patients who have tested negative or have not been tested for\nSARS-CoV-2 and whose condition is severe enough to require hospitalisation, then the 14 day\nisolation period should be measured from the day of admission.\nTesting for virological clearance is encouraged in severely immunosuppressed patients. For these\npatients, IPC measures should be continued unless there is evidence of virological clearance prior to\ndischarge or there has been a complete resolution of all symptoms. This is different to other advice\nsections but reflects the complex health needs of such patients and likelihood for prolonged\nshedding, with risk of spread in healthcare settings. Upon discharge such patients may be retested at\nfirst follow-up appointment to help inform actions at any next medical appointment.\n10.6 Visitor guidance\nIn this pathway, visiting should continue to be limited to only essential visitors, for example birthing\npartner, carer/parent/guardian. Hospitals/organisations will provide advice and guidance to support\npatients during these restrictions. Visitor guidance may differ between countries, refer to country\nspecific resources in section 2.1.\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 27/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nWhilst face masks/coverings are recommended the need for visitors to wear additional PPE should\nbe individually assessed.\n10.7 Discharge or transfer\nDischarge from an inpatient facility can occur when the individual is well enough and the clinician has\nprovided them with discharge such as advice to self-isolate for at least 14 days from the date of the\npositive SARS-CoV-2 PCR test (providing their symptoms resolve during this period). Refer to\ncountry specific resources in section 2.1.\nAdvice should include written information, such as patients with a cough or a loss of, or change in,\nnormal sense of smell or taste (anosmia), may persist in some individuals for several weeks following\nCOVID-19 recovery, and is not currently considered an indication of ongoing infection when other\nsymptoms have resolved.\nPrior to discharge (if the patient is within the 14 days) clinicians should ascertain if there are any\nclinically extremely vulnerable individuals who live in the household and are currently not infected. If\nso, it is highly advisable for patients to be discharged to a different home until they have finished their\nself-isolation period. If these individuals cannot be moved to a different household, then ensure that\nthe discharged patient is advised on IPC measures as outlined in the Stay at home guidance\n(https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance/stay-at-home-guidance-for-\nhouseholds-with-possible-coronavirus-covid-19-infection).\nAdvice on ongoing medical needs should be provided for patients who are discharged within their\nself-isolation period. If patients deteriorate at home or in a care setting, they or their carer should\nseek advice from NHS 111 online (https://111.nhs.uk/) or by telephone, or through pre-existing services\nsuch as GP practice links with care homes. In an emergency, 999 should be called. In either case,\nthey should inform the call attendant that they have been recently discharged from hospital with\nconfirmed COVID-19.\nDischarge information for patients/individuals to their own home should include an understanding of\ntheir need for any self-isolation, as well as their family/household members.\nAmbulance services and the receiving facilities must be informed of the infectious status of the\nindividual and the ongoing need to continue with infection control precautions.\nDischarge arrangements may differ between countries as discharge to other areas is dependent on\ntesting and/or isolation facilities available. Refer to country specific resources in section 2.1.\nIn England, to ensure testing does not delay a timely discharge to a care home, patients who have\ntested negative should be re-tested for SARS-CoV-2 again 48 hours prior to discharge. All SARS-\nCoV-2 positive patients who are discharged within their 14 day self-isolation period will need to be\ndischarged to a designated setting. The information from the test results, with any supporting care\ninformation, must be communicated and transferred to the relevant care home. No one should be\ndischarged from hospital directly to a care home without the involvement of the local authority.\n11. Occupational health and staff deployment\nPrompt recognition of cases of COVID-19 among healthcare staff is essential to limit the spread.\nHealth and social care staff with symptoms of COVID-19 or a positive COVID-19 test result should\nnot come to work. Refer to country specific testing requirements.\nAs a general principle, healthcare staff who provide care in settings for suspected or confirmed\npatients/individuals should not care for other patients. However, this has to be a local decision based\non local epidemiology and the configuration of the organisation.\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 28/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nA risk assessment is required for health and social care staff at high risk of complications from\nCOVID-19, or clinically extremely vulnerable groups, including pregnant and BAME staff. Guidance\non carrying out risk assessments can be found by following the links to the country specific resources\nin section 2.1.\nEmployers should:\ndiscuss with employees who are clinically extremely vulnerable, including those who are\npregnant and of BAME origin, the need to be deployed away from areas used for the care of\nthose who have, or are clinically suspected of having, COVID-19; or, in primary care settings,\nclinics set up to manage people with COVID-19 symptoms\nensure that advice is available to all health and social care staff, including specific advice to\nthose at risk from complications\nBank, agency and locum staff who fall into these categories should follow the same deployment\nadvice as permanent staff.\nAs part of their employer’s duty of care, providers have a role to play in ensuring that staff understand\nand are adequately trained in safe systems of working, including donning and doffing of PPE. A fit\ntesting programme should be in place for those who may need to wear respiratory protection.\nIn the event of a breach in infection control procedures, staff should be reviewed by occupational\nhealth.\nOccupational health departments should lead on the implementation of systems to monitor staff\nillness, absence and vaccination against COVID-19.\n12. Glossary of terms\nAerosol generating procedures (AGPs)\nCertain medical and patient care activities that can result in the release of airborne particles\n(aerosols). AGPs can increase the risk transmission of infections.\nAirborne transmission\nThe spread of infection from one person to another by airborne particles (aerosols) containing\ninfectious agents.\nAirborne particles\nVery small particles that may contain infectious agents. They can remain in the air for long periods of\ntime and can be carried over long distances by air currents. Airborne particles can be released when\na person coughs or sneezes, and during AGPs. ‘Droplet nuclei’ are aerosols formed from the\nevaporation of larger droplet particles (see droplet transmission). Aerosols formed from droplet\nparticles in this way behave as other aerosols.\nAirborne precautions\nMeasures used to prevent and control infection spread without necessarily having close patient\ncontact via aerosols (less than or equal to 5μm) from the respiratory tract of one individual directly\nonto a mucosal surface or conjunctivae of another individual. Aerosols can penetrate the respiratory\nsystem to the alveolar level.\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 29/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nBS/EN standards\nMandatory technical specifications created by either the British Standards Institute (BS) or European\nStandardisation Organisations (EN) in collaboration with government bodies, industry experts and\ntrade associations. They aim to ensure the quality and safety of products, services and systems.\nClinically vulnerable or extremely clinically vulnerable\nPeople who are defined as clinically extremely vulnerable\n(https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-\npersons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19#cev)\nare at very high risk of severe illness from COVID-19. Those included in this category will been\nidentified by:\nhaving one or more of conditions list, or\na clinician or GP has added the individual to the Shielded Patient List\nCohort area\nAn area (room, bay, ward) in which 2 or more patients (a cohort) with the same confirmed infection\nare placed. A cohort area should be physically separate from other patients.\nContact precautions\nMeasures used to prevent and control infections that spread via direct contact with the patient or\nindirectly from the patient’s immediate care environment (including care equipment). This is the most\ncommon route of infection transmission.\nContact transmission\nContact transmission is the most common route of transmission, and consists of 2 distinct types:\ndirect contact and indirect contact. Direct transmission occurs when microorganisms are transmitted\ndirectly from an infectious individual to another individual without the involvement of another\ncontaminated person or object (fomite). Indirect transmission occurs when microorganisms are\ntransmitted from an infectious individual to another individual through a contaminated object (fomite)\nor person.\nCOVID-19\nCOVID-19 is a highly infectious respiratory disease caused by a novel coronavirus. The disease was\ndiscovered in China in December 2019 and has since spread around the world.\nDroplet precautions\nMeasures used to prevent and control infections spread over short distances (at least 1 metre or 3\nfeet) via droplets (greater than 5μm) from the respiratory tract of one individual directly onto a\nmucosal surface or conjunctivae of another individual. Droplets penetrate the respiratory system to\nabove the alveolar level. COVID-19 is predominantly spread via this route and the precautionary\ndistance has been maintained at 2 metres in care settings.\nDroplet transmission\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 30/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/1\nTh\nEy\nW\npro\nFlu\nA\nof\npro\nde\nFlu\nA t\nwh\nFr\nSu\nHe\nWa\nHi\nTh\nEn\nHi\nDis\nHi\nHF\na f\nHi\nInt\nres\nup\npe\nInc\nhttps", "0/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\ne spread of infection from one person to another by droplets containing infectious agents.\ne or face protection\norn when there is a risk from splashing of secretion (including respiratory secretions). Eye or face\ntection can be achieved using any one of:\na surgical mask with integrated visor\na full face visor or shield\ngoggles\nid-resistant (Type IIR) surgical face mask (FRSM)\ndisposable fluid-resistant mask worn over the nose and mouth to protect the mucous membranes\nthe wearer’s nose and mouth from splashes and infectious droplets. FRSMs can also be used to\ntect patients. When recommended for infection control purposes a ‘surgical face mask’ typically\nnotes a fluid-resistant (Type IIR) surgical mask.\nid-resistant\nerm applied to fabrics that resist liquid penetration, often used interchangeably with ‘fluid-repellent’\nen describing the properties of protective clothing or equipment.\nequently touched surfaces\nrfaces of the environment which are commonly touched or come into contact with human hands.\nalthcare or clinical waste\nste produced as a result of healthcare activities, for example soiled dressings, sharps.\nerarchy of controls\ne hierarchy of controls is used to identify the appropriate controls with Elimination, Substitution,\ngineering Controls, Administrative Controls, Personal Protective Equipment.\nerarchy of Controls: The National Institute for Occupational Safety and Health (NIOSH), Centers for", "" ], [ "", "ease Control and Prevention (CDC) (https://www.cdc.gov/niosh/topics/hierarchy/default.html)\ngh-flow nasal cannula (HFNC) therapy\nNC is an oxygen supply system capable of delivering up to 100% humidified and heated oxygen at\nlow rate of up to 60 litres per minute.\ngher risk acute care area/units\nensive care units, intensive therapy units, high dependency units, emergency department\nuscitation areas, wards with non-invasive ventilation, operating theatres, endoscopy units for\nper respiratory, ENT or upper GI endoscopy, and other clinical areas where AGPs are regularly\nrformed. Referred to as ‘AGP hot spots’.\nubation period\n://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 31/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "1\nh", "1/10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nThe period between the infection of an individual by a pathogen and the manifestation of the illness\nor disease it causes.\nInduction of sputum\nInduction of sputum typically involves the administration of nebulised saline to moisten and loosen\nrespiratory secretions (this may be accompanied by chest physiotherapy (percussion and vibration))\nto induce forceful coughing.\nInfectious linen\nLinen that has been used by a patient who is known or suspected to be infectious and/or linen that is\ncontaminated with blood/other body fluids, for example faeces.\nLong term health condition\nThis covers:\nchronic obstructive pulmonary disease, bronchitis, emphysema or asthma\nheart disease\nkidney disease\nliver disease\nstroke or a transient ischaemic attack (TIA)\ndiabetes\nlowered immunity as a result of disease or medical treatment, such as steroid medication or\ncancer treatment\na neurological condition, such as Parkinson’s disease, motor neurone disease, multiple sclerosis\n(MS), cerebral palsy, or a learning disability\nany problem with the spleen, including sickle cell disease, or had spleen removed\na BMI of 40 or above (obese)\nPersonal protective equipment (PPE)\nEquipment a person wears to protect themselves from risks to their health or safety, including\nexposure to infectious agents. The level of PPE required depends on the:\nsuspected or known infectious agent\nseverity of the illness caused\ntransmission route of the infectious agent\nprocedure or task being undertaken\nRespiratory droplets\nA small droplet, such as a particle of moisture released from the mouth during coughing, sneezing, or\nspeaking.\nRespiratory protective equipment\nttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 32/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/\nR\nin\nre\np\nF\nF\nw\nR\nR\nS\nP\nS\nS\nh\nS\nS\nS\nS\nhttp", "10/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nespiratory protection that is worn over the nose and mouth designed to protect the wearer from\nhaling hazardous substances, including airborne particles (aerosols). There are 2 types of\nspiratory protection that can be used, tight-fitting disposable FFP respirators and loose-fitting\nowered hoods (TH2).\nFP stands for filtering face piece. There are 3 categories of FFP respirator: FFP1, FFP2 and FFP3.\nFP3 and loose-fitting powered hoods provide the highest level of protection and are recommended\nhen caring for patients in areas where high risk AGPs are being performed.\nespiratory symptoms\nespiratory symptoms include:\nrhinorrhoea (runny nose)\nsore throat\ncough\ndifficulty breathing or shortness of breath\negregation\nhysically separating or isolating from other people.\nARS-CoV\nevere acute respiratory syndrome coronavirus, the virus responsible for the 2003 outbreak of\numan coronavirus disease.\nARS-CoV-2\nevere acute respiratory syndrome coronavirus 2, the virus responsible for the COVID-19 pandemic.\neverely immunosuppressed\neverely immunosuppressed is defined in the Green Book on Immunisation as:\nimmunosuppression due to acute and chronic leukaemias and lymphoma (including Hodgkin’s\nlymphoma)\nsevere immunosuppression due to HIV/AIDS (British HIV Association advice\n(https://www.bhiva.org/BHIVA-and-THT-statement-on-COVID-19-and-advice-for-the-extremely-vulnerable))\ncellular immune deficiencies (such as severe combined immunodeficiency, Wiskott-Aldrich\nsyndrome, 22q11 deficiency/DiGeorge syndrome)\nbeing under follow up for a chronic lymphoproliferative disorder including haematological\nmalignancies such as indolent lymphoma, chronic lymphoid leukaemia, myeloma and other\nplasma cell dyscrasias\nhaving received an allogenic (cells from a donor) stem cell transplant in the past 24 months and\nonly then if they are demonstrated not to have ongoing immunosuppression or graft versus host\ndisease (GVHD)\nhaving received an autologous (using their own stem cells) haematopoietic stem cell transplant\nin the past 24 months and only then if they are in remission\ns://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 33/35", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "11/10\nSta\nSIC\nag\nSin\nA r\nan\nSta\nWh\nPa\n‘as\nTra\nAd\nsus\nA\nv\nhttps:", "/2021, 15:27 COVID-19: guidance for maintaining services within health and care settings – infection prevention and control recommenda…\nthose who are receiving, or have received in the past 6 months, immunosuppressive\nchemotherapy or radiotherapy for malignant disease or non-malignant disorders\nthose who are receiving, or have received in the past 6 months, immunosuppressive therapy for\na solid organ transplant (with exceptions, depending upon the type of transplant and the immune\nstatus of the patient)\nthose who are receiving, or have received in the past 12 months, immunosuppressive biological\ntherapy (such as monoclonal antibodies), unless otherwise directed by a specialist\nthose who are receiving, or have received in the past 3 months, immunosuppressive therapy\nincluding:\nadults and children on high-dose corticosteroids (>40mg prednisolone per day or 2mg/\nkg/day in children under 20kg) for more than 1 week\nadults and children on lower dose corticosteroids (>20mg prednisolone per day or\n1mg/kg/day in children under 20kg) for more than 14 days\nadults on non-biological oral immune modulating drugs, for example methotrexate >25mg\nper week, azathioprine >3.0mg/kg/day or 6-mercaptopurine >1.5mg/kg/day\nchildren on high doses of non-biological oral immune modulating drugs\nndard infection control precautions (SICPs)\nPs are the basic IPC measures necessary to reduce the risk of transmission of an infectious\nent from both recognised and unrecognised sources of infection.\ngle room\noom with space for one patient and usually contains (as a minimum) a bed, a locker or wardrobe\nd a clinical wash-hand basin.\nff cohorting\nen staff care for one specific group of patients and do not move between different patient cohorts.\ntient cohorts may include for example ‘symptomatic’, ‘asymptomatic and exposed’, or\nymptomatic and unexposed’ patient groups.\nnsmission based precautions\nditional precautions to be used in addition to SICPs when caring for patients with a known or\npected infection or colonisation.", "" ], [ "", "", "" ], [ "", "ll content is available under the Open Government Licence\n3.0, except where otherwise stated © Crown copyright", "" ], [ "", "//www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-guidance-for-maintaining-servi… 34/35", "" ], [ "", "", "" ] ], "row_count": 6, "col_count": 3 } ] }, { "case_id": 2029781, "title": "Pharmacy closures", "authority": "Manx Care", "date_received": "2021-10-08", "outcome": "Some information sent but not all held", "summary": "The requester asked for pharmacy contracts, a three-year list of closures, and details on fines; Manx Care disclosed closure data from October 2020 to November 2021 but refused the contract copy and fine details, citing that penalties do not exist and creating a three-year list would require deriving new information.", "key_facts": [ "Manx Care stated there are no legal powers (vires) in the Pharmacy Regulations 2005 to issue penalties or fines for closures.", "The authority refused to provide a list of closures for the full three-year period as it would require creating or deriving information not currently held.", "Pharmacy opening hours are agreed individually with each pharmacy and can be amended with 90 days' notice.", "A shortage of pharmacists and difficulty in recruiting locums on the Isle of Man were cited as reasons for closures.", "Disclosure was limited to records from October 2020 to the date of the response (November 2021)." ], "data_mentioned": [ "2029781", "2021-10-08", "2021-11-04", "October 2020", "64", "76", "40 hours per week", "90 days", "Pharmacy Regulations 2005", "section 8(3)", "section S11(3)(b)" ], "exemptions_cited": [ "Section 8(3) of The Act (things a public authority is not required to do)", "Section S11(3)(b) (creating or deriving information)" ], "tables": [ { "headers": [ "Hours Closed", "Oct 20", "Nov 20", "Dec 20", "Jan 21", "Feb 21", "Mar 21", "May 21", "Jun 21", "Jul 21", "Aug 21", "Oct 21", "Total" ], "rows": [ [ "Douglas", "1", "1", "1", "3", "1", "3", "3", "2", "11", "4", "2", "29" ], [ "Onchan", "", "", "", "", "", "1", "2", "2", "1", "1", "", "6" ], [ "Peel", "", "", "", "", "", "", "", "", "", "", "1", "1" ], [ "Port Erin", "", "", "", "", "", "", "", "", "1", "", "", "1" ], [ "Port St Mary", "", "", "", "", "", "", "", "1", "", "", "", "1" ], [ "Ramsey", "", "1", "4", "6", "", "2", "7", "2", "4", "1", "1", "27" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Total", "1", "2", "4", "9", "1", "6", "11", "7", "16", "6", "3", "64" ] ], "row_count": 8, "col_count": 13 }, { "headers": [ "Duration of Closure\n(Days)", "Oct 20", "Nov 20", "Dec 20", "Jan 21", "Feb 21", "Mar 21", "May 21", "Jun 21", "Jul 21", "Aug 21", "Oct 21", "Total" ], "rows": [ [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Douglas", "1", "1", "1", "5", "1", "4", "4", "3", "10", "4", "2", "36" ], [ "0.25", "", "", "", "1", "", "", "", "", "", "", "", "1" ], [ "0.50", "", "1", "1", "2", "1", "2", "3", "2", "2", "1", "1", "16" ], [ "1.00", "1", "", "", "2", "", "2", "1", "1", "5", "3", "1", "16" ], [ "1.50", "", "", "", "", "", "", "", "", "2", "", "", "2" ], [ "2.00", "", "", "", "", "", "", "", "", "1", "", "", "1" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Onchan", "", "", "", "", "", "1", "2", "4", "1", "1", "", "9" ], [ "0.50", "", "", "", "", "", "1", "1", "4", "1", "", "", "7" ], [ "1.00", "", "", "", "", "", "", "1", "", "", "1", "", "2" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Peel", "", "", "", "", "", "", "", "", "", "", "1", "1" ], [ "1.00", "", "", "", "", "", "", "", "", "", "", "1", "1" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Port Erin", "", "", "", "", "", "", "", "", "1", "", "", "1" ], [ "0.50", "", "", "", "", "", "", "", "", "1", "", "", "1" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Port St Mary", "", "", "", "", "", "", "", "1", "", "", "", "1" ], [ "0.50", "", "", "", "", "", "", "", "1", "", "", "", "1" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Ramsey", "", "1", "2", "9", "", "2", "4", "3", "4", "2", "1", "28" ], [ "0.25", "", "", "", "3", "", "", "", "", "", "", "", "3" ], [ "0.50", "", "", "1", "2", "", "", "2", "2", "", "2", "1", "10" ], [ "1.00", "", "1", "", "4", "", "2", "", "1", "4", "", "", "12" ], [ "2.00", "", "", "", "", "", "", "1", "", "", "", "", "1" ], [ "3.00", "", "", "1", "", "", "", "", "", "", "", "", "1" ], [ "4.00", "", "", "", "", "", "", "1", "", "", "", "", "1" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Grand Total", "1", "2", "3", "14", "1", "7", "10", "11", "16", "7", "4", "76" ] ], "row_count": 30, "col_count": 13 } ] }, { "case_id": 2030281, "title": "Surgery data", "authority": "Manx Care", "date_received": "2021-10-08", "outcome": "All information sent", "summary": "The requester asked for patient registration numbers and monthly prescription item counts for each surgery on the Isle of Man over the last three years. Manx Care disclosed the monthly prescription data for 12 surgeries from April 2017 to February 2021 but did not provide the requested patient registration figures.", "key_facts": [ "The request was made on 2021-10-08 and the response was issued on 2021-11-04.", "Prescription data was provided for 12 distinct surgery groups including Ballasalla, Castletown, and Ramsey.", "The data covers a period from April 2017 through February 2021.", "The response included monthly totals for prescription items but omitted the requested patient registration numbers.", "The highest monthly total for prescriptions occurred in September 2020 with 124,989 items." ], "data_mentioned": [ "124,989", "110,061", "April 2017", "February 2021", "12 surgeries", "2021-10-08", "2021-11-04" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "Ballasalla\nMedical", "Castletown\nMedical", "Finch Hill\nHealth", "Hailwood\nMedical", "Kensington\nGroup", "Laxey &\nVillage Walk", "Palatine\nGroup", "Peel\nGroup", "Ramsey\nGroup", "Ramsey\nWest", "Snaefell\nSurgery", "Southern\nGroup", "Total" ], "rows": [ [ "Apr 17", "Centre\n6,376", "Centre\n5,880", "Centre\n3,486", "Practice Llc\n9,554", "Practice\n14,057", "Health Centres\n9,758", "Practice\n12,418", "Practice\n10,021", "Practice\n22,053", "Practice\n352", "5,897", "Practice\n10,209", "110,061" ], [ "May 17", "6,174", "6,615", "3,481", "10,098", "14,354", "10,523", "13,141", "11,406", "23,678", "358", "6,316", "10,866", "117,010" ], [ "Jun 17", "6,445", "6,534", "3,632", "10,640", "14,275", "10,607", "13,006", "10,788", "23,598", "368", "6,466", "11,101", "117,460" ], [ "Jul 17", "5,817", "6,249", "3,567", "10,045", "14,278", "10,576", "13,142", "10,322", "22,830", "383", "6,139", "10,650", "113,998" ], [ "Aug 17", "6,527", "6,607", "3,804", "10,396", "14,934", "10,590", "13,118", "11,063", "24,004", "348", "6,442", "11,484", "119,317" ], [ "Sep 17", "6,081", "6,450", "3,744", "9,280", "14,193", "10,548", "12,990", "11,076", "22,599", "439", "6,021", "10,969", "114,390" ], [ "Oct 17", "6,105", "6,406", "3,873", "9,913", "14,611", "11,014", "12,513", "11,412", "22,568", "324", "6,154", "10,585", "115,478" ], [ "Nov 17", "6,136", "6,736", "3,821", "9,482", "14,374", "11,177", "13,243", "10,672", "23,088", "423", "6,477", "10,630", "116,259" ], [ "Dec 17", "6,200", "6,837", "3,799", "9,148", "14,203", "11,115", "12,622", "11,161", "23,615", "429", "6,176", "11,058", "116,363" ], [ "Jan 18", "6,408", "6,835", "4,031", "9,867", "15,317", "11,176", "12,919", "11,203", "22,683", "394", "6,574", "10,761", "118,168" ], [ "Feb 18", "6,248", "6,214", "3,654", "8,794", "13,696", "9,989", "11,401", "10,545", "21,140", "388", "6,100", "9,723", "107,892" ], [ "Mar 18", "6,240", "7,068", "4,347", "9,512", "15,336", "11,372", "12,717", "11,477", "24,512", "508", "6,724", "11,457", "121,270" ], [ "Apr 18", "5,957", "6,064", "3,842", "8,558", "13,400", "10,276", "12,251", "10,828", "21,089", "", "5,927", "10,496", "108,688" ], [ "May 18", "6,184", "6,673", "4,198", "9,463", "13,576", "10,636", "13,458", "11,956", "24,512", "485", "6,603", "10,824", "118,568" ], [ "Jun 18", "6,150", "6,626", "3,949", "9,106", "13,433", "11,072", "12,677", "11,495", "21,423", "1", "6,303", "10,661", "112,896" ], [ "Jul 18", "6,085", "6,302", "4,002", "9,510", "13,344", "10,650", "13,292", "11,450", "22,237", "426", "6,534", "10,844", "114,676" ] ], "row_count": 16, "col_count": 14 }, { "headers": [ "", "Ballasalla\nMedical", "Castletown\nMedical", "Finch Hill\nHealth", "Hailwood\nMedical", "Kensington\nGroup", "Laxey &\nVillage Walk", "Palatine\nGroup", "Peel\nGroup", "Ramsey\nGroup", "Ramsey\nWest", "Snaefell\nSurgery", "Southern\nGroup", "Total" ], "rows": [ [ "Aug 18", "Centre\n6,270", "Centre\n6,685", "Centre\n3,764", "Practice Llc\n9,804", "Practice\n13,738", "Health Centres\n10,527", "Practice\n13,759", "Practice\n10,984", "Practice\n22,820", "Practice\n476", "6,374", "Practice\n10,743", "115,944" ], [ "Sep 18", "6,435", "6,292", "3,918", "9,150", "12,975", "11,001", "13,035", "10,940", "22,003", "437", "6,366", "10,678", "113,230" ], [ "Oct 18", "6,527", "6,775", "4,082", "9,616", "13,693", "11,461", "14,969", "11,189", "21,947", "479", "6,490", "10,752", "117,980" ], [ "Nov 18", "6,925", "6,415", "3,946", "9,429", "13,399", "11,405", "13,933", "10,799", "22,814", "408", "6,464", "10,871", "116,808" ], [ "Dec 18", "6,725", "6,514", "4,154", "9,202", "13,208", "10,183", "13,439", "11,420", "22,765", "419", "6,085", "10,875", "114,989" ], [ "Jan 19", "6,430", "6,946", "4,447", "10,052", "13,796", "11,620", "14,878", "11,189", "22,375", "405", "6,878", "11,653", "120,669" ], [ "Feb 19", "6,299", "5,958", "4,193", "8,885", "12,104", "9,955", "13,593", "10,415", "20,697", "400", "6,074", "10,385", "108,958" ], [ "Mar 19", "6,662", "6,833", "4,182", "9,074", "11,588", "11,067", "14,167", "11,472", "22,584", "389", "6,292", "10,980", "115,290" ], [ "Apr 19", "6,481", "6,205", "2,938", "7,650", "7,909", "9,959", "11,592", "10,045", "19,488", "393", "5,686", "10,934", "99,280" ], [ "May 19", "7,058", "6,898", "4,201", "9,631", "10,964", "11,552", "15,399", "11,824", "24,726", "529", "7,307", "11,735", "121,824" ], [ "Jun 19", "6,241", "4,386", "5,088", "9,957", "11,830", "10,902", "15,654", "11,483", "23,153", "480", "7,185", "11,068", "117,427" ], [ "Jul 19", "6,314", "4,858", "4,185", "9,411", "10,810", "11,389", "14,845", "11,824", "23,105", "11", "6,509", "11,250", "114,511" ], [ "Aug 19", "6,584", "4,533", "4,251", "9,244", "11,311", "11,366", "14,804", "12,316", "23,752", "1,487", "6,369", "10,990", "117,007" ], [ "Sep 19", "6,496", "4,331", "4,276", "9,001", "9,587", "10,311", "13,691", "10,781", "21,732", "506", "6,647", "10,815", "108,174" ], [ "Oct 19", "6,806", "5,309", "4,556", "9,447", "9,903", "10,307", "15,792", "12,204", "23,804", "423", "6,977", "11,385", "116,913" ], [ "Nov 19", "6,430", "4,921", "4,230", "8,811", "9,944", "10,679", "14,114", "11,160", "22,962", "556", "6,445", "11,936", "112,188" ], [ "Dec 19", "7,745", "8,664", "4,148", "9,325", "10,058", "10,730", "14,854", "11,652", "23,384", "3", "6,394", "11,742", "118,699" ] ], "row_count": 17, "col_count": 14 }, { "headers": [ "", "Ballasalla\nMedical", "Castletown\nMedical", "Finch Hill\nHealth", "Hailwood\nMedical", "Kensington\nGroup", "Laxey &\nVillage Walk", "Palatine\nGroup", "Peel\nGroup", "Ramsey\nGroup", "Ramsey\nWest", "Snaefell\nSurgery", "Southern\nGroup", "Total" ], "rows": [ [ "Jan 20", "Centre\n7,715", "Centre\n8,952", "Centre\n4,725", "Practice Llc\n9,304", "Practice\n11,219", "Health Centres\n11,335", "Practice\n14,888", "Practice\n11,604", "Practice\n23,125", "Practice\n971", "6,213", "Practice\n11,960", "122,011" ], [ "Feb 20", "6,047", "4,113", "4,503", "8,941", "8,953", "10,160", "13,816", "11,010", "22,046", "460", "5,971", "10,972", "106,992" ], [ "Mar 20", "7,442", "4,647", "4,854", "10,312", "9,351", "13,067", "16,149", "12,829", "24,560", "381", "6,718", "13,004", "123,314" ], [ "Apr 20", "5,934", "4,522", "4,329", "8,478", "7,712", "10,225", "13,464", "11,048", "24,247", "359", "6,904", "10,853", "108,075" ], [ "May 20", "5,805", "4,559", "6,095", "9,142", "7,079", "10,673", "13,944", "11,077", "23,147", "359", "6,247", "10,302", "108,429" ], [ "Jun 20", "5,841", "5,380", "6,723", "8,828", "7,523", "10,771", "14,062", "11,584", "22,237", "433", "6,233", "10,468", "110,083" ], [ "Jul 20", "6,083", "4,973", "7,203", "10,452", "8,348", "12,318", "15,265", "11,896", "23,429", "350", "6,755", "11,276", "118,348" ], [ "Aug 20", "5,400", "4,641", "6,728", "8,873", "8,586", "10,117", "13,763", "10,537", "21,066", "604", "6,136", "10,483", "106,934" ], [ "Sep 20", "7,626", "8,446", "7,150", "10,535", "10,776", "11,893", "15,085", "11,577", "23,363", "352", "6,754", "11,432", "124,989" ], [ "Oct 20", "6,482", "5,495", "7,120", "10,458", "8,780", "11,813", "15,204", "11,868", "24,036", "542", "6,744", "11,733", "120,275" ], [ "Nov 20", "6,337", "5,058", "6,618", "9,814", "9,256", "11,035", "14,167", "11,122", "22,932", "488", "6,485", "11,089", "114,401" ], [ "Dec 20", "6,717", "5,344", "7,316", "10,582", "9,313", "11,982", "15,092", "12,183", "25,112", "536", "6,670", "12,404", "123,251" ], [ "Jan 21", "6,106", "4,600", "6,729", "10,062", "8,458", "11,046", "13,922", "11,849", "23,100", "479", "6,196", "11,185", "113,732" ], [ "Feb 21", "5,766", "4,536", "6,169", "9,477", "7,370", "10,265", "12,813", "10,251", "20,828", "443", "5,587", "10,945", "104,450" ], [ "Mar 21", "6,313", "5,094", "6,744", "10,980", "6,685", "11,926", "14,711", "12,405", "25,033", "542", "6,616", "12,469", "119,518" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Total", "307,175", "286,979", "224,795", "457,293", "553,607", "524,119", "663,771", "541,412", "1,098,001", "20,726", "307,624", "531,685", "5,517,187" ] ], "row_count": 17, "col_count": 14 }, { "headers": [ "Registered Patients at 1st October 2021", "" ], "rows": [ [ "Castletown Medical Centre", "4,116" ], [ "Peel Medical Centre", "8,908" ], [ "Ramsey Group Practice (inc Jurby)", "14,711" ], [ "Southern Group Practice", "7,139" ], [ "Kensington Group Practice", "9,713" ], [ "Palatine Group Practice", "10,491" ], [ "Hailwood Medical Centre", "7,957" ], [ "Ballasalla Medical Centre", "4,808" ], [ "Onchan / Laxey Surgery", "8,616" ], [ "Snaefell Surgery", "5,210" ], [ "Finch Hill Medical Centre", "6,724" ], [ "Total", "88,393" ] ], "row_count": 12, "col_count": 2 } ] }, { "case_id": 2030381, "title": "covid query", "authority": "Manx Care", "date_received": "2021-10-08", "outcome": "All information sent", "summary": "The requester asked Manx Care for weekly COVID-19 admission data, total hospital admissions for 2019-2020, missing annexes regarding medication, and details on Ivermectin and Remdesivir usage. Manx Care provided the requested statistical data, confirmed the missing annexes were posted online, and stated that Ivermectin is not used for COVID-19 treatment.", "key_facts": [ "Manx Care provided a weekly breakdown of COVID-19 admissions from March 2020 to October 2021.", "Total hospital admissions for any reason were provided monthly from March 2019 to February 2020.", "Missing annexes for midazolam and morphine from a previous request were confirmed as now available online.", "Manx Care explicitly stated they do not use Ivermectin for COVID-19 treatment or trials.", "The response regarding COVID-19 treatment protocols and Remdesivir usage appears to be cut off in the provided text." ], "data_mentioned": [ "Weekly COVID admissions ranging from 0 to 21", "Total admissions in Mar 2019: 1773", "Total admissions in Oct 2019: 1956", "Total admissions in Feb 2020: 1639", "Date of request: 2021-10-08", "Date of response: 2021-11-04", "PCR threshold cycle 40" ], "exemptions_cited": [], "tables": [ { "headers": [ "2020\nWeek ending Number of COVID admissions" ], "rows": [ [ "29.03.2020 5" ], [ "05.04.2020 13" ], [ "12.04.2020 11" ], [ "19.04.2020 8" ], [ "26.04.2020 1" ], [ "03.05.2020 2" ], [ "10.05.2020 2" ], [ "17.05.2020 1" ], [ "24.05.2020 0" ], [ "31.05.2020 0" ], [ "07.06.2020 0" ], [ "14.06.2020 0" ], [ "21.06.2020 0" ], [ "28.06.2020 0" ], [ "05.07.2020 0" ], [ "12.07.2020 0" ], [ "19.07.2020 0" ], [ "26.07.2020 0" ], [ "02.08.2020 0" ], [ "09.08.2020 0" ], [ "16.08.2020 0" ], [ "23.08.2020 0" ], [ "30.08.2020 0" ], [ "06.09.2020 0" ], [ "13.09.2020 0" ], [ "20.09.2020 0" ], [ "27.09.2020 0" ], [ "04.10.2020 0" ], [ "11.10.2020 0" ], [ "18.10.2020 0" ], [ "25.10.2020 0" ], [ "01.11.2020 1" ], [ "08.11.2020 1" ], [ "15.11.2020 1" ], [ "22.11.2020 0" ], [ "29.11.2020 0" ], [ "06.12.2020 0" ], [ "13.12.2020 0" ], [ "20.12.2020 1" ], [ "27.12.2020 1" ] ], "row_count": 40, "col_count": 1 }, { "headers": [ "2021\nWeek ending Number of COVID admissions" ], "rows": [ [ "03.01.2021 1" ], [ "10.01.2021 0" ], [ "17.01.2021 1" ], [ "24.01.2021 0" ], [ "31.01.2021 0" ], [ "07.02.2021 0" ], [ "14.02.2021 0" ], [ "21.02.2021 0" ], [ "28.02.2021 0" ], [ "07.03.2021 4" ], [ "14.03.2021 8" ], [ "21.03.2021 7" ], [ "28.03.2021 4" ], [ "04.04.2021 0" ], [ "11.04.2021 0" ], [ "18.04.2021 0" ], [ "25.04.2021 2" ], [ "02.05.2021 0" ], [ "09.05.2021 0" ], [ "16.05.2021 0" ], [ "23.05.2021 0" ], [ "30.05.2021 0" ], [ "06.06.2021 0" ], [ "13.06.2021 0" ], [ "20.06.2021 1" ], [ "27.06.2021 0" ], [ "04.07.2021 0" ], [ "11.07.2021 0" ], [ "18.07.2021 2" ], [ "25.07.2021 6" ], [ "01.08.2021 21" ], [ "08.08.2021 10" ], [ "15.08.2021 12" ], [ "22.08.2021 11" ], [ "29.08.2021 11" ], [ "05.09.2021 5" ], [ "12.09.2021 7" ], [ "19.09.2021 3" ], [ "26.09.2021 6" ], [ "03.10.2021 7" ], [ "10.10.2021 5" ] ], "row_count": 41, "col_count": 1 }, { "headers": [ "Month Number of admissions" ], "rows": [ [ "Mar 2019 1773" ], [ "Apr 2019 1794" ], [ "May 2019 1840" ], [ "Jun 2019 1710" ], [ "Jul 2019 1923" ], [ "Aug 2019 1847" ], [ "Sep 2019 1892" ], [ "Oct 2019 1956" ], [ "Nov 2019 1815" ], [ "Dec 2019 1726" ], [ "Jan 2020 1714" ], [ "Feb 2020 1639" ] ], "row_count": 12, "col_count": 1 } ] }, { "case_id": 2035709, "title": "Operations", "authority": "Manx Care", "date_received": "2021-10-13", "outcome": "Some information sent but not all held", "summary": "The requester asked for the number of operations cancelled since April 1, 2021, and specifically how many were due to staff shortages. Manx Care provided a breakdown of cancellations by various recorded reasons but stated they do not record 'staff shortages' as a specific category, though they acknowledged ongoing staff issues in a separate public statement.", "key_facts": [ "Manx Care does not record 'staff shortages' as a specific reason for operation cancellations in their systems.", "A total of 1,076 operations were cancelled by patients.", "643 operations were cancelled by the hospital before the day of admission.", "Elective surgery was temporarily suspended due to a shortage of specialist theatre staff caused by unfilled vacancies and sickness.", "The authority offered to send elective surgery patients to the UK if they wished." ], "data_mentioned": [ "April 1 2021", "1076", "643", "252", "112", "85", "69", "30", "9", "8", "6", "2", "six weeks", "2035709", "2021-10-13", "2021-11-09" ], "exemptions_cited": [ "Information not held" ], "tables": [ { "headers": [ "Offer outcome", "Count" ], "rows": [ [ "Cancelled by patient", "1076" ], [ "Cancelled by Hospital before the day offered for admission", "643" ], [ "Hosp. canc. no bed/theatre", "252" ], [ "Cancelled by Hospital on the day offered for admission", "112" ], [ "Hosp canc admin error", "85" ], [ "Hosp. canc. medically unfit", "69" ], [ "Hosp. canc. no equipment avail", "30" ], [ "Hospital cancel (non-clinical reason) on the day offered for admission", "9" ], [ "Hosp canc emergency admission", "8" ], [ "Hosp. canc. awaiting results", "6" ], [ "Hosp canc transfer other hosp", "2" ] ], "row_count": 11, "col_count": 2 }, { "headers": [ "surgery", "", "programme", "", "", "may", "", "", "continue", "", "", "", "", "to", "", "run", "", "at", "a", "", "reduced", "", "", "", "", "", "level", "", "", "", "for", "", "", "up", "", "to", "", "six", "weeks", "", "", "", "as", "", "a", "result", "", "", "", "of" ], "rows": [ [ "the", "ongoing", "", "shortage", "", "", "of", "specialist", "", "", "", "", "", "theatre", "", "", "", "staff", "", "", "", "due", "", "", "to", "unfilled", "", "", "", "", "", "vacancies", "", "", "", "", "", "", "and", "sickness", "", "", "", "", "", "absence", "", "", "", "" ], [ "among", "", "staff", ".", "Manx", "", "Care", "", "", "says", "", "", "it", "will", "", "", "continue", "", "", "", "", "", "to", "", "clinically", "", "", "", "", "", "prioritise", "", "", "", "", "", "", "all", "activity", "", "", "", "", "an", "", "d", "ensure", "", "", "" ], [ "urgent", "", "and", "emergency", "", "", "", "", "and", "", "", "time-sensitive", "", "", "", "", "", "", "", "", "operations,", "", "", "", "", "", "", "", "including", "", "", "", "", "", "", "", "cancer", "", "", "", "operations,", "", "", "", "", "", "", "", "are", "" ] ], "row_count": 3, "col_count": 50 } ] }, { "case_id": 2036441, "title": "Waiting Lists", "authority": "Manx Care", "date_received": "2021-10-14", "outcome": "All information sent", "summary": "A request was made to Manx Care for the average waiting times for first appointments across all clinics at Noble's Hospital. The authority disclosed a comprehensive list of waiting times for 48 specialties as of November 2021, alongside a note regarding data validation challenges.", "key_facts": [ "The average waiting time for a first appointment across all specialties at Noble's Hospital was 329 days.", "The longest average wait was for Podiatry at 930 days, followed by Physiotherapy at 955 days.", "The shortest average wait was for Transient Ischaemic Attack at 0 days.", "Manx Care acknowledged that the Patient Tracking List contains errors, inaccuracies, and duplications.", "A Waiting List Data Validation Programme is being developed to improve data accuracy." ], "data_mentioned": [ "329", "955", "930", "0", "2021-10-14", "2021-11-12", "2036441", "4", "2" ], "exemptions_cited": [], "tables": [ { "headers": [ "Specialty", "AVG time\nwaiting for 1st\nappointment\ntotal (days)" ], "rows": [ [ "Anaesthetics", "216" ], [ "Audiological Medicine", "909" ], [ "Breast Surgery", "23" ], [ "Cardiology", "339" ], [ "Child and Adolescent Psychiatry", "292" ], [ "Clinical Oncology", "149" ], [ "Clinical Physiology", "475" ], [ "Colorectal Surgery", "233" ], [ "Colposcopy", "70" ], [ "Critical Care Medicine", "274" ], [ "Dermatology", "73" ], [ "Diabetic Medicine", "918" ], [ "Dietetics", "482" ], [ "Endocrinology", "865" ], [ "ENT", "504" ], [ "Fertility", "76" ], [ "Gastroenterology", "276" ], [ "General Medicine", "152" ], [ "General Surgery", "125" ], [ "Genitourinary Medicine", "194" ], [ "Geriatric Medicine", "188" ], [ "Gynaecology", "73" ], [ "Haematology", "586" ], [ "Inherited Metabolic Medicine Service", "118" ], [ "Nephrology", "223" ], [ "Neurology", "399" ], [ "Obstetrics", "47" ], [ "Ophthalmology", "337" ], [ "Oral Surgery", "457" ], [ "Paediatric Cardiology", "13" ], [ "Paediatric Ear Nose and Throat", "256" ], [ "Paediatric Neurology", "119" ] ], "row_count": 32, "col_count": 2 }, { "headers": [ "Specialty", "AVG time\nwaiting for 1st\nappointment\ntotal (days)" ], "rows": [ [ "Paediatric Ophthalmology", "444" ], [ "Paediatric Trauma and Orthopaedics", "84" ], [ "Paediatric Urology", "22" ], [ "Paediatrics", "57" ], [ "Pain Management", "209" ], [ "Physiotherapy", "955" ], [ "Plastic Surgery", "51" ], [ "Podiatry", "930" ], [ "Radiology", "133" ], [ "Respiratory Medicine (Thoracic Medicine)", "260" ], [ "Respiratory Physiology", "631" ], [ "Restorative Dentistry", "614" ], [ "Rheumatology", "350" ], [ "Stroke Medicine", "4" ], [ "Thoracic Surgery", "84" ], [ "Transient Ischaemic Attack", "0" ], [ "Trauma & Orthopaedics", "352" ], [ "Unknown - Treatment mainly medical", "247" ], [ "Urogynae", "119" ], [ "Urology", "84" ], [ "Vascular Surgery", "169" ], [ "All", "329" ] ], "row_count": 22, "col_count": 2 } ] }, { "case_id": 2037441, "title": "Sir Jonathan Michael / Beechlawn Consulting Limited", "authority": "Cabinet Office", "date_received": "2021-10-14", "outcome": "Some information sent but not all held", "summary": "The request sought details on contracts and payments made to Sir Jonathan Michael and Beechlawn Consulting Limited for healthcare review services. The Cabinet Office disclosed a consultancy agreement dated June 2019 but indicated that not all requested information regarding payments was held.", "key_facts": [ "A consultancy agreement exists between the Cabinet Office and Beechlawn Consulting Limited.", "The agreement is for Independent Healthcare Review Services.", "Sir Jonathan Michael is identified as the 'Key Person' in the contract.", "The authority stated that some information was sent but not all was held.", "The contract defines the location of services as the Department of Health and Social Care or Cabinet Office in Douglas." ], "data_mentioned": [ "01 June 2019", "5 April 2019", "5 April 2020", "5 April 2021", "51 pages", "6 documents", "2%", "IM1 3PG", "GU7 2RA" ], "exemptions_cited": [], "tables": [ { "headers": [ "The", "", "Treasury", "", "" ], "rows": [ [ "Head", "", "", "", "Office" ], [ "3rd Floor", "", "", "", "" ], [ "Government Offices", "", "", "", "" ], [ "Bucks Road", "", "", "", "" ], [ "Douglas", "", "", "", "" ], [ "Isle of Man", "", "", "", "" ], [ "IM1 3PZ", "", "", "", "" ], [ "Telephone: 01624 685980", "", "", "", "" ] ], "row_count": 8, "col_count": 5 } ] }, { "case_id": 2059493, "title": "National Covid Response Group", "authority": "Cabinet Office", "date_received": "2021-10-28", "outcome": "All information sent", "summary": "The request sought details on the membership, meeting frequency, and publication of minutes for the National Covid Response Group. The Cabinet Office disclosed the full list of members and officers, confirmed a minimum monthly meeting schedule, but stated that agendas and minutes are not currently published.", "key_facts": [ "The National Covid Response Group is a sub-committee of the Council of Ministers established on 21 October 2021.", "The group is chaired by the Chief Minister and includes the Ministers for Health, Treasury, Justice, and Education.", "Routine attendees include the Director of Public Health and the Chief Operating Officer of the Cabinet Office.", "The group is required to meet at least monthly, or more frequently if necessary.", "Agendas and minutes are not routinely published, though the Cabinet Office is reviewing proactive publication methods." ], "data_mentioned": [ "21 October 2021", "28 October 2021", "18 November 2021", "2059493", "IM1 3PN", "01624 686244", "1374997" ], "exemptions_cited": [], "tables": [ { "headers": [ "Role", "Department/Group" ], "rows": [ [ "Chief Minister (Chair)", "Membership" ], [ "Minister for Health & Social Care", "Membership" ], [ "Treasury Minister", "Membership" ], [ "Minister for Justice and Home Affairs", "Membership" ], [ "Minister for Education, Sport and Culture", "Membership" ], [ "Chair of the Council of Ministers' Emergency Advisory Group", "Membership" ], [ "Director of Public Health", "Officers routinely in attendance" ], [ "Chief Operating Officer", "Cabinet Office" ], [ "Senior Covid Response Officer", "Cabinet Office" ], [ "Chief Executive DHSC & Chair of Isle of Man Joint Public Health and Clinical Advisory Group", "Officers routinely in attendance" ], [ "Head of Government Communications", "Cabinet Office" ], [ "Secretariat", "Cabinet Office" ] ], "row_count": 12, "col_count": 2 } ] }, { "case_id": 2064621, "title": "CAMHS Waiting list times and standards", "authority": "Manx Care", "date_received": "2021-11-01", "outcome": "Some information sent but not all held", "summary": "The requester asked for CAMHS waiting list statistics and an audit report against Royal College of Psychiatrists standards. Manx Care disclosed a draft audit report from November 2021 but did not provide specific waiting list numbers or reasons for delays in the provided text.", "key_facts": [ "Manx Care is auditing its CAMHS service against the Royal College of Psychiatrists Quality Network for Community CAMHS Service Standards (6th Edition).", "The audit methodology included interviews with six staff members and questionnaires for referrers and service users.", "Review of clinical notes for 20 service users was listed as 'STILL TO BE COMPLETED' in the draft report.", "Feedback from referrers indicated a lack of information regarding waiting times and updates after referral submission.", "The audit focused on Sections 1, 2, and 8 of the service standards." ], "data_mentioned": [ "2021-11-01", "2021-11-25", "15.11.21", "6", "20", "24", "2", "6th Edition", "Section 1", "Section 2", "Section 8" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "", "", "Guidance on how to make a referral was provided. However no\ninformation has been provided about waiting times for\nassessment or treatment. CAMHS information on waiting times\nwas provided from NDD\nWe have the CAMHS referral form already on file. No other\ninformation given about waiting times or assessment.\nThe process of referring is very difficult. I know that a child with\nmild mental health difficulties will not be seen, so there is\nnowhere for them to go unless I put self harm, suicidal, ADHD\nor autism on the referral form.\nThe department centrally holds referral forms. No information\nis shared regarding assessment and treatment. Although it is\nacknowledged that the service have a number of vacancies and\nlarge caseloads.\nI was asked to send the letter via email out and provided with a\nrough assessment of waiting times.\nHad informal discussion with CAMHS team and the process was\ndiscussed. It was clear that patient would be assessed, but will\nbe over 18 before treatment could be offered.\n3. Yes all referrers are aware of referral process. Referrers know\nhow to refer. Don’t provide that information required for gp’s\nand schools to refer" ], "rows": [ [ "2", "1.5", "Where referrals are made through a single point of access,\nthese are passed on to the community team within one working\nday unless it is an emergency referral which should be passed\nacross immediately", "3. There is a criteria the on call comes worker will see people\nwithin 24 hours if an emergency is identified. All referrers ah\nscreened by duty officer. When referral is received it is placed\nagainst criteria and put on waiting list depending on severity\nand amount of risk" ], [ "1", "1.4", "A clinical member of staff is available to discuss emergency\nreferrals during working hours.", "3. Duty officer (member of clinical staff) available and screens all\nreferrals duty officer undertakes risk assessment within one\nworking day." ], [ "2", "", "Young people and families are able to make a self-referral to\nthe service.", "3. No, families are not able to make self referral" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "", "", "", "", "received.\nNo information about waiting time is discussed.\nReceived automatic reply acknowledging receipt of referral.\n3. Feedback is provided by letter consent is requested to share\ninformation there is also a standard rejection letter. Information is\nprovided about waiting times", "" ], "rows": [ [ "in", "", "", "", "", "" ], [ "", "Measures are taken to ensure equity of access", "", "", "", "" ], [ "1", "", "", "Appointments are flexible and responsive to the needs of young\npeople and their parents/carers where appropriate.\nGuidance: For example, young people and their parents/carers\ncan choose a suitable appointment time and appointments can\nbe offered out of school or college hours; home-based or\nschool-based treatments are offered where appropriate.", "1. Yes responsive to needs and flexible, fitted around other\ncommitments (3), no, difficult to get appointment (1).\n3. To a degree and where this is possible in terms of the services’\nability. There are some limitations. No out of hours provision.", "" ], [ "1", "", "1.1", "The service reviews data at least annually about the young\npeople who use it. Data are compared with local population\nstatistics and action is taken to address any inequalities of\naccess where identified.", "3. No, perhaps completed by a manager. There are service audits\nsuch as CPA audit.", "" ], [ "`", "", "4.1", "The team follows up with young people who have not attended\nan appointment or assessment. If they are unable to engage\nwith the young person, a decision is made by the\nassessor/team, based on need and risk, as to how long to\ncontinue to follow up the young person.", "3. Yes call families, send two week letter and inform referrer, not\nallowed to discharge due to person being on NDD medication.\nYes ask parents to get in touch. Contact by telephone and/or\nletter. Referrer informed.", "" ], [ "1", "", "4.2", "If a young person does not attend an assessment or\nappointment, the assessor contacts the referrer.\nGuidance: If the young person is likely to be considered a risk to\nthemselves or others, the team contacts the referrer\nimmediately to discuss a risk action plan.", "2. School receives a copy of the DNA letter (if it is school that has\nmade the referral). No other communication /discussion. N/A\n(2). Brief note I can’t remember any risk action plans. Often just\na note that they’d been discharged (1). Letter (2). No risk action\nplan. Letter received advising appointment missed and that case\nwould be closed if future non-attendance (1). We are never\ninformed of this (1). This has never happened (1). Once or\ntwice-and the parents hadn’t received a letter inviting them to", "" ] ], "row_count": 6, "col_count": 6 }, { "headers": [ "", "", "", "", "attend. On the other hand children have been invited to attend\nappointments and the school and the school has not been\ninformed (1). I usually contact Cambs after speaking with young\nperson prior to receiving any information from Cambs. No risk\naction plan has ever been discussed. No assertive outreach was\nprovided to risk young people. One person discharged while still\nreporting visual hallucinations because they did not attend an\nappointment they could not attend due to being in isolation. No\ntelephone contact was made to young person or their parents.\nNo information given.\nNamed person always shares this information.\nNot applicable.\nNo contact Dices risk assessment was part of referral.\n3. Yes call families, send two week letter and inform referrer, not\nallowed to discharge due to person being on NDD medication.\nYes ask parents to get in touch. Contact by telephone and/or\nletter. Referrer informed. Contact family for reappointment and\ncopy letter sent to referrer.", "" ], "rows": [ [ "2", "", "", "Data on missed appointments are reviewed monthly. This is\ndone at a service level to identify where engagement difficulties\nmay exist.\nGuidance: This should include monitoring a young person’s\nfailure to attend the initial appointment after referral and early\ndisengagement from the service.", "3. Data on appointments is monitored via RIO appointment\nsystem. Discussed in Mangers meetings but don’t know if\nreviewed monthly", "" ], [ "", "Young people receive timely mental health assessments", "", "", "", "" ], [ "1\n`", "", "1.6", "Young people with a routine referral receive a mental health\nassessment within six weeks (or four weeks for Trailblazers).\nYoung people with urgent mental health needs can access a\nmental health assessment within 24 hours.", "3. No, can be seen sooner by Duty officer -eating disorder,\npsychosis, suicidality.", "" ] ], "row_count": 3, "col_count": 6 }, { "headers": [ "", "", "", "", "which detailed the outcomes.\nGenerally in my experience case closure is the outcome due to\nnon-engagement.\nNot to my recollection.\n3. Yes to referrer, to GP if consent has been given, not always\nwithin a week sometimes longer. Yes full assessment\nsometimes longer than a week.", "" ], "rows": [ [ "", "Assessments are collaborative, individual and according to need", "", "", "", "" ], [ "", "", "", "When talking to young people and parents/carers, health\nprofessionals communicate clearly, avoiding the use of jargon\nso that people understand them.", "1. Everything was discussed in a manner that me and my daughter\nunderstood (1), very, anything we didn’t understand she fully\nexplained (1), everything was pretty understandable (1), no, as far\nas they were concerned I was depressed and it was my age (1).\n3. Yes, try to avoid technical jargon and use simple comparisons\nfor ease of understanding. Yes individual basis take it person-by-\nperson. Sometimes need jargon e.g. MSE.", "" ], [ "1", "", "", "Staff check that young people and their parents/carers\nunderstand the purpose of the assessment and possible\noutcomes as fully as possible before it is conducted.\nGuidance: For example, this is specified on an assessment\nchecklist and audited through service questionnaires for young\npeople and parents/carers.", "3. Yes discussed at beginning of assessment, yes check\nunderstanding/explanation", "" ], [ "1", "", "3.2", "Young people have a comprehensive assessment which\nincludes:\n• Mental health and medication;\n• Psychosocial and psychological needs;\n• Strengths and areas for development;\n• Risk, including risk of suicide.", "3.Yes, broadly, not assessed for meds if not on meds,, yes all and\nmore if NDD, specific development assessments, speech,\ndevelopment autism/adhd, early life questionnaire, risk-DICES.", "" ], [ "1", "", "3.4", "Young people have a risk assessment and management plan\nwhich is co-produced, updated regularly and shared where\nnecessary with relevant agencies (with consideration of\nconfidentiality and consent). Assessment considers risk to self,\nrisk to others and risk from others.", "1. No, I never got a plan, I don’t even know what a plan is, when I\nwas in school I was in MOBEX, I really think you should offer\nmore things like what Mobex does (1), as a parent involved and\nas a child involved too and given advice and options (1), we\nwere asked many questions, what we would like to achieve (1),", "" ] ], "row_count": 5, "col_count": 6 }, { "headers": [ "", "", "", "", "we are still trying to find the medication that suits my daughter\n(1).\n3. Yes, Shared depending on agreed consent. Co-produced\ndepending on level. DICES rarely shared with young people,\nmaybe with older adolescent. Yes based on need of patient at\ntime.", "" ], "rows": [ [ "1", "", "", "Assessments are based on the wishes and goals of young\npeople, the family and their capacity to support interventions.", "3. Yes, generally.", "" ], [ "1", "", "", "All assessments are documented, signed/validated (electronic\nrecords) and dated by the assessing practitioner.", "3. Yes.", "" ], [ "1", "", "", "Young people assessed as requiring treatment see an\nappropriate clinician within access and waiting times guidelines\nrelevant to the practice area and local agreements.", "3. Yes. ‘Would hesitate to say yes-related to resources and enough\nbodies.’ Assessment dependent on risk assessment and length of\nwaiting list. ‘No waiting list protocol.’", "" ], [ "", "Assessments are effectively co-ordinated with other agencies so that young people and their parents/carers are not repeatedly asked to give the", "", "", "", "" ], [ "", "same information", "", "", "", "" ], [ "1", "", "", "There are processes in place to identify whether young people\nor parents/carers are involved with other agencies.", "3. Do ask, consent is sought from all other professionals involved.\nYes standard question. Yes always ask, school contact, liaison,\nsometimes 4-5 agencies. Ask referrer.", "" ], [ "3", "", "", "The assessing professional can access relevant information\n(past and current) about the young person from primary and\nsecondary care and other relevant agencies.", "3. No access. Have obtain information through referral process, and\ninformation sharing. Not possible from GP’s unless via referral.\nPaediatrician does discuss medical history.", "" ], [ "", "The team assess the physical health needs of young people accessing the service", "", "", "", "" ], [ "1", "", "3.3", "A physical health review takes place as part of the initial\nassessment, or as soon as possible.", "3. Yes, Physical health policy, routinely ask about diet, weight,\nheight, B/P for NDD. Blood tests, B/P Height and weight. Yes as\nmedic, if there is any doubt about health issues always followed up.\nPart of report template to ask about physical health.", "" ], [ "1", "", "7.1", "Where concerns about a young person’s physical health are\nidentified, staff members arrange for them to access screening,\nmonitoring and treatment for physical health problems through\nprimary/secondary care services.", "3. Where there are health issues identified these are followed up.\nContact relevant medical professional for further advice/help. Yes\nkeep link with paediatrician and medics. Assessed straight away for\neating issues otherwise signposted to GP.", "" ], [ "1", "", "7.3", "The team, including bank and agency staff, are able to identify\nand manage an acute physical health emergency.", "3. Yes although no physical health examination room in CAMHS\nbuilding height, weight, B/P. Yes e.g. seizure. BLS mandatory\ntraining.", "" ] ], "row_count": 11, "col_count": 6 }, { "headers": [ "2.1.2", "5.3", "Every young person has a written care plan, reflecting their\nindividual needs. Staff members collaborate with young people\nand their parents/carers when developing the care plan and\nthey are offered a copy. The care plan clearly outlines:\n• Agreed intervention strategies for physical and mental health;\n• Measurable goals and outcomes;\n• Strategies for self-management;\n• Any advance directives or statements that the young person\nhas made;\n• Crisis and contingency plans;\n• Review dates and discharge framework.", "1. Never, nothing unfortunately (1), if a child is on medication seen\nregularly, if no medication not really seen at all after initial\ndiagnosis all of the above but haven’t really been told about\ncrisis care so far, excellent thorough, kept informed all the way.\nIf meds are not suited something else is available can phone for\nprescriptions too, (1), seen at each appointment, treatments\nmedication, reviews (1), discussed at every appointment,\ntweaking medication to find the correct one suited to daughter\n(1).\n3. No every young person has a CPA care plan agreed and\nnegotiated in person, parents are consulted during the process.\nWritten into notes and in a letter to referrer and young person. Yes\ncare plans are within clinical letters. Yes and offered a copy. Yes can\ninclude treatment suggestion to prevent exclusion from school and\nother risks. Limited reference to advance directives. Not always\nreview dates." ], "rows": [ [ "2.1.3", "3.5", "All young people have a documented diagnosis and clinical\nformulation. Where a complete assessment is not in place, a\nworking diagnosis and a preliminary formulation is devised.", "3. clinical impression when not seen by medic. Yes, should have\ndiagnosis or clinical impression. No not always (when referring to\nclinical formulation). Yes would have diagnosis if in NDD pathway\notherwise formulation." ], [ "2.1.4", "", "Young people and their parents/carers (with consent, see\nguidance below) are supported to understand the benefits,\nfunctions, expected outcomes, limitations and side effects of\ntheir medications, intervention options and non-intervention\noptions.\nGuidance: This is where the child or young person has\ncapability/ competence to consent.\nHeadMeds or YoungMinds' websites, for example, could be\nused to access this information.", "3. Yes. Yes if on medications. Cannot prescribe medication unless\nparents give consent and are involved." ], [ "", "", "", "" ], [ "2.1.5", "5.1", "All young people know who is co-ordinating their care and how\nto contact them if they have any questions.", "3. Yes. Yes young people may have some limits to options scaled\nfrom complex higher bands see more complex cases-process does\noffer opportunity for 2nd opinion." ] ], "row_count": 4, "col_count": 4 }, { "headers": [ "2.1.6", "", "", "Young people and their parents consistently see the same\nclinician for intervention, unless their preference or clinical\nneed demands otherwise.", "3. No due to short staffing sometimes agency workers leave, small\nteam. Can compromise wishes e.g. for female worker. Don’t always\nhave the capacity to offer this. Agency workers on short term\ncontracts.", "" ], "rows": [ [ "2.1.7", "", "", "There is a mechanism for young people to change their clinician\nif there are problems without prejudicing their access to\ntreatment.\nGuidance: This should be referred to in service information.", "3. Is discussed in MDT meetings but not always possible. And is\npromoted can mean young person has to wait longer to be seen.\ndue to above 2.1.6:\nNo due to short staffing sometimes agency workers leave, small\nteam. Can compromise wishes e.g. for female worker. Don’t always\nhave the capacity to offer this. Agency workers on short term\ncontracts.", "" ], [ "", "", "", "", "", "" ], [ "", "Decisions around the prescribing of medication are collaborative where possible and monitored appropriately", "", "", "", "" ], [ "2.2.1", "", "6.2.1", "When medication is prescribed, specific treatment goals are set\nwith the young person, the risks (including interactions)\nand benefits are reviewed, a timescale for response is set and\nthe young person's consent is recorded.", "3. Yes NDD mostly, treatment goals set with parents. N/A (when\ndiscussed with family therapist). Yes regularly. Yes mostly can be\nhard to gauge response and side effect monitoring. Reviewed 2/3\nweeks.", "" ], [ "2.2.2", "", "6.2.2", "Young people have their medications reviewed regularly.\nMedication reviews include an assessment of therapeutic\nresponse, safety, management of side effects and adherence to\nmedication regime.\nGuidance: Side effect monitoring tools can be used to support\nreviews.", "1. We are still trying to find the correct medication. Dr explained\nside effects and benefits (1), good everything was explained to\nhim from why they were doing health checks to what the\nmedication is for (1), yes all of the above kept well informed (1),\nagain I’m afraid nothing I was on Prozac first but when it was\nchanged my mum didn’t get told how to get me off the Prozac\nshe read up on it herself and reduced them slowly.\n3. Not regularly enough, not adhere to NICE guidelines due to\ncapacity. Yes but impossible when care co-ordinator, info is sent to\nschools. Yes regular session with young person and parents", "" ], [ "2.2.3", "", "", "The safe use of medication is audited, at least annually and at a\nservice level.", "3. N/A (when discussed with family therapist). Don’t know.", "" ] ], "row_count": 6, "col_count": 6 }, { "headers": [ "2.2.4", "", "6.2.4", "For young people who are taking antipsychotic medication, the\nteam maintains responsibility for monitoring their physical\nhealth and the effects of antipsychotic medication for at least\nthe first 12 months or until the young person's condition has\nstabilised, whichever is longer. Thereafter, the responsibility for\nthis monitoring may be transferred to primary care under\nshared care arrangements.", "3. Yes people with CAMHS for four years. Yes unless GP prescribes\nfirst. Yes kept on books full time. Yes bloods. Shared care\nagreements in the process of being adopted. Sarah Vaukins audit\nof meds for shared care pilot", "" ], "rows": [ [ "2.2.5", "", "7.4", "Young people who are prescribed mood stabilisers or\nantipsychotics have the appropriate physical\nhealth assessments at the start of treatment (baseline), at six\nweeks and then every six months unless a physical health\nabnormality arises.", "3. Yes, NICE guidelines-need paediatrician for those with concerns.\nMost commonly bloods, yes with autism.", "" ], [ "2.2.6", "", "6.2.3", "Young people, parents/carers and prescribers can contact a\nspecialist pharmacist to discuss medications.", "3. Recently, access to pharmacist 1 day per week, usually discuss\nwith medics. Take to team members.", "" ], [ "", "Staff provide support and guidance to enable young people and their parents/carers to help themselves", "", "", "", "" ], [ "2.3.1", "", "1", "Where appropriate, young people are offered personalised\nhealthy lifestyle interventions, such as advice on\nhealthy eating, physical activity and access to smoking cessation\nservices. This is documented in the young person's care plan.", "1. No, never (1), encouraged to keep healthy, fit, and to go out each\nday for fresh air (1), no all health checks came back very good,\nthere was no need for information on this (1), no (1).\n3. signpost to dietician, gym. Yes but not always applicable, Yes. Yes\nsignpost to tier 1 and 2 services classes in sport. Refer and signpost\nadvice on healthy lifestyle, eating and sleep hygiene.", "" ], [ "2.3.2", "", "2", "Young people and parents/carers are guided in self-help\napproaches where appropriate.\nGuidance: This may include those waiting between assessment\nand treatment.", "3. Yes, as care coordinator refer for self-help and advice where\nnecessary. Could do more.", "" ] ], "row_count": 5, "col_count": 6 }, { "headers": [ "2.3.3", "", "2", "The team provides information, signposting and\nencouragement to young people to access local organisations\nfor peer support and social engagement such as:\n• Voluntary organisations;\n• Community centres;\n• Local religious/cultural groups;\n• Peer support networks;\n• Recovery colleges.", "1. No but I would have loved that, I even said to my mum recently is\nthere any way I can go back to speech therapy, I don’t have\nfriends so that would have been great for me (1), None (1), no as\nhe has a good group of supportive friends (1), my daughter was\noffered group sessions which she declined (1).\n3. Yes cruse, motiv 8, not proactive or have capacity to develop\nmore community links. Ask young people to check themselves. Yes\nleaflets, school counselling service, QWELL-online support, Ilse\nlisten.", "" ], "rows": [ [ "", "Efforts are made actively to support and engage parents/carers", "", "", "", "" ], [ "2.4.1", "", "1", "Parents/carers are involved in discussions and decisions about\nthe young person’s care, treatment and discharge planning.", "3. Yes, always unless young person 16+who says no exceptions are\nany risk issues. Yes, whenever can. Yes unless a good reason not to.", "" ], [ "2.4.2", "", "1", "Parents/carers are supported to access a statutory carers'\nassessment, provided by an appropriate agency.\nGuidance: This advice is offered at the time of the young\nperson’s initial assessment, or at the first opportunity.", "3. No-is a UK initiative. Early help and support (EHAS).", "" ], [ "2.4.3", "", "2", "Parents/carers are offered individual time with staff members\nto discuss concerns, family history and their own needs.", "1. No when the time came to go my mum would ask to speak on her\nown, she would be in there for five mins. and came out fuming,\noffer a service where the parents can have an app to themselves\n(1), No individual time no to carer support groups, yes advice (1),\nyes our opinions were asked, we were offered information on all\naspects of his care (1), always involved (1).\n3. Yes , if time allows. Documented as 3rd party information. Utilise\nduty and care coordinator. Yes, sometimes case specific depends\non needs and capacity issues. Very child focused no culture of\noffering support for parents.", "" ], [ "2.4.4", "", "2", "The team provides each parent/carer with accessible carer’s\ninformation.\nGuidance: Information is provided verbally and in writing (e.g.\ncarer's pack). This includes: - The names and contact details of\nkey staff members in the team and who to contact in\nan emergency; - Local sources of advice and support such as\nlocal carers' groups, carers' workshops and relevant charities.", "3. NDD-pack for autism and local support group, parenting group\nfor ADHD. No. Can request information. Information pack after\npositive diagnosis, leaflets ASD information packs, information\npacks for tics.", "" ] ], "row_count": 5, "col_count": 6 }, { "headers": [ "2.4.5", "", "3", "The service actively encourages parents/carers to attend carer\nsupport networks or groups. There is a designated staff\nmember to support carers.", "3. Used to have psychoeducation groups, parent support groups.\nYes. No designated staff member.", "" ], "rows": [ [ "", "Outcome Measurement is routinely undertaken", "", "", "", "" ], [ "2.5.1", "", "1", "Clinical outcome measurement data, including progress against\nuser-defined goals, is collected\nas a minimum at assessment, after six months, 12 months and\nthen annually until discharge. Staff can access this data.", "3. No, not routine. Goal based outcomes-no team culture of using\noutcome measures such as OSCA/HONOS. OCSA loose use. No the if\nspecific database. GAD7 available but not used for younger people.", "" ], [ "2.5.2", "", "2", "Staff members review young people's progress against self-\ndefined goals in collaboration with the\nyoung person at the start of treatment, during clinical review\nmeetings and at discharge.", "3. Rate using SUDS, generic measures, CDT for those with\naspergers. Yes CPA meetings. Yes, recorded in progress notes.", "" ], [ "2.5.3", "", "2", "The service's clinical outcome data are reviewed at least every\nsix months. The data is shared with\ncommissioners, the team, young people and parents/carers,\nand used to make improvements to the service.", "3. No, not routinely. Some statistical data is collected but not\nreviewed.", "" ] ], "row_count": 4, "col_count": 6 }, { "headers": [ "8.1.2", "", "2", "There is sufficient car parking space for visitors, including\nallocated spaces for disabled access.", "1. We drove, parking was limited, finding a bus may have been\nmore difficult (1), parking can be tight, lack of car spaces (1).\n2. Some but limited disabled parking spaces. Ramp for access by\nwheelchair. Width of door would make access to building very\ndifficult. Corridors and door ways within building would make it\ndifficult to access in wheelchair. After of the half-fifth if", "" ], "rows": [ [ "8.1.3", "", "1", "The environment complies with current legislation on disabled\naccess.\nGuidance: Relevant assistive technology equipment, such as\nhoists and handrails, are provided to meet individual needs and\nto maximise independence.", "1. Do not need disabled access so can’t comment on that (1).\n3. No, difficult access. Handrail in one toilet.", "" ], [ "", "", "", "", "", "" ], [ "", "Environments in which CAMH services are delivered are managed so that the rights, privacy and dignity of young people and their parents/carers are", "", "", "", "" ], [ "", "respected", "", "", "", "" ], [ "8.2.1", "", "2", "The service environment is clean, comfortable and welcoming.", "1. Clean yes-but feel they could give CAMHS a proper building.\nStaff are welcoming and yes rooms are private. Waiting room\nsmall (1), comfortable, the hot drinks are a good idea help you\nfeel relaxed (1), very clean, all staff lovely. Such a calming\nenvironment (1).\n3. Yes, reasonably clean, reception okay, rooms not fit for purpose,\ncan hear, No PC’s in some rooms, some rooms close to waiting\narea-conversations can be overheard, Mice and rat droppings\nhave been found. Limited staff space. People can over hear.\nWaiting room not spacious enough, sometimes people standing.\nNo.", "" ], [ "8.2.2", "", "2", "CAMHS practitioners have access to large and small rooms\nsuitable for individual and family consultations.", "3. Yes rooms are small but there are some larger rooms for seeing\nfamilies and groups but these are limited.", "" ], [ "8.2.3", "", "1", "Clinical rooms are private and conversations cannot be easily\nover-heard.", "3. No", "" ], [ "8.2.4", "", "2", "Waiting areas are sufficiently spacious and young person-\nfriendly.\nGuidance: Play and reading materials are age- and\ndevelopmentally-appropriate for the whole age range.", "3. No", "" ] ], "row_count": 8, "col_count": 6 }, { "headers": [ "8.2.5", "", "1", "All information, including audio and visual material, about the\nyoung person is kept in accordance with current legislation.\nGuidance: Staff members ensure that no confidential data is\nvisible beyond the team by locking cabinets\nand offices, using swipe cards and having password protected\ncomputer access.", "3. Records are electronic. If any paper records scanned and\nuploaded to electronic files. There is a key code on the front door.", "" ], "rows": [ [ "8.2.6", "", "1", "Staff members are easily identifiable (for example, by wearing\nappropriate identification).", "3. Staff wear ID badges.", "" ], [ "", "CAMH services are delivered in safe environments", "", "", "", "" ], [ "8.3.1", "", "1", "If teams see young people at their team base, the entrances\nand exits are visibly monitored and/or access is restricted.", "3. No, receptionist is in place. Windows have locks.", "" ], [ "8.3.2", "", "2", "The team base is securely separated from adult services.\nGuidance: There are separate areas and entrances for adult and\nCYP services, and access to CYP services is restricted.", "3. Separate from adult services in portacabin away from other\nservices. Adjoins occupational health building.", "" ], [ "8.3.3", "", "1", "An audit of environmental risk is conducted annually, and a risk\nmanagement strategy is agreed.\nWhen consultation takes place in a new setting, staff carry out a\nrisk assessment regarding the safety of the environment\nand its suitability for meeting the needs of the consultation.", "3. *No, not known to the. Some risk assessment carried out when\nconsultation in young persons home.", "" ], [ "8.3.4", "", "2", "CAMH services provide low-stimulation environments for young\npeople who require them, including designated quiet areas.\nGuidance: For example, waiting areas are kept tidy or materials\ncan be easily put away; there is access to low stimulation areas\nfor ‘quiet time’ if necessary; this is particularly\nrelevant for services working with learning disabilities.", "3. Yes, ADOS room, observation for ADHD/autism.", "" ], [ "8.3.5", "", "1", "There is an alarm system in place (e.g. panic buttons or\npersonal alarms) and this is easily accessible for young\npeople, parents/carers and staff members.", "3. No, no provision.", "" ], [ "8.3.6", "", "1", "A collective response to alarm calls and fire drills is agreed\nbefore incidents occur. This is rehearsed at least annually.", "3. Yes, fire drill and fire alarm testing completed.", "" ] ], "row_count": 8, "col_count": 6 }, { "headers": [ "8.3.7", "", "1", "Emergency medical resuscitation equipment (crash bag) is\naccessible as required by Trust/organisation\nguidelines, and is maintained and checked weekly, and after\neach use. The team know the location of the resuscitation\nequipment.", "3. No", "" ], "rows": [ [ "", "Staff have sufficient office facilities and IT systems", "", "", "", "" ], [ "8.4.1", "", "2", "Staff report they have sufficient space to complete\nadministrative work. Guidance: Staff can\naccess suitable space to make confidential phone calls.", "3. No, offices crowded, 3 per office, one office 4 and another 6 with\nminimal ventilation. Yes, only sufficient. Not enough rooms for\ninterviews. Desk and phone on desks available.", "" ], [ "8.4.2", "", "1", "There are sufficient IT resources (e.g. computer terminals) to\nprovide all practitioners with easy access to key information,\ne.g. information about services/conditions/ treatment, young\npeople's records, clinical outcome and service performance\nmeasurements.", "3. Yes all team members have PC and internet access. Not in clinical\nrooms, teams meeting required but no video calls.", "" ], [ "Any other comments", "", "", "", "", "" ], [ "1. I feel there is not enough support after a diagnosis if you do not want medication for certain conditions. Also why will doctors not share the care\nto get prescriptions from? (1), everyone was very helpful and approachable (1),\n2. Risk assessment tool would be useful, we have a concern that sometimes CAMHS signpost to other service (listening service or E.P) without\nknowing or understanding their role or capacity; this can sometimes be inappropriate, often in school we feel frustrated that CAMHS do not seek\nfeedback or have discussion with school. Sometimes the view of a parent/child is taken as factual when this may not always be the case. Whilst\nwe understand how busy CAMHS are, we do struggle to get CAMHS representation at multi-disciplinary meetings. We would also appreciate\nmuch greater levels of discussion before a case is closed to CAMHS as thee is often no consultation at all. It sometimes appears that consent to\nshare information with school is not discussed in initial appointments, so often we do not get copied in to letters or reports and have to chase\nparents to contact CAMHS to expressly give their consent. As a more general concern, we have seen the erosion of therapeutic services offered\nby CAMHS and it appears that medication is often the first solution considered (1). Why do you ask me what information and feedback your\nservice provides? Why not ask the people who are running the service? My opinion is that your referral criteria are too narrow and it all takes too\nlong (1).\n2. I had no other information/signposting provided however, this would have been very useful especially considering this referral has been on the\nwaiting list for so long. It would be good to have some idea if possible of timeframes on referral and also maybe a way of contact to ensure they\nare still on the waiting list (how far they are) and that they haven’t been lost. Totally appreciate how busy the service is but this would make the\nreferral feel more meaningful if we could see it progressing in a system even (1).\n2. Schools often refuse to take responsibility. I’m sorry to say that CAMHS service is not fit for purpose and I have little faith in its safety and", "", "", "", "", "" ] ], "row_count": 5, "col_count": 6 } ] }, { "case_id": 2074050, "title": "covid query", "authority": "Manx Care", "date_received": "2021-11-05", "outcome": "Some information sent but part exempt", "summary": "The requester asked for monthly hospital admission and death statistics from 2018 to 2021, updated influenza and pneumonia data, and information regarding blood donation policies for vaccinated individuals. Manx Care provided the requested statistical tables and clarified that blood donation guidelines are publicly available, while noting that blood products are screened and filtered.", "key_facts": [ "Total hospital admissions and deaths were provided on a monthly basis for the years 2018, 2019, 2020, and 2021.", "Updated annual figures for influenza and pneumonia hospitalizations and deaths were released for the period 2010 to 2021.", "The authority stated that information regarding blood donation for vaccinated individuals is already reasonably accessible via the government website.", "All blood products are screened for blood-borne viruses, filtered to remove white cells, and have plasma removed before use.", "The response was issued on December 2nd, 2021, following a request received on November 5th, 2021." ], "data_mentioned": [ "2074050", "2030381", "1861725", "2018-2021", "2010-2021", "1807", "1563", "693", "35", "29", "78", "111", "424", "73", "2021-11-05", "2021-12-02" ], "exemptions_cited": [ "Section 20 of the Act (Information already reasonably accessible)" ], "tables": [ { "headers": [ "Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec" ], "rows": [ [ "2018 1807 1563 1807 1639 1753 1761 1943 1910 1869 1976 1827 1601" ], [ "2019 1800 1698 1773 1794 1840 1710 1923 1847 1892 1956 1815 1726" ], [ "2020 1714 1639 1362 693 870 1067 1319 1433 1695 1779 1828 1631" ], [ "2021 1529 1677 1569 1614 1680 1788 1684 1638 1764 1652" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec" ], "rows": [ [ "2018 35 29 36 27 29 32 23 18 24 22 25 26" ], [ "2019 25 14 19 19 32 26 35 23 25 23 26 30" ], [ "2020 51 28 18 32 28 25 20 27 16 33 31 22" ], [ "2021 26 24 35 29 18 20 32 26 30 30 27" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Year Admissions Deaths" ], "rows": [ [ "2010 2 0" ], [ "2011 2 0" ], [ "2013 1 0" ], [ "2014 3 0" ], [ "2016 8 0" ], [ "2017 14 0" ], [ "2018 89 4" ], [ "2019 34 0" ], [ "2020 1 0" ], [ "2021 3 0" ] ], "row_count": 10, "col_count": 1 }, { "headers": [ "Year Admissions Deaths" ], "rows": [ [ "2010 357 78" ], [ "2011 379 111" ], [ "2012 352 91" ], [ "2013 389 81" ], [ "2014 389 99" ], [ "2015 411 86" ], [ "2016 560 80" ], [ "2017 701 115" ], [ "2018 716 116" ], [ "2019 344 37" ], [ "2020 77 16" ], [ "2021 424 73" ] ], "row_count": 12, "col_count": 1 } ] }, { "case_id": 2074149, "title": "Stroke", "authority": "Manx Care", "date_received": "2021-11-05", "outcome": "All information sent", "summary": "The requester asked Manx Care for updated statistics on stroke and heart attack admissions at Noble's Hospital from March 2019 to November 2021. Manx Care provided the full dataset in an appendix, noting a potential undercount for 2020 due to a backlog in clinical coding.", "key_facts": [ "The request covered admissions for strokes, heart attacks, and elevated blood pressure from March 2019 to November 2021.", "Manx Care reported a considerable backlog of uncoded consultant episodes from 2020 which may result in lower recorded numbers for that period.", "The data provided includes monthly breakdowns for various specific diagnoses such as cerebral infarction and myocardial infarction.", "The total number of recorded events across all listed diagnoses for the period reached 396.", "The response was issued on November 24, 2021, following a request received on November 5, 2021." ], "data_mentioned": [ "396", "2021-11-24", "2021-11-05", "2019", "2020", "2021", "March 2019", "November 2021", "2074149", "1931457" ], "exemptions_cited": [], "tables": [ { "headers": [ "Primary\nDiagnosis", "d\ne\nific\ne\np\ns\nn\nu\n,n\no\nitc\nra\nfn\ni\nla\nid\nra\nc\no\ny\nm\ne\ntu\nc\nA", "n\no\nitc\nra\nfn\ni\nla\nid\nra\nc\no\ny\nm\nla\nid\nra\nc\no\nd\nn\ne\nb\nu\ns\ne\ntu\nc\nA", "fo\nn\no\nitc\nra\nfn\ni\nla\nid\nra\nc\no\ny\nm\nla\nru\nm lla\ns\nnw\na\nrt ro\ne ire\ntu\nc tn\nAa", "fo\nn\no\nitc\nra\nfn\ni\nla\nid\nra\nc\no\ny\nm\nla\nru\nm\ns lla\nn a w\nrt ro\ne tu ire\nc fn\nA i", "fo\nn\no\nitc\nra\nfn\ni\nla\nid\nra\nc\no\ny\nm\nla\nru\nm\ns n a rt s e tis\ne tu re\nh\nc Ato", "fo\nn\no\nitc\nra\nfn\ni\nla\nid\nra\nc\no\ny\nm\nla\nru e\ntis\nm\ns d\nne\na ific\nrt\ne e\ntu p\ns\ncn\nAu", "fo\nm\ns\nilo\nb\nm\ne\no\nt\ne\nu\nd\nn\no\nitc s e\nra ire\nfn tra\ni\nla la\nrbrb\nee\nrere\nCc", "fo\ns\nis\no\nb\nm\no\nrh\nt\no\nt\ne\nu\nd\nn\no\nitc s e\nra ire\nfn tra\ni\nla la\nrbrb\nee\nrere\nCc", "s\ne\nd ire\ne\nific tra\ne la\np s rb\nn u e re\no t c\ne fo\nu\nd s is\nn o itc o n e\nra ts\nfn ro\ni la n o\nrb is\ne re u lc\nc\nCo", "s\ne\nire\ntra\nd\ne\nific la\nrb\ne p s 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and economic impact on the Isle of Man between 2017 and 2021 was refused because the Department of Health and Social Care does not hold the information.", "key_facts": [ "The Department of Health and Social Care refused the request under Section 11(3)a of the Act as the information is not held.", "The Department was redesigned on 1 April 2021 following Sir Jonathan Michael's Independent Review.", "The redesign separated policy setting from care delivery, with Manx Care now responsible for service delivery.", "The response directed the requester to other departments including Treasury, Manx Care, and the Cabinet Office for specific data points.", "No specific statistics or financial figures regarding stress and anxiety were disclosed in this response." ], "data_mentioned": [ "2017", "2021-11-25", "2021-12-21", "1 April 2021", "Section 11(3)a" ], "exemptions_cited": [ "Section 11(3)a of the Act (Information not held)" ], "tables": [ { "headers": [ "Request", "Department" ], "rows": [ [ "Between January 2017 to present day what percentage of the\noverall population has been signed of work due to stress\nand/or anxiety?", "Treasury (Social\nSecurity)" ], [ "How many people on the Isle of Man have been diagnosed\nwith stress and/or anxiety from January 2017 to present date,\nbroken down by year?", "Manx Care" ], [ "Of these how many were given a prescription for medication?", "Manx Care" ], [ "How many work days have been lost due to stress and/or\nanxiety in the same time frame broken down the same way?", "Treasury (Social\nSecurity)" ], [ "Again, using the same time frame and break down what was\nthe financial burden on the Manx NHS due to stress and/or\nanxiety and what percentage was it of the overall budget?", "Manx Care" ], [ "What is the estimated cost of stress and/or anxiety on the\nlocal economy when considering working days lost in this time\nframe?", "Treasury (Social\nSecurity)" ], [ "What percentage of all work absence on island is\nstress/anxiety related within this time frame?", "Treasury (Social\nSecurity)" ], [ "Are the currently any local public health campaigns to address\nthe issue of stress?", "Cabinet Office (Public\nHealth)" ], [ "Finally what, if any, is the Isle of Man's general\npolicy/guidance for doctors to diagnose and treat stress? (i.e.\nare they free to make individual decisions on what constitutes\nexcess stress and once a diagnoses has been made are they\nfree to suggest any medication or course of action they deem\nappropriate or do they have to work within a preordained\nframework?)", "Manx Care" ] ], "row_count": 9, "col_count": 2 } ] }, { "case_id": 2115694, "title": "Remdesivir and hospital codes add-on payment", "authority": "Manx Care", "date_received": "2021-11-26", "outcome": "Some information sent but not all held", "summary": "The requester asked for updated Remdesivir usage statistics and details on add-on payments for specific hospital codes. Manx Care provided a usage table but confirmed they do not receive add-on payments for Remdesivir or other specific codes.", "key_facts": [ "Manx Care does not receive 'add-on payments' to assist with costs for Remdesivir or other specific hospital codes.", "The authority provided a breakdown of Remdesivir usage from January 2020 to November 2021.", "The highest monthly usage of Remdesivir powder occurred in March 2021 with 191 units.", "The total usage of Remdesivir powder for the period was 675 units.", "The total usage of Remdesivir concentrate for the period was 6 units." ], "data_mentioned": [ "January 2020 - November 2021", "675", "6", "191", "170", "98", "82", "57", "54", "13", "6", "3", "1", "0", "U07.1", "ICD-10-PCS", "NCTAP", "2115694", "1968394" ], "exemptions_cited": [ "Information not held" ], "tables": [ { "headers": [ "Period", "REMDESIVIR 100mg POWDER FOR\nCONC. FOR SOLN FOR INFUSION1", "REMDESIVIR 100mg/20mL CONC.\nFOR SOLUTION FOR INFUSION(1)" ], "rows": [ [ "Jan.10 - Oct.20", "0", "0" ], [ "Nov.20", "3", "6" ], [ "Dec.20", "6", "0" ], [ "Jan.21", "13", "0" ], [ "Feb.21", "0", "0" ], [ "Mar.21", "191", "0" ], [ "Apr.21", "1", "0" ], [ "May.21", "0", "0" ], [ "Jun.21", "0", "0" ], [ "Jul.21", "82", "0" ], [ "Aug.21", "170", "0" ], [ "Sep.21", "57", "0" ], [ "Oct.21", "98", "0" ], [ "Nov.21", "54", "0" ], [ "Total", "675", "6" ] ], "row_count": 15, "col_count": 3 } ] }, { "case_id": 2121654, "title": "Anaphylaxis", "authority": "Manx Care", "date_received": "2021-12-01", "outcome": "All information sent", "summary": "The requester asked for monthly figures on emergency department attendances and hospital admissions for anaphylaxis and allergic reactions from 2019 to December 2021. Manx Care disclosed total attendance statistics by diagnosis group and confirmed 15 inpatient admissions for specific allergic reactions, noting that broader 'allergic reaction' data was too general to capture for admissions.", "key_facts": [ "The request covered the period from 01.01.2019 to 21.12.2021.", "Manx Care split the response into AED Attendees and Inpatient Admissions.", "There were 15 patients admitted to Nobles Hospital under specific allergic reaction diagnosis fields.", "The authority stated that 'some form of allergic reaction' was too general to capture for admission data.", "Total AED attendances for allergic reaction diagnosis groups were 853." ], "data_mentioned": [ "2019-2021", "01.01.19 to 21.12.21", "15 patients", "853 total attendances", "67 Anaphylaxis", "22 Hayfever", "69 Drug reaction", "17 Allergic reaction Diagnosis Group", "655 Other allergic reaction", "23 ACEI related angioedema" ], "exemptions_cited": [], "tables": [ { "headers": [ "AED Attendances Allergic reaction Diagnosis Group" ], "rows": [ [ "17 ACEI related angioedema" ], [ "67 Anaphylaxis" ], [ "Angio-oedema :-\n23 acquired C1 esterase inhibitor deficiency OR\nhereditary C1 esterase inhibitor deficiency" ], [ "69 Drug reaction" ], [ "22 Hayfever" ], [ "655 Other allergic reaction" ], [ "853 TOTAL" ] ], "row_count": 7, "col_count": 1 } ] }, { "case_id": 2123353, "title": "2123353 Stillbirths, miscarriages and preterm births", "authority": "Manx Care", "date_received": "2021-12-01", "outcome": "All information sent", "summary": "The requester asked for monthly figures on stillbirths, miscarriages, and preterm births at Noble's Hospital from 2019 to December 2021. Manx Care responded by providing the complete annual and monthly statistical data for all three categories as requested.", "key_facts": [ "The request was received on 1 December 2021 and the response was issued on 31 December 2021.", "Total births at Noble's Hospital were 696 in 2019, 648 in 2020, and 640 in 2021.", "There were 46 preterm births (before 37 weeks) in 2019, 48 in 2020, and 44 in 2021.", "Stillbirths recorded were 2 in 2019, 0 in 2020, and 3 in 2021.", "Miscarriages totaled 172 in 2019, 158 in 2020, and 68 in 2021." ], "data_mentioned": [ "696", "648", "640", "46", "48", "44", "2", "0", "3", "172", "158", "68", "2019", "2020", "2021", "2021-12-01", "2021-12-31", "2123353", "2116225" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "2019", "2020", "2021 to\ndate" ], "rows": [ [ "Births", "696", "648", "640" ], [ "Births before 37 weeks", "46", "48", "44" ], [ "Stillborn(at delivery)", "2", "0", "3" ], [ "Miscarriage", "172", "158", "68" ] ], "row_count": 4, "col_count": 4 }, { "headers": [ "", "2019", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec", "Total" ], [ "Births", "57", "51", "51", "65", "66", "47", "59", "50", "66", "59", "61", "64", "696" ], [ "Births before 37 weeks", "3", "4", "3", "4", "7", "2", "0", "3", "7", "3", "3", "7", "46" ], [ "Stillborn(at delivery)", "0", "0", "0", "0", "0", "0", "0", "0", "2", "0", "0", "0", "2" ] ], "row_count": 4, "col_count": 14 }, { "headers": [ "", "2020", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec", "Total" ], [ "Births", "48", "48", "60", "55", "61", "65", "63", "47", "52", "56", "43", "50", "648" ], [ "Births before 37 weeks", "5", "6", "4", "3", "4", "1", "4", "4", "3", "7", "1", "6", "48" ], [ "Stillborn(at delivery)", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0" ] ], "row_count": 4, "col_count": 14 }, { "headers": [ "", "2021 to date", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec", "Total" ], [ "Births", "47", "56", "58", "62", "66", "45", "51", "61", "67", "68", "46", "13", "640" ], [ "Births before 37 weeks", "4", "6", "4", "2", "7", "2", "1", "7", "2", "5", "3", "1", "44" ], [ "Stillborn(at delivery)", "1", "1", "0", "0", "0", "0", "0", "0", "0", "1", "0", "0", "3" ] ], "row_count": 4, "col_count": 14 } ] }, { "case_id": 2123453, "title": "Cancer rates", "authority": "Manx Care", "date_received": "2021-12-01", "outcome": "Some information sent but not all held", "summary": "A request for cancer admission, diagnosis, and breast clinic scan data was partially fulfilled by Manx Care, which provided revised admission figures and scan counts but refused to provide total diagnosis numbers as the data was not held.", "key_facts": [ "Manx Care provided monthly hospital admission data for cancer from 2019 to 2021, excluding Oncology Day Unit and Endoscopy to ensure consistency.", "The authority refused to provide total annual cancer diagnoses from 2017-2021 because they do not hold all the data and creating it would violate the Act.", "Requesters were advised to contact the Cabinet Office for Cancer Incidence Reports which use 3-year rolling averages.", "Breast clinic data provided represents US/MG exams performed rather than appointment numbers, covering the period from January 2019 to December 2021.", "A significant increase in reported activity in April 2021 was attributed to changes in coding methodology." ], "data_mentioned": [ "2019-2021", "2017-2021", "382", "72", "481", "937", "2,018", "7,226", "01.01.19", "23.12.21", "1st April 2021", "2021-12-01", "2021-12-30", "11 January 2022" ], "exemptions_cited": [ "Section 8(3) of the Freedom of Information Act 2015 (information not held)", "Section 11(3)(b) of the Freedom of Information Act 2015 (requirement to create or derive information)" ], "tables": [ { "headers": [ "No. of Admissions 2019 2020 2021", "", "", "", "Total" ], "rows": [ [ "Jan", "32", "8", "", "40" ], [ "Feb 40 14 4", "", "", "", "58" ], [ "Mar", "40", "5", "18", "63" ], [ "Apr 43 12 57", "", "", "", "112" ], [ "May", "52", "", "53", "105" ], [ "Jun 38 3 65", "", "", "", "106" ], [ "Jul", "34", "11", "52", "97" ], [ "Aug 26 7 68", "", "", "", "101" ], [ "Sep", "14", "3", "46", "63" ], [ "Oct 20 5 43", "", "", "", "68" ], [ "Nov", "16", "", "54", "70" ], [ "Dec 27 4 21", "", "", "", "54" ], [ "Total 382 72 481", "", "", "", "937" ] ], "row_count": 13, "col_count": 5 } ] }, { "case_id": 2131314, "title": "2131314 Heart Attacks/problems 2015-2021", "authority": "Manx Care", "date_received": "2021-12-07", "outcome": "Some information sent but not all held", "summary": "The requester asked for monthly totals of all cardiac events on the Isle of Man from 2015 to 2021, including community cases. Manx Care disclosed monthly discharge episode data with 'Cardiac Event' as the primary diagnosis for Noble's and Ramsey hospitals but withheld community data due to lack of collation and excessive compilation costs.", "key_facts": [ "Community cardiac data is not currently collated by Manx Care.", "The provided data covers discharge episodes with 'Cardiac Event' as the primary diagnosis only.", "The data excludes archived patients and private patients.", "There is a significant backlog of uncoded consultant episodes from 2020 affecting the accuracy of that year's figures.", "Manx Care cited Section 8(3) and Section 11(3)(b) of the Freedom of Information Act 2015 to refuse the full request." ], "data_mentioned": [ "2015 total: 1277", "2016 total: 1039", "2017 total: 994", "2018 total: 955", "2019 total: 649", "2020 total: 102", "2021 total: 729", "Request received: 2021-12-07", "Response date: 2022-02-10", "Case ID: 2131314" ], "exemptions_cited": [ "Section 8(3) - Substantial compilation or collation of information", "Section 11(3)(b) - Information not held" ], "tables": [ { "headers": [ "Month /\nYear", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec", "Total" ], "rows": [ [ "2015", "115", "96", "112", "124", "104", "101", "97", "107", "123", "119", "100", "79", "1277" ], [ "2016", "90", "109", "113", "93", "84", "64", "82", "69", "82", "75", "93", "85", "1039" ], [ "2017", "82", "71", "83", "74", "89", "85", "98", "80", "90", "95", "79", "68", "994" ], [ "2018", "78", "75", "63", "84", "84", "72", "93", "88", "78", "87", "81", "72", "955" ], [ "2019", "67", "68", "97", "87", "86", "62", "36", "50", "28", "30", "26", "12", "649" ], [ "2020", "13", "18", "6", "17", "8", "7", "5", "9", "6", "3", "5", "5", "102" ], [ "2021", "5", "9", "32", "91", "91", "97", "73", "83", "98", "72", "56", "22", "729" ] ], "row_count": 7, "col_count": 14 } ] }, { "case_id": 2132845, "title": "2132845 Dexamethasone usage 2015-2021", "authority": "Manx Care", "date_received": "2021-12-07", "outcome": "All information sent", "summary": "The requester asked for monthly dosage and volume data for Dexamethasone usage between 2015 and 2021. Manx Care provided monthly issue volumes for Nobles Hospital but noted that specific dose sizes for Primary Care were unavailable.", "key_facts": [ "The request was received on 7 December 2021 and responded to on 6 January 2022.", "Data was provided for Dexamethasone issues by Nobles Hospital from 2015 to 2021.", "Primary Care data was limited to issue counts as the size of doses was not available.", "The response included a table with monthly figures for each year requested.", "The requester was informed of their right to an internal review or appeal to the Information Commissioner." ], "data_mentioned": [ "2015", "2021", "238", "211", "258", "221", "248", "252", "279", "245", "222", "273", "236", "268", "2132845", "2022-01-06", "2021-12-07" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec" ], "rows": [ [ "2015", "238", "211", "258", "221", "248", "252", "279", "245", "222", "273", "236", "268" ], [ "2016", "211", "211", "240", "222", "211", "220", "248", "206", "236", "229", "233", "227" ], [ "2017", "259", "240", "284", "227", "262", "257", "256", "254", "241", "228", "226", "243" ], [ "2018", "238", "197", "233", "193", "231", "223", "274", "238", "218", "246", "250", "233" ], [ "2019", "245", "221", "229", "209", "259", "266", "241", "273", "297", "240", "248", "242" ], [ "2020", "250", "220", "219", "173", "177", "181", "205", "210", "260", "274", "230", "228" ], [ "2021", "202", "212", "222", "197", "209", "203", "202", "209", "250", "206", "", "" ] ], "row_count": 7, "col_count": 13 } ] }, { "case_id": 2132846, "title": "2132846 Organ failures 2015-2021", "authority": "Manx Care", "date_received": "2021-12-07", "outcome": "Some information sent but not all held", "summary": "The requester asked for monthly organ failure statistics from 2015-2021 cross-referenced with COVID-19 status and specific medications, but Manx Care only provided annual admission totals by organ type for Nobles Hospital, stating they could not derive the requested medication links.", "key_facts": [ "Manx Care could not provide data linking organ failures to Remdesivir or Midazolam administration as it would require creating new information.", "The provided data covers annual admissions to Nobles Hospital for respiratory, hepatic, renal, and multi-organ failures between 2015 and 2021.", "A significant backlog of uncoded clinical episodes from 2020 may have resulted in lower reported numbers for that year.", "No records were found for 'Multisystem Inflammatory syndrome linked to cov-2' in the search.", "The request was partially fulfilled with an outcome of 'Some information sent but not all held'." ], "data_mentioned": [ "2015-2021", "37 respiratory admissions in 2015", "267 renal admissions in 2015", "326 total admissions in 2015", "763 total admissions in 2018", "86 total admissions in 2020", "579 total admissions in 2021", "2021-12-07", "2022-02-03", "2132846" ], "exemptions_cited": [ "Section 8(3) of the Freedom of Information Act 2015 (creating or deriving information)", "Section 11(3)(b) of the Freedom of Information Act 2015" ], "tables": [ { "headers": [ "Year Respiratory Hepatic Renal Multi organ Total\nAdmissions Admissions Admissions Admissions" ], "rows": [ [ "2015 37 18 267 4 326" ], [ "2016 58 8 285 2 353" ], [ "2017 120 27 494 5 646" ], [ "2018 213 16 522 12 763" ], [ "2019 105 10 257 4 376" ], [ "2020 20 1 62 3 86" ], [ "2021 116 31 430 2 579" ] ], "row_count": 7, "col_count": 1 } ] }, { "case_id": 2138109, "title": "2138109 Cancer Statistics 2010-2019", "authority": "Manx Care", "date_received": "2021-12-09", "outcome": "Information not held", "summary": "The requester asked for annual cancer incidence, mortality, prevalence, and survival statistics for the Isle of Man from 2010 to 2019, split by gender. The authority responded that the specific incidence data requested is not held, though they provided a mortality report containing total death figures and cancer-related statistics for 2018 and 2019.", "key_facts": [ "The requested cancer incidence data has not been released since 2005.", "The authority provided mortality statistics for 2018 and 2019 instead of the full 2010-2019 range.", "In 2018, there were 919 registered deaths, with 457 males and 462 females.", "In 2019, there were 840 registered deaths, with 419 males and 421 females.", "Cancer and circulatory diseases combined accounted for 55% of all deaths in both 2018 and 2019." ], "data_mentioned": [ "2010-2019", "2018", "2019", "919 registered deaths", "457 males", "462 females", "840 registered deaths", "419 males", "421 females", "75 years", "81 years", "77 years", "1055.2 per 100,000", "975.2", "964.6 per 100,000", "918.0", "55%", "43.5%", "44.3%", "10%", "8.6%", "1.1%", "2005", "2006", "2015", "2017", "836" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Male", "Female", "Total" ], "rows": [ [ "2010", "235", "319", "554" ], [ "2011", "280", "295", "575" ], [ "2012", "228", "298", "526" ], [ "2013", "250", "266", "516" ], [ "2014", "232", "306", "538" ], [ "2015", "228", "331", "559" ], [ "2016", "259", "327", "586" ], [ "2017", "245", "326", "571" ], [ "2018", "268", "348", "616" ], [ "2019", "256", "307", "563" ] ], "row_count": 10, "col_count": 4 }, { "headers": [ "Area", "2018", "", "2019", "" ], "rows": [ [ "", "Male", "Female", "Male", "Female" ], [ "Isle of Man", "1,228.6", "904.4", "1,135.9", "834.0" ], [ "England", "1,111.0", "831.4", "1,071.2", "792.8" ], [ "Jersey", "1,040.0", "750.0", "982.0", "696.0" ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "Year", "Rate", "95% Confidence Interval", "" ], "rows": [ [ "", "", "Lower Limit", "Upper Limit" ], [ "2008", "1,200.4", "1,083.6", "1,317.1" ], [ "2014", "1,162.9", "1,045.5", "1,280.3" ], [ "2018", "1,228.6", "1,116.0", "1,341.3" ], [ "2019", "1,135.9", "1,027.1", "1,244.7" ] ], "row_count": 5, "col_count": 4 }, { "headers": [ "Year", "Rate", "95% Confidence Interval", "" ], "rows": [ [ "", "", "Lower Limit", "Upper Limit" ], [ "2008", "916.3", "829.4", "1,003.2" ], [ "2014", "899.3", "814.0", "984.5" ], [ "2018", "904.4", "821.9", "986.9" ], [ "2019", "834.0", "754.3", "913.6" ] ], "row_count": 5, "col_count": 4 }, { "headers": [ "Area", "", "Persons", "Male", "Female" ], "rows": [ [ "Isle of Man", "", "1,055.2", "1,228.6", "904.4" ], [ "England", "", "957.2", "1,111.0", "831.4" ], [ "Jersey", "", "880.0", "1,040.0", "750.0" ], [ "Town", "Area Description", "", "", "" ], [ "Sheffield", "Larger Towns & Cities", "1,034.7", "1,166.2", "920.4" ], [ "Lancaster", "Larger Towns & Cities", "1,022.6", "1,213.5", "866.9" ], [ "West Lancashire", "Prosperous Towns", "1,040.9", "1,180.4", "931.4" ], [ "Chorley", "Prosperous Towns", "1,050.5", "1,203.0", "934.7" ], [ "Hastings", "Urban Living", "1,059.9", "1,211.0", "921.4" ], [ "Wyre Forest", "Country Living", "1,006.4", "1,213.5", "822.8" ], [ "Gloucester", "Urban Living", "1,001.0", "1,205.3", "854.8" ], [ "Bury", "Urban Living", "1,012.3", "1,143.7", "894.3" ], [ "Harlow", "City Periphery", "1,036.0", "1,201.7", "898.8" ], [ "Bassetlaw", "Country Living", "1,008.7", "1,181.7", "862.5" ] ], "row_count": 14, "col_count": 5 }, { "headers": [ "Area", "", "Persons", "Male", "Female" ], "rows": [ [ "Isle of Man", "", "964.6", "1,135.9", "834.0" ], [ "England", "", "918.0", "1,071.2", "792.8" ], [ "Jersey", "", "823.0", "982.0", "696.0" ], [ "Town", "Area Description", "", "", "" ], [ "York", "Larger Towns and\nCities", "906.9", "1,078.0", "773.8" ], [ "Epping Forest", "Rural Growth Areas", "914.0", "1,076.1", "774.3" ], [ "Cumbria", "Country Living", "917.5", "1,087.2", "785.8" ], [ "Stockport", "Prosperous Towns", "927.9", "1,095.9", "786.4" ], [ "Canterbury", "Larger Towns and\nCities", "940.9", "1,132.9", "800.6" ], [ "West Lancashire", "Prosperous Towns", "978.9", "1,116.5", "859.0" ], [ "Wyre Forest", "Country Living", "984.1", "1,187.0", "829.0" ], [ "Slough", "Ethnically Diverse\nMetropolitan Living", "963.1", "1,163.5", "822.7" ], [ "Gloucester", "Urban Living", "973.6", "1,193.8", "816.6" ], [ "Castle Point", "Prosperous Semi-rural", "964.0", "1,143.8", "823.3" ] ], "row_count": 14, "col_count": 5 }, { "headers": [ "3 Year\nperiod", "Cancer", "Mental &\nbehavioural\ndisorders", "Diseases of\nthe nervous\nsystem", "Diseases of\nthe\ncirculatory\nsystem", "Diseases of\nthe\nrespiratory\nsystem" ], "rows": [ [ "2006-2008", "214", "18", "27", "318", "91" ], [ "2007-2009", "224", "21", "29", "317", "94" ], [ "2008-2010", "230", "25", "28", "314", "96" ], [ "2009-2011", "240", "28", "26", "304", "104" ], [ "2010-2012", "237", "31", "26", "291", "110" ], [ "2011-2013", "248", "31", "26", "268", "110" ], [ "2012-2014", "250", "40", "30", "245", "110" ], [ "2013-2015", "251", "43", "31", "247", "109" ], [ "2014-2016", "241", "53", "39", "250", "112" ], [ "2015-2017", "234", "61", "42", "253", "108" ], [ "2016-2018", "245", "76", "48", "241", "120" ], [ "2017-2019", "258", "75", "49", "220", "125" ] ], "row_count": 12, "col_count": 6 }, { "headers": [ "Diseases of" ], "rows": [ [ "the" ], [ "circulatory" ], [ "system" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Diseases of" ], "rows": [ [ "the" ], [ "respiratory" ], [ "system" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Cause of death", "All ages", "", "Working age\n(16-64 years)", "", "Aged 75 and\nover", "" ], "rows": [ [ "", "Isle of\nMan", "Jersey", "Isle of\nMan", "Jersey", "Isle of\nMan", "Jersey" ], [ "Neoplasms", "30%", "30%", "40%", "40%", "23%", "25%" ], [ "Diseases of the\ncirculatory system", "26%", "26%", "18%", "21%", "27%", "27%" ], [ "Diseases of the\nrespiratory system", "16%", "10%", "9%", "-", "19%", "12%" ], [ "Mental and behavioural\ndisorders", "9%", "11%", "-", "-", "13%", "14%" ], [ "Diseases of the nervous\nsystem", "6%", "5%", "7%", "-", "7%", "6%" ], [ "Diseases of the\ndigestive system", "4%", "5%", "8%", "12%", "3%", "-" ], [ "External causes of\nmorbidity and mortality", "4%", "-", "14%", "8%", "2%", "-" ], [ "Other causes", "3%", "14%", "2%", "-", "3%", "-" ] ], "row_count": 9, "col_count": 7 }, { "headers": [ "Cause of death", "All ages", "", "Working age\n(16-64 years)", "", "Aged 75 and\nover", "" ], "rows": [ [ "", "Isle of\nMan", "Jersey", "Isle of\nMan", "Jersey", "Isle of\nMan", "Jersey" ], [ "Neoplasms", "30%", "30%", "40%", "40%", "23%", "25%" ], [ "Diseases of the\ncirculatory system", "26%", "26%", "18%", "21%", "27%", "27%" ], [ "Diseases of the\nrespiratory system", "16%", "10%", "9%", "-", "19%", "12%" ], [ "Mental and behavioural\ndisorders", "9%", "11%", "-", "-", "13%", "14%" ], [ "Diseases of the nervous\nsystem", "6%", "5%", "7%", "-", "7%", "6%" ], [ "Diseases of the\ndigestive system", "4%", "5%", "8%", "12%", "3%", "-" ], [ "External causes of\nmorbidity and mortality", "4%", "-", "14%", "8%", "2%", "-" ], [ "Other causes", "3%", "14%", "2%", "-", "3%", "-" ] ], "row_count": 9, "col_count": 7 }, { "headers": [ "Cause of death", "Persons", "Male", "Female" ], "rows": [ [ "C00-D48 Neoplasms", "40%", "28%", "57%" ], [ "I00-I99 Diseases of the circulatory system", "18%", "19%", "18%" ], [ "V01-Y98 External causes of morbidity and\nmortality", "14%", "12%", "6%" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "Cause of death", "Persons", "Male", "Female" ], "rows": [ [ "C00-D48 Neoplasms", "41%", "38%", "47%" ], [ "I00-I99 Diseases of the circulatory system", "20%", "23%", "16%" ], [ "G00-G99 Diseases of the nervous system", "18%", "20%", "13%" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "Cause of death", "Persons", "Male", "Female" ], "rows": [ [ "I00-I99 Diseases of the circulatory system", "27%", "27%", "26%" ], [ "C00-D48 Neoplasms", "23%", "29%", "19%" ], [ "J00-J99 Diseases of the respiratory system", "19%", "19%", "19%" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "Cause of death", "Persons", "Male", "Female" ], "rows": [ [ "I00-I99 Diseases of the circulatory system", "26%", "27%", "25%" ], [ "C00-D48 Neoplasms", "24%", "25%", "23%" ], [ "J00-J99 Diseases of the respiratory system", "18%", "20%", "18%" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "Place of death", "2018", "2019" ], "rows": [ [ "Hospital", "28.3%", "31.7%" ], [ "Hospice (including Southlands)", "24.2%", "25.0%" ], [ "Usual place of residence", "41.7%", "35.0%" ], [ "Other", "5.8%", "8.3%" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Place of death", "2018", "2019" ], "rows": [ [ "Hospital", "41.1%", "40.7%" ], [ "Hospice (including Southlands)", "12.0%", "8.7%" ], [ "Usual place of residence", "43.0%", "45.6%" ], [ "Other", "3.9%", "5.0%" ] ], "row_count": 4, "col_count": 3 } ] }, { "case_id": 2138709, "title": "2138709 Covid & Still births after the DNA altering mrna gene threapy", "authority": "Manx Care", "date_received": "2021-12-09", "outcome": "Some information sent but not all held", "summary": "The requester asked Manx Care for statistics on stillbirths, deaths under anesthesia, ICU deaths, and immunocompromised patients, alongside questions about mRNA clinical trials. Manx Care provided stillbirth and miscarriage data for 2017-2021 but refused requests for earlier years and specific mortality/clinical trial data citing that the information was not held.", "key_facts": [ "Manx Care provided stillbirth statistics for the years 2017 through 2021.", "Information regarding deaths under general anesthesia and ICU ventilator deaths was refused as it is not held.", "The authority stated it does not hold information regarding mRNA clinical trials or consent forms for such trials.", "Data on immunocompromised patients or those taking immunosuppressive medicines was refused as not held.", "The response included detailed monthly breakdowns of births and stillbirths for 2019, 2020, and 2021." ], "data_mentioned": [ "2014", "2015", "2016", "2017", "2018", "2019", "2020", "2021", "09/12/21", "18th March 2022", "2 stillbirths (2017)", "1 stillbirth (2018)", "2 stillbirths (2019)", "0 stillbirths (2020)", "3 stillbirths (2021)", "696 births (2019)", "648 births (2020)", "640 births (2021 to date)", "172 miscarriages (2019)", "158 miscarriages (2020)", "68 miscarriages (2021 to date)", "December 2023" ], "exemptions_cited": [ "Section 11(3)a of the Act (Practical refusal: information not held or cannot be found after reasonable steps)" ], "tables": [ { "headers": [ "", "2019", "2020", "2021 to\ndate" ], "rows": [ [ "Births", "696", "648", "640" ], [ "Births before 37 weeks", "46", "48", "44" ], [ "Stillborn(at delivery)", "2", "0", "3" ], [ "Miscarriage", "172", "158", "68" ] ], "row_count": 4, "col_count": 4 }, { "headers": [ "", "2019", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec", "Total" ], [ "Births", "57", "51", "51", "65", "66", "47", "59", "50", "66", "59", "61", "64", "696" ], [ "Births before 37 weeks", "3", "4", "3", "4", "7", "2", "0", "3", "7", "3", "3", "7", "46" ], [ "Stillborn(at delivery)", "0", "0", "0", "0", "0", "0", "0", "0", "2", "0", "0", "0", "2" ] ], "row_count": 4, "col_count": 14 }, { "headers": [ "", "2020", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec", "Total" ], [ "Births", "48", "48", "60", "55", "61", "65", "63", "47", "52", "56", "43", "50", "648" ], [ "Births before 37 weeks", "5", "6", "4", "3", "4", "1", "4", "4", "3", "7", "1", "6", "48" ], [ "Stillborn(at delivery)", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0" ] ], "row_count": 4, "col_count": 14 }, { "headers": [ "", "2021 to date", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec", "Total" ], [ "Births", "47", "56", "58", "62", "66", "45", "51", "61", "67", "68", "46", "13", "640" ], [ "Births before 37 weeks", "4", "6", "4", "2", "7", "2", "1", "7", "2", "5", "3", "1", "44" ], [ "Stillborn(at delivery)", "1", "1", "0", "0", "0", "0", "0", "0", "0", "1", "0", "0", "3" ] ], "row_count": 4, "col_count": 14 }, { "headers": [ "Early Pregnancy Scan conclusion is answered with the following descriptions.", "" ], "rows": [ [ "Description", "2017 2018 2019 2020 2021 (to date)" ], [ "Complete miscarriage", "15 17 7 13 13" ], [ "Missed/silent miscarriage", "22 24 26 35 21" ], [ "Incomplete miscarriage", "24 17 26 25 19" ], [ "Early fetal demise", "4 9 5 4 3" ], [ "Loss of one or more of a multi", "ple 0 0 1 0 2" ], [ "Non continuing pregnancy", "0 3 8 6 0" ], [ "Totals", "65 70 73 83 58" ], [ "Where pregnancy outcome is listed as 'Miscarriage'.", "" ], [ "Description", "2017 2018 2019 2020 2021 (to date)" ], [ "Miscarriage", "129 153 172 158 68" ] ], "row_count": 11, "col_count": 2 } ] }, { "case_id": 2140041, "title": "2140041 Cardiology dept appointments and admissions", "authority": "Manx Care", "date_received": "2021-12-13", "outcome": "All information sent", "summary": "The request sought monthly data on cardiology appointments, admissions, and emergency presentations for heart-related issues and strokes between 2017 and 2021. Manx Care provided detailed monthly statistics for Nobles and Ramsey hospitals, noting that data for 'elsewhere on the Island' was unavailable and emergency coding only commenced in 2018.", "key_facts": [ "Data covers attended outpatient appointments and admissions for Cardiology at Nobles and Ramsey Hospitals from 2017 to 2021.", "Manx Care does not hold data for cardiology services 'elsewhere on Island' outside of Nobles and Ramsey.", "Emergency department coding for cardiac and stroke episodes only commenced in April 2018, meaning no data is available for 2017.", "The response includes specific monthly breakdowns for cardiac attendances, cardiac electric attendances, and stroke attendances from 2018 to 2021.", "Paramedic call-out data for heart-related issues was not included in the provided response text." ], "data_mentioned": [ "2017-2021", "333 attended appointments in January 2017", "464 attended appointments in February 2021", "13 admissions in January 2017", "2 admissions in January 2021", "126 Cardiac ED attendances in April 2018", "25 Stroke ED attendances in April 2018", "Coding commenced in 2018" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Month", "Speciality", "Attended appointments" ], "rows": [ [ "2017", "January", "Cardiology", "333" ], [ "", "February", "Cardiology", "343" ], [ "", "March", "Cardiology", "311" ], [ "", "April", "Cardiology", "267" ], [ "", "May", "Cardiology", "304" ], [ "", "June", "Cardiology", "292" ], [ "", "July", "Cardiology", "309" ], [ "", "August", "Cardiology", "302" ], [ "", "September", "Cardiology", "329" ], [ "", "October", "Cardiology", "355" ], [ "", "November", "Cardiology", "311" ], [ "", "December", "Cardiology", "252" ], [ "2018", "January", "Cardiology", "292" ], [ "", "February", "Cardiology", "316" ], [ "", "March", "Cardiology", "340" ] ], "row_count": 15, "col_count": 4 }, { "headers": [ "", "April", "Cardiology", "322" ], "rows": [ [ "", "May", "Cardiology", "279" ], [ "", "June", "Cardiology", "324" ], [ "", "July", "Cardiology", "351" ], [ "", "August", "Cardiology", "344" ], [ "", "September", "Cardiology", "387" ], [ "", "October", "Cardiology", "418" ], [ "", "November", "Cardiology", "414" ], [ "", "December", "Cardiology", "367" ], [ "2019", "January", "Cardiology", "388" ], [ "", "February", "Cardiology", "361" ], [ "", "March", "Cardiology", "366" ], [ "", "April", "Cardiology", "369" ], [ "", "May", "Cardiology", "382" ], [ "", "June", "Cardiology", "344" ], [ "", "July", "Cardiology", "401" ], [ "", "August", "Cardiology", "304" ], [ "", "September", "Cardiology", "397" ], [ "", "October", "Cardiology", "389" ], [ "", "November", "Cardiology", "409" ], [ "", "December", "Cardiology", "342" ], [ "2020", "January", "Cardiology", "404" ], [ "", "February", "Cardiology", "393" ], [ "", "March", "Cardiology", "379" ], [ "", "April", "Cardiology", "343" ], [ "", "May", "Cardiology", "327" ], [ "", "June", "Cardiology", "364" ], [ "", "July", "Cardiology", "319" ], [ "", "August", "Cardiology", "345" ], [ "", "September", "Cardiology", "358" ], [ "", "October", "Cardiology", "285" ], [ "", "November", "Cardiology", "394" ], [ "", "December", "Cardiology", "317" ], [ "2021", "January", "Cardiology", "363" ], [ "", "February", "Cardiology", "464" ], [ "", "March", "Cardiology", "380" ], [ "", "April", "Cardiology", "331" ], [ "", "May", "Cardiology", "241" ], [ "", "June", "Cardiology", "416" ], [ "", "July", "Cardiology", "365" ], [ "", "August", "Cardiology", "416" ], [ "", "September", "Cardiology", "464" ], [ "", "October", "Cardiology", "400" ], [ "", "November", "Cardiology", "405" ], [ "", "December", "Cardiology", "215" ] ], "row_count": 44, "col_count": 4 }, { "headers": [ "Year", "Month", "Admission speciality", "Total admissions" ], "rows": [ [ "2017", "January", "Cardiology", "13" ], [ "", "February", "Cardiology", "13" ], [ "", "March", "Cardiology", "17" ], [ "", "April", "Cardiology", "21" ], [ "", "May", "Cardiology", "21" ], [ "", "June", "Cardiology", "16" ], [ "", "July", "Cardiology", "16" ], [ "", "August", "Cardiology", "21" ], [ "", "September", "Cardiology", "20" ], [ "", "October", "Cardiology", "25" ], [ "", "November", "Cardiology", "30" ], [ "", "December", "Cardiology", "15" ], [ "2018", "January", "Cardiology", "12" ], [ "", "February", "Cardiology", "13" ], [ "", "March", "Cardiology", "19" ], [ "", "April", "Cardiology", "21" ], [ "", "May", "Cardiology", "23" ], [ "", "June", "Cardiology", "14" ], [ "", "July", "Cardiology", "14" ], [ "", "August", "Cardiology", "20" ], [ "", "September", "Cardiology", "23" ], [ "", "October", "Cardiology", "18" ], [ "", "November", "Cardiology", "17" ], [ "", "December", "Cardiology", "16" ], [ "2019", "January", "Cardiology", "23" ], [ "", "February", "Cardiology", "16" ], [ "", "March", "Cardiology", "5" ], [ "", "April", "Cardiology", "13" ], [ "", "May", "Cardiology", "18" ], [ "", "June", "Cardiology", "7" ], [ "", "July", "Cardiology", "17" ], [ "", "August", "Cardiology", "6" ], [ "", "September", "Cardiology", "8" ], [ "", "October", "Cardiology", "24" ], [ "", "November", "Cardiology", "11" ], [ "", "December", "Cardiology", "9" ] ], "row_count": 36, "col_count": 4 }, { "headers": [ "2020", "January", "Cardiology", "12" ], "rows": [ [ "", "February", "Cardiology", "11" ], [ "", "March", "Cardiology", "7" ], [ "", "April", "Cardiology", "3" ], [ "", "May", "Cardiology", "1" ], [ "", "June", "Cardiology", "6" ], [ "", "July", "Cardiology", "6" ], [ "", "August", "Cardiology", "17" ], [ "", "September", "Cardiology", "5" ], [ "", "October", "Cardiology", "8" ], [ "", "November", "Cardiology", "6" ], [ "", "December", "Cardiology", "12" ], [ "2021", "January", "Cardiology", "2" ], [ "", "February", "Cardiology", "12" ], [ "", "March", "Cardiology", "10" ], [ "", "April", "Cardiology", "7" ], [ "", "May", "Cardiology", "8" ], [ "", "June", "Cardiology", "18" ], [ "", "July", "Cardiology", "8" ], [ "", "August", "Cardiology", "10" ], [ "", "September", "Cardiology", "17" ], [ "", "October", "Cardiology", "5" ], [ "", "November", "Cardiology", "3" ], [ "", "December", "Cardiology", "4" ] ], "row_count": 23, "col_count": 4 }, { "headers": [ "Year", "Month", "Cardiac ED\nattendances", "Cardiac\nelectric ED\nattendances", "Stroke ED\nattendances" ], "rows": [ [ "2018", "April", "126", "39", "25" ], [ "", "May", "123", "59", "49" ], [ "", "June", "107", "58", "39" ], [ "", "July", "124", "58", "24" ], [ "", "August", "113", "55", "39" ], [ "", "September", "91", "42", "35" ] ], "row_count": 6, "col_count": 5 }, { "headers": [ "", "October", "104", "66", "48" ], "rows": [ [ "", "November", "107", "60", "44" ], [ "", "December", "97", "57", "44" ], [ "2019", "January", "92", "53", "43" ], [ "", "February", "113", "53", "40" ], [ "", "March", "115", "76", "63" ], [ "", "April", "140", "71", "50" ], [ "", "May", "146", "53", "34" ], [ "", "June", "142", "65", "39" ], [ "", "July", "145", "60", "44" ], [ "", "August", "136", "43", "63" ], [ "", "September", "109", "50", "49" ], [ "", "October", "141", "63", "37" ], [ "", "November", "127", "51", "48" ], [ "", "December", "143", "63", "41" ], [ "2020", "January", "134", "58", "26" ], [ "", "February", "91", "68", "34" ], [ "", "March", "88", "42", "26" ], [ "", "April", "76", "45", "29" ], [ "", "May", "117", "49", "45" ], [ "", "June", "132", "79", "61" ], [ "", "July", "123", "76", "43" ], [ "", "August", "134", "65", "36" ], [ "", "September", "122", "53", "42" ], [ "", "October", "122", "66", "55" ], [ "", "November", "111", "49", "48" ], [ "", "December", "131", "56", "41" ], [ "2021", "January", "92", "39", "38" ], [ "", "February", "105", "52", "35" ], [ "", "March", "112", "50", "46" ], [ "", "April", "140", "50", "56" ], [ "", "May", "140", "50", "45" ], [ "", "June", "123", "61", "51" ], [ "", "July", "115", "59", "46" ], [ "", "August", "107", "52", "32" ], [ "", "September", "125", "66", "54" ], [ "", "October", "123", "40", "39" ], [ "", "November", "116", "46", "40" ], [ "", "December", "98", "36", "31" ] ], "row_count": 38, "col_count": 5 }, { "headers": [ "Chest Pain / Chest Discomfort (Non\nTraumatic)", "4216" ], "rows": [ [ "Heart Problems / A.I.C.D", "1021" ], [ "Cardiac or Respiratory Arrest /\nDeath", "687" ], [ "Stroke (CVA) / Transient Ischemic Attack\n(TIA)", "1796" ] ], "row_count": 3, "col_count": 2 } ] }, { "case_id": 2143237, "title": "MU Funded - Health Care", "authority": "Manx Utilities Authority", "date_received": "2021-12-13", "outcome": "Not upheld", "summary": "The requester asked for the cost of private healthcare for 27 former MEA staff and their job specifications, but the Manx Utilities Authority refused to provide this data.", "key_facts": [ "The authority stated that extracting specific cost figures for the 27 staff members would require creating new information, which is not required under the Act.", "Private healthcare costs are managed under an annual corporate policy that does not allow for a breakdown of costs for specific individuals.", "The authority does not hold a specific job specification dataset for the 27 members of staff requested.", "The response included a warning that multiple parallel requests may be considered frivolous or harassing under section 11(3)(d)&(e) of the Act.", "The outcome of the request was recorded as 'Not upheld' on 2022-03-04." ], "data_mentioned": [ "27", "2021-12-13", "2022-03-04", "April 2014", "April 2021", "2143237", "2116457", "3", "7", "4", "6" ], "exemptions_cited": [ "Requirement to create or derive information (not required under the Act)", "Section 11(3)(d) & (e) - Practical refusal due to multiple requests, duplication, or potential harassment" ], "tables": [ { "headers": [ "Role Category", "Contract", "Number" ], "rows": [ [ "Executive", "PC", "3" ], [ "Senior Manager", "PC", "7" ], [ "Manager", "PC", "4" ], [ "Engineer", "PC", "6" ], [ "Supervisor/Officer", "PC", "4" ], [ "Technician/Analyst", "PC", "3" ] ], "row_count": 6, "col_count": 3 } ] }, { "case_id": 2143337, "title": "MU Funded - Private Health Care", "authority": "Manx Utilities Authority", "date_received": "2021-12-13", "outcome": "Not upheld", "summary": "The requester asked for the names and job titles of 27 Manx Utilities Authority staff members receiving funded private health care. The authority refused to disclose this information, citing exemptions for personal data and data protection principles.", "key_facts": [ "The request sought names and job titles of 27 staff members funded for private health care.", "The Manx Utilities Authority refused to provide the specific names and titles.", "The authority provided a breakdown of the 27 staff by role category instead.", "The refusal was based on the information being absolutely exempt personal data.", "The outcome of the request was 'Not upheld' on 2022-02-07." ], "data_mentioned": [ "27", "2143337", "2116457", "2021-12-13", "2022-02-07", "12 January 2022", "3", "7", "4", "6", "4", "3" ], "exemptions_cited": [ "Section 25(2)(a)&(b) of the Act (absolutely exempt personal information)", "Article 5 of the General Data Protection Regulation (data protection principles)", "Article 6 of the General Data Protection Regulation (conditions for lawful processing)" ], "tables": [ { "headers": [ "Role Category", "Contract", "Number" ], "rows": [ [ "Executive", "PC", "3" ], [ "Senior Manager", "PC", "7" ], [ "Manager", "PC", "4" ], [ "Engineer", "PC", "6" ], [ "Supervisor/Officer", "PC", "4" ], [ "Technician/Analyst", "PC", "3" ] ], "row_count": 6, "col_count": 3 } ] }, { "case_id": 2147501, "title": "2147501 Miscarriages and stillbirths", "authority": "Manx Care", "date_received": "2021-12-15", "outcome": "All information sent", "summary": "The requester asked for monthly figures on miscarriages and stillbirths in the Isle of Man from 2017 to 2021, and Manx Care provided the complete data in a table format.", "key_facts": [ "Manx Care responded to the request on 2022-02-02, providing all requested information.", "The data covers monthly statistics for births, preterm births, stillbirths, and miscarriages from 2017 through 2021.", "The authority noted that the miscarriage count may include the same patient scanned more than once.", "Stillbirths were recorded in specific months in 2017, 2019, and 2021, with zero occurrences in 2018 and 2020.", "The request was processed under the Freedom of Information Act 2015." ], "data_mentioned": [ "2017-2021", "2021-12-15", "2022-02-02", "2147501", "4 pages", "2 documents", "62 births (Jan 2017)", "0 stillborn (Jan 2017)", "4 miscarriages (Jan 2017)", "2 stillborn (Sep 2019)", "1 stillborn (Jan 2021)", "1 stillborn (Feb 2021)", "1 stillborn (Oct 2021)" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "2017", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec" ], [ "Births", "62", "47", "72", "56", "60", "66", "65", "67", "74", "62", "57", "42" ], [ "Births before 37 weeks", "4", "3", "3", "4", "2", "6", "3", "9", "7", "3", "5", "7" ], [ "Stillborn(at delivery)", "0", "0", "0", "0", "1", "0", "0", "0", "0", "0", "0", "0" ], [ "Miscarriage(all types) Total", "4", "6", "4", "3", "8", "5", "4", "8", "10", "8", "8", "2" ] ], "row_count": 5, "col_count": 13 }, { "headers": [ "", "2018", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec" ], [ "Births", "72", "37", "62", "60", "62", "57", "72", "52", "71", "67", "48", "61" ], [ "Births before 37 weeks", "3", "4", "4", "3", "3", "5", "8", "2", "8", "4", "6", "4" ], [ "Stillborn(at delivery)", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0" ], [ "Miscarriage(all types) Total", "6", "1", "5", "8", "6", "3", "5", "7", "4", "13", "7", "5" ] ], "row_count": 5, "col_count": 13 }, { "headers": [ "", "2019", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec" ], [ "Births", "57", "51", "51", "65", "66", "47", "59", "50", "66", "59", "61", "64" ], [ "Births before 37 weeks", "3", "4", "3", "4", "7", "2", "0", "3", "7", "3", "3", "7" ], [ "Stillborn(at delivery)", "0", "0", "0", "0", "0", "0", "0", "0", "2", "0", "0", "0" ], [ "Miscarriage(all types) Total", "7", "8", "4", "12", "10", "2", "8", "7", "2", "3", "7", "4" ] ], "row_count": 5, "col_count": 13 }, { "headers": [ "", "2020", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec" ], [ "Births", "48", "48", "60", "55", "61", "65", "63", "47", "52", "56", "43", "50" ], [ "Births before 37 weeks", "5", "6", "4", "3", "4", "1", "4", "4", "3", "7", "1", "6" ], [ "Stillborn(at delivery)", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0", "0" ], [ "Miscarriage(all types) Total", "9", "6", "5", "2", "9", "4", "7", "5", "7", "10", "12", "7" ] ], "row_count": 5, "col_count": 13 }, { "headers": [ "", "2021", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec" ], [ "Births", "47", "56", "58", "62", "66", "45", "51", "61", "67", "68", "46", "56" ], [ "Births before 37 weeks", "4", "6", "4", "2", "7", "2", "1", "7", "2", "5", "3", "8" ], [ "Stillborn(at delivery)", "1", "1", "0", "0", "0", "0", "0", "0", "0", "1", "0", "0" ], [ "Miscarriage(all types) Total", "6", "5", "8", "1", "6", "4", "4", "3", "6", "8", "7", "10" ] ], "row_count": 5, "col_count": 13 } ] }, { "case_id": 2147702, "title": "2147702 Covid hospital numbers update", "authority": "Manx Care", "date_received": "2021-12-15", "outcome": "Some information sent but part exempt", "summary": "The request sought updated weekly COVID-19 admissions, monthly total hospital admissions, and stroke statistics for the Isle of Man. Manx Care provided the requested data covering periods from March 2020 through December 2021, with some figures extending into January 2022.", "key_facts": [ "Weekly COVID-19 admissions data was provided for the period between 17 October 2021 and 2 January 2022.", "Total hospital admissions for any reason were disclosed monthly from July 2021 to December 2021.", "There were 67 stroke-related admissions to Noble's Hospital between August and December 2021.", "Monthly data for stroke patients attending the Emergency Department but not being admitted was provided for the years 2019, 2020, and 2021.", "The response was issued on 3 February 2022 following a request received on 15 December 2021." ], "data_mentioned": [ "10 admissions week ending 17/10/2021", "1684 total admissions in July 2021", "1779 total admissions in November 2021", "67 stroke admissions August-December 2021", "90 heart attack/high blood pressure admissions August-December 2021", "28 admitted stroke patients in January 2019", "13 not admitted stroke patients in January 2019", "30 not admitted stroke patients in June 2021" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Week ending", "Count of admissions" ], "rows": [ [ "2021", "17/10/2021", "10" ], [ "", "24/10/2021", "7" ], [ "", "31/10/2021", "7" ], [ "", "07/11/2021", "11" ], [ "", "14/11/2021", "3" ], [ "", "21/11/2021", "5" ], [ "", "28/11/2021", "4" ], [ "", "05/12/2021", "9" ], [ "", "12/12/2021", "9" ], [ "", "19/12/2021", "7" ], [ "", "26/12/2021", "8" ], [ "2022", "02/01/2022", "8" ] ], "row_count": 12, "col_count": 3 }, { "headers": [ "Year", "Month", "Count of admissions" ], "rows": [ [ "2021", "July", "1684" ], [ "", "August", "1638" ], [ "", "September", "1764" ], [ "", "October", "1652" ], [ "", "November", "1779" ], [ "", "December", "1708" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "Year", "Month", "Admitted count", "NOT admitted count" ], "rows": [ [ "2019", "January", "28", "13" ], [ "", "February", "26", "14" ], [ "", "March", "40", "21" ], [ "", "April", "34", "15" ], [ "", "May", "19", "12" ], [ "", "June", "27", "9" ], [ "", "July", "31", "12" ], [ "", "August", "46", "15" ], [ "", "September", "32", "14" ], [ "", "October", "27", "9" ] ], "row_count": 10, "col_count": 4 }, { "headers": [ "", "November", "33", "13" ], "rows": [ [ "", "December", "22", "18" ], [ "2020", "January", "17", "8" ], [ "", "February", "23", "8" ], [ "", "March", "16", "9" ], [ "", "April", "20", "9" ], [ "", "May", "23", "19" ], [ "", "June", "38", "23" ], [ "", "July", "22", "19" ], [ "", "August", "19", "14" ], [ "", "September", "17", "21" ], [ "", "October", "30", "23" ], [ "", "November", "34", "11" ], [ "", "December", "23", "18" ], [ "2021", "January", "26", "12" ], [ "", "February", "21", "13" ], [ "", "March", "32", "13" ], [ "", "April", "26", "28" ], [ "", "May", "23", "20" ], [ "", "June", "19", "30" ], [ "", "July", "20", "23" ], [ "", "August", "18", "11" ], [ "", "September", "27", "24" ], [ "", "October", "20", "18" ], [ "", "November", "27", "13" ], [ "", "December", "20", "9" ] ], "row_count": 25, "col_count": 4 } ] }, { "case_id": 2147902, "title": "Covid numbers", "authority": "Cabinet Office", "date_received": "2021-12-15", "outcome": "Information not held", "summary": "The requester asked for monthly Covid-19 mortality and positive test figures for 2020-2021, including symptom status. The Cabinet Office stated it does not hold the test data and referred the requester to Manx Care, while providing a link to existing online data for mortality figures.", "key_facts": [ "The Cabinet Office does not hold monthly positive test figures for 2020-2021.", "Mortality data is already available online via a previous FOI response (ref 2099101).", "The requester was advised to contact Manx Care for testing statistics.", "The request was formally closed on 13 January 2022.", "The response cited Section 20 of the Act regarding information already reasonably accessible." ], "data_mentioned": [ "2020-2021", "15 December 2021", "13 January 2022", "2147902", "2099101" ], "exemptions_cited": [ "Section 20 of the Act (Information already reasonably accessible)" ], "tables": [ { "headers": [ "https://services.gov.im/freedom-of-information/search", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "as", "", "", "part", "", "", "of", "a", "response", "", "", "to", "", "a", "" ], "rows": [ [ "previous", "", "", "", "Freedom", "", "", "", "of", "", "Information", "", "", "request", "", "", "", "2099101,", "", "", "", "Updated", "", "", "", "", "", "", "Death", "", "", "Certificat", "", "", "e", "Data.", "", "" ], [ "The", "", "published", "", "", "", "response", "", "", "", "", "", "includes", "a", "", "spreadsheet", "", "", "", "showing", "", "", "", "", "", "cause", "", "", "", "of", "death", "", "", "from", "or", "", "", "with" ], [ "Covid.", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 3, "col_count": 38 } ] }, { "case_id": 2148001, "title": "Community deaths and abbotswood", "authority": "Cabinet Office", "date_received": "2021-12-15", "outcome": "Some information sent but not all held", "summary": "The request sought monthly data on community deaths, paramedic callouts, and Abbotswood nursing home statistics from 2017-2021. The Cabinet Office provided links to existing mortality reports but withheld specific monthly breakdowns due to the cost of compilation and stated it does not hold paramedic or nursing home data.", "key_facts": [ "Mortality reports covering 2017-2019 are available online via the Cabinet Office website.", "The Cabinet Office does not hold information regarding paramedic callouts or Abbotswood nursing home resident data.", "Monthly figures for community deaths were not provided because compiling them would require substantial collation contrary to section 8(3) of the Act.", "Requesters were directed to contact Manx Care for paramedic and nursing home information.", "The next set of mortality reports was scheduled for publication in March 2022." ], "data_mentioned": [ "2017-2021", "2019", "March 2022", "2099101", "40", "22", "2148001" ], "exemptions_cited": [ "Section 20: Information already reasonably accessible", "Section 8(3): Substantial compilation or collation of information" ], "tables": [ { "headers": [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "ommunity", "", "", "", "", "" ], "rows": [ [ "deaths", "", "", "", "2017-2021,", "", "", "", "", "", "the", "", "", "mortality", "", "", "reports", "", "", "published", "", "", "", "to", "", "date", "", "are", "", "", "available", "", "online", "", "", "", "at:", "" ], [ "https://www.gov.im/about-the-government/departments/cabinet-office/public-", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "health/health-intelligence/mortality-reporting/", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", ".", "This", "", "", "c", "overs", "", "t", "he", "", "period", "t", "o", "", "2019.", "", "", "The" ], [ "next", "", "set", "", "", "", "of", "", "mortality", "", "", "", "reports", "", "", "are", "due", "", "for", "publication", "", "", "", "", "in", "March", "", "", "2022.", "", "", "", "", "", "", "", "", "" ] ], "row_count": 4, "col_count": 38 }, { "headers": [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "e mortality", "", "", "", "reports ar", "e onl", "", "", "" ], "rows": [ [ "analysed", "", "and", "", "produced", "", "", "in", "the", "", "yea", "r", "banding", "", "", "", "", "shown, th", "", "", "ey", "a", "re", "not", "analysed", "or", "reported", "", "" ], [ "by", "mont", "h f", "or", "th", "e purpose", "", "", "of", "m", "ortality", "", "", "", "reporting.", "", "", "", "", "To d", "o so", "", "would", "", "require u", "s to", "", "c", "reate" ], [ "or", "derive", "or", "undertake", "", "", "", "substantial", "", "", "", "compilation", "", "", "", "", "", "", "or", "collation", "", "", "of", "information", "", "which", "", "", "is" ], [ "contrary", "", "to", "section", "", "", "8(3)", "of", "the", "", "Freedom", "", "", "", "", "of", "I", "nformatio", "", "", "n Act.", "", "", "", "", "", "", "", "" ] ], "row_count": 4, "col_count": 29 }, { "headers": [ "The", "", "Covid-19", "", "", "", "", "weekly", "", "", "su", "rveillance", "", "", "report", "", "", "", "does", "", "", "not", "include", "", "figures", "", "for", "", "", "", "'all re", "", "ason'", "" ], "rows": [ [ "community", "", "", "", "", "", "deaths.", "", "", "However,", "", "", "", "should", "", "", "you", "", "", "wish", "", "to", "analyse", "", "the", "data", "", "", "yoursel", "", "", "", "f you", "may" ], [ "wish", "", "", "to", "u", "se", "the", "", "monthl", "", "", "y mortality", "", "", "data", "", "", "a", "nd", "", "mortality", "", "", "data", "since", "", "2019", "", "", "", "", "whic", "h can", "be" ], [ "obtained", "", "", "", "", "directly", "", "", "from t", "", "", "he", "Civi", "l Registry:", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 3, "col_count": 34 } ] }, { "case_id": 2152199, "title": "2152199 ambulance call outs", "authority": "Manx Care", "date_received": "2021-12-20", "outcome": "All information sent", "summary": "The requester asked Manx Care for an update on ambulance call-out statistics following a previous FOI request. Manx Care disclosed a detailed table of daily emergency, routine, and urgent ambulance dispatches for the period from September 1, 2021, to December 31, 2021.", "key_facts": [ "The request was received on 20 December 2021 and responded to on 31 January 2022.", "The data covers ambulance call-outs from 01/09/2021 to 31/12/2021.", "Information was categorized into Emergency, Routine, and Urgent dispatches.", "The response included 5 pages of data across 2 documents.", "No information was withheld; the outcome was 'All information sent'." ], "data_mentioned": [ "2152199", "1969226", "2021-12-20", "2022-02-01", "2022-01-31", "01/09/2021", "31/12/2021", "5 pages", "2 documents", "14", "43", "41", "17", "19", "20", "21", "22", "23", "24", "25", "26", "27", "28", "29", "30", "31", "32", "33", "34", "35", "36", "37", "38", "39", "40", "01624 650 000", "IM4 4R" ], "exemptions_cited": [], "tables": [ { "headers": [ "DispatchDate", "Emergency", "Routine", "Urgent" ], "rows": [ [ "01/09/2021", 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], [ "01/10/2021", "40", "2", "1" ], [ "02/10/2021", "37", "4", "1" ], [ "03/10/2021", "33", "3", "5" ], [ "04/10/2021", "28", "2", "2" ], [ "05/10/2021", "26", "2", "3" ], [ "06/10/2021", "25", "2", "" ], [ "07/10/2021", "39", "2", "2" ], [ "08/10/2021", "31", "6", "5" ], [ "09/10/2021", "29", "4", "3" ], [ "10/10/2021", "25", "", "" ], [ "11/10/2021", "32", "5", "3" ], [ "12/10/2021", "26", "3", "6" ], [ "13/10/2021", "31", "2", "3" ], [ "14/10/2021", "31", "8", "4" ], [ "15/10/2021", "35", "3", "1" ] ], "row_count": 45, "col_count": 4 }, { "headers": [ "DispatchDate", "Emergency", "Routine", "Urgent" ], "rows": [ [ "16/10/2021", "24", "5", "5" ], [ "17/10/2021", "29", "2", "2" ], [ "18/10/2021", "29", "1", "3" ], [ "19/10/2021", "40", "3", "3" ], [ "20/10/2021", "31", "6", "2" ], [ "21/10/2021", "37", "7", "3" ], [ "22/10/2021", "35", "3", "1" ], [ "23/10/2021", "33", "2", "4" ], [ "24/10/2021", "31", "2", "3" ], [ "25/10/2021", "27", "8", "2" ], [ "26/10/2021", "31", "6", "4" ], [ "27/10/2021", "28", "3", "5" ], [ "28/10/2021", "27", "5", "6" ], [ "29/10/2021", "30", "2", "3" ], [ "30/10/2021", "37", "1", "1" ], [ "31/10/2021", "31", "4", "3" ], [ "01/11/2021", "31", "4", "4" ], [ "02/11/2021", "32", "5", "5" ], [ "03/11/2021", "43", "2", "1" ], [ "04/11/2021", "30", "6", "2" ], [ "05/11/2021", "17", "5", "" ], [ "06/11/2021", "33", "3", "1" ], [ "07/11/2021", "36", "1", "" ], [ "08/11/2021", "27", "5", "3" ], [ "09/11/2021", "17", "4", "5" ], [ "10/11/2021", "27", "4", "3" ], [ "11/11/2021", "31", "6", "4" ], [ "12/11/2021", "34", "5", "4" ], [ "13/11/2021", "31", "2", "3" ], [ "14/11/2021", "32", "1", "3" ], [ "15/11/2021", "27", "9", "6" ], [ "16/11/2021", "24", "3", "3" ], [ "17/11/2021", "26", "1", "2" ], [ "18/11/2021", "23", "1", "4" ], [ "19/11/2021", "30", "4", "2" ], [ "20/11/2021", "30", "3", "3" ], [ "21/11/2021", "19", "2", "" ], [ "22/11/2021", "20", "5", "1" ], [ "23/11/2021", "31", "3", "" ], [ "24/11/2021", "29", "5", "3" ], [ "25/11/2021", "33", "10", "4" ], [ "26/11/2021", "26", "5", "4" ], [ "27/11/2021", "26", "1", "1" ], [ "28/11/2021", "36", "1", "1" ], [ "29/11/2021", "27", "3", "8" ] ], "row_count": 45, "col_count": 4 }, { "headers": [ "DispatchDate", "Emergency", "Routine", "Urgent" ], "rows": [ [ "30/11/2021", "23", "8", "1" ], [ "01/12/2021", "33", "3", "1" ], [ "02/12/2021", "31", "6", "5" ], [ "03/12/2021", "31", "3", "1" ], [ "04/12/2021", "30", "4", "4" ], [ "05/12/2021", "27", "3", "1" ], [ "06/12/2021", "21", "4", "5" ], [ "07/12/2021", "30", "5", "3" ], [ "08/12/2021", "22", "6", "4" ], [ "09/12/2021", "27", "3", "7" ], [ "10/12/2021", "29", "1", "4" ], [ "11/12/2021", "29", "2", "2" ], [ "12/12/2021", "27", "", "3" ], [ "13/12/2021", "22", "3", "4" ], [ "14/12/2021", "30", "4", "1" ], [ "15/12/2021", "23", "7", "" ], [ "16/12/2021", "36", "2", "5" ], [ "17/12/2021", "36", "5", "3" ], [ "18/12/2021", "37", "2", "3" ], [ "19/12/2021", "34", "1", "1" ], [ "20/12/2021", "39", "7", "1" ], [ "21/12/2021", "35", "6", "4" ], [ "22/12/2021", "27", "2", "5" ], [ "23/12/2021", "27", "6", "4" ], [ "24/12/2021", "26", "7", "6" ], [ "25/12/2021", "29", "", "" ], [ "26/12/2021", "28", "2", "2" ], [ "27/12/2021", "27", "6", "1" ], [ "28/12/2021", "41", "3", "2" ], [ "29/12/2021", "25", "", "3" ], [ "30/12/2021", "25", "4", "3" ], [ "31/12/2021", "27", "3", "6" ] ], "row_count": 32, "col_count": 4 } ] }, { "case_id": 2156225, "title": "2156225 Covid and the mrna damage being done.", "authority": "Manx Care", "date_received": "2021-12-21", "outcome": "All information sent", "summary": "A request for hospital capacity, staffing, vaccination status of patients, virus isolation details, malpractice investigations, and anaphylaxis ambulance callouts was submitted to Manx Care. The authority provided full capacity data and anaphylaxis statistics, but withheld staffing numbers due to data structure, redirected vaccination queries to a public dashboard, and referred virus isolation questions to the Cabinet Office.", "key_facts": [ "Noble's Hospital has a total bed capacity of 136 adult admitting beds, 6 intensive care beds, and 15 designated Covid beds.", "Ramsey Hospital's Martin Ward (Rehab) has a capacity of 31 beds.", "No staff are currently under internal investigation for malpractice at Noble's Hospital.", "Staffing numbers for specific hospital locations could not be provided because Manx Care operates on integrated Care Groups rather than location-specific posts.", "Information regarding SARS-CoV-2 isolation was not held by Manx Care and the requester was advised to contact the Cabinet Office." ], "data_mentioned": [ "136", "6", "14", "17", "13", "9", "31", "15", "75", "46", "59", "21", "49", "2021", "2020", "2019", "2018", "2017", "2021-12-21", "2022-02-08", "28 January 2022" ], "exemptions_cited": [ "Section 8(3) / Section 11(3)(b): Information would require creation or derivation of data not held in the requested format.", "Section 20: Information is already reasonably accessible via the IoM Government Covid dashboard.", "Section 11(3)(a): The public authority does not hold the information requested." ], "tables": [ { "headers": [ "Category", "Bed Capacity" ], "rows": [ [ "Adult Admitting Beds", "136" ], [ "Intensive Care", "6" ], [ "Day Procedures", "14" ], [ "Children’s", "17" ], [ "Women’s Health", "13" ], [ "Maternity", "17" ], [ "Neonatal", "9" ], [ "Ramsey Martin Ward (Rehab)", "31" ], [ "Covid", "15" ] ], "row_count": 9, "col_count": 2 }, { "headers": [ "2021", "75" ], "rows": [ [ "2020", "46" ], [ "2019", "59" ], [ "2018", "21" ], [ "2017", "49" ], [ "2016", "36" ], [ "2015", "59" ] ], "row_count": 6, "col_count": 2 } ] }, { "case_id": 2162421, "title": "c section rate", "authority": "Manx Care", "date_received": "2021-12-24", "outcome": "All information sent", "summary": "A request was made to Manx Care for detailed statistics on births, caesarean sections, inductions, and maternal mortality from 2015 to 2021. The authority responded by providing a comprehensive table breaking down these figures by year and category, including elective versus emergency procedures.", "key_facts": [ "Manx Care provided birth statistics for the years 2015 through 2021.", "Caesarean sections were categorized into four types ranging from immediate life threats to elective procedures.", "Data was supplied on the number of women induced who subsequently required emergency caesarean sections.", "The response included specific counts for vaginal births, forceps, and ventouse assistance.", "No information was withheld; all requested data was disclosed in the response." ], "data_mentioned": [ "2015", "2016", "2017", "2018", "2019", "2020", "2021", "767", "743", "730", "721", "696", "648", "683", "433", "456", "425", "434", "393", "400", "404", "223", "243", "254", "258", "259", "217", "196", "2162421", "2021-12-24", "2022-02-08" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "", "2015", "2016", "2017", "2018", "2019", "2020", "2021" ], "rows": [ [ "Births", "", "767", "743", "730", "721", "696", "648", "683" ], [ "Route or\nAssistance", "Vaginal", "433", "456", "425", "434", "393", "400", "404" ], [ "", "Forceps", "46", "40", "40", "37", "26", "22", "21" ], [ "", "Ventouse", "32", "24", "37", "18", "22", "16", "24" ], [ "Caesarean\nSections", "Cat1", "17", "9", "10", "11", "9", "4", "8" ], [ "", "Cat2", "78", "72", "83", "86", "82", "82", "74" ], [ "", "Cat3", "48", "40", "38", "29", "41", "26", "35" ], [ "", "Cat4", "114", "102", "96", "107", "123", "98", "117" ], [ "Inductions", "", "223", "243", "254", "258", "259", "217", "196" ], [ "Induction to\nCaesarean", "Cat1", "6", "4", "7", "8", "2", "0", "2" ], [ "", "Cat2", "39", "30", "37", "39", "44", "36", "32" ] ], "row_count": 11, "col_count": 9 }, { "headers": [ "Caesarean Section Category definitions", "" ], "rows": [ [ "1", "Immediate threat to the life of the woman or\nfetus" ], [ "2", "Maternal or fetal compromise that is not\nimmediately life-threatening" ], [ "3", "No maternal or fetal compromise but needs\nearly delivery" ], [ "4", "Elective - delivery timed to suit woman or\nstaff" ] ], "row_count": 4, "col_count": 2 } ] }, { "case_id": 2185601, "title": "2185601 Diabetes diagnosis in children", "authority": "Manx Care", "date_received": "2022-01-11", "outcome": "All information sent", "summary": "The requester asked for annual diabetes diagnosis statistics for children under 18 on the Isle of Man over the last five years. Manx Care provided complete data for children under 16 but could not supply reliable statistics for those aged 16-18 due to limitations in their legacy IT system.", "key_facts": [ "Children under 16 are managed by the Paediatric Diabetes Service, while those aged 16-18 are managed by the Adult Diabetes Service.", "The Adult Diabetes Service uses an older system that cannot extract reliable statistics for the 16-18 age group.", "Type 2 diabetes diagnoses in children under 16 were zero from 2017 to 2019, with only one case recorded in both 2020 and 2021.", "Type 1 diabetes diagnoses in children under 16 peaked at 8 in 2018 and dropped to 2 in both 2019 and 2020.", "The response covers the period from January 2017 to January 13, 2022." ], "data_mentioned": [ "2017 Type 1: 5", "2017 Type 2: 0", "2018 Type 1: 8", "2018 Type 2: 0", "2019 Type 1: 2", "2019 Type 2: 0", "2020 Type 1: 2", "2020 Type 2: 1", "2021 Type 1: 6", "2021 Type 2: 1", "16-18 Type 1 (Jan 2017 - Jan 2022): 3", "16-18 Type 2 (Jan 2017 - Jan 2022): 0", "Case ID: 2185601", "Date received: 2022-01-11", "Outcome date: 2022-02-10" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Diabetes type", "Total Number" ], "rows": [ [ "2017", "Type 1", "5" ], [ "2017", "Type 2", "0" ], [ "2018", "Type 1", "8" ], [ "2018", "Type 2", "0" ], [ "2019", "Type 1", "2" ], [ "2019", "Type 2", "0" ], [ "2020", "Type 1", "2" ], [ "2020", "Type 2", "1" ], [ "2021", "Type 1", "6" ], [ "2021", "Type 2", "1" ] ], "row_count": 10, "col_count": 3 } ] }, { "case_id": 2185802, "title": "Health Services Independent Review Body (IRB) Appointments Commission", "authority": "Cabinet Office", "date_received": "2022-01-11", "outcome": "All information sent", "summary": "The request sought background information and actions taken regarding the Health Services Independent Review Body (IRB) following a consultation query. The response disclosed DHSC officer feedback on alternative complaint investigation methods, the distinction between whistleblowing and complaints, and plans to implement a two-stage process with potential future oversight by the Tynwald Commissioner.", "key_facts": [ "A simple two-stage complaints process will be implemented, rejecting a three-stage model as not aligning with best practice.", "The Tynwald Commissioner for Administration may review complaints regarding maladministration by the IRB to address a current gap.", "A new Government-wide whistleblowing policy is being created to clarify the distinction between protected disclosures and service user complaints.", "Longer-term policy options include commissioning an external professional group or independent adjudicator for serious unresolved complaints.", "Legislation is intended to be amended to allow the Tynwald Commissioner a role in reviewing IRB handling of complaints." ], "data_mentioned": [ "28/01/20", "217/20", "2022-01-11", "2022-02-07", "66", "10", "November 2021", "April 2021", "Employment Act 2006" ], "exemptions_cited": [], "tables": [ { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "Alternative\nsuggestions for\ninvestigating/review\ning complaints", "“an expert external review may be offered… In [redacted] view, a reliable, off Island professional group of investigators specializing in DHSC\ncomplaints (such as [redacted]) could be commissioned to look at all unresolved serious complaints. [redacted] would have access to\nreliable experts and be truly independent. [redacted] would be familiar with the complex nature of some complaints and, although\nprobably expensive, would make sensible recommendations for improvement at an early stage.”", "This will be considered as a longer term policy options for an independent adjudicator." ], [ "Alternative\nsuggestions for\ninvestigating/review\ning complaints", "“The complaints procedures should align with and connect into professional standards and [professional] bodies. The role of these bodies\nand references to them should be understood by staff and patients alike.”", "Professional bodies' standards are generally set out in Codes of Conduct, which derive their authority from the statutory basis of\nmost professional regulatory bodies. There is an argument for the Regulations to include provision that referral to a professional\nregulatory body must be considered and acted upon where a complaint indicates non-compliance with a Code of Conduct or other\nprofessional requirement or expectation." ], [ "Alternative\nsuggestions for\ninvestigating/review\ning complaints", "“The role of whistle-blowers is not considered anywhere apart from in the motion.”", "There is a new Government wide whistleblowing policy being created and due to be consulted upon which will apply consistent\nstandards across Government. Clarity needs to be given to staff on what should be treated a whistleblowing and what should be\ntreated as a complaint as they are 2 separate processes.\nWhistleblowing is when anyone who provides a health or social care service raises a concern after witnessing an event. They may\nhave no direct personal involvement in the issue they are raising but want to speak up in the public interest where an act or\nomission creates a risk of harm or wrongdoing. These issues are classed as protected disclosures under the Employment Act 2006\nand, when reported, should follow the whistleblowing policy and process.\nIt is important to identify where a non-whistleblowing issue is raised by someone who provides services but the issue is raised in\nthe capacity of a service user (i.e. where a staff member is receiving services and has cause to compliant about their experience).\nThis should be handled as a complaint under the complaints policy and procedures.\nWhere an issue raised in a complaint overlaps with issues raised under the whistleblowing process, the complaint should still be\nresponded to as a complaint." ], [ "Alternative\nsuggestions for\ninvestigating/review\ning complaints", "\"Should be 3 stage, local resolution, IRB, Ombudsman.\"", "This suggestion does not align with best practice standards endorsed by the Ombudsman Association. A simple two stage process\nwill be implemented for handling complaints.\nThe Tynwald Commissioner for Administration could have a role in reviewing complaints about maladministration by the IRB as\nthis is a current gap. This will be discussed with the Tynwald Commissioner for Administration and consulted upon." ], [ "Alternative\nsuggestions for\ninvestigating/review\ning complaints", "\"Actually there are 4 options not 3 - Ombudsman should be contracted from UK ombudsman assn so entirely independent.\nPrivate included-Yes\nReview whether processes correctly followed and verdict correct.\nShould be ombudsman trained with legal and medical experience.\nReports to holder of complaint -DHSC or Manx care who share it with Minister/Tynwald\nGov contract to external provider for a binding decision on process and verdict.\"", "This suggestion will be considered as part of longer term policy options for an independent adjudicator." ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "Please see below list of things that the [Parliamentary and Health Services Ombudsman] provide which the IRB do not.\nPublic website\nPublic telephone number\nPublic helpline\nWillingness to discuss queries over the phone\nSocial media presence (twitter, Facebook, newsfeed etc.)\nAnnual public reports (currently only to DHSC)\nAnnual public Accounts (currently only to DHSC)\nAnnual public open meeting\nPublic consultations on their service\nInternal complaints procedure on their service (IRB have none)\nPublic statement on their principles\nFreedom of information requests (IRB currently claim exemption)\nData protection statements\nAbility to investigate public hardship or injustice (IRB do not. They are silent on maladministration)\nLeaflet provided at end of service provider process (DHSC advise contact IRB but provide no address etc.)\nInternal medical advice (IRB use the director of public health).”\nFeedback welcomed on their service (IRB ignore any critical feedback)\nUser friendly and modern documentation setting our your rights (IRB format has been the same for years and omits certain rights)\nDisability /Equality statement\nControl over who is employed by them (Comin appoint the IRB, the IRB have no control )\nStaff holding relevant qualifications\nInternal legal advice (IRB use AG office)", "There will be a requirement for the joint IRB to give effective publicity to complaints arrangements within the Regulations, which\nwould cover having a webpage and telephone number. Other requirements in the regulations will cover a public reports to\nTynwald, contact details for the IRB to be provided by the service provider at the end of the local resolution process, more\nprofessionals and qualified members of the IRB to cover the requirement for medical advice.\nWhilst we agree in principle with this comment, some of the information is best practice operational suggestions. The joint IRB will\nbe encouraged to apply best practice advocated by the UK's Ombudsman Association to its operation. In the longer term, the aim\nis to move towards a set up that is more similar to the PHSO but on a smaller scale and appropriate for the Isle of Man context." ], [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "“The IRB are not qualified and do not deal with maladministration, public injustice etc. This is the role of the Tynwald Ombudsman. The IRB\nare also not qualified to deal with issues on Candour. The ability of the Ombudsman to review was clearly stated in 33/06… An\nOmbudsman should be appropriately qualified with ombudsman qualifications”", "It is agreed that the IRB are not currently qualified as they are lay members. It is intended that the revised, joint IRB will be set up\ndifferently with more qualified professionals as members.\nThere is a duty of candour procedure set out in Regulations for service providers to follow. Any duty of candour incidents that\nresult in complaints would be reviewed as complaints. Any that are not resolved at local resolution stage will be within the remit\nof the revised IRB. Training for IRB members will be required and could cover the duty of candour procedure.\nThe Ombudsman requirements in 33/06 require an opportunity for an appeal to be made following an IRB review that would be\nheard by an independent person outside of the Complaints Panel System. This does not align with the best practice standards\nendorsed by the Ombudsman Association. The best practice position is that there should be one independent adjudicator. The\nability of the Ombudsman (in this case the Tynwald Commissioner for Administration) to reopen and reconsider the complaint\nafter the IRB review would result in the ability to overturn the independent adjudicator's decision. This would have a number of\nquite serious implications for the process and undermines the principle that the independent adjudicator is the final neutral port\nof call in such a dispute.\nHowever, the ability for the Ombudsman to review complaints about maladministration by the IRB could be included as part of a\nreview of the legislation and will be consulted upon." ], [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "“IRB annual reports should be every year… Any independent adjudicator should report annually and publicly. The independent adjudicator\nshould be appointed by Tynwald… Any independent adjudicator should have similar powers of enforcement to that of the CQC.”", "Annual reports from the IRB to Tynwald are proposed within the Regulations.\nThe comments made in relation to the appointment of the independent adjudicator and its powers will be considered for the\nlonger term independent adjudication solution. However, it should be noted that there is a fundamental difference between\nombudsmen/independent adjudicators and regulators (such as CQC). CQC's powers have mandatory force and non-compliance\ncan result in legally enforced sanctions. Ombudsmen however can only make 'discretionary recommendations', and this is an\nestablished principle accepted by the Ombudsman Association. Nonetheless, in instances where an organisation resists such a\nrecommendation, the matters can reported to a responsible body (such as Tynwald) for consideration, or alternatively pursued\nthrough the judicial system. Giving an independent adjudicator or ombudsman a mandatory power of enforcement could result in\nlegal challenges (e.g. private contractors operating commercially on an independent basis under a commissioned arrangement to\nManx Care)." ], [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "In relation to the IRB; “[redacted] cannot recall the appointment process, but again there should be input from the appointments\ncommission rather than appointment by the Department.”", "It will be suggested that the appointments commission appoints the joint IRB." ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "“The jurisdiction of the [Tynwald Commissioner for Administration] over the adequacy of the process can be dealt with expeditiously.”", "It is agreed that the Tynwald Commissioner for Administration could have jurisdiction over complaints about the IRB, as otherwise\npatients and service users would have no recourse to remedy & redress where the IRB is responsible for maladministration\ncausing injustice. This will be discussed with the Tynwald Commissioner for Administration and consulted upon." ], [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "The IRB system is truly independent and its retention is a serious option which should be included in the long term policy options. The\nIsland has a track record of producing highly cost effective solutions - The Financial Services Ombudsman Scheme is a good example. It is\nremarkably similar to the IRB system", "Agreed that this should be included as an option within the longer term policy options for independent adjudication." ], [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "“Combining the IRBs is the way forward but there has to be a change in their title and how they are set up and appointed to”", "Agreed this will be covered in the Regulations." ], [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "The inclusion of all health care providers including private would be welcomed.", "Noted and will be considered alongside the responses to public consultation." ], [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "\"[Redacted] strongly supports the option of having a stand-alone ombudsman as a separate legal entity. Whether recruitment should be\non Island or via the UK Ombudsman’s Association is a matter for debate when weighing accessibility and cost against independence. We\nwould not support the options of extending the remit of the Tynwald Commissioner or of the DHSC assuming responsibility for this role in a\nregulatory capacity.\"", "Noted and will be considered alongside the responses to public consultation." ], [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "\"[redacted] is in favour, in the longer term, of an Independent Ombudsman, independent from the DHSC, that reports direct to Tynwald\nand that such a body should cover both Departmental services and Private services.\"", "Noted" ], [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "\"the IRB is unfit for purpose. Complainants are unhappy as:\nthey perceive it as biased because the convenors are government paid.\nit's slow\nit can only make recommendations\nthere is no feedback loop to check these are adopted\nthere is no ongoing audit of prior recommendations\nthere is no appeal\nFor defendants the process is akin to a 'kangaroo court' where staff are summoned to appear with no 'friend' or union rep allowed to\naccompany them for support.\"", "This feedback will be considered for the review of the IRB's process in Regulation. The joint IRB will continue to be paid by the\nGovernment in this interim stage. Timescales will be included within the Regulations to address slow responses.\nRecommendations and a feedback loop with the DHSC ensuring that changes are implemented was brought in under the April\n2021 Regulations and will be retained and strengthened by also being included within annual reporting to Tynwald. It is\nconsidered correct that there is no appeal against the IRB as the independent adjudicator; however, there should be a mechanism\nto raise complaints about the IRB's process in reviewing complaints, which is planned to be via an internal complaints procedure in\nrelation to the IRB with escalation to the Tynwald Commissioner for Administration. The suggestion for staff members to be\naccompanied will be considered for inclusion within the Regulations." ], [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "\"As [redacted] Have indicated, [redacted] should like to discuss with you the question of the possible involvement of the Ombudsman’s\nAssociation.\"", "Agreed" ], [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "In relation to the Department reviewing complaints as an option instead;\n\"for “lack of perceived independence” [redacted] should be grateful if you would substitute “perceived lack of independence”.\"", "Agreed" ], [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "\"If the long term policy is to move to an Ombudsman scheme, will the combined IRB be seen as an interim measure, and if so for how\nlong?\"", "Until the NHSCS Bill is completed, current estimation is approximately 3 years. However, the Transformation Programme is\nseeking additional resource with the aim to reduce this timescale." ], [ "An independent\nadjudicator or\nombudsman to\nreplace the IRB", "\"The Ombudsman scheme will presumably require ‘full time employees’? Including Contracts of Employment which are outside the remit\nof the [redacted]. However, there may be some advantage in employing the [redacted] experience to identify and recommend.\"", "Agree for longer term policy on independent adjudicator." ] ], "row_count": 11, "col_count": 3 }, { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "Complaint made to\nthe service provider", "“The IOM should align their process to the UK, i.e. if a concern is not dealt with in 1 day, it is logged as a complaint.”", "The approach adopted in the UK has merit. In instances where a concern is raised by a patient/service user and action is taken\nwithin one day to resolve the matter, it is not regarded as a 'complaint'. This may act as an incentive to deliver an immediate\nremedy. It is proposed to include this within the Regulations." ], [ "Complaint made to\nservice provider", "“What details?” In relation to when the acknowledgement is sent to the complainant.", "The detail will be set out within the Regulations. It is proposed to include:\n(i) a summary of the complaint;\n(ii) where a complaint was made orally, be accompanied by the written record of the complaint with an invitation to the\ncomplainant to sign and return it;\n(iii) details of the service provider’s complaints handling procedures;\n(iii) inform the complainant how long they can expect to wait to receive a further response; and\n(iv) give the complainant contact details for an individual member of staff acting on behalf of the service provider;\n(v) if appropriate, request clarification or further details in writing." ], [ "Complaint made to\nservice provider", "About Manx Care being required to set up a PALS and an advocacy service and to consult with the public; “Timescales need to be inserted\nfor these actions”", "Timescales will be set as part of transitional arrangements within the Regulations." ], [ "Complaint made to\nservice provider", "The 2 working day timescale for acknowledging a complaint is a laudable aim but is it really practical in a 24/7/365 organisation?", "It is proposed to change the timescale for acknowledging a complaint to 5 days to be aligned to the process in England." ], [ "Complaint made to\nservice provider", "“Can a Mental Health Tribunal Chair raise a complaint?... Can a coroner raise a complaint?”", "Only a person affected by a issue, or a person acting on that person's behalf, can raise a complaint. This is in line with best practice\nguidance for complaints handling." ], [ "Complaint made to\nservice provider", "“The process of nominating someone to assist or deal with a complaint on someone’s behalf needs consideration… What happens to\nsomeone who has a complaint and retains powers of attorney?... Roles of MHKs in the complaints process. Manx Care approach of ensuing\nall political contact goes through the CEO seems a poor use of a CEOs time. The public should not be deterred from approaching MHK’s.”", "A complaint can be made by a person affected or their representative if the person has died, is a child, does not have capacity or\nhas requested the representative to act on their behalf. There is also the proposal to include an independent advocacy service\nwhich would allow people to use an independent person to assist complainants.\nHow this principle of advocacy is administered in practical terms is an operational matter." ], [ "Complaints\nregulation for\ncommissioned\nservice providers of\nhealth and social\ncare", "“Complaints procedure should be in contracts with overseas service providers/organisations, it is understood some are delaying the\nprocess”", "It is intended that the Regulations being consulted upon will require all service providers that provide services under the mandate\nto have complaints procedures and arrangements for handling complaints in place that are compliant with the provisions of the\nRegulations, unless there is equivalent legislation in place (for example, in England).\nThere will also be a requirement in the mandate for Manx Care to ensure that there is a complaints procedure for all\ncommissioned providers. This should then flow through to the contracts with those providers. This would apply to any new\ncontract that Manx Care puts in place with providers from the date that the Regulations come into operation." ], [ "Complaints\nregulation for\ncommissioned\nservice providers of\nhealth and social\ncare", "\"On point (e) in page 5,[redacted] thinkthat the matters youmention canbe dealt with either by specific terms inthe contract under\nwhich the external provider is engaged or a looser arrangement such as a service level agreement. No doubt the civil team in the AG’s\nChambers will have a view on the best way to address it.\"", "Agreed" ] ], "row_count": 8, "col_count": 3 }, { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "Consequences for\nbreach", "“The consequences for breach must come in by November 2021. There is no point in drafting regulations which have no consequences.”", "The Department will be held to account through its annual reporting to Tynwald, parliamentary committees and the Tynwald\nAuditor General (once appointed).\nInspections of service providers will be carried out by the external inspectors appointed under the Manx Care Act 2021, which may\nhighlight failings in the area of complaints handling. Such reports will be made public along with Manx Care’s action plan for\naddressing the short comings. The Department will hold Manx Care to account in implementing the action plan.\nManx Care will also be held to account via its annual reporting to the Department in relation to complaints. The draft Regulations\nrequire Manx Care to provide such an annual report within 3 months after the end of the financial year.\nOmbudsmen (in this case the IRB) can only make 'discretionary recommendations', and this is an established principle accepted by\nthe Ombudsman Association. Nonetheless, in instances where an organisation resists such a recommendation, the matters can be\nreported to a responsible body (such as Tynwald) for consideration, or alternatively pursued through the judicial system. Giving an\nindependent adjudicator or ombudsman a mandatory power of enforcement could result in legal challenges (e.g. private\ncontractors operating commercially on an independent basis under a commissioned arrangement to Manx Care). The annual\nreporting requirement for Manx Care will include that any complaints where recommendations of the IRB were not acted upon\nmust be identified within the report and the reasons must be given as to why they were not acted upon. It is also suggested that\nthe IRB should report to Tynwald on an annual basis and that that report should detail progress against all accepted\nrecommendations that remain outstanding.\nThe Department has the power under the Manx Care Act 2021 to direct Manx Care and ultimately to remove Board members." ], [ "Formal response to\nthe complainant", "In relation to any remedial action required by the service provider; ““Prompt” is not sufficient, there should be a timescale”.", "The actions required under this section could be so variable that it is not considered useful to include a timescale for this action to\nbe taken. However, it is proposed that the response to the complainant will be required to set out the actions to be taken and a\nreasonable timescale for completion of those actions." ], [ "Formal response to\nthe complainant", "“Patients should be made to feel their complaint has been valued and not a tick box exercise. Feedback should be provided on how their\ninput has ensured similar events do not happen again. In addition, at the end of the process standardised feedback forms should be sent to\nthe complainant asking how useful they felt the complaint process had been. These feedback forms should be included in the annual\nreport and will highlight if the system is working”", "Broader wording will be included which requires service providers to ensure that appropriate mechanisms are in place for\ncomplainants to share feedback about their experience of the complaint handling process." ], [ "Formal response to\nthe complainant", "“A commitment to jargon free language would also be a really useful commitment at this early stage. It would also be helpful if response\nletters contained balanced information, i.e. the facts that support the complaint as well as the contrary evidence. This is an\nacknowledgement that their points have been considered and listened to. Response letters must deal with all of the issues raised by the\ncomplainant.”", "It is agreed that this is all important in relation to complaints handling. It will be part of the behaviour and systemic change in\nculture that will be encouraged through advocacy for the adoption of best practice standards." ], [ "General", "In relation to the NHSCS Bill; “timescales need to be accelerated”", "The Transformation Programme is looking to recruit additional resource to be able to accelerate the timescales." ], [ "General", "In relation to inspections; “it only identifies CQC as carrying out inspections – [redacted] understanding is that there will be a number of\nregulators working across Manx care services and other providers should the wording not reflect this.”", "Agreed - wording changed in policy proposals document and will be reflected similarly in the consultation paper." ], [ "General", "“some of the statutory responsibilities could be laid out in the regulations and not primary legislation.”", "Acts of Parliament and Regulations are all statutory in nature. The former are primary legislation, and the latter are secondary\nlegislation. Regulations flow from a preceding Act, and are given force by the relevant Act. The responsibilities for complaints\nhandling in relation to services and the IRB's responsibilities can be set out in Regulations and so will be statutory responsibilities.\nThe DHSC's responsibilities in relation to complaints can not be set out in statute as the current Acts only refer to functions in\nrelation to services." ], [ "General", "“Complainants may be timed out of complaints to GMC etc. because of the length of time it has taken Manx Care/DHSC and the IRB to deal\nwith the complaint.”", "Referrals to professional regulatory bodies by the public is a separate matter not directly related to the operation of the NHS\ncomplaints process. However, this could be covered by guidance issued by the DHSC to make the public aware of all avenues in\nrelation to pursuing a complaint. In relation to the specific example given it is noted that the GMC website states that \"There is no\ntime limit for raising a concern.\"" ], [ "General", "“Access to Health Records and Reports Act 1993.\nAt the moment the Information Commissioner is unable to assist with complaints regarding the aforementioned. This Act is used by the\nbereaved to obtain medical records for the deceased. This leaves the bereaved in a position of seeking legal advice which is not acceptable.\nThis situation needs to be addressed by November 2021.”", "Changes to the Access to Health Records and Reports Act 1993 is not within the scope of the review of Complaints Regulations but\nwill be looked at in a future review of primary legislation. Consideration has been given to the joint IRB having the correct data\nsharing permission to be able to access the records necessary to complete a review of the complaint." ], [ "General", "“as a KPI of the process is the length of time it takes for the hospital to release records. Complainant should not be required to make their\ncomplaint without being able to consider the medical evidence.“\n\"How does technology development comes into it? Especially direct access to medical records.\"\n\"Records of complaints. Amendments to patient records. Destruction of complaint records.\"", "There are processes through which complainants can access medical records; however, these may not always been fully\nunderstood. The additional advice function suggested for the DHSC and the introduction of a PALS service should help the\ncomplainant to navigate the processes more easily. The extended time frame for making a complaint should also ensure that the\nlength of time it takes for the hospital to release records does not prohibit complainants from making a complaint. Consideration\nhas also been given to ensuring that the joint IRB will have the necessary access to records to be able to conduct a review of the\ncomplaint and it is the intention to include a standard response time for records to be released." ] ], "row_count": 10, "col_count": 3 }, { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "General", "“Funding for legal assistance where required, including legal aid.”\n“When can Manx Care / DHSC appoint legal advice and how then can / does the complainant respond.”", "This is not a matter for procedural reform." ], [ "General", "Tacit acceptance that complaints are not being appropriately handled and learning not taking place is implied by the suggested actions to\naddress this. [Redacted] are concerned that, although progress has already been made, the required changes are still urgent and must\ncontinue to be made alongside this consultation process, regulation changes and ultimately new legislation.\n[Redacted] suggest that the Introduction could reference Duty of Candour within the Manx Care Act, since this process and its\nconsequences are a good example of the outworking of these principles (be seen to deliver).", "Agreed that current complaints handling will continued to be looked at through the assurance process and through advocacy for\nthe adoption of recognised best practice standards." ], [ "General", "Comment that recommendation 4c is unclear which states \"c) include a role for the Department's in offering advice and guidance on how\nto progress complaints for health and social care services complaints across the whole national health and social care system in the\narrangements set out within the revised complaints Regulations\";", "Noted and will be clarified for the consultation paper." ], [ "General", "\"[Redacted] strongly agree with Rec 6 but request clarity on who would decide what is adequate, and how; and ditto for appropriately\ntrained. Perhaps the application of these requirements would be picked up through the work of CQC’s audits?\"\nRecommendation 6 states; \"The Department should include the following requirements within the Regulations for public consultation:\na) for the complaints function of a service provider to have adequate and appropriate expertise, resources and authority to carry out its\nactivities effectively; and\nb) that all staff of service providers are appropriately trained and supported to deal with complaints (similar to a provision within the Duty\nof Candour Regulations).\"", "It would be for the service provider to document what is adequate and appropriate for its business. It would also be picked up\nthrough the assurance process and external inspections that are required under the Manx Care Act 2021." ], [ "General", "\"Rec 7 is important. Whilst the extent to which offloading from DHSC to Manx Care will almost certainly be questioned in the consultation,\nthis section makes accountability lines crystal clear. Such a clause would hopefully be worded tightly enough to avoid some of the past\ndifficulties with nailing down names and departments for accountability.\"\nRecommendation 7 states; \"The Department will be held to account through its annual reporting every year to Tynwald and the Tynwald\nAuditor General (once appointed). Inspections of service providers will be carried out by the CQC and may highlight failings in the area of\ncomplaints handling. Such reports will be made public along with Manx Care's action plan for addressing the short comings for correction.\nThe Department will hold Manx Care to account in implementing the action plan. The Department will also hold Manx Care to account in\nimplementing the recommendations of the IRB(s). The Department has the power under the Manx Care Act 2021 to direct Manx Care and\nultimately to remove Board members. The Department should outline its policy in relation to accountability and breach of the\nrequirements as part of the public consultation, as outlined above, and invite feedback on the adequacy of the current approach. It is not\nrecommended that additional consequences for breach are contained within the Regulations being prepared for November. However, it is\nexpected that feedback will be received as part of the consultation process that could be considered as part of the policy for the NHSCS\nBill.\"", "Noted" ], [ "General", "what are the accepted inadequacies and who says so?", "The accepted inadequacies are those that were referred to in the Tynwald debate on the motion in April 2021. If this wording is to\nbe retained as part of the consultation paper, this will be explained and consideration will be given to ensure that the wording is\nsuch that it is sensitive towards staff members that currently handle complaints well." ], [ "General", "\"[Redacted] believe that this document presents a framework which has the potential to inspire confidence in service users. The\nconsultation will provide further reassurance of the DHSC’s commitment to cultural change and accountability. Whilst [redacted] agree\nwith the proposed time frame for the urgent delivery of Stage 1 [redacted] believe that success will require a united ‘push’ and sufficient\nresource for this to happen (see also [redacted] comments under Policy above.\"", "Noted" ], [ "General", "\"[Redacted] has a legal obligation under [redacted] to investigate any complaint made to it by a patient detained under [redacted]. Unless\nthis is amended by statute, the new complaints policy will need to accommodate this statutory requirement and, at present, [redacted]\ncan see no reference to this.\"", "Agreed" ], [ "General", "\"in the long term legislation the “Duty of Candour” should be enshrined in the legislation as it is in the U.K.\"", "A duty of Candour for the Department of Health and Social Care and Manx Care was brought in by the Manx Care Act 2021. The\nManx Care (Duty of Candour Procedure) Regulations 2021 sets out the procedure to be followed if an incident occurs that causes\nharm to a service user." ], [ "General", "\"The Local Resolution process works very well and the timescales are flexed when common sense dictates.\"", "Noted" ] ], "row_count": 10, "col_count": 3 }, { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "General", "[Redacted] provide governance, however the appointments commission have decided that no one with a clinical qualification or NHS\nemployment can provide this governance. It's akin to you saying no one with a banking or economics training can be on the Financial\nServices Authority regulating the finance service. [Redacted] do well, but cannot scrutinise deeply because of this lack of knowledge.\nPerhaps [redacted] should have non island medical practice so there is no conflict.\"", "The membership of the HSCC is not within the scope of this review." ], [ "General", "In relation to the recommendation that the Department have an assurance function over complaints about Manx Care;\n\"Intermsofthe first paragraphonpage 3, [redacted] wonderedwhether the Department willbe seenassufficientlyindependentfrom\nManxCaretohandlethecomplaintsprocess.although[redacted]realiseitmustbeinvolvedinaddressinganyseriousfailingonthepartof\nManx Care if that gives rise to a need to amend or amplify the latter’s mandate.\"", "" ], [ "General", "\"At the foot of page 3 the reference to the Select Committee has become mangled. [Redacted] think that the reference to “the 2006\nPetition of Doleance/Redress” should actually be a reference to the 2006 Select Committee of Tynwald on Petition of Redress.\"", "Agreed" ], [ "General", "In relation to the recommendation that the Department has an advice role;\n\"[Redacted] wonder what you envisage as the Departmental role in advising on complaints to be. Do you have in mind imposing a duty on\nthe Department to draw the attention of service users to the procedures by which they can pursue complaints. If so, might [redacted]\nsuggest you say exactly that?\"", "Agreed" ], [ "General", "\"on page 9, should the reference to the NHSCS Bill actually be to the Reform Bill as you have defined that earlier on?\"", "Agreed" ], [ "General", "\"The first concern [redacted] have isto ensure independence for the unit conducting investigationsfollowing the initial internalreview.\nYouwillnotethatinTynwaldCommissioner’scaseTCA1904,theDepartmentconsideredthat [redacted],ratherthantheSocialCareIRB\nshould investigate the complaint because the IRB was not perceived to be sufficiently independent of the Department.\"", "That report states that the \"DHSC thought that the “preferable route” would be for me to review the complaints rather than a\nreference to the IRB because Mr G was unlikely to perceive the IRB to be “impartial” or “unbiased”. The complainants perception\nof the situation does not necessarily mean that the IRB is not independent. Care is being taken to make the joint IRB as\nindependent as possible within the current vires - it is proposed to be a stand alone body, appointed by Appointments\nCommission. It will be funded by the DHSC; however, it will no longer be reviewing complaints about the DHSC as the DHSC is not\nanticipated to be a provider of services. A more independent adjudicator is being considered as part of the longer term review of\nprimary legislation." ], [ "General", "\"The very exercise you are undertaking may not inspire confidence in those aggrieved about their treatment if it is perceived to be a DHSC\nDepartmental Review.\"", "Noted" ], [ "General", "\"Althoughyoudonotsaysoexplicitly,[redacted]inferthatyouenvisagetheRegulationscontainingsomethingakintotheGDPRprovisions\non the functions of data supervisors giving those responsible for handling complaints direct access to the highest levels in the relevant\norganisation and the right to act with fearless independence in dealing with problems. Have [redacted] understood correctly?\"", "There appear to be two issues discussed here. The first concerns compliance with GDPR obligations in the context of complaint\nhandling, which is a matter that is being considered within the Regulations. The second is the matter of complaint handlers and\ninvestigators having the appropriate level of authority to pursue their inquiries without obstruction. It is intended that there will\nbe a requirement within the Regulations that the complaints function of a service provider should have appropriate authority to\nbe able to act independently in considering a complaint." ], [ "Handling of the\ncomplaint by the\nIRB", "Indicated a preference for “statute” in relation to whether to put in statute or to alternatively make it subject to approval of the\nDepartment, COMIN or Tynwald for the standard considerations for IRB to decide whether the complaint should be considered further.", "Suggested standard considerations to be within Regulations:\n(a) the complainant is not directly affected by the subject matter of the complaint;\n(b) the service provider has reached a resolution with the complainant which is fair and reasonable in the circumstances;\n(c) the complaint has been the subject of a decision on the merits in proceedings in any court;\n(d) the complainant has or had a right of appeal, reference or review to or before a tribunal constituted by or under any\nenactment;\n(e) the complaint has been properly considered under any enactment or arrangement providing for the resolution of disputes or\nthe investigation of complaints;\n(f) the complaint would more suitably be dealt with by a court or under an enactment or arrangement referred to in sub-\nparagraph (e); or\n(g) the complainant has not exhausted the service provider’s internal complaints procedure." ], [ "Handling of the\ncomplaint by the\nIRB", "Suggested that the IRB should be required to explain the reasons \"why\" when a decision is made not to consider the complaint any further.", "This is already a statutory requirement and will be retained." ], [ "Handling of the\ncomplaint by the\nIRB", "“There should be no discretionary power for the IRB… the requirements for considering complaint should be laid out in regulations and not\nup to the current Governors personal opinion of the complainant.”", "Agreed that the requirements for considering a complaint will be included within Regulations, although the use of discretion on a\njustified basis could be included for in instances where the IRB takes a decision that is not consistent with the established\napproach, but reasons are set out in writing for the departure from precedent. This would most commonly occur in situations\nwhere an adverse impact might arise for a complainant as a consequence of a rigid application of 'rules'." ] ], "row_count": 11, "col_count": 3 }, { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "Handling of the\ncomplaint by the\nIRB", "Whilst there is no problem with setting timescales they do need to be realistic. A case can involve a Convenor studying hundreds of pages\nof sometimes disorganised and sometime illegible documents. Speeding up the process of review can only be achieved if Manx Care\nresolves it keeping. At the start of addressing a complaint the Convenor should expect to receive an ordered file containing all of the\nrelevant data.", "It is intended to include a requirement that the service provider must provide the information in good order and by the time\nrequested as part of the Regulations." ], [ "Handling of the\ncomplaint by the\nIRB", "Complaints to the IRB can often be made in parallel with other procedures; notably (but not limited to) Inquests. Whilst the current\nRegulations deal with the issue of a complainant who takes legal action against DHSC (and now Manx Care), they are silent on other legal\nprocesses. The current provisions should be retain ed but should be strengthened to provide primacy for the Courts. The Financial Services\nAct 2008 deals with the primacy of the High Court in Schedule 4. It is suggested that the new Regulations should provide a similar power to\nany Court. This power is particularly relevant to the Coroner of Inquests who should have clear primacy.", "We agree that the primacy of the judicial system is an accepted principle which should be reflected in the Regulations." ], [ "Handling of the\ncomplaint by the\nIRB", "If fixing deadlines it is suggested that there should be an \"in exceptional circumstances\" extension clause at the discretion of the IRB", "This is planned to be contained within the Regulations" ], [ "Handling of the\ncomplaint by the\nIRB", "the discretionary power for the Health IRB to decide whether a complaint should be considered further or rejected should be based on\nstandard considerations in the Regulations and it is suggested that any decision to reject should subject to an appeal process to the\nDepartment.", "This is planned to be contained within the Regulations" ], [ "Handling of the\ncomplaint by the\nIRB", "In relation to a timescale for a convenor to consider a complaint;\n\"Inparagraph6onthatpage,[redacted]wouldsuggestthatyoumakesomeprovisionforexceptionalcases.Havingasingletimelimitfor\neverythingisfineandsimple,butitoftendoesnotworkinpractice.Youneedtoprovidesomeformofescapevalveforthecomplexcases,\nsome of which will certainly arise.\"", "Agreed" ], [ "Handling of the\ncomplaint by the\nIRB", "\"In point 5 on that same page, you suggest a formal response be required within 20 working days. [Redacted] experience [redacted]\nsuggeststhatthisisanunrealisticexpectationintheManxcontext.Similarlyinpoint7youmakethepointyourproposedextensionto12\nmonths for complaints is in line with UK provision, which is true but overlooks the Manx context referred to above.\"", "The Local Authority and National Health Service Complaints (England) Regulations 2009 that apply in England make provision for\ncomplaints to be responded to within 6 Months. This was a response to the same 20 day target embedded in previous regulations\nthat were never met by NHS bodies. The principle is that NHS bodies respond as quickly as possible within that 6 Month\ntimeframe, and indeed many set corporate targets for different kinds of complaints dependent upon their complexity. However, it\nis not considered that a move to such a long timeframe would be acceptable in the Manx context. Tynwald has asked that the\ncomplaints process and timescales are set within the Regulations, and have commented that there is a lack of statutory timescales\nfor review of complaints and where they are current timescales are overly long and appear insensitive to patients needs.\nTherefore, it is intended to keep the 20 day timeframe for a service provider to respond to a complaint. Many straightforward\ncomplaints can be dealt with within this timeframe. For any that are more complex and require additional investigation the\nresponse after 20 days will allow the service provider to explain to the complainant why this complaint will take longer to\ninvestigate and manage their expectations by giving a revised timescale within which a response will be received." ], [ "Investigation by the\nservice provider", "“Timescales need to be outlined and adhered to” in relation to requirement to keep complainant informed about investigation.", "Where the question of keeping complainants informed is concerned, it is not considered that a commitment to set in stone a\nrequirement for people to be kept informed would be the best option. This is because no two complaints are the same and the\ninvestigative process can move quicker or slower in each case (e.g. the need to interview a key witness who is not available\nthrough leave or sickness for a period of a month or more). People should be kept informed about the investigation on a regular\nbasis relevant to the facts of the case and the need for a proper consideration of the matter subject to complaint. The proposal is\nthat the complaint response must be issued within 20 working days. If the response is not issued within 20 working days then the\nservice provider must notify the complainant of the reason for this and advise what the revised timescale for when a response can\nbe expected to be received. In addition, it is proposed that there will be a requirement for the complainant to be kept informed\nabout the progress of the investigation on a regular basis." ], [ "Investigation by the\nservice provider", "“It is noted that a firmer requirement to keep the complaint informed will be required but this should include a requirement for\nmeaningful updates and strict timescales, say every 14 days after the 20 day timescale has been breached.”", "The current proposal is that the complaints manager must take steps to keep the complainant informed about the progress of the\ncomplaint. The response must be issued within 20 working days. If the response is not issued within 20 working days then the\nservice provider must notify the complainant of the reason for this and advise what the revised timescale for when a response can\nbe expected to be received.\nThe requirement for meaningful updates will need to be part of the behaviour and systemic change in culture that will be\nencouraged through advocacy for the adoption of best practice standards." ], [ "Investigation by the\nservice provider", "“Participation in complaints investigations and reviews by those involved has to be mandatory, even by consultants… Roles of Consultants\nand Medical Director(s) should be considered in the context of the process and follow up learning.”", "Agreed, this will be part of the behavioural and systemic change in culture that will be encouraged through advocacy for the\nadoption of best practice standards." ] ], "row_count": 9, "col_count": 3 }, { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "IRB report of their\nfindings", "In relation to reporting by the IRB, suggested they should include details of; “No of complaints, timescale for resolution, actions taken,\nfeedback”", "Agreed" ], [ "Learning and\nimprovement", "In the proposed new section about learning from complaints, suggested adding requirements for the service provider to;\n- Provide feedback to the complainant on changes to ensure they feel their complaint was valued, and\n- Provide feedback forms provided to complainant at end of every process (Manx care and IRB) to ensure quality. Include feedback in\nreporting process.", "A change has been suggested to the response section of the Regulations to require that the response to the complainant includes\na description of the action taken as a result of the complaint, which maps to the 'you said we did' model of customer relations.\nWhere feedback forms are concerned, broader wording will be included which requires service providers to ensure that\nappropriate mechanisms are in place for complainants to share feedback about their experience of the complaint handling\nprocess. The mechanism for receiving feedback should be for left to the service provider to decide as it is operational." ], [ "Learning and\nimprovement", "In relation to Manx Care’s action plan for addressing failings in complaints handling identified in inspections; “timescales for correction” of\nthe failings should be included in the inspection reports.", "Timescales for correction are included in the proposals." ], [ "Learning and\nimprovement", "In relation to regular reviews to establish any links between complaints and duty of candour incidents; ““Regular” review is not sufficient,\nfixed timescale of reviews.”", "The intention is for the Regulations to require this on a quarterly basis, for the service provider to take any action identified by the\nreview and for the service provider to report on that action in its annual report." ], [ "Manx Care's\nassurance of\ncomplaints about\ncommissioned\nservice providers", "This Role needs to be substantial - at present small contractors such as GP practices do not presently investigate complaints properly.\nThere is a lack of independence of investigators. It is vital that the person undertaking an investigation was not party to delivering the\nservice complained about. The challenge with small contractors such as GP practices and dental practices is to achieve any real\nindependence for the investigatory role. As a result initial decisions are \"rubber stamped\" and the complaint ends up at the IRB", "It is suggested that this is dealt with through both the DHSC's and Manx Care's assurance framework i.e. that Manx Care are taking\nappropriate steps to address this concern. Embedding the detail of such a role in Regulations is fraught with anomalies due to the\nquite differing size and scale of providers." ], [ "Meeting the\ncomplainant or\nrepresentative", "“Recommendation 1 of 33/06 was fairly descriptive in its description of the process.\n(c)A meeting with Hospital Complaints Manager to discuss the complaint;\n(d)A further meeting if required with clinician(s) to provide an opportunity for questioning, accompanied by someone chosen by\ncomplainant;\nDHSC are currently suggesting that the complainant have the opportunity to meet a “relevant health care or social professional”. This is a\ngeneric term and can include any number of people who are not “clinicians”.”\nDetails [redacted] personal experience that the meeting was ineffective because information was unavailable and it was complaints and\nmanagement staff without any of the staff who were involved in the care of the deceased.\n“Meetings should be attended by a clinician familiar with the case and able to answer questions. It is appreciated that nurses in attendance\nmay be excellent nurses but they are not qualified to give opinions on technical cancer care, that is the role of a Doctor.”", "The meeting required by (c) will be included within the Regulations. The wording suggested for inclusion to address (d) is \"offer\nthe complainant an opportunity to meet with a relevant health or social care professional that is familiar with the nature of the\ncomplaint and is qualified to answer questions about the service user's care that has resulted in the complaint\". Clinician is a very\nhealth focussed term. The term health or social care professional is broader and more inclusive of social care practitioners." ], [ "Meeting the\ncomplainant or\nrepresentative", "Meetings with complainants must be minuted (or recorded)", "Agreed but this is operational detail to be contained with service provider standard operating procedures." ], [ "Meeting the\ncomplainant or\nrepresentative", "“It would be useful to have some clarity as to what the policy is intended to be about meeting staff to discuss the outcomes of a\ncomplaint. To do this at the start of the process may avert protracted process if people feel listened to and get a good explanation early\non, and possibly also an action plan for improvement… [redacted] think there should be two meetings offered, one at the outset to hear\nthe complainants story, and one, the resolution meeting after a full investigation to answer the complaint… with the intention of meeting\nthe complainants reasonable expectations and giving a satisfactory explanation of those that cannot be met... Complainants should be\ngiven more information about remedial plans, progress and where necessary any staffing implications.”", "The Regulations are intended to contain provision that the need to meet with complainants must form part of the complaint\nhandling process. Exactly when, and how often this should occur, is principally an operational matter (i.e. in more serious\ncomplaints it would be advisable to meet with the complainant at the outset in order to define their complaint and agree the\ninvestigative scope, then as part of the investigation, and again at the end to discuss the outcome and action plan)." ], [ "Overall 2 step\ncomplaints process", "\"Recommendation 2 procedures are to be welcomed and will no doubt be subject to much debate on timescales. [Redacted] is pleased to\nsee that there will be a process (9) that seeks to establish links with duty of candour incidents (please also refer to our Duty of Candour\nconsultation response dated 15th January 2021).\"", "Noted" ], [ "PALS/advocacy", "\"PALS - excellent.\"\n\"[Redacted] still see a place for [redacted] to provide independence. [Redacted] help complainants to generate a complaint, construct it in\nwriting ( [redacted] do not write anything - must be in their own words). It must be written by complainant or someone with written\nauthority to act on their behalf. Usually a simple timeline is best structure highlighting areas of concern and most important , the outcome\nthat is sought.\"", "Agreed - no change required" ], [ "Public consultation", "“The public consultation has to be free of leading questions.”", "Agreed" ] ], "row_count": 11, "col_count": 3 }, { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "Public consultation", "In relation to a wide question to ascertain what the public currently thinks is and isn't working;\n\"Asking what the public thinks is and isn’t working is indeed a wide question. How will this be done? Will a consultation question give some\nbackground information or examples? Patient/Service User Reps are consulted but do they exist yet and will their networks have the\ncapacity to provide useful answers?\"", "It is agreed that this question may be too wide for a consultation on revised Regulations as the responses elicited will likely be\npersonal accounts of issues faced in relation to complaints handling that will not be able to be addressed directly through\nlegislation and so not be an effective engagement exercise. It is intended that the consultation paper will ask specific questions\nabout the accessibility of the information provided to complainants and the best way to disseminate this information to help\ninform the future arrangements.\nThe Department intends to recruit independent patient and service user representatives in quarter two but in the meantime\nservice users that have recent experience of the complaints process have been consulted as part of this process." ], [ "Public consultation", "Consider referring to either DHSC or The Department consistently so long as it is clear what is meant.", "Agreed that this needs to be consistent in the consultation paper." ], [ "Public consultation", "\"For the purposes of public consultation [redacted] recommend that more clarity is provided about definitions of support and advocacy to\nlimit possible confusion between the two when considering Patient Advice and Advocacy.\"", "Agreed" ], [ "Public consultation", "In regards to options for independent adjudicator or ombudsman; \"The options will need explaining clearly to a public readership for the\nconsultation. The whole document needs reviewing with this in mind so that no difficult words, acronyms or jargon remain unexplained.\"", "Agreed" ], [ "Public consultation", "\"In the third paragraph on [page 2] you say that “It has been stated during the motion’s debate in Tynwald that complaints are not being\nappropriately handled to support those who seek redress and learning is not taking place as a result of complaints.” [[redacted] emphasis].\nThis is an unfortunate choice of word given that the review of a complaint is supposed to be an impartial and dispassionate exercise.\nComplaints certainly need to be handled sensitively, but the process needs to be fair both to the complainant and the professionals\ninvolved. “Support” suggests a bias in favour of the complainant. [Redacted] would suggest talking instead about meeting the legitimate\nconcerns of complainants.\"", "Agreed" ], [ "Public consultation", "\"Thesecondfullparagraphonpage2ofthepaperisdistinctlyconfusinginreferringtotwodifferentthingsas“Stage2”(albeitthatinone\ncase the word appears and in the other Arabic numeral). Readers will be puzzled as to what is going on.It might be clearer to refer to\n“point 2” in respect of the resolution and “stage 2” in relation to the legislative changes you envisage making.\"", "Agreed" ], [ "Public consultation", "“Extend the remit (and resources)ofthe existing TynwaldCommissioner for Administration, whose functionistoinvestigatecomplaints\nfrom members of the public who claim to have sustained injustice or hardship as a result of service failures by, or the administrative\nactionsofGovernmentDepartments,StatutoryBoardsandlocalauthorities(includingactiontakenontheirbehalf),tocoverinvestigation\nof health and social care service complaints.”\n(as opposed to; \"of Government Departments (including action taken on their behalf) and Statutory Boards\")", "Wording change suggested for the consultation paper." ], [ "Public consultation", "\"“PALS” needs unpacking. Although it may be obvious to Departmental insiders, it will be lost on the public.\"", "Agreed to explain more within consultation paper." ], [ "Public consultation", "\"Reference to IRB/Independent Adjudicator/Convenor and other terminology/names throughout the document could be confusing for the\npublic and may be better either standardising or explaining the difference.\"", "Agreed" ], [ "Reporting\nrequirements for\nthe DHSC, Manx\nCare, commissioned\nservice providers\nand any\nindependent\nadjudicator", "In relation to annual reporting to Tynwald by DHSC and also regular reporting by Manx Care to DHSC; “Fixed statutory timescale, say 3\nmonths after financial year end”. On reporting by an independent adjudicator, suggested “Annually to Tynwald and also publish on DHSC\nwebsite” and “Tynwald, the issue with DHSC appointing is the perceived lack of independence”", "The intention is for Regulations to require (a) DHSC reporting to Tynwald within 6 months of the financial year end to be in line\nwith the annual report required under the Manx Care Act and to publish the reports on their website and (b) IRB report annually\n(within 3 months of end of financial year) also to Tynwald via DHSC." ], [ "Reporting\nrequirements for\nthe DHSC, Manx\nCare, commissioned\nservice providers\nand any\nindependent\nadjudicator", "“An annual report for Tynwald is required but it must be set timescales, i.e. 3 months after financial year end… the timescale for Candour\nreports was not included in the new legislation passed in April 2021 despite promises to the public. This was very disappointing and should\nbe corrected in November 2021.”", "Timescales for the reports under the Manx Care (Duty of Candour Procedure) Regulations 2021 are for Manx Care to prepare a\nreport within 3 months and then to publish it without undue delay. The vires within the Manx Care Act 2021, under which the\nRegulations are made, means that the reports could not be required to be published within a set timescale. Further changes to the\nManx Care (Duty of Candour Procedure) Regulations 2021 are not included within this review of complaints legislation.\nThe timescales for the complaints reports are suggested to be set at 6 months after the financial year end in order to be in line\nwith the annual report required under the Manx Care Act 2021." ] ], "row_count": 11, "col_count": 3 }, { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "Reporting\nrequirements for\nthe DHSC, Manx\nCare, commissioned\nservice providers\nand any\nindependent\nadjudicator", "“The time taken to respond substantively to complainants should be monitored and reported on to assess whether the 20 day target is\nactually being met.“", "Agreed" ], [ "Reporting\nrequirements for\nthe DHSC, Manx\nCare, commissioned\nservice providers\nand any\nindependent\nadjudicator", "IRB Reports should be subject to statutory confidentiality. Inevitably they contain highly sensitive personal data about the complainant and\nhealth professionals. The Regulations should allow for publication of summarised reports (at the discretion of the DHSC after consultation\nwith the IRB) which do not identify individuals.", "Agreed - it is intended that the Regulations will allow the information gained by the Review Body for the purposes of the\ninvestigation and reporting to be subject to statutory confidentiality. There is already a requirement that \"The Review Body must\nredact the report to ensure that any confidential information from which the identity of a living individual can be ascertained is\nnot disclosed without the express consent of the individual to whom it relates\". This confidentiality provision will be retained." ], [ "Reporting\nrequirements for\nthe DHSC, Manx\nCare, commissioned\nservice providers\nand any\nindependent\nadjudicator", "The IRB should report to Tynwald to include an anonymised summary of complaints finalised and rolling RAG report on all outstanding\nrecommendations to Manx Care and DHSC", "It is agreed that the IRB should report to Tynwald and it is proposed that this will be required within the Regulations\n(independently if possible or more likely through the DHSC)." ], [ "Reporting\nrequirements for\nthe DHSC, Manx\nCare, commissioned\nservice providers\nand any\nindependent\nadjudicator", "“[redacted] presume the system will also take into account the severity of impact of the complaint. Service standards and reporting should\nreflect this.”", "Agreed" ], [ "Reporting\nrequirements for\nthe DHSC, Manx\nCare, commissioned\nservice providers\nand any\nindependent\nadjudicator", "“How redress can be expressed. Publicly?”", "Redress will be expressed directly to complainants within response letters and the annual reports will contain information about\nthe actions taken as a result of complaints." ], [ "Reporting\nrequirements for\nthe DHSC, Manx\nCare, commissioned\nservice providers\nand any\nindependent\nadjudicator", "\"Manx Care should develop and publish their processes for dissemination of information on complaints throughout the whole\norganisation.\"", "Agreed this should be part of the operational policy, which should be published." ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "Reporting\nrequirements for\nthe DHSC, Manx\nCare, commissioned\nservice providers\nand any\nindependent\nadjudicator", "\"Does the role of the media / communication team have any part to play in relaying information to the public?\"", "There will be a statutory obligation for DHSC to report annually and publish the report on its website. Members of the DHSC's\ncommunication team will be able to signpost comments on social media to published reports." ], [ "Reporting\nrequirements for\nthe DHSC, Manx\nCare, commissioned\nservice providers\nand any\nindependent\nadjudicator", "\"Reporting framework to be agreed between Manx Care, DHSC and Tynwald to evolve over time, like Chief Constable’s Report.\"", "The DHSC's Quality and Safety Committee and Mandate Assurance Committee will be both requesting quarterly KPI's on\ncomplaints. Annual reports to Tynwald will be made. It is agreed that this is likely to evolve over time." ], [ "Reporting\nrequirements for\nthe DHSC, Manx\nCare, commissioned\nservice providers\nand any\nindependent\nadjudicator", "In regards to regular reporting from Manx Care;\n\"Action (g) by The Department could be a recipe for drift if ‘regular’ is not defined.\"", "The timescale will be defined within the Regulations" ], [ "Requesting a review\nby the IRB", "“current regulations state if DHSC/Manx Care have not completed the complaint in 6 months then the complainant can escalate to IRB.\nCan this be retained?”", "Yes this will be retained" ], [ "Requesting a review\nby the IRB", "\"The changes in time scales for making complaints and requesting IRB involvement are reassuring and are strongly supported.\"", "Noted" ], [ "Requesting a review\nby the IRB", "\"there is some concern that some conditions, particularly serious depressive illness or psychosis can take many months to recover and\nthat, for a few patients, capacity to make a complaint about something that took place earlier in their treatment may not be regained until\nwell into or even after the 12 month period. Although the numbers may be small these may be very vulnerable individuals and it would be\nhelpful if there were some provision for the 12 month period to be extended under certain circumstances ( e.g. 12 months from when\ndocumented capacity was regained)\"", "Agreed, it is suggested to retain flexibility at the discretion of the Chair of the joint IRB" ], [ "Requesting a review\nby the IRB", "In relation to discretionary powers of IRB and standard considerations;\n\"[Redacted] would counsel against the standard considerations being fixed by the Department. [Redacted] think they would be better\nbeing settled by COMIN and approved by Tynwald, thereby securing some further independence.\"", "This would fit with the standard considerations being set within legislation and approved by Tynwald, which appears to be the\nmajority view." ], [ "Requesting a review\nby the IRB", "\"At the head of page 4 you assert that “the timescale [should be] 12 months in line with internationally accepted best practice”. [Redacted]\naccept that both the Parliamentary Commissioner in England and the Scottish Public Services Ombudsman (“the SPSO”) apply a 12 month\ntime limit, but their processes are somewhat different, even though the Tynwald Commissioner for Administration Act 2011 was broadly\nbased on the legislation which established the SPSO. Your predecessors in the Chief Secretary’s Office (as it then was) made a conscious\ndecision in 2010 to apply a shorter time limit for complaints under what became TCAA 2011 because of the potential difficulties in\nrecovering accurate data and documents after 12 months: memories also fade with remarkable speed.\"", "The timescales within the Tynwald Commissioner for Administration Act 2011 (TCAA) and for the Financial Services Ombudsman\nScheme within the Financial Service Act 2008 (FSA2008) have been further considered.\nTCAA - \"The Commissioner must not consider a complaint made more than 6 months after a final decision of the listed authority\nhas been notified to the complainant.\"\nSchedule 4 of the FSA2008 - \"You must bring a complaint to the Scheme within six years of the act or omission which led to your\ncomplaint and within two years of when it should have come to your notice if you weren't aware of it immediately\".\nAfter consideration, it is not felt that the '\"accurate data\" and \"fading memories\" argument is sufficiently persuasive. The 12\nmonth timescale adopted by all ombudsmen and advocated by the Ombudsman Association reflects a view that the timescale\nneeds to accommodate a range of variables where the needs of the public are concerned, e.g. some people are not initially aware\nthat an event has occurred for which the making of a complaint is a legitimate response, and some (particularly in health and\nsocial care) will have impediments or events that reasonably delay their ability to make a complaint to an ombudsman. Therefore,\nthe 12 month timescale will be set within the Regulations for consultation." ], [ "Structure and\nmakeup of IRB", "“[redacted] have heard that there are question marks over the legal status of the SS IRB. [redacted] do not know if this information is\ncorrect however it needs to be resolved if true.”", "The establishment provisions provisions for the SS IRB are set out in Social Services Act 2011 and Regulations made under that Act.\nThis will be amended in order to form a joint IRB as part of the changes being proposed." ] ], "row_count": 9, "col_count": 3 }, { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "Structure and\nmakeup of IRB", "\"A single IRB must be the way forward as it takes away complexity and saves time as well as simplifying training and expectations.\n[Redacted] are concerned that this has not been addressed much earlier than now.\"\n\"In regards training for IRB; \"Of the options for addressing training [redacted] all agree that the second option of IRB members having CPD\nhours would provide more flexibility and better training pathways, with consequential likelihood of improved compliance. Members of IRB\nmust be competent as a result of relevant training.\"", "Noted" ], [ "Structure and\nmakeup of IRB", "\"[Redacted] agrees a single Independent Review Board dealing with both Health and Social Care at a single point of access is desirable.\nConcerns have been expressed that the volume of complaints from both sources together may exceed what a single IRB could cope with.\"", "It is agreed that streamlining below the current provision would be unwise given the current dissatisfaction with timescales\nexpressed by many complainants. It is therefore intended that the joint Independent Review Body will consist of 9 members,\nwhich is equivalent to the total number of members currently appointed to the Health IRB and the Social Services IRB." ], [ "Structure and\nmakeup of IRB", "InrelationtoremovingtheDepartment'sroleinreviewingcomplaintsandextendingtheremitoftheIRBtocovercare,safety,qualityand\nclinical matters etc.;\n\"Inparagraph7onthatpage,ratherthanseekingtoamalgamatetheprocesses,[Redacted]wouldsuggestthatacomprehensiveoverhaul\nis required. Once again, the role of the Department as the arbiter of complaints may justifiably be criticised for a lack of independence.\"", "Agreed that this requires a full review. Anything that cannot be addressed through the Complaints Regulations review in the\nshorter term will be picked up as part of the National Heath and Social Care Services Bill." ], [ "Structure and\nmakeup of IRB", "\"[Redacted] suggest that the funding of the IRB should not be in the Department’s hands but with the Cabinet Office in order to insulate it\nfrom any suggestion of political pressure from a body which it might be criticising.\"", "Since 1 April 2021 the Department's role has changed so that it is no longer a provider of health or social care services; therefore,\nthe IRB will not have any remit over complaints about the Department. As a result, it is considered that the Department funding\nthe IRB would not cause any conflict of interest." ], [ "Structure and\nmakeup of IRB", "\"There is a reference to the new ombudsman should be a separate legal entity: is it accepted that the IRBs do not currently have the status\nof legal entities?\"", "To be considered in setting up any new Review Body" ], [ "Structure and\nmakeup of IRB", "\"[Redacted] is primarily concerned about how the constitution of the two independent review bodies will be combined given the vast\ndifference in the two, and believes that it will be vital that this is set out prior to public consultation. Specifically, the Commission notes\nthat the constitution of the Social Services IRB is set out in primary legislation rather than regulations.\"", "Noted - changes can be made by Regulation." ], [ "Structure and\nmakeup of IRB", "\"If the independent review bodies are combined what impact will this have on workloads and the number of members required for the\nIRB?\"\n\"It will be important to understand the potential level of workload and therefore the size of the body should be reflect this\"", "It is agreed that streamlining below the current provision would be unwise given the current dissatisfaction with timescales\nexpressed by many complainants. It is therefore intended that the joint Independent Review Body will consist of 9 members,\nwhich is equivalent to the total number of members currently appointed to the Health IRB and the Social Services IRB." ], [ "Structure and\nmakeup of IRB", "\"[Redacted] notes the use of the term “convenor” in relation to the Health Services IRB. Such a role does not exist in the Social Services\nIRB.\"\n\"What will the role of the Convenor be and how will a ‘Convenor’ be selected?\"", "It is not proposed to continue with the term convenor as it adds an additional layer of complexity that could cause confusion for\nmembers of the public. Currently, all members of the Health Services IRB are convenors and consider complaints." ], [ "Structure and\nmakeup of IRB", "\"The document makes reference to drafting regulations for consultation on page 7, including inter alia membership requirements.\n[Redacted] would suggest, based on [redacted] experience, that details relating to what might be described as the “person specification”\nshould not be set out in statute or regulations.\"", "Agreed" ], [ "Structure and\nmakeup of IRB", "\"If the process is extended to cover all providers, what services are covered by the term ‘private entities’? (private healthcare, nursing\nhomes, etc. . . .)\"", "Any provider of a health or social care service on the Island." ], [ "Structure and\nmakeup of IRB", "\"Experience leads [redacted] to say that initial and ongoing training is essential and should be planned and funded for those appointed to\nthis role.\"\n\"A remuneration model will need to be considered to tie in with the commitment to this role\"", "Noted" ], [ "Structure and\nmakeup of IRB", "\"[Redacted] feels it would be beneficial to have flow charts for the existing operation of both bodies to be able to consider the most\neffective parts of the process\"", "Noted - this will be requested from the IRBs." ], [ "Structure and\nmakeup of IRB", "\"Will executive/administrative resources be made available to enable the body to function? E.g. composing ‘Standard considerations’ for\nacceptance of a complaint, Annual Report, undertaking investigations, preparation of reports, minutes of meetings?\"", "Yes, consideration is being given to how this will be made available and the necessary independence of persons providing such a\nfunction." ], [ "Structure and\nmakeup of IRB", "\"The Ombudsman scheme would change the nature of the complaints process so if it does become a ‘long term’ policy, should the\noperation of the IRB be tailored towards this?\"", "Changes are being suggested to the operation of the IRB as part of a journey towards a independent adjudicator." ] ], "row_count": 14, "col_count": 3 }, { "headers": [ "Topic", "Issue/Feedback/Query from consultation", "DHSC officer response" ], "rows": [ [ "Structure and\nmakeup of IRB", "\"The document seems to indicate that the Appointments Commission would have a role in making appointments to the combined IRB and\nit would offer the following benefits should this be the case:\n- It is an acknowledged independent body set up in law to make appointments in accordance with relevant legislation\n- It is experienced in independent recruitment to statutory bodies\n- It has a systematic and consistent approach to appointing to independent bodies across all sectors across government\n- It is broadly familiar with candidates who typically put themselves forward for such appointments\n- It is a cost effective independent body\n- It has a diverse membership\n- It already has the responsibility of appointing to the Social Services Independent Review Body\"", "Noted" ], [ "Technical points for\nRegulations", "It is suggested that the new Regulations should deal “head-on” with (a) frivolous or vexatious complaints. Manx Care (including its\ncontractors) and the IRB should be specifically empowered to reject a complaint or terminate the handling of a complaint on the basis that\nit is:-\n(a) frivolous or trivial; or\n(b) vexatious; or\n(c) it has been pursued in a manner that has been vexatious, oppressive or threatening; and, after written warning to desist, it continues to\nbe pursued in such a manner.", "This is contentious as some people could perceive it as an attempt to further gate access to the complaints processes. We accept\nthat some complainants can present challenging behaviours, but caution is needed as many patients and service users are\n'damaged' by their experiences and this can manifest in the way they present their concerns and grievances. These considerations\nwould be better addressed outside of the Regulations through a protocol between Manx Care/the IRB and the complainants that\nsets out respective rights, responsibilities and expectations between the parties. This is something done successfully by the SPSO\nand PHSO." ], [ "Technical points for\nRegulations", "The new Regulations which, inter alia, merge the two IRB’s will require transitional measures which should include:-\n(a) cases under investigation transferred seamlessly into the new IRB with the same Convenor;\n(b) Convenors duly appointed to the existing IRB’s to continue on the new IRB for the duration of their term.", "It is agreed that the Regulations will need to contain transitional provisions to ensure that complaints that straddle both bodies\nare dealt with seamlessly. However, it is intended that the membership requirements for the joint IRB will be different to that of\nthe current IRBs and therefore, the current members may need to reapply for reappointment." ], [ "Technical points for\nRegulations", "\"Please define complaint somewhere as there has been gaming in the past as to whether a complaint is a 'concern' or a complaint - so not\nlodged appropriately. e.g. verbal = concern, written = complaint only if the word 'formal' appears etc.!!\"", "It is not intended that the Regulations will contain a definition of complaint. The usual dictionary definition should apply here\ngiven that there is no definition of complaint in the primary legislation. However, clarification in relation to oral complaints being\nconsidered under the Regulations will be added. The operational application of the Regulations should contain a definition to\nensure consistency." ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Igoea, Nicola (CO)" ], "rows": [ [ "26 May 2021 10:36" ], [ "Hooson-Owen, Kate (Courts)" ], [ "Malone, Karen (DHSC)" ], [ "RE: Contact for the appointments commission" ], [ "DHSC Complaints Regulations Summary of Recomendations for Amendments and Pre-\nConsultation.pdf" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "", "", "", "", "", "Minister for Policy and Reform\nCabinet Office\nGovernment Office\nDOUGLAS\nIsle of Man\nIM1 3PN\nTel: (01624) 685705\nFax: (01624) 685710\nEmail: chris.thomas@gov.im\nOur ref: CT/VC\n11 October 2019" ], "rows": [ [ "", "", "", "", "", "Our ref: CT/VC" ], [ "", "Mrs Kate Hoosen-Owen", "", "", "", "" ], [ "", "Secretary to the Appointments Commission", "", "", "", "11 October 2019" ], [ "", "Isle of Man Courts of Justice", "", "", "", "" ], [ "", "Deemsters Walk", "", "", "", "" ], [ "", "Bucks Road", "", "", "", "" ], [ "", "Douglas", "", "", "", "" ], [ "", "IM1 3AR", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ] ], "row_count": 10, "col_count": 6 }, { "headers": [ "Hardman, Madeline" ], "rows": [ [ "14 July 2021 12:56" ], [ "Hooson-Owen, Kate (Courts)" ], [ "Malone, Karen (DHSC)" ], [ "Health and Social Care Complaints Regulations - pre- consultation" ], [ "07.14.Pre-consultation feedback review final.xlsx" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Igoea, Nicola (CO)" ], "rows": [ [ "20 August 2021 08:19" ], [ "Hooson-Owen, Kate (Courts)" ], [ "RE: DHSC consultation on complaints and the Independent Review Body" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Hooson-Owen, Kate (Courts)" ], "rows": [ [ "18 August 2021 13:54" ], [ "Igoea, Nicola (CO)" ], [ "RE: DHSC consultation on complaints and the Independent Review Body" ] ], "row_count": 3, "col_count": 1 } ] }, { "case_id": 2210086, "title": "Died of covid solely feb20-dec21", "authority": "Cabinet Office", "date_received": "2022-01-24", "outcome": "No information sent - all held but exempt", "summary": "The requester asked for Isle of Man COVID-19 death statistics broken down by age and gender where COVID was the sole cause of death between February 2020 and December 2021. The Cabinet Office refused to disclose the specific breakdown, citing exemptions related to health records and data protection, while directing the requester to existing online data and the Civil Registry.", "key_facts": [ "The request was received on 2022-01-24 and responded to on 2022-02-21.", "The authority holds the requested data but considers it absolutely exempt.", "The exemption is based on the information constituting deceased persons' health records.", "Disclosure was deemed to contravene data protection principles under the GDPR.", "Requesters are advised to contact the Civil Registry for death certificate enquiries." ], "data_mentioned": [ "2022-01-24", "2022-02-21", "feb 2020", "dec 2021", "2210086", "2210285", "2099101", "1993", "2018" ], "exemptions_cited": [ "Section 20 of the Act (information already reasonably accessible)", "Section 25(1)(c) of the Act (health records)", "Section 25 of the Act (personal data)", "Article 5 of the General Data Protection Regulation (data protection principles)", "Article 6 of the General Data Protection Regulation (lawful processing conditions)" ], "tables": [ { "headers": [ "We hold the information broken down further under the requested age group and" ], "rows": [ [ "gender but we believe that constitutes absolutely exempt information. The reason why" ], [ "this exemption applies is because in this instance the information requested is" ], [ "concerning deceased person’s health records and these records are exempt from" ], [ "disclosure under section 25(1)(c) of the Act. In this Act “health record” means a" ], [ "record which “consists of information relating to the physical or mental health of an" ], [ "individual who can be identified from that information, or from that and other" ], [ "information in the possession of the holder of the record.”" ] ], "row_count": 7, "col_count": 1 } ] }, { "case_id": 2210285, "title": "Ages of Covid Deaths", "authority": "Cabinet Office", "date_received": "2022-01-24", "outcome": "All information sent", "summary": "The request sought the ages of death for individuals who died from or with COVID-19 in the Isle of Man between February 2020 and December 2021. The Cabinet Office disclosed all requested information, providing a detailed list of dates, ages, and specific causes of death for both categories.", "key_facts": [ "The response distinguishes between deaths 'from' COVID (listed in cause of death 1a, 1b, or 1c) and deaths 'with' COVID (listed only in cause of death II).", "Data covers the period from February 2020 to December 2021.", "The youngest recorded death 'from' COVID was 46 years old, while the oldest was 100 years old.", "Common underlying conditions listed alongside COVID include dementia, respiratory failure, and ischaemic heart disease.", "One entry for a death 'from' COVID lists the age as 'unknown' with a date of 'a day unknown b83'." ], "data_mentioned": [ "2022-01-24", "2022-02-11", "Feb 20", "Dec 21", "46", "100", "98", "84", "57", "29/04/2020", "11/03/2021", "69", "4 pages", "3 documents" ], "exemptions_cited": [], "tables": [ { "headers": [ "A 'death from COVID' defined as a egistered death where cause of death 1 a,b or c states COVID", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "" ], [ "date of death", "age", "cause of death 1a", "cause of death 1b", "cause of death 1c", "cause of death II" ], [ "31/03/2020", "84", "Respiratory Failure", "Covid-19 Related Pneumonia", "", "Chronic Kidney Disease" ], [ "11/04/2020", "57", "Multiple Organ Failure", "Covid-19 Pneumonia", "", "Diabetes Mellitus Hypertension Asthma" ], [ "14/04/2020", "74", "Multiple Organ Failure", "Covid 19 Pneumonia", "", "Hypertension" ], [ "14/04/2020", "82", "Suspected Covid-19 Novel Coronavirus", "", "", "" ], [ "14/04/2020", "87", "Covid-19 Pneumonia", "", "", "Advanced Dementia" ], [ "14/04/2020", "98", "Covid-19 (Novel Coronavirus)", "", "", "" ], [ "16/04/2020", "88", "Novel Coronavirus Covid 19 Infection", "", "", "Dementia Diabetes Elderly frail" ], [ "17/04/2020", "84", "Covid 19 Novel Coronavirus", "", "", "Stroke Frail Elderly" ], [ "19/04/2020", "87", "Covid 19 Novel Coronavirus", "", "", "Alzheimers Disease" ], [ "19/04/2020", "92", "Covid 19 (Novel Coronovirus)", "", "", "Malignant neoplasm of colon" ], [ "20/04/2020", "83", "Covid 19 (Novel Coronavirus)", "", "", "Vascular Dementia Atrial Fibrillation Congestive Cardiac Failure Chronic Kidney Disease" ], [ "20/04/2020", "93", "Covid 19 (Novel Coronavirus)", "", "", "Cerebrovascular accident" ], [ "21/04/2020", "75", "Multi Organ failure", "Covid 19 Pneumonia", "Diabetic ketoacidosis acute on chronic kidney disease", "Chronic cardiac failure" ], [ "21/04/2020", "83", "Covid 19 (Novel Coronavirus)", "", "", "Glioma of Brain" ], [ "21/04/2020", "88", "Covid 19 (Novel Coronavirus)", "", "", "Vascular dementia type 2 diabetes mellitus ischaemic heart disease" ], [ "21/04/2020", "88", "Covid 19 (Novel Coronavirus)", "", "", "Dementia of Alheimers Disease ischaemic heart Disease" ], [ "21/04/2020", "95", "Covid 19 (Novel Coronavirus)", "", "", "Hypertension Ischaemic heart disease Peripheral vascular disease Memory loss" ], [ "22/04/2020", "76", "Covid 19 Novel Coronavirus", "", "", "Dementia Atrial Fibrillation Hypertension" ], [ "23/04/2020", "92", "Covid 19 Novel Coronavirus", "", "", "Senile Dementia of Alzheimers Type Hypertension" ], [ "24/04/2020", "91", "Covid 19 (Novel Coronavirus)", "", "", "Vascular Dementia Hypertension" ], [ "26/04/2020", "86", "Covid 19 (novel coronavirus)", "", "", "Senile Dementia Alzheimer’s Type" ], [ "27/04/2020", "95", "Covid 19 (Novel Coronavirus)", "", "", "Chronic Obstructive Pulmonary Disease Malignant Neoplasm of Sigmoid Colon Chronic Kidney Disease" ], [ "30/04/2020", "96", "Covid 19 (Novel Coronavirus)", "", "", "Dementia" ], [ "01/05/2020", "75", "Hospital acquired pneumonia", "Covid pneumonia", "", "Heart failure asthma atrial fibrillation" ], [ "14/05/2020", "86", "Covid-19 Pneumonia", "", "", "Alzheimers type Dementia Myoclonic epilepsy Bedbound" ], [ "05/11/2020", "83", "Covid-19 Pneumonia", "", "", "Metastatic Bladder Cancer Acute Kidney Injury Frailty of Old Age" ], [ "25/03/2021", "91", "Pneumonia (Community Acquired)", "Covid 19", "", "" ], [ "28/03/2021", "57", "Covid Pneumonia", "", "", "" ], [ "28/03/2021", "62", "Multi-Organ Failure", "Covid Pneumonia", "", "" ], [ "05/05/2021", "51", "Multiorgan Failure", "Covid 19 Pneumonia", "", "Hypertension" ], [ "31/07/2021", "87", "Coronavirus disease (COVID-19)", "", "", "Coronary artery disease, left ventricular hypertrophy (aortic valve replacement) and frailty of old age" ], [ "03/08/2021", "72", "Respiratory Failure", "Covid Pneumonitis", "", "Type 2 Diabetes Mellitus Diabetic Nephropathy" ], [ "04/08/2021", "80", "Covid Pneumonitis", "", "", "Hypertension, Frailty" ], [ "05/08/2021", "71", "Coronavirus disease (COVID -19)", "", "", "Ischaemic heart disease and obesity" ], [ "07/08/2021", "78", "Respiratory Failure", "Covid Pneumonitis", "Chronic Lymphocytic Leukaemia", "End Stage Renal Failure on Haemodialysis" ], [ "09/08/2021", "46", "Multi-organ Failure", "Bacterial Septicaemia", "Covid 19 Pneumonia", "Ischaemic Heart Disease, Diabetes" ], [ "14/08/2021", "100", "Covid-19", "", "", "Recurrent Urinary Tract Infection Frailty of Age" ], [ "16/08/2021", "89", "Disease caused by 2019 - nCOV (Covid-19)", "", "", "Congestive Cardiac Failure" ], [ "24/08/2021", "87", "Covid 19", "", "", "Chronic Obstructive Pulmonary Disease" ], [ "25/08/2021", "56", "Covid Pneumonia", "", "", "" ], [ "05/09/2021", "80", "Covid Pneumonitis", "", "", "Advanced Dementia" ], [ "07/09/2021", "80", "Lower Respiratory Tract Infection", "Covid-19", "", "Peripheral Vascular Disease" ], [ "09/09/2021", "54", "Septic Shock", "Bacterial Pneumonia", "Covid Pneumonitis", "" ], [ "13/09/2021", "84", "Covid-19 Pneumonia", "", "", "Chronic Obstructive Pulmonary Disease" ], [ "21/09/2021", "74", "Aspiration Pneumonia", "Covid-19", "", "Parkinson’s Disease, Lewy Body Dementia, Crohn’s Disease" ], [ "23/09/2021", "75", "Multi Organ Failure", "SARS – COV 2 Virus (severe acute respiratory syndrome coronavirus 2)", "", "Cryptogenic Liver Cirrhosis, Hepatic Encephalopathy, Chronic Pancreatitis" ], [ "28/09/2021", "81", "Covid Pneumonitis", "", "", "Frailty of Age, Valvular Heart Disease" ], [ "12/10/2021", "77", "Coronavirus Disease (Covid-19)", "", "", "Morbid obesity, ischaemic heart disease and chronic kidney disease" ], [ "21/10/2021", "77", "Coronavirus disease – (COVID-19)", "", "", "" ], [ "30/10/2021", "82", "Cardio Respiratory Failure", "Covid-19 Pneumonitis", "", "Infective Exacerbation of Chronic Obstructive Pulmonary Disease, CO2 Narcosis, Sarcopenia, malnutrition, acute pulmonary injury, acute tubular necrosis" ], [ "30/10/2021", "86", "Cardiorespiratory Failure", "Covid-19 Pneumonitis", "", "Ischaemic Heart Disease, Hypertension, Community Acquired Pneumonia, Right Sided Hydronephrosis" ], [ "06/11/2021", "95", "Covid-19", "Urosepsis, Community Acquired Pneumonia", "", "Frailty, Advanced Dementia, Chronic Obstructive Pulmonary Disease, Upper Lobectomy" ], [ "15/12/2021", "59", "Cerebral Infarct", "Covid 19", "", "Hypertension, Type II Diabetes" ], [ "A day unknown", "b83", "C orona viru s D isea se ( COVID-19)", "", "", "Chronic obstructive pulmonary disease" ] ], "row_count": 56, "col_count": 6 }, { "headers": [ "A 'death with COVID' defined as a registered death where COVID is mentioned only in cause of death II.", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "" ], [ "date of death", "age", "cause of death 1a", "cause of death 1b", "cause of death 1c", "cause of death II" ], [ "29/04/2020", "91", "Bronchopneumonia", "Immobility", "Dementia in Alzheimer’s Disease", "Hypertension recent Covid 19 Pulmonary Embolism" ], [ "29/04/2020", "98", "Bronchopneumonia", "Immobility", "Vascular dementia", "Hypertension recent Covid 19" ], [ "11/03/2021", "69", "Heart Failure", "Tricuspid endocarditis status post atrial septal defect repair and pulmonary hypertension", "Cellulitis and sepsis", "Covid 19" ], [ "09/08/2021", "81", "Hospital Acquired Pneumonia", "", "", "Covid 19 Infection, Hypertension, Type 2 Diabetes Mellitus" ], [ "22/08/2021", "53", "Grand Mal Seizure", "Type II Diabetes", "", "Aspergers Learning Disability, Covid-19 Infection" ], [ "23/08/2021", "90", "Decompensated Heart Failure", "Ischaemic Heart Disease", "", "Covid Pneumonitis, Chronic Obstructive Pulmonary Disease with Type 2 Respiratory Failure, Obstructive Sleep Apnea, Type 2 Diabetes Mellitus" ], [ "01/09/2021", "90", "Advanced Dementia", "", "", "Covid 19 positive 19 August 2021" ], [ "25/09/2021", "104", "Frailty of old age", "", "", "Covid" ], [ "30/09/2021", "76", "Ischaemic Heart Disease", "", "", "Coronavirus Disease (Covid-19)" ], [ "22/10/2021", "70", "Alzheimer’s Disease (Dementia)", "", "", "Frailty, Covid-19" ], [ "25/10/2021", "97", "Sigmoid Cancer", "", "", "Covid-19 Illness, Frailty" ], [ "28/10/2021", "92", "Aspiration Pneumonia", "", "", "Frailty, Covid 19 Pneumonitis" ], [ "08/11/2021", "96", "Aspiration Pneumonia", "Frailty", "", "Heart Failure, Covid Pneumonitis" ], [ "20/11/2021", "69", "Metastatic Bowel Cancer", "", "", "Covid Infection" ], [ "", "", "", "", "", "" ] ], "row_count": 17, "col_count": 6 } ] }, { "case_id": 2242038, "title": "Mortality figure 2021", "authority": "Department of Health and Social Care", "date_received": "2022-02-07", "outcome": "Information not held", "summary": "A request for the Isle of Man mortality figure for 2021 was submitted to the Department of Health and Social Care, but the information was not disclosed because the department does not hold it.", "key_facts": [ "The Department of Health and Social Care does not hold the 2021 mortality figures.", "The information is likely held by Public Health, which is part of the Cabinet Office.", "The requester was advised to re-submit the request to the Cabinet Office.", "The request was formally closed on 9 February 2022.", "The requester cited previous mortality statistics from 2016 to 2020 in their inquiry." ], "data_mentioned": [ "2021", "2020-938", "2019-850", "2018-903", "2017-837", "2016-852", "2022-02-07", "2022-02-09", "2242038" ], "exemptions_cited": [ "Section 11(3)a of the Freedom of Information Act 2015 (Information not held)" ], "tables": [ { "headers": [ "Year", "Mortality Figures" ], "rows": [ [ "2020", "938" ], [ "2019", "850" ], [ "2018", "903" ], [ "2017", "837" ], [ "2016", "852" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 2245201, "title": "Mortality 2021", "authority": "Cabinet Office", "date_received": "2022-02-07", "outcome": "Some information sent but not all held", "summary": "The requester asked for the Isle of Man mortality figure for 2021, but the Cabinet Office stated it does not hold the data yet as the report is scheduled for publication in April 2022.", "key_facts": [ "The Cabinet Office does not currently hold the 2021 mortality figure.", "The report containing 2021 data is scheduled to be published in April 2022.", "The original webpage URL was unavailable due to a department name change from Economic Affairs to Statistics Isle of Man.", "A new URL was provided where available historical data can be accessed.", "The request was received on 7 February 2022 and closed on 1 March 2022." ], "data_mentioned": [ "2021", "April 2022", "2020-938", "2019-850", "2018-903", "2017-837", "2016-852", "7 February 2022", "1 March 2022", "2245201" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Mortality Figures" ], "rows": [ [ "2020", "938" ], [ "2019", "850" ], [ "2018", "903" ], [ "2017", "837" ], [ "2016", "852" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 2247701, "title": "Dentist waiting lists", "authority": "Manx Care", "date_received": "2022-02-07", "outcome": "All information sent", "summary": "The request sought the number of people on the NHS dental waiting list and their wait times as of February 7, 2022. Manx Care disclosed that 2,336 people were on the list with an average wait of 141 days and provided a detailed monthly breakdown of list growth and allocations since April 2019.", "key_facts": [ "As of February 7, 2022, there were 2,336 people on the dental allocation list.", "The average wait time is 141 days, with the longest wait being 964 days for specific practice allocation.", "75 people joined the list between February 1 and February 7, 2022.", "Manx Care has allocated 2,653 people since April 2021.", "The waiting list peaked at 2,680 patients in June 2021 before declining due to increased allocations." ], "data_mentioned": [ "2,336", "141 days", "964 days", "75", "2,653", "April 2021", "April 2019", "2,680", "February 7, 2022", "February 1, 2022" ], "exemptions_cited": [], "tables": [ { "headers": [ "Month/Year\nAdded", "Patients\nAdded", "Total Patients\nAllocated", "Rolling\nWaiting List\n(Month End)", "Notes" ], "rows": [ [ "Opening\nBalance", "0", "0", "0", "" ], [ "Apr-19", "4", "0", "4", "Added from\nPrevious Allocation" ], [ "May-19", "0", "0", "4", "Added from\nPrevious Allocation" ], [ "Jun-19", "1", "0", "5", "Added from\nPrevious Allocation" ], [ "Jul-19", "9", "0", "14", "Added from\nPrevious Allocation" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "Sep-19", "4", "0", "24", "Added from\nPrevious Allocation" ], "rows": [ [ "Oct-19", "75", "0", "99", "Waiting lists\nReceived from\nPractices" ], [ "Nov-19", "72", "0", "171", "Waiting lists\nReceived from\nPractices" ], [ "Dec-19", "197", "0", "368", "Waiting lists\nReceived from\nPractices" ], [ "Jan-20", "215", "0", "583", "" ], [ "Feb-20", "231", "0", "814", "" ], [ "Mar-20", "140", "0", "954", "" ], [ "Apr-20", "16", "0", "970", "Island in lockdown\n- Dentists Closed" ], [ "May-20", "35", "0", "1005", "Island in lockdown\n- Dentists Closed" ], [ "Jun-20", "76", "0", "1081", "Island in lockdown\n- Dentists Closed" ], [ "Jul-20", "167", "0", "1248", "Dentists re-opened" ], [ "Aug-20", "171", "0", "1419", "" ], [ "Sep-20", "231", "3", "1647", "" ], [ "Oct-20", "202", "4", "1845", "" ], [ "Nov-20", "207", "2", "2050", "" ], [ "Dec-20", "145", "1", "2194", "" ], [ "Jan-21", "135", "4", "2325", "Island Circuit Break" ], [ "Feb-21", "185", "2", "2508", "" ], [ "Mar-21", "98", "0", "2606", "Reduced Dental\nServices" ], [ "Apr-21", "187", "255", "2538", "" ], [ "May-21", "227", "212", "2553", "" ], [ "Jun-21", "452", "325", "2680", "Practice waiting list\nadded" ], [ "Jul-21", "180", "306", "2554", "" ], [ "Aug-21", "202", "246", "2510", "" ], [ "Sep-21", "210", "522", "2198", "" ], [ "Oct-21", "210", "585", "1823", "" ], [ "Nov-21", "155", "150", "1828", "" ], [ "Dec-21", "114", "1", "1941", "" ], [ "Jan-22", "228", "51", "2118", "" ], [ "Feb-22", "", "403", "1715", "Planned allocation\nfor February" ] ], "row_count": 29, "col_count": 5 } ] }, { "case_id": 2271721, "title": "Dental treatments provided", "authority": "Manx Care", "date_received": "2022-02-16", "outcome": "All information sent", "summary": "The applicant requested statistics on NHS root canal treatments in the Isle of Man from 2016 to February 2022, broken down by year and practice, along with data on private referrals. Manx Care provided the treatment statistics but refused the request for private referral data as it is not held by the authority.", "key_facts": [ "Total of 4,061 patients received root canal treatment via NHS claims between April 2015 and February 2022.", "Data is broken down by dental practice and financial year, showing both claim counts and unique patient numbers.", "Manx Care does not hold information regarding referrals from NHS dentists to private practices for root canals.", "The response covers the period from 1st April 2015 to 22nd February 2022, slightly extending the requested start date.", "Some practices show more claims than patients, indicating multiple treatments per patient within a year." ], "data_mentioned": [ "4,061", "4,160", "2015/2016", "2016/2017", "2017/2018", "2018/2019", "2019/2020", "2020/2021", "2021/2022", "1st April 2015", "22nd February 2022", "16th February 2022", "2016", "2022-02-16", "2022-03-17", "2271721" ], "exemptions_cited": [ "Section 11(3)(a) of the Act (Information not held)" ], "tables": [ { "headers": [ "Dental Practice", "", "2015/2016", "", "2016/2017", "", "2017/2018", "" ], "rows": [ [ "Practice Name", "Practice Address", "RCT Claims", "Patients\nTreated", "RCT Claims", "Patients\nTreated", "RCT Claims", "Patients\nTreated" ], [ "65 Woodbourne Road Dental\nSurgery", "65 Woodbourne Road, Douglas", "65", "65", "106", "104", "113", "107" ], [ "Avondale Dental Practice", "Avondale Court, Onchan", "6", "6", "10", "10", "9", "9" ], [ "Community Dental Service", "Hillside Dental Clinic, Ballakermeen Road, Douglas", "1", "1", "0", "0", "0", "0" ], [ "Community Dental Service", "Central Community Health Centre, Westmoreland\nRoad, Douglas", "188", "186", "138", "136", "99", "99" ], [ "Community Dental Service", "IOM Prison, 1 St Patrick's Close, Coast Road, Jurby", "2", "2", "1", "1", "2", "2" ], [ "Community Dental Service", "Ramsey Cottage Hospital, Cumberland Road,\nRamsey", "1", "1", "1", "1", "1", "1" ], [ "Grove Mount Dental Practice", "Grove Mount South, Ramsey", "14", "13", "14", "14", "12", "11" ], [ "Hailwood Dental Practice", "4 Hailwood Court, Governor's Hill, Douglas", "11", "11", "0", "0", "0", "0" ], [ "Port Erin Dental Surgery", "Orange Grove House, Orchard Road, Port Erin", "157", "155", "97", "94", "104", "95" ], [ "Regent Dental Care - Hillside\nPractice", "Hillside Dental Clinic, Ballakermeen Road, Douglas", "47", "46", "55", "55", "46", "46" ], [ "Regent Dental Care - Peel Practice", "Close Beg, Ballawattleworth Estate, Peel", "24", "24", "27", "27", "78", "77" ], [ "Smile Dental Practice", "Ramsey Cottage Hospital, Cumberland Road,\nRamsey", "51", "51", "15", "15", "42", "42" ], [ "The Square Dental Practice", "38 Woodbourne Square, Douglas", "0", "0", "54", "54", "67", "62" ], [ "The Tracey Bell Clinic", "Kensington road, Douglas", "2", "2", "5", "4", "2", "2" ], [ "Thie Rosien Dental Practice", "Castletown Road, Port Erin", "3", "3", "0", "0", "1", "1" ], [ "Westview Dental Practice", "36 Woodbourne Road, Douglas", "74", "74", "99", "97", "64", "62" ], [ "Total", "", "646", "640", "622", "612", "640", "616" ] ], "row_count": 18, "col_count": 8 }, { "headers": [ "", "Dental 2P0ra1c8t/i2ce019", "", "2019/2020", "", "2020/2021", "", "2021/2022*", "", "Total", "" ], "rows": [ [ "Practice Name", "RCT Claims", "Patients\nTreated", "RCT Claims", "Patients\nTreated", "RCT Claims", "Patients\nTreated", "RCT Claims", "Patients\nTreated", "RCT Claims", "Patients\nTreated" ], [ "65 Woodbourne Road Dental\nSurgery", "108", "106", "99", "98", "85", "83", "56", "56", "632", "619" ], [ "Avondale Dental Practice", "15", "15", "17", "16", "7", "7", "9", "9", "73", "72" ], [ "Community Dental Service", "0", "0", "0", "0", "0", "0", "0", "0", "1", "1" ], [ "Community Dental Service", "120", "120", "34", "34", "7", "7", "5", "5", "591", "587" ], [ "Community Dental Service", "2", "2", "0", "0", "0", "0", "0", "0", "7", "7" ], [ "Community Dental Service", "1", "1", "2", "2", "0", "0", "0", "0", "6", "6" ], [ "Grove Mount Dental Practice", "11", "11", "16", "16", "9", "9", "10", "10", "86", "84" ], [ "Hailwood Dental Practice", "0", "0", "0", "0", "0", "0", "0", "0", "11", "11" ], [ "Port Erin Dental Surgery", "92", "85", "76", "74", "56", "56", "42", "42", "624", "601" ], [ "Regent Dental Care - Hillside\nPractice", "7", "7", "121", "114", "68", "63", "75", "75", "419", "406" ], [ "Regent Dental Care - Peel Practice", "93", "90", "119", "115", "51", "51", "115", "108", "507", "492" ], [ "Smile Dental Practice", "46", "45", "30", "30", "11", "11", "18", "18", "213", "212" ], [ "The Square Dental Practice", "64", "63", "46", "46", "49", "46", "28", "28", "308", "299" ], [ "The Tracey Bell Clinic", "0", "", "6", "6", "1", "1", "2", "2", "18", "17" ], [ "Thie Rosien Dental Practice", "6", "6", "50", "49", "68", "64", "111", "109", "239", "232" ], [ "Westview Dental Practice", "76", "72", "52", "51", "34", "33", "26", "26", "425", "415" ], [ "Total", "641", "623", "668", "651", "446", "431", "497", "488", "4,160", "4,061" ] ], "row_count": 18, "col_count": 11 } ] }, { "case_id": 2281785, "title": "CQC inspection schedule", "authority": "Department of Health and Social Care", "date_received": "2022-02-22", "outcome": "Information not held", "summary": "The requester asked for minutes of DHSC meetings regarding a CQC inspection schedule for Manx care services, but the Department confirmed it does not hold such minutes. While the specific documents were not disclosed, the response provided a planned timeline for various CQC inspections occurring between April and December 2022.", "key_facts": [ "The Department of Health and Social Care does not hold minutes regarding CQC inspection schedules for Manx care services.", "The request was refused under Section 11(3)a of the Freedom of Information Act 2015 as a practical refusal reason.", "Adult Social Care inspections are planned between April and September 2022.", "Dental and General Practice inspections are scheduled for June to September 2022.", "Hospital, Mental Health, and Community Services inspections are planned for September to October 2022, potentially extending to December." ], "data_mentioned": [ "2281785", "2022-02-22", "2022-03-21", "April 2022", "September 2022", "June 2022", "October 2022", "December 2022", "Section 11(3)a" ], "exemptions_cited": [ "Section 11(3)a of the Freedom of Information Act 2015 (Information not held)" ], "tables": [ { "headers": [ "Inspection Type", "Planned Period", "Notes" ], "rows": [ [ "Adult Social Care Inspections", "April – September 2022", "Including Services for Older People, Learning Disability Services & Social work and support services" ], [ "Dental Inspections", "June – September 2022", "" ], [ "General Practice Inspections", "June – September 2022", "" ], [ "Hospitals, Mental Health and Community Services", "September – October 2022", "May extend into December 2022" ] ], "row_count": 4, "col_count": 3 } ] }, { "case_id": 2286513, "title": "Vaccine safety", "authority": "Cabinet Office", "date_received": "2022-02-22", "outcome": "Information not held", "summary": "A request was made to the Isle of Man Cabinet Office for the official acceptable limits of deaths and injuries attributed to COVID-19 vaccines before the programme would be stopped. The authority responded that it does not hold this information, as the vaccination programme follows advice from the UK's JCVI and MHRA.", "key_facts": [ "The Cabinet Office does not hold the requested information regarding official safe limits for vaccine-related deaths and injuries.", "The Isle of Man's COVID-19 vaccination programme follows advice from the UK's Joint Committee on Vaccination and Immunisation (JCVI).", "The programme also follows advice from the Medicines and Healthcare products Regulatory Authority (MHRA).", "Requesters are advised to contact the Department for Health and Social Care or Manx Care for further information.", "The request was received on 2022-02-22 and closed on 2022-02-28." ], "data_mentioned": [ "2286513", "2022-02-22", "2022-02-28", "IM1 3PN", "IM1 1AE", "IM4 4RJ", "Freedom of Information Act 2015" ], "exemptions_cited": [], "tables": [ { "headers": [ "The Isle of Man’s COVID-19 vaccination programme follows advice from the UK’s Joint", "", "" ], "rows": [ [ "Committee on Vaccination and Immunisation (JCVI) and the Medicines and Healthcare", "", "" ], [ "products Regulatory Authority (MHRA). You may wish to contact the Department for", "", "" ], [ "Health and Social Care (DHSC) or Manx Care for further information, or submit a", "", "" ], [ "Freedom of Information request to DHSC or Manx Care here:", "", "" ], [ "https://www.gov.im/about-the-government/freedom-of-information/make-a-freedom-", "", "" ], [ "of-information-request/.", "", "" ], [ "", "", "" ], [ "Department for Health and Social Care", "", "" ], [ "Head", "", "Office" ], [ "First Floor", "", "" ], [ "Belgravia House", "", "" ], [ "Circular Road", "", "" ], [ "Douglas", "", "" ], [ "IM1 1AE", "", "" ], [ "", "", "" ], [ "Manx Care", "", "" ], [ "Head", "", "Office" ], [ "Noble's Hospital Estate", "", "" ], [ "Strang", "", "" ], [ "Braddan", "", "" ], [ "IM4 4RJ", "", "" ] ], "row_count": 21, "col_count": 3 } ] }, { "case_id": 2288577, "title": "Patient Group Direction", "authority": "Manx Care", "date_received": "2022-02-23", "outcome": "All information sent", "summary": "The requester asked for details on who signed the Patient Group Directions (PGDs) enabling the Isle of Man's COVID-19 vaccination rollout and when. Manx Care disclosed that they adopted UKHSA/NHS PGDs signed by the Medical Director, Director of Nursing, and Lead Pharmaceutical Advisor, and provided specific signing dates for four vaccines.", "key_facts": [ "Manx Care and the former Department of Health and Social Care adopted UKHSA/NHS/NHSEI PGDs rather than writing their own.", "The PGDs were signed by the Medical Director, Director of Nursing, and Lead Pharmaceutical Advisor.", "Article 12(G) of the Prescriptions and Medicines (Human Use) Regulation 2005 governs the operation and compliance of these protocols.", "The Manx Care Act 2021 transferred protocol approvals from the Department to Manx Care.", "Specific signing dates were provided for Comirnaty 30, Comirnaty 10, Moderna, and AstraZeneca vaccines." ], "data_mentioned": [ "2288577", "2022-02-23", "2022-03-15", "1st April 2021", "Regulation 174", "10/02/2022", "10/01/2022", "24/02/2022", "Article 12(G)", "2005", "2020", "2021" ], "exemptions_cited": [], "tables": [ { "headers": [ "For each of the vaccines there is a Patient Group Direction that is updated every time" ], "rows": [ [ "there are changes to the vaccination cohorts, or when there are changes to the" ], [ "approved vaccines, including changes covered by Regulation 174 which outlines" ], [ "conditional marketing approval (or otherwise) through the Medicines and Healthcare" ], [ "Products Regulatory Agency (MHRA)." ], [ "" ], [ "Manx Care, is a statutory board created on 1st April 2021 and the former Department" ], [ "of Health and Social Care (DHSC), prior to creation of Manx Care, have not written" ], [ "their own PGD’s." ], [ "" ], [ "Both Manx Care and the former DHSC adopted the UKHSA/NHS/NHSEI PGD’s" ], [ "approvals for use in the Island, signed by the Medical Director, Director of Nursing and" ], [ "Lead Pharmaceutical Advisor." ], [ "" ], [ "Article 12(G) of the Prescriptions and Medicines (Human Use) Regulation 2005 as" ], [ "updated and amended in 2020, describes the operation and regulatory compliance" ], [ "requirements identified, includes:" ] ], "row_count": 16, "col_count": 1 }, { "headers": [ "(a) the classes of persons permitted to administer medicinal products under the" ], "rows": [ [ "protocol;" ], [ "(b) the process by which a person of the specified class is designated, and by whom," ], [ "as a person authorised to administer medicinal products under the protocol; and" ], [ "(c) requirements as to the recording of the name of a person who, on any particular" ], [ "occasion, administers a medicinal product under the protocol." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "" ], [ "", "Vaccine", "", "", "Date signed", "" ], [ "", "Comirnaty 30", "", "", "10/02/2022", "" ], [ "", "Comirnaty 10", "", "", "10/02/2022", "" ], [ "", "Moderna(Spikevax)", "", "", "10/01/2022", "" ], [ "", "AstraZeneca", "", "", "24/02/2022", "" ], [ "", "", "", "", "", "" ] ], "row_count": 7, "col_count": 6 } ] }, { "case_id": 2298237, "title": "Remdesivir", "authority": "Manx Care", "date_received": "2022-02-28", "outcome": "All information sent", "summary": "The requester asked for the number of times Remdesivir was prescribed on the Isle of Man between 2018 and 2021. Manx Care disclosed the total quantity of Remdesivir issued by month and formulation, noting that patient-level data was unavailable.", "key_facts": [ "Remdesivir was not issued on the Isle of Man between January 2018 and October 2020.", "Issuance of Remdesivir began in November 2020 and peaked in March 2021.", "The total amount of Remdesivir 100mg powder issued from January 2018 to December 2021 was 835 units.", "The total amount of Remdesivir 100mg/20mL concentrate issued during the same period was 6 units.", "Manx Care does not hold patient-level data for Remdesivir prescriptions." ], "data_mentioned": [ "2018", "2019", "2020", "2021", "Jan.18 - Oct.20", "Nov.20", "Dec.20", "Jan.21", "Feb.21", "Mar.21", "Apr.21", "May.21", "Jun.21", "Jul.21", "Aug.21", "Sep.21", "Oct.21", "Nov.21", "Dec 21", "0", "3", "6", "13", "191", "1", "82", "170", "57", "98", "54", "160", "835", "2298237", "2022-02-28", "2022-03-15" ], "exemptions_cited": [], "tables": [ { "headers": [ "Period", "REMDESIVIR 100mg\nPOWDER FOR CONC. FOR\nSOLN FOR INFUSION1", "REMDESIVIR 100mg/20mL\nCONC. FOR SOLUTION FOR\nINFUSION(1)" ], "rows": [ [ "Jan.18 - Oct.20", "0", "0" ], [ "Nov.20", "3", "6" ], [ "Dec.20", "6", "0" ], [ "Jan.21", "13", "0" ], [ "Feb.21", "0", "0" ], [ "Mar.21", "191", "0" ], [ "Apr.21", "1", "0" ], [ "May.21", "0", "0" ], [ "Jun.21", "0", "0" ], [ "Jul.21", "82", "0" ], [ "Aug.21", "170", "0" ], [ "Sep.21", "57", "0" ], [ "Oct.21", "98", "0" ], [ "Nov.21", "54", "0" ], [ "Dec 21", "160", "0" ], [ "Total", "835", "6" ] ], "row_count": 16, "col_count": 3 } ] }, { "case_id": 2333246, "title": "Incidence of Myocarditis, Pericarditis and Cardiac Arrests on island", "authority": "Manx Care", "date_received": "2022-03-16", "outcome": "All information sent", "summary": "A request was made for the number of confirmed diagnoses of myocarditis, pericarditis, and cardiac arrest on the Isle of Man between 2017 and 2021. Manx Care disclosed the total number of hospital admissions for these conditions combined but withheld a breakdown by specific condition to protect patient anonymity.", "key_facts": [ "Data was provided as total hospital admissions rather than specific diagnoses due to small numbers risking patient identification.", "A significant backlog of uncoded consultant episodes in 2020 likely resulted in lower reported numbers for that year.", "The request was received on 16 March 2022 and the response was issued on 13 April 2022.", "Manx Care clarified that they do not hold data on cardiac arrests occurring outside of hospitals.", "The response included a list of ICD10 codes used to identify the relevant conditions." ], "data_mentioned": [ "2017: 47 admissions", "2018: 47 admissions", "2019: 28 admissions", "2020: 2 admissions", "2021: 40 admissions", "Total: 164 admissions", "2017-2021", "16 March 2022", "13 April 2022", "Reference 2333246" ], "exemptions_cited": [ "Patient anonymity and risk of identifying individual patients due to small numbers in categories" ], "tables": [ { "headers": [ "Year", "No of\nAdmissions" ], "rows": [ [ "2017", "47" ], [ "2018", "47" ], [ "2019", "28" ], [ "2020", "2" ], [ "2021", "40" ], [ "TOTAL", "164" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "ICD10 Code", "ICD10 Code description" ], "rows": [ [ "I01", "Rheumatic fever with heart involvement" ], [ "I010", "Acute rheumatic pericarditis" ], [ "I011", "Acute rheumatic endocarditis" ], [ "I012", "Acute rheumatic myocarditis" ], [ "I018", "Other acute rheumatic heart disease" ], [ "I019", "Acute rheumatic heart disease, unspecified" ], [ "I092", "Chronic rheumatic pericarditis" ], [ "I30", "Acute pericarditis" ], [ "I300", "Acute nonspecific idiopathic pericarditis" ], [ "I301", "Infective pericarditis" ], [ "I308", "Other forms of acute pericarditis" ], [ "I309", "Acute pericarditis, unspecified" ], [ "I31", "Other diseases of pericardium" ], [ "I310", "Chronic adhesive pericarditis" ], [ "I311", "Chronic constrictive pericarditis" ], [ "I312", "Haemopericardium, not elsewhere classified" ], [ "I313", "Pericardial effusion (noninflammatory)" ], [ "I318", "Other specified diseases of pericardium" ], [ "I319", "Disease of pericardium, unspecified" ], [ "I32", "Pericarditis in diseases classified elsewhere" ], [ "I320", "Pericarditis in bacterial diseases classified elsewhere" ], [ "I321", "Pericarditis in other infectious and parasitic diseases classified elsewhere" ], [ "I328", "Pericarditis in other diseases classified elsewhere" ], [ "I328 A", "Pericarditis in other diseases classified elsewhere" ], [ "I33", "Acute and subacute endocarditis" ], [ "I330", "Acute and subacute infective endocarditis" ], [ "I339", "Acute endocarditis, unspecified" ], [ "I40", "Acute myocarditis" ], [ "I400", "Infective myocarditis" ], [ "I401", "Isolated myocarditis" ], [ "I408", "Other acute myocarditis" ], [ "I409", "Acute myocarditis, unspecified" ], [ "I41", "Myocarditis in diseases classified elsewhere" ], [ "I410", "Myocarditis in bacterial diseases classified elsewhere" ], [ "I411", "Myocarditis in viral diseases classified elsewhere" ], [ "I412", "Myocarditis in other infectious and parasitic diseases classified elsewhere" ], [ "I418", "Myocarditis in other diseases classified elsewhere" ], [ "I4180", "Myocarditis in other diseases classified elsewhere" ], [ "I460", "Cardiac arrest with successful resuscitation" ], [ "I514", "Myocarditis, unspecified" ] ], "row_count": 40, "col_count": 2 } ] }, { "case_id": 2336178, "title": "Patient Group Direction", "authority": "Manx Care", "date_received": "2022-03-17", "outcome": "All information sent", "summary": "The requester asked for a signed copy of the Patient Group Direction (PGD) for the rollout of COVID-19 vaccinations on the Isle of Man. Manx Care disclosed the full information, including the PGD for the AstraZeneca vaccine and a covering letter confirming its endorsement and legal status under Isle of Man legislation.", "key_facts": [ "The Patient Group Direction (PGD) was developed by Public Health England for the UK vaccination programme but endorsed by the Isle of Man Department of Health and Social Care.", "The specific PGD provided covers the administration of the COVID-19 Vaccine AstraZeneca (ChAdOx1-S [recombinant]).", "Registered practitioners must individually sign section 7 of the PGD, and an authorising manager must counter-sign to administer the vaccine.", "Isle of Man legislation (Medicines for Human Use (Amendment) Regulations 2020) provides immunity from civil liability for practitioners using the vaccine in accordance with MHRA conditions.", "The PGD version v01.00 was valid from 06 January 2021 with an expiry date of 05 January 2022." ], "data_mentioned": [ "2022-03-17", "2022-04-13", "52", "5", "001559", "v01.00", "06 January 2021", "05 January 2022", "06 July 2021", "18 November 2020", "20 November 2020", "2005", "2020" ], "exemptions_cited": [], "tables": [ { "headers": [ "Vanessa MacGregor", "Consultant in Communicable Disease Control, Public Health England,\nEast Midlands Health Protection Team" ], "rows": [ [ "Alison MacKenzie", "Consultant in Public Health Medicine, Screening and Immunisation Lead,\nPublic Health England (South West) / NHS England and NHS\nImprovement South (South West)" ], [ "Gill Marsh", "Senior Screening and Immunisation Manager, Public Health England /\nNHS England and NHS Improvement (North West)" ], [ "Lesley McFarlane", "Screening and Immunisation Co-ordinator, Public Health England / NHS\nEngland and NHS Improvement Midlands (Central Midlands)" ], [ "Tushar Shah", "Lead Pharmacy Advisor, NHS England and NHS Improvement (London\nRegion)" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Priority", "Risk group" ], "rows": [ [ "1", "Residents in a care home for older adults and their carers" ], [ "2", "All those 80 years of age and over\nFrontline health and social care workers (see Chapter 14a)" ], [ "3", "All those 75 years of age and over" ], [ "4", "All those 70 years of age and over\nClinically extremely vulnerable2 individuals (see Definition of\nclinically extremely vulnerable groups)" ], [ "5", "All those 65 years of age and over" ], [ "6", "All individuals aged 16 years3 to 64 years with underlying\nhealth conditions which put them at higher risk of serious\ndisease and mortality (see Appendix A or Chapter 14a)4" ], [ "7", "All those 60 years of age and over" ], [ "8", "All those 55 years of age and over" ], [ "9", "All those 50 years of age and over" ] ], "row_count": 9, "col_count": 2 }, { "headers": [ "Name, strength &\nformulation of drug", "COVID-19 Vaccine AstraZeneca, solution for injection in multidose\ncontainer COVID-19 Vaccine (ChAdOx1-S [recombinant]):\n• 5ml of solution in a 10-dose vial\n• 4ml of solution in an 8-dose vial\nOne dose (0.5 ml) contains COVID-19 Vaccine (ChAdOx1-S*\nrecombinant) 5 x 1010 viral particles.\n*Recombinant, replication-deficient chimpanzee adenovirus vector\nencoding the SARS-CoV-2 Spike (S) glycoprotein. Produced in\ngenetically modified human embryonic kidney (HEK) 293 cells." ], "rows": [ [ "Legal category", "COVID-19 Vaccine AstraZeneca did not have a UK marketing\nauthorisation at the time of writing this PGD.\nCOVID-19 Vaccine AstraZeneca has been provided temporary\nauthorisation by the Medicines & Healthcare products Regulatory\nAgency (MHRA) for supply in the UK under regulation 174 and 174A\nof HMR 2012, see\nhttps://www.gov.uk/government/publications/regulatory-approval-of-\ncovid-19-vaccine-astrazeneca\nIn accordance with the UK Statutory Instrument 2020 No. 1125, The\nHuman Medicines (Coronavirus and Influenza) (Amendment)\nRegulations 2020, a PGD may now be used to supply and/or\nadminister a medicine authorised under regulation 174.\nThe regulation 174 authorised product is categorised as a prescription\nonly medicine (POM)." ], [ "Black triangle", "COVID-19 Vaccine AstraZeneca is authorised for temporary supply in\nthe UK in accordance with a Regulation 174 authorisation.\nAs a new vaccine product, MHRA has a specific interest in the\nreporting of adverse drug reactions for this product." ], [ "Off-label use", "COVID-19 Vaccine AstraZeneca is supplied in the UK in accordance\nwith regulation 174 and did not have a UK marketing authorisation at\nthe time of writing this PGD.\nAs part of the consent process, healthcare professionals must inform\nthe individual/carer that this vaccine has been authorised for\ntemporary supply in the UK by the regulator, MHRA, and that it is\nbeing offered in accordance with national guidance. The Regulation\n174 Information for UK recipients for COVID-19 Vaccine AstraZeneca\nshould be available to inform consent" ], [ "Route / method of\nadministration\nContinued over page", "COVID-19 Vaccine AstraZeneca is for administration by intramuscular\ninjection only, preferably into deltoid region of the upper arm.\nVaccine should be prepared in accordance with the manufacturer’s\nrecommendations (see Regulation 174 Information for UK Healthcare\nProfessionals) and NHS standard operating procedures for the\nservice.\nInspect visually prior to administration and ensure appearance is\nconsistent with the description in the Regulation 174 Information for\nUK Healthcare Professionals, that is a colourless to slightly brown,\nclear to slightly opaque solution. Discard the vaccine if particulate" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "COVID-19 Vaccine AstraZeneca, solution for injection in multidose", "" ], "rows": [ [ "container COVID-19 Vaccine (ChAdOx1-S [recombinant]):", "" ], [ "", "• 5ml of solution in a 10-dose vial" ], [ "", "• 4ml of solution in an 8-dose vial" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "One dose (0.5 ml) contains COVID-19 Vaccine (ChAdOx1-S*" ], "rows": [ [ "recombinant) 5 x 1010 viral particles." ], [ "*Recombinant, replication-deficient chimpanzee adenovirus vector" ], [ "encoding the SARS-CoV-2 Spike (S) glycoprotein. Produced in" ], [ "genetically modified human embryonic kidney (HEK) 293 cells." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "COVID-19 Vaccine AstraZeneca is for administration by intramuscular" ], "rows": [ [ "injection only, preferably into deltoid region of the upper arm." ], [ "Vaccine should be prepared in accordance with the manufacturer’s" ], [ "recommendations (see Regulation 174 Information for UK Healthcare" ], [ "Professionals) and NHS standard operating procedures for the" ], [ "service." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Route / method of\nadministration\n(continued)", "matter or differences to the described appearance are observed. Do\nnot shake the vial.\nCheck product name, batch number and expiry date prior to\nadministration.\nAseptic technique should be used for withdrawing each vaccine dose\nof 0.5ml into a syringe for injection to be administered intramuscularly.\nUse a separate sterile needle and syringe for each individual.\nEach vial contains at least the number of doses stated. It is normal for\nliquid to remain in the vial after withdrawing the final dose. When low\ndead volume syringes and/or needles are used, the amount remaining\nin the vial may be sufficient for an additional dose. Care should be\ntaken to ensure a full 0.5ml dose is administered. Where a full 0.5ml\ndose cannot be extracted, the remaining volume should be discarded.\nThe vaccine does not contain any preservative. After first dose\nwithdrawal, use the vial as soon as practically possible and within 6\nhours (stored at 2°C to 25°C). Discard any unused vaccine.\nIndividuals with bleeding disorders may be vaccinated intramuscularly\nif, in the opinion of a doctor familiar with the individual's bleeding risk,\nvaccines or similar small volume intramuscular injections can be\nadministered with reasonable safety by this route. If the individual\nreceives medication/treatment to reduce bleeding, for example\ntreatment for haemophilia, intramuscular vaccination can be\nscheduled shortly after such medication/treatment is administered.\nIndividuals on stable anticoagulation therapy, including individuals on\nwarfarin who are up to date with their scheduled International\nNormalised Ratio (INR) testing and whose latest INR was below the\nupper threshold of their therapeutic range, can receive intramuscular\nvaccination. A fine needle (equal to 23 gauge or finer calibre such as\n25 gauge) should be used for the vaccination, followed by firm\npressure applied to the site (without rubbing) for at least 2 minutes.\nThe individual/carer should be informed about the risk of haematoma\nfrom the injection." ], "rows": [ [ "Dose and frequency of\nadministration", "A two-dose course should be administered consisting of 0.5ml\nfollowed by a second dose of 0.5ml administered between 4 to 12\nweeks after the first dose, or in accordance with official guidance at\nthe time.\nIf an interval longer than the recommended interval is left between\ndoses, the second dose should still be given (using the same vaccine\nas was given for the first dose if possible, see Additional Information).\nThe course does not need to be restarted." ], [ "Duration of treatment", "See Dose and frequency of administration above.\nBooster doses of COVID-19 vaccines are not yet recommended\nbecause the need for, and timing of, boosters has not yet been\ndetermined." ], [ "Quantity to be supplied /\nadministered", "Administer 0.5ml\nA two-dose course should be completed." ], [ "Supplies\nContinued over page", "Providers should order COVID-19 vaccines via the national appointed\nsupply route for the provider." ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Aseptic technique should be used for withdrawing each vaccine dose" ], "rows": [ [ "of 0.5ml into a syringe for injection to be administered intramuscularly." ], [ "Use a separate sterile needle and syringe for each individual." ], [ "Each vial contains at least the number of doses stated. It is normal for" ], [ "liquid to remain in the vial after withdrawing the final dose. When low" ], [ "dead volume syringes and/or needles are used, the amount remaining" ], [ "in the vial may be sufficient for an additional dose. Care should be" ], [ "taken to ensure a full 0.5ml dose is administered. Where a full 0.5ml" ], [ "dose cannot be extracted, the remaining volume should be discarded." ], [ "The vaccine does not contain any preservative. After first dose" ], [ "withdrawal, use the vial as soon as practically possible and within 6" ], [ "hours (stored at 2°C to 25°C). Discard any unused vaccine." ] ], "row_count": 11, "col_count": 1 }, { "headers": [ "Supplies\n(continued)", "COVID-19 vaccines for the national COVID-19 vaccination\nprogramme will be made available for ordering on the ImmForm\nwebsite: https://portal.immform.phe.gov.uk/\nNHS standard operating procedures should be followed for\nappropriate ordering, storage, handling, preparation, administration\nand waste minimisation of COVID-19 Vaccine AstraZeneca, which\nensure use is in accordance with Regulation 174 Information for UK\nHealthcare Professionals and Conditions of Authorisation for COVID-\n19 Vaccine AstraZeneca." ], "rows": [ [ "Storage", "COVID-19 Vaccine AstraZeneca unopened multidose vial:\n• Store in a refrigerator (2 to 8°C).\n• Do not freeze.\n• Keep vials in outer carton to protect from light.\n• Shelf life is 6 months.\nAfter first dose withdrawn, administer remaining doses from the vial as\nsoon as practically possible and within 6 hours of first use of the vial.\nThe vaccine may be stored between 2°C and 25°C during this in-use\nperiod.\nLabel vial with the expiry time after first use.\nOnce a dose is withdrawn from the vial it should be administered\nimmediately.\nThe vaccine does not contain preservative." ], [ "Disposal", "Follow local clinical waste policy and NHS standard operating\nprocedures and ensure safe and secure waste disposal.\nEquipment used for vaccination, including used vials, ampoules, or\ndischarged vaccines in a syringe or applicator, should be disposed of\nsafely and securely according to local authority regulations and\nguidance in the technical memorandum 07-01: Safe management of\nhealthcare waste (Department of Health, 2013).\nAstraZeneca COVID-19 Vaccine contains genetically modified\norganisms (GMOs). Sharps waste and empty vials should be placed\ninto yellow lidded waste bins and sent for incineration; there is no\nneed for specific designation as GMO waste. An appropriate virucidal\ndisinfectant should be available for managing spills in all settings\nwhere vaccination is administered." ], [ "Drug interactions\nContinued over page", "Immunological response may be diminished in those receiving\nimmunosuppressive treatment, but it is important to still immunise this\ngroup.\nAlthough no data for co-administration of COVID-19 vaccine with\nother vaccines exists, in the absence of such data, first principles\nwould suggest that interference between inactivated vaccines with\ndifferent antigenic content is likely to be limited. Based on experience\nwith other vaccines, any potential interference is most likely to result\nin a slightly attenuated immune response to one of the vaccines.\nThere is no evidence of any safety concerns, although it may make\nthe attribution of any adverse events more difficult.\nIt should not be routine to offer appointments to give this vaccine at\nthe same time as other vaccines. Scheduling should ideally be\nseparated by an interval of at least 7 days to avoid incorrect attribution\nof potential adverse events." ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "", "• Store in a refrigerator (2 to 8°C)." ], "rows": [ [ "", "• Do not freeze." ], [ "", "• Keep vials in outer carton to protect from light." ], [ "", "• Shelf life is 6 months." ], [ "After first dose withdrawn, administer remaining doses from the vial as", "" ], [ "soon as practically possible and within 6 hours of first use of the vial.", "" ], [ "The vaccine may be stored between 2°C and 25°C during this in-use", "" ], [ "period.", "" ] ], "row_count": 7, "col_count": 2 }, { "headers": [ "Drug interactions\n(continued)", "Where individuals in an eligible cohort present having received\nanother inactivated or live vaccine, COVID-19 vaccination should still\nbe considered. The same applies for other live and inactivated\nvaccines where COVID-19 vaccination has been received first or\nwhere an individual presents requiring two vaccines. In most cases,\nvaccination should proceed, and may be provided under the PGD, to\navoid any further delay in protection and to avoid the risk of the\nindividual not returning for a later appointment. In such circumstances,\nindividuals should be informed about the likely timing of potential\nadverse events relating to each vaccine." ], "rows": [ [ "Identification &\nmanagement of adverse\nreactions", "The most frequently reported adverse reactions were injection site\ntenderness (>60%); injection site pain, headache, fatigue (>50%);\nmyalgia, malaise (>40%); pyrexia, chills (>30%); and arthralgia,\nnausea (>20%). The majority of adverse reactions were mild to\nmoderate in severity and usually resolved within a few days of\nvaccination. By day 7 the incidence of subjects with at least one local\nor systemic reaction was 4% and 13% respectively. When compared\nwith the first dose, adverse reactions reported after the second dose\nwere milder and reported less frequently.\nAdverse reactions were generally milder and reported less frequently\nin older adults (≥65 years old).\nA detailed list of adverse reactions is available in the Regulation 174\nInformation for UK Healthcare Professionals\nIndividuals should be provided with the advice within the leaflet What\nto expect after your COVID-19 vaccination, which covers the\nreporting of adverse reactions and their management, such as with\nanalgesic and/or antipyretic medication." ], [ "Reporting procedure of\nadverse reactions", "Healthcare professionals and individuals/carers should report\nsuspected adverse reactions to the Medicines and Healthcare\nproducts Regulatory Agency (MHRA) using the Coronavirus Yellow\nCard reporting scheme on:\nhttps://coronavirus-yellowcard.mhra.gov.uk/. Or search for MHRA\nYellow Card in the Google Play or Apple App Store.\nAs a new vaccine product, MHRA hasa specific interest in the\nreporting of all adverse drug reactions for this product, see\nhttps://yellowcard.mhra.gov.uk/the-yellow-card-scheme/\nAny adverse reaction to a vaccine should also be documented in the\nindividual’s record and the individual’s GP should be informed.\nThe Green Book Chapter 14a and Chapter 8 provide further details\nregarding the clinical features of reactions to be reported as\n‘anaphylaxis’. Allergic reactions that do not include the clinical\nfeatures of anaphylaxis should be reported as ‘allergic reaction’." ], [ "Written information to be\ngiven to patient or carer", "Ensure the individual has been provided appropriate written\ninformation such as the:\n• Regulation 174 Information for UK recipients for COVID-19\nVaccine AstraZeneca\n• COVID-19 Vaccination Record Card\n• What to expect after your COVID-19 vaccination\n• COVID-19 vaccination: women of childbearing age, currently\npregnant, or breastfeeding" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "The most frequently reported adverse reactions were injection site" ], "rows": [ [ "tenderness (>60%); injection site pain, headache, fatigue (>50%);" ], [ "myalgia, malaise (>40%); pyrexia, chills (>30%); and arthralgia," ], [ "nausea (>20%). The majority of adverse reactions were mild to" ], [ "moderate in severity and usually resolved within a few days of" ], [ "vaccination. By day 7 the incidence of subjects with at least one local" ], [ "or systemic reaction was 4% and 13% respectively. When compared" ], [ "with the first dose, adverse reactions reported after the second dose" ], [ "were milder and reported less frequently." ], [ "Adverse reactions were generally milder and reported less frequently" ], [ "in older adults (≥65 years old)." ], [ "A detailed list of adverse reactions is available in the Regulation 174" ], [ "Information for UK Healthcare Professionals" ] ], "row_count": 12, "col_count": 1 }, { "headers": [ "• Priority groups for coronavirus (COVID-19) vaccination: advice", "" ], "rows": [ [ "from the JCVI. Published 30 December 2020", "" ], [ "", "https://www.gov.uk/government/publications/priority-groups-for-" ], [ "", "coronavirus-covid-19-vaccination-advice-from-the-jcvi-30-" ], [ "", "december-2020" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "I confirm that I have read and understood the content of this PGD and that I am willing\nand competent to work to it within my professional code of conduct.", "", "", "" ], "rows": [ [ "Name", "Designation", "Signature", "Date" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ] ], "row_count": 6, "col_count": 4 }, { "headers": [ "Chronic respiratory\ndisease", "Individuals with a severe lung condition, including those with asthma that\nrequires continuous or repeated use of systemic steroids or with previous\nexacerbations requiring hospital admission, and chronic obstructive pulmonary\ndisease (COPD) including chronic bronchitis and emphysema; bronchiectasis,\ncystic fibrosis, interstitial lung fibrosis, pneumoconiosis and bronchopulmonary\ndysplasia (BPD)." ], "rows": [ [ "Chronic heart disease\nand vascular disease", "Congenital heart disease, hypertension with cardiac complications, chronic heart\nfailure, individuals requiring regular medication and/or follow-up for ischaemic\nheart disease. This includes individuals with atrial fibrillation, peripheral vascular\ndisease or a history of venous thromboembolism." ], [ "Chronic kidney\ndisease", "Chronic kidney disease at stage 3, 4 or 5, chronic kidney failure, nephrotic\nsyndrome, kidney transplantation." ], [ "Chronic liver disease", "Cirrhosis, biliary atresia, chronic hepatitis." ], [ "Chronic neurological\ndisease", "Stroke, transient ischaemic attack (TIA). Conditions in which respiratory function\nmay be compromised due to neurological disease (e.g. polio syndrome\nsufferers). This includes individuals with cerebral palsy, severe or profound\nlearning disabilities, Down’s Syndrome, multiple sclerosis, epilepsy, dementia,\nParkinson’s disease, motor neurone disease and related or similar conditions; or\nhereditary and degenerative disease of the nervous system or muscles; or\nsevere neurological disability." ], [ "Diabetes mellitus", "Any diabetes, including diet-controlled diabetes." ], [ "Immunosuppression", "Immunosuppression due to disease or treatment, including patients undergoing\nchemotherapy leading to immunosuppression, patients undergoing radical\nradiotherapy, solid organ transplant recipients, bone marrow or stem cell\ntransplant recipients, HIV infection at all stages, multiple myeloma or genetic\ndisorders affecting the immune system (e.g. IRAK-4, NEMO, complement\ndisorder, SCID).\nIndividuals who are receiving immunosuppressive or immunomodulating\nbiological therapy including, but not limited to, anti-TNF, alemtuzumab,\nofatumumab, rituximab, patients receiving protein kinase inhibitors or PARP\ninhibitors, and individuals treated with steroid sparing agents such as\ncyclophosphamide and mycophenolate mofetil.\nIndividuals treated with or likely to be treated with systemic steroids for more\nthan a month at a dose equivalent to prednisolone at 20mg or more per day.\nAnyone with a history of haematological malignancy, including leukaemia,\nlymphoma, and myeloma and those with systemic lupus erythematosus and\nrheumatoid arthritis, and psoriasis who may require long term\nimmunosuppressive treatments.\nSome immunosuppressed patients may have a suboptimal immunological\nresponse to the vaccine." ], [ "Asplenia or\ndysfunction of the\nspleen", "This also includes conditions that may lead to splenic dysfunction, such as\nhomozygous sickle cell disease, thalassemia major and coeliac syndrome." ], [ "Morbid obesity", "Adults with a Body Mass Index ≥40 kg/m²." ], [ "Severe mental illness", "Individuals with schizophrenia or bipolar disorder, or any mental illness that\ncauses severe functional impairment." ] ], "row_count": 9, "col_count": 2 }, { "headers": [ "Vanessa MacGregor", "Consultant in Communicable Disease Control, Public Health England,\nEast Midlands Health Protection Team" ], "rows": [ [ "Alison Mackenzie", "Consultant in Public Health Medicine, Screening and Immunisation Lead,\nPublic Health England (South West) / NHS England and NHS\nImprovement South (South West)" ], [ "Gill Marsh", "Senior Screening and Immunisation Manager, Public Health England /\nNHS England and NHS Improvement (North West)" ], [ "Lesley McFarlane", "Screening and Immunisation Co-ordinator, Public Health England / NHS\nEngland and NHS Improvement Midlands (Central Midlands)" ], [ "Tushar Shah", "Lead Pharmacy Advisor, NHS England and NHS Improvement (London\nRegion)" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Priority", "Risk group" ], "rows": [ [ "1", "Residents in a care home for older adults and their\ncarers" ], [ "2", "All those 80 years of age and over\nFrontline health and social care workers (see Chapter\n14a)" ], [ "3", "All those 75 years of age and over" ], [ "4", "All those 70 years of age and over\nClinically extremely vulnerable2 individuals (see\nDefinition of clinically extremely vulnerable groups)" ], [ "5", "All those 65 years of age and over" ], [ "6", "All individuals aged 16 years to 64 years with\nunderlying health conditions which put them at higher\nrisk of serious disease and mortality (see Appendix A or\nChapter 14a)" ], [ "7", "All those 60 years of age and over" ], [ "8", "All those 55 years of age and over" ], [ "9", "All those 50 years of age and over" ] ], "row_count": 9, "col_count": 2 }, { "headers": [ "All women of childbearing age should be provided the advice in the" ], "rows": [ [ "leaflet 'COVID-19 vaccination: a guide for women of childbearing age," ], [ "pregnant, planning a pregnancy or breastfeeding’ and their" ], [ "understanding checked as part of the consent process. They should" ], [ "be advised that pregnancy should be avoided until 2 months after the" ], [ "second dose of vaccine (see Additional Information below)." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Name, strength &\nformulation of drug", "COVID-19 mRNA vaccine BNT162b2 concentrate for solution for\ninjection, presented as a multidose vial.\n1 vial (0.45ml) contains 5 doses of 30 micrograms of BNT162b2 RNA\n(embedded in lipid nanoparticles).\nVials may alternatively be labelled:\n• BNT162b2 (SARS-COV-2-mRNA vaccine), or\n• Pfizer-BioNTech COVID-19 vaccine" ], "rows": [ [ "Legal category", "COVID-19 mRNA vaccine BNT162b2 did not have a UK marketing\nauthorisation at the time of writing this PGD.\nCOVID-19 mRNA vaccine BNT162b2 has been provided temporary\nauthorisation by the Medicines & Healthcare products Regulatory\nAgency (MHRA) for supply in the UK under regulation 174 and 174A\nof HMR 2012, see\nhttps://www.gov.uk/government/publications/regulatory-approval-of-\npfizer-biontech-vaccine-for-covid-19\nIn accordance with the UK Statutory Instrument 2020 No. 1125, The\nHuman Medicines (Coronavirus and Influenza) (Amendment)\nRegulations 2020, a PGD may now be used to supply and/or\nadminister a medicine authorised under regulation 174.\nThe regulation 174 authorised product is categorised as a prescription\nonly medicine (POM)." ], [ "Black triangle", "COVID-19 mRNA vaccine BNT162b2 is authorised for temporary\nsupply in the UK in accordance with a Regulation 174 authorisation.\nAs a new vaccine product, MHRA have a specific interest in the\nreporting of adverse drug reactions for this product, see\nhttps://yellowcard.mhra.gov.uk/the-yellow-card-scheme/" ], [ "Off-label use", "COVID-19 mRNA vaccine BNT162b2 is supplied in the UK in\naccordance with regulation 174 and did not have a UK marketing\nauthorisation at the time of writing this PGD.\nAs part of the consent process, healthcare professionals must inform\nthe individual/carer that this vaccine has been authorised for\ntemporary supply in the UK by the regulator, MHRA, and that it is\nbeing offered in accordance with national guidance." ], [ "Route / method of\nadministration\nContinued over page", "Thawed COVID-19 mRNA vaccine BNT162b2 requires dilution in its\noriginal vial with 1.8ml of unpreserved sodium chloride 0.9% solution\nfor injection, prior to withdrawing a 0.3ml dose.\nCOVID-19 mRNA vaccine BNT162b2 is for administration by\nintramuscular injection only, preferably into deltoid region of the upper\narm.\nVaccine should be prepared in accordance with the manufacturer’s\nrecommendations (see Regulation 174 Information for UK Healthcare\nProfessionals) and NHS standard operating procedures for the\nservice.\nGently invert the diluted solution 10 times. Do not shake the vaccine." ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "COVID-19 mRNA vaccine BNT162b2 concentrate for solution for" ], "rows": [ [ "injection, presented as a multidose vial." ], [ "1 vial (0.45ml) contains 5 doses of 30 micrograms of BNT162b2 RNA" ], [ "(embedded in lipid nanoparticles)." ], [ "Vials may alternatively be labelled:" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Thawed COVID-19 mRNA vaccine BNT162b2 requires dilution in its" ], "rows": [ [ "original vial with 1.8ml of unpreserved sodium chloride 0.9% solution" ], [ "for injection, prior to withdrawing a 0.3ml dose." ], [ "COVID-19 mRNA vaccine BNT162b2 is for administration by" ], [ "intramuscular injection only, preferably into deltoid region of the upper" ], [ "arm." ], [ "Vaccine should be prepared in accordance with the manufacturer’s" ], [ "recommendations (see Regulation 174 Information for UK Healthcare" ], [ "Professionals) and NHS standard operating procedures for the" ], [ "service." ], [ "Gently invert the diluted solution 10 times. Do not shake the vaccine." ] ], "row_count": 10, "col_count": 1 }, { "headers": [ "Route / method of\nadministration\n(continued)", "Inspect visually prior to administration and ensure appearance is\nconsistent with the description in the Regulation 174 Information for\nUK Healthcare Professionals, that is an off-white solution with no\nparticulates visible. Discard the vaccine if particulates or\ndiscolouration are present.\nCheck product name, batch number and expiry date prior to\nadministration.\nIndividuals with bleeding disorders may be vaccinated intramuscularly\nif, in the opinion of a doctor familiar with the individual's bleeding risk,\nvaccines or similar small volume intramuscular injections can be\nadministered with reasonable safety by this route. If the individual\nreceives medication/treatment to reduce bleeding, for example\ntreatment for haemophilia, intramuscular vaccination can be\nscheduled shortly after such medication/treatment is administered.\nIndividuals on stable anticoagulation therapy, including individuals on\nwarfarin who are up to date with their scheduled INR testing and\nwhose latest INR was below the upper threshold of their therapeutic\nrange, can receive intramuscular vaccination. A fine needle (equal to\n23 gauge or finer calibre such as 25 gauge) should be used for the\nvaccination, followed by firm pressure applied to the site (without\nrubbing) for at least 2 minutes. The individual/carer should be\ninformed about the risk of haematoma from the injection.\nEach vial contains 5 doses. It is normal for a small amount of liquid to\nremain in the vial after withdrawing the final dose." ], "rows": [ [ "Dose and frequency of\nadministration", "A two-dose course should be administered consisting of\n30micrograms in 0.3ml followed by a second dose of 30micrograms in\n0.3ml after an interval of 21 days. For operational purposes the\nsecond dose may be routinely scheduled at 28 days.\nIf the course is interrupted or delayed, it should be resumed using the\nsame vaccine (see Additional Information) but the first dose should\nnot be repeated." ], [ "Duration of treatment", "See Dose and frequency of administration above.\nBooster doses of COVID-19 vaccines are not yet recommended\nbecause the need for, and timing of, boosters has not yet been\ndetermined." ], [ "Quantity to be supplied /\nadministered", "Administer 30micrograms in 0.3ml\nA two-dose course should be completed." ], [ "Supplies", "Covid-19 vaccines for the national COVID-19 vaccination programme\nwill be made available for ordering on the ImmForm website:\nhttps://portal.immform.phe.gov.uk/\nNHS standard operating procedures should be followed for\nappropriate storage, handling, preparation, administration and waste\nminimisation of COVID-19 mRNA Vaccine BNT162b2, which ensure\nuse is in accordance with Regulation 174 Information for UK\nHealthcare Professionals and Conditions of Authorisation for\nPfizer/BioNTech COVID-19 vaccine BNT162b2." ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Drug interactions\n(continued)", "vaccines where COVID-19 vaccination has been received first. In\nmany cases vaccination should proceed, and may be provided under\nthe PGD, to avoid any further delay in protection and to avoid the risk\nof the individual not returning for a later appointment. In such\ncircumstances, individuals should be informed about the likely timing\nof potential adverse events relating to each vaccine." ], "rows": [ [ "Identification &\nmanagement of adverse\nreactions", "The most frequent adverse reactions in participants 16 years of age\nand older were pain at the injection site (> 80%), fatigue (> 60%),\nheadache (> 50%), myalgia (> 30%), chills (> 30%), arthralgia (>\n20%) and pyrexia (> 10%) and were usually mild or moderate in\nintensity and resolved within a few days after vaccination. Redness at\nthe injection site, injection site swelling, and nausea are reported as\ncommon. Lymphadenopathy was reported in less than 1%.\nIndividuals should be provided with the advice within the leaflet What\nto expect after your COVID-19 vaccination, which covers the\nreporting of adverse reactions and their management, such as with\nanalgesic and/or antipyretic medication.\nVaccinated individuals should be advised that the COVID-19 vaccine\nmay cause a mild fever, which usually resolves within 48 hours. This\nis a common, expected reaction and isolation is not required unless\nCOVID-19 is suspected.\nA detailed list of adverse reactions is available in the Regulation 174\nInformation for UK Healthcare Professionals" ], [ "Reporting procedure of\nadverse reactions", "Healthcare professionals and individuals/carers should report\nsuspected adverse reactions to the Medicines and Healthcare\nproducts Regulatory Agency (MHRA) using the Coronavirus Yellow\nCard reporting scheme on:\nhttps://coronavirus-yellowcard.mhra.gov.uk/. Or search for MHRA\nYellow Card in the Google Play or Apple App Store.\nAs a new vaccine product, MHRA have a specific interest in the\nreporting of all adverse drug reactions for this product, see\nhttps://yellowcard.mhra.gov.uk/the-yellow-card-scheme/\nAny adverse reaction to a vaccine should also be documented in the\nindividual’s record and the individual’s GP should be informed.\nThe Green Book Chapter 14a and Chapter 8 provide further details\nregarding the clinical features of reactions to be reported as\n‘anaphylaxis’. Allergic reactions that do not include the clinical\nfeatures of anaphylaxis should be reported as ‘allergic reaction’." ], [ "Written information to be\ngiven to patient or carer", "Ensure the individual has been provided appropriate written\ninformation such as the:\n• Regulation 174 Information for UK recipients for COVID-19\nmRNA vaccine BNT162b2\n• COVID-19 Vaccination Record Card (Product code:\nCOV2020311)\n• What to expect after your COVID-19 vaccination (Product code:\nCOV2020307)\n• COVID-19 vaccination: a guide for women of childbearing age,\npregnant, planning a pregnancy or breastfeeding (Product code\nCOV2020374)" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "All women of childbearing age should be provided the advice in the" ], "rows": [ [ "leaflet 'COVID-19 vaccination: a guide for women of childbearing age," ], [ "pregnant, planning a pregnancy or breastfeeding’ and their" ], [ "understanding checked as part of the consent process. They should" ], [ "be advised that pregnancy should be avoided until 2 months after the" ], [ "second dose of vaccine (see Additional Information below)." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Pregnancy should be avoided until 2 months after the second dose of" ], "rows": [ [ "vaccine." ], [ "This advice is precautionary until additional evidence is available to" ], [ "support the use of this vaccine in pregnancy and breastfeeding." ], [ "JCVI have advised that routine questioning about last menstrual" ], [ "period and/or pregnancy testing is not required before offering the" ], [ "vaccine. Those being invited for vaccination should be able to access" ], [ "the advice in the leaflet 'COVID-19 vaccination: a guide for women of" ], [ "childbearing age, pregnant, planning a pregnancy or breastfeeding’" ], [ "and their understanding checked as part of the consent process." ], [ "Additional measures may need to be considered for potential" ], [ "recipients who are unable to access the information in written or" ], [ "online form." ] ], "row_count": 12, "col_count": 1 }, { "headers": [ "• Priority groups for coronavirus (COVID-19) vaccination: advice", "" ], "rows": [ [ "from the JCVI. Published 2 December 2020", "" ], [ "", "https://www.gov.uk/government/publications/priority-groups-for-" ], [ "", "coronavirus-covid-19-vaccination-advice-from-the-jcvi-2-december-" ], [ "", "2020" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "I confirm that I have read and understood the content of this PGD and that I am willing\nand competent to work to it within my professional code of conduct.", "", "", "" ], "rows": [ [ "Name", "Designation", "Signature", "Date" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ] ], "row_count": 6, "col_count": 4 }, { "headers": [ "Chronic respiratory\ndisease", "Individuals with a severe lung condition, including those with asthma that\nrequires continuous or repeated use of systemic steroids or with previous\nexacerbations requiring hospital admission, and chronic obstructive pulmonary\ndisease (COPD) including chronic bronchitis and emphysema; bronchiectasis,\ncystic fibrosis, interstitial lung fibrosis, pneumoconiosis and bronchopulmonary\ndysplasia (BPD)." ], "rows": [ [ "Chronic heart disease\nand vascular disease", "Congenital heart disease, hypertension with cardiac complications, chronic heart\nfailure, individuals requiring regular medication and/or follow-up for ischaemic\nheart disease. This includes individuals with atrial fibrillation, peripheral vascular\ndisease or a history of venous thromboembolism." ], [ "Chronic kidney\ndisease", "Chronic kidney disease at stage 3, 4 or 5, chronic kidney failure, nephrotic\nsyndrome, kidney transplantation." ], [ "Chronic liver disease", "Cirrhosis, biliary atresia, chronic hepatitis." ], [ "Chronic neurological\ndisease", "Stroke, transient ischaemic attack (TIA). Conditions in which respiratory function\nmay be compromised due to neurological disease (e.g. polio syndrome\nsufferers). This includes individuals with cerebral palsy, severe or profound\nlearning disabilities, Down’s Syndrome, multiple sclerosis, epilepsy, dementia,\nParkinson’s disease, motor neurone disease and related or similar conditions; or\nhereditary and degenerative disease of the nervous system or muscles; or\nsevere neurological disability." ], [ "Diabetes", "Any diabetes, including diet-controlled diabetes." ], [ "Immunosuppression", "Immunosuppression due to disease or treatment, including patients undergoing\nchemotherapy leading to immunosuppression, patients undergoing radical\nradiotherapy, solid organ transplant recipients, bone marrow or stem cell\ntransplant recipients, HIV infection at all stages, multiple myeloma or genetic\ndisorders affecting the immune system (e.g. IRAK-4, NEMO, complement\ndisorder, SCID).\nIndividuals who are receiving immunosuppressive or immunomodulating\nbiological therapy including, but not limited to, anti-TNF, alemtuzumab,\nofatumumab, rituximab, patients receiving protein kinase inhibitors or PARP\ninhibitors, and individuals treated with steroid sparing agents such as\ncyclophosphamide and mycophenolate mofetil.\nIndividuals treated with or likely to be treated with systemic steroids for more\nthan a month at a dose equivalent to prednisolone at 20mg or more per day.\nAnyone with a history of haematological malignancy, including leukaemia,\nlymphoma, and myeloma and those with systemic lupus erythematosus and\nrheumatoid arthritis, and psoriasis who may require long term\nimmunosuppressive treatments.\nSome immunosuppressed patients may have a suboptimal immunological\nresponse to the vaccine." ], [ "Asplenia or\ndysfunction of the\nspleen", "This also includes conditions that may lead to splenic dysfunction, such as\nhomozygous sickle cell disease, thalassemia major and coeliac syndrome." ], [ "Morbid obesity", "Adults with a Body Mass Index ≥40 kg/m²." ], [ "Severe mental illness", "Individuals with schizophrenia or bipolar disorder, or any mental illness that\ncauses severe functional impairment." ], [ "Adult carers", "Those who are in receipt of a carer’s allowance, or those who are the main carer\nof an elderly or disabled person whose welfare may be at risk if the carer falls ill." ], [ "Younger adults in\nlong-stay nursing and", "Many younger adults in residential care settings will be eligible for vaccination\nbecause they fall into one of the clinical risk groups above." ] ], "row_count": 11, "col_count": 2 } ] }, { "case_id": 2343969, "title": "Surgery data", "authority": "Manx Care", "date_received": "2022-03-22", "outcome": "All information sent", "summary": "The requester asked Manx Care for the number of full-time equivalent GPs and registered patients at each surgery on the Isle of Man. The authority responded by providing a complete list of FTE GP partners as of March 2022 and patient registration numbers as of January 2022 for all listed practices.", "key_facts": [ "Manx Care provided data for 11 GP practices across the Isle of Man.", "The total number of registered patients across all practices was 88,076 as of 01/01/2022.", "Ramsey Group Practice had the highest number of registered patients at 14,689.", "Ramsey Group Practice also had the highest number of FTE GP partners at 7.1.", "The request was received on 22 March 2022 and fully answered on 8 April 2022." ], "data_mentioned": [ "2022-03-22", "2022-04-08", "15.3.22", "01/01/2022", "2.9", "2.1", "1.0", "3.8", "4.8", "4.3", "5.1", "5.2", "7.1", "4,799", "4,140", "6,795", "7,931", "9,611", "10,439", "8,911", "14,689", "5,114", "7,084", "8,563", "88,076" ], "exemptions_cited": [], "tables": [ { "headers": [ "GP Practice", "FTE GP Partners" ], "rows": [ [ "Ballasalla Medical Centre", "2.9" ], [ "Castletown Medical Centre", "2.1" ], [ "Finch Hill Health Centre", "1.0" ], [ "Hailwood Group Practice", "3.8" ], [ "Kensington Group Practice", "4.8" ], [ "Laxey and Village Walk Health Centres", "4.3" ], [ "Palatine Group Practice", "5.1" ], [ "Peel Group Practice", "5.2" ], [ "Ramsey Group Practice", "7.1" ], [ "Snaefell Surgery", "1.0" ], [ "Southern Group Practice", "4.3" ] ], "row_count": 11, "col_count": 2 }, { "headers": [ "GP Practice", "Patients" ], "rows": [ [ "Ballasalla", "4,799" ], [ "Castletown", "4,140" ], [ "Finch Hill", "6,795" ], [ "Hailwood", "7,931" ], [ "Kensington", "9,611" ], [ "Onchan", "8,563" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "GP Practice", "Patients" ], "rows": [ [ "Palatine", "10,439" ], [ "Peel", "8,911" ], [ "Ramsey", "14,689" ], [ "Snaefell", "5,114" ], [ "Southern", "7,084" ], [ "Total", "88,076" ] ], "row_count": 6, "col_count": 2 } ] }, { "case_id": 2347834, "title": "Surgery data 2", "authority": "Manx Care", "date_received": "2022-03-24", "outcome": "All information sent", "summary": "A request was made to Manx Care for prescription data broken down by surgery and pharmacy for the past three years. The authority disclosed all requested information, providing detailed statistics for 13 surgeries and 23 pharmacies covering the periods from 2018/19 to 2021/22.", "key_facts": [ "Manx Care provided prescription issuance data for 13 surgeries and dispensing data for 23 pharmacies.", "The data covers the financial years 2018/19, 2019/20, 2020/21, and the first 10 months of 2021/22.", "Ramsey Group Practice issued the highest number of prescriptions among surgeries, totaling 126,181 in 2018/19.", "Boots pharmacy dispensed the highest number of prescriptions, totaling 80,115 in 2018/19.", "The response noted that community pharmacies also dispense prescriptions for outpatient clinics, nursing, dental, and mental health services." ], "data_mentioned": [ "2018/19", "2019/20", "2020/21", "2021/22", "126,181", "80,115", "681,827", "791,687", "2347834", "2022-03-24", "2022-04-12" ], "exemptions_cited": [], "tables": [ { "headers": [ "Surgery", "2018/19", "2019/2022", "2020/2021", "2021/2022\n(10 months)" ], "rows": [ [ "Ballasalla Medical Centre", "36,006", "38,128", "36,041", "34,198" ], [ "Castletown Medical Centre", "36,968", "32,731", "30,893", "33,036" ], [ "Finch Hill Health Centre", "25,581", "27,455", "38,770", "35,276" ], [ "Hailwood Medical Practice Llc", "54,268", "55,270", "57,263", "54,289" ], [ "Kensington Group Practice", "75,759", "60,658", "51,408", "45,563" ], [ "Laxey & Village Walk Health Centres", "64,418", "67,314", "67,376", "60,886" ], [ "Palatine Group Practice", "81,193", "89,568", "83,300", "70,758" ], [ "Peel Group Practice", "69,653", "73,719", "72,364", "64,178" ], [ "Ramsey Group Practice", "126,181", "130,571", "129,573", "119,801" ], [ "Ramsey West Practice", "2,869", "4,104", "3,499", "2,209" ], [ "Snaefell Surgery", "42,407", "45,215", "44,206", "35,014" ], [ "Southern Group Practice", "66,524", "70,853", "67,744", "60,697" ], [ "Total", "681,827", "695,586", "682,437", "615,905" ] ], "row_count": 13, "col_count": 5 }, { "headers": [ "Pharmacy", "2018/19", "2019/20", "2020/21", "2021/22" ], "rows": [ [ "Clear Port St Mary", "20,528", "21,585", "21,409", "18,702" ], [ "Clear Michael St", "17,017", "17,822", "17,709", "14,053" ], [ "Lloyds Anagh Coar", "52,039", "56,512", "53,638", "43,267" ], [ "Lloyds Terrace", "38,088", "42,433", "44,118", "33,400" ], [ "Clear Athol Place", "44,877", "47,927", "47,101", "42,209" ], [ "Lloyds Shoprite Douglas", "26,486", "27,295", "26,167", "23,677" ], [ "Hemensley's", "32,184", "34,172", "33,758", "27,242" ], [ "Lloyds Port Erin", "26,518", "28,596", "27,548", "23,081" ], [ "loyds Castletown", "26,366", "28,041", "30,539", "24,749" ], [ "Castle Pharmacy", "14,417", "7,242", "2,499", "11,632" ], [ "Laxey", "21,863", "22,104", "21,203", "18,438" ], [ "Kinrades", "48,748", "53,406", "55,046", "47,934" ], [ "Lloyds Village Walk", "46,023", "49,423", "48,932", "42,463" ], [ "Lloyds Hailwoods", "45,788", "48,136", "45,926", "37,084" ], [ "Lloyds St Pauls", "29,123", "28,904", "32,117", "26,555" ], [ "Llyods Parliament St", "37,162", "38,661", "35,481", "30,908" ], [ "Boots", "80,115", "82,090", "76,543", "65,027" ], [ "Lloyds Shoprite Ramsey", "58,666", "59,737", "56,057", "50,583" ], [ "Costains", "27,188", "29,286", "27,429", "23,863" ], [ "Clear Port Erin", "33,020", "34,816", "34,749", "30,385" ], [ "Village Pharmacy", "14,584", "15,949", "17,276", "15,940" ], [ "Clear Douglas", "22,877", "23,235", "19,023", "17,337" ], [ "Karsons", "28,010", "33,298", "38,471", "33,652" ], [ "Total", "791,687", "830,670", "812,739", "702,181" ] ], "row_count": 24, "col_count": 5 } ] }, { "case_id": 2348466, "title": "Public Register of Government Committees and Quasi-Autonomous Entities", "authority": "Cabinet Office", "date_received": "2022-03-24", "outcome": "Some information sent but part exempt", "summary": "The requester asked for the Public Register of Government Committees, details on corporate governance reviews including the Independent Review Body for Health Complaints, and assurance certification processes. The Cabinet Office provided information on existing governance frameworks and regulations but stated it does not hold data on assurance certifications, noting that pandemic delays affected previous review timelines.", "key_facts": [ "A 2019 review established the corporate governance arrangements for committees and Quangos.", "The Government Code outlines the status, function, and duties of statutory board members.", "The Independent Review Body for Health Complaints operates under the National Health Service (Complaints) Regulations 2004.", "The Cabinet Office does not hold information regarding the Assurance Certification process for each Quango or Committee.", "Governance assurance and audit are the responsibility of the sponsoring department rather than the Cabinet Office." ], "data_mentioned": [ "2022-03-24", "2022-04-11", "early March 2020", "30 March 2020", "2019", "2017", "2004", "3 pages", "1 document" ], "exemptions_cited": [ "Information not held by the authority" ], "tables": [ { "headers": [ "The ar", "", "rival o", "f the Covid-19 pa", "ndemic in mid-March and the Is", "" ], "rows": [ [ "prolonged lo", "", "", "ckdown resulted i", "n the suspension of non-essent", "" ], [ "Government,", "", "", "as ministers and", "officers focused on Governmen", "t's pandemic response." ], [ "The is", "", "sues ra", "ised in the revie", "w are due to be considered by t", "he current administratio" ], [ "in", "the", "light o", "f current prioritie", "s and pressures, and will be pro", "" ] ], "row_count": 4, "col_count": 6 }, { "headers": [ "Corporate go", "", "", "vernance arrang", "ements for committees and Qua", "ngos are set out in the" ], "rows": [ [ "2019 r", "", "eview.", "Departments set", "and monitor the governance fr", "" ], [ "organisations", "", "", "they are respon", "sible for, and the governance of", "committees is addressed" ], [ "in", "thei", "r Term", "", "", "" ] ], "row_count": 3, "col_count": 6 }, { "headers": [ "The G", "overnment Code provid", "", "es information on the status and", "function of statutory" ], "rows": [ [ "board", "s and o", "ther bodies, and", "the rights, responsibilities and d", "uties of their members" ], [ "This in", "cludes", "requirements in", "respect of Government Financia", "" ], [ "declaration o", "", "f conflicts. The G", "overnment Code can be viewe", "" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "New m", "embe", "rs of statutory bo", "ards are provided with a compr", "ehensive induction, which" ], "rows": [ [ "addresses go", "", "vernance issues i", "n detail. Those who put themse", "lves forward for public" ], [ "appointment", "", "s are provided wi", "th an Information Pack, in whic", "" ], [ "addressed. S", "", "uccessful candida", "tes are referred to the relevant", "" ], [ "Government", "", "Code, in respect", "of governance, as part of their i", "" ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "The G", "eneral", "Complaints remit", "of the Independent Review Bo", "" ], "rows": [ [ "servic", "es is se", "t out in the Natio", "nal Health Service (Complaints)", "Regulations 2004. This" ], [ "specifi", "es how", "complaints shou", "ld be handled, investigated and", "" ], [ "where", "matte", "rs should be refe", "rred to a panel. The IRB is requ", "" ], [ "annua", "lly to t", "he Department of", "Health and Social Care, for rev", "" ], [ "Regulations", "", "can be viewed he", "", "" ] ], "row_count": 5, "col_count": 5 } ] }, { "case_id": 2370214, "title": "Full term still births", "authority": "Manx Care", "date_received": "2022-04-05", "outcome": "All information sent", "summary": "A request was made to Manx Care for the total number of full-term stillbirths in the Isle of Man over the last 15 years. The authority responded by providing a complete annual breakdown of stillbirths with a gestation of 37 weeks or more from 2007 to 2021.", "key_facts": [ "The request covered stillbirths with a gestation of 37 weeks or more.", "Data was provided for the 15-year period from 2007 to 2021.", "There were zero recorded full-term stillbirths in the years 2013, 2016, 2017, 2018, 2019, and 2020.", "The highest number of full-term stillbirths in the period was 3, recorded in 2015.", "The total number of full-term stillbirths across the 15-year period is 16." ], "data_mentioned": [ "2007: 2", "2008: 1", "2009: 2", "2010: 2", "2011: 1", "2012: 2", "2013: 0", "2014: 1", "2015: 3", "2016: 0", "2017: 0", "2018: 0", "2019: 0", "2020: 0", "2021: 2", "37 weeks", "15 years", "2022-04-05", "2022-04-13", "2370214" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Number of\nStillbirths where\nthe gestations is 37\nweeks or more" ], "rows": [ [ "2007", "2" ], [ "2008", "1" ], [ "2009", "2" ], [ "2010", "2" ], [ "2011", "1" ], [ "2012", "2" ], [ "2013", "0" ], [ "2014", "1" ], [ "2015", "3" ], [ "2016", "0" ], [ "2017", "0" ], [ "2018", "0" ], [ "2019", "0" ], [ "2020", "0" ], [ "2021", "2" ] ], "row_count": 15, "col_count": 2 } ] }, { "case_id": 2371715, "title": "Duty of Candour reports - Nobles Hospital", "authority": "Manx Care", "date_received": "2022-04-06", "outcome": "All information sent", "summary": "A request was made for headline information regarding Duty of Candour incidents at Nobles Hospital since the regulations were introduced, including service areas, incident types, and follow-up actions. Manx Care disclosed that 20 incidents occurred, detailing their distribution across care groups and types, and confirmed that apologies were issued and one incident escalated to a formal complaint.", "key_facts": [ "20 Duty of Candour incidents were reported at Nobles Hospital since the regulations were introduced.", "12 incidents occurred in Medicine and Urgent Care, 7 in Surgery Anaesthetics and Critical Care, and 1 in Integrated Women's and Children's Services.", "6 of the 20 incidents involved patients who died.", "All incidents underwent root cause analysis with action plans signed off by the Manx Care Serious Incident review panel.", "One incident was subsequently escalated to a formal complaint process." ], "data_mentioned": [ "20", "12", "7", "1", "6", "2022-04-06", "2022-05-17", "2371715" ], "exemptions_cited": [], "tables": [ { "headers": [ "Care Group", "Number of Reported Incidents" ], "rows": [ [ "Medicine and Urgent Care", "12" ], [ "Surgery Anaesthetics and Critical Care", "7" ], [ "Integrated Women's and Children's Services Care", "1" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Type of Incident", "Count" ], "rows": [ [ "Delayed Referral/Test /Diagnosis", "7" ], [ "Delayed treatment or surgery", "3" ], [ "Transfer issues", "2" ], [ "Safeguarding", "1" ], [ "Post-Operative/Procedure Complication", "3" ], [ "Fall", "3" ], [ "Pre-employment Issue", "1" ], [ "Incidents relating to patients who have died", "6" ] ], "row_count": 8, "col_count": 2 } ] }, { "case_id": 2380073, "title": "Surgery catchment areas", "authority": "Manx Care", "date_received": "2022-04-12", "outcome": "All information sent", "summary": "A request was made to Manx Care for details on the catchment areas of all GP surgeries on the Isle of Man, and the authority responded by providing specific geographic boundaries for each practice.", "key_facts": [ "Manx Care provided catchment area details for 11 GP surgeries across the Isle of Man.", "Kensington and Finch Hill surgeries cover areas within Douglas, with Finch Hill extending to Crosby and Santon.", "The Southern practice covers Port Erin, Port St Mary, Rushen Parish, and Arbory Parish.", "Ballasalla and Castletown surgeries share the same postcode catchment areas (IM9 1–IM9 6 & IM4 1).", "Snaefell surgery is defined by a semi-circle of 4-5 mile radius from Douglas town centre." ], "data_mentioned": [ "2380073", "2022-04-12", "2022-04-13", "IM4 4R", "01624 650 000", "IM9 1", "IM9 6", "IM4 1", "4-5 mile" ], "exemptions_cited": [], "tables": [ { "headers": [ "GP Surgery", "Catchment Area" ], "rows": [ [ "Kensington", "All of Douglas" ], [ "Laxey / Village Walk", "Laxey, Onchan, Baldrine" ], [ "Palatine", "From Port Grenaugh in the South via St Marks and to St Johns in the West, to Injebreck and Baldrine in the North." ], [ "Hailwood", "Douglas, Santon, Union Mills, Glen Vine, Crosby, Onchan, Baldrine" ], [ "Snaefell", "This is represented by a semi-circle of 4-5 mile radius from Douglas town centre." ], [ "Finch Hill", "The catchment area covers the whole of Douglas which stops in the North just before Onchan, in the West at Crosby and in the South just before Santon." ], [ "Peel", "Extends northwards to Orrisdale, southwards to Dalby, eastward to Crosby crossroads and Foxdale" ], [ "Ramsey", "From the school in Kirk Michael to the Dhoon in Maughold" ], [ "Southern", "The practice area covers Port Erin, Port St Mary, Rushen Parish and Arbory Parish." ], [ "Ballasalla", "Catchment area includes postcodes IM9 1 – IM9 6 & IM4 1" ], [ "Castletown", "Catchment area includes postcodes IM9 1 – IM9 6 & IM4 1" ] ], "row_count": 11, "col_count": 2 } ] }, { "case_id": 2380205, "title": "NHS DENTAL CONTRACT", "authority": "Manx Care", "date_received": "2022-04-11", "outcome": "Upheld - partial", "summary": "", "key_facts": [], "data_mentioned": [], "exemptions_cited": [], "tables": [ { "headers": [ "Contract\nProvider", "NHS Dental\nPractice", "Contracted UDA\nTarget 2018-\n2019", "Completed UDAs\n2018-2019", "% of Overall\nContract\nAchievement" ], "rows": [ [ "Tsivos & Loli", "Port Erin & The\nSquare Dental\nPractices", "28,321", "28,210.8", "99%" ], [ "Mrs S Du Toit &\nMr G Provatakis", "Thie Rosien Dental\nPractice", "14,800", "14818.2", "100%" ], [ "JH Van Rooyen &\nA Lewis", "65 Woodbourne\nRoad Dental\nPractice", "21,100", "19669.2", "93%" ], [ "JH Van Rooyen &\nD Hennig", "Westview Dental\nPractice", "20,162.6 (includes\nc/o of 162.6 from\n17-18)", "19904.8", "99%" ], [ "Regent Health\nServices Ltd", "Regent Dental\nCare – Peel &\nHillside Dental\nPractices", "37,220 (includes\nc/o of 720 from\n17-18)", "34,715.6", "93%" ], [ "Tracey Bell", "Tracey Bell Clinic", "750", "764.2", "102%" ], [ "Thanos Karezis", "Grove Mount\nDental Practice", "3,148.2 (includes\nc/o of 7.2 from 17-\n18)", "2,963.6", "94%" ], [ "Pip Dhariwal –\nSmile Dental Care", "Smile Dental\nPractice", "12,000", "12,055.8", "101%" ], [ "ADP Limited", "Avondale Dental\nPractice", "6,000", "6,042", "101%" ] ], "row_count": 9, "col_count": 5 }, { "headers": [ "Contract\nProvider", "NHS Dental\nPractice", "Contracted UDA\nTarget 2019-\n2020", "Completed UDAs\n2019-2020", "% of Overall\nContract\nAchievement" ], "rows": [ [ "Tsivos & Loli", "Port Erin & The\nSquare Dental\nPractices", "28,430.2 (includes\nc/o of 109.2 from\n18-19)", "27,843.4", "98%" ], [ "Mr G Provatakis", "Thie Rosien Dental\nPractice", "14,800", "14,837.6", "100%" ], [ "JH Van Rooyen, A\nLewis & D Hennig", "65 Woodbourne\nRoad & Westview\nDental Practices", "42,201.8 (includes\nc/o of 1,101.8\nfrom 18-19)", "38,560.2", "91%" ], [ "Regent Health\nServices Ltd", "Regent Dental\nCare – Peel &\nHillside Dental\nPractices", "37,960 (includes\nc/o of 1,460 from\n18-19)", "37,599.8", "99%" ], [ "Tracey Bell", "Tracey Bell Clinic", "750", "810", "108%" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "Financial Period", "Number of UOAs\nCompleted" ], "rows": [ [ "January 2018-March\n2018", "706.0" ], [ "April 2018-March 2019", "5539.0" ], [ "April 2019-March 2020", "4168.0" ], [ "April 2020-March 2021", "3528.0" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Month/Year\nAdded", "Patients\nAdded", "Total Patients\nAllocated", "Rolling\nWaiting List\n(Month End)", "Notes" ], "rows": [ [ "Opening\nBalance", "0", "0", "0", "" ], [ "Apr-19", "4", "0", "4", "Added from\nPrevious Allocation" ], [ "May-19", "0", "0", "4", "Added from\nPrevious Allocation" ], [ "Jun-19", "1", "0", "5", "Added from\nPrevious Allocation" ], [ "Jul-19", "9", "0", "14", "Added from\nPrevious Allocation" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "Sep-19", "4", "0", "24", "Added from\nPrevious Allocation" ], "rows": [ [ "Oct-19", "75", "0", "99", "Waiting lists\nReceived from\nPractices" ], [ "Nov-19", "72", "0", "171", "Waiting lists\nReceived from\nPractices" ], [ "Dec-19", "197", "0", "368", "Waiting lists\nReceived from\nPractices" ], [ "Jan-20", "215", "0", "583", "" ], [ "Feb-20", "231", "0", "814", "" ], [ "Mar-20", "140", "0", "954", "" ], [ "Apr-20", "16", "0", "970", "Island in lockdown\n- Dentists Closed" ], [ "May-20", "35", "0", "1005", "Island in lockdown\n- Dentists Closed" ], [ "Jun-20", "76", "0", "1081", "Island in lockdown\n- Dentists Closed" ], [ "Jul-20", "167", "0", "1248", "Dentists re-opened" ], [ "Aug-20", "171", "0", "1419", "" ], [ "Sep-20", "231", "3", "1647", "" ], [ "Oct-20", "202", "4", "1845", "" ], [ "Nov-20", "207", "2", "2050", "" ], [ "Dec-20", "145", "1", "2194", "" ], [ "Jan-21", "135", "4", "2325", "Island Circuit Break" ], [ "Feb-21", "185", "2", "2508", "" ], [ "Mar-21", "98", "0", "2606", "Reduced Dental\nServices" ], [ "Apr-21", "187", "255", "2538", "" ], [ "May-21", "227", "212", "2553", "" ], [ "Jun-21", "452", "325", "2680", "Practice waiting list\nadded" ], [ "Jul-21", "180", "306", "2554", "" ], [ "Aug-21", "202", "246", "2510", "" ], [ "Sep-21", "210", "522", "2198", "" ], [ "Oct-21", "210", "585", "1823", "" ], [ "Nov-21", "155", "150", "1828", "" ], [ "Dec-21", "114", "1", "1941", "" ], [ "Jan-22", "228", "51", "2118", "" ], [ "Feb-22", "", "403", "1715", "Planned allocation\nfor February" ] ], "row_count": 29, "col_count": 5 }, { "headers": [ "Month / Year", "Percentage of Contract Uplift" ], "rows": [ [ "2018 -2019", "1.6%" ], [ "2019 – 2020", "3.07%" ], [ "2020 – 2021", "2.8%" ], [ "Total", "7.55%" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Total Back Pay Calculated", "£444, 537.49" ], "rows": [ [ "Offset against Reimbursements for under-delivery for 2019-\n2020 and April – September 2020", "£412, 482.13" ], [ "Actual payment made to contractors", "£32,055.36" ], [ "The additional reimbursements received from providers\nwhere their back pay did not cover their under-achievement.", "£90,732.22" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Contract\nProvider", "NHS Practice", "Yearly\nContracted\nUDA Targed\n2020 - 2021", "UDA’s to be\ncompleted\nOctober –\nMarch 2021", "Completed\nUDA’s", "% of\nUDA’s\nCompleted" ], "rows": [ [ "Tsivos &\nLoli", "Port Erin & The Square\nDental Practices", "28,321", "14,160.5", "14,399.8", "101" ], [ "Mr G\nProvatakis", "Thie Rosien Dental\nPractice", "14,800", "7,400", "8,276.9", "112" ], [ "JH Van\nRooyen & A\nLewis", "65 Woodbourne Road", "21,100", "10,550", "10,112.1", "96" ], [ "JH Van\nRooyen & D\nHennig", "Westview Dental\nPractice", "20,000", "10,000", "9,713.3", "97" ], [ "Regent\nHealth\nServices", "Regent Dental Care,\nHillside & Peel Practices", "36,500", "18,250", "16,158.4", "89" ], [ "Tracey Bell", "Tracey Bell Clinic", "750", "375", "791.3", "211" ], [ "Thanos\nKarezis", "Grove Mount Dental\nPractice", "3,408", "1,704", "1,604.3", "94" ], [ "Pip\nDhariwal –\nSmile\nDental Care", "Smile Dental Practice", "12,000", "6,000", "5,146.7", "86" ], [ "ADP\nLimited", "Avondale Dental Practice", "6,000", "3,000", "2,895.2", "96" ] ], "row_count": 9, "col_count": 6 }, { "headers": [ "Year", "Amount reimbursed" ], "rows": [ [ "2018-2019", "£45,612.49" ], [ "2019-2020", "£90,732.22" ], [ "2020 -2021 (October – March)", "£64,814.73" ] ], "row_count": 3, "col_count": 2 } ] }, { "case_id": 2389169, "title": "Remdesivir", "authority": "Manx Care", "date_received": "2022-04-13", "outcome": "Information not held", "summary": "The requester asked for the number of patients prescribed Remdesivir and their mortality rates within 6 weeks of treatment. Manx Care stated they do not hold patient-level prescription or death data, but provided aggregate drug issuance statistics for January to April 2022.", "key_facts": [ "Manx Care does not hold data on Remdesivir prescriptions by individual patient, only by quantity issued to wards.", "Manx Care does not hold information on patient deaths or causes of death, which are managed by the Central Registry.", "The authority cited Section 11(3)(b) of the Freedom of Information Act 2015 to refuse creating patient-level data.", "The authority cited Section 11(3)(a) of the Freedom of Information Act 2015 as a practical refusal reason for death statistics.", "Aggregate data for Remdesivir issuance was provided for the period January 2022 to April 2022." ], "data_mentioned": [ "20", "-8", "83", "85", "Jan.22", "Feb.22", "Mar.22", "Apr.22", "2018", "2021", "2022-04-13", "2022-05-16", "2389169", "2298237" ], "exemptions_cited": [ "Section 11(3)(b) of the Freedom of Information Act 2015 (creation or derivation of information)", "Section 11(3)(a) of the Freedom of Information Act 2015 (information not held)" ], "tables": [ { "headers": [ "Month", "REMDESIVIR 100mg POWDER FOR\nCONC. FOR SOLN FOR INFUSION1", "REMDESIVIR 100mg/20mL CONC. FOR\nSOLUTION FOR INFUSION(1)" ], "rows": [ [ "Jan.22", "20", "0" ], [ "Feb.22", "-8", "0" ], [ "Mar.22", "83", "0" ], [ "Apr.22", "85", "0" ] ], "row_count": 4, "col_count": 3 } ] }, { "case_id": 2396561, "title": "Registered Deaths", "authority": "Department for Enterprise", "date_received": "2022-04-19", "outcome": "All information sent", "summary": "The requester asked for the number of registered deaths in the Isle of Man for December 2021 through April 2022. The Department for Enterprise provided figures for December 2021 to March 2022 but noted that April 2022 data would not be available until May 2022.", "key_facts": [ "The request was received on 19 April 2022 and responded to on 27 April 2022.", "Registered deaths for December 2021 were 80.", "Registered deaths for January 2022 were 88.", "Registered deaths for February 2022 were 81.", "Registered deaths for March 2022 were 77." ], "data_mentioned": [ "80", "88", "81", "77", "2022-04-19", "2022-04-27", "December 2021", "January 2022", "February 2022", "March 2022", "April 2022", "Mid/End of May 2022", "2396561", "2106362" ], "exemptions_cited": [], "tables": [ { "headers": [ "Month", "Registered Deaths" ], "rows": [ [ "December 2021", "80" ], [ "January 2022", "88" ], [ "February 2022", "81" ], [ "March 2022", "77" ], [ "April 2022", "Not available (Expected Mid/End of May 2022)" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 2403023, "title": "Medefer and Manx care privacy policy", "authority": "Manx Care", "date_received": "2022-04-26", "outcome": "Some information sent but part exempt", "summary": "The requester sought privacy policies and data storage details regarding the contract between Manx Care and Medefer Limited. Manx Care responded by providing Medefer's Records Management Policy, which outlines data handling procedures, though the response indicates some information was exempt.", "key_facts": [ "Medefer stores patient medical records electronically on a secure server located within England.", "The data is encrypted both at rest and in transit.", "The server is hosted by CareLink, a provider on the UK's N3 network for the NHS.", "Paper records received by Medefer are scanned and immediately shredded.", "The maximum retention period for public records is normally 30 years." ], "data_mentioned": [ "2019", "February 2022", "May 2014", "October 2016", "30 years", "Level4/5", "v2.0", "V1.0", "V1.1" ], "exemptions_cited": [ "Part exempt" ], "tables": [ { "headers": [ "Title", "Records Management Policy" ], "rows": [ [ "Author", "Dr Bahman Nedjat-Shokouhi" ], [ "Responsible Person", "Dr Bahman Nedjat-Shokouhi" ], [ "Authorised", "Dr Bahman Nedjat-Shokouhi" ], [ "Issue Date", "February 2019" ], [ "Review Date", "February 2022 - Every three years unless review required earlier" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "", "Description", "", "", "Details", "" ], "rows": [ [ "Subject matter of the processing", "", "", "Patient medical records.", "", "" ], [ "Duration of the processing", "", "", "For the duration of the contract.", "", "" ], [ "Nature and purposes of the processing", "", "", "The Provider will be collecting, storing, updating and\ntransmitting patient data as part of the contract. This\nis necessary for the performance of a contract to\nwhich the company is party, and it is necessary for the\nperformance of a task carried out in the public interest\nor under official authority vested in the Commissioner\nas a Data Controller.\nThe Provider’s processing is necessary for the\npurposes of preventive or occupational medicine, for\nthe assessment of the working capacity of the\nemployee, medical diagnosis, the provision of health\nor social care or treatment or the management of\nhealth or social care systems and services on the\nbasis of Union or Member State law or pursuant to\ncontract with a health professional and subject to\ncertain conditions and safeguards.", "", "" ], [ "Type of Personal Data", "", "", "Forename, Surname, Date of Birth, Gender, Address,\nNHS Number, Clinical Data relating to medical\ncondition of the patient. Diagnostic test results and\nreferral letters will also be included.", "", "" ], [ "Categories of Data Subject", "", "", "Forename, Surname, Date of Birth, Gender, Address,\nNHS Number, Clinical Data relating to medical\ncondition of the patient. Diagnostic test results and\nreferral letters will also be included.", "", "" ], [ "Plan for return and destruction of the data\nonce the processing is complete UNLESS\nrequirement under law to preserve that\ntype of data", "", "", "The Provider will not return the data to the\nCommissioner at the end of the contract, as the\nProvider is processing the data as a Data Controller\nand has a legal requirement to retain the data as part\nof the clinical record of the patient.\nThe Provider complies and adheres to the NHSX\nRecords Management Code of Practice 2020 and all\ndata will be retained in the Provider’s Secure system.\nAt the end of the defined retention period, the Provider\nwill be electronically securely destroyed.", "", "" ] ], "row_count": 6, "col_count": 6 } ] }, { "case_id": 2408449, "title": "PCR test protocol for babies in neonatal", "authority": "Manx Care", "date_received": "2022-04-26", "outcome": "Some information sent but not all held", "summary": "The requester sought details on COVID-19 testing protocols, consent procedures, staff training, and benefit-harm analyses for babies in Manx Care neonatal units. Manx Care provided the testing protocol and details on consent and training but confirmed that no benefit vs harm analysis exists.", "key_facts": [ "A copy of the 'Surveillance pathway swabbing COVID.pdf' protocol was provided to the requester.", "Parents are advised on routine swabs upon admission, though consent may not be obtained in emergency situations.", "Nurses performing PCR swabbing are trained by the Infection Prevention and Control (IPC) team.", "Manx Care confirmed that no benefit vs harm analysis has been conducted for testing newborns and babies.", "The request was partially refused under Section 11(3)a of the Act as the specific analysis was not held." ], "data_mentioned": [ "2408449", "2022-04-26", "2022-05-24", "06.09.22", "08 September 2022", "V5", "Section 11(3)a" ], "exemptions_cited": [ "Section 11(3)a of the Act (practical refusal reason: information not held)" ], "tables": [ { "headers": [ "Question", "Response" ], "rows": [ [ "1. A copy of the covid testing protocol for babies in the above mentioned departments, and details of how often.", "Please see the attached the current protocol, \"Surveillance pathway swabbing COVID.pdf\"" ], [ "2. What parental consent is asked before conducting tests on their respective babies whilst in hospital?", "All parents are advised on the routine swabs that are required on admission to the Neonatal Unit. On some occasions, in emergency situations, this may not be immediate and consent is not possible to obtain." ], [ "3. For PCR testing and swabbing for covid of these babies, what training is given to those performing this procedure?", "All nurses undertaking PCR swabbing are trained by the IPC team and up to date training records are required to be kept for CPD and statutory functions as part of professional body registration responsibilities." ], [ "4. Has any benefit vs harm analysis been done for performing these tests on newborns and babies? If so, please provide this analysis.", "While our aim is to provide information whenever possible, in this instance Manx Care 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. Manx Care have not carried out such analysis." ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Scenario / Condition", "Required Action / Protocol" ], "rows": [ [ "Patient being transferred to another ward", "Swabbing pathway must continue on the receiving ward." ], [ "Patients discharged with a transfer of care (e.g., Manannan Court, Care Homes, Learning Disability Homes, reablement service, packages of care in the patient's own home)", "PCR swabs must be taken 48 hours prior to transfer/discharge if previously negative." ], [ "Patient has been positive", "Do not re-test, unless the patient is immunocompromised. An immunocompromised patient will need 1 negative sample prior to admission to a Care Home." ], [ "Patients without Capacity", "Best interest principles applied to those without capacity." ], [ "Patients with Capacity who refuse to have a COVID swab", "Have a right to refuse, however, attempts should be made to revisit and explain the reason why this is important. Patients who refuse should have this clearly documented in the health and social care records." ], [ "Patients who refuse to have COVID admission swabs", "Should be isolated 10 days." ], [ "All hospital admissions", "Have a PCR test for COVID-19 (Do not retest if they have been positive for COVID in the last 90 days unless they have new symptoms)." ], [ "Post-admission testing", "Repeat PCR COVID-19 test weekly thereafter." ], [ "General restriction", "DO NOT TEST AGAIN FOR 90 DAYS UNLESS PATIENT HAS NEW SYMPTOMS." ], [ "Patient within 10 days of a positive PCR", "If they need [text cut off in source]" ] ], "row_count": 10, "col_count": 2 } ] }, { "case_id": 2413681, "title": "Emergency Advisory Group", "authority": "Cabinet Office", "date_received": "2022-04-27", "outcome": "All information sent", "summary": "The request sought details on Emergency Advisory Group (EAG) meetings, discussions, membership, and the delay in publishing minutes since November 2021. The Cabinet Office disclosed that the group met three times, provided a link to the published minutes, explained the delay was due to staff changes, listed the members, and confirmed the group is now in abeyance following the end of the pandemic emergency response.", "key_facts": [ "The EAG met on three occasions after November 4, 2021: November 29, December 20, and January 20.", "Minutes for December 20 and January 20 were delayed due to a change in the EAG secretariat caused by staff changes in the Cabinet Office.", "Dr Rachel Glover resigned from the group on December 20, 2021.", "The Council of Ministers agreed on February 17, 2022, to place the EAG into abeyance as the pandemic transitioned to an endemic position.", "No replacements were appointed for departing members as the group was stood down." ], "data_mentioned": [ "4 November", "29 November 2021", "20 December 2021", "20 January 2022", "17 February 2022", "1 March 2022", "27 April 2022", "12 May 2022", "2413681", "3", "1" ], "exemptions_cited": [], "tables": [ { "headers": [ "The", "minute", "", "", "s (", "20", "December", "", "", "", "202", "1 and", "", "20", "January", "", "", "", "2022)", "", "", "were", "", "not", "", "published", "", "", "", "at", "", "the", "", "" ], "rows": [ [ "appropriate", "", "", "", "time", "", "due", "to", "a", "chang", "", "e in", "secretariat", "", "", "", "", "fo", "r", "EAG,", "", "as", "a", "result", "", "", "of", "staff", "", "changes", "", "", "", "in" ], [ "Cabinet", "", "O", "ffice", "", "in", "November", "", "", "", "and", "Decembe", "", "", "r", "2021.Th", "", "", "", "e", "Cabinet", "", "", "Office", "", "", "apologies", "", "", "", "for", "", "this", "" ], [ "oversight", "", "", ".", "These", "", "minutes", "", "", "are no", "", "w a", "vailable", "", "", "", "online:", "", "", "https://www.gov.im/about-the-", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "government/council-of-ministers/the-council-of-ministers/council-of-ministers-", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "emergency-advisory-group-eag/", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 5, "col_count": 34 }, { "headers": [ "Mr", "", "", "", "", "" ], "rows": [ [ "Mr", "Rob Mercer MLC, Tynw", "", "", "", "" ], [ "Hon", "Jane Poole Wilson, MH", "K, Minister for Justice and", "Home", "Affairs", "(vice c" ], [ "Mr", "", "", "", "", "" ], [ "Dr", "", "", "", "", "" ], [ "Mr", "", "", "", "", "" ], [ "Mrs", "", "", "", "", "" ] ], "row_count": 6, "col_count": 6 }, { "headers": [ "Earl", "y in 2022, the Emergen", "cy Advisory Group asked C", "ouncil", "of", "Ministers fo", "", "r its view", "", "on" ], "rows": [ [ "the", "future of EAG. This req", "uest coincided with the pan", "demi", "c transition to a", "", "", "n endemic", "", "" ], [ "position, the removal of Co", "", "vid-19 restrictions and consequently,", "", "", "a r", "educed", "need f", "or", "" ], [ "Government to acquire the", "", "range of [external, professional]", "", "advice", "", "the gro", "up had", "been", "" ] ], "row_count": 3, "col_count": 10 }, { "headers": [ "The", "Chair of EAG suggeste", "d that the group could be p", "laced", "into", "abeyance,", "given", "that" ], "rows": [ [ "the", "immediate emergency", "response period to the pandemic", "", "had", "ended. EA", "G indicated", "" ], [ "that", "should matters escala", "te, Council of Ministers coul", "d swiftly r", "", "eactive the", "group", "to" ], [ "see", "", "", "", "", "", "", "" ] ], "row_count": 3, "col_count": 8 }, { "headers": [ "Council of Ministers consid", "", "ered this request and optio", "ns for", "the", "future of E", "", "AG; these" ], "rows": [ [ "included retaining the grou", "", "p in its (then) current form", "to provid", "", "e advice an", "", "d suppor" ], [ "on", "Covid issues; to retain", "EAG and widen its remit; or", "to stand t", "", "he", "group d", "own and" ], [ "plac", "e it into abeyance so it", "is ready to resume, should", "the n", "eed", "", "", "" ] ], "row_count": 3, "col_count": 8 } ] }, { "case_id": 2417413, "title": "Data protection", "authority": "Manx Care", "date_received": "2022-04-28", "outcome": "Upheld - partial", "summary": "A request was made for all Data Protection Impact Assessments (DPIAs), data breach logs, and data protection team salary details from Manx Care. The authority partially upheld the request, disclosing a specific DPIA for the Public Access Defibrillator Scheme while withholding other requested documents.", "key_facts": [ "Manx Care disclosed a DPIA for the Public Access Defibrillator Scheme.", "The current defibrillator registration process is paper-based and prone to errors.", "An online registration and mapping system is proposed to improve data accuracy.", "The scheme involves collaboration between IMAS, Craig's Heartstrong Foundation, and other local organizations.", "The request for the full Data Breach Log and team salary details was not fully satisfied in the provided text." ], "data_mentioned": [ "2022-04-28", "2022-07-17", "60", "3", "2417413" ], "exemptions_cited": [ "3rd Party Information Redacted" ], "tables": [ { "headers": [ "Question", "Y/N", "Additional Comments (please give reasons for\neither a ‘yes’ or’ no ‘answer here)" ], "rows": [ [ "Is there a requirement under GDPR to carry out a PIA?\nNB if there is a legal requirement to carry out a PIA there is no requirement to\ncomplete the remaining questions.", "", "" ], [ "Will the project involve the collection of new information about individuals?", "Yes", "Name, email address, telephone number and\norganisations address." ], [ "Will the project compel individuals to provide information about themselves?", "Yes", "Minimal information is required and this is a name,\nphone number and email address." ], [ "Will information about individuals be disclosed to third party organisations or\npeople?", "Yes", "Only those directly involved in the administration of the\ndefibrillator scheme." ], [ "Are you using information about individuals for a purpose it is not currently used\nfor, or in a way it is not currently used?", "No", "" ], [ "Does the project involve you using new technology that might be perceived as\nbeing privacy intrusive? For example, the use of biometrics or facial recognition.", "No", "The website will use location services but this will not be\nstored. It will only be used for the person finding their\nown current location on a map.\nIt will not use any biometrics." ], [ "Will the project result in you making decisions or taking action against individuals\nin ways that can have a significant impact on them?", "No", "" ], [ "Is the information about individuals of a kind particularly likely to raise privacy\nconcerns or expectations?\nFor example, health records, criminal records, racial or ethnic origin, political\nopinions, religious or philosophical beliefs, trade union information, biometric\ndata, health or information concerning an individual’s sex life or sexual orientation\nor other information that people would consider to be private.", "No", "" ], [ "Will the project require you to contact individuals in ways that they may find\nintrusive?", "No", "" ], [ "Will the data be held in relation to children or vulnerable adults?", "No", "" ] ], "row_count": 10, "col_count": 3 }, { "headers": [ "Project Name", "Public Access Defibrillator Scheme" ], "rows": [ [ "Department / Service Area", "Manx Care/Urgent and Emergency Care/Ambulance Service" ], [ "Parties involved with the\nProject (internal and external)", "" ], [ "Date", "" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Privacy Risk", "Risk to\nindividuals &\nDepartment", "Action\nIdentified", "Risk Control Plan\n(Treat/Control/\nTolerate/Accept/\nTerminate/Transfer", "Evaluation: is the final\nimpact on individuals and\nthe Department after\nimplementing each\nsolution a justified,\ncompliant and\nproportionate response to\nthe aims of the project?", "Approved by" ], "rows": [ [ "Personal data shared\nor given to a 3rd\nparty without\nauthorisation.", "Data shared.", "MannGIS to\nensure that the\nonly data made\npublically\navailable is the\ndata that has\nbeen authorised.\nESJCR will not be\npermitted to give\npersonal details\nout to anyone.", "IT will ensure that data\nis controlled\nappropriately.\nConsent will be given\nfor the data to be\nprovided and used for\nthe scheme.", "The information being\ncollected is minimal and the\nrisk is low.", "" ], [ "Data provided\nmaliciously.", "", "Data will be\nchecked.", "Malicious or\nsuspicious data will be\nremoved.", "The information being\ncollected is minimal and the\nrisk is low.", "" ], [ "Guardians Personal\ndata provided by a 3rd\nparty. Consent may not\nhave been gained and", "", "Person\ncompleting the\nregistration\nconfirms that", "If they have not given\nconsent this\nnotification will allow\nthem to contact us to", "The guardian will receive an\nemail with the registration\ndetails on it. There will be a\nstatement included that will", "" ] ], "row_count": 3, "col_count": 6 }, { "headers": [ "(a) Consent: the individual has given clear consent for you to process their personal data for a" ], "rows": [ [ "specific purpose." ], [ "(b) Contract: the processing is necessary for a contract you have with the individual, or because" ], [ "they have asked you to take specific steps before entering into a contract." ], [ "(c) Legal obligation: the processing is necessary for you to comply with the law (not including" ], [ "contractual obligations)." ], [ "(d) Vital interests: the processing is necessary to protect someone’s life." ], [ "(e) Public task: the processing is necessary for you to perform a task in the public interest or for" ], [ "your official functions, and the task or function has a clear basis in law." ], [ "(f) Legitimate interests: the processing is necessary for your legitimate interests or the" ], [ "legitimate interests of a third party unless there is a good reason to protect the individual’s" ], [ "personal data which overrides those legitimate interests. (This cannot apply if you are a public" ], [ "authority processing data to perform your official tasks)." ] ], "row_count": 12, "col_count": 1 }, { "headers": [ "Question", "Y/N", "Additional Comments (please give reasons for either a ‘yes’ or’ no ‘answer here)", "" ], "rows": [ [ "Is there a requirement under GDPR to\ncarry out a DPIA?\nNB if there is a legal requirement to carry out a\nDPIA there is no requirement to complete the\nremaining questions.", "Yes", "", "Sensitive (health record information) and patient identifiable data/information will be" ], [ "", "", "", "transferred securely via a referral form from Manx Care to the Cheshire and Merseyside" ], [ "", "", "", "Hepatitis C Operational Delivery Network (ODN) in the UK for discussion and management of" ], [ "", "", "", "Hepatitis C virus (HCV) treatment decisions." ], [ "", "", "", "Manx Care will refer patients with a diagnosis of Hepatitis C for discussion at the weekly virtua" ], [ "", "", "", "HCV multi disciplinary team (MDT) meeting." ], [ "", "", "", "Manx Care will refer a maximum of 5 patients for the virtual MDT discussion each week, with a" ], [ "", "", "", "maximum of 70 patients annually," ], [ "", "", "", "The Hepatitis C MDT will discuss and communicate treatment decisions with the Manx Care" ], [ "", "", "", "clinical team (Hepatitis C Specialist Nurse and Consultant Gastroenterologist) in attendance on" ], [ "", "", "", "the MDT." ], [ "", "", "", "The Hepatology and/or Infectious Diseases nursing team will provide treatment advice and" ], [ "", "", "", "guidance to the clinical team, where requested." ], [ "Will the project involve the collection of\nnew information about individuals?", "No", "This project will not involve the collection of any new information about individuals to what\nwould normally be collated as part of routine patient elective service within Noble’s Hospital.", "This project will not involve the collection of any new information about individuals to what" ], [ "Will the project compel individuals to\nprovide information about themselves?", "No", "", "The patient’s details will be discussed by the clinical teams in attendance at the virtual MDT" ], [ "", "", "", "meeting to support the clinical decision making process, but patient’s will not be present at" ], [ "", "", "", "those meetings and would therefore not be compelled to provide further information abou" ], [ "", "", "", "themselves." ], [ "Will information about individuals be\ndisclosed to third party organisations or\npeople?", "Yes", "", "Cheshire and Merseyside Hepatitis C ODN clinicians will have access to the patient informatio" ], [ "", "", "", "be shared outside of their organisation." ], [ "Are you using information about\nindividuals for a purpose it is not\ncurrently used for, or in a way it is not\ncurrently used?", "No", "", "The information will be used in the same way as it is currently. Cheshire and Merseyside" ], [ "", "", "", "Hepatitis C ODN clinicians will just be adding their expertise to the clinical decision making" ], [ "", "", "", "process for patients on that pathway, the purpose for using the information remains as it would" ], [ "", "", "", "be were Manx Care making those decisions in isolation." ], [ "Does the project involve you using new\ntechnology that might be perceived as", "No", "", "No foreseen technology to be used at this stage which may be perceived as being privacy" ], [ "", "", "", "intrusive. The patients will not be involved in the MDT meetings." ] ], "row_count": 26, "col_count": 4 }, { "headers": [ "being privacy intrusive? For example,\nthe use of biometrics or facial\nrecognition.", "", "", "" ], "rows": [ [ "Will the project result in you making\ndecisions or taking action against\nindividuals in ways that can have a\nsignificant impact on them?", "Yes", "The information will be used in the direct and ongoing care of the patients involved. This may\nrequire Manx Care and Cheshire and Merseyside Hepatitis C ODN’s clinical professionals using\nthe information to make decisions regarding patients’ healthcare which will impact upon them.", "" ], [ "Is the information about individuals of a\nkind particularly likely to raise privacy\nconcerns or expectations?\nFor example, health records, criminal records, racial or\nethnic origin, political opinions, religious or philosophical\nbeliefs, trade union information, biometric data, health\nor information concerning an individual’s sex life or\nsexual orientation or other information that people\nwould consider to be private.", "Yes", "The referral forms will contain personal identifiable and sensitive health record information\nabout the patients being discussed in the MDT meeting.", "" ], [ "Will the project require you to contact\nindividuals in ways that they may find\nintrusive?", "No", "The patients will not be involved in the MDT meetings. There will be no perceivable impact on\nhow their care is being delivered.", "" ], [ "Will the data be held in relation to\nchildren or vulnerable adults?", "Yes", "", "Data could be held for vulnerable adults if they are in the cohort of patients to which these" ], [ "", "", "", "services apply. The MDT is for patients aged 16 and over, so there is no scope in this project to" ], [ "", "", "", "cater for paediatric patients." ] ], "row_count": 6, "col_count": 4 }, { "headers": [ "Project Name", "Provision of virtual MDT for Treatment of Hepatitis C (HCV) Patients via Cheshire and Merseyside HCV\nOperational Delivery Network (ODN) to Manx Care" ], "rows": [ [ "Service Area", "Noble’s Hospital" ], [ "Parties involved with the\nProject (internal and external)", "Manx Care, a Statutory Board of Isle of Man Government,\nLiverpool University Hospitals NHS Foundations Trust (LUHFT) – as Liver Transplant Pre-assessment Unit\n- Cheshire and Merseyside HCV Operational Delivery Network (ODN)" ], [ "Date", "01st February 2022" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "", "", "", "information held by Manx Care in relation to\nthese services is as accurate as possible.\nTreat – Mechanisms to ensure that subject access\nrequests and the information subjects’ rights and\nfreedoms are upheld will be included in the\ncontract documentation.", "", "" ], "rows": [ [ "Facilitation of data\nsubject rights", "High\nModerate", "Treat", "Treat – PN to reflect processing\nTreat – Article 30 ROPA to detail processing\nactivity etc.\nTreat – Manx Care will ensure that Equality\nlegislation has been considered and applied as\nappropriate in the contractual arrangement,\nclarifying the systems that will be used for this\npurpose.\nTreat – Patient Information leaflet", "High\nLow", "" ], [ "Secure transfer of patient\ndata", "Low", "Treat", "Treat –Manx Care organisational policies and\nprocedures.\nUse of nhs.net secure email.", "High\nLow", "" ], [ "Unauthorised access or\nloss", "Moderate\nLow", "Tolerate", "Control existing role based user access controls as\nper Manx Care and LUHFT will be used when\ngranting access to the information. Only the relative\nstaff from both organisations will be granted access\nto the virtual MDT by the LUHFT MDT Co-ordinator.\nThe electronic Patient records systems used have an\naudit functionality which records user access to\nconfidential data items. Audit data will be routinely\nused for review of actual or potential IG\nbreaches/incidents. Where more than one user\naccesses an information system, each user of that\nsystem will have a unique and verifiable identity. All\ntransactions on shared information systems will be\nattributed to the individual who initiated them. All", "Moderate\nLow", "" ] ], "row_count": 3, "col_count": 6 }, { "headers": [ "Patient/Referrer Details", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "Patient Name:", "", "", "", "", "DOB:", "", "", "", "", "NHS Number:", "" ], [ "Post Code:", "Gender:", "", "", "", "", "Weight:", "", "", "", "", "Ethnicity:" ], [ "Referrer:", "", "", "Date:", "", "", "", "", "Treatment Centre:", "", "", "" ], [ "Investigations", "", "", "", "", "", "", "", "", "", "", "" ], [ "Hep C PCR:", "", "", "", "", "", "", "", "", "", "", "" ], [ "Genotype:", "", "", "", "", "", "", "", "", "", "", "" ], [ "Fibroscan:", "", "", "", "", "", "", "", "", "", "", "" ], [ "APRI:", "", "", "", "", "", "", "", "", "", "", "" ], [ "Bilirubin: date:", "", "", "", "AST: date:", "", "", "", "", "", "", "ALT: date:" ], [ "GGT: date:", "", "", "", "AFP: date:", "", "", "", "", "", "", "Albumin: date:" ], [ "Haemoglobin:", "", "Platelets:", "", "", "", "", "", "", "INR :", "", "" ], [ "Creatinine:", "", "", "", "", "", "", "eGFR:", "", "", "", "" ], [ "Reason for admission (if Inpatient)", "", "", "", "", "", "", "Date:", "", "", "Date of discharge (if Inpatient)", "" ], [ "Decompensation\nCurrent /\nPrevious", "", "Signs of Decompensation\nLow Albumin & Raised Bilirubin - Yes / No\nBleeding varices - Yes / No\nJaundice - Yes / No\nAscites - Yes / No\nEncephalopathy - Yes / No\nIs patient on Rifaximin? - Yes / No", "", "", "", "", "", "", "", "", "" ], [ "USS: (Please enter details) (last Uss date: / / )", "", "", "", "", "", "", "", "", "", "", "" ], [ "Previous Hep C treatment:\nInterferon: Yes / No\nDirect Acting Antiviral (DAA): Yes / No (If yes please state treatment & date commenced)\n----------------------------------------------------------------------------------------------------------------------------------\n-", "", "", "", "", "", "", "", "", "", "", "" ], [ "Current Medication:\n1. 6.\n2. 7.\n3. 8.\n4. 9.\n5. 10.\nIs the patient on:\nAtrovastatin / Simvastatin Yes / No\nCarbamazepine / Phenytoin Yes / No\nLansporazole / Omeprazole Yes / No\nApixiban / Edoxaban / Rivaroxaban Yes / No\nAmiodarone Yes / No\nRifampicin Yes / No", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 17, "col_count": 12 }, { "headers": [ "", "Is patient on any HIV Medication? Yes / No (If yes please state below)\n----------------------------------------------------------------------------------------------------------------------------------", "", "" ], "rows": [ [ "", "Alcohol:", "", "" ], [ "", "Potential DDI’s (please also supply DDI Form):", "", "" ], [ "", "Decision\n(treatment):", "Date of\nDecision:", "Comments:" ], [ "Approved by:", "", "", "" ] ], "row_count": 4, "col_count": 4 }, { "headers": [ "Question", "Y/N", "Additional Comments (please give reasons for either a ‘yes’ or’ no ‘answer here)", "" ], "rows": [ [ "Is there a requirement under GDPR to\ncarry out a DPIA?\nNB if there is a legal requirement to carry out a\nDPIA there is no requirement to complete the\nremaining questions.", "Yes", "Sensitive (health record information) and patient identifiable data/information will be accessible\nto a visiting clinical team from Synaptik both on Island and remotely, as part of an insourcing\nmodel to reduce waiting times for Elective Care. Synaptik will also be providing an aggregated\ncommissioning dataset based on the outcomes of the activity provided for payment and\nreconciliation purposes (this will contain no patient identifiable data).", "" ], [ "Will the project involve the collection of\nnew information about individuals?", "No", "This project will not involve the collection of any new information about individuals to what\nwould normally be collated as part of routine patient elective service within Noble’s Hospital.", "" ], [ "Will the project compel individuals to\nprovide information about themselves?", "Yes", "", "Patients will be managed through a standard pathway to undergo elective surgery at Noble’s" ], [ "", "", "", "Hospital, Manx Care utilising a clinical team from Synaptik to deliver this service locally." ], [ "", "", "", "Patients will not be compelled to provide any additional data about themselves beyond tha" ], [ "", "", "", "that would normally be required for providing these services at Noble’s Hospital, but they may" ], [ "", "", "", "need to provide additional information to the Synaptik clinical team during the provision of" ], [ "", "", "", "their treatment as required." ], [ "Will information about individuals be\ndisclosed to third party organisations or\npeople?", "Yes", "", "Synaptik staff will have access to Manx Care systems the same as a substantive/locum" ], [ "", "", "", "practitioner. All information will be maintained internally and not shared outside of Manx Care" ], [ "", "", "", "systems." ], [ "Are you using information about\nindividuals for a purpose it is not\ncurrently used for, or in a way it is not\ncurrently used?", "No", "The information will be used in the same way as it is currently. Synaptik will be using the\ninformation in the delivery of the elective services as it would be used were Manx Care\ndelivering those services.", "The information will be used in the same way as it is currently. Synaptik will be using the" ], [ "", "", "", "information in the delivery of the elective services as it would be used were Manx Care" ], [ "", "", "", "delivering those services." ], [ "Does the project involve you using new\ntechnology that might be perceived as\nbeing privacy intrusive? For example,", "No", "", "No foreseen technology to be used at this stage which may be perceived as being privacy" ], [ "", "", "", "intrusive. Patients will be managed as standard as part of the pre-assessment pathway, but the" ], [ "", "", "", "process involved will minimise the potential for any perceived intrusion of privacy." ] ], "row_count": 17, "col_count": 4 }, { "headers": [ "Sensitive (health record information) and patient identifiable data/information will be accessible" ], "rows": [ [ "to a visiting clinical team from Synaptik both on Island and remotely, as part of an insourcing" ], [ "model to reduce waiting times for Elective Care. Synaptik will also be providing an aggregated" ], [ "commissioning dataset based on the outcomes of the activity provided for payment and" ], [ "reconciliation purposes (this will contain no patient identifiable data)." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "the use of biometrics or facial\nrecognition.", "", "", "" ], "rows": [ [ "Will the project result in you making\ndecisions or taking action against\nindividuals in ways that can have a\nsignificant impact on them?", "Yes", "The information will be used in the direct and ongoing care of the patients involved. This may\nrequire Manx Care and Synaptik’s clinical professionals using the information to make decisions\nregarding patients’ healthcare which will impact upon them.", "" ], [ "Is the information about individuals of a\nkind particularly likely to raise privacy\nconcerns or expectations?\nFor example, health records, criminal records, racial or\nethnic origin, political opinions, religious or philosophical\nbeliefs, trade union information, biometric data, health\nor information concerning an individual’s sex life or\nsexual orientation or other information that people\nwould consider to be private.", "Yes", "Clinical letters will contain personal identifiable and sensitive health record information about\nthe patients. These will be dictated onsite using Manx Care’s standard secretarial provision.", "" ], [ "Will the project require you to contact\nindividuals in ways that they may find\nintrusive?", "Yes", "Patients will receive written/telecoms correspondence regarding pre-assessment appointments.\nThe process involved will minimise the potential for any perceived intrusion of privacy.", "" ], [ "Will the data be held in relation to\nchildren or vulnerable adults?", "Yes", "", "Data could be held for vulnerable adults if they are in the cohort of patients to which these" ], [ "", "", "", "elective services apply. There is no scope in this project to cater for paediatric patients, the" ], [ "", "", "", "cohort being entirely adult." ] ], "row_count": 6, "col_count": 4 }, { "headers": [ "Project Name", "Provision of Elective Pathways of Care delivered by Synaptik to Manx Care" ], "rows": [ [ "Service Area", "Nobles Hospital" ], [ "Parties involved with the\nProject (internal and external)", "Manx Care, a Statutory Board of Isle of Man Government,\nSynaptik" ], [ "Date", "21st January 2022" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Unauthorised access or loss", "Moderate\nLow", "Tolerate", "Control existing role\nbased user access\ncontrols as per Manx\nCare staff will be used\nwhen granting Synaptik\naccess to our systems.\nTreat Synaptik will\nadhere to Manx Care’s\norganisational policies\nand procedures\nregarding Data Security\nand Confidentiality.\nControl written patient\nreferral letters", "Moderate\nLow", "" ], "rows": [ [ "Information assets unavailable –\nMedway/Mediviewer/RiO", "Moderate\nLow", "Tolerate", "Accept – same impact\nto Manx Care.", "Moderate\nLow", "" ], [ "Data could be subject to cyberattack", "Low", "Tolerate", "Accept – Security\nprovided by Manx Care\n(GTS)\nTreat – Regular staff\ncommunication on cyber\nsecurity means of attack\nTreat – IOM\nGovernment\nInformation security\npolicies and procedures\nTreat – Due diligence", "High\nModerate", "" ], [ "Use of Synaptik, some\npatients/families may raise concerns\nreference an invasion of privacy", "Low", "Treat", "Treat – Patients will be\nmanaged as per the\nusual pathway.\nArrangement is no", "", "" ] ], "row_count": 3, "col_count": 6 }, { "headers": [ "Date of Breach", "Nature of Breach", "No of Data\nSubjects\nAffected", "Remedial Action" ], "rows": [ [ "01.04.21", "OPMHS - Cushag House telephone OPMHS\nservice advising that copies of 2 appointment\nletters had been posted to them rather than the\nManager, Crovan Court", "", "Cushag House requested to return letters to OPHMS" ], [ "06.04.21", "JCMW Hosp no and name of mother supplied to\nGTS to obtain NHS number for baby", "", "" ], [ "12.04.21", "Info left at sign in desk Crookall House", "", "" ], [ "13.04.21", "Sensitive PID to 111 swabbing appointments\nteam", "1", "Revised process in place; Process distributed to care\ngroup leads" ], [ "20.04.21", "Sick note sent to wrong client returned by CMHP\nwho happened to be visiting the person who had\nreceived it.", "1", "Sick note returned to CMHSA office" ], [ "21.04.21", "Patient admitted to Ward 2 from ED had been\nsent up with ECG and NEWS paper\ndocumentation belonging to another patient", "1", "Document removed from patient medical record and\nsent to Med Recs for filing. All ED staff reminded of\nprocess and need for vigilance" ], [ "23.04.21", "Airport - email sent to DOI Admin x 10 staff at the\nairport in error as well as Diabetes and\nEndocrinology staff", "", "e-mail recalled. Contained no patient identifiable\ninformation" ], [ "23.04.21", "Patient appointments and sensitive data\nquestionnaires left in staff/public toilet in CCHC\nby Physio Dept", "33", "" ], [ "25.04.21", "User unable to access EMIS live system", "1", "" ], [ "04.05.21", "A patient arrived for a fracture clinic\nappointment, she brought along her\nappointment letter with her and that of another\npatient.", "1", "Patient has been informed. Investigation being\nconducted and any areas for improvement identified\nand appropriate action taken including ensuring staff\nmember is up to date with data protection training" ], [ "06.05.21", "Community Health - Telephone conversation with\npatient discussed presenting symptoms - patient\ndenied and when checked on EMIS letter had\nbeen uploaded to wrong patient (uncle).", "2", "EMIS record updated and Same Name alert added\nApology to patient" ], [ "11.05.21", "Blood tests were requested on the wrong patient\nand given to the patient. The patient became\naware only when going for the blood test.", "1", "See data breach form" ], [ "13.05.21", "Patient documents found in On Call room", "1", "The surgical admission proforma notes were\nincomplete and in draft format - as they did not\nrelate to a hospital episode they should have been\ndestroyed as they did not form part of the patient’s\nrecord. The Dr has agreed that in future he will not\nprefill surgical admission proforma and hand to\nanother doctor to facilitate a subsequent hospital\nadmission on another day." ], [ "04.06.21", "Fostering Newsletter emailed to all foster carers.\nThe newsletter does not contain personal data\nbut email should have bcc", "54", "To remind individual responsible and other staff on\nthe need to be careful when sending group emails\nand that these should be bcc’d if it isn’t appropriate\nfor recipients to see other’s email addresses." ], [ "11.06.21", "Request for results on the incorrect patient", "1", "Improved process put in place as detailed within the\ninvestigation report" ], [ "14.06.21", "Email sent to wrong school teacher", "1", "Contact made with Head Teacher who confirmed\nthat the email had been deleted without opening." ], [ "16.06.21", "Ward 1 AMU Staff member receiving e-mails\nfrom paediatric unit, by mistake should be\nanother staff person with same surname", "", "Email to all staff asking them to check that they have\nthe right email address Apology\nissued" ], [ "17.06.21", "Patient information printed in wrong area", "", "" ], [ "29.06.21", "Martin Ward - documents filed in wrong patient's\nnotes patient unknown to Martin Ward", "", "Incorrect notes removed from Martin Ward in\npatient and sent back to responsible ward" ] ], "row_count": 19, "col_count": 4 } ] }, { "case_id": 2424273, "title": "Covid 19 Vaccination - children", "authority": "Manx Care", "date_received": "2022-05-03", "outcome": "Some information sent but not all held", "summary": "The requester asked for specific vaccination uptake numbers for children on the Isle of Man up to April 6, 2022, but the authority provided a general medical chapter on SARS-CoV-2 instead of the requested statistics.", "key_facts": [ "The request was made to Manx Care regarding COVID-19 vaccination data for children.", "The outcome was classified as 'Some information sent but not all held'.", "The response document provided is a medical chapter dated February 28, 2022, describing the virus and its variants.", "The response does not contain the specific vaccination numbers or percentages requested for the 5-11 age group.", "The document mentions the Alpha, Delta, and Omicron variants of SARS-CoV-2." ], "data_mentioned": [ "2022-05-03", "2022-05-30", "06/04/22", "28 February 2022", "5-11 year olds", "2019", "2020", "2021", "5-6 days", "20%", "17 days", "2 and 3", "5.7", "50-70%" ], "exemptions_cited": [], "tables": [ { "headers": [ "Category", "Population\nSize", "SARS-CoV-2\nantibody\nprevalence%\n(95% CI)1", "Confirmed\nCOVID-19\ndeaths2", "Infection fatality\nratio %\n(95% CI)2", "Estimated\nnumber of\ninfections\n(95% CI)", "" ], "rows": [ [ "Total", "56,286,961", "6.0 (5.7, 6.8)", "30180", "0.9 (0.9, 0.9)", "3,362,037\n(3,216,816;\n3,507,258)", "" ], [ "Sex", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "- 2-voC-SRAS\n91-DIVOC" ], [ "Male", "27,827,831", "6.5 (5.8, 6.6)", "18575", "1.1 (1.0, 1.2)", "1,729,675\n(1,614,585;\n1,844,766)", "" ], [ "Female", "28,459,130", "5.8 (5.4, 6.1)", "11600", "0.7 (0.7, 0.8)", "1,633,785\n1,539,821;\n1,727,749)", "" ], [ "Age (years)", "", "", "", "", "", "" ], [ "15-44", "21,335,397", "7.2 (6.7,7.7)", "524", "0.0 (0.0, 0.0)", "1,535,884\n(1,436,941;\n(1,634,826)", "" ], [ "45-64", "14,405,759", "6.2 (5.8, 6.6)", "4657", "0.5 (0.5, 0.5)", "895,238\n(837,231;\n953,244)", "" ], [ "65-74", "5,576,066", "3.2 (2.7, 3.7)", "5663", "3.1 (2.6, 3.6)", "181,044\n(153,426;\n208,661)", "" ], [ "75+", "4,777,650", "3.3 (2.5, 4.1)", "19330", "11.6 (9.2, 14.1)", "166,077\n(131,059;\n200,646)", "" ] ], "row_count": 10, "col_count": 7 }, { "headers": [ "Priority group", "Risk group" ], "rows": [ [ "1", "Residents in a care home for older adults\nStaff working in care homes for older adults" ], [ "2", "All those 80 years of age and over\nFrontline health and social care workers" ], [ "3", "All those 75 years of age and over" ], [ "4", "All those 70 years of age and over\nIndividuals aged 16 to 69 in a high risk group1" ], [ "5", "All those 65 years of age and over" ], [ "6", "Adults aged 16 to 65 years in an at-risk group (Table 3)" ], [ "7", "All those 60 years of age and over" ], [ "8", "All those 55 years of age and over" ], [ "9", "All those 50 years of age and over" ] ], "row_count": 9, "col_count": 2 }, { "headers": [ "Clinical risk groups", "" ], "rows": [ [ "Chronic respiratory\ndisease", "Individuals with a severe lung condition, including those with poorly\ncontrolled asthma1 and chronic obstructive pulmonary disease (COPD)\nincluding chronic bronchitis and emphysema; bronchiectasis, cystic fibrosis,\ninterstitial lung fibrosis, pneumoconiosis and bronchopulmonary dysplasia\n(BPD)." ], [ "Chronic heart\ndisease and vascular\ndisease", "Congenital heart disease, hypertension with cardiac complications, chronic heart\nfailure, individuals requiring regular medication and/or follow-up for ischaemic\nheart disease. This includes individuals with atrial fibrillation, peripheral vascular\ndisease or a history of venous thromboembolism." ], [ "Chronic kidney\ndisease", "Chronic kidney disease at stage 3, 4 or 5, chronic kidney failure, nephrotic\nsyndrome, kidney transplantation." ], [ "Chronic liver disease", "Cirrhosis, biliary atresia, chronic hepatitis." ], [ "Chronic\nneurological disease", "Stroke, transient ischaemic attack (TIA). Conditions in which respiratory function\nmay be compromised due to neurological or neuromuscular disease (e.g. polio\nsyndrome sufferers). This group also includes individuals with cerebral palsy,\nsevere or profound and multiple learning disabilities (PMLD), Down’s syndrome,\nmultiple sclerosis, epilepsy, dementia, Parkinson’s disease, motor neurone\ndisease and related or similar conditions; or hereditary and degenerative disease\nof the nervous system or muscles; or severe neurological disability." ], [ "Diabetes mellitus\nand other endocrine\ndisorders", "Any diabetes, including diet-controlled diabetes, current gestational diabetes,\nand Addison's disease." ], [ "Immunosuppression", "Immunosuppression due to disease or treatment, including patients undergoing\nchemotherapy leading to immunosuppression, patients undergoing radical\nradiotherapy, solid organ transplant recipients, bone marrow or stem cell\ntransplant recipients, HIV infection at all stages, multiple myeloma or genetic\ndisorders affecting the immune system (e.g. IRAK-4, NEMO, complement\ndisorder, SCID).\nIndividuals who are receiving immunosuppressive or immunomodulating\nbiological therapy including, but not limited to, anti-TNF, alemtuzumab,\nofatumumab, rituximab, patients receiving protein kinase inhibitors or PARP\ninhibitors, and individuals treated with steroid sparing agents such as\ncyclophosphamide and mycophenolate mofetil.\nIndividuals treated with or likely to be treated with systemic steroids for more\nthan a month at a dose equivalent to prednisolone at 20mg or more per day\nfor adults.\nAnyone with a history of haematological malignancy, including leukaemia,\nlymphoma, and myeloma.\nThose who require long term immunosuppressive treatment for conditions\nincluding, but not limited to, systemic lupus erythematosus, rheumatoid\narthritis, inflammatory bowel disease, scleroderma and psoriasis." ], [ "", "Some immunosuppressed patients may have a suboptimal immunological\nresponse to the vaccine (see Immunosuppression and HIV)." ] ], "row_count": 8, "col_count": 2 }, { "headers": [ "Asplenia or\ndysfunction of the\nspleen", "This also includes conditions that may lead to splenic dysfunction, such as\nhomozygous sickle cell disease, thalassemia major and coeliac syndrome." ], "rows": [ [ "Morbid obesity", "Adults with a Body Mass Index (BMI) ≥40 kg/m²." ], [ "Severe mental\nillness", "Individuals with schizophrenia or bipolar disorder, or any mental illness that\ncauses severe functional impairment." ], [ "Younger adults in\nlong-stay nursing\nand residential care\nsettings", "Many younger adults in residential care settings will be eligible for vaccination\nbecause they fall into one of the clinical risk groups above (for example learning\ndisabilities). Given the likely high risk of exposure in these settings, where a high\nproportion of the population would be considered eligible, vaccination of the\nwhole resident population is recommended.\nYounger residents in care homes for the elderly will be at high risk of exposure,\nand although they may be at lower risk of mortality than older residents should\nnot be excluded from vaccination programmes (see priority 1 above)." ], [ "Pregnancy", "All stages (first, second and third trimesters)" ], [ "Other risk groups", "" ], [ "Household contacts\nof people with\nimmunosuppression", "Individuals who expect to share living accommodation on most days (and\ntherefore for whom continuing close contact is unavoidable) with individuals\nwho are immunosuppressed (defined as immunosuppressed in tables 3 or 4)." ], [ "Carers", "Those who are eligible for a carer’s allowance, or those who are the sole or\nprimary carer of an elderly or disabled person who is at increased risk of COVID-\n19 mortality and therefore clinically vulnerable.1" ] ], "row_count": 7, "col_count": 2 }, { "headers": [ "Chronic respiratory\ndisease", "Including those with poorly controlled asthma1 that requires continuous or\nrepeated use of systemic steroids or with previous exacerbations requiring hospital\nadmission, cystic fibrosis, ciliary dyskinesias and bronchopulmonary dysplasia" ], "rows": [ [ "Chronic heart\nconditions", "Haemodynamically significant congenital and acquired heart disease, or less\nsevere heart disease with other co-morbidity. This includes:\n• single ventricle patients or those palliated with a Fontan (Total Cavopulmonary\nConnection) circulation\n• those with chronic cyanosis (oxygen saturations <85% persistently)\n• patients with cardiomyopathy requiring medication\n• patients with congenital heart disease on medication to improve heart\nfunction\n• patients with pulmonary hypertension (high blood pressure in the lungs)\nrequiring medication" ], [ "Chronic conditions of\nthe kidney, liver or\ndigestive system", "Including those associated with congenital malformations of the organs,\nmetabolic disorders and neoplasms, and conditions such as severe gastro-\noesophageal reflux that may predispose to respiratory infection" ], [ "Chronic neurological\ndisease", "This includes those with\n• neuro-disability and/or neuromuscular disease that may occur as a result of\nconditions such as cerebral palsy, autism, epilepsy and muscular dystrophy\n• hereditary and degenerative disease of the nervous system or muscles, other\nconditions associated with hypoventilation\n• severe or profound and multiple learning disabilities (PMLD), Down’s\nsyndrome, those on the learning disability register\n• neoplasm of the brain" ], [ "Endocrine disorders", "Including diabetes mellitus, Addison’s and hypopituitary syndrome" ], [ "Immunosuppression", "Immunosuppression due to disease or treatment, including:\n• those undergoing chemotherapy or radiotherapy, solid organ transplant\nrecipients, bone marrow or stem cell transplant recipients\n• genetic disorders affecting the immune system (e.g. deficiencies of IRAK-4 or\nNEMO, complement disorder, SCID)\n• those with haematological malignancy, including leukaemia and lymphoma\n• those receiving immunosuppressive or immunomodulating biological therapy\n• those treated with or likely to be treated with high or moderate dose\ncorticosteroids\n• those receiving any dose of non-biological oral immune modulating drugs e.g.\nmethotrexate, azathioprine, 6-mercaptopurine or mycophenolate\n• those with auto-immune diseases who may require long term\nimmunosuppressive treatments\nChildren who are about to receive planned immunosuppressive therapy should\nbe considered for vaccination prior to commencing therapy." ], [ "Asplenia or dysfunction\nof the spleen", "Including hereditary spherocytosis, homozygous sickle cell disease and\nthalassemia major" ], [ "Serious genetic\nabnormalities that affect\na number of systems", "Including mitochondrial disease and chromosomal abnormalities" ], [ "Pregnancy", "All stages (first, second and third trimesters)" ] ], "row_count": 8, "col_count": 2 } ] }, { "case_id": 2429505, "title": "Manx Care considerations of provision of PrEP at GUM clinic", "authority": "Manx Care", "date_received": "2022-05-04", "outcome": "All information sent", "summary": "The requester asked for an update on the review of PrEP provision policy in the Isle of Man following the conclusion of English and Welsh studies. Manx Care disclosed the original 2018 policy document stating that PrEP is not currently funded due to uncertainties regarding demand, cost, and real-world implementation, with a review pending the results of the IMPACT and PrEPared studies.", "key_facts": [ "Manx Care decided not to fund PrEP at the present time due to uncertainties about demand, cost, and impact.", "The policy states that funding decisions will be reviewed once results from the IMPACT and PrEPared in Wales studies are available.", "Truvada was granted European marketing authorisation for HIV prophylaxis in 2016.", "NICE concluded Truvada reduced the relative risk of acquiring HIV by between 44% and 86% in trial settings.", "The Department noted it was not possible to model potential demand or resulting costs of PrEP in the Isle of Man." ], "data_mentioned": [ "2018", "2016", "2017", "44%", "86%", "13", "68", "10,000", "three years", "3 January 2018", "October 2017", "July 2017", "April 2017" ], "exemptions_cited": [], "tables": [ { "headers": [ "Date", "Actions/Summary" ], "rows": [ [ "27 Jul 2017", "Genito-Urinary Medicine raised the issue of supply of PrEP for IOM residents at\na Health Protection Committee meeting. This committee, which GUM is a\nmember of, is chaired by Public Health (PH) and reports to the Department of\nHealth and Social Care (DHSC). The committee is responsible for highlighting\nIt was agreed by the committee that the supply of PrEP should be escalated to\nthe DHSC for approval and a paper was prepared by GUM/PH to present to the\nDHSC on 28th October 2017. This was subsequently delayed until December 2017" ], [ "26 Oct 2017", "HPC Meeting - GUM have agreed to support individuals who choose to\npurchase, at their own expense , PrEP medication by providing regular HIV\ntesting and blood biochemistry monitoring as per British Association of Sexual" ], [ "14 Nov 2017", "GUM were fully supportive of supplying PrEP and the following correspondence\nwas sent to Public Health (PH) from GUM :\n‘Dr (Consultant) is currently a Principle Investigator on 2 sites taking part\nin the PrEP study. He is therefore familiar with the process and formalities.\nAs PrEP is going to be widely available through the IMPACT trial in the UK, the at\nrisk IOM patients will be at a disadvantage if something similar to the UK is not\navailable in the IOM as well. In order to deliver equitable services locally this\nWe, in the GUM Dept. would be happy to run a similar protocol as the IMPACT\ntrial in the UK if we are supported to do so.’" ], [ "01 Dec 2017", "A paper was prepared and presented by PH to the DHSC. There was information\naround the IMPACT trial included in the report, with recommendations that the\nIOM consider funding the supply of this medication." ], [ "09 Jan 2018", "Email from Public Health to GUM with the outcome from the request to the\nDHSC to supply PrEP in the IOM. The policy adopted by the DHSC would be :\n“In view of the uncertainties about demand, cost and impact, the Department\nhas decided not to fund PrEP at the present time. This decision will be reviewed\nwhen the results of IMPACT and PrEPared in Wales are available providing\nrobust evidence of impact and enabling modelling of local demand and costs" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 2430637, "title": "Pharmacy services", "authority": "Manx Care", "date_received": "2022-05-05", "outcome": "Some information sent but part exempt", "summary": "The request sought a breakdown of pharmacy services, remuneration details, and payment data for the last three years from Manx Care. The authority disclosed service volume statistics for the period April 2018 to March 2021 and a service specification document, but withheld specific remuneration details and full payment records citing partial exemptions.", "key_facts": [ "Manx Care contracts pharmacies to provide essential, advanced, and enhanced services.", "Data provided covers service volumes from April 2018 to March 2021.", "The response includes a detailed specification for the Emergency Hormonal Contraception service.", "Pharmacists must complete specific training (Safeguarding, Consultation skills) to be accredited.", "Remuneration details and specific payment amounts for the last three years were partially withheld." ], "data_mentioned": [ "2022-05-05", "2022-06-01", "Apr18 to Mar21", "1st April 2019", "1st April 2022", "1st April 2023", "362,204", "278,326", "181,322", "154,438", "122,742", "120,805", "120,517", "99,156", "98,406", "93,052", "75,318", "73,607", "53,535", "51,959", "49,665", "48,342", "45,372", "300", "750", "1,500" ], "exemptions_cited": [ "Part exempt" ], "tables": [ { "headers": [ "", "Enhances Services", "", "", "", "", "", "", "", "" ], "rows": [ [ "Pharmacies", "Supervised\nConsumpton", "Monitored Dose\nService", "Emergency\nHormonal\nContraception", "Minor Ailment\nScheme", "Not Dispensed", "Needle\nExchange", "Nursing Home\nPayments", "FLU", "Out of Hours" ], [ "Clear Douglas", "1,883", "41,656", "5,182", "678", "193", "0", "0", "0", "0" ], [ "Clear Michael St", "756", "29,546", "1,383", "1,575", "0", "0", "0", "244", "0" ], [ "Clear Atholl Place", "1,687", "58,663", "3,598", "6,185", "330", "902", "0", "1,600", "0" ], [ "Clear P.Erin", "647", "92,195", "1,081", "2,078", "1,964", "1,453", "0", "0", "0" ], [ "Clear PSM", "0", "35,250", "1,373", "1,246", "1,095", "0", "0", "0", "0" ], [ "Boots", "5,205", "77,396", "36,715", "5,851", "0", "14,136", "30,289", "40,245", "0" ], [ "Castle", "0", "0", "0", "0", "0", "0", "0", "0", "0" ], [ "Costains", "0", "70,022", "1,216", "2,331", "352", "0", "0", "3,196", "0" ], [ "Hemensleys", "10,080", "55,185", "6,428", "2,681", "143", "0", "6,668", "7,153", "385" ], [ "Karsons Onchan", "994", "119,993", "4,407", "5,661", "1,205", "0", "0", "10,677", "0" ], [ "Kinrades", "13,668", "67,602", "4,838", "5,173", "171", "9,595", "0", "635", "275" ], [ "Laxey", "0", "16,588", "0", "0", "1,755", "0", "0", "0", "0" ], [ "Karsons Kirk Michael", "0", "30,565", "868", "1,693", "2,701", "0", "0", "2,715", "0" ], [ "Lloyds Anagh Coar", "8,621", "6,854", "4,634", "3,630", "0", "6,224", "0", "1,848", "0" ], [ "Lloyds W/B Road", "12,348", "116,832", "8,023", "2,127", "88", "0", "0", "2,152", "0" ], [ "Lloyds Shoprite Douglas", "3,261", "72,795", "8,516", "4,457", "76", "0", "0", "4,337", "0" ], [ "Lloyds Onchan", "147", "93,525", "763", "575", "0", "0", "0", "1,523", "0" ], [ "Lloyds Governors Hill", "1,029", "3,037", "2,638", "1,248", "33", "0", "0", "647", "0" ], [ "Lloyds Castletown", "574", "61,155", "4,253", "2,763", "5,143", "2,547", "0", "717", "0" ], [ "Lloyds Port Erin", "1,295", "51,064", "1,717", "676", "83", "600", "0", "5,511", "0" ], [ "Lloyds Shoprite Ramsey", "679", "0", "4,965", "1,543", "55", "0", "0", "808", "0" ], [ "Lloyds P'ment Street", "1,904", "312,849", "3,096", "760", "0", "2,837", "0", "2,697", "0" ], [ "Lloyds St Paul's Sq", "1,859", "0", "3,148", "1,314", "6", "0", "0", "563", "0" ] ], "row_count": 24, "col_count": 10 }, { "headers": [ "", "", "Advanced Services", "", "Essential Services", "", "", "", "" ], "rows": [ [ "Pharmacies", "Nicotine\nReplacement\nTherapy", "New Medicine\nService", "Medicine Use\nReviews", "Rota Service", "Quality\nPayments", "Collaborative\nPayment", "Perspex Screen\nPPE", "Total" ], [ "Clear Douglas", "2,147", "0", "3,462", "0", "1,500", "750", "300", "57,751" ], [ "Clear Michael St", "3,542", "0", "224", "9,845", "1,500", "750", "300", "49,665" ], [ "Clear Atholl Place", "6,792", "100", "700", "9,945", "1,500", "750", "300", "93,052" ], [ "Clear P.Erin", "4,033", "5,597", "2,688", "6,231", "1,500", "750", "300", "120,517" ], [ "Clear PSM", "1,140", "3,037", "1,232", "6,613", "1,500", "750", "300", "53,535" ], [ "Boots", "8,975", "13,971", "32,668", "10,325", "1,500", "750", "300", "278,326" ], [ "Castle", "0", "0", "0", "3,964", "0", "250", "0", "4,214" ], [ "Costains", "1,214", "5,205", "12,320", "0", "1,500", "750", "300", "98,406" ], [ "Hemensleys", "1,169", "12,430", "17,870", "0", "1,500", "750", "300", "122,742" ], [ "Karsons Onchan", "1,084", "1,594", "6,272", "0", "1,500", "750", "300", "154,438" ], [ "Kinrades", "2,087", "0", "28", "0", "1,500", "750", "300", "106,621" ], [ "Laxey", "754", "0", "0", "0", "1,500", "750", "300", "21,647" ], [ "Karsons Kirk Michael", "3,504", "1,904", "1,843", "0", "1,500", "750", "300", "48,342" ], [ "Lloyds Anagh Coar", "3,505", "2,410", "33,331", "0", "1,500", "750", "300", "73,607" ], [ "Lloyds W/B Road", "2,074", "2,555", "31,541", "1,032", "1,500", "750", "300", "181,322" ], [ "Lloyds Shoprite Douglas", "1,348", "4,387", "32,626", "10,708", "1,500", "750", "300", "145,060" ], [ "Lloyds Onchan", "849", "2,168", "29,342", "0", "1,500", "750", "300", "131,442" ], [ "Lloyds Governors Hill", "1,804", "4,209", "28,177", "0", "1,500", "750", "300", "45,372" ], [ "Lloyds Castletown", "4,433", "1,920", "34,750", "0", "1,500", "750", "300", "120,805" ], [ "Lloyds Port Erin", "3,038", "2,823", "29,800", "0", "1,500", "750", "300", "99,156" ], [ "Lloyds Shoprite Ramsey", "9,943", "5,115", "30,751", "18,908", "1,500", "750", "300", "75,318" ], [ "Lloyds P'ment Street", "4,984", "4,394", "25,102", "1,032", "1,500", "750", "300", "362,204" ], [ "Lloyds St Paul's Sq", "3,019", "3,881", "35,620", "0", "1,500", "750", "300", "51,959" ] ], "row_count": 24, "col_count": 9 } ] }, { "case_id": 2447659, "title": "Waiting times and targets", "authority": "Manx Care", "date_received": "2022-05-16", "outcome": "Request lapsed - requested information not provided", "summary": "The requester sought detailed waiting times and targets for seven specific medical departments at Manx Care, including a comparison report from May 2021. Manx Care provided a waiting times report for May 2021 and 2022 but refused to provide a separate breakdown for cataract treatment, citing the inability to derive the data from existing digital records.", "key_facts": [ "The request was received on 2022-05-16 and officially lapsed on 2022-05-20.", "Manx Care provided a document titled 'Waiting Times.pdf' containing data for 25 May 2021 and 25 May 2022.", "Information regarding cataract treatment as a separate line item was withheld.", "The authority stated that complying with the cataract request would require creating or deriving information not held digitally.", "The request was an update to a previous FOI (2036441) regarding waiting lists at Nobles Hospital." ], "data_mentioned": [ "2022-05-16", "2022-05-20", "25 May 2021", "25 May 2022", "2447659", "2036441", "47 days", "241 days", "272 days", "311 days", "123 days", "488 days", "485 days", "417 days", "273 days", "188 days", "64 days", "79 days", "373 days", "327 days", "66 days", "138 days", "729 days", "133 days" ], "exemptions_cited": [ "Section 8(3) of the Freedom of Information Act 2015 (things a public authority is not required to do)", "Section 11(3)(b) of the Freedom of Information Act 2015 (creating or deriving information)" ], "tables": [ { "headers": [ "Specialty", "As at 25 May 2021", "As at 25 May 2022" ], "rows": [ [ "Adult Mental Illness", "-", "" ], [ "Anaesthetics", "47", "241" ], [ "Breast Surgery", "29", "19" ], [ "Cardiology", "272", "311" ], [ "Child and Adolescent Psychiatry", "123", "488" ], [ "Clinical Physiology", "485", "417" ], [ "Colorectal Surgery", "273", "188" ], [ "Colposcopy", "64", "79" ], [ "Critical Care Medicine", "373", "327" ], [ "Dermatology", "66", "138" ], [ "Diabetic Medicine", "729", "133" ], [ "Dietetics", "313", "387" ], [ "Endocrinology", "725", "321" ], [ "ENT", "448", "554" ], [ "Fertility", "81", "58" ], [ "Gastroenterology", "207", "319" ], [ "General Medical Practice", "", "" ], [ "General Medicine", "93", "191" ], [ "General Surgery", "101", "184" ], [ "Geriatric Medicine", "19", "384" ], [ "Gynaecology", "65", "133" ], [ "Haematology", "1,061", "312" ], [ "Inherited Metabolic Medicine Service", "2,454", "214" ], [ "Medical Oncology", "0", "-" ], [ "Nephrology", "177", "251" ], [ "Neurology", "454", "166" ], [ "Obstetrics", "37", "25" ], [ "Old Age Psychiatry", "326", "-" ], [ "Ophthalmology", "277", "353" ], [ "Oral Surgery", "401", "510" ], [ "PAC", "-", "27" ], [ "Paediatric Audiology Medicine", "-", "-" ], [ "Paediatric Cardiology", "30", "-" ], [ "Paediatric Ear Nose and Throat", "253", "313" ], [ "Paediatric Neurology", "107", "214" ], [ "Paediatric Ophthalmology", "281", "109" ], [ "Paediatric Trauma and Orthopaedics", "68", "80" ], [ "Paediatrics", "54", "55" ], [ "Pain Management", "196", "145" ], [ "Physiotherapy", "786", "1,151" ], [ "Plastic Surgery", "73", "89" ], [ "Podiatry", "761", "1,126" ] ], "row_count": 42, "col_count": 3 }, { "headers": [ "Specialty", "As at 25 May 2021", "As at 25 May 2022" ], "rows": [ [ "Radiology", "74", "210" ], [ "Respiratory Medicine (Thoracic Medicine)", "212", "226" ], [ "Respiratory Physiology", "482", "103" ], [ "Restorative Dentistry", "445", "810" ], [ "Rheumatology", "287", "223" ], [ "Stroke Medicine", "", "119" ], [ "Thoracic Surgery", "130", "175" ], [ "Transient Ischaemic Attack", "-", "195" ], [ "Trauma & Orthopaedics", "311", "383" ], [ "Unknown - Treatment mainly medical", "78", "443" ], [ "Upper Gastrointestinal Surgery", "-", "-" ], [ "Urogynae", "56", "189" ], [ "Urology", "47", "162" ], [ "Vascular Surgery", "90", "126" ] ], "row_count": 14, "col_count": 3 }, { "headers": [ "Accident & Emergency", "-", "156" ], "rows": [ [ "Acute Internal Medicine", "-", "127" ], [ "Audiological Medicine", "-", "1,105" ], [ "Clinical Oncology", "-", "345" ], [ "Genitourinary Medicine", "25", "390" ], [ "Paediatric General Surgery", "20", "54" ] ], "row_count": 5, "col_count": 3 } ] }, { "case_id": 2509897, "title": "Available hospital beds", "authority": "Manx Care", "date_received": "2022-06-24", "outcome": "All information sent", "summary": "The requester asked for hospital bed availability at Noble's Hospital for specific wards and units between May 20 and May 28, 2022. Manx Care responded by providing daily bed counts for the requested areas, noting that the data reflects the evening declaration at 20:00 rather than midnight.", "key_facts": [ "The request covered bed availability for Wards 1, 6, 7, 9, CCU, and ITU at Noble's Hospital.", "Data was provided for the period from 20 May 2022 to 28 May 2022.", "The figures represent the evening declaration of bed state agreed at 20:00, not midnight as initially requested.", "Bed numbers are described as highly dynamic and vary throughout the clinical day.", "Surgical bed stocks were not included in the provided figures but are used to support medicine when necessary." ], "data_mentioned": [ "20/05/2022", "28/05/2022", "24 June 2022", "6 July 2022", "20:00", "Ward 1", "Ward 6", "Ward 7", "Ward 9", "CCU", "ITU", "2509897" ], "exemptions_cited": [], "tables": [ { "headers": [ "May 2022", "20", "21", "22", "23", "24", "25", "26", "27", "28" ], "rows": [ [ "1", "3", "6", "5", "2", "8", "9", "5", "8", "6" ], [ "6", "0", "0", "0", "0", "0", "0", "1", "0", "0" ], [ "7", "2", "2", "1", "1", "1", "1", "1", "3", "3" ], [ "9", "0", "0", "0", "0", "0", "0", "1", "1", "0" ], [ "ICU", "1", "1", "1", "1", "1", "2", "2", "2", "0" ], [ "CCU", "3", "2", "1", "2", "0", "1", "1", "1", "1" ] ], "row_count": 6, "col_count": 10 } ] }, { "case_id": 2535629, "title": "Non-arrival of scheduled cruise ship visits", "authority": "Department for Enterprise", "date_received": "2022-07-15", "outcome": "Some information sent but not all held", "summary": "The Guild of Manx Registered Tour Guides requested details on why two scheduled cruise ships failed to arrive in July 2022, citing confusion over official statements. The Department for Enterprise disclosed internal emails indicating the cancellations were decisions made by the cruise lines due to new public health testing requirements and logistical challenges, rather than government refusal.", "key_facts": [ "The request was submitted on behalf of the Guild of Manx Registered Tour Guides (GMRTG).", "Two ships, 'Seven Seas Voyager' and 'Sirena', were scheduled to arrive on July 1st and 2nd, 2022, but did not.", "Internal emails reveal the cancellations were decisions made by the cruise companies, not the Isle of Man government.", "The primary reasons cited for the non-arrival were new Covid testing requirements from Public Health and ground transport challenges.", "The Department for Enterprise outcome was 'Some information sent but not all held'." ], "data_mentioned": [ "2022-07-15", "2022-08-03", "1st July 2022", "2nd July 2022", "698 passengers", "688 passengers", "11th July", "15 excursions", "127 pages", "21 documents" ], "exemptions_cited": [], "tables": [ { "headers": [ "Callister, Rob" ], "rows": [ [ "01 July 2022 08:41" ], [ "Lewin, Mark (DFE)" ], [ "Wilkinson, Nicola" ], [ "RE: Cancellation of cruise ship calls 1st & 2nd July 2022" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Best Regards", "", "", "" ], "rows": [ [ "", "", "", "" ], [ "", "", "", "" ], [ "Managing Director", "", "", "" ], [ "Tours Isle of Man Limited", "", "", "" ], [ "4 Akerman Court", "", "", "" ], [ "Balthane Estate", "", "", "" ], [ "Ballasalla", "", "", "" ], [ "Isle of Man", "", "", "" ], [ "IM9 2AJ", "", "", "" ], [ "email:", "", "@tours.co.im", "" ] ], "row_count": 10, "col_count": 4 }, { "headers": [ "www.tours.co.im" ], "rows": [ [ "Office Phone: 07624 453681" ], [ "Mobile: 07624 475261" ], [ "" ], [ "" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Lewin, Mark (DFE)" ], "rows": [ [ "01 July 2022 08:29" ], [ "Callister, Rob" ], [ "Wilkinson, Nicola" ], [ "RE: Cancellation of cruise ship calls 1st & 2nd July 2022" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Best Regards", "", "", "" ], "rows": [ [ "", "", "", "" ], [ "", "", "", "" ], [ "Managing Director", "", "", "" ], [ "Tours Isle of Man Limited", "", "", "" ], [ "4 Akerman Court", "", "", "" ], [ "Balthane Estate", "", "", "" ], [ "Ballasalla", "", "", "" ], [ "Isle of Man", "", "", "" ], [ "IM9 2AJ", "", "", "" ], [ "email:", "", "@tours.co.im", "" ], [ "www.tours.co.im", "", "", "" ], [ "Office Phone: 07624 453681", "", "", "" ], [ "Mobile: 07624 475261", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ] ], "row_count": 15, "col_count": 4 }, { "headers": [ "Callister, Rob", "", "", "", "" ], "rows": [ [ "01 July 2022 07:09", "", "", "", "" ], [ "", ";", "", "", "@palace.co.im; Byrne, Angela" ], [ "Crookall, Tim (MHK)", "", "", "", "" ], [ "Re: Cancellation of cruise ship calls 1st & 2nd July 2022", "", "", "", "" ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "Best Regards", "", "", "" ], "rows": [ [ "", "", "", "" ], [ "Managing Director", "", "", "" ], [ "Tours Isle of Man Limited", "", "", "" ], [ "4 Akerman Court", "", "", "" ], [ "Balthane Estate", "", "", "" ], [ "Ballasalla", "", "", "" ], [ "Isle of Man", "", "", "" ], [ "IM9 2AJ", "", "", "" ], [ "email:", "", "@tours.co.im", "" ], [ "www.tours.co.im", "", "", "" ], [ "Office Phone: 07624 453681", "", "", "" ], [ "Mobile: 07624 475261", "", "", "" ], [ "", "", "", "" ] ], "row_count": 13, "col_count": 4 }, { "headers": [ "info@ramsey-shipping.com", "", "", "" ], "rows": [ [ "30 June 2022 18:03", "", "", "" ], [ "", ";", "", "" ], [ "", "", "", "" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "Lewin, Mark (DFE)" ], "rows": [ [ "01 July 2022 14:30" ], [ "Crookall, Tim (MHK); Hooper, Lawrie" ], [ "Randall, Caldric (CSO); Wilkinson, Nicola; Van Woerden, Hugo (Professor); Lord-\nBrennan, Kate (MHK)" ], [ "RE: Cruise Liners and Covid." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Lord-Brennan, Kate (MHK)" ], "rows": [ [ "01 July 2022 18:12" ], [ "Lewin, Mark (DFE); Hooper, Lawrie; Crookall, Tim (MHK)" ], [ "Wilkinson, Nicola; Randall, Caldric (CSO); Van Woerden, Hugo (Professor)" ], [ "RE: Cruise Liners and Covid." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Lewin, Mark (DFE)" ], "rows": [ [ "01 July 2022 16:10" ], [ "Wade, Andy" ], [ "FW: Cruise Liners and Covid." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Crookall, Tim (MHK)" ], "rows": [ [ "01 July 2022 08:31" ], [ "Lewin, Mark (DFE)" ], [ "RE: Cruise Liners and Covid." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Hollows, Yvette" ], "rows": [ [ "29 June 2022 12:00" ], [ "Wilkinson, Nicola" ], [ "FW: Cruise Note" ], [ "Sirena - 2nd July 2022 - Tour Plan - 220629.xlsx" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Lewin, Mark (DFE)" ], "rows": [ [ "30 June 2022 17:00" ], [ "Curphey, Emily" ], [ "RE: Cruise Passenger Transport Issue" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Lewin, Mark (DFE)" ], "rows": [ [ "30 June 2022 16:59" ], [ "Wilkinson, Nicola" ], [ "RE: Cruise Passenger Transport Issue" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Hollows, Yvette" ], "rows": [ [ "30 June 2022 14:32" ], [ "Wilkinson, Nicola" ], [ "RE: Cruise Passenger Transport Issue" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Hollows, Yvette" ], "rows": [ [ "30 June 2022 14:24" ], [ "Wilkinson, Nicola; Neeson, Charlotte" ], [ "RE: Cruise Ships" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Lewin, Mark (DFE)" ], "rows": [ [ "01 July 2022 08:29" ], [ "Callister, Rob" ], [ "Wilkinson, Nicola" ], [ "RE: Cruise ships cancelled may be due to Covid numbers" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Lewin, Mark (DFE)" ], "rows": [ [ "01 July 2022 07:50" ], [ "Randall, Caldric (CSO)" ], [ "Re: FW: Cruise Ships Cancelling Visits" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Lewin, Mark (DFE)" ], "rows": [ [ "30 June 2022 20:08" ], [ "Callister, Rob; Wilkinson, 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], [ "Older Person Services", "", "1,203 945 (257) (27%)" ], [ "", "", "" ], [ "YEAR TO DATE £'000\nActual Budget Var (£) Var (%)", "", "" ], [ "Adult Social Care\nServices", "", "10,713 10,333 (380) (4%)" ], [ "", "", "" ], [ "Management &\nSupport Services", "", "92 96 4 5%" ], [ "", "", "" ], [ "Learning Disability\nServices", "", "4,477 4,565 88 2%" ], [ "", "", "" ], [ "Older Person Services", "", "6,144 5,672 (472) (8%)" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 19, "col_count": 3 }, { "headers": [ "Number of acquired infections ‐ MRSA\nBacteraemia\n5\n4\n3\n2\n1\n0 0 0 0 0 0\n0\nApr‐21 May‐21 Jun‐21 Jul‐21 Aug‐21 Sep‐21\nHospital Community" ], "rows": [ [ "Number of acquired infections ‐\nE‐Coli\n10\n8\n7\n8\n6\n6\n4\n7\n4 6\n5 2\n1\n2 4\n2\n1 1 1 1\n0\nApr‐21 May‐21 Jun‐21 Jul‐21 Aug‐21 Sep‐21\nHospital Community" ], [ "Inpatient Pressure Ulcers\n(per 1000 bed days)\n3\nTarget = Less than2.6\n2.5\n2\n1.5\n1\n0.5\n0.38 2.2 1.29 0.37 0.18 0.19\n0\nApr‐21 May‐21 Jun‐21 Jul‐21 Aug‐21 Sep‐21" ], [ "Serious Incidents\n5\n4\n3\n2 4\n1\n0 0 0 1 0\n0\nApr‐21 May‐21 Jun‐21 Jul‐21 Aug‐21 Sep‐21\nTarget" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Number of acquired infections ‐ Cdiff\n5\n4\n4\n3\n3\n2 2 3\n2 2\n1 1\n1 2\n1 1 1 1 0\n0\nApr‐21 May‐21 Jun‐21 Jul‐21 Aug‐21 Sep‐21\nHospital Community" ], "rows": [ [ "Inpatient Falls\n(per 1000 bed days)\n12\nTarget = Less than8.9\n10\n8\n6\n4\n2\n5.6 7.8 9.8 9.4 8 7.7\n0\nApr‐21 May‐21 Jun‐21 Jul‐21 Aug‐21 Sep‐21" ], [ "Medication Errors\n(per 1000 bed days)\n10\nTarget = Less than3.2\n8\n6\n4\n2\n5.4 4.2 7.7 5.8 1.5 2.9\n0\nApr‐21 May‐21 Jun‐21 Jul‐21 Aug‐21 Sep‐21" ], [ "Number of Hospital Complaints\nReceived\n40\n35\n30\n25\n20\n15\n10\n5\n32 25 33 27 31 38\n0\nApr‐21 May‐21 Jun‐21 Jul‐21 Aug‐21 Sep‐21" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "2", "", "2", "", "", "", "3", "", "", "", "" ], [ "1", "", "2", "", "2", "", "", "", 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"", "", "", "" ], [ "5.4", "", "4.2", "", "7.7", "", "5.8", "", "1.5", "", "2.9" ] ], "row_count": 4, "col_count": 11 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "", "", "4" ], [ "1", "", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "32", "", "25", "", "33", "", "27", "", "31", "", "38" ] ], "row_count": 8, "col_count": 11 }, { "headers": [ "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "%", "", "%", "", "%", "", "%", 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"", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "%0.", "%0.", "%0.", "", "%0.", "%0.", "", "%0.", "", "%0.", "%0.", "%0.41\n%", "", "", "%0." ], [ "", "", "", "", "", "", "", "", "", "", "", "", "%", "", "" ], [ "001", "001", "001", "", "001", "001", "", "001", "", "001", "001", "", "0.52", "", "001" ] ], "row_count": 6, "col_count": 15 }, { "headers": [ "Year", "Incidences" ], "rows": [ [ "2019", "83" ], [ "2020", "63" ], [ "2021", "83" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "First Treatment Type", "Incidences" ], "rows": [ [ "Surgery", "168" ], [ "Chemotherapy or Immunotherapy", "29" ], [ "Hormone", "39" ], [ "Palliative Care", "*" ], [ "Active Monitoring", "*" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 2552145, "title": "Vedolizumab and Ustekinumab drugs", "authority": "Manx Care", "date_received": "2022-07-27", "outcome": "All information sent", "summary": "A request was made to Manx Care for the specific number of patients receiving Vedolizumab and Ustekinumab drugs in the Isle of Man. The authority disclosed that between January and July 2022, 26 patients were associated with Ustekinumab and 6 patients received Vedolizumab treatment.", "key_facts": [ "The request was received on 27 July 2022 and responded to on 8 August 2022.", "The data covers the period from 1 January to 31 July 2022.", "26 patients were recorded for Ustekinumab, with 24 having treatment dispensed.", "6 patients had Vedolizumab treatment dispensed.", "The response included details on treatments issued and returned for Ustekinumab." ], "data_mentioned": [ "26 patients", "24 had treatment dispensed", "1 had a treatment issued and returned", "1 had no treatments issued", "6 patients", "1st January", "31st July", "27th July 2022", "8 August 2022", "2552145" ], "exemptions_cited": [], "tables": [ { "headers": [ "Drug", "Total Patients", "Treatment Dispensed", "Treatment Issued and Returned", "No Treatment Issued (Previous Period Returned)" ], "rows": [ [ "Ustekinumab", "26", "24", "1", "1" ], [ "Vedolizumab", "6", "6", "-", "-" ] ], "row_count": 2, "col_count": 5 } ] }, { "case_id": 2567325, "title": "Information on number of cases", "authority": "Department of Health and Social Care", "date_received": "2022-08-08", "outcome": "Some information sent but not all held", "summary": "The requester asked for a breakdown of medical negligence cases against Nobles Hospital over five years, including reasons and judgments for successful claims. The Department of Health and Social Care could not provide case counts or details but disclosed the total costs awarded for successful claims between 2019 and 2022.", "key_facts": [ "The Department of Health and Social Care does not hold information on the number of medical negligence cases or the reasons for judgments.", "The Department provided data only on the total costs awarded to successful claimants.", "Manx Care is identified as the body responsible for service delivery and may hold the requested case details.", "The Department of Health and Social Care was redesigned on 1 April 2021 to separate policy from service delivery.", "The requester was advised to consult Tynwald Question ref: W-202201-0263 for further information." ], "data_mentioned": [ "2019 = £2,326,099.56", "2020 = £735,489.51", "2021 = £0", "2022 = £157,057.32", "2022-08-08", "2022-09-02", "1 April 2021", "28 July 2022", "W-202201-0263", "2567325" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Costs Awarded (£)" ], "rows": [ [ "2019", "2,326,099.56" ], [ "2020", "735,489.51" ], [ "2021", "0" ], [ "2022", "157,057.32" ] ], "row_count": 4, "col_count": 2 } ] }, { "case_id": 2615745, "title": "FOI - Cabinet Office - Unpublished Responses to FOI Requests", "authority": "Cabinet Office", "date_received": "2022-09-07", "outcome": "Some information sent but part exempt", "summary": "The requester asked for unpublished FOI responses from the Cabinet Office since the Act's introduction, but the authority provided two specific past responses instead: one refusing a repeated request about appeal times and another confirming no drug testing policy exists for government workers.", "key_facts": [ "The Cabinet Office refused a request regarding average appeal times as it was substantially similar to a previous request from September 2019.", "The authority confirmed there is no specific policy for drug testing Isle of Man Government workers.", "An Alcohol & Drug Workplace Policy for the Public Service exists and applies to employees.", "The response included standard information regarding the right to request an internal review or appeal to the Information Commissioner.", "The original request covered the period from the introduction of the FOIA under the 2015 Appointed Day Order to the date of the request." ], "data_mentioned": [ "2018 - 2019", "12 November 2019", "5 September 2019", "1043061", "4 May 2020", "1279746", "2015", "2 years ago" ], "exemptions_cited": [ "Section 11(3)(e)(i) and (ii) of the Freedom of Information Act 2015 (repeated requests)" ], "tables": [ { "headers": [ "Theobald", "Jeremy", "Mr", "Chair", "01/03/17", "28/02/22" ], "rows": [ [ "Thomas", "Alison", "Mrs", "", "24/05/21", "23/05/26" ], [ "Wright", "John", "Mr", "", "24/05/21", "23/05/26" ], [ "Craig", "Timothy", "Mr", "", "24/05/21", "Resigned\n31.01.2022" ] ], "row_count": 3, "col_count": 6 }, { "headers": [ "Department", "Cabinet Office", "", "" ], "rows": [ [ "Chief Officer", "Will Greenhow, Chief Secretary", "", "" ], [ "Responsible Officer", "", "", "" ], [ "", "Executive Office\nDave Kinrade, Head of Executive Office", "", "" ], [ "Date of Council Meeting", "20 May 2021", "", "" ] ], "row_count": 4, "col_count": 4 }, { "headers": [ "Has appropriate internal and/or public consultation taken place?", "", "Not applicable", "", "", "" ], "rows": [ [ "Are there any resource/personnel implications?", "", "Not applicable", "", "", "" ], [ "Has Treasury concurrence been obtained where necessary?", "", "Not applicable", "", "", "" ], [ "Is the Department acting within its legal powers or has legal advice\nbeen obtained?\n(If yes confirm and provide evidence within the paper)", "Not applicable", "", "", "", "" ], [ "Are there any inter-Departmental implications?", "", "", "Yes", "", "" ], [ "If yes, which other Departments are involved?", "Department of Health\nand Social Care", "", "", "", "" ], [ "What is the intention of this paper?", "Seek Approval", "", "", "", "" ], [ "Primary Legislation: Has Council Legislation Subcommittee\napproved the inclusion of the proposed Bill on the Legislative\nProgramme. If Yes please give decision date:", "No", "", "", "", "" ], [ "Major Policy Proposal/Primary Legislation:\nHave you completed an Impact Assessment?\nIf yes please attach a copy as an Appendix to the paper.", "No", "", "", "", "" ], [ "Have you taken appropriate Corporate Communications Service\nadvice?", "Not applicable", "", "", "", "" ], [ "Does this initiative/announcement have a communications plan?", "", "Not applicable", "", "", "" ], [ "Purpose of the Paper: To invite Council to approve the appointments of three non-Tynwald\nmembers to the Health Service Independent Review Body", "", "", "", "", "" ] ], "row_count": 11, "col_count": 6 } ] }, { "case_id": 2620410, "title": "Unpublished Responses to FOIA Requests", "authority": "Department of Health and Social Care", "date_received": "2022-09-09", "outcome": "All information sent", "summary": "The request sought unpublished Freedom of Information responses from the Department of Health and Social Care, but the provided text contains a specific response regarding colonoscopy waiting times, monthly procedure statistics, and backlog reduction plans.", "key_facts": [ "The average waiting time for a colonoscopy to investigate potential cancer is less than two weeks.", "Routine colonoscopies following an outpatient consultation have an average waiting time of seven months.", "The UK NHS standard for colonoscopy waiting times is 6 weeks, with 96.1% of patients meeting this target.", "The Endoscopy Unit moved to a new facility in September, increasing productivity by 25%.", "Plans to clear backlogs include employing a Nurse Endoscopist and adding a weekly list at Ramsey Cottage Hospital." ], "data_mentioned": [ "285", "56", "62", "140", "543", "less than two weeks", "one week", "seven months", "6 weeks", "96.1%", "July 16", "August 16", "September 16", "October 16", "November 16", "December 16", "78", "88", "98", "123", "105", "75", "30 patients", "48 patients", "25%", "5 colonoscopies per week" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "Number of F1's\nreceived in relation to\nDental treatment", "Number of\ndental F1s\napproved", "Number of\ndental F1s\nrefused", "Number of\noptical F1s\nreceived", "Number of\noptical F1s\napproved", "Number of\noptical F1s\nrefused", "Number of\nclaims that\nwere for both\ndental and\nopthalmic", "Number for\nboth\napplications\nthat were\napproved", "Number for\nboth\napplications\nthat were\nrefused" ], "rows": [ [ "2012-13", "69", "51", "18", "89", "67", "22", "34", "25", "9" ], [ "2013-14", "117", "91", "26", "119", "78", "41", "39", "26", "13" ], [ "2014-15", "119", "86", "33", "221", "111", "110", "52", "30", "22" ], [ "2015-16", "150", "117", "33", "241", "129", "112", "53", "34", "19" ], [ "2016-17 to date", "155", "136", "19", "159", "67", "92", "40", "26", "14" ] ], "row_count": 5, "col_count": 10 }, { "headers": [ "Householder", "Age", "Allowance" ], "rows": [ [ "A single claimant\nhouseholder\n(homeowner)", "Age under 60", "£105.28" ], [ "", "Age over 60", "£140.85" ], [ "", "", "" ], [ "Single claimant if\nnot a householder\n(tenant)", "Age under 18", "£82.92" ], [ "", "Age 18 – 60", "£98.76" ], [ "", "Age over 60", "£120.81" ], [ "", "", "" ], [ "Either a claimant\nor a partner is:", "Age under 60", "£165.04" ], [ "", "Age over 60", "£202.93" ], [ "", "Age over 65", "£209.27" ], [ "", "", "" ], [ "Threshold per\nchild", "Age under 5", "£26.08" ], [ "", "Age 5 -11", "£32.14" ], [ "", "Age over 11", "£38.20" ], [ "", "", "" ], [ "Capital disregard", "Total Above:", "13,000.00" ] ], "row_count": 16, "col_count": 3 }, { "headers": [ "Type of Wheelchair", "Definition of the Chair Group", "Usual Criteria for Issue" ], "rows": [ [ "Attendant Manual\nWheelchair", "A standard chair that requires an attendant\nto push the chair. Small wheels at the back\nprevent user being able to propel the chair.\nThese chairs are foldable for transportation", "The patient has a carer, who is able and willing to manage and manoeuvre\nthe wheelchair safely. The patient is not medically fit to self propel." ], [ "Self – Propelled\nManual Wheelchair", "A standard chair with large wheels at the\nrear allowing the user to propel themselves\nor have an attendant assist them. These\nchairs are foldable for transportation", "The patient must be deemed medically fit to self propel and this should not\nbe detrimental to their medical condition.\nThe patient has ability and will use a self-propelling wheelchair to allow a\ndegree of indoor/outdoor mobility, which will increase independence and\nfunction.\nIn exceptional circumstances, may be provided for carers who would\nbenefit from improved, manoeuvrability gained by large rear wheels" ], [ "Active User Manual\nWheelchair (quickie\nstyle)", "Originally designed for sport, active user\nchairs are more flexible than the standard\nchairs and can be adjusted to meet the\nindividual requirements of users so that\nhe/she can achieve the maximum amount of\nmobility. They have quick release wheels,\nmultiple axle positions and frames that are\navailable in a wide variety of sizes.", "The criteria for a self-propelling wheelchair must be met.\nThe patient is dependent on wheelchair mobility equipment indoors and\noutdoors for the majority of the day.\nThe patient’s medical condition results in a reduced strength and/or major\nexcessive activity would result in deterioration of the patient’s medical\ncondition.\nThe patient meets the criteria and their lifestyle needs and ability must be\nsuch that maximum independence and mobility will be gained by such\nprovision." ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "Type of Wheelchair", "Definition of the Chair Group", "Usual Criteria for Issue" ], "rows": [ [ "Standard Buggy", "A buggy is a type of pushchair allowing a\npatient (generally a child) clinically\nappropriate mobility beyond that which can\nbe provided through generally available\npushchairs.", "Meets criteria re assistance with outdoor mobility i.e. can only walk short\ndistances due to physical problems To facilitate opportunities to participate\nin activities such as playing in the playground, where they would not have\nthe energy to do so if they had had to walk there first. Child typically over\n30 months of age and are either too tall or heavy for a commercial buggy\nfor mobility need" ], [ "Specialist Buggy", "A buggy is a type of pushchair allowing a\npatient (generally a child) clinically\nappropriate seating and mobility beyond that\nwhich can be provided through generally\navailable pushchairs.", "Buggies may be provided as an alternative to a wheelchair, where it best\nmeets the clinical and mobility needs, usually issued to children.Child\nrequires additional postural support to provide a good symmetrical posture\nand enable them to be upright for their physical wellbeing and social\ninteraction.Where a wheelchair is not deemed the most suitable option or\nparents/guardians are not at a stage of acceptance to transition from using\na buggy to a wheelchair for practical or emotional reasons." ], [ "Tilt in Space\nWheelchair\n(Manual)", "A tilt in space chair is one with a mechanism\nthat allows for the whole seat system to be\ntilted, rather than just the back rest reclined,\nthus aiding a change in position for pressure\nrelief while maintaining postural support.", "These wheelchairs are provided where the tilt facility is the only way of\nmaintaining sitting balance/posture within a chair, in combination with\nmanaging the requirements of the patient’s physical needs.\nThe patient is fully dependent on the provision of a chair for postural\nsupport, positioning and comfort. Pressure care will be considered in all\nwheelchairs.\nCarers can demonstrate that they are able to operate the system safely,\naccess transport and detach component parts for safety and comfort of the\npatient.\nThese chairs will not be provided solely to overcome moving, handling and\nhoisting issues." ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "HIGH", "MEDIUM", "LOW" ], "rows": [ [ "Children with a rapidly deteriorating condition\nor short prognosis.", "Assessment required to enable issue of\ncorrect size wheelchair.", "None." ], [ "Children requiring independent mobility\n(manual or powered) indoors.", "Existing commercial buggy outgrown or\ntransportable buggy required for school\nattendance.", "(Requests for provision of standard Major\nElite buggies will be met via direct issue)." ], [ "The inability to sit in a commercially available\nbuggy and a requirement for postural\nsupport to enable outdoor mobility.", "Children requiring increased postural support\nbut not immediately at risk in current\nprivately owned equipment.", "" ], [ "The long term need for a wheelchair (self or\nattendant propelled) for essential mobility\nindoors, to enable discharge from hospital.", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Grade", "Description of User", "Equipment Needs" ], "rows": [ [ "1.\n(CAT 4)", "PART TIME USER\nSHORT TERM – Temporary\nrequirement due to accident or\noperation. (May include terminal care)", "Pushed or self-propelling standard.\nSpecial chair may be required e.g.\nrecliner for full leg plaster or hip spica." ], [ "2.\n(CAT 3)", "PART TIME USER\nLONG TERM – Ability to walk short\ndistances. Requires wheelchair on\nregular basis for outdoor use or to\nenhance quality of life for user/carer.", "Pushed standard or lightweight self\npropelling standard.\nBuggies for children." ], [ "3.\n(CAT 2)", "PART TIME USER\nLONG TERM – variable walking\nability due to fluctuating condition.\nHigh degree of independent life-style\nbut requires wheelchair to maintain\nlevel of independence and quality of\nlife.", "Self propelling standard or\nlightweight." ], [ "4.\n(CAT 1)", "FULL TIME USER\nLOW ACTIVITY – limited or lack\nof ability to self propel.\nDependent for many daily living\nneeds.", "Pushed or self propelling standard or\nbuggy. Specialist chassis for custom-\nmade seat." ], [ "5.\n(CAT 1)", "FULL TIME USER\nACTIVE – unable to self propel.\nIndependent mobility with\npowered wheelchair. Degree of\nindependence in daily living activities.", "EPIC & EPIOC depending on\nability/environment + motivation +\ntransit.\nTransit for travel." ], [ "6.\n(CAT 1)", "FULL TIME USER\nACTIVE – Independent mobility\nand lifestyle. Appropriate\nequipment reduces dependence on\nothers and improves quality of life.", "Self propelling standard or high\nperformance (adjustable stability by\nchange of wheel position)." ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "Referrals", "Minimum Response Time in\nWorking Days" ], "rows": [ [ "", "" ], [ "All referrals will be screened by approved personnel within the service", "2" ], [ "", "" ], [ "Referrals will be acknowledged to the referrer", "5" ], [ "", "" ], [ "Incomplete referrals will be returned to the referrer", "2" ], [ "", "" ], [ "From receipt of referral to assessment", "15" ], [ "", "" ], [ "From prescription to delivery for following types of equipment:", "" ], [ "1 Locally held stock.", "15" ], [ "", "" ], [ "2 Orders from manufacturers", "30" ], [ "", "" ], [ "3 Made to measure", "30 to 65" ], [ "", "" ], [ "For Type 3 the Service will obtain an estimated date of delivery from\nthe manufacturer and inform the client within:", "5" ], [ "", "" ], [ "Non-emergency Repairs will be completed in:", "3" ], [ "Cat 3 user or if chair is operable and safe without urgent repair", "" ], [ "Emergency Repairs/Responses will be within:", "24 hours" ], [ "Cat 1 ,Cat 2 and Cat 4 users where the chair is unsuitable for use\nwithout repair", "" ], [ "Deliveries will be completed within:", "5" ], [ "", "" ], [ "Collections should be completed within:", "5" ] ], "row_count": 25, "col_count": 2 }, { "headers": [ "ISLE OF MAN WHEELCHAIR SERVICE REFERRAL FORM\nThis form must be completed by a GP or AHP. When fully completed, please send the form to the Wheelchair Service, CCHC, Douglas:- Tel:\n01624 642147 Email:\n(Nb. Incomplete forms may be returned and therefore could result in a delay to the assessment of a wheelchair)" ], "rows": [ [ "REFERRERS NAME/ROLE TEL NO: DATE OF REFERRAL:" ], [ "HAS THE CLIENT CONSENTED TO THIS REFERRAL? PLEASE CIRCLE YES NO\nCLIENT DETAILS" ], [ "SURNAME TITLE: MR/MRS/MISS/MS/MASTER" ], [ "FORENAME(S): DATE OF BIRTH:" ], [ "ADDRESS/POSTCODE:" ], [ "TEL NO:" ], [ "NOK’S NAME/TEL NO: RELATIONSHIP: CONSENT TO CONTACT: YES/NO" ], [ "G.P/SURGERY" ], [ "IS AN INTERPRETER REQUIRED?  NO  YES\nWHAT LANGUAGE?:" ], [ "PHYSICAL INFORMATION" ], [ "DIAGNOSIS AND ONSET:" ], [ "PREVIOUS MEDICAL HISTORY – INCLUDING CARDIAC/RESPIRATORY/NEUROLOGICAL/POSTURAL LIMITATIONS:" ], [ "MEDICATION, IF KNOWN" ], [ "HEIGHT: WEIGHT:\nPRESSURE CARE ISSUES? PLEASE CIRCLE & STATE YES NO\nMOBILITY/TRANSFER METHOD: CARER LIMITATIONS:" ], [ "VISION:  NO PROBLEMS  NEEDS GLASSES  VISUAL IMPAIRMENT (STATE)  REGISTERED BLIND" ], [ "HEARING:  NO PROBLEMS  IMPAIRED  DEAF" ], [ "COGNITIVE/PERCEPTUAL IMPAIRMENT?" ], [ "SEATED MEASUREMENTS - HIP WIDTH: HIP DEPTH: LEG LENGTH:" ], [ "REASON FOR WHEELCHAIR REQUEST" ], [ "CURRENT WHEELCHAIR:  YES*  NO *IF YES, GIVE DETAILS (MODEL/ASSET NO IF CCHC STOCK/?PRIVATE)" ], [ "CATEGORY OF NEED: PERMANENT NEED HOSPITAL DISCHARGE-PERMANENT SHORT TERM REHAB" ], [ "TYPE OF WHEELCHAIR REQUESTED:  ATTENDANT PROPELLED  SELF-PROPELLED  POWERED" ], [ "HOW OFTEN WILL THE WHEELCHAIR BE USED?:  <3 DAYS A WEEK  OVER 3 DAYS A WEEK  DAILY" ], [ "WHERE WILL THE WHEELCHAIR WANT TO BE USED?  INDOORS ONLY  OUTDOORS ONLY  IN & OUTDOORS\nWORK SOCIAL ENVIRONMENT NEEDS TO BE CONSIDERED EG. ACCESS ISSUES/DOOR WIDTHS?" ], [ "TRANSPORT USED: (PLEASE STATE)-" ] ], "row_count": 25, "col_count": 1 }, { "headers": [ "Jurisdiction\n(Law)", "Grounds for termination", "", "", "", "" ], "rows": [ [ "", "Immediate\nneed to\npreserve\nlife of\nmother", "Prevention\nof grave\npermanent\ninjury to\nphysical or\nmental\nhealth of\nwoman\n(Time\nlimit)", "Risk to physical\nor mental health\nof the woman or\nexisting children\ngreater than\nfrom\ncontinuance of\npregnancy(social\ngrounds)\n(Time limit)", "Significant\nrisk of\nserious\nhandicap\nin child", "Pregnancy\nresulting\nfrom\nsexual\ncrimes" ], [ "Isle of Man\n(Termination of\nPregnancy\n(Medical\nDefences) Act\n1995)", "Yes*", "Yes*", "No", "Yes (24\nweeks)", "Yes (12\nweeks)" ], [ "England,\nScotland,\nWales\n(Abortion Act\n1967)", "Yes", "Yes (no\ntime limit)", "Yes (24 weeks)", "Yes (no\ntime limit)", "Would be\ncovered\nby other\ngrounds" ], [ "Jersey\n(Termination of\nPregnancy\n(Jersey) Law\n1997", "Yes", "Yes (no\ntime limit)", "Yes (distress –12\nweeks)", "Yes (24\nweeks)", "“" ], [ "Guernsey\n(The Abortion\n(Guernsey)\nLaw, 1997)", "Yes", "Yes (no\ntime limit)", "Yes (12 weeks)", "Yes (24\nweeks)", "“" ], [ "Northern\nIreland\n(Offences\nAgainst the\nPerson Act\n1861)", "Yes", "Yes – as a\nresult R v.\nBourne\n[1939]", "No", "No", "No" ], [ "Gibraltar\n(Crimes Act\n2011)", "Yes", "No", "No", "No", "No" ], [ "Ireland\n(Constitution\n8th Amendment,\n1983)", "Yes", "No", "No", "No", "No" ] ], "row_count": 8, "col_count": 6 }, { "headers": [ "Year", "2011", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "1", "Communication/Information to Patient (written and oral)", "Family Member" ], [ "1", "Attitude of Staff", "Family Member" ], [ "2", "Total", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "Year", "2012", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "6", "Attitude of Staff", "Patient" ], [ "1", "Attitude of Staff", "Family Member" ], [ "2", "Personal Records (including medical and/or complaint)", "Patient" ], [ "3", "Clinical Treatment", "Family Member" ], [ "2", "Clinical Treatment", "Other" ], [ "1", "Failure to Follow Procedures", "Family Member" ], [ "1", "Patient Privacy & Dignity", "Family Member" ], [ "16", "Total", "" ] ], "row_count": 10, "col_count": 3 }, { "headers": [ "Year", "2013", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "2", "Attitude of Staff", "Family Member" ], [ "7", "Clinical Treatment", "Patient" ], [ "14", "Clinical Treatment", "Family Member" ], [ "2", "Clinical Treatment", "Other" ], [ "1", "Transport", "Patient" ], [ "1", "Admission Transfer and Discharge Arrangements", "Family Member" ], [ "1", "Attitude of Staff", "Patient" ], [ "1", "Attitude of Staff", "Other" ], [ "1", "Complaints Handling", "Patient" ], [ "1", "Personal Records (including medical and/or complaint)", "Other" ], [ "1", "Personal Records (including medical and/or complaint)", "Family Member" ] ], "row_count": 13, "col_count": 3 }, { "headers": [ "Year", "2014", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "12", "Clinical Treatment", "Patient" ], [ "10", "Clinical Treatment", "Family Member" ], [ "1", "Clinical Treatment", "Other" ], [ "1", "Accommodation", "Other" ], [ "1", "Communication/Information to Patient (written and oral)", "Family Member" ], [ "1", "Other", "Family Member" ], [ "1", "Other", "Patient" ], [ "27", "Total", "" ] ], "row_count": 10, "col_count": 3 }, { "headers": [ "Year", "2015", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "1", "Clinical Treatment", "Other" ], [ "1", "Policy and Commercial Decisions", "Family Member" ], [ "2", "Appointments Delay/Cancellation Outpatient", "Family Member" ], [ "2", "Communication/Information to Patient (written and oral)", "Patient" ], [ "3", "Communication/Information to Patient (written and oral)", "Family Member" ], [ "1", "Communication/Information to Patient (written and oral)", "Other" ], [ "7", "Clinical Treatment", "Family Member" ], [ "3", "Clinical Treatment", "Patient" ], [ "1", "Attitude of Staff", "Other" ], [ "1", "Other", "Family Member" ], [ "22", "Total", "" ] ], "row_count": 13, "col_count": 3 }, { "headers": [ "Year", "2016", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "2", "Admission Transfer and Discharge arrangements", "Family Member" ], [ "1", "Appointments delay/cancellation outpatient", "Family Member" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "2", "Communication/Information to Patient (written and oral)", "Family Member" ], "rows": [ [ "4", "Other", "Family Member" ], [ "3", "Other", "Patient" ], [ "4", "Other", "Other" ], [ "3", "Clinical Treatment", "Patient" ], [ "10", "Clinical Treatment", "Family Member" ], [ "2", "Clinical Treatment", "Other" ], [ "31", "Total", "" ] ], "row_count": 7, "col_count": 3 }, { "headers": [ "Year", "2017", "" ], "rows": [ [ "", "", "" ], [ "Number of\nComplaints", "Reason", "Complainant" ], [ "1", "Other", "Family Member" ], [ "1", "Total", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Post", "Reason", "", "", "", "", "", "", "", "", "", "", "Date", "Still work for\nALDS" ], "rows": [ [ "SRSW", "", "Stepped down to RSW", "", "", "", "", "", "", "", "", "", "01.08.13", "Yes" ], [ "SRSW", "", "Moved to OPS", "", "", "", "", "", "", "", "", "", "20.10.13", "Yes" ], [ "SRSW", "", "Moved to AI", "", "", "", "", "", "", "", "", "", "30.04.14", "Yes" ], [ "SRSW", "", "Retired age 55", "", "", "", "", "", "", "", "", "", "10.09.14", "No" ], [ "SRSW", "", "Stepped down to RSW", "", "", "", "", "", "", "", "", "", "01.10.14", "Yes" ], [ "SRSW", "", "Moved to OPS", "", "", "", "", "", "", "", "", "", "18.02.15", "Yes" ], [ "SRSW", "", "Stepped down to RSW", "", "", "", "", "", "", "", "", "", "01.03.15", "Yes" ], [ "SRSW", "", "Moved to AI", "", "", "", "", "", "", "", "", "", "05.04.15", "Yes" ], [ "SRSW", "", "Moved to ASAT", "", "", "", "", "", "", "", "", "", "28.06.15", "No" ], [ "SRSW", "", "Stepped down to DSW", "", "", "", "", "", "", "", "", "", "28.09.15", "Yes" ], [ "SRSW", "", "Moved to AI", "", "", "", "", "", "", "", "", "", "10.01.16", "Yes" ], [ "SRSW", "", "Now QCF Assessor for Adult Social Care", "", "", "", "", "", "", "", "", "", "01.06.16", "Yes" ], [ "SRSW", "", "Moved to OPS", "", "", "", "", "", "", "", "", "", "16.01.17", "Yes" ], [ "SRSW", "", "Stepped down to RSW", "", "", "", "", "", "", "", "", "", "01.10.16", "Yes" ], [ "RSW", "", "To commence nurse training", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Retired age 57", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Retired age 59", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Dismissed", "", "", "", "", "", "", "", "", "", "", "No" ], [ "RSW", "", "Retired age 65", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Retired – ill health", "", "", "", "", "", "", "", "", "", "", "No" ], [ "RSW", "", "Retired age 61", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Retired age 60", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Retired age 56", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Resigned", "", "", "", "", "", "", "", "", "", "", "No" ], [ "RSW", "", "Moved to UK", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Retired age 55", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Moved to Dept of Education", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Retired age 64", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Retired age 65", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Retired – ill health", "", "", "", "", "", "", "", "", "", "", "No" ], [ "RSW", "", "Retired age 60", "", "", "", "", "", "", "", "", "", "", "No" ], [ "RSW", "", "Dismissed", "", "", "", "", "", "", "", "", "", "", "No" ], [ "RSW", "", "Resigned", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Retired age 62", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Moved to LEaD", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Retired age 65", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Retired age 60", "", "", "", "", "", "", "", "", "", "", "No" ], [ "RSW", "", "Retired – ill health", "", "", "", "", "", "", "", "", "", "", "No" ], [ "RSW", "", "Retired age 64", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Retired age 60", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Career change", "", "", "", "", "", "", "", "", "", "", "Yes" ], [ "RSW", "", "Resigned", "", "", "", "", "", "", "", "", "", "", "No" ] ], "row_count": 42, "col_count": 14 }, { "headers": [ "RSW", "", "Moved to UK", "", "", "", "", "No" ], "rows": [ [ "RSW", "", "Resigned", "", "", "", "", "No" ], [ "RSW", "", "Resigned", "", "", "", "", "No" ], [ "RSW", "", "Resigned", "", "", "", "", "No" ], [ "RSW", "", "Resigned", "", "", "", "", "No" ], [ "RSW", "", "Retired age 65", "", "", "", "", "No" ], [ "RSW", "", "Retired age 65", "", "", "", "", "Yes" ], [ "RSW", "", "Retired age 63", "", "", "", "", "No" ] ], "row_count": 7, "col_count": 8 }, { "headers": [ "Financial Year", "Total Cost" ], "rows": [ [ "1st Apr 2014 – 31st Mar 2015", "£18,871,863" ], [ "1st Apr 2015 – 31st Mar 2016", "£21,154,530" ], [ "1st Apr 2016 – end of Jan 2017", "£19,136,581" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Financial Year", "Flight costs\n(inc. Air\nAmbulance)", "Other Transport\nCosts (boat, taxis\n(IOM & UK),\naccommodation\ncontribution and\nmileage)", "Cost of\ntreatment\n& care in\nUK", "*Admin\ncosts" ], "rows": [ [ "1st Apr 2014 –\n31st Mar 2015", "£3,418,358", "£769,742", "£14,505,323", "£178,440" ], [ "1st Apr 2015 –\n31st Mar 2016", "£3,573,717", "£839,863", "£16,630,342", "£110,608" ], [ "1st Apr 2016 –\nend of Jan 2017", "£3,060,107", "£734,636", "£15,223,769", "£118,069" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "Financial Year", "Number of patient\njourneys", "Number of Escort\njourneys" ], "rows": [ [ "1st April 2014 –\n31st March 2015", "9,608", "5,835" ], [ "1st April 2015 –\n31st March 2016", "9,752", "6,070" ], [ "1st April 2016 –\nend of January 2017", "8,727", "5,615" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "Bank Holiday Monday", "5" ], "rows": [ [ "Tuesday", "25" ], [ "Wednesdays", "31" ], [ "Thursday", "30" ], [ "Friday", "32" ], [ "Saturday", "4" ], [ "Sunday", "7" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "Item", "Additional Services Rates", "£" ], "rows": [ [ "1", "", "" ], [ "2", "", "" ], [ "3", "", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "Page and paragraph\nnumber, or other reference\nfor the element of\ninformation you regard as\nconfidential", "Marking - either\n‘in confidence’ or\n‘commercially sensitive’", "Why you consider element\nof information to be\nconfidential" ], "rows": [ [ "", "", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "Bank Holiday Monday", "5" ], "rows": [ [ "Tuesday", "25" ], [ "Wednesdays", "31" ], [ "Thursday", "30" ], [ "Friday", "32" ], [ "Saturday", "4" ], [ "Sunday", "7" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "" ], "rows": [ [ "This schedule lists record types with brief descriptions and their minimum required" ], [ "retention period. Note that retention periods apply to both paper and electronic" ], [ "records. At the end of their retention period, a sample of records from a series should" ], [ "be reviewed before destruction to confirm that they are no longer required." ], [ "" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Some records may have a long-term research value outside the Department that" ], "rows": [ [ "created them (e.g. both administrative and clinical records from a number of" ], [ "different hospitals have been used to study the 1918 influenza epidemic). The" ], [ "Information Governance team will liaise with the Public Records Office to determine" ], [ "the current and potential research uses of records." ], [ "" ], [ "The following factors must be considered when storing records:" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "It is important that libraries are well managed to ensure space is efficiently utilised" ], "rows": [ [ "and the width of aisles and general layout of storage areas conform to fire, health" ], [ "and safety regulations. In addition all records must be stored off the floor to" ], [ "provide some protection from flood, dampness and dust." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "It is important that where other paper records are stored, e.g. offices etc, these" ], "rows": [ [ "need to be stored effectively, conform to fire and health and safety precautions. In" ], [ "addition, all records must be stored off the floor to provide some protection from" ], [ "flood, dampness and dust." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "Non-paper storage includes electronic and microfilm formats." ], [ "" ], [ "Electronic and microfilm formats are used to capture and store images of otherwise" ], [ "bulky or deteriorating archival material. However managers must be aware of issues" ], [ "around storing records particularly in microfilm format where there may be a" ], [ "reduction in the clarity of records printed." ], [ "" ] ], "row_count": 7, "col_count": 1 }, { "headers": [ "When records identified for disposal are destroyed, a register of these records needs" ], "rows": [ [ "to be kept. When records have reached the end of their retention period the" ], [ "Information Governance Team should be contacted to assist with the secure disposal" ], [ "of the records or transfer to the Public Record Office." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "In the case of electronic records please note that a record is not deleted if it is merely" ], "rows": [ [ "sent to the ‘recycle bin’. It must also be deleted from this folder to be considered fully" ], [ "deleted. This is important in terms of the Freedom of Information Act 2015." ], [ "" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Records which do not contain personal or sensitive material may be disposed of in" ], "rows": [ [ "the normal manner i.e. shredding or confidential wheelie bin or other recycling" ], [ "facilities where possible. Contractors employed to shred confidential" ], [ "information/records will be asked to produce written certificates as proof of" ], [ "destruction." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "Records not selected for archival preservation and which have reached the end of" ], [ "their administrative life will be destroyed." ], [ "" ], [ "If a record due for destruction is known to be the subject of a request for information" ], [ "or potential legal action the records must not be destroyed. The minimum retention" ], [ "periods should be calculated from the end of the calendar year following the last" ], [ "entry in the record." ], [ "" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "In the majority of cases records will be disposed of when they reach their retention" ], "rows": [ [ "period. However, when assessing whether records or information is required to be" ], [ "retained for a longer period than that identified within the Retention Schedule," ], [ "consideration should be given to the holding of information for longer than necessary" ], [ "which incurs extra storage costs and leaves the Department vulnerable to risks of" ], [ "theft, misuse, disclosure, legal discovery and non-compliance fines." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "Records which have been identified in the Retention Schedule as permanent" ], [ "records are to be transferred to the Public Record Office. The Information" ], [ "Governance Manager is responsible for co-ordinating this process with the Public" ], [ "Record Office. If records are to be reviewed prior to selection this should be carried" ], [ "out by the Information Governance Manager in conjunction with the Public Record" ], [ "Office and any criteria or sampling processes used recorded for future use." ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "The Director of Adult Services is responsible for the implementation and" ], [ "enforcement with the policy." ], [ "" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Details", "Minimum Retention Period", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "Divisional Plans", "25 years", "Records Management\nISO 15489 9.2\nInformation Security\nISO 2700-1 4.3.2 (f);\n4.3.3.\nEngland & Wales best\npractice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Divisional Reports", "25 years", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Divisional Strategies", "25 years", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Minutes of Departmental\nMeetings", "2 years as master copy will be held\nby CEO Office", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Minutes of Divisional Meetings", "30 years", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Minutes of other non-\nDepartmental/Divisional\nmeetings", "2 years unless relating to an\nindividual then use retention period\nfor records of individuals", "Division best practice", "No", "Destroy" ], [ "Papers of minor or short lived\nimportance not covered\nelsewhere - e.g. advertising\nmatter\n- covering & appointment letters", "2 years", "Division best practice", "No", "Destroy" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "- reminders; drafts\n- registers complied for\ntemporary purposes; routine\nreports", "", "", "", "" ], "rows": [ [ "Office Diaries", "2 years after the end of the\ncalendar year to which they refer", "Division best practice", "No", "Destroy" ], [ "Social Work Diaries", "6 years after year to which they\nrelate", "Division best practice", "No", "Destroy" ], [ "Phone Message Books", "2 years\nNB Any service user information\nshould be transferred to the service\nuser record", "Division best practice", "No", "Destroy" ], [ "Information Leaflets", "2 years", "National Audit Office\nbest practice", "One copy of each", "Transfer one copy to the Public\nRecord Office after 25 years for\npermanent retention; destroy\nduplicates after 2 years" ], [ "Divisional Policies/Procedures/\nProtocols", "10 years", "Division best practice", "Review", "Select for permanent preservation\nonly those that relate to core\nactivities and transfer to the Public\nRecord Office after 25 years" ], [ "Project Files", "10 years after completion of\nproject", "National Audit Office\nbest practice", "Review", "Review with the Public Record\nOffice to select which should be\npermanently preserved. Transfer\nselected records to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "Major Reports", "30 years", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Consultants – records relating to\ntheir appointment", "5 years", "Division best practice", "Review", "Review with the Public Record\nOffice to select which should be" ] ], "row_count": 8, "col_count": 5 }, { "headers": [ "", "", "", "", "permanently preserved. Transfer\nselected records to the Public\nRecord Office after 25 years for\npermanent retention" ], "rows": [ [ "Tynwald questions (held by the\nDepartment)", "10 years", "Division best practice", "No", "Destroy" ], [ "Investigations commissioned by\nDivision (not OHR\nInvestigations)", "30 years", "Division best practice", "Review", "Review with the Public Record\nOffice to select which should be\npermanently preserved. Transfer\nselected records to the Public\nRecord Office after 25 years for\npermanent retention." ], [ "Contracts", "10 years after termination of\ncontract", "Division best practice", "Review", "Review with the Public Record\nOffice to select which should be\npermanently preserved. Transfer\nselected records to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "Building Management including\nleases (Operational managers to\nmaintain)", "Period of lease plus 12 years", "Division best practice", "No", "Destroy" ], [ "Building Plans (Department\nheld)", "Lifetime of building", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Maintenance Contracts", "6 years from end of contract", "Division best practice", "No", "Destroy" ], [ "Insurance (Department held)", "6 years after policy expiry", "Division best practice", "No", "Destroy" ], [ "Funerals under the National\nAssistance Act 1951", "6 years after completion of funeral", "Division best practice", "No", "Destroy" ], [ "Procedures in relation to funeral\napplications under the National\nAssistance Act 1951", "Permanent", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ] ], "row_count": 9, "col_count": 5 }, { "headers": [ "Trust Housing", "12 years after termination of\ntenancy agreement", "Division best practice", "No", "Destroy" ], "rows": [ [ "Trust Housing unsuccessful\napplications", "2 years", "Division best practice", "No", "Destroy" ], [ "Endowment committees", "1 year", "Division best practice", "No", "Destroy" ], [ "Endowment committees minutes", "6 years", "Permanent retention", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Blind Register/BD8 forms", "Until individual moves away from\nthe Isle of Man or until death", "Division best practice", "No", "Destroy" ], [ "Blue Badges – after refusal,\nissue or renewal", "3 years", "Division best practice", "No", "Destroy" ], [ "Disabled Register/ Green\napplication form completed by\napplicant", "1 year", "Division best practice", "No", "Destroy" ], [ "Bus Passes", "1 year", "Division best practice", "No", "Destroy" ], [ "Unsuccessful tender documents", "Life of successful contract", "Division best practice", "No", "Destroy" ], [ "Missing Persons notifications\nfrom other authorities", "6 years", "Division best practice", "No", "Destroy" ], [ "Budgets and Estimates", "6 y e a r s a f t e r e n d of financial year\nto which they relate", "Division best practice", "No", "Destroy" ], [ "Accounts – annual", "6 years after end of financial year\nto which they relate", "Division best practice", "No", "Destroy" ], [ "Accounts – minor records - e.g.\n- accounts of petty cash\n- travel & subsistence accounts\n- minor vouchers; order books\n- receipt books; - income\nrecords", "6 years after end of financial year\nto which they relate", "Division best practice", "No", "Destroy" ], [ "Audit records (internal and", "2 years from the date of", "Division best practice", "No", "Destroy" ] ], "row_count": 13, "col_count": 5 }, { "headers": [ "external audit) original\ndocuments", "completion of the audit", "", "", "" ], "rows": [ [ "Audit reports – internal and\nexternal letters, value for money\nreports and system/final\naccounts memoranda)", "2 years after formal completion by\nstatutory auditor", "Division best practice", "No", "Destroy" ], [ "Cash books", "6 years after end of financial year\nto which they relate", "Limitation Act 1984", "No", "Destroy" ], [ "Cash sheets", "6 years after end of financial year\nto which they relate", "Limitation Act 1984", "No", "Destroy" ], [ "Invoices", "6 years after end of financial year\nto which they relate", "Division best practice", "No", "Destroy" ], [ "Bank Statements", "2 years from completion of audit", "Division best practice", "No", "Destroy" ], [ "Financial Audit records", "2 years from completion of audit", "Division best practice", "No", "Destroy" ], [ "Business Continuity Plans", "20 years", "Division best practice", "Plans that were put\ninto action as part\nof a major incident\nare selected for\npermanent\npreservation. All\nother plans are not\nselected.", "Transfer records selected for\npermanent preservation to\nIOMPRO when 25 years old.\nDestroy records not selected by\nIOMPRO at the end of the retention\nperiod." ], [ "Technical Documentation", "20 years", "Division best practice", "Review", "Review with the Public Record\nOffice to select which should be\npermanently preserved.\nTransfer selected records to the\nPublic Record Office after 25 years\nfor permanent retention." ], [ "Complaints, correspondence,", "10 years from completion of action", "Division best practice", "No", "Destroy" ] ], "row_count": 9, "col_count": 5 }, { "headers": [ "investigations and outcomes\n(stage 1 and 2)", "", "", "", "" ], "rows": [ [ "Complaints that result in change\nof practice (stage 3)", "20 years", "Division best practice", "Permanent", "Transfer to the Public Record Office\nafter 25 years for permanent\nretention" ], [ "Close circuit TV images (CCTV)", "31 days", "UK Information\nCommissioner’s Code\nof Conduct", "No", "Destroy" ], [ "Flexi working hours (personal\nrecord of hours actually worked)", "12 months", "Division best practice", "No", "Destroy" ], [ "Health and safety\ndocumentation", "3 years", "Division best practice", "No", "Destroy" ], [ "Press cuttings", "1 year", "Division best practice", "No", "Destroy" ], [ "Press Releases", "7 years", "Division best practice", "No", "Destroy" ], [ "Public Consultations e.g. about\nfuture provision of services", "5 years", "Division best practice", "Review\nDocumentation\nthat relate to\nselected records.", "Review with the Public Record\nOffice to select which should be\npermanently preserved. Transfer\nselected records to the Public\nRecord Office after 25 years for\npermanent retention." ], [ "Receipts for registered, recorded\nor special delivery mail", "2 years following the end of the\nfinancial year to which they relate", "Division best practice", "No", "Destroy" ], [ "Records of custody and transfer\nof keys", "2 years after last entry", "Division best practice", "No", "Destroy" ], [ "Requests for information\n Data Protection Act (Subject\nAccess Request)\n Access to Health Records &\nReports Act\n Code of Practice for Access to", "3 years after last action", "Division best practice", "No", "Destroy" ] ], "row_count": 10, "col_count": 5 }, { "headers": [ "Government Information", "", "", "", "" ], "rows": [ [ "Freedom of Information (FOI)\nrequests", "3 years after full disclosure;\n10 years if information is redacted\nor the information requested is not\ndisclosed", "Division best practice", "No", "Destroy" ], [ "Information Security Compliance\nAudit", "Audit to ascertain compliance with\ninformation\nsecurity requirements - Retain\nrecords for 3 years\nafter Date Closed", "Data Protection Act\n2002", "No", "Destroy" ], [ "Incident Response &\nInvestigation – Data Breaches;\nResponse to & investigation of\nsecurity breach Incidents\n(correspondence, investigation\nreport, subsequent action;\nresolution of incident)", "Retain records 6 years\nafter Date Created", "Limitation Act 1984\nComputer Security Act\n1992", "No", "Destroy" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention\nPeriod", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "Referrals/ NFA’s - i.e. does not\nbecome a case", "6 years", "Division best practice", "No", "Destroy" ], [ "Social Work/Duty Manager/\nPractitioner Diaries", "6 years after year to which\nthey relate", "Division best practice", "No", "Destroy" ], [ "Service User records – record kept for", "10 years", "Division best practice", "Sample as agreed", "Transfer sample to the Public" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "life, then after death (including\nresident financial records)", "", "", "(see below)", "Record Office after 25 years for\npermanent retention" ], "rows": [ [ "Health & Safety audits", "5 years from completion of\naudit", "Division best practice", "No", "Destroy" ], [ "Incident forms/Accident books", "10 years", "Division best practice", "Review with the\nPublic Record\nOffice to select\nwhich should be\npermanently\npreserved.", "Transfer selected records to the\nPublic Record Office after 25\nyears for permanent retention." ], [ "Quality Assurance audits", "5 years from completion of\naudit", "Division best practice", "Sample records\nrelating to\nchanges in policy\nor procedures", "Transfer sample to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "Local/team procedures & work\ninstructions (see above for divisional\nprocedures)", "7 years", "Division best practice", "No", "Destroy" ], [ "Duty Rotas", "4 years", "National Audit Office\nguidance", "No", "Destroy" ], [ "Communication Book\nReport Books\nDaily logs", "7 years", "Division best practice", "No", "Destroy" ], [ "Occupancy Forms", "12 months", "Division best practice", "No", "Destroy" ], [ "Timesheets", "12 months", "Division best practice", "No", "Destroy" ], [ "MAR Sheets", "7 years", "Department of Health best\npractice", "No", "Destroy" ], [ "Controlled Drugs Book", "20 years", "Division best practice\nMisuse of Drugs Act 1971\nMisuse of Drugs Regulations\n2001", "No", "Destroy" ] ], "row_count": 10, "col_count": 5 }, { "headers": [ "", "", "Safer management of\ncontrolled drugs: a guide to\ngood practice in secondary\ncare (England). October\n2007\nDept. of Health, 17th\nOctober 2007\nhttp://www.dh.gov.uk/en/P\nublicationsandstatistics/Publ\nications/PublicationsPolicyA\nndGuidance/DH 079618", "", "" ], "rows": [ [ "Books or sheets used to record\nchecks and tests on equipment such\nas oxygen cylinders, glucometers,\nsuction machines etc.", "8 years", "Division best practice", "No", "Destroy" ], [ "Nurse Call system\n(printouts)", "2 years", "Division best practice", "No", "Destroy" ], [ "Maintenance Reports\n(record of maintenance\nreports & job references)\nArjo (reports re: hoists etc. which are\nsent to Estates)", "2 years", "Division best practice", "No", "Destroy" ], [ "Vehicle Log Sheets", "6 months", "Division best practice", "No", "Destroy" ], [ "Temperature log books (Food/Hygiene\nand Medication)", "2 years", "Division best practice", "No", "Destroy" ], [ "Person with offences against\nchildren – record kept for life,\nthen after death", "10 years after death", "Division best practice based\non common practice", "No", "Destroy" ], [ "Fire Registers", "6 months", "Division best practice", "No", "Destroy" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "Fire Risk Assessments", "2 years", "Division best practice", "No", "Destroy" ], "rows": [ [ "Visitors Books", "7 years", "Division best practice", "No", "Destroy" ], [ "Receipts for items bought by service\nuser", "6 years and current", "Division best practice based\non Financial Regulations", "No", "Destroy" ], [ "Cash handover sheets", "12 months plus current\nyear", "Division best practice", "No", "Destroy" ], [ "Order books & Invoices", "See Finance", "", "", "" ], [ "Staff Records (leavers)", "Passed to HR for retention", "", "", "" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention\nPeriod", "Rationale", "PRA\nselection", "Final action" ], "rows": [ [ "Referrals/ NFA’s - i.e. does not\nbecome a case", "6 years", "Division best practice", "No", "Destroy" ], [ "Social Work/ Practitioner Diaries", "6 years after year to which\nthey relate", "Division best practice", "No", "Destroy" ], [ "Service user record following no\nfurther contact after a decision\nto close a case or to take no further\naction", "10 years after closure or\n10 years after death", "Division best practice", "Sample as\nagreed (see\nbelow)", "Transfer sample to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "Home Care record following no\nfurther contact after a decision\nto close a case or to take no further\naction", "6 years after closure or 6\nyears after death", "Division best practice", "Sample as\nagreed (see\nbelow)", "Transfer sample to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "Home Care Expense Forms", "12 months", "Division best practice", "No", "Destroy" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "", "", "", "", "" ], "rows": [ [ "Home Care Observation Sheets", "2 years", "Division best practice", "No", "Destroy" ], [ "Home Care timesheets", "12 months", "Division best practice", "No", "Destroy" ], [ "Home Care Staff Records", "6 years after leaving at\nwhich time a summary\nrecord must be kept until\nthe individual’s 70th\nbirthday", "Division best practice", "No", "Destroy" ], [ "Meals on Wheels", "1 year", "Division best practice", "No", "Destroy" ], [ "Adult with MH\ninvolvement on SW\nrecord", "20 years after date of last\ncontact or 10 years after\nthe person’s death if\nsooner.\nRecords may be kept for\n30 years before review but\nafter first 20 years records\nmay be summarised and\nkept in the summary\nformat for the further 10\nyears", "Division best practice.\nWhen records come to the end of\ntheir retention period they must\nbe reviewed not automatically\ndestroyed. Such review must take\naccount of any genetic\nimplications of the patient’s\nillness. If it is decided to retain\nthe records they must be subject\nto regular review", "Sample as\nagreed (see\nbelow)", "Transfer sample to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "Deceased Person – after death", "10 years", "Division best practice", "Sample as\nagreed (see\nbelow)", "Transfer sample to the Public\nRecord Office after 25 years for\npermanent retention" ], [ "MAR Sheets", "7 years", "Department of Health best\npractice", "No", "Destroy" ], [ "Registration & Inspection Reports and\ncorrespondence", "5 years", "Division best practice", "No", "Destroy" ] ], "row_count": 8, "col_count": 5 }, { "headers": [ "Details", "Minimum Retention\nPeriod", "Rationale", "PRA selection", "Final action" ], "rows": [ [ "Corporate and Partnerships:\nContracts files", "10 years after\ntermination of\ncontract", "Division best\npractice", "Selected: contract files relating to\ncare delivery, pending PRO review\nat end of retention period. Not\nselected: contract files relating to\nsecondary functions such as\ncleaning and maintenance.", "Selected files: Review with the\nPublic Record Office to select\nwhich should be permanently\npreserved. Transfer selected\nrecords to the Public Record\nOffice after 25 years for\npermanent retention. Not\nselected: destroy at end of\nretention period" ], [ "Corporate and Partnerships:\nGrants files", "10 years after\ntermination of Grant", "Division best\npractice", "No", "Destroy at end of retention\nperiod" ], [ "Corporate and Partnerships:\nGrant minutes", "10 years after\ntermination of Grant", "Division best\npractice", "Permanent", "Transfer to PRO at 25 years" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "Task", "Chair Time\n(in mins)", "Panel Members\n(x 02) Time (in mins)" ], "rows": [ [ "Advert", "30", "-" ], [ "Panel arrangements", "30", "-" ], [ "Shortlisting", "150", "150" ], [ "Interview prep", "60", "60" ], [ "Interviews", "450", "450" ], [ "Post interview admin", "150", "-" ], [ "Feedback to candidates", "225", "225" ], [ "Confirmation of appointment and\nallocation to post", "60", "-" ], [ "Per recruitment for 15 candidates", "£347.66", "(£220.51*2) £441.02" ], [ "Per recruitment for 15 candidates", "£788.69", "" ], [ "Per recruitment for one\ncandidate1", "(£788.69/15) £52.58", "" ] ], "row_count": 11, "col_count": 3 }, { "headers": [ "Task", "Time (in minutes)" ], "rows": [ [ "Advert", "30" ], [ "Interview Invites", "15" ], [ "Offer of Appointment", "60" ], [ "DBS", "60" ], [ "Medicals", "15" ], [ "References", "30" ], [ "Manual Applications", "20" ], [ "Logging Criteria", "30" ], [ "Pending Chasers", "60" ], [ "Confirmation of Appointment", "30" ], [ "Average total per vacancy", "350" ], [ "Per vacancy2", "£70.00" ] ], "row_count": 12, "col_count": 2 }, { "headers": [ "FOI Request\nReference", "Date FOI\nreceived", "Question(s)" ], "rows": [ [ "805565", "29/04/2019\n(Rejected)", "A current list of all medical prescribing\npractitioners\nA current list of all medical prescribing practitioners\n2018/19 on the Isle of Man" ], [ "817068", "13/05/2019", "Orthodonic Care - PRIMARY CARE\n1. How many orthodontists and consultants work within\nprimary care in the periods 2017 - 2018 and 2018 - 2019?\n2. What is the annual salary paid to these individuals, for\nboth primary and secondary care in the periods 2017 -\n2018 and 2018 - 2019?\n3. Are travel and accommodation paid by the department\nfor visiting orthodontic consultants?\n4. Can the department provide figures for travel and\naccommodation for the visiting consultants both sets of\nfigures broken down for 2018 -2019?\n5. Can you provide a copy of the job description, advert\nand contract, terms upon which these visiting orthodontic\nconsultants are employed or self employed?" ], [ "1007649", "15/10/2019", "Information on the appointment of Dental Officer\nin the Isle of Man\n1. What date did the department appoint the dental officer\nin 2019?\n2. Name of the dental officer appointed by the\ndepartment?\n3. What date and at where was the venue of the meeting\nfor selection of the dental officer was held and a copy of\nall notes from the meeting and names individuals who\nwere in attendance?\n4. Copy of the selection criteria any, any notes made at\nthe meeting unredacted\n5. Which individuals were responsible for the selection and\nappointment of the dental officer?\n6. What clinical experience in dentistry did the individuals\nhold?\n7. What training and past experience of procurement of\nhealth care professionals did the individuals responsible\nhave? Please provide evidence of their training post\ngraduate education.\n8. How many dentist applied for the position? For each\nindividual dentist that applied please provide or confirm:\nA) Year of qualification\nB) University of qualification\nC) Relevant qualification obtained in dentistry\nD) Copies of all post graduate education, certificates,\ndiplomas and masters held\n9. Confirm the number of dentists who were interviewed\nfor the position of dental officer?" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "FOI Request\nReference", "Date FOI\nreceived", "Question(s)" ], "rows": [ [ "805565", "29/04/2019\n(Rejected)", "A current list of all medical prescribing\npractitioners\nA current list of all medical prescribing practitioners\n2018/19 on the Isle of Man" ], [ "817068", "13/05/2019", "Orthodonic Care - PRIMARY CARE\n1. How many orthodontists and consultants work within\nprimary care in the periods 2017 - 2018 and 2018 - 2019?\n2. What is the annual salary paid to these individuals, for\nboth primary and secondary care in the periods 2017 -\n2018 and 2018 - 2019?\n3. Are travel and accommodation paid by the department\nfor visiting orthodontic consultants?\n4. Can the department provide figures for travel and\naccommodation for the visiting consultants both sets of\nfigures broken down for 2018 -2019?\n5. Can you provide a copy of the job description, advert\nand contract, terms upon which these visiting orthodontic\nconsultants are employed or self employed?" ], [ "1007649", "15/10/2019", "Information on the appointment of Dental Officer\nin the Isle of Man\n1. What date did the department appoint the dental officer\nin 2019?\n2. Name of the dental officer appointed by the\ndepartment?\n3. What date and at where was the venue of the meeting\nfor selection of the dental officer was held and a copy of\nall notes from the meeting and names individuals who\nwere in attendance?\n4. Copy of the selection criteria any, any notes made at\nthe meeting unredacted\n5. Which individuals were responsible for the selection and\nappointment of the dental officer?\n6. What clinical experience in dentistry did the individuals\nhold?\n7. What training and past experience of procurement of\nhealth care professionals did the individuals responsible\nhave? Please provide evidence of their training post\ngraduate education.\n8. How many dentist applied for the position? For each\nindividual dentist that applied please provide or confirm:\nA) Year of qualification\nB) University of qualification\nC) Relevant qualification obtained in dentistry\nD) Copies of all post graduate education, certificates,\ndiplomas and masters held\n9. Confirm the number of dentists who were interviewed\nfor the position of dental officer?" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Year 1", "Year 2", "Year 3", "Year 4" ], "rows": [ [ "", "Total Cost\n13-14", "Total Cost\n14-15", "Total Cost\n15-16", "Total Cost\n16-17" ], [ "Agency", "£5,705,538.00", "£8,864,979.00", "£14,865,787.79", "£14,781,712.14" ], [ "Bank/locum", "£7,326,862.00", "£7,458,431.00", "£9,562,987.48", "£10,507,610.28" ], [ "Total", "£13,032,400.00", "£16,323,410.00", "£24,428,775.27", "£25,289,322.42" ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "", "Year 5", "Year 6", "Year 7" ], "rows": [ [ "", "Total Cost\n17-18", "Total Cost\n18-19", "Total Cost 19-12\nto 31-12-19" ], [ "Agency", "£12,567,995.90", "£12,316,950.96", "£8,417,091.00" ], [ "Bank/locum", "£10,204,927.72", "£12,016,997.83", "£9,728,603.00" ], [ "Total", "£22,772,923.62", "£24,333,948.79", "£18,145,694.00" ] ], "row_count": 4, "col_count": 4 }, { "headers": [ "AX BH Report", "Total", "Budget" ], "rows": [ [ "01/04/2015 – 31/03/2016", "£125,265.52", "£60,000.00" ], [ "01/04/2016 – 31/03/2017", "£126,928.29", "£120,000.00" ], [ "01/04/2017 – 31/03/2018", "£121,130.17", "£125,000.00" ], [ "01/04/2018 – 31/03/2019", "£117,352.20", "£120,000.00" ], [ "01/04/2019 – 31/03/2020", "£125,337.90", "£125,000.00" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "AX BH Report", "Total", "Budget" ], "rows": [ [ "01/04/2015 - 31/03/2016", "£340,984.50", "£281,800.00" ], [ "01/04/2016 - 31/03/2017", "£355,296.71", "£353,380.00" ], [ "01/04/2017 - 31/03/2018", "£378,908.52", "£384,970.00" ], [ "01/04/2018 - 31/03/2019", "£293,719.93", "£383,290.00" ], [ "01/04/2019 - 31/03/2020", "£190,308.00", "£273,590.00" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "Year", "Between Home and\nNoble's/Ramsey", "Between Home\nand Sea/Airport" ], "rows": [ [ "2015", "4,097", "3,107" ], [ "2016", "3,598", "3,416" ], [ "2017", "3,277", "3,470" ], [ "2018", "3,982", "3,539" ], [ "2019", "5,829", "3,333" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "Clinical & Public Health Working Group", "" ], "rows": [ [ "Name", "Title" ], [ "Dr Rosalind Ranson", "Medical Director" ], [ "Dr Keith Daniels", "General Practitioner" ], [ "Dr John Snelling", "General Practitioner" ], [ "Dr Helen Freer", "General Practitioner" ], [ "Dr Johnathan Wilmott", "General Practitioner" ], [ "Dr Epha Crofts", "Consultant, Occupational Health" ], [ "Dr Henrietta Ewart", "Direct of Public Health" ], [ "Dr Adrian Dashfield", "Consultant Anaesthetist" ], [ "Dr Gareth Davies]", "Emergency Medicine" ], [ "Dr David Highley", "Consultant Anaesthetist" ], [ "Dr Rizwan Khan", "Consultant Microbiologist" ], [ "Dr Ishaku Pam", "Consultant Physician" ], [ "Dr Tony Stock", "Consultant Obs & Gynae" ], [ "Dr Chris Till", "Consultant Anaesthetist" ], [ "Dr Neel Umapathy", "Consultant ENT" ], [ "Dr Ian Wright", "Consultant Orthopaedic Surgeon" ], [ "Dr Chris Waldrum", "General Practitioner" ], [ "Cath Quilliam", "Director of Nursing" ], [ "Dr Marina Hudson", "Consultant Psychiatrist" ] ], "row_count": 20, "col_count": 2 }, { "headers": [ "Clinical & Public Health Working Group", "" ], "rows": [ [ "Name", "Title" ], [ "Dr Rosalind Ranson", "Medical Director" ], [ "Dr Keith Daniels", "General Practitioner" ], [ "Dr John Snelling", "General Practitioner" ], [ "Dr Helen Freer", "General Practitioner" ], [ "Dr Johnathan Wilmott", "General Practitioner" ], [ "Dr Epha Crofts", "Consultant, Occupational Health" ], [ "Dr Henrietta Ewart", "Direct of Public Health" ], [ "Dr Adrian Dashfield", "Consultant Anaesthetist" ], [ "Dr Gareth Davies]", "Emergency Medicine" ], [ "Dr David Highley", "Consultant Anaesthetist" ], [ "Dr Rizwan Khan", "Consultant Microbiologist" ], [ "Dr Ishaku Pam", "Consultant Physician" ], [ "Dr Tony Stock", "Consultant Obs & Gynae" ] ], "row_count": 14, "col_count": 2 }, { "headers": [ "Dr Chris Till", "Consultant Anaesthetist" ], "rows": [ [ "Dr Neel Umapathy", "Consultant ENT" ], [ "Dr Ian Wright", "Consultant Orthopaedic Surgeon" ], [ "Dr Chris Waldrum", "General Practitioner" ], [ "Cath Quilliam", "Director of Nursing" ], [ "Dr Marina Hudson", "Consultant Psychiatrist" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Dr Henritta Ewart", "Director of Public Health" ], "rows": [ [ "Dr Adrian Dashfield", "Consultant Anaesthetist" ], [ "Dr Gareth Davies", "Emergency Medicine" ], [ "Dr David Highley", "Consultant Anaesthetist" ], [ "Dr Rizwan Khan", "Consultant Microbiologist" ], [ "Dr Ishaku Pam", "Consultant Physician" ], [ "Dr Tony Stock", "Consultant Obs and Gynae" ], [ "Dr Chris Till", "Consultant Anaesthetist" ], [ "Dr Neel Umapathy", "Consultant ENT" ], [ "Dr Ian Wright", "Consultant Orthopaedic Surgeon" ], [ "Dr Chris Waldrum", "General Practitioner" ], [ "Cath Quilliam", "Director of Nursing" ], [ "Dr Marina Hudson", "Consultant Psychiatrist" ] ], "row_count": 12, "col_count": 2 }, { "headers": [ "Performance Period", "Registrations", "Logins", "" ], "rows": [ [ "", "", "Number", "Unique Young Person\n(YP)" ], [ "Q1 2019-2020", "91", "394", "91" ], [ "Q2 2019-2020", "70", "723", "79" ], [ "Q3 2019-2020", "72", "427", "82" ], [ "Q4 20129-2020", "136", "871", "154" ], [ "2019/2020 Total", "369", "2415", "" ], [ "Q1 2020-20201", "73", "558", "98" ] ], "row_count": 7, "col_count": 4 }, { "headers": [ "Quarter", "Chat", "", "Message", "", "Articles", "", "Forums", "" ], "rows": [ [ "2019-\n2020", "Sessions", "Unique\nYP (Per\nQtr)", "Messages", "Unique\nYP", "Views", "Unique\nYP", "Views", "Unique\nYP" ], [ "1", "20", "15", "140", "34", "107", "35", "260", "44" ], [ "2", "52", "20", "330", "35", "151", "32", "384", "43" ], [ "3", "34", "25", "221", "53", "140", "40", "264", "45" ], [ "4", "45", "31", "419", "89", "876", "56", "1322", "57" ], [ "", "151", "", "1110", "", "1274", "", "2230", "" ], [ "2020-\n2021", "", "", "", "", "", "", "", "" ], [ "1", "24", "15", "232", "57", "388", "33", "411", "41" ] ], "row_count": 8, "col_count": 9 }, { "headers": [ "Quarter", "Top 3 most prominent issues service users presented (in order 1,\n2, 3)" ], "rows": [ [ "Q1 2019-2020", "Anxiety/Stress; Suicidal Thoughts; Self Worth" ], [ "Q2 2019-2020", "Suicidal Thoughts; Anxiety/stress; Self-harm; loneliness;\nFriendships" ], [ "Q3 2019-2020", "Anxiety/Stress; Suicidal thoughts; Friendships" ], [ "Q4 20129-2020", "Anxiety/Stress; Sleep difficulties; Self-harm" ], [ "Q1 2020-20201", "Suicidal Thoughts; Anxiety/stress; Body Image" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Performance Period", "Registrations", "Logins", "" ], "rows": [ [ "", "", "Number", "Unique Person" ], [ "Q1 2019-2020", "386", "1345", "391" ], [ "Q2 2019-2020", "334", "1901", "377" ], [ "Q3 2019-2020", "209", "1489", "263" ], [ "Q4 20129-2020", "198", "1348", "248" ], [ "2019/2020 Total", "1127", "6083", "" ], [ "Q1 2020-20201", "171", "1564", "223" ] ], "row_count": 7, "col_count": 4 }, { "headers": [ "Quarter", "CHAT", "", "Message", "", "Articles", "", "Forums", "" ], "rows": [ [ "2019-\n2020", "Sess-\nions", "Unique\nUsers\n(Per\nQtr)", "Mess-\nages", "Unique\nUsers", "Views", "Unique\nUsers", "Views", "Unique\nUsers" ], [ "1", "109", "50", "245", "52", "450", "152", "395", "131" ], [ "2", "236", "90", "530", "97", "460", "158", "661", "167" ], [ "3", "215", "70", "521", "71", "365", "123", "494", "119" ], [ "4", "129", "52", "297", "56", "414", "132", "462", "116" ], [ "", "689", "", "1593", "", "1689", "", "2012", "" ], [ "2020-\n2021", "", "", "", "", "", "", "", "" ], [ "1", "165", "47", "530", "79", "387", "102", "717", "104" ] ], "row_count": 8, "col_count": 9 }, { "headers": [ "Quarter", "Top 3 most prominent issues service users presented (in order\n1, 2, 3)" ], "rows": [ [ "Q1 2019-2020", "Anxiety/Stress; Depression; Family Relationships" ], [ "Q2 2019-2020", "Anxiety/Stress; Depression; Self Worth" ], [ "Q3 2019-2020", "Anxiety/Stress; Depression; Family Relationships" ], [ "Q4 20129-2020", "Anxiety/Stress; Depression; Family Relationships" ], [ "Q1 2020-20201", "Anxiety/Stress; Depression; Family Relationships" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Performance Period", "Registrations", "Logins", "" ], "rows": [ [ "", "", "Number", "Unique Young Person\n(YP)" ], [ "Q1 2019-2020", "91", "394", "91" ], [ "Q2 2019-2020", "70", "723", "79" ], [ "Q3 2019-2020", "72", "427", "82" ], [ "Q4 20129-2020", "136", "871", "154" ], [ "2019/2020 Total", "369", "2415", "" ], [ "Q1 2020-20201", "73", "558", "98" ] ], "row_count": 7, "col_count": 4 }, { "headers": [ "Quarter", "Chat", "", "Message", "", "Articles", "", "Forums", "" ], "rows": [ [ "2019-\n2020", "Sessions", "Unique\nYP (Per\nQtr)", "Messages", "Unique\nYP", "Views", "Unique\nYP", "Views", "Unique\nYP" ], [ "1", "20", "15", "140", "34", "107", "35", "260", "44" ], [ "2", "52", "20", "330", "35", "151", "32", "384", "43" ], [ "3", "34", "25", "221", "53", "140", "40", "264", "45" ], [ "4", "45", "31", "419", "89", "876", "56", "1322", "57" ], [ "", "151", "", "1110", "", "1274", "", "2230", "" ], [ "2020-\n2021", "", "", "", "", "", "", "", "" ], [ "1", "24", "15", "232", "57", "388", "33", "411", "41" ] ], "row_count": 8, "col_count": 9 }, { "headers": [ "Quarter", "Top 3 most prominent issues service users presented (in order 1,\n2, 3)" ], "rows": [ [ "Q1 2019-2020", "Anxiety/Stress; Suicidal Thoughts; Self Worth" ], [ "Q2 2019-2020", "Suicidal Thoughts; Anxiety/stress; Self-harm; loneliness;\nFriendships" ], [ "Q3 2019-2020", "Anxiety/Stress; Suicidal thoughts; Friendships" ], [ "Q4 20129-2020", "Anxiety/Stress; Sleep difficulties; Self-harm" ], [ "Q1 2020-20201", "Suicidal Thoughts; Anxiety/stress; Body Image" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Performance Period", "Registrations", "Logins", "" ], "rows": [ [ "", "", "Number", "Unique Person" ], [ "Q1 2019-2020", "386", "1345", "391" ], [ "Q2 2019-2020", "334", "1901", "377" ], [ "Q3 2019-2020", "209", "1489", "263" ], [ "Q4 20129-2020", "198", "1348", "248" ], [ "2019/2020 Total", "1127", "6083", "" ], [ "Q1 2020-20201", "171", "1564", "223" ] ], "row_count": 7, "col_count": 4 }, { "headers": [ "Quarter", "CHAT", "", "Message", "", "Articles", "", "Forums", "" ], "rows": [ [ "2019-\n2020", "Sess-\nions", "Unique\nUsers\n(Per\nQtr)", "Mess-\nages", "Unique\nUsers", "Views", "Unique\nUsers", "Views", "Unique\nUsers" ], [ "1", "109", "50", "245", "52", "450", "152", "395", "131" ], [ "2", "236", "90", "530", "97", "460", "158", "661", "167" ], [ "3", "215", "70", "521", "71", "365", "123", "494", "119" ], [ "4", "129", "52", "297", "56", "414", "132", "462", "116" ], [ "", "689", "", "1593", "", "1689", "", "2012", "" ], [ "2020-\n2021", "", "", "", "", "", "", "", "" ], [ "1", "165", "47", "530", "79", "387", "102", "717", "104" ] ], "row_count": 8, "col_count": 9 }, { "headers": [ "Quarter", "Top 3 most prominent issues service users presented (in order\n1, 2, 3)" ], "rows": [ [ "Q1 2019-2020", "Anxiety/Stress; Depression; Family Relationships" ], [ "Q2 2019-2020", "Anxiety/Stress; Depression; Self Worth" ], [ "Q3 2019-2020", "Anxiety/Stress; Depression; Family Relationships" ], [ "Q4 20129-2020", "Anxiety/Stress; Depression; Family Relationships" ], [ "Q1 2020-20201", "Anxiety/Stress; Depression; Family Relationships" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 2627997, "title": "Fall Boosters for covid and seasonal flu", "authority": "Manx Care", "date_received": "2022-09-13", "outcome": "Some information sent but part exempt", "summary": "The request sought details on COVID-19 and flu booster vaccine distribution, dosages, and scheduling for various age groups in the Isle of Man as of September 2022. Manx Care disclosed vaccination statistics and booking numbers but cited Section 20 of the Act to withhold specific vaccine types and dates, directing the requester to their public website instead.", "key_facts": [ "Manx Care provided data on COVID-19 doses administered between September 1 and 13, 2022, totaling 1,844 doses.", "The response indicated that 21,948 individuals were registered on the vaccination booking system for Priority Groups 1 through 4.", "Co-administration of annual flu vaccinations is offered to eligible individuals depending on availability.", "Specific vaccine types and appointment dates for groups 2-4 were not provided in the letter but referenced as available on the Manx Care website.", "Individuals cannot choose their vaccine type; it is determined by age and medical history." ], "data_mentioned": [ "1,844", "1,734", "21,948", "733", "1,525", "4,007", "4,354", "3,910", "7,419", "2022-09-13", "2022-10-10", "2627997" ], "exemptions_cited": [ "Section 20 of the Freedom of Information Act 2015 (Information already reasonably accessible)" ], "tables": [ { "headers": [ "Doses of Covid Vaccines Given 01-13/09/2022", "", "Autumn 2022\nBooster", "First Booster", "", "First Dose", "Second Dose", "" ], "rows": [ [ "Priority Group", "", "Moderna\nBiValent", "Moderna\nBiValent", "Peadiatric\nComirnaty", "Peadiatric\nComirnaty", "Peadiatric\nComirnaty", "Total" ], [ "P1", "Care Home Residents", "313", "", "", "", "", "313" ], [ "P1", "Care Home Staff", "146", "3", "", "", "", "149" ], [ "P2", "Heath Care Workers", "289", "2", "", "", "", "291" ], [ "P2", "Over 80's", "952", "", "", "", "", "952" ], [ "P3", "Aged 75-79", "28", "", "", "", "", "28" ], [ "P4", "Aged 70-74 or Clinically Extremely Vulnerable", "5", "3", "", "", "", "8" ], [ "P5", "Aged 75-79", "", "", "", "", "", "0" ], [ "P6", "Aged 16-64 (Underlying Health Conditions)", "1", "4", "", "", "", "5" ], [ "P7", "Aged 60-65", "", "", "", "", "", "0" ], [ "P8", "Aged 55 - 59", "", "1", "", "", "", "1" ], [ "P9", "Aged 50 - 54", "", "2", "", "", "", "2" ], [ "P10", "Aged 45 - 49", "", "1", "", "", "", "1" ], [ "P11", "Aged 40 - 44", "", "4", "", "", "", "4" ], [ "P12", "Aged 35 - 39", "", "10", "", "", "", "10" ], [ "P13", "Aged 30 - 34", "", "9", "", "", "", "9" ], [ "P14", "Aged 25 - 29", "", "10", "", "", "", "10" ], [ "P15", "Aged 20 - 24", "", "9", "", "", "", "9" ], [ "p16", "Aged 18 - 19", "", "3", "", "", "", "3" ], [ "P18", "12 - 15 (Severe Neuro Disabilities)", "", "", "1", "", "", "1" ], [ "P21", "Aged 5 - 11 (Clinical Risk Group)", "", "", "", "", "2", "2" ], [ "P23", "Aged 5-11", "", "", "", "13", "33", "46" ], [ "", "", "1,734", "61", "1", "13", "35", "1,844" ] ], "row_count": 23, "col_count": 8 }, { "headers": [ "Priority Group", "" ], "rows": [ [ "Care Home Residents", "733" ], [ "Care Home Staff", "1,525" ], [ "Heath Care Workers", "4,007" ], [ "Over 80's", "4,354" ], [ "Aged 75-79", "3,910" ], [ "Aged 70-74 or Clinically Extremely Vulnerable", "7,419" ], [ "Total", "21,948" ] ], "row_count": 7, "col_count": 2 } ] }, { "case_id": 2633329, "title": "Suicide", "authority": "Cabinet Office", "date_received": "2022-09-14", "outcome": "All information sent", "summary": "The requester asked for the number of suicide deaths on the Isle of Man over the past five years and the current year to date. The Cabinet Office disclosed the specific annual figures from 2017 to 2022, confirming all requested information was provided.", "key_facts": [ "The request was received by the Cabinet Office on 14 September 2022.", "The response was issued on 29 September 2022 with the outcome 'All information sent'.", "The data is held by the Public Health Directorate within the Cabinet Office.", "The figures cover the period from 2017 through to September 2022.", "The requester was informed of their right to an internal review or appeal to the Information Commissioner." ], "data_mentioned": [ "2017 - 4", "2018 - 10", "2019 - 5", "2020 - 22", "2021 - 6", "2022 - 6", "15/9/22", "2022-09-14", "2022-09-29", "2633329" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Number of Deaths Recorded as Suicide" ], "rows": [ [ "2017", "4" ], [ "2018", "10" ], [ "2019", "5" ], [ "2020", "22" ], [ "2021", "6" ], [ "2022", "6 (data up to date as of 15/9/22)" ] ], "row_count": 6, "col_count": 2 } ] }, { "case_id": 2635593, "title": "Complaints made about NHS Dental practices", "authority": "Manx Care", "date_received": "2022-09-15", "outcome": "Some information sent but part exempt", "summary": "The request sought the number and nature of complaints against NHS dental practices on the Isle of Man over the last five years. Manx Care disclosed anonymized data for 2017 through 2021, detailing complaint counts per practice and specific reasons, though some information was withheld under exemptions.", "key_facts": [ "Complaint data covers the period from 2017 to 2021.", "Practice 6 is no longer contracted by Manx Care.", "The highest number of complaints in a single year was 50 in 2018.", "Complaint compilation methods changed in August 2019.", "Data is anonymized by practice number rather than name." ], "data_mentioned": [ "2017: 43 complaints", "2018: 50 complaints", "2019: 32 complaints", "2020: 9 complaints", "2021: 11 complaints", "August 2019", "2022-09-15", "2022-10-12" ], "exemptions_cited": [ "Part exempt (specific exemption clauses not detailed in text)" ], "tables": [ { "headers": [ "Anonymised\nPractice\nInformation", "Number of\nComplaint\nReceived", "Nature of Complaints" ], "rows": [ [ "Practice 1", "5", "Lack of Care / Attitude of Dentist / Charges" ], [ "Practice 2", "19", "16 Registration / Practice Policy" ], [ "", "", "2 Communication" ], [ "", "", "1 x Patient Behaviour" ], [ "Practice 3", "1", "Lack of Care" ], [ "Practice 4", "1", "De-Registration" ], [ "Practice 5", "2", "Care Delivery" ], [ "Practice 6 *", "6", "2 x Appointments" ], [ "", "", "2 x Access to Services" ], [ "", "", "2 x Lack of Care" ], [ "Practice 7", "2", "2 x Lack of Care" ], [ "Practice 8", "4", "2 x Delay in Treatment" ], [ "", "", "Lack of Care" ], [ "", "", "De-Registration" ], [ "Practice 9", "2", "1 x Lack of Care" ], [ "", "", "1 x Registration" ], [ "Practice 10", "0", "N/A" ], [ "Practice 11", "0", "N/A" ], [ "Practice 12", "1", "Attitude of Staff" ], [ "Total", "43", "" ] ], "row_count": 20, "col_count": 3 }, { "headers": [ "Anonymised\nPractice\nInformation", "Number of\nComplaint\nReceived", "Nature of Complaints" ], "rows": [ [ "Practice 1", "8", "4 x Charges" ], [ "", "", "1 x Lack of Care" ], [ "", "", "3 x Treatment by Clinician" ], [ "Practice 2", "12", "Practice Policy / De-registration" ], [ "Practice 3", "3", "1 x Late / Availability of Appointments" ], [ "", "", "1 x Attitude of Dentist" ], [ "", "", "1 x Waiting Times" ], [ "Practice 4", "0", "N/A" ], [ "Practice 5", "2", "Lack of Care" ], [ "Practice 6", "3", "Appointments" ], [ "Practice 7", "8", "1 x Delay in Treatment" ], [ "", "", "1 x Lack of Care" ], [ "", "", "2 x Customer Services" ], [ "", "", "1 x Administrative Error" ], [ "", "", "1 x Charges" ], [ "", "", "1 x Communication" ], [ "", "", "1 x Treatment of Clinician" ], [ "Practice 8", "11", "1 x Appointments" ], [ "", "", "3 x Attitude of Dentist" ], [ "", "", "3 x Lack of Care" ], [ "", "", "2 x Treatment by Clinician" ], [ "", "", "1 x Attitude of Staff" ], [ "", "", "1 x Communication" ], [ "", "", "" ], [ "Practice 9", "0", "-" ], [ "Practice 10", "0", "-" ], [ "Practice 11", "0", "-" ], [ "Practice 12", "3", "1 x Charges" ], [ "", "", "1 x Unhappy with Allocated Practice" ], [ "", "", "1 x Practice Policy" ], [ "Total", "50", "" ] ], "row_count": 31, "col_count": 3 }, { "headers": [ "Anonymised\nPractice\nInformation", "Number of\nComplaint\nReceived", "Nature of Complaints" ], "rows": [ [ "Practice 1", "2", "1 x Charges" ], [ "", "", "1 x Clinical" ], [ "Practice 2", "3", "3 x De-registration" ], [ "Practice 3", "1", "Attitude of staff" ], [ "Practice 4", "0", "N/A" ], [ "Practice 5", "0", "N/A" ], [ "Practice 6", "0", "N/A" ], [ "Practice 7", "6", "1 x Appointments" ], [ "", "", "1 x Charges" ], [ "", "", "1 x Attitude of Staff" ], [ "", "", "1 x Attitude of Dentist" ], [ "", "", "1 x Clinical" ], [ "", "", "1 x De-registration" ], [ "Practice 8", "11", "1 x Lack of Care / Attitude of Dentist" ], [ "", "", "1 x Attitude of Staff / Lack of Care" ], [ "", "", "1 x Attitude of Staff" ], [ "", "", "1 x Referral to Private Dentist" ], [ "", "", "2 x Clinical" ], [ "", "", "1 x Attitude of Dentist / Clinical" ], [ "", "", "2 x Lack of Care" ], [ "", "", "1 x Treatment / Conduct of Clinician" ], [ "", "", "1 x Appointments" ], [ "Practice 9", "1", "Lack of Care" ], [ "Practice 10", "4", "1 x Attitude of Dentist / Lack of Care" ], [ "", "", "1 x Attitude of Dentist / Clinical" ], [ "", "", "1 x Clinical" ], [ "", "", "1 x Attitude of Staff" ], [ "Practice 11", "0", "N/A" ], [ "Practice 12", "4", "2 x Attitude of Staff" ], [ "", "", "1 x Clinical" ], [ "", "", "1 x Appointments" ], [ "Total", "32", "" ] ], "row_count": 32, "col_count": 3 }, { "headers": [ "Anonymised\nPractice\nInformation", "Number of\nComplaint\nReceived", "Nature of Complaints" ], "rows": [ [ "Practice 1", "0", "N/A" ], [ "Practice 2", "1", "Lack of Care" ], [ "Practice 3", "1", "Lack of Care" ], [ "Practice 4", "0", "N/A" ], [ "Practice 5", "0", "N/A" ], [ "Practice 6", "0", "N/A" ], [ "Practice 7", "1", "Delay in Treatment" ], [ "Practice 8", "2", "1 x Attitude of Staff" ], [ "", "", "1 x Attitude of Dentist" ], [ "Practice 9", "1", "Lack of Care" ], [ "Practice 10", "1", "Lack of Care" ], [ "Practice 11", "0", "N/A" ], [ "Practice 12", "2", "1 x Lack of Care" ], [ "", "", "1 x Attitude of Staff" ], [ "Total", "9", "" ] ], "row_count": 15, "col_count": 3 }, { "headers": [ "Anonymised\nPractice\nInformation", "Number of\nComplaint\nReceived", "Nature of Complaints" ], "rows": [ [ "Practice 1", "1", "Lack of Care" ], [ "Practice 2", "2", "1 x Clinical" ], [ "", "", "1 x De-Registration" ], [ "Practice 3", "0", "N/A" ], [ "Practice 4", "0", "N/A" ], [ "Practice 5", "0", "N/A" ], [ "Practice 6", "0", "N/A" ], [ "Practice 7", "2", "1 x Attitude of Staff" ], [ "", "", "1 x Appointments" ], [ "Practice 8", "2", "1 x Communication" ], [ "", "", "1 x Communication / Lack of Care" ], [ "Practice 9", "1", "Attitude of Dentist" ], [ "Practice 10", "1", "De-Registration" ], [ "Practice 11", "0", "N/A" ], [ "Practice 12", "2", "1 x Attitude of Staff" ], [ "", "", "1 x De-Registration" ], [ "Total", "11", "" ] ], "row_count": 17, "col_count": 3 }, { "headers": [ "Type of Complaint", "Definition" ], "rows": [ [ "Appointments", "Patients reported difficulty in either making appointments or having appointments\npostponed numerous times." ], [ "Attitude of Dentist", "Patients reported they did not like the attitude of the dentist." ], [ "Attitude of Staff", "Patients reported that they did not like the attitude of staff." ], [ "Care Delivery", "Patients reported they were unhappy with the care delivered." ], [ "Charges", "Patients advised that they were not happy with the charges they incurred i.e private care\nor band charge." ], [ "Clinical", "Patients reported they were not happy with the clinical treatment received." ], [ "Communication", "Patients reported they were unhappy with how the staff / dentists communicated with\nthem." ], [ "Delay in Treatment", "Patients reported that there was a delay in treatment provided." ], [ "De-Registration", "Patients reported that they were unhappy about being removed from a NHS dental\npractice." ], [ "Lack of Care", "Patients reported that they were not happy with the care received." ], [ "Referral to Private Dentist", "Patients reported that they were unhappy about being referred to a private dentist for\ntreatment." ], [ "Practice Policy / Registration", "Patients reported that they were unhappy regarding practice policy with regards to\nregistration." ], [ "Administrative Error", "Administration error occurred" ] ], "row_count": 13, "col_count": 2 } ] }, { "case_id": 2651581, "title": "Covid Regulations", "authority": "Cabinet Office", "date_received": "2022-09-22", "outcome": "Some information sent but part exempt", "summary": "The requester asked for details on who drafted specific COVID-19 quarantine regulations, the drafter's qualifications, and whether legal advice was sought regarding international health and torture conventions. The Cabinet Office disclosed that the Attorney General's Chambers drafted the regulations under the Emergency Powers Act 1936 but stated it did not hold information regarding the specific qualifications of the individual drafter.", "key_facts": [ "The regulations were drafted by the Attorney General's Chambers.", "The regulations were made under the Emergency Powers Act 1936.", "The Governor in Council is the body legally empowered to make these regulations.", "The Cabinet Office does not hold information regarding the specific qualifications of the person who drafted the regulations.", "Staff of the Attorney General's Chambers must be a qualified advocate or barrister." ], "data_mentioned": [ "2022-09-22", "2022-10-18", "2022-09-28", "2020", "1936", "2005", "2020-GC-0015", "IM1 3PN", "01624 686244" ], "exemptions_cited": [ "Information not held by the public authority" ], "tables": [ { "headers": [ "“In order to identify and locate the information that you have asked for we need some" ], "rows": [ [ "further information from you. In particular, it would be helpful to know whether the" ], [ "reference to 'Regulations' in your request refers to a Direction made under" ], [ "Regulations?" ], [ "To provide advice and assistance we believe the reference may be to this Direction:" ], [ "https://www.tynwald.org.im//links/tls/GC/2020/2020-GC-0015.pdf but would be" ], [ "grateful for you to provide us with confirmation." ], [ "" ], [ "To provide further advice and assistance, details of all emergency powers secondary" ], [ "legislation (including Directions which were issued as Government Circulars) can be" ], [ "found on the Tynwald website here:" ], [ "https://tynwald.org.im/links/tls/SD/Pages/default.aspx" ] ], "row_count": 11, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "In addition to provide further advice and assistance, we would advise that the" ], [ "Freedom of Information Act covers all recorded information held by a public" ], [ "authority. The response to your request will be limited to the information held by the" ], [ "Cabinet Office that falls within the scope of the question.”" ], [ "On 28 September 2022 you provided clarification and confirmed by e-mail that the list" ], [ "of regulations you were referring to were:" ], [ "“Emergency Powers (Coronavirus) (Entry Restrictions) (No.2) (Amendment) (No.2)" ], [ "Regulations 2020" ], [ "Emergency Powers (Coronavirus) (Entry Restrictions) (No.2) (Amendment) Regulations" ], [ "2020" ], [ "Emergency Powers (Coronavirus) (Entry Restrictions) (Amendment No. 2) Regulations" ], [ "2020" ], [ "Emergency Powers (Coronavirus) (Entry Restrictions) (Amendment) Regulations 2020" ], [ "Emergency Powers (Coronavirus) (Entry Restrictions) Regulations 2020" ], [ "Emergency Powers (Coronavirus) (Port Operations) Regulations 2020" ], [ "Emergency Powers (Coronavirus) (Infratructure Support) Regulations 2020”." ], [ "" ] ], "row_count": 17, "col_count": 1 } ] }, { "case_id": 2657912, "title": "how many of the people who died of covid were vaccinated", "authority": "Department of Health and Social Care", "date_received": "2022-09-27", "outcome": "Information not held", "summary": "The requester asked for the number of vaccinated individuals among those who died of COVID-19 in the Isle of Man. The Department of Health and Social Care refused the request, stating they do not hold the information as it is likely held by Manx Care following a 2021 service redesign.", "key_facts": [ "The Department of Health and Social Care does not hold the requested data on vaccination status of COVID-19 deaths.", "The information may be held by Manx Care due to the separation of policy and service delivery.", "The refusal is based on Section 11(3)a of the Freedom of Information Act 2015.", "The Cabinet Office (Public Health) was suggested as an alternative source for death figures and causes.", "The health system redesign occurred on 1 April 2021 following Sir Jonathan Michael's Independent Review." ], "data_mentioned": [ "2657912", "2022-09-27", "2022-10-12", "1 April 2021", "21/06/2022", "15/06/2022", "19/04/2022", "03/03/2022", "07/02/2022", "03/02/2022" ], "exemptions_cited": [ "Section 11(3)a of the Freedom of Information Act 2015 (Information not held)" ], "tables": [ { "headers": [ "Date", "Topic", "To" ], "rows": [ [ "21/06/2022", "All cause mortality", "Cabinet Office (figures provided)" ], [ "15/06/2022", "All cause mortality", "Manx Care (referred to Public Health at Cabinet\nOffice and website link provided)" ], [ "19/04/2022", "Registered deaths", "Department for Enterprise (figures provided)" ], [ "03/03/2022", "Covid unvaccinated\nstats", "Department of Health and Social Care (referred\nto Manx Care)" ], [ "07/02/2022", "Covid deaths per", "Department of Health and Social Care (referred" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "month", "to General Registry & previous FOI response)" ], "rows": [ [ "07/02/2022", "Mortality 2021", "Cabinet Office (refers to website containing Isle\nof Man in numbers yearly reports)" ], [ "07/02/2022", "Mortality figure 2021", "Department of Health and Social Care (referred\nto Public Health at Cabinet Office)" ], [ "03/02/2022", "Covid deaths", "Department of Health and Social Care (referred\nto General Registry)" ] ], "row_count": 3, "col_count": 3 } ] }, { "case_id": 3237525, "title": "Vaccination board moved to Manx Care- request for minutes", "authority": "Manx Care", "date_received": "2023-07-10", "outcome": "Upheld - partial", "summary": "The requester sought the new name, Terms of Reference, minutes, and evidence for the vaccination board transferred to Manx Care. The authority disclosed the Terms of Reference for the 'Immunisation Committee' and minutes from an initial meeting in October 2022, resulting in a partial upholding of the request.", "key_facts": [ "The vaccination board was renamed the 'Immunisation Committee' under Manx Care.", "The committee reports to the Health Protection Committee.", "Membership includes representatives from Primary Care Network, Manx Care Executive, Community Pharmacy Services, Public Health, School Nursing, and DHSC.", "An initial meeting was held on 6th October 2022 to review the Terms of Reference.", "Concerns were raised regarding operational resources, data assurance, and the need for a permanent service budget for clinical advice." ], "data_mentioned": [ "2023-07-10", "2024-12-04", "22/03/22", "1st April", "6th October 2022", "14:00", "2023-4", "1 day a week", "4 meetings", "49 pages", "3 documents" ], "exemptions_cited": [], "tables": [ { "headers": [ "Section", "Details" ], "rows": [ [ "1. Aim, Scope and Objectives", "1.1 Aim: A forum to provide system ownership of immunisation activity so that assurance of immunisation outcomes and quality can be given to the DPH via the Health Protection Committee. 1.2 Scope: Matters pertaining to immunisation activity throughout all life stages in all settings on the Island. 1.3 Objectives: • To oversee the development of an island wide immunisation strategy and subsequent implementation • To review and receive data reports on immunisation activity to include uptake of vaccinations at a schedule to be decided by the committee. • To identify and address health inequalities in immunisation activity. • To receive a summary report of reported incidents pertaining to immunisation activity to help identify persistent quality issues. • To identify and through the committee to take action to remedy any omissions, gaps, weakness of process, or other quality issues in immunisation activity through an agreed action plan. • To review and agree Communications strategy pertaining to immunisations. • The Board/Committee/Group may appoint a subcommittee/task and finish group to carry out elements of its objectives and make recommendations to Board/Committee/Group" ], [ "2. Membership", "• Chair – will rotate but will start with Public Health for the first few months. • Representatives from: - Primary Care Network - Manx Care Executive - Community Pharmacy Services - Public Health - School Nursing - DHSC - Public Health Communications • Other members may be invited as decided by the committee" ], [ "3. Frequency", "The committee will meet every …….. months – to be determined at initial meeting" ], [ "4. Reporting", "• Action points will be recorded • The group reports to the Health Protection Committee" ], [ "5. Accountability", "Health Protection Committee" ], [ "6. Review date", "These Terms of Reference will be reviewed after 4 meetings." ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "Meeting Details", "Information" ], "rows": [ [ "Event", "Initial Immunisation meeting" ], [ "Date & Time", "6th October 2022 @ 14:00" ], [ "Platform", "MS Teams" ], [ "Attendees", "TOR reviewed by the Group and initial thoughts were they were good. However, invite comments after meeting, including additional necessary representation." ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Concerns Raised", "Description" ], "rows": [ [ "1. Operational issues", "Resources including hardware to staffing and clinical queries, i.e., how we as an immunisation network deal with queries at a vaccination site dose not have capacity, should a person have or not a vaccination" ], [ "2. Assurance", "Who has the data" ], [ "3. Longer term comms strategy", "Re immunisations on island, i.e., we don’t know where the gaps are" ], [ "4. Comms", "Continued quality of improvement, packing inequalities, antivac, misinformation filling the void of lack of comms" ], [ "5. Broad areas of concern", "Which are not covered above?" ], [ "6. Year 9 Plan", "Offered via GP routinely, but others need to be requested." ], [ "7. Future of vaccination programmes", "For 2023-4 and who is to take on what functions – we need DHSC representation, i.e., in order to assist with this issue in order to steer." ] ], "row_count": 7, "col_count": 2 }, { "headers": [ "Strategy & Governance", "Key Points" ], "rows": [ [ "Immediate Strategy", "Small group to take away with input from DHSC for scoping. Theme to be stabilised and consolidate what we already have, rather than look for new initiatives until 2023-4." ], [ "Programme Scope", "Routine scheduled imbedded immunisations programme, with the exception of Covid which is an ever-changing programme. Uncertainty regarding Monkey Pox and Polio. Question: Where will Covid sit in the future?" ], [ "MDT Role", "To manage governance and safety to help support clinical queries in order to reduce risks and respond promptly to issues as they arise. It is not in anyone’s role and the team is seeking some to assist." ], [ "Escalation Point", "A point of escalation as to non-routine queries, i.e., operational steers above the licence of clinical staff. [Name] is available but when she is not, who can assist." ], [ "Costs", "Lack of understanding as to costs relating to clinical costs. [Name] provided overview of 1 day a week for a pharmacist. But what about a GP? Budget for Covid has been bid every ¼ and covered by contingency and this cannot continue – need to make a decision as to a permanent service." ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Resource & Contract Points", "Details" ], "rows": [ [ "1. Day to day individual clinical advice", "i.e., allergies, blood clots, etc. should be done via GP – currently not within the current contract and would need to be recourse. [Name] provided explanation as to GP contract." ], [ "2. Wider policy/SOP advice", "Seeking interpretation, i.e., to changes in Green Book or PGDs or something that would affect a wider group of patients. Would need separate resource within DHSC. Set up a Clinical Group aimed at this? Who would this be – representation of a pharmacist, Medic Clinician, Public Health, Comms, Logistics, invite specific representation – to allow a consensus opinion. Question shared via MS Team prior to allow consideration and then a commitment to attend in order to gain a consensus and make a decision." ], [ "Urgent Cases Example", "Discussed examples of urgent cases that need support, i.e., cancer patients who need vaccination treatment – the biggest challenge is patient information." ], [ "Next Steps", "Meeting to be arranged between [Name] in the first instance, perhaps inviting [Name]. Then set up a working stream to deal with logistics support – perhaps create a report of issues being experienced re logistical challenges. Mapping out what we need, identify gaps – [Name] to map this and pass to [Name] in order to gain her thoughts." ], [ "Funding & Strategy", "Discussed funding and strategies around this. Do we look at what the UK and/or other jurisdictions are doing?" ], [ "Information Dissemination", "Who is surveying new information and disseminates this. Is this a public Health role? [Name] suggested the creation of an MS Teams channel in order to share information." ], [ "Meeting Attendance", "Who is going to what meeting – is it appropriate? Whole host of process." ] ], "row_count": 7, "col_count": 2 } ] }, { "case_id": 3466333, "title": "Yellow card data, who reviewed it", "authority": "Cabinet Office", "date_received": "2023-10-16", "outcome": "Some information sent but not all held", "summary": "The requester sought correspondence and governance details regarding Yellow Card data and COVID-19 vaccine adverse reactions between December 2020 and December 2021. The Cabinet Office responded with partial information, providing specific email exchanges from April 2021 concerning a death and anaphylaxis incident, while noting that not all requested information was held.", "key_facts": [ "The request was clarified to cover the period between December 2020 and December 2021 inclusive.", "The outcome was 'Some information sent but not all held'.", "Disclosed emails show a mix-up between a death following a Pfizer vaccination and a separate anaphylaxis Yellow Card incident.", "Minister David Ashford and Kathryn Magson discussed the appropriate public statement regarding the unconfirmed cause of death.", "The response included 9 pages across 2 documents." ], "data_mentioned": [ "2023-10-16", "2023-11-14", "December 2020", "December 2021", "15 April 2021", "25 November 2021", "23 October 2023", "9 pages", "2 documents", "FOI 21/401", "Tynwald Question 3.3" ], "exemptions_cited": [], "tables": [ { "headers": [ "The", "", "", "", "Health", "", "", "", "", "", "Minister", "", "", "", "has", "", "confirmed", "", "", "", "", "", "", "", "", "", "a", "", "person", "", "", "", "died", "", "", "", "after", "", "", "", "an", "", "", "adverse", "", "", "", "", "", "", "", "reaction", "", "", "", "to", "", "a" ], "rows": [ [ "COVID-19", "", "", "", "", "", "", "", "", "vaccine.", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "David", "", "", "", "", "Ashford", "", "", "", "", "", "confirmed", "", "", "", "", "t", "he", "", "death", "", "", "", "", "", "", "i", "n", "", "this", "", "morning's", "", "", "", "", "", "", "", "sitting", "", "", "", "", "", "of", "", "", "the", "", "", "House", "", "", "o", "", "", "" ], [ "Keys.", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "They", "", "", "", "suffered", "", "", "", "", "", "", "anaphylaxis", "", "", "", "", "", "and", "", "", "", "", "subsequently", "", "", "", "", "", "", "", "", "", "", "passed", "", "", "", "", "", "away.", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Mr", "", "", "Ashford", "", "", "", "", "", "", "says", "", "", "it’s", "important", "", "", "", "", "", "", "to", "", "", "consider", "", "", "", "", "", "", "it", "could", "", "", "", "", "have", "", "", "", "been", "", "", "", "", "", "as", "", "", "a", "result", "", "of", "", "", "", "" ], [ "another", "", "", "", "", "", "", "underlying", "", "", "", "", "", "", "health", "", "", "condition", "", "", "", "", "", "", "", "", "", "rather", "", "", "", "t", "han", "", "", "purely", "", "", "", "", "being", "", "", "", "", "", "", "administered", "", "", "", "", "", "", "", "with", "", "" ], [ "a", "", "vaccine:", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 8, "col_count": 58 }, { "headers": [ "I’ll", "", "need", "", "", "", "for", "", "", "", "a", "", "statement", "", "", "", "", "", "where", "", "/", "when", "", "", "", "the", "", "", "", "person", "", "", "", "", "", "passed", "", "", "away.", "", "Age", "", "and", "", "sex.", "", "How" ], "rows": [ [ "long", "", "", "after", "", "", "", "", "having", "", "", "", "", "", "had", "", "", "th", "e", "jab.", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Next", "", "", "steps", "", "", "", "", "", "for", "", "", "reporting", "", "", "", "", "", "etc", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Which", "", "", "", "vaccine", "", "", "", "", "", "", "", "won’t", "", "", "", "be", "", "a", "secret", "", "for", "", "long", "", "", "", "even", "", "", "", "if", "", "we", "", "", "", "don’t", "say.", "", "", "", "", "", "", "", "" ] ], "row_count": 4, "col_count": 47 } ] }, { "case_id": 3578638, "title": "Respite Allocation Toolkit & Decision Making", "authority": "Manx Care", "date_received": "2023-12-18", "outcome": "Some information sent but part exempt", "summary": "The requester sought details on the review of the respite allocation framework, criteria for service reductions, and impact assessments for disabled children between October 2022 and 2023. Manx Care responded by providing a September 2023 referral toolkit and scoring matrix for respite services, though the outcome was noted as partially exempt.", "key_facts": [ "The Children with Disabilities (CwD) Team developed the respite allocation toolkit in September 2023.", "The toolkit references the NHS Continuing Healthcare Decision Support Tool Guidance 2022.", "Referral reasons include carer respite, socialisation, early intervention, overnight respite, and independence skills.", "A scoring system is used to assess needs, with 'High' rated at 10 points and 'Low' at 2 points.", "Assessment criteria cover care needs, sleep hygiene, supervision requirements, family support, and emotional support." ], "data_mentioned": [ "September 2023", "October 2022-2023", "10", "8", "6", "4", "2", "Less than 6 hours", "16+" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "", "High", "", "", "Medium/High", "", "", "Medium", "", "", "Low/Medium", "", "", "Low", "" ], "rows": [ [ "", "", "10", "", "", "8", "", "", "6", "", "", "4", "", "", "2", "" ], [ "Care Needs", "“Technical support” -\ntracheostomy,\ncolostomy, illeostomy\netc.\nOxygen and\nsuction.", "", "", "Hoisting and/or\nproblems due to\nweight and lack of\nMobility.\nComplex\nmedications &\nfeeding i.e. time\nConsuming.", "", "", "Dependent on\nmain\ncarers for\nhygiene, feeding\ni.e.\nGastrostomy &\nNG feeds. To a\nhigher level than\nwould be\nexpected for a\nchild of that age.", "", "", "Dependent on main\ncarers for hygiene,\nfeeding etc. slightly\nabove expected for\nage", "", "", "Able to undertake\nmost personal care\ntasks\nindependently with\nprompting/support", "", "" ], [ "Sleep Hygiene", "Requires significant care\nthroughout the night for\nprolonged periods as a\nresult of medical, feeding\nor behavioural needs.\nUse of a visual monitor\nrequired", "", "", "Frequent need for\nphysical support\nthrough the night\n– to re-settle,\nadminister\nmedication; feed\nor to turn", "", "", "Frequently\nunsettled during\nthe night.\nLess than 6 hours\nunbroken sleep\nper night.\nAnd/or\nChild not sleeping\nin their bed.", "", "", "Generally sleeps\nwell, can have\nunsettled nights –\nAnd/or\nChild is prescribed\nsleep medication", "", "", "Child sleeps\nthrough night in\nline with what\nwould be expected\nfor a child of that\nage", "", "" ], [ "Supervision\nrequired on a day\nto day basis", "Constant monitoring\nRequired due to health\nneeds or behaviour,\ncannot be left alone\nwhilst awake.", "", "", "Frequent\nmonitoring\nRequired due to\nhealth needs or\nbehaviour,\ncannot be left\nalone whilst", "", "", "Regular\nmonitoring\nrequired, more\nthan expected for\nthis age.\nCan be left alone\nin a safe", "", "", "Regular monitoring\nrequired, more than\nexpected for this\nage.\nCan be left alone in\na safe environment", "", "", "Regular or frequent\nmonitoring\nrequired, due to\nage and as\nexpected for a\nchild of this age.\nCan be left alone in", "", "" ] ], "row_count": 4, "col_count": 16 }, { "headers": [ "", "", "awake.", "environment with\nmonitoring\nequipment", "", "a safe\nenvironment." ], "rows": [ [ "Family and Social\nSupport", "Unsupported main carer.\nNo family or social\nsupport.", "No family or\nsocial support\nfrom outside\nimmediate family\nunit", "Minimal family or\nsocial support", "Some support by\nfamily and/or social\nnetwork.", "Well supported by\nfamily and/or\nsocial network.\nCurrent level of\nsupport is\nadequate." ], [ "Emotional\nSupport", "Significant illness of main\ncarer/immediate family\nmember i.e. mother\nfather or\nsiblings", "Family difficulties\nrequiring\ntemporary extra\nsupport i.e.\nbirths, acute\nillness.", "New equipment,\nnew care needs\nor unstable\ncondition causing\nfrequent changes\nin care needs\nrequiring\nextra support.", "Extra emotional\nsupport needed.", "Current level of\nemotional support\nis adequate." ], [ "Behavioural\nneeds", "Long Term Behavioural\nneeds, child finds it\ndifficult to function most\nof the time.\nOr\nDaily episodes of physical\nviolence/ aggression or\nself injurious behaviour .\nMedication prescribed\nand or recommended.\nAwaiting CAMHS\nintervention.", "5-6 episodes of\nheightened\nbehaviours per\nweek, impacted\nby lack of sleep or\nother medical/\nsensory needs.\nMedication\nprescribed and or\nrecommended.\nAwaiting CAMHS\nintervention.", "3-4 episodes of\nheightened\nbehaviour per\nweek. Challenging\nbehaviour can be\nmanaged by\ncarers who know\nthe child well.\nBehaviours are\nseen in more than\none setting.", "Some support in\nmanaging behaviour\nis required. Child\ncan occasionally\nbecome\noverwhelmed and\nhave “melt downs”\nor episode of\nchallenging\nbehaviour –\ninfrequent and\nshort lived", "Infrequent or rare\nepisodes of\nchallenging\nbehaviour\nobserved" ] ], "row_count": 3, "col_count": 6 }, { "headers": [ "", "", "", "", "", "" ], "rows": [ [ "Communication\nNeeds", "Non Verbal dependant\non carer knowing child\nwell.\nNo successful consistent\nmethod of\ncommunication", "Limited methods\nof communication\nleading to regular\ndifficulties in\nterms of\nbehaviour", "Successful means\nof communication\nin some settings;\nPECS, Sign Along,\nTotal\ncommunication", "Competent grasp of\nspoken language –\nable to use spoken\nlanguage, sign etc.\nAble to get their\nneeds understood", "Child has a fluent\nlanguage – spoken\nor sign. Able to\ncommunicate\nuniversally with\nothers" ], [ "Toileting needs", "Doubly incontinent –\ndependant on carers for\nall continence needs to a\nhigher level than would\nbe\nexpected for a child of\nthat age", "Early stages of\nToilet Training.\nSupport required\nto a higher level\nthan would be\nexpected for a\nchild of that age", "Continent most of\nthe time with\nbladder. Support\nrequired to a\nhigher level than\nwould be\nexpected for a\nchild of that age", "Child is usually\ncontinent with\nbladder throughout\nthe day To an age\nappropriate level/as\nexpected for age.", "Child able to use\nthe toilet\nindependently\nwithout support to\nan age appropriate\nlevel/as expected\nfor age." ], [ "Socialisation", "No ability to access\nextracurricular activities\ndue to health,\nbehavioural or\ncommunication needs", "Can attend\nspecialist clubs\nbut requires\nsupport. Struggles\nto initiate play\nindependently", "Can access\nspecialist clubs\nwith minimal or\nno support.\nOpportunities\navailable are less\nthan that of\nmainstream peers", "Able to access\nmainstream\nactivities and or\nclubs with support", "Able to access a\nvariety of clubs and\nor activities with\nno additional\nsupport" ], [ "Childs condition\nand overall\nstability", "Unstable.\nProgressive/degenerative\ndisease.\nChild has had significant\ndeterioration since", "Unstable.\nCondition causes\nunpredictable\nevents i.e life\nthreatening", "Usually stable.\nNon progressive\ncondition but\ncurrently acutely\nunwell.", "Stable.\nNon degenerative\nor non progressive\ndiagnosis. Survival\nin to adulthood is", "Stable\nCondition has\nlimited impact on\noverall health and\ndevelopment" ] ], "row_count": 4, "col_count": 6 }, { "headers": [ "", "", "", "Factors taken into account", "Score" ], "rows": [ [ "", "Care Needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Sleep Hygiene", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Supervision required on a day to", "", "", "" ], [ "", "day basis", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Family and Social Support", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Emotional Support", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Behavioural Needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 24, "col_count": 5 }, { "headers": [ "", "", "", "", "" ], "rows": [ [ "", "Communication needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Toileting Needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Socialisation Needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Childs conditions and overall", "", "", "" ], [ "", "stability", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 16, "col_count": 5 }, { "headers": [ "Total Points", "Respite Allocation Braddan", "", "Overnight Respite", "" ], "rows": [ [ "", "", "", "* where issues with sleep have been identified*", "" ], [ "Less than 20", "No Services Required", "No Services Required", "", "" ], [ "20 – 40", "1 Session per month", "1 Session per month", "", "" ], [ "40-60", "2 Sessions per month", "2 Sessions per month", "", "" ], [ "60-80", "Weekly Sessions", "Weekly Sessions", "", "" ], [ "80 +", "Weekly sessions + Outreach package of support short term", "2 Sessions per week", "", "" ], [ "90+", "Intensive package of support, 2 sessions per week +\noutreach support Reviewed after 6-12 weeks", "Explore Shared care", "", "" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "", "", "High", "", "", "Medium/High", "", "", "Medium", "", "", "Low/Medium", "", "", "Low", "", "Other factors\nSiblings with\nadditional needs\n2\nParents/ Carers\nworking in the\nday time and/ or\ncaring for a pre-\nschool child or\nadditional caring\nresponsibilities\n2" ], "rows": [ [ "", "", "10", "", "", "8", "", "", "6", "", "", "4", "", "", "2", "", "" ], [ "Care Needs", "“Technical support” -\ntracheostomy,\ncolostomy, illeostomy\netc.\nOxygen and\nsuction.", "", "", "Hoisting and/or\nproblems due to\nweight and lack of\nMobility.\nComplex\nmedications &\nfeeding i.e. time\nConsuming.", "", "", "Dependent on\nmain\ncarers for\nhygiene, feeding\ni.e.\nGastrostomy &\nNG feeds. To a\nhigher level than\nwould be\nexpected for a\nchild of that age.", "", "", "Dependent on main\ncarers for hygiene,\nfeeding etc. slightly\nabove expected for\nage", "", "", "Able to undertake\nmost personal care\ntasks\nindependently with\nprompting/support", "", "", "" ], [ "Sleep Hygiene", "Requires significant care\nthroughout the night for\nprolonged periods as a\nresult of medical, feeding\nor behavioural needs.\nUse of a visual monitor\nrequired", "", "", "Frequent need for\nphysical support\nthrough the night\n– to re-settle,\nadminister\nmedication; feed\nor to turn", "", "", "Frequently\nunsettled during\nthe night.\nLess than 6 hours\nunbroken sleep\nper night.\nAnd/or\nChild not sleeping\nin their bed.", "", "", "Generally sleeps\nwell, can have\nunsettled nights –\nAnd/or\nChild is prescribed\nsleep medication", "", "", "Child sleeps\nthrough night in\nline with what\nwould be expected\nfor a child of that\nage", "", "", "" ], [ "Supervision\nrequired on a day\nto day basis", "Constant monitoring\nRequired due to health\nneeds or behaviour,\ncannot be left alone\nwhilst awake.", "", "", "Frequent\nmonitoring\nRequired due to\nhealth needs or\nbehaviour,\ncannot be left\nalone whilst", "", "", "Regular\nmonitoring\nrequired, more\nthan expected for\nthis age.\nCan be left alone\nin a safe", "", "", "Regular monitoring\nrequired, more than\nexpected for this\nage.\nCan be left alone in\na safe environment", "", "", "Regular or frequent\nmonitoring\nrequired, due to\nage and as\nexpected for a\nchild of this age.\nCan be left alone in", "", "", "Unable to attend\nschool regularly\ndue to complex\nneeds" ] ], "row_count": 4, "col_count": 17 }, { "headers": [ "", "", "awake.", "environment with\nmonitoring\nequipment", "", "a safe\nenvironment.", "4" ], "rows": [ [ "Family and Social\nSupport", "Unsupported main carer.\nNo family or social\nsupport.", "No family or\nsocial support\nfrom outside\nimmediate family\nunit", "Minimal family or\nsocial support", "Some support by\nfamily and/or social\nnetwork.", "Well supported by\nfamily and/or\nsocial network.\nCurrent level of\nsupport is\nadequate.", "Does not receive\nany other Respite\n2" ], [ "Emotional\nSupport", "Significant illness of main\ncarer/immediate family\nmember i.e. mother\nfather or\nsiblings", "Family difficulties\nrequiring\ntemporary extra\nsupport i.e.\nbirths, acute\nillness.", "New equipment,\nnew care needs\nor unstable\ncondition causing\nfrequent changes\nin care needs\nrequiring\nextra support.", "Extra emotional\nsupport needed.", "Current level of\nemotional support\nis adequate.", "" ], [ "Behavioural\nneeds", "Long Term Behavioural\nneeds, child finds it\ndifficult to function most\nof the time.\nOr\nDaily episodes of physical\nviolence/ aggression or\nself injurious behaviour .\nMedication prescribed\nand or recommended.\nAwaiting CAMHS\nintervention.", "5-6 episodes of\nheightened\nbehaviours per\nweek, impacted\nby lack of sleep or\nother medical/\nsensory needs.\nMedication\nprescribed and or\nrecommended.\nAwaiting CAMHS\nintervention.", "3-4 episodes of\nheightened\nbehaviour per\nweek. Challenging\nbehaviour can be\nmanaged by\ncarers who know\nthe child well.\nBehaviours are\nseen in more than\none setting.", "Some support in\nmanaging behaviour\nis required. Child\ncan occasionally\nbecome\noverwhelmed and\nhave “melt downs”\nor episode of\nchallenging\nbehaviour –\ninfrequent and\nshort lived", "Infrequent or rare\nepisodes of\nchallenging\nbehaviour\nobserved", "" ] ], "row_count": 3, "col_count": 7 }, { "headers": [ "", "", "", "", "", "", "" ], "rows": [ [ "Communication\nNeeds", "Non Verbal dependant\non carer knowing child\nwell.\nNo successful consistent\nmethod of\ncommunication", "Limited methods\nof communication\nleading to regular\ndifficulties in\nterms of\nbehaviour", "Successful means\nof communication\nin some settings;\nPECS, Sign Along,\nTotal\ncommunication", "Competent grasp of\nspoken language –\nable to use spoken\nlanguage, sign etc.\nAble to get their\nneeds understood", "Child has a fluent\nlanguage – spoken\nor sign. Able to\ncommunicate\nuniversally with\nothers", "" ], [ "Toileting needs", "Doubly incontinent –\ndependant on carers for\nall continence needs to a\nhigher level than would\nbe\nexpected for a child of\nthat age", "Early stages of\nToilet Training.\nSupport required\nto a higher level\nthan would be\nexpected for a\nchild of that age", "Continent most of\nthe time with\nbladder. Support\nrequired to a\nhigher level than\nwould be\nexpected for a\nchild of that age", "Child is usually\ncontinent with\nbladder throughout\nthe day To an age\nappropriate level/as\nexpected for age.", "Child able to use\nthe toilet\nindependently\nwithout support to\nan age appropriate\nlevel/as expected\nfor age.", "" ], [ "Socialisation", "No ability to access\nextracurricular activities\ndue to health,\nbehavioural or\ncommunication needs", "Can attend\nspecialist clubs\nbut requires\nsupport. Struggles\nto initiate play\nindependently", "Can access\nspecialist clubs\nwith minimal or\nno support.\nOpportunities\navailable are less\nthan that of\nmainstream peers", "Able to access\nmainstream\nactivities and or\nclubs with support", "Able to access a\nvariety of clubs and\nor activities with\nno additional\nsupport", "" ], [ "Childs condition\nand overall\nstability", "Unstable.\nProgressive/degenerative\ndisease.\nChild has had significant\ndeterioration since", "Unstable.\nCondition causes\nunpredictable\nevents i.e life\nthreatening", "Usually stable.\nNon progressive\ncondition but\ncurrently acutely\nunwell.", "Stable.\nNon degenerative\nor non progressive\ndiagnosis. Survival\nin to adulthood is", "Stable\nCondition has\nlimited impact on\noverall health and\ndevelopment", "" ] ], "row_count": 4, "col_count": 7 }, { "headers": [ "", "", "", "Factors taken into account", "Score" ], "rows": [ [ "", "Care Needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Sleep Hygiene", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Supervision required on a day to", "", "", "" ], [ "", "day basis", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Family and Social Support", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Emotional Support", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Behavioural Needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Communication needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Toileting Needs", "", "", "" ] ], "row_count": 29, "col_count": 5 }, { "headers": [ "", "", "", "", "" ], "rows": [ [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Socialisation Needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Childs conditions and overall", "", "", "" ], [ "", "stability", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 11, "col_count": 5 }, { "headers": [ "Total Points", "Respite Allocation Braddan", "", "Overnight Respite", "" ], "rows": [ [ "", "", "", "* where issues with sleep have been identified*", "" ], [ "Less than 20", "No Services Required", "No Services Required", "", "" ], [ "20 – 40", "1 Session per month", "1 Session per month", "", "" ], [ "40-60", "2 Sessions per month", "2 Sessions per month", "", "" ], [ "60-80", "Weekly Sessions", "Weekly Sessions", "", "" ], [ "80 +", "Weekly sessions + Outreach package of support short term", "2 Sessions per week", "", "" ], [ "90+", "Intensive package of support, 2 sessions per week +\noutreach support Reviewed after 6-12 weeks", "Explore Shared care", "", "" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "2 2 2 2 2 4 s y\ni d e h ,h\ns r o t c a F r e h t O h t iw s g n ilb iS s d e e n la n o it id d a d lih c e g a lo o h c S d n e t t a o t e lb a n u y lr a lu g e r lo o h c s .h t la e h lli o t e u d e v ie c e r t o n s e o D e t ip s e r r e h t o y n a . e r a c y r a r o p m e T . g . e , s e g n a h c , e v o M e s u o H g n ilb is / la t n e r a P .h t la e h lli o t d e r iu q e r t r o p p u S p o le v e d d n a r o f n a lp s llik S e c n e d n e p e d n i g n id r a u g e f a S s n r e c n o C lih c a le e f u o y f I . B .N t s e ir o g e t a c n e e w t e b c u s s a d e r o c s e b n a c .9 , 7 ,5 ,3 . e . i", "", "", "", "", "" ], "rows": [ [ "w\no2\nL", "t\ns\no\nm\ne k a t r e d s k s a t e r a h t iw y lt n t r o p p u s /\nnceg\nu la d n n it\no t n o e p p m\nese\nlb A r e p d n o r p\ni", "e\nu\nd f\no a\n,\nt n e u q e r f r o r a lu g e R d e r iu q e r g n ir o t in o m s a d n a e g a o t d lih c a r o f d e t c e p x e . e g a s ih t n i e n o la t f e l e b n a C . t n e m n o r iv n e e f a s", "y\nlim.k t\nr\no\nar p\nfo p\nyw u\nb t s\nd e n f o\ne\nt r o p la ic o le v e . e t a\nps l u\nu s r o t n e q e\nlle / d r r d a\nW n a u C s i", "s\ni\nt\nr\no\nf o p p\nle u\nv s\ne l t n e r r u la n o it o m . e t a u q e d\nCea", "h\nt\nla\nd e t e h\nim lla t n\nil r e\ns a h e v o m p o\nn n le\no o v\ne lb it id t c a e d\na t S n o C p m i d n a" ], [ "m\nu\nid\ne\nM4\n/\nw\no\nL", "e\ng\nn a s\nia m , e n n a a / le . e\nn e ig o T v e g a\no y l r\nt n e d n e p e D h r o f s r e r a c .c t e g n id e e f e t a ir p o r p p a o f d e t c e p x e", ". e a\ng n ir o t in o m r a lu g e R n a h t e r o m , d e r iu q e r g a s ih t r o f d e t c e p x e n i e n o la t f e l e b n a C t n e m n o r iv n e e f a s", "la\nic\ny\nbo\ns\nt r o r o\np p u / d n .k\ns a r\ne y o\nmlim w\nt\no Sa f e n", "la . d\nne\nod\nit e\no m e n\net\nr\no\nap\nr tp\nxu\nEs", ". e lb a t S r o e v it a r e n e g e d n o N - g a id e v is s e r g o r p n o n o t n i la v iv r u S . s is o n .y le k il s i d o o h t lu d a r O - e v o r p m i r o f la it n e t o P h t iw n o it id n o c f o t n e m / t n e m t a e r t e t a ir p o r p p a s e ip a r e h t" ], [ "m\nu\nid6\ne\nM", "f\no\nn e d\nia m n o t n e d n e p e D , e n e ig y h r o f s r e r a c . e . i g n id e e f G N & y m o t s o r t s a G r e h g ih a o T . s d e e f b d lu o w n a h t le v e l lih c a r o f d e t c e p x e . e g a t a h t", ". e a h t t n\ng n ir o t in o m r a lu g e R n a h t e r o m , d e r iu q e r g a s ih t r o f d e t c e p x e n i e n o la t f e l e b n a C iw t n e m n o r iv n e e f a s e m p iu q e g n ir o t in o m", "la\nic\no\ns\nr\no\ny\nlim\na\nf\nla t\nr\nmo\np\ninp\niMu\ns", "e\nw lb\ne n , t n a t s n u g n is n i s e g g n ir iu q\ne m p iu q e r o s d e e n u a c n o it n a h c t n e e r s d e e n . t r o p p u s\nid u a\nw e e r a n o q e e r a r t x\nNccr fce", "y\nlt\nn\ne\nr d\n. e lb a t s y lla u s U e v is s e r g o r p n o N r u c t u b n o it id n o c . lle w n u y le t u c a ip a r r o f la it n e t o P n i n o it a r o ir e t e d .n o it id n o c e r u t u f r o f d e e N o t s n o it n e v r e t n i y t ilib a t s n ia t n ia m y r e g r u S . g . e" ], [ "h\ng\niH\n/\nm8\nu\nid\ne\nM", "t h &\ng s\nie n\nw . s o\ne it\no c a e\nr o / d n a g n it s io H t e u d s m e lb o r p f o k c a l d n a .y t ilib o M n a b r u t s id p e e lS c id e m x e lp m o C m it . e . i g n id e e f . g n im u s n o C", "h\nt\ng n ir o t in o m t n la e h o t e u d d e , r u o iv a h e b r o e n o la t f e l e b . e k a w a\ne u q e r F r iu q e R s d e e n t o n n a c t s lih w", "t\ne in\nla d is u\nic t u y lim\no o\ns\nma\nr o y lim o r f f e t a\nt r id\na f o p p e m\noum\nNsi", "a\nre\nt xt\nu\nec\nya\ns e it r a r o p , s h t r\nlu m ib\nc if e t . e\nf id g . i\nn t\ny lim ir iu r o p . s s\na F q e r p u s e n ll i", ". e lb a t s n U - e r p n u s e s u a c n o it id n o C - ie s . e . i s t n e v e e lb a t c id g n in e t a e r h t e f il , s e r u z - s o h t n e u q e r f , s n o it c e f n i . s n o is s im d a la t ip / e v is s e r g o r P n o it id n o c e v it a r e n e g e d e r u t u f e s u a c lliw h c ih w .n o it a r o ir e t e d" ], [ "h\ng0\niH 1", "- y\nm\n”\nt r o o t s\np o\np ,y e\nu s m lli d\nla o ,y n\nc t s m a\nin o o n .n\nh c e T “ e h c a r t t s o lo c .c t e e g y x O o it c u s", "h\ng t la\nn ir o e h , r u o e n o\nt o iv la\nin o m t n t e u d d e a h e b r o t f e l e b . e k a w a\na t s r iu s d t o n t s\nn q e n lih\no C e R e n a c w", "n la\nia ic\nm o\ns\nd e r o\nt\nr y\no lim .\np t\np u s n . r e r a a f o r o p p u\nUcNs", "e\nt\nf a\no id .\ne\ns s e m . i r o\ne r\nn m e r\nlli i/ b m e h\nt n r e e t a\na c if r a c m y f r e s g\nin n lim h n\ng ia t o ilb\niSma mis\nf", ".\ne-\nsif\na in\ne s g n o\nid is it . s\n. e lb a t s n U / e v is s e r g o r P e v it a r e n e g e d d a h s a h d lih C a r o ir e t e d t n a c is o n g a id e c n is" ], [ "", "s\nd\ne\ne\nN\ne\nr\na\nC", "y\na\nd\na\nn n s is\no o\nis d a b\niv e\nr e r iu y a\np q d\nu e o\nSrt", "la\nic\no\nS\nd\nn\na t\nyr\no\nlim p\np\nau\nFS", "la\nnt\no it o m r o p p u\nES", "d\nn\na\nn\no it y t ilib\nid\nna\no c t s\ns lla\nd r\nlih e\nv\nCo" ], [ "", "", "", "", "", "" ] ], "row_count": 7, "col_count": 6 }, { "headers": [ "Name:", "", "Date of Birth:" ], "rows": [ [ "", "Factors taken into account", "Score" ], [ "Care Needs", "", "" ], [ "Supervision\nrequired on\na day-to-\nday basis", "", "" ], [ "Family and\nSocial\nSupport", "", "" ], [ "Emotional\nSupport", "", "" ], [ "Childs\ncondition\nand overall\nstability", "", "" ], [ "Other\nfactors", "", "" ], [ "Total", "", "" ] ], "row_count": 8, "col_count": 3 }, { "headers": [ "Total points", "Respite allocation" ], "rows": [ [ "Less than 20", "1 Overnight Per month" ], [ "20-29", "2 Overnights per month" ], [ "30-35", "1 Overnight per week" ], [ "36-40", "2 Overnights per week" ], [ "Over 40", "2 Overnights per week" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 3736445, "title": "Expol's investigation into Abbotswood *REDACTED*", "authority": "Department of Health and Social Care", "date_received": "2024-03-12", "outcome": "Upheld - partial", "summary": "The requester sought the full Expol investigation report regarding a 2020 Covid outbreak at Abbotswood, but the Department of Health and Social Care failed to respond within statutory timeframes and applied exemptions incorrectly.", "key_facts": [ "The Information Commissioner upheld the complaint partially, finding the authority failed to respond within required timescales.", "The authority did not provide the requested information and incorrectly applied exemptions without clear explanation.", "The review noted the request displayed characteristics of private interest, suggesting a Data Subject Access route might have been more appropriate.", "The authority conducted a reasonable search and located the documents promptly.", "The authority failed to offer appropriate advice and assistance, with minimal contact made during the process." ], "data_mentioned": [ "2024-03-12", "2024-05-23", "2024-06-19", "2024-08-16", "March 2020", "20 working days", "8th May 2024", "30th May 2024", "3736445", "10 pages", "2 documents" ], "exemptions_cited": [ "Private interest considerations", "Data protection (implied via suggestion of Data Subject Access route)" ], "tables": [ { "headers": [ "Summary of Process", "Date" ], "rows": [ [ "1. Request received", "12 March 2024" ], [ "2. Response sent", "23 May 2024" ], [ "2. Review requested", "19 June 2024" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Statutory Considerations & Outcomes", "Answer", "Elaboration" ], "rows": [ [ "1. Did the public authority respond to your request within the required timescales?", "No", "Further elaborated under Specific Issues you raised." ], [ "2. Did the public authority provide the information requested?", "No", "Further elaborated under Specific Issues you raised." ], [ "3. Did the public authority conduct a reasonable search for the information?", "Yes", "The documents requested were located promptly by the original case handler." ], [ "4. If the public authority did not provide the information because of the application of a practical refusal reason, was the refusal clear?", "N/A", "No practical refusal reasons were applied to your request." ], [ "5. If the public authority applied an exemption was it correct and was it explained?", "No", "Further elaborated under Specific Issues you raised." ], [ "6. Did the public authority offer appropriate advice and assistance?", "No", "The review found there was minimal contact with you from the point which the request was received, and eventually responded to." ], [ "7. Did the public authority advise you of the internal review process and your right of appeal to the Information Commissioner?", "Yes", "These rights were referenced in the response letter." ] ], "row_count": 7, "col_count": 3 } ] }, { "case_id": 3780121, "title": "Clinical Advisory Group minutes", "authority": "Manx Care", "date_received": "2024-04-01", "outcome": "All information sent", "summary": "The requester asked for Clinical Advisory Group (CAG) minutes, membership details, and specific information regarding discussions on COVID vaccine injuries. The authority, Manx Care, disclosed all requested information, providing 96 documents totaling 402 pages, including agendas and a detailed NHS plan on Long COVID.", "key_facts": [ "Manx Care released all requested information regarding the Clinical Advisory Group.", "The disclosure included 96 documents spanning 402 pages.", "Meeting agendas from 2021 and 2022 cover topics such as Long COVID, vaccine allergies, and dementia prevalence.", "A specific document titled 'Long COVID: the NHS plan for 2021/22' was included in the response.", "The group discusses clinical pathways and capacity bills, reporting to various departments." ], "data_mentioned": [ "402 pages", "96 documents", "2024-04-01", "2025-01-15", "12 August 2021", "23 June 2021", "30th March 2022", "89 clinics", "1500 referrals", "1.5 million visits", "50 million", "2019", "2050" ], "exemptions_cited": [], "tables": [ { "headers": [ "Item No.", "Subject", "Discussion\nLead", "", "Document(s)", "" ], "rows": [ [ "", "", "", "", "Attached", "" ], [ "", "", "", "", "", "" ], [ "07/21", "Apologies", "SA", "", "", "" ], [ "08/21", "CATCH Sites\nVerbal presentation by Juan Corkill", "JC", "", "", "" ], [ "09/21", "Covid-19 Pathways", "SA", "", "", "" ], [ "10/21", "Any Other Business\na) Results Acknowledgement", "SA", "", "", "" ], [ "11/21", "Next meeting: Wednesday 18 August 2021 at\n4.30 pm on MS Teams.", "", "", "", "" ] ], "row_count": 7, "col_count": 6 }, { "headers": [ "Item No.", "Subject", "Discussion\nLead", "", "Document(s)", "" ], "rows": [ [ "", "", "", "", "Attached", "" ], [ "", "", "", "", "", "" ], [ "01/21", "Apologies", "SA", "", "", "" ], [ "02/21", "Improving the Quality of Electronic Discharge\nSummaries", "SA", "", "", "" ], [ "03/21", "Covid 19 Vaccines/Allergies", "SK", "", "", "" ], [ "04/21", "Long Covid; the NHS Plan for 2021/22", "SA/JS", "", "", "" ], [ "05/21", "Any Other Business", "All", "", "", "" ], [ "06/21", "Date of Next Meeting if appropriate", "SA", "", "", "" ] ], "row_count": 8, "col_count": 6 }, { "headers": [ "", "Item", "", "Subject", "Discussion\nLead", "", "Document(s)", "" ], "rows": [ [ "", "No.", "", "", "", "", "Attached", "" ], [ "", "", "", "", "", "", "", "" ], [ "15/22", "", "", "Apologies", "SA", "", "", "" ], [ "16/22", "", "", "Matters Arising From Last Meeting", "SA", "", "", "" ], [ "17/22", "", "", "Global Burden of Disease Study on Dementia\nPrevalence - implications for population health\nPlease read link to the paper below.\nEstimation of the global prevalence of dementia in\n2019 and forecasted prevalence in 2050: an analysis\nfor the Global Burden of Disease Study 2019 - The\nLancet Public Health", "SA", "", "", "" ], [ "18/22", "", "", "Capacity Bill - Advance Consent\nDepartment meeting\n6 December - Capacit", "SA", "", "", "" ], [ "19/22", "", "", "Updates on Transformation", "SA", "", "", "" ], [ "20/22", "", "", "ANP Referrals", "SA", "", "", "" ], [ "21/22", "", "", "Any Other Business", "SA", "", "", "" ], [ "22/22", "", "", "Date of next meeting:\nWednesday 27th April 2022 at 4.30 pm", "", "", "", "" ] ], "row_count": 10, "col_count": 8 }, { "headers": [ "Actions", "", "Delivery Date", "Owner" ], "rows": [ [ "1. Invest a further £70 million to expand Long COVID treatment and rehabilitation", "", "21/22", "NHS England\nand NHS\nImprovement" ], [ "2.", "Invest £30 million in the rollout of an enhanced service for general practice to", "21/22", "" ], [ "", "support patients in primary care", "", "" ], [ "3.", "Publish information about waiting times of post-COVID assessment services to", "September\n2021", "" ], [ "", "ensure transparency", "", "" ], [ "4. Evaluate post-COVID Assessment Clinics to obtain the lessons learned from\nset up", "", "Ongoing", "" ], [ "5. Ongoing review of the Long COVID clinical pathway to reflect the latest\nresearch evidence and operational experience", "", "Ongoing", "" ], [ "6. Extend the use of the Your COVID Recovery online rehabilitation platform", "", "August 2021", "" ], [ "7. Use data tools showing take up by gender, ethnicity and deprivation, against\nexpected prevalence.", "", "July 2021", "" ], [ "8. Partner with National Voices, Asthma UK/British Lung Foundation and other\nVoluntary, Community and Social Enterprise Sector organisations to engage\nwith communities more likely to be impacted by health inequalities.", "", "Summer 2021", "" ], [ "9. Appoint six Patient and Public Voice Partners to provide advice on lived\nexperience to the programme", "", "May 2021", "" ], [ "10. Carry out a Health Equity Audit to assess the degree to which we achieve our\nvision of equitable access, excellent experience and optimal outcomes for all\ncommunities.", "", "Summer 2021", "" ], [ "11. To improve accessibility of information we will ensure ‘easy read’ and printed\nversions of Your COVID Recovery materials are accessible, and that\ntranslations in over 100 languages will be available.", "", "August 2021", "" ], [ "12. Promote good clinical practice through the national learning network on Long\nCOVID for healthcare professionals", "", "Ongoing", "" ], [ "13. Further develop resources on FutureNHS platform to provide educational\nmaterials and enable information sharing across healthcare organisations and\nstaff", "", "Ongoing", "" ], [ "14. For NHS staff, comprehensive support for health and wellbeing including\nmental health hubs, rapid referral to services, local occupational health and\nonline wellbeing resources will be available.", "", "June 2021", "" ], [ "15. All local NHS systems will have submitted to NHS Regions, fully staffed Long\nCOVID service plans covering the whole pathway from primary to specialist\ncare", "", "12 July 2021", "Integrated\nCare Systems" ], [ "16. Local NHS systems will include planning to ramp up Your COVID Recovery\nsupported patient-self management in their Long COVID service plans", "", "July 2021", "" ] ], "row_count": 18, "col_count": 4 }, { "headers": [ "17. Long COVID services will nominate care coordinators to manage complex\ncases", "July 2021", "" ], "rows": [ [ "18. Develop standard rehabilitation pathway packages to treat the commonest\nsymptoms of Long COVID", "July 2021", "" ], [ "19. Establish 15 Post COVID assessment paediatric hubs across England", "July 2021", "" ], [ "20. NHS Long COVID activity data on referral, assessments and waiting times for\npost-COVID assessment clinics and the onward patient journey including use of\nYour COVID Recovery will be published monthly", "September\n2021", "NHS England\nand NHS\nImprovement\nand NHS\nDigital" ], [ "21. A Long COVID digital code will be added to the psychological therapies\nMinimum Data Set.", "Summer 2021", "" ], [ "22. A Long COVID registry for patients attending the Post COVID Assessment\nClinic will be established", "July 2021", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "Figure 1: Number of people with self-reported long COVID by duration,", "", "", "", "", "", "", "" ], "rows": [ [ "", "UK: 6 March 2021 and 2 May 2021", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "Period", "", "", "Duration", "", "", "Estimate", "" ], [ "", "Data to 6 March 2021", "", "", "Less than 12 weeks", "", "", "309", "" ], [ "", "", "", "", "At least 12 weeks", "", "", "697", "" ], [ "", "", "", "", "At least 12 months", "", "", "70", "" ], [ "", "Data to 2 May 2021", "", "", "Less than 12 weeks", "", "", "66", "" ], [ "", "", "", "", "At least 12 weeks", "", "", "869", "" ], [ "", "", "", "", "At least 12 months", "", "", "376", "" ], [ "", "Source: Office for National Statistics", "", "", "", "", "", "", "" ] ], "row_count": 10, "col_count": 9 }, { "headers": [ "NHS England and NHS Improvement will provide a further £70 million to" ], "rows": [ [ "expand Long COVID services beyond Post-COVID Assessment Clinics to" ], [ "strengthen treatment and rehabilitation for Long COVID. Additional funding will" ], [ "be provided to ICSs adding to the £24 million already provided to 89 specialist" ], [ "Post-COVID Assessment Clinics around England, bringing the total investmen" ], [ "in 2021/22 to £94 million." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Post-COVID-19 syndrome resolved (available from May 2021): to" ], "rows": [ [ "be used at the patient and clinician discretion when all symptoms" ], [ "are fully resolved and there is no evidence of persisting organ" ], [ "impairment or if an alternative diagnosis has been made to" ], [ "account for all symptoms" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "REPE", "ALS" ], "rows": [ [ "", "" ], [ "Short title\nPowers of Attorney Act 1983", "Extent of repeal\nThe whole Act" ], [ "Powers of Attorney Act 1987", "The whole Act" ], [ "Mental Health Act 1998", "Part 7" ], [ "******\n******", "******\n******" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "", "", "determination\napplies\nLegislation partially\nin force", "", "(N.B. Part 9 “Power of police to remove\nperson to place of safety” provisions\n(which have not yet been brought in)\ndefines “children” as persons under 18\nyears)" ], "rows": [ [ "Jersey", "16 + years", "Legally binding", "Capacity and Self-Determination (Jersey)\nLaw 2016", "Exceptions:\nLPA’s – a person has to be 18+ years" ], [ "Guernsey", "16+ years", "Legislation not yet\nin force", "Capacity (Bailiwick of Guernsey) Law 2020", "Court may exercise powers for children\nunder 16 if the Court considers it likely\nthat P will still lack capacity to make\ndecisions in respect of that matter when P\nreaches 16." ], [ "Republic of\nIreland", "18 + years", "Legally binding in\nrespect of age to\nwhich capacity\ndetermination\napplies.\nLegislation partially\nin force", "The Assisted-Decision Making (Capacity)\nAct 2015 was signed into law in 2015 but\nhas not yet come fully into force. The\nlegislation is currently being used as a\n“best practise” guideline.", "" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "Scotland", "Advance\nDirective/Decision\n16+ years\n--------------------------", "Legally binding\n--------------------------", "No statute, but Adults with Incapacity Act\n2000 – account must be taken of present\nand past wishes of the adult as far as they\ncan be ascertained by any means of\ncommunication (Section 1(4a))\n--------------------------------------------------------", "Refusal of specific treatment(s) in specific\ncircumstances (can be made by those with\ncapacity, age 16+)\nCan extend to life-sustaining treatment\n-------------------------------------------------------" ], "rows": [ [ "Northern\nIreland", "Advance Decision\n(current law)\n18+ years\n-------------------------\nAdvance Decision\n(proposed law)\n18+ years", "Legally binding\n-------------------------\nLegally binding", "No statutory provision (case law applies)\n-----------------------------------------------------\nCase law continues to apply - no statutory\nprovision, but statutory recognition in\nMental Capacity Act (Northern Ireland) Act\n2016", "Refusal of specific treatment(s) in\nspecified circumstances (can be made by\nthose with capacity, age 18+)\nCan extend to life-sustaining treatment\n--------------------------------------------------------\nAs above" ], [ "Jersey", "Advance Decision\n(current law)\n16+ years\n----------------------------", "Legally binding\n--------------------------", "Capacity and Self-Determination (Jersey)\nLaw 2016\n---------------------------------------------------------", "Can extend to life sustaining treatment\n--------------------------------------------------------" ], [ "Guernsey", "Advance decision\n16+ years", "Legislation not yet\nin force", "Capacity (Bailiwick of Guernsey) Law 2020", "Can extend to life sustaining treatment" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "• GP to inform patient" ], "rows": [ [ "that it is safe for them" ], [ "to receive mRNA" ], [ "vaccination and the" ], [ "patient can register to" ], [ "be vaccinated with" ], [ "mRNA vaccine" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "• send completed form by", "" ], "rows": [ [ "email to vaccination team", "" ], [ "vaccinations@gov.im", "" ], [ "", "" ], [ "• GP to inform patient that", "" ], [ "member of 111 team will", "" ], [ "contact them", "" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "In all cases where vaccination is" ], "rows": [ [ "requested by GP outside of allergy" ], [ "criteria IE another medical reason." ], [ "Refer to Dr Keeling for further" ], [ "assessment" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "• Can be vaccinated in hub" ], "rows": [ [ "setting." ], [ "• Appointment booked to" ], [ "receive OAZ in hub setting by" ], [ "hub team" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Patient’s name", "" ], "rows": [ [ "Date of birth", "" ], [ "Address of patient", "" ], [ "Daytime telephone number", "" ], [ "Name of patient’s GP", "" ], [ "Name of GP Practice", "" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "76/23", "", "", "Apologies for Absence", "Chair", "", "", "", "", "" ], [ "77/23", "", "", "Review notes/Matters arising from previous meeting", "Chair", "", "", "\nDraft notes\nCAG.docx", "", "" ], [ "78/23", "", "", "Review of Action Log", "Chair", "", "", "\nCAG Action Log\n2023.xlsx", "", "" ], [ "79/23", "", "", "IT and operational performance data analytics", "Chair/JV", "", "", "Verbal", "", "" ], [ "80/23", "", "", "Urgent/non urgent pathways for discussion", "Chair", "", "", "Verbal", "", "" ], [ "81/23", "", "", "Updated TOR for review", "Chair", "", "", "DRAFT Terms of\nReference Clinical Ad", "", "" ], [ "82/23", "", "", "Referrals", "Chair", "", "", "Verbal", "", "" ], [ "83/23", "", "", "Medicines Policy for information/review", "Chair", "", "", "\n23-11 Medicines\nPolicy - V5 All chang", "", "" ], [ "84/23", "", "", "AOB", "Chair", "", "", "", "", "" ], [ "85/23", "", "", "Date of next meeting:\nWednesday, 20 December 2023 @ 1600 hrs", "Chair", "", "", "", "", "" ] ], "row_count": 11, "col_count": 10 }, { "headers": [ "Topic", "Page No." ], "rows": [ [ "General Guidance", "2" ], [ "Patient Access to Services", "2" ], [ "Staff – Returning to Work following Travel", "2" ], [ "Visiting Staff/Keyworkers", "3" ], [ "Close Contacts – Patients and Staff", "3" ], [ "Lateral Flow Devices", "4" ], [ "Providing treatment to patients", "5" ], [ "Dental Services", "5" ], [ "Orthodontics (Hospital)", "6" ], [ "Orthodontics (Primary Care)", "6" ], [ "Dental Laboratories", "7" ], [ "Opticians", "7" ], [ "General Medical Services", "7" ], [ "Community Nursing", "8" ], [ "Diabetes and Endocrine Service", "9" ], [ "Prison Healthcare Service", "9" ], [ "Pharmacy", "10" ], [ "Primary Care Back Office Function", "10" ] ], "row_count": 18, "col_count": 2 }, { "headers": [ "Covid-19 Questions", "Appendix 1" ], "rows": [ [ "Covid-19 Guide for Staff if identified as a ‘close contact’", "Appendix 2" ], [ "Staff Guide – Positive for Covid-19", "Appendix 3" ], [ "Root Cause Analysis", "Appendix 4" ], [ "Staff High/Low Risk Contact Record Sheet", "Appendix 5" ], [ "Lateral Flow Device Stock Order Form", "Appendix 6" ], [ "GP Consultations (F2F)", "Appendix 7" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "Terms of Reference\nThis RCA is being undertaken to:", "" ], "rows": [ [ "Records Reviewed:", "" ], [ "Date of Incident:", "" ], [ "Incident Type:\nBrief Description", "" ], [ "Reported By:", "Date Reported:" ], [ "Roles of Individuals Involved:", "" ], [ "Summary of Events", "" ], [ "IPC Support Summary", "" ] ], "row_count": 7, "col_count": 2 }, { "headers": [ "Date", "Person(s) Involved", "Action" ], "rows": [ [ "", "", "" ], [ "", "", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Contributing Factors", "" ], "rows": [ [ "Root Cause", "" ], [ "Recommendations", "" ], [ "RCA Completed By:", "Date:" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Name of Reporting Manager:", "" ], "rows": [ [ "Care Group:", "Integrated Primary and Community Care" ], [ "Area/Service:", "" ], [ "Contact Number for Area/Service:", "" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Name", "Area", "High/Low\nRisk", "Date\nAdvised to\nFollow\nFlow Chart", "Date of End of\nIsolation" ], "rows": [ [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 33, "col_count": 5 }, { "headers": [ " Consultant to organise a review with clinical teams with IPCT" ], "rows": [ [ "support and complete the report with lessons learnt and action" ], [ "plans within 3 working days" ], [ " Datix to be immediately updated with outcome of investigation and" ], [ "actions attaching Root Cause analysis/PIR documents by incident" ], [ "manager" ], [ " Review to be discussed at the care group’s next triumvirate meeting" ], [ "and reported into the Patient Safety and Quality Committee" ], [ "assurance report and the Infection Prevention and Control" ], [ "Committee" ] ], "row_count": 9, "col_count": 1 }, { "headers": [ "", "Action", "Yes", "No", "Date\ncompleted", "Reason for\nVariance" ], "rows": [ [ "1", "Lead Nurse Infection Prevention and\nControl ( IPC ) informed of incident of\na positive blood culture result upon\nreceipt of result by medical team", "", "", "", "" ], [ "2", "Email request for post infection\nreview(PIR) /Root cause Analysis\n(RCA) sent by the Consultant\nMicrobiologist within one working\nday of positive result", "", "", "", "" ], [ "3", "Datix completed when result received\nDatix reference (insert here)", "", "", "", "" ], [ "4", "Post infection review/root cause\nanalysis completed within 3 working\ndays of the result", "", "", "", "" ], [ "5", "A member of the IPC team attended\nto support review", "", "", "", "" ], [ "6", "Datix updated immediately following\nreview by Incident manager attaching\nthe PIR/RCA documents", "", "", "", "" ], [ "7", "Lessons learnt and action plan\ndiscussed at Care Group Triumvirate\nMeeting", "", "", "", "" ], [ "8", "PIR/RCA Reports submitted to PSQ\nand IPC team", "", "", "", "" ], [ "9", "Audit completed within one month of\nreviews being undertaken", "", "", "", "" ], [ "10", "Compliance audit reported to the IPC\nCommittee", "", "", "", "" ] ], "row_count": 10, "col_count": 6 }, { "headers": [ "Item No.", "Subject", "Discussion\nLead", "", "Document(s)", "" ], "rows": [ [ "", "", "", "", "Attached", "" ], [ "", "", "", "", "", "" ], [ "12/21", "Apologies\nAnnmarie Cubbon\nJohn Snelling", "SA", "", "", "" ], [ "13/21", "Minutes of the meeting held on 12 August 2021", "All", "", "", "" ], [ "14/21", "Impact of new Clinical Pathways on Patient Care in\nCommunity – MSK / Frailty/Diabetes", "", "", "", "" ], [ "15/21", "Establishing Joint Prescribing Committee to\nUnderpin Shared Care Guidance", "", "", "", "" ], [ "16/21", "Advice and Guidance Support on LTCs", "", "", "", "" ], [ "17/21", "Updates from GPs on 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"Subject", "Discussion\nLead", "", "Document(s)", "" ], "rows": [ [ "", "No.", "", "", "", "", "Attached", "" ], [ "", "", "", "", "", "", "", "" ], [ "08/22", "", "", "Apologies\nJohn Snelling\nIshaku Pam", "SA", "", "", "" ], [ "09/22", "", "", "Matters Arising From Last Meeting", "SA", "", "", "" ], [ "10/22", "", "", "Global Burden of Disease Study on Dementia\nPrevalence - implications for population health\nPlease read link to the paper below.\nEstimation of the global prevalence of dementia in\n2019 and forecasted prevalence in 2050: an analysis\nfor the Global Burden of Disease Study 2019 - The\nLancet Public Health", "SA", "", "", "" ], [ "11/22", "", "", "Capacity Bill - Advance Consent\nDepartment meeting\n6 December - Capacit", "SA", "", "", "" ], [ "12/22", "", "", "Updates on Transformation", "SA", "", "", "" ], [ "13/22", "", "", "Any Other Business", "SA", "", "", "" ], [ "14/22", "", "", "Date of next meeting:\nWednesday 30 March 2022 at 4.30 pm", "", "", "", "" ] ], "row_count": 9, "col_count": 8 }, { "headers": [ "", "Item", "", "Subject", "Discussion\nLead", "", "Document(s)", "" ], "rows": [ [ "", "No.", "", "", "", "", "Attached", "" ], [ "", "", "", "", "", "", "", "" ], [ "35/21", "", "", "Apologies", "SA", "", "", "" ], [ "36/21", "", "", "Minutes of the meeting held on 28 October 2021", "SA", "", "", "" ], [ "37/21", "", "", "Matters Arising", "SA", "", "", "" ], [ "38/21", "", "", "Primary Care Winter Workload Pressures Standard\nOperating Procedure (SOP) (deferred from the\nOctober 2021 meeting)\na) Workable definition to be agreed for the trigger\npoint for implementing the SOP\nb) Primary Care and Urgent Care liaison when the\nSOP is implemented", "SA", "", "", "" ], [ "39/21", "", "", "Manx Care Patient Access Policy", "", "", "", "" ], [ "40/21", "", "", "Second doses of Covid vaccines to adolescents (12-\n17 years)", "MR", "", "", "" ], [ "41/21", "", "", "Updates on Transformation", "SA", "", "", "" ], [ "42/21", "", "", "CQC 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Date", "3.03.22" ], [ "Target Audience", "All Emergency Department staff\nAll Ambulance staff\nInfection Control Team\nHospital staff" ], [ "Description", "This SOP standardises and outlines the way we care for\npatients who Covid-19 immunisations in the ED for people with\nsignificant allergy history at risk of severe allergic reaction to\nvaccine." ], [ "Changes", "New document" ] ], "row_count": 7, "col_count": 2 }, { "headers": [ "Version", "Changes", "Release Date" ], "rows": [ [ "1.0", "O riginal", "3/3/2021" ], [ "1.1", "Update to numbers & area of observation", "" ], [ "", "", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "Item\nNumber", "Subject", "Action" ], "rows": [ [ "", "General\nSA advised that the structure and membership/attendance is to be discussed as\nattendance at CAG meetings by Clinical Directors (CDs) is low. It was noted that due to\nbusy clinical commitments it was understandable CDs were not able to attend all\nmeetings though the lack of clinical ‘buy in’ was a concern.\nJS stated that clinical ‘buy in’ is important and suggested consideration is given to an\nhonest discussion on low attendance with the days and timing of the meetings to be\nagreed.\nJC joined the meeting\nSA provided an update on the above discussion to JC; JC agreed with the comments\nmade.\nSA decided to continue with the meeting despite the absence of CDs.", "" ], [ "07/21", "Apologies\nApologies received are noted above.", "" ], [ "08/21", "CATCH Sites\nVerbal presentation by Juan Corkill\nJC reported the following.\n Covid Assessment and Treatment Community Hub (CATCH) sites were established in\nMarch 2020 for Covid and high risk patients to be seen outside of a GP surgery.\n Covid Assessment Treatment Unit (CATU) was established in the Emergency\nDepartment of Nobles at the same time.\n GP contractual obligations were ‘turned off’. In hindsight this may not have needed\nto happen.\n July 2020, no Covid restrictions apart from borders remaining closed, primary care\nservices resumed normal service.\n An outbreak on 31 December 2020 did not result in CATU being resurrected. At that\ntime no GP had had any contact with a Covid patient.\n GP infrastructure at that time was affected due to various staffing levels and the\npossibility that surgeries would have to close. Ballasalla surgery closed for two days\nin order that a deep clean could take place.\n Catch sites initiated again during a short lockdown.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ " Discussions on going with Mental Health Services in relation to a shared care" ], "rows": [ [ "arrangement for Child and Adolescent Mental Health Service (CAMHS). GPs will be paid" ], [ "£150 pa for each shared care case." ], [ "SA asked;" ], [ "1. Are the number of patient’s attending hot sites increasing?" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "", " Problems are not GP or Nobles; Manx Care to work as a team with clients/patients at\nthe heart.\n Establishment of a joint prescribing committee to be discussed at the next CAG.\n Discuss at the next CAG the suggestion that GPs and Specialties are rotated. Begin\nto work together to get to the strategy stage.\n Any operational delivery of care will be underpinned by finance.", "" ], "rows": [ [ "09/21", "Covid-19 Pathways\nNot discussed due to time constraints.", "" ], [ "10/21", "Any Other Business\na) Results Acknowledgement\nNot discussed due to time constraints.\nThere being no further business the meeting closed at 5.34 pm.", "" ], [ "11/21", "Next meeting: Wednesday 18 August 2021 at\n4.30 pm on MS Teams.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Item", "", "Subject", "", "Action By", "" ], "rows": [ [ "", "No.", "", "", "", "", "" ], [ "54/22", "", "", "Apologies for Absence\n•\n• Michele Moroney\n•\n• Andre Risha\n•", "", "", "" ], [ "55/22", "", "", "Universal mask wearing in healthcare settings\nUpdate\n• Ongoing discussions", "", "", "" ], [ "56/22", "", "", "CQC and Safe Prescribing- DMARDS/Cytotoxic in particular\n• To be discussed by SA/JS/OE and brought back to CAG\nnext month.", "SA/JS/OE", "", "" ], [ "57/22", "", "", "AOB\n• None", "", "", "" ], [ "58/22", "", "", "Date of Next Meeting\n29/06/22 @ 1630 hrs via Teams", "", "", "" ] ], "row_count": 6, "col_count": 7 }, { "headers": [ "", "Item", "", "Subject", "Discussion Lead", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "", "Attached", "" ], [ "104/22", "", "", "Apologies for Absence\n• Martin Bracewell\n•\n•\n• Lakshman Paudyal\n•", "SA", "", "", "" ], [ "105/22", "", "", "Matters arising from previous meeting", "SA", "NOTES CAG\nAgenda 05Oct22.V2.", "", "" ], [ "106/22", "", "", "Advice and guidance lines", "SA", "", "", "" ], [ "107/22", "", "", "Shared care", "SA", "", "", "" ], [ "108/22", "", "", "Job planning update", "SA", "", "", "" ], [ "109/22", "", "", "Testicular Torsion protocol for approval", "AR", "\nManx care SOP for\nsuspected Testicular T", "", "" ], [ "110/22", "", "", "PICC Policies – updated\nReview and ratification sought by Matthew\nMustain & Graham Lloyd Brandrick", "SA\nPICC (Cook) policy\n2022.doc", "\nPICC (Bard\nGroshong) policy 20", "", "" ], [ "111/22", "", "", "AOB", "SA", "", "", "" ], [ "112/22", "", "", "Date of Next Meeting:\nWednesday, 7th December 2022 @ 1600 hrs", "SA", "", "", "" ] ], "row_count": 10, "col_count": 8 }, { "headers": [ "Item\nNo.", "Subject", "Discussion\nLead", "", "Document", "" ], "rows": [ [ "", "", "", "", "(s)", "" ], [ "", "", "", "", "Attached", "" ], [ "97/22", "Apologies for Absence\n• Balakrishnan Venkitasamy\n• Lakshman Paudyal\n•\n• Martin Rankin", "SA", "", "", "" ], [ "98/22", "Matters arising from previous meeting", "SA", "", "", "" ], [ "99/22", "Guidance on how to manage patients who cannot\nhave a mRNA vaccine as a booster", "SA", "", "", "" ], [ "100/22", "Interpretation of JCVI Guidance re children 5/11yrs", "SA", "", "", "" ], [ "101/22", "Draft Policy – Testing for COVID in ICU", "", "", "", "" ], [ "102/22", "Alteplase", "EV", "", "", "" ], [ "102/22", "AOB\nMedicinal Cannabis - 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I have taken on board the\ncomments from CAG and amended the policy in line\nwith the request. The policy is on the agenda for the\nresus committee on Monday 12th February and it will\nthen be taken to the next Operational Clinical Quality\nGroup’s for Health & Social Care. The wording used in\nthis policy is taken directly from ‘Decisions Relating to\nCardiopulmonary Resuscitation’. Guidance from the\nBritish medical Association the Resuscitation Council\n(UK) and the Royal College of Nursing (RCN) 3rd Edition\npublished by The Resuscitation Council (UK) (2016)\n(attached).\nFeedback & comments attached.", "Chair", "Final 2023 DNACPR\npolicyV2.pdf\nDecisions Relating\nTo CPR.pdf" ], "rows": [ [ "16/24", "Radiology on call policy – For discussion", "", "Radiology On Call\nPolicy.docx" ], [ "17/24", "AOB", "Chair", "Verbal" ], [ "18/24", "Date of next meeting:\nTuesday, 12th March 2024 @ 1700 hrs", "Chair", "" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "26/24", "", "", "Apologies for Absence", "Chair", "", "", "", "", "" ], [ "27/24", "", "", "Review notes/Matters arising from previous meeting", "Chair", "", "", "CAG Agenda DRAFT\nnotes.pdf", "", "" ], [ "28/24", "", "", "Review of Action Log", "Chair", "", "", "CAG Action Log\n2024.xlsx", "", "" ], [ "29/24", "", "", "Emergency Brain Pathway Policy\nUpdate of Primary Care Pathway by\n& Markie Chestnut (MC)", "/MC", "", "", "Emergency brain\npathway FINAL draft 2", "", "" ], [ "30/24", "", "", "Amendment to Waiting List validation letter – to\ninclude questions regarding patient current medical\nstatus to assist Harm Review process\nPresented by", "", "", "", "", "", "" ], [ "31/24", "", "", "Immunisation Committee\nCovid vaccination associated ribosomal frameshifting &\nInfluence of seasonality vs PHIs on Covid\nAs per previous meetings this to be represented by\nfor discussion/action.\n(Circulated in advance to CAG membership for feedback\nwith attendance from Public Health requested)\nPublic Health invited to CAG meeting.", "", "", "", "COVID\nvaccination-associated\ninfluence of\nseasonality vs PHIs o\nCOVID-19 vaccines &\nAESI.pdf", "", "" ] ], "row_count": 7, "col_count": 10 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "54/22", "", "", "Apologies for Absence\nMichele Moroney\nBala Venkitasamy\nAndre Risha\nTentative", "SA", "", "", "", "", "" ], [ "55/22", "", "", "Universal mask wearing in healthcare settings\nUpdate", "SA", "", "", "", "", "" ], [ "56/22", "", "", "CQC and Safe Prescribing- DMARDS/Cytotoxic in\nparticular", "AC/JC", "", "", "", "", "" ], [ "57/22", "", "", "AOB", "SA", "", "", "", "", "" ], [ "58/22", "", "", "Date of Next Meeting\n29/06/22 @ 1630 hrs via Teams", "SA", "", "", "", "", "" ] ], "row_count": 6, "col_count": 10 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "82/22", "", "", "Apologies for Absence\n• Michele Moroney\n• Balakrishnan Venkitasamy\n• Lakshman Paudyal\n•", "SA", "", "", "", "", "" ], [ "83/22", "", "", "Matters arising from previous meeting", 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"Apologies for Absence\nIshaku Pam\nMartin Rankin\nMaria Bell\nJuan Corkhill\nPartha Vaiude", "SA", "", "", "", "", "" ], [ "39/22", "", "", "Matters Arising from last meeting\n(No minutes taken)", "SA", "", "", "", "", "" ], [ "40/22", "", "", "‘Bouncing’ of referrals", "JS", "", "", "", "", "" ], [ "41/22", "", "", "Rheumatology referral for possible Axial SpA", "JS", "", "", "", "", "" ], [ "42/22", "", "", "Preferred day & time for future meetings", "SA", "", "", "", "", "" ], [ "43/22", "", "", "AOB", "SA", "", "", "", "", "" ], [ "44/22", "", "", "Date of Next Meeting\n29/06/22 @ 1630 hrs via Teams", "SA", "", "", "", "", "" ] ], "row_count": 8, "col_count": 10 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "29/22", "", "", "Apologies for Absence\n• Ishaku Pam\n•\n•\n• Martin Rankin (partial attendance)\n• John Snelling", "SA", "", "", "", "", "" ], [ "30/22", "", 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"Apologies for Absence\n•\n• John Snelling\n• Adrian Dashfield\n• Martin Rankin", "SA", "", "", "", "", "" ], [ "74/22", "", "", "Matters arising from previous meeting", "SA", "", "", "", "", "" ], [ "75/22", "", "", "Revised AGP List", "", "", "", "\nDraft amended AGP\nlist.docx", "", "" ], [ "76/22", "", "", "Referral to Tertiary Care by GPs", "SA", "", "", "", "", "" ], [ "78/22", "", "", "Second Opinion Policy\nFinal review prior to EMC", "SA", "", "", "\nSecond Opinion\nPolicy (Draft).pdf", "", "" ], [ "79/22", "", "", "Upright MRI Policy\nFinal review prior to EMC", "SA", "", "", "\nUpright MRI Policy\n(Draft).pdf", "", "" ], [ "77/22", "", "", "Nuclear Medicine Proposal", "PV", "", "", "\n77.22 Nuclear Med\nPaper.pdf", "", "" ] ], "row_count": 8, "col_count": 10 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "59/22", "", "", "Apologies for Absence\n• 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], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "113/22", "", "", "Apologies for Absence\n• Vanina Finocchi", "SA", "", "", "", "", "" ], [ "114/22", "", "", "Matters arising from previous meeting", "SA", "", "", "\nDraft Notes CAG\nAgenda 02Nov22.doc", "", "" ], [ "115/22", "", "", "Review of Action Log", "SA", "", "", "CAG Action Log.xlsx\n", "", "" ], [ "116/22", "", "", "Non portable venflons", "", "", "", "", "", "" ], [ "117/22", "", "", "Shared care protocols for memory clinic\n- the use and monitoring of anti-dementia drugs", "", "", "", "", "", "" ], [ "118/22", "", "", "MGUS Patients", "VB", "", "", "\nHAEM_014_MGUS_G\nuideline.pdf", "", "" ], [ "119/22", "", "", "ANP Referrals (Annmarie Cubbon)", "AC", "", "", "", "", "" ], [ "120/22", "", "", "PPCI Paper (Will Bellamy)", "WB", "", "", "PPCI COG Paper.docx\n", "", "" ], [ "121/22", "", "", "AOB", "SA", "", "", "", "", "" ], [ "122/22", "", "", "Date of Next Meeting:\nTBC", "SA", "", "", "", "", "" ] ], "row_count": 11, "col_count": 10 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "86/23", "", "", "Apologies for Absence", "Chair", "", "", "", "", "" ], [ "87/23", "", "", "Review notes/Matters arising from previous meeting", "Chair", "", "", "\nDRAFT Notes CAG\n22November23.docx", "", "" ], [ "88/23", "", "", "Review of Action Log", "Chair", "", "", "\nCAG Action Log\n2023.xlsx", "", "" ], [ "89/23", "", "", "Medicines Policy Working Group\nFor information & involvement", "SH", "", "", "\nManx Care\nmedicines policy wo", "", "" ], [ "90/23", "", "", "Discharge Issue - E-Discharge & TTO’s\nFor discussion and agreement", "", "", "", "Verbal", "", "" ], [ "91/23", "", "", "AOB\n• Covid Treatment Guideline\n(See attached)", "Chair\nSH", "", "", "\n91.docx", "", "" ], [ "92/23", "", "", "Date of next meeting:\nTuesday, 16 January 2024 @ 1700 hrs", "Chair", "", "", "", "", "" ] ], "row_count": 8, "col_count": 10 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "07/23", "", "", "Apologies for Absence\n• John Snelling\n• Lakshman Paudyal\n•\n•\n• Ishaku Pam\n•", "SA", "", "", "", "", "" ], [ "08/23", "", "", "Review notes/Matters arising from previous meeting", "SA", "", "", "\nDRAFT CAG\nMeeting notes 18Ja", "", "" ], [ "09/23", "", "", "Review of Action Log", "SA", "", "", "\n07Feb23 CAG\nAction Log.pdf", "", "" ], [ "10/23", "", "", "Referral letter DF", "SA/", "", "", "\nReferral letter\nFENTON, Daniel (Mr)", "", "" ], [ "11/23", "", "", "Delirium Policy", "SA", "", "", "\nPharmacological\nManagement of Deli", "", "" ], [ "12/23", "", "", "AOB", "SA", "", "", "", "", "" ], [ "06/23", "", "", "Date of Next Meeting:\nWednesday, 15th March @1600 hrs", "SA", "", "", "", "", "" ] ], "row_count": 8, "col_count": 10 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "01/23", "", "", "Apologies for Absence\n• Lakshman Paudyal\n•\n•\n•\n• Vanina Finocchi\n• Martin Rankin\n•\n•\nIshaku Pam will be late joining due to another\ncommitment.", "SA", "", "", "", "", "" ], [ "02/23", "", "", "Review notes/Matters arising from previous meeting", "SA", "", "", "DRAFT CAG Notes\n Dec22.docx", "", "" ], [ "03/23", "", "", "Review of Action Log", "SA", "", "", "CAG Action Log\n 18Jan23.pdf", "", "" ], [ "04/23", "", "", "Covid-19 treatment pathways for update", "SH", "", "", "\nMSN_2022_104\nRemdesivir 100mg po\n22-11 Clinical Guide\nTherapies for patien\n22-11 Clinical Guide\ntherapies for patient\n22-11 Clinical Guide\ntherapies for sympto", "", "" ] ], "row_count": 5, "col_count": 10 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "47/23", "", "", "Apologies for Absence\n• Dr Ishaku Pam\n•\n• Dr Venkitasamy Balakrishnan", "Chair", "", "", "", "", "" ], [ "48/23", "", "", "Review notes/Matters arising from previous meeting", "Chair", "", "", "\nDRAFT CAG Notes\nJune23.docx", "", "" ], [ "49/23", "", "", "Review of Action Log", "Chair", "", "", "\nCAG Action Log\n13Jul.23.pdf", "", "" ], [ "50/23", "", "", "Off island referrals policy\n(Emma Dancer & Peter Hannay)\nFor information / discussion", "ED/PH", "", "", "\nOff Island Referrals\nSoftware System.doc", "", "" ], [ "51/23", "", "", "Patient Access Policy\nFor final ratification", "", "", "", "\nManx Care's Patient\nAccess Policy for Elec\nClincal Advisory\nGroup 21.6.23.pptx", "", "" ], [ "52/23", "", "", "Covid-19 treatment guidelines\nFor discussion", "SH/", "", "", "23-05 COVID\nGuidance 4-1.docx", "", "" ] ], "row_count": 7, "col_count": 10 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "40/23", "", "", "Apologies for Absence\n•\n• Dr Lakshman Paudyal\n•\n• Sadha Punniyakodi\n•\n• Rehana Zaman\n•\n• Dr John Snelling (partial attendance)\n•", "Chair", "", "", "", "", "" ], [ "41/23", "", "", "Review notes/Matters arising from previous meeting", "Chair", "", "", "\nDRAFT CAG Notes\n17May23.docx", "", "" ], [ "42/23", "", "", "Review of Action Log", "Chair", "", "", "\nCAG Action Log\n19.06.23.pdf", "", "" ], [ "43/23", "", "", "Patient Access Policy", "", "", "", "\nManx Care's Patient\nAccess Policy for Elec", "", "" ], [ "44/23", "", "", "Private Practice referrals into Manx Care\n(Marina Hudson)", "MH", "", "", "", "", "" ], [ "45/23", "", "", "Kesimpta Pathway approval\n(Heidi Morris)", "Chair", "", "", "Manx Care\nofatumumab (Kesimp", "", "" ], [ "46/23", "", "", "AOB\nProposal to change day/time to Thursdays at 5pm\nVoting email to be distributed to CAG membership", "Chair", "", "", "", "", "" ] ], "row_count": 8, "col_count": 10 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "14/23", "", "", "Apologies for Absence\n•\n•\n•\n• Lakshman Paudyal\n•\n•\n•\n• John Snelling (Tentative)\n•", "SA", "", "", "", "", "" ], [ "15/23", "", "", "Review notes/Matters arising from previous meeting", "SA", "", "", "\nDRAFT CAG Notes\nFeb23.docx", "", "" ], [ "16/23", "", "", "Review of Action Log", "SA", "", "", "\nCAG Action Log.pdf", "", "" ], [ "17/23", "", "", "Advice & Guidance Policy", "", "", "", "\nAdvise and Guidance\nPolicy Manx Care.draf", "", "" ], [ "18/23", "", "", "Joint Protocol", "SA", "", "", "\n230104 Agenda Item\n9.23 Joint Protocol.pdf", "", "" ], [ "19/23", "", "", "Off licence Tenectaplase use for Stroke Thrombolysis", "", "", "", "Verbal", "", "" ] ], "row_count": 7, "col_count": 10 }, { "headers": [ "20/23", "Child Death", "", "Verbal" ], "rows": [ [ "21/23", "Biosimilar Policy", "", "biosimilar-policy-doc\nument-ver-2.pdf" ], [ "22/23", "AOB", "SA", "" ], [ "23/23", "Date of Next Meeting:\nWednesday, 19th April @1600 hrs", "SA", "" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "31/23", "", "", "Apologies for Absence\n•\n• Dr Ventikasamy Balakrishnan\n•\n•\n• Tammy Hewitt", "Chair", "", "", "", "", "" ], [ "32/23", "", "", "Review notes/Matters arising from previous meeting", "Chair", "", "", "\nDRAFT CAG Notes\n19Apr23.docx", "", "" ], [ "33/23", "", "", "Review of Action Log", "Chair", "", "", "\nCAG Action Log\n15.05.23.pdf", "", "" ], [ "34/23", "", "", "Patient Access Policy\nFor introduction ahead of the meeting in June.\nNarrative from to assist in her absence at this\nmeeting:\n“You will know that each NHS Trust in England are required\nto have an established Patient Access Policy, which outlines\nthe roles and responsibilities of each stakeholder involved in\na patient’s elective care pathway. Manx Care introduced its\nfirst Patient Access Policy for Elective Care in October 2021,\nwith an initial review date of 2023. However with the\nimplementation of the Performance and Improvement\nteam, one of its first tasks was to review and update the\npolicy and bring it more in line with Manx Care and the Isle\nof Man’s unique requirements.\nI have built on the initial document (which I can provide if\nrequired) and my intention is to show a patient’s referral\njourney end to end, how Manx Care will manage referrals,\nincluding referral routes, offering appointments, DNAs\netc. I have included information and links around how the\nIOM’s legislation affects certain patients, eg veterans, non-\nresidents, private, patients being referred off-island, etc.", "", "", "", "\nManx Care's Patient\nAccess Policy for Elec", "", "" ] ], "row_count": 5, "col_count": 10 }, { "headers": [ "", "It has been reviewed by a myriad of people, with an\nexpectation that we will all start working towards its\nimplementation. In saying that, I am totally appreciative of\nthe issues we face at Manx Care, but we do need to show\nour responsibilities and expectations around access to\nelective care for all parties.\nI have also created a quick read version (again, available if\nyou would like a copy), which has been through Comms and\nMCALs, which needs a final review and which will be made\navailable publicly.\nIt is still a working document, so please do not share until is\nit finalised.\nhas given me to have a slot at June’s Clinical Advisory\nGroup, so I would appreciate it if you could read through\nthis document before then, and let me have your feedback\nin June. In the meantime, feel free to ask any questions or\nqueries.”", "", "" ], "rows": [ [ "35/23", "Isle of Man Ambulance and Aeromedical Services\nEMC Draft paper for socialising ahead of EMC 26/5/23\n(Tammy Hewitt)", "TH", "\nEMC Draft Paper\n26052023 - Isle of Ma" ], [ "36/23", "Private Practice referrals into Manx Care\n(Marina Hudson)", "MH", "" ], [ "37/23", "Terms of Reference", "Chair", "Terms of Reference\nSenior Clinical Advis" ], [ "38/23", "AOB\nUpdated Golden Rules for agreement", "Chair", "2023-05-15 Golden\nRules approved V3.d" ], [ "39/23", "Date of next meeting:\nWednesday, 21st June @ 1600 hrs", "", "" ] ], "row_count": 5, "col_count": 4 }, { "headers": [ "", "Item", "", "Subject", "Action by:" ], "rows": [ [ "", "No.", "", "", "" ], [ "19/24", "", "", "Apologies for Absence\n•\n•\n• Dr Rohit Peshin\n• Dr Dave Hedley\n• Dr Venkitasamy Balakrishnan\n•\n•\n•\n•", "" ], [ "20/24", "", "", "Review notes/Matters arising from previous meeting\nMeeting notes approved", "CAG Notes\n14.02.24.pdf" ], [ "21/24", "", "", "Review of Action Log\nAction log reviewed and updated:\n Invite Caryn Cox of Public Health", "CAG Action Log\n2024.xlsx" ], [ "23/24", "", "", "Emergency Brain Pathway Policy\nPresented by & Markie Chestnut (MC) for\nagreement.", "" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "56/23", "", "", "Apologies for Absence\n• Dr Marina Hudson\n•\n• Dr Sadha Punniyakodi", "Chair", "", "", "", "", "" ], [ "57/23", "", "", "Review notes/Matters arising from previous meeting", "Chair", "", "", "\nDRAFT CAG Notes\nJuly23.docx", "", "" ], [ "58/23", "", "", "Review of Action Log", "Chair", "", "", "\nCAG Action Log\n13Sep23.pdf", "", "" ], [ "59/23", "", "", "IT and operational performance data analytics", "", "", "", "Verbal", "", "" ], [ "60/23", "", "", "Role, remit and responsibilities of the Clinical Service\nLead – for update & discussion", "", "", "", "Verbal", "", "" ], [ "61/23", "", "", "Joint care arrangements – for update & discussion", "", "", "", "Verbal", "", "" ], [ "62/23", "", "", "Medical Gas Policy", "SH/", "", "", "\nMedical Gas policy\n2023 ManxCare ver d", "", "" ], [ "63/23", "", "", "Treatment Escalation Plan Standard Operating Policy", "", "", "", "To Follow", "", "" ], [ "64/23", "", "", "AOB", "", "", "", "", "", "" ], [ "65/23", "", "", "Date of next meeting:\nWednesday, 18 October 2023 @ 1600 hrs", "", "", "", "", "", "" ] ], "row_count": 11, "col_count": 10 }, { "headers": [ "", "Item", "", "Subject", "Action By" ], "rows": [ [ "", "No.", "", "", "" ], [ "", "", "", "Apologies for Absence\n•\n•\n•\n• Vanina Finocchi\n• Martin Rankin\n•\n•\n•\n•\n•", "" ], [ "02/23", "", "", "Notes of last meeting approved", "\nCAG Notes\nDec22.docx" ], [ "03/23", "", "", "Review of Action Log\nUpdates provided and Action Log revised accordingly", "\n07Feb23 CAG\nAction Log.pdf" ], [ "04/23", "", "", "Covid-19 treatment pathways for update\npresented the attached recommended pathways for Covid-19 patients. One of\nthe hospitalised pathways requires use of the drug Baricitinib. CAG was requested\nto approve holding stock of this drug specifically for Covid treatment in patients in\nCCU developing pneumonia. The drug needs to be available should a consultant\ndecide to commence this treatment pathway, as per the guidelines.", "\nMSN_2022_104\nRemdesivir 100mg p" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "", "Item", "", "Subject", "Action by:" ], "rows": [ [ "", "No.", "", "", "" ], [ "8/24", "", "", "Apologies for Absence\n Dr Ishaku Pam\n\n\n\n Dr Rohit Peshin\n Dr Dave Hedley\n Dr Lakshman Paudyal\n\n Dr Sadha Punniyakodi", "" ], [ "9/24", "", "", "Review notes/Matters arising from previous meeting\nMeeting notes approved", "" ], [ "10/24", "", "", "Review of Action Log\nAction log reviewed and updated", "CAG Action Log\n2024.xlsx" ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "13/24", "TLS Policy\nDr Balakrishnan (VB) presented the policy for agreement/ratification.\nThe policy has been updated and circulated. There have been discussions\nwith CCU and ITU who have agreed for these patients to be admitted firstly\nto ICU, then ITU with last resort being a medical bed with telemetry\nfacilities.\nAll parties involved have been consulted and have agreed to the policy.\nApart from the document format there were no concerns and the policy\nwas approved by the group.\n VB to arrange for the policy to be uploaded into Manx Care format\nbefore being uploaded to the intranet.", "Noble's TLS Policy\nJan 2024.docx\nVB" ], "rows": [ [ "14/24", "End of Life Care CQC Actions\nMH provided an update.\nDr Needham will be lead for Palliative Care and with her colleague, Cheryl\nYoung, will be setting up task and finish group to help and implement the\nEoL CQC actions. CQC had been impressed with what hospice have put in\nplace.\nMain action required is for Clinical Directors to ensure sure some of the\naudits take place in the Care Groups. MH has recommended they work\nwith Associate Specialist and Specialist Doctors rather than over loading\nconsultants.", "" ], [ "15/24", "DNA/CPR Policy\nFollowing additional information provided the group agreed this policy.\n", "" ], [ "16/24", "Radiology on call policy\nrequested comments on the Radiology On-\ncall policy. This has been drawn up collectively by Radiologists to avoid\nunnecessary contact out of hours by Junior Doctors, so that the patients\nConsultant must be fully aware and available.\nMH agreed that compulsory consultant to consultant discussion is a\nwelcome decision.\nadvised the policy has been circulated to the CDs and the PCN\n MM to put on intranet in Manx Care format.", "Radiology On Call\nPolicy.docx" ], [ "", "AOB\n advised he is waiting to speak with Public Health about\nResearch.\nMH confirmed she raised this at ELT but with the current funding\nsituation we may not be able to fund next year. However it’s\nimportance was agreed.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Item No.", "", "", "Subject", "", "", "Action By:", "" ], "rows": [ [ "14/23", "", "", "Apologies for Absence\n•\n•\n•\n• Lakshman Paudyal\n•\n•\n•\n•", "", "", "", "", "" ], [ "15/23", "", "", "Notes of last meeting approved", "", "", "CAG Notes\nFeb23.docx", "", "" ], [ "16/23", "", "", "Review of Action Log\nUpdates provided:\n011/23 Delirium Policy\nIP to engage with other stakeholders – this is expected to take about 8\nweeks for ratification", "", "", "CAG Action Log.pdf\nIP", "", "" ] ], "row_count": 3, "col_count": 9 }, { "headers": [ "", "012/23 GP Summit meeting\nSA provided update of the work being done by Teresa, Annmarie &\nOliver Ellis for Primary Care at Scale. It was agreed that the proposed\nSummit meeting should still go ahead.", "SA" ], "rows": [ [ "17/23", "Advice & Guidance Policy\npresented the draft policy. This had been drawn up to formalise the\napproach of Advice & Guidance and to provide a uniform specialist\nservice to clinical problems to the non-specialist. The service will be\nbetween primary and secondary care and will be embedded in a\ngovernance structure.\nDue to lack of representation at the meeting by GP’s JS requested that\nthis document be distributed to & Oliver Ellis for further\ncomment. Some concerns regarding legal responsibility already raised\nand confirmed this will be written in to the policy.\nMB suggested that some of the on-Island speciality consultants follow a\npractice they have at the Walton Centre whereby dedicated time is\ngiven by a consultant each lunch time when GP’s can make contact for\nrelevant advice/signposting.\nIP raised possible issues with job planning/pa’s, audit trail and demand\nmanagement (particularly for single handed specialities).\nTo move the process forward it was agreed that JS will arrange for to\ndiscuss at a GP discussion meeting.\nSA noted the importance of getting this policy right, with time being\nallocated accordingly in job planning.", "Advise and\nGuidance Policy Man\nJS" ], [ "18/23", "Joint Protocol\nSA presented the draft joint policy with police & coroner regarding\nnotification of deaths. This is still a work in progress so it is presented to\nCAG for information purposes only.\nsuggested that for item #29 it would be beneficial to include a\nclinician relevant to the case in the incident group.\nIP clarified the thinking during the protocol meeting and felt there was\nlatitude to cover this concern.\nAfter further discussion it was agreed to pursue this concern", "230104 Agenda\nItem 9.23 Joint Proto\nSA" ], [ "19/23", "Off licence Tenectaplase use for Stroke Thrombolysis\noutlined current situation regarding supply of Tenectaplase and\nAltaplase. It has been identified that there is a risk to run out of\nAltaplase in the next 3 months. There has been a discussion as to\nwhether Tenectaplase can be used for Ischemic strokes as a\nthrombolytic agent. It was agreed this was a possibility with preferable", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "dosage of 0.25 mgs/kg. Studies now support this as effective and just as\nsafe as Altaplase. Liverpool Stroke are happy to authorise this use as\nlong as our CAG team approve the off licence use of Tenectaplase in\nworst possible scenario and there is nothing else to use. Important that\nwe have this in mind as a policy in case we do run out of Altaplase.", "" ], "rows": [ [ "20/23", "Child Death\nSA provided an update on the Child Death policy for information and\nawareness to CAG.\nFollowing 2 child deaths from asthma a few years ago the review panel\ncame up with a lot of recommendations.\nWe are in the process of implementing those recommendations with\n90% now done with the Paediatric Department working to finalise.", "" ], [ "21/23", "Biosimilar Policy\npresented this policy which is for alternatives to originated drugs\nfor cost savings. (Cost Improvement Program). The idea being\nbiosimilars are equally effective to biologics and people should be using\nthem more.\nAsking CAG if they are happy with this policy or if amendments\nrequired?\nSA confirmed there is no opposition to the policy itself, it is mainly\noperational barriers, with no one to lead on gastroenterology being the\nbiggest problem.\nAfter discussions with IP it was identified that information for\nGastroenterolgy could be gathered through Dr Rakesh Aga and Nurse\nPractitioner Greg Manning.\nACTION\nOrganise meeting between / SA/ IP with , Dr Aga\nand Greg Manning.", "biosimilar-policy-do\ncument-ver-2.pdf\nSA /" ], [ "22/23", "AOB\n10/23 Referral letter DF\nSA brought back to CAG this item from 15Feb23 meeting due to further\ndebate being required. He re-presented the issue and requested views\nfrom CAG on whether they accept that Primary Care physicians cannot\nrefer patients directly to Tertiary Care without the approval of\nSecondary care, especially if regarding patient choice rather than\nclinical choice.\nIt was clarified that a second opinion should be sourced on island and\nenabled by the first consultant. A GP should not be allowed to refer off\nIsland.\nIP commented that the Second Opinion Policy should answer any\nquestions. He also informed that through the Off Island Referral Group\nhe has details from Jersey of a ‘referral management system’ that will\nprovide an audit trail for funding. An example was given by SA/ of a\nreferral issue in Opthalmology due to no audit trail.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Item", "", "Subject", "Action by:" ], "rows": [ [ "", "No.", "", "", "" ], [ "1/24", "", "", "Apologies for Absence\n• Dr Ishaku Pam\n•\n•", "" ], [ "2/24", "", "", "Review notes/Matters arising from previous meeting\nMeeting notes approved", "" ], [ "3/24", "", "", "Review of Action Log\nAction log reviewed and updated", "CAG Action Log\n2024.xlsx" ], [ "4/24", "", "", "Final DN CRP Policy\nProvided by for information – he is unable to attend this meeting\nbut advises the wording has been amended in 2.9\nSMc asked for clarification if this is an interim policy. MH impressed that\nthis must first be agreed and signed off and then End of Life Care needed to\nbe looked at, of which this is part of.\nNeed to check the highlighted point 6.5 to ensure the correct edit.\nIt was agreed to recirculate, invite comments and bring it back to the next\nmeeting.\n Circulate End of Life action Points", "Final 2023 DNACPR\npolicyV2.docx" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "", "Item No.", "", "", "Subject", "", "", "Action By:", "" ], "rows": [ [ "31/23", "", "", "Apologies for Absence\n•\n• Dr Ventikasamy Balakrishnan\n•\n•", "", "", "", "", "" ], [ "32/23", "", "", "Notes of last meeting approved", "", "", "CAG Notes\n19Apr23.docx", "", "" ], [ "33/23", "", "", "Action Log reviewed and updated", "", "", "CAG Action Log\n17.05.23.pdf", "", "" ], [ "34/23", "", "", "Patient Access Policy\nDetails presented for noting and discussion at the next meeting when\nwill be in attendance.", "", "", "Manx Care's Patient\nAccess Policy for Elec", "", "" ], [ "35/23", "", "", "Isle of Man Ambulance and Aeromedical Services\nOR presented the proposal to bring various patient transport services\n(ambulance, Bus Vannin, Loganair for patient transfer, air ambulance,\nGNAAS/HEMS) currently operating under different departments, into\none service area.\nThe aim is to develop relationships with tertiary centres and improve\nthe tracking of patients referred off island to assess whether some", "", "", "EMC Draft Paper\n26052023 - Isle of M", "", "" ] ], "row_count": 5, "col_count": 9 }, { "headers": [ "", "points of their care can be done here or virtually. (eg diagnostic testing,\nfollow up appointment via telemedicine).\nTherefore this proposal will bring all these services under one roof and\nwill sit outside the formal care group structure. Tammy Hewitt will be\nthe manager with Will Bellamy as AHP with a new Clinical Lead to be\nappointed.\nWB explained one of the reasons for this combined service is to make it\nmore streamlined and fit for purpose with a good clinical governance\nstructure, due to interaction with all areas from primary care to tertiary\ncare.\nOR further advised that any risks to services have been addressed\nwithin the paper. The existing Urgent and Emergency Integrated Care\nBoard (UICC) is to be expanded to include other urgent services to\nbecome an integrated group and mitigate risks.\nTH explained that tertiary care would benefit as it will have closer links\nto the air ambulance team/services with better, all rounded clinical\noversight. There is also the potential for economies of scale in terms of\nresourcing.\nIn summary it won’t be a formal care group but It will have a\ngovernance structure like a care group, with a triumvirate of\nprofessional clinical director and a manager. This will actually\nstrengthen the position of the service within the organisation.\nCAG is supportive of this paper/initiative and happy for this to be\ntaken forward.", "" ], "rows": [ [ "36/23", "Private Practice Referrals into Manx Care\nRolled forward to June meeting as Marina Hudson was unable to\nattend.", "" ], [ "37/23", "Terms of Reference\nThe existing terms of reference were reviewed.\n• Membership to be updated with correct terminology of titles\n• Public Health to be represented", "IP" ], [ "38/23", "AOB\nUpdated Golden Rules for agreement\nAfter discussion at the previous CAG meeting amendment was needed\nto incorporate the requirement that referrals from ED to Specialties\nneed to come from a senior decision maker so that they have been\nvetted accordingly. has now added that provision.\nCAG approved this amended paper", "2023-05-15 Golden\nRules approved V3.d" ], [ "39/23", "Date of Next Meeting: Wednesday, 21st June 2023", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Item No.", "", "", "Subject", "", "", "Action By:", "" ], "rows": [ [ "24/23", "", "", "Apologies for Absence\n•\n•\n• Dr Martyn Bracewell\n• Dr Lakshman Paudyal\n•\n•\n•", "", "", "", "", "" ], [ "25/23", "", "", "Notes of last meeting approved", "", "", "CAG Notes\n15Mar23.docx", "", "" ], [ "26/23", "", "", "Review of Action Log\nUpdates provided and Action Log updated accordingly", "", "", "19Apr23 CAG\nAction Log.pdf", "", "" ], [ "27/23", "", "", "Waiting list validation paper\nPaper presented by The Validation Team has been set\nup as part of Restoration and Recovery. Their purpose is to\nvalidate/baseline referrals on waiting lists as there are a lot that should\nnot be included. This also links in with harm review, for patients who\nhave waited over 52 weeks.\nData is obtained from the hospital dashboard. First of all the referral is\ntechnically validated then the team writes to each patient to obtain\nfeedback as to whether they still need to be on the waiting list. The", "", "", "Waiting List\nValidation Paper for", "", "" ] ], "row_count": 4, "col_count": 9 }, { "headers": [ "", "Item", "", "Subject", "Action by:" ], "rows": [ [ "", "No.", "", "", "" ], [ "19/24", "", "", "Apologies for Absence\n\n\n Dr Rohit Peshin\n Dr Dave Hedley\n Dr Venkitasamy Balakrishnan\n\n\n\n", "" ], [ "20/24", "", "", "Review notes/Matters arising from previous meeting\nMeeting notes approved", "CAG Notes\n14.02.24.pdf" ], [ "21/24", "", "", "Review of Action Log\nAction log reviewed and updated:\n Invite Caryn Cox of Public Health", "CAG Action Log\n2024.xlsx\nLC" ], [ "23/24", "", "", "Emergency Brain Pathway Policy\nPresented by & Markie Chestnut (MC) for\nagreement.", "" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "Item No.", "Subject", "ACTIONS", "", "Document (s)", "" ], "rows": [ [ "", "", "", "", "Attached", "" ], [ "82/22", "Apologies for Absence\n• Michele Moroney\n• Balakrishnan Venkitasamy\n• Lakshman Paudyal\n•", "", "", "", "" ], [ "83/22", "Matters arising from previous meeting\nMM present but not recorded - corrected minutes attached\nSA – extend invitation to CAG to other colleagues?\nYes all in agreement", "", "\nCAG Notes\n27Jul22.docx", "", "" ], [ "84/22\n85/22", "GP Prescribing\nCQC and Safe Prescribing- DMARDS/Cytotoxic in particular\n&\nShared Care\nhttps://www.england.nhs.uk/medicines-2/regional-medicines-\noptimisation-committees-advice/shared-care-protocols/\nSA outlined the issue with shared care where certain drugs initiated by\nsecondary care need to be continued in the community by primary care.", "", "\nbma-prescribing-in-g\neneral-practice-april-2", "", "" ] ], "row_count": 4, "col_count": 6 }, { "headers": [ "", "Item", "", "Subject", "Actions", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "", "Attached", "" ], [ "73/22", "", "", "Apologies for Absence\n•\n• John Snelling\n• Adrian Dashfield\n• Martin Rankin\n•\n• Adrian Dashfield", "", "", "", "" ], [ "74/22", "", "", "Matters arising from previous meeting\n/ provided an update on Monkeypox\n• 2500 UK cases\n• Diagnostics being performed\n• Some changes in case definitions\n• No cases to date in IOM\n• Update of pathway will be sent to CAG for distribution.\n• Downgrade of biological samples & waste to be treated\nsame as other contagions\n• Vaccines – 40 available with 20 reserved for staff (GUM)", "", "", "", "" ], [ "75/22", "", "", "Revised AGP List\n- advised that had revisited the list In line with direction\nfrom UKHSA as to what is included/removed from list.\nThere has been removal of certain procedures so our list here\nhas been reviewed. In general this guidance will be followed.\nHowever, conclusion states local assessments should be made.\nMost trusts agreed to follow.", "", "\nDraft amended AGP\nlist.docx", "", "" ] ], "row_count": 4, "col_count": 8 }, { "headers": [ "", "Item", "", "Subject", "Action By" ], "rows": [ [ "", "No.", "", "", "" ], [ "113/22", "", "", "Apologies for Absence\n• Vanina Finocchi\n•\n•\n•\n• Ishaku Pam", "" ], [ "114/22", "", "", "Matters arising from previous meeting\nprovided an update on Covid boosters – it’s felt appropriate to\nfollow lead of Florida and not give boosters below age 15.\nSA Cannabis – waiting for policy\nMB advised this is with to finalise", "\nDraft Notes CAG\nAgenda 02Nov22.docx" ], [ "115/22", "", "", "Review of Action Log\nJS met with & VF so policy for Advice & Guidance is progressing\nSA Job plan update – c96% published\nThinking of new software (Allocate)", "CAG Action Log.xlsx\n" ], [ "116/22", "", "", "Non ported venflons\nPresented by – Non ported venflons introduced two years ago.\nAnaesthetic dept advised these not fit for purpose due to patient", "" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "", "safety concerns. However, it was introduced and given to every\ndepartment in the hospital except ICU & theatres. Our opinion as\nvascular experts was ignored and the process was not correctly\nfollowed. Evidence shows it is 3-5 times more expensive, higher\ninfection rate. We have produced a paper to show, especially in\nemergency situations, non-ported cannulas are not fit for purpose.\nWe therefore proposed to stop use of non-portable venflons.\nSA – Given the clinical risk we now have it was decided to stop using\nnon-portable venflons and only use the original, portable venflons.\n– it has going on for 2 years - has been datixed many times and is\non the risk register. All CDs agree we should move to ported\ncannulas. SA sent email instructing that non-portable cannulas be\nphased out from 12th November 2022 which has not been followed.\nThe producing company also advise these cannulas should not be\nused on labour wards & emergency trolleys. Very frustrating.\nWB – Possibly a wider issue as from ED & Ambulance perspective\nwe go to central stores and are provided with these cannulas – so\nperhaps not filtering down past clinicians to support services team.\nHappy to work with you and use the ported cannula as per Medical\nDirectors instruction.\nACTION:\n- Instruction to confirm no phasing out but to stop using the\nnon-ported venflons with immediate effect.\n- Stock to be physically cleared", "SA /" ], "rows": [ [ "117/22", "Shared care protocols for memory clinic\nItem deferred to next meeting ( not able to attend)", "" ], [ "118/22", "MGUS Patients\nItem deferred to next meeting ( not able to attend)", "\nHAEM_014_MGUS_G\nuideline.pdf" ], [ "119/22", "ANP Referrals (Annmarie Cubbon)\nSA – One surgery here is not run by Doctors and there have been\ninstances where consultants have refused to accept the referral\nfrom an ANP. The question therefore is\n1) is it right for us to refuse ANP referrals\n2) what are the standards the ANP’s are expected to adhere to\n3) If they are not allowed to refer who should do the referral\nto consultants? Where does the clinical pathway originate\nand end?\nDiscussion followed regarding specific cases.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Item", "", "Subject", "Action by:" ], "rows": [ [ "", "No.", "", "", "" ], [ "86/23", "", "", "Apologies for Absence\n• Dr V Balakrishnan\n• Dr M Bracewell\n•\n•\n•\n•", "" ], [ "87/23", "", "", "Review notes/Matters arising from previous meeting\nMeeting notes approved", "\nNotes CAG\n22November23.docx" ], [ "88/23", "", "", "Review of Action Log\nAction log reviewed and updated", "\nCAG Action Log\n2024.xlsx" ], [ "89/23", "", "", "Medicines Policy Working Group\nFor information & involvement\npresented the policy. There is an opportunity for\ninterested parties to be involved with Medicines Policy Working Group.", "\nManx Care\nmedicines policy wo" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "", "Item No.", "", "", "Subject", "", "", "Action By:", "" ], "rows": [ [ "07/23", "", "", "Apologies for Absence\n• John Snelling\n• Lakshman Paudyal\n•\n•\n• Ishaku Pam\n•", "", "", "", "", "" ], [ "08/23", "", "", "Notes of last meeting approved\nUpdates provided:\nprovided a spot update of Covid situation.\nIt was observed that more cases of flu and RSV\nUKHSA guidelines contine to be followed but these are due for review.\n Action: Bring back to CAG in a couple of months\nEDI – SA has taken on mantle to champion and shape this strategy and\nwill lead on reverse mentoring with workforce & culture team.", "", "", "CAG Meeting notes\n18Jan23.docx\n/", "", "" ], [ "09/23", "", "", "Review of Action Log\nNo review", "", "", "07Feb23 CAG\nAction Log.pdf", "", "" ] ], "row_count": 3, "col_count": 9 }, { "headers": [ "10/23", "Referral letter DF\nSA summarised a GP query regarding a patient who has experienced\nsurgical complications and does not want to return to Noble’s.\nIt was agreed that normally a second opinion would be offered within\nthe same department with perhaps escalation to MDT if needed.\nPatient is entitled to request a second opinion though cannot\nnecessarily dictate to whom they go to get a second opinion. Should try\nto resolve in house.\nThere is a second opinion policy in place. The difficulty is in the many\nsingle consultant specialities within Manx Care. A suggestion was put\nforward by SA that Primary Care to refer direct to Tertiary Care in\ncertain cases.\nHowever felt it was beneficial to have someone on Island, in\nsecondary care, to oversee in case something does go wrong.\nDiscussions followed on individual cases with advice being sought by\nAR. This led to SA advising that the question to be asked is whether the\ncomplaint is valid or not? If valid take further. If not valid reassure\npatient and say not much we can do.\nAs emphasised by it is important to act in the best interests of the\npatient and show reasonableness. Accountability is to GMC as well as\nManx Care.\n Action: Further debate required", "Referral letter\nFENTON, Daniel (Mr\nSA / All" ], "rows": [ [ "11/23", "Delirium Policy\nNew Delirium policy written up by SA however IP advised that the\nexisting policy on Medway is more comprehensive.\n Action: The two policies to be reviewed and compared", "Pharmacological\nManagement of Del\nIP" ], [ "12/23", "AOB\nBallasalla practice/Primary Care\nSA summarised the current situation with Ballasalla and highlighted the\nissue that 1% decrease in primary care work will result in 10% increase\nin hospital. Important that we support our primary care and look for\nideas for transformation. Very difficult situation due to the shortage of\nGPs globally.\n Action: Organise a summit/meeting for brainstorming with GPs\nas we need to work together to find and seek solutions.", "SA" ], [ "13/23", "Date of Next Meeting:\nWednesday, 15th March @1600 hrs", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Item No.", "", "", "Subject", "", "", "Action By:", "" ], "rows": [ [ "47/23", "", "", "Apologies for Absence\n•\n•\n• Dr Venkitasamy Balakrishnan\n•\n• Dr Lakshman Paudyal\n•\n• Miss Rehana Zaman\n• Dr Ishaku Pam", "", "", "", "", "" ], [ "48/23", "", "", "Notes of last meeting approved", "", "", "CAG Notes\nJune23.docx", "", "" ], [ "49/23", "", "", "Action Log reviewed and updated", "", "", "CAG Action Log\n19Jul.23.pdf", "", "" ], [ "50/23", "", "", "Off Island referrals policy\nPresented by Peter Hannay & Emma Dancer\nOverview given of the new off island referral policy/data base that\nshould be in place this winter. Essentially this will give control with a", "", "", "Off Island Referrals\nSoftware System.doc", "", "" ] ], "row_count": 4, "col_count": 9 }, { "headers": [ "", "central referral point for authorisation. Principal aim of presenting at\nCAG was for information and to answer any questions.\nIt was agreed that control and oversight is needed to avoid unnecessary\nreferrals off island. Confirmation was given that GP’s will continue to\nrefer firstly on island (or to visiting consultant), and then off island\ndirectly if no on island presence (checks in place) but within the scope\nof existing SLA’s.\nPH advised the proposals are based on the Jersey model who refer 1/3\nof the number of IOM and with a larger population. There will be a full\ntime clinician to look at all cases\nPeter & Emma will keep the group updated and come back later in the\nyear.", "" ], "rows": [ [ "51/23", "Patient Access Policy\nBrought back to CAG for ratification.\nVarious Issues raised for clarification, including:\n• Secondary care referrals to another speciality or back through\nthe GP?\n• Grading of referrals\n• Costs/services covered by Manx Care after private\ntreatment?/Private Patient Policy\n• Clarification of internal referrals to be provided for Private\nTreatment once Private Policy produced\nGroup agreed that Patient Access Policy ratified\nActions:\n Meeting to discuss Private Patients Policy with Tammy Hewitt\n Urgent/non urgent pathways to be put on next CAG agenda", "Manx Care's Patient\nAccess Policy for Elec\nMH\nLC" ], [ "52/23", "Covid-19 treatment guidelines\nIntroduced by for information purposes.\nThe guidelines were presented to IMOG earlier this week and basically\nbring together the separate guidance notes in one document, reflecting\nthe treatment pathways as per NICE guidelines.", "23-05 COVID\nGuidance 4-1.docx" ], [ "53/23", "Use of cannabis based medicines in acute care SOP\nPresented by who explained this is to be a practical\ndocument around cannabis based medicinal products in acute care. I.e.,\npatients initiated on cannabis being admitted to hospital. This SOP\nallows continuance of cannabis treatment should the clinician think it\nappropriate. There is a flow diagram to show when and when not to\nconsider allowing patient to self-administer.", "23-07 v2-1 Manx\nCare Acute Approach" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Item No.", "", "", "Subject", "", "", "Action By:", "" ], "rows": [ [ "40/23", "", "", "Apologies for Absence\n•\n•\n•\n• Dr Sadha Punniyakodi\n•\n• Miss Rehana Zaman\n•", "", "", "", "", "" ], [ "41/23", "", "", "Notes of last meeting approved", "", "", "CAG Notes\n17May23.docx", "", "" ], [ "42/23", "", "", "Action Log reviewed and updated\nJob Plans – MH provided an update:\n• It possible GP’s may, in the future, require job plans\n• MH requesting all Speciality Doctors have 2.5 SPA in order to\nget clinical engagement.\n• Job planning to be transparent and follow BMA policy\n• Aim is to have all job plans done prior to summer break\n• Aim is to support Primary Care same as Nobles\nActions:", "", "", "CAG Action Log\n19.06.23.xlsx", "", "" ] ], "row_count": 3, "col_count": 9 }, { "headers": [ "", " Meeting to be held with MH/JS/Care Group Manager to discuss\nfurther\n Check Job Plan Policy regarding inclusion of Primary Care", "MH/" ], "rows": [ [ "43/23", "Patient Access Policy\nPolicy presented by who explained this will be a public\ndocument based around roles and responsibilities. TC & OR have\napproved so she has brought to CAG to obtain engagement with\nclinicians.\nOpportunity to discuss and raise queries/concerns. would like to\nensure that all parties have had time to review the policy and raise any\nqueries.\nActions:\n Policy to be left with the group to further review then finalise at\nthe July meeting.\n Policy to be circulated to consultants to obtain their views", "Manx Care's Patient\nAccess Policy for Elec\nIP" ], [ "44/23", "Private Practice referrals into Manx Care (Marina Hudson)\nMH outlined a psychiatry issue (ADHD referrals) where there is no\npathway in Manx Care and no shared care arrangements from private\nassessments.\nIs there a procedure or SOP for referrals into the system from private\npractitioners or should it be from the GP where patients go on the\nwaiting list? If patients stay private they continue to pay for private\nprescription. There is a shared care agreement in place for under 18’s\nbut not for adults. Therefore there is no way of private patient\naccessing prescription through NHS. Question raised by Mental Health\nis if the patient decides to go on the NHS should this come from the GP\nor from the private provider?\nput forward an example of Opticians referring directly to Nobles\nwho then send a referral to GP’s for note. GP’s not required to do\nanything unless something else required after being seen at Nobles.\nTherefore a mechanism is in place that could be followed for other\nareas of private practice.\nVB advised that it is not encouraged the mix and match of private and\nNHS treatment.\nsuggested speaking with Tammy Hewitt to try to link in with the\nPrivate Patient policy.", "" ], [ "45/23", "Kesimpta Pathway approval (Heidi Morris)\nIn Heidi’s absence advised that this pathway has been adapted from\nthe Walton and has already been through IMOG.\n Pathway approved by CAG", "Manx Care\nofatumumab (Kesimp" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "" ], [ "45/22", "", "", "Apologies for Absence\n• Lakshman Paudyal", "SA", "", "" ], [ "45/22", "", "", "Matters Arising from last meeting\n(No minutes taken)", "SA", "", "" ], [ "46/22", "", "", "Monkeypox update\nPresentation by “Introduction and suggested\naction plan for Monkeypox”\nCopy presentation attached for reference.\nMonkeypox and IOM\nSexual Health A.pptx\nQ&A session followed.\naddressed concern raised by regarding paediatric\npopulation. Virus categorised as high consequence because\nwe don’t know which way it will go. Three main risks:\nPregnant women, immune compromised and children under", "", "", "" ] ], "row_count": 4, "col_count": 7 }, { "headers": [ "", "12. So far no concern just need to be prepared.\nSA: What is chance of seeing cases on IOM?\nCommunications going out from Public Health & Manx\nCare. With high level of alertness most cases will be diverted\nto GUM. Pathways are in place. The department has been on\nstandby with triage system over weekends.\nService ctc Mon-Fri 9-5pm 650710" ], "rows": [ [ "47/22", "NICE/TA update\nNot discussed" ], [ "48/22", "AOB\nBouncing of referals\nMaking good progress on clinical referrals, pathways with\neach department, especially with diabetes and endocrinology.\noverarching principals should be same ...\nSA: I will put this forward again and keep you informed.\nJob plans\nSA: pleased with the progress. Individual meetings planned\nwith each Clinical Director." ], [ "49/22", "Date of Next Meeting\n29/06/22 @ 1630 hrs via Teams" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Title", "", "The Capacity Bill (Phase One) – Direction on policy for the purposes of revised\ndrafting instructions", "", "", "", "", "", "", "", "", "", "", "", "Paper No xx", "" ], "rows": [ [ "", "DHSC Official Sensitive: Commercial", "", "", "", "", "", "", "", "", "☐ Check the box if paper contains commercial information which may be damaging\nto the DHSC, IOMG or a third sector organisation if improperly accessed.", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "DHSC Official Sensitive Personal", "", "", "", "", "", "", "", "", "☐ Check the box if paper contains personal information relating to an identifiable\nindividual where inappropriate access could have damaging consequences.", "", "", "", "", "" ], [ "", "Data", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "Decision ☒ Approval ☒ Discussion ☐ Assurance ☐ Information only ☐", "", "", "", "", "", "", "", "", "" ], [ "", "Purpose* (click", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "appropriate box)", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "Responsible director and job title", "", "Director signature", "" ], [ "", "Author and job title", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "The director is signing to indicate their approval of the paper and to confirm that any EQIA, QIA or DPIA has been approved.", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "/ (AGC)", "", "", "", "", "", "", "", "", "", "", "", "", "Karen Malone (Deputy CEO)", "", "" ], [ "", "", "", "/", "", "", "", "(AGC)", "", "", "", "", "", "", "", "" ], [ "Short summary of paper", "", "", "", "", "", "", "", "The capacity programme to date, has comprised of two public consultations – the\nfirst on policy and principles, and the second on the draft Bill itself. A number of the\nsubmissions received in the second consultation, highlighted some complex and\nlegally technical points that have required further work.\nIn addition to the points raised as a result of the consultations, a line by line analysis\nof the draft Bill is currently being undertaken, and any further policy questions that\nhave arisen, have been examined in detail.\nThis paper reviews the issues from the Bill analysis and also the consultation that we\nhave to date worked through; and conclude with recommendations for the\nDepartment to consider and decisions for discussion.\nOnce the Department have considered the points reviewed and recommendations\nmade in this paper, work will continue on the remaining line by line analysis of Parts\n3 and 4 together with Schedules 1 – 6 of the Bill.", "", "", "", "", "", "", "" ] ], "row_count": 19, "col_count": 16 }, { "headers": [ "", "", "Crucially, this will include representations put forward by the Attorney General. The\nAttorney General has raised questions regarding his role and the proposed functions\nof his Office. Work is underway to address these questions, the outcomes of which,\ntogether with recommendations, will be put forward in the next Department paper.", "", "", "", "" ], "rows": [ [ "Recommendation(s)", "", "That the Department approve the recommendations set out in paragraph 6 of this\npaper (recommendations).", "", "", "", "" ], [ "Engagement with patients/\npublic/ staff and other\nstakeholders", "", "a) Public consultation on the Capacity Bill 2021 Principles: 21st August 2020 to 2nd\nOctober 2020.\nb) Public consultation on the Capacity Bill: 25th February 2021 to 8th April 2021\nc) Lastly, due to the immediate and direct impact that the draft Bill will have on the\nlives of those who have lost capacity a further consultation ran concurrently to\nthe general consultation on the Bill, specifically aimed at “Hard to Reach” groups.", "", "", "", "" ], [ "Has legal advice been\nreceived/to be sought (only\nif required)?", "", "", "", "", "", "" ], [ "", "", "", "For the purposes of this paper, regarding the inherent jurisdiction of the Court in", "", "", "" ], [ "", "", "", "relation to minors the Department has sought the advice of the Children and Families", "", "", "" ], [ "", "", "", "Division of the Attorney General’s Chambers.", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "Further, subject to the Department agreeing the recommendations proposed, legal", "", "", "" ], [ "", "", "", "advice will be sought by way of revised drafting instructions; upon being submitted", "", "", "" ], [ "", "", "", "to the Legislative Drafting Division of the Attorney General’s Chambers.", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "Links to DHSC Strategic Objectives from 5 year Strategy (click on all boxes that apply)", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "Greater responsibility; We will help everyone to take greater responsibility for their own health, encouraging", "", "", "", "☐", "" ], [ "", "good lifestyle choices.", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "More care in the community; We will help people to stay well in their own homes and communities, avoiding", "", "", "", "☐", "" ], [ "", "hospital or residential care whenever possible.", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "Improve hospital care; We will improve services for people who really need care in hospital.", "", "", "", "☐", "" ], [ "", "", "", "", "", "", "" ], [ "Protect vulnerable people; We will provide safeguards for people who cannot protect themselves.", "Protect vulnerable people; We will provide safeguards for people who cannot protect themselves.", "", "", "", "☒", "" ], [ "", "Value for money; We will work to ensure that everyone receives good value health and social care services.", "", "", "", "☒", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 25, "col_count": 7 }, { "headers": [ "" ], "rows": [ [ "Engagement with patients/" ], [ "public/ staff and other" ], [ "stakeholders" ], [ "" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "Has legal advice been" ], [ "received/to be sought (only" ], [ "if required)?" ], [ "" ], [ "" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "", "", "", "", "", "", "" ], "rows": [ [ "", "Risk Register", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "n/a", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "New strategic risks identified by this report", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "Resource\nimplications", "", "", "n/a\n(Note: The Capacity Bill 2022 will have financial implications. The\nDepartment will therefore be submitting a paper outlining the\nfinancial and personnel implications together with a copy of the Bill\nto Treasury for approval before it is submitted to the Council of\nMinisters to seek approval to introduce it into the Legislature.)", "", "Finance Signature", "" ], [ "", "Resource", "", "", "", "", "" ], [ "", "implications", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "n/a", "", "", "" ], [ "", "Financial", "", "", "", "", "" ], [ "", "Exemptions", "", "", "", "", "" ], [ "", "Required?", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "None", "", "", "" ], [ "", "Potential conflicts", "", "", "", "", "" ], [ "", "of interest", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "Are there any\npotential\nstakeholder (e.g.\npolitical, PR)\nconsiderations?", "", "", "Mental capacity potentially effects everyone in the Island; but particularly the key stakeholders\nare those that may have lost capacity to make decisions for themselves, health and care\npractitioners, private sector organisations, voluntary and community sector organisations that\nprovide services to people who may lack the capacity to make decisions as well as the family\nmembers of those individuals.\nAdditionally there is, and has been for some time, clear political will to establish a statutory\nframework for mental capacity. Most recently the Independent Health and Social Care Review\nReport by Sir Jonathan Michael (18 April 2019) noted that a legislative framework for Capacity\nshould be brought forward without further delay.", "", "", "" ], [ "", "Are there any", "", "", "", "", "" ], [ "", "potential", "", "", "", "", "" ], [ "", "stakeholder (e.g.", "", "", "", "", "" ], [ "", "political, PR)", "", "", "", "", "" ], [ "", "considerations?", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "Equality Impact\nAssessment (EIA)", "", "", "n/a (for the purposes of this paper)\n(Note: an equality impact assessment will be a part of the documentation submitted to the\nDepartment seeking approval for the Capacity Bill to be introduced into the Branches of\nTynwald.)", "", "", "" ] ], "row_count": 27, "col_count": 7 }, { "headers": [ "", "", "", "N/A" ], "rows": [ [ "", "Quality Impact", "", "" ], [ "", "Assessment (QIA)", "", "" ], [ "", "", "", "" ], [ "Data Protection\nImpact\nAssessment\n(DPIA)", "", "", "n/a (for the purposes of this paper).\n(Note: Engagement with the ICO upon the draft Bill in February 2021)" ], [ "", "Data Protection", "", "" ], [ "", "Impact", "", "" ], [ "", "Assessment", "", "" ], [ "", "(DPIA)", "", "" ], [ "", "", "", "" ], [ "Report history", "", "", "a) Capacity Bill – Policy Direction: Next Steps and Publication of the Summary of Responses to\nthe Consultation – 26 January 2021;\nb) Capacity Bill – Summary of Responses to the Consultation – 11 June 2021." ], [ "Appendices", "", "", "(1) Draft Capacity Bill 2021 (v.7);\n(2) Jurisdiction Table – General age;\n(3) Jurisdiction Table – Advance Decisions to Refuse Treatment;\n(4) Jurisdiction Table – Lasting Powers of Attorney." ], [ "", "", "", "" ], [ "", "Departmental or", "", "" ], [ "", "Ministerial", "", "" ], [ "", "Decisions", "", "" ], [ "", "", "", "" ], [ "", "", "", "V.1" ], [ "", "Version Control", "", "" ] ], "row_count": 18, "col_count": 4 }, { "headers": [ "", "2. Strategic Alignment", "" ], "rows": [ [ "", "", "" ], [ "The creation of a modern and clear legal framework which safeguards the rights, dignity and wellbeing of\nindividuals who have lost the capacity to make decisions for themselves is integral to the Department’s strategic\nobjective of developing a five year modern, comprehensive legislative programme.", "", "" ], [ "", "3. Options", "" ], [ "", "", "" ], [ "n/a (to consider the recommendations set out in paragraph 6 below)", "", "" ], [ "", "4. Estimated cost and proposed funding source", "" ], [ "", "", "" ], [ "n/a", "", "" ] ], "row_count": 8, "col_count": 3 }, { "headers": [ "", "5. Benefits", "" ], "rows": [ [ "", "", "" ], [ "To improve the legal framework for people who may have lost the capacity to make decisions for themselves.", "", "" ], [ "", "6. Recommendations", "" ], [ "", "", "" ], [ "The Department is being asked to consider the following recommendations:\na) One: that the Capacity Bill should in general apply to those aged 16 and over.\nb) Two: All references in the Bill to “personal welfare” to be amended to “health and welfare”.\nc) Three: That the draft Bill should include a provision akin to section 18(3) of the MCA 05, permitting the\ncourt to make decisions relating to the property and financial affairs of someone under the age of 16\nyears, if it considers it likely that the person will still lack capacity in respect of that matter when they\nreach 18 years.\nd) Four: That the age at which a person can enter into an advance decision to refuse treatment be 18.\ne) Five: that the provisions of the draft Bill relating to advance consent to treatment be omitted.\nf) Six:\n Cabinet Office (Public Health) be responsible for making the regulations under clause 42(7) of the\ndraft Bill; and\n Cabinet Office (Public Health) be required to consult the Department of Health and Social Care\nbefore doing so.\ng) Seven: that the Cabinet Office “shall” be under a duty to make regulations (rather than a discretionary\n“may”).", "", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "Item No.", "", "", "Subject", "", "", "Action", "" ], "rows": [ [ "23/22", "", "", "Apologies for Absence\n• Venkitasamy Balakrishnan\n• Maria Bell\n•\n•\n•\n• Michele Moroney\n•", "", "", "", "", "" ], [ "24/22", "", "", "Matters Arising from last meeting\nNot discussed", "", "", "", "", "" ], [ "25/22", "", "", "Policy – Clinical guidelines for seeking second opinion\nNot fully discussed or approved\nRoll forward", "", "", "", "", "" ], [ "26/22", "", "", "Policy – Open & Upright MRI prior approval\nNot fully discussed or approved\nRoll forward", "", "", "", "", "" ], [ "27/22", "", "", "AOB\nSA started discussion on function & purpose of CAG\nImportant that the group is more effective and engaged.\nTo have shared responsibility and joint accountability\nTo produce effective policies and design new pathways.\nGeneral agreement that all parties need to be part of\nprocesses and policies and be motivated to do so.\nMaybe include Matrons/Nursing\n.\nAction: TOI to be recirculated for review and clarification\nAction: Investigate cascade of information/communication\nwith", "", "", "SA/\nSA", "", "" ], [ "28/22", "", "", "", "Date of Next Meeting", "", "", "", "" ], [ "", "", "", "", "27/04/22 @ 1600 hrs via Teams?", "", "", "", "" ] ], "row_count": 7, "col_count": 9 }, { "headers": [ "", "Item", "", "Subject", "Action by:" ], "rows": [ [ "", "No.", "", "", "" ], [ "26/24", "", "", "• Apologies for Absence\n•\n• Toyin Amusan\n•\n• Dr Alison Hool\n• Maria Bell\n• Dr Martin Rankin\n•\n• Dr John Snelling\n• Dr Ishaku Pam", "" ], [ "27/24", "", "", "Review notes/Matters arising from previous meeting\nMeeting notes approved", "CAG notes\n2024.03.12.pdf" ], [ "28/24", "", "", "Review of Action Log\nAction Log reviewed and updated", "CAG Action Log\n2024.xlsx" ], [ "29/24", "", "", "Emergency Brain Pathway Policy", "" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "", "Item", "", "Subject", "", "ACTION", "" ], "rows": [ [ "", "No.", "", "", "", "By:", "" ], [ "104/22", "", "", "Apologies for Absence\n• Martyn Bracewell\n•\n•\n• Lakshman Paudyal\n•\n•", "", "", "" ], [ "105/22", "", "", "Matters arising from previous meeting\nSA - in future we will put an action log in place", "NOTES CAG\nAgenda 05Oct22.V2.", "", "" ], [ "106/22", "", "", "Advice and guidance lines\nSA –after Covid it has apparently been increasingly difficult for primary\ncare to contact some of the specialities. Are lines of communication still\nopen for GP’S & Primary care to use?", "", "", "" ] ], "row_count": 4, "col_count": 7 }, { "headers": [ "", "139 job plans to approve and publish - when we started at best 60 were\npublished.\nLast week we had 137 published, so a huge improvement. Not all signed\noff but it helps to map out capacity and demand. First step very\nsuccessful. I will update group when we do next steps of sign offs and\ncompletion.\nACTION: Further update at future meetings", "" ], "rows": [ [ "109/22", "Testicular Torsion protocol for approval\nSA – New protocal drafted following 3-4 torsion testes incidents in last 6\nmonths.\nAR – Following the recurrence of these incidents I’ve worked with Mr\nHussain, Consultant Urologist to draft this SOP.\nBH – Simple one page SOP to make it easy for everyone. Any case with\nage 12-25 to be considered as a torsion until proven otherwise. Nobody\nwill be criticised for exploring a negative testicle. Basically this is\nuniversal protocol followed in all hospitals.\nVF – raised concerns about not requesting an ultrasound.\nBH – clarified pointers in the SOP regarding imaging. If presentation is\nwithin the 1-12 hours of symptoms imaging should not be attempted.\nBetween 12-24 hrs ultrasound can be considered if readily available. It’s\na question of when it should be done.\nSA questioned if all general surgeons are capable of doing the surgery.\nBH/AR – confirmed yes\nPolicy approved.\nAction – policy to be forwarded to EMC", "Manx care SOP for\nsuspected Testicular T\nSA /" ], [ "110/22", "PICC Policies – updated\nReview and ratification sought by Matthew Mustain & Graham Lloyd\nBrandrick\nNo objections - Policies approved\nAction: to be forwarded to EMC", "PICC (Bard\nGroshong) policy 20\nSA /" ], [ "111/22", "AOB", "" ], [ "112/22", "Date of Next Meeting:\nWednesday, 7th December 2022 @ 1600 hrs", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Item", "", "Subject", "", "Discussion", "", "", "Document (s)", "" ], "rows": [ [ "", "No.", "", "", "", "Lead", "", "", "Attached", "" ], [ "50/22", "", "", "Apologies for Absence\nRohit Peshin\nBala Venkitasamy\nTentative\nMichele Moroney", "SA", "", "", "", "", "" ], [ "51/22", "", "", "Universal mask wearing in healthcare settings", "SA", "", "", "", "", "" ], [ "52/22", "", "", "AOB", "SA", "", "", "", "", "" ], [ "53/22", "", "", "Date of Next Meeting\n29/06/22 @ 1630 hrs via Teams", "SA", "", "", "", "", "" ] ], "row_count": 5, "col_count": 10 }, { "headers": [ "Item\nNumber", "Subject", "Action" ], "rows": [ [ "21/21", "Apologies\nApologies received are noted above.\nA general discussion took place on the attendance at these meetings.\nJS stated that he felt this was the only forum available for senior clinical leaders and it\nwould not function as an effective group if Manx Care was not fully represented. JC\nagreed.\nKW joined the meeting at 4.39 pm and explained that she had no camera or microphone available.\nSA explained that it was important to meet and have the issues discussed. SA\nsuggested that he would look for consensus for future meeting dates and times,\nperhaps via Doodle Poll.", "SA" ], [ "22/21", "Guidance to Care and Residential Homes: Community Geriatricians\nSA stated that the Care Quality Commission (CQC) England forwarded guidance\nadvising that visitors to care/residential homes should be double vaccinated prior to\nentering the premises.\nA general discussion followed.\nThe group agreed that it is strongly advised that visitors to care/residential homes\nshould be double vaccinated prior to entry as per CQC advice.", "" ], [ "23/21", "Primary Care Winter Pressures (Standard Operating Procedures (SOPs))\na) Primary Care Guidance\nThe document, circulated with the agenda, was noted.\nb) GP Living with Covid (SOP)\nThe document, circulated with the agenda, was noted; it was recognised that the SOP\nshould be read alongside the Integrated Primary and Community Care ‘Living with\nCOVID’ Guidance which sets out relevant procedures to follow generically.\nJS explained that the SOP relates to the triage of patients to determine on how best\nthey can be managed clinically. The SOP recommends triage is carried out via\ntelephone or triage platforms.\nSA requested that the document is checked to clarify that telephone triage is not being\nconfused with telephone consolation.", "JS" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "to see patients who had been referred with a normal PV.", "", "explained that she was" ], [ "advised by both Consultants that symptoms could not be related to", "", "" ], [ "(GCA) with a normal PV, but this was not supported by the neurologists and the", "", "" ], [ "literature. KW requested advice on dealing with the less typical cases.", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "KW stated, via JS, that Consultants have refused to see patients when it may not be" ], "rows": [ [ "GCA. RP advised that he can only see patients and grade the urgency of the" ], [ "appointment on the clinical evidence he has. He cannot force another clinician to" ], [ "complete a biopsy and will see patients in clinics but not necessarily the next day." ], [ "There" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Item\nNumber", "Subject", "Action" ], "rows": [ [ "27/21", "Apologies\nApologies received are noted above.", "" ], [ "28/21", "Minutes of the meeting held on 20 September 2021\nOne amendment to the minutes from 20 September 2021 was requested by JS. Minute\n23/21 (b) last sentence: SA requested that the document is checked to clarify that\ntelephone triage is not being confused with telephone consolation.\nThis should read: SA requested that the document is checked to clarify that\ntelephone triage is not being confused with telephone consultation.\nThe minutes will be amended and reissued.\nThe remainder of the minutes of the meeting held on 20 September 2021 were agreed\nas a true account.", "" ], [ "29/21", "Matters Arising\nNot discussed.", "" ], [ "30/21", "Primary Care Winter Workload Pressures Standard Operating Procedure\n(SOP)\na) Workable definition to be agreed for the trigger point for implementing\nthe SOP\nIt was agreed to defer this item to the next meeting.\nb) Primary Care and Urgent Care liaison when the SOP is implemented\nIt was agreed to defer this item to the next meeting.", "" ], [ "31/21", "NHS UKHSA Recommendations to reduce physical distancing and changing\npre-procedure testing elective and planned care\nIt was agreed that would draft a response for SA supporting proposed flexibility by\nthe UKHSA to the current NICE pre-elective patient testing protocols for specific patient\ngroups i.e. an on-the-day LFD test.", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "Status", "Open", "", "" ], "rows": [ [ "Publication Scheme", "Our Policies and Procedures", "", "" ], [ "FOI classification", "Refer to author before release", "", "" ], [ "Function/Activity", "N/A", "", "" ], [ "Project Name", "N/A", "", "" ], [ "Key words", "Waiting lists, waiting times, admissions,\ninpatient, outpatient, diagnostic, referral to\ntreatment, 18 weeks, DNA, cancellation,\naccess standard", "", "" ], [ "Author", "", "", "" ], [ "Approval and/or Ratification body", "Manx Care Executive Management\nCommittee on 29/10/21", "", "" ] ], "row_count": 7, "col_count": 4 }, { "headers": [ "Item\nNumber", "Subject", "Action" ], "rows": [ [ "", "General\nSA advised that the structure and membership/attendance is to be discussed as\nattendance at CAG meetings by Clinical Directors (CDs) is low. It was noted that due to\nbusy clinical commitments it was understandable CDs were not able to attend all\nmeetings though the lack of clinical ‘buy in’ was a concern.\nJS stated that clinical ‘buy in’ is important and suggested consideration is given to an\nhonest discussion on low attendance with the days and timing of the meetings to be\nagreed.\nJC joined the meeting\nSA provided an update on the above discussion to JC; JC agreed with the comments\nmade.\nSA decided to continue with the meeting despite the absence of CDs.", "" ], [ "07/21", "Apologies\nApologies received are noted above.", "" ], [ "08/21", "CATCH Sites\nVerbal presentation by Juan Corkill\nJC reported the following.\n Covid Assessment and Treatment Community Hub (CATCH) sites were established in\nMarch 2020 for Covid and high risk patients to be seen outside of a GP surgery.\n Covid Assessment Treatment Unit (CATU) was established in the Emergency\nDepartment of Nobles at the same time.\n GP contractual obligations were ‘turned off’. In hindsight this may not have needed\nto happen.\n July 2020, no Covid restrictions apart from borders remaining closed, primary care\nservices resumed normal service.\n An outbreak on 31 December 2020 did not result in CATU being resurrected. At that\ntime no GP had had any contact with a Covid patient.\n GP infrastructure at that time was affected due to various staffing levels and the\npossibility that surgeries would have to close. Ballasalla surgery closed for two days\nin order that a deep clean could take place.\n Catch sites initiated again during a short lockdown.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ " Discussions on going with Mental Health Services in relation to a shared care" ], "rows": [ [ "arrangement for Child and Adolescent Mental Health Service (CAMHS). GPs will be paid" ], [ "£150 pa for each shared care case." ], [ "SA asked;" ], [ "1. Are the number of patient’s attending hot sites increasing?" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "", " Problems are not GP or Nobles; Manx Care to work as a team with clients/patients at\nthe heart.\n Establishment of a joint prescribing committee to be discussed at the next CAG.\n Discuss at the next CAG the suggestion that GPs and Specialties are rotated. Begin\nto work together to get to the strategy stage.\n Any operational delivery of care will be underpinned by finance.", "" ], "rows": [ [ "09/21", "Covid-19 Pathways\nNot discussed due to time constraints.", "" ], [ "10/21", "Any Other Business\na) Results Acknowledgement\nNot discussed due to time constraints.\nThere being no further business the meeting closed at 5.34 pm.", "" ], [ "11/21", "Next meeting: Wednesday 18 August 2021 at\n4.30 pm on MS Teams.", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "Item\nNumber", "Subject", "Action" ], "rows": [ [ "27/21", "Apologies\nApologies received are noted above.", "" ], [ "28/21", "Minutes of the meeting held on 20 September 2021\nOne amendment to the minutes from 20 September 2021 was requested by JS. Minute\n23/21 (b) last sentence: SA requested that the document is checked to clarify that\ntelephone triage is not being confused with telephone consolation.\nThis should read: SA requested that the document is checked to clarify that\ntelephone triage is not being confused with telephone consultation.\nThe minutes will be amended and reissued.\nThe remainder of the minutes of the meeting held on 20 September 2021 were agreed\nas a true account.", "" ], [ "29/21", "Matters Arising\nNot discussed.", "" ], [ "30/21", "Primary Care Winter Workload Pressures Standard Operating Procedure\n(SOP)\na) Workable definition to be agreed for the trigger point for implementing\nthe SOP\nIt was agreed to defer this item to the next meeting.\nb) Primary Care and Urgent Care liaison when the SOP is implemented\nIt was agreed to defer this item to the next meeting.", "" ], [ "31/21", "NHS UKHSA Recommendations to reduce physical distancing and changing\npre-procedure testing elective and planned care\nIt was agreed that would draft a response for SA supporting proposed flexibility by\nthe UKHSA to the current NICE pre-elective patient testing protocols for specific patient\ngroups i.e. an on-the-day LFD test.", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "Item\nNumber", "Subject", "Action" ], "rows": [ [ "21/21", "Apologies\nApologies received are noted above.\nA general discussion took place on the attendance at these meetings.\nJS stated that he felt this was the only forum available for senior clinical leaders and it\nwould not function as an effective group if Manx Care was not fully represented. JC\nagreed.\nKW joined the meeting at 4.39 pm and explained that she had no camera or microphone available.\nSA explained that it was important to meet and have the issues discussed. SA\nsuggested that he would look for consensus for future meeting dates and times,\nperhaps via Doodle Poll.", "SA" ], [ "22/21", "Guidance to Care and Residential Homes: Community Geriatricians\nSA stated that the Care Quality Commission (CQC) England forwarded guidance\nadvising that visitors to care/residential homes should be double vaccinated prior to\nentering the premises.\nA general discussion followed.\nThe group agreed that it is strongly advised that visitors to care/residential homes\nshould be double vaccinated prior to entry as per CQC advice.", "" ], [ "23/21", "Primary Care Winter Pressures (Standard Operating Procedures (SOPs))\na) Primary Care Guidance\nThe document, circulated with the agenda, was noted.\nb) GP Living with Covid (SOP)\nThe document, circulated with the agenda, was noted; it was recognised that the SOP\nshould be read alongside the Integrated Primary and Community Care ‘Living with\nCOVID’ Guidance which sets out relevant procedures to follow generically.\nJS explained that the SOP relates to the triage of patients to determine on how best\nthey can be managed clinically. The SOP recommends triage is carried out via\ntelephone or triage platforms.\nSA requested that the document is checked to clarify that telephone triage is not being\nconfused with telephone consolation.", "JS" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "", "" ], "rows": [ [ "to see patients who had been referred with a normal PV.", "", "explained that she was" ], [ "advised by both Consultants that symptoms could not be related to GCA with a normal", "", "" ], [ "PV, but this was not supported by the neurologists and the literature. KW requested", "", "" ], [ "advice on dealing with the less typical cases.", "", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "RP advised that this pathway is predominately for GPs who feel that there is very high" ], "rows": [ [ "risk associated with visual loss. For those patients with symptoms and visual loss this i" ], [ "the pathway designed to prevent a delay in diagnosis; ultrasounds completed within" ], [ "24/48 hours and DAB within 7/14 days." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "KW stated, via JS, that Consultants have refused to see patients when it may not be" ], "rows": [ [ "GCA. RP advised that he can only see patients and grade the urgency of the" ], [ "appointment on the clinical evidence he has. He cannot force another clinician to" ], [ "complete a biopsy and will see patients in clinics but not necessarily the next day." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Author(s)", "Tammy Hewitt, Head of Strategic Partnerships", "" ], "rows": [ [ "Version Number", "1.3 FINAL DRAFT", "" ], [ "Document effective from", "July 2022", "" ], [ "Next review due", "June 2023", "" ], [ "", "", "" ], [ "Intended audience", "Manx Care and Commissioned Providers", "" ], [ "Superseded documents", "Not applicable", "" ], [ "Stakeholders consulted\nprior to ratification", "Oliver Radford, Director of Operations\nSree Andole, Medical Director\nMaria Bell, Pharmaceutical Advisor\nClinical Advisory Group (CAG)", "" ], [ "Ratified by", "Executive Management Committee", "Date:" ], [ "Previous reviews", "Not Applicable", "" ], [ "Changes made during\nlatest review", "Not Applicable", "" ] ], "row_count": 10, "col_count": 3 }, { "headers": [ "Author(s)", "Tammy Hewitt, Head of Strategic Partnerships", "" ], "rows": [ [ "Version Number", "1.2 FINAL DRAFT", "" ], [ "Document effective from", "July 2022", "" ], [ "Next review due", "June 2023", "" ], [ "", "", "" ], [ "Intended audience", "Manx Care", "" ], [ "Superseded documents", "Not Applicable", "" ], [ "Stakeholders consulted\nprior to ratification", "Oliver Radford, Director of Operations\nSree Andole, Medical Director\nMaria Bell, Pharmaceutical Advisor\nClinical Advisory Committee (CAG)", "" ], [ "Ratified by", "Executive Management Committee", "Date:" ], [ "Previous reviews", "Not Applicable", "" ], [ "Changes made during\nlatest review", "Not Applicable", "" ] ], "row_count": 10, "col_count": 3 }, { "headers": [ "", "Item", "", "Subject", "Action by:" ], "rows": [ [ "", "No.", "", "", "" ], [ "56/23", "", "", "Apologies for Absence\n•\n• Dr Sadha Punniyakodi\n•\n• Dr B Krishnan\n•\n•", "" ], [ "57/23", "", "", "Review notes/Matters arising from previous meeting\nMeeting notes approved", "\nCAG Notes\nJuly23.docx" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "58/23", "Review of Action Log\nAction log reviewed and updated", "\nCAG Action Log\n02Oct23.pdf" ], "rows": [ [ "59/23", "IT and operational performance data analytics\nDue to absence item rolled forward", "Verbal" ], [ "60/23", "Role, remit and responsibilities of the Clinical Service Lead – for update &\ndiscussion\nDue to absence item rolled forward", "Verbal" ], [ "61/23", "Joint care arrangements – for update & discussion\nDue to absence item rolled forward", "Verbal" ], [ "62/23", "Medical Gas Policy\nUpdated policy presented by for information.\nSOP information removed to provide policy based document, bringing\ntogether medical gas cylinders and pipes.\nRatified by the non-clinical quality group and is due to go to EMC for final sign\noff. Medical Gas group now operational should there be any questions.", "\nMedical Gas policy\n2023 ManxCare ver d\nOperational Policy -\nMGPS for Noble's Ho" ], [ "63/23", "Treatment Escalation Plan Standard Operating Policy\nPresented by & Dr Duncan Gerry as an update to the group.\nIn summary the Treatment Escalation Plan is about making decisions for\npeople both in and out of hospital. It's a step beyond a DNA CPR decision and\nit has been a quality improvement project for the best part of a year. Under\nthe governance format of the Resuscitation Committee multiple people are\ninvolved e.g. palliative care, a specialist, nurses, ambulance crew, GP.\nIn the next 6 months it is anticipated the DNA CPR form can be replaced with\na treatment escalation form.\nThey are aware that any policy change involving death and dying can be\nmisinterpreted so there will be an education and information alongside.\nNext step will be to replace all DNA CPR forms with the new combined TEP\nform.\nPlan is to roll it out gradually throughout the wards starting with ED.\nIP advised that the end of life and palliative care pathway falls within CQC\nimplementation action plan so he would like to be involved. Also questioned\nif there had been involvement of Primary Care in the process and it was\nconfirmed GPs are on board.\nVF aware of problems with these policies in the UK and asked if this had been\ntaken in to account and measures to prevent issues put in place.", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "Item", "", "Subject", "ACTION\nBy:", "" ], "rows": [ [ "", "No.", "", "", "", "" ], [ "97/22", "", "", "Apologies for Absence\n• Balakrishnan Venkitasamy\n• Lakshman Paudyal\n•\n• Martin Rankin\n•\n• Ishaku Pam", "", "" ], [ "98/22", "", "", "Matters arising from previous meeting\nUniversal Mask wearing was stepped down as a result of the last\nmeeting on the basis that it is regularly monitored.\nadvised there are indications of Covid cases increasing in UK.\nFrom data available here the case numbers are very low.\nAgreed to continue monitoring and bring back to CAG if anything\nneeds to be escalated", "", "" ] ], "row_count": 3, "col_count": 6 }, { "headers": [ "99/22", "Guidance on how to manage patients who cannot have a mRNA\nvaccine as a booster – paper submitted by\nSA brought the paper to the attention of the group.\nFor people who cannot have mRNA, Novavax COVID-19 can as per\nJCVI guidance be used for primary vaccination.", "CAG Submission -\nCovid-19 vaccination" ], "rows": [ [ "100/22", "Interpretation of JCVI Guidance re children 5/11yrs - paper submitted\nby\nstrongly against vaccination for 5/11 yrs & 11/18 yrs.\nAs of 1.8.22, combined totals for the Oxford AstraZeneca and Pfizer /\nBioNTech vaccines in the Yellow Card scheme were 418,472 reports\nconcerning 1,368,814 adverse reactions, with 2,112 fatalities. Contrary\nto international data, which suggest higher (approx 2x) ADR rates with\nthe Pfizer and Moderna vaccines, the Yellow Card numbers are about\n1.5:1 Ox/AZ vs Pfizer/BNT.\nSA - I understand that we have some reservations in vaccinating this\ngroup but we will continue to adhere to JCVI guidance here in IoM\nTo go back to vaccination group and verify information provided", "CAG submission -\nCovid-19 vaccination\nSA" ], [ "101/22", "Draft Policy – Testing for COVID in ICU\nPolicy submitted and presented by\nFollowing a visit by senior ITU staff to Merseyside and Cheshire Critical\nCare network group it was established that the other trusts within the\nnetwork are continuing to do PCR tests for patients admitted to ICU.\nThis has resulted in the attached policy which requires CAG to\nrecommend in order to move forward.\nprovided case examples as justification for implementing the policy.\nadvised meeting had taken place as higher rates of flu and\nRSV expected this season. A paper/proposal will be put forward for\ndiscussion at the next CAG.\nNo objections policy agreed", "Manx Care COVID\nscreening for patien" ], [ "102/22", "Alteplase\nSA introduction:\nThis is a drug given for 3 acute emergencies in medicine: stroke/ heart\nattack /pulmonary embolism.\nThere is now a worldwide shortage due to production issues in\nGermany.\nThe latest information is that it may not be any better before March\n2023.", "Shortage of\nantithromlolytic age" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Item", "", "Subject", "Action by:" ], "rows": [ [ "", "No.", "", "", "" ], [ "65/23", "", "", "Apologies for Absence\n• Dr Lakshman Paudyal\n• Dr V Balakrishnan\n• Dr David Hedley\n• Dr Ishaku Pam\n•", "" ], [ "66/23", "", "", "Review notes/Matters arising from previous meeting\nMeeting notes approved", "\nNotes CAG\n02Oct23.docx" ], [ "67/23", "", "", "Review of Action Log\nAction log reviewed and updated.", "\n18Oct23.CAG\nAction Log 2023.pdf" ], [ "68/23", "", "", "IT and operational performance data analytics\nPresented by\nsuggested this be a regular item on the CAG agenda in order to\nreview outcome measures for each service and to have up to date\noperational performance measures for sharing. Sree had initially\ncirculated a slide to be used as template but this was not taken up.", "" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "", "", "" ], "rows": [ [ "72/23", "Pathology MDS Policy for information & comment\n Item to be carried forward to the next meeting.", "" ], [ "73/23", "Do Not Attempt Cardiopulmonary Resuscitation Policy – for\ninformation & comment\nPresented by\nHaving taken the DNA CPR to OCG Dr Pam suggested bring it to CAG.\nexplained it is not a new paper, only a review of an existing policy.\nThere are no changes as there is a group working to implement a\nTreatment Escalation Plan (TEC) in the near future. This group is\ncurrently working on a policy that will replace in part this DNA.\n(Presented at CAG 02Oct23 by Dr Duncan Gerry & )\nMR currently using one from TEP group as part of the limited rollout.\nadvised it was always intended to be a limited roll out to work\nthrough issues.\nconfirmed that the intention is for the DNA form to cease once the\nTEP form is finalised. The DNA CPR will be incorporated into TEP.\nThe DNA CPR needed a review to keep it legal and current until TEP is\nrolled out.\nraised a concern as to whether the wording is strong enough on 2.8\nlack capacity. Although advised it is worded more strongly elsewhere\nin the policy AD suggests strengthening the wording in that particular\nparagraph wording, ie MUST\nQuestions were asked about the status and rollout of the TEP.\nadvised that has been produced as a Quality Improvement Project and is\nonly used in a limited in way. E.g. Dr Gerry team, Ward 6, Ramsey &\nSiverdale (MR)\n will revisit the wording on sec 2.8 and amend accordingly", "2023DNACPRV2.pdf" ], [ "74/23", "AOB\nNothing raised", "" ], [ "75/23", "Date of next meeting:\nWednesday, 15 November 2023 @ 1600 hrs", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Item", "", "Subject", "Action by:" ], "rows": [ [ "", "No.", "", "", "" ], [ "76/23", "", "", "Apologies for Absence\n•\n• Dr B Krishnan\n•", "" ], [ "77/23", "", "", "Review notes/Matters arising from previous meeting\nMeeting notes approved", "\nNotes CAG\n18Oct23.docx" ], [ "78/23", "", "", "Review of Action Log\nAction log reviewed and updated", "\nCAG Action Log\n2023.xlsx" ], [ "79/23", "", "", "IT and operational performance data analytics\nto discuss with as AMD for Patient Safety & Governance", "" ], [ "80/23", "", "", "Urgent/non urgent pathways for discussion\nNon raised", "" ], [ "81/23", "", "", "Updated TOR for review\nTOR agreed (reporting line to Bronze & Silver Commands removed)", "Terms of Reference\nClinical Advisory Gro" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "82/23", "Referrals\nNot discussed", "" ], "rows": [ [ "83/23", "Medicines Policy for information/review\nMH apologised as she had to make a decision on this policy, otherwise we\nwould be in a vulnerable position of having no signed off policy in place.\n(One of the CQC standards that we kept failing).\nReference to EBNF was removed as the GP’s do not have access to this.\nIt was agreed to ratify the policy as somewhere to start working - there will\nbe 6 months to review and have a meaningful consultation exercise by all\nDoctors.\nThe Medicines Policy is now on the intranet and MH encourages all Doctors\nto review.\n Policy to be brought back to the meeting for comments", "\n23-11 Medicines\nPolicy - V5 All chang\nMH/" ], [ "84/23", "AOB\nMeeting day/time\nIt was proposed to alternate the meeting day each month – Tuesday, then\nWednesday.\n This was agreed and a new schedule of meetings alternating\nTuesday/Wednesday for 2024 will be sent out.\nMECFS & Long Covid Service\nhad received contact by one of the users and requested input on how to\nhandle the matter. After discussion it was agreed that the correct route\nwould be to refer through MCALS so it is dealt with in a systematic way and\nit is fully recorded.", "" ], [ "85/23", "Date of next meeting:\nWednesday, 20 December 2023 @ 1600 hrs", "" ] ], "row_count": 3, "col_count": 3 } ] }, { "case_id": 3800574, "title": "Age of deaths", "authority": "Cabinet Office", "date_received": "2024-04-15", "outcome": "Some information sent but part exempt", "summary": "The requester asked for annual age brackets and average ages of death in the Isle of Man from 2015 to 2023. The Cabinet Office provided the average age of death for 2015-2022 but stated they do not hold the data for 2023 or the specific age brackets requested.", "key_facts": [ "The request covered death statistics for the years 2015 through 2023.", "The Cabinet Office does not hold the average age of death for 2023.", "The Cabinet Office does not hold the specific age bracket data requested.", "Average age of death data was provided for the years 2015 to 2022.", "The outcome was classified as 'Some information sent but part exempt' due to lack of held information." ], "data_mentioned": [ "2015", "2016", "2017", "2018", "2019", "2020", "2021", "2022", "2023", "77", "78", "79", "3800574", "2024-04-15", "2024-05-09" ], "exemptions_cited": [ "Information not held by the authority" ], "tables": [ { "headers": [ "Year", "Persons Average Age" ], "rows": [ [ "2015", "77" ], [ "2016", "78" ], [ "2017", "79" ], [ "2018", "78" ], [ "2019", "78" ], [ "2020", "79" ], [ "2021", "78" ], [ "2022", "78" ] ], "row_count": 8, "col_count": 2 } ] }, { "case_id": 3801270, "title": "board minutes and website omissions", "authority": "Manx Care", "date_received": "2024-04-17", "outcome": "Some information sent but not all held", "summary": "The requester asked for a list of Manx Care board and committee meetings and an explanation for missing minutes on the website, specifically citing the 26th July 2022 gap. Manx Care provided a partial list of meetings with attendee details and committee reports but did not address the specific explanation for website omissions or the whistleblower context.", "key_facts": [ "Manx Care responded that some information was sent but not all held.", "The response lists board meetings from April 2021 to November 2021, distinguishing between private and public sessions.", "Public meeting minutes are noted as available on the website, while private meetings list specific directors present.", "The response includes a list of committee reports (e.g., D&I, People, QSE) associated with specific board meetings.", "The authority did not provide an explanation for the gaps in sequential board minutes on the website as requested." ], "data_mentioned": [ "27.04.21", "25.05.21", "22.06.21", "27.07.21", "24.08.21", "02.09.21", "28.09.21", "26.10.21", "23.11.21", "14 pages", "2 documents" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "" ], "rows": [ [ "The response should include the dates that one or more appointed board members", "" ], [ "attended DHSC board meetings in the 6 months up to the first Manx Care board", "" ], [ "meeting in order to \"hit the ground running\".", "" ], [ "", "" ], [ "Our response to your request is as follows:", "" ], [ "", "" ], [ "", "1. Please see attached Appendix 1 which outlines each private / public" ], [ "", "meeting by date." ], [ "", "2. Please see attached appendix 1 which outlines each committee / committee" ], [ "", "meeting by date." ], [ "", "3. There are no gaps in the sequential board minutes listed on website. Please" ], [ "", "note that there was no public meeting held in July 2022. There are also no" ], [ "", "agenda items recorded which relate to whistle-blowers leaving Manx Care." ] ], "row_count": 13, "col_count": 2 } ] }, { "case_id": 3801793, "title": "Air Ambulance", "authority": "Manx Care", "date_received": "2024-04-15", "outcome": "All information sent", "summary": "", "key_facts": [], "data_mentioned": [], "exemptions_cited": [], "tables": [ { "headers": [ "Month", "Fixed Wing", "Coastguard" ], "rows": [ [ "Jan 2023", "36", "Nil" ], [ "Feb 2023", "45", "Nil" ], [ "March 2023", "32", "Nil" ], [ "April 2023", "41", "Nil" ], [ "May 2023", "22", "Nil" ], [ "June 2023", "46", "Nil" ], [ "July 2023", "34", "Nil" ], [ "August 2023", "37", "Nil" ], [ "September 2023", "38", "Nil" ], [ "October 2023", "47", "Nil" ], [ "November 2023", "21", "1" ], [ "December 2023", "33", "Nil" ], [ "January 2024", "28", "Nil" ], [ "February 2024", "27", "Nil" ], [ "March 2024", "30", "1" ] ], "row_count": 15, "col_count": 3 } ] }, { "case_id": 3837965, "title": "Nursing Agencies registered with Registrations and Inspections", "authority": "Department of Health and Social Care", "date_received": "2024-05-02", "outcome": "All information sent", "summary": "The request sought details on registered nursing agencies, investigation procedures for fee-paying nurses, and enforcement actions against unregistered agencies. The Department of Health and Social Care disclosed two registered agencies, provided the enforcement policy document, and confirmed no enforcement actions have been taken in the last five years.", "key_facts": [ "There are currently two nursing agencies registered under the Regulation of Care Act 2013.", "The registered agencies are Platinum Recruitment Ltd and Top Care Nursing Agency.", "There are no pending applications for nursing agency registration.", "No enforcement actions have been taken against unregistered nursing agencies in the last five years.", "Questions regarding nurses paying fees to agencies were deemed outside the remit of the Registration and Inspections team." ], "data_mentioned": [ "2", "9/1/23", "18/9/20", "0", "5 years", "2013", "2015", "2023" ], "exemptions_cited": [], "tables": [ { "headers": [ "Nursing Agency", "Registration Date" ], "rows": [ [ "Platinum Recruitment Ltd", "9/1/23" ], [ "Top Care Nursing Agency", "18/9/20" ] ], "row_count": 2, "col_count": 2 } ] }, { "case_id": 3838797, "title": "External Review into Day Services undertaken by Jan Lawry", "authority": "Manx Care", "date_received": "2024-05-02", "outcome": "All information sent", "summary": "The requester asked for the 2023 external review of day services for adults with learning disabilities and the resulting actions, which Manx Care fully disclosed by providing the report and a summary table of findings and progress.", "key_facts": [ "The external review was conducted by Jan Lawry between May and July 2023.", "Manx Care is designing a strengths-based care model to promote positive risk-taking and independence.", "A transitions working group has been established to coordinate future day service requirements across multiple departments.", "Supported employment initiatives are adopting European practice frameworks and linking with the Disability Employment Service.", "Manx Care is considering commissioning third-sector partners to deliver community-based activities and social enterprises." ], "data_mentioned": [ "2023", "May 2023", "July 2023", "2 May 2024", "22 May 2024", "3838797", "6 pages", "1 document" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "" ], "rows": [ [ "The current challenge of duplication\nof services (more prevalent in the\nLearning Disabilities offer than the\nOlder Persons offer) should be the\ninitial focus", "• Manx Care is considering the extent to\nwhich services are indeed duplicated, or\na) an extension / continuation of a\nservice offer for the same profile of\nneeds (e.g. complex needs day\nservices), or b) providing different\ndelivery models with the same aim (e.g.\nsupported employment) or c) providing\ndifferent cohorts of service users with\nthe same service." ], [ "It is suggested that 2 working\ngroups are formed (one for Older\nPersons and one for Learning\nDisabilities) comprising\nrepresentation from all relevant\nproviders, staff (at all levels) the\nthird sector and service users and\ntheir families/carers", "• Regular discussions are taking place\nwith third sector partners representing\nthe LD community about service\ndevelopments.\n• Commissioned partners are involved in\na newly formed Day Services transitions\nworking group.\n• A co-production plan is under\nconsideration to provide stakeholders a\nwider forum to develop services.\n• Third sector partner arranging\nfamily/carers meetings with ALDS." ], [ "Day Services management teams\nliaise with the Wellbeing\nPartnerships and Primary Care to\nensure that all service users have\naccess to annual health checks, a\nGP and/or nurse with special\ninterest in older persons needs and\nlearning disability needs.", "• An LD Liaison Nurse has been\nappointed (starting July/August 2024),\nwith annual health checks a high\npriority.\n• Further discussions are in progress to\nestablish a wider Health and Social Care\nLD Liaison Group to encompass\ntherapies, psychology and Positive\nBehaviour Support.\n• ALDS, LD Social Work and Mental\nHealth Services are exploring\npossibilities to establish a dedicated LD\nPsychologist role." ], [ "Day Services work with an external\nprovider to provide specialist\ntraining for LD staff and collaborate\non awareness and engagement for\nLD island wide.", "• An external provider has recently\n(Spring 2024) delivered LD specific\nautism communication training." ], [ "Educational sessions should extend\nto schools, public services and\nemergency services and Service", "• No specific actions to date." ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "User parents/guardians/carers.", "" ], "rows": [ [ "Efforts should be made for more\nrobust KPIs across the system\nwhich will greatly aid in predicting\nservices, early resolution of\nproblems", "• ALDS-wide LD Service User register has\nbeen established to profile needs and\nservice user service access\n• Day Services managers are developing\nan enhanced employability data set (in\nterms of skills/work readiness)\n• Adult Social Care / ALDS will have more\naccess to corporate business planning\nand project management capacity from\nautumn 2024.\n• Existing systems and tools are being\nexplored (e.g. use of Microsoft Teams)\nto better develop, maintain and report\nmanagement information." ], [ "illiIt is recommended that the\nservice investigates opportunities to\nrent out the space\n[workshop/rooms/weaving rooms]\nin the evenings and weekends to\ncommercial ventures.", "• No actions are planned as yet." ], [ "As a potential development of the\ncafé, extended opening hours\nshould be considered.", "• This is under consideration as part of\nthe employment pathway\ndevelopments." ], [ "Staffing Structure should include 2\nTeam Leaders with specialist\nknowledge.", "• No actions are planned as yet." ], [ "It is recommended that [specialist\nautism training] becomes a\ncommissioned service not just for\nthe public but more importantly for\nthose that have direct one to one\ncontact with people with autism.", "• New Island-wide autism strategy in\neffect, includes dedicated autism\ntraining actions\n• ALDS / Manx Care offering advisory\nsupport to deliver the autism strategy." ], [ "Consider the potential for a split of\nservice offers to those with\nprofound and complex needs,\ngeneric needs and those who are\nidentified as progressing on to\nindependent\nliving/employment/volunteering.", "• ALDS is already broadly structured this\nway between Tall Trees (complex) and\nGreenfield Park (mild/moderate)\n• New ALDS day services pathways\nidentify specific cohorts of service users\nwith a view to developing outcome\nfocussed strength-based plans." ], [ "Work towards a better relationship\nwith the College", "• New ALDS senior management has\nutilised extensive links with DESC to\nbring professionals together to develop\nassessment and transition guidance." ] ], "row_count": 7, "col_count": 2 }, { "headers": [ "", "• A multi-agency working group is\ndeveloping a ‘transition hub’ to better\nplan transitions with UCIOM." ], "rows": [ [ "Consider adopting an existing (by\nexternal provider) model of\nmanaging staff teams across\noperational services thus supporting\nand achieving consistency to cover\nperiods of sickness absence, staff\ntraining and annual leave.", "• No actions are planned as yet." ], [ "Learning Disability Services will only\naccept individuals with a diagnosis.\nThe diagnostic process is long and\nprotracted…consider whether this is\nnecessary for lower-level services\nwhere the real emphasis is arguably\nabout a combination of community\naccess and relevant building based\nactivities.", "• The multi-agency DESC/ALDS/Social\nWork working group has agreed to\nmove away from diagnostic criteria to\nfunctional assessments for all LD, with\nan assessment schema already drafted\nand in effect." ], [ "Regular communication with\ngovernment officials/ministers to\nhelp them gain an understanding of\ndecision making within Day Services\nparticularly at transition.", "• Development of actions described\nwithin the table supports cross-\ngovernment communication." ] ], "row_count": 3, "col_count": 2 } ] }, { "case_id": 3849921, "title": "Recording of DHSC meeting with Braddan Commissioners", "authority": "Department of Health and Social Care", "date_received": "2024-05-09", "outcome": "Upheld - partial", "summary": "The requester sought a recording of a May 2024 meeting between the Department of Health and Social Care and Braddan Commissioners regarding access to the Nobles Hospital estate. The response disclosed the meeting's attendees, a detailed summary of the discussion on vehicular access and land sales, and the conflicting positions of both parties, though the recording itself was not provided.", "key_facts": [ "The Department of Health and Social Care maintains that vehicular access via private roads on the Nobles Hospital estate to the Roundhouse is not acceptable due to public safety.", "Braddan Commissioners argue that an implied acceptance of access via hospital estate roads has existed since 2005 and cite a 2016 assurance from the Minister.", "The Department offered to sell land to Braddan Commissioners for £250 and provide a licence to start road construction before the land sale is finalized.", "Manx Care conducted a risk assessment underpinning the decision to restrict access, which Braddan Commissioners dispute as being overly cautious.", "The meeting concluded with the Minister stating there are no circumstances where access over the estate is allowed, while Commissioners sought a compromise to progress alternative access." ], "data_mentioned": [ "2 May 2024", "2.30pm", "2005", "2007", "2016", "£250" ], "exemptions_cited": [], "tables": [ { "headers": [ "Arguments for disclosure", "", "Arguments against disclosure" ], "rows": [ [ "Releasing the recording can enhance\ntransparency and demonstrate the\nauthority’s commitment to openness. It\nallows the public to verify the accuracy of\nthe minutes and understand the context\nand tone of discussions.", "", "If officials are aware that recordings may\nbe released, it might inhibit open and\nfrank discussions during meetings. This\ncould hinder effective decision-making\nand reduce the quality of deliberations." ], [ "", "", "Recordings may capture sensitive or\nconfidential information, including\npersonal data that could breach privacy\nlaws. Redacting such information from\nvideo and audio recordings is more\ncomplex than redacting written minutes\nwill be resource-intensive, involving\nsignificant time and effort to ensure\ncompliance with privacy and\nconfidentiality requirements." ], [ "", "", "There is a concern that the potential\nrelease of recordings might lead to a\ncessation of the practice of recording\nmeetings, thereby depriving Government\nof a valuable tool for efficiency in\nproducing accurate and comprehensive\nminutes of its business." ], [ "", "", "The minutes can be released which\ncontain an accurate record of what was\ndiscussed." ] ], "row_count": 4, "col_count": 3 } ] }, { "case_id": 3924265, "title": "Deaths in Hospital", "authority": "Manx Care", "date_received": "2024-06-18", "outcome": "All information sent", "summary": "A request was made to Manx Care for statistics on hospital deaths in 2022, 2023, and 2024, including breakdowns by day of the week and hospital location. The authority disclosed all requested information, providing total counts, daily splits, and specific data for Nobles and Ramsey hospitals.", "key_facts": [ "Manx Care provided a total of 685 hospital deaths across 2022, 2023, and the first half of 2024.", "Deaths in 2022 totaled 294, while 2023 saw 238 deaths.", "As of June 24, 2024, there were 153 recorded hospital deaths.", "Nobles Hospital accounted for the majority of deaths (616 total) compared to Ramsey Hospital (69 total).", "The data includes a detailed breakdown of deaths by day of the week for each year." ], "data_mentioned": [ "685", "294", "238", "153", "2022", "2023", "2024", "24/06/2024", "616", "69", "2024-06-18", "2024-07-11" ], "exemptions_cited": [], "tables": [ { "headers": [ "Date of Death", "Year", "Day of the week" ], "rows": [ [ "01 Jan 2022 04:00", "01/01/2022", "Saturday" ], [ "01 Jan 2022 22:50", "01/01/2022", "Saturday" ], [ "02 Jan 2022 04:17", "02/01/2022", "Sunday" ], [ "02 Jan 2022 11:20", "02/01/2022", 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"15 May 2024 00:40", "15/05/2024", "Wednesday" ], [ "16 May 2024 15:27", "16/05/2024", "Thursday" ], [ "16 May 2024 16:35", "16/05/2024", "Thursday" ] ], "row_count": 36, "col_count": 3 }, { "headers": [ "17 May 2024 00:45", "17/05/2024", "Friday" ], "rows": [ [ "17 May 2024 08:55", "17/05/2024", "Friday" ], [ "18 May 2024 17:30", "18/05/2024", "Saturday" ], [ "20 May 2024 04:38", "20/05/2024", "Monday" ], [ "22 May 2024 15:50", "22/05/2024", "Wednesday" ], [ "23 May 2024 02:20", "23/05/2024", "Thursday" ], [ "23 May 2024 12:25", "23/05/2024", "Thursday" ], [ "23 May 2024 13:00", "23/05/2024", "Thursday" ], [ "25 May 2024 05:15", "25/05/2024", "Saturday" ], [ "27 May 2024 06:45", "27/05/2024", "Monday" ], [ "29 May 2024 02:45", "29/05/2024", "Wednesday" ], [ "31 May 2024 05:30", "31/05/2024", "Friday" ], [ "02 Jun 2024 02:30", "02/06/2024", "Sunday" ], [ "08 Jun 2024 19:30", "08/06/2024", "Saturday" ], [ "09 Jun 2024 10:45", "09/06/2024", "Sunday" ], [ "11 Jun 2024 05:40", "11/06/2024", "Tuesday" ], [ "11 Jun 2024 09:50", "11/06/2024", "Tuesday" ], [ "12 Jun 2024 07:00", "12/06/2024", "Wednesday" ], [ "12 Jun 2024 10:34", "12/06/2024", "Wednesday" ], [ "14 Jun 2024 12:25", "14/06/2024", "Friday" ], [ "14 Jun 2024 19:00", "14/06/2024", "Friday" ], [ "17 Jun 2024 08:15", "17/06/2024", "Monday" ], [ "18 Jun 2024 20:00", "18/06/2024", "Tuesday" ] ], "row_count": 22, "col_count": 3 } ] }, { "case_id": 3981245, "title": "Children's services improvement board", "authority": "Department of Health and Social Care", "date_received": "2024-07-15", "outcome": "All information sent", "summary": "The requester asked for minutes and papers from the Children's Services Improvement Board from January 2024 to the present, and the Department of Health and Social Care disclosed all requested information.", "key_facts": [ "A colleague from Barnett is shadowing teams to identify improvements in child exploitation work.", "The Youth Justice workstream is in early stages with a 'plan B' if resourcing is not approved.", "Leeds Local Authority is being invited to present their early help hub model as a best practice example.", "70% of children in care are there due to issues surrounding domestic abuse.", "Temporary staff are being hired for 12 months to clear the CAHMS waiting list." ], "data_mentioned": [ "18th June 2024", "July", "70%", "12 months", "Level 2 needs" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "which hopefully when the new legislation comes into effect this will be\nincorporated.", "" ], "rows": [ [ "050/24", "Links with other projects / meeting\nDC – updated the group on developments in relation to domestic abuse,\nhe added that initial consultations held with all agencies in relation to\nwere well attended. This is now moving to the next phase to see what it\nwill look like as an operating framework (similar to MARAC but bespoke to\nthe Isle of man) Following the outcome of the consultation. They will\nthen move to l the possibility of training people to ensure everyone is\nclear about rules and responsibilities.", "DC" ], [ "051/24", "Items for Escalation\nAction: TOR to be updated to include CAHMS as a membership and to be\ndistributed.", "" ], [ "052/24", "AOB", "DM" ], [ "055/24", "Date(s) of next CSIB & Work Stream meetings 2024\n24-28 June Workstreams\n23 July 6th CSIB", "ALL" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Work stream", "Chairperson(s)" ], "rows": [ [ "Youth Justice / Support", "Julie Gibney" ], [ "Early Help / Family Support", "Deirdre Mahon" ], [ "General Social Work Practice /\nFostering & Adoption", "Janette Angus & Ed Coates\nCo-chair" ], [ "Quality Assurance /\nInformation sharing / IT", "Deirdre Mahon & Victoria\nCreed" ], [ "Children with disabilities", "Deirdre Mahon initially" ], [ "Safeguarding / Child\nExploitation", "Christine Impey" ], [ "16+ / Leaving Care /\nResidential", "Janette Angus & Section 25" ] ], "row_count": 7, "col_count": 2 }, { "headers": [ "", "needs for staff. The key part is to have the main agencies involved in\nthis.\nDM asked if domestic abuse orders were in place. Discussion took\nplace around how this works; including homelessness, and high-risk\nadults. The current policy of using a B&B is not always appropriate.\nVarious options are being considered for example pods, but a\ndecision has not yet been made on how this will be resolved.\nJG informed that a number of events are taking place in relation to\nDomestic Abuse, including a multi-agency Domestic Abuse\nconference being held in September.\nThe review and management of Serious Case Management Reviews\nwas also discussed, and where the oversight responsibility lies as well\nas where recommendations go.", "DM/HU" ], "rows": [ [ "", "Action: DM to meet with Lesley Walker and Christine Impey to review", "" ], [ "", "this, and to put together a memorandum of understanding to support", "" ], [ "", "this.", "" ], [ "043/24", "Items for Escalation\nRecommendation 12 – Latest update as shown on the CSIB action\nplan. Would it be appropriate for this recommendation to go through\nto the corporate parenting group for response?\nWider actions across DESC. This action is not in the service delivery\nplan for 23/24, however it will be added from September 24 as a\nwork stream. Will need to be multi-agency approach as it’s not just\nDESC’s responsibility to make sure children are accessing appropriate\neducation.\nCS provided clarification about the difference between full time\neducation and education in school. Some education settings are not\nnecessarily in school, e.g. home school, reintegration, virtual school\netc.\nA discussion is required about recommendation 12, as this just\nhighlights children in care, but a number of children not attending an\neducation setting are not in care. This may need to be separated out\nin to two sections, one for looked after children and the other for\nchildren in the family home.", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "Action: Move essence of recommendation 24 in to the action plan for", "HU\nDM\nCB" ], "rows": [ [ "", "CwD. Increased capacity", "" ], [ "", "Action: DHSC legislation team to provide a timeline", "" ], [ "044/24", "Any Other Business\nNone", "ALL" ], [ "045/24", "Date(s) of next CSIB & Work Stream meetings 2024\nNext meeting is Thursday 16 May, this change is to enable Kerry\nSharpe to attend in an observation capacity only, not as a member.", "ALL" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Date of\nMeeting", "Agenda\nItem", "Action Agreed", "Action\nOwner", "Due\nDate", "Comments" ], "rows": [ [ "19/03/2024", "041/24", "Check what is required to facilitate leaving care conference in September, and expectations\nfrom Minister", "DM", "16/07/2024", "16/05/24 - Some feedback/questions if the conference is\nnecessary, CSIB chair to discuss with Minister Hooper" ], [ "19/03/2024", "042/24", "Meet with Safeguarding Board independent chair and CI to review the link between CSIB and\nSafeguarding Board, and create a memorandum of understanding", "DM", "16/07/2024", "16/05/24 - Ongoing with IOMSB, MoU almost complete" ], [ "19/03/2024", "043/24", "Escalation to Health Learning and Social Policy Board, the need for an alternative facility to\nthe White Hoe children's home.", "DM", "16/05/2024", "16/05/24 - CSIB chair will include in their report" ], [ "19/03/2024", "043/24", "Liaise with Mrs Sharpe, Minister and DHSC chief officer about the viability of a corporate\nparenting circular and/or policy", "DM", "16/05/2024", "16/05/24 - Ongoing further discussions to take place, in the\nabsence of legislation" ], [ "16/05/2024", "048/24", "Guidance and Resources for Schools in Supporting Children Impacted by Imprisonment", "DD", "23/07/2024", "16/05/24 - Document to be shared with CSIB" ], [ "16/05/2024", "048/24", "Invite Leeds to present their model online", "DM", "23/07/2024", "16/05/24 - Arrangements to be made CSIB" ], [ "16/05/2024", "051/24", "Terms of Reference to be updated to include CAHMS and text updates where relevant", "HU", "23/07/2024", "16/05/24 - Updates to be shared with CSIB Chair for approval,\nprior to Board" ], [ "", "", "", "", "", "" ] ], "row_count": 8, "col_count": 6 } ] }, { "case_id": 3986733, "title": "Children's & Families Disabilities", "authority": "Manx Care", "date_received": "2024-07-16", "outcome": "All information sent", "summary": "The requester asked for statistics on children's disability services and the criteria for case closure, to which Manx Care responded by providing a detailed decision-support tool and referral form rather than the specific numerical data requested.", "key_facts": [ "The response includes a 'Referrals to Respite Services' form developed by the Children with Disabilities Team in September 2023.", "The authority provided a scoring matrix for assessing care needs, including technical support, sleep hygiene, and supervision requirements.", "The response references the NHS Continuing Healthcare Decision Support Tool guidance from 2022.", "Specific numerical data regarding open cases, referrals, and closed cases over the last three years was not included in the provided text.", "The document outlines various reasons for referral, such as carer respite, socialization, and early intervention." ], "data_mentioned": [ "September 2023", "2022", "High: 10", "Medium/High: 8", "Medium: 6", "Low/Medium: 4", "Low: 2", "5-6 episodes", "Less than 6 hours", "16+" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "", "High", "", "", "Medium/High", "", "", "Medium", "", "", "Low/Medium", "", "", "Low", "" ], "rows": [ [ "", "", "10", "", "", "8", "", "", "6", "", "", "4", "", "", "2", "" ], [ "Care Needs", "“Technical support” -\ntracheostomy,\ncolostomy, illeostomy\netc.\nOxygen and\nsuction.", "", "", "Hoisting and/or\nproblems due to\nweight and lack of\nMobility.\nComplex\nmedications &\nfeeding i.e. time\nConsuming.", "", "", "Dependent on\nmain\ncarers for\nhygiene, feeding\ni.e.\nGastrostomy &\nNG feeds. To a\nhigher level than\nwould be\nexpected for a\nchild of that age.", "", "", "Dependent on main\ncarers for hygiene,\nfeeding etc. slightly\nabove expected for\nage", "", "", "Able to undertake\nmost personal care\ntasks\nindependently with\nprompting/support", "", "" ], [ "Sleep Hygiene", "Requires significant care\nthroughout the night for\nprolonged periods as a\nresult of medical, feeding\nor behavioural needs.\nUse of a visual monitor\nrequired", "", "", "Frequent need for\nphysical support\nthrough the night\n– to re-settle,\nadminister\nmedication; feed\nor to turn", "", "", "Frequently\nunsettled during\nthe night.\nLess than 6 hours\nunbroken sleep\nper night.\nAnd/or\nChild not sleeping\nin their bed.", "", "", "Generally sleeps\nwell, can have\nunsettled nights –\nAnd/or\nChild is prescribed\nsleep medication", "", "", "Child sleeps\nthrough night in\nline with what\nwould be expected\nfor a child of that\nage", "", "" ], [ "Supervision\nrequired on a day\nto day basis", "Constant monitoring\nRequired due to health\nneeds or behaviour,\ncannot be left alone\nwhilst awake.", "", "", "Frequent\nmonitoring\nRequired due to\nhealth needs or\nbehaviour,\ncannot be left\nalone whilst", "", "", "Regular\nmonitoring\nrequired, more\nthan expected for\nthis age.\nCan be left alone\nin a safe", "", "", "Regular monitoring\nrequired, more than\nexpected for this\nage.\nCan be left alone in\na safe environment", "", "", "Regular or frequent\nmonitoring\nrequired, due to\nage and as\nexpected for a\nchild of this age.\nCan be left alone in", "", "" ] ], "row_count": 4, "col_count": 16 }, { "headers": [ "", "", "awake.", "environment with\nmonitoring\nequipment", "", "a safe\nenvironment." ], "rows": [ [ "Family and Social\nSupport", "Unsupported main carer.\nNo family or social\nsupport.", "No family or\nsocial support\nfrom outside\nimmediate family\nunit", "Minimal family or\nsocial support", "Some support by\nfamily and/or social\nnetwork.", "Well supported by\nfamily and/or\nsocial network.\nCurrent level of\nsupport is\nadequate." ], [ "Emotional\nSupport", "Significant illness of main\ncarer/immediate family\nmember i.e. mother\nfather or\nsiblings", "Family difficulties\nrequiring\ntemporary extra\nsupport i.e.\nbirths, acute\nillness.", "New equipment,\nnew care needs\nor unstable\ncondition causing\nfrequent changes\nin care needs\nrequiring\nextra support.", "Extra emotional\nsupport needed.", "Current level of\nemotional support\nis adequate." ], [ "Behavioural\nneeds", "Long Term Behavioural\nneeds, child finds it\ndifficult to function most\nof the time.\nOr\nDaily episodes of physical\nviolence/ aggression or\nself injurious behaviour .\nMedication prescribed\nand or recommended.\nAwaiting CAMHS\nintervention.", "5-6 episodes of\nheightened\nbehaviours per\nweek, impacted\nby lack of sleep or\nother medical/\nsensory needs.\nMedication\nprescribed and or\nrecommended.\nAwaiting CAMHS\nintervention.", "3-4 episodes of\nheightened\nbehaviour per\nweek. Challenging\nbehaviour can be\nmanaged by\ncarers who know\nthe child well.\nBehaviours are\nseen in more than\none setting.", "Some support in\nmanaging behaviour\nis required. Child\ncan occasionally\nbecome\noverwhelmed and\nhave “melt downs”\nor episode of\nchallenging\nbehaviour –\ninfrequent and\nshort lived", "Infrequent or rare\nepisodes of\nchallenging\nbehaviour\nobserved" ] ], "row_count": 3, "col_count": 6 }, { "headers": [ "", "", "", "", "", "" ], "rows": [ [ "Communication\nNeeds", "Non Verbal dependant\non carer knowing child\nwell.\nNo successful consistent\nmethod of\ncommunication", "Limited methods\nof communication\nleading to regular\ndifficulties in\nterms of\nbehaviour", "Successful means\nof communication\nin some settings;\nPECS, Sign Along,\nTotal\ncommunication", "Competent grasp of\nspoken language –\nable to use spoken\nlanguage, sign etc.\nAble to get their\nneeds understood", "Child has a fluent\nlanguage – spoken\nor sign. Able to\ncommunicate\nuniversally with\nothers" ], [ "Toileting needs", "Doubly incontinent –\ndependant on carers for\nall continence needs to a\nhigher level than would\nbe\nexpected for a child of\nthat age", "Early stages of\nToilet Training.\nSupport required\nto a higher level\nthan would be\nexpected for a\nchild of that age", "Continent most of\nthe time with\nbladder. Support\nrequired to a\nhigher level than\nwould be\nexpected for a\nchild of that age", "Child is usually\ncontinent with\nbladder throughout\nthe day To an age\nappropriate level/as\nexpected for age.", "Child able to use\nthe toilet\nindependently\nwithout support to\nan age appropriate\nlevel/as expected\nfor age." ], [ "Socialisation", "No ability to access\nextracurricular activities\ndue to health,\nbehavioural or\ncommunication needs", "Can attend\nspecialist clubs\nbut requires\nsupport. Struggles\nto initiate play\nindependently", "Can access\nspecialist clubs\nwith minimal or\nno support.\nOpportunities\navailable are less\nthan that of\nmainstream peers", "Able to access\nmainstream\nactivities and or\nclubs with support", "Able to access a\nvariety of clubs and\nor activities with\nno additional\nsupport" ], [ "Childs condition\nand overall\nstability", "Unstable.\nProgressive/degenerative\ndisease.\nChild has had significant\ndeterioration since", "Unstable.\nCondition causes\nunpredictable\nevents i.e life\nthreatening", "Usually stable.\nNon progressive\ncondition but\ncurrently acutely\nunwell.", "Stable.\nNon degenerative\nor non progressive\ndiagnosis. Survival\nin to adulthood is", "Stable\nCondition has\nlimited impact on\noverall health and\ndevelopment" ] ], "row_count": 4, "col_count": 6 }, { "headers": [ "", "", "", "Factors taken into account", "Score" ], "rows": [ [ "", "Care Needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Sleep Hygiene", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Supervision required on a day to", "", "", "" ], [ "", "day basis", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Family and Social Support", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Emotional Support", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Behavioural Needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 24, "col_count": 5 }, { "headers": [ "", "", "", "", "" ], "rows": [ [ "", "Communication needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Toileting Needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Socialisation Needs", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Childs conditions and overall", "", "", "" ], [ "", "stability", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Total Score", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 18, "col_count": 5 }, { "headers": [ "Total Points", "Respite Allocation Braddan", "", "Overnight Respite", "" ], "rows": [ [ "", "", "", "* where issues with sleep have been identified*", "" ], [ "Less than 20", "No Services Required", "No Services Required", "", "" ], [ "20 – 40", "1 Session per month", "1 Session per month", "", "" ], [ "40-60", "2 Sessions per month", "2 Sessions per month", "", "" ], [ "60-80", "Weekly Sessions", "Weekly Sessions", "", "" ], [ "80 +", "Weekly sessions + Outreach package of support short term", "2 Sessions per week", "", "" ], [ "90+", "Intensive package of support, 2 sessions per week +\noutreach support Reviewed after 6-12 weeks", "Explore Shared care", "", "" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "Setting", "Number", "Service waiting for" ], "rows": [ [ "Braddan Hub", "9", "After school" ], [ "Ramsey Respite\nCentre", "3", "Overnight respite" ], [ "", "4", "Outreach" ], [ "", "2", "Pre-school sessions" ], [ "", "18 total", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "Date Range", "Number of\nReferrals\n(contacts)" ], "rows": [ [ "1 January 2021 – 31\nDecember 2021", "79" ], [ "1 January 2022 – 31\nDecember 2022", "112" ], [ "1 January 2023 – 31\nDecember 2023", "152" ], [ "1 January 2024 – 18\nJuly 2024", "144" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Date Range", "Number of\nReferrals\n(contacts)" ], "rows": [ [ "1 January 2021 – 31\nDecember 2021", "35" ], [ "1 January 2022 – 31\nDecember 2022", "49" ], [ "1 January 2023 – 31\nDecember 2023", "50" ], [ "1 January 2024 – 18\nJuly 2024", "20" ], [ "Grand Total", "154" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 4002369, "title": "PPE Total Spend", "authority": "Manx Care", "date_received": "2024-07-22", "outcome": "Some information sent but not all held", "summary": "The requester asked for total Covid-19 PPE spend from January 2020 to July 2024, but Manx Care could only provide data from its inception in April 2021 to June 2024, noting that earlier records are held by the Department of Health and Social Care. The authority disclosed total PPE spend figures but clarified that these include both Covid-related and business-as-usual items.", "key_facts": [ "Manx Care was created on 1 April 2021 and does not hold PPE data prior to this date.", "Pre-April 2021 data is held by the Department of Health and Social Care.", "The authority does not distinguish between Covid-19 specific PPE and general business-as-usual PPE spend.", "Total PPE spend from April 2021 to June 2024 was £1,684,416.", "Recoveries from the Treasury's Contingency Fund exceeded annual spend due to write-offs of previous stock." ], "data_mentioned": [ "1 January 2020", "22 July 2024", "1 April 2021", "June 2024", "£1,684,416", "£723,151", "£512,538", "£356,262", "£92,465", "£3,356,581", "£888,434", "21/22", "22/23", "23/24", "24/25" ], "exemptions_cited": [ "Section 11(3)(a) of the Freedom of Information Act 2015 (Information not held)" ], "tables": [ { "headers": [ "Year", "Amount" ], "rows": [ [ "21/22", "723,151" ], [ "22/23", "512,538" ], [ "23/24", "356,262" ], [ "24/25*", "92,465" ], [ "TOTAL", "1,684,416" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 4006817, "title": "Care and respite for families of children with complex needs", "authority": "Manx Care", "date_received": "2024-07-23", "outcome": "All information sent", "summary": "The request sought data on respite and care services for school-age children with complex needs, to which Manx Care provided waitlist figures and capacity details for specific centers but refused to disclose data on home-based services as it is not held by the authority.", "key_facts": [ "There are 18 children currently waiting for respite services across Braddan Hub and Ramsey Respite Centre.", "Waitlist reasons include capacity constraints and the time required to train staff in specialist healthcare skills.", "Manx Care does not hold data on home-based care services as these are not provided directly by the authority.", "One child supported by Rebecca House is currently open to the Children with Disabilities team.", "Manx Care does not approve or recommend private agencies, though it commissions some providers." ], "data_mentioned": [ "24", "74 total", "9", "3", "4", "2", "18 total", "1 child", "2024-07-23", "2024-07-30", "4006817" ], "exemptions_cited": [ "Section 11(3)a of the Act (Practical refusal: information not held or cannot be found after reasonable steps)" ], "tables": [ { "headers": [ "Setting", "Number", "Service waiting for" ], "rows": [ [ "Braddan Hub", "9", "After school" ], [ "Ramsey Respite\nCentre", "3", "Overnight respite" ], [ "", "4", "Outreach" ], [ "", "2", "Pre-school sessions" ], [ "", "18 total", "" ] ], "row_count": 5, "col_count": 3 } ] }, { "case_id": 4095413, "title": "FoI Costs", "authority": "Department of Health and Social Care", "date_received": "2024-09-02", "outcome": "All information sent", "summary": "The request sought statistics on FOI responses over three financial years and details on staff handling these requests. The Department disclosed that 276 requests were responded to, with 207 involving practical refusals, and confirmed that while 54 staff members may be involved, only two EO grade coordinators manage the process as an additional duty.", "key_facts": [ "The Department responded to 276 FOI requests between 2021/2022 and 2023/2024.", "207 of the responses involved a practical refusal reason.", "The most common practical refusal reason was 'Information not held' (179 instances).", "There are no staff members whose sole duty is handling FOI requests.", "Two staff members at EO grade coordinate and facilitate FOI requests as part of their broader roles." ], "data_mentioned": [ "276", "207", "69", "179", "25", "117", "75", "84", "18", "26", "25", "99", "49", "59", "92", "42", "45", "7", "4", "14", "54", "2", "2021/2022", "2022/2023", "2023/2024", "2024-09-02", "2024-09-27", "26 September 2024", "13 September 2024", "4095413" ], "exemptions_cited": [ "Section 11(3) of the Freedom of Information Act 2015 (Practical Refusal)" ], "tables": [ { "headers": [ "", "Financial Years 1st April - 31st March", "", "", "" ], "rows": [ [ "", "2021/2022", "2022/2023", "2023/2024", "Total" ], [ "Total responses (no practical refusal applied)", "18", "26", "25", "69" ], [ "Total responses (practical refusal applied)", "99", "49", "59", "207" ] ], "row_count": 3, "col_count": 5 } ] }, { "case_id": 4103642, "title": "EBME Technician Job Evaluation Information", "authority": "Cabinet Office", "date_received": "2024-09-05", "outcome": "Some information sent but part exempt", "summary": "The requester sought all correspondence regarding the grading of EBME Technician roles between OHR and PSC from 2019 to September 2024. The authority released a 2023 email and evaluation matrix detailing the grading of the Senior Technician role as Skills Level 4, but withheld some information under exemptions.", "key_facts": [ "The EBME Senior Technician role was graded as Skills Level 4, down from Skills Level 5 used for multi-trade foremen.", "Mark Higgins, EBME Supervisor, suggested using Pay Band 14 D401, similar to a Property Manager, for the role.", "The role's pay correlates with NHS Band 6 in the UK, specifically citing Northern Care Alliance, Manchester University Trust, and Wolverhampton.", "The evaluation matrix outlines requirements for Levels 1 through 4, including specific experience and training criteria.", "The response included a skills matrix and a job description graded by OHR." ], "data_mentioned": [ "2019", "September 2024", "18 December 2023", "Skills Level 4", "Skills Level 5", "Pay Band 14 D401", "Band 6", "£43K", "Two years", "Five years" ], "exemptions_cited": [ "Part exempt (specific exemption clauses not detailed in the provided text)" ], "tables": [ { "headers": [ "", "Level 1", "Level 2", "Level 3", "Level 4" ], "rows": [ [ "*Note*", "Completion of either a recognised\napprenticeship or formal training\nsuch as a relevant NVQ/BTEC\nONC Electrical or Engineering\nbiased course.", "Having moved from Level 1, or\nentered with demonstrable skills and\nknowledge to this level.", "Two years post commencement\nexperience internally or gained\nwithin another organisation.", "Five years’ experience in a\nrelevant role and renal dialysis\ntechnical training." ], [ "", "", "", "", "" ], [ "1.\nCommunication\nand Relationship\nSkills", "Providing and receiving complex\ninformation made up of several\ncomponents in diagnosing faults\nwith equipment and relaying\ninformation to staff and suppliers.\nProviding and receiving sensitive\ninformation where there are\nissues of how and what to convey.\nIn working with patient connected\nequipment you are often in\nenvironments where the patients’\ndisabilities or the result of\nequipment failures are discussed.", "Providing and receiving complex,\nsensitive or contentious information,\nwhere persuasive motivational,\nnegotiating, training, empathic or re-\nassurance skills are required. This\nmay be because agreement or\ncooperation is required or because\nthere are barriers to understanding. A\nlevel of empathy is required, having\nthe ability to put oneself in a position\nto sympathise with another person’s\nsituation or point of view.", "Providing and receiving complex,\nsensitive or contentious\ninformation, where persuasive\nmotivational, negotiating,\ntraining, empathic or re-\nassurance skills are required. This\nmay be because agreement or\ncooperation is required or\nbecause there are barriers to\nunderstanding. A level of empathy\nis required, having the ability to\nput oneself in a position to\nsympathise with another person’s\nsituation or point of view.", "Providing and receiving complex,\nsensitive or contentious\ninformation. Use of persuasive,\nmotivational, negotiation training,\nempathic or re-assurance skills\nare required. Examples would\ninclude: Attending meetings with\nclinicians and/or patients to\ndiscuss equipment availability/\ndowntime. Delivering in an\nenvironment where co-operation\nis required or there are barriers to\nunderstanding. Demonstrate a\nlevel of empathy and understand\nthe other person’s point of view." ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "", "Essential\nor\nDesirable", "Method of\nAssessment" ], "rows": [ [ "Credibility", "", "" ], [ "5 GCSE’S or equivalent qualifications", "", "" ], [ "Hold or be working towards an Higher National Certificate\n(HNC) or its equivalent in electronic engineering\nor\nHold a recognised trade qualification in electrical /\nelectronic engineering and be registered an electrical\ntradesman and hold or be studying for a higher\nqualification such as an engineering degree", "E", "CV/Certificates" ], [ "Have completed manufacturers training in the following:\nInfusion, pressure reducing surfaces, Electrocardiogram\n(ECG) analysers and Vital Signs equipment maintenance", "E", "CV/Certificates" ], [ "Significant experience in a Biomedical Equipment\nmaintenance environment.", "E", "CV/Application\nForm" ], [ "Experience of advising on the replacement of high cost\nmedical assets; with reference to support contracts,\nsuitability, reliability and overall cost of ownership.", "D", "CV/Interview" ], [ "Demonstrates an in depth knowledge of Health and Safety,\nMedical Gas delivery devices, MHRA, PUWER, LOLER and\nuntoward incident reporting systems.", "E", "CV/Interview" ], [ "Have significant experience in electrical/electronic\nengineering maintenance in a health service industry.\nPreferably such experience shall include working with", "D", "CV/Interview" ] ], "row_count": 8, "col_count": 3 }, { "headers": [ "specialised engineering plant including Electro Bio-Medical\nEngineering equipment.", "", "" ], "rows": [ [ "Experience of supervising a team", "E", "" ], [ "Experience of repairing and maintaining electronic\nequipment. Including: demonstrating to/and supporting\nnew and existing staff; demonstrating practical methods to\nFault find equipment.", "E", "CV/Interview" ], [ "In depth experience of fault finding Renal Haemodialysis\nmachines and associated RO water systems", "E", "CV/Interview" ], [ "Experience of working to EN60601-1 – the European\nstandard for medical equipment and more recently the\nBSEN 62353 standard of testing.", "E", "CV/Interview" ], [ "Has open conversations", "E", "Interview" ], [ "Addresses the issues", "E", "Interview" ], [ "Build supportive relationships", "E", "Interview" ], [ "Is professional and credible", "E", "Interview" ], [ "Capability", "", "" ], [ "Advanced fault finding techniques, operation of Specialist\nMedical test equipment i.e. Defibrillator, Vital Signs and\nElectrosurgical analysers, multimeters, scopes and other\nspecialist devices.", "E", "CV/Interview" ], [ "Clear and fluent in oral and written communications", "E", "CV/Interview" ], [ "Good organisational skills; to plan works, direct, supervise\nand train EBME staff members and other PE&H personnel\neffectively.", "E", "CV/Interview" ], [ "A varied knowledge of medical devices and their theoretical\nuse in a healthcare environment.", "E", "CV/Interview" ], [ "Adaptable to change.", "E", "CV/Interview" ], [ "Good skills in Microsoft Office & Windows", "D", "CV/Interview" ], [ "Demonstrate determination and accuracy in work", "E", "CV/Interview" ], [ "Ability to work to a high standard and to achieve set\ndeadlines.", "E", "CV/Interview" ], [ "Future focussed", "E", "Interview" ], [ "Makes considered decisions", "E", "Interview" ], [ "Encourages innovation and supports change", "E", "Interview" ], [ "Character", "", "" ], [ "Be able to make decisions and prepared to act on own\ninitiative", "E", "CV/Interview" ], [ "Ability to work in a team and independently", "E", "CV/Interview" ], [ "Trusts and is trusted", "E", "Interview" ], [ "Has positive energy and drive", "E", "Interview" ], [ "Inspires, motivates and empowers", "E", "Interview" ], [ "Flexible approach to On Call/overtime/emergency working", "E", "CV/Interview" ], [ "Other requirements", "", "" ], [ "Isle of Man Worker", "D", "Application" ], [ "Valid driving licence", "E", "Application" ] ], "row_count": 30, "col_count": 3 } ] }, { "case_id": 4111429, "title": "Temporary Workers Employed via Agencies", "authority": "Department of Health and Social Care", "date_received": "2024-09-09", "outcome": "All information sent", "summary": "The request sought the number of temporary workers employed via third-party agencies by the Department of Health and Social Care for 2023 and 2024, broken down by grade. The authority disclosed that only three such workers were engaged across both years, noting that their pay grades do not directly align with Public Services Commission scales.", "key_facts": [ "The Department of Health and Social Care engaged a total of 3 temporary workers via third-party agencies in 2023 and 2024.", "In 2023, there was 1 HEO and 1 AO; in 2024, there was 1 EO.", "Temporary agency workers are not employed directly via the Public Services Commission, so their terms and pay do not strictly align with standard grades like AA or AO.", "Data for the Health and Care Transformation Programme is only included from 1 April 2024, as it transferred from the Cabinet Office on that date.", "The 2024 figures are provisional and may change if additional workers are engaged before the end of the year." ], "data_mentioned": [ "2023", "2024", "1 HEO", "1 AO", "1 EO", "3 October 2024", "9 September 2024", "1 April 2024", "4111429" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "2023", "2024" ], "rows": [ [ "HEO", "1", "" ], [ "EO", "1", "1" ], [ "AO", "1", "" ] ], "row_count": 3, "col_count": 3 } ] }, { "case_id": 4131581, "title": "Children's Services Short Breaks (Respite) Review", "authority": "Manx Care", "date_received": "2024-09-17", "outcome": "All information sent", "summary": "A request was made for the independent children's short breaks (respite) review, its recommendations, and terms of reference commissioned by Manx Care. The authority responded by releasing all requested information, including the review by Disability Awareness and the specific terms of reference.", "key_facts": [ "Manx Care released the full independent short breaks review conducted by Disability Awareness.", "The review aims to determine if current respite provision is fit for purpose for children with disabilities.", "Terms of reference include examining bed capacity, future planning, and potential charging models.", "The review considers utilizing Braddan Hub bedrooms for respite and long-term care.", "The request was received on 17 September 2024 and closed on 17 October 2024." ], "data_mentioned": [ "1500 children with disabilities living on the Isle of Man", "2021 Island Plan", "17 September 2024", "17 October 2024", "68 pages", "3 documents" ], "exemptions_cited": [], "tables": [ { "headers": [ "ready to go to the ends of the earth for our child. We experience high highs and" ], "rows": [ [ "low lows. We fight battles for our child to get them services, appointments," ], [ "support, understanding, and acceptance. We often fail and feel hopeless." ], [ "Sometimes the smallest bit of progress sparks intense pride and joy. There is no" ], [ "textbook for parenting a child with special needs. We navigate this journey" ], [ "without clear instructions. Special needs parent isolation is very real and very" ], [ "debilitating. Bottom line is we need each other. We need help. We need support." ], [ "It takes a community, and special needs parents especially need that" ], [ "community effort to prevent isolation, overwhelm and burnout.” (4)" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "Rebecca House is a purpose built facility which is part of Hospice Isle of Man. It provides" ], "rows": [ [ "respite, palliative and end of life care for children with life-limiting or life-threatening" ], [ "conditions from birth to 18 years. Rebecca House currently provides regular respite care to 25" ], [ "young people and their families, and have a further 7 young people known to their service" ], [ "who can make a request for respite care when the needs arises. The respite offer includes" ], [ "day visits, summer holiday care and overnight stays of one night or block stays of more than" ], [ "one night. Rebecca House allocate respite to families based on the Resource Allocation" ], [ "Framework, a UK nationally recognized framework used in most palliative care providers." ] ], "row_count": 7, "col_count": 1 }, { "headers": [ "Other comparable local authorities, such as Jersey and the Isle of Wight have dedicated" ], "rows": [ [ "pages on their Government websites which clearly show the local offer of short breaks and" ], [ "how to access them. The Isle of Man has no such comparable information sharing. There is" ], [ "little clarity or sense of sharing, and no sense of profile in terms of what is available. This has" ], [ "created a ‘closed off’ offer which appears to only offer support when given, as opposed to" ], [ "when requested. Although this is a misleading concept, the lack of information available" ], [ "creates this perception." ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "This represents an insufficient commitment on behalf of the government towards the families" ], "rows": [ [ "of children with disabilities, which needs to be rectified. On the government website there" ], [ "needs to be a dedicated section discussing the short breaks offer. The website does not just" ], [ "need to focus on the short breaks offer however. It could offer advice and guidance on al" ], [ "aspects of support offered to children with disabilities and their families." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Not to charge" ], "rows": [ [ "There is ongoing debate about whether or not the short breaks for children with disabilities" ], [ "and additional health needs, provided by Manx Care, should involve a financial charge to" ], [ "parents. This currently happens in short breaks provision for adults with disabilities. It is this" ], [ "reviews recommendation that this is not introduced to the families of children with" ], [ "disabilities." ], [ "There appears from certain stakeholders to be a punitive incentive to charging families to" ], [ "access short breaks. That if charges were introduced, families would be more" ], [ "appreciative and responsive to the care they receive. That because families receive" ], [ "disability benefits, these should be used to contribute to the short breaks provision they" ], [ "receive." ], [ "This review does not recommend charging for short breaks provision." ], [ "The caring element of parenting a child with a disability often means that parents and" ], [ "carers are not able to work, or can only work on a part-time basis. This can make it hard" ], [ "for parents and carers of disabled children to earn enough to stay out of poverty, and" ], [ "makes these families extremely vulnerable. There are also additional costs to parenting a" ], [ "child with a disability." ], [ "According to a study by Mencap, families of disabled children on average face extra costs" ], [ "of £581 per month(20)" ], [ "To introduce a charging system would add extra pressure onto families who may already" ], [ "be struggling financially." ], [ "The reason we require specialist short breaks provision is that our current universal offer" ], [ "does not adequately provide for children with disabilities and long term health needs. To" ], [ "charge for a specialist service which is essential to the health and wellbeing of one of our" ], [ "most vulnerable communities is not recommended by this review." ] ], "row_count": 24, "col_count": 1 } ] }, { "case_id": 4138017, "title": "Learning Disability Services Staffing", "authority": "Manx Care", "date_received": "2024-09-19", "outcome": "All information sent", "summary": "The requester sought staffing, capacity, occupancy, and waiting list data for Manx Care's learning disability residential and day services for 2021-2023. Manx Care responded by providing full-time equivalent (FTE) staff numbers and capacity figures for various residential homes, noting the closure of one facility in 2023.", "key_facts": [ "Manx Care provided FTE staff numbers for 18 residential services for the years 2021, 2022, and 2023.", "Thie Ushtey residential home was closed in 2023 due to the deteriorating condition of the building.", "Griffindale House staff figures include coverage for the Griffindale supported living flats.", "Staffing data was derived from the January staffing report for each service area.", "The response collated the original 8 questions into 4 parts, with the provided text covering staff numbers and capacity." ], "data_mentioned": [ "2021", "2022", "2023", "10.5 FTE", "12.5 FTE", "0 FTE", "5 capacity", "4 capacity", "19 September 2024", "24 October 2024", "case_id: 4138017" ], "exemptions_cited": [], "tables": [ { "headers": [ "Name of service", "2021", "2022", "2023" ], "rows": [ [ "Bungalow 1", "10.5 FTE", "11.5 FTE", "12.5 FTE" ], [ "Bungalow 2", "10.5 FTE", "10.5 FTE", "11.5 FTE" ], [ "Bungalow 3", "10.5 FTE", "10 FTE", "10.5 FTE" ], [ "Bungalow 4", "10.5 FTE", "11.5 FTE", "10.5 FTE" ], [ "Cushag House", "12 FTE", "13.5 FTE", "12.5 FTE" ], [ "24 Farmhill Meadows", "3.5 FTE", "4.5 FTE", "4 FTE" ], [ "Glendale", "4.5 FTE", "4.5 FTE", "5.5 FTE" ], [ "Greenacres", "12.5 FTE", "13.5 FTE", "13.5 FTE" ], [ "Griffindale House", "7 FTE", "7 FTE", "7 FTE" ], [ "11 Hutchinson Square", "4 FTE", "5 FTE", "5 FTE" ], [ "Kane Ellen/ Queens Valley", "8 FTE", "9 FTE", "9 FTE" ], [ "17 Kensington Road", "3 FTE", "4.5 FTE", "4.5 FTE" ], [ "3 Rosebank", "4.5 FTE", "4.5 FTE", "4.5 FTE" ], [ "4 Rosebank", "3.5 FTE", "3.5 FTE", "3.5 FTE" ], [ "Spring Meadows", "10.5 FTE", "12.5 FTE", "14.5 FTE" ], [ "Thie Milan", "4 FTE", "4 FTE", "4 FTE" ], [ "Thie My Chree", "3.5 FTE", "3.5 FTE", "3.5 FTE" ], [ "Thie Ushtey", "3.5 FTE", "3.5 FTE", "0 FTE" ] ], "row_count": 18, "col_count": 4 }, { "headers": [ "Name of service", "2021 capacity", "2022 capacity", "2023 capacity" ], "rows": [ [ "Bungalow 1", "5", "5", "5" ], [ "Bungalow 2", "4", "4", "4" ], [ "Bungalow 3", "5", "5", "5" ], [ "Bungalow 4", "4", "4", "4" ], [ "Cushag House", "6", "6", "6" ], [ "24 Farmhill Meadows", "4", "4", "4" ], [ "Glendale", "5", "5", "5" ], [ "Greenacres", "5", "5", "5" ], [ "Griffindale House", "5", "5", "5" ], [ "Griffindale Flats", "4", "4", "4" ], [ "11 Hutchinson Square", "4", "4", "4" ], [ "Kane Ellen/ Queens Valley", "1", "3", "3" ], [ "17 Kensington Road", "4", "4", "4" ], [ "3 Rosebank", "4", "4", "4" ], [ "4 Rosebank", "4", "4", "4" ], [ "Spring Meadows", "5", "5", "5" ], [ "Thie Milan", "4", "4", "4" ], [ "Thie My Chree", "4", "4", "3" ], [ "Thie Ushtey", "4", "4", "01" ] ], "row_count": 19, "col_count": 4 }, { "headers": [ "Name of service", "2021 occupancy", "2022 occupancy", "2023 occupancy" ], "rows": [ [ "Bungalow 1", "5", "4", "4" ], [ "Bungalow 2", "4", "4", "2" ], [ "Bungalow 3", "5", "5", "5" ], [ "Bungalow 4", "4", "4", "4" ], [ "Cushag House", "5", "5", "5" ], [ "24 Farmhill Meadows", "4", "4", "3" ], [ "Glendale", "5", "5", "5" ], [ "Greenacres", "4", "5", "5" ], [ "Griffindale House", "5", "4", "5" ], [ "Griffindale Flats", "4", "2", "1" ], [ "11 Hutchinson Square", "4", "3", "3" ], [ "Kane Ellen/ Queens Valley", "1", "1", "1" ], [ "17 Kensington Road", "1", "2", "2" ], [ "3 Rosebank", "4", "4", "4" ], [ "4 Rosebank", "3", "4", "4" ], [ "Spring Meadows", "5", "5", "5" ], [ "Thie Milan", "4", "4", "4" ], [ "Thie My Chree", "4", "3", "3" ], [ "Thie Ushtey", "4", "3", "0" ] ], "row_count": 19, "col_count": 4 } ] }, { "case_id": 4187045, "title": "Posts created in Manx Care", "authority": "Cabinet Office", "date_received": "2024-10-10", "outcome": "Some information sent but not all held", "summary": "The requester asked for the number and cost of non-clinical posts graded HEO and above created in Manx Care since its inception, specifically focusing on PSC terms at Noble's Hospital. The Cabinet Office disclosed data on new position reference numbers and FTE changes between April 2021 and October 2024 but noted it could not distinguish between genuinely new posts and amendments to existing roles.", "key_facts": [ "The Cabinet Office cannot distinguish between new posts created for increased work and amendments to existing posts in their HR system.", "Data was limited to Manx Care posts on Public Services Commission (PSC) terms in Pay Band 14 and above.", "Integrated Social Care posts were excluded from the response.", "The response covers the period from 01 April 2021 to 31 October 2024.", "Vacant roles are excluded from the total cost calculation as no salary is agreed upon." ], "data_mentioned": [ "68 new position reference numbers identified", "53.3 FTE on 01 April 2021", "107.5 FTE on 31 October 2024", "54.2 FTE difference", "10 vacant posts as of 31 October 2024", "6 posts in Open Structure 7", "0 Open Grade 6 posts" ], "exemptions_cited": [], "tables": [ { "headers": [ "\"I would like to request information from the Office of Human Resources as" ], "rows": [ [ "to how many non-clinical posts graded HEO and above, have been created in" ], [ "Manx Care since its inception." ], [ "" ], [ "I would like to know what the cost per year of these posts is and how many" ], [ "are on open grade pay scales.”" ], [ "" ], [ "We wrote to you on 29th October 2024 requesting further clarification: we asked if you" ], [ "could clarify what you mean by the term 'non-clinical post'? We advised that the Office" ], [ "of Human Resources (OHR) has advised that in respect of the creation of posts, new" ], [ "roles can be created in OHR's system for a number of reasons. Some examples of this" ], [ "could be; to accommodate new work projects, replace an existing position with" ], [ "another on different terms and conditions of employment hours or grade, to provide" ], [ "cover for a post holder on parental leave or long term absence or to enable an" ], [ "overlapping appointment to provide continuity of service. OHR has advised that there" ], [ "is no clear way to distinguish between the creation of a totally new post and the" ], [ "amendment to existing posts as exampled above." ] ], "row_count": 16, "col_count": 1 } ] }, { "case_id": 4238350, "title": "Enhertu for secondary breast cancer patients in the Island?", "authority": "Manx Care", "date_received": "2024-11-04", "outcome": "All information sent", "summary": "The request sought data on secondary breast cancer patients eligible for Enhertu and details on non-NICE guideline funding applications. Manx Care disclosed the total number of stage 4 breast cancer patients and historical counts of HER2-low cases, but referred cost-benefit analysis and specific funding application details to the Independent Funding Review (IFR).", "key_facts": [ "There are 177 patients currently living with secondary/advanced/metastatic breast cancer on the Isle of Man.", "The number of ER+, PR+, HER2- breast cancer cases was 65 in 2021, 88 in 2022, 54 in 2023, and 29 in 2024 (up to July).", "Manx Care stated that cost-benefit analysis for Enhertu should be answered by the Independent Funding Review (IFR).", "The response included the official indications and usage for Enhertu but did not provide specific data on the number of non-NICE guideline applications granted in the last 5 years.", "The request was received on 2024-11-04 and the outcome was 'All information sent' on 2024-12-05." ], "data_mentioned": [ "177", "2021", "65", "2022", "88", "2023", "54", "2024", "29", "2024-11-04", "2024-12-05", "31st October 2024" ], "exemptions_cited": [], "tables": [ { "headers": [ "Breast Cases ER+ve PR+ve HER2 -ve", "" ], "rows": [ [ "2021", "65" ], [ "2022", "88" ], [ "2023", "54" ], [ "2024 (up to July )", "29" ] ], "row_count": 4, "col_count": 2 } ] }, { "case_id": 4268853, "title": "Minutes of Meetings", "authority": "Department of Health and Social Care", "date_received": "2024-11-20", "outcome": "All information sent", "summary": "The requester asked for minutes, action logs, and reports from the Children's Services Improvement Board from May 2024 to the present, and the Department of Health and Social Care disclosed all requested information including a detailed meeting minute from July 23, 2024.", "key_facts": [ "The Children's Services Improvement Board (CSIB) meeting on July 23, 2024, was chaired by Deirdre Mahon.", "A Leaving Care conference is being planned, with dates proposed for either February 2025 or May 2025.", "The Board approved updated Terms of Reference to include CAMHS (Child and Adolescent Mental Health Services).", "A review of health and social care estates is underway, highlighting children's residential facilities as a priority.", "The Family Placement Service reported 90% staffing levels with significant interest in foster care." ], "data_mentioned": [ "2024-11-20", "2024-12-20", "23 July 2024", "09.30am – 11.30pm", "21st February 2025", "May 2025", "14.5%", "16.1%", "62.9%", "6.4%", "90%", "42 pages", "7 documents" ], "exemptions_cited": [], "tables": [ { "headers": [ "Attendees", "", "", "", "Titles" ], "rows": [ [ "Deirdre Mahon (DM)", "", "", "", "CSIB Independent Chair" ], [ "Stephen Buttery (SB)", "", "", "", "Head of Quality & Compliance, DHSC" ], [ "Madeleine Sayle (MS)", "", "", "", "Head of Public Health Intelligence, Public Health" ], [ "Julie Gibney (JG)", "", "", "", "Assistant Director of Children’s and Families, Manx Care" ], [ "Terri Banks (TB)", "", "", "", "Head of Safeguarding in Health, Manx Care" ], [ "Christine Impey (CI)", "", "", "", "Director of Multi-Agency Safeguarding Board" ], [ "Ian Postlethwaite (IP)", "", "", "", "Head of Additional Educational Needs (AEN) & Virtual School Head\nteacher, DESC" ], [ "Declan Crawley (DC)", "", "", "", "Head of Community Rehabilitation and Family Court Welfare, DHA" ], [ "Stephen Maddocks (SM)", "", "", "", "Detective Superintendent for Investigations & Safeguarding, IOM\nConstabulary" ], [ "Jared Holden (JH)", "", "", "", "Public Estates and Housing Division (PEHD) Interim Head of Housing\nOperations, DOI" ], [ "Hollie Unett (HU)", "", "", "", "External Quality Regulation Manager, DHSC" ], [ "In Attendance", "", "", "", "" ], [ "", "", "", "", "External Quality Regulation Project Officer, DHSC" ], [ "Administration", "", "", "", "" ], [ "", "", "", "", "Public Estates and Housing Division, DOI" ], [ "Apologies", "", "", "", "" ], [ "Tim O’Neill (Ton)", "", "", "", "Executive Director of Mental Health, Social Care and Safeguarding,\nManx Care" ], [ "Kerry Sharpe (KS)", "", "", "", "Children’s Champion" ], [ "Clair Barks (CBa)", "", "", "", "Deputy Chief Officer, DHA" ], [ "", "", "", "", "Quality Assurance Support Officer, DHSC" ], [ "Catriona Bradley (CBR)", "", "", "", "Head of Registration and Inspection, DHSC" ], [ "Dave Rickerby (DR)", "", "", "", "CAHMS Manager, Manx Care" ], [ "Caroline Savin (CS)", "", "", "", "Director of Strategic Advice for Education" ], [ "Daniel Davies (DD)", "", "", "", "Chief Officer, DHA" ], [ "Leroy Bonnick (LB)", "", "", "", "Prison Governor and Head of Probation, DHA" ], [ "Lisa Philliskirk (LP)", "", "", "", "Head of Housing, DOI" ] ], "row_count": 26, "col_count": 5 }, { "headers": [ "Item", "Item", "Lead" ], "rows": [ [ "Number", "", "" ], [ "", "", "" ], [ "054/24", "Welcome and Apologies, Declaration of Conflicts of Interest\nNo conflict of interest declared.", "DM" ], [ "055/24", "Minutes from previous meeting\nA correction was noted to replace ‘TB’ with ‘CBR’ in the minute for 046/24.\nThe minutes from the previous meeting were otherwise accepted and\nsigned off by the Board as a true and accurate reflection of the meeting.\nMatters Arising\nThe Action Log was reviewed during this section.\nThere was some discussion around the action to consider arranging a\nLeaving Care conference. DM explained that the DHSC Minister is keen for\nthe conference to be held but suggested moving the timeframe back to\nFebruary 2025 with the benefit that it will not clash with other events\nalready planned for this calendar year and it can be timed to take place on\nNational Caregivers Day on 21st February 2025.\nAll agreed that the conference is important and initially agreed Care Day\nwould be a good idea. Following this, a discussion on what would be\nrequired to ensure the meaningful involvement of children in care takes\nplace and has a successful outcome some attendees suggested that May\n2025 would be better due to the amount of work to complete.\nAction: DM to discuss the feedback from the board with the DHSC Minister\nThe MOU was noted to be currently with the Safeguarding Board for\napproval.\nA review of health and social care estates and facility needs is underway\nand children’s residential has been highlighted as one of the priority areas\nfor consideration.\nAction: SB to meet with Emma Barlow as the DHSC representative of this\ngroup to highlight the need for a proposed alternative facility to the White\nHoe children’s home.\nDM confirmed the DHSC Minister has a draft Council of Ministerial Direction\nfor approval which would direct all Departments to have a focus on and\ngive attention to children in care/After care with services provided across\nGovernment. This would also allow the Corporate Parenting Board to have\nmore profile and priority in Government when it is reformed.\nIt was noted that DD has completed the Guidance document for schools\nand that has been circulated to the Board.", "DM" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "", "to lack of resources the offender will be kept on remand and where remand\nis not possible those of 16 plus years may be kept overnight in a cell.\nDM expressed concerns as to whether this criminalises-the young person\nand the experience of being remanded to prison may erode the deterrent it\ninitially presents.\nEarly Help / Family Support\no Leeds Early Help Questions\nMS advised that there is a lot happening which not all relevant agencies are\nfully aware of, and everyone needs to be brought up to date. There are 3\nworkshops planned to be held around the theme of Starting Well,\nDeveloping Well:\n- A workshop to listen and gather information,\n- A workshop to consider models for family help and support and\nwhat works best for the Island\n- A decision makers workshop to consider how to get there with the\nproposal put forward\nDM suggested tying in with the Island Plan work streams, using wording for\nwhich there is already political support.\nEarly intervention group is assessing strategic aims.\nWork required to improve strategies, models of best practice, and relevancy\nto the island.", "" ], "rows": [ [ "058/24", "External Presentations, Meetings & Proposals\nCorporate Parenting Group – Ministerial Direction\nThis was discussed during review of the action log in the Matters Arising\nsection.", "" ], [ "059/24", "Links with other projects/meetings\nLP to arrange multi agency meeting with the objective of formulating a\nbusiness case to present to the Housing and Communities Board as\ndiscussed earlier.\nMS suggested that input would be required from Matt Bond in the Project\nManagement Unit.\nMS - Public Health – Early Intervention group still exists but is now part of\nthe Community Safety Partnership developing high level strategic aims", "ALL" ], [ "060/24", "Items for Escalation\nDM suggested the formulation of a business case to the Housing and\nCommunities Board for funding for 16 plus is an item for escalation.", "ALL" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "Date of\nMeeting", "Agenda\nItem", "Action Agreed", "Action\nOwner", "Due\nDate", "Comments" ], "rows": [ [ "19/03/2024", "041/24", "Check what is required to facilitate leaving care conference in September, and expectations from\nMinister", "DM", "16/07/24", "16/05/24 - Some feedback/questions if the conference is necessary, CSIB chair to discuss with\nMinister Hooper\n23/07/24 - Chair to discuss with Minister to hold conference for Care Day on 21/02/25 (3rd\nFriday in Feb'25)" ], [ "19/03/2024", "042/24", "Meet with Safeguarding Board independent chair and CI to review the link between CSIB and\nSafeguarding Board, and create a memorandum of understanding", "DM", "16/07/24", "16/05/24 - Ongoing with IOMSB, MoU almost complete\n23/07/24 - Shared with IOMSB for review prior to signing" ], [ "19/03/2024", "043/24", "Escalation to Health Learning and Social Policy Board, the need for an alternative facility to the\nWhite Hoe children's home.", "DM", "16/05/24", "16/05/24 - CSIB chair will include in their report\n23/07/24 - Chair to discuss re DHSC Estates Strategy" ], [ "19/03/2024", "043/24", "Liaise with Mrs Sharpe, Minister and DHSC chief officer about the viability of a corporate parenting\ncircular and/or policy", "DM", "16/05/24", "16/05/24 - Ongoing further discussions to take place, in the absence of legislation\n23/07/24 - Corporate Parenting Board direction under development" ], [ "16/05/2024", "048/24", "Invite Leeds to present their model online", "DM", "23/07/24", "16/05/24 - Arrangements to be made CSIB\n23/07/24 - Chair to discuss format with ongoing workstream, awaiting futher contact from Leeds" ], [ "23/07/2024", "049/24", "CSIB Project Team minutes to be shared with the CSIB members", "HU", "17/09/24", "" ], [ "23/07/2024", "050/24", "Date of 7th CSIB (17.09) now clashes with the IOM Gov Conference - Date to be moved TBC", "HU", "17/09/24", "" ], [ "23/07/2024", "051/24", "Share the Master Action Plan with the CSIB", "DM", "17/09/24", "" ], [ "23/07/2024", "052/24", "CSIB Chair to discuss CSIB members feedback with Minister re Leaving Care Conference", "DM", "17/09/24", "" ], [ "23/07/2024", "053/24", "Head of Q&C to meet with Mandate Team concerning facility to White Hoe", "SB", "17/09/24", "" ], [ "23/07/2024", "054/24", "CSIB Chair to contact regarding National Centre for Family Hub presentation", "DM", "17/09/2024", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ] ], "row_count": 13, "col_count": 6 }, { "headers": [ "Project: Children’s Services Improvement Board (CSIB)", "" ], "rows": [ [ "Project Sponsor: Julie King – Executive Director of Quality, Safety and Engagement, Department\nof Health and Social Care", "" ], [ "Start Date: September 2023", "Completion Date: November 2024" ], [ "Period report covers: January 2024 to July 2024", "" ], [ "Task: I was commissioned by the DHSC to ensure the implementation of the Ofsted\nrecommendations and other relevant recommendations for improvement from Serious Case Reviews\ncommissioned by the Isle of Man Safeguarding Board (IOMSB) via Chairing the Children’s Services\nImprovement Board, (CSIB).\nAdditionally, I was requested to scope out Early Help/Early Intervention models for children and\nfamilies, taking into account the issues raised in the IOMSB ‘Child J’ and the Children’s Champion\nreport.", "" ], [ "Achievements / Tasks completed:\n• Since the previous update, we have had four CSIB meetings, in January, March, May and\nJuly 2024. These meetings have been well attended across the multi-agencies. On some\noccasions, Chief Officers have delegated their attendance to senior managers.\n• The CSIB structure is agreed, as are the workstreams (appendix 1) and their Chairs form the\nProject Team.\n• The Terms of Reference, have been adjusted to accommodate new Board members and\nhave been agreed and signed off by the board during the most recent meeting held 23 July\n2024 (appendix 3).\n• The Master Action Plan is fully developed and cross referenced with the Ofsted Report and\nManx Care Children and Families Action Plan, evolving into one action plan. This is a work in\nprogress and I am currently working through the evidence. (see attached as an example).\nPlease note this is a work in progress and is updated regularly.\n• The Action Plan has 62 recommendations/issues over the service areas of multiple-agencies\nand across 8 workstreams (appendix 2), with the workstream chairs and members working\nthrough the actions.\n• The recommendations are rag rated for ease of reference, with green being fully implemented,\namber as work in progress and red not yet actioned. To date, 14.5% of the recommendations\nare green, 62.9% are amber and 16.1% are red. To avoid duplication there are a number of\nrecommendations (6.4%) regarding exploitation that is being taking forward by the\nSafeguarding Board. I am awaiting receipt of an update from the safeguarding board on these.", "" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Attendees", "", "Titles" ], "rows": [ [ "Deirdre Mahon (DM)", "", "CSIB Independent Chair" ], [ "Stephen Buttery (SB)", "", "Head of Quality & Compliance, DHSC" ], [ "Madeleine Sayle (MS)", "", "Head of Public Health Intelligence, Public Health" ], [ "Julie Gibney (JG)", "", "Assistant Director of Children’s and Families, Manx Care" ], [ "Terri Banks (TB)", "", "Head of Safeguarding in Health, Manx Care" ], [ "Clair Barks (CBa)", "", "Deputy Chief Officer, DHA" ], [ "Catriona Bradley (CBR)", "", "Head of Registration and Inspection, DHSC" ], [ "Dave Rickerby (DR)", "", "CAHMS Manager, Manx Care" ], [ "Caroline Savin (CS)", "", "Director of Strategic Advice for Education, DESC" ], [ "Christine Impey (CI)", "", "Director of Multi-Agency Safeguarding Board" ], [ "Ian Postlethwaite (IP)", "", "Head of Additional Educational Needs (AEN) & Virtual School\nHead teacher, DESC" ], [ "Declan Crawley (DC)", "", "Head of Community Rehabilitation and Family Court Welfare, DHA" ], [ "Stephen Maddocks (SM)", "", "Detective Superintendent for Investigations & Safeguarding, IOM\nConstabulary" ], [ "Jared Holden (JH)", "", "Public Estates and Housing Division (PEHD) Interim Head of\nHousing\nOperations, DOI" ], [ "Hollie Unett (HU)", "", "External Quality Regulation Manager, DHSC" ], [ "In Attendance", "", "" ], [ "Kerry Sharpe (KS)", "", "Children’s Champion" ], [ "", "", "External Quality Regulation Project Officer, DHSC" ], [ "Emma Barlow (EB)", "", "Head of Mandate Performance, DHSC" ], [ "Lisa Perrie (LP)", "", "Engagement Officer, DHSC" ], [ "Administration", "", "" ], [ "", "", "Business Support, Public Health Directorate" ], [ "Apologies", "", "" ], [ "Tim O’Neil (TO)", "", "Executive Director for Mental Health, Social Care &\nSafeguarding, Manx Care" ], [ "Daniel Davies (DD)", "", "Chief Officer, DHA" ], [ "Lisa Philliskirk (LP)", "", "Head of Housing, DOI" ], [ "Leroy Bonnick (LB)", "", "Prison Governor and Head of Probation, DHA" ], [ "Catriona Bradley (CB)", "", "Head of Registration and Inspection, DHSC" ] ], "row_count": 28, "col_count": 3 }, { "headers": [ "Item", "Item", "Lead" ], "rows": [ [ "Number", "", "" ], [ "", "", "" ], [ "063/24", "Welcome and Apologies, Declaration of Conflicts of Interest\nNo conflict of interest declared.", "DM" ], [ "064/24", "Minutes from previous meeting\nThe minutes from the previous meeting were reviewed and deemed a true and\naccurate reflection of the meeting.\nMatters Arising\nThe Chair reported that this meeting would be the last of the Children’s Services\nImprovement Board. The Terms of Reference had already been agreed and\nsigned off.\nThe focus turned to the Action Log which was shared prior to the meeting.\nActions 049/24 and 050/24 were completed.\nAction 051/24, discussion took place surrounding the outstanding items on the\nMaster Action Plan.\nInput is still required from Education. IP advised that as some policies have been\nrewritten it would be prudent to review the area and add the applicable responses.\nAction: DM to send a copy of the Master Action Plan to IP for review and to\npopulate as appropriate.\nAction 052/24, discussion took place surrounding the Leaving Care Conference.\nConversations surrounding the movement of the date to May 2025 took place with\nthe DHSC Minister however, this was not found to be favorable on his part, his\npreference was to remain with the February 2025 date, coinciding with the timing\nof National Caregivers Day. It was highlighted, by members present, that\nadequate time would be required to plan the event properly; meaningful\ninvolvement of the children, confirming the venue and engaging speakers.\nAfter further discussion, it was decided that JG would discuss the matter with Mr.\nTim O’Neill and if necessary further conversations should be had with the Minister\nsurrounding this item and plans made to date.\nAction: JG/Tim O’Neill to continue the conversations with the Minister.\nAction 053/24, the suitability of the White Hoe facility was discussed, specifically\nthat of it being an appropriate children’s home. As part of a larger scoping exercise\nbeing undertaken of all facilities EB advised that White Hoe could be prioritized\nas the building is not fit for purpose moving forward, any modifications and", "DM" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Date of\nMeeting", "Agenda\nItem", "Action Agreed", "Action\nOwner", "Due\nDate", "Comments" ], "rows": [ [ "19/03/2024", "041/24", "Check what is required to facilitate leaving care conference in September, and expectations from\nMinister", "DM", "16/07/24", "16/05/24 - Some feedback/questions if the conference is necessary, CSIB chair to discuss with\nMinister Hooper\n23/07/24 - Chair to discuss with Minister to hold conference for Care Day on 21/02/25 (3rd\nFriday in Feb'25)" ], [ "19/03/2024", "042/24", "Meet with Safeguarding Board independent chair and CI to review the link between CSIB and\nSafeguarding Board, and create a memorandum of understanding", "DM", "16/07/24", "16/05/24 - Ongoing with IOMSB, MoU almost complete\n23/07/24 - Shared with IOMSB for review prior to signing" ], [ "19/03/2024", "043/24", "Escalation to Health Learning and Social Policy Board, the need for an alternative facility to the\nWhite Hoe children's home.", "DM", "16/05/24", "16/05/24 - CSIB chair will include in their report\n23/07/24 - Chair to discuss re DHSC Estates Strategy" ], [ "19/03/2024", "043/24", "Liaise with Mrs Sharpe, Minister and DHSC chief officer about the viability of a corporate parenting\ncircular and/or policy", "DM", "16/05/24", "16/05/24 - Ongoing further discussions to take place, in the absence of legislation\n23/07/24 - Corporate Parenting Board direction under development" ], [ "16/05/2024", "048/24", "Invite Leeds to present their model online", "DM", "23/07/24", "16/05/24 - Arrangements to be made CSIB\n23/07/24 - Chair to discuss format with ongoing workstream, awaiting futher contact from Leeds" ], [ "23/07/2024", "053/24", "Head of Q&C to meet with Mandate Team concerning facility to White Hoe", "SB", "17/09/24", "17/09/24 - Mandate Team discussed suitability around White Hoe facility at 7th CSIB Meeting.\nFollow up in respect of short term adaptaions." ], [ "17/09/2024", "064/24", "JG/Tim O’Neill to continue the conversations with the Minister reguarding Leaving Care Conference", "JG/TO", "", "17/09/24 - DHSC Quality and Compliance CSIB Hand over to Manx Care for business as usual" ], [ "", "", "", "", "", "" ] ], "row_count": 8, "col_count": 6 }, { "headers": [ "Project: Children’s Services Improvement Board (CSIB)", "" ], "rows": [ [ "Project Sponsor: Julie King – Executive Director of Quality, Safety and Engagement,\nDepartment of Health and Social Care", "" ], [ "Start Date: September 2023", "Completion Date: September 2024" ], [ "Period report covers: January 2024 to July 2024", "" ], [ "Task: I was commissioned by the DHSC to ensure the implementation of the Ofsted\nrecommendations and other relevant recommendations for improvement in Children’s\nservices. In order to fulfil this task, I set up and chaired a multi-agency Children’s Services\nImprovement Board (CSIB). The CSIB developed a detailed action plan which was divided\ninto a number of workstreams, the chairs of which made up the project team. The project\nteam worked on delivering improvements and reported their progress to the CSIB and the\naction plan was updated accordingly.\nAdditionally, I was requested to scope out Early Help/Early Intervention models for\nchildren and families, taking into account the issues raised in the IOMSB ‘Child J’ and the\nChildren’s Champion report.", "" ], [ "Update\n• The final CSIB meeting took place in September 2024.\n• The Master Action Plan is now complete and cross referenced with the Ofsted\nReport each paragraph is referenced in the plan for easy reading.\n• The Action Plan (see appendix 1) has 62 recommendations across 8 workstreams\n• The recommendations were previously rag rated, with green being fully\nimplemented, amber as work in progress and red not yet actioned. However, as\nwe now move on to another process, the rag rating has changed. Green is fully\nimplemented, and blue are those recommendations that are ongoing and need to\nmove to another plan and process. To date, 30 (48.5%) of the recommendations\nare green, whilst 32 (51.5%) are blue and remain a work in progress, moving to a\nthematic ‘plan on a page’ to enable a strategic way forward (see appendix 2)\n• This is significant progress in a short period of time and staff in all agencies\nshould be commended for their commitment to this work.", "" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 4269249, "title": "Food premises prosecuted, fined or warned over food hygiene breaches", "authority": "Department of Environment, Food and Agriculture", "date_received": "2024-11-21", "outcome": "All information sent", "summary": "The request sought data on food hygiene inspections, breaches, prosecutions, fines, and warnings for Isle of Man premises between January 2022 and October 2024. The authority provided a breakdown of 270 inspections and details on warnings issued, but refused to provide specific breach statistics due to the substantial compilation required, while confirming zero prosecutions and fines.", "key_facts": [ "A total of 270 proactive, unannounced food hygiene inspections were conducted between January 2022 and October 2024.", "There were zero food premises prosecuted or fined during the requested period.", "The authority refused to provide the total number of premises found in breach of regulations, citing Section 11(2)(b) of the FOIA regarding substantial compilation.", "Multiple Hygiene Improvement Notices were served, primarily in February 2023, July 2023, and February 2024, citing issues such as damaged ceilings, lack of hand basins, and poor HACCP management.", "Restaurants/Cafes/Staff Canteens accounted for the highest number of inspections with 64, followed by Takeaways and Mobile Food Premises with 43 each." ], "data_mentioned": [ "270", "0", "64", "43", "24", "16", "33", "17", "01/01/22", "31/10/24", "01/02/2023", "27/07/2023", "07/02/2024" ], "exemptions_cited": [ "Section 11(2)(b) of the Freedom of Information Act (FOIA) - substantial compilation or collation of information" ], "tables": [ { "headers": [ "Main Use of Food Business Premises", "No. of proactive, unannounced\nfood hygiene inspections where\nrisk rating was carried out\n01/01/22 to 31/10/24" ], "rows": [ [ "FMP1 - Meat Manufacturer*", "1" ], [ "FMP2 - Milk Processor and dairy processor*", "1" ], [ "FRES1 - Restaurant/ Café/ Staff Canteen", "64" ], [ "FRES2 - Nursery/ Playgroup/ Preschools", "24" ], [ "FRES3 - Schools & Colleges", "16" ], [ "FRES4 - Sports Club/ Community Centre/ Sports Hall", "7" ], [ "FRES5 - Takeaway", "43" ], [ "FRES9 - Night Club/ Club with bar", "1" ], [ "FRES13 - Farm/Smallholding", "1" ], [ "FRES15 - Home Baker/ Confectionary/ Preserves", "6" ], [ "FRES16 - Hospital/ Residential Home/ Care Facility", "33" ], [ "FRES17 - Hotel/ B&B/ Guesthouse", "5" ], [ "FRES18 - Food Manufacturing/ Processing", "17" ], [ "FRES19 - Mobile Food Premises", "43" ], [ "FRES22 - Outside Catering – Domestic Premises", "2" ], [ "FRES23 - Pubs & Clubs", "1" ], [ "FRES25 - Retailer/ Shops", "5" ], [ "Total", "270" ] ], "row_count": 18, "col_count": 2 }, { "headers": [ "Food Hygiene Regulations 2007\nHygiene Improvement Notice", "DATE\nSERVED", "EXPIRY /\nLIFTED" ], "rows": [ [ "The ceilings were damaged and defective in a number of places", "01/02/2023", "01/03/2023" ], [ "The floor covering throughout the premises was in disrepair", "01/02/2023", "01/03/2023" ], [ "There was no designated wash hand basin with hot and cold running\nwater", "01/02/2023", "16/02/2023" ], [ "There was no evidence of staff training and poor hygiene\nawareness/ practices were observed during our two most recent\nvisits", "01/02/2023", "01/03/2023" ], [ "Food safety is not being managed effectively at your premises and\nyou do not have a documented food safety management system\nbased on HACCP principles.", "01/02/2023", "03/04/2023" ], [ "The ceilings were damaged and defective in a number of places", "01/02/2023", "01/03/2023" ], [ "The floor covering throughout the premises was in disrepair", "01/02/2023", "01/03/2023" ], [ "There was no designated wash hand basin with hot and cold running\nwater", "01/02/2023", "16/02/2023" ], [ "There was no evidence of staff training and poor hygiene\nawareness/ practices were observed during our two most recent\nvisits", "01/02/2023", "01/03/2023" ], [ "Food safety is not being managed effectively at your premises and\nyou do not have a documented food safety management system\nbased on HACCP principles.", "01/02/2023", "03/04/2023" ], [ "No documented procedures", "23/02/2023", "30/03/2023" ], [ "The floor covering throughout the premises was in disrepair", "27/07/2023", "26/10/2023" ], [ "There was no evidence of staff training and poor hygiene\nawareness/ practices were observed during our two most recent\nvisits", "27/07/2023", "07/08/2023" ], [ "Food safety is not being managed effectively at your premises and\nyou do not have a documented food safety management system\nbased on HACCP principles.", "27/07/2023", "28/09/2023" ], [ "Unable to provide documents and records commensurate with the\nnature and size of the business to demonstrate that a procedure or\nprocedures based on HACCP principles have been put in place,\nimplemented and maintained", "07/02/2024", "01/05/2024" ], [ "The wash hand basin in the food storage / preparation area did not\nhave a constant supply of hot and cold running water (or\nappropriate mix) at the time of inspection", "13/03/2024", "15/05/2024" ], [ "The floor coverings throughout the basement kitchen and food\npreparation areas were in disrepair.", "13/03/2024", "15/06/2024" ], [ "The ceilings in the basement kitchen and food preparation areas\nwere damaged and defective in a number of places.", "13/03/2024", "15/06/2024" ], [ "Food safety is not being managed effectively at your premises and\nyou do not have a documented food safety management system\nbased on HACCP principles.", "13/03/2024", "15/05/2024" ], [ "There was no evidence of staff training and poor food hygiene\nawareness/ poor practices were observed during our most recent\ninspection", "13/03/2024", "15/05/2024" ] ], "row_count": 20, "col_count": 3 }, { "headers": [ "The washbasin within the main cooking area is not suitably located\ntherefore is in contravention of Annex II, Chapter I, Paragraph 4 of\nRegulation (EC) No. 852/2004. This is an offence under Regulation\n17 of the Food Hygiene Regulations 2007.", "07/03/2024", "01/06/2024" ], "rows": [ [ "The floor surfaces are not maintained in a sound condition and are\nnot easy to clean and, where necessary, to disinfect. The flooring in\nyour premises does not meet the requirements of Regulation (EC)\nNo 852/2004 Annex II Chapter II, Paragraph 1. This is an offence\nunder Regulation 17 of the Food Hygiene Regulations 2007.", "07/03/2024", "01/06/2024" ], [ "You have not put in place, implemented and maintained a\npermanent procedure or procedures based on HACCP principles\ncontrary to the requirements of Article 5 of EC Regulation 852/2004.\nThis is an offence under Regulation 17 of the Food Hygiene\nRegulations 2007. Please see attached schedule containing the\nevidence observed in relation to this contravention.", "07/03/2024", "01/06/2024" ], [ "Food handlers are not being supervised and instructed and/or have\nnot received training commensurate with their work activities\ncontrary to the requirements of Annex II, Chapter XII, Paragraph 1\nof Regulation (EC) 852/2004. This is an offence under Regulation 17\nof the Food Hygiene Regulations 2007.", "07/03/2024", "01/06/2024" ], [ "Food safety is not being managed effectively at your premises and\nyou do not have a documented food safety management system\nbased on HACCP principles.", "17/10/2024", "02/12/2024" ], [ "There was no evidence of staff training and poor food hygiene\nawareness/ poor practices were observed during our most recent\ninspection", "17/10/2024", "02/12/2024" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "Food Hygiene Regulations 2007\nVoluntary Closure", "", "", "DATE\nSERVED", "", "EXPIRY /\nLIFTED", "", "" ], "rows": [ [ "Poor Cleanliness/Practices", "", "", "16/09/2022", "", "30/09/2024", "", "" ], [ "Poor Cleanliness/Practices", "", "", "13/10/2022", "", "13/10/2022", "", "" ], [ "Poor Cleanliness/Practices", "", "", "21/10/2022", "", "26/10/2022", "", "" ], [ "Poor Cleanliness/Practices", "", "", "03/11/2022", "", "04/11/2023", "", "" ], [ "", "Poor Cleanliness/Practices", "", "08/11/2022", "", "", "10/11/2022", "" ], [ "Poor Cleanliness/Practices", "", "", "21/11/2022", "", "24/11/2022", "", "" ], [ "Poor Cleanliness/Practices", "", "", "29/03/2023", "", "31/03/2023", "", "" ], [ "Poor Cleanliness/Practices", "", "", "12/07/2023", "", "14/07/2023", "", "" ], [ "Pest Control Issues", "", "", "19/01/2023", "", "24/01/2023", "", "" ], [ "Poor Cleanliness/Practices", "", "", "10/05/2023", "", "12/05/2023", "", "" ], [ "Poor Cleanliness/Practices", "", "", "16/05/2023", "", "17/05/2023", "", "" ], [ "Poor Cleanliness/Practices", "", "", "18/05/2023", "", "19/05/2023", "", "" ], [ "Poor Cleanliness/Practices No hot water to premises", "", "", "14/08/2023", "", "15/08/2023", "", "" ], [ "Poor Cleanliness/Practices Fire risks identified", "", "", "19/09/2023", "", "21/09/2023", "", "" ], [ "Poor Cleanliness/Practices", "", "", "11/12/2023", "", "14/12/2023", "", "" ], [ "Poor Cleanliness/Practices", "", "", "12/02/2024", "", "16/02/2024", "", "" ], [ "Poor Cleanliness/Practices", "", "", "29/08/2024", "", "30/08/2024", "", "" ] ], "row_count": 17, "col_count": 8 }, { "headers": [ "Food Information Regulations 2014\nImprovement Notice", "DATE\nSERVED", "EXPIRY /\nLIFTED" ], "rows": [ [ "Information was not available to consumers for certain\nsubstances or products causing allergies or intolerances (either\norally or in writing) for products placed on the market", "27/07/2023", "07/08/2023" ], [ "Information was not available to consumers for certain\nsubstances or products causing allergies or intolerances (either\norally or in writing) for products placed provided", "07/03/2024", "10/05/2024" ], [ "Article 9 (1) (C) of Regulation (EU) 1169/2011 on the provision\nof food information to consumers (as specified by Schedule 5 of\nthe Food Information Regulations 2014) because: at the time of\ninspection on Monday 4th March 2024, there was insufficient\ninformation available for food handlers to provide accurate\ninformation to customers on the ingredients within products sold", "13/03/2024", "15/04/2024" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "Health and Safety at Work etc. Act 1974\nProhibition Notice", "DATE\nSERVED", "EXPIRY /\nLIFTED" ], "rows": [ [ "Solid fuel tandoori oven - Carbon Monoxide Risk", "27/06/2022", "12/05/2023" ], [ "Sleeping in inner room", "15/11/2022", "Ongoing" ], [ "Solid fuel tandoori oven - Carbon Monoxide Risk", "30/01/2024", "Ongoing" ], [ "Sleeping in inner room", "10/01/2024", "Ongoing" ] ], "row_count": 4, "col_count": 3 } ] }, { "case_id": 4280269, "title": "Ofsted inspection terms of reference", "authority": "Department of Health and Social Care", "date_received": "2024-11-26", "outcome": "Some information sent but not all held", "summary": "The requester asked for Ofsted inspection terms of reference regarding children's services and emails concerning disability service inspections. The Department of Health and Social Care provided some information but withheld specific documents citing exemptions under Section 25 and Section 30(2)(b) of the Freedom of Information Act.", "key_facts": [ "The request was made to the Department of Health and Social Care on 2024-11-26.", "The authority responded on 2025-01-24 with an outcome of 'Some information sent but not all held'.", "The response included 18 pages across 2 documents.", "Information was withheld based on Section 25 (Classified Information) and Section 30(2)(b) (Investigations and proceedings).", "The request specifically targeted terms of reference for children's services and emails regarding disability service inspections." ], "data_mentioned": [ "2024-11-26", "2025-01-24", "18", "2", "4280269" ], "exemptions_cited": [ "Section 25", "Section 30(2)b" ], "tables": [ { "headers": [ "Public Interest Test", "" ], "rows": [ [ "Factors in favour of disclosure", "Factors in favour of maintaining the\nexemption" ], [ "Promoting accountability and\ntransparency of public authorities.", "The Department must retain relationship\nintegrity with its regulatory network. With the\nenactment of the new legislation and\nregulation reform, it will be necessary to\ncontinue commissioning external regulators\nand subject matter experts (SME). Disclosure\nof financial information may hinder such\nprofessionals from being willing to assist in the\nfuture." ], [ "Disclosure of this information may\nreassure the public by demonstrating\nthe proactive work in regulation.", "This may discourage future exchanges of open\nand transparent communication between\nexternal regulators, SME’s (as referenced\nabove) and the Department. This would\nreduce the effectiveness of the regulatory\nability of the Department and the introduction\nof any new legislation and/or regulations of\nhealth and social care service providers in the\nfuture." ], [ "Encourage service providers to work\nwith the Department and contribute\nto regulatory activities.", "To disclose specific information in the public\ndomain, relating to a particular regulator\nand/or their regulatory practices, may deter\nother key stakeholders (regulators/SME’s) from\nsharing important material with the\nDepartment, which could undermine our\nregulatory functions." ] ], "row_count": 4, "col_count": 2 } ] }, { "case_id": 4289277, "title": "Food Hygiene Inspections & Reports - Selected Castletown Premises", "authority": "Department of Environment, Food and Agriculture", "date_received": "2024-12-02", "outcome": "Some information sent but part exempt", "summary": "The request sought food hygiene inspection dates and reports for five specific Castletown premises since 2019, resulting in a partial disclosure where some inspection correspondence was released while other information was exempt.", "key_facts": [ "The request covered five businesses: Coffee Craft, The Cupcakery, Kowloon House, Victoria Grill, and The Vintage Tea Rooms.", "The Department of Environment, Food and Agriculture (DEFA) released 6 documents totaling 10 pages.", "Disclosed records include email correspondence regarding inspection reports for Coffee Craft and The Vintage Tea Rooms.", "Communication regarding Kowloon House includes a revisit acceptance and technical officer correspondence.", "The outcome was classified as 'Some information sent but part exempt'." ], "data_mentioned": [ "2024-12-02", "2025-01-17", "1st January 2019", "09 March 2023", "21 November 2022", "25 March 2024", "09 February 2024", "27 February 2023", "10 pages", "6 documents", "4289277" ], "exemptions_cited": [], "tables": [ { "headers": [ "Business Name", "Inspection Date" ], "rows": [ [ "Coffee Craft", "23.01.2024" ], [ "Kowloon House", "08.03.2023" ] ], "row_count": 2, "col_count": 2 } ] }, { "case_id": 4298187, "title": "Miscellaneous pathology results", "authority": "Manx Care", "date_received": "2024-12-04", "outcome": "All information sent", "summary": "The requester asked for monthly test counts and results for Cryptosporidium, RSV, and Streptococcus pneumoniae from Manx Care sites in 2024. Manx Care responded by providing the complete dataset for all three pathogens, including breakdowns by month and testing method.", "key_facts": [ "Manx Care released all requested information regarding pathology results for 2024.", "Cryptosporidium testing resulted in 21 positive cases out of 1,964 tests conducted in 2024.", "RSV testing utilized two methods (Routine WVS screen and Film Array) totaling 2,185 tests with 108 positive cases.", "Streptococcus pneumoniae identification yielded 49 isolates across the year.", "The response included data from December 2023 through November 2024 to provide full annual context." ], "data_mentioned": [ "1964", "21", "2185", "108", "49", "2024-12-04", "2024-12-20", "4298187" ], "exemptions_cited": [], "tables": [ { "headers": [ "Month/Year", "Numbers\ntested", "Positive\ncases" ], "rows": [ [ "Dec-23", "123", "1" ], [ "Jan-24", "147", "2" ], [ "Feb-24", "157", "0" ], [ "Mar-24", "130", "0" ], [ "Apr-24", "183", "9" ], [ "May-24", "195", "2" ], [ "Jun-24", "172", "0" ], [ "Jul-24", "186", "0" ], [ "Aug-24", "175", "4" ], [ "Sep-24", "163", "0" ], [ "Oct-24", "178", "1" ], [ "Nov-24", "155", "2" ], [ "Annual", "1964", "21" ] ], "row_count": 13, "col_count": 3 }, { "headers": [ "", "Routine WV S screen", "", "Film Array requests", "", "Tot als", "" ], "rows": [ [ "Month/Year", "Numbers\ntested", "Positive\ncases", "Numbers\ntested", "Positive\ncases", "Total\ntested", "Total positive\ncases" ], [ "Dec-23", "165", "40", "14", "2", "179", "42" ], [ "Jan-24", "218", "8", "8", "0", "226", "8" ], [ "Feb-24", "237", "4", "7", "0", "244", "4" ], [ "Mar-24", "220", "3", "16", "0", "236", "3" ], [ "Apr-24", "165", "1", "14", "0", "179", "1" ], [ "May-24", "123", "3", "19", "0", "142", "3" ], [ "Jun-24", "143", "0", "19", "0", "162", "0" ], [ "Jul-24", "135", "0", "6", "0", "141", "0" ], [ "Aug-24", "88", "0", "2", "0", "90", "0" ], [ "Sep-24", "149", "4", "8", "1", "157", "5" ], [ "Oct-24", "191", "17", "13", "1", "204", "18" ], [ "Nov-24", "208", "23", "17", "1", "225", "24" ], [ "Annual", "2042", "103", "143", "5", "2185", "108" ] ], "row_count": 14, "col_count": 7 }, { "headers": [ "Month/Year", "Number of isolates of Str.\npneumoniae identified" ], "rows": [ [ "Dec-23", "6" ], [ "Jan-24", "5" ], [ "Feb-24", "6" ], [ "Mar-24", "4" ], [ "Apr-24", "2" ], [ "May-24", "8" ], [ "Jun-24", "2" ], [ "Jul-24", "2" ], [ "Aug-24", "4" ], [ "Sep-24", "3" ], [ "Oct-24", "2" ], [ "Nov-24", "5" ], [ "Annual", "49" ] ], "row_count": 13, "col_count": 2 } ] }, { "case_id": 4301005, "title": "Number of abortions since 2020", "authority": "Manx Care", "date_received": "2024-12-06", "outcome": "All information sent", "summary": "A request was made to Manx Care for abortion statistics since 2020, including repeat procedures and cases involving minors. The authority disclosed a total of 928 abortions and provided specific breakdowns for repeat procedures and under-18 cases for the period from July 2021 to January 2025, while noting that earlier data is held by the Cabinet Office.", "key_facts": [ "Manx Care reported 928 abortions carried out since 2020.", "Data on repeat abortions covers the period from 09.07.21 to 28.01.25.", "171 women had one abortion, 40 had two, 7 had three, and 2 had four during the specified period.", "41 women under the age of 18 had abortions between 07.01.21 and 28.01.25.", "Data prior to July 2021 is held by the Cabinet Office, Public Health Directorate." ], "data_mentioned": [ "928", "09.07.21", "28.01.25", "171", "40", "7", "2", "07.01.21", "41", "2020", "2024-12-06", "2025-02-05", "31 January 2025" ], "exemptions_cited": [], "tables": [ { "headers": [ "No of\nabortions", "No of women" ], "rows": [ [ "1", "171" ], [ "2", "40" ], [ "3", "7" ], [ "4", "2" ] ], "row_count": 4, "col_count": 2 } ] }, { "case_id": 4305697, "title": "Ambulance Service Leadership Costs", "authority": "Manx Care", "date_received": "2024-12-10", "outcome": "All information sent", "summary": "A request was made for the salaries and contracted hours of the Isle of Man Ambulance Service leadership team for 2022-2024. The authority disclosed the job titles, pay bands, and hours for seven leadership roles, referencing the MPTC pay scales.", "key_facts": [ "The request covered the years 2022, 2023, and 2024.", "Seven specific leadership roles were identified in the response.", "Most roles have contracted hours of 37.5, with one Paramedic Officer at 42 hours.", "Pay bands range from Band 7 to Band 8C.", "The response included a link to the MPTC pay scales PDF." ], "data_mentioned": [ "2024-12-10", "2024-12-11", "4305697", "37.5", "42", "8C", "7", "8A", "8B", "2022", "2023", "2024" ], "exemptions_cited": [], "tables": [ { "headers": [ "Title", "MPTC\nBand", "Hours" ], "rows": [ [ "Head of Ambulance Service", "8C", "37.5" ], [ "Senior Paramedic Officer", "7", "37.5" ], [ "Senior Paramedic Officer", "7", "37.5" ], [ "Senior Paramedic Officer", "7", "37.5" ], [ "Paramedic Officer", "7", "42" ], [ "Ambulance Operations\nManager", "8A", "37.5" ], [ "Consultant Paramedic", "8B", "37.5" ] ], "row_count": 7, "col_count": 3 } ] }, { "case_id": 4344509, "title": "Adolescent Mental Health Statistics and School-Based Interventions", "authority": "Manx Care", "date_received": "2025-01-02", "outcome": "All information sent", "summary": "The requester sought specific statistics on adolescent mental health referrals and waiting times for ages 11-18 on the Isle of Man, along with details on school-based interventions. The authority responded by sending a 139-page manual outlining the framework for Mental Health Support Teams in education, rather than providing the specific numerical data requested.", "key_facts": [ "The request was made on 2025-01-02 and the outcome was 'All information sent' on 2025-01-24.", "The response consisted of 5 documents totaling 139 pages.", "The primary document provided is a manual titled 'Mental Health Support Teams for Children and Young People in Education'.", "The manual details the operating principles, core functions, and workforce models for MHSTs.", "The response does not appear to contain the specific annual referral statistics or waiting time data requested in the initial query." ], "data_mentioned": [ "2025-01-02", "2025-01-24", "139", "5", "11-18" ], "exemptions_cited": [], "tables": [ { "headers": [ "Term", "Definition" ], "rows": [ [ "Child in Need\n(subject to a Child\nin Need plan,\nChild Protection\nplan, or are a\nLooked After\nChild)", "Child in Need is a broad definition spanning a wide range of children\nand adolescents, in need of varying types of support and intervention,\nfor a variety of reasons. A child is defined as ‘in need’ under section 17\nof the Children Act 1989, where:\n• They are unlikely to achieve or maintain, or to have the\nopportunity of achieving or maintaining, a reasonable standard\nof health or development without the provision for them of\nservices by a local authority\n• Their health or development is likely to be significantly impaired,\nor further impaired, without the provision for them of such\nservices; or\n• They are disabled\nThe overall group of Children in Need of help and protection is made\nup of children who are designated under a number of different social\ncare classifications: children on a Child in Need Plan; children on a\nChild Protection Plan; and Looked After Children." ], [ "Clinical\nCommissioning\nGroup", "A health organisation responsible for implementing the commissioning\nroles as set out in the Health and Social Care Act 2012.\nThe funding to plan for, set up and run Mental Health Support Teams\nhas been provided to specific CCGs by NHS England. CCGs are also\nexpected to provide strategic governance and oversight of MHSTs, and\nwork with a range of local partners to guide implementation." ], [ "Complexity", "Reflects different requirements for services that people with mental\nhealth problems have; people may move through different levels of\ncomplexity as their needs change (from less complex to more\ncomplex). Complexity can be affected by the interaction between\nbiological, psychological, social and environmental factors.\nLess complex problems may reflect situations where a person may\nhave a diagnosed mental health problem, but they function very well\nand require limited help and support in managing their condition.\nMore complex problems may include a comorbid mental health or\nphysical health problem, or current social difficulties, and may require\nmore intensive input or support from a multidisciplinary mental health\nteam." ], [ "Developing or\nemerging need or\nproblem", "An initial problem or need with which a child or young person presents,\nbut which may be at risk of developing into a diagnosable condition and\nwhich would benefit from intervention and support." ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Disadvantage", "Often used in the context of education initiatives, it relates to a\ncondition or situation that means that children with certain backgrounds\nor experiences tend to achieve worse outcomes than their peers.\nThe term ‘disadvantaged pupils’ is often used to describe those who\ncome from low-income families and are eligible for free school meals.\nHowever, it can also include a broader set of pupils beyond just those\nwho are economically disadvantaged, including those who have\nneeded a social worker, those with SEND and other factors such as\nwhere children live, their ethnicity and their home environment." ], "rows": [ [ "Education, health\nand care plan\n(EHCP)", "A plan detailing the education, health and care support that is to be\nprovided to a child or young person who has a SEND. It is drawn up by\nthe local authority after an education, health and care needs\nassessment of the child or young person, in consultation with relevant\npartner agencies, parents and the child or young person themselves." ], [ "Education Mental\nHealth Practitioner\n(EMHP)", "The core workforce for the Mental Health Support Teams. They are\nnew and specifically trained to provide:\n• Evidence-based interventions for mild-to-moderate mental health\nand emotional wellbeing issues\n• Support to the senior mental health lead in each school or college\nto introduce or develop their whole setting approach\n• Timely advice to staff in schools and colleges, and liaison with\nexternal specialist services, to help children and young people to\nget the right support and stay in education" ], [ "Education setting1", "Includes primary, secondary and all-through schools, Further\nEducation and 6th Form colleges, special schools, alternative\nprovision, pupil referral units, virtual schools, home education and\nhospital schools." ], [ "Education setting\nMHST coordinator\nor school/college\nMHST\ncoordinator*\n*please note that\nthis term may\nchange", "The senior point of contact in a school or college for liaising with Mental\nHealth Support Teams (MHSTs). This is primarily a logistical and\ncollaborative role, involving planning for MHST implementation and\nmanaging interactions with statutory roles, and may or may not be\nperformed by the senior mental health lead.\nPlease note that this role was previously referred to as ‘senior point of\ncontact’ and has been changed to avoid confusion with the single point\nof contact referred to in the Link Programme training." ], [ "Evidence-based\ninterventions", "EMHPs will intervene based on evidence of what works best for\nchildren, young people, and their parents and carers. For example,\nbrief, low-intensity interventions for those experiencing anxiety, low\nmood, friendship difficulties and behavioural difficulties. They will also\ncarry out group work, such as cognitive behavioural therapy for\nchildren and young people with conditions such as anxiety; or classes\nfor parents on issues such as conduct disorder or communication\ndifficulties." ], [ "Health inequalities\nand equality", "Health inequalities are the avoidable differences in people’s health\nstatus including outcomes across a population or between groups and\nindividuals.\nThe Department for Health and Social Care, NHS England and Clinical" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "", "Commissioning Groups have legal duties to have regard to the need to\nreduce health inequalities through delivery of services. These duties\ntranslate to the need to try and ensure that no person’s chance of\nenjoying good health and a longer life is determined by the social and\neconomic conditions in which they are born, grow, work, live and age.\nAll public sector bodies are covered by the Public Sector Equality Duty;\nto give due regard to the need to eliminate discrimination, harassment\nand victimisation, to advance equality of opportunity, and to foster good\nrelations between people who share a relevant protected characteristic\n(as cited under the Equality Act 2010) and those who do not share it;\nand foster good relations between people." ], "rows": [ [ "Mental Health\nSupport Team\n(MHST)", "MHSTs are a new service designed to support mental health in schools\nand colleges. They are largely comprised of Education Mental Health\nPractitioners (EMHPs), supervised by senior clinicians and higher-level\ntherapists.\nMHSTs may also involve a range of other professionals, including for\nexample Family Resilience Workers, Youth Workers and Peer Support\nEducators." ], [ "MHST\nschool/college or\nMHST education\nsetting", "A school or college receiving support from an MHST." ], [ "MHST site", "The area within which the MHST has been set up (referred to as\ntrailblazers for the 2018-19 phase). Normally this is the patch covered\nby the Clinical Commissioning Group(s) funded by NHS England to\nplan for, set up and run each MHST. Each MHST will support a number\nof education settings within the site." ], [ "Mild to moderate\nmental health\nissue", "A range of mental health needs that may be less complex or may be\nmanaged by time-limited interventions. For example, children and\nyoung people who demonstrate anxiety, low mood and behavioural\ndifficulties which do not meet the diagnostic threshold for specialist\nclinical support.\nA mild mental health issue is when a person has a small number of\nsymptoms that have a limited effect on their daily life.\nA moderate mental health issue is when a person has more symptoms\nthat can make their daily life much more difficult than usual.\nA severe mental health issue is when a person has many symptoms\nthat can make their daily life extremely difficult.\nA person may experience different levels at different times." ], [ "NHS Children and\nYoung People’s\nMental Health\nServices", "Specialist services funded by the NHS, provided either by an NHS\nTrust / Foundation Trust or an independent sector provider.\nFormerly (and often still colloquially) known as CAMHS: Child and\nAdolescent Mental Health Services. The formal name used nationally\nwas changed in response to feedback from young people." ], [ "Senior mental\nhealth lead in a\nschool or college", "Most schools and colleges have a mental health lead. Each school or\ncollege will be able to send a member of staff, who is either on or has\nthe support of the senior leadership team, on free-of-charge training to\nsupport them in developing a whole-school/college approach to mental\nhealth. This role may or may not be performed by the MHST\ncoordinator.\nPlease note that this role was previously referred to as ‘Designated\nSenior Lead’ and has been changed to avoid confusion with the\nDesignated Safeguarding Lead." ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "Senior mental\nhealth lead\ntraining", "The training referred to above which will equip senior mental health\nleads to establish or develop their whole-school or whole-college\napproach to mental health and provide strategic oversight of it." ], "rows": [ [ "Single point of\ncontact for\nCYPMHS/ Link\nProgramme Lead", "The senior member of staff in a school or college who attends the Link\nProgramme workshops and, beyond the training, is the liaison between\nthe school/college and children and young people’s mental health\nservices. It will be for schools and colleges to determine whether the\nLink Programme Lead also carries out the roles of the MHST\ncoordinator and senior mental health lead or not." ], [ "Support network", "A generic term to encompass any member of a child or young person’s\nfamily, care system or extended professional network who acts as a\nsource of support to the child or young person over the course of their\npresentation to mental health services, or within the community. This\nmay include a parent, foster carer, sibling, close friend or other\ncommunity advocate." ], [ "Trailblazer, or\ntrailblazer site", "An MHST site from the first wave in 2018-19. These were the first\nplaces in the country to develop and introduce MHSTs in partnership\nwith local stakeholders." ], [ "Whole-\nschool/college\napproach to\nmental health", "A holistic approach to mental health in schools and colleges that goes\nbeyond the teaching in the classroom. This will be reflected in, for\nexample, the design of the school or college’s policies, values and\nethos, curriculum, pastoral support, how staff are supported with their\nown wellbeing, and partnerships with families and the community.\nMore information is available in Public Health England’s guidance for\nheadteachers and college principals on promoting emotional health\nand wellbeing: https://www.gov.uk/government/publications/promoting-\nchildren-and-young-peoples-emotional-health-and-wellbeing" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "", "", "" ], "rows": [ [ "", "There should be clear and appropriate local governance involving health and education", "" ], [ "", "The MHST project board/oversight group should include representatives from health and", "" ], [ "", "education backgrounds working collaboratively. As a minimum, governance should include", "" ], [ "", "representation from the leadership of local NHS funded mental health care providers, education", "" ], [ "", "leaders from MHST education settings, commissioners, Local Authorities, children and young", "" ], [ "", "people, families and carers. Governance could also helpfully include representation from", "" ], [ "", "voluntary, community and social enterprise organisations (VCSE), Public Health England,", "" ], [ "", "school and college heads or principals, and/or governors and representatives from the wider", "" ], [ "", "education sector. Governance arrangements should have clear feedback and escalation", "" ], [ "", "processes in place.", "" ], [ "", "", "" ], [ "", "MHSTs should be additional to and integrated with existing support", "" ], [ "", "MHSTs are trained to deliver specific mental health support to children and young people and", "" ], [ "", "to support schools and colleges. The team’s contribution should always be considered", "" ], [ "", "additional and complementary to existing support available in education settings and the wider", "" ], [ "", "community. The MHSTs should work with the mental health support that is already provided", "" ], [ "", "by existing professionals, such as school or college-based counsellors, educational", "" ], [ "", "psychologists, school nurses, pastoral care, educational welfare officers, voluntary, community", "" ], [ "", "and social enterprise organisations, local authority provision, primary care and NHS Children", "" ], [ "", "Young People Mental Health (CYPMH) services.", "" ], [ "", "", "" ], [ "", "The approach to allocating MHST time and resources to education settings should be", "" ], [ "", "transparent and agreed by the local governance board", "" ], [ "", "The allocation of MHST time and resources should be agreed by the governance board, in", "" ], [ "", "partnership with education settings and should be broadly based on pupil and student", "" ], [ "", "numbers. This could be adjusted for disadvantage or inequality or other factors known to", "" ], [ "", "influence prevalence such as age, gender and other demographic indicators if the governance", "" ], [ "", "board agrees there is a case to do so.", "" ], [ "", "", "" ], [ "", "MHST support should be responsive to individual education settings needs, not ‘one", "" ], [ "", "size fits all’", "" ], [ "", "MHSTs should work with the senior mental health lead in each education setting to scope and", "" ], [ "", "design - within the skills, capabilities and capacity of the MHST staff - the support offer, gaining", "" ], [ "", "an understanding of the characteristics relevant to the particular setting and needs of their", "" ], [ "", "children and young people.", "" ], [ "", "", "" ], [ "", "Children and young people should be able to access appropriate support all year (not", "" ], [ "", "just during term time).", "" ], [ "", "The MHST service provider will ensure that children, young people and their families and carers", "" ], [ "", "who require interventions during educational holidays receive them, where possible from an", "" ], [ "", "MHST. Where this is not possible, the MHST should make the necessary arrangements to", "" ], [ "", "ensure the continuity of treatments where this is clinically indicated. The location of support", "" ], [ "", "given out of term will be determined by the resources available to the MHST.", "" ], [ "", "", "" ], [ "", "MHSTs should co-produce their approach and service offer with users", "" ] ], "row_count": 45, "col_count": 3 }, { "headers": [ "", "MHSTs approach should be planned, developed and delivered in true partnership with children", "" ], "rows": [ [ "", "and young people, and their families and carers, to adequately reflect the needs of the", "" ], [ "", "individual, their support network, the education setting needs and the wider community.", "" ], [ "", "", "" ], [ "", "MHSTs should be delivered in a way to take account of disadvantage and seek to reduce", "" ], [ "", "health inequalities", "" ], [ "", "MHSTs should work to consider ways in which health needs and inequalities are addressed", "" ], [ "", "and that take account of disadvantage. They may need to develop specific protocols for", "" ], [ "", "working with particular groups to achieve this.", "" ], [ "", "", "" ] ], "row_count": 9, "col_count": 3 }, { "headers": [ "", "“Mental health is like the weather. Some days the sun will shine, and I will remove my coat", "" ], "rows": [ [ "", "and enjoy the warmth. Other days it will be windy, and I may need to wear a scarf. If the", "" ], [ "", "rain pours, I will put up my umbrella. But whatever the weather I seek to continue with my", "" ], [ "", "day, knowing that it is forever changing.”", "" ], [ "", "A young person’s thoughts on mental health", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Delivering evidence-based\ninterventions for children\nand young people with mild-\nto-moderate mental health\nproblems (see Section 3.1)", "Supporting the senior\nmental health lead in each\neducation setting to\nintroduce or develop their\nwhole school/college\napproach (see Section 3.2)", "", "Giving timely advice to", "" ], "rows": [ [ "", "", "", "school and college staff, and", "" ], [ "", "", "", "liaising with external", "" ], [ "", "", "", "specialist services, to help", "" ], [ "", "", "", "children and young people", "" ], [ "", "", "", "to get the right support and", "" ], [ "", "", "", "stay in education (see", "" ], [ "", "", "", "Section 3.3)", "" ], [ "", "", "", "", "" ] ], "row_count": 8, "col_count": 5 }, { "headers": [ "Delivering evidence-based" ], "rows": [ [ "interventions for children" ], [ "and young people with mild-" ], [ "to-moderate mental health" ], [ "problems (see Section 3.1)" ], [ "" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Supporting the senior" ], "rows": [ [ "mental health lead in each" ], [ "education setting to" ], [ "introduce or develop their" ], [ "whole school/college" ], [ "approach (see Section 3.2)" ], [ "" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "Description", "", "", "Interventions an MHST might provide", "", "", "", "NICE", "" ], "rows": [ [ "", "", "", "", "", "", "", "Guidance", "" ], [ "", "", "", "", "", "", "", "reference", "" ], [ "Behavioural problems\nPersistent challenging behaviour (such\nas disobedience or aggression) and/or\nbehaviour that seriously violates the\nrules of an individual’s home or school.\nThis is much more than ordinary\nchildish mischief or adolescent\nrebelliousness.", "", "", "", "● Work with other professionals who know the child", "", "CG158", "CG158", "" ], [ "", "", "", "", "(such as an educational psychologist, teacher or", "", "", "", "" ], [ "", "", "", "", "counsellor), adopting a needs-based approach to", "", "", "", "" ], [ "", "", "", "", "differentiate between classroom behaviour and", "", "", "", "" ], [ "", "", "", "", "what may indicate a diagnosable problem", "", "", "", "" ], [ "", "", "", "", "● Link with behaviour policies and processes of the", "", "", "", "" ], [ "", "", "", "", "education setting on behavioural assessments", "", "", "", "" ], [ "", "", "", "", "and interventions", "", "", "", "" ], [ "", "", "", "", "● Offer classroom-based emotional learning and", "", "", "", "" ], [ "", "", "", "", "problem-solving programmes (typically for", "", "", "", "" ], [ "", "", "", "", "children aged between 3 and 7 years)", "", "", "", "" ], [ "", "", "", "", "● Work with families and carers around behaviour", "", "", "", "" ], [ "", "", "", "", "management", "", "", "", "" ], [ "", "", "", "", "● Individual 1:1 Low intensity work with", "", "", "", "" ], [ "", "", "", "", "parents/carers", "", "", "", "" ], [ "Conduct disorders\nDescribes a range of serious\nemotional and behavioural problems", "", "", "", "● Parent/carer training programmes (individual or", "", "CG158", "", "" ], [ "", "", "", "", "group)", "", "", "", "" ], [ "", "", "", "", "● Group social and cognitive problem-solving", "", "", "", "" ], [ "", "", "", "", "programmes", "", "", "", "" ], [ "", "", "", "", "● Multimodal therapy (for ages 11-17)", "", "", "", "" ], [ "", "", "", "", "● Liaise with, and signpost to, NHS CYPMH", "", "", "", "" ], [ "", "", "", "", "services for further assessment or interventions", "", "", "", "" ], [ "", "Depression/low mood", "", "● Group non-directive supportive therapy\n● Provide advice around exercise, sleep, nutrition\n● Individual Cognitive Behavioural Therapy (CBT)\n● Group CBT\n● Guided self-help\n● Digital / computerised CCBT", "● Group non-directive supportive therapy", "", "NG134", "", "" ], [ "", "A mental health problem characterised", "", "", "● Provide advice around exercise, sleep, nutrition", "", "", "", "" ], [ "", "by pervasive low mood, a loss of", "", "", "● Individual Cognitive Behavioural Therapy (CBT)", "", "", "", "" ], [ "", "interest and enjoyment in ordinary", "", "", "", "", "", "", "" ], [ "", "", "", "", "● Group CBT", "", "", "", "" ], [ "", "things, and a range of associated", "", "", "", "", "", "", "" ], [ "", "", "", "", "● Guided self-help", "", "", "", "" ], [ "", "emotional, physical and behavioural", "", "", "", "", "", "", "" ], [ "", "", "", "", "● Digital / computerised CCBT", "", "", "", "" ], [ "", "symptoms. Depressive episodes can", "", "", "", "", "", "", "" ], [ "", "vary in severity, from mild to severe.", "", "", "", "", "", "", "" ] ], "row_count": 35, "col_count": 9 }, { "headers": [ "Behavioural problems" ], "rows": [ [ "Persistent challenging behaviour (such" ], [ "as disobedience or aggression) and/or" ], [ "behaviour that seriously violates the" ], [ "rules of an individual’s home or school." ], [ "This is much more than ordinary" ], [ "childish mischief or adolescent" ], [ "rebelliousness." ], [ "" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "Conduct disorders" ], "rows": [ [ "Describes a range of serious" ], [ "emotional and behavioural problems" ], [ "" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "", "", "", "● Liaise with, and signpost to, NHS CYPMH\nservices for moderate to severe depression", "" ], "rows": [ [ "", "Generalised anxiety disorder", "", "● CBT\n● Parent led CBT\n● Individual guided self-help\n● Psychoeducational groups", "QS53" ], [ "", "An anxiety disorder characterised by", "", "", "" ], [ "", "persistent and excessive worry", "", "", "" ], [ "", "(apprehensive expectation) about", "", "", "" ], [ "", "many different things, and difficulty", "", "", "" ], [ "", "controlling that worry. This is often", "", "", "" ], [ "", "accompanied by restlessness,", "", "", "" ], [ "", "difficulties with concentration,", "", "", "" ], [ "", "irritability, muscular tension and", "", "", "" ], [ "", "disturbed sleep.", "", "", "" ], [ "", "", "", "", "" ], [ "", "Mixed anxiety and depressive", "", "● Individual non-directive supportive therapy\n● Provide advice around exercise, sleep, nutrition\n● Individual or group CBT\n● Individual guided self-help\n● Psychoeducational groups", "CG28\nQS53" ], [ "", "disorder", "", "", "" ], [ "", "Characterised by symptoms of", "", "", "" ], [ "", "depression and anxiety that are not", "", "", "" ], [ "", "intense enough to meet criteria for any", "", "", "" ], [ "", "of the conditions described above but", "", "", "" ], [ "", "are nevertheless troublesome. The", "", "", "" ], [ "", "diagnosis should not be used when an", "", "", "" ], [ "", "individual meets the criteria for a", "", "", "" ], [ "", "depressive disorder and one or more", "", "", "" ], [ "", "of the anxiety disorders above – such", "", "", "" ], [ "", "people should be described as being", "", "", "" ], [ "", "comorbid for depression and the", "", "", "" ], [ "", "relevant anxiety disorder(s).", "", "", "" ], [ "", "", "", "", "" ], [ "", "Self-harm", "", "● Liaise with NHS CYPMH services\n● Psychological intervention specifically structured\nfor people who self-harm – can include CBT,\npsychodynamic therapy or problem-solving\nelements", "CG133" ], [ "", "Intentional engagement in behaviours", "", "", "" ], [ "", "that inflict injury or damage to one’s", "", "", "" ], [ "", "body, such as cutting, burning and", "", "", "" ], [ "", "overdosing", "", "", "" ], [ "", "", "", "", "" ], [ "", "Social anxiety disorder (social", "", "● Individual or group CBT; involve parents or carers\nto ensure effective delivery of the intervention", "CG159" ], [ "", "phobia)", "", "", "" ], [ "", "Characterised by intense fear of social", "", "", "" ], [ "", "or performance situations, resulting in", "", "", "" ], [ "", "considerable distress which in turn", "", "", "" ], [ "", "impacts on a person’s ability to", "", "", "" ], [ "", "function effectively in aspects of their", "", "", "" ], [ "", "daily life. Central to the disorder is the", "", "", "" ], [ "", "fear that the person will do or say", "", "", "" ], [ "", "something that will lead to being", "", "", "" ], [ "", "judged negatively by others and being", "", "", "" ], [ "", "embarrassed or humiliated. Feared", "", "", "" ], [ "", "situations are avoided or endured with", "", "", "" ], [ "", "intense distress.", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 47, "col_count": 5 }, { "headers": [ "● CBT" ], "rows": [ [ "● Parent led CBT" ], [ "● Individual guided self-help" ], [ "● Psychoeducational groups" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "● Individual non-directive supportive therapy" ], "rows": [ [ "● Provide advice around exercise, sleep, nutrition" ], [ "● Individual or group CBT" ], [ "● Individual guided self-help" ], [ "● Psychoeducational groups" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "● Liaise with NHS CYPMH services" ], "rows": [ [ "● Psychological intervention specifically structured" ], [ "for people who self-harm – can include CBT," ], [ "psychodynamic therapy or problem-solving" ], [ "elements" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "", "Young people, parents and carers need to be involved in evaluating and measuring the", "" ], "rows": [ [ "", "performance of the MHSTs. Feedback needs to be used in the right way to ensure people", "" ], [ "", "get the right care.", "" ], [ "", "Young person and carer group", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Mental health is everybody’s responsibility. Mental health professionals, teachers and", "" ], "rows": [ [ "", "other staff are all accountable for acting in a caring, kind and compassionate way towards", "" ], [ "", "students with mental health needs.", "" ], [ "", "Young person and carer group", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "Education setting\ncoverage", "", "", "", "● Each team supports a cluster of approximately 20 education settings", "" ], "rows": [ [ "", "", "", "", "(this may vary depending on geographical area, mental health", "" ], [ "", "", "", "", "prevalence data and size or composition of education settings)", "" ], [ "", "", "", "", "● Population of approximately 7,500 to 8,000 children and young people", "" ], [ "", "", "", "", "● Professionals working across a number of education settings", "" ], [ "", "", "", "", "● Time spent in each setting may vary depending on population size,", "" ], [ "", "", "", "", "needs of the education setting and existing support", "" ], [ "Staffing\n(approximate\nnumbers)", "", "", "", "● 8 WTEs total (this will vary by locality), of which:", "" ], [ "", "", "", "", "- 4 WTE EMHPs (Band 4 during training and band 5 once qualified)", "" ], [ "", "", "", "", "- 3 WTE senior clinicians (Band 7 and Band 8a manager/supervisor)", "" ], [ "", "", "", "", "- 0.5 WTE team manager", "" ], [ "", "", "", "", "- 0.5 WTE administrative support", "" ], [ "Other\nconsiderations (in\naddition to core\nfunctions outlined\nin section 3)", "", "", "", "● How staff manage caseloads over larger geographical areas", "" ], [ "", "", "", "", "● Location of main team hub (for team meetings or supervision) – could", "" ], [ "", "", "", "", "be an education setting, NHS CYPMH service location, or VCSE or", "" ], [ "", "", "", "", "community location", "" ], [ "", "", "", "", "● Travel time between education settings if the MHST is based in a more", "" ], [ "", "", "", "", "rural area", "" ], [ "", "", "", "", "● Centralised contact number (to manage general requests, complaints,", "" ], [ "", "", "", "", "feedback)", "" ], [ "", "", "", "", "● Ensure a diverse staff from a range of backgrounds, who are sensitive", "" ], [ "", "", "", "", "to issues around culture, gender, sexuality, language and religion", "" ], [ "", "", "", "", "● There must be an appropriate physical environment/space provided within", "" ], [ "", "", "", "", "school settings for interventions to be undertaken.", "" ], [ "", "Hours of", "", "To be determined locally", "To be determined locally", "" ], [ "", "operation", "", "", "", "" ], [ "Cover during\nholidays, annual\nleave, sick leave", "Cover during", "", "", "● Teams will be expected to ensure children and young people and", "" ], [ "", "holidays, annual", "", "", "students can access appropriate support all year", "" ], [ "", "leave, sick leave", "", "", "● Will need to have appropriate cover for annual leave and sick leave", "" ], [ "", "", "", "", "● Consider working agreements for term breaks; whether this would", "" ], [ "", "", "", "", "include home visits, linking with VCSEs, running groups or workshops,", "" ], [ "", "", "", "", "encouraging self-management or online support, or working as usual", "" ], [ "", "", "", "", "● Will need safeguarding processes in place for operating out of term", "" ], [ "", "", "", "", "time and a suitable location (either on or off site)", "" ] ], "row_count": 33, "col_count": 6 }, { "headers": [ "Other" ], "rows": [ [ "considerations (in" ], [ "addition to core" ], [ "functions outlined" ], [ "in section 3)" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "", "Summary of Key Points", "" ], "rows": [ [ "", "", "" ], [ "", "● Local governance structures should be established, linking with existing structures,", "" ], [ "", "to provide operational and strategic governance and service quality assurance.", "" ], [ "", "● There is an expectation that there is a project board/oversight group in place where", "" ], [ "", "there isn’t an existing governance structure.", "" ], [ "", "● The project board/oversight group should include representatives from health and", "" ], [ "", "education, working in collaboration.", "" ], [ "", "● The project board/oversight group should consist of representatives from NHS", "" ], [ "", "CYPMH services, the VCSE sector, the Local Authority(ies), Public Health England,", "" ], [ "", "school and college representatives, commissioners, representatives from already", "" ], [ "", "existing support services within education settings, local councillors and children and", "" ], [ "", "young people, parents and carers.", "" ], [ "", "● There are a number of operational governance processes that should be", "" ], [ "", "implemented and communicated to MHSTs from the beginning of the programme to", "" ], [ "", "ensure the day to day running of MHSTs", "" ], [ "", "", "" ] ], "row_count": 16, "col_count": 3 }, { "headers": [ "", "Summary of Key Points", "" ], "rows": [ [ "", "", "" ], [ "", "● The planning, developing, delivering and evaluating of services should be done in", "" ], [ "", "true partnership with service users, providers and others who may be affected by", "" ], [ "", "the service.", "" ], [ "", "● Children and young people, families, parents and carers should be involved", "" ], [ "", "throughout the development, implementation and evaluation of MHSTs", "" ], [ "", "● MHSTs should promote equality and reduce inequalities by ensuring access to", "" ], [ "", "support for children and young people, families, parents and carers with known", "" ], [ "", "vulnerabilities, at higher risk of developing mental health problems or who may", "" ], [ "", "experience barriers to accessing support", "" ], [ "", "● Information sharing between professionals, children and young people, and their", "" ], [ "", "families, parents or carers should be encouraged in order to provide the best", "" ], [ "", "support, while respecting the principles of confidentiality and the need for", "" ], [ "", "appropriate consent.", "" ], [ "", "● MHSTs should offer flexibility around where they see the child or young person or", "" ], [ "", "their family, parent or carer. Locations away from the education setting should be", "" ], [ "", "available.", "" ], [ "", "● MHSTs should have access to a safe, calm, neutral environment with no stigma", "" ], [ "", "attached, within the education setting in an appropriate alternative.", "" ], [ "", "● As part of the mental health support provide, MHSTs will be expected to provide", "" ], [ "", "support to children and young people, and their families, parents and carers", "" ], [ "", "throughout the year, including educational holidays. If education settings are not", "" ], [ "", "able to provide accommodation to support their work, consideration should be", "" ], [ "", "given to the use of additional accommodation for example community centres,", "" ], [ "", "local libraries and GP surgeries.", "" ] ], "row_count": 25, "col_count": 3 }, { "headers": [ "Digital resources include:" ], "rows": [ [ "● Guided self-help online tools or apps to support the child or young person, or their family" ], [ "or carer" ], [ "● Mood tracker apps for use in between sessions" ], [ "● Using a mixture of digital and face-to-face interventions" ], [ "● Mental Health Services Passport" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "", "Summary of Key Points", "" ], "rows": [ [ "", "", "" ], [ "", "● Consideration should be given to supporting children and young people who are at", "" ], [ "", "risk of developing mental health problems, or who may experience health", "" ], [ "", "inequalities or disadvantage. MHSTs should support children and young people", "" ], [ "", "throughout, without question.", "" ], [ "", "● The assessment and formulation of need for an individual child or young person", "" ], [ "", "should be carried out by a professional with appropriate skills, competence and", "" ], [ "", "experience.", "" ], [ "", "● Every effort should be made to build on information already gathered to avoid", "" ], [ "", "duplication and so the child or young person does not have to repeat their story.", "" ], [ "", "● The impact of MHSTs should be regularly evaluated to determine how well they", "" ], [ "", "are meeting the needs of different groups of children and young people. MHSTs", "" ], [ "", "may need to develop specific protocols for working with particular groups, including", "" ], [ "", "children and young people who are home educated, to further advance mental", "" ], [ "", "health equality.", "" ] ], "row_count": 15, "col_count": 3 }, { "headers": [ "", "Children who are at higher risk of developing mental health problems or", "", "", "", "" ], "rows": [ [ "", "experiencing barriers to accessing support include those:", "", "", "", "" ], [ "", "● with special educational needs, communication", "", "● from a lower socioeconomic background\n● who do not have a fixed address\n● who may be geographically isolated, or live in\nareas where there are fewer resources to\nsupport their mental health and wellbeing\n● who are not enrolled in schools or colleges,\nwho are home educated, have left or are\nexcluded from formal education, and those not\nin training or employment – these people may\nbe difficult to identify\n● who are from Black, Asian and Minority Ethnic\n(BAME) communities\n● who are asylum seekers or refugees\n● who may be a part of travelling communities\n● who are in contact with the youth justice system", "● from a lower socioeconomic background", "" ], [ "", "difficulties, learning disabilities and behavioural", "", "", "● who do not have a fixed address", "" ], [ "", "difficulties", "", "", "", "" ], [ "", "", "", "", "● who may be geographically isolated, or live in", "" ], [ "", "● with comorbid neurodevelopmental problems,", "", "", "", "" ], [ "", "", "", "", "areas where there are fewer resources to", "" ], [ "", "or physical health problems", "", "", "", "" ], [ "", "", "", "", "support their mental health and wellbeing", "" ], [ "", "● with drug and alcohol problems or issues such", "", "", "● who are not enrolled in schools or colleges,", "" ], [ "", "as problem gambling", "", "", "", "" ], [ "", "", "", "", "who are home educated, have left or are", "" ], [ "", "● for whom English is not their first language", "", "", "excluded from formal education, and those not", "" ], [ "", "● who identify as lesbian, gay or bisexual", "", "", "in training or employment – these people may", "" ], [ "", "", "", "", "be difficult to identify", "" ], [ "", "● who identify as transgender or non-binary", "", "", "", "" ], [ "", "", "", "", "● who are from Black, Asian and Minority Ethnic", "" ], [ "", "● who may have experienced, or been witness", "", "", "", "" ], [ "", "", "", "", "(BAME) communities", "" ], [ "", "to, abuse, violence, child sexual exploitation or", "", "", "", "" ], [ "", "", "", "", "● who are asylum seekers or refugees", "" ], [ "", "female genital mutilation", "", "", "", "" ], [ "", "", "", "", "● who may be a part of travelling communities", "" ], [ "", "● who may be affiliated with a gang", "", "", "", "" ], [ "", "", "", "", "● who are in contact with the youth justice system", "" ], [ "", "● who are children of military personnel and", "", "", "", "" ], [ "", "those dependent on military personnel", "", "", "", "" ] ], "row_count": 27, "col_count": 6 }, { "headers": [ "", "● with caring responsibilities", "", "● who are about to transition to adult services –\nthese young people are at greater risk of falling\nthrough gaps between services" ], "rows": [ [ "", "● who may be in care, are about to leave care,", "", "" ], [ "", "are on the edge of care, or are on a Child", "", "" ], [ "", "Protection Plan or a Child in Need Plan", "", "" ], [ "", "● previously looked-after children e.g. adopted", "", "" ], [ "", "children", "", "" ], [ "", "", "", "" ] ], "row_count": 6, "col_count": 4 }, { "headers": [ "", "BAME", "", "", "Black, Asian and Minority Ethnic", "" ], "rows": [ [ "", "CCG", "", "", "Clinical Commissioning Group", "" ], [ "", "CCQI", "", "", "College Centre for Quality Improvement", "" ], [ "", "CORC", "", "", "Child Outcomes Research Consortium", "" ], [ "", "CORE", "", "", "Centre for Outcomes Research and Effectiveness", "" ], [ "", "CQC", "", "", "Care Quality Commission", "" ], [ "", "CYPMH", "", "", "Children and young people’s mental health", "" ], [ "", "DCMS", "", "", "Department of Digital, Culture, Media and Sport", "" ], [ "", "DHSC", "", "", "Department of Health and Social Care", "" ], [ "", "EHCP", "", "", "Education, health and care plan", "" ], [ "", "EIP", "", "", "Early intervention in psychosis", "" ], [ "", "EMHP", "", "", "Education mental health practitioner", "" ], [ "", "ESCaSS", "", "", "Effective, Safe, Compassionate and Sustainable Staffing", "" ], [ "", "IAPT", "", "", "Improving Access to Psychological Therapies", "" ], [ "", "IT", "", "", "Information technology", "" ], [ "", "LTP", "", "", "Local transformation planning", "" ], [ "", "MHSDS", "", "", "Mental Health Services Data Set", "" ], [ "", "MHST", "", "", "Mental Health Support Team", "" ], [ "", "NICE", "", "", "National Institute for Health and Care Excellence", "" ], [ "", "NCCMH", "", "", "National Collaborating Centre for Mental Health", "" ], [ "", "PSHE", "", "", "Personal, Social and Health Education", "" ], [ "", "SCIE", "", "", "Social Care Institute for Excellence", "" ], [ "", "SEAL", "", "", "Social and Emotional Aspects of Learning", "" ], [ "", "SENDCO", "", "", "Special educational needs coordinator", "" ], [ "", "SEND", "", "", "Special educational needs and disabilities", "" ], [ "", "STP", "", "", "Sustainability and transformation partnership", "" ], [ "", "UCL", "", "", "University College London", "" ], [ "", "VCSE", "", "", "Voluntary, community and social enterprise", "" ], [ "", "WTE", "", "", "Whole time equivalent", "" ] ], "row_count": 28, "col_count": 6 }, { "headers": [ "January", "47", "50", "34", "58", "57", "68" ], "rows": [ [ "February", "54", "45", "45", "64", "73", "77" ], [ "March", "72", "53", "27", "70", "63", "150" ], [ "April", "54", "29", "36", "45", "55", "127" ], [ "May", "61", "33", "77", "63", "62", "138" ], [ "June", "38", "41", "67", "51", "75", "67" ], [ "July", "51", "53", "47", "69", "74", "114" ], [ "August", "44", "41", "28", "34", "32", "74" ], [ "September", "36", "45", "40", "69", "90", "" ], [ "October", "61", "63", "51", "56", "71", "" ], [ "November", "53", "79", "66", "82", "86", "" ], [ "December", "39", "85", "44", "67", "60", "" ] ], "row_count": 11, "col_count": 7 }, { "headers": [ "Advice / Information", "2" ], "rows": [ [ "Assessment", "123" ], [ "At Risk / Concern - Child", "2" ], [ "Crisis Intervention Assessment", "4" ], [ "Information Received", "2" ], [ "MARM Meeting Request", "3" ], [ "Mental Health", "3,951" ], [ "Mental Health Act", "1" ], [ "Other", "32" ], [ "Request for Information", "1" ], [ "Therapeutic Approach", "8" ] ], "row_count": 10, "col_count": 2 }, { "headers": [ "Total\nReferrals", "Appointments & Outcomes", "Years", "", "", "", "", "", "" ], "rows": [ [ "", "", "0", "1", "2", "3", "4", "5", "No\nApp" ], [ "601", "2019", "404", "60", "3", "", "3", "1", "130" ], [ "", "Attended", "250", "32", "3", "", "2", "1", "" ], [ "", "Cancelled", "87", "16", "", "", "", "", "" ], [ "", "DNA", "40", "3", "", "", "", "", "" ], [ "", "No Outcome", "24", "", "", "", "1", "", "130" ], [ "", "Telephone", "3", "9", "", "", "", "", "" ], [ "600", "2020", "366", "109", "4", "10", "", "", "111" ] ], "row_count": 8, "col_count": 9 }, { "headers": [ "", "Cancelled", "57", "21", "", "", "", "", "" ], "rows": [ [ "", "DNA", "16", "17", "", "", "", "", "" ], [ "", "No Outcome", "35", "6", "", "4", "", "", "111" ], [ "", "Telephone", "10", "7", "", "", "", "", "" ], [ "549", "2021", "313", "65", "18", "2", "", "", "151" ], [ "", "Attended", "194", "35", "7", "1", "", "", "" ], [ "", "Cancelled", "50", "12", "2", "", "", "", "" ], [ "", "DNA", "31", "12", "1", "", "", "", "" ], [ "", "No Outcome", "32", "6", "8", "1", "", "", "151" ], [ "", "Telephone", "6", "", "", "", "", "", "" ], [ "701", "2022", "260", "96", "4", "", "", "", "341" ], [ "", "Attended", "137", "51", "1", "", "", "", "" ], [ "", "Cancelled", "24", "12", "1", "", "", "", "" ], [ "", "DNA", "35", "8", "", "", "", "", "" ], [ "", "No Outcome", "63", "25", "2", "", "", "", "341" ], [ "", "Telephone", "1", "", "", "", "", "", "" ], [ "768", "2023", "266", "10", "", "", "", "", "492" ], [ "", "Attended", "114", "4", "", "", "", "", "" ], [ "", "Cancelled", "20", "3", "", "", "", "", "" ], [ "", "DNA", "16", "", "", "", "", "", "" ], [ "", "No Outcome", "115", "3", "", "", "", "", "492" ], [ "", "Telephone", "1", "", "", "", "", "", "" ], [ "", "Grand Total", "1609", "340", "29", "12", "3", "1", "1225" ] ], "row_count": 22, "col_count": 9 }, { "headers": [ "Term", "Definition" ], "rows": [ [ "Child in Need\n(subject to a Child\nin Need plan,\nChild Protection\nplan, or are a\nLooked After\nChild)", "Child in Need is a broad definition spanning a wide range of children\nand adolescents, in need of varying types of support and intervention,\nfor a variety of reasons. A child is defined as ‘in need’ under section 17\nof the Children Act 1989, where:\n• They are unlikely to achieve or maintain, or to have the\nopportunity of achieving or maintaining, a reasonable standard\nof health or development without the provision for them of\nservices by a local authority\n• Their health or development is likely to be significantly impaired,\nor further impaired, without the provision for them of such\nservices; or\n• They are disabled\nThe overall group of Children in Need of help and protection is made\nup of children who are designated under a number of different social\ncare classifications: children on a Child in Need Plan; children on a\nChild Protection Plan; and Looked After Children." ], [ "Clinical\nCommissioning\nGroup", "A health organisation responsible for implementing the commissioning\nroles as set out in the Health and Social Care Act 2012.\nThe funding to plan for, set up and run Mental Health Support Teams\nhas been provided to specific CCGs by NHS England. CCGs are also\nexpected to provide strategic governance and oversight of MHSTs, and\nwork with a range of local partners to guide implementation." ], [ "Complexity", "Reflects different requirements for services that people with mental\nhealth problems have; people may move through different levels of\ncomplexity as their needs change (from less complex to more\ncomplex). Complexity can be affected by the interaction between\nbiological, psychological, social and environmental factors.\nLess complex problems may reflect situations where a person may\nhave a diagnosed mental health problem, but they function very well\nand require limited help and support in managing their condition.\nMore complex problems may include a comorbid mental health or\nphysical health problem, or current social difficulties, and may require\nmore intensive input or support from a multidisciplinary mental health\nteam." ], [ "Developing or\nemerging need or\nproblem", "An initial problem or need with which a child or young person presents,\nbut which may be at risk of developing into a diagnosable condition and\nwhich would benefit from intervention and support." ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Disadvantage", "Often used in the context of education initiatives, it relates to a\ncondition or situation that means that children with certain backgrounds\nor experiences tend to achieve worse outcomes than their peers.\nThe term ‘disadvantaged pupils’ is often used to describe those who\ncome from low-income families and are eligible for free school meals.\nHowever, it can also include a broader set of pupils beyond just those\nwho are economically disadvantaged, including those who have\nneeded a social worker, those with SEND and other factors such as\nwhere children live, their ethnicity and their home environment." ], "rows": [ [ "Education, health\nand care plan\n(EHCP)", "A plan detailing the education, health and care support that is to be\nprovided to a child or young person who has a SEND. It is drawn up by\nthe local authority after an education, health and care needs\nassessment of the child or young person, in consultation with relevant\npartner agencies, parents and the child or young person themselves." ], [ "Education Mental\nHealth Practitioner\n(EMHP)", "The core workforce for the Mental Health Support Teams. They are\nnew and specifically trained to provide:\n• Evidence-based interventions for mild-to-moderate mental health\nand emotional wellbeing issues\n• Support to the senior mental health lead in each school or college\nto introduce or develop their whole setting approach\n• Timely advice to staff in schools and colleges, and liaison with\nexternal specialist services, to help children and young people to\nget the right support and stay in education" ], [ "Education setting1", "Includes primary, secondary and all-through schools, Further\nEducation and 6th Form colleges, special schools, alternative\nprovision, pupil referral units, virtual schools, home education and\nhospital schools." ], [ "Education setting\nMHST coordinator\nor school/college\nMHST\ncoordinator*\n*please note that\nthis term may\nchange", "The senior point of contact in a school or college for liaising with Mental\nHealth Support Teams (MHSTs). This is primarily a logistical and\ncollaborative role, involving planning for MHST implementation and\nmanaging interactions with statutory roles, and may or may not be\nperformed by the senior mental health lead.\nPlease note that this role was previously referred to as ‘senior point of\ncontact’ and has been changed to avoid confusion with the single point\nof contact referred to in the Link Programme training." ], [ "Evidence-based\ninterventions", "EMHPs will intervene based on evidence of what works best for\nchildren, young people, and their parents and carers. For example,\nbrief, low-intensity interventions for those experiencing anxiety, low\nmood, friendship difficulties and behavioural difficulties. They will also\ncarry out group work, such as cognitive behavioural therapy for\nchildren and young people with conditions such as anxiety; or classes\nfor parents on issues such as conduct disorder or communication\ndifficulties." ], [ "Health inequalities\nand equality", "Health inequalities are the avoidable differences in people’s health\nstatus including outcomes across a population or between groups and\nindividuals.\nThe Department for Health and Social Care, NHS England and Clinical" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "", "Commissioning Groups have legal duties to have regard to the need to\nreduce health inequalities through delivery of services. These duties\ntranslate to the need to try and ensure that no person’s chance of\nenjoying good health and a longer life is determined by the social and\neconomic conditions in which they are born, grow, work, live and age.\nAll public sector bodies are covered by the Public Sector Equality Duty;\nto give due regard to the need to eliminate discrimination, harassment\nand victimisation, to advance equality of opportunity, and to foster good\nrelations between people who share a relevant protected characteristic\n(as cited under the Equality Act 2010) and those who do not share it;\nand foster good relations between people." ], "rows": [ [ "Mental Health\nSupport Team\n(MHST)", "MHSTs are a new service designed to support mental health in schools\nand colleges. They are largely comprised of Education Mental Health\nPractitioners (EMHPs), supervised by senior clinicians and higher-level\ntherapists.\nMHSTs may also involve a range of other professionals, including for\nexample Family Resilience Workers, Youth Workers and Peer Support\nEducators." ], [ "MHST\nschool/college or\nMHST education\nsetting", "A school or college receiving support from an MHST." ], [ "MHST site", "The area within which the MHST has been set up (referred to as\ntrailblazers for the 2018-19 phase). Normally this is the patch covered\nby the Clinical Commissioning Group(s) funded by NHS England to\nplan for, set up and run each MHST. Each MHST will support a number\nof education settings within the site." ], [ "Mild to moderate\nmental health\nissue", "A range of mental health needs that may be less complex or may be\nmanaged by time-limited interventions. For example, children and\nyoung people who demonstrate anxiety, low mood and behavioural\ndifficulties which do not meet the diagnostic threshold for specialist\nclinical support.\nA mild mental health issue is when a person has a small number of\nsymptoms that have a limited effect on their daily life.\nA moderate mental health issue is when a person has more symptoms\nthat can make their daily life much more difficult than usual.\nA severe mental health issue is when a person has many symptoms\nthat can make their daily life extremely difficult.\nA person may experience different levels at different times." ], [ "NHS Children and\nYoung People’s\nMental Health\nServices", "Specialist services funded by the NHS, provided either by an NHS\nTrust / Foundation Trust or an independent sector provider.\nFormerly (and often still colloquially) known as CAMHS: Child and\nAdolescent Mental Health Services. The formal name used nationally\nwas changed in response to feedback from young people." ], [ "Senior mental\nhealth lead in a\nschool or college", "Most schools and colleges have a mental health lead. Each school or\ncollege will be able to send a member of staff, who is either on or has\nthe support of the senior leadership team, on free-of-charge training to\nsupport them in developing a whole-school/college approach to mental\nhealth. This role may or may not be performed by the MHST\ncoordinator.\nPlease note that this role was previously referred to as ‘Designated\nSenior Lead’ and has been changed to avoid confusion with the\nDesignated Safeguarding Lead." ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "Senior mental\nhealth lead\ntraining", "The training referred to above which will equip senior mental health\nleads to establish or develop their whole-school or whole-college\napproach to mental health and provide strategic oversight of it." ], "rows": [ [ "Single point of\ncontact for\nCYPMHS/ Link\nProgramme Lead", "The senior member of staff in a school or college who attends the Link\nProgramme workshops and, beyond the training, is the liaison between\nthe school/college and children and young people’s mental health\nservices. It will be for schools and colleges to determine whether the\nLink Programme Lead also carries out the roles of the MHST\ncoordinator and senior mental health lead or not." ], [ "Support network", "A generic term to encompass any member of a child or young person’s\nfamily, care system or extended professional network who acts as a\nsource of support to the child or young person over the course of their\npresentation to mental health services, or within the community. This\nmay include a parent, foster carer, sibling, close friend or other\ncommunity advocate." ], [ "Trailblazer, or\ntrailblazer site", "An MHST site from the first wave in 2018-19. These were the first\nplaces in the country to develop and introduce MHSTs in partnership\nwith local stakeholders." ], [ "Whole-\nschool/college\napproach to\nmental health", "A holistic approach to mental health in schools and colleges that goes\nbeyond the teaching in the classroom. This will be reflected in, for\nexample, the design of the school or college’s policies, values and\nethos, curriculum, pastoral support, how staff are supported with their\nown wellbeing, and partnerships with families and the community.\nMore information is available in Public Health England’s guidance for\nheadteachers and college principals on promoting emotional health\nand wellbeing: https://www.gov.uk/government/publications/promoting-\nchildren-and-young-peoples-emotional-health-and-wellbeing" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "", "", "" ], "rows": [ [ "", "There should be clear and appropriate local governance involving health and education", "" ], [ "", "The MHST project board/oversight group should include representatives from health and", "" ], [ "", "education backgrounds working collaboratively. As a minimum, governance should include", "" ], [ "", "representation from the leadership of local NHS funded mental health care providers, education", "" ], [ "", "leaders from MHST education settings, commissioners, Local Authorities, children and young", "" ], [ "", "people, families and carers. Governance could also helpfully include representation from", "" ], [ "", "voluntary, community and social enterprise organisations (VCSE), Public Health England,", "" ], [ "", "school and college heads or principals, and/or governors and representatives from the wider", "" ], [ "", "education sector. Governance arrangements should have clear feedback and escalation", "" ], [ "", "processes in place.", "" ], [ "", "", "" ], [ "", "MHSTs should be additional to and integrated with existing support", "" ], [ "", "MHSTs are trained to deliver specific mental health support to children and young people and", "" ], [ "", "to support schools and colleges. The team’s contribution should always be considered", "" ], [ "", "additional and complementary to existing support available in education settings and the wider", "" ], [ "", "community. The MHSTs should work with the mental health support that is already provided", "" ], [ "", "by existing professionals, such as school or college-based counsellors, educational", "" ], [ "", "psychologists, school nurses, pastoral care, educational welfare officers, voluntary, community", "" ], [ "", "and social enterprise organisations, local authority provision, primary care and NHS Children", "" ], [ "", "Young People Mental Health (CYPMH) services.", "" ], [ "", "", "" ], [ "", "The approach to allocating MHST time and resources to education settings should be", "" ], [ "", "transparent and agreed by the local governance board", "" ], [ "", "The allocation of MHST time and resources should be agreed by the governance board, in", "" ], [ "", "partnership with education settings and should be broadly based on pupil and student", "" ], [ "", "numbers. This could be adjusted for disadvantage or inequality or other factors known to", "" ], [ "", "influence prevalence such as age, gender and other demographic indicators if the governance", "" ], [ "", "board agrees there is a case to do so.", "" ], [ "", "", "" ], [ "", "MHST support should be responsive to individual education settings needs, not ‘one", "" ], [ "", "size fits all’", "" ], [ "", "MHSTs should work with the senior mental health lead in each education setting to scope and", "" ], [ "", "design - within the skills, capabilities and capacity of the MHST staff - the support offer, gaining", "" ], [ "", "an understanding of the characteristics relevant to the particular setting and needs of their", "" ], [ "", "children and young people.", "" ], [ "", "", "" ], [ "", "Children and young people should be able to access appropriate support all year (not", "" ], [ "", "just during term time).", "" ], [ "", "The MHST service provider will ensure that children, young people and their families and carers", "" ], [ "", "who require interventions during educational holidays receive them, where possible from an", "" ], [ "", "MHST. Where this is not possible, the MHST should make the necessary arrangements to", "" ], [ "", "ensure the continuity of treatments where this is clinically indicated. The location of support", "" ], [ "", "given out of term will be determined by the resources available to the MHST.", "" ], [ "", "", "" ], [ "", "MHSTs should co-produce their approach and service offer with users", "" ] ], "row_count": 45, "col_count": 3 }, { "headers": [ "", "MHSTs approach should be planned, developed and delivered in true partnership with children", "" ], "rows": [ [ "", "and young people, and their families and carers, to adequately reflect the needs of the", "" ], [ "", "individual, their support network, the education setting needs and the wider community.", "" ], [ "", "", "" ], [ "", "MHSTs should be delivered in a way to take account of disadvantage and seek to reduce", "" ], [ "", "health inequalities", "" ], [ "", "MHSTs should work to consider ways in which health needs and inequalities are addressed", "" ], [ "", "and that take account of disadvantage. They may need to develop specific protocols for", "" ], [ "", "working with particular groups to achieve this.", "" ], [ "", "", "" ] ], "row_count": 9, "col_count": 3 }, { "headers": [ "", "“Mental health is like the weather. Some days the sun will shine, and I will remove my coat", "" ], "rows": [ [ "", "and enjoy the warmth. Other days it will be windy, and I may need to wear a scarf. If the", "" ], [ "", "rain pours, I will put up my umbrella. But whatever the weather I seek to continue with my", "" ], [ "", "day, knowing that it is forever changing.”", "" ], [ "", "A young person’s thoughts on mental health", "" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Delivering evidence-based\ninterventions for children\nand young people with mild-\nto-moderate mental health\nproblems (see Section 3.1)", "Supporting the senior\nmental health lead in each\neducation setting to\nintroduce or develop their\nwhole school/college\napproach (see Section 3.2)", "", "Giving timely advice to", "" ], "rows": [ [ "", "", "", "school and college staff, and", "" ], [ "", "", "", "liaising with external", "" ], [ "", "", "", "specialist services, to help", "" ], [ "", "", "", "children and young people", "" ], [ "", "", "", "to get the right support and", "" ], [ "", "", "", "stay in education (see", "" ], [ "", "", "", "Section 3.3)", "" ], [ "", "", "", "", "" ] ], "row_count": 8, "col_count": 5 }, { "headers": [ "Delivering evidence-based" ], "rows": [ [ "interventions for children" ], [ "and young people with mild-" ], [ "to-moderate mental health" ], [ "problems (see Section 3.1)" ], [ "" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Supporting the senior" ], "rows": [ [ "mental health lead in each" ], [ "education setting to" ], [ "introduce or develop their" ], [ "whole school/college" ], [ "approach (see Section 3.2)" ], [ "" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "Description", "", "", "Interventions an MHST might provide", "", "", "", "NICE", "" ], "rows": [ [ "", "", "", "", "", "", "", "Guidance", "" ], [ "", "", "", "", "", "", "", "reference", "" ], [ "Behavioural problems\nPersistent challenging behaviour (such\nas disobedience or aggression) and/or\nbehaviour that seriously violates the\nrules of an individual’s home or school.\nThis is much more than ordinary\nchildish mischief or adolescent\nrebelliousness.", "", "", "", "● Work with other professionals who know the child", "", "CG158", "CG158", "" ], [ "", "", "", "", "(such as an educational psychologist, teacher or", "", "", "", "" ], [ "", "", "", "", "counsellor), adopting a needs-based approach to", "", "", "", "" ], [ "", "", "", "", "differentiate between classroom behaviour and", "", "", "", "" ], [ "", "", "", "", "what may indicate a diagnosable problem", "", "", "", "" ], [ "", "", "", "", "● Link with behaviour policies and processes of the", "", "", "", "" ], [ "", "", "", "", "education setting on behavioural assessments", "", "", "", "" ], [ "", "", "", "", "and interventions", "", "", "", "" ], [ "", "", "", "", "● Offer classroom-based emotional learning and", "", "", "", "" ], [ "", "", "", "", "problem-solving programmes (typically for", "", "", "", "" ], [ "", "", "", "", "children aged between 3 and 7 years)", "", "", "", "" ], [ "", "", "", "", "● Work with families and carers around behaviour", "", "", "", "" ], [ "", "", "", "", "management", "", "", "", "" ], [ "", "", "", "", "● Individual 1:1 Low intensity work with", "", "", "", "" ], [ "", "", "", "", "parents/carers", "", "", "", "" ], [ "Conduct disorders\nDescribes a range of serious\nemotional and behavioural problems", "", "", "", "● Parent/carer training programmes (individual or", "", "CG158", "", "" ], [ "", "", "", "", "group)", "", "", "", "" ], [ "", "", "", "", "● Group social and cognitive problem-solving", "", "", "", "" ], [ "", "", "", "", "programmes", "", "", "", "" ], [ "", "", "", "", "● Multimodal therapy (for ages 11-17)", "", "", "", "" ], [ "", "", "", "", "● Liaise with, and signpost to, NHS CYPMH", "", "", "", "" ], [ "", "", "", "", "services for further assessment or interventions", "", "", "", "" ], [ "", "Depression/low mood", "", "● Group non-directive supportive therapy\n● Provide advice around exercise, sleep, nutrition\n● Individual Cognitive Behavioural Therapy (CBT)\n● Group CBT\n● Guided self-help\n● Digital / computerised CCBT", "● Group non-directive supportive therapy", "", "NG134", "", "" ], [ "", "A mental health problem characterised", "", "", "● Provide advice around exercise, sleep, nutrition", "", "", "", "" ], [ "", "by pervasive low mood, a loss of", "", "", "● Individual Cognitive Behavioural Therapy (CBT)", "", "", "", "" ], [ "", "interest and enjoyment in ordinary", "", "", "", "", "", "", "" ], [ "", "", "", "", "● Group CBT", "", "", "", "" ], [ "", "things, and a range of associated", "", "", "", "", "", "", "" ], [ "", "", "", "", "● Guided self-help", "", "", "", "" ], [ "", "emotional, physical and behavioural", "", "", "", "", "", "", "" ], [ "", "", "", "", "● Digital / computerised CCBT", "", "", "", "" ], [ "", "symptoms. Depressive episodes can", "", "", "", "", "", "", "" ], [ "", "vary in severity, from mild to severe.", "", "", "", "", "", "", "" ] ], "row_count": 35, "col_count": 9 }, { "headers": [ "Behavioural problems" ], "rows": [ [ "Persistent challenging behaviour (such" ], [ "as disobedience or aggression) and/or" ], [ "behaviour that seriously violates the" ], [ "rules of an individual’s home or school." ], [ "This is much more than ordinary" ], [ "childish mischief or adolescent" ], [ "rebelliousness." ], [ "" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "Conduct disorders" ], "rows": [ [ "Describes a range of serious" ], [ "emotional and behavioural problems" ], [ "" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "", "", "", "● Liaise with, and signpost to, NHS CYPMH\nservices for moderate to severe depression", "" ], "rows": [ [ "", "Generalised anxiety disorder", "", "● CBT\n● Parent led CBT\n● Individual guided self-help\n● Psychoeducational groups", "QS53" ], [ "", "An anxiety disorder characterised by", "", "", "" ], [ "", "persistent and excessive worry", "", "", "" ], [ "", "(apprehensive expectation) about", "", "", "" ], [ "", "many different things, and difficulty", "", "", "" ], [ "", "controlling that worry. This is often", "", "", "" ], [ "", "accompanied by restlessness,", "", "", "" ], [ "", "difficulties with concentration,", "", "", "" ], [ "", "irritability, muscular tension and", "", "", "" ], [ "", "disturbed sleep.", "", "", "" ], [ "", "", "", "", "" ], [ "", "Mixed anxiety and depressive", "", "● Individual non-directive supportive therapy\n● Provide advice around exercise, sleep, nutrition\n● Individual or group CBT\n● Individual guided self-help\n● Psychoeducational groups", "CG28\nQS53" ], [ "", "disorder", "", "", "" ], [ "", "Characterised by symptoms of", "", "", "" ], [ "", "depression and anxiety that are not", "", "", "" ], [ "", "intense enough to meet criteria for any", "", "", "" ], [ "", "of the conditions described above but", "", "", "" ], [ "", "are nevertheless troublesome. The", "", "", "" ], [ "", "diagnosis should not be used when an", "", "", "" ], [ "", "individual meets the criteria for a", "", "", "" ], [ "", "depressive disorder and one or more", "", "", "" ], [ "", "of the anxiety disorders above – such", "", "", "" ], [ "", "people should be described as being", "", "", "" ], [ "", "comorbid for depression and the", "", "", "" ], [ "", "relevant anxiety disorder(s).", "", "", "" ], [ "", "", "", "", "" ], [ "", "Self-harm", "", "● Liaise with NHS CYPMH services\n● Psychological intervention specifically structured\nfor people who self-harm – can include CBT,\npsychodynamic therapy or problem-solving\nelements", "CG133" ], [ "", "Intentional engagement in behaviours", "", "", "" ], [ "", "that inflict injury or damage to one’s", "", "", "" ], [ "", "body, such as cutting, burning and", "", "", "" ], [ "", "overdosing", "", "", "" ], [ "", "", "", "", "" ], [ "", "Social anxiety disorder (social", "", "● Individual or group CBT; involve parents or carers\nto ensure effective delivery of the intervention", "CG159" ], [ "", "phobia)", "", "", "" ], [ "", "Characterised by intense fear of social", "", "", "" ], [ "", "or performance situations, resulting in", "", "", "" ], [ "", "considerable distress which in turn", "", "", "" ], [ "", "impacts on a person’s ability to", "", "", "" ], [ "", "function effectively in aspects of their", "", "", "" ], [ "", "daily life. Central to the disorder is the", "", "", "" ], [ "", "fear that the person will do or say", "", "", "" ], [ "", "something that will lead to being", "", "", "" ], [ "", "judged negatively by others and being", "", "", "" ], [ "", "embarrassed or humiliated. Feared", "", "", "" ], [ "", "situations are avoided or endured with", "", "", "" ], [ "", "intense distress.", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 47, "col_count": 5 }, { "headers": [ "● CBT" ], "rows": [ [ "● Parent led CBT" ], [ "● Individual guided self-help" ], [ "● Psychoeducational groups" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "● Individual non-directive supportive therapy" ], "rows": [ [ "● Provide advice around exercise, sleep, nutrition" ], [ "● Individual or group CBT" ], [ "● Individual guided self-help" ], [ "● Psychoeducational groups" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "● Liaise with NHS CYPMH services" ], "rows": [ [ "● Psychological intervention specifically structured" ], [ "for people who self-harm – can include CBT," ], [ "psychodynamic therapy or problem-solving" ], [ "elements" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "", "Young people, parents and carers need to be involved in evaluating and measuring the", "" ], "rows": [ [ "", "performance of the MHSTs. Feedback needs to be used in the right way to ensure people", "" ], [ "", "get the right care.", "" ], [ "", "Young person and carer group", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "", "Mental health is everybody’s responsibility. Mental health professionals, teachers and", "" ], "rows": [ [ "", "other staff are all accountable for acting in a caring, kind and compassionate way towards", "" ], [ "", "students with mental health needs.", "" ], [ "", "Young person and carer group", "" ] ], "row_count": 3, "col_count": 3 }, { "headers": [ "Education setting\ncoverage", "", "", "", "● Each team supports a cluster of approximately 20 education settings", "" ], "rows": [ [ "", "", "", "", "(this may vary depending on geographical area, mental health", "" ], [ "", "", "", "", "prevalence data and size or composition of education settings)", "" ], [ "", "", "", "", "● Population of approximately 7,500 to 8,000 children and young people", "" ], [ "", "", "", "", "● Professionals working across a number of education settings", "" ], [ "", "", "", "", "● Time spent in each setting may vary depending on population size,", "" ], [ "", "", "", "", "needs of the education setting and existing support", "" ], [ "Staffing\n(approximate\nnumbers)", "", "", "", "● 8 WTEs total (this will vary by locality), of which:", "" ], [ "", "", "", "", "- 4 WTE EMHPs (Band 4 during training and band 5 once qualified)", "" ], [ "", "", "", "", "- 3 WTE senior clinicians (Band 7 and Band 8a manager/supervisor)", "" ], [ "", "", "", "", "- 0.5 WTE team manager", "" ], [ "", "", "", "", "- 0.5 WTE administrative support", "" ], [ "Other\nconsiderations (in\naddition to core\nfunctions outlined\nin section 3)", "", "", "", "● How staff manage caseloads over larger geographical areas", "" ], [ "", "", "", "", "● Location of main team hub (for team meetings or supervision) – could", "" ], [ "", "", "", "", "be an education setting, NHS CYPMH service location, or VCSE or", "" ], [ "", "", "", "", "community location", "" ], [ "", "", "", "", "● Travel time between education settings if the MHST is based in a more", "" ], [ "", "", "", "", "rural area", "" ], [ "", "", "", "", "● Centralised contact number (to manage general requests, complaints,", "" ], [ "", "", "", "", "feedback)", "" ], [ "", "", "", "", "● Ensure a diverse staff from a range of backgrounds, who are sensitive", "" ], [ "", "", "", "", "to issues around culture, gender, sexuality, language and religion", "" ], [ "", "", "", "", "● There must be an appropriate physical environment/space provided within", "" ], [ "", "", "", "", "school settings for interventions to be undertaken.", "" ], [ "", "Hours of", "", "To be determined locally", "To be determined locally", "" ], [ "", "operation", "", "", "", "" ], [ "Cover during\nholidays, annual\nleave, sick leave", "Cover during", "", "", "● Teams will be expected to ensure children and young people and", "" ], [ "", "holidays, annual", "", "", "students can access appropriate support all year", "" ], [ "", "leave, sick leave", "", "", "● Will need to have appropriate cover for annual leave and sick leave", "" ], [ "", "", "", "", "● Consider working agreements for term breaks; whether this would", "" ], [ "", "", "", "", "include home visits, linking with VCSEs, running groups or workshops,", "" ], [ "", "", "", "", "encouraging self-management or online support, or working as usual", "" ], [ "", "", "", "", "● Will need safeguarding processes in place for operating out of term", "" ], [ "", "", "", "", "time and a suitable location (either on or off site)", "" ] ], "row_count": 33, "col_count": 6 }, { "headers": [ "Other" ], "rows": [ [ "considerations (in" ], [ "addition to core" ], [ "functions outlined" ], [ "in section 3)" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "", "Summary of Key Points", "" ], "rows": [ [ "", "", "" ], [ "", "● Local governance structures should be established, linking with existing structures,", "" ], [ "", "to provide operational and strategic governance and service quality assurance.", "" ], [ "", "● There is an expectation that there is a project board/oversight group in place where", "" ], [ "", "there isn’t an existing governance structure.", "" ], [ "", "● The project board/oversight group should include representatives from health and", "" ], [ "", "education, working in collaboration.", "" ], [ "", "● The project board/oversight group should consist of representatives from NHS", "" ], [ "", "CYPMH services, the VCSE sector, the Local Authority(ies), Public Health England,", "" ], [ "", "school and college representatives, commissioners, representatives from already", "" ], [ "", "existing support services within education settings, local councillors and children and", "" ], [ "", "young people, parents and carers.", "" ], [ "", "● There are a number of operational governance processes that should be", "" ], [ "", "implemented and communicated to MHSTs from the beginning of the programme to", "" ], [ "", "ensure the day to day running of MHSTs", "" ], [ "", "", "" ] ], "row_count": 16, "col_count": 3 }, { "headers": [ "", "Summary of Key Points", "" ], "rows": [ [ "", "", "" ], [ "", "● The planning, developing, delivering and evaluating of services should be done in", "" ], [ "", "true partnership with service users, providers and others who may be affected by", "" ], [ "", "the service.", "" ], [ "", "● Children and young people, families, parents and carers should be involved", "" ], [ "", "throughout the development, implementation and evaluation of MHSTs", "" ], [ "", "● MHSTs should promote equality and reduce inequalities by ensuring access to", "" ], [ "", "support for children and young people, families, parents and carers with known", "" ], [ "", "vulnerabilities, at higher risk of developing mental health problems or who may", "" ], [ "", "experience barriers to accessing support", "" ], [ "", "● Information sharing between professionals, children and young people, and their", "" ], [ "", "families, parents or carers should be encouraged in order to provide the best", "" ], [ "", "support, while respecting the principles of confidentiality and the need for", "" ], [ "", "appropriate consent.", "" ], [ "", "● MHSTs should offer flexibility around where they see the child or young person or", "" ], [ "", "their family, parent or carer. Locations away from the education setting should be", "" ], [ "", "available.", "" ], [ "", "● MHSTs should have access to a safe, calm, neutral environment with no stigma", "" ], [ "", "attached, within the education setting in an appropriate alternative.", "" ], [ "", "● As part of the mental health support provide, MHSTs will be expected to provide", "" ], [ "", "support to children and young people, and their families, parents and carers", "" ], [ "", "throughout the year, including educational holidays. If education settings are not", "" ], [ "", "able to provide accommodation to support their work, consideration should be", "" ], [ "", "given to the use of additional accommodation for example community centres,", "" ], [ "", "local libraries and GP surgeries.", "" ] ], "row_count": 25, "col_count": 3 }, { "headers": [ "Digital resources include:" ], "rows": [ [ "● Guided self-help online tools or apps to support the child or young person, or their family" ], [ "or carer" ], [ "● Mood tracker apps for use in between sessions" ], [ "● Using a mixture of digital and face-to-face interventions" ], [ "● Mental Health Services Passport" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "", "Summary of Key Points", "" ], "rows": [ [ "", "", "" ], [ "", "● Consideration should be given to supporting children and young people who are at", "" ], [ "", "risk of developing mental health problems, or who may experience health", "" ], [ "", "inequalities or disadvantage. MHSTs should support children and young people", "" ], [ "", "throughout, without question.", "" ], [ "", "● The assessment and formulation of need for an individual child or young person", "" ], [ "", "should be carried out by a professional with appropriate skills, competence and", "" ], [ "", "experience.", "" ], [ "", "● Every effort should be made to build on information already gathered to avoid", "" ], [ "", "duplication and so the child or young person does not have to repeat their story.", "" ], [ "", "● The impact of MHSTs should be regularly evaluated to determine how well they", "" ], [ "", "are meeting the needs of different groups of children and young people. MHSTs", "" ], [ "", "may need to develop specific protocols for working with particular groups, including", "" ], [ "", "children and young people who are home educated, to further advance mental", "" ], [ "", "health equality.", "" ] ], "row_count": 15, "col_count": 3 }, { "headers": [ "", "Children who are at higher risk of developing mental health problems or", "", "", "", "" ], "rows": [ [ "", "experiencing barriers to accessing support include those:", "", "", "", "" ], [ "", "● with special educational needs, communication", "", "● from a lower socioeconomic background\n● who do not have a fixed address\n● who may be geographically isolated, or live in\nareas where there are fewer resources to\nsupport their mental health and wellbeing\n● who are not enrolled in schools or colleges,\nwho are home educated, have left or are\nexcluded from formal education, and those not\nin training or employment – these people may\nbe difficult to identify\n● who are from Black, Asian and Minority Ethnic\n(BAME) communities\n● who are asylum seekers or refugees\n● who may be a part of travelling communities\n● who are in contact with the youth justice system", "● from a lower socioeconomic background", "" ], [ "", "difficulties, learning disabilities and behavioural", "", "", "● who do not have a fixed address", "" ], [ "", "difficulties", "", "", "", "" ], [ "", "", "", "", "● who may be geographically isolated, or live in", "" ], [ "", "● with comorbid neurodevelopmental problems,", "", "", "", "" ], [ "", "", "", "", "areas where there are fewer resources to", "" ], [ "", "or physical health problems", "", "", "", "" ], [ "", "", "", "", "support their mental health and wellbeing", "" ], [ "", "● with drug and alcohol problems or issues such", "", "", "● who are not enrolled in schools or colleges,", "" ], [ "", "as problem gambling", "", "", "", "" ], [ "", "", "", "", "who are home educated, have left or are", "" ], [ "", "● for whom English is not their first language", "", "", "excluded from formal education, and those not", "" ], [ "", "● who identify as lesbian, gay or bisexual", "", "", "in training or employment – these people may", "" ], [ "", "", "", "", "be difficult to identify", "" ], [ "", "● who identify as transgender or non-binary", "", "", "", "" ], [ "", "", "", "", "● who are from Black, Asian and Minority Ethnic", "" ], [ "", "● who may have experienced, or been witness", "", "", "", "" ], [ "", "", "", "", "(BAME) communities", "" ], [ "", "to, abuse, violence, child sexual exploitation or", "", "", "", "" ], [ "", "", "", "", "● who are asylum seekers or refugees", "" ], [ "", "female genital mutilation", "", "", "", "" ], [ "", "", "", "", "● who may be a part of travelling communities", "" ], [ "", "● who may be affiliated with a gang", "", "", "", "" ], [ "", "", "", "", "● who are in contact with the youth justice system", "" ], [ "", "● who are children of military personnel and", "", "", "", "" ], [ "", "those dependent on military personnel", "", "", "", "" ] ], "row_count": 27, "col_count": 6 }, { "headers": [ "", "● with caring responsibilities", "", "● who are about to transition to adult services –\nthese young people are at greater risk of falling\nthrough gaps between services" ], "rows": [ [ "", "● who may be in care, are about to leave care,", "", "" ], [ "", "are on the edge of care, or are on a Child", "", "" ], [ "", "Protection Plan or a Child in Need Plan", "", "" ], [ "", "● previously looked-after children e.g. adopted", "", "" ], [ "", "children", "", "" ], [ "", "", "", "" ] ], "row_count": 6, "col_count": 4 }, { "headers": [ "", "BAME", "", "", "Black, Asian and Minority Ethnic", "" ], "rows": [ [ "", "CCG", "", "", "Clinical Commissioning Group", "" ], [ "", "CCQI", "", "", "College Centre for Quality Improvement", "" ], [ "", "CORC", "", "", "Child Outcomes Research Consortium", "" ], [ "", "CORE", "", "", "Centre for Outcomes Research and Effectiveness", "" ], [ "", "CQC", "", "", "Care Quality Commission", "" ], [ "", "CYPMH", "", "", "Children and young people’s mental health", "" ], [ "", "DCMS", "", "", "Department of Digital, Culture, Media and Sport", "" ], [ "", "DHSC", "", "", "Department of Health and Social Care", "" ], [ "", "EHCP", "", "", "Education, health and care plan", "" ], [ "", "EIP", "", "", "Early intervention in psychosis", "" ], [ "", "EMHP", "", "", "Education mental health practitioner", "" ], [ "", "ESCaSS", "", "", "Effective, Safe, Compassionate and Sustainable Staffing", "" ], [ "", "IAPT", "", "", "Improving Access to Psychological Therapies", "" ], [ "", "IT", "", "", "Information technology", "" ], [ "", "LTP", "", "", "Local transformation planning", "" ], [ "", "MHSDS", "", "", "Mental Health Services Data Set", "" ], [ "", "MHST", "", "", "Mental Health Support Team", "" ], [ "", "NICE", "", "", "National Institute for Health and Care Excellence", "" ], [ "", "NCCMH", "", "", "National Collaborating Centre for Mental Health", "" ], [ "", "PSHE", "", "", "Personal, Social and Health Education", "" ], [ "", "SCIE", "", "", "Social Care Institute for Excellence", "" ], [ "", "SEAL", "", "", "Social and Emotional Aspects of Learning", "" ], [ "", "SENDCO", "", "", "Special educational needs coordinator", "" ], [ "", "SEND", "", "", "Special educational needs and disabilities", "" ], [ "", "STP", "", "", "Sustainability and transformation partnership", "" ], [ "", "UCL", "", "", "University College London", "" ], [ "", "VCSE", "", "", "Voluntary, community and social enterprise", "" ], [ "", "WTE", "", "", "Whole time equivalent", "" ] ], "row_count": 28, "col_count": 6 } ] }, { "case_id": 4345337, "title": "Age ranges of those on dental waiting list", "authority": "Manx Care", "date_received": "2025-01-03", "outcome": "Some information sent but not all held", "summary": "The requester asked for dental waiting list age breakdowns, tooth decay treatment statistics for young children, and the total population of 1-6 year olds on the Isle of Man. Manx Care provided historical waiting list data from 2021 to 2024 but refused requests regarding tooth decay treatments and population counts as the information was not held.", "key_facts": [ "Manx Care does not hold data on the number of 1-6 year olds treated for tooth decay or the total population of that age group.", "Waiting list data was provided for age ranges 0-5, 6-11, 12-17, and 18+ from April 2021 to December 2024.", "The total number of people on the dental waiting list increased from 2,551 in April 2021 to 6,114 in December 2024.", "Some waiting list entries are marked as 'Unknown' because applicants did not provide age details or pregnant women added unborn children to the list.", "The request was partially refused under section 11(3)a of the Freedom of Information Act 2015." ], "data_mentioned": [ "2025-01-03", "2025-02-05", "4345337", "2551", "6114", "0-5", "6-11", "12-17", "18+", "1-6", "section 11(3)a" ], "exemptions_cited": [ "Section 11(3)a of the Freedom of Information Act 2015 (Information not held)" ], "tables": [ { "headers": [ "Year\n2021-2022", "Age 0-5", "Age 6-11", "Age 12-\n17", "Over 18", "Unknown", "Total" ], "rows": [ [ "April-21", "277", "238", "154", "1878", "4", "2551" ], [ "May-21", "290", "238", "151", "1896", "2", "2577" ], [ "June-21", "308", "258", "161", "2099", "18", "2844" ], [ "July-21", "301", "251", "166", "1984", "6", "2708" ], [ "Aug-21", "309", "257", "178", "2057", "4", "2805" ], [ "Sept-21", "289", "238", "154", "1827", "4", "2512" ], [ "Oct-21", "267", "207", "137", "1629", "3", "2243" ], [ "Nov-21", "267", "200", "134", "1649", "3", "2253" ], [ "Dec-21", "273", "210", "139", "1742", "3", "2367" ], [ "Jan-22", "268", "212", "146", "1688", "4", "2318" ], [ "Feb-22", "286", "235", "155", "1783", "7", "2466" ], [ "Mar-22", "292", "228", "161", "1829", "7", "2517" ] ], "row_count": 12, "col_count": 7 }, { "headers": [ "Year\n2022-2023", "Age 0-5", "Age 6-11", "Age 12-\n17", "Over 18", "Unknown", "Total" ], "rows": [ [ "April-22", "314", "236", "169", "1903", "8", "2630" ], [ "May-22", "320", "218", "153", "1739", "7", "2437" ], [ "June-22", "328", "215", "145", "1621", "9", "2318" ], [ "July-22", "339", "225", "150", "1658", "8", "2380" ], [ "Aug-22", "357", "233", "159", "1740", "9", "2498" ], [ "Sept-22", "365", "246", "165", "1866", "8", "2650" ], [ "Oct-22", "388", "271", "189", "2026", "8", "2882" ], [ "Nov-22", "414", "297", "204", "2159", "9", "3083" ], [ "Dec-22", "429", "302", "215", "2245", "10", "3201" ], [ "Jan-23", "446", "323", "228", "2350", "10", "3357" ], [ "Feb-23", "464", "335", "240", "2453", "10", "3502" ], [ "Mar-23", "473", "356", "246", "2565", "10", "3650" ] ], "row_count": 12, "col_count": 7 }, { "headers": [ "Year 2023\n-2024", "Age 0-5", "Age 6-11", "Age 12-\n17", "Over 18", "Unknown", "Total" ], "rows": [ [ "April-23", "483", "356", "257", "2638", "9", "3743" ], [ "May-23", "520", "371", "269", "2703", "10", "3873" ], [ "June-23", "542", "385", "282", "2807", "10", "4026" ], [ "July-23", "563", "392", "295", "2922", "10", "4182" ], [ "Aug-23", "569", "409", "310", "2966", "15", "4269" ], [ "Sept-23", "588", "434", "329", "3104", "15", "4470" ], [ "Oct-23", "624", "450", "342", "3195", "15", "4626" ], [ "Nov-23", "653", "473", "356", "3338", "16", "4836" ], [ "Dec-23", "671", "483", "364", "3415", "17", "4950" ], [ "Jan-24", "707", "511", "380", "3574", "17", "5189" ], [ "Feb-24", "738", "531", "397", "3712", "18", "5396" ], [ "Mar-24", "747", "542", "394", "3632", "16", "5331" ] ], "row_count": 12, "col_count": 7 }, { "headers": [ "Year\n2024-2025", "Age 0-5", "Age 6-11", "Age 12-\n17", "Over 18", "Unknown", "Total" ], "rows": [ [ "April-24", "707", "521", "381", "3453", "14", "5076" ], [ "May-24", "728", "545", "391", "3563", "16", "5243" ], [ "June-24", "737", "553", "394", "3659", "17", "5360" ], [ "July-24", "750", "577", "403", "3782", "17", "5529" ], [ "Aug-24", "766", "596", "419", "3892", "17", "5690" ], [ "Sept-24", "773", "608", "434", "3965", "17", "5797" ], [ "Oct-24", "782", "615", "447", "4069", "17", "5930" ], [ "Nov-24", "798", "626", "451", "4153", "17", "6045" ], [ "Dec-24", "806", "644", "454", "4193", "17", "6114" ] ], "row_count": 9, "col_count": 7 } ] }, { "case_id": 4371458, "title": "Your reference 4362177, RSV in babies", "authority": "Manx Care", "date_received": "2025-01-14", "outcome": "All information sent", "summary": "The request sought the number of babies under 12 months admitted to Noble's Hospital with severe RSV or bronchiolitis for three flu seasons. Manx Care disclosed the patient counts for the 2022-2023, 2023-2024, and partial 2024-2025 seasons, noting that clinical severity is not coded.", "key_facts": [ "Data covers babies under 12 months admitted to Noble's Hospital with RSV or bronchiolitis.", "The 2023-2024 flu season recorded the highest number of admissions at 47 patients.", "Manx Care stated that 'severe' RSV infections cannot be specifically searched as severity is not coded in their system.", "The 2024-2025 data provided is only up to the date of the response (February 2025).", "Clinical codes used for extraction included J121, J205, J210, B974, and P230." ], "data_mentioned": [ "14", "47", "15", "2022/23", "2023/24", "2024/25", "01/10/22 - 31/03/23", "01/10/23 - 31/03/24", "01/10/24 - To date", "J121", "J205", "J210", "B974", "P230", "4371458", "4362177", "2025-01-14", "2025-02-05" ], "exemptions_cited": [], "tables": [ { "headers": [ "Flu Season", "Period", "Number of Patients" ], "rows": [ [ "2022/23", "01/10/22 - 31/03/23", "14" ], [ "2023/24", "01/10/23 - 31/03/24", "47" ], [ "2024/25", "01/10/24 - To date", "15" ] ], "row_count": 3, "col_count": 3 } ] }, { "case_id": 4400485, "title": "Fertility Request", "authority": "Manx Care", "date_received": "2025-01-27", "outcome": "All information sent", "summary": "A request was made to Manx Care for detailed statistics on fertility clinic treatments, patient demographics, and costs over the past five years. The authority disclosed approximate referral rates and IVF cycle data but withheld specific breakdowns due to appointment scheduling methods and confidentiality risks.", "key_facts": [ "Approximately 60-70 new fertility referrals are made per year, a rate consistent over the last five years.", "Specific breakdowns of patient types (e.g., female-only vs. couples) cannot be provided because appointments are scheduled under the primary female patient.", "No referrals were made to an Isle of Man urologist for fertility issues in the past five years due to a lack of specialists.", "UK referrals for male fertility diagnosis were too few to report without risking a breach of patient confidentiality.", "Data on IVF cycles requiring sperm injection due to poor sperm function was provided annually from 2020 to 2024." ], "data_mentioned": [ "60 – 70 per year", "1 in 6 couples", "30% Male sub-fertility", "30% Chronic pelvic inflammatory disease", "10-15% Endometriosis", "10-15% Ovulation disorders", "30% Unexplained", "2020 8 cycles", "2021 10 cycles", "2022 9 cycles", "2023 10 cycles", "2024 8 cycles", "2025-01-27", "2025-02-21" ], "exemptions_cited": [ "Risk of confidentiality breach due to low numbers of UK referrals", "Inability to distinguish patient types due to appointment scheduling under primary female referral" ], "tables": [ { "headers": [ "Year", "IVF Cycles", "ICSI Cycles" ], "rows": [ [ "2020", "12", "8 (COVID)" ], [ "2021", "23", "10" ], [ "2022", "29", "9" ], [ "2023", "23", "10" ], [ "2024", "24", "8" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "Year", "IVF Cycles with Sperm Injection (ICSI)" ], "rows": [ [ "2020", "8" ], [ "2021", "10" ], [ "2022", "9" ], [ "2023", "10" ], [ "2024", "8" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 4402709, "title": "Correspondence regarding cuts", "authority": "Department of Health and Social Care", "date_received": "2025-01-28", "outcome": "Not upheld", "summary": "The request sought correspondence between Manx Care and the Department of Health and Social Care regarding service cuts from October 2024 onwards. The response disclosed an email exchange between the Minister and the Chief Officer discussing an urgent statement about 'more cuts' being reported in the public domain.", "key_facts": [ "The request was made to the Department of Health and Social Care on 2025-01-28.", "The case outcome was 'Not upheld' on 2025-05-20.", "The disclosed document is an email dated 24 January 2025 between Claire Christian and Paul Richardson.", "The email discusses an urgent statement in the House of Keys regarding service cuts.", "The correspondence notes that the issue of 'more cuts' is already in the public domain." ], "data_mentioned": [ "2025-01-28", "2025-05-20", "24 January 2025", "31st October 2024", "S.25" ], "exemptions_cited": [ "S.25 - Personal Data" ], "tables": [ { "headers": [ "Claire Christian BA ( Hons) MHK\nMember of the House of Keys - Douglas South\nMinister for the Department of Health and Social Care\nMember of the Standing Orders of Tynwald Committee\nMember of the Housing and Communities Board\nMember of the Sub Committee on Justice\nMember of the Health Learning and Social Policy Board\nMember of the Commonwealth Parliamentary Association\nLegislative Buildings\nFinch Road\nDouglas\nIsle of Man\nIM1 3PW\nBritish Isles\nOffice Tel: +44 (0)1624 686166\nMobile: +44 (0)7624 209800\nClaire.christian@gov.im\nTwitter: @Claire4MHK\nFacebook: https//www.facebook.com/clairechristianmhkdouglassouth\nInstagram: Claire_christian_mhk\nwww.tynwald.org.im\nPlease click the below link for privacy statement which can be found on the Tynwald website.\nhttps://www.tynwald.org.im/memoff/member/Documents/ChristianCSB-Privacy-Policy.aspx\nWARNING: This email message and any files transmitted with it are confidential and may be subject to legal privilege. You\nmust not copy or deliver it to any other person or use the contents in any unauthorised manner without the express permission\nof the sender. If you are not the intended addressee of this e-mail, please delete it and notify the sender as soon as possible.\nNo employee or agent is authorised to conclude any binding agreement on behalf of any of the Departments or Statutory\nBoards of the Isle of Man Government with any party by e-mail without express written confirmation by a Manager of the\nrelevant Department or Statutory Board.\nRAAUE: S’preevaadjagh yn çhaghteraght post-l shoh chammah’s coadanyn erbee currit marish as ta shoh coadit ec y leigh.\nCha nhegin diu coipal ny cur eh da peiagh erbee elley ny ymmydey yn chooid t’ayn er aght erbee dyn kied leayr veih’n\nchoyrtagh. Mannagh nee shiu yn enmyssagh kiarit jeh’n phost-l shoh, doll-shiu magh eh, my sailliu, as cur-shiu fys da’n\nchoyrtagh cha leah as oddys shiu.\nCha nel kied currit da failleydagh ny jantagh erbee conaant y yannoo rish peiagh ny possan erbee lesh post-l er son Rheynn ny\nBoayrd Slattyssagh erbee jeh Reiltys Ellan Vannin dyn co-niartaghey scruit leayr veih Reireyder y Rheynn ny Boayrd\nSlattyssagh t’eh bentyn rish.\nOn 24 Jan 2025, at 14:34, Richardson, Paul (DHSC) Paul Richardson MA (Oxon)\nYn Ard Oikagh | Chief Officer\na: Rheynn Slaynt as Kiarail y Theay | Department of Health and Social Care\nBelgravia House, Circular Road, Douglas, Isle of Man, IM1 1AE", "", "", "" ], "rows": [ [ "", "", "Paul Richardson MA (Oxon)\nYn Ard Oikagh | Chief Officer\na: Rheynn Slaynt as Kiarail y Theay | Department of Health and Social Care\nBelgravia House, Circular Road, Douglas, Isle of Man, IM1 1AE", "" ], [ "", "", "", "a: Rheynn Slaynt as Kiarail y Theay | Department of Health and Social Care" ], [ "", "", "", "Belgravia House, Circular Road, Douglas, Isle of Man, IM1 1AE" ] ], "row_count": 3, "col_count": 4 } ] }, { "case_id": 4416389, "title": "Health cuts correspondence with the UK", "authority": "Manx Care", "date_received": "2025-02-03", "outcome": "All information sent", "summary": "The requester asked for correspondence between Manx Care and off-island providers regarding the cancellation of funding for certain procedures. Manx Care released 15 documents totaling 143 pages but redacted personal names and email addresses under data protection exemptions.", "key_facts": [ "Manx Care is predicting an overspend for the current financial year due to a fixed budget and increased costs.", "The Isle of Man Government challenged Manx Care to reduce the overspend to protect the island's overall financial stability.", "Manx Care requested Liverpool Heart & Chest Hospital (LHCH) to slow down planned activity for the remainder of the financial year.", "Personal data such as names not in the public domain and email addresses were withheld from the released documents.", "The response included a draft letter from Oliver Radford to Teresa Cope regarding the request to LHCH." ], "data_mentioned": [ "2025-02-03", "2025-03-05", "23 February 2025", "23 January 2025", "143 pages", "15 documents", "4416389", "s25(b)(i)&(ii)", "Article 5", "Article 6", "Article 9" ], "exemptions_cited": [ "s25(b)(i)&(ii) of the Act (absolutely exempt personal information)", "Data Protection (Application of GDPR) Order 2018", "Article 5 of the General Data Protection Regulation" ], "tables": [ { "headers": [ "Gary Price, Chief Operating Officer", "" ], "rows": [ [ "", "" ], [ "", "" ], [ "", "" ], [ "The Walton Centre NHS Foundation Trust", "" ], [ "Lower Lane", "" ], [ "Fazakerley", "" ], [ "Liverpool", "" ], [ "L9 7LJ", "" ], [ "", "" ], [ "", "" ], [ "dignity respect pride openness caring", "" ], [ "", "" ], [ "", "" ] ], "row_count": 13, "col_count": 2 }, { "headers": [ "", "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "" ], [ "", ";", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "" ], [ "", "", "", ";", "", "", "", "" ] ], "row_count": 5, "col_count": 8 } ] }, { "case_id": 4420542, "title": "Cancer Diagnosis", "authority": "Manx Care", "date_received": "2025-02-04", "outcome": "All information sent", "summary": "The requester asked for monthly cancer diagnosis data in the Isle of Man from January 2015 to the most recent available month. Manx Care disclosed the requested data sourced from the Somerset Cancer Registry, noting it is unvalidated and subject to phased implementation limitations.", "key_facts": [ "The data provided is sourced solely from the Somerset Cancer Registry (SCR) and has not been validated.", "The SCR was implemented in the Isle of Man in 2012 on a phased, specialty-by-specialty basis, leading to historical recording inconsistencies.", "Total cancer diagnoses rose from 252 in 2015 to 910 in 2023, before dropping to 856 in 2024.", "Data for 2025 is only available for January (55 diagnoses) as the response was issued in February 2025.", "Wider validated reports covering incidence and mortality up to 2019 are available via the Public Health website." ], "data_mentioned": [ "252", "353", "514", "536", "721", "851", "905", "910", "856", "55", "2012", "2015", "2019", "2025-02-04", "2025-02-25", "4420542" ], "exemptions_cited": [], "tables": [ { "headers": [ "Month", "2015", "2016", "2017", "2018", "2019", "2020", "2021", "2022", "2023", "2024", "2025 (Year to Date - end of January)" ], "rows": [ [ "January", "26", "15", "47", "43", "51", "78", "67", "53", "74", "69", "55" ], [ "February", "20", "21", "40", "36", "35", "69", "56", "74", "74", "69", "0" ], [ "March", "14", "25", "56", "30", "59", "77", "57", "82", "81", "76", "0" ], [ "April", "14", "27", "23", "50", "60", "35", "69", "60", "58", "60", "0" ], [ "May", "18", "32", "49", "46", "66", "21", "61", "67", "66", "74", "0" ], [ "June", "26", "27", "31", "45", "56", "45", "92", "60", "92", "58", "0" ], [ "July", "17", "17", "54", "60", "76", "55", "86", "78", "77", "82", "0" ], [ "August", "20", "37", "49", "45", "51", "63", "74", "94", "88", "79", "0" ], [ "September", "22", "33", "44", "44", "60", "73", "92", "84", "69", "78", "0" ], [ "October", "23", "43", "44", "46", "65", "72", "71", "86", "74", "81", "0" ], [ "November", "28", "36", "50", "49", "69", "58", "72", "96", "77", "64", "0" ], [ "December", "24", "40", "27", "42", "73", "75", "54", "71", "80", "66", "0" ], [ "Total", "252", "353", "514", "536", "721", "721", "851", "905", "910", "856", "55" ] ], "row_count": 13, "col_count": 12 } ] }, { "case_id": 4421505, "title": "Maternity services provided by Manx Care", "authority": "Manx Care", "date_received": "2025-02-04", "outcome": "All information sent", "summary": "A request was made for details on Manx Care's Infant Feeding Team, including staff numbers, job descriptions, and organizational changes, alongside data on caesarean sections and home birth reinstatement. The authority responded by providing the job description for the Infant Feeding Lead and confirming the outcome as 'All information sent', though the specific statistical data requested was not included in the provided text excerpt.", "key_facts": [ "The Infant Feeding Lead reports to the Service Lead 0-19/Head of Midwifery within the Integrated Women, Children and Families division.", "The role requires the post holder to be a Registered Nurse, Midwife, or Health Visitor with current NMC registration.", "The job description outlines responsibilities to lead the implementation of the Baby Friendly Initiative (BFI) across Manx Care.", "The authority confirmed that all requested information was sent on 2025-03-03.", "The response included a job evaluation reference number of 1055v2/JE/19 for the Infant Feeding Lead position." ], "data_mentioned": [ "2025-03-03", "2025-02-04", "Pay Band 7", "1055v2/JE/19", "0-19", "2020", "2015-2025" ], "exemptions_cited": [], "tables": [ { "headers": [ "Job Title", "Infant Feeding Lead" ], "rows": [ [ "Division", "Integrated Women, Children and Families" ], [ "Reports to", "Service Lead 0-19/Head of Midwifery" ], [ "Responsible for", "Infant Feeding Team Members" ], [ "Pay Band", "7" ], [ "Job Evaluation\nReference No.", "1055v2/JE/19" ], [ "Organisation Chart", "IWCF Clinical Care\nGroup Manager\nService Leads\n8a 0-19\nSenior\nInfant Feeding Public Health\nPractitioners/Tea\nCo- Lead (7) 0-19\nm Leader (7)\nordinator/Senior\nPractitioner (7)\nthis post" ], [ "Overview", "The post holder will contribute to the strategic direction of infant feeding\nissues across the Isle of Man to increase the number of mothers initiating\nand sustaining breastfeeding. This shall be achieved through training,\neducation, informing, profiling, auditing, co-ordinating and working\nalongside Public Health department to work towards achieving Baby\nFriendly Initiative (BFI)." ], [ "Job Purpose", "The post holder will provide professional leadership, advice and support\nto the midwifery, neonatal Health Visiting and children’s ward to promote\nevidence-based breast-feeding practices, and professional leadership of\ninfant feeding team\nIn particular, the postholder will:\n• Oversee the implementation of the Infant Feeding Policy to\ncontribute to the improvement of breast-feeding rates in line with\nthe Public Health/Manx Care agenda to improve health and reduce\ninequalities\n• Provide professional leadership, advice and support to Health Visiting\nstaff and evidence-based training programme and support alongside\nthe infant feeding training coordinator by developing lesson plans\nthat responds to changing educational needs" ] ], "row_count": 8, "col_count": 2 }, { "headers": [ "", "• Accurately capture and record data in relation to breast feeding and\napply quality assurance processes\n• Lead on the accreditation of baby friendly initiative for the\ncommunity based on evidence-based research\n• Deputise for the service lead Children and Families when required to\n• Have a flexible, adaptable approach to their work to the meet the\nneeds of the service, clients and meet deadlines\n• Programmes of service improvement that are informed from audits\nand service feedback." ], "rows": [ [ "Physical Skills", "• Standard keyboard skills are required to write reports, compile\npresentations and training packages Ability to sit at a workstation for\nlong periods of time\n• Undertake home visits, attend clinics and meetings Drive a car to\nwork placed centres and patient homes Carry weighing scales\n• Assess breast feeding practice and provide advice to professionals\nand parents." ], [ "Policy/Service\nDevelopment", "• Contribute to the review and development of policy and procedures\nfor own work area\n• Implement policies for own work area which will be rolled out across\nthe department for use by other health care professionals\n• Inform service development through audit and patient feedback\n• Advise senior stakeholders on local breast-feeding audits,\nimprovements and nationals’ trends." ], [ "Financial & Physical\nResources", "• To request funding and resources on a need’s basis\n• To be responsible for equipment use by self and other colleagues/\nhealth care professionals e.g. Breast pumps and training tools the\nanatomy, scales." ], [ "Human Resources", "• Provide professional leadership in respect of own areas professional\nteams and other health professionals within the Manx Care where\nrequired such as when giving advice, instilling confidence and gaining\ntheir understanding behind the academia of the BFI\n• Deliver BF training to staff and mentoring to students as required.\nSupervise and oversee work of more junior staff where necessary\n• Identifying training needs in respect of infant feeding, growth and\ndevelopment in relation to breast feeding, developing and\nimplementing programmes\n• Workload planning and evaluation on a daily/weekly basis\n• Direct and oversee care plans for breast feeding parents and their\nbabies for professionals\n• Identify and escalate areas of concern in respect of professionals’\npractice\nSupervise the Infant Feeding team members\no\nLine manager the infant feeding team- PDR/sickness\no\nabsence/annual leave/rotas." ], [ "Information\nResources", "• Ability to access and use computerised patient’s records in\naccordance with local policies\n• Use of base computers/laptops and mobile devices to access and\nrecord accurate patient records and emails both at base and on\nCommunity visits" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "", "• Completes forms/templates on EMIS Web in conjunction with\nsupport services to allow reporting of service statistics.\n• To be competent in the use of a variety of software packages\nincluding Word, Excel, PowerPoint, email and internet to enable the\nproduction of documents, training materials and reports\n• Ability to use IT resources during teaching and other presentations.\nCollate data and run data for audit purposes." ], "rows": [ [ "Research &\nDevelopment", "• To contribute to reports to inform and shape breast feeding practices\non the IOM\n• Undertake R&D on an ongoing basis in respect of BFI\n• To produce reports and papers in respect of breastfeeding data and\ninformation\n• To analyse data in respect of Infant feeding practises\n• Undertake audits which will be inclusive of the guidance set out by\nNICE and UNICEF." ], [ "Freedom to Act", "• Ability to work freely and interpret the services operating procedures\nto ensure that agreed outcomes and outputs are met and delivered\n• Autonomous practitioner with the ability to act in accordance with\nNICE practices and shape the services\n• To escalate concerns and issues when appropriate to the Service Lead." ], [ "Confidentiality", "In the course of your duties, you may have access to confidential material\nabout patients, members of staff or other business of Manx Care. On no\naccount must information relating to identifiable patients be divulged to\nanyone other than authorised persons, for example, medical, nursing or\nother professional staff, as appropriate, who are concerned directly with\nthe care, diagnosis and /or treatment of the patient. If you are in any\ndoubt whatsoever as to the authority of a person or body asking for\ninformation of this nature, you must seek advice from your manager.\nSimilarly, no information of a personal or confidential nature concerning\nindividual members of staff should be divulged to anyone without the\nproper authority having first been given. Failure to observe these rules\nwill be regarded by your employers as gross misconduct which could\nresult in disciplinary action being taken against you. In the case of\ninformation held on computer systems, you may be held personally liable\nif you in any way knowingly contravene the appropriate terms of the Data\nProtection Act 2018." ], [ "Health & Safety", "It is the duty of all employees to work in such a way that accidents to\nthemselves and to others are avoided, and to co-operate in maintaining\ntheir place of work in a tidy and safe condition, thereby minimising risk.\nEmployees will, therefore, refer any matters of concern through their\nrespective line managers. Similarly, it is each person’s responsibility to\nensure a secure environment and bring any breaches of security to the\nattention of their managers." ], [ "Safeguarding", "The Isle of Man is committed to safeguarding and promoting the welfare\nof children, young people and adults at risk and expects staff to share this\ncommitment. Staff must work in accordance with all health and social\ncare policies relating to safeguarding." ], [ "CARE", "In Manx Care we pride ourselves on being Committed and passionate,\nAccountable and Reflective, Respectful and Inclusive and Excellent and\nInnovative. CARE represents what we are about, what we stand for and" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "Physical effort", "• Works in physically cramped conditions e.g. manoeuvring bags\ncontaining weighing scales and records in homes with limited\nspace. May be several times a week\n• Lift, and carry scales (6kg on average) in and out of boot of car and\ninto homes for up to 5-6 times a day\n• Lifting and carrying bag containing records prescription pad,\nmeasuring mat up to 6 times a day\n• Kneel; crouch to weigh babies on the floor of client’s homes\n• Possess basic keyboard skills to be able to access email and type\nletters and reports, daily\n• Drive car to visits, daily" ], "rows": [ [ "Mental effort", "• Concentrate for prolonged periods of time, up to 6 appointments a\nday lasting on average an hour each visit\n• Interrupted during office-based time (2-3 hours a day) may be\ninterrupted by phone calls or clients calling in several times during\nthat time\n• Carry mobile phone to enable manager to contact us urgently or\nmake urgent phone calls when away from the office\n• Concentrate on the learning needs of a student" ], [ "Emotional effort", "• Across scope of practice could impact on post holders’ emotional\nwellbeing\n• Discuss with parents that their children may not be reaching\ndevelopmental milestones\n• Visit clients with complex mental health problems\n• Visit and support families where abuse or neglect has occurred\n• Provide emotional support for student in practice and in learning\nactivities\n• Support members of Team who may be dealing with difficult\nprofessional or personal issues" ], [ "Working conditions", "• Visiting homes with poor standards of hygiene\n• Exposure to smoking during some home contacts\n• Body fluids, faeces, vomit e.g. babies undressed for weighing or\nclients with continence problems\n• Fleas or lice in clients’ homes\n• Working alone for much of the time doing home visits, some\npractitioners are based alone too\n• Driving/being driven in normal situations\n• Driving/being driven after stressful visits\n• May have to dispose of used nappies\n• Visiting potentially aggressive clients alone as may be no previous\nhistory\n• Visiting in all weather conditions" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "", "• Ability to work\nindependently and as part\nof a team\n• Ability to work under\npressure\n• Ability to analyse data and\nto problem solve\n• Enthusiasm and ability to\nmotivate others", "E\nE\nE\nE", "" ], "rows": [ [ "Attributes", "• Approachable personality\nwith ability to\ndemonstrate empathy\ntowards others\n• Ability to travel within the\nrequirements of the post.\nClean driving licence and\naccess to own transport\n• Reliable\n• Demonstrates flexibility to\nmeet the needs of the\nservice\n• Integrity\n• Commitment to providing\na people centred service\n• Commitment to working in\nways which challenge\ndiscrimination", "E\nE\nE\nE\nE\nE\nE", "CV\nInterview" ], [ "CARE", "• Commitment & Passion\n• Accountability &\nReflection\n• Respect & Inclusion\n• Excellence & Innovation", "E\nE\nE\nE", "CV\nInterview" ], [ "Circumstances\n& Interests", "• A keen interest in the\nspeciality\n• A commitment towards\nquality in Infant Feeding\n• Evidence of involvement\nin quality issues\n• Up to date professional\nportfolio\n• Satisfactory Police Check", "E\nE\nE\nE\nE", "Interview\nApplication\nPre-employment\nchecks" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "Category 1. Immediate threat to the life of women or fetus. Delivery" ], "rows": [ [ "recommended. Within 30 minutes of the decision." ], [ "Category 2. Maternal or fetal compromise which is not immediately life" ], [ "threatening. Delivery recommended within 75 minutes of the decision." ], [ "Category 3. No fetal or maternal compromise but needs early birth." ], [ "Category 4. Delivery timed to suit the woman or staff, includes all planned" ], [ "caesarean sections." ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "Date", "Category 1", "Category 2", "Category 3", "Category 4", "Total" ], "rows": [ [ "Jan 25", "1", "3", "4", "9", "17" ], [ "Jan24-Dec\n24", "10", "69", "30", "98", "207" ], [ "Jan 23-Dec\n23", "11", "97", "36", "100", "244" ], [ "Jan 22-\nDec22", "5", "66", "31", "89", "191" ], [ "Jan 21-\nDec21", "8", "71", "33", "113", "225" ], [ "Jan 20 -\nDec20", "4", "79", "24", "91", "198" ] ], "row_count": 6, "col_count": 6 }, { "headers": [ "Jan 19-\ndec19", "9", "80", "38", "116", "243" ], "rows": [ [ "Jan 18-\nDec18", "10", "84", "28", "98", "220" ], [ "Jan 17-\nDec18", "10", "80", "34", "93", "217" ], [ "Jan 16-\nDec16", "9", "71", "34", "100", "214" ], [ "Jan 15-Dec\n15", "17", "78", "34", "108", "249" ] ], "row_count": 4, "col_count": 6 } ] }, { "case_id": 4432733, "title": "Parentcraft Classes", "authority": "Department of Health and Social Care", "date_received": "2025-02-11", "outcome": "Some information sent but part exempt", "summary": "The request sought correspondence regarding the decision to move parentcraft classes from face-to-face to an online model. The authority disclosed a parliamentary answer and supplementary information explaining the rationale for the change, though some internal correspondence was withheld under exemptions.", "key_facts": [ "Parentcraft sessions are transitioning from in-person to video-based to improve accessibility, flexibility, and consistency.", "The online content was launched in early February 2025.", "The decision was not driven by cost savings but by the need for inclusivity and self-paced learning.", "The new initiative will be reviewed in six months to evaluate its effectiveness.", "Video sessions include a virtual tour of the maternity ward and Neonatal Unit, which was not previously available to all parents." ], "data_mentioned": [ "2025-02-11", "2025-03-11", "28 January 2025", "September 2024", "early February 2025", "6 months", "24 pages", "3 documents" ], "exemptions_cited": [ "Part exempt (specific exemption clauses not detailed in the provided text)" ], "tables": [ { "headers": [ "The Hon. Member for Douglas East (Ms Faragher, MHK) to ask the" ], "rows": [ [ "Minister for Health and Social Care:" ], [ "" ], [ "Why in-person parentcraft courses are no longer being offered to" ], [ "expectant mothers; upon what this decision is based; and what feedback" ], [ "about this decision her Department has received." ], [ "" ], [ "" ] ], "row_count": 7, "col_count": 1 }, { "headers": [ "Question", "Answer" ], "rows": [ [ "What other support is available?", "Open engagement is encouraged\nwith the service and service users\nthrough the Maternity Facebook\npage. This platform is continually\nmonitored and utilised to raise\nand influence awareness on key\ntopics of importance and health\npromotion throughout pregnancy." ], [ "Will this change improve resource\nutilisation", "Transitioning maternity parent\ncraft sessions to a video-based\nformat also ensures enhanced\nefficiency in resource utilisation\nwithin Maternity Services." ], [ "Has an assessment in cost taken\nplace?", "An assessment in cost has not\ntaken place as this is not the\ndriving factor. The priority for\nmoving maternity parent craft\nsessions from face-to-face to\nvideo is for accessibility and\nconvenience, flexibility and self-\npaced learning, inclusivity and\ncontinuity." ], [ "Info from Manx Care’s in response\nto Minister Caine’s enquiry", "We are aware of a once registered\nmidwife who is supporting\nfamilies and delivering a\nprogramme similar to parent craft\nsessions.\nThere is lots of information and\nsupport available to families\nthrough various third sector\norganisations and we have made a\nconscious effort to work with local" ] ], "row_count": 4, "col_count": 2 } ] }, { "case_id": 4442246, "title": "Complaints Against Social Workers", "authority": "Department of Health and Social Care", "date_received": "2025-02-11", "outcome": "Information not held", "summary": "The requester asked for annual complaint statistics against Social Workers since 2015 and detailed categorization of those complaints. The Department of Health and Social Care provided aggregate complaint numbers but stated it does not hold specific categorization data for complaints made before the April 2021 separation of services to Manx Care.", "key_facts": [ "The Department of Health and Social Care does not hold detailed categorization of complaints made before 01 April 2021.", "Following the separation of policy and service delivery on 01 April 2021, specific complaint data is held by Manx Care.", "The provided complaint figures include issues regarding social care workers, fostering, adoption, and legal claims.", "Complaints were made by various parties including parents, guardians, grandparents, and care workers.", "The requester was advised to submit a new request to Manx Care for more granular data." ], "data_mentioned": [ "2015 – 12 complaints", "2016 – 17 complaints", "2017 – 11 complaints", "2018 – 8 complaints", "2019 & 2020 – 35 complaints", "01 Jan – 01 Apr 2021 – 1 complaint", "01 April 2021", "2015", "2025-02-11", "2025-03-06" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year/Period", "Number of Complaints" ], "rows": [ [ "2015", "12" ], [ "2016", "17" ], [ "2017", "11" ], [ "2018", "8" ], [ "2019 & 2020", "35" ], [ "01 Jan – 01 Apr 2021", "1" ] ], "row_count": 6, "col_count": 2 } ] }, { "case_id": 4458173, "title": "FOI Request - Patient Transfers from the Isle of Man", "authority": "Manx Care", "date_received": "2025-02-19", "outcome": "Some information sent but not all held", "summary": "", "key_facts": [], "data_mentioned": [], "exemptions_cited": [], "tables": [ { "headers": [ "", "Patient Transfer", "", "", "Total 20-21", "", "", "Total 21-22", "", "", "Total 22-23", "", "", "Total 23-24", "", "", "Total 24-25", "" ], "rows": [ [ "", "Expenditure", "", "", "(£)", "", "", "(£)", "", "", "(£)", "", "", "(£)", "", "", "(£)", "" ], [ "Air and sea travel", "", "", "", "2,409,893.31", "", "2,165,771.87", "", "", "", "2,199,055.65", "", "2,537,210.72", "", "", "", "2,460,634.50", "" ], [ "Road transport - UK and\nIOM", "", "", "136,805.04", "", "", "309,349.27", "", "", "422,395.17", "", "", "422,950.09", "", "", "351,681.80", "", "" ], [ "", "", "", "", "136,805.04", "", "", "", "", "", "422,395.17", "", "", "", "", "", "351,681.80", "" ], [ "Rail transport - UK", "", "", "", "917.07", "", "6,100.70", "", "", "", "4,830.76", "", "5,668.65", "", "", "", "4,840.20", "" ], [ "Accommodation - UK", "", "", "", "278,056.68", "", "380,899.81", "", "", "", "396,232.35", "", "459,666.68", "", "", "", "392,436.16", "" ] ], "row_count": 6, "col_count": 18 } ] }, { "case_id": 4461137, "title": "Business Cases", "authority": "Manx Care", "date_received": "2025-02-20", "outcome": "Some information sent but part exempt", "summary": "The requester asked for business cases regarding children's therapy and respite services, and Manx Care disclosed minutes from an October 2024 review meeting discussing a revised business case for short breaks and residential services, as well as a patient engagement platform.", "key_facts": [ "Manx Care disclosed minutes from an Extraordinary Business Case Review Group meeting held on 22 October 2024.", "A revised business case for 'Children with Disabilities – Short Breaks and Residential Services' was discussed, noting current services are not meeting statutory requirements.", "The meeting highlighted that future needs for children's respite services will result in a crisis if requirements expand without intervention.", "A proposal for a 'Patient Engagement Platform' (Doctor Doctor) was reviewed to reduce appointment letters and DNA rates.", "It was noted that strategic planning and direction are currently lacking for the children's services business case." ], "data_mentioned": [ "22nd October 2024", "1.30pm", "1.50pm", "5 bedroom unit", "item 155/24", "item 156/24", "Page 1 of 3", "Page 2 of 3", "Page 3 of 3" ], "exemptions_cited": [], "tables": [ { "headers": [ "BCDP title", "", "", "Augmentative and Alternative Communication (AAC) and\nEnvironmental Controls (EC) for Isle of Man Adults and Children", "", "" ], "rows": [ [ "Care group", "", "", "Medicine & Urgent Emergency Care / Integrated Primary and\nCommunity Care", "", "" ], [ "", "Service area", "", "Neurology / Stroke /Children’s Therapy", "", "" ], [ "", "Author", "", "", "", "" ], [ "", "Author job title", "", "General Managers", "", "" ], [ "", "Date", "", "December 2022", "", "" ] ], "row_count": 5, "col_count": 6 }, { "headers": [ "Total\npopulation", "", "Total population", "", "", "Total population requiring", "", "", "Total population requiring" ], "rows": [ [ "", "", "demand for AAC & EC", "", "", "specialist AAC & EC", "", "", "non specialist AAC & EC" ], [ "", "", "(= 0.5% of total population)", "", "", "(10% of AAC & EC demand)", "", "", "(90% of AAC & EC demand)" ], [ "88409", "442", "", "", "44", "", "", "398", "" ] ], "row_count": 3, "col_count": 9 }, { "headers": [ "", "Total", "", "Demography by\nage groups", "Total population\nrequiring AAC", "", "Requiring", "", "", "Requiring non\nspecialist AAC\n& EC" ], "rows": [ [ "", "population by", "", "", "", "", "specialist AAC &", "", "", "" ], [ "", "age groups", "", "", "", "", "EC", "", "", "" ], [ "aged 0 to 4", "", "", "5481", "27", "3", "", "", "24", "" ], [ "aged 5 to 24", "", "", "21660", "108", "11", "", "", "97", "" ], [ "aged 0 to 24", "", "", "27142", "136", "14", "", "", "122", "" ], [ "aged 25 to 90+", "", "", "61267", "306", "31", "", "", "276", "" ] ], "row_count": 6, "col_count": 10 }, { "headers": [ "", "Impairment", "", "", "Numbers", "", "Need", "", "Additional Information" ], "rows": [ [ "Physical impairment\n(in mainstream)", "", "", "3", "", "", "EC", "Children with Duchenne Muscular Dystrophy or Cerebral\nPalsy. All are in mainstream and are verbal.", "" ], [ "Physical impairment\n(in mainstream)", "", "", "6", "", "", "AAC", "Children with a progressive or static physical condition that\nresults in poor intelligibility of speech, limits their\nexpressive language or has resulted in delay.", "" ], [ "Physical & Learning\nImpairment\n(specialist schooling)", "", "", "7", "", "", "AAC &\nEC", "This group of children have either a progressive/static\ncondition and are non verbal and in specialist education\nc entres.", "" ], [ "Developmental\nlanguage Disorder", "", "", "2", "", "", "AAC", "", "" ], [ "Autistic Spectrum\nDisorder", "", "", "56", "", "", "AAC", "We have approx 113 children with ASD in schools with\n50% who may benefit from non-specialist AAC.", "" ], [ "", "Total", "", "", "74", "", "", "", "" ] ], "row_count": 6, "col_count": 9 }, { "headers": [ "", "Benefits to patient", "", "", "Expected outcome", "" ], "rows": [ [ "Patients’ have a voice.", "", "", "Meeting patients’ basic human rights.", "Meeting patients’ basic human rights.", "" ], [ "Enabling patients’ to\nlive as independently as\npossible", "", "", "Supporting wellbeing, mental health and prognosis.", "", "" ], [ "Commissioned service\noffering assessment.", "", "", "Patients’ will have improved service with the option to trial devices.\nDirect access to highly specialist skills and knowledge.", "", "" ], [ "Having local therapists\nto support after initial\nset up of AAC or EC.", "", "", "Ensuring that the patients’/carers have knowledge and skills through\ntraining to know how to effectively use AAC and EC in daily life.\nThis may take various sessions to implement.", "", "" ] ], "row_count": 4, "col_count": 6 }, { "headers": [ "", "Benefits to Manx", "", "Expected outcome", "", "" ], "rows": [ [ "", "Care", "", "", "", "" ], [ "Provision of an AAC and\nEC services on island.", "Provision of an AAC and", "", "", "Provide service more aligned to that in the UK.", "" ], [ "", "EC services on island.", "", "", "Equity of access and provision across the life span.", "" ], [ "", "", "", "", "Reduce potential of litigation with no provision.", "" ], [ "", "", "", "", "Reduction of care needs that could be attributed to Manx Care.", "" ], [ "Commissioned\nassessment led service", "", "", "", "Risk sits with this provider.", "" ], [ "", "", "", "", "Implemented solution is overseen by experts in this field.", "" ], [ "", "", "", "", "There is availability of technical support when needed", "" ], [ "", "", "", "", "Commissioned service will oversee procurement, asset management, data", "" ], [ "", "", "", "", "cleansing, maintenance and replacement of devices.", "" ], [ "", "", "", "", "Commissioned services have greater buying power for cost efficiency.", "" ], [ "", "", "", "", "Commissioned service will have range of stock to offer trial of devices.", "" ], [ "Provision of local\ntherapist to support\nCommissioned service.", "", "", "", "High quality and resilient service provision with addition of local staff.", "" ], [ "", "", "", "", "Local staff can manage the ongoing implementation/training beyond the", "" ], [ "", "", "", "", "initial set-up by commissioned provider.", "" ], [ "", "", "", "", "Local contact for fault finding.", "" ], [ "", "", "", "", "Staff would assist with implementation of non specialist AAC provision.", "" ], [ "", "", "", "", "Capacity building of expertise across the Manx Care workforce", "" ], [ "", "", "", "", "Increase to staff morale, retention.", "" ] ], "row_count": 19, "col_count": 6 }, { "headers": [ "", "Post", "", "", "WTE", "", "", "Salary", "" ], "rows": [ [ "SLT Band 6 Children", "", "", "0.6", "", "", "£24,353", "", "" ], [ "OT Band 6 Children", "", "", "0.6", "", "", "£24,353", "", "" ], [ "Generic Assistant B4", "", "", "1.5", "", "", "£43,879", "", "" ], [ "Commissioned\nService for AAC and\nEC Provision", "", "", "", "", "", "AAC (Appendix 4 for breakdown of expected costs)\nClinician service visits: £28,500 (inc. travel and\naccommodation)\nTier provision of equipment\nTier 1:£3620 per device, per year\nTier 2:£1560 per device per year\nTier 3: £360 per device per year", "", "" ], [ "Commissioned\nService for EC\nProvision", "", "", "", "", "", "EC:\nClinical visits: £4,000 (predicted including travel and\naccommodation)\nTier provision of equipment\nThis is not possible to predict.\nTotal known patients @ x £250 per patient", "", "" ], [ "Total", "", "", "£157,557 clinician service\nEquipment provision\nThe total patients predicted on Island is 442. 44 are most likely to require\nTier 1 and the remaining 398 are most likely to require Tier 2 or 3.\nCostings based on predicted need and demand:\nTier 1 44 x 3620 = £159,280\nTier 2 199 x 1560 = £310,440\nTier 3 199 x 360 = £71,640\nClinician service = £157,557\nClinician visits = £28,500 + £4,000\nGrand total = £731,817 (based on predicted need)\nYear 1 costings based on actual known cases of 121\nTier 1 = 12 x 3,620 = £43,200\nTier 2 = 55 x 1560 = £85,800\nTier 3 = 54 x 360 = £19,440\nAAC equipment total = £148,440\nEC equipment total -121 x £350 = £42,350\nClinician service =£157,557\nClinician visits = 28,500 + 4,000\nGrand total = £380,847 (based on current known need)", "", "", "", "", "" ] ], "row_count": 6, "col_count": 9 }, { "headers": [ "", "Post", "", "", "WTE", "", "", "Salary", "" ], "rows": [ [ "Generic Assistant 4", "", "", "2", "", "", "£58,506", "", "" ], [ "Commissioned\nService for AAC and\nEC Provision", "", "", "", "", "", "AAC (appendix 4)\nClinician service visits: £28,500 (inc travel and\naccommodation)\nTier provision of equipment\nTier 1:£3620 per device, per year\nTier 2:£1560 per device per year\nTier 3: £360 per device per year", "", "" ], [ "Commissioned\nService for EC\nProvision", "", "", "", "", "", "EC:\nClinical visits: £4,000 (predicted including travel and\naccommodation)\nTier provision of equipment\nThis is not possible to predict.", "", "" ], [ "Total", "", "", "£91,006 clinician service\nEquipment provision:\nThe total patients predicted on Island is 442. 44 are most likely to require\nTier 1 and the remaining 398 are most likely to require Tier 2 or 3.\nYear 1 costings based on current known cases of 121\nTier 1 = 12 x 3,620 = £43,200\nTier 2 = 55 x 1560 = £85,800\nTier 3 = 54 x 360 = £19,440\nAAC total = £148,440\nEC 121 x £350 = £42,350\nClinician service =£91,006\nClinician visits = 28,500 + 4,000\nGrand total = £314,296 (based on current known need)", "", "", "", "", "" ] ], "row_count": 4, "col_count": 9 }, { "headers": [ "implementation which explores opportunities for further partnership working and input which\nmeets disease specific needs.\nTimescales\nPeriod of adjustment from commencing the service, reviewing at an appropriate stage (12 months)\nCriteria for prioritising will sit with the Commissioned Service.\nAs a measure of success, we would expect, within one year of commissioning this Service that:\n• Patient users audit will be completed to include Quality of Life questionnaire\n• Audit of care cost reduction where independence is improved with this technology ie what savings\ncould be made in terms of return on investment, e.g. patients not being admitted to residential\ncare and staying in their own homes longer\n• Audit of the carers supporting the individual e.g. School or respite facilities\n• Establishing accurate understanding and forecast of future demand and anticipated costs", "", "", "" ], "rows": [ [ "4. What Board priority\ndoes the proposal fulfil?", "", "", "Patient Safety; workforce resilience and integration of services." ], [ "5. How does the\nproposal support the\nrecommendations of\nthe Independent\nHealthcare Review (i.e.\ndecentralisation of\nservices, integration of\ncare)?", "", "", "This proposal supports the recommendations of the Independent\nHealthcare review in terms of providing all of the above.\nSir Jonathan recommendations\nRecommendation 1: The Council of Ministers should formally adopt the\nprinciple that patients and service users are fully engaged in, and at the\ncentre of, all aspects of planning and delivery of health and social care\nservices.\nRecommendation 11: A service-by-service review of health and care\nprovision, in conjunction with the needs assessment and an analysis of care\npathway design, should be undertaken to establish what services can,\nshould or must be provided on and off-Island, against defined standards.\nWhere services cannot be provided safely or deliver best value by Island-\nbased providers, the default position should be to seek services from third\nparties for delivery on-Island whenever possible and off-Island where\nnecessary.\nRecommendation 12: Service by service integrated care pathways should\nbe designed, agreed and delivered. These should encompass both on and\noff-Island components of clinical service models\nRecommendation 25: A fit for purpose workforce model needs to be\ndeveloped to reflect the emerging needs of the new model of care. It should\nmaximise the potential skills available within the workforce as well as the\nopportunity to recruit and retain high quality professionals. It will then\nincrease the attractiveness\nof the Isle of Man as a career destination." ], [ "", "6. Will the outcome of", "", "No" ], [ "", "this paper impact on", "", "" ], [ "", "other IoM Government", "", "" ], [ "", "Departments or", "", "" ], [ "", "Statutory Boards? Will a", "", "" ] ], "row_count": 7, "col_count": 4 }, { "headers": [ "5. How does the" ], "rows": [ [ "proposal support the" ], [ "recommendations of" ], [ "the Independent" ], [ "Healthcare Review (i.e." ], [ "decentralisation of" ], [ "services, integration of" ], [ "care)?" ] ], "row_count": 7, "col_count": 1 }, { "headers": [ "", "7. Review/impact on other areas", "", "", "", "", "", "", "" ], "rows": [ [ "", "Care Group", "", "", "Comments", "", "", "Reviewed by", "" ], [ "", "Medicine, urgent", "", "", "", "", "", "", "" ], [ "", "care, and", "", "", "", "", "", "", "" ], [ "", "ambulance", "", "", "", "", "", "", "" ], [ "", "service", "", "", "", "", "", "", "" ], [ "", "Surgery,", "", "", "", "", "", "", "" ], [ "", "theatres, critical", "", "", "", "", "", "", "" ], [ "", "care, and", "", "", "", "", "", "", "" ], [ "", "anaesthetics", "", "", "", "", "", "", "" ], [ "", "Integrated", "", "", "", "", "", "", "" ], [ "", "diagnostics and", "", "", "", "", "", "", "" ], [ "", "cancer services", "", "", "", "", "", "", "" ], [ "", "Integrated", "", "", "", "", "", "", "" ], [ "", "women’s,", "", "", "", "", "", "", "" ], [ "", "children’s and", "", "", "", "", "", "", "" ], [ "", "families,", "", "", "", "", "", "", "" ], [ "", "services", "", "", "", "", "", "", "" ], [ "", "Integrated", "", "", "", "", "", "", "" ], [ "", "mental health", "", "", "", "", "", "", "" ], [ "", "services", "", "", "", "", "", "", "" ], [ "", "Integrated", "", "", "", "", "", "", "" ], [ "", "community and", "", "", "", "", "", "", "" ], [ "", "primary care", "", "", "", "", "", "", "" ], [ "", "services", "", "", "", "", "", "", "" ], [ "Social care\nservices", "Social care", "", "", "", "", "", "", "" ], [ "", "services", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "Other", "", "", "", "", "", "", "" ], [ "", "operational and", "", "", "", "", "", "", "" ], [ "", "support services", "", "", "", "", "", "", "" ], [ "", "e.g. digital,", "", "", "", "", "", "", "" ], [ "", "operations,", "", "", "", "", "", "", "" ], [ "", "communications,", "", "", "", "", "", "", "" ], [ "", "infrastructure", "", "", "", "", "", "", "" ], [ "", "etc.", "", "", "", "", "", "", "" ] ], "row_count": 36, "col_count": 9 }, { "headers": [ "", "8. Approvals", "", "", "", "", "", "", "" ], "rows": [ [ "", "General", "", "Signature", "", "", "Date", "Date", "" ], [ "", "Manager/Service", "", "", "", "", "", "", "" ], [ "", "Lead", "", "", "", "", "", "", "" ], [ "", "Mark Cox", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "Executive Lead", "", "", "Signature", "", "", "Date", "" ], [ "", "", "", "", "", "", "", "", "" ] ], "row_count": 7, "col_count": 9 }, { "headers": [ "", "BCDP title", "", "Children with Disabilities – short breaks and residential services" ], "rows": [ [ "", "Care group", "", "Integrated Social Care, Mental Health & Safeguarding" ], [ "", "Service area", "", "Children & Families – Children with Disabilities" ], [ "", "Author", "", "" ], [ "", "Author job title", "", "– Children & Families Services" ], [ "", "Date", "", "12/7/24" ] ], "row_count": 5, "col_count": 4 }, { "headers": [ "", "1.Proposal summary", "" ], "rows": [ [ "", "", "" ], [ "There is currently a high level of unmet need in the Children with Disabilities (CwD) short breaks service. We\ncurrently do not have the capacity to meet the current or projected needs of this cohort of children and\nyoung people. The current waiting list for services is:-\nSetting Number Service waiting for\nBraddan Hub 9 After school\nRamsey Respite 3 Overnight respite\nCentre\n4 Outreach\n2 Pre-school sessions\n18 total\nThe needs of the future cohort are forecast as being more complex with greater numbers.", "", "" ], [ "", "2. Benefits and expected outcomes", "" ], [ "", "The benefits of these proposals are that we will have a service that better meets the ongoing needs of the", "" ], [ "", "Islands young disabled community. We will be able to provide much needed respite and outreach support to", "" ], [ "", "those that most need this type of service. We will also have a facility to provide safe care in an appropriate", "" ], [ "", "setting for children and young people who can no longer be cared for at home.", "" ], [ "", "", "" ], [ "", "Rather than fitting them in to an existing provision that doesn’t particularly meet all of their needs and has a", "" ], [ "", "significant impact on the wellbeing of others.", "" ], [ "", "", "" ], [ "", "3. Estimated cost and proposed funding source", "" ], [ "", "", "" ], [ "", "To meet the service levels needed of the current caseload of CwD with future needs factored in, a", "" ], [ "", "3-pronged proposal with costings is outlined below:-", "" ], [ "", "", "" ], [ "", "Element 1 – Outreach Service", "" ], [ "", "", "" ], [ "", "The Outreach Service will provide flexible support to children with disabilities and their families.", "" ], [ "", "This support is needs-led and can range from supporting children in the community or at home.", "" ], [ "", "The service will provide a wide range of support and interventions to develop children and support", "" ], [ "", "families to enable children and young people to meet their maximum potential and have a fulfilled", "" ], [ "", "life. The provision will be bespoke to each individual young person and family, and will work", "" ] ], "row_count": 23, "col_count": 3 }, { "headers": [ "Setting", "Number", "Service waiting for" ], "rows": [ [ "Braddan Hub", "9", "After school" ], [ "Ramsey Respite\nCentre", "3", "Overnight respite" ], [ "", "4", "Outreach" ], [ "", "2", "Pre-school sessions" ], [ "", "18 total", "" ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "", "towards life skills, behaviour management within the home and community presence. Short breaks", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "and outreach come in many different forms especially where overnight or centre provision is not", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "for the individual.", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "Costs (staff costs include on-costs)", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "x1 Senior Residential Support Worker", "", "", "", "", "", "", "", "", "", "", "£54,950", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "X2 Residential Support Worker", "", "", "", "", "", "", "", "", "", "", "£96,750", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "Total staff costs", "", "", "", "", "", "", "", "", "", "", "£151,700", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "Vehicle for the service", "", "", "", "", "", "", "", "", "", "", "£125,000", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "Grand total", "", "", "", "", "", "", "", "", "", "", "£276,700", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Element 2. Development of Braddan Hub into Residential centre, with extra respite provision", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Braddan Hub currently provides after-school care for children with complex needs. This service is", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "outgrown by the needs of the current cohort, so this element proposed to develop the Hub into a", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "bed residential setting to add capacity to respite, and will provide care. ( this element does not", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "provide the costings for the minor adaptions to the hub for this ourpose)", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Position", "", "", "FTE", "", "", "Payscale", "", "", "Hourly rate", "", "", "", "", "", "Annual", "", "", "", "No of", "", "", "Total annual", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "Cost", "", "", "", "positions", "", "", "cost", "", "", "", "" ], [ "", "", "Centre Manager", "", "", "1", "", "", "35-38", "", "", "", "", "", "", "", "", "", "", "", "1", "", "", "", "", "", "", "" ], [ "", "", "Senior RSW", "", "", "1", "", "", "28-32", "", "", "", "", "", "", "", "", "", "", "", "2", "", "", "", "", "", "", "" ], [ "", "", "RSW", "", "", "1", "", "", "24-28", "", "", "", "", "", "", "", "", "", "", "", "3", "", "", "", "", "", "", "" ], [ "", "", "RSW waking night", "", "", "1", "", "", "24-28", "", "", "", "", "", "", "", "", "", "", "", "2", "", "", "", "", "", "", "" ], [ "", "", "Part time 25 hours", "", "", "0.68", "", "", "24-28", "", "", "", "", "", "", "", "", "", "", "", "9", "", "", "", "", "", "", "" ], [ "", "", "Part time 18.5", "", "", "0.5", "", "", "24-28", "", "", "", "", "", "", "", "", "", "", "", "3", "", "", "", "", "", "", "" ], [ "", "", "Sleep in", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "1", "", "", "", "", "", "", "" ], [ "", "", "On call", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "Secretary", "", "", "0.5", "", "", "12-16", "", "", "", "", "", "", "", "", "", "", "", "1", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "Total", "", "£708,620.14", "£708,620.14", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "staffing", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "costs", "", "", "", "", "", "", "" ], [ "", "Based on 2024 rates", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Element 4 – Extra capacity in the CwD social work team to enable focus time and effective", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "work with the families", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 41, "col_count": 28 }, { "headers": [ "", "Adding another social worker will enable focus time and more effective work with the families", "", "", "", "", "", "", "" ], "rows": [ [ "", "to take place. The team is currently stretched, supported by agency colleagues and currently", "", "", "", "", "", "", "" ], [ "", "has an additional agency social worker contracted to assist with the heavy caseload.", "", "", "", "", "", "", "" ], [ "", "", "Staff costs", "", "", "", "", "", "" ], [ "", "", "1 social worker with on costs (pay band 21)", "", "", "", "", "", "" ], [ "", "", "Grand total", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "Element 4 – engage a service lead to manage the short breaks and residential service", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "For a number of years he short breaks service has been an ‘add on’ to the manager of the", "", "", "", "", "", "", "" ], [ "", "children’s with disabilities Social Work team. As a result of this there has not been a key person to", "", "", "", "", "", "", "" ], [ "", "develop and move the service forward, or to ensure that the service is running in an efficient or", "", "", "", "", "", "", "" ], [ "", "productive way. It has just been continuing to work in the same way that is now not productive for", "", "", "", "", "", "", "" ], [ "", "the ongoing and future needs.", "", "", "", "", "", "", "" ], [ "", "This post will ensure that there is appropriate oversight, monitoring and future planning for the", "", "", "", "", "", "", "" ], [ "", "whole service to enable it to develop the services to meet the current need and projected need for", "", "", "", "", "", "", "" ], [ "", "the island community.", "", "", "", "", "", "", "" ], [ "", "Staff costs", "", "", "", "", "", "", "" ], [ "", "", "1 service lead (with on costs) – pay band 25", "", "", "", "", "", "" ], [ "", "", "Grand total", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "This element is long term and aspirational and we will need to start to plan for this 2025/26", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "Element 5. Identification of 5 bed residential setting for children with disabilities", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "Should the future needs continue on the current trajectory of growth, service users and families would", "", "", "", "", "", "", "" ], [ "", "benefit from a residential setting for children with disabilities who can no longer reside at home. There", "", "", "", "", "", "", "" ], [ "", "is not current provision of this type on Island yet, parents of children with complex needs have to", "", "", "", "", "", "", "" ], [ "", "manage with the current offering of respite, which is stretched. A number of these parents are suffering", "", "", "", "", "", "", "" ], [ "", "with carer burnout, with some reaching the end of their tethers and becoming unable to cope before", "", "", "", "", "", "", "" ], [ "", "their children transition to Adult Social Care where residential services for complex needs are available,", "", "", "", "", "", "", "" ], [ "", "albeit also stretched. We do have a number of families who have given us prior warning that they will", "", "", "", "", "", "", "" ], [ "", "require residential provision for their child before they attain adulthood", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "Costs for this provision are estimated as follows:-", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "", "Staff costs", "", "", "", "", "", "" ], [ "", "", "To be determined – this will depend on more in-", "", "£", "£", "", "", "" ], [ "", "", "depth evaluation of the cohort of younger children", "", "", "", "", "", "" ], [ "", "", "with complex needs", "", "", "", "", "", "" ], [ "", "", "Building costs", "", "", "", "", "", "" ], [ "", "", "To be determined when building is identified to", "", "£", "£", "", "", "" ], [ "", "", "include refurbishment", "", "", "", "", "", "" ] ], "row_count": 42, "col_count": 9 }, { "headers": [ "", "", "A 5 bed residential based on similar figures of a", "", "", "", "£650,000\n£400,000", "", "", "", "" ], "rows": [ [ "", "", "provision in Liverpool is £650,000 per year with an", "", "", "", "", "", "", "", "" ], [ "", "", "additional set up cost of £400,000", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "Grand possible total", "", "", "", "", "£ 1.6 million", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Once the need for this type of service is fully scoped out and costed, a more in-depth case will be brought to", "", "", "", "", "", "", "", "", "" ], [ "", "BCRG. This is intended as long-term notice of the projected future need.", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Options Appraisal", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "The options are:-", "", "", "", "", "", "", "", "", "" ], [ "", "1. Do nothing and continue with the services as they currently are. This is not a tenable situation,", "", "", "", "", "", "", "", "", "" ], [ "", "as the service does not meet the needs of the Island, the cohort of children and young people", "", "", "", "", "", "", "", "", "" ], [ "", "and their families. It would also be contrary to the findings of the Ofsted inspection and", "", "", "", "", "", "", "", "", "" ], [ "", "resulting action plan and the work of the Children’s Services Improvement Board, as well as the", "", "", "", "", "", "", "", "", "" ], [ "", "findings of the Short Break Services Review and the Sir Jonathan Michael report", "", "", "", "", "", "", "", "", "" ], [ "", "recommendations.", "", "", "", "", "", "", "", "", "" ], [ "", "2. The option of partly implementing the proposals would not be viable as it would not solve the", "", "", "", "", "", "", "", "", "" ], [ "", "current problem of available resources and capacity across existing provision in an holistic and", "", "", "", "", "", "", "", "", "" ], [ "", "realistic way. The service would not be future-proofed.", "", "", "", "", "", "", "", "", "" ], [ "", "3. Funding be approved to implement 1-4 elements of the proposal, thereby starting to build", "", "", "", "", "", "", "", "", "" ], [ "", "a sustainable and future-proofed service that meets the needs of this cohort of young people", "", "", "", "", "", "", "", "", "" ], [ "", "and supports their families.", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Recommendation – BCRG are asked to approve elements 1-4 of the proposal. There has been a significant", "", "", "", "", "", "", "", "", "" ], [ "", "number of complaints made by families and professionals over the past 18 months, regarding the lack of", "", "", "", "", "", "", "", "", "" ], [ "", "availability of services that are leaving families in crisis. This has caused reputational damage to Manx Care", "", "", "", "", "", "", "", "", "" ], [ "", "as well as some legal challenge regarding Manx Care not providing services which caused us to be in breach", "", "", "", "", "", "", "", "", "" ], [ "", "of the Equality Act 2017. The financial risk to the organisation is great as we are having to look off island to", "", "", "", "", "", "", "", "", "" ], [ "", "provide residential provision for children, and for one young person in particular we have had to", "", "", "", "", "", "", "", "", "" ], [ "", "commission an agency to provide in house care for her at home. The agreement to these proposals and", "", "", "", "", "", "", "", "", "" ], [ "", "consideration to the longer term proposal 5 will be a spend to save initiative in terms of the reduction of", "", "", "", "", "", "", "", "", "" ], [ "", "children coming into care in crisis, whereby we have to reduce the offer to existing families in response to", "", "", "", "", "", "", "", "", "" ], [ "", "the crisis. Where we do have to bring these children and young people in then we will have an on island", "", "", "", "", "", "", "", "", "" ], [ "", "provision thereby reducing the need to place off island or reduce the current provision to families. We will", "", "", "", "", "", "", "", "", "" ], [ "", "also be able to meet the current and growing needs of children who require these services.", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "4. What Board priority does the proposal\nfulfil?", "4. What Board priority does the proposal", "", "", "Please provide information, particularly which specific\npriority area the request is fulfilling as per the Required\nOutcomes Framework:\nTop priority is ‘provision of high quality care for our patients\nand service’ with 3 key areas in focus:\n1) Improving patient safety\n2) Creating a positive working culture", "", "", "", "", "", "" ], [ "", "fulfil?", "", "", "", "", "", "", "", "", "" ] ], "row_count": 41, "col_count": 11 }, { "headers": [ "5. How does the proposal support the" ], "rows": [ [ "recommendations of the Independent" ], [ "Healthcare Review (i.e. decentralisation" ], [ "of services, integration of care)?" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "6. Will the outcome of this paper impact" ], "rows": [ [ "on other IoM Government Departments" ], [ "or Statutory Boards? Will a legislative" ], [ "policy change be required?" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "", "7. Review/impact on other areas", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Care Group", "", "", "Comments", "", "", "Reviewed by", "", "" ], [ "Medicine, urgent\ncare and\nambulance service", "Medicine, urgent", "", "", "", "", "", "", "", "" ], [ "", "care and", "", "", "Agreed with updated costs", "", "", "", "", "" ], [ "", "ambulance service", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "Surgery, theatres,\ncritical care and\nanaesthetics", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "Integrated\ndiagnostics and\ncancer services", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "Integrated", "", "", "", "", "", "", "", "" ], [ "", "women’s,", "", "", "", "", "", "", "", "" ], [ "", "children’s and", "", "", "", "", "", "", "", "" ], [ "", "families services", "", "", "", "", "", "", "", "" ], [ "Integrated mental\nhealth services", "Integrated mental", "", "", "", "", "", "", "", "" ], [ "", "health services", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 21, "col_count": 10 }, { "headers": [ "", "Integrated", "", "", "", "", "" ], "rows": [ [ "", "community and", "", "", "", "", "" ], [ "", "primary care", "", "", "", "", "" ], [ "", "services", "", "", "", "", "" ], [ "Social care services", "Social care services", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "Tertiary", "", "", "", "", "" ], [ "", "Care/Strategic", "", "", "", "", "" ], [ "", "Partnerships", "", "", "", "", "" ], [ "Other operational\nand support\nservices e.g. digital,\noperations,\ncommunications,\ninfrastructure etc.", "Other operational", "", "", "", "", "" ], [ "", "and support", "", "", "", "", "" ], [ "", "services e.g. digital,", "", "", "", "", "" ], [ "", "operations,", "", "", "", "", "" ], [ "", "communications,", "", "", "", "", "" ], [ "", "infrastructure etc.", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 17, "col_count": 7 }, { "headers": [ "", "8. Approvals", "", "", "", "", "", "", "" ], "rows": [ [ "", "General Manager/Service Lead", "", "", "Signature", "", "", "Date", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "Executive Lead", "", "", "Signature", "", "", "Date", "" ], [ "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "" ] ], "row_count": 6, "col_count": 9 } ] }, { "case_id": 4472801, "title": "Prescription Data", "authority": "Manx Care", "date_received": "2025-02-24", "outcome": "All information sent", "summary": "The requester asked for updated prescription figures for 2023/24 and the total cost of medicines dispensed for 2022/23 and 2023/24. Manx Care provided a full breakdown of prescriptions issued by surgeries and dispensed by pharmacies, along with the requested total costs.", "key_facts": [ "Total prescriptions issued by surgeries in 2023/24 was 682,751.", "Ramsey Group Practice issued the highest number of prescriptions at 141,147.", "Total cost of medicines dispensed in 2022/23 was £15,891,953.76.", "Total cost of medicines dispensed in 2023/24 was £15,442,525.26.", "The response included detailed figures for individual pharmacies and surgery groups." ], "data_mentioned": [ "682751", "141147", "15891953.76", "15442525.26", "2023/24", "2022/23", "2025-02-24", "2025-03-12", "4472801" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "2023/24" ], "rows": [ [ "BALLASALLA GROUP PRACTICE (Y00009)", "35445" ], [ "CASTLETOWN MEDICAL CENTRE (Y00001)", "42133" ], [ "FINCH HILL HEALTH CENTRE (Y00944)", "40540" ], [ "HAILWOOD MEDICAL PRACTICE LLC (Y00008)", "66701" ], [ "KENSINGTON GROUP PRACTICE (Y00005)", "48131" ], [ "LAXEY & VILLAGE WALK HEALTH CENTRES (Y00010)", "70446" ], [ "PALATINE GROUP PRACTICE (Y00007)", "82723" ], [ "PEEL GROUP PRACTICE (Y00002)", "71656" ], [ "RAMSEY GROUP PRACTICE (Y00003)", "141147" ], [ "RAMSEY WEST PRACTICE (Y02419)", "3574" ], [ "SNAEFELL SURGERY (Y00011)", "3274" ], [ "SOUTHERN GROUP PRACTICE (Y00004)", "76981" ], [ "TOTAL", "682751" ] ], "row_count": 13, "col_count": 2 }, { "headers": [ "", "2023/2024" ], "rows": [ [ "BOOTS UK LIMITED (FTA37)", "85298" ], [ "CLEAR PHARMACY PORT ST MARY (FAT20)", "26808" ], [ "CLEAR PHARMACY, BOWRING ROAD, RAMSEY (FAT24)", "26847" ], [ "CLEAR PHARMACY MICHAEL STREET (FC249)", "17056" ], [ "CLEAR PHARMACY, PARLIAMENT STREET (FDK70)", "13145" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "CLEAR PHARMACY, CASTLETOWN (FJ328)", "13203" ], "rows": [ [ "CLEAR PHARMACY, GOVERNORS HILL (FJH72)", "14849" ], [ "CLEAR PHARMACY, ATHOLL PLACE (FJK50)", "49228" ], [ "CLEAR PHARMACY, ANAGH COAR (FPQ34)", "13943" ], [ "CLEAR PHARMACY, CHURCH ROAD, PORT ERIN (FR849)", "10223" ], [ "CLEAR PHARMACY, WOODBOURNE ROAD (FTG69)", "10694" ], [ "CLEAR PHARMACY, VICTORIA ROAD, DOUGLAS (FTV30)", "6354" ], [ "CLEAR PHARMACY, ONCHAN (FTX92)", "16765" ], [ "CLEAR PHARMACY, ORCHARD ROAD, PORT ERIN (FVT72)", "42507" ], [ "CLEAR PHARMACY, CASTLE STREET, DOUGLAS (FWN22)", "30870" ], [ "CLEAR PHARMACY, ST PAUL'S SQUARE, RAMSEY (FXG28)", "9862" ], [ "LLOYDS PHARMACY ANAGH COAR (FD083) ( C 03-Oct-23 )", "15396" ], [ "LLOYDS PHARMACY WOODBOURNE ROAD (FGW17) ( C 04-Oct-23 )", "11771" ], [ "LLOYDS PHARMACY, VICTORIA ROAD, DOUGLAS (FNH12) ( C 12-\nOct-23 )", "8863" ], [ "LLOYDS PHARMACY, CASTLETOWN (FTA12) ( C 11-Oct-23 )", "15844" ], [ "LLOYDS PHARMACY, ONCHAN (FTA27) ( C 06-Oct-23 )", "17897" ], [ "LLOYDS PHARMACY GOVERNORS HILL (FTA29) ( C 05-Oct-23 )", "13390" ], [ "LLOYDS PHARMACY, ST PAUL'S SQUARE, RAMSEY (FTA30) ( C 04-\nOct-23 )", "9707" ] ], "row_count": 17, "col_count": 2 }, { "headers": [ "LLOYDS PHARMACY PARLIAMENT STREET (FTA35) ( C 04-Oct-23 )", "14396" ], "rows": [ [ "LLOYDS PHARMACY, BOWRING ROAD, RAMSEY (FTA41) ( C 12-Oct-\n23 )", "30417" ], [ "HEMENSLEY (FTA03)", "38673" ], [ "KARSONS PHARMACY LTD (FWR24)", "63047" ], [ "KINRADE'S PHARMACY LTD (FTA25)", "65669" ], [ "LAXEY CHEMIST (FTA15)", "23958" ], [ "LLOYDS PHARMACY, CHURCH ROAD, PORT ERIN (FTA11) ( C 05-\nOct-23 )", "12631" ], [ "VILLAGE PHARMACY (FW147)", "35433" ], [ "CASTLE PHARMACY (FTA14)", "11346" ], [ "COSTAINS (FV888)", "33977" ] ], "row_count": 9, "col_count": 2 } ] }, { "case_id": 4474993, "title": "MHK Statement", "authority": "Department of Health and Social Care", "date_received": "2025-02-25", "outcome": "Some information sent but part exempt", "summary": "The request sought communications regarding a Manx Care statement accusing MHK Julie Edge of making incorrect claims about a Code Red incident at Noble's Hospital. The authority released internal emails showing Minister Claire Christian did not authorize the specific comments about Ms Edge, while redacting personal data and conduct-related information.", "key_facts": [ "Minister Claire Christian explicitly stated she did not authorize the comments regarding Ms Julie Edge.", "The disputed statement accused Ms Edge of making 'sweeping and factually incorrect' assertions during the Budget Debate.", "The incident concerned an apparent Code Red issue at Noble's Hospital over the weekend of 15/16 February 2025.", "The press statement was approved for Manx Care channels and published on their Facebook page.", "The Minister instructed staff that any emails sent to MHKs could enter the public domain." ], "data_mentioned": [ "19 February 2025", "15/16 February 2025", "18th February 2025", "10 pages", "2 documents" ], "exemptions_cited": [ "S.25 - Personal Data", "S.35(c) - Conduct of Public Business", "S.35(a) - Conduct of Public Business" ], "tables": [ { "headers": [ "Teare, Pam", "" ], "rows": [ [ "19 February 2025 15:42", "" ], [ "Christian, Claire", "" ], [ "S.25 - Personal Data", "Richardson, Paul (DHSC)" ], [ "RE: Code Red Response", "" ] ], "row_count": 4, "col_count": 2 } ] }, { "case_id": 4498992, "title": "Qufora system Refused by GP", "authority": "Manx Care", "date_received": "2025-03-11", "outcome": "Some information sent but not all held", "summary": "The requester asked for the number of patients receiving Qufora irrigation systems via NHS prescription, specifically through Hailwood Medical Practice. Manx Care disclosed prescribing data by practice and product type for 2022/2023 and 2023/2024 but refused to provide patient counts, citing that this information is not held.", "key_facts": [ "Manx Care provided a chart detailing Qufora items prescribed by medical practice and financial year.", "The authority explicitly stated it does not hold the number of patients issued Qufora systems.", "Hailwood Medical Practice requested Qufora items in both the 2022/2023 and 2023/2024 financial years.", "Southern Group Practice had the highest volume of Qufora items prescribed in the 2023/2024 financial year.", "The response was issued on 7 April 2025 regarding a request received on 11 March 2025." ], "data_mentioned": [ "2022/2023", "2023/2024", "4 items (Ballasalla Group Practice)", "2 items (Castletown Medical Centre)", "7 items (Castletown Medical Centre 2023/2024)", "15 items (Southern Group Practice 2023/2024)", "9 items (Palatine Group Practice)", "£729.50", "£432.32", "£457.92", "£631.05", "£1,104.05", "£1,516.86", "£1,687.01", "£3,194.22", "£3,247.09", "Reference 4498992", "11 March 2025", "7 April 2025" ], "exemptions_cited": [ "Section 11(3)(a) of the Act (Information not held or cannot be found after reasonable steps)" ], "tables": [ { "headers": [ "Financial Year", "Country plus Code", "Practice Type", "Practice plus Code", "BNF Product", "Items", "Actual Cost" ], "rows": [ [ "2022/2023", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "BALLASALLA GROUP PRACTICE (Y00009)", "Qufora IrriSedo MiniGo 30 irrigation set", "4", "£ 729.50" ], [ "2022/2023", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "CASTLETOWN MEDICAL CENTRE (Y00001)", "Qufora IrriSedo MiniGo Flex 30 irrigation set", "2", "£ 432.32" ], [ "2022/2023", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "HAILWOOD MEDICAL PRACTICE LLC (Y00008)", "Qufora IrriSedo Mini System 30 irrigation set", "4", "£ 457.92" ], [ "2022/2023", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "HAILWOOD MEDICAL PRACTICE LLC (Y00008)", "Qufora IrriSedo MiniGo Flex 30 irrigation set", "3", "£ 631.05" ], [ "2022/2023", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "IOM NURSES (Y01122)", "Qufora IrriSedo MiniGo 30 irrigation set", "1", "£ 186.57" ], [ "2022/2023", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "IOM NURSES (Y01122)", "Qufora IrriSedo MiniGo Flex 30 irrigation set", "1", "£ 215.26" ], [ "2022/2023", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "MANX EMERGENCY DR(MEDS)OOH (Y00994)", "Qufora IrriSedo MiniGo 30 irrigation set", "1", "£ 182.47" ], [ "2022/2023", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "PEEL GROUP PRACTICE (Y00002)", "Qufora IrriSedo Cone System 15 irrigation set", "1", "£ 98.83" ], [ "2022/2023", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "PEEL GROUP PRACTICE (Y00002)", "Qufora IrriSedo MiniGo 30 irrigation set", "1", "£ 182.42" ], [ "2022/2023", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "SOUTHERN GROUP PRACTICE (Y00004)", "Qufora IrriSedo MiniGo 30 irrigation set", "6", "£ 1,104.05" ], [ "2022/2023", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "UNIDENTIFIED DOCTORS (50Z998)", "Qufora IrriSedo MiniGo 30 irrigation set", "1", "£ 182.09" ], [ "2023/2024", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "CASTLETOWN MEDICAL CENTRE (Y00001)", "Qufora IrriSedo Mini System 30 irrigation set", "1", "£ 117.72" ], [ "2023/2024", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "CASTLETOWN MEDICAL CENTRE (Y00001)", "Qufora IrriSedo MiniGo Flex 30 irrigation set", "7", "£ 1,516.86" ], [ "2023/2024", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "FINCH HILL HEALTH CENTRE (Y00944)", "Qufora IrriSedo MiniGo 30 irrigation set", "2", "£ 374.70" ], [ "2023/2024", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "HAILWOOD MEDICAL PRACTICE LLC (Y00008)", "Qufora IrriSedo Mini System 30 irrigation set", "3", "£ 353.01" ], [ "2023/2024", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "IOM NURSES (Y01122)", "Qufora IrriSedo MiniGo 30 irrigation set", "1", "£ 188.31" ], [ "2023/2024", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "PALATINE GROUP PRACTICE (Y00007)", "Qufora IrriSedo MiniGo 30 irrigation set", "9", "£ 1,687.01" ], [ "2023/2024", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "PEEL GROUP PRACTICE (Y00002)", "Qufora IrriSedo Cone System 15 irrigation set", "1", "£ 101.26" ], [ "2023/2024", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "SOUTHERN GROUP PRACTICE (Y00004)", "Qufora IrriSedo MiniGo 30 irrigation set", "15", "£ 3,194.22" ], [ "2023/2024", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "SOUTHERN GROUP PRACTICE (Y00004)", "Qufora IrriSedo MiniGo Flex 30 irrigation set", "9", "£ 3,247.09" ], [ "2023/2024", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "UNIDENTIFIED DOCTORS (50Z998)", "Qufora IrriSedo Mini System 30 irrigation set", "1", "£ 117.97" ], [ "2023/2024", "ISLE OF MAN (4)", "GP PRACTICE / COST CENTRE", "UNIDENTIFIED DOCTORS (50Z998)", "Qufora IrriSedo MiniGo 30 irrigation set", "3", "£ 563.29" ] ], "row_count": 22, "col_count": 7 } ] }, { "case_id": 4548591, "title": "Freedom of Information Consultation", "authority": "Cabinet Office", "date_received": "2025-04-01", "outcome": "Upheld - partial", "summary": "The requester sought evidence regarding Cabinet Office decisions on FOI policy, administrative burdens, and specific meeting minutes, while the authority partially upheld the request by providing 2023 statistics on Data Subject Access Requests (DSARs) and Freedom of Information (FOI) volumes across government departments.", "key_facts": [ "The Office of Cybersecurity and Information Assurance (OCSIA) reported cross-government statistics for 2023.", "Manx Care (MxC) received the highest volume of DSARs with 668 requests in 2023.", "The Cabinet Office (CabO) recorded 50 DSARs in 2023.", "Time spent processing DSARs is not systematically monitored or recorded across the government.", "The response included raw figures and a chart illustrating DSAR distribution by department." ], "data_mentioned": [ "2023", "668", "285", "90", "50", "37", "12", "9", "7", "6", "5", "2", "1", "0", "1185" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "Department/", "", "Jan", "Feb", "Mar", "April", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec", "", "Total", "Notes" ], "rows": [ [ "", "Board/Office", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "CoT", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "N/A", "" ], [ "GSC", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "0", "No DSARS received" ], [ "IOMPO", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "0", "No DSARS received" ], [ "MIRS", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "0", "No DSARS received" ], [ "CURA", "", "", "", "", "", "", "", "", "1", "", "", "", "", "", "", "1", "" ], [ "GenReg", "", "", "", "", "", "", "", "", "1", "", "", "", "", "", "", "1", "" ], [ "PSPA", "", "", "", "", "", "", 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"90*", "*DHA 15 + Prison 75" ], [ "IOMC", "", "", "17", "39", "22", "16", "35", "28", "18", "17", "24", "26", "26", "17", "", "285", "" ], [ "MxC", "", "", "56", "48", "78", "52", "52", "52", "56", "65", "51", "61", "64", "33", "", "668", "" ], [ "", "Total DSARs Recorded", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "1185", "" ] ], "row_count": 22, "col_count": 18 }, { "headers": [ "", "", "" ], "rows": [ [ "", "", "" ], [ "", "", "" ], [ "", "", "668" ], [ "", "", "" ], [ "", "", "" ], [ "285", "", "" ], [ "", "", "" ] ], "row_count": 7, "col_count": 3 }, { "headers": [ "Total DSARs Received", "Avg. 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"", "", "85.5", "", "", "55.06", "", "", "35.62", "", "", "124.66", "", "", "118.99", "", "", "83.8", "", "", "966.74", "", "" ], [ "DESC", "", "", "70.03", "", "", "29.62", "", "", "46.72", "", "", "30.61", "", "", "49.79", "", "", "30.73", "", "", "43.28", "", "", "23.1", "", "", "22.39", "", "", "47.32", "", "", "47.3", "", "", "20.72", "", "", "461.61", "", "" ], [ "Treasury", "", "", "29.51", "", "", "19.54", "", "", "15.63", "", "", "3.17", "", "", "12.97", "", "", "48.95", "", "", "48.37", "", "", "35.66", "", "", "59.09", "", "", "10.83", "", "", "66.91", "", "", "88.89", "", "", "439.52", "", "" ], [ "DHSC", "", "", "34.55", "", "", "48.11", "", "", "26.12", "", "", "57.12", "", "", "46.73", "", "", "1.29", "", "", "74.11", "", "", "46.26", "", "", "15.69", "", "", "27.39", "", "", "19.22", "", "", "9.21", "", "", "405.8", "", "" ], [ "DEFA", "", "", "48.32", "", "", "26.14", "", "", "30.11", "", "", "21", "", "", "20.36", "", "", "4.73", "", "", "29.4", "", "", "52.14", "", "", "3.61", "", "", "54.96", "", "", "28.81", "", "", "49.24", "", "", "368.82", "", "" ], [ "DHA", "", "", "31.56", "", "", "19.24", "", "", "48.46", "", "", "15.73", "", "", "51.75", "", "", "23.06", "", "", "26.41", "", "", "40.17", "", "", "16.62", "", "", "31.54", "", "", "40.58", "", "", "", "", "", "345.12", "", "" ], [ "DoI", "", "", "14.95", "", "", "10.51", "", "", "12.7", "", "", "18.59", "", "", "13.13", "", "", "37.67", "", "", "18.72", "", "", "19.71", "", "", "9.59", "", "", "23.98", "", "", "69.08", "", "", "60.39", "", "", "309.02", "", "" ], [ "DfE", "", "", "16.02", "", "", "0.54", "", "", "7.77", "", "", "11.54", "", "", "17.45", "", "", "23.9", "", "", "14.5", "", "", "7.94", "", "", "7.76", "", "", "153.42", "", "", "20.21", "", "", "20.25", "", "", "301.3", "", "" ], [ "MxC", "", "", "11.15", "", "", "16.62", "", "", "44.67", "", "", "16.1", "", "", "38.9", "", "", "24.57", "", "", "18.06", "", "", "27.67", "", "", "24.59", "", "", "31.7", "", "", "17.32", "", 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"", "", "", "", "", "2.09", "", "", "1.46", "", "", "2.34", "", "", "1.38", "", "", "", "", "", "1.39", "", "", "32.18", "", "" ], [ "CURA", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "9", "", "", "1.25", "", "", "10.58", "", "", "2.77", "", "", "", "", "", "6.95", "", "", "", "", "", "", "", "", "30.55", "", "" ], [ "GenReg", "", "", "0.43", "", "", "1.57", "", "", "", "", "", "", "", "", "0.18", "", "", "10.68", "", "", "0.88", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "13.74", "", "" ], [ "GSC", "", "", "0.97", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "5.52", "", "", "5.16", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "11.65", "", "" ], [ "IOMPO", "", "", "", "", "", "2.56", "", "", "", "", "", "1.36", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "3.92", "", "" ], [ "FSA", "", "", "1.13", "", "", "", "", "", "0.51", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "1.64", "", "" ], [ "MNH", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "1.38", "", "", "", "", "", "1.38", "", "" ], [ "Total", "", "", "460.07", "", "", "214.44", "", "", "328.39", "", "", "266.01", "", "", "375.01", "", "", "284.63", "", "", "468.68", "", "", "400.62", "", "", "233.6", "", "", "557.49", "", "", "463.42", "", "", "356.8", "", "", "4409.16", "", "" ] ], "row_count": 21, "col_count": 42 }, { "headers": [ "Total FOIs Received", "Avg. Hours to Respond" ], "rows": [ [ "1075", "7.5" ], [ "Hours in a Working Day", "Working Days 2023 (inc. minimum A/L)" ], [ "7.4", "228" ], [ "Officer Hours Available (per year)", "Hours to Respond to all FOIs" ], [ "7.4 x 228 = 1687.2", "7.5 x 1075 = 8026.5" ], [ "FTE Required", "" ], [ "8026.5 / 1687.2 = 4.8", "" ] ], "row_count": 7, "col_count": 2 } ] }, { "case_id": 4625833, "title": "Complaints", "authority": "Manx Care", "date_received": "2025-04-30", "outcome": "All information sent", "summary": "A request was made for average monthly complaint statistics for Manx Care between 2022 and 2024, specifically focusing on the Women & Children's Department and Maternity Ward. The authority disclosed that 1,117 total complaints were received, with 78 related to Women's Children's and Families, of which 31 involved Maternity services.", "key_facts": [ "The reporting period covered 36 months from 1 January 2022 to 31 December 2024.", "Manx Care received a total of 1,117 complaints during this period.", "The calculated monthly average of complaints is 31.02.", "78 complaints were specifically related to the Women's Children's and Families department.", "Of the Maternity-related complaints, 23 cited Ward 10 (JCW Maternity) as the location." ], "data_mentioned": [ "1117", "36", "31.02", "78", "31", "23", "01 Jan 2022", "31/12/2024", "2025-04-30", "2025-05-13", "4625833" ], "exemptions_cited": [], "tables": [ { "headers": [ "Category", "Count", "Notes" ], "rows": [ [ "Total Complaints (01 Jan 2022 - 31 Dec 2024)", "1117", "Reporting period: 36 months" ], [ "Monthly Average", "31.02", "Calculated as 1117 ÷ 36" ], [ "Women's Children's and Families Complaints", "78", "Subset of total complaints" ], [ "Maternity Service Complaints", "31", "Subset of Women's Children's and Families" ], [ "Ward 10 (JCW Maternity) Complaints", "23", "Subset of Maternity Service" ] ], "row_count": 5, "col_count": 3 } ] }, { "case_id": 4664910, "title": "Air Ambulance Scissor Lift", "authority": "Manx Care", "date_received": "2025-05-20", "outcome": "All information sent", "summary": "A request was made for details regarding scissor lifts used by the Isle of Man Air Ambulance, to which Manx Care responded by disclosing operational numbers, ownership, and servicing schedules while clarifying the equipment's specific usage.", "key_facts": [ "There are two scissor lifts in operation.", "One lift is located on the Isle of Man and the other in Liverpool.", "Both lifts are owned by Manx Care.", "The lifts are serviced once per year routinely, with additional maintenance if required.", "The equipment is used to transfer patients between the aircraft and an ambulance stretcher, not directly to and from the airport." ], "data_mentioned": [ "2025-05-20", "2025-07-03", "25 June 2025", "4664910", "Two", "January 2025", "31 January 2029", "1.0", "23/01/2025", "section 25", "Article 5", "Article 6", "Article 9", "1998" ], "exemptions_cited": [ "Section 25(b)(i)&(ii) of the Freedom of Information Act 2015 (absolutely exempt personal information)", "Data Protection (Application of GDPR) Order 2018" ], "tables": [ { "headers": [ "Author(s)", ".", "" ], "rows": [ [ "", "", "" ], [ "Version Number", "1.0", "" ], [ "Valid from", "January 2025", "" ], [ "Next review due", "31 January 2029, or change of aircraft service provider", "" ], [ "", "", "" ], [ "Intended audience", "Air Ambulance Transfer Practitioners and Doctors\nIAS Aircrew\nGround handlers\nPersonnel assisting with lifting trolley operations.", "" ], [ "Superseded documents", "None", "" ], [ "Referenced documents", "Manual handling coordinator letter\nIAS patient loading procedure", "" ], [ "Stakeholders consulted\nprior to ratification", "", "" ], [ "Ratified by", "Surgery, Theatres, Critical Care and\nAnaesthesia Care Group Clinical\nGovernance Meeting", "Date 23/01/2025" ], [ "Previous reviews", "None", "" ], [ "Changes made during\nlatest review", "", "" ] ], "row_count": 12, "col_count": 3 }, { "headers": [ "PROBLEM", "CAUSE", "SOLUTION" ], "rows": [ [ "No power to PLUS", "Master switches not on.", "Ensure /Lifeport power\nswitches are on." ], [ "", "PLUS plug not engaged in\nsocket connector", "Check that plug is fully\nengaged in socket and\nthreaded collar is tight." ], [ "", "Circuit breakers tripped.", "Make sure all circuit breakers\nare pushed to the “IN”\nposition. If airborne consider\nif this is required." ], [ "No 230 volt power", "Master switch not on", "Ensure Lifeport/EMS INV\nswitch is on." ], [ "", "Circuit breakers tripped.", "Check circuit breaker marked\n“INV NEUT” and “INV HOT” to\nensure they are in the “IN”\nposition. If airborne consider if\nthis is required" ], [ "", "PLUS plug not engaged in\nsocket connector.", "Check that the plug is fully\nengaged in socket and\nthreaded collar is tight." ], [ "", "Ground Fault Interrupt\ntripped (if installed)", "Push \"RESET\" on ground\nfault outlet." ] ], "row_count": 7, "col_count": 3 }, { "headers": [ "", "Switch not turned on.", "Ensure switch is in the “ON”\nposition. Check gauge for\npressure reading. If there is\nsystem pressure:" ], "rows": [ [ "", "Demand valve not fully\ndepressed.", "Make sure fitting is fully\nengaged on outlet." ], [ "", "Demand valve over\ntightened.", "Back off fitting from outlet.\nExcessive pressure not\nnecessary\nwith \"O\" ring seal on nipple." ], [ "", "Hose crimped or cut", "Check plumbing behind control\npanel and on the outboard side\nof the unit for restricted or\ndamaged\nhose. Also, check plumbing\nfrom source gas outlets to the\npatient." ], [ "Air or suction not", "", "" ], [ "available or provided at", "", "" ], [ "low volume (cont.)", "", "" ], [ "", "", "" ], [ "", "Pump failure", "Replace pump." ] ], "row_count": 8, "col_count": 3 }, { "headers": [ "", "Carry on equipment\nfaulty", "Test with other equipment\nattached to the outlets. Look\nfor\nCrimped or damaged hoses or\nother restrictions." ], "rows": [ [ "Oxygen not available", "Bottle not turned on", "Turn on bottle by valve at end\nor remote on / off valve." ], [ "", "Demand valve not fully\ndepressed", "Make sure fitting is fully\nengaged on outlet." ], [ "", "Demand valve over\ntightened", "Back off fitting from outlet.\nExcessive pressure not\nnecessary\nWith \"O\" ring seal on nipple." ], [ "", "Insufficient bottle\npressure", "Re-charge cylinder. Pressure\nshould not be allowed to drop\nbelow 375 psig." ], [ "", "Carry on equipment\nfaulty.", "Test with other equipment\nattached to the outlets. Look\nfor\nCrimped or damaged holes or\nrestrictions." ] ], "row_count": 5, "col_count": 3 }, { "headers": [ "Oxygen outlet pressure", "Insufficient bottle\npressure", "Re-charge bottle.\nPressure should not be\nallowed to drop below\n375 psig." ], "rows": [ [ "fluctuates", "", "" ], [ "", "Carry on equipment\nfaulty", "Test with other equipment\nattached to the outlets. Look\nfor\nCrimped or damaged holes or\nrestrictions." ], [ "", "Hose crimped or cut", "Check plumbing behind\ncontrol panel and on the\noutboard side of the unit for\nrestricted or damaged hose.\nAlso, check plumbing from\nsource gas outlets to the\npatient." ], [ "", "Contamination in\nregulator", "Vent valve in regulator is\nbleeding while trying to expel\nparticle. Oxygen can continue to\nbe used but will be depleted\nquickly if foreign material is not\nevacuated. Use oxygen\nsparingly and replace regulator\nat first opportunity." ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "AeroSled won't", "Cable has broken", "Evacuate patient using EMS\nrelease assy. Re-string cable." ], "rows": [ [ "disengage from Latch", "", "" ], [ "Station.", "", "" ], [ "", "Cable has stretched", "Adjust cable with barrel fittings or\nat Cable Lock." ], [ "Aerosled won't engage", "Pins on LifeLock stuck", "Free up pins and apply\ndry lubricant." ], [ "in Latch Stations", "", "" ], [ "", "Openings in Latch\nStations for pins blocked", "Remove obstructions." ], [ "", "Sled occupant's weight\nshifted, causing one or\nmore pins to be\nmisaligned with the Latch\nStation.", "Re-position occupant or\nphysically push AeroSled\ndown onto PLUS." ] ], "row_count": 7, "col_count": 3 } ] }, { "case_id": 4664912, "title": "Clipdeck", "authority": "Manx Care", "date_received": "2025-05-20", "outcome": "All information sent", "summary": "The requester asked Manx Care about the usage, ownership, and safety protocols of Clipdeck units in moving ambulances, specifically regarding manufacturer warnings. Manx Care disclosed a detailed Standard Operating Procedure confirming the use of Clipdecks with specific safety straps to mitigate risks, but withheld ownership and service schedule details citing personal data exemptions.", "key_facts": [ "Manx Care uses Clipdeck units to mount aerosleds on standard ambulance trolleys for ground transfers.", "The service employs a specific safety protocol using understraps, four yellow corner straps, and four red straps to secure the aerosled directly to the stretcher base.", "The red straps and ambulance stretcher belts are used to mitigate the risk of the aerosled becoming dislodged if the pin locking system fails.", "Information regarding who owns the units and their service schedule was withheld as absolutely exempt personal data.", "Other UK air ambulance services (Capital Aviation and EMBRACE) were noted to use Clipdecks for ground transfers without the additional red straps." ], "data_mentioned": [ "2025-05-20", "2025-07-03", "March 2025", "March 2028", "1.0", "2018", "17th February 2025", "25 June 2025", "12", "2", "4664912" ], "exemptions_cited": [ "Section 25(b)(i) & (ii) of the Act (Absolutely exempt personal information)", "Article 5 of the General Data Protection Regulation" ], "tables": [ { "headers": [ "Author(s)", "", "" ], "rows": [ [ "", "", "" ], [ "Version Number", "1.0", "" ], [ "Document effective from", "March 2025", "" ], [ "Next review due", "March 2028", "" ], [ "", "", "" ], [ "Intended audience/scope", "Air Ambulance Transfer practitioners, Air Ambulance Doctors,\nAmbulance crews.", "" ], [ "Superseded documents", "", "" ], [ "Stakeholders consulted prior to\nratification", "\n Air Ambulance Transfer Practitioners\n", "" ], [ "Ratified by", "Surgery, Theatres, Critical Care and\nAnaesthesia Care Group Clinical Governanc\nMeeting", "Date\ne" ], [ "Previous reviews", "", "" ], [ "Changes made during latest\nreview", "", "" ] ], "row_count": 11, "col_count": 3 } ] }, { "case_id": 4666533, "title": "Risk registers", "authority": "Manx Care", "date_received": "2025-05-20", "outcome": "All information sent", "summary": "The requester asked for the air ambulance risk register and uniform/footwear policies; Manx Care provided the uniform policy document but stated the risk register is not a separate document and redacted personal data under GDPR exemptions.", "key_facts": [ "The air ambulance risk register is part of the wider care group risk register and is not available as a separate document.", "A Standard Operating Procedure for staff uniform, clothing, and personal property was provided as an attachment.", "The uniform policy document was ratified on September 24, 2024, and is effective from September 2024.", "Personal data such as names and email addresses were redacted from the response.", "The request was received on May 20, 2025, and the final outcome was issued on July 25, 2025." ], "data_mentioned": [ "2025-05-20", "2025-07-25", "2025-06-25", "September 2024", "September 2025", "September 24th 2024", "4666533", "6 pages", "2 documents", "Version 1.0" ], "exemptions_cited": [ "Section 25(b)(i) & (ii) of the Freedom of Information Act 2015 (Absolutely exempt personal information)", "Article 5 of the General Data Protection Regulation (Data protection principles)", "Article 6 of the GDPR (Conditions for lawful processing)", "Article 9 of the GDPR (Sensitive personal data)" ], "tables": [ { "headers": [ "Author(s)", "", "" ], "rows": [ [ "", "", "" ], [ "Version Number", "1.0", "" ], [ "Document effective\nfrom", "September 2024", "" ], [ "Next review due", "September 2025", "" ], [ "", "", "" ], [ "Intended audience", "Air Ambulance Transfer Practitioners\nAir Ambulance Doctors", "" ], [ "Superseded\ndocuments", "", "" ], [ "Stakeholders\nconsulted prior to\nratification", "\n Air Ambulance Doctors and Transfer Practitioners", "" ], [ "Ratified by", "Surgery, Theatres, Critical Care\nand Anaesthesia Care Group\nClinical Governance Meeting", "Date\nSeptember 24th\n2024" ], [ "Previous reviews", "", "" ], [ "Changes made\nduring latest review", "", "" ] ], "row_count": 11, "col_count": 3 } ] }, { "case_id": 4749473, "title": "Subject: Freedom of Information Request - Referrals to Children's Soci", "authority": "Manx Care", "date_received": "2025-06-24", "outcome": "Some information sent but not all held", "summary": "A request was made for five years of data regarding referrals to Children's Social Services, including breakdowns by contact method and outcomes. Manx Care provided total referral counts and contact method statistics but withheld data on anonymous sources and specific intervention outcomes, citing that such information would require creating new data.", "key_facts": [ "The request covered the period from 2020 to 2024.", "Total referrals peaked in 2023 with 1,704 cases.", "The 'Multi-Agency Assess & Ref Form' was the most common contact method across all years.", "Information on anonymous referrals and specific outcomes (e.g., Child Protection Plans) was not provided.", "The authority cited Section 11(3)(b) of the FOI Act 2015 to refuse creating derived information." ], "data_mentioned": [ "2020: 1234 referrals", "2021: 1083 referrals", "2022: 1163 referrals", "2023: 1704 referrals", "2024: 1476 referrals", "2020 Multi-Agency Assess & Ref Form: 652", "2023 Multi-Agency Assess & Ref Form: 1014", "2020 Telephone: 344", "2023 Telephone: 464", "Reference number: 4749473", "Date received: 2025-06-24", "Outcome date: 2025-07-23" ], "exemptions_cited": [ "Section 11(3)(b) of the Freedom of Information Act 2015 (Isle of Man)" ], "tables": [ { "headers": [ "", "Level 1", "", "", "Level 2", "", "", "Level 3", "", "", "Level 4", "" ], "rows": [ [ "The child appears\nhealthy, and has access\nto and makes use of\nappropriate health and\nhealth advice services", "", "", "The child rarely accesses\nappropriate health and\nhealth advice services,\nmissing immunisations.", "", "", "There is no evidence\nthat the parent in\nregards to the child has\naccessed health and\nhealth advice services\nand suffers chronic and\nrecurrent health\nproblems as a result.\nDiagnosed with a life-\nlimiting illness", "", "", "The child has complex\nhealth problems which\nare attributable to the\nlack of access to health\nservices. Carer denying\nprofessional staff access\nto the child.", "", "" ], [ "All child’s health needs\nare met by parents.", "", "", "Additional help required\nto meet health demands\nof the child including\ndisability or long term\nserious illness requiring\nsupport services", "", "", "With additional support,\nparent not meeting\nneeds of child’s health.\nCarer displays high levels\nof anxiety regarding\nchild’s health, which\nmay relate to perplexing\npresentations", "", "", "Carers’ level of anxiety\nregarding their child’s\nhealth is significantly\nharming the child’s\ndevelopment. Strong\nsuspicions / evidence of\nfabricating or inducing\nillness in their child", "", "" ], [ "Carer does not have any\nadditional needs", "", "", "Needs of the carers are\naffecting the care and\ndevelopment of the\nchild", "", "", "Needs of the carer /\nother family members\nare significantly affecting\nthe care of child.", "", "", "", "", "" ], [ "Parent accesses ante-\nnatal and/or post-natal\ncare", "", "", "The carer demonstrates\nambivalence to ante-\nnatal and post-natal care\nwith irregular\nattendance and missed\nappointments.", "", "", "The carer is not\naccessing ante-natal\nand/ or post-natal care,\nsignificant concern\nabout prospective\nparenting ability,\nresulting in the need for\na pre-birth assessment.", "", "", "The parent neglects to\naccess ante-natal care or\nattempts to conceal the\npregnancy and there are\naccumulative risk\nindicators.", "", "" ], [ "The parent is coping well\nemotionally following\nthe birth of their baby\nand accessing universal\nsupport services where\nrequired.", "", "", "The parent is struggling\nto adjust to the role of\nparenthood, postnatal\ndepression is affecting\nparenting ability", "", "", "The parent is suffering\nfrom post-natal\ndepression. Infant / child\nappears to have poor\ngrowth - Growth falling 2\ncentile ranges or more,\nwithout an apparent\nhealth problem. New\nborn affected by\nmaternal substance\nmisuse.", "", "", "The carer is suffering\nfrom severe post-natal\ndepression which is\ncausing serious risk to\nthemselves and their\nchild/ children.", "", "" ], [ "Pregnancy with no\napparent safeguarding\nconcerns", "", "", "Pregnancy in a young\nperson / vulnerable\nadult who is deemed in\nneed of support", "", "", "The parent is a current\nlooked after child or\nvulnerable young person", "", "", "Pregnancy in a child\nunder 13 or parent with\nsignificant learning\nneeds. Young\ninexperienced parents\nwith additional concerns\nthat could place the", "", "" ] ], "row_count": 6, "col_count": 12 }, { "headers": [ "", "", "hospital engaging with\nmental health services.", "" ], "rows": [ [ "The child engages in age\nappropriate activities\nand displays age\nappropriate behaviours,\nhaving a positive sense\nof self and abilities\nreducing the risk of\nthose wanting to exploit\nthem.", "Child has a negative\nsense of self and\nabilities, suffering with\nlow self-esteem and\nconfidence making them\nvulnerable to those who\nwish to exploit them\nresulting in becoming\ninvolved in negative\nbehaviour/activities", "Child has a negative\nsense of self and\nabilities, suffering with\nlow self-esteem and\nconfidence which results\nin child becoming\ninvolved in negative\nbehaviour / activities by\nthose exploiting /\ngrooming them.", "Evidence of exploitation\nlinked to child’s\nvulnerability. Child\nfrequently exhibits\nnegative behaviour /\nactivities that place the\nchild or others at\nimminent risk.\nParent not setting\nappropriate boundaries\nor the role modelling the\nchild receives does not\npromote positive\nchoices." ], [ "Mental health of the\ncarer does not affect /\nimpact care of the child.", "Sporadic / low level\nmental health of carer\nimpacts care of child,\nhowever, protective\nfactors in place.", "Mental health needs of\nthe carer (subject to a\nsection under MHA) is\nimpacting on the care of\ntheir child and there are\nno supportive networks\nand extended family to\nprevent harm. Carer has\nexpressed suicidal\nideation with no known\nplan of intent.", "Mental health needs of\nthe carer significantly\nimpacting the care of\ntheir child placing them\nat risk of significant\nharm. Carer has ongoing\nsuicidal ideation\nfollowing attempt or is\nin hospital following\nepisode of self-harm or\nsuicide attempt." ], [ "Child has not suffered\nthe loss of a close family\nmember or friend", "Child has suffered a\nbereavement recently or\nin the past and is\ndistressed but receives\nsupport from family and\nfriends and appears to\nbe coping reasonably\nwell – would benefit\nfrom short term\nadditional support from\nearly help services.", "Child has suffered\nbereavement recently or\nin the past and recently\nthere has been a\ndeterioration in their\nbehaviour. Low level\nsupport has not assisted,\nlong term intervention\nrequired", "Child has suffered\nbereavement and is\nmissing, self-harming,\ndisclosing suicidal\nthoughts, risk of\nexploitation, and\ninvolvement in\norganised crime (county\nline) activity." ], [ "", "", "Children Services\nnotified the child is\nprivately fostered by\nadults who are able to\nprovide for his/her\nneeds and there are no\nsafeguarding concerns\nSome concern about the\nprivate fostering\narrangements in place\nfor the child, there may\nbe issues around the\ncarers’ treatment of the\nchild", "There is concern that the\nchild is a victim of\nexploitation, domestic\nslavery, or being\nphysically abused in\ntheir private foster\nplacement" ] ], "row_count": 4, "col_count": 4 }, { "headers": [ "", "Level 1", "", "", "Level 2", "", "", "Level 3", "", "", "Level 4", "" ], "rows": [ [ "Child is in\neducation/training with\nno barriers to learning.\nPlanned progressions\nbeyond school/college.\nBehaviour issues are\nmanaged by the school.", "", "", "Child experiences\nfrequent moves\nbetween schools or\nprofessional concerns re\nhome education.\nReports of bullying but\nresponded to\nappropriately. Peer\nconcerns managed by\nthe school", "", "", "Child’s attendance is\nvaried with missing\nabsences and\nsuspensions. Recurring\nissues raised about\nchild’s home education.\nChild is unable to comply\nwith the school\nbehaviour system", "", "", "Child’s achievement is\nseriously impacted by\nlack of education.\nRegular breakdown of\nschool placements. Lack\nof trust in education\nsystem (young person or\nparents/carers).\nRepeated concerns carer\nis unable or unwilling to\nwork with school in the\nmanagement of\nbehaviour", "", "" ], [ "Developmental\nmilestones met", "", "", "Some developmental\nmilestones are not being\nmet which will be\nsupported by universal\nservices", "", "", "Some developmental\nmilestones are not being\nmet which will require\nsupport of\ntargeted/specialist\nservices\nConcerns as parenting\ncapacity may be\nimpacting on child’s\ndevelopment", "", "", "Developmental\nmilestones are\nsignificantly delayed or\nimpaired causing\nconcerns regarding\nongoing neglect. (not in\nthe case of those with a\ndisability)", "", "" ], [ "The child possesses age\nappropriate ability to\nunderstand and organise\ninformation and solve\nproblems, and makes\nadequate academic\nprogress", "", "", "The child's ability to\nunderstand and organise\ninformation and solve\nproblems is impaired\nand the child is under-\nachieving or is making\nno academic progress", "", "", "The child's ability to\nunderstand and organise\ninformation and solve\nproblems is very\nsignificantly impaired\nand the child is seriously\nunder-achieving or is\nmaking no academic\nprogress despite\nlearning support\nstrategies over a period\nof time\nParenting capacity may\nbe impacting child’s\ndevelopment with\nsuspected neglect", "", "", "The child's inability to\nunderstand and organise\ninformation and solve\nproblems is adversely\nimpacting on all areas of\nhis/her development\ncreating risk of\nsignificant harm, and\nconcerns of carer\nneglect", "", "" ], [ "The carer positively\nsupports learning and\naspirations and engages\nwith school", "", "", "The carer is not engaged\nin supporting learning\naspirations and/or is not\nengaging with the\nschool.", "", "", "The carer does not\nengage with the school\nand actively resists\nsuggestions of\nsupportive\ninterventions.", "", "", "The carer actively\ndiscourages or prevents\nthe child from learning\nor engaging with the\nschool", "", "" ] ], "row_count": 4, "col_count": 12 }, { "headers": [ "", "Level 1", "", "", "Level 2", "", "", "Level 3", "", "", "Level 4", "" ], "rows": [ [ "Carer protects their\nfamily from danger/\nsignificant harm.", "", "", "Carer on occasion does\nnot protect their family\nwhich if unaddressed\ncould lead to risk or\ndanger", "", "", "Carer frequently\nneglects/is unable to\nprotect their family from\ndanger/significant harm.\nParents or carers\npersistently avoid\ncontact / do not engage\nwith childcare\nprofessionals.", "", "", "Carer is unable to\nprotect their child from\nharm, placing their child\nat significant risk.\nAllegations of harm by a\nperson in a position of\ntrust. (MASM)", "", "" ], [ "Child shows no physical\nsymptoms which could\nbe attributed to neglect.", "", "", "Child occasionally shows\nphysical symptoms\nwhich could indicate\nneglect.", "", "", "Child consistently shows\nphysical symptoms\nwhich clearly indicate\nneglect", "", "", "Child shows physical\nsigns or emotional\nimpact of neglect which\nare attributable to the\ncare provided by their\ncarers.", "", "" ], [ "Child has injuries which\nare consistent with\nnormal childish play and\nactivities.", "", "", "Child has occasional, less\ncommon injuries which\nare consistent with the\nparents’ account of\naccidental injury - carers\nseek out or accept\nadvice on how to avoid\naccidental injury", "", "", "Child has injuries which\nare accounted for but\nare more frequent than\nwould be expected for a\nchild of a similar\nage/needs. Carer does\nnot know how injuries\noccurred or explanation\nunclear.", "", "", "Any allegations of abuse\nor neglect or any injury\nsuspected to be non-\naccidental injury to a\nchild. Repeated\nallegations or\nreasonable suspicion of\nnon-accidental injury.\nAny allegation of\nabuse/suspicious injury\nin a pre-mobile or non-\nmobile child. Child has\ninjuries more frequently\nwhich are not accounted\nand the child makes\ndisclosure and\nimplicates parents or\nolder family members.", "", "" ], [ "Carer does not physically\nharm their child\nincluding physical\nchastisement.", "", "", "Carer uses physical\nassault (no injuries) as\ndiscipline but is willing\nto access professional\nsupport to help them\nmanage the child’s\nbehaviour", "", "", "Carer uses physical\nassault (injuries) as\ndiscipline but is willing\nto access professional\nsupport to help them\nmanage the child’s\nbehaviour. And has\npreviously accessed\nsupport.", "", "", "Carer uses an implement\ncausing significant\nphysical harm to a child", "", "" ], [ "No concerns re conflict /\ntensions within the\nfamily", "", "", "Carer uses physical\nassault (no injuries) as\ndiscipline but is willing\nto access professional\nsupport to help them\nmanage the child’s\nbehaviour", "", "", "Family is experiencing a\ncrisis likely to result in\nthe breakdown of care\narrangements - no\nlonger want to care for\nchild", "", "", "Family have rejected /\nabandoned / evicted\nchild. Child has no\navailable parent and the\nchild is vulnerable to\nsignificant harm. Child\nnot living with a family\nmember", "", "" ] ], "row_count": 5, "col_count": 12 }, { "headers": [ "", "Level 1", "", "", "Level 2", "", "", "Level 3", "", "", "Level 4", "" ], "rows": [ [ "Nothing to indicate child\nis being sexually abused\nby their family /\nnetwork.", "", "", "Concerns relating to\ninappropriate sexual\nbehaviour which is not\nage appropriate / abuse\nwithin the family /\nnetwork but does not\namount to a criminal\noffence.", "", "", "Allegation of non-recent\nsexual abuse but no\nlonger in contact with\nperpetrator.", "", "", "Concerns re possible\ninappropriate sexual\nbehaviour from carer /\ncarer sexually abuses\ntheir child. Offender\nwho has risk to children\nstatus is in contact with\nFamily. Child who lives in\na household into which a\nregistered sex offender\nor convicted violent\noffender subject to\nM-APPA moves in", "", "" ], [ "Good knowledge of\nhealthy relationships\nand sexual health.", "", "", "Emerging concerns of\npossible sexual activity\nof a child.", "", "", "Suspicions of peer on\npeer sexual activity in a\nchild over 13 years old.\nChild under 16 is\naccessing sexual health\nand contraceptive\nservices.", "", "", "Suspicions of sexual\nabuse / sexually activity\nof a child. Direct\nallegation of sexual\nabuse/assault by child\nand belief that child is in\nimminent danger and in\nneed of immediate\nprotection.", "", "" ], [ "Good knowledge of\nhealthy relationships\nand sexual health", "", "", "Emerging sexually\ninappropriate behaviour.", "", "", "Send/receive\ninappropriate sexual\nmaterial produced by\nthemselves or other\nyoung people via digital\nor social media,\nconsidered as peer-on-\npeer abuse, including\ncoercive control.\nEvidence of concerning\nsexual behaviour –\naccessing violent /\nexploitative\npornography.", "", "", "Child is exhibiting\nharmful, sexual\nbehaviour. Early teen\npregnancy. Risk taking\nsexual activity", "", "" ] ], "row_count": 3, "col_count": 12 }, { "headers": [ "", "Level 1", "", "", "Level 2", "", "", "Level 3", "", "", "Level 4", "" ], "rows": [ [ "There is no concern the\nchild may be subject to\nharmful traditional\npractices", "", "", "Concern the child is in a\nculture where harmful\npractices are known to\nhave been performed\nhowever parents are\nopposed to the practices\nin respect of their\nchildren", "", "", "Concern the child may\nbe subject to harmful\ntraditional practices.", "", "", "Evidence the child may\nbe subject to harmful\ntraditional practices.", "", "" ], [ "There are no concerns\nthat the child is at risk of\nso - called Honour Based\nViolence.", "", "", "There are concerns that\na child may be subjected\nto so-called Honour\nBased Violence.", "", "", "There is evidence to\nindicate the child is at\nrisk of so–called Honour\nBased Violence.", "", "", "There is specific\nevidence to indicate a\nchild has been subjected\nto so–called Honour\nBased Violence or the\nchild has reported they\nhave been subjected to\nHonour Based Violence.", "", "" ], [ "There are no concerns\nthat the child is at risk of\nFemale Genital\nMutilation.", "", "", "History of practising\nFemale Genital\nMutilation within the\nfamily including female\nchild is born to a woman\nwho has undergone\nFemale Genital\nMutilation, older\nsibling/cousin who has\nundergone Female\nGenital Mutilation.\nFamily indicate that\nthere are strong levels of\ninfluence held by elders", "", "", "Any female child\nborn/unborn to a\nmother who has had\nFemale Genital\nMutilation and is from a\nprevalent country,\nfamily believe Female\nGenital Mutilation is\nintegral to cultural or\nreligious identity.\nFemale child talks about\na long holiday /\nconfirmed travel to her\ncountry of origin or", "", "", "Reports that female\nchild has had Female\nGenital Mutilation/ child\nrequests help as\nsuspects she is at risk of\nFemale Genital\nMutilation. Upon return\nfrom country where\npractice is prevalent,\nnoticeable changes in\nchild – dress code,\nexcusing from PE,\ndiscomfort in walking,", "", "" ] ], "row_count": 3, "col_count": 12 }, { "headers": [ "Child doesn’t express\nsupport for extreme\nviews or is too young to\nexpress such views\nthemselves", "Child makes reference to\nown and family extreme\nviews.", "A child is known to live\nwith an adult or older\nchild who has extreme\nviews. Child may\ninadvertently view\nextremist imagery.", "A child is sent extreme\nimagery / taken to\ndemonstrations or\nmarches where violent,\nextremist and/or age\ninappropriate imagery or\nlanguage is used. The\nchild/carers/ close\nfamily members /\nfriends are members of\nprescribed\norganisations,\npromoting the actions of\nviolent extremists\nand/or saying that they\nwill carry out violence in\nsupport of extremist\nviews including child\ncirculating violent\nextremist images." ], "rows": [ [ "Child engages in age\nappropriate use of\ninternet, including social\nmedia", "Child is at risk of\nbecoming involved in\nnegative internet use\nthat will expose them to\nextremist ideology,\nexpressing casual\nsupport for extremist\nviews.", "Child is known to have\nviewed extremist\nwebsites and has said\ns/he shares some of\nthose views but is open\nabout this and can\ndiscuss the pros and\ncons or different\nviewpoints", "Child is known to have\nviewed extremist\nwebsites and is actively\nconcealing internet and\nsocial media activities.\nThey either refuse to\ndiscuss their views or\nmake clear their support\nfor extremist views.\nSignificant concerns that\nthe child is being\ngroomed for\ninvolvement in extremist\nactivities" ], [ "Child engages in age\nappropriate activities\nand displays age\nappropriate behaviours\nand self-control.", "Child is expressing\nstrongly held and\nintolerant views towards\npeople who do not share\ntheir religious or political\nviews.", "Child is refusing to co-\noperate with activities at\nschool that challenge\ntheir religious or political\nviews, they are\naggressive and\nintimidating to others\nwho do not share their\nreligious or political\nviews.", "Child expresses strongly\nheld beliefs that people\nshould be killed because\nthey have a different\nview. Child is initiating\nverbal and sometimes\nphysical conflict with\npeople who do not share\ntheir religious or political\nviews." ], [ "Child engages in age\nappropriate activities\nand displays age\nappropriate behaviours\nand self-control.", "The child is expressing\nverbal support for\nextreme views some of\nwhich may be in\ncontradiction to British\nlaw.", "Concerns child has\nconnections to\nindividuals or groups\nknown to have extreme\nviews and they are being\neducated to hold\nintolerant, extremist\nviews", "Child has strong links\nand involved in activities\nand being educated by\nthose with individuals or\ngroups who are known\nto have extreme views /\nlinks to violent\nextremism." ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "", "Level 1", "", "", "Level 2", "", "", "Level 3", "", "", "Level 4", "" ], "rows": [ [ "The child has no history\nof substance misuse or\ndependency.", "", "", "The child is known to be\nusing drugs and alcohol\nfrequently with\noccasional impact on\ntheir social wellbeing.", "", "", "The child’s substance\nmisuse dependency is\naffecting their mental\nand physical health and\nsocial wellbeing - Child\npresents at hospital due\nto substance / alcohol\nmisuse. Carer indifferent\nto underage smoking /\nalcohol / drugs etc", "", "", "The child’s substance\nmisuse dependency is\nputting the child at such\nrisk that intensive\nspecialist resources are\nrequired.", "", "" ], [ "Carers/other family\nmembers do not use\ndrugs or alcohol or the\nuse does not impact on\nparenting", "", "", "Drug and/or alcohol use\nis impacting on\nparenting but adequate\nprovision is made to\nensure the child’s safety,\nconcerns this may\nincrease if continues.", "", "", "Drug/alcohol use by\ncarer has escalated to\nthe point where the\nchild is worrying about\ntheir carer/family\nmember. This is\nimpacting on quality of\nparenting the child\nreceives", "", "", "Carer/other family\nmembers drug and/or\nalcohol use is at a\nproblematic level and\nare unable to provide\ncare to child", "", "" ], [ "No signs or suspicion of\ndrug usage", "", "", "Child or household\nmember found in\npossession of Class C\ndrugs", "", "", "Previous concerns of\ndrug involvement / drug\nsupply and child or\nhousehold member\nfound in possession of\nClass A or Class B drugs /\ndrug paraphernalia\nfound in home", "", "", "Family home is used for\ndrug taking / dealing /\nillegal activities.", "", "" ], [ "No signs or suspicion of\ndrug usage", "", "", "Concerns of drug usage\nduring pregnancy", "", "", "Evidence of\nsubstance/drug misuse\nduring pregnancy – pre\n21 weeks gestation", "", "", "Evidence of\nsubstance/drug misuse\nduring pregnancy – post\n21 weeks gestation.", "", "" ] ], "row_count": 4, "col_count": 12 }, { "headers": [ "", "Level 1", "", "", "Level 2", "", "", "Level 3", "", "", "Level 4", "" ], "rows": [ [ "Expectant mother or\nparent is not in an\nabusive relationship.", "", "", "Expectant mother or\nparent is a victim of\noccasional or low-level\nnon-physical abuse.", "", "", "Expectant mother or\nparent has previously\nbeen a victim of\ndomestic abuse and is a\nvictim of occasional or\nlow-level physical abuse", "", "", "Expectant mother or\nparent is a victim of\nmedium / high level\ndomestic abuse which\nhas taken place on a\nnumber of occasions", "", "" ], [ "No history or incidents\nof violence, emotional\nabuse / economic\ncontrol or controlling or\ncoercive behaviour in\nthe family.", "", "", "There are isolated\nincidents of physical /\nemotional abuse /\neconomic control or\ncontrolling or coercive\nbehaviour in the family,\nhowever mitigating\nprotective factors within\nthe family are in place.\nEven if children reported\nnot to be present when\nincidents have occurred.", "", "", "Children suffering\nemotional harm when\nwitnessing physical /\nemotional abuse /\neconomic control /\ncoercive and controlling\nbehaviour within the\nfamily. Perpetrator/s\nshow limited or no\ncommitment to\nchanging their behaviour\nand little or no\nunderstanding of the\nimpact their behaviour\nhas on the child.", "", "", "Evidence suggesting\nchild is directly\nsubjected to verbal\nabuse, derogatory titles,\nand threatening and/or\ncoercive adult\nbehaviours. Child\nsuffering emotional\nharm and possibly\nphysical harm when\nwitnessing / involved\nwith physical /\nemotional abuse /\neconomic control /\ncoercive and controlling\nbehaviour within the\nfamily especially if they\nare trying to protect the\nadult victim. Frequency\nof incidents increasing in\nseverity / duration", "", "" ], [ "", "", "", "Information has become\nknown that a person\nliving in the house may\nbe a previous\nperpetrator of domestic\nabuse, although no sign\nof current or recent\nabuse is apparent.", "", "", "Confirmation previous\ndomestic abuse\nperpetrator residing at\nproperty. Carer\nminimises presence of\ndomestic abuse in the\nhousehold contrary to\nevidence of its\nexistence.", "", "", "Serious threat to\nparent's life or to child\nby violent partner. Child\ninjured in domestic\nviolence incident. Child\ntraumatised or\nneglected due to a\nserious incident of DV or\nchild is unborn", "", "" ] ], "row_count": 3, "col_count": 12 }, { "headers": [ "", "Level 1", "", "", "Level 2", "", "", "Level 3", "", "", "Level 4", "" ], "rows": [ [ "Child has good quality\nearly attachments,\nconfident in social\nsituations with strong\nfriendships and positive\nsocial interaction with a\nrange of peers,\ndemonstrating positive\nbehaviour and respect\nfor others", "", "", "Child has few friendships\nand limited social\ninteraction with their\npeers. Child has\ncommunication\ndifficulties and poor\ninteraction with others.\nChild exhibits aggressive,\nbullying or destructive\nbehaviours which\nimpacts on their peers,\nfamily and/or local\ncommunity. Support is in\nplace to manage this\nbehaviour. Child is a\nvictim of discrimination\nor bullying.", "", "", "Child is isolated and\nrefuses to participate in\nsocial activities,\ninteracting negatively\nwith others including\naggressive, bullying or\ndestructive behaviours,\nearly support has been\nrefused, or been\ninadequate to manage\nthis behaviour. Child has\nexperienced persistent\nor severe bullying which\nhas impacted on his/her\ndaily outcomes. Child\nhas significant\ncommunication\ndifficulties.", "", "", "Child is completely\nisolated, refusing to\nparticipate in any\nactivities, positive\ninteraction with others is\nseverely limited due to\ndisplays of aggressive,\nbullying or destructive\nbehaviours impacting on\ntheir wellbeing or safety.\nChild has experienced\nsuch persistent or severe\nbullying that his/her\nwellbeing is at risk. Child\nhas little or no\ncommunication skills", "", "" ], [ "There is a positive family\nnetwork and good\nfriendships outside the\nfamily unit.", "", "", "There is a significant lack\nof support from the\nextended family network\nwhich is impacting on\nthe parent’s capacity.", "", "", "There is a limited or\nnegative family network.\nThere is destructive or\nunhelpful involvement\nfrom the extended\nfamily. Child has\nmultiple carers; may\nhave no significant or\npositive relationship\nwith any of them/child\nhas no other positive\nrelationships", "", "", "The family network has\nbroken down or is highly\nvolatile and is causing\nserious adverse impact\nto the child", "", "" ], [ "Child engages in age\nappropriate use of\ninternet, gaming and\nsocial media", "", "", "Child is at risk of\nbecoming involved in\nnegative internet use,\nlacks control and is\nunsupervised in gaming\nand social media\napplications", "", "", "Child is engaged in or\nvictim of negative and\nharmful behaviours\nassociated with internet\nand social media use or\nis obsessively involved in\ngaming which interferes\nwith social functioning.\nEvidence of sexual\nmaterial being shared\nwithout consent.\nMultiple SIMs or phones", "", "", "Child is showing signs of\nbeing secretive,\ndeceptive and is actively\nconcealing internet and\nsocial media activities.\nRegularly coerced to\nsend / receive indecent\nimages. Coerced to meet\nin person for sexual\nactivity. There is a lack\nof parental supervision", "", "" ], [ "The family feels\nintegrated into the\ncommunity.", "", "", "The family is chronically\nsocially excluded and/ or\nthere is an absence of\nsupportive community\nnetworks.", "", "", "The family is socially\nexcluded and isolated to\nthe extent that it has an\nadverse impact on the\nchild", "", "", "The family is excluded\nand the child is seriously\naffected but the family\nactively resists all\nattempts to achieve\ninclusion and isolates\nthe child from sources of\nsupport", "", "" ] ], "row_count": 4, "col_count": 12 }, { "headers": [ "", "Peer Group / External", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Relationships", "", "", "", "", "", "", "", "", "", "" ], [ "Peer group engage in\npositive activities / clubs\n/ communities. The\ngroup understands risk\nand harm. Age\nappropriate and safe.\nPeers that have ‘turned\naround’ in their journey.", "", "", "Some indications that\nunknown adults and/or\nother exploited children\nhave contact with the\nchild/young person.\nSome indications of\nnegatively influential\npeers", "", "", "Unknown adults and/or\nother exploited\nchildren/young people\nassociating with the\nchild/young person.\nEscalation in behaviour\nof peer group.\nAccompanied by an\nadult who is not a legal\nguardian. Arrested with\nindividuals who at risk of\nexploitation / violence.", "", "", "Staying with someone\nbelieved to be exploiting\nthem. Person with\nsignificant relationship is\ncoercing child / young\nperson to meet and child\nis sexually or physically\nabused. Found with\nadults / high risk\nindividuals out of area or\nin UK. Is being exploited\nto ‘recruit’ others.", "", "" ], [ "", "Professional", "", "", "", "", "", "", "", "", "", "" ], [ "", "Engagement", "", "", "", "", "", "", "", "", "", "" ], [ "Trusted adult in\nprofessional network.\nImpactful engagement.\nCurious and flexible", "", "", "Limited referral history\nwith services. Lack of\nconfidence in worker /\nservice to manage risk or\nwork with adolescents.\nMultiple workers\nconfused or disagreeing\non risk.", "", "", "Services previously\ninvolved and closed;\nnew referral received for\nsimilar concerns. Despite\nattempts, professionals\nhave been unable to\nengage the young\nperson to date. Several\nservices involved but\nlittle change.", "", "", "History of multiple\nservices / referrals with\nlittle change or\nescalation in risk.\nServices report unable\nto keep child / young\nperson safe", "", "" ], [ "", "Missing", "", "", "", "", "", "", "", "", "", "" ], [ "Child comes homes on\ntime and does not run\naway from home. Their\nwhereabouts are always\nknown to their carer’s\nand they answer their\nphone", "", "", "Child has run away from\nhome on one or two\noccasions or not\nreturned at the normal\ntime. Concerns about\nwhat happened to them\nwhilst they were away,\nwhereabouts unknown.", "", "", "Child persistently runs\naway and/or goes\nmissing, serious\nconcerns about their\nactivity whilst away.\nParent does not report\nthem missing. Unable to\ngive explanations for\nwhereabouts.", "", "", "Child persistently runs\naway and/or goes\nmissing and does not\nrecognise that he/she is\nputting him/herself at\nrisk of exploitation,\ncriminal behaviour etc.\nPattern of sofa surfing,\nwhereabouts unknown", "", "" ] ], "row_count": 7, "col_count": 12 } ] }, { "case_id": 4750305, "title": "Eye Clinic", "authority": "Manx Care", "date_received": "2025-06-25", "outcome": "Some information sent but part exempt", "summary": "The request sought average wait times and cancellation statistics for the Eye Clinic since June 2024. Manx Care disclosed monthly waiting list data and detailed breakdowns of appointment and session cancellations, while noting that current waiting times are already publicly accessible.", "key_facts": [ "The request covered the period from June 1, 2024, to June 2025.", "Waiting list data provided is specific to 'First Outpatient Consultant Led' appointments.", "A total of 4,715 consultant-led appointments were cancelled during the period.", "A total of 362 consultant-led sessions were cancelled during the period.", "The authority cited Section 20 of the Act regarding information already reasonably accessible." ], "data_mentioned": [ "4715", "362", "3272", "229", "June 1 2024", "2025-06-25", "2025-07-18", "4750305", "52 weeks", "42 weeks" ], "exemptions_cited": [ "Section 20 of the Act (Information already reasonably accessible)" ], "tables": [ { "headers": [ "", "First Outpatient", "", "No. Waiting", ">52 weeks", "Mean", "", "Median Wait", "" ], "rows": [ [ "", "Consultant Led", "", "", "", "", "", "Time (Weeks)", "" ], [ "", "Jun-24", "", "3634", "1407", "51", "38", "", "" ], [ "", "Jul-24", "", "3626", "1475", "52", "39", "", "" ], [ "", "Aug-24", "", "3591", "1483", "53", "41", "", "" ], [ "", "Sep-24", "", "3605", "1440", "51", "38", "", "" ], [ "", "Oct-24", "", "3587", "1424", "51", "36", "", "" ], [ "", "Nov-24", "", "3650", "1407", "50", "37", "", "" ], [ "", "Dec-24", "", "3670", "1412", "50", "38", "", "" ], [ "", "Jan-25", "", "3738", "1434", "51", "39", "", "" ], [ "", "Feb-25", "", "3767", "1439", "50", "39", "", "" ], [ "", "Mar-25", "", "3742", "1460", "51", "40", "", "" ], [ "", "Apr-25", "", "3782", "1512", "52", "40", "", "" ], [ "", "May-25", "", "3683", "1479", "51", "41", "", "" ], [ "", "Jun-25", "", "3525", "1409", "51", "42", "", "" ] ], "row_count": 14, "col_count": 9 }, { "headers": [ "Appointment Cancellation Reason", "", "", "All Cancelled\nAppointments", "", "Cancelled", "" ], "rows": [ [ "", "", "", "", "", "Appointments Within 6", "" ], [ "", "", "", "", "", "Weeks", "" ], [ "", "3rd Party Cancellation", "", "2", "1", "", "" ], [ "", "Administrative Error", "", "316", "227", "", "" ], [ "", "Appointment cancelled/not suitable", "", "175", "110", "", "" ], [ "", "Cancelled - COVID-19", "", "2", "2", "", "" ], [ "", "Clinic Overbooked", "", "2", "2", "", "" ], [ "", "Clinician on Call", "", "20", "20", "", "" ], [ "", "Clinician on Holiday", "", "7", "6", "", "" ], [ "", "Clinician Sick", "", "3", "3", "", "" ], [ "", "Clinician Unavailable", "", "1630", "1104", "", "" ], [ "", "Consultant On Holiday", "", "7", "1", "", "" ], [ "", "Consultant on Study Leave", "", "3", "3", "", "" ], [ "", "Consultant Unavailable", "", "1", "1", "", "" ], [ "", "Expedite", "", "126", "19", "", "" ], [ "", "Hospital - Other Reason", "", "210", "123", "", "" ], [ "", "No Patients Booked", "", "1", "1", "", "" ], [ "", "Other Hospital Appt", "", "74", "68", "", "" ], [ "", "Patient - On Holiday", "", "465", "261", "", "" ], [ "", "Patient - Other", "", "687", "530", "", "" ], [ "", "Patient - Other more pressing", "", "198", "172", "", "" ], [ "", "engagement", "", "", "", "", "" ], [ "", "Patient - Reason Unknown", "", "21", "20", "", "" ], [ "", "Patient Died", "", "102", "41", "", "" ], [ "", "Patient doesn't wish to attend", "", "119", "82", "", "" ], [ "", "Patient Gone Private", "", "42", "31", "", "" ], [ "", "Patient Request", "", "135", "96", "", "" ], [ "", "Patient Sick", "", "303", "301", "", "" ], [ "", "Patients Holiday", "", "26", "15", "", "" ], [ "", "Session re-structure", "", "38", "32", "", "" ], [ "", "Total", "", "4715", "3272", "", "" ] ], "row_count": 31, "col_count": 7 }, { "headers": [ "Session Cancellation Reason", "", "", "All Cancelled Sessions", "", "Cancelled Sessions", "" ], "rows": [ [ "", "", "", "", "", "Within 6 Weeks", "" ], [ "", "Administration", "", "2", "2", "", "" ], [ "", "Clinician on Holiday", "", "194", "116", "", "" ], [ "", "Clinician Sick", "", "1", "1", "", "" ], [ "", "Clinician unavailable", "", "101", "97", "", "" ], [ "", "Directorate Meeting", "", "20", "6", "", "" ], [ "", "Session re-structure", "", "25", "4", "", "" ], [ "", "Study / Professional Leave", "", "19", "3", "", "" ], [ "", "Total", "", "362", "229", "", "" ] ], "row_count": 9, "col_count": 7 } ] }, { "case_id": 4753225, "title": "Hospital admissions-covid", "authority": "Manx Care", "date_received": "2025-06-25", "outcome": "All information sent", "summary": "The requester asked Manx Care for weekly COVID-19 admission data from 2020-2022, total figures for 2023-2024, monthly total hospital admissions, and details on PCR testing brands. Manx Care provided the requested admission statistics and confirmed the total number of hospital episodes, though the response text cuts off before addressing the PCR brand details.", "key_facts": [ "Manx Care provided a weekly breakdown of COVID-19 admissions from March 2020 to December 2022.", "Total COVID-19 admissions were 243 in 2023 and 142 in 2024.", "The total number of hospital admission episodes for any reason from March 2020 to December 2024 is 95,459.", "Weeks with zero COVID-19 admissions were excluded from the weekly breakdown list.", "The response was issued on 18 July 2025 regarding a request received on 25 June 2025." ], "data_mentioned": [ "95459", "243", "142", "715", "2020-03-23", "2022-12-26", "2023-01-01", "2024-12-31", "2025-06-25", "2025-07-18" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "Admission Date Year", "", "", "Admission Date Week", "", "", "Admission Week Date", "", "", "Admissions (10 plcs)", "" ], "rows": [ [ "", "2020", "", "", "13", "", "", "23/03/2020", "", "", "5", "" ], [ "2020 14 30/03/2020 13", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "2020", "", "", "15", "", "", "06/04/2020", "", "", "12", "" ], [ "2020 16 13/04/2020 8", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "2020", "", "", "17", "", "", "20/04/2020", "", "", "1", "" ], [ "2020 18 27/04/2020 2", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "2020", "", "", "19", "", "", "04/05/2020", "", "", "2", "" ], [ "2020 20 11/05/2020 1", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 8, "col_count": 12 }, { "headers": [ "", "2020", "", "", "44", "", "", "26/10/2020", "", "", "1", "" ], "rows": [ [ "2020 45 02/11/2020 1", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "2020", "", "", "46", "", "", "09/11/2020", "", "", "1", "" ], [ "2020 51 14/12/2020 1", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "2020", "", "", "52", "", "", "21/12/2020", "", "", "1", "" ], [ "2020 53 28/12/2020 1", "", "", "", "", "", "", 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"", "", "11", "", "", "1430", "" ], [ "2024 12 1377", "", "", "", "", "", "", "", "" ] ], "row_count": 31, "col_count": 9 } ] }, { "case_id": 4753989, "title": "CAG minutes May 2024", "authority": "Manx Care", "date_received": "2025-06-25", "outcome": "Some information sent but not all held", "summary": "The requester sought unredacted Clinical Advisory Group minutes and correspondence regarding COVID-19 vaccine safety discussions from May 2024 to June 2025, along with details on oversight committees. Manx Care responded that some information was provided, but not all requested data was held by the authority.", "key_facts": [ "The request was received by Manx Care on 25 June 2025.", "The outcome was determined on 14 November 2025 as 'Some information sent but not all held'.", "The response letter is dated 21 July 2025.", "The request specifically targeted minutes from the May 2024 CAG meeting and subsequent meetings up to June 2025.", "The requester challenged previous redactions of names under Section 26, 35, and 36 of the Isle of Man FOI Act 2015." ], "data_mentioned": [ "76.26%", "5 deaths", "7 public FOIs", "2021-2024", "2 supporting papers", "Section 26", "Section 35", "Section 36" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "Item", "", "Subject", "Action by:" ], "rows": [ [ "", "No.", "", "", "" ], [ "35/24", "", "", "Apologies for Absence", "" ], [ "36/24", "", "", "Review notes/Matters arising from previous meeting\nApproved", "Notes CAG\n2024.04.17.docx" ], [ "37/24", "", "", "Review of Action Log\nAction log reviewed and updated", "CAG Action Log\n2024.xlsx" ] ], "row_count": 4, "col_count": 5 }, { "headers": [ "", "also agrees that in terms of practice he supports vaccination with\ninformed consent.\nwill check whether has any further comments however it was\nagreed that this subject has been fully discussed.", "" ], "rows": [ [ "39/24", "Updated Draft Cannabis Based Medicinal Products Policy – for discussion\nPresented by\nThis is V2 as the Original policy was never published. The policy is around\ncannabis based medicinal products in acute care. I.e. Inpatient setting for\npatients who may have accessed and are using cannabis based medicinal\nproducts (CBMP).\nIt is brought back to CAG for consultation/comment following a change to\nthe flow diagram (p.3) to include flowers for tisane or products to be\nsmoked. (This follows a case recently where a patient was allowed to\ncontinue using a smoking product for anxiety issues whilst an inpatient).\nFollowing a question and recommendation by it was established that\nthe policy will be available on Manx Care SharePoint and will also be\npublicly available via the DHSC website. Once published will advise\nComms accordingly.\nNo further comments therefore will take through SNLT and IMOG for\nratification.", "24-05 v3-2 Manx\nCare Acute Approach" ], [ "40/24", "AOB\nNone", "" ], [ "41/24", "Date of next meeting:\nWednesday, 26th June 2024 @ 1600 hrs", "" ] ], "row_count": 3, "col_count": 3 } ] }, { "case_id": 4792298, "title": "Ever-growing dental waiting list", "authority": "Manx Care", "date_received": "2025-07-15", "outcome": "All information sent", "summary": "The requester asked for the longest duration any individual has spent on the dental waiting list in the Isle of Man. Manx Care disclosed that as of 30 June 2025, the maximum wait was 2,099 days for an adult and 1,259 days for a child.", "key_facts": [ "The request was received on 15 July 2025 and responded to on 16 July 2025.", "The data provided covers the status of the dental waiting list as of 30 June 2025.", "The longest wait recorded for an adult on the list is 2,099 days.", "The longest wait recorded for a child on the list is 1,259 days.", "The average waiting time is 550 days for adults and 525 days for children." ], "data_mentioned": [ "2,099", "1,259", "550", "525", "30 June 2025", "15 July 2025", "16 July 2025", "4792298" ], "exemptions_cited": [], "tables": [ { "headers": [ "Category", "Maximum Days Waited", "Average Days Waited" ], "rows": [ [ "Adults", "2,099", "550" ], [ "Children", "1,259", "525" ] ], "row_count": 2, "col_count": 3 } ] }, { "case_id": 4800225, "title": "OHR: Copy of Principal Clinical Psychologist JD & PS", "authority": "Cabinet Office", "date_received": "2025-07-15", "outcome": "All information sent", "summary": "The requester asked for the job description and person specification for a Principal Clinical Psychologist position advertised in December 2015, along with confirmation of appointment. The Cabinet Office disclosed all requested information, providing the full job description and person specification documents.", "key_facts": [ "The request was made to the Office of Human Resources within the Cabinet Office.", "The position was for a Principal Clinical Psychologist within the Crisis & Inpatient Recovery Service.", "The advertised role required HCPC registration and a postgraduate doctoral degree in Clinical Psychology.", "The job description outlines duties including complex psychological assessments and evidence-based treatments.", "The authority confirmed that all information was sent to the requester." ], "data_mentioned": [ "08 December 2015", "Jobtrain ID: 2883", "Pay Band: 8b", "Job Evaluation Reference No: 0426v5/JE/15", "23 pages", "2 documents", "2025-07-15", "2025-07-30" ], "exemptions_cited": [], "tables": [ { "headers": [ "Job Title:", "Principal Clinical Psychologist" ], "rows": [ [ "Location:", "Crisis & Inpatient Recovery Service" ], [ "Accountable to:", "Director, Mental Health Service" ], [ "Reports to:", "Manager, Crisis & Inpatient Recovery Service" ], [ "Pay Band:", "8b" ], [ "Job Evaluation\nReference No:", "0426v5/JE/15" ], [ "Organisation Chart:\n(attached)", "See Page 14" ], [ "JOB PURPOSE\nTo provide a qualified specialist clinical psychology service to patients of the service team, across\nall sectors of care; providing specialist psychological assessment and therapy at the same time as\noffering advice, training and consultation on patients psychological care to non-psychologist\ncolleagues and to other, non professional carers, working autonomously within professional\nguidelines and the overall framework of the team’s policies and procedures. To utilise research\nskills for audit, policy and service development and research within the area served by the\nteam/service.\nThe post holder will apply an empirical approach to psychological problems expressing concepts in\noperational terms and empirically evaluating treatment, using both group and single case\nexperimental designs in everyday clinical practice. The post holder will provide treatment which will\nfocus on the opportunity for new adaptive learning and on producing changes outside of the\nclinical setting. Problem solving is an important integral part of this treatment. The post holder will\nmake all aspects of therapy explicit to the patient, and the post holder will endeavour to work in a\ncollaborative relationship with the patient in which they plan together strategies to deal with clearly\nidentified problems. Therapy is time-limited, and has explicitly agreed goals. To thereby help\nunderstand, prevent and ameliorate psychological distress and disorder and improve the mental\nhealth and well being of local service users.", "" ] ], "row_count": 7, "col_count": 2 }, { "headers": [ "CRITERIA FOR\nSELECTION\n(Justifiable as\nnecessary for safe and\neffective performance)", "ESSENTIAL REQUIREMENTS\n(A clear definition for the necessary criteria)", "", "", "DESIRABLE REQUIREMENTS\n(Where available, elements that\ncontribute to improved/immediate\nperformance in the job)", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "", "", "METHOD OF", "", "", "LINK", "" ], [ "", "", "", "", "", "", "ASSESSMENT", "", "", "TO", "" ], [ "", "", "", "", "", "", "(Application, CV,", "", "", "KNOWL", "" ], [ "", "", "", "", "", "", "Portfolio,", "", "", "EDGE &", "" ], [ "", "", "", "", "", "", "Certificates,", "", "", "SKILLS", "" ], [ "", "", "", "", "", "", "References,", "", "", "FRAME", "" ], [ "", "", "", "", "", "", "Interview)", "", "", "WORK", "" ], [ "QUALIFICATIONS", "", "1. 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Pre-qualification training and" ], "rows": [ [ "qualifications in research" ], [ "methodology, staff training and/or" ], [ "other fields of applied psychology." ], [ "" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "KNOWLEDGE &\nEXPERIENCE", "", "", "", "", "", "", "1. Doctorate\ncertificate or\nequivalent\ntraining\ncompleted in an\nEEA member\nstate and\nmeaningful work\nexperience\n2. Interview\n3. CV\n4. Application form]\n5. References", "" ], "rows": [ [ "", "", "1. Doctoral level knowledge of research methodology, research design", "", "", "1. 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Experience of working with a wide variety of client groups, with" ], "rows": [ [ "patients of all ages across the lifespan and of wide-ranging presenting" ], [ "problems that reflect the full spectrum of clinical complexity and" ], [ "severity." ], [ "" ], [ "12. Experience of teaching, training and/or supervision." ], [ "" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "SKILLS &" ], [ "ABILITIES" ], [ "" ], [ "" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "1. Doctorate" ], [ "certificate or" ], [ "equivalent" ], [ "training" ], [ "completed in an" ], [ "EEA member" ], [ "state" ], [ "2. Interview" ], [ "3. CV" ], [ "4. Application form" ], [ "5. References" ] ], "row_count": 11, "col_count": 1 }, { "headers": [ "", "", "4. 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When communicating with patients, carers and colleagues, has the high", "", "", "", "" ], [ "", "", "level interpersonal skills necessary to obtain and convey highly", "", "", "", "" ], [ "", "", "complex, sensitive or contentious information in emotionally charged", "", "", "", "" ], [ "", "", "and extremely emotive settings, in a manner that addresses and", "", "", "", "" ], [ "", "", "overcomes psychological resistance, hostility, antagonism, and", "", "", "", "" ], [ "", "", "problems of motivation and engagement, as well as barriers to", "", "", "", "" ], [ "", "", "understanding arising from cognitive, cultural or linguistic factors.", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "9. Ability to respond safely to physical aggression and to promote", "", "", "", "" ], [ "", "", "personal safety and the safety of others, drawing on training in de-", "", "", "", "" ], [ "", "", "escalation and breakaway where provided.", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "10. Skills in providing consultation and advice from a psychological", "", "", "", "" ] ], "row_count": 39, "col_count": 7 }, { "headers": [ "", "", "", "", "perspective to members of other professional and non-professional", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "groups.", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "11. 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Personal experience of working" ], [ "with people with mental health" ], [ "problems." ], [ "" ], [ "2. Experience of working within a" ], [ "multicultural framework." ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "1. Doctorate" ], [ "certificate or" ], [ "equivalent if the" ], [ "training was" ], [ "undertaken in" ], [ "other country" ], [ "2. Interview" ], [ "3. CV" ], [ "4. Application form" ], [ "5. References" ] ], "row_count": 10, "col_count": 1 } ] }, { "case_id": 4806927, "title": "FOI Request - RPA/RPS Correspondence and Private Practice Oversight", "authority": "Manx Care", "date_received": "2025-07-17", "outcome": "Some information sent but part exempt", "summary": "The request sought correspondence and oversight documents regarding private-practice imaging sessions at Manx Care from 2021 to present, but the authority provided a 2021 annual radiation safety report covering the period 2019-2021 instead, with part of the information exempt.", "key_facts": [ "The response includes an IRS Annual Report for Nobles Hospital covering the period 1st June 2019 to 31st May 2021.", "In 2020, the statutory 2 mSv dose investigation level for whole body exposure was exceeded by a Nuclear Medicine staff member.", "Extremity dose investigation levels were exceeded in both 2019 and 2020 for Nuclear Medicine staff.", "Unusually high doses in Radiology in 2019 were attributed to cargo x-ray machines scanning packages despite x-ray sensitive labels.", "Dose sharing cooperation exists between Manx Care and Manx Medical Limited (MML) for employees working at both sites." ], "data_mentioned": [ "20 mSv", "500 mSv", "1.42 mSv", "2.24 mSv", "58 mSv", "64 mSv", "1.69 mSv", "1.21 mSv", "4.02 mSv", "0.36 mSv", "0.4 mSv", "1st June 2019", "31st May 2021", "Wednesday 6th October 2021", "2019", "2020", "2016", "2017", "2018", "174", "132.8", "120.89", "136.82", "83.56" ], "exemptions_cited": [], "tables": [ { "headers": [ "REPORT OF THE WORK OF" ], "rows": [ [ "INTEGRATED RADIOLOGICAL SERVICES LIMITED" ], [ "FOR" ], [ "Nobles Hospital – Isle of Man" ], [ "Reporting Period 1st June 2019 to 31st May 2021" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Name", "", "", "FINGER\nHp 0.07\n(mSv)\n2016", "FINGER\nHp 0.07\n(mSv)\n2017", "FINGER\nHp 0.07\n(mSv)\n2018", "FINGER\nHp 0.07\n(mSv)\n2019", "FINGER\nHp 0.07\n(mSv)\n2020" ], "rows": [ [ "", "", "", "80.8", "58", "53.2", 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Supervised area\nnow MR controlled\naccess area", "" ], [ "12.07.2024", "", "No amendments\nrequired.", "" ], [ "", "", "", "" ] ], "row_count": 4, "col_count": 4 }, { "headers": [ "Policy Title", "e\nUltrasound Vetting Guidelines" ], "rows": [ [ "Author(s)", "o" ], [ "Document effective from", "r\nJune 2023" ], [ "n\nNext review due", "t\nJune 2025" ], [ "o\nIntended audience\nc", "Sonographers\nRadiologists\nAny staff member involved in the administration of ultrasound\nrequests" ], [ "n\nSuperseded documents", "Vetting guidelines for Ultrasound Examinations (June 2020)" ], [ "U\nPrevious reviews", "" ], [ "Changes made during\nlatest review", "" ] ], "row_count": 7, "col_count": 2 }, { "headers": [ "Vetting", "l\no\nTriaging process to assess if an ultrasound\nr\nrequest is justified and to assess its clinical\nurgency" ], "rows": [ [ "t\nn\nJustification", "Assessment of the clinical information in a\nultrasound request and the subsequent\nappropriate use of ultrasound, to answer 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[ "Cancel", "Wrong exam requested", "p\nCNCEXAM" ], [ "Cancel", "Wrong exam, changed to correct exam", "CNCEXCH" ], [ "Cancel", "Wrong demographics", "o\nDEMOG" ], [ "Reject", "C\nInadequate information, please discuss", "IR" ], [ "Reject", "Inappropriate requester", "IR" ], [ "Reject", "Not justified under current guidelines", "NT" ], [ "Reject", "d\nOther rejection reason", "OTHERJ" ] ], "row_count": 8, "col_count": 3 }, { "headers": [ "Examination", "Time frame", "y\nRequests accepted from" ], "rows": [ [ "Urgent ED e.g. trauma, sepsis,\n?ectopic pregnancy etc.", "Same day", "p\nED, wards" ], [ "DVT", "Next free allocated slot (11\nam and 2pm) as in ED diary", "o\nED, wards,\nOP if they have same day\nfollow up\n(NOT GP’s)" ], [ "Carotid", "Within 1 week", "C\nHospital Consultants only" ], [ "Cancer referrals on 2ww\npathway", "d\nWithin 2 weeks", "GP’s, secondary care" ], [ "Post-Menopausal Bleeding\n(PMB)", "e\nWithin l2 weeks – dates will\nbe dictated by PIC", "PMB pathway –Hospital\nConsultant\n(NOT GP’s)" ], [ "Outpatients (secondary care)", "l\no\nAs directed by clinical\nrinformation and priority on\nrequest", "Secondary care" ], [ "t\nGP’s (primnary care)", "As directed by clinical\ninformation and priority on\nrequest", "GP’s" ], [ "o\nReferrer requested", "As directed by referrer on the\nrequest", "GP’s, secondary care" ], [ "c\nn\nPrivate Patients", "Within 2 weeks\nTo be performed out of hours\nusually between 8-9 am and\n5-6 pm", "GP’s Including private GP\npractice, Hospital Consultants" ], [ "General Obstetric requests", "As dictated by screening\npathway and/or clinical need", "Hospital consultants, some\nmidwives\nNot GP’s" ], [ "Early Pregnancy Issues", "Next available EPAU, or\nsooner if clinically indicated", "Requests to be generated\nthrough EPAU, or ED if\nclinically unstable ?ectopic" ] ], "row_count": 11, "col_count": 3 } ] }, { "case_id": 4821561, "title": "Waiting list information for orthopaedics.", "authority": "Manx Care", "date_received": "2025-07-23", "outcome": "All information sent", "summary": "A request for orthopaedic waiting list statistics and prioritisation criteria was made to Manx Care, resulting in the disclosure of patient volumes, clinical definitions, and partial waiting time data as of July 2025.", "key_facts": [ "As of July 2025, there were 164 patients awaiting a first outpatient appointment, 23 awaiting day case procedures, and 48 awaiting inpatient procedures.", "Clinical prioritisation categories include Two Week Wait (suspected cancers), Urgent (within 6 weeks), and Routine (all other referrals).", "Average waiting time from referral to first appointment is 13 weeks for routine cases and 4 weeks for urgent cases.", "Manx Care cannot provide waiting times from first appointment to treatment due to a lack of functionality in their patient administration system.", "Waiting times from 'Decision to Treat' to treatment are available, ranging from 9 weeks (median routine day case) to 39 weeks (average urgent day case).", "A business case for enabling Referral to Treatment (RTT) monitoring is pending a funding decision by the DHSC and Treasury." ], "data_mentioned": [ "164", "23", "48", "156", "8", "22", "1", "47", "14 working days", "6 weeks", "13 weeks", "4 weeks", "12 weeks", "5 weeks", "11 weeks", "39 weeks", "9 weeks", "24 weeks", "20 weeks", "13 weeks", "July 2025", "23 July 2025", "12 August 2025", "4821561" ], "exemptions_cited": [], "tables": [ { "headers": [ "Service Type", "Priority", "Number of Patients" ], "rows": [ [ "First Outpatient Appointment", "Routine", "156" ], [ "Urgent", "8", "" ], [ "Day Case Procedures", "Routine", "22" ], [ "Urgent", "1", "" ], [ "Inpatient Procedures", "Routine", "47" ], [ "Urgent", "1", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "Stage", "Priority", "Average Waiting Time (Weeks)", "Median Waiting Time (Weeks)" ], "rows": [ [ "Referral to First Appointment", "Routine", "13", "12" ], [ "Urgent", "4", "5", "" ], [ "Day Case: Decision to Treat to Treatment", "Routine", "11", "9" ], [ "Urgent", "39", "39", "" ], [ "Inpatient: Decision to Treat to Treatment", "Routine", "24", "20" ], [ "Urgent", "13", "13", "" ] ], "row_count": 6, "col_count": 4 } ] }, { "case_id": 4839086, "title": "Health and Social Care Ombudsman Report 2025", "authority": "Department of Health and Social Care", "date_received": "2025-07-31", "outcome": "Request lapsed - requested information not provided", "summary": "The requester asked for the receipt date and publication location of the 2025 Health and Social Care Ombudsman annual report, but the Department of Health and Social Care refused to disclose this specific information citing an exemption for future publication.", "key_facts": [ "The request was deemed 'qualified exempt' under Section 41 of the Freedom of Information Act 2015 because the information is scheduled for future public release.", "The HSCOB annual report must be delivered to the Department by 31 August of the completion year.", "The Department is required to publish the report within one month of it being laid before Tynwald.", "The previous 2023/24 report was delivered on 14 August 2024 and laid before Tynwald on 21 January 2025.", "The request was officially closed on 21 August 2025." ], "data_mentioned": [ "31st March 2025", "31st of August", "14th August 2024", "21st January 2025", "21 August 2025", "31 July 2025", "4839086", "Section 41", "Section 15", "one month" ], "exemptions_cited": [ "Section 41 of the Freedom of Information Act 2015 (Information for future publication)" ], "tables": [ { "headers": [ "Event", "Date" ], "rows": [ [ "HSCOB delivering their report to the Department", "14th August 2024" ], [ "Department laying the report before Tynwald", "21st January 2025" ] ], "row_count": 2, "col_count": 2 } ] }, { "case_id": 4839385, "title": "Request for anonymised EMS operational data for academic research", "authority": "Manx Care", "date_received": "2025-07-31", "outcome": "Some information sent but not all held", "summary": "A researcher requested anonymised EMS operational data for 2022-2024 to develop AI forecasting models, but Manx Care could not provide the data in the requested format due to system limitations, instead supplying a partial dataset containing beat, accept time, and response time.", "key_facts": [ "The request was made on 2025-07-31 and responded to on 2025-09-04.", "Manx Care refused the specific request under section 11(3)a of the Act because the information was not held in the requested format.", "The authority explained that their system does not allow addresses to be separated into just area codes.", "A partial dataset was provided containing Beat, Accept Time, and Response Time columns.", "The response included 639 pages across 2 documents." ], "data_mentioned": [ "2022-2024", "2025-07-31", "2025-09-04", "4839385", "639", "2", "section 11(3)a", "00:11:55", "00:09:09", "00:34:01" ], "exemptions_cited": [ "Section 11(3)a of the 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"NORTH", "19:42:14", "00:11:40" ], [ "EAST", "20:31:17", "00:26:07" ] ], "row_count": 47, "col_count": 3 } ] }, { "case_id": 4847349, "title": "Policy for the Management of Sepsis in Adults", "authority": "Manx Care", "date_received": "2025-08-04", "outcome": "All information sent", "summary": "The requester asked for the Sepsis Management Policy for Nobles Hospital and an explanation of the National Early Warning Score system. Manx Care provided the requested policies and confirmed the use of NEWS2, but redacted personal data from the documents citing an absolute exemption.", "key_facts": [ "Manx Care confirmed that the NEWS2 system is used in the hospital.", "NEWS2 has been in place since October 2023, replacing the original NEWS system used since 2014.", "NEWS2 is integrated into the Patientrack e-observation and Smart page paging systems.", "Personal data within the provided documents was redacted to comply with data protection principles.", "The response included 4 documents totaling 20 pages regarding the sepsis policy." ], "data_mentioned": [ "October 2023", "2014", "4847349", "20 pages", "4 documents", "2025-08-04", "2025-08-20" ], "exemptions_cited": [ "Section 25 of the Act (absolutely exempt personal information)", "Article 5 of the General Data Protection Regulation", "Article 6 of the GDPR", "Article 9 of the GDPR" ], "tables": [ { "headers": [ "Red Flag Sepsis Criteria (Tick all that apply)", "", "", "", "", "", "" ], "rows": [ [ "RR ≥ 25 breaths/min", "", "", "", "ProCalcitonin ≥ 2.0", "", "" ], [ "HR > 130 bpm", "", "", "", "", "New need for Oxygen to", "" ], [ "", "", "", "", "", "maintain O2 Saturation ≥ 92%", "" ], [ "ACVPU less than Alert (C, V, P or U)", "", "", "", "", "Chemotherapy in last 6 weeks", "" ], [ "", "", "", "", "", "(Use Neutropenic Sepsis Pathway)", "" ], [ "", "Systolic BP ≤ 90 mmHg", "", "", "", "Not passed urine in last 18 hours", "" ], [ "", "(Or drop of >40 mmHg from normal)", "", "", "", "(Or urine output less than 0.5ml/kg/hr)", "" ], [ "Lactate ≥ 2", "", "", "", "", "Skin: Non-blanching rash,", "" ], [ "", "", "", "", "", "mottled, ashen or cyanosed", "" ] ], "row_count": 9, "col_count": 7 }, { "headers": [ "Sepsis Six (Within 1 hour) Time Completed", "", "", "", "", "", "", ":", "" ], "rows": [ [ "B", "", "", "Blood Cultures", "", "", "Ideally before antibiotics", "", "" ], [ "", "", "", "", "", "", "Also request urgent bloods", "", "" ], [ "U", "", "", "Urine Output", "", "Record fluid balance (consider catheter)", "", "", "" ], [ "F", "", "", "Fluids (IV)", "", "", "At least 20ml/kg of crystalloid as 500ml STAT boluses", "", "" ], [ "", "", "", "", "", "", "even if BP is normal (caution in heart failure)", "", "" ], [ "", "A", "", "Antibiotics (IV)", "", "", "As per antibiotic formulary (consider allergies)", "", "" ], [ "", "", "", "", "", "", "Consider source control or urgent referral for it", "", "" ], [ "", "L", "", "Lactate", "", "Measure initially and repeat after IV fluids", "", "", "" ], [ "", "O", "", "Oxygen", "", "", "Target O2 Saturation: 94 – 98%", "", "" ], [ "", "", "", "", "", "", "(For CO2 Retainer: 88 – 92%)", "", "" ] ], "row_count": 10, "col_count": 9 }, { "headers": [ "", "Infection", "", "Recommendation", "", "Alternative/Comments", "" ], "rows": [ [ "Community Acquired\nPneumonia (CAP)", "", "", "Co-amoxiclav 1.2g 8 hourly\n+ Clarithromycin 500mg\n12 hourly", "Refer to antimicrobial formulary for alternative antibiotics\nand for other types of Pneumonia.", "", "" ], [ "Urinary Tract", "", "", "Piperacillin / Tazobactam\n(Tazocin) 4.5g 8 hourly", "Ciprofloxacin 400mg 12 hourly\n+ Gentamicin 5mg/kg once daily dosing", "", "" ], [ "Intra-abdominal\nOr Biliary Tract", "", "", "Co-amoxiclav 1.2g 8 hourly\n+ Gentamicin 5mg/kg as a\nsingle dose", "", "Ciprofloxacin 400mg 12 hourly", "" ], [ "", "", "", "", "", "+ Metronidazole 500mg 8 hourly", "" ], [ "", "", "", "", "", "+ Gentamicin 5mg/kg as a single dose", "" ], [ "Cellulitis", "", "", "Flucloxacillin 1g 6 hourly\n(No history of MRSA infection /\ncolonisation)", "Teicoplanin 400mg 12 hourly for first 3 doses then OD.\n(Increase dose in severe infections)", "", "" ], [ "Unknown Source", "", "", "", "", "", "" ], [ "Other Sources", "", "", "", "", "", "" ] ], "row_count": 8, "col_count": 7 }, { "headers": [ "Reader Information", "" ], "rows": [ [ "Title", "Hospitals Directorate Policy for the Management of Sepsis in Adults" ], [ "Author / Contact\nDetails", "" ], [ "Publication Date", "December 2018" ], [ "Target Audience", "All Hospitals Directorate Staff who are involved in caring for patients aged 16\nyears and above" ], [ "Description", "This policy describes the actions which must be taken by any staff member\nwho may be involved in the care of any patient aged 16 years and above\nwho may have sepsis. There is a separate pathway for children under the\nage of 16." ], [ "Changes", "The new sepsis criteria were introduced in October 2017. Neutropaenic\nSepsis became a stand-alone policy in 2019. Maternal Sepsis is also a\nseparate, stand-alone Policy." ], [ "Cross Reference", "Noble’s Hospital Adult National Early Warning Score Policy 136/2015\nSepsis pathway 2017 (Appendix 1)\nNeutropaenic sepsis Policy 2018\nMaternal Sepsis Policy\nNoble’s Hospital Antimicrobial Policy Oct 2017" ], [ "Superseded\nDocuments", "0012/April 2014 Management of Sepsis in Adults" ] ], "row_count": 8, "col_count": 2 }, { "headers": [ "Author(s)", "", "", "" ], "rows": [ [ "Version Number", "1.0", "", "" ], [ "Document effective from", "November 2024", "", "" ], [ "Next review due", "September 2026", "", "" ], [ "", "", "", "" ], [ "Intended audience/scope", "All Hospitals Directorate Staff who are involved in caring for patients\naged 16 years and above", "", "" ], [ "Superseded documents", "", "", "" ], [ "Stakeholders consulted prior to\nratification", "Clinical Advisory Group, Medical Director, Medical and Surgical\nDoctors and Nursing Staff", "", "" ], [ "Ratified by", "CAG", "", "Date 24 September 2024" ], [ "Previous reviews", "", "", "" ], [ "Changes made during latest\nreview", "Update from previous policy", "", "" ] ], "row_count": 10, "col_count": 4 }, { "headers": [ "", "", "", "", "", "", "", "Yes/N", "o", "", "Comments", "" ], "rows": [ [ "1.", "1.", "", "", "Does the procedural document affect", "", "", "", "", "", "", "" ], [ "", "", "", "", "one group less or more favourably than", "", "", "", "", "", "", "" ], [ "", "", "", "", "another on the basis of:*", "", "", "", "", "", "", "" ], [ "", "", "", "Age", "", "", "Yes", "", "", "", "", "" ], [ "", "", "", "Disability", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Gender / Gender Reassignment", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Marriage & Civil Partnership", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Pregnancy & Maternity", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Race", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Religion or belief", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Sex & Sexual Orientation", "", "", "No", "", "", "", "", "" ], [ "", "", "", "*If ‘yes’ please answer questions 2 - 6:", "", "", "", "", "", "", "", "" ], [ "2.", "", "", "If you have identified potential\ndiscrimination, are any exceptions valid,\nlegal and/or justifiable?", "", "", "n/a", "", "", "This policy is designed for patients over\nthe age of 16 years old as paediatric\nsepsis screening does outlie different\nprocess.", "", "" ], [ "3.", "", "", "Is the impact of the procedural\ndocument likely to be negative?", "", "", "", "", "", "", "", "" ], [ "4.", "", "", "If so can the impact be avoided?", "", "", "", "", "", "", "", "" ], [ "5.", "", "", "What alternatives are there to achieving\nthe procedural guidance without the\nimpact?", "", "", "", "", "", "", "", "" ], [ "6.", "", "", "Can we reduce the impact by taking\ndifferent action?", "", "", "", "", "", "", "", "" ] ], "row_count": 17, "col_count": 12 }, { "headers": [ "Title: Sepsis Policy", "", "" ], "rows": [ [ "Author:", "", "" ], [ "Stakeholder involvement:\nHave stakeholders from all relevant areas reviewed the draft? ☒ Yes No\n☐\nIf not, which stakeholders need to review the document? Click or tap here to enter text.", "", "" ], [ "Layout:\nIs the document in keeping with the layout stipulated in Manx Care’s policy? ☒ Yes No\n☐\nIf no, why not? Incorrect font/font size\n☐\nIncorrect headings/subheadings\n☐\nSummary table incorrect\n☐\nManx Care logo missing/incorrect\n☐\nOther: Click or tap here to enter text.\n☐", "", "" ], [ "Equality:\nHas an Equality Impact Assessment been completed? ☒ Yes No\n☐\nIs the answer to Q1 on the assessment, ‘yes’? Yes ☒ No\n☐\nIf ‘yes’, has this been addressed? Yes No ☒ N/A\n☐ ☐", "", "" ], [ "Document reviewed by:\nPosition:", "", "" ], [ "Outcome of review:\nDocuments cannot be approved if the response to any of the above questions is ‘no’\nHas the document met the agreed standards? ☒ Yes No\n☐\nIf ‘no’, provide details:\nClick or tap here to enter text.", "", "" ] ], "row_count": 6, "col_count": 3 } ] }, { "case_id": 4847813, "title": "Upheld complaints", "authority": "Manx Care", "date_received": "2025-08-04", "outcome": "All information sent", "summary": "The requester asked for the total number of complaints and upheld complaints regarding the Women, Children and Families Care Group at Manx Care over the past five years. Manx Care provided a detailed table of complaint outcomes from 2018 to 2025, disclosing that 171 total complaints were recorded with varying numbers upheld, partially upheld, or not upheld.", "key_facts": [ "The request covered complaints for the Women, Children and Families Care Group over a period spanning 2018 to 2025.", "A total of 171 complaints were recorded across the reporting years.", "Complaint outcomes were not consistently recorded until new regulations were introduced in 2022.", "The response included data on complaints that were upheld, partially upheld, not upheld, withdrawn, or still in progress.", "The authority confirmed that all requested information was sent without withholding any details." ], "data_mentioned": [ "171", "2018", "2019", "2020", "2021", "2022", "2023", "2024", "2025", "2025-08-04", "2025-08-28", "2025-08-22", "4847813", "11", "14", "30", "31", "24", "21", "20", "9", "18" ], "exemptions_cited": [], "tables": [ { "headers": [ "OUTCOME OF COMPLAINT", "2018", "2019", "2020", "2021", "2022", "2023", "2024", "2025", "Total" ], "rows": [ [ "Complaint Closed as Consent not obtained/given", "0", "0", "0", "0", "0", "2", "1", "0", "" ], [ "Complaint Not Upheld", "2", "7", "4", "5", "1", "5", "0", "1", "" ], [ "Complaint Partially Upheld", "4", "5", "11", "9", "14", "17", "14", "4", "" ], [ "Complaint Upheld", "1", "7", "5", "10", "3", "6", "14", "1", "" ], [ "Complaint Withdrawn", "0", "0", "0", "0", "0", "0", "2", "1", "" ], [ "Investigation in progress", "0", "0", "0", "0", "0", "0", "0", "11", "" ], [ "No value*", "2", "2", "0", "0", "0", "0", "0", "0", "" ], [ "Total", "9", "21", "20", "24", "18", "30", "31", "18", "171" ] ], "row_count": 8, "col_count": 10 } ] }, { "case_id": 4889693, "title": "Finances to CAHMS and Isle Listen", "authority": "Manx Care", "date_received": "2025-08-21", "outcome": "All information sent", "summary": "The requester asked for a breakdown of £4 million allocated to CAHMS and Isle Listen, specifically regarding staff, contractors, and service submissions. Manx Care disclosed the full funding allocation for the first three years of the Child & Adolescent Mental Health Services transformation, detailing recurrent and non-recurrent costs.", "key_facts": [ "The £4 million funding supports the first three years of the Transformation of Child & Adolescent Mental Health Services.", "Non-recurrent funding totals £571,100, covering CAMHS staff and administrative support.", "Recurrent funding totals £3,444,700, primarily for a contract with MHC Psychological Services.", "The total funding disclosed is £4,015,800.", "The request was received on 21 August 2025 and closed on 12 September 2025." ], "data_mentioned": [ "£4 million", "£486.5k", "£84.6k", "£571.1k", "£250.0k", "£3,194.70k", "£3,444.70k", "£4,015.80k", "2025-08-21", "2025-09-12", "4889693" ], "exemptions_cited": [], "tables": [ { "headers": [ "CAMHS Business\nCase", "£'000", "" ], "rows": [ [ "Non-Recurrent\nFunding\nCAMHS Staff\nAdministrative Support", "486.5\n84.6", "On a limited term appointment for the first year to\nsupport waiting list initiatives" ], [ "Total Non-Recurrent\nFunding", "571.1", "" ], [ "Recurrent Funding\nShared Care\nAgreements with GP's\nPsychological Services", "250.0\n3,194.70", "Contract with MHC Psychological Services for 3 years" ], [ "Total Recurrent\nFunding", "3,444.70", "" ], [ "Total Funding for 3\nYears", "4,015.80", "" ] ], "row_count": 5, "col_count": 3 } ] }, { "case_id": 4890389, "title": "FOI Request - Private Practice Oversight", "authority": "Manx Care", "date_received": "2025-08-21", "outcome": "All information sent", "summary": "The requester sought details on Manx Care's governance and authorization processes for radiology consultants engaging in private practice. Manx Care disclosed the relevant committees, the governing 'Heads of Agreement' document, and specific criteria regarding NHS workload and application requirements.", "key_facts": [ "The Private Patients Administration Team and Private Practice Medical Advisory Committee (PP MAC) oversee private practice arrangements.", "Governance terms are contained within the 'Private Practice Heads of Agreement Document, Version 8 dated Dec 07' rather than a separate document.", "Consultants must demonstrate 11 PA NHS work and are prohibited from conducting private practice during Job Planned NHS hours.", "Breach of private practice rules results in a disciplinary review, though patient safety concerns may override restrictions in urgent situations.", "Consultants must submit a 'Private Patient Unit Application for Practicing Privileges' to the Private Patients Administration Team to practice at Nobles Hospital." ], "data_mentioned": [ "Version 8", "Dec 07", "11 PA NHS work", "January 1, 2020", "21 August 2025", "12 September 2025" ], "exemptions_cited": [], "tables": [ { "headers": [ "Manx Care PPU", "", "Ref", "", "", "Document 1 of 1", "" ], "rows": [ [ "", "", "Issued by", "", "", "", "" ], [ "", "", "Approved by", "", "", "", "" ], [ "Application for Practicing\nPrivileges", "", "Date", "", "", "", "" ], [ "", "", "Applies to sites", "", "", "All Manx Care facilities", "" ], [ "", "", "Applies to groups", "", "", "Consultants", "" ] ], "row_count": 5, "col_count": 7 }, { "headers": [ "Document required", "Date", "", "Verified by PHMG", "" ], "rows": [ [ "", "", "", "administrator", "" ], [ "Confirmation of Substantive Post", "", "", "", "" ], [ "GMC registration and a current\nlicence with no conditions on their\npractice", "", "", "", "" ], [ "Signed evidence that the RO has\nviewed the appraisal and has no\nconcerns that this doctor can\nundertake independent private\npractice", "", "", "", "" ], [ "Vaccination evidence", "", "", "", "" ], [ "Indemnity which includes private\npractice with the scope defined", "", "", "", "" ], [ "Signed agreement to comply with\npolicy", "", "", "", "" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "", "PRIVILEGES DECISION", "", "", "" ], "rows": [ [ "PPMAC RECOMMENDATION", "", "", "", "" ], [ "Indicate Selection", "", "Recommended", "Not Recommended", "" ], [ "Chair PPMAC", "", "{Insert Full Name and Title}", "{Signature}", "" ], [ "Date:", "", "", "", "" ], [ "MANX CARE APPROVAL", "", "", "", "" ], [ "Chair of PPAC\nFor/On behalf of\nManx Care Executive\nTeam", "", "{Insert Full Name and Title}", "{Signature}", "" ], [ "Date:", "", "", "", "" ] ], "row_count": 7, "col_count": 5 } ] }, { "case_id": 4890489, "title": "Policy documents", "authority": "Manx Care", "date_received": "2025-08-21", "outcome": "All information sent", "summary": "The requester asked for Manx Care's current sepsis policy and the specific sepsis and NEWS policies in effect on January 11th and 12th, 2025. Manx Care confirmed that all requested information was provided, attaching the current policies which were also the ones adhered to on the specified dates.", "key_facts": [ "Manx Care responded to the request on September 8, 2025, stating all information was sent.", "The current Manx Care sepsis policy is the same one that was in effect on January 11th and 12th, 2025.", "The National Early Warning Score (NEWS) policy in effect on January 11th and 12th, 2025, is version 2.0.", "The NEWS2 policy was authored by the Critical Care Outreach team, Resuscitation committee, and Chief Nursing Information Officer.", "The NEWS2 policy is effective from October 2023 with the next review due in October 2026." ], "data_mentioned": [ "2025-09-08", "2025-08-21", "January 11th & 12th 2025", "29", "3", "4890489", "2.0", "October 2023", "October 2026", "2017" ], "exemptions_cited": [], "tables": [ { "headers": [ "Author(s)", "Critical Care Outreach team (CCOT), Resuscitation committee,\nChief Nursing Information Officer (CNIO)", "" ], "rows": [ [ "Version Number", "2.0", "" ], [ "Document effective from", "October 2023", "" ], [ "Next review due", "October 2026", "" ], [ "", "", "" ], [ "Intended audience", "All Manx Care clinical staff", "" ], [ "Superseded documents", "NEWS2 v1", "" ], [ "Stakeholders consulted prior\nto ratification", "Resuscitation Committee", "" ], [ "Ratified by", "Patient safety and quality team", "Date" ], [ "Previous reviews", "n/a", "" ], [ "Changes made during latest\nreview", "n/a", "" ] ], "row_count": 10, "col_count": 3 }, { "headers": [ "Monitoring requirement:", "1. Accuracy and compliance with NEWS2\nin clinical practice\n2. Ensure appropriate escalation has\ntaken place in the event of NEWS2\ntriggers\n3. Ensure adjusted parameters are used\ncorrectly and appropriately" ], "rows": [ [ "Monitoring method and frequency:", "1. Monthly audit of NEWS2 & Patientrack\n2. Monthly review of NEWS2 &\nPatientrack, medical and nursing notes\n3. Datix report/investigation generated if\nevidence of failure to escalate or\ncomply with NEWS2 policy found" ], [ "Report prepared by:", "Resuscitation Committee" ], [ "Report Prepared for:", "Patient Safety & Quality Committee" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "", "NEWS", "", "Frequency of monitoring", "Clinical Response" ], "rows": [ [ "", "Score", "", "", "" ], [ "0 Low\nRisk", "0 Low", "", "Minimum 6hrly obs for first 48\nhours\nof admission", "Patients must have 48hrs of NEWS 0 prior to transferring\nto 12hrly obs" ], [ "", "Risk", "", "", "" ], [ "Total\n1-4\nLow Risk", "", "", "NEWS 1-2 minimum 6hourly\nNEWS 3-4 minimum 4hourly", "Nurse in charge to assess frequency of monitoring and if\nescalation is required" ], [ "", "Red score", "", "Minimum 1 hourly", "Nurse in charge to contact medical/surgical teams for\nassessment\nIMT or above to assess within 30mins" ], [ "", "(Score of 3", "", "", "" ], [ "", "in 1", "", "", "" ], [ "", "parameter)", "", "", "" ], [ "Total\n5-6\nMedium\nRisk", "Total", "", "Minimum 1 hourly\nRN or above to take\nobservations", "Nurse in charge to contact medical/surgical teams for\nassessment\nIMT or above to assess within 30mins\nED escalation: When a patient scoring 5-6 has not\nresponded to treatment by the 2nd set of obs (1 hr) an ED\nconsultant must be contacted" ], [ "", "5-6", "", "", "" ], [ "", "Medium", "", "", "" ], [ "", "Risk", "", "", "" ], [ "Total 7\nand\nabove\nHigh Risk", "", "", "Minimum 15mins\nContinuous monitoring", "Nurse in charge to contact medical/surgical team for\nurgent assessment\nIMT/SAS or above to assess within 15min\nNurse in charge to contact CCOT/OOHC\nPatient must be discussed with consultant responsible\nIf patient is for HDU/ICU they must be discussed with\nanaesthetic consultant on call\nFailure to review must prompt a call to consultant\nED escalation: when a patient scoring 7 or above has not\nresponded to treatment by the 3rd set of obs (30 mins) an\nED consultant must be contacted" ] ], "row_count": 13, "col_count": 5 }, { "headers": [ "Total 7" ], "rows": [ [ "and" ], [ "above" ], [ "High Risk" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Author(s)", "", "", "" ], "rows": [ [ "Version Number", "1.0", "", "" ], [ "Document effective from", "November 2024", "", "" ], [ "Next review due", "September 2026", "", "" ], [ "", "", "", "" ], [ "Intended audience/scope", "All Hospitals Directorate Staff who are involved in caring for patients\naged 16 years and above", "", "" ], [ "Superseded documents", "", "", "" ], [ "Stakeholders consulted prior to\nratification", "Clinical Advisory Group, Medical Director, Medical and Surgical\nDoctors and Nursing Staff", "", "" ], [ "Ratified by", "CAG", "", "Date 24 September 2024" ], [ "Previous reviews", "", "", "" ], [ "Changes made during latest\nreview", "Update from previous policy", "", "" ] ], "row_count": 10, "col_count": 4 }, { "headers": [ "", "", "", "", "", "", "", "Yes/N", "o", "", "Comments", "" ], "rows": [ [ "1.", "1.", "", "", "Does the procedural document affect", "", "", "", "", "", "", "" ], [ "", "", "", "", "one group less or more favourably than", "", "", "", "", "", "", "" ], [ "", "", "", "", "another on the basis of:*", "", "", "", "", "", "", "" ], [ "", "", "", "Age", "", "", "Yes", "", "", "", "", "" ], [ "", "", "", "Disability", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Gender / Gender Reassignment", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Marriage & Civil Partnership", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Pregnancy & Maternity", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Race", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Religion or belief", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Sex & Sexual Orientation", "", "", "No", "", "", "", "", "" ], [ "", "", "", "*If ‘yes’ please answer questions 2 - 6:", "", "", "", "", "", "", "", "" ], [ "2.", "", "", "If you have identified potential\ndiscrimination, are any exceptions valid,\nlegal and/or justifiable?", "", "", "n/a", "", "", "This policy is designed for patients over\nthe age of 16 years old as paediatric\nsepsis screening does outlie different\nprocess.", "", "" ], [ "3.", "", "", "Is the impact of the procedural\ndocument likely to be negative?", "", "", "", "", "", "", "", "" ], [ "4.", "", "", "If so can the impact be avoided?", "", "", "", "", "", "", "", "" ], [ "5.", "", "", "What alternatives are there to achieving\nthe procedural guidance without the\nimpact?", "", "", "", "", "", "", "", "" ], [ "6.", "", "", "Can we reduce the impact by taking\ndifferent action?", "", "", "", "", "", "", "", "" ] ], "row_count": 17, "col_count": 12 }, { "headers": [ "Title: Sepsis Policy", "", "" ], "rows": [ [ "Author:", "", "" ], [ "Stakeholder involvement:\nHave stakeholders from all relevant areas reviewed the draft? ☒ Yes No\n☐\nIf not, which stakeholders need to review the document? Click or tap here to enter text.", "", "" ], [ "Layout:\nIs the document in keeping with the layout stipulated in Manx Care’s policy? ☒ Yes No\n☐\nIf no, why not? Incorrect font/font size\n☐\nIncorrect headings/subheadings\n☐\nSummary table incorrect\n☐\nManx Care logo missing/incorrect\n☐\nOther: Click or tap here to enter text.\n☐", "", "" ], [ "Equality:\nHas an Equality Impact Assessment been completed? ☒ Yes No\n☐\nIs the answer to Q1 on the assessment, ‘yes’? Yes ☒ No\n☐\nIf ‘yes’, has this been addressed? Yes No ☒ N/A\n☐ ☐", "", "" ], [ "Document reviewed by:", "", "" ], [ "Outcome of review:\nDocuments cannot be approved if the response to any of the above questions is ‘no’\nHas the document met the agreed standards? ☒ Yes No\n☐\nIf ‘no’, provide details:\nClick or tap here to enter text.", "", "" ] ], "row_count": 6, "col_count": 3 } ] }, { "case_id": 4899805, "title": "Policy and procedures around notification of reportable diseases", "authority": "Manx Care", "date_received": "2025-08-28", "outcome": "Some information sent but not all held", "summary": "The applicant requested Manx Care's policies and procedures regarding the notification of reportable diseases, including time limits and lists of diseases. The authority responded by stating the information is publicly available online and provided attached documents, specifically a policy on Meningococcal infections.", "key_facts": [ "The request was received on 28 August 2025 and the outcome was issued on 3 September 2025.", "Manx Care cited Section 20 of the Freedom of Information Act 2015, stating the information is accessible by other means in the public domain.", "A link was provided to the Isle of Man government website for the list of notifiable organisms.", "An attached policy document titled 'Management of Meningococcal Infections in adults' was provided.", "The attached policy was authored by the Consultant Microbiologist and Lead Nurse, Infection Prevention & Control." ], "data_mentioned": [ "28 August 2025", "3 September 2025", "14 February 2024", "14 February 2027", "20/11/23", "4899805", "Section 20", "Freedom of Information Act 2015" ], "exemptions_cited": [ "Section 20 - Information accessible to the applicant by other means (absolute)" ], "tables": [ { "headers": [ "Policy Name", "Management of meningococcal infection in adults" ], "rows": [ [ "Date", "14 February 2024" ], [ "Review Date", "14 February 2027" ], [ "Author", "Consultant Microbiologist / Lead Nurse, Infection Prevention & Control\n/Clinical Director - Medicine" ], [ "Approved by", "" ], [ "Published Location", "Manx Care Intranet - Infection Prevention & Control" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Reference", "Viral Haemorrhagic Fevers Policy" ], "rows": [ [ "Date", "February 2021" ], [ "Author", "Consultant Microbiologist/ Specialist Nurse IPC" ], [ "Approved by", "Manx Care Infection Prevention & Control Committee" ], [ "Date Approved", "" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Date / Version", "Revision Notes", "Author" ], "rows": [ [ "Nov 2014", "", "Consultant Microbiologist" ], [ "March 2018", "Previous version", "Consultant Microbiologist" ], [ "April 2021", "Lassa fever virus:\nadditional countries, West\nAfrica: Guinea.\nAddition of symptoms\nReference updated and\nchecked", "Specialist Nurse IPC" ], [ "", "", "" ] ], "row_count": 4, "col_count": 3 } ] }, { "case_id": 4939313, "title": "Current weekly achievments", "authority": "Manx Care", "date_received": "2025-09-16", "outcome": "All information sent", "summary": "A request was made to Manx Care for the weekly number of cataract, hip, and knee replacement procedures being actioned. The authority responded by providing total procedure counts for specific date ranges in mid-to-late 2025 rather than a weekly breakdown.", "key_facts": [ "The request was received on 16 September 2025 and closed on 1 October 2025.", "Manx Care provided data for cataract procedures between 18 June and 30 July 2025.", "Manx Care provided data for hip joint replacements between 11 June and 13 August 2025.", "Manx Care provided data for knee joint replacements between 10 June and 13 August 2025.", "The response included information on the right to request an internal review or appeal to the Information Commissioner." ], "data_mentioned": [ "153 cataract procedures", "17 hip joint replacements", "31 knee joint replacements", "18/06/25", "30/07/25", "11/06/25", "13/08/25", "10/06/25", "4939313" ], "exemptions_cited": [], "tables": [ { "headers": [ "Procedure Type", "Date Range", "Number of Procedures" ], "rows": [ [ "Cataract procedures", "18/06/25 to 30/07/25", "153" ], [ "Hip joint replacements", "11/06/25 to 13/08/25", "17" ], [ "Knee joint replacements", "10/06/25 to 13/08/25", "31" ] ], "row_count": 3, "col_count": 3 } ] }, { "case_id": 4953573, "title": "Data related to asbestos exposure", "authority": "Manx Care", "date_received": "2025-09-23", "outcome": "Some information sent but not all held", "summary": "The requester sought 20 years of data on residents diagnosed with or treated for asbestos-related illnesses, but Manx Care stated they do not hold comprehensive historical records for the full period. However, the authority disclosed current statistics showing 164 total recorded cases, including 84 deceased individuals and 60 currently registered patients.", "key_facts": [ "Manx Care refused the full request under section 11(3)a of the Act as they do not hold the specific historical data requested.", "The authority advised contacting the Public Health department as asbestos-related disease is a notifiable condition.", "Records held by Manx Care show 164 people with asbestos-related diseases such as Mesothelioma and pleural plaques.", "Of the 164 recorded cases, 84 individuals are deceased.", "There are currently 60 people registered with asbestos-related conditions." ], "data_mentioned": [ "164", "84", "60", "20 years", "2025-09-23", "2025-10-23", "4953573" ], "exemptions_cited": [ "Section 11(3)a of the Act (Information not held or cannot be found after reasonable steps)" ], "tables": [ { "headers": [ "Category", "Count" ], "rows": [ [ "Total people showing asbestos related diseases (e.g., Mesothelioma, pleural plaques)", "164" ], [ "Deceased (of any cause)", "84" ], [ "Currently registered", "60" ] ], "row_count": 3, "col_count": 2 } ] }, { "case_id": 4959837, "title": "Obtain blood results", "authority": "Manx Care", "date_received": "2025-09-26", "outcome": "All information sent", "summary": "The requester asked for Manx Care's written policy regarding individual access to their own test results. The authority responded by releasing the full 'Data Protection Policy' (Version 1.8) and confirmed all information was sent.", "key_facts": [ "The request was received on 26 September 2025 and concluded on 20 October 2025.", "Manx Care released 21 pages of information across 2 documents.", "The disclosed document is the 'Data Protection Policy' Version 1.8, effective from September 2022.", "The policy was ratified by the Executive Management Committee on 9 December 2022.", "The policy supersedes the previous 'Data Protection and Confidentiality Policy' and 'Breach Notification Policy and Procedure'.", "The requester has the right to an internal review or appeal to the Information Commissioner if dissatisfied." ], "data_mentioned": [ "4959837", "2025-09-26", "2025-10-23", "21", "2", "1.8", "Sept 2022", "October 2024", "9 Dec 22", "27 Sept 2022", "30 Sept 2022", "11 Sept 2023", "0.5", "1.7", "Page 2 of 19" ], "exemptions_cited": [], "tables": [ { "headers": [ "Author", "", "" ], "rows": [ [ "Owner", "", "" ], [ "", "", "" ], [ "Version Number", "1.8", "" ], [ "Document effective from", "Sept 2022", "" ], [ "Next review due", "October 2024", "" ], [ "Intended audience", "Manx Care All Staff and partner agencies", "" ], [ "Superseded documents", "• Data Protection and Confidentiality Policy\n• Breach Notification Policy and Procedure", "" ], [ "Stakeholders consulted prior to\nimplementation", "Information Governance Advisory Board", "" ], [ "Ratified by\nDate:", "Executive Management Committee\n9 Dec 22", "" ], [ "Previous Reviews:", "Annual Review Sept 2023 DHSC\nSept 2022", "" ], [ "Changes made during last review", "clarification of special category data", "" ] ], "row_count": 11, "col_count": 3 }, { "headers": [ "", "" ], "rows": [ [ "NAME", "TITLE" ], [ "", "" ], [ "", "" ], [ "", "" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "", "", "", "" ], "rows": [ [ "NAME", "POSITION", "SIGNATURE", "DATE" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ] ], "row_count": 4, "col_count": 4 }, { "headers": [ "", "" ], "rows": [ [ "DATA SUBJECT REQUEST", "TIMESCALE" ], [ "The right to be informed", "When data is collected (if supplied by data subject)\nor within one month (if not supplied by data subject)" ], [ "The right of access", "One month" ], [ "The right to rectification", "One month" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "The right to erasure", "Without undue delay" ], "rows": [ [ "The right to restrict processing", "Without undue delay" ], [ "The right to data portability", "One month" ], [ "The right to object", "On receipt of objection" ] ], "row_count": 3, "col_count": 2 } ] }, { "case_id": 4967698, "title": "Fire Incidents at Isle of Man Hospitals", "authority": "Manx Care", "date_received": "2025-09-30", "outcome": "Some information sent but not all held", "summary": "The requester asked for details of fire incidents at Nobles and Ramsey Cottage Hospitals over the last four years, including IOMFRS attendance and activation causes. Manx Care provided a statistical table of incidents from 2018 to 2025 but refused to provide specific details on IOMFRS attendance or activation causes, citing that the information was not held.", "key_facts": [ "Manx Care provided a total of 129 fire-related incidents across Nobles and Ramsey Cottage Hospitals between 2018 and 2025.", "The most frequent incident type was 'Fire Alarm Activated - Accidental/False Alarm' with 44 occurrences.", "Manx Care refused to provide details on IOMFRS attendance, advising the requester to contact the fire service directly.", "The refusal for specific details was based on Section 11(3)a of the Freedom of Information Act 2015, stating the information was not held.", "The highest number of total incidents in a single year was 30 in 2021." ], "data_mentioned": [ "129", "44", "24", "12", "11", "8", "5", "2018", "2019", "2020", "2021", "2022", "2023", "2024", "2025", "30 September 2025", "21 October 2025", "4967698" ], "exemptions_cited": [ "Section 11(3)a of the Freedom of Information Act 2015 (Information not held)" ], "tables": [ { "headers": [ "", "", "", "2018", "2019", "2020", "2021", "2022", "2023", "2024", "2025", "No\nvalue", "Total" ], "rows": [ [ "Building\nFire", "", "", "0", "0", "1", "0", "0", "0", "0", "0", "0", "1" ], [ "Fire -\nCigarette\nrelated", "", "", "1", "2", "6", "1", "0", "0", "2", "0", "0", "12" ], [ "", "Fire Alarm", "", "0", "4", "1", "17", "8", "7", "5", "2", "0", "44" ], [ "", "Activated -", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Accidental/", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "False Alarm", "", "", "", "", "", "", "", "", "", "", "" ], [ "Fire Exit\nBlocked or\nLocked", "Fire Exit", "", "0", "0", "0", "0", "1", "0", "0", "0", "0", "1" ], [ "", "Blocked or", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Locked", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 9, "col_count": 13 }, { "headers": [ "Fire\nIntentionally\nStarted", "", "", "1", "1", "0", "1", "1", "1", "0", "0", "0", "5" ], "rows": [ [ "Fire Risk/\nHazard", "", "", "2", "1", "9", "4", "2", "2", "4", "0", "0", "24" ], [ "", "Issue with", "", "0", "0", "0", "1", "0", "0", "1", "0", "0", "2" ], [ "", "Fire", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Evacuation", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Procedure", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Issue with", "", "0", "0", "0", "0", "0", "0", "0", "1", "0", "1" ], [ "", "Fire", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Extinguisher/", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Blanket/", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Equipment", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Problem", "", "0", "4", "3", "1", "1", "1", "0", "1", "0", "11" ], [ "", "with", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Sensors/ Fire", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Panel", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Smell of", "", "0", "1", "1", "1", "2", "1", "2", "0", "0", "8" ], [ "", "Smoke - No", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Fire", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Detected", "", "", "", "", "", "", "", "", "", "", "" ], [ "Fire –\nOther", "Fire –", "", "0", "4", "1", "1", "0", "4", "1", "1", "0", "12" ], [ "", "Other", "", "", "", "", "", "", "", "", "", "", "" ], [ "No\nvalue", "", "", "1", "0", "1", "3", "3", "0", "0", "0", "0", "8" ], [ "Total", "", "", "5", "17", "23", "30", "18", "16", "15", "5", "0", "129" ] ], "row_count": 22, "col_count": 13 } ] }, { "case_id": 4978289, "title": "Medical surgeries missed/ cancelled", "authority": "Manx Care", "date_received": "2025-10-03", "outcome": "All information sent", "summary": "The request sought data on medical surgeries missed or cancelled by patients and the hospital during the TT and MGP events from 2022 to 2025. Manx Care disclosed specific statistics for 'to check in' elective procedure offers across these years and events.", "key_facts": [ "Data covers 'to check in' offers for elective procedures only, excluding patients who refused treatment.", "A total of 30 surgeries were missed by patients during TT periods between 2022 and 2025.", "A total of 25 surgeries were cancelled by the hospital due to TT periods between 2022 and 2025.", "A total of 24 surgeries were missed by patients during MGP periods between 2022 and 2025.", "A total of 18 surgeries were cancelled by the hospital due to MGP periods between 2022 and 2025." ], "data_mentioned": [ "TT 22: 5 missed, 7 cancelled", "TT 23: 7 missed, 9 cancelled", "TT 24: 7 missed, 3 cancelled", "TT 25: 11 missed, 6 cancelled", "MGP 22: 4 missed, 3 cancelled", "MGP 23: 6 missed, 5 cancelled", "MGP 24: 3 missed, 4 cancelled", "MGP 25: 11 missed, 6 cancelled", "Total TT missed: 30", "Total TT cancelled: 25", "Total MGP missed: 24", "Total MGP cancelled: 18", "Date received: 2025-10-03", "Outcome date: 2025-10-23", "Reference number: 4978289" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Medical" ], "rows": [ [ "TT 22", "5" ], [ "TT 23", "7" ], [ "TT 24", "7" ], [ "TT 25", "11" ], [ "Total", "30" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Year", "Medical" ], "rows": [ [ "TT 22", "7" ], [ "TT 23", "9" ], [ "TT 24", "3" ], [ "TT 25", "6" ], [ "Total", "25" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Year", "Medical" ], "rows": [ [ "MGP 22", "4" ], [ "MGP 23", "6" ], [ "MGP 24", "3" ], [ "MGP 25", "11" ], [ "Total", "24" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Year", "Medical" ], "rows": [ [ "MGP 22", "3" ], [ "MGP 23", "5" ], [ "MGP 24", "4" ], [ "MGP 25", "6" ], [ "Total", "18" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 4978290, "title": "Medical appointments missed/ cancelled", "authority": "Manx Care", "date_received": "2025-10-03", "outcome": "All information sent", "summary": "The request sought statistics on medical appointments missed or cancelled during the Isle of Man TT and Manx Grand Prix events from 2022 to 2025. Manx Care disclosed the full data, providing a breakdown of cancellations by hospital, cancellations by patient, and did-not-attend figures for each event year.", "key_facts": [ "Manx Care provided data for both the TT and MGP events covering the years 2022 through 2025.", "The total number of affected appointments across all four years for both events was 15,520.", "Hospital-initiated cancellations accounted for the largest portion of missed appointments in both event categories.", "The TT 2025 period saw the highest number of total affected appointments (4,664) compared to previous years.", "The response defined specific date ranges for each TT and MGP event period." ], "data_mentioned": [ "Total MGP appointments: 6318", "Total TT appointments: 9202", "Total combined appointments: 15520", "MGP 2025 total: 2321", "TT 2025 total: 2343", "TT 2022 dates: 29-05-2022 to 10-06-2022", "MGP 2022 dates: 21-08-2022 to 29-08-2022", "Case reference: 4978290", "Response date: 20 November 2025" ], "exemptions_cited": [], "tables": [ { "headers": [ "", "MGP/TT", "", "", "2022", "", "", "2023", "", "", "2024", "", "", "2025", "", "", "Total", "" ], "rows": [ [ "MGP", "", "", "1286", "", "", "1243", "", "", "1468", "", "", "2321", "", "", "6318", "", "" ], [ "Cancelled by Hospital\nCancelled by Patient\nDid Not Attend", "", "", "686", "", "", "601", "", "", "749", "", "", "1169", "", "", "3205", "", "" ], [ "", "", "", "402", "", "", "344", "", "", "429", "", "", "801", "", "", "1976", "", "" ], [ "", "", "", "198", "", "", "298", "", "", "290", "", "", "351", "", "", "1137", "", "" ], [ "TT", "", "", "2107", "", "", "2285", "", "", "2467", "", "", "2343", "", "", "9202", "", "" ], [ "Cancelled by Hospital\nCancelled by Patient\nDid Not Attend", "", "", "1083", "", "", "1167", "", "", "1105", "", "", "1175", "", "", "4530", "", "" ], [ "", "", "", "694", "", "", "746", "", "", "875", "", "", "823", "", "", "3138", "", "" ], [ "", "", "", "330", "", "", "372", "", "", "487", "", "", "345", "", "", "1534", "", "" ], [ "", "Total", "", "", "3393", "", "", "3528", "", "", "3935", "", "", "4664", "", "", "15520", "" ] ], "row_count": 9, "col_count": 18 } ] }, { "case_id": 4978389, "title": "Elective surgeries missed/ cancelled", "authority": "Manx Care", "date_received": "2025-10-03", "outcome": "All information sent", "summary": "A request was made to Manx Care for data on elective surgeries missed or cancelled due to the TT and MGP events between 2022 and 2025. The authority disclosed specific statistics for patient cancellations and hospital cancellations for each year and event type.", "key_facts": [ "The data covers 'to check in' offers for elective procedures during TT and MGP periods from 2022 to 2025.", "Patient cancellations during TT events totaled 152 over the four-year period.", "Hospital cancellations during TT events totaled 108 over the four-year period.", "Patient cancellations during MGP events totaled 172 over the four-year period.", "Hospital cancellations during MGP events totaled 119 over the four-year period." ], "data_mentioned": [ "TT 22: 33 patient cancellations, 25 hospital cancellations", "TT 23: 37 patient cancellations, 22 hospital cancellations", "TT 24: 45 patient cancellations, 18 hospital cancellations", "TT 25: 37 patient cancellations, 43 hospital cancellations", "MGP 22: 32 patient cancellations, 20 hospital cancellations", "MGP 23: 33 patient cancellations, 19 hospital cancellations", "MGP 24: 39 patient cancellations, 32 hospital cancellations", "MGP 25: 68 patient cancellations, 48 hospital cancellations", "Total TT patient cancellations: 152", "Total TT hospital cancellations: 108", "Total MGP patient cancellations: 172", "Total MGP hospital cancellations: 119", "Request received: 2025-10-03", "Response date: 2025-10-22", "Case ID: 4978389" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Total" ], "rows": [ [ "TT 22", "33" ], [ "TT 23", "37" ], [ "TT 24", "45" ], [ "TT 25", "37" ], [ "Total", "152" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Year", "Total" ], "rows": [ [ "TT 22", "25" ], [ "TT 23", "22" ], [ "TT 24", "18" ], [ "TT 25", "43" ], [ "Total", "108" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Year", "Total" ], "rows": [ [ "MGP 22", "32" ], [ "MGP 23", "33" ], [ "MGP 24", "39" ], [ "MGP 25", "68" ], [ "Total", "172" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Year", "Total" ], "rows": [ [ "MGP 22", "20" ], [ "MGP 23", "19" ], [ "MGP 24", "32" ], [ "MGP 25", "48" ], [ "Total", "119" ] ], "row_count": 5, "col_count": 2 } ] }, { "case_id": 4978390, "title": "Medical appointments/ surgery during TT and MGP + rest of the year", "authority": "Manx Care", "date_received": "2025-10-03", "outcome": "All information sent", "summary": "", "key_facts": [], "data_mentioned": [], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Total Procedures during TT:" ], "rows": [ [ "2022", "396" ], [ "2023", "410" ], [ "2024", "325" ], [ "2025", "378" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Year", "Elective Procedures during MGP:" ], "rows": [ [ "2022", "266" ], [ "2023", "278" ], [ "2024", "213" ], [ "2025", "338" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Year", "No. of\nAppointments\nduring TT", "No. of Appointments\nduring MGP" ], "rows": [ [ "2022", "2557", "3408" ], [ "2023", "3191", "3425" ], [ "2024", "3566", "3882" ], [ "2025", "3447", "3861" ] ], "row_count": 4, "col_count": 3 }, { "headers": [ "Year", "Total Procedures during rest\nof year:", "1 week\naverage", "2 week\naverage" ], "rows": [ [ "2022", "14039", "269.98", "539.96" ], [ "2023", "15274", "293.73", "587.46" ], [ "2024", "11521", "221.56", "443.12" ], [ "2025", "7274", "181.85", "363.70" ] ], "row_count": 4, "col_count": 4 }, { "headers": [ "Year", "Elective Procedures during\nrest of year:", "1 week\naverage", "2 week\naverage" ], "rows": [ [ "2022", "9553", "183.71", "367.42" ], [ "2023", "10857", "208.79", "417.58" ], [ "2024", "7395", "142.21", "284.42" ], [ "2025", "4552", "113.80", "227.60" ] ], "row_count": 4, "col_count": 4 }, { "headers": [ "Year", "No. of Appointments", "1 week average", "2 week\naverage" ], "rows": [ [ "2022", "103879", "1998", "3995" ], [ "2023", "110829", "2131", "4263" ], [ "2024", "113529", "2183", "4366" ], [ "2025", "59984", "1154", "2307" ] ], "row_count": 4, "col_count": 4 } ] }, { "case_id": 4997068, "title": "Ear nose and throat's clinic", "authority": "Manx Care", "date_received": "2025-10-14", "outcome": "All information sent", "summary": "The request inquired about the status of the ENT operating theatre, patient waiting times, and NHS guidelines on the Isle of Man. Manx Care disclosed that the theatre is operational, provided specific waiting list statistics, and explained that UK waiting targets do not apply locally.", "key_facts": [ "The ENT operating theatre is currently open and delivering elective surgery after a temporary suspension for service review.", "Manx Care does not follow the UK RTT rule book, which affects how waiting lists are reported.", "UK waiting list targets do not apply on the Isle of Man, though NICE guidelines are followed where possible.", "Initiatives to reduce waiting times include virtual follow-ups and results clinics, which have been in use since the start of the year.", "Directing patients to Accident and Emergency (AE) if conditions worsen while waiting is considered acceptable practice." ], "data_mentioned": [ "70 day case patients waiting 1 year", "2 day case patients waiting 2 years", "57 inpatient patients waiting 1 year", "1 inpatient patient waiting 2 years", "Booking at around 180 days wait for day cases", "Booking at around 170 days wait for inpatients", "2025-10-14", "2025-10-23", "4997068" ], "exemptions_cited": [], "tables": [ { "headers": [ "Waiting list\nname", "Wait range", "Count", "Comment" ], "rows": [ [ "Day case", "1 year", "70", "Booking at around 180 days wait" ], [ "Day case", "2 years", "2", "2 patients who have declined dates offered\nand or did not attend scheduled theatre\ndate" ], [ "Day case", "3 years", "0", "" ], [ "Day case", "4 years +", "0", "" ] ], "row_count": 4, "col_count": 4 }, { "headers": [ "Inpatient", "1 year", "57", "Booking patients at around 170 days wait" ], "rows": [ [ "Inpatient", "2 years", "1", "Patient requires both surgeons to be\navailable to operate at same time leading to\ndelay." ], [ "Inpatient", "3 years", "0", "" ], [ "Inpatient", "4 years +", "0", "" ] ], "row_count": 3, "col_count": 4 } ] }, { "case_id": 5009965, "title": "parsonage turner syndrome", "authority": "Manx Care", "date_received": "2025-10-16", "outcome": "All information sent", "summary": "The requester asked for a 20-year breakdown of Parsonage-Turner syndrome and brachial neuritis diagnoses by age and gender, which Manx Care provided in full along with a caution regarding coding inconsistencies.", "key_facts": [ "Manx Care confirmed that Parsonage-Turner syndrome, brachial neuritis, and neuralgic amyotrophy are often used interchangeably but may be coded inconsistently by GPs.", "The data covers diagnoses from 2005 to 2024, split by gender and age groups.", "More than half of the individuals diagnosed in the dataset are no longer registered on the Isle of Man due to death or relocation.", "The response included a total of 102 recorded cases across all related conditions over the 20-year period.", "The authority noted that 'Brachial (Cervical) Neuritis' codes might erroneously include cases of cervical disc issues or direct trauma." ], "data_mentioned": [ "102", "82", "2005", "2024", "20 years", "5009965", "2025-10-16", "2025-11-05" ], "exemptions_cited": [], "tables": [ { "headers": [ "Row Labels", "30-39", "40-49", "50-59", "60-69", "70-79", "80-89", "90-99", "100+", "20-29", "40-49", "50-59", "60-69", "70-79", "80-89", "Grand Total" ], "rows": [ [ "", "5 3 12 12 5 3 4 1", "", "", "", "", "", "", "", "0 2 11 13 3 8", "", "", "", "", "", "82" ], [ "2005", "", "", "", "2", "1", "", "", "", "", "", "", "", "1", "", "4" ], [ "", "1 1 2", "", "", "", "", "", "", "", "1 1 1", "", "", "", "", "", "7" ], [ "2007", "", "", "", "1", "1", "1", "", "", "", "", "2", "1", "1", "2", "9" ], [ "", "2 1 1", "", "", "", "", "", "", "", "3 4", "", "", "", "", "", "11" ], [ "2009", "", "", "3", "2", "1", "", "1", "", "", "", "1", "", "", "1", "9" ], [ "", "1 1 1", "", "", "", "", "", "", "", "3 1", "", "", "", "", "", "7" ], [ "2011", "", "2", "1", "1", "", "", "", "", "", "1", "", "2", "", "", "7" ], [ "", "1 1", "", "", "", "", "", "", "", "", "", "", "", "", "", "2" ], [ "2013", "", "", "", "", "1", "", "", "", "", "", "1", "2", "", "", "4" ], [ "", "1", "", "", "", "", "", "", "", "2", "", "", "", "", "", "3" ], [ "2015", "", "", "", "2", "", "", "", "", "", "1", "", "", "1", "", "4" ], [ "", "3", "", "", "", "", "", "", "", "1", "", "", "", "", "", "4" ], [ "2017", "", "", "", "", "", "1", "", "", "", "", "", "", "", "", "1" ], [ "", "", "", "", "", "", "", "", "", "2", "", "", "", "", "", "2" ], [ "2019", "", "", "", "", "", "", "", "", "", "", "", "", "", "1", "1" ], [ "", "2", "", "", "", "", "", "", "", "", "", "", "", "", "", "2" ], [ "2021", "", "", "3", "", "", "", "", "", "", "", "", "", "", "", "3" ], [ "", "1 1", "", "", "", "", "", "", "", "", "", "", "", "", "", "2" ], [ "Brachial Plexus Lesions", "", "", "", "", "", "", "", "", "", "", "1", "", "", "", "1" ], [ "", "", "", "", "", "", "", "", "", "1", "", "", "", "", "", "1" ], [ "Neuralgic Amyotrophy", "", "", "", "", "", "", "", "", "", "1", "3", "1", "", "", "5" ], [ "", "", "", "", "", "", "", "", "", "3", "", "", "", "", "", "3" ], [ "2015", "", "", "", "", "", "", "", "", "", "1", "", "", "", "", "1" ], [ "", "", "", "", "", "", "", "", "", "1", "", "", "", "", "", "1" ], [ "Parsonage - Aldren - Turner Syndrome", "", "", "1", "", "", "", "", "", "2", "", "", "1", "", "", "4" ], [ "", "", "", "", "", "", "", "", "", "1", "", "", "", "", "", "1" ], [ "2022", "", "", "", "", "", "", "", "", "2", "", "", "", "", "", "2" ], [ "", "1", "", "", "", "", "", "", "", "", "", "", "", "", "", "1" ], [ "Grand Total", "5", "3", "14", "12", "5", "3", "4", "1", "4", "4", "19", "17", "3", "8", "102" ] ], "row_count": 30, "col_count": 16 } ] }, { "case_id": 5014413, "title": "Restriction of GP telephone advice to residents temporarily abroad", "authority": "Manx Care", "date_received": "2025-10-21", "outcome": "All information sent", "summary": "The requester sought documents regarding restrictions on GP telephone advice for Isle of Man residents temporarily abroad, specifically asking for contract clauses, guidance, and insurance policies. Manx Care responded that no such restrictions exist in the GMS contract, but clinical decisions depend on registration status, while prescribing is limited to a three-month supply for those abroad.", "key_facts": [ "The General Medical Services contract between Manx Care and GP practices contains no clauses restricting telephone or remote advice to patients outside the Isle of Man.", "GP practices make clinical decisions on whether to provide advice based on whether the patient is still considered registered.", "Patients traveling abroad for more than three months are entitled to a maximum of three months' supply of medication at NHS expense.", "A 2019 DHSC policy on prescribing for patients abroad is now out of date and is being replaced by a new Manx Care policy currently under ratification.", "The response included an attachment titled 'QUANTITY OF MEDICATION SUPPLIED ON MANX CARE PRESCRIPTIONS POLICY'." ], "data_mentioned": [ "2025-10-21", "2025-11-06", "5014413", "three months", "2019", "29 June 2019", "12:52", "page 4 section 2.3.2", "IM4 4R", "(01624) 650 000" ], "exemptions_cited": [], "tables": [ { "headers": [ "Author(s)", "Medicines Optimisation Team", "" ], "rows": [ [ "Version Number", "1", "" ], [ "Document effective from", "August 2025", "" ], [ "Next review due", "August 2027", "" ], [ "", "", "" ], [ "Intended audience", "All prescribers within Manx Care", "" ], [ "Superseded documents", "None", "" ], [ "Stakeholders consulted\nprior to ratification", "• Medical Director\n• Executive Director of Nursing & Allied Health Professionals\n• Chief Executive\n• Executive Director of Health Services\n• Clinical Directors\n• Matrons\n• Senior Nurse Leadership Team\n• Care Group/General Managers\n• Allied Health Professionals Leads\n• GPs\n• Primary and Community settings (non-acute)\n• PCN\n• Ambulance Service\n• Prison\n• Community Nursing\n• Antimicrobials\n• Community Pharmacy/MOT\n• Nobles Pharmacy\n• Medicines Safety", "" ], [ "Ratified by", "Integrated Medicines Optimisation Group (IMOG)", "Date: 08/09/2025" ], [ "Previous reviews", "N/A", "" ], [ "Changes made during\nlatest review", "N/A", "" ] ], "row_count": 10, "col_count": 3 }, { "headers": [ "This policy does NOT cover prescribing for patients under homecare service" ], "rows": [ [ "arrangements or outpatient prescriptions for instalment dispensing by Nobles" ], [ "pharmacy department. For further information on prescribing in these" ], [ "circumstances see Manx Care Policy for Medicines Homecare; Medicines Policy –" ], [ "Chapter 2: Prescribing; and Standard Operating Procedure for the Prescribing of" ], [ "Nice TA Drug Therapies for Long term conditions (excluding Oncology)." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Title: Quantity of Medication Supplied on Manx Care Prescriptions Policy" ], "rows": [ [ "Author: Medicines Optimisation Team" ], [ "Stakeholder involvement:\nHave stakeholders from all relevant areas reviewed the draft? Yes No\n☐ ☐\nIf not, which stakeholders need to review the document? Click or tap here to enter text." ], [ "Layout:\nIs the document in keeping with the layout stipulated in Manx Care’s policy? Yes No\n☐ ☐\nIf no, why not? Incorrect font/font size\n☐\nIncorrect headings/subheadings\n☐\nSummary table incorrect\n☐\nManx Care logo missing/incorrect\n☐\nOther: Click or tap here to enter text.\n☐" ], [ "Equality:\nIs the document free from offensive or discriminatory language or images*? Yes No\n☐ ☐\n*Take into consideration IOM Equality Act 2017 protected characteristics\nIf no, provide examples: Cap here to enter text." ], [ "Document reviewed by:\nName of CQ&S reviewer Position: CQ&S Lead" ], [ "Outcome of review:\nDocuments cannot be approved if the response to any of the above questions is ‘no’\nHas the document met the agreed standards? Yes No\n☐ ☐" ], [ "Date completed: Click or tap to enter a date." ] ], "row_count": 7, "col_count": 1 }, { "headers": [ "", "", "", "", "", "", "", "Yes/N", "o", "", "Comments", "" ], "rows": [ [ "1.", "1.", "", "", "Does the procedural document affect", "", "", "", "", "", "", "" ], [ "", "", "", "", "one group less or more favourably than", "", "", "", "", "", "", "" ], [ "", "", "", "", "another on the basis of:*", "", "", "", "", "", "", "" ], [ "", "", "", "Age", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Disability", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Gender / Gender Reassignment", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Marriage & Civil Partnership", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Pregnancy & Maternity", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Race", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Religion or belief", "", "", "No", "", "", "", "", "" ], [ "", "", "", "Sex & Sexual Orientation", "", "", "No", "", "", "", "", "" ], [ "", "", "", "*If ‘yes’ please answer questions 2 - 6:", "", "", "", "", "", "", "", "" ], [ "2.", "", "", "If you have identified potential\ndiscrimination, are any exceptions valid,\nlegal and/or justifiable?", "", "", "", "", "", "", "", "" ], [ "3.", "", "", "Is the impact of the procedural\ndocument likely to be negative?", "", "", "", "", "", "", "", "" ], [ "4.", "", "", "If so can the impact be avoided?", "", "", "", "", "", "", "", "" ], [ "5.", "", "", "What alternatives are there to achieving\nthe procedural guidance without the\nimpact?", "", "", "", "", "", "", "", "" ], [ "6.", "", "", "Can we reduce the impact by taking\ndifferent action?", "", "", "", "", "", "", "", "" ] ], "row_count": 17, "col_count": 12 } ] }, { "case_id": 5084566, "title": "NHS Prescriptions for Bowel Irrigation Kits", "authority": "Manx Care", "date_received": "2025-11-14", "outcome": "All information sent", "summary": "A request was made to Manx Care for the number of patients prescribed bowel irrigation kits on the NHS in the Isle of Man. The authority responded by providing a detailed breakdown of specific items supplied during the 2024/2025 financial year.", "key_facts": [ "The request was received on 14 November 2025 and responded to on 1 December 2025.", "Manx Care provided data on bowel irrigation kit items for the 2024/2025 financial year.", "The data covers various brands including Peristeen, Qufora, and IryCone+.", "The response lists specific quantities for different accessory units, catheters, and irrigation sets.", "No information was withheld; the outcome was 'All information sent'." ], "data_mentioned": [ "2024/2025", "14 November 2025", "1 December 2025", "5084566", "1", "2", "14", "37", "10", "17", "19", "7", "2", "8", "3", "36", "23" ], "exemptions_cited": [], "tables": [ { "headers": [ "Country BNF Chapter Financial Year BNF Presentation Items", "", "", "", "" ], "rows": [ [ "ISLE OF MAN Appliances 2024/2025 IryCone+ 1", "", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "Peristeen Light anal irrigation system", "2" ], [ "ISLE OF MAN Appliances 2024/2025 Peristeen Plus anal irrigation system accessory unit cone 14", "", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "Peristeen Plus anal irrigation system accessory unit regular", "37" ], [ "ISLE OF MAN Appliances 2024/2025 Peristeen Plus anal irrigation system accessory unit small 10", "", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "Peristeen Plus anal irrigation system cone with toilet bag", "1" ], [ "ISLE OF MAN Appliances 2024/2025 Peristeen Plus anal irrigation system rectal catheters regular 17", "", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "Peristeen Plus anal irrigation system regular", "19" ], [ "ISLE OF MAN Appliances 2024/2025 Peristeen Plus anal irrigation system regular with toilet bag 14", "", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "Peristeen Plus anal irrigation system small", "10" ], [ "ISLE OF MAN Appliances 2024/2025 Peristeen Plus anal irrigation system small with toilet bag 7", "", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "Peristeen Plus anal irrigation system tubes", "2" ], [ "ISLE OF MAN Appliances 2024/2025 Qufora IrriSedo Flow 30 irrigation set 8", "", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "Qufora IrriSedo Mini System 30 irrigation set", "3" ], [ "ISLE OF MAN Appliances 2024/2025 Qufora IrriSedo MiniGo 30 irrigation set 36", "", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "Qufora IrriSedo MiniGo Flex 30 irrigation set", "23" ] ], "row_count": 16, "col_count": 5 } ] }, { "case_id": 5101165, "title": "drug related A and E and surgical cases", "authority": "Manx Care", "date_received": "2025-11-19", "outcome": "Some information sent but not all held", "summary": "The requester asked for monthly statistics on A&E attendances and surgical cases involving illegal drugs from April 2020 to the present. Manx Care disclosed monthly A&E data and drug classifications but confirmed that no electronic records exist for surgical cases, citing the exemption for creating new information.", "key_facts": [ "Information is held electronically only for emergency department patients, not for surgical cases.", "The request for surgical case data was refused under Section 11(3)(b) as it would require creating new information.", "A total of 169 A&E attendances were recorded where illegal drugs were a contributing factor between 2020 and 2025.", "Alcohol intoxication was the most frequent diagnosis recorded, with 1,287 instances.", "Data is broken down by month and specific drug substance for the period April 2020 to December 2025." ], "data_mentioned": [ "169", "3205", "3042", "1287", "1027", "295", "199", "139", "67", "2020", "2021", "2022", "2023", "2024", "2025", "01 April 2020", "19 November 2025", "10 December 2025" ], "exemptions_cited": [ "Section 11(3)(b) of the Freedom of Information Act (creation of information)" ], "tables": [ { "headers": [ "", "", "", "", "Year", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Month", "", "", "2020", "", "", "2021", "", "", "2022", "", "", "2023", "", "", "2024", "", "", "2025", "", "", "Total", "" ], [ "January\nFebruary\nMarch\nApril\nMay\nJune\nJuly\nAugust\nSeptember\nOctober\nNovember\nDecember", "", "", "0", "", "", "0", "", "", "0", "", "", "2", "", "", "0", "", "", "1", "", "", "3", "", "" ], [ "", "", "", "0", "", "", "1", "", "", "1", "", "", "3", "", "", "0", "", "", "1", "", "", "6", "", "" ], [ "", "", "", "0", "", "", "0", "", "", "1", "", "", "3", "", "", "2", "", "", "1", "", "", "7", "", "" ], [ "", "", "", "3", "", "", "1", "", "", "1", "", "", "3", "", "", "4", "", "", "0", "", "", "12", "", "" ], [ "", "", "", "2", "", "", "2", "", "", "4", "", "", "3", "", "", "4", "", "", "4", "", "", "19", "", "" ], [ "", "", "", "31", "", "", "3", "", "", "1", "", "", "3", "", "", "4", "", "", "1", "", "", "43", "", "" ], [ "", "", "", "3", "", "", "2", "", "", "3", "", "", "0", "", "", "1", "", "", "1", "", "", "10", "", "" ], [ "", "", "", "7", "", "", "3", "", "", "4", "", "", "3", "", "", "2", "", "", "2", "", "", "21", "", "" ], [ "", "", "", "6", "", "", "2", "", "", "6", "", "", "0", "", "", "1", "", "", "1", "", "", "16", "", "" ], [ "", "", "", "6", "", "", "0", "", "", "0", "", "", "1", "", "", "1", "", "", "1", "", "", "9", "", "" ], [ "", "", "", "0", "", "", "2", "", "", "1", "", "", "0", "", "", "3", "", "", "0", "", "", "6", "", "" ], [ "", "", "", "10", "", "", "2", "", "", "2", "", "", "2", "", "", "1", "", "", "0", "", "", "17", "", "" ], [ "", "Total", "", "", "68", "", "", "18", "", "", "24", "", "", "23", "", "", "23", "", "", "13", "", "", "169", "" ] ], "row_count": 14, "col_count": 24 }, { "headers": [ "", "Class A Drugs", "", "", "", "", "", "", "" ], "rows": [ [ "", "Cocaine", "", "", "20", "", "", "", "" ], [ "", "Crack cocaine", "", "", "2", "", "", "", "" ], [ "", "Crystal meth (methamphetamine)", "", "", "1", "", "", "", "" ], [ "", "Ecstasy (MDMA)", "", "", "5", "", "", "", "" ], [ "", "Heroin", "", "", "24", "", "", "", "" ], [ "", "LSD", "", "", "1", "", "", "", "" ], [ "", "Methadone", "", "", "3", "", "", "", "" ], [ "", "Morphine", "", "", "17", "", "", "", "" ], [ "", "Organic e.g. magic mushrooms", "", "", "3", "", "", "", "" ], [ "", "Oxycodone", "", "", "3", "", "", "", "" ], [ "", "PCP (angel dust)", "", "", "1", "", "", "", "" ], [ "", "Class B Drugs", "", "", "", "", "", "", "" ], [ "", "Amphetamine", "", "", "1", "", "", "", "" ], [ "", "Barbiturate", "", "", "1", "", "", "", "" ], [ "", "Cannabis", "", "", "16", "", "", "", "" ], [ "", "Ketamine", "", "", "12", "", "", "", "" ], [ "", "Mephedrone (MKAT)", "", "", "1", "", "", "", "" ], [ "", "Synthetic cannaboid e.g. Spice", "", "", "1", "", "", "", "" ], [ "", "Class C Drugs", "", "", "", "", "", "", "" ], [ "", "Benzodiazepine", "", "", "21", "", "", "", "" ], [ "", "Dihydrocodeine", "", "", "4", "", "", "", "" ], [ "", "GBL (gamma butyrolactone)", "", "", "1", "", "", "", "" ], [ "", "GHB (gamma hydroxybutyrate)", "", "", "1", "", "", "", "" ], [ "", "Nitrous oxide", "", "", "1", "", "", "", "" ], [ "", "Other opiate drug", "", "", "29", "", "", "Prescription Only", "" ], [ "", "Total for highlighted Drugs:", "", "", "169", "", "", "", "" ] ], "row_count": 26, "col_count": 9 } ] }, { "case_id": 5198981, "title": "Community Dental Service Remit", "authority": "Manx Care", "date_received": "2025-12-30", "outcome": "All information sent", "summary": "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.", "key_facts": [ "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.", "The service provides specialized facilities including a DIACO wheelchair ramp and bariatric wheelchairs for patients weighing over 135-159kg.", "Conscious sedation (inhalation and IV) and hypnosis are offered to manage severe dental phobia and behavioral problems." ], "data_mentioned": [ "16 July 2020", "135-159kg", "16 years old", "44 pages", "5 documents", "2025-12-30", "2026-02-06" ], "exemptions_cited": [], "tables": [ { "headers": [ "1.Patient Details", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "Title*", "", "", "", "Referral date*", "", "", "", "", "", "", "", "" ], [ "Surname*", "", "", "", "Gender* ()", "", "", "", "", "M", "", "F", "" ], [ "First name(s)*", "", "", "", "Date of birth*", "", "", "", "", "", "", "", "" ], [ "Address*", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Postcode*", "", "", "Nationality", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Telephone*", "", "", "Interpreter Req?", "", "Y/N", "", "", "Language", "", "", "", "" ], [ "Main Carer Details", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Full Name", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Address", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Telephone", "", "Relationship to Patient", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 13, "col_count": 13 }, { "headers": [ "2. Referrer Details", "" ], "rows": [ [ "Name*", "" ], [ "Work address*", "" ], [ "Tel* (Work)", "" ], [ "Job title", "" ], [ "Email address", "" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "", "3. Patient General Dental Practitioner (GDP) Details", "", "", "", "", "", "" ], "rows": [ [ "Patient does not have a dentist ()", "Patient does not have a dentist ()", "", "", "I am the referring dentist ()", "", "", "" ], [ "Name*", "", "", "", "", "", "", "" ], [ "Practice Address* (Practice stamp)", "", "", "", "", "", "", "" ] ], "row_count": 3, "col_count": 8 }, { "headers": [ "", "4.Dental Treatment (For GDP Referrals)", "", "" ], "rows": [ [ "", "What dental treatment does the patient need?*", "", "" ], [ "", "", "", "" ], [ "", "What ways did you try to manage the patient?* Please tick which apply.", "", "" ], [ "Introduction with prevention only (tooth brushing instruction / fluoride varnish/ sealants)", "", "", "" ], [ "Introduction to operative treatment with prophylaxis", "", "", "" ], [ "Acclimatisation appointments", "", "", "" ], [ "", "What Difficulties were encountered?*", "", "" ], [ "", "", "", "" ] ], "row_count": 8, "col_count": 4 }, { "headers": [ "", "5. Main Reason for referral*", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "Disability ()", "", "", "", "Medical ()", "", "", "", "", "", "", "", "", "", "", "Mental Health ()", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "Dental Phobia ()", "", "" ], [ "", "5.1 Disability Information", "", "", "", "", "", "", "Details", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Ability to Communicate? ()", "", "", "", "", "", "", "", "Partially Impaired", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "Severely Impaired", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Ability to leave the home? ()", "", "", "", "", "", "", "Yes", "Yes", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "No", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Ability to transfer to the dental\nChair ()", "", "", "", "", "", "", "", "Yes", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "No", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "Has Capacity to consent? ()", "", "", "", "", "", "", "", "Yes", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "No", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "Partially", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "5.2 Medical History Information* (All Referrals)", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Have you attached a medical history? ()", "", "", "", "", "", "", "", "", "", "", "", "Y", "", "", "", "", "", "N", "", "", "", "", "", "", "Reason", "", "", "", "", "", "", "", "", "" ], [ "", "5.3 Mental Health Information", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Please provide Mental Health Diagnosis", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 16, "col_count": 36 }, { "headers": [ " Dentists employed by the Community Dental Service" ], "rows": [ [ " General Dental Practitioners" ], [ " General Medical Practitioners" ], [ " School Nurses Team" ], [ " Health Visitors Team" ], [ " Looked after Children Team" ], [ " Social Workers" ], [ " Community Psychiatric Team" ], [ " Residential and Nursing Home Managers" ], [ " DAT" ] ], "row_count": 9, "col_count": 1 }, { "headers": [ "", "", " Lupus\n Oncology patients\n Patients on immunosuppressants\n Palliative care", "routine care for Warfarinised\npatients)", "" ], "rows": [ [ "", "Management problems /\nchallenging behaviour", " Autistic spectrum, ADHD\n Significant Mental health problems\n Learning disability\n Neuro-disability requiring special\ncare\n Children who have demonstrated\nuncooperative behaviour requiring\nmore than “tell-show-do” and\nother basic behaviour management\ntechniques\n Adults who have severe dental\nphobia who may need Relative\nAnalgesia or Intra-venous sedation\nto facilitate co-operation", " Patients requiring translation\nservices\n Patients with history of mental\nhealth problems but no current\nsymptoms or challenging\nbehaviour\n Orthodontic extractions under\nGA\n Children - just because they are\nyoung\n Complex oral surgery extractions\nmust be referred to the Oral\nSurgery Department", "" ], [ "", "Complex social needs", " Child at risk, child protection\nregister\n Looked after Children in foster care\n Vulnerable adults", " Poor attenders", "" ], [ "", "Physical difficulties\nresulting in mobility\nproblems which make it\ndifficult / impossible for\nthe individual to access\ncare", " Housebound patients\n Wheelchair bound patients who\ncannot transfer easily or require\nhoist/ramp", " Patients who could access\npractices with ground floor\nsurgeries", "" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "A Community Dental Service (CDS) is a specialist-led dental service that provides" ], "rows": [ [ "comprehensive oral health care to patients who face barriers to accessing routine" ], [ "dental care in general dental practice due to medical, physical, intellectual," ], [ "psychological, or social factors. These services are typically provided by salaried" ], [ "dental teams working in a variety of settings, including community clinics, care" ], [ "homes, hospitals, schools, and patients' homes (domiciliary care)." ], [ "" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "We provide specialist led dental care to patients from the most vulnerable areas of" ], "rows": [ [ "our community. We advocate for patients who have significant additional needs, by" ], [ "ensuring they are at the heart of the service we provide. We can support many" ], [ "people with treatment in our clinics through longer appointment times, behaviour" ], [ "management, conscious sedation, and general anaesthetic (GA)." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Discharge Criteria", "Explanation" ], "rows": [ [ "They have received the agreed course of\ntreatment", "The patient has completed the treatment\nplan as agreed upon at the start of care." ], [ "They wish to conclude an incomplete\ntreatment plan", "The patient voluntarily decides to end their\ntreatment before it is completed." ], [ "The patient does not meet the qualifying\ncriteria for referral", "The patient no longer meets the criteria for\ncontinued care under the Special Care Dental\nService and could be managed by a general\ndental practitioner." ], [ "Dental phobic patients", "All dental phobic patients are discharged\nafter receiving an agreed course of\ntreatment and are signposted to ongoing\ncare. For example, either to their referring\ndentist or the dental allocation list." ], [ "", "The patient has not responded to the initial\ncontact letter regarding offering a course of\ncare by the reception team within a 2 week\ncontact period." ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Service\nProvide\nd", "Sessi\nons\nPer\nWee\nk*", "", "", "", "", "", "Grade & WTE Requirement Per Week", "", "", "", "", "", "" ], "rows": [ [ "", "", "Senior\ndental\noffice\nr X 2\n1.64\nWTE", "", "Com\nmuni\nty\nD e n t\nal\noffic\ner\nwith\nECP\nX 1\n1\nWTE", "Com\nmunit\ny\nd enta\nl\noffice\nr X 1\n0.4\nWTE", "", "Commu\nnity\nDental\nservice\nmanag\ner X 1\n0.67\nWTE", "Lead\nDental\nNurse\nband 6\nX 1\n1 WTE", "De\nnta\nl\nnur\ns e\nban\nd 5\nX 8\n6.8\n1\nWT\nE", "D\ne\nnt\nal\nn\nur\nse\nb\na\nn\nd\n4\nX\n1\n1\nW\nT\nE", "Deconta\nmination\ntechnicia\nn\nband 4 X\n1\n1 WTE", "Ad\nmi\nn\noff\ni c e\nr\nX 1\n1\nW\nTE", "Admi\nn\nAssis\ntant\nX 2\n1.5\nWTE" ], [ "Special\nCare", "23", "10", "", "9 or\n8 (if\nGA)", "4", "", "", "", "23", "", "", "", "" ], [ "Prison", "1", "1", "", "0", "0", "", "", "1", "1", "", "", "", "" ], [ "Domicili\nary", "2", "2", "", "0", "0", "", "", "", "1", "", "", "", "" ], [ "Paediat\nric GA", "1\n(ever\ny\nothe\nr\nFrida\ny) **", "0", "", "1**", "0", "", "", "", "2", "", "", "", "" ], [ "GA\nCONS", "1\n(last", "", "", "0", "0", "", "", "", "2", "", "", "", "" ] ], "row_count": 6, "col_count": 14 }, { "headers": [ "", "Tues\nday\nof\nmont\nh)**\n*", "", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "Unregis\ntered", "", "", "", "", "", "", "", "", "", "", "" ], [ "Admin\nsession\ns", "5", "4", "1", "0", "5", "9", "", "", "", "10", "15" ], [ "Total\nPer\nWeek", "", "17", "10", "0.4", "5", "10", "29", "1\n0", "10", "10", "15" ] ], "row_count": 3, "col_count": 12 }, { "headers": [ "Name of Audit", "Frequency", "Responsibility" ], "rows": [ [ "Hand Hygiene", "Monthly", "" ], [ "Infection Prevention and\nControl Generic", "Alternate Months", "" ], [ "Prevention of Blood Borne\nViruses", "Annual", "" ], [ "Decontamination", "Annual", "" ], [ "Environmental Design and\nCleaning", "Annual", "" ], [ "Managment of Dental\nMedical Devices", "Annual", "" ], [ "PPE", "Annual", "" ], [ "Radiography Equipment", "annual", "" ], [ "Image Quality", "Six Monthly", "Dentists" ], [ "Image, practitioner,\nreferrer and reporting", "annual", "" ], [ "IRR & IRMER compliance", "Triennially", "" ], [ "Duty Holder entitlement", "Biennially", "" ], [ "Radiography procedures\nand protocols", "Biennially", "" ], [ "Sedation Audit", "Annual", "Dentists" ], [ "Waste", "Annual", "" ], [ "Accessibility Audit", "Annual", "Dentists" ], [ "Record Keeping Audit", "Annual", "Dentists" ], [ "Prescribing Audit", "Annual", "Dentists" ] ], "row_count": 18, "col_count": 3 }, { "headers": [ "Name", "", "", "", "", "", "Position", "Signature", "Date" ], "rows": [ [ "", "", "", "", "", "", "Specialist in sp care dent.", "", "" ], [ "", "", "", "", "", "", "Senior dental officer", "", "30.05.25 Checked" ], [ "", "", "", "", "", "", "Practice Manager", "", "" ], [ "", "", "", "", "", "", "Lead Nurse", "", "30.05.25 Checked" ], [ "", "", "", "", "", "", "Business Manager", "", "" ], [ "", "", "", "", "", "", "General Manager", "", "" ] ], "row_count": 6, "col_count": 9 } ] }, { "case_id": 5223522, "title": "NHS Dental Waiting List Allocations & Patient Preferences", "authority": "Department of Health and Social Care", "date_received": "2026-01-12", "outcome": "Some information sent but not all held", "summary": "The Department of Health and Social Care disclosed NHS dental waiting list sizes and allocation numbers for late 2025 but confirmed it does not hold data regarding patient preferences or audit trails linking preferences to allocations.", "key_facts": [ "The Department of Health and Social Care does not hold information on patient preferences for dental practices or geographical areas.", "There is no audit trail available to link a patient's stated preference to their eventual allocation.", "Waiting list and allocation data is supplied to the Department by Manx Care via the Integrated Performance Report (IPR).", "The number of patients on the waiting list increased from 1,756 in November 2025 to 2,008 in December 2025.", "Discrepancies in allocation numbers between reports are due to retrospective changes as additional patients were allocated after the initial submission date." ], "data_mentioned": [ "1756", "2008", "96", "214", "442", "488", "5183", "35", "99", "134", "92", "1 May 2025", "12 January 2026", "November 2025", "December 2025", "IPCC7", "IPCC9" ], "exemptions_cited": [], "tables": [ { "headers": [ "KPI ID: IPCC9 Number of patients allocated from the dental waiting list to an NHS dental practice", "", "", "", "", "", "", "", "" ], "rows": [ [ "2025", "May", "Jun", "Jul", "Aug", "Sep", "Oct", "Nov", "Dec" ], [ "November IPR*", "96", "214", "442", "488", "5183", "35", "99", "" ], [ "December IPR**", "96", "214", "442", "488", "5183", "35", "134", "92" ] ], "row_count": 3, "col_count": 9 } ] }, { "case_id": 5223621, "title": "NHS Dental Waiting List Allocations & Patient Preferences", "authority": "Manx Care", "date_received": "2026-01-12", "outcome": "All information sent", "summary": "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.", "key_facts": [ "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.", "Patient preferences are recorded via a drop-down menu for location and specific practice requests, with an option for free text notes.", "Manx Care confirmed that an audit trail exists linking a patient's stated preference to their eventual allocation." ], "data_mentioned": [ "1,397", "6,469", "231", "4,490", "1,748", "1 May 2025", "12 January 2026", "4 February 2026", "5223621" ], "exemptions_cited": [], "tables": [ { "headers": [ "Waiting List Size", "" ], "rows": [ [ "The total number of patients remaining on the NHS dental waiting list as at the most", "" ], [ "recent date (12th January 2026) was:", "" ], [ "", "• 1,397 patients" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "Allocations", "" ], "rows": [ [ "The total number of patients allocated to an NHS dental provider from the dental", "" ], [ "waiting list between 1 May 2025 and January 2026 is:", "" ], [ "", "• 6,469 patients" ] ], "row_count": 3, "col_count": 2 }, { "headers": [ "The NHS dental practices are still working through the patients that have been", "" ], "rows": [ [ "allocated to them and this data can vary daily, however in terms of preferred dental", "" ], [ "practice and geographical area this time period, the accepted allocation numbers are", "" ], [ "as follows:", "" ], [ "a) Allocation to stated preferred dental practice", "" ], [ "", "• Of those that have accepted their allocation between the requested period, 231" ], [ "", "patients were offered allocation to their preferred dental practice." ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "• The waiting list records preferred location on the island via drop down menu" ], "rows": [ [ "option (North, South, East, West, or Anywhere), and whether a specific dental" ], [ "practice has been requested. We can also add free text notes to advise if a" ], [ "patient does not wish to be allocated to a particular practice/ location." ], [ "• This preference data can be extracted for analysis." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "• The dental practice to which a patient is allocated at the point their details are" ], "rows": [ [ "forwarded to a provider is recorded." ], [ "• An audit trail linking a patient’s stated preference to their eventual allocation" ], [ "exists." ] ], "row_count": 3, "col_count": 1 } ] }, { "case_id": 5262577, "title": "Residential On Call Rates", "authority": "Manx Care", "date_received": "2026-01-29", "outcome": "All information sent", "summary": "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.", "key_facts": [ "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.", "Surgical Clinical Fellows, Medical SD/IMT, and Orthopaedic Clinical Fellows are paid via annualised salaries under the UK 2016 contract, meaning on-call commitments are pre-paid rather than billed hourly.", "For Operating Department Practitioners, work exceeding 10 minutes triggers overtime payments at time and a half for nights and weekends." ], "data_mentioned": [ "£10", "2 hours", "9am-7pm", "07:00 – 19:00", "19:00 – 07:00", "4 hours", "3 hours", "40-hour", "1/12", "10 min", "2016", "2026-01-29", "2026-02-25", "5262577" ], "exemptions_cited": [], "tables": [ { "headers": [ "Contract", "Role", "Agreement\nType", "Rate" ], "rows": [ [ "HMD", "Consultant\nRadiologist", "Bank Rate", "Local agreement for first 2 hours of weekday\non-call shifts to be paid as resident on-call.\nAlso, 9am-7pm Saturday and Sunday\nclassed as resident on-call." ], [ "HMD", "1st on call\nanaesthetist", "Core NHS\nconsultant\nContracted\nRate", "Classed as a shift and therefore paid in line\nwith contract,\n1 PA counts as 4 hours when the work is\ncarried out during:\n• 07:00 – 19:00\n• Monday to Friday\n• Excluding public holidays\nA PA counts as 3 hours when the work is\nundertaken during:\n• 19:00 – 07:00 (any day)\n• Any time on Saturdays or Sundays\n• Public holidays" ], [ "HMD", "Surgical\nClinical\nFellow", "Core NHS\nContract", "In line with the UK 2016 contract:\n• Basic salary is for a 40-hour working\nweek.\n• The rota is prospectively converted into\nan annualised salary based on:\nAdditional rostered hours\no\nNight work\no\nWeekend frequency\no" ] ], "row_count": 3, "col_count": 4 } ] }, { "case_id": 5285945, "title": "NHS Dental Appointment Attendance Data", "authority": "Manx Care", "date_received": "2026-02-06", "outcome": "Information not held", "summary": "The requester asked for NHS dental appointment attendance data and preference fulfillment statistics for patients allocated between May 2025 and January 2026. Manx Care refused the request under Section 11(3)(a) stating the information is not held, as attendance records are maintained by individual dental practices rather than the central authority.", "key_facts": [ "Manx Care does not hold patient appointment or attendance data, which is the responsibility of individual dental practices.", "Manx Care only collects data necessary for the waiting list, such as name, contact details, date of birth, and patient preferences.", "An audit is scheduled for April 2026 to verify that newly allocated patients received their initial examination by 31 March 2026.", "The total number of patients allocated to dental practices increased to 6,909 for the period from May 2025 to the end of January 2026.", "Of the allocated patients, 445 (6%) stated a preferred dental practice." ], "data_mentioned": [ "6,469", "1 May 2025", "12 January 2026", "6 February 2026", "17 February 2026", "April 2026", "31 March 2026", "6,909", "445", "6%" ], "exemptions_cited": [ "Section 11(3)(a) of the Freedom of Information Act 2015 (Information not held)" ], "tables": [ { "headers": [ "Category", "Count", "Percentage", "Notes" ], "rows": [ [ "Patients stating a preferred dental practice", "445", "6%", "Includes associated preferred region; low numbers as patients tend to give region preference only" ], [ "Patients accepted by their preferred practice", "231", "52%", "Of those who stated a preferred practice; further acceptance information still awaited" ], [ "Patients stating a preferred region for allocation", "4,885", "71%", "Includes those stating a preferred practice" ], [ "Patients accepted by a practice in their preferred region", "4,795", "98%", "Of those who stated a preferred region" ] ], "row_count": 4, "col_count": 4 } ] }, { "case_id": 5294121, "title": "Quofora Irrigation Kit NHS Prescription", "authority": "Manx Care", "date_received": "2026-02-09", "outcome": "Some information sent but not all held", "summary": "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.", "key_facts": [ "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.", "The response references a previous FOI request (5084566) containing similar data.", "Information for the year 2026 was explicitly stated as not yet available." ], "data_mentioned": [ "2026-02-09", "2026-03-20", "2024/2025", "December 2025", "1", "2", "14", "37", "10", "17", "19", "7", "2", "8", "3", "36", "23", "6", "4" ], "exemptions_cited": [ "Section 11(3)(a) of the Freedom of Information Act 2015 (Practical refusal: information not held)" ], "tables": [ { "headers": [ "", "Please see below chart for the number of patients provided bowel irrigation kits on the NHS", "", "", "", "", "", "", "", "" ], "rows": [ [ "", "for 2024/2025.", "", "", "", "", "", "", "", "" ], [ "Country", "Country", "Chapter", "Financial Year", "", "BNF", "", "Items", "Items", "" ], [ "", "", "", "", "", "Presentation", "", "", "", "" ], [ "", "", "Appliances", "2024/2025", "IryCone+", "", "", "", "", "" ], [ "ISLE OF MAN", "", "Appliances", "2024/2025", "", "Peristeen Light", "", "2", "", "" ], [ "", "", "", "", "", "anal irrigation", "", "", "", "" ], [ "", "", "", "", "", "system", "", "", "", "" ], [ "", "", "Appliances", "2024/2025", "Peristeen Plus\nanal irrigation\nsystem accessory\nunit cone", "", "", "", "", "" ], [ "ISLE OF MAN", "", "Appliances", "2024/2025", "", "Peristeen Plus", "", "37", "", "" ], [ "", "", "", "", "", "anal irrigation", "", "", "", "" ] ], "row_count": 10, "col_count": 10 }, { "headers": [ "", "", "", "", "system accessory", "", "" ], "rows": [ [ "", "", "", "", "unit regular", "", "" ], [ "", "Appliances", "2024/2025", "Peristeen Plus\nanal irrigation\nsystem accessory\nunit small", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "", "Peristeen Plus", "", "1" ], [ "", "", "", "", "anal irrigation", "", "" ], [ "", "", "", "", "system cone", "", "" ], [ "", "", "", "", "with toilet bag", "", "" ], [ "", "Appliances", "2024/2025", "Peristeen Plus\nanal irrigation\nsystem rectal\ncatheters regular", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "", "Peristeen Plus", "", "19" ], [ "", "", "", "", "anal irrigation", "", "" ], [ "", "", "", "", "system regular", "", "" ], [ "", "Appliances", "2024/2025", "Peristeen Plus\nanal irrigation\nsystem regular\nwith toilet bag", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "", "Peristeen Plus", "", "10" ], [ "", "", "", "", "anal irrigation", "", "" ], [ "", "", "", "", "system small", "", "" ], [ "", "Appliances", "2024/2025", "Peristeen Plus\nanal irrigation\nsystem small\nwith toilet bag", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "", "Peristeen Plus", "", "2" ], [ "", "", "", "", "anal irrigation", "", "" ], [ "", "", "", "", "system tubes", "", "" ], [ "", "Appliances", "2024/2025", "Qufora IrriSedo\nFlow 30\nirrigation set", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "", "Qufora IrriSedo", "", "3" ], [ "", "", "", "", "Mini System 30", "", "" ], [ "", "", "", "", "irrigation set", "", "" ], [ "", "Appliances", "2024/2025", "Qufora IrriSedo\nMiniGo 30\nirrigation set", "", "", "" ], [ "ISLE OF MAN", "Appliances", "2024/2025", "", "Qufora IrriSedo", "", "23" ], [ "", "", "", "", "MiniGo Flex 30", "", "" ], [ "", "", "", "", "irrigation set", "", "" ] ], "row_count": 26, "col_count": 7 }, { "headers": [ "", "", "", "", "", "", "", "accessory unit cone", "", "", "", "" ], "rows": [ [ "", "", "", "Isle of Man (4)", "", "", "Peristeen Plus anal irrigation system\naccessory unit regular", "", "", "", "", "" ], [ "Dec-25", "", "", "Isle of Man (4)", "", "", "", "Peristeen Plus anal irrigation system", "", "2", "", "" ], [ "", "", "", "", "", "", "", "rectal catheters regular", "", "", "", "" ], [ "", "", "", "Isle of Man (4)", "", "", "Peristeen Plus anal irrigation system\nregular with toilet bag", "", "", "", "", "" ], [ "", "Dec-25", "", "", "Isle of Man (4)", "", "", "Qufora IrriSedo Flow 30 irrigation set", "", "", "4", "" ], [ "", "", "", "Isle of Man (4)", "", "", "Qufora IrriSedo MiniGo 30 irrigation set", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "18", "" ] ], "row_count": 7, "col_count": 12 } ] }, { "case_id": 5297406, "title": "Agreements with Clatterbridge Cancer Centre and Liverpool Hospitals", "authority": "Manx Care", "date_received": "2026-02-11", "outcome": "All information sent", "summary": "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.", "key_facts": [ "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.", "The contract includes provisions for a potential extension of up to 24 months upon mutual agreement.", "The response included 26 documents totaling 450 pages." ], "data_mentioned": [ "2026-03-16", "2026-02-11", "450", "26", "01 January 2018", "1 April 2023", "31 March 2026", "24 months", "1707", "3 years" ], "exemptions_cited": [], "tables": [ { "headers": [ "DATE OF CONTRACT", "1 April 2023" ], "rows": [ [ "SERVICE COMMENCEMENT DATE", "1 April 2023" ], [ "CONTRACT TERM", "The initial term of this agreement\nshall be three (3) years,\ncommencing on 1 April 2023 and\nconcluding on 31 March 2026.\nUpon expiration of the initial term,\nthe parties may mutually agree to\nextend the contract up to 24\nmonths in accordance with\nSchedule 1C" ], [ "COMMISSIONERS", "Manx Care (a statutory board of\nthe Isle of Man Government)\nNoble’s Hospitals Estate\nStrang\nBraddan\nIsle of Man\nIM4 4RJ" ], [ "", "" ], [ "PROVIDER", "Clatterbridge Cancer Centre NHS\nFoundation Trust\nClatterbridge Road\nBebington\nWirral\nCH63 4JY\nODS: REN" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "", "SERVICE COMMENCEMENT AND CONTRACT TERM", "", "" ], "rows": [ [ "", "", "", "" ], [ "Effective Date\nSee GC2.1", "", "1 April 2023", "" ], [ "Expected Service Commencement Date\nSee GC3.1", "", "1 April 2023", "" ], [ "Longstop Date\nSee GC4.1 and 17.10.1", "", "", "" ], [ "Contract Term", "", "The initial term of this agreement shall\nbe three (3) years, commencing on 1\nApril 2023 and concluding on 31 March\n2026.\nThe parties may mutually agree to\nextend the contract up to 24 months in\naccordance with Schedule 1C", "" ], [ "Commissioner option to extend Contract\nTerm\nSee Schedule 1C, which applies only if YES\nis indicated here", "", "YES\nBy 24 months", "" ], [ "Commissioner Notice Period (for\ntermination under GC17.2)", "", "24 months\n[Period(s) as agreed/determined locally\nin respect of the Contract as a whole\nand/or specific Services – to be\nspecified here]", "" ], [ "Commissioner Earliest Termination Date\n(for termination under GC17.2)", "", "12 months after the Service\nCommencement Date\n[Period(s) as agreed/determined locally\nin respect of the Contract as a whole\nand/or specific Services – to be\nspecified here]", "" ], [ "Provider Notice Period (for termination\nunder GC17.3)", "", "24 months\n[Period(s) as agreed/determined locally\nin respect of the Contract as a whole\nand/or specific Services – to be\nspecified here]", "" ], [ "Provider Earliest Termination Date (for\ntermination under GC17.3)", "", "12 months after the Service\nCommencement Date\n[Period(s) as agreed/determined locally\nin respect of the Contract as a whole\nand/or specific Services – to be\nspecified here]", "" ] ], "row_count": 10, "col_count": 4 }, { "headers": [ "", "SERVICES", "", "", "" ], "rows": [ [ "Service Categories", "Service Categories", "", "Indicate all categories of service which", "" ], [ "", "", "", "the Provider is commissioned to", "" ], [ "", "", "", "provide under this Contract.", "" ], [ "", "", "", "Note that certain provisions of the Service", "" ], [ "", "", "", "Conditions and Annex A to the Service Conditions", "" ], [ "", "", "", "apply in respect of some service categories but not", "" ], [ "", "", "", "others.", "" ], [ "Medical Oncology:", "", "Diagnosis, treatment, and management of cancer\nusing chemotherapy, targeted therapy,\nimmunotherapy, and hormonal therapy.", "", "" ], [ "Radiation Oncology", "", "Administration of radiation therapy to target and\ndestroy cancer cells while minimizing damage to\nhealthy tissue.", "", "" ], [ "Surgical Oncology", "", "Surgical procedures to remove tumours and\ncancerous tissue, often as part of the primary\ntreatment or to alleviate symptoms.", "", "" ], [ "Support Services", "", "Counselling, nutritional support, pain management,\nphysical therapy, and other supportive services to\naddress the physical, emotional, and practical\nneeds of cancer patients.", "", "" ], [ "Multidisciplinary Care", "", "Collaboration among oncologists, surgeons,\nradiation oncologists, nurses, and other specialists\nto develop individualized treatment plans tailored to\neach patient's needs.", "", "" ], [ "Radiology and Imaging", "", "Diagnostic imaging services such as MRI, CT\nscans, PET scans, and ultrasound to aid in cancer\ndiagnosis and treatment planning.", "", "" ], [ "Pathology", "", "Examination and analysis of tissue samples and\nbody fluids to diagnose cancer and determine its\ncharacteristics, such as type, stage, and grade.", "", "" ], [ "Genetic Counselling", "", "Evaluation of genetic risk factors for cancer and\ncounselling for individuals and families regarding\nhereditary cancer syndromes and genetic testing\noptions.", "", "" ], [ "Patient Education and Outreach", "", "Educational programs, support groups, and\nresources for patients and their families to enhance\nunderstanding of cancer, treatment options, and\ncoping strategies.", "", "" ], [ "Survivorship Programs", "", "Follow-up care and support for cancer survivors,\nincluding monitoring for recurrence, managing late\neffects of treatment, and promoting overall\nwellness.", "", "" ], [ "This list may not be exhaustive, and the specific services offered by Clatterbridge Cancer\nCentre may vary and personalised as required for each respective patient.", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "Service Requirements", "", "", "" ], [ "Prior Approval Response Time\nStandard\nSee SC29.25", "", "Not applicable", "", "" ] ], "row_count": 24, "col_count": 5 }, { "headers": [ "", "GOVERNANCE AND REGULATORY", "", "" ], "rows": [ [ "Nominated Mediation Body\n(where required – see GC14.4)", "", "CEDR", "" ], [ "Provider’s Nominated Individual", "", "", "" ], [ "Provider’s Information\nGovernance Lead", "", "", "" ], [ "Provider’s Data Protection\nOfficer (if required by Data\nProtection Legislation)", "", "", "" ], [ "Provider’s Caldicott Guardian", "", "", "" ], [ "Provider’s Senior Information\nRisk Owner", "", "", "" ], [ "Provider’s Accountable\nEmergency Officer", "", "", "" ], [ "Provider’s Safeguarding Lead\n(children) / named professional\nfor safeguarding children", "", "", "" ], [ "Provider’s Safeguarding Lead\n(adults) / named professional for\nsafeguarding adults", "", "", "" ], [ "Provider’s Child Sexual Abuse\nand Exploitation Lead", "", "", "" ], [ "Provider’s Mental Capacity and\nLiberty Protection Safeguards\nLead", "", "", "" ], [ "Provider’s Prevent Lead", "", "", "" ], [ "Provider’s Freedom To Speak Up\nGuardian(s)", "", "", "" ], [ "Provider’s UEC DoS Contact", "", "[ ]\nEmail: [ ]\nTel: [ ]", "" ], [ "Commissioners’ UEC DoS Leads", "", "Not Applicable", "" ], [ "Provider’s Infection Prevention\nLead", "", "", "" ], [ "Provider’s Health Inequalities\nLead", "", "", "" ], [ "Provider’s Net Zero Lead", "", "", "" ] ], "row_count": 18, "col_count": 4 }, { "headers": [ "", "", "", "" ], "rows": [ [ "Provider’s 2018 Act Responsible\nPerson", "", "Not Applicable", "" ], [ "Provider’s Wellbeing Guardian\n(NHS Trusts and Foundation\nTrusts only)", "", "", "" ], [ "", "CONTRACT MANAGEMENT", "", "" ], [ "Addresses for service of Notices\nSee GC36", "", "Commissioner:\nManx Care\nNoble’s Hospital Estate,\nStrang, Braddan IM4 4RJ\nEmail:\nCommissioningandcontracts.ManxCare@gov.im\nProvider:\nClatterbridge Cancer Centre NHS Foundation\nTrust\nClatterbridge Road\nBebington\nWirral\nCH63 4JY\nEmail: [ ]", "" ], [ "Frequency of Review Meetings\nSee GC8.1", "", "Initially Monthly but will be reviewed during the\nterm of this Agreement to a frequency not greater\nthan Quarterly", "" ], [ "Commissioner Representative(s)\nSee GC10.3", "", "", "" ], [ "Provider Representative\nSee GC10.3", "", "", "" ] ], "row_count": 7, "col_count": 4 }, { "headers": [ "Date", "Document", "", "", "" ], "rows": [ [ "", "", "", "Description", "" ], [ "", "", "", "", "" ], [ " Referral Protocol\n Clinical Prioritisation\nPolicy", "", "", "", "" ] ], "row_count": 3, "col_count": 5 }, { "headers": [ "Service name", "Clatterbridge Cancer Centre services to the Isle of Man" ], "rows": [ [ "Service specification\nnumber", "N/A" ], [ "Population and/or\ngeography to be served", "Residents of the Isle of Man" ], [ "Service aims and desired\noutcomes", "Provision Cancer services to patients referred from the Isle of\nMan, with access and outcomes on par with those of UK\nresidents accessing the provider’s services." ], [ "Service description and\nlocation(s) from which it\nwill be delivered", "This list may not be exhaustive, and the specific services\noffered by Clatterbridge Cancer Centre may vary and\npersonalised as required for each respective patient.\nIt is expected that the most activity will occur at the Provider’s\nsite(s), but there will be some services where the provider\ndelivers, at least in part, its services within the Isle of Man,\neither as a visiting clinic, or provided as virtual services or by\nManx Care delivering locally with support and guidance from\nthe Provider.\nClose working relationship and communications with Manx\nCare’s referring clinicians will be expected, along with\nensuring that arrangements for MDTs are clear, timely and\ninclusive to Manx Care’s clinicians where relevant.\nMedical Oncology:\nDiagnosis, treatment, and management of cancer using\nchemotherapy, targeted therapy, immunotherapy, and\nhormonal therapy.\nRadiation Oncology:\nAdministration of radiation therapy to target and destroy\ncancer cells while minimizing damage to healthy tissue.\nSurgical Oncology\nSurgical procedures to remove tumours and cancerous\ntissue, often as part of the primary treatment or to alleviate\nsymptoms.\nSupport Services\nCounselling, nutritional support, pain management, physical\ntherapy, and other supportive services to address the\nphysical, emotional, and practical needs of cancer patients.\nMultidisciplinary Care\nCollaboration among oncologists, surgeons, radiation\noncologists, nurses, and other specialists to develop\nindividualized treatment plans tailored to each patient's\nneeds." ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "", "Area", "", "", "Basis", "", "2023/24 £'s", "", "", "Notes", "" ], "rows": [ [ "", "Consultant Time into clinics", "", "", "6.56 PAs", "", "£101,929", "", "", "", "" ], [ "", "Consultant time into MDT’s", "", "", "3 x each weekly", "", "£52,271", "", "", "", "" ], [ "", "", "", "", "(1 x MO, 1 x CO, 1 x HO)", "", "", "", "", "", "" ], [ "", "Staff grade time", "", "", "4 PA’s", "", "£33,882", "", "", "", "" ], [ "", "Specialist nurse time", "", "", "0.5 wte mid-pt Band 7 with on-costs", "", "£28,000", "", "", "", "" ], [ "", "Access to Triage hotline and", "", "0.2 wte mid-pt Band 7 with on-costs", "", "", "£19,435", "", "", "", "" ], [ "", "IO service **", "", "", "", "", "", "", "", "", "" ], [ "", "Pharmacy Support", "", "", "Mid-pt Band 8A with on-costs", "", "£68,420", "", "", "", "" ], [ "", "IT support", "", "", "· Service desk support", "", "£60,346", "", "", "", "" ], [ "", "", "", "", "· EPR team support", "", "", "", "", "", "" ], [ "", "", "", "", "· e- prescribing system support", "", "", "", "", "", "" ], [ "", "", "", "", "· training", "", "", "", "", "", "" ], [ "", "Admin support", "", "", "As previous", "", "£29,447", "", "", "", "" ], [ "", "Overheads", "", "", "10%", "", "£38,550", "", "", "", "" ], [ "", "Total Telehealth cost", "", "", "", "", "£432,281", "", "", "", "" ] ], "row_count": 15, "col_count": 11 }, { "headers": [ "", "Total Hotline Activity", "", "", "2021/22", "", "", "2022/23", "", "", "2023/24 (Q1)", "" ], "rows": [ [ "Total Hotline Calls:", "", "", "13,250", "", "", "12,972", "", "", "3,568", "", "" ], [ "", "Total IoM Calls:", "", "", "236", "", "", "207", "", "", "70", "" ], [ "", "% IoM calls:", "", "", "1.78%", "", "", "1.60%", "", "", "1.96%", "" ], [ "Annual Budget 23/24 x IOM Activity %", "", "", "£17,644", "", "", "£15,808", "", "", "£19,435", "", "" ] ], "row_count": 4, "col_count": 12 }, { "headers": [ "Quality Requirement", "Threshold", "Method of Measurement", "Period over which\nthe Requirement\nis to be achieved", "Applicable\nService\nSpecification" ], "rows": [ [ "Insert text and/or attach spreadsheet\nor documents locally in respect of\none or more Contract Years or state\nNot Applicable", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 5, "col_count": 5 }, { "headers": [ "Date", "", "", "" ], "rows": [ [ "", "", "Document", "" ], [ "", "", "", "" ], [ "Insert text locally or state\nNot Applicable", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ] ], "row_count": 6, "col_count": 4 }, { "headers": [ "Date", "", "", "" ], "rows": [ [ "", "", "Document", "" ], [ "", "", "", "" ], [ "Insert text locally or state\nNot Applicable", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ] ], "row_count": 6, "col_count": 4 }, { "headers": [ "Sub-Contractor\n[Name]\n[Registered Office]\n[Company number]", "Service Description", "Start date/expiry date", "Processing Personal Data\n– Yes/No", "", "", "" ], "rows": [ [ "", "", "", "", "", "If the Sub-Contractor is", "" ], [ "", "", "", "", "", "processing Personal Data,", "" ], [ "", "", "", "", "", "state whether the Sub-", "" ], [ "", "", "", "", "", "Contractor is a Data", "" ], [ "", "", "", "", "", "Processor OR a Data", "" ], [ "", "", "", "", "", "Controller OR a joint Data", "" ], [ "", "", "", "", "", "Controller", "" ], [ "", "", "", "", "", "", "" ], [ "Insert text locally or state\nNot Applicable", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 12, "col_count": 7 }, { "headers": [ "" ], "rows": [ [ "Sub-Contractor" ], [ "[Name]" ], [ "[Registered Office]" ], [ "[Company number]" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Commissioner", "", "", "" ], "rows": [ [ "", "", "Role/Responsibility", "" ], [ "Not Applicable", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ] ], "row_count": 7, "col_count": 4 }, { "headers": [ "", "", "", "", "Reporting Period", "", "Format of Report", "", "", "", "Timing and Method for", "", "", "Service", "" ], "rows": [ [ "", "", "", "", "", "", "", "", "", "", "delivery of Report", "", "", "category", "" ], [ "", "National Requirements Reported Centrally", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "1. As specified in the Schedule of Approved\nCollections published at\nhttps://digital.nhs.uk/isce/publication/nhs-standard-\ncontract-approved-collections\nwhere mandated for and as applicable to the\nProvider and the Services", "", "", "As set out in relevant\nGuidance", "", "", "As set out in relevant\nGuidance", "", "", "As set out in relevant\nGuidance", "", "", "All", "", "" ], [ "1a. Without prejudice to 1 above, daily submissions of\ntimely Emergency Care Data Sets, in accordance\nwith DAPB0092-2062 and with detailed\nrequirements published at\nhttps://digital.nhs.uk/data-and-information/data-\ncollections-and-data-sets/data-sets/emergency-\ncare-data-set-ecds/ecds-latest-update", "", "", "As set out in relevant\nGuidance", "", "", "As set out in relevant\nGuidance", "", "", "Daily", "", "", "A+E, U", "", "" ], [ "2. Patient Reported Outcome Measures (PROMS)\nhttps://digital.nhs.uk/data-and-information/data-\ntools-and-services/data-services/patient-reported-\noutcome-measures-proms", "", "", "As set out in relevant\nGuidance", "", "", "As set out in relevant\nGuidance", "", "", "As set out in relevant\nGuidance", "", "", "All", "", "" ], [ "", "National Requirements Reported Locally", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "1a. Activity and Finance Report", "1a. Activity and Finance Report", "", "Monthly", "", "", "In the format specified\nin the relevant\nInformation Standards\nNotice (DCB2050)", "", "", "[For local agreement]", "", "", "A, MH", "", "" ], [ "1b. Activity and Finance Report", "", "", "Monthly", "", "", "[For local agreement]", "", "", "[For local agreement]", "", "", "All except A,\nMH", "", "" ], [ "", "2. Service Quality Performance Report, detailing", "", "Monthly", "", "", "[For local agreement]", "", "", "Within 15 Operational\nDays of the end of the\nmonth to which it relates", "", "", "All\nAll", "", "" ], [ "", "performance against National Quality", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Requirements, Local Quality Requirements and", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "the duty of candour, including, without limitation:", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "a. details of any thresholds that have been", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "breached and breaches in respect of the", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "duty of candour that have occurred;", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "b. details of all requirements satisfied;", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 16, "col_count": 15 }, { "headers": [ "", "", "", "", "Reporting Period", "", "Format of Report", "", "Timing and Method for", "", "", "Service", "" ], "rows": [ [ "", "", "", "", "", "", "", "", "delivery of Report", "", "", "category", "" ], [ "", "c. details of, and reasons for, any failure to", "", "", "", "", "", "", "", "", "All", "", "" ], [ "", "meet requirements", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "3. Complaints monitoring report, setting out", "", "[For local agreement]", "", "", "[For local agreement]", "[For local agreement]", "", "", "All", "", "" ], [ "", "numbers of complaints received and including", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "analysis of key themes in content of complaints", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "4. Report against performance of Service", "", "In accordance with\nrelevant SDIP", "", "", "In accordance with\nrelevant SDIP", "In accordance with\nrelevant SDIP", "", "", "All", "", "" ], [ "", "Development and Improvement Plan (SDIP)", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "5. Summary report setting out relevant information", "", "Monthly", "", "", "[For local agreement]", "[For local agreement]", "", "", "All", "", "" ], [ "", "on Patient Safety Incidents and the progress of", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "and outcomes from Patient Safety Investigations,", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "as agreed with the Commissioner", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "6. Data Quality Improvement Plan: report of", "", "In accordance with\nrelevant DQIP", "", "", "In accordance with\nrelevant DQIP", "In accordance with\nrelevant DQIP", "", "", "All", "", "" ], [ "", "progress against milestones", "", "", "", "", "", "", "", "", "", "", "" ], [ "7. Report on outcome of reviews and evaluations in\nrelation to Staff numbers and skill mix in\naccordance with GC5.2 (Staff)", "7. Report on outcome of reviews and evaluations in", "", "Annually (or more\nfrequently if and as\nrequired by the\nCommissioner from time\nto time)", "", "", "[For local agreement]", "[For local agreement]", "", "", "All", "", "" ], [ "", "relation to Staff numbers and skill mix in", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "accordance with GC5.2 (Staff)", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "8. Report on its performance against the National", "", "Annually", "", "", "[For local agreement]", "By 31 October in each\nContract Year;\nsubmission to\nCommissioner", "", "", "All", "", "" ], [ "", "Workforce Race Equality Standard and action", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "plan setting out the steps the Provider will take to", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "improve performance", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "9. (If the Provider is an NHS Trust or an NHS", "", "Annually", "", "", "[For local agreement]", "By 31 October in each\nContract Year;\nsubmission to\nCommissioner", "", "", "All", "", "" ], [ "", "Foundation Trust) report on its performance", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "against the National Workforce Disability Equality", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Standard and action plan setting out the steps the", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Provider will take to improve performance", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "10. Where the Services include Specialised Services", "", "As set out at\nhttps://www.england.nhs.\nuk/nhs-standard-\ncontract/dc-reporting/", "", "", "As set out at\nhttps://www.england.nh\ns.uk/nhs-standard-\ncontract/dc-reporting/", "As set out at\nhttps://www.england.nh\ns.uk/nhs-standard-\ncontract/dc-reporting/", "", "", "All", "", "" ], [ "", "and/or other services directly commissioned by", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "NHS England (or commissioned by an ICB,", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "where NHS England has delegated the function", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "of commissioning those services), specific reports", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "as set out at", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "https://www.england.nhs.uk/nhs-standard-", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "contract/dc-reporting/", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "(where not otherwise required to be submitted as", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "a national requirement reported centrally or", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "locally)", "", "", "", "", "", "", "", "", "", "", "" ], [ "11. Report on progress against Green Plan in", "", "", "Annually", "", "", "[For local agreement]", "[For local agreement]", "", "", "All", "", "" ] ], "row_count": 38, "col_count": 13 }, { "headers": [ "", "", "", "", "Reporting Period", "", "Format of Report", "", "Timing and Method for", "", "", "Service", "" ], "rows": [ [ "", "", "", "", "", "", "", "", "delivery of Report", "", "", "category", "" ], [ "accordance with SC18.2 (NHS Trust/FT only)", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Local Requirements Reported Locally", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "12. SLAMs and PLDS and any other associated\nactivity and performance reports related to Manx\nCare’s patients under the care of the Provider.", "", "", "Monthly", "", "", "[For local agreement]", "The Provider must\nsubmit any patient-\nidentifiable data\nrequired in relation to\nLocal Requirements\nReported Locally via the\nData Landing Portal in\naccordance with the\nData Landing Portal\nAcceptable Use\nStatement.\n[Otherwise, for local\nagreement]\nReports to be sent to:\nManxCareBI@gov.im\nIn accordance to SUS\ntimetable", "", "", "All", "", "" ], [ "", "12. SLAMs and PLDS and any other associated", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "activity and performance reports related to Manx", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Care’s patients under the care of the Provider.", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 8, "col_count": 13 }, { "headers": [ "", "", "", "", "", "", "" ], "rows": [ [ "", "", "", "", "Milestones", "Timescales", "Expected Benefit" ], [ "", "", "", "", "", "", "" ], [ "", "Not Applicable", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ], [ "", "", "", "", "", "", "" ] ], "row_count": 7, "col_count": 7 }, { "headers": [ "Type of Survey", "Frequency", "Method of Reporting", "", "Method of Publication", "" ], "rows": [ [ "", "", "", "", "", "" ], [ "Friends and Family Test (where\nrequired in accordance with FFT\nGuidance)", "As required by FFT\nGuidance", "As required by FFT\nGuidance", "As required by FFT\nGuidance", "", "" ], [ "National Quarterly Pulse Survey\n(NQPS) (if the Provider is an\nNHS Trust or an NHS\nFoundation Trust)", "As required by\nNQPS Guidance", "As required by NQPS\nGuidance", "As required by NQPS\nGuidance", "", "" ], [ "[Other insert locally (for\nexample, Service User Survey,\nCarer Survey]", "", "", "", "", "" ] ], "row_count": 4, "col_count": 6 }, { "headers": [ "", "Description", "", "", "Details", "" ], "rows": [ [ "Commissioner for which Data Processing\nServices are to be performed", "", "", "Manx Care", "", "" ], [ "Subject matter of the processing", "", "", "Provision of specialized acute and tertiary services, including\nelective and non-elective cases for referred by Manx Care / Isle of\nMan", "", "" ], [ "Duration of the processing", "", "", "1 April 2023 until contract end date.", "", "" ], [ "Nature and purposes of the processing", "", "", "The processing involves the collection, recording, organisation,\nand provision of specialized healthcare services for patients\nreferred by Manx Care. The purposes include medical treatment,\ndiagnostics, patient care management, and maintaining health\nrecords in accordance with statutory obligations.", "", "" ], [ "Type of Personal Data", "", "", "Patient information, including but not limited to: name, address,\ndate of birth, medical history, diagnostic data, treatment plans,\nand any other relevant medical information necessary for the\nprovision of healthcare services", "", "" ], [ "Categories of Data Subject", "", "", "Patients (and their guardians) referred by Manx Care for\nspecialized healthcare services.", "", "" ], [ "Plan for return and destruction of the data\nonce the processing is complete UNLESS\nrequirement under law to preserve that\ntype of data", "", "", "Data will be retained for the duration of the treatment and for a\nperiod minimum of 8 years after the conclusion of treatment or 25\nyears in the case of records relating to the treatment of children.\nUpon completion of the processing, the data will be securely\nreturned to the Commissioner or destroyed in accordance with\napplicable data protection laws and regulations. If there is a legal\nrequirement to preserve certain types of data, the Provider will\nnotify the Commissioner and specify the reasons for the extended\nretention period.", "", "" ] ], "row_count": 7, "col_count": 6 }, { "headers": [ "Manx Care" ], "rows": [ [ "Noble's Hospital Estate" ], [ "Strang" ], [ "Braddan" ], [ "IM4 4RJ" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "PROVISION OF SERVICES" ], "rows": [ [ "SC1 Compliance with the Law and the NHS Constitution\n1.1 The Provider must provide the Services in accordance with the Fundamental\nStandards of Care and the Service Specifications. The Provider must perform all\nof its obligations under this Contract in accordance with:\n1.1.1 the terms of this Contract;\n1.1.2 the Law; and\n1.1.3 Good Practice.\nThe Provider must, when requested by the Commissioner, provide evidence of the\ndevelopment and updating of its clinical process and procedures to reflect Good\nPractice." ], [ "1.2 The Commissioner must perform all of their obligations under this Contract in\naccordance with:\n1.2.1 the terms of this Contract;\n1.2.2 the Law; and\n1.2.3 Good Practice." ], [ "1.3 The Parties must abide by and promote awareness of the NHS Constitution, including\nthe rights and pledges set out in it. The Provider must ensure that all Sub-\nContractors and all Staff abide by the NHS Constitution." ], [ "1.4 In performing their respective obligations under this Contract, each Party must have\ndue regard to the Armed Forces Covenant and the Armed Forces Duty Statutory\nGuidance." ], [ "SC2 Regulatory Requirements\n2.1 The Provider must:\n2.1.1 comply, where applicable, with the registration and regulatory\ncompliance guidance of any relevant Regulatory or Supervisory Body;\n2.1.2 respond to all applicable requirements and enforcement actions issued\nfrom time to time by any relevant Regulatory or Supervisory Body;\n2.1.3 comply, where applicable, with the standards and recommendations\nissued from time to time by any relevant Regulatory or Supervisory\nBody;" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "2.1.4 consider and respond to the recommendations arising from any audit,\nclinical outcome review programme, Serious Incident investigation\nreport, Patient Safety Incident investigation report or other patient\nsafety related review process;\n2.1.5 comply with the standards and recommendations issued from time to\ntime by any relevant professional body and agreed in writing between\nthe Commissioner and the Provider;\n2.1.6 comply, where applicable, with the recommendations contained in\nNICE Technology Appraisals and have regard to other Guidance\nissued by NICE from time to time;\n2.1.7 respond to any reports and recommendations made by Local\nHealthwatch; and\n2.1.8 meet its obligations under Law in relation to the production and\npublication of Quality Accounts." ], "rows": [ [ "2.2 The Parties must comply, where applicable, with their respective obligations under,\nand with recommendations contained in, MedTech Funding Mandate Guidance." ], [ "SC3 Service Standards\n3.1 The Provider must:\n3.1.1 not breach the thresholds in respect of the National Quality\nRequirements; and\n3.1.2 not breach the thresholds in respect of the Local Quality\nRequirements." ], [ "3.2A A failure by the Provider to comply with SC3.1 will be excused if it is directly\nattributable to or caused by an act or omission of the Commissioner, but will not\nbe excused if the failure was caused primarily by an increase in Referrals." ], [ "3.2B Not Used" ], [ "3.3 If the Provider does not comply with SC3.1 the Commissioner may, in addition and\nwithout affecting any other rights that it may have under this Contract:\n3.3.1 issue a Contract Performance Notice under GC9.4 (Contract\nManagement) in relation to the breach or failure; and/or\n3.3.2 take action to remove any Service User affected from the Provider’s\ncare; and/or" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "3.3.3 if it reasonably considers that there may be further non-compliance of\nthat nature in relation to other Service Users, take action to remove\nthose Service Users from the Provider’s care." ], "rows": [ [ "3.4 The Provider must continually review and evaluate the Services, must act on insight\nderived from those reviews and evaluations, from feedback, complaints, audits,\nclinical outcome review programmes, Patient Safety Incidents, and from the\ninvolvement of Service Users, Staff, GPs, Referrers and the public (including the\noutcomes of Surveys), and must demonstrate at Review Meetings the extent to\nwhich Service improvements have been made as a result and how these\nimprovements have been communicated to Service Users, their Carers, GPs and\nthe public." ], [ "3.5 The Provider must implement policies and procedures for reviewing deaths of Service\nUsers whilst under the Provider’s care and for engaging with bereaved families\nand Carers." ], [ "3.6 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must comply with\nNational Guidance on Learning from Deaths where applicable." ], [ "3.7 The Provider must:\n3.7.1 if it is an NHS Trust or an NHS Foundation Trust (and except as otherwise\nagreed with the National Medical Examiner), establish and operate a\nMedical Examiner Office; and\n3.7.2 comply with Medical Examiner Guidance as applicable." ], [ "3.8 The Provider must co-operate fully with the Commissioner and the original Referrer in\nany re-referral of the Service User to another provider (including providing Service\nUser Health Records, other information relating to the Service User’s care and\nclinical opinions if reasonably requested). Any failure to do so will constitute a\nmaterial breach of this Contract." ], [ "3.9 If a Service User is admitted for acute Elective Care services and the Provider\ncancels that Service User’s operation after admission for non-clinical reasons, the\nterms of the NHS Constitution Handbook cancelled operations pledge will apply." ], [ "3.10 The Provider (whether or not it is required to be CQC registered for the purpose of\nthe Services) must identify and give notice to the Commissioner of the name,\naddress and position in the Provider of the Nominated Individual." ], [ "3.11 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must assess its\nperformance using the Board Assurance Framework for Seven Day Hospital\nServices as required by Guidance and must share a copy of each assessment\nwith the Commissioner." ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "3.12 Where the Provider provides vascular surgery Services, hyper-acute stroke Services,\nmajor trauma Services, STEMI heart attack Services or children’s critical care\nServices, the Provider must ensure that those Services comply in full with Seven\nDay Service Hospital Priority Clinical Standards." ], "rows": [ [ "3.13 Not Used" ], [ "3.14 In performing its obligations under this Contract, the Provider (if it is an NHS Trust\nor an NHS Foundation Trust) must have regard to Learning Disability\nImprovement Standards." ], [ "3.15 Not Used ." ], [ "3.16 The Commissioner and the Provider must jointly assess, by no later than 30\nSeptember in each Contract Year, the effectiveness of their arrangements for\nmanaging the interface between the Services and local primary medical services,\nincluding the Provider’s compliance with SC8.2-5, SC11.5-7, SC11.9-10,\nSC11.12 and SC12.2 of this Contract." ], [ "3.17 Following the assessment undertaken under SC3.16, the Commissioner\nand the Provider must then:\n3.17.1 agree, at the earliest opportunity, an action plan to address any\ndeficiencies their assessment identifies, ensuring that this action plan is\ninformed by discussion with the Referrer\n3.17.2 arrange for the action plan to be approved in public by each of their\nGoverning Bodies and to be shared with the Referrer" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "3.17.3 in conjunction with the Commissioner, implement the action plan diligently,\nkeeping the relevant Referrer informed of progress with its\nimplementation." ], "rows": [ [ "3.18 The Provider (if it is not an NHS Trust or an NHS Foundation Trust) must have\nregard to the Medical Practitioners Assurance Framework." ], [ "3.19 The Provider must nominate a 2018 Act Responsible Person and must ensure\nthat the Commissioner is kept informed at all times of the identity of the person\nholding that position. The Provider must comply, and must ensure that its 2018\nAct Responsible Person complies, with their respective obligations under the\n2018 Act and 2018 Act Guidance." ], [ "3.20 The Provider must, by no later than 31 March 2024, implement a system of early\nscreening, risk assessment and health optimisation for all adult Service Users\nwaiting for inpatient surgery, in accordance with the requirements on\nperioperative care co-ordination set out in the Elective Recovery Plan." ], [ "SC4 Co-operation\n4.1 The Parties must at all times act in good faith towards each other and in the\nperformance of their respective obligations under this Contract." ], [ "4.2 The Parties must co-operate in accordance with the Law and Good Practice to\nfacilitate the delivery of the Services in accordance with this Contract, having\nregard at all times to the welfare and rights of Service Users." ], [ "4.3 The Provider and each Commissioner must, in accordance with Law, Good\nPractice and any guidance issued by the Secretary of State under sections 72 and\n82 of the 2006 Act regarding the duty to co-operate, co-operate fully and share\ninformation with each other and with any other commissioner or provider of health\nor social care in respect of a Service User in order to:\n4.3.1 ensure that a consistently high standard of care for the Service User is\nmaintained at all times;\n4.3.2 ensure that high quality, integrated and co-ordinated care for the Service\nUser is delivered across all pathways spanning more than one provider;\n4.3.3 achieve continuity of service that avoids inconvenience to, or risk to the\nhealth and safety of, the Service User, employees of the Commissioner\nor members of the public; and\n4.3.4 seek to ensure that the Services and other health and social care services\ndelivered to the Service User are delivered in such a way as to maximise\nvalue for public money, optimise allocation of resources and minimise\nunwarranted variations in quality and outcomes." ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "4.4 The Provider must ensure that its provision of any service to any third party does\nnot hinder or adversely affect its delivery of the Services or its performance of this\nContract." ], "rows": [ [ "4.5 Not Used" ], [ "4.6 In performing their respective obligations under this Contract the Parties must have\nregard to, and support each other to observe and promote, health services stated\nstrategic objectives of improving outcomes in population health and healthcare,\ntackling inequalities in outcomes, experience and access, enhancing productivity\nand value for money, and supporting broader social and economic development,\nthrough active involvement in the work of the relevant community." ], [ "4.7 Not Used" ], [ "4.8 Not Used" ], [ "4.9 Not Used" ], [ "4.10 Not Used" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "SC5 Commissioner Requested Services/Essential Services\n5.1 The Provider must comply with its obligations under the Provider Licence in respect\nof any Services designated as CRS by any Commissioner from time to time in\naccordance with CRS Guidance." ], "rows": [ [ "5.2 The Provider (if it is an NHS Trust) must maintain its ability to provide, and must\nensure that it is able to offer to the Commissioner, any Essential Services." ], [ "5.3 The Provider (if it is an NHS Trust) must have and at all times maintain an up-to-\ndate Essential Services Continuity Plan in respect of any Essential Services. The\nProvider must provide a copy of any updated Essential Services Continuity Plan\nto the Commissioner within 5 Operational Days following any update." ], [ "5.4 The Provider (if it is an NHS Trust) must, in consultation with the Commissioner,\nimplement any applicable Essential Services Continuity Plan as required:\n5.4.1 if there is any interruption to the Provider’s ability to provide the Essential\nServices;\n5.4.2 if there is any partial or entire suspension of the Essential Services; or\n5.4.3 on expiry or early termination of this Contract or of any Service for any\nreason (and this obligation will apply both before and after expiry or\ntermination)." ], [ "SC6 Choice and Referral\n6.1 The Parties must comply with their respective obligations under NHS e-Referral\nGuidance and Guidance issued by the Department of Health and Social Care and\nNHS England regarding patients’ rights to choice of provider and/or Consultant or\nHealthcare Professional, including the NHS Choice Framework." ], [ "6.2 The Provider must describe and publish all acute GP Referred Services in the\nNHS e-Referral Service through a Directory of Service, offering choice of any\nclinically appropriate team led by a named Consultant or Healthcare Professional\nas applicable. In relation to all such GP Referred Services:\n6.2.1 the Provider must ensure that all such Services are able to receive\nReferrals through the NHS e-Referral Service;\n6.2.2 the Provider must, in respect of Services which are Directly Bookable:\n6.2.2.1 use all reasonable endeavours to make sufficient appointment\nslots available within the NHS e-Referral Service to enable any\nService User to book an appointment for a GP Referred Service\nwithin a reasonable period via the NHS e-Referral Service; and" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "6.4 Not Used" ], "rows": [ [ "6.4A This SC6.4A applies to all acute GP Referred Services and to all other Services\nwhich the Provider chooses to list within the NHS e-Referral Service. The\nProvider must, having consulted all relevant Commissioner, ensure that each\nService to which this SC6.4A applies and each site from which that Service will\nbe delivered is listed on the correct menu within the NHS e-Referral Service, so\nthat:\n6.4A.1 each Service to which the legal right to choice applies, as set out in the\nNHS Choice Framework, and each site from which that Service will be\ndelivered, is listed on the Secondary Care Menu; and\n6.4A.2 all other Services and the sites from which those Services will be delivered\nare listed in the Primary Care Menu." ], [ "6.5 The Provider must make the specified information available to prospective\nService Users through the NHS Website, and must in particular use the NHS\nWebsite to promote awareness of the Services among the communities it serves,\nensuring the information provided is accurate, up-to-date, and complies with the\nprovider profile policy set out at www.nhs.uk." ], [ "18 Weeks Information\n6.6 In respect of Consultant-led Services to which the 18 Weeks Referral-to-\nTreatment Standard applies:\n6.6.1 the Provider must ensure that the confirmation to the Service User of their\nfirst outpatient appointment includes the 18 Weeks Information; and\n6.6.2 the Provider must publish on its website and operate a Local Access\nPolicy complying with the requirements of the Commissioner." ], [ "6.7 Not used." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Acceptance and Rejection of Referrals\n6.8 Subject to SC6.3 and to SC7 (Withholding and/or Discontinuation of Service), the\nProvider must:\n6.8.1 accept any Referral of a Service User made in accordance with the\nReferral processes and clinical thresholds set out or referred to in this\nContract and/or as otherwise agreed between the Parties and/or as\nspecified in any Prior Approval Scheme, and in any event where\nnecessary for a Service User to exercise their legal right to choice as set\nout in the NHS Choice Framework; and\n6.8.2 (subject to SC6.13.1) accept any clinically appropriate referral for any\nService of an individual whose Commissioner is not a Party to this\nContract where necessary for that individual to exercise their legal right\nto choice as set out in the NHS Choice Framework; and\n6.8.3 where it can safely do so, accept a referral or presentation for emergency\ntreatment, within the scope of the Services, of or by any individual whose\nCommissioner is not a Party to this Contract.\nAny referral or presentation as referred to in SC6.8.2 or 6.8.3 will not be a Referral\nunder this Contract and the relevant provisions of the Contract Technical\nGuidance will apply in respect of it." ], "rows": [ [ "6.9 Not Used" ], [ "6.10 Not Used" ], [ "6.11 Not Used" ], [ "6.12 Not Used" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "" ], "rows": [ [ "6.13 The existence of this Contract does not entitle the Provider to accept referrals in\nrespect of, provide services to, nor to be paid for providing services to, individuals\nwhose Commissioner is not a Party to this Contract, except:\n6.13.1 where such an individual is exercising their legal right to choice as set out\nin the NHS Choice Framework, and then only if:\n6.13.1.1 the service provided to that individual is a Service as\ndescribed in this Contract; and\n6.13.1.2 where this Contract otherwise identifies a site or sites at which\nor a geographical area within which the Service is to be\ndelivered, the service provided to that individual is delivered\nfrom such a site or within that geographical area, as\nappropriate; or\n6.13.2 where necessary for that individual to receive emergency treatment." ], [ "Urgent and Emergency Care Directory of Services\n6.14 Not Used" ], [ "6.15 Not Used" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "7.3.4 the Provider must liaise with the Commissioner and the relevant Referrer\nto seek to maintain or restore the provision of the relevant care to the\nService User in a way that minimises any disruption to the Service\nUser’s care and risk to the Service User." ], "rows": [ [ "7.4A Except in respect of Services to which SC7.4B, SC7.4C or SC7.4D applies:\n7.4A1 If the Provider, the Commissioner and the Referrer cannot agree on\nthe continued provision of the relevant Service to a Service User, the\nProvider must (subject to any requirements under SC11 (Transfer of\nand Discharge from Care; Communication with GPs)) notify the\nCommissioner (and where applicable the Referrer) that it will not\nprovide or will stop providing the Service to that Service User.\n7.4A2 The Commissioner must then liaise with the Referrer to procure\nalternative services for that Service User." ], [ "7.4B Not Used" ], [ "7.4C Not Used" ], [ "7.4D Not Used" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "7.5 If the Provider stops providing a Service to a Service User under SC7.2, and the\nProvider has complied with SC7.3, the Commissioner must pay the Provider in\naccordance with SC36 (Payment Terms) for the Service provided to that Service\nUser before the discontinuance." ], "rows": [ [ "SC8 Unmet Needs, Making Every Contact Count and Self Care\n8.1 If the Provider believes that a Service User or a group of Service Users may have\nan unmet health or social care need, it must notify the Commissioner accordingly.\nThe Commissioner will be responsible for making an assessment to determine\nany steps required to be taken to meet those needs." ], [ "8.2 If the Provider considers that a Service User has an immediate need for treatment\nor care which is within the scope of the Services it must notify the Service User,\nCarer or Legal Guardian (as appropriate) of that need without delay and must\nprovide the required treatment or care in accordance with this Contract, acting at\nall times in the best interest of the Service User. The Provider must notify the\nService User’s GP as soon as reasonably practicable of the treatment or care\nprovided." ], [ "8.3 If the Provider considers that a Service User has an immediate need for care which\nis outside the scope of the Services, it must notify the Service User, Carer or Legal\nGuardian (as appropriate) and the Service User’s GP of that need without delay\nand must co-operate with the Referrer to secure the provision to the Service User\nof the required treatment or care, acting at all times in the best interests of the\nService User. In fulfilling its obligations under this SC8.3, the Provider must\nensure that it takes account of all available information relating to the relevant\nlocally-available services (including information held in the UEC DoS)." ], [ "8.4 If the Provider considers that a Service User has a non-immediate need for treatment\nor care which is within the scope of the Services and which is directly related to\nthe condition or complaint which was the subject of the Service User’s original\nReferral or presentation, it must notify the Service User, Carer or Legal Guardian\n(as appropriate) of that need without delay and must (unless referral back to the\nService User’s GP is required in order for the Provider to comply with its\nobligations under SC29.4.1) provide the required treatment or care in accordance\nwith this Contract, acting at all times in the best interest of the Service User. The\nProvider must notify the Service User’s GP as soon as reasonably practicable of\nthe treatment or care provided." ], [ "8.5 Except as permitted under an applicable Prior Approval Scheme, the Provider must\nnot carry out, nor refer to another provider to carry out, any non-immediate or\nroutine treatment or care that is not directly related to the condition or complaint" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "which was the subject of the Service User’s original Referral or presentation\nwithout the agreement of the Service User’s GP." ], "rows": [ [ "8.6 The Provider must develop and maintain an organisational plan to ensure that Staff\nuse every contact that they have with Service Users and the public as an\nopportunity to maintain or improve health and wellbeing, in accordance with the\nprinciples and using the tools comprised in Making Every Contact Count\nGuidance." ], [ "8.7 In accordance with the Alcohol and Tobacco Brief Interventions Guidance, the\nProvider must screen inpatient Service Users for alcohol and tobacco use and,\nwhere appropriate:\n8.7.1 offer brief advice or interventions to Service Users; and/or\n8.7.2 refer the Service User to available alcohol advisory and/or smoking\ncessation services provided by the relevant Local Authority; and/or\n8.7.3 if the Provider is an NHS Trust or an NHS Foundation Trust, refer the\nService User to an appropriate NHS Smoking Cessation Advance\nService." ], [ "8.8 Where clinically appropriate, the Provider must support Service Users to develop\nthe knowledge, skills and confidence to take increasing responsibility for\nmanaging their own ongoing care." ], [ "8.9 Not Used" ], [ "SC9 Consent\n9.1 The Provider must publish, maintain and operate a Service User consent policy\nwhich complies with Good Practice and the Law." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "SC10 Personalised Care\n10.1 In the performance of their respective obligations under this Contract the Parties\nmust (where and as applicable to the Services):\n10.1.1 give due regard to Guidance on Personalised Care; and\n10.1.2 use all reasonable endeavours to implement any Development Plan for\nPersonalised Care." ], "rows": [ [ "10.2 The Provider must comply with regulation 9 of the 2014 Regulations. In planning\nand reviewing the care or treatment which a Service User receives, the Provider\nmust employ Shared Decision-Making, using supporting tools and techniques\napproved by the Commissioner." ], [ "10.3 Where required by Guidance, the Provider must, in association with other relevant\nproviders of health and social care,\n10.3.1 develop and agree a Personalised Care and Support Plan with the\nService User and/or their Carer or Legal Guardian; and\n10.3.2 ensure that the Service User and/or their Carer or Legal Guardian (as\nappropriate) can access that Personalised Care and Support Plan in a\nformat and through a medium appropriate to their needs." ], [ "10.4 The Provider must prepare, evaluate, review and audit each Personalised Care and\nSupport Plan on an on-going basis. Any review must involve the Service User\nand/or their Carer or Legal Guardian (as appropriate)." ], [ "10.5 The Provider must use all reasonable endeavours to ensure that, when arranging\nan outpatient or community appointment in relation to any Service (subject to the\nrequirements of the Service Specification and where clinically appropriate), it\noffers the Service User the option of a telephone or video appointment, or any\nother available remote consultation option, as an alternative to a face-to-face\nconsultation." ], [ "10.6 Where the Provider provides outpatient Services, it must have regard to Guidance\non Implementing Patient Initiated Follow-up." ], [ "10.7 Where a Local Authority requests the cooperation of the Provider in securing an\nEducation, Health and Care Needs Assessment, the Provider must use all\nreasonable endeavours to comply with that request within 6 weeks of the date on\nwhich it receives it." ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "SC11 Transfer of and Discharge from Care; Communication with\nGPs\n11.1 The Provider must comply with:\n11.1.1 the Transfer of and Discharge from Care Protocols;\n11.1.2 Not Used;\n11.1.3 Not Used;\n11.1.4 Not Used\n11.1.5 the 2014 Act and the Care and Support (Discharge of Hospital\nPatients) Regulations 2014; and\n11.1.6 Transfer and Discharge Guidance and Standards." ], "rows": [ [ "11.2 The Provider and each Commissioner must use its best efforts to support safe,\nprompt discharge from hospital and to avoid circumstances and transfers and/or\ndischarges likely to lead to emergency readmissions or recommencement of care." ], [ "11.3 Before the transfer of a Service User to another Service under this Contract and/or\nbefore a Transfer of Care or discharge of a Service User, the Provider must liaise\nas appropriate with any relevant third party health or social care provider, and with\nthe Service User and any Legal Guardian and/or Carer, to prepare and agree a\nCare Transfer Plan. The Provider must implement the Care Transfer Plan when\ndelivering the further Service, or transferring and/or discharging the Service User,\nunless (in exceptional circumstances) to do so would not be in accordance with\nGood Practice." ], [ "11.4 A Commissioner may agree a Shared Care Protocol in respect of any clinical\npathway with the Provider and representatives of local primary care and other\nproviders. Where there is a proposed Transfer of Care and a Shared Care\nProtocol is applicable, the Provider must, where the Service User’s GP has\nconfirmed willingness to accept the Transfer of Care, initiate and comply with the\nShared Care Protocol." ], [ "11.5 When transferring or discharging a Service User from an inpatient or day case or\naccident and emergency Service, the Provider must within 24 hours following that\ntransfer or discharge issue a Discharge Summary to the Service User’s GP and/or\nReferrer and to any relevant third party provider of health or social care, using the\napplicable Delivery Method. The Provider must ensure that it is at all times able\nto send and receive Discharge Summaries via all applicable Delivery Methods." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "11.6 When transferring or discharging a Service User from a Service which is not an\ninpatient or day case or accident and emergency Service, the Provider must, if\nrequired by the relevant Transfer of and Discharge from Care Protocol, issue the\nDischarge Summary to the Service User’s GP and/or Referrer and to any relevant\nthird party provider of health or social care within the timescale, and in accordance\nwith any other requirements, set out in that protocol." ], "rows": [ [ "11.6A Not Used" ], [ "11.7 Where, in the course of delivering an outpatient Service to a Service User, the\nProvider becomes aware of any matter or requirement pertinent to that Service\nUser’s ongoing care and treatment which would necessitate the Service User’s\nGP taking prompt action, the Provider must communicate this by issue of a Clinic\nLetter to the Service User’s GP. The Provider must send the Clinic Letter as soon\nas reasonably practicable and in any event within 7 days following the Service\nUser’s outpatient attendance. The Provider must issue such Clinic Letters using\nthe applicable Delivery Method." ], [ "11.8 The Commissioner must use all reasonable endeavours to assist the Provider to\naccess the necessary national information technology systems to support\nelectronic submission of Discharge Summaries and Clinic Letters and to ensure\nthat GPs are in a position to receive Discharge Summaries and Clinic Letters via\nthe Delivery Method applicable to communication with GPs." ], [ "11.9 Where a Service User has a clinical need for medication to be supplied on\ndischarge from inpatient or day case care, the Provider must ensure that the\nService User will have on discharge an adequate quantity of that medication to\nlast:\n11.9.1 for the period required by local practice, in accordance with any\nrequirements set out in the Transfer of and Discharge from Care\nProtocols (but at least 7 days); or\n11.9.2 (if shorter) for a period which is clinically appropriate.\nThe Provider must supply that quantity of medication to the Service User itself,\nexcept to the extent that the Service User already has an adequate quantity\nand/or will receive an adequate supply via an existing repeat prescription from the\nService User’s GP or other primary care provider." ], [ "11.10 Where a Service User has an immediate clinical need for medication to be supplied\nfollowing outpatient clinic attendance, the Provider must itself supply to the\nService User an adequate quantity of that medication to last for the period required\nby local practice, in accordance with any requirements set out in the" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Transfer of and Discharge from Care Protocols (but at least sufficient to meet the\nService User’s immediate clinical needs until the Service User’s GP receives the\nrelevant Clinic Letter and can prescribe accordingly)." ], "rows": [ [ "11.11 The Parties must at all times have regard to NHS Guidance on Prescribing\nResponsibilities, including, in the case of the Provider, in fulfilling its obligations\nunder SC11.4, 11.9 and/or 11.10 (as appropriate). When supplying medication to\na Service User under SC11.9 or SC11.10 and/or when recommending to a Service\nUser’s GP any item to be prescribed for that Service User by that GP following\ndischarge from inpatient care or clinic attendance, the Provider must have regard\nto Guidance on Prescribing in Primary Care." ], [ "11.12 Where a Service User either:\n11.12.1 is admitted to hospital under the care of a member of the Provider’s\nmedical Staff; or\n11.12.2 is discharged from such care; or\n11.12.3 attends an outpatient clinic or accident and emergency service under the\ncare of a member of the Provider’s medical Staff,\nthe Provider must, where appropriate under and in accordance with Fit Note\nGuidance, issue free of charge to the Service User or their Carer or Legal\nGuardian any necessary medical certificate to prove the Service User’s fitness or\notherwise to work, covering the period until the date by which it is anticipated that\nthe Service User will have recovered or by which it will be appropriate for a further\nclinical review to be carried out." ], [ "11.13 The Provider must use all reasonable endeavours to refer Service Users, on\ndischarge from inpatient care and where clinically appropriate, into the NHS\nDischarge Medicines Service, in accordance with the NHS Discharge Medicine\nService Toolkit as applicable to the Provider." ], [ "11.14 The Parties must comply with their respective obligations under the National\nFramework for NHS Continuing Healthcare and NHS-funded Nursing Care and\nmust co-operate with each other, with the relevant Local Authority and with other\nproviders of health and social care as appropriate, to minimise the number of NHS\nContinuing Healthcare assessments which take place in an acute hospital setting." ], [ "SC12 Communicating with and Involving Service Users, Public and\nStaff\n12.1 The Provider must:\n12.1.1 arrange and carry out all necessary steps in a Service User’s care and\ntreatment promptly and in a manner consistent with the relevant\nService Specifications and Quality Requirements until such point as\nthe Service User can appropriately be discharged in accordance with\nthe Transfer of and Discharge from Care Protocols;" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "12.1.2 ensure that Staff work effectively and efficiently together, across\nprofessional and Service boundaries, to manage their interactions with\nService Users so as to ensure that they experience co-ordinated, high\nquality care without unnecessary duplication of process;\n12.1.3 notify the Service User (and, where appropriate, their Carer and/or\nLegal Guardian) of the results of all investigations and treatments\npromptly and in a readily understandable, functional, clinically\nappropriate and cost effective manner; and\n12.1.4 communicate in a readily understandable, functional and timely\nmanner with the Service User (and, where appropriate, their Carer\nand/or Legal Guardian), their GP and other providers about all relevant\naspects of the Service User’s care and treatment." ], "rows": [ [ "12.2 The Provider must:\n12.2.1 provide Service Users (in relation to their own care) and Referrers (in\nrelation to the care of an individual Service User) with clear information\nin respect of each Service about who to contact if they have questions\nabout their care and how to do so;\n12.2.2 ensure that there are efficient arrangements in place in respect of each\nService for responding promptly and effectively to such questions and\nthat these are publicised to Service Users and Referrers using all\nappropriate means, including appointment and admission letters and\non the Provider’s website; and\n12.2.3 wherever possible, deal with such questions from Service Users itself,\nand not by advising the Service User to speak to their Referrer." ], [ "12.3 The Provider must comply with the Accessible Information Standard." ], [ "12.4 The Provider must actively engage, liaise and communicate with Service Users\n(and, where appropriate, their Carers and Legal Guardians), Staff, GPs and the\npublic in an open, clear and accessible manner in accordance with the Law and\nGood Practice, seeking their feedback whenever practicable. In communicating\nwith a Service User (and, where appropriate, their Carer and/or Legal Guardian),\nthe Provider must have regard to their health literacy in order to support them to\nmake informed decisions about the Service User’s health, care and wellbeing." ], [ "12.5 The Provider must involve Service Users (and, where required by Law or otherwise\nappropriate, their Carers and Legal Guardians), Staff, Service Users’ GPs and the\npublic when considering and implementing developments to and redesign of\nServices. As soon as reasonably practicable following any reasonable request by\nthe Commissioner, the Provider must provide evidence of that involvement and of\nhow the views of those involved have been taken account of in the relevant\ndevelopments to and redesign of Services." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "12.6 The Provider must:\n12.6.1 carry out the Friends and Family Test Surveys as required in\naccordance with FFT Guidance, using all reasonable endeavours to\nmaximise the number of responses from Service Users;\n12.6.2 (if it is an NHS Trust or an NHS Foundation Trust) carry out the\nNational Quarterly Pulse Survey as required in accordance with\nNational Quarterly Pulse Survey Guidance;\n12.6.3 carry out Staff Surveys which must, where required by Staff Survey\nGuidance, include the appropriate NHS staff surveys;\n12.6.4 carry out all other Surveys; and\n12.6.5 co-operate with any surveys that the Commissioner (acting\nreasonably) carry out.\nThe form, frequency and reporting of the Surveys will be as set out in Schedule\n6D (Surveys) or as otherwise agreed between the Commissioner and the Provider\nin writing and/or required by Law or Guidance from time to time." ], "rows": [ [ "12.7 The Provider must review and provide a written report to the Commissioner on the\nresults of each Survey. The report must identify any actions reasonably required\nto be taken by the Provider in response to the Survey. The Provider must\nimplement those actions as soon as practicable. The Provider must publish the\noutcomes of and actions taken in relation to all Surveys." ], [ "SC13 Equity of Access, Equality and Non-Discrimination\n13.1 The Parties must not discriminate between or against Service Users, Carers or Legal\nGuardians on the grounds of age, disability, gender reassignment, marriage or civil\npartnership, pregnancy or maternity, race, religion or belief, sex, sexual\norientation, or any other non-medical characteristics, except as permitted by Law." ], [ "13.2 The Provider must provide appropriate assistance and make reasonable\nadjustments for Service Users, Carers and Legal Guardians who do not speak,\nread or write English or who have communication difficulties (including hearing,\noral or learning impairments). The Provider must carry out an annual audit of its\ncompliance with this obligation and must demonstrate at Review Meetings the\nextent to which Service improvements have been made as a result." ], [ "13.3 In performing its obligations under this Contract the Provider must comply with the\nobligations contained in section 149 of the Equality Act 2010, the Equality Act\n2010 (Specific Duties) Regulations and section 6 of the HRA. If the Provider is\nnot a public authority for the purposes of those sections and regulations it must\ncomply with them as if it were." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "13.4 In consultation with the Commissioner, and on reasonable request, the Provider\nmust provide a plan setting out how it will comply with its obligations under SC13.3.\nIf the Provider has already produced such a plan in order to comply with the Law,\nthe Provider may submit that plan to the Commissioner in order to comply with\nthis SC13.4." ], "rows": [ [ "13.5 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must implement\nEDS." ], [ "13.6 The Provider must:\n13.6.1 in accordance with Schedule 6A (Reporting Requirements), submit to the\nCommissioner an annual report on its performance against the National\nWorkforce Race Equality Standard and an action plan setting out any steps\nit will take to improve its performance, in each case in a form previously\napproved by the Provider’s Governing Body; and\n13.6.2 at the same time publish both the report and the action plan on its website." ], [ "13.7 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must ensure that\nit has in place effective procedures intended to prevent unlawful discrimination in\nthe recruitment and promotion of Staff and must publish:\n13.7.1 a five-year action plan, showing how it will ensure that the black, Asian and\nminority ethnic representation a) among its Staff at Agenda for Change\nBand 8a and above, and b) on its Governing Body will, by the end of that\nperiod, reflect the black, Asian and minority ethnic representation in its\nworkforce, or in its local community, whichever is the higher; and\n13.7.2 regular reports on its progress in implementing that action plan and in\nachieving its bespoke targets for black, Asian and minority ethnic\nrepresentation amongst its Staff, as described in the NHS Model Employer\nStrategy." ], [ "13.8 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must:\n13.8.1 in accordance with Schedule 6A (Reporting Requirements), submit to the\nCommissioner an annual report on its performance against the National\nWorkforce Disability Equality Standard and an action plan setting out any\nsteps it will take to improve its performance, in each case in a form\npreviously approved by the Provider’s Governing Body; and\n13.8.2 at the same time publish both the report and the action plan on its website." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "13.9 In performing its obligations under this Contract, the Provider must use all\nreasonable endeavours to:\n13.9.1 support the Commissioner in carrying out their duties under the 2006 Act\nin respect of the reduction of inequalities in access to health services and\nin the outcomes achieved from the delivery of health services; and\n13.9.2 implement any Health Inequalities Action Plan." ], "rows": [ [ "13.10 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must nominate a\nHealth Inequalities Lead and ensure that the Commissioner is kept informed at all\ntimes of the person holding this position." ], [ "SC14 Pastoral, Spiritual and Cultural Care\n14.1 The Provider must take account of the spiritual, religious, pastoral and cultural\nneeds of Service Users." ], [ "14.2 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must have regard\nto NHS Chaplaincy Guidelines." ], [ "SC15 Urgent Access to Mental Health Care\n15.1 The Parties must have regard to the Mental Health Crisis Care Concordat and must\nreach agreement on the identification of, and standards for operation of, Places of\nSafety in accordance with the Law, the 1983 Act Code and the Royal College of\nPsychiatrists Standards." ], [ "15.2 The Parties must co-operate to ensure that individuals under the age of 18 with\npotential mental health conditions are referred for, and receive, age-appropriate\nassessment, care and treatment in accordance with the 1983 Act." ], [ "15.3 The Parties must use all reasonable endeavours to ensure that, where an\nindividual under the age of 18 requires urgent mental health assessment, care or\ntreatment, that individual is not:\n15.3.1 held in police custody in a cell or station; or\n15.3.2 admitted to an adult inpatient service (unless this is clinically appropriate\nin line with the requirements of the 1983 Act); or\n15.3.3 admitted to an acute paediatric ward (unless this is required in\naccordance with NICE guideline CG16 (Self-harm in over 8s) or if the\nindividual has an associated physical health or safeguarding need)." ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "15.4 The Parties must use all reasonable endeavours to ensure that, where an\nindividual under the age of 18 requiring urgent mental health assessment, care or\ntreatment attends or is taken to an accident and emergency department:\n15.4.1 a full biopsychosocial assessment is undertaken and an appropriate care\nplan is put in place; and\n15.4.2 the individual is not held within the accident and emergency department\nbeyond the point where the actions in SC15.4.1 have been completed." ], "rows": [ [ "SC16 Complaints\n16.1 The Commissioner and the Provider must each publish, maintain and operate a\ncomplaints procedure in compliance with the Fundamental Standards of Care and\nother Law and Guidance." ], [ "16.2 The Provider must:\n16.2.1 provide clear information to Service Users, their Carers and\nrepresentatives, and to the public, displayed prominently in the Services\nEnvironment as appropriate, on how to make a complaint or to provide\nother feedback and on how to contact Local Healthwatch; and\n16.2.2 ensure that this information informs Service Users, their Carers and\nrepresentatives, of their legal rights under the NHS Constitution, how they\ncan access independent support to help make a complaint, and how they\ncan take their complaint to the Health Service Ombudsman should they\nremain unsatisfied with the handling of their complaint by the Provider." ], [ "SC17 Services Environment and Equipment\n17.1 The Provider must:\n17.1.1 ensure that the Services Environment and the Equipment comply with the\nFundamental Standards of Care; and\n17.1.2 comply with National Standards of Healthcare Cleanliness." ], [ "17.2 Unless stated otherwise in this Contract, the Provider must at its own cost provide\nall Equipment necessary to provide the Services in accordance with the Law and\nany necessary Consents." ], [ "17.3 The Provider must ensure that all Staff using Equipment, and all Service Users\nand Carers using Equipment independently as part of the Service User’s care or\ntreatment, have received appropriate and adequate training and have been\nassessed as competent in the use of that Equipment." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "17.4 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must comply with\nthe requirements of Health Building Note 00-08 in relation to advertising of legal\nservices." ], "rows": [ [ "17.5 Without prejudice to SC17.4, the Provider (if it is an NHS Trust or an NHS\nFoundation Trust) must not enter into, extend or renew any contractual\narrangement under which a Legal Services Provider is permitted to provide,\npromote, arrange or advertise any legal service to Service Users, their relatives,\nCarers or Legal Guardians, whether:\n17.5.1 at the Provider’s Premises; or\n17.5.2 on the Provider’s website; or\n17.5.3 through written material sent by the Provider to Service Users, their\nrelatives, Carers or Legal Guardians,\nif and to the extent that that legal service would or might relate to or lead to the\npursuit of a claim against the Provider, any other provider or any commissioner of\nNHS services." ], [ "17.6 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must use all\nreasonable endeavours to ensure that no Legal Services Provider makes any\nunsolicited approach to any Service User or their relatives, Carer or Legal\nGuardian while at the Provider’s Premises." ], [ "17.7 The Provider must ensure that supplies of appropriate sanitary products are\navailable and are, on request, provided promptly to inpatient Service Users free\nof charge." ], [ "17.8 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must use reasonable\nendeavours to ensure that the Provider’s Premises are Smoke-free at all times." ], [ "17.9 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must complete the\nNHS Premises Assurance Model and submit a report to its Governing Body in\naccordance with the requirements and timescales set out in the NHS Premises\nAssurance Model, and make a copy available to the Commissioner on request." ], [ "17.10 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must comply,\nwhere applicable, with NHS Car Parking Guidance, and in particular must ensure\nthat any car parking facilities at the Provider’s Premises for Service Users, visitors\nand Staff are available free of charge to those groups and at those times identified\nin, and otherwise in accordance with, that guidance." ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "17.11 In relation to any inpatient, outpatient, accident and emergency or diagnostic\nServices which it provides, the Provider must operate a clinically appropriate\npolicy for visits to, and accompaniment of, Service Users which is no more\nrestrictive that the position described in National Principles on Hospital Visiting." ], "rows": [ [ "SC18 Green NHS and Sustainability\n18.1 In performing its obligations under this Contract the Provider must take all\nreasonable steps to minimise its adverse impact on the environment and to deliver\nthe commitments set out in Delivering a ‘Net Zero’ National Health Service." ], [ "18.2 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must maintain\nand deliver a Green Plan, approved by its Governing Body, in accordance with\nGreen Plan Guidance and must:\n18.2.1 provide an annual summary of progress on delivery of that plan to the\nCommissioner;\n18.2.2 nominate a Net Zero Lead and ensure that the Commissioner is kept\ninformed at all times of the person holding this position; and\n18.2.3 publish in its annual report quantitative progress data, covering as a\nminimum greenhouse gas emission in tonnes, emissions reduction\nprojections and an overview of the Provider’s strategy to deliver those\nreductions." ], [ "18.3 The Provider must have in place clear, detailed plans as to how it will contribute\ntowards a ‘Green NHS’ with regard to Delivering a ‘Net Zero’ National Health\nService commitments in relation to:\n18.3.1 air pollution, and specifically how it will:\n18.3.1.1 take action to reduce air pollution from fleet vehicles,\ntransitioning as quickly as reasonably practicable to use\nexclusively Zero and Ultra-Low Emission Vehicles;\n18.3.1.2 take action to phase out fossil fuels for primary heating and\nreplace them with less polluting alternatives;\n18.3.1.3 develop and operate expenses policies for Staff which\npromote sustainable travel choices;\n18.3.1.4 ensure that any car leasing schemes for Staff (including salary\nsacrifice schemes) exclude High Emission Vehicles and\npromote Zero and Ultra-Low Emission Vehicles; and\n18.3.1.5 develop plans to install electric vehicle charging infrastructure\nfor fleet vehicles at the Provider’s Premises;" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "18.5.2 (if it is an NHS Trust or an NHS Foundation Trust), when procuring goods,\nservices and/or works, comply with the requirements set out in the NHS\nNet Zero Supplier Roadmap." ], "rows": [ [ "SC19 National Standards for Healthcare Food and Drink\n19.1 The Provider must comply with the National Standards for Healthcare Food and\nDrink, as applicable." ], [ "RECORDS AND REPORTING" ], [ "SC20 Service Development and Improvement Plan\n20.1 The Commissioner and the Provider must agree an SDIP where required by and\nin accordance with Guidance." ], [ "20.2 The Commissioner and the Provider may at any time agree an SDIP." ], [ "20.3 Any SDIP must be appended to this Contract at Schedule 6C (Service Development\nand Improvement Plans). The Commissioner and Provider must comply with their\nrespective obligations under any SDIP. The Provider must report performance\nagainst any SDIP in accordance with Schedule 6A (Reporting Requirements)." ], [ "SC21 Infection Prevention and Control and Staff Vaccination\n21.1 The Provider must:\n21.1.1 comply with the Code of Practice on the Prevention and Control of\nInfections and put in place and implement an infection prevention\nprogramme in accordance with it;\n21.1.2 if it is an NHS Trust or an NHS Foundation Trust, implement by no later\nthan 31 March 2024, and thereafter comply with, the National Infection\nPrevention and Control Manual;\n21.1.3 if it is not an NHS Trust or an NHS Foundation Trust, have regard to the\nNational Infection Prevention and Control Manual;\n21.1.4 nominate an Infection Prevention Lead and ensure that the Commissioner\nis kept informed at all times of the person holding this position;\n21.1.5 have regard to NICE guideline NG15 (Antimicrobial stewardship: systems\nand processes for effective antimicrobial medicine use); and" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "21.1.6 have regard to the Antimicrobial Stewardship Toolkit for English\nHospitals." ], "rows": [ [ "21.2 The Provider must ensure that all laboratory services (whether provided directly\nor under a Sub-Contract) comply with the UK Standards for Microbiology\nInvestigations." ], [ "21.3 The Provider (if it is an NHS Trust or an NHS Foundation Trust) must use all\nreasonable endeavours, consistent with good practice, to reduce its Broad-\nSpectrum Antibiotic Usage (measured against the Broad-Spectrum Antibiotic\nUsage 2017 Baseline) by 10% by 31 March 2024." ], [ "21.4 The Provider must use all reasonable endeavours to ensure that all eligible frontline\nStaff in contact with Service Users are vaccinated, in accordance with JCVI and\nGreen Book Guidance, against influenza and Covid-19." ], [ "21.5 The Provider must use all reasonable endeavours to ensure that, where Staff have\nany contact with a Service User who is either immunosuppressed and/or pregnant\n(other than while that Service User is an inpatient), they provide that Service User\nwith brief advice on Covid-19 vaccination, in accordance with JCVI and Green\nBook Guidance, including on available routes for accessing a vaccination service." ], [ "SC22 Assessment and Treatment for Acute Illness\n22.1 The Provider must implement the methodology described in NEWS 2 Guidance for\nassessment of acute illness severity for adult Service Users, ensuring that each\nadult Service User is monitored at the intervals set out in that guidance and that in\nrespect of each adult Service User an appropriate clinical response to their NEW\nScore, as defined in that guidance, is always effected." ], [ "22.2 The Provider must comply with Sepsis Implementation Guidance." ], [ "SC23 Service User Health Records\n23.1 The Provider must accept transfer of, create and maintain Service User Health\nRecords as appropriate for all Service Users. The Provider must securely store,\nretain and destroy those records in accordance with Data Guidance, Records\nManagement Code of Practice for Health and Social Care and in any event in\naccordance with Data Protection Legislation." ], [ "23.2 The Provider must:\n23.2.1 if and as so reasonably requested by a Commissioner, whether during or\nafter the Contract Term, promptly deliver to any third party provider of\nhealthcare or social care services nominated by that Commissioner a" ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "copy of the Service User Health Record held by the Provider for any\nService User for whom that Commissioner is responsible; and\n23.2.2 notwithstanding SC23.1, if and as so reasonably requested by a\nCommissioner at any time following the expiry or termination of this\nContract, promptly deliver to any third party provider of healthcare or\nsocial care services nominated by that Commissioner, or to the\nCommissioner itself, the Service User Health Record held by the Provider\nfor any Service User for whom that Commissioner is responsible." ], "rows": [ [ "23.3 The Provider must give each Service User full and accurate information regarding\ntheir treatment and must evidence that in writing in the relevant Service User\nHealth Record." ], [ "NHS Number\n23.4 Subject to and in accordance with Law and Guidance the Provider must:\n23.4.1 ensure that the Service User Health Record includes the Service User’s\nverified NHS Number;\n23.4.2 use the NHS Number as the consistent identifier in all clinical\ncorrespondence (paper or electronic) and in all information it processes\nin relation to the Service User; and\n23.4.3 be able to use the NHS Number to identify all Activity relating to a Service\nUser; and\n23.4.4 use all reasonable endeavours to ensure that the Service User’s verified\nNHS Number is available to all clinical Staff when engaged in the\nprovision of any Service to that Service User." ], [ "23.5 The Commissioner must ensure that each Referrer (except a Service User\npresenting directly to the Provider for assessment and/or treatment) uses the NHS\nNumber as the consistent identifier in all correspondence in relation to a Referral." ], [ "Information Technology Systems\n23.6 Subject to GC21 (Patient Confidentiality, Data Protection, Freedom of Information\nand Transparency) the Provider must ensure that all Staff involved in the provision\nof urgent, emergency and unplanned care are able to view key Service User\nclinical information from GP records, whether via the Summary Care Records\nService or a locally integrated electronic record system supplemented by the\nSummary Care Records Service." ], [ "23.7 The Provider must ensure that (subject to GC21 (Patient Confidentiality, Data\nProtection, Freedom of Information and Transparency)) all of its major clinical\ninformation technology systems enable clinical data to be accessible to other\nproviders of services to Service Users as structured information through open" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "interfaces in accordance with Open API Policy and Guidance and Care Connect\nAPIs." ], "rows": [ [ "23.8 The Provider must ensure that its information technology systems comply with\nDCB0160 in relation to clinical risk management." ], [ "Internet First and Code of Conduct\n23.9 When updating, developing or procuring any information technology system or\nsoftware, the Provider must have regard to the NHS Internet First Policy and the\nCode of Conduct for Data-Driven Health and Care Technology." ], [ "Urgent Care Data Sharing Agreement\n23.10 The Provider must enter into an Urgent Care Data Sharing Agreement with the\nCommissioner and such other providers of urgent and emergency care services\nas the Commissioner may specify, consistent with the requirements of GC21\n(Patient Confidentiality, Data Protection, Freedom of Information and\nTransparency) and otherwise on such terms as the Commissioner may\nreasonably require." ], [ "Health and Social Care Network\n23.11 The Provider must, where applicable, have appropriate access to the Health and\nSocial Care Network and have terminated any remaining N3 services." ], [ "SC24 NHS Counter-Fraud Requirements\n24.1 The Provider must put in place and maintain appropriate measures to prevent,\ndetect and investigate fraud, bribery and corruption, having regard to NHSCFA\nRequirements." ], [ "24.2 If the Provider:\n24.2.1 is an NHS Trust; and/or\n24.2.2 holds a Provider Licence (unless required to do so solely because it\nprovides CRS as designated by the Commissioner or any other\ncommissioner),\nit must take the necessary action to meet NHSCFA Requirements, including in\nrespect of reporting via the NHS fraud case management system." ], [ "24.3 If requested by the Commissioner, or NHSCFA or any Regulatory or Supervisory\nBody, the Provider must allow a person duly authorised to act on behalf of\nNHSCFA, on behalf of any Regulatory or Supervisory Body or on behalf" ] ], "row_count": 7, "col_count": 1 }, { "headers": [ "of any Commissioner to review, in line with the NHSCFA Requirements, the\ncounter-fraud measures put in place by the Provider." ], "rows": [ [ "24.4 The Provider must implement any reasonable modifications to its counter-fraud\narrangements required by a person referred to in SC24.3 in order to meet the\nNHSCFA Requirements within whatever time periods as that person may\nreasonably require." ], [ "24.5 On becoming aware of any suspected or actual bribery, corruption or fraud involving\nNHS-funded services, the Provider must promptly report the matter to its nominated\nLocal Counter Fraud Specialist and to NHSCFA." ], [ "24.6 On the request of the Department of Health and Social Care, NHS England,\nNHSCFA, any Regulatory or Supervisory Body or the Commissioner, the Provider\nmust allow NHSCFA or any Local Counter Fraud Specialist nominated by a\nCommissioner, as soon as it is reasonably practicable and in any event not later\nthan 5 Operational Days following the date of the request, access to:\n24.6.1 all property, premises, information (including records and data) owned or\ncontrolled by the Provider; and\n24.6.2 all Staff who may have information to provide,\nrelevant to the detection and investigation of cases of bribery, fraud or corruption,\ndirectly or indirectly in connection with this Contract." ], [ "SC25 Other Local Agreements, Policies and Procedures\n25.1 If requested by the Commissioner or the Provider, the Commissioner or the Provider\n(as the case may be) must within 5 Operational Days following receipt of the\nrequest send or make available to the other copies of any Services guide or other\nwritten agreement, policy, procedure or protocol implemented by any\nCommissioner or the Provider (as applicable)." ], [ "25.2 The Commissioner must notify the Provider and the Provider must notify the\nCommissioner of any material changes to any items it has disclosed under SC25.1." ], [ "25.3 The Parties must comply with their respective obligations under the documents\ncontained or referred to in Schedule 2G (Other Local Agreements, Policies and\nProcedures)." ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "SC26 Clinical Networks, National Audit Programmes and Approved\nResearch Studies\n26.1 The Provider must:\n26.1.1 participate in the Clinical Networks, programmes and studies listed in\nSchedule 2F (Clinical Networks);\n26.1.2 participate in:\n26.1.2.1 any national programme within the National Clinical Audit\nand Patient Outcomes Programme;\n26.1.2.2 any other national clinical audit or clinical outcome\nreview programme managed or commissioned by HQIP;\nand\n26.1.2.3 any national programme included within the NHS\nEngland Quality Accounts List for the relevant Contract\nYear,\nrelevant to the Services; and\n26.1.3 make national clinical audit data available to support national\npublication of Consultant-level activity and outcome statistics in\naccordance with HQIP Guidance." ], "rows": [ [ "26.2 The Provider must adhere to all protocols and procedures operated or recommended\nunder the programmes and arrangements referred to in SC26.1, unless in conflict\nwith existing protocols and procedures agreed between the Parties, in which case\nthe Parties must review all relevant protocols and procedures and try to resolve\nthat conflict." ], [ "26.3 The Provider must put arrangements in place to facilitate recruitment of Service\nUsers and Staff as appropriate into Approved Research Studies." ], [ "26.4 If the Provider chooses to participate in any Commercial Contract Research Study\nwhich is submitted to the Health Research Authority for approval, the Provider\nmust ensure that that participation will be in accordance with the National Directive\non Commercial Contract Research Studies, at a price determined by NIHR for\neach Provider in accordance with the methodology prescribed in the directive and\nunder such other contractual terms and conditions as are set out in the directive." ], [ "26.5 The Provider must comply with HRA/NIHR Research Reporting Guidance, as\napplicable." ], [ "26.6 The Parties must comply with NHS Treatment Costs Guidance, as applicable." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "28.2.6 comply with the Data Guidance and Data Protection Legislation on the\nuse and disclosure of personal confidential data for other than direct\ncare purposes; and\n28.2.7 use all reasonable endeavours to optimise its performance under the\nData Quality Maturity Index (where applicable) and must demonstrate\nits progress to the Commissioner on an ongoing basis, through\nagreement and implementation of a Data Quality Improvement Plan\nor through other appropriate means." ], "rows": [ [ "28.3 The Commissioner may request from the Provider any information in addition to\nthat to be provided under SC28.2 which any Commissioner reasonably and\nlawfully requires in relation to this Contract. The Provider must supply that\ninformation in a timely manner." ], [ "28.4 The Commissioner must act reasonably in requesting the Provider to provide any\ninformation under this Contract, having regard to the burden which that request\nplaces on the Provider, and may not, without good reason, require the Provider:\n28.4.1 to supply any information to any Commissioner locally where that\ninformation is required to be submitted centrally under SC28.2; or\n28.4.2 where information is required to be submitted in a particular format\nunder SC28.2, to supply that information in a different or additional\nformat (but this will not prevent the Commissioner from requesting\ndisaggregation of data previously submitted in aggregated form); or\n28.4.3 to supply any information to any Commissioner locally for which that\nCommissioner cannot demonstrate purpose and value in connection\nwith the discharge of that Commissioner’s statutory duties and\nfunctions." ], [ "28.5 The Provider and each Commissioner must ensure that any information provided\nto any other Party in relation to this Contract is accurate and complete." ], [ "Counting and coding of Activity\n28.6 The Provider must ensure that each dataset that it provides under this Contract\ncontains the ODS code and/or other appropriate identifier for the relevant\nCommissioner. The Parties must have regard to Commissioner Assignment\nMethodology Guidance and Who Pays? Guidance when determining the correct\nCommissioner code in activity datasets." ], [ "28.7 The Parties must at all times comply with Guidance relating to clinical coding\npublished by NHS Digital or NHS England and with the definitions of Activity\nmaintained under the NHS Data Model and Dictionary." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "28.8 Where NHS England issues new or updated Guidance on the counting and coding\nof Activity and that Guidance requires the Provider to change its counting and\ncoding practice, the Provider must:\n28.8.1 as soon as reasonably practicable inform the Commissioner in writing of\nthe change it is making to effect the Guidance; and\n28.8.2 implement the change on the date (or in the phased sequence of dates)\nmandated in the Guidance." ], "rows": [ [ "28.9 Where any change in counting and coding practice required under SC28.8 is\nprojected, once implemented, to have, or is found following implementation to\nhave had, an impact on the Actual Annual Value of Services, the Parties must\nadjust the relevant Prices payable,\n28.9.1 where the change is to be, or was, implemented within the Contract Year\nin which the relevant Guidance was issued by NHS Digital or NHS\nEngland, in respect of the remainder of that Contract Year; and\n28.9.2 in any event, in respect of the whole of the Contract Year following the\nContract Year in which the relevant Guidance was issued by NHS Digital\nor NHS England,\nin accordance with the NHS Payment Scheme to ensure that that impact is\nrendered neutral for that Contract Year or those Contract Years, as applicable." ], [ "28.10 Except as provided for in SC28.8, the Provider must not implement a change of\npractice in the counting and coding of Activity without the agreement of the\nCommissioner." ], [ "28.11 Either the Commissioner or the Provider may at any time propose a change of\npractice in the counting and coding of Activity to render it compliant with Guidance\nissued by NHS Digital or NHS England already in effect. The Party proposing such\na change must give the other Party written notice of the proposed change at least\n6 months before the date on which that change is proposed to be implemented." ], [ "28.12 The Party receiving notice of the proposed change of practice under SC28.11\nmust not unreasonably withhold or delay its agreement to the change." ], [ "28.13 Any change of practice proposed under SC28.11 and agreed under SC28.12 must\nbe implemented on 1 April of the following Contract Year, unless the Parties agree\na different date (or phased sequence) for its implementation." ], [ "28.14 Where any change in counting and coding practice proposed under SC28.11 and\nagreed under SC28.12 is projected, once implemented, to have, or is found\nfollowing implementation to have had, an impact on the Actual Annual Value, the\nParties must adjust the relevant Prices payable:" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "28.14.1 where the change is to be, or was, implemented within the Contract\nYear in which the change was proposed, in respect of the remainder\nof that Contract Year; and\n28.14.2 in any event, in respect of the whole of the Contract Year following the\nContract Year in which the change was proposed,\nin accordance with the NHS Payment Scheme to ensure that that impact is\nrendered neutral for that Contract Year or those Contract Years, as applicable." ], "rows": [ [ "28.15 Where any change of practice in the counting and coding of Activity is implemented,\nthe Provider and the Commissioner must, working jointly and in good faith, use all\nreasonable endeavours to monitor its impact and to agree the extent of any\nadjustments to Prices which may be necessary under SC28.9 or SC28.14." ], [ "Aggregation and disaggregation of information\n28.16 Information to be provided by the Provider under this SC28 and Schedule 6A\n(Reporting Requirements) and which is necessary for the purposes of SC36\n(Payment Terms) must be provided:\n28.16.1 to the Commissioner in aggregate form; and/or\n28.16.2 directly to each Commissioner in disaggregated form relating to its\nown use of the Services, as the Commissioner may direct." ], [ "SUS\n28.17 The Provider must submit commissioning data sets to SUS in accordance with\nSUS Guidance, where applicable. Where SUS is applicable, if:\n28.17.1 there is a failure of SUS; or\n28.17.2 there is an interruption in the availability of SUS to the Provider or to\nany Commissioner,\nthe Provider must comply with Guidance issued by NHS England and/or NHS\nDigital in relation to the submission of the national datasets collected in\naccordance with this SC28 pending resumption of service, and must submit those\nnational datasets to SUS as soon as reasonably practicable after resumption of\nservice." ], [ "Information Breaches\n28.18 If the Commissioner becomes aware of an Information Breach it must notify the\nProvider accordingly. The notice must specify:\n28.18.1 the nature of the Information Breach; and" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "28.18.2 the sums (if any) which the Commissioner intends to withhold, under\nSC28.19 if the Information Breach is not rectified within 5 Operational\nDays following service of that notice." ], "rows": [ [ "28.19 If the Information Breach is not rectified within 5 Operational Days of the date of\nthe notice served in accordance with SC28.18.2 (unless due to any act or omission\nof the Commissioner), the Commissioner may (subject to SC28.21) withhold, a\nreasonable and proportionate sum of up to 1% of the Expected Monthly Value or of\nthe Actual Monthly Value, as applicable, in respect of the current month and then\nfor each and every month until the Provider has rectified the relevant Information\nBreach to the reasonable satisfaction of the Commissioner." ], [ "28.20 The Commissioner must continue to withhold any sums withheld under SC28.19\nunless and until the Provider rectifies the relevant Information Breach to the\nreasonable satisfaction of the Commissioner. The Commissioner must then pay\nthe withheld sums to the Provider within 10 Operational Days. Subject to SC28.21\nno interest will be payable by the Commissioner to the Provider on any sum\nwithheld under SC28.19." ], [ "28.21 If the Provider produces evidence satisfactory to the Commissioner that any sums\nwithheld under SC28.19 were withheld without justification, the Commissioner\nmust pay to the Provider any sums wrongly withheld or retained and interest on\nthose sums for the period for which those sums were withheld or retained. If the\nCommissioner disputes the Provider’s evidence the Provider may refer the matter\nto Dispute Resolution." ], [ "28.22 Any sums withheld under SC28.19 may be retained permanently if the Provider\nfails to rectify the relevant Information Breach to the reasonable satisfaction of the\nCommissioner by the earliest of:\n28.22.1 the date 3 months after the date of the notice served in accordance\nwith SC28.18;\n28.22.2 the termination of this Agreement; and\n28.22.3 the Expiry Date." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "28.23 The aggregate of sums withheld in any month in respect of Information Breaches\nis not to exceed 5% of the Expected Monthly Value or of the Actual Monthly Value,\nas applicable." ], "rows": [ [ "Data Quality Improvement Plan\n28.24 The Commissioner and the Provider may at any time agree a Data Quality\nImprovement Plan (which must be appended to this Contract at Schedule 6B (Data\nQuality Improvement Plans)). Any Data Quality Improvement Plan must set out\nmilestones to be met." ], [ "28.25 If an Information Breach relates to the National Requirements Reported Centrally\nthe Parties must not by means of a Data Quality Improvement Plan agree the\nwaiver or delay or foregoing of any withholding or retention under SC28.19 to\nwhich the Commissioner would otherwise be entitled." ], [ "MANAGING ACTIVITY AND REFERRALS" ], [ "SC29 Managing Activity and Referrals\n29.1 The Commissioner and the Provider must each monitor and manage Activity and\nReferrals for the Services in accordance with this SC29 and the NHS Payment\nScheme." ], [ "29.2 The Parties must not agree or implement any action that would operate contrary\nto the NHS Choice Framework or so as to restrict or impede the exercise by\nService Users or others of their legal rights to choice." ], [ "29.3 Subject to SC29.3A, the Commissioner must use all reasonable endeavours to:\n29.3.1 procure that all Referrers adhere to Referral processes and clinical\nthresholds set out or referred to in this Contract and/or as otherwise\nagreed between the Parties and/or as specified in any Prior Approval\nScheme;\n29.3.2 manage Referral levels in accordance with any Activity Planning\nAssumptions; and\n29.3.3 notify the Provider promptly of any anticipated changes in Referral\nnumbers." ], [ "29.3A Not Used." ] ], "row_count": 7, "col_count": 1 }, { "headers": [ "29.4 The Provider must:\n29.4.1 comply with and use all reasonable endeavours to manage Activity in\naccordance with Referral processes and clinical thresholds set out or\nreferred to in this Contract and/or as otherwise agreed between the\nParties and/or as specified in any Prior Approval Scheme, and in\naccordance with any Activity Planning Assumptions; and\n29.4.2 comply with the reasonable requests of the Commissioner to assist\nthe Commissioner in understanding and managing patterns of\nReferrals." ], "rows": [ [ "Indicative Activity Plan\n29.5 The Parties may agree an Indicative Activity Plan for each Contract Year, either\nbefore the date of this Contract or (failing that) before the start of the relevant\nContract Year, specifying the threshold for each activity (and those agreed\nthresholds may be zero). If the Parties have not agreed an Indicative Activity Plan\nbefore the start of any Contract Year an Indicative Activity Plan with an indicative\nactivity of zero will be deemed to apply for that Contract Year." ], [ "29.6 The Indicative Activity Plan will comprise the aggregated Indicative Activity Plans\nof the Commissioner." ], [ "Activity Planning Assumptions\n29.7 The Commissioner must notify the Provider of any Activity Planning Assumptions for\neach Contract Year, specifying a threshold for each assumption, either before the\ndate of this Contract or (failing that) before the start of the relevant Contract Year." ], [ "Early Warning\n29.8 The Commissioner must notify the Provider within 3 Operational Days after\nbecoming aware of any unexpected or unusual patterns of Referrals and/or\nActivity in relation to any Commissioner, specifying the nature of the unexpected\npattern and the Commissioner’s initial opinion as to its likely cause." ], [ "29.9 The Provider must notify the Commissioner and the relevant Commissioner within 3\nOperational Days after becoming aware of any unexpected or unusual patterns of\nReferrals and/or Activity in relation to any Commissioner, specifying the nature of\nthe unexpected pattern and the Provider’s initial opinion as to its likely cause." ], [ "Reporting and Monitoring Activity\n29.10 The Provider must submit an Activity and Finance Report to the Commissioner\nin accordance with Schedule 6A (Reporting Requirements)." ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "29.11 The Commissioner and the Provider will monitor actual Activity reported in each\nActivity and Finance Report in respect of each Commissioner against:\n29.11.1 thresholds set out in any Indicative Activity Plan; and\n29.11.2 thresholds set out in any Activity Planning Assumptions; and\n29.11.3 any previous Activity and Finance Reports,\nas appropriate." ], "rows": [ [ "Activity Management Meeting\n29.12 Following:\n29.12.1 notification by the Commissioner of any unexpected or unusual\npatterns of Referrals and/or of Activity in accordance with SC29.8; or\n29.12.2 notification by the Provider of any unexpected or unusual patterns of\nReferrals and/or of Activity in accordance with SC29.9; or\n29.12.3 the submission of any Activity and Finance Report in accordance with\nSC29.10 indicating variances against the thresholds set out in any\nIndicative Activity Plan and/or any breaches of the thresholds set out\nin any Activity Planning Assumptions and/or any unexpected or\nunusual patterns of Referrals and/or Activity (as appropriate),\nin relation to any Commissioner, either the Commissioner or the Provider may\nissue to the other an Activity Query Notice." ], [ "29.13 The Commissioner and the Provider must meet to discuss any Activity Query\nNotice within 10 Operational Days following its issue." ], [ "29.14 At that meeting the Commissioner and the Provider must:\n29.14.1 consider patterns of Referrals, of Activity and of the exercise by\nService Users of their legal rights to choice; and\n29.14.2 agree either:\n29.14.2.1 that the Activity Query Notice is withdrawn; or\n29.14.2.2 to hold a meeting to discuss Utilisation, in which case the\nprovisions of SC29.15 will apply; or\n29.14.2.3 to conduct a Joint Activity Review, in which case the\nprovisions of SC29.16 to 29.20 will apply." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Utilisation Review Meeting\n29.15 Within 10 Operational Days following agreement to hold a meeting under\nSC29.14, the Commissioner and the Provider must meet:\n29.15.1 to agree a plan to improve Utilisation and/or update any previously\nagreed plan; and\n29.15.2 to discuss any matter that either considers necessary in relation to\nUtilisation." ], "rows": [ [ "Joint Activity Review\n29.16 Within 10 Operational Days following agreement to conduct a Joint Activity Review\nunder SC29.14, the Commissioner and the Provider must meet:\n29.16.1 to consider in further detail the matters referred to in SC29.14.1 and\nthe causes of the unexpected or unusual pattern of Referrals and/or\nActivity; and\n29.16.2 (if they consider it necessary or appropriate) to agree an Activity\nManagement Plan." ], [ "29.17 The Commissioner and the Provider should not agree an Activity Management\nPlan in respect of any unexpected or unusual pattern of Referrals and/or Activity\nwhich they agree was caused wholly or mainly by the exercise by Service Users\nof their rights to choice." ], [ "29.18 If the Commissioner and the Provider fail to agree an Activity Management Plan at\nor within 10 Operational Days following the Joint Activity Review they must issue\na joint notice to that effect to the Governing Body of the Provider and of each\nCommissioner. If the Commissioner and the Provider have still not agreed an\nActivity Management Plan within 10 Operational Days following the date of the\njoint notice, either may refer the matter to Dispute Resolution." ], [ "29.19 The Parties must implement any Activity Management Plan agreed or determined\nin accordance with SC29.16 to 29.18 inclusive in accordance with its terms." ], [ "29.20 If any Party breaches the terms of an Activity Management Plan, the Commissioner\nor the Provider (as appropriate) may exercise any consequences set out in it." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Prior Approval Scheme\n29.21 Before the start of each Contract Year, the Commissioner must notify the Provider\nof the terms of any Prior Approval Scheme for that Contract Year. In determining\nwhether to implement any new or replacement Prior Approval Scheme or to\namend any existing Prior Approval Scheme, the Commissioner must have regard\nto the burden which Prior Approval Schemes may place on the Provider. The\nCommissioner must use reasonable endeavours to minimise the number of\nseparate Commissioner-specific Prior Approval Schemes in relation to any\nindividual condition or treatment. The terms of any Prior Approval Scheme may\nspecify the information which the Provider must submit to the Commissioner about\nindividual Service Users requiring or receiving treatment under that Prior Approval\nScheme, including details of the scope of the information to be submitted and the\nformat, timescale and process for submission (which may be paper-based or via\nspecified electronic systems)." ], "rows": [ [ "29.22 The Provider must manage Referrals in accordance with the terms of any Prior\nApproval Scheme. If the Provider does not comply with the terms of any Prior\nApproval Scheme in providing a Service to a Service User, the Commissioner will\nnot be liable to pay for the Service provided to that Service User." ], [ "29.23 If a Prior Approval Scheme imposes any obligation on a Provider that would\noperate contrary to the NHS Choice Framework:\n29.23.1 that obligation will have no contractual force or effect; and\n29.23.2 the Prior Approval Scheme must be amended accordingly; and\n29.23.3 if the Provider provides any Service in accordance with the Prior\nApproval Scheme as amended in accordance with SC29.23.2 the\nrelevant Commissioner will be liable to pay for that Service in\naccordance with SC36 (Payment Terms)." ], [ "29.24 The Commissioner may at any time during a Contract Year give the Provider not\nless than one month’s notice in writing of any new or replacement Prior Approval\nScheme, or of any amendment to an existing Prior Approval Scheme. That new,\nreplacement or amended Prior Approval Scheme must be implemented by the\nProvider on the date set out in the notice, and will only be applicable to decisions\nto offer treatment made after that date." ], [ "29.25 Subject to the timely provision by the Provider of all of the information specified\nwithin a Prior Approval Scheme, the relevant Commissioner must respond within\nthe Prior Approval Response Time Standard to any request for approval for\ntreatment for an individual Service User. If the Commissioner fails to do so, it will\nbe deemed to have given Prior Approval." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "29.26 Each Commissioner and the Provider must use all reasonable endeavours to\nensure that the design and operation of Prior Approval Schemes does not cause\nundue delay in Service Users accessing clinically appropriate treatment and does\nnot place at risk achievement by the Provider of any Quality Requirement." ], "rows": [ [ "29.27 At the Provider’s request in case of urgent clinical need or a risk to patient safety,\nand if approved by the Commissioner’s medical director or clinical chair (that\napproval not be unreasonably withheld or delayed), the relevant Commissioner\nmust grant retrospective Prior Approval for a Service provided to a Service User." ], [ "Evidence-Based Interventions Guidance\n29.28 The Commissioner must use all reasonable endeavours to procure that, when\nmaking Referrals, Referrers comply with the Evidence-Based Interventions\nGuidance." ], [ "29.29 The Provider must manage Referrals and provide the Services in accordance with\nthe Evidence-Based Interventions Guidance." ], [ "EMERGENCIES AND INCIDENTS" ], [ "SC30 Emergency Preparedness, Resilience and Response\n30.1 The Provider must comply with EPRR Guidance if and when applicable. The\nProvider must identify and have in place an Accountable Emergency Officer." ], [ "30.2 The Provider must notify the Commissioner as soon as reasonably practicable\nand in any event no later than 5 Operational Days following:\n30.2.1 the activation of its Incident Response Plan;\n30.2.2 any risk, or any actual disruption, to CRS or Essential Services; and/or\n30.2.3 the activation of its Business Continuity Plan." ], [ "30.3 The Commissioner must have in place arrangements that enable the receipt at\nall times of a notification made under SC30.2." ], [ "30.4 The Provider must provide whatever support and assistance may reasonably be\nrequired by the Commissioner and/or NHS England and/or the UK Health Security\nAgency in response to any national, regional or local public health emergency or\nincident." ] ], "row_count": 8, "col_count": 1 }, { "headers": [ "30.5 The right the Commissioner to:\n30.5.1 withhold or retain sums under GC9 (Contract Management); and/or\n30.5.2 suspend Services under GC16 (Suspension),\nwill not apply if the relevant right to withhold, retain or suspend has arisen only\nas a result of the Provider complying with its obligations under this SC30." ], "rows": [ [ "30.6 The Provider must use reasonable endeavours to minimise the effect of an\nIncident or Emergency on the Services and to continue the provision of Elective\nCare and Non-elective Care notwithstanding the Incident or Emergency. If a\nService User is already receiving treatment when the Incident or Emergency\noccurs, or is admitted after the date it occurs, the Provider must not:\n30.6.1 discharge the Service User, unless clinically appropriate to do so in\naccordance with Good Practice; or\n30.6.2 transfer the Service User, unless it is clinically appropriate to do so in\naccordance with Good Practice." ], [ "30.7 Subject to SC30.6, if the impact of an Incident or Emergency is that the demand\nfor Non-elective Care increases, and the Provider establishes to the satisfaction\nof the Commissioner that its ability to provide Elective Care is reduced as a result,\nElective Care will be suspended or scaled back as necessary for as long as the\nProvider’s ability to provide it is reduced. The Provider must give the\nCommissioner written confirmation every 2 calendar days of the continuing impact\nof the Incident or Emergency on its ability to provide Elective Care." ], [ "30.8 During or in relation to any suspension or scaling back of Elective Care in\naccordance with SC30.7:\n30.8.1 GC16 (Suspension) will not apply to that suspension;\n30.8.2 if requested by the Provider, the Commissioner must use their\nreasonable efforts to avoid any new referrals for Elective Care and the\nProvider may if necessary change its waiting lists for Elective Care;\nand\n30.8.3 the Provider must continue to provide Non-elective Care (and any\nrelated Elective Care), subject to the Provider’s discretion to transfer\nor divert a Service User if the Provider considers that to be in the best\ninterests of all Service Users to whom the Provider is providing Non-\nelective Care whether or not as a result of the Incident or Emergency\n(using that discretion in accordance with Good Practice)." ], [ "30.9 If, despite the Provider complying fully with its obligations under this SC30, there\nare transfers, postponements and cancellations the Provider must give the\nCommissioner notice of:" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "30.9.1 the identity of each Service User who has been transferred and the\nalternative provider;\n30.9.2 the identity of each Service User who has not been but is likely to be\ntransferred, the probable date of transfer and the identity of the\nintended alternative provider;\n30.9.3 cancellations and postponements of admission dates;\n30.9.4 cancellations and postponements of out-patient appointments; and\n30.9.5 other changes in the Provider’s list." ], "rows": [ [ "30.10 As soon as reasonably practicable after the Provider gives written notice to the\nCommissioner that the effects of the Incident or Emergency have ceased, the\nProvider must fully restore the availability of Elective Care." ], [ "SC31 Force Majeure: Service-specific provisions\n31.1 Nothing in this Contract will relieve the Provider from its obligations to provide the\nServices in accordance with this Contract and the Law (including the Civil\nContingencies Act 2004) if the Services required relate to an unforeseen event or\ncircumstance including war, civil war, armed conflict or terrorism, strikes or lock\nouts, riot, fire, flood or earthquake." ], [ "31.2 This will not however prevent the Provider from relying upon GC28 (Force Majeure)\nif such event described in SC31.1 is itself an Event of Force Majeure or if the\nsubsequent occurrence of a separate Event of Force Majeure prevents the\nProvider from delivering those Services." ], [ "31.3 Not Used" ], [ "31.4 Not Used" ], [ "SAFETY AND SAFEGUARDING" ], [ "SC32 Safeguarding Children and Adults\n32.1 The Provider must ensure that Service Users are protected from abuse, exploitation,\nradicalisation, serious violence, grooming, neglect and improper or degrading\ntreatment, and must take appropriate action to respond to any allegation or\ndisclosure of any such behaviours in accordance with the Law." ] ], "row_count": 7, "col_count": 1 }, { "headers": [ "32.5 The Provider must implement comprehensive programmes for safeguarding\n(including in relation to child sexual abuse and exploitation) and MCA training for\nall relevant Staff and must have regard to Intercollegiate Guidance in Relation to\nSafeguarding Training. The Provider must undertake an annual audit of its\nconduct and completion of those training programmes and of its compliance with\nthe requirements of SC32.1 to 32.4." ], "rows": [ [ "32.6 At the reasonable written request of the Commissioner, and by no later than 10\nOperational Days following receipt of that request, the Provider must provide\nevidence to the Commissioner that it is addressing any safeguarding concerns\nraised through the relevant multi-agency reporting systems." ], [ "32.7 If requested by the Commissioner, the Provider must participate in the development\nof any local multi-agency safeguarding quality indicators and/or plan." ], [ "32.8 The Provider must co-operate fully and liaise appropriately with third party providers\nof social care services as necessary for the effective operation of the Child\nProtection Information Sharing Project." ], [ "32.9 The Provider must:\n32.9.1 include in its policies and procedures, and comply with, the principles\ncontained in the Government Prevent Strategy and the Prevent\nGuidance; and\n32.9.2 include in relevant policies and procedures a comprehensive programme\nto raise awareness of the Government Prevent Strategy among Staff and\nvolunteers in line with the NHS England Prevent Training and\nCompetencies Framework and Intercollegiate Guidance in Relation to\nSafeguarding Training." ], [ "SC33 Patient Safety\n33.1 The Provider must comply with the arrangements for notification of deaths and\nother incidents:\n33.1.1 to CQC, in accordance with CQC Regulations and Guidance (where\napplicable); and\n33.1.2 to any other relevant Regulatory or Supervisory Body, any NHS Body, any\noffice or agency of the Crown, or to any other appropriate regulatory or\nofficial body, in accordance with Good Practice and the Law; and\n33.1.3 in the case of any Service User with a learning disability and/or autism\nwhose death occurs while an inpatient in any Service or of whose death\nthe Provider otherwise becomes aware, report that death via the Learning\nfrom Lives and Deaths Platform." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "33.2 Until the PSIRF Implementation Date, the Provider must comply with the NHS\nSerious Incident Framework and the Never Events Policy Framework, as\napplicable. With effect from the PSIRF Implementation Date, the Provider must\ncomply with the Patient Safety Incident Response Framework and the Never\nEvents Policy Framework." ], "rows": [ [ "33.3 Before the PSIRF Implementation Date, the Provider must agree with the Co-\nordinating Commissioner a Patient Safety Incident Response Policy and a Patient\nSafety Incident Response Plan, in each case in accordance with the Patient Safety\nIncident Response Framework. With effect from the PSIRF Implementation Date,\nthe Provider must:\n33.3.1 publish on its website the agreed Patient Safety Incident Response Policy\nand Patient Safety Incident Response Plan;\n33.3.2 engage compassionately with affected Service Users, Carers and Staff\nfollowing any Patient Safety Incident;\n33.3.3 respond in a proportionate way to Patient Safety Incidents, undertaking\nPatient Safety Incident Investigations where appropriate; and\n33.3.4 ensure that, where indicated and as part of the overall process set out in\nSC3.4, improvements to the Services are implemented following\nresponses to Patient Safety Incidents,\nin accordance with the Patient Safety Incident Response Framework." ], [ "33.4 The Provider must ensure that it is able to report Patient Safety Incidents to the\nNational Reporting and Learning System and to any system which replaces it." ], [ "33.5 The Parties must comply with their respective obligations in relation to deaths and\nother incidents in connection with the Services under Schedule 6A (Reporting\nRequirements)." ], [ "33.6 If a notification the Provider gives to any relevant Regulatory or Supervisory Body\ndirectly or indirectly concerns any Service User, the Provider must send a copy of\nit to the relevant Commissioner." ], [ "33.7 The Commissioner will have complete discretion (subject only to the Law) to use\nthe information provided by the Provider under this SC33 and Schedule 6A\n(Reporting Requirements) in any report which they make to any relevant\nRegulatory or Supervisory Body, any NHS Body, any office or agency of the\nCrown, provided that in each case they notify the Provider of the information\ndisclosed and the body to which they have disclosed it." ], [ "33.8 The Provider must have in place arrangements to ensure that it can:\n33.8.1 receive National Patient Safety Alerts; and" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "33.8.2 in relation to each National Patient Safety Alert it receives, identify\nappropriate Staff:\n33.8.2.1 to coordinate and implement any actions required by the alert\nwithin the timescale prescribed; and\n33.8.2.2 to confirm and record when those actions have been\ncompleted." ], "rows": [ [ "33.9 The Provider must\n33.9.1 designate one or more Patient Safety Specialists; and\n33.9.2 ensure that the Commissioner is kept informed at all times of the person\nor persons holding this position." ], [ "33.10 The Provider must:\n33.10.1 appoint a Medical Devices Safety Officer and a Medication Safety Officer;\nand\n33.10.2 ensure that the Commissioner and the MHRA Central Alerting System\nare kept informed at all times of the person or persons holding these\npositions." ], [ "SC34 End of Life Care\n34.1 The Provider must have regard to Guidance on End of Life Care and must, where\napplicable and for as long as it remains operative, comply with SCCI 1580\n(Palliative Care Co-ordination: Core Content)." ], [ "34.2 The Provider must maintain and operate a Death of a Service User Policy." ], [ "SC35 Duty of Candour\n35.1 The Provider must act in an open and transparent way with Relevant Persons in\nrelation to Services provided to Service Users." ], [ "35.2 The Provider must, where applicable, comply with its obligations under regulation\n20 of the 2014 Regulations in respect of any Notifiable Safety Incident." ], [ "35.3 If the Provider fails to comply with any of its obligations under SC35.2 the Co-\nordinating Commissioner may:\n35.3.1 notify the CQC of that failure; and/or" ] ], "row_count": 7, "col_count": 1 }, { "headers": [ "35.3.2 require the Provider to provide the Relevant Person with a formal,\nwritten apology and explanation for that failure, signed by the\nProvider’s chief executive and copied to the relevant Commissioner;\nand/or\n35.3.3 require the Provider to publish details of that failure prominently on the\nProvider’s website.", "" ], "rows": [ [ "PAYMENT TERMS", "" ], [ "SC36 Payment Terms\nPayment Principles\n36.1 Subject to any express provision of this Contract to the contrary, the Commissioner\nmust pay the Provider in accordance with the NHS Payment Scheme, to the extent\napplicable, for all Services that the Provider delivers to it in accordance with this\nContract.", "All" ], [ "36.2 To avoid any doubt, the Provider will be entitled to be paid for Services delivered\nduring the continuation of:\n36.2.1 any Incident or Emergency, except as otherwise provided or agreed\nunder SC30 (Emergency Preparedness, Resilience and Response);\nand\n36.2.2 any Event of Force Majeure, except as otherwise provided or agreed\nunder GC28 (Force Majeure).", "All" ], [ "Prices\n36.3 If the Provider is an NHS Trust or an NHS Foundation Trust, the Prices payable\nby the Commissioner for Services delivered under this Contract for the relevant\nContract Year will be:\n36.3.1 the price(s) payable in accordance with rule 2 of the Aligned Payment\nand Incentive Rules; or\n36.3.2 the price(s) payable in accordance with rule 2 of the Aligned Payment\nand Incentive Rules, adjusted for the relevant Contract Year as\nagreed, approved by NHS England and published in accordance with\nrule 3 of the Aligned Payment and Incentive Rules,\nin either case recorded in Schedule 3A (Aligned Payment and Incentive Rules)\nand, where applicable, Schedule 3C (Local Prices); and/or", "All" ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "36.3.3 where rule 4 or rule 5a)ii of the Aligned Payment and Incentive Rules\napplies, the price(s) agreed or determined in accordance with that rule\nand recorded in Schedule 3C (Local Prices),\nfor the relevant Contract Year." ], "rows": [ [ "36.4 If the Provider is not an NHS Trust or an NHS Foundation Trust, the Prices\npayable by each Commissioner for Services delivered under this Contract for the\nrelevant Contract Year will be:\n36.4.1 for any Service for which the NHS Payment Scheme mandates an\nNHSPS Unit Price:\n36.4.1.1 the NHSPS Unit Price; or\n36.4.1.2 the NHSPS Unit Price as adjusted by a Locally Agreed\nAdjustment for the relevant Contact Year, submitted to\nNHS England, published and recorded in Schedule 3B\n(Locally Agreed Adjustments to NHS Payment Scheme\nUnit Prices), in accordance with rule 3 of section 6 of the\nNHS Payment Scheme; or\n36.4.2 for any Service for which the NHS Payment Scheme does not\nmandate an NHSPS Unit Price, the Local Price agreed or determined\nfor the relevant Contract Year in accordance with the rules set out in\nsection 7 of the NHS Payment Scheme and recorded in Schedule 3C\n(Local Prices)." ], [ "36.5 Where the rule set out in section 3.4 of the NHS Payment Scheme applies, the\nprice payable by each Commissioner for any high cost drug, device, listed product\nor listed innovative product listed in Annex A to the NHS Pricing Scheme to which\nthat rule applies will be the price as agreed or determined (and subject to any\nadjustment which must be made) in accordance with that rule, and where\nnecessary recorded in Schedule 3C (Local Prices)." ], [ "Local Prices\n36.6 For any Service in respect of which none of the payment mechanisms set out in\nsections 4 – 6 of the NHS Payment Scheme determines a price, the Commissioner\nand the Provider must agree and record in Schedule 3C (Local Prices) a Local\nPrice. The Commissioner and the Provider may agree that a Local Price is to\napply for one or more Contract Years or for the duration of the Contract. In respect\nof a Local Price agreed for more than one Contract Year the Commissioner and\nthe Provider may agree and document in Schedule 3C (Local Prices) the\nmechanism by which that Local Price is to be adjusted with effect from the start of\neach Contract Year. Any adjustment mechanism must require the Commissioner\nand the Provider to have regard to the efficiency factor and cost uplift factor set\nout in the NHS Payment Scheme where applicable." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "36.7 The Commissioner and the Provider must apply annually any adjustment mechanism\nagreed and documented in Schedule 3C (Local Prices). Where no adjustment\nmechanism has been agreed, the Commissioner and the Provider must review\nand agree before the start of each Contract Year the Local Price to apply to the\nfollowing Contract Year, having regard to the efficiency factor and the cost uplift\nfactor set out in the NHS Payment Scheme where applicable. In either case the\nLocal Price as adjusted or agreed will apply to the following Contract Year." ], "rows": [ [ "36.8 If the Commissioner and the Provider fail to review or agree any Local Price for the\nfollowing Contract Year by the date 2 months before the start of that Contract\nYear, or there is a dispute as to the application of any agreed adjustment\nmechanism, either may refer the matter to Dispute Resolution for escalated\nnegotiation and then (failing agreement) mediation." ], [ "36.9 If on or following completion of the mediation process the Commissioner and the\nProvider still cannot agree any Local Price for the following Contract Year, within\n10 Operational Days of completion of the mediation process either the\nCommissioner or the Provider may terminate the affected Services by giving the\nother not less than 6 months’ written notice." ], [ "36.10 If any Local Price has not been agreed or determined in accordance with SC36.7\nand 36.8 before the start of a Contract Year, then the Local Price will be that which\napplied for the previous Contract Year increased or decreased in accordance with\nthe efficiency factor and the cost uplift factor set out in the NHS Payment Scheme\nwhere applicable. The application of these prices will not affect the right to\nterminate this Contract as a result of non-agreement of a Local Prices under\nSC36.9." ], [ "Aggregation and Disaggregation of Payments\n36.11 Not Used" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Payment where the Parties have agreed an Expected Annual\nContract Value\n36.12 If the Provider is an NHS Trust or an NHS Foundation Trust, the Commissioner\nmust agree an Expected Annual Contract Value with the Provider to be specified\nin Schedule 3D (Expected Annual Contract Values). If the Provider is not an NHS\nTrust or an NHS Foundation Trust, the Commissioner may agree an Expected\nAnnual Contract Value with the Provider to be specified in Schedule 3D (Expected\nAnnual Contract Values). The Commissioner must make payments on account to\nthe Provider in accordance with the following provisions of SC36.13, or if\napplicable SC36.14 and 36.15." ], "rows": [ [ "36.13 The Provider must supply to the Commissioner a monthly invoice on the first day\nof each month setting out the amount to be paid by the Commissioner for that\nmonth. The amount to be paid will be one twelfth (or other such proportion as\nmay be specified in Schedule 3D (Expected Annual Contract Values)) of the\nindividual Expected Annual Contract Value for the Commissioner. Subject to\nreceipt of the invoice, on the fifteenth day of each month (or other day agreed by\nthe Provider and the Commissioner in writing) after the Service Commencement\nDate each Commissioner must pay such amount to the Provider." ], [ "36.14 If the Service Commencement Date is not 1 April the timing and amounts of the\npayments for the period starting on the Service Commencement Date and ending\non the following 31 March will be as set out in Schedule 3E (Timing and Amounts\nof Payments in First and/or Final Contract Year)." ], [ "36.15 If the Expiry Date is not 31 March the timing and amounts of the payments for the\nperiod starting on the 1 April prior to the Expiry Date and ending on the Expiry\nDate will be as set out in Schedule 3E (Timing and Amounts of Payments in First\nand/or Final Contract Year)." ], [ "Reconciliation where the Parties have agreed an Expected Annual\nContract Value and SUS applies to some or all of the Services\n36.16 Where the Parties have agreed an Expected Annual Contract Value and SUS\napplies to some or all of the Services, in order to confirm the actual sums payable\nfor the Services delivered the Provider must provide a separate reconciliation\naccount for each Commissioner for each Quarter showing the sum equal to the\nPrices for all relevant Services delivered and completed in that Quarter. That\nreconciliation account must be based on the information submitted by the Provider\nto the Commissioner under SC28 (Information Requirements) and must be sent\nby the Provider to the relevant Commissioner by the First Quarterly Reconciliation\nDate for the Quarter to which it relates." ], [ "36.17 The Provider must send to the Commissioner a final reconciliation account for each\nQuarter within 5 Operational Days after the Final Quarterly Reconciliation Date\nfor that Quarter. The final reconciliation account must either be agreed by the\nCommissioner, or be wholly or partially contested by the" ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Commissioner in accordance with SC36.31. The Commissioner may\nnot unreasonably withhold or delay its agreement to a final reconciliation\naccount." ], "rows": [ [ "Reconciliation for Services where the Parties have agreed an\nExpected Annual Contract Value and SUS does not apply to any of\nthe Services\n36.18 Where the Parties have agreed an Expected Annual Contract Value and SUS does\nnot apply to any of the Services, in order to confirm the actual sums payable for\ndelivered Services the Provider must provide a separate reconciliation account for\neach Commissioner for each Quarter showing the sum equal to the Prices for all\nrelevant Services delivered and completed in that Quarter. That reconciliation\naccount must be based on the information submitted by the Provider to the\nCommissioner under SC28 (Information Requirements) and sent by the Provider\nto the relevant Commissioner within 20 Operational Days after the end of the\nQuarter to which it relates." ], [ "36.19 The Commissioner and Provider must either agree the reconciliation account\nproduced in accordance with SC36.18 or wholly or partially contest the\nreconciliation account in accordance with SC36.31. The Commissioner may not\nunreasonably withhold or delay its agreement to a reconciliation account." ], [ "Other aspects of reconciliation for all Prices where the Parties have\nagreed an Expected Annual Value\n36.20 For the avoidance of doubt, there will be no reconciliation in relation to Block\nArrangements." ], [ "36.21 T h e Commissioner’s agreement of a reconciliation account or agreement of a\nfinal reconciliation account as the case may be (or where agreed in part in relation\nto that part) will trigger a reconciliation payment by the Commissioner to the\nProvider or by the Provider to the Commissioner, as appropriate. The Provider must\nsupply to the Commissioner an invoice or credit note (as appropriate) within 5\nOperational Days of that agreement and payment must be made within 10\nOperational Days following the receipt of the invoice or issue of the credit note (or\nif SUS applies, and if later, within 10 Operational Days after the relevant First\nMonthly Reconciliation Date or First Quarterly Reconciliation Date)." ], [ "Payment where the Parties have not agreed an Expected Annual\nContract Value for any Services and SUS applies to some or all of the\nServices\n36.22 Where the Parties have not agreed an Expected Annual Contract Value and SUS\napplies to some or all of the Services, the Provider (if it is not an NHS Trust or a\nFoundation Trust) must issue a monthly invoice within 5 Operational Days after\nthe Final Monthly Reconciliation Date for that month to the Commissioner in\nrespect of those Services provided for the Commissioner in that month. Subject\nto SC36.31, the Commissioner must settle the invoice within 10 Operational Days\nof its receipt (or, if later, within 10 Operational Days after the relevant First Monthly\nReconciliation Date)." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "Payment where the Parties have not agreed an Expected Annual\nContract Value for any Services and SUS does not apply to any of\nthe Services\n36.23 Where SUS does not apply to any of the Provider’s Services and where the Parties\nhave not agreed an Expected Annual Contract Value, the Provider (if it is not an\nNHS Trust or a Foundation Trust) must issue a monthly invoice within 20\nOperational Days after the end of each month to the Commissioner in respect of\nall Services provided for the Commissioner in that month. Subject to SC36.31, the\nCommissioner must settle the invoice within 10 Operational Days of its receipt." ], "rows": [ [ "Statutory and Other Charges\n36.24 Where applicable, the Provider must administer all statutory benefits to which the\nService User is entitled and within a maximum of 20 Operational Days following\nreceipt of an appropriate invoice the Commissioner must reimburse the Provider\nany statutory benefits correctly administered." ], [ "36.25 The Provider must administer and collect all statutory charges which the Service\nUser is liable to pay and which may lawfully be made in relation to the provision\nof the Services, and must account to whoever the Commissioner reasonably\ndirects in respect of those charges." ], [ "36.26 The Parties acknowledge the requirements and intent of the Overseas Visitor\nCharging Regulations and Overseas Visitor Charging Guidance, and accordingly:\n36.26.1 the Provider must comply with all applicable Law and Guidance (including\nthe Overseas Visitor Charging Regulations and the Overseas Visitor\nCharging Guidance) in relation to the identification of and collection of\ncharges from Chargeable Overseas Visitors, including the reporting of\nunpaid NHS debts in respect of Services provided to Chargeable\nOverseas Visitors to the Department of Health and Social Care;\n36.26.2 the Provider must take all reasonable steps to:\n36.26.2.1 identify each Chargeable Overseas Visitor; and\n36.26.2.2 recover charges from each Chargeable Overseas Visitor or\nother person liable to pay charges in respect of that\nChargeable Overseas Visitor under the Overseas Visitor\nCharging Regulations,\n36.26.3 the Provider must make full use of existing mechanisms designed to\nincrease the rates of recovery of the cost of Services provided to\noverseas visitors insured by another state, including the overseas visitors\ntreatment portal; and\n36.26.4 the Commissioner must pay the Provider, in accordance with all\napplicable Law and Guidance (including Overseas Visitor Charging\nRegulations and Overseas Visitor Charging Guidance) and the NHS\nPayment Scheme, the appropriate sum for all Services delivered by the" ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Provider to any overseas visitor in respect of whom the Commissioner is\nthe Commissioner and which have been reported through the overseas\nvisitor treatment portal." ], "rows": [ [ "36.27 In its performance of this Contract the Provider must not provide or offer to a\nService User any clinical or medical services for which any charges would be\npayable by the Service User except in accordance with this Contract, the Law\nand/or Guidance." ], [ "Patient Pocket Money\n36.28 Not Used" ], [ "VAT\n36.29 Payment is exclusive of any applicable VAT for which the Commissioner will be\nadditionally liable to pay the Provider upon receipt of a valid tax invoice at the\nprevailing rate in force from time to time." ], [ "Contested Payments\n36.30 Once the Provider has submitted Activity data to SUS in respect of a given month,\nthe Commissioner may raise with the Provider any validation queries it has in\nrelation to that data, and the Provider must answer those queries promptly and\nfully. The Parties must use all reasonable endeavours to resolve any queries by\nthe Post Reconciliation Monthly Inclusion Date." ], [ "36.31 If a Commissioner contests all or any part of any payment calculated in\naccordance with this SC36:\n36.31.1 the Commissioner must:\n36.31.1.1 within 5 Operational Days after receiving the reconciliation\naccount in accordance with SC36.16 or an invoice in\naccordance with SC36.23; or\n36.31.1.2 within 5 Operational Days after receiving the final\nreconciliation account in accordance with SC36.17 (or, if\nlater, within 5 Operational Days after the relevant First\nQuarterly Reconciliation Date); or\n36.31.1.3 within 5 Operational Days after receiving an invoice in\naccordance with SC36.22 (or, if later, within 5 Operational\nDays after the relevant First Monthly Reconciliation Date)," ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "as appropriate, notify the Provider, setting out in reasonable detail the\nreasons for contesting that account or invoice (as applicable), and in\nparticular identifying which elements are contested and which are not\ncontested; and\n36.31.2 any uncontested amount must be paid in accordance with this Contract\nby the Commissioner; and\n36.31.3 if the matter has not been resolved within 20 Operational Days of the date\nof notification under SC36.31.1, the Commissioner must refer the matter\nto Dispute Resolution,\nand following the resolution of any Dispute referred to Dispute Resolution in\naccordance with this SC36.31, insofar as any amount shall be agreed or\ndetermined to be payable the Provider must immediately issue an invoice or credit\nnote (as appropriate) for such amount. Any sum due must be paid immediately\ntogether with interest calculated in accordance with SC36.32. For the purposes\nof SC36.32 the date the amount was due will be the date it would have been due\nhad the amount not been disputed." ], "rows": [ [ "Interest on Late Payments\n36.32 Subject to any express provision of this Contract to the contrary (including without\nlimitation the Withholding and Retention of Payment Provisions), each Party will\nbe entitled, in addition to any other right or remedy, to receive interest at the\napplicable rate under the Late Payment of Commercial Debts (Interest) Act 1998\non any payment not made from the date after the date on which payment was due\nup to and including the date of payment." ], [ "Set Off\n36.33 Whenever any sum is due from one Party to another as a consequence of\nreconciliation under this SC36 or Dispute Resolution or otherwise, the Party due\nto be paid that sum may deduct it from any amount that it is due to pay the other,\nprovided that it has given 5 Operational Days’ notice of its intention to do so." ], [ "Invoice Validation\n36.34 The Parties must comply with Law and Guidance (including Who Pays? Guidance\nand Invoice Validation Guidance) in respect of the use of data in the preparation\nand validation of invoices." ], [ "Submission of Invoices\n36.35 The Provider must submit all invoices via the e-Invoicing Platform in accordance\nwith e-Invoicing Guidance or via an alternative PEPPOL-compliant e-invoicing\nsystem." ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "QUALITY REQUIREMENTS" ], "rows": [ [ "SC37 Local Quality Requirements\n37.1 The Parties must comply with their duties under the Law to improve the quality of\nclinical and/or care services for Service Users, having regard to Guidance." ], [ "37.2 Nothing in this Contract is intended to prevent this Contract from setting higher\nquality requirements than those laid down under the Provider Licence (if any) or\nrequired by any relevant Regulatory or Supervisory Body." ], [ "37.3 Before the start of each Contract Year, the Commissioner and the Provider will\nagree the Local Quality Requirements that are to apply in respect of that Contract\nYear. In order to secure continual improvement in the quality of the Services, those\nLocal Quality Requirements must not, except in exceptional circumstances, be\nlower or less onerous than those for the previous Contract Year. The\nCommissioner and the Provider must give effect to those revised Local Quality\nRequirements by means of a Variation (and, where revised Local Quality\nRequirements are in respect of a Service to which an NHSPS Unit Price applies\nand if appropriate, a Locally Agreed Adjustment in accordance with SC36.4.1.2)." ], [ "37.4 If revised Local Quality Requirements cannot be agreed between the Parties, the\nParties must refer the matter to Dispute Resolution for escalated negotiation and\nthen (failing agreement) mediation." ], [ "SC38 CQUIN\n38.1 Not Used" ], [ "CQUIN Performance Report\n38.2 Not Used." ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "38.3 Not Used" ], "rows": [ [ "38.4 Not Used" ], [ "38.5 Not Used" ], [ "38.6 Not Used" ], [ "Reconciliation\n38.7 Not Used" ], [ "38.8 Not Used" ], [ "38.9 Not Used" ] ], "row_count": 6, "col_count": 1 }, { "headers": [ "38.10 Not Used" ], "rows": [ [ "PROCUREMENT OF GOODS AND SERVICES" ], [ "SC39 Procurement of Goods and Services\n39.1 The provisions of SC39.2 – 39.7 below apply to NHS Trusts and to NHS\nFoundation Trusts only." ], [ "39.2 If an NHSE Medicines Framework Product is clinically appropriate for use in relation\nto the Services and is at the time of purchase available via an NHSE Medicines\nFramework Agreement, the Provider must purchase that product via the relevant\nNHSE Medicines Framework Agreement. This does not preclude the use of the\nProvider’s existing stock of the same or a similar product purchased through other\nmeans before 1 April 2023 or, if later, the date on which the relevant NHSE\nMedicines Framework Agreement came into effect." ], [ "39.3 The Provider will not be entitled to payment for any medicine purchased in breach\nof SC39.2 where that medicine is listed in the High Cost Drugs tab at Annex A to\nthe NHS Payment Scheme." ], [ "39.4 Whether or not SC39.3 applies, the Provider must be prepared, on request, to\nprovide a written statement to the Commissioner, to its public board and/or to NHS\nEngland, explaining any purchasing decision in contravention of SC39.2 and what\nit will do to ensure that SC39.2 is complied with in future." ] ], "row_count": 5, "col_count": 1 }, { "headers": [ "39.5 If any device which is listed in the High Cost Devices and Listed Procedures tab\nat Annex A to the NHS Payment Scheme is required in the delivery of any Service\nwhich is a Specialised Service and is available for purchase via NHS Supply\nChain, the Provider must purchase that device via NHS Supply Chain. The\nProvider will not be entitled to payment for any such item purchased in breach of\nthis SC39.5." ], "rows": [ [ "Nationally Contracted Products Programme\n39.6 The Provider must use all reasonable endeavours to co-operate with NHS England\nand NHS Supply Chain to implement in full the requirements of the Nationally\nContracted Products Programme." ], [ "National Ambulance Vehicle Specification\n39.7 If the Provider wishes to place any order for a new standard double-crewed\nemergency ambulance base vehicle and/or conversion for use in provision of the\nServices, it must (unless it has received written confirmation, in advance, from the\nCommissioner that the Commissioner has agreed in writing with NHS England that\nthe National Ambulance Vehicle Specification need not apply to that order):\n39.7.1 ensure that its order specifies that the vehicle and/or conversion must\ncomply with the National Ambulance Vehicle Specification; and\n39.7.2 place its order via and in accordance with a Compliant Ambulance\nVehicle Supply Contract." ], [ "National Genomic Test Directory\n39.8 Where, in the course of providing the Services, the Provider or any Sub-Contractor\nrequires a sample taken from a Service User to be subject to a genomic laboratory\ntest listed in the National Genomic Test Directory, that sample must be submitted\nto the appropriate Genomic Laboratory Hub commissioned by NHS England to\narrange and/or perform the relevant test. Each submission of a sample must be\nmade in accordance with the criteria for ordering tests set out in the National\nGenomic Test Directory." ] ], "row_count": 3, "col_count": 1 }, { "headers": [ "Ref", "National Quality Requirement", "Threshold", "Guidance on definition", "Period over which\nthe Standard is to\nbe achieved", "Service category" ], "rows": [ [ "", "RTT waiting times for non-", "", "", "", "" ], [ "", "urgent Consultant-led", "", "", "", "" ], [ "", "Services", "", "", "", "" ], [ "E.B.3", "Percentage of Service Users on\nincomplete RTT pathways (yet\nto start treatment) waiting no\nmore than 18 weeks from\nReferral", "Operating standard\nof 92% at specialty\nlevel (as reported to\nNHS England)", "See RTT Rules Suite and Recording\nand Reporting FAQs at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/rtt-waiting-\ntimes/rtt-guidance/", "Month", "A, CS, MH" ], [ "E.B.S.4", "Zero tolerance RTT waits over\n78 weeks for incomplete\npathways", "From April 2023\n>0 *", "See RTT Rules Suite and Recording\nand Reporting FAQs at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/rtt-waiting-\ntimes/rtt-guidance/", "Ongoing", "A, CS, MH" ], [ "E.B.S.4", "Zero tolerance RTT waits over\n65 weeks for incomplete\npathways", "By 31 March 2024\n>0 *", "See RTT Rules Suite and Recording\nand Reporting FAQs at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/rtt-waiting-\ntimes/rtt-guidance/", "Ongoing", "A, CS, MH" ], [ "* subject to any tolerances confirmed in national guidance for Service Users who choose to wait longer or for specific specialties", "", "", "", "", "" ], [ "", "Diagnostic test waiting times", "", "", "", "" ], [ "E.B.4", "Percentage of Service Users\nwaiting 6 weeks or more from\nReferral for a diagnostic test", "Operating standard\nof no more than 1%", "See Diagnostics Definitions and\nDiagnostics FAQs at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/diagnostics-\nwaiting-times-and-activity/monthly-\ndiagnostics-waiting-times-and-\nactivity/", "Month", "A, CS, CR, D" ] ], "row_count": 9, "col_count": 6 }, { "headers": [ "Ref", "National Quality Requirement", "Threshold", "Guidance on definition", "Period over which\nthe Standard is to\nbe achieved", "Service category" ], "rows": [ [ "", "A+E waits", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "Cancer waits - 2 week wait", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "E.B.6", "Percentage of Service Users\nreferred urgently with suspected\ncancer by a GP waiting no more\nthan two weeks for first\noutpatient appointment", "Operating standard\nof 93%", "See National Cancer Waiting Times\nMonitoring Dataset Guidance,\navailable at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/cancer-waiting-\ntimes/", "Quarter", "A, CR, R" ], [ "E.B.7", "Percentage of Service Users\nreferred urgently with breast\nsymptoms (where cancer was\nnot initially suspected) waiting\nno more than two weeks for first\noutpatient appointment", "Operating standard\nof 93%", "See National Cancer Waiting Times\nMonitoring Dataset Guidance,\navailable at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/cancer-waiting-\ntimes/", "Quarter", "A, CR, R" ], [ "", "Cancer waits – 28 / 31 days", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "E.B.27", "Percentage of Service Users\nwaiting no more than 28 days\nfrom urgent referral to receiving\na communication of diagnosis\nfor cancer or a ruling out of\ncancer", "Operating standard\nof 75%, by March\n2024", "See National Cancer Waiting Times\nMonitoring Dataset Guidance,\navailable at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/cancer-waiting-\ntimes/", "Quarter", "A, CR, R" ] ], "row_count": 10, "col_count": 6 }, { "headers": [ "Ref", "National Quality Requirement", "Threshold", "Guidance on definition", "Period over which\nthe Standard is to\nbe achieved", "Service category" ], "rows": [ [ "E.B.8", "Percentage of Service Users\nwaiting no more than one month\n(31 days) from diagnosis to first\ndefinitive treatment for all\ncancers", "Operating standard\nof 96%", "See National Cancer Waiting Times\nMonitoring Dataset Guidance,\navailable at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/cancer-waiting-\ntimes/", "Quarter", "A, CR, R" ], [ "E.B.9", "Percentage of Service Users\nwaiting no more than 31 days for\nsubsequent treatment where\nthat treatment is surgery", "Operating standard\nof 94%", "See National Cancer Waiting Times\nMonitoring Dataset Guidance,\navailable at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/cancer-waiting-\ntimes/", "Quarter", "A, CR, R" ], [ "E.B.10", "Percentage of Service Users\nwaiting no more than 31 days for\nsubsequent treatment where\nthat treatment is an anti-cancer\ndrug regimen", "Operating standard\nof 98%", "See National Cancer Waiting Times\nMonitoring Dataset Guidance,\navailable at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/cancer-waiting-\ntimes/", "Quarter", "A, CR, R" ], [ "E.B.11", "Percentage of Service Users\nwaiting no more than 31 days for\nsubsequent treatment where the\ntreatment is a course of\nradiotherapy", "Operating standard\nof 94%", "See National Cancer Waiting Times\nMonitoring Dataset Guidance,\navailable at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/cancer-waiting-\ntimes/", "Quarter", "A, CR, R" ], [ "", "Cancer waits – 62 days", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "E.B.12", "Percentage of Service Users\nwaiting no more than two\nmonths (62 days) from urgent\nGP referral to first definitive\ntreatment for cancer", "Operating standard\nof 85%", "See National Cancer Waiting Times\nMonitoring Dataset Guidance,\navailable at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/cancer-waiting-\ntimes/", "Quarter", "A, CR, R" ] ], "row_count": 7, "col_count": 6 }, { "headers": [ "Ref", "National Quality Requirement", "Threshold", "Guidance on definition", "Period over which\nthe Standard is to\nbe achieved", "Service category" ], "rows": [ [ "E.B.13", "Percentage of Service Users\nwaiting no more than 62 days\nfrom referral from an NHS\nscreening service to first\ndefinitive treatment for all\ncancers", "Operating standard\nof 90%", "See National Cancer Waiting Times\nMonitoring Dataset Guidance,\navailable at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/cancer-waiting-\ntimes/", "Quarter", "A, CR, R" ], [ "", "Cancer", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "Full implementation of an\neffective e-Prescribing system\nfor chemotherapy across all\nrelevant clinical teams within the\nProvider (other than those\ndealing with children, teenagers\nand young adults) 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at:\nhttps://www.england.nhs.uk/specialis\ned-commissioning-document-\nlibrary/service-specifications/", "Ongoing", "CR" ] ], "row_count": 5, "col_count": 6 }, { "headers": [ "Ref", "National Quality Requirement", "Threshold", "Guidance on definition", "Period over which\nthe Standard is to\nbe achieved", "Service category" ], "rows": [ [ "", "Ambulance Service Response", "", "", "", "" ], [ "", "Times", "", "", "", "" ], [ "", "", "", "", "", "" ] ], "row_count": 3, "col_count": 6 }, { "headers": [ "Ref", "National Quality Requirement", "Threshold", "Guidance on definition", "Period over which\nthe Standard is to\nbe achieved", "Service category" ], "rows": [ [ "", "", "", "", "", "" ], [ "", "Ambulance service handover", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "times", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "Mixed-sex accommodation", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "breaches", "", "", "", "" ], [ "E.B.S.1", "Mixed-sex accommodation\nbreach", ">0", "See Mixed-Sex Accommodation\nGuidance, Mixed-Sex\nAccommodation FAQ and\nProfessional Letter at:\nhttps://www.england.nhs.uk/statistics/\nstatistical-work-areas/mixed-sex-\naccommodation/", "Ongoing", "A, CR, MH" ] ], "row_count": 9, "col_count": 6 }, { "headers": [ "Ref", "National Quality Requirement", "Threshold", "Guidance on definition", "Period over which\nthe Standard is to\nbe achieved", "Service category" ], "rows": [ [ "", "Cancelled operations", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "E.B.S.2", "All Service Users who have\noperations cancelled, on or after\nthe day of admission (including\nthe day of surgery), for non-\nclinical reasons to be offered\nanother binding date within 28\ndays, or the Service User’s\ntreatment to be funded at the\ntime and hospital of the Service\nUser’s choice", "Number of Service\nUsers who are not\noffered another\nbinding date within\n28 days >0", "See Cancelled Operations Guidance\nand Cancelled 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"", "", "", "" ] ], "row_count": 26, "col_count": 17 }, { "headers": [ "DATE OF CONTRACT", "", "June 2025" ], "rows": [ [ "EXPECTED SERVICE\nCOMMENCEMENT DATE", "", "1 April 2025" ], [ "CONTRACT TERM", "", "The initial term of this agreement\nshall\nbe one (1) years, commencing on\n______ and concluding on _____\n2026.\nUpon expiration of the initial term, the\nparties may mutually agree to extend\nthe contract up to 24 months in\naccordance with Schedule 1C" ], [ "COMMISSIONERS", "", "Manx Care (a statutory board of the\nIsle of Man Government)\nNoble’s Hospitals Estate\nStrang\nBraddan\nIsle of Man\nIM4 4RJ" ], [ "CO-ORDINATING COMMISSIONER\nSee GC10 and Schedule 5C", "", "N/A" ], [ "PROVIDER", "", "Liverpool University Hospitals\nNHS Foundation Trust\nPrescot Street\nLiverpool\nMerseyside\nL7 8XP\nODS: REM" ], [ "CONTRACT\nAWARD\nPROCESS\nSee s15 of\nthe Contract\nTechnical\nGuidance", "Award in accordance with rules under Isle of Man\nGovernment Financial Regulations", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "SERVICE COMMENCEMENT AND CONTRACT TERM", "" ], "rows": [ [ "", "" ], [ "Effective Date\nSee GC2.1", "" ], [ "Expected Service Commencement Date\nSee GC3.1", "1 April 2025" ], [ "Longstop Date\nSee GC4.1 and 17.10.1", "" ], [ "Contract Term", "The initial term of this Contract shall be\none (1) year, commencing on 1 April 2025\nand concluding on 31 March 2026.\nThe parties may mutually agree to extend\nthe contract by up to 24 months in\naccordance with Schedule 1C." ], [ "Commissioner option to extend Contract\nTerm\nSee Schedule 1C, which applies only if YES\nis indicated here", "YES\nBy up to 24 months." ], [ "Commissioner Notice Period (for\ntermination under GC17.2)", "60 days" ], [ "Commissioner Earliest Termination Date\n(for termination under GC17.2)", "6 months after the Service\nCommencement Date" ], [ "Provider Notice Period (for termination\nunder GC17.3)", "60 days" ], [ "Provider Earliest Termination Date (for\ntermination under GC17.3)", "6 months after the Service\nCommencement Date" ] ], "row_count": 10, "col_count": 2 }, { "headers": [ "SERVICES", "" ], "rows": [ [ "Service Categories", "Indicate all categories of service which" ], [ "", "the Provider is commissioned to" ], [ "", "provide under this Contract." ], [ "", "Note that certain provisions of the Service" ], [ "", "Conditions and Annex A to the Service" ], [ "", "Conditions apply in respect of some" ], [ "", "service categories but not others." ], [ "Accident & Emergency (A&E) Services", "Emergency medical care for patients with\nacute illnesses, injuries, or medical\nemergencies." ], [ "Medical Services", "Including but not limited to:\nGeneral medicine: Diagnosis, treatment,\nand management of various medical\nconditions.\nSpecialty clinics: Specialized clinics for\nspecific medical conditions, such as\ndiabetes, hypertension, and infectious\ndiseases." ], [ "Surgical Services", "Including but not limited to:\nGeneral surgery: Surgical procedures for\ncommon surgical conditions.\nOrthopaedic surgery: Treatment for\nmusculoskeletal injuries and conditions.\nNeurosurgery: Surgical treatment for\nneurological conditions, including brain and\nspinal surgeries.\nCardiothoracic surgery: Surgical\nprocedures related to the heart and chest.\nUrology: Diagnosis and treatment of\nurinary tract disorders and conditions.\nEar, Nose, and Throat (ENT) surgery:\nSurgical treatment for conditions affecting\nthe ear, nose, and throat." ], [ "Gastroenterology and Hepatology\nServices", "Gastroenterology clinics: Diagnosis and\ntreatment of gastrointestinal disorders,\nincluding conditions affecting the stomach,\nintestines, liver, pancreas, and gallbladder.\nHepatology clinics: Diagnosis and\nmanagement of liver diseases, including\nhepatitis, cirrhosis, and liver cancer.\nEndoscopy services: Diagnostic and\ntherapeutic procedures such as\ngastroscopy, colonoscopy, and liver biopsy.\nLiver transplant services: Evaluation,\npreparation, and post-transplant care for\npatients requiring liver transplantation." ], [ "Ophthalmology Services", "Ophthalmology clinics: Diagnosis and\ntreatment of eye conditions and diseases,\nincluding cataracts, glaucoma, macular\ndegeneration, and diabetic retinopathy.\nOphthalmic imaging: Diagnostic tests\nsuch as optical coherence tomography\n(OCT) and fundus photography for\nassessing eye health and diagnosing eye\nconditions." ], [ "Haematology Services", "Haematology clinics: Diagnosis and\ntreatment of blood disorders, including\nanaemia, bleeding disorders, and blood\ncancers such as leukaemia, lymphoma, and\nmyeloma.\nBlood transfusion services: Provision of" ] ], "row_count": 13, "col_count": 2 }, { "headers": [ "", "blood products and transfusion support for\npatients undergoing surgery,\nchemotherapy, or experiencing blood loss." ], "rows": [ [ "Rheumatology Services", "Rheumatology clinics: Diagnosis and\nmanagement of rheumatic diseases and\nautoimmune conditions, including\nrheumatoid arthritis, lupus, psoriatic\narthritis, and ankylosing spondylitis.\nBiologic therapy: Administration of\nbiologic medications for controlling\ninflammation and disease progression in\nrheumatic conditions." ], [ "Stroke Services", "Suspected stroke patients are seen\nimmediately by stroke specialists, avoiding\nemergency department visits.\nIncludes Aintree’s hyper-acute stroke\nservice at located on the The Walton\nCentre NHS Foundation Trust site.\nThrombectomy (via Walton Centre),\navailable 24/7, significantly increasing the\nnumber of Isle of Man patients who can\nreceive this treatment within the required\ntime window. Patients who have received\ntreatment at The Walton Centre and need\nongoing care may transition to LUFHT for\ncontinued support." ], [ "Respiratory Services", "Respiratory clinics: Diagnosis and\nmanagement of respiratory conditions." ], [ "Critical Care Services", "Intensive care units (ICUs): Critical care\nfor patients with life-threatening conditions.\nHigh-dependency units (HDUs):\nIntermediate level of care for patients\nrequiring close monitoring." ], [ "Diagnostic Imaging Services", "X-ray, CT scan, MRI, PET CT, ultrasound:\nImaging services for diagnostic purposes.\nInterventional radiology: Minimally\ninvasive procedures guided by imaging\ntechniques." ], [ "Pathology Services", "Laboratory testing: Analysis of blood,\ntissue, and other specimens for diagnostic\npurposes.\nProvision of technical oversight and\nclinical advice, including professional\njudgement of individual cases, for\nHaematology laboratory activities.\nHistopathology: Examination of tissue\nsamples for pathological analysis." ], [ "Dental Services (The Liverpool University\nDental Hospital)", "General dentistry: Routine dental care and\npreventive services.\nSpecialty clinics: Specialized dental\nservices such as orthodontics, oral surgery,\nand periodontics." ], [ "Cancer Services", "Oncology clinics: Diagnosis, treatment,\nand management of cancer.\nChemotherapy and radiotherapy: Cancer\ntreatment modalities.\nPalliative care: Supportive care for patients\nwith advanced cancer." ], [ "Cardiology Services", "Cardiac clinics: Diagnosis and treatment\nof heart conditions.\nCardiac catheterization lab: Interventional\nprocedures for heart conditions." ], [ "Renal Services", "Nephrology clinics: Diagnosis and\ntreatment of kidney disorders." ] ], "row_count": 10, "col_count": 2 }, { "headers": [ "", "Renal dialysis: Haemodialysis and\nperitoneal dialysis services.", "" ], "rows": [ [ "Service Requirements", "", "" ], [ "Prior Approval Response Time Standard\nSee SC29.21", "Within [ ] Operational Days following\nthe date of request\nOr\nNot applicable", "" ], [ "GOVERNANCE AND REGULATORY", "", "" ], [ "Provider’s Nominated Individual\nSee SC1.4", "", "" ], [ "", "", "" ], [ "", "", "" ], [ "Provider’s 2018 Act Responsible Person\nSee SC3.17", "N/A", "" ], [ "Commissioners’ UEC DoS Leads\nSee SC6.18", "", "" ], [ "Provider’s UEC DoS Contact\nSee SC6.18", "", "" ], [ "Provider’s Health Inequalities Lead (NHS\nTrusts and NHS Foundation Trusts only)\nSee SC13.8", "", "" ], [ "Provider’s Net Zero Lead (NHS Trusts and\nNHS Foundation Trusts only)\nSee SC18.2", "", "" ], [ "", "", "" ], [ "", "", "" ], [ "Provider’s Infection Prevention Lead\nSee SC21.1", "", "" ], [ "Provider’s Accountable Emergency\nOfficer\nSee SC30.1", "", "" ], [ "Provider’s Child Sexual Abuse and\nExploitation Lead\nSee SC32.2", "", "" ], [ "Provider’s Mental Capacity and Liberty\nProtection Safeguards Lead\nSee SC32.2", "", "" ], [ "Provider’s Prevent Lead\nSee SC32.2", "", "" ], [ "Provider’s Safeguarding Lead (adults) /\nnamed professional for safeguarding\nadults\nSee SC32.2", "", "" ], [ "Provider’s Safeguarding Lead (children) /\nnamed professional for safeguarding\nchildren\nSee SC32.2", "", "" ] ], "row_count": 20, "col_count": 3 }, { "headers": [ "Provider’s Controlled Drugs Accountable\nOfficer (NHS Trusts, NHS Foundation\nTrusts and English Independent\nHospitals only)\nSee SC33.12", "", "" ], "rows": [ [ "Provider’s Wellbeing Guardian (NHS\nTrusts and NHS Foundation Trusts only)\nSee GC5.9", "", "" ], [ "", "", "" ], [ "", "", "" ], [ "Provider’s Freedom To Speak Up\nGuardian(s)\nSee GC5.10", "", "" ], [ "", "", "" ], [ "", "", "" ], [ "Provider’s Caldicott Guardian\nSee GC21.3", "", "" ], [ "Provider’s Data Protection Officer (if\nrequired by Data Protection Legislation)\nSee GC21.3", "", "" ], [ "Provider’s Information Governance Lead\nSee GC21.3", "", "" ], [ "Provider’s Senior Information Risk\nOwner\nSee GC21.3", "", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 12, "col_count": 3 }, { "headers": [ "CONTRACT MANAGEMENT", "", "", "" ], "rows": [ [ "Addresses for service of Notices\nSee GC36", "Commissioner:\nManx Care\nNoble’s Hospital Estate,\nStrang, Braddan IM4 4RJ\nEmail:\nProvider:\nLiverpool University Hospitals\nNHS Foundation Trust\nPrescot Street\nLiverpool\nMerseyside L7 8XP\nEmail: [ ]", "", "" ], [ "Frequency of Review Meetings\nSee GC8.1", "Monthly, but will be reviewed during the\nContract Term to a frequency not greater\nthan Quarterly.", "", "" ], [ "Commissioner Representative(s)\nSee GC10.3", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "Provider Representative\nSee GC10.3", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "Nominated Mediation Body (where\nrequired – see GC14.4)", "CEDR", "", "" ] ], "row_count": 20, "col_count": 4 }, { "headers": [ "Service name", "Elective and Non elective services (as listed in the Service\nCategories)" ], "rows": [ [ "Service specification\nnumber", "N/A" ], [ "Population and/or\ngeography to be served", "Residents of the Isle of Man" ], [ "Service aims and desired\noutcomes", "The Provider shall deliver tertiary and acute healthcare\nservices to Isle of Man patients with access and clinical\noutcomes equivalent to those available to UK residents\naccessing the Provider’s services. The aims include:\nEnsuring timely, high-quality, and equitable healthcare\nprovision.\nSupporting a close working relationship with the\nCommissioner’s (Manx Care) clinicians, including clear and\ninclusive arrangements for Multi-Disciplinary Teams (MDTs).\nOptimising patient care through efficient use of on-island and\noff-island resources, reducing unnecessary travel and follow-\nup appointments where possible." ], [ "Service description and\nlocation(s) from which it\nwill be delivered", "The Provider shall deliver a range of elective and non-elective\nservices, primarily at its site(s) in Liverpool, with some\nservices delivered partly on the Isle of Man (e.g., via visiting\nclinics, virtual consultations, or local delivery by the\nCommissioner (Manx Care) with Provider support). The list of\nservices below is indicative and may be personalised based\non individual patient needs. Services include:\nAccident & Emergency (A&E) Services\nEmergency medical care for patients with acute illnesses,\ninjuries, or medical emergencies.\nMedical Services\nIncluding but not limited to:\nGeneral medicine: Diagnosis, treatment, and management of\nvarious medical conditions.\nSpecialty clinics: Specialized clinics for specific medical\nconditions, such as diabetes, hypertension, and infectious\ndiseases.\nSurgical Services\nIncluding but not limited to:\nGeneral surgery: Surgical procedures for common surgical\nconditions.\nOrthopaedic surgery: Treatment for musculoskeletal injuries\nand conditions." ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "Section/Clause", "", "2025/26 NHS", "", "Manx Care Adjustment", "Rationale" ], "rows": [ [ "", "", "Standard", "", "", "" ], [ "", "", "Contract", "", "", "" ], [ "SC1.1", "Deliver\nServices in\naccordance\nwith NHS\nEngland’s\nnational\npriorities", "", "", "Replace with Manx Care\nOperating Plan\nhttps://www.manx.news/wp-\ncontent/uploads/2025/03/Manx-\nCare-Operating-Plan.pdf", "IOM uses own\nhealth\nstrategy; 24/25\nreferenced\nNHS Long\nTerm Plan" ], [ "SC3.1.1 – 3.1.2", "Elective\nactivity\nrecovery (52-\nweek waits,\ndiagnostics\nwithin 6\nweeks)", "", "", "Optional; applies only if\nspecified in Service\nSpecifications for off-island\nservices", "Assess\nrelevance to\nIOM off-island\nscope; not\nmandatory" ], [ "SC6.1, SC6.10", "Right to\nChoice, NHS\nConstitution,\nelective\npathways,\ndigital referrals", "", "", "Exception - Choice to realign\nwith Manx Care policies which\ndon’t include patient choice;\ndigital referrals retained", "IOM lacks\nNHS\nConstitution;\ntailor choice to\nIOM pathways\n(i.e. restricted\nchoice)" ], [ "SC6.10", "Digital referral\nsystems (e.g.,\ne-Referral\nService)", "", "", "Per IOM locally agreed referral\npathways", "SC6.10 new in\n25/26; IOM\nand its\npatients\ncurrently do\nnot use NHS\ne-Referral" ], [ "SC18.1–SC18.4", "NHS Choice\nFramework", "", "", "Exception - Choice to realign\nwith Manx Care policies which\ndon’t include patient choice;\ndigital referrals retained", "IOM lacks\nNHS\nConstitution\nand Service\nUser legal\nrights to\nChoice; tailor\nchoice to IOM\npathways (i.e.\nrestricted\nchoice)" ], [ "SC33", "PSIRF\nreplaces\nNRLS", "", "", "PSIRF reporting to Manx\nCare’s system:\nDatixEnquiries@gov.im", "24/25 used\nNRLS; PSIRF\nnew in 25/26;\nalign with local\nreporting" ], [ "SC36.1, SC36.4", "Fixed\nPayment for", "", "", "The Commissioner (Manx\nCare) shall make monthly\npayments to the Provider", "IOM\ncommissions\ndifferently than" ] ], "row_count": 9, "col_count": 6 }, { "headers": [ "", "Trusts, API\nadjustments", "based on the actual activity\ndelivered in the respective\nmonth, as determined by the\nActivity Reporting submitted by\nthe Provider. Payments will\nreflect the NHS Tariff unit costs\n(or Local tariff pricing agreed\nwith the provider) for the\nservices provided, as outlined\nin the contract schedule. On a\nquarterly basis, the Provider\nmay issue a reconciliation\ninvoice or credit note to adjust\nthe monthly payments where\nnecessary to the agreed actual\nactivity levels, as verified\nthrough the Activity Reporting\nprocess.", "ICB given our\nunique\nsituation in the\nregion" ], "rows": [ [ "GC5.1- GC5.8", "Staff; ICB\noversight", "Not applicable", "NHS/NHS E\npolicy, not\nrelevant to\nIOM as\nCommissioner" ], [ "GC10.1–GC10.3", "Co-ordinating\nCommissioner\nrole", "Manx Care as sole\nCommissioner", "IOM is a\nsingle-\ncommissioner\nmodel; IOM\nhas not\nappointed a\nappointed a\nCo-ordinating\nCommissioner,\nhence IOM as\nsingle\nCommissioner\napplies\nthroughout GC\nand SC." ], [ "GC21.1–GC21.23", "Confidentiality,\nData Security\nToolkit,\nDPIAs, cyber\nresilience", "Retain 2025/26 IG standards\nhowever, reference is made to\nIoM Data Protection\nLegislation;", "IOM aligns\nwith UK GDPR\nbut uses its\nown local laws" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "", "Quality Requirement", "Threshold", "Method of measurement", "Period over which the requirement is\nto be achieved", "Applicable\nService\nSpecification" ], "rows": [ [ "1", "Insert text and/or attach\nspreadsheet or\ndocuments locally in\nrespect of one or more\nContract Years or state\nNot Applicable", "", "", "", "" ], [ "2", "", "", "", "", "" ], [ "3", "", "", "", "", "" ], [ "4", "", "", "", "", "" ], [ "5", "", "", "", "", "" ] ], "row_count": 5, "col_count": 6 }, { "headers": [ "Date", "Document" ], "rows": [ [ "", "" ], [ "Insert text locally or state\nNot Applicable", "" ], [ "", "" ], [ "", "" ], [ "", "" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Date", "Document" ], "rows": [ [ "", "" ], [ "", "" ], [ "", "" ], [ "", "" ], [ "", "" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Sub-Contractor", "Service Description", "Start date/expiry date", "Processing", "If the Sub-Contractor is processing" ], "rows": [ [ "", "", "", "Personal Data –", "Personal Data, state whether the Sub-" ], [ "[Name]", "", "", "", "" ], [ "", "", "", "Yes/No", "Contractor is a Data Processor OR a" ], [ "[Registered Office]", "", "", "", "Data Controller OR a joint Data" ], [ "", "", "", "", "Controller" ], [ "[Company number]", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "Insert text locally or state\nNot Applicable", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 12, "col_count": 5 }, { "headers": [ "Co-ordinating", "Role/Responsibility" ], "rows": [ [ "Commissioner/Commissioner", "" ], [ "", "" ], [ "Manx Care", "Reviews, on an annual basis, changes to the\nUK’s NHS National Standard Contract\nParticulars, Service Conditions and General\nConditions so that the Contract between Manx\nCare and the Provider may be updated to\nalign with those changes (e.g. new\nstandards);\nand if Manx Care and the Provider cannot\nagree to applying those NHS changes to\nManx Care’s contract with the Provider, then\nthe default would be the NHS National\nStandard Terms." ], [ "", "" ], [ "", "" ], [ "", "" ], [ "", "" ], [ "", "" ] ], "row_count": 8, "col_count": 2 }, { "headers": [ "", "", "Reporting Period", "Format of Report", "Timing and Method", "Service" ], "rows": [ [ "", "", "", "", "", "" ], [ "", "", "", "", "for delivery of Report", "category" ], [ "", "", "", "", "", "" ], [ "", "National Requirements Reported Centrally", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "1", "As specified in the Schedule of Approved Collections\npublished at https://digital.nhs.uk/isce/publication/nhs-\nstandard-contract-approved-collections\nwhere mandated for and as applicable to the Provider\nand the Services", "As set out in relevant\nGuidance", "As set out in relevant\nGuidance", "As set out in relevant\nGuidance", "All" ], [ "1a", "Without prejudice to 1 above, daily submissions of\ntimely Emergency Care Data Sets, in accordance with\nDAPB0092-2062 and with detailed requirements\npublished at https://digital.nhs.uk/data-and-\ninformation/data-collections-and-data-sets/data-\nsets/emergency-care-data-set-ecds/ecds-latest-update", "As set out in relevant\nGuidance", "As set out in relevant\nGuidance", "Daily", "A+E, U" ], [ "2", "Patient Reported Outcome Measures (PROMS)\nhttps://digital.nhs.uk/data-and-information/data-tools-\nand-services/data-services/patient-reported-outcome-\nmeasures-proms", "As set out in relevant\nGuidance", "As set out in relevant\nGuidance", "As set out in relevant\nGuidance", "All" ], [ "", "National Requirements Reported Locally", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "1a", "Activity and Finance Report", "Monthly", "In the format specified\nin the relevant\nInformation Standards\nNotice (DCB2050)", "[For local agreement]", "A, MH" ], [ "", "", "", "", "", "" ], [ "1b", "Activity and Finance Report", "Monthly", "[For local agreement]", "[For local agreement]", "All except A,\nMH" ] ], "row_count": 15, "col_count": 6 }, { "headers": [ "", "", "Reporting Period", "Format of Report", "Timing and Method", "Service" ], "rows": [ [ "", "", "", "", "", "" ], [ "", "", "", "", "for delivery of Report", "category" ], [ "", "", "", "", "", "" ], [ "2", "Service Quality Performance Report, detailing\nperformance against National Quality Requirements,\nLocal Quality Requirements and the duty of candour,\nincluding, without limitation:", "Monthly", "As per that agreed with\nthe Trust’s main\ncommissioner", "Within 15 Operational\nDays of the end of the\nmonth to which it\nrelates", "" ], [ "2a", "details of any thresholds that have been breached and\nbreaches in respect of the duty of candour that have\noccurred;", "", "", "", "All" ], [ "2b", "details of all requirements satisfied;", "", "", "", "All" ], [ "2c", "details of, and reasons for, any failure to meet\nrequirements", "", "", "", "All" ], [ "3", "Where CQUIN applies, CQUIN Performance Report\nand details of progress towards satisfying any CQUIN\nIndicators, including details of all CQUIN Indicators\nsatisfied or not satisfied", "[For local agreement]", "[For local agreement]", "[For local agreement]", "All" ], [ "4", "Complaints monitoring report, setting out numbers of", "[For local agreement]", "In accordance with ICB\nagreed format.", "[For local agreement]", "All" ], [ "", "complaints received and including analysis of key", "", "", "", "" ], [ "", "themes in content of complaints", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "5", "Report against performance of Service Development", "In accordance with\nrelevant SDIP", "In accordance with\nrelevant SDIP", "In accordance with\nrelevant SDIP", "All" ], [ "", "and Improvement Plan (SDIP)", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "6", "Summary report setting out relevant information on", "Monthly", "[For local agreement]\nIn accordance with ICB\nagreed format.", "[For local agreement]", "All" ], [ "", "Patient Safety Incidents and the progress of and", "", "", "", "" ], [ "", "outcomes from Patient Safety Investigations, as", "", "", "", "" ], [ "", "agreed with the Co-ordinating Commissioner", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "7", "Data Quality Improvement Plan: report of progress", "In accordance with\nrelevant DQIP", "In accordance with\nrelevant DQIP", "In accordance with\nrelevant DQIP", "All" ], [ "", "against milestones", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "8", "Report on outcome of reviews and evaluations in\nrelation to Staff numbers and skill mix in accordance\nwith GC5.2 (Staff)", "Annually (or more\nfrequently if and as\nrequired by the Co-\nordinating", "[For local agreement]\nNot Applicable", "[For local agreement]\nNot Applicable", "All" ] ], "row_count": 24, "col_count": 6 }, { "headers": [ "", "", "Reporting Period", "Format of Report", "Timing and Method", "Service" ], "rows": [ [ "", "", "", "", "", "" ], [ "", "", "", "", "for delivery of Report", "category" ], [ "", "", "", "", "", "" ], [ "", "", "Commissioner from\ntime to time)", "", "", "" ], [ "9", "Where the Services include Specialised Services\nand/or other services directly commissioned by NHS\nEngland (or commissioned by an ICB, where NHS\nEngland has delegated the function of commissioning\nthose services), specific reports as set out at\nhttps://www.england.nhs.uk/nhs-standard-contract/dc-\nreporting/\n(where not otherwise required to be submitted as a\nnational requirement reported centrally or locally)", "As set out at\nhttps://www.england.n\nhs.uk/nhs-standard-\ncontract/dc-reporting/", "As set out at\nhttps://www.england.n\nhs.uk/nhs-standard-\ncontract/dc-reporting/", "As set out at\nhttps://www.england.n\nhs.uk/nhs-standard-\ncontract/dc-reporting/\nAnd Reports to be sent\nto:", "All" ], [ "10", "Report on progress against Green Plan in accordance\nwith SC18.2 (NHS Trust/FT only)", "Annually", "[For local agreement]", "[For local agreement]", "All" ], [ "", "Local Requirements Reported Locally", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "1", "", "Monthly", "See attached details in\nSchedule 6 for PTL and\nSLAM format\nrequirement", "The Provider must\nsubmit any patient-\nidentifiable data required\nin relation to Local\nRequirements Reported\nLocally via the Data\nLanding Portal in\naccordance with the Data\nLanding Portal\nAcceptable Use\nStatement.\n[Otherwise, for local\nagreement]\nReports to be sent to:\nIn accordance to SUS\ntimetable", "All" ], [ "", "SLAMs and PLDS and any other associated patient", "", "", "", "" ], [ "", "tracking activity and performance reports related to", "", "", "", "" ], [ "", "Manx Care’s patients under the care of the Provider.", "", "", "", "" ], [ "", "", "", "", "", "" ] ], "row_count": 14, "col_count": 6 }, { "headers": [ "", "Data Quality Indicator", "Data Quality Threshold", "Method of Measurement", "Milestone Date" ], "rows": [ [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "1", "Delete the italicised guidance\nnotes above; insert text\nlocally or state Not Applicable", "", "", "" ], [ "2", "", "", "", "" ], [ "3", "", "", "", "" ], [ "4", "", "", "", "" ] ], "row_count": 6, "col_count": 5 }, { "headers": [ "", "", "Milestones", "Timescales", "Expected Benefit" ], "rows": [ [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "#", "Data Element", "Format and\nLength", "Population Guidance", "Notes", "Mandatory (M),\nMandatory Where\nRelevant (R) or\nOptional (O)" ], "rows": [ [ "1", "FINANCIAL MONTH", "max an2", "1=April, 2= May, 3 June….12=March, with no leading zeros.", "The month in which the census occurred.", "M" ], [ "2", "FINANCIAL YEAR", "an6", "202425=2024/25, 202526=2025/26 etc. The slash (/) symbol\nmust not be included.", "The financial year in which the census occurred.", "M" ], [ "3", "DATE AND TIME DATA SET\nCREATED", "an19\nDD-MM-CCYY-\nhh:mm:ss", "Valid date and time format - as shown in the Specification.", "The date and time that the file was created prior to its submission. This timestamp will\nbe used to ascertain the latest version of the submission.", "M" ], [ "4", "ORGANISATION IDENTIFIER\n(CODE OF PROVIDER)", "min an3 max\nan6", "Valid ODS code – see the NHS Digital ODS Portal for valid\ncodes. NHS Providers must complete this data element with\ntheir valid national 3-character Trust code with no trailing zeros\n(i.e. RNA not RNA00).", "", "M" ], [ "5", "SITE CODE (OF TREATMENT)", "min an5 max\nan9", "Valid ODS code – see the NHS Digital ODS Portal for valid\ncodes.", "The ORGANISATION SITE CODE of the ORGANISATION where the PATIENT\nwas treated.", "M" ], [ "6", "ORGANISATION IDENTIFIER\n(CODE OF COMMISSIONER)", "min an3 max\nan5", "Valid ODS code – see the NHS Digital ODS Portal for valid\ncodes.", "The derived commissioner as derived with reference to the NHS England\nCommissioner Assignment Method (CAM), where possible given that the exact\ntreatment may not be known in advance, and hierarchy for assigning NHS England\ndirectly-commissioned services.", "M" ], [ "7", "GENERAL MEDICAL\nPRACTICE CODE (PATIENT\nREGISTRATION)", "an6", "Valid ODS code – see the NHS Digital ODS Portal for valid\ncodes.", "National ODS code - see the NHS Digital ODS Portal for valid codes.", "M" ], [ "8", "WITHHELD IDENTITY\nREASON", "an2", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes. To be populated where any of the patient\nidentifiable fields are not provided due to withheld identity\nreasons. Where the TREATMENT FUNCTION CODE\nindicates activity relating to a sensitive data item e.g. HIV or G-\nU Medicine no patient identifiable fields should be populated\nand the appropriate WITHHELD IDENTITY REASON code\nused.", "", "R" ], [ "9", "NHS NUMBER", "n10", "If the NHS NUMBER does not exist the LOCAL PATIENT\nIDENTIFIER (EXTENDED) must be populated. The population\nof this data element is not required where the WITHHELD\nIDENTITY REASON is populated.", "", "R" ], [ "10", "LOCAL PATIENT IDENTIFIER\n(EXTENDED)", "max an20", "", "", "R" ], [ "11", "MAIN SPECIALTY CODE", "an3", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "", "M" ], [ "12", "TREATMENT FUNCTION\nCODE", "an3", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "", "M" ], [ "13", "SOURCE OF REFERRAL (FOR\nOUTPATIENTS)", "n2", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "The source of referral of each Consultant Out-Patient Episode.", "M" ], [ "14", "REFERRER CODE", "an8", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "The code of the PERSON making the REFERRAL REQUEST.", "M" ], [ "15", "PRIORITY TYPE (REFERRAL)", "n1", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "The priority of the service request (referral).", "M" ], [ "16", "REFERRAL TO TREATMENT\nPERIOD START DATE", "an10\nCCYY-MM-DD", "", "", "M" ], [ "17", "REFERRAL TO TREATMENT\nPERIOD STATUS", "an2", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "RTT status is defined as ‘the status of an activity (or anticipated activity) for the RTT\nperiod, decided by the lead care professional’ or in other words:\n• whether each activity is part of an RTT pathway or not;\n• whether the activity has started an RTT clock, stopped an RTT clock or continued\nan existing ticking RTT clock.", "M" ], [ "18", "REFERRAL TO\nPROFESSIONAL CATEGORY", "n1", "1 = Consultant Led\n2 = Nurse Led\n3 = Allied Health Professional Led", "", "M" ], [ "19", "WAITING LIST TYPE", "n1", "1 = Out-Patient Waiting List (First Appointment)\n2 = Out-patient Waiting List (Follow Up Appointment)\n3 = Elective Admission List (Daycase)\n4 = Elective Admission List (Inpatient)\n5 = Diagnostic List\n6 = Transplant List", "", "M" ], [ "20", "NEXT ACTIVITY", "", "1 = O/P Waiting List - Booked.\n2 = O/P Waiting List - Not Booked.\n3 = Awaiting Diagnostic - Booked.\n4 = Awaiting Diagnostic - Booked - Isle of Man Team.\n5 = Awaiting Diagnostic - Not Booked.\n6 = Admitted Waiting List - No TCI Date\n7 = Admitted Waiting List - TCI Date Offered.\n8 = Watchful Wait review", "", "R" ], [ "21", "NEXT ACTIVITY DATE", "an10\nDD-MM-CCYY", "", "", "M" ], [ "22", "OUT-PATIENT\nAPPOINTMENT BOOKED\nDATE", "an10\nDD-MM-CCYY", "", "", "R" ], [ "23", "TO COME IN (TCI) DATE", "an10\nDD-MM-CCYY", "", "The TCI date is a formal offer in writing of a date of admission.", "R" ], [ "24", "INTENDED MANAGEMENT\nCODE", "an1", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "May not be needed as Point of Delivery can be determined from WAITING LIST\nTYPE", "M" ], [ "25", "PLANNED PROCEDURE\nCODE", "an5", "Valid OPCS code - see theThe NHS Classifications Browser\nfor valid codes.", "The intended surgical procedure of those patients with a Decision to Treat, as\ndefined by the Office of Population Censuses and Surveys (OPCS).\nprocedure codes", "R" ], [ "26", "PLANNED PROCEDURE\nDESCRIPTION", "min an3 max\nan125", "Text description of Valid OPCS code - see theThe NHS\nClassifications Browser for valid codes.", "The corresponding text description of the PLANNED PROCEDURE CODE.", "R" ], [ "27", "WAITING LIST PRIORITY (P\nCODE)", "min an1 max\nan2", "1a = Emergency - operation needed within 24 hours\n1b = Urgent - operation needed with 72 hours\n2 = Surgery that can be deferred for up to 4 weeks\n3 = Surgery that can be delayed for up to 3 months\n4 = Surgery that can be delayed for more than 3 months", "Surgical priority group of the patient.", "R" ] ], "row_count": 27, "col_count": 6 }, { "headers": [ "Patient Level Contract Monitoring Data Set (CDS) Specification\nht tps://www.datadictionary.nhs.uk/data_sets/supporting_data_sets/patient_level_contract_monitoring_data_set.html", "", "" ], "rows": [ [ "SUBMISSION HEADER", "", "" ], [ "To carry the submission header details.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "1", "M", "FINANCIAL MONTH" ], [ "2", "M", "FINANCIAL YEAR" ], [ "3", "M", "DATE AND TIME DATA SET CREATED" ], [ "4", "M", "REPORTING TYPE INDICATOR" ], [ "ORGANISATION DETAILS", "", "" ], [ "To carry the Organisation details of the Provider and Commissioner.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "5", "M", "ORGANISATION IDENTIFIER (CODE OF PROVIDER)" ], [ "6", "R", "ORGANISATION SITE IDENTIFIER (OF TREATMENT)" ], [ "7", "M", "ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)" ], [ "8", "R", "ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)" ], [ "9", "M", "ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)" ], [ "10", "M", "GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)" ], [ "DEMOGRAPHICS", "", "" ], [ "To carry the demographic details of the patient.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "11", "R", "WITHHELD IDENTITY REASON" ], [ "12", "R", "NHS NUMBER" ], [ "13", "R", "LOCAL PATIENT IDENTIFIER (EXTENDED)" ], [ "14", "R", "POSTCODE OF USUAL ADDRESS" ], [ "15", "R", "PERSON BIRTH DATE" ], [ "16", "R", "AGE AT ACTIVITY DATE (CONTRACT MONITORING)" ], [ "17", "R", "PERSON STATED GENDER CODE" ], [ "18", "R", "ETHNIC CATEGORY" ], [ "CARE ACTIVITY DETAILS", "", "" ], [ "To carry the care activity details.One occurrence of this group is permitted.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "19", "R", "CDS UNIQUE IDENTIFIER" ], [ "20", "R", "NON CDS UNIQUE IDENTIFIER" ], [ "21", "R", "ACTIVITY TREATMENT FUNCTION CODE" ], [ "22", "O", "LOCAL SUB-SPECIALTY CODE" ], [ "23", "R", "HOSPITAL PROVIDER SPELL IDENTIFIER" ], [ "24", "R", "OUTPATIENT ATTENDANCE IDENTIFIER" ], [ "25", "R", "EMERGENCY CARE ATTENDANCE IDENTIFIER" ], [ "26", "R", "ACTIVITY START DATE (CONTRACT MONITORING)" ], [ "27", "R", "ACTIVITY END DATE (CONTRACT MONITORING)" ], [ "28", "R", "ADJUSTED LENGTH OF STAY" ], [ "29", "R", "PACKAGE OF CARE OR YEAR OF CARE START DATE (CONTRACT MONITORING)" ], [ "30", "M", "UNBUNDLED EPISODE INDICATOR" ], [ "31", "R", "LOCAL TREATMENT CATEGORY CODE" ], [ "32", "R", "LOCAL TREATMENT CODE" ], [ "33", "O", "LOCATION OF ACTIVITY START" ], [ "34", "O", "LOCATION OF ACTIVITY END" ], [ "SERVICE AGREEMENT AND COMMISSIONING DETAILS", "", "" ], [ "To carry the service agreement and commissioning details.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "35", "R", "PROVIDER REFERENCE NUMBER" ], [ "36", "R", "NHS SERVICE AGREEMENT LINE NUMBER" ], [ "37", "M", "COMMISSIONED SERVICE CATEGORY CODE" ], [ "38", "R", "SERVICE CODE" ], [ "39", "M", "POINT OF DELIVERY CODE" ], [ "40", "R", "POINT OF DELIVERY FURTHER DETAIL CODE" ], [ "41", "R", "POINT OF DELIVERY FURTHER DETAIL DESCRIPTION" ], [ "42", "O", "LOCAL POINT OF DELIVERY CODE" ], [ "43", "O", "LOCAL POINT OF DELIVERY DESCRIPTION" ], [ "44", "O", "LOCAL CONTRACT CODE" ], [ "45", "O", "LOCAL CONTRACT MONITORING CODE" ], [ "46", "O", "LOCAL CONTRACT MONITORING DESCRIPTION" ], [ "47", "O", "CONTRACT MONITORING ADDITIONAL DETAIL (FIRST)" ], [ "48", "O", "CONTRACT MONITORING ADDITIONAL DESCRIPTION (FIRST)" ], [ "COST AND PRICING DETAILS", "", "" ], [ "To carry the activity and costing details.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "49", "R", "TARIFF CODE" ], [ "50", "M", "NATIONAL TARIFF INDICATOR" ], [ "51", "M", "ACTIVITY COUNT (POINT OF DELIVERY)" ], [ "52", "M", "ACTIVITY UNIT PRICE" ], [ "53", "M", "TOTAL COST" ], [ "Mandation\nM = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output\netc) cannot be completed without this data element being present.\nR = Required: NHS business processes cannot be delivered without this data element.\nO = Optional: the inclusion of this data element is optional as required for local purposes.", "", "" ] ], "row_count": 72, "col_count": 3 }, { "headers": [ "Type of Survey", "Frequency", "Method of Reporting", "Method of Publication" ], "rows": [ [ "", "", "", "" ], [ "Friends and Family Test (where\nrequired in accordance with FFT\nGuidance)", "As required by FFT\nGuidance", "As required by FFT\nGuidance", "As required by FFT\nGuidance" ], [ "National Quarterly Pulse Survey\n(NQPS) (if the Provider is an\nNHS Trust or an NHS\nFoundation Trust)", "As required by\nNQPS Guidance", "As required by NQPS\nGuidance", "As required by NQPS\nGuidance" ], [ "Staff Survey (appropriate NHS\nstaff surveys where required by\nStaff Survey Guidance)\n[Other]\n[Insert further description\nlocally]", "As required by Staff\nSurvey Guidance", "As required by Staff\nSurvey Guidance", "As required by Staff\nSurvey Guidance" ], [ "[Other insert locally (for\nexample, Service User Survey,\nCarer Survey]", "", "", "" ] ], "row_count": 5, "col_count": 4 }, { "headers": [ "Description", "Details" ], "rows": [ [ "", "" ], [ "Commissioner for which Data Processing\nServices are to be performed", "Manx Care" ], [ "Subject matter of the processing", "Provision of specialized acute and tertiary services, including\nelective and non-elective cases for referred by Manx Care / Isle of\nMan" ], [ "Duration of the processing", "1 April 2025 until Contract end date." ], [ "Nature and purposes of the processing", "The processing involves the collection, recording, organisation, and\nprovision of specialized healthcare services for patients referred by\nManx Care. The purposes include medical treatment, diagnostics,\npatient care management, and maintaining health records in\naccordance with statutory obligations." ], [ "Type of Personal Data", "Patient information, including but not limited to: name, address,\ndate of birth, medical history, diagnostic data, treatment plans, and\nany other relevant medical information necessary for the provision\nof healthcare services" ], [ "Categories of Data Subject", "Patients (and their guardians) referred by Manx Care for\nspecialized healthcare services." ], [ "Plan for return and destruction of the data\nonce the processing is complete UNLESS\nrequirement under law to preserve that\ntype of data", "Data will be retained for the duration of the treatment and for a\nperiod minimum of 8 years after the conclusion of treatment or\n25 years in the case of records relating to the treatment of\nchildren. Upon completion of the processing, the data will be\nsecurely returned to the Commissioner or destroyed in\naccordance with applicable data protection laws and regulations.\nIf there is a legal requirement to preserve certain types of data,\nthe Provider will notify the Commissioner and specify the\nreasons for the extended retention period." ] ], "row_count": 8, "col_count": 2 }, { "headers": [ "Manx Care" ], "rows": [ [ "Noble's Hospital Estate" ], [ "Strang" ], [ "Braddan" ], [ "IM4 4RJ" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "DATE OF CONTRACT", "", "Feb 2026" ], "rows": [ [ "EXPECTED SERVICE\nCOMMENCEMENT DATE", "", "1 April 2025" ], [ "CONTRACT TERM", "", "The initial term of this agreement\nshall\nbe one (1) years, commencing on\n______ and concluding on _____\n2026.\nUpon expiration of the initial term, the\nparties may mutually agree to extend\nthe contract up to 24 months in\naccordance with Schedule 1C" ], [ "COMMISSIONERS", "", "Manx Care (a statutory board of the\nIsle of Man Government)\nNoble’s Hospitals Estate\nStrang\nBraddan\nIsle of Man\nIM4 4RJ" ], [ "CO-ORDINATING COMMISSIONER\nSee GC10 and Schedule 5C", "", "N/A" ], [ "PROVIDER", "", "Liverpool University Hospitals\nNHS Foundation Trust\nPrescot Street\nLiverpool\nMerseyside\nL7 8XP\nODS: REM" ], [ "CONTRACT\nAWARD\nPROCESS\nSee s15 of\nthe Contract\nTechnical\nGuidance", "Award in accordance with rules under Isle of Man\nGovernment Financial Regulations", "" ] ], "row_count": 6, "col_count": 3 }, { "headers": [ "SERVICE COMMENCEMENT AND CONTRACT TERM", "" ], "rows": [ [ "", "" ], [ "Effective Date\nSee GC2.1", "" ], [ "Expected Service Commencement Date\nSee GC3.1", "1 April 2025" ], [ "Longstop Date\nSee GC4.1 and 17.10.1", "" ], [ "Contract Term", "The initial term of this Contract shall be\none (1) year, commencing on 1 April 2025\nand concluding on 31 March 2026.\nThe parties may mutually agree to extend\nthe contract by up to 24 months in\naccordance with Schedule 1C." ], [ "Commissioner option to extend Contract\nTerm\nSee Schedule 1C, which applies only if YES\nis indicated here", "YES\nBy up to 24 months." ], [ "Commissioner Notice Period (for\ntermination under GC17.2)", "60 days" ], [ "Commissioner Earliest Termination Date\n(for termination under GC17.2)", "6 months after the Service\nCommencement Date" ], [ "Provider Notice Period (for termination\nunder GC17.3)", "60 days" ], [ "Provider Earliest Termination Date (for\ntermination under GC17.3)", "6 months after the Service\nCommencement Date" ] ], "row_count": 10, "col_count": 2 }, { "headers": [ "SERVICES", "" ], "rows": [ [ "Service Categories", "Indicate all categories of service which" ], [ "", "the Provider is commissioned to" ], [ "", "provide under this Contract." ], [ "", "Note that certain provisions of the Service" ], [ "", "Conditions and Annex A to the Service" ], [ "", "Conditions apply in respect of some" ], [ "", "service categories but not others." ], [ "Accident & Emergency (A&E) Services", "Emergency medical care for patients with\nacute illnesses, injuries, or medical\nemergencies." ], [ "Medical Services", "Including but not limited to:\nGeneral medicine: Diagnosis, treatment,\nand management of various medical\nconditions.\nSpecialty clinics: Specialized clinics for\nspecific medical conditions, such as\ndiabetes, hypertension, and infectious\ndiseases." ], [ "Surgical Services", "Including but not limited to:\nGeneral surgery: Surgical procedures for\ncommon surgical conditions.\nOrthopaedic surgery: Treatment for\nmusculoskeletal injuries and conditions.\nNeurosurgery: Surgical treatment for\nneurological conditions, including brain and\nspinal surgeries.\nCardiothoracic surgery: Surgical\nprocedures related to the heart and chest.\nUrology: Diagnosis and treatment of\nurinary tract disorders and conditions.\nEar, Nose, and Throat (ENT) surgery:\nSurgical treatment for conditions affecting\nthe ear, nose, and throat." ], [ "Gastroenterology and Hepatology\nServices", "Gastroenterology clinics: Diagnosis and\ntreatment of gastrointestinal disorders,\nincluding conditions affecting the stomach,\nintestines, liver, pancreas, and gallbladder.\nHepatology clinics: Diagnosis and\nmanagement of liver diseases, including\nhepatitis, cirrhosis, and liver cancer.\nEndoscopy services: Diagnostic and\ntherapeutic procedures such as\ngastroscopy, colonoscopy, and liver biopsy.\nLiver transplant services: Evaluation,\npreparation, and post-transplant care for\npatients requiring liver transplantation." ], [ "Ophthalmology Services", "Ophthalmology clinics: Diagnosis and\ntreatment of eye conditions and diseases,\nincluding cataracts, glaucoma, macular\ndegeneration, and diabetic retinopathy.\nOphthalmic imaging: Diagnostic tests\nsuch as optical coherence tomography\n(OCT) and fundus photography for\nassessing eye health and diagnosing eye\nconditions." ], [ "Haematology Services", "Haematology clinics: Diagnosis and\ntreatment of blood disorders, including\nanaemia, bleeding disorders, and blood\ncancers such as leukaemia, lymphoma, and\nmyeloma.\nBlood transfusion services: Provision of" ] ], "row_count": 13, "col_count": 2 }, { "headers": [ "", "blood products and transfusion support for\npatients undergoing surgery,\nchemotherapy, or experiencing blood loss." ], "rows": [ [ "Rheumatology Services", "Rheumatology clinics: Diagnosis and\nmanagement of rheumatic diseases and\nautoimmune conditions, including\nrheumatoid arthritis, lupus, psoriatic\narthritis, and ankylosing spondylitis.\nBiologic therapy: Administration of\nbiologic medications for controlling\ninflammation and disease progression in\nrheumatic conditions." ], [ "Stroke Services", "Suspected stroke patients are seen\nimmediately by stroke specialists, avoiding\nemergency department visits.\nIncludes Aintree’s hyper-acute stroke\nservice at located on the The Walton\nCentre NHS Foundation Trust site.\nThrombectomy (via Walton Centre),\navailable 24/7, significantly increasing the\nnumber of Isle of Man patients who can\nreceive this treatment within the required\ntime window. Patients who have received\ntreatment at The Walton Centre and need\nongoing care may transition to LUFHT for\ncontinued support." ], [ "Respiratory Services", "Respiratory clinics: Diagnosis and\nmanagement of respiratory conditions." ], [ "Critical Care Services", "Intensive care units (ICUs): Critical care\nfor patients with life-threatening conditions.\nHigh-dependency units (HDUs):\nIntermediate level of care for patients\nrequiring close monitoring." ], [ "Diagnostic Imaging Services", "X-ray, CT scan, MRI, PET CT, ultrasound:\nImaging services for diagnostic purposes.\nInterventional radiology: Minimally\ninvasive procedures guided by imaging\ntechniques." ], [ "Pathology Services", "Laboratory testing: Analysis of blood,\ntissue, and other specimens for diagnostic\npurposes.\nProvision of technical oversight and\nclinical advice, including professional\njudgement of individual cases, for\nHaematology laboratory activities.\nHistopathology: Examination of tissue\nsamples for pathological analysis." ], [ "Dental Services (The Liverpool University\nDental Hospital)", "General dentistry: Routine dental care and\npreventive services.\nSpecialty clinics: Specialized dental\nservices such as orthodontics, oral surgery,\nand periodontics." ], [ "Cancer Services", "Oncology clinics: Diagnosis, treatment,\nand management of cancer.\nChemotherapy and radiotherapy: Cancer\ntreatment modalities.\nPalliative care: Supportive care for patients\nwith advanced cancer." ], [ "Cardiology Services", "Cardiac clinics: Diagnosis and treatment\nof heart conditions.\nCardiac catheterization lab: Interventional\nprocedures for heart conditions." ], [ "Renal Services", "Nephrology clinics: Diagnosis and\ntreatment of kidney disorders." ] ], "row_count": 10, "col_count": 2 }, { "headers": [ "", "Renal dialysis: Haemodialysis and\nperitoneal dialysis services.", "" ], "rows": [ [ "Service Requirements", "", "" ], [ "Prior Approval Response Time Standard\nSee SC29.21", "Within [ ] Operational Days following\nthe date of request\nOr\nNot applicable", "" ], [ "GOVERNANCE AND REGULATORY", "", "" ], [ "Provider’s Nominated Individual\nSee SC1.4", "", "" ], [ "", "", "" ], [ "", "", "" ], [ "Provider’s 2018 Act Responsible Person\nSee SC3.17", "N/A", "" ], [ "Commissioners’ UEC DoS Leads\nSee SC6.18", "", "" ], [ "Provider’s UEC DoS Contact\nSee SC6.18", "", "" ], [ "Provider’s Health Inequalities Lead (NHS\nTrusts and NHS Foundation Trusts only)\nSee SC13.8", "", "" ], [ "Provider’s Net Zero Lead (NHS Trusts and\nNHS Foundation Trusts only)\nSee SC18.2", "", "" ], [ "", "", "" ], [ "", "", "" ], [ "", "", "" ], [ "Provider’s Infection Prevention Lead\nSee SC21.1", "", "" ], [ "Provider’s Accountable Emergency\nOfficer\nSee SC30.1", "", "" ], [ "Provider’s Child Sexual Abuse and\nExploitation Lead\nSee SC32.2", "", "" ], [ "Provider’s Mental Capacity and Liberty\nProtection Safeguards Lead\nSee SC32.2", "", "" ], [ "Provider’s Prevent Lead\nSee SC32.2", "", "" ], [ "Provider’s Safeguarding Lead (adults) /\nnamed professional for safeguarding\nadults\nSee SC32.2", "", "" ], [ "Provider’s Safeguarding Lead (children) /\nnamed professional for safeguarding\nchildren\nSee SC32.2", "", "" ] ], "row_count": 21, "col_count": 3 }, { "headers": [ "Provider’s Controlled Drugs Accountable\nOfficer (NHS Trusts, NHS Foundation\nTrusts and English Independent\nHospitals only)\nSee SC33.12", "", "" ], "rows": [ [ "Provider’s Wellbeing Guardian (NHS\nTrusts and NHS Foundation Trusts only)\nSee GC5.9", "", "" ], [ "", "", "" ], [ "", "", "" ], [ "Provider’s Freedom To Speak Up\nGuardian(s)\nSee GC5.10", "", "" ], [ "", "", "" ], [ "", "", "" ], [ "Provider’s Caldicott Guardian\nSee GC21.3", "", "" ], [ "Provider’s Data Protection Officer (if\nrequired by Data Protection Legislation)\nSee GC21.3", "", "" ], [ "Provider’s Information Governance Lead\nSee GC21.3", "", "" ], [ "Provider’s Senior Information Risk\nOwner\nSee GC21.3", "", "" ], [ "", "", "" ], [ "", "", "" ] ], "row_count": 12, "col_count": 3 }, { "headers": [ "CONTRACT MANAGEMENT", "", "", "" ], "rows": [ [ "Addresses for service of Notices\nSee GC36", "Commissioner:\nManx Care\nNoble’s Hospital Estate,\nStrang, Braddan IM4 4RJ\nEmail:\nProvider:\nLiverpool University Hospitals\nNHS Foundation Trust\nPrescot Street\nLiverpool\nMerseyside L7 8XP\nEmail:", "", "" ], [ "Frequency of Review Meetings\nSee GC8.1", "Monthly, but will be reviewed during the\nContract Term to a frequency not greater\nthan Quarterly.", "", "" ], [ "Commissioner Representative(s)\nSee GC10.3", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "Provider Representative\nSee GC10.3", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "Nominated Mediation Body (where\nrequired – see GC14.4)", "CEDR", "", "" ] ], "row_count": 20, "col_count": 4 }, { "headers": [ "Service name", "Elective and Non elective services (as listed in the Service\nCategories)" ], "rows": [ [ "Service specification\nnumber", "N/A" ], [ "Population and/or\ngeography to be served", "Residents of the Isle of Man" ], [ "Service aims and desired\noutcomes", "The Provider shall deliver tertiary and acute healthcare\nservices to Isle of Man patients with access and clinical\noutcomes equivalent to those available to UK residents\naccessing the Provider’s services. The aims include:\nEnsuring timely, high-quality, and equitable healthcare\nprovision.\nSupporting a close working relationship with the\nCommissioner’s (Manx Care) clinicians, including clear and\ninclusive arrangements for Multi-Disciplinary Teams (MDTs).\nOptimising patient care through efficient use of on-island and\noff-island resources, reducing unnecessary travel and follow-\nup appointments where possible." ], [ "Service description and\nlocation(s) from which it\nwill be delivered", "The Provider shall deliver a range of elective and non-elective\nservices, primarily at its site(s) in Liverpool, with some\nservices delivered partly on the Isle of Man (e.g., via visiting\nclinics, virtual consultations, or local delivery by the\nCommissioner (Manx Care) with Provider support). The list of\nservices below is indicative and may be personalised based\non individual patient needs. Services include:\nAccident & Emergency (A&E) Services\nEmergency medical care for patients with acute illnesses,\ninjuries, or medical emergencies.\nMedical Services\nIncluding but not limited to:\nGeneral medicine: Diagnosis, treatment, and management of\nvarious medical conditions.\nSpecialty clinics: Specialized clinics for specific medical\nconditions, such as diabetes, hypertension, and infectious\ndiseases.\nSurgical Services\nIncluding but not limited to:\nGeneral surgery: Surgical procedures for common surgical\nconditions.\nOrthopaedic surgery: Treatment for musculoskeletal injuries\nand conditions." ] ], "row_count": 4, "col_count": 2 }, { "headers": [ "", "Row Labels", "", "", "Sum of Activity Plan", "", "", "Sum of Activity Actual", "", "", "Sum of Price Plan", "", "", "Sum of Price Actual", "" ], "rows": [ [ "AKI IP UNBUNDLED 2 0 357 0\nARD 7 2 1,429 262\nARMD DRUGS 0 0 323,845 375,631\nARMD FULL 922 1,111 952,300 1,147,891\nARMDASSESS 337 220 166,699 109,035\nARMDTREAT 358 318 326,973 290,578\nAUDIOLOGY 5 3 0 0\nCONTRACT ADJUSTMENT PHASING 0 0 0 0\nDC 408 422 572,277 569,053\nDI 332 320 55,352 47,952\nDIRECT ACCESS 0 7 0 216\nDIRECT ACCESS DEXA/NUCLEAR MEDICINE 65 59 45,209 21,804\nDIRECT ACCESS RADIOLOGY 115 240 93,461 193,419\nEL 261 244 1,503,526 1,443,737\nELXBD 56 171 18,634 55,654\nEXCDRUGSIP 0 0 125,067 98,503\nEXCDRUGSOP 0 0 379,791 492,723\nEXCLUDED DEVICES 0 0 204,989 215,827\nEXCLUDED DRUGS HOMECARE 0 0 232,905 210,706\nEXCLUDED ITEM 0 0 11,703 10,201\nH&N 0 0 24,576 0\nHAEMOPHILIA BLOOD PRODUCTS 0 0 52,014 38,644\nHDU 340 291 315,622 270,533\nITU 187 84 399,882 180,108\nLIMBS & WHEELCHAIRS 0 0 10,916 10,916\nNEL 17 21 169,891 276,629\nNELNE 22 69 265,060 823,480\nNELNEXBD 0 15 0 5,176\nNELST 2 0 1,773 0\nNELXBD 42 0 20,424 0\nOPFAMPCL 15 25 6,382 8,005\nOPFANFTF 178 112 45,368 26,417\nOPFASPCL 781 579 172,805 120,908\nOPFUPMPCL 24 71 6,024 14,355\nOPFUPNFTF 930 905 136,913 128,374\nOPFUPSPCL 2,771 2,098 246,668 193,121\nOPPROC 1 0 310 0\nOPPROCFA 273 376 61,817 64,293\nOPPROCFUP 1,261 1,856 192,327 291,261\nOTHER 0 0 5,890 5,890\nPDT 5 0 5,657 0\nPDT DRUGS 0 0 3,105 0\nRENAL HDU 27 5 25,064 4,774\nRENAL TRANSPLANTS 3 0 120,445 0\nSPC IP UNBUNDLED 77 96 6,020 7,535\nSTSFCE 2 0 4,322 0\nTELESTROKE SERVICE 0 0 93,044 93,044\nTOTAL PARENTERAL NUTRITION 0 0 29,139 42,161\nTRAUMA BP 0 0 34,010 43,884\n(blank)", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ], [ "", "Grand Total", "", "", "9,822", "", "", "9,723", "", "", "7,469,984", "", "", "7,932,697", "" ], [ "", "", "", "", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 3, "col_count": 15 }, { "headers": [ "Section/Clause", "", "2025/26 NHS", "", "Manx Care Adjustment", "Rationale" ], "rows": [ [ "", "", "Standard", "", "", "" ], [ "", "", "Contract", "", "", "" ], [ "SC1.1", "Deliver\nServices in\naccordance\nwith NHS\nEngland’s\nnational\npriorities", "", "", "Replace with Manx Care\nOperating Plan\nhttps://www.manx.news/wp-\ncontent/uploads/2025/03/Manx-\nCare-Operating-Plan.pdf", "IOM uses own\nhealth\nstrategy; 24/25\nreferenced\nNHS Long\nTerm Plan" ], [ "SC3.1.1 – 3.1.2", "Elective\nactivity\nrecovery (52-\nweek waits,\ndiagnostics\nwithin 6\nweeks)", "", "", "Optional; applies only if\nspecified in Service\nSpecifications for off-island\nservices", "Assess\nrelevance to\nIOM off-island\nscope; not\nmandatory" ], [ "SC6.1, SC6.10", "Right to\nChoice, NHS\nConstitution,\nelective\npathways,\ndigital referrals", "", "", "Exception - Choice to realign\nwith Manx Care policies which\ndon’t include patient choice;\ndigital referrals retained", "IOM lacks\nNHS\nConstitution;\ntailor choice to\nIOM pathways\n(i.e. restricted\nchoice)" ], [ "SC6.10", "Digital referral\nsystems (e.g.,\ne-Referral\nService)", "", "", "Per IOM locally agreed referral\npathways", "SC6.10 new in\n25/26; IOM\nand its\npatients\ncurrently do\nnot use NHS\ne-Referral" ], [ "SC18.1–SC18.4", "NHS Choice\nFramework", "", "", "Exception - Choice to realign\nwith Manx Care policies which\ndon’t include patient choice;\ndigital referrals retained", "IOM lacks\nNHS\nConstitution\nand Service\nUser legal\nrights to\nChoice; tailor\nchoice to IOM\npathways (i.e.\nrestricted\nchoice)" ], [ "SC33", "PSIRF\nreplaces\nNRLS", "", "", "PSIRF reporting to Manx\nCare’s system:\nDatixEnquiries@gov.im", "24/25 used\nNRLS; PSIRF\nnew in 25/26;\nalign with local\nreporting" ], [ "SC36.1, SC36.4", "Fixed\nPayment for", "", "", "The Commissioner (Manx\nCare) shall make monthly\npayments to the Provider", "IOM\ncommissions\ndifferently than" ] ], "row_count": 9, "col_count": 6 }, { "headers": [ "", "Trusts, API\nadjustments", "based on the actual activity\ndelivered in the respective\nmonth, as determined by the\nActivity Reporting submitted by\nthe Provider. Payments will\nreflect the NHS Tariff unit costs\n(or Local tariff pricing agreed\nwith the provider) for the\nservices provided, as outlined\nin the contract schedule. On a\nquarterly basis, the Provider\nmay issue a reconciliation\ninvoice or credit note to adjust\nthe monthly payments where\nnecessary to the agreed actual\nactivity levels, as verified\nthrough the Activity Reporting\nprocess.", "ICB given our\nunique\nsituation in the\nregion" ], "rows": [ [ "GC5.1- GC5.8", "Staff; ICB\noversight", "Not applicable", "NHS/NHS E\npolicy, not\nrelevant to\nIOM as\nCommissioner" ], [ "GC10.1–GC10.3", "Co-ordinating\nCommissioner\nrole", "Manx Care as sole\nCommissioner", "IOM is a\nsingle-\ncommissioner\nmodel; IOM\nhas not\nappointed a\nappointed a\nCo-ordinating\nCommissioner,\nhence IOM as\nsingle\nCommissioner\napplies\nthroughout GC\nand SC." ], [ "GC21.1–GC21.23", "Confidentiality,\nData Security\nToolkit,\nDPIAs, cyber\nresilience", "Retain 2025/26 IG standards\nhowever, reference is made to\nIoM Data Protection\nLegislation;", "IOM aligns\nwith UK GDPR\nbut uses its\nown local laws" ] ], "row_count": 3, "col_count": 4 }, { "headers": [ "", "Quality Requirement", "Threshold", "Method of measurement", "Period over which the requirement is\nto be achieved", "Applicable\nService\nSpecification" ], "rows": [ [ "1", "Insert text and/or attach\nspreadsheet or\ndocuments locally in\nrespect of one or more\nContract Years or state\nNot Applicable", "", "", "", "" ], [ "2", "", "", "", "", "" ], [ "3", "", "", "", "", "" ], [ "4", "", "", "", "", "" ], [ "5", "", "", "", "", "" ] ], "row_count": 5, "col_count": 6 }, { "headers": [ "Date", "Document" ], "rows": [ [ "", "" ], [ "Insert text locally or state\nNot Applicable", "" ], [ "", "" ], [ "", "" ], [ "", "" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Date", "Document" ], "rows": [ [ "", "" ], [ "", "" ], [ "", "" ], [ "", "" ], [ "", "" ] ], "row_count": 5, "col_count": 2 }, { "headers": [ "Sub-Contractor", "Service Description", "Start date/expiry date", "Processing", "If the Sub-Contractor is processing" ], "rows": [ [ "", "", "", "Personal Data –", "Personal Data, state whether the Sub-" ], [ "[Name]", "", "", "", "" ], [ "", "", "", "Yes/No", "Contractor is a Data Processor OR a" ], [ "[Registered Office]", "", "", "", "Data Controller OR a joint Data" ], [ "", "", "", "", "Controller" ], [ "[Company number]", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "Insert text locally or state\nNot Applicable", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 12, "col_count": 5 }, { "headers": [ "Co-ordinating", "Role/Responsibility" ], "rows": [ [ "Commissioner/Commissioner", "" ], [ "", "" ], [ "Manx Care", "Reviews, on an annual basis, changes to the\nUK’s NHS National Standard Contract\nParticulars, Service Conditions and General\nConditions so that the Contract between Manx\nCare and the Provider may be updated to\nalign with those changes (e.g. new\nstandards);\nand if Manx Care and the Provider cannot\nagree to applying those NHS changes to\nManx Care’s contract with the Provider, then\nthe default would be the NHS National\nStandard Terms." ], [ "", "" ], [ "", "" ], [ "", "" ], [ "", "" ], [ "", "" ] ], "row_count": 8, "col_count": 2 }, { "headers": [ "", "", "Reporting Period", "Format of Report", "Timing and Method", "Service" ], "rows": [ [ "", "", "", "", "", "" ], [ "", "", "", "", "for delivery of Report", "category" ], [ "", "", "", "", "", "" ], [ "", "National Requirements Reported Centrally", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "1", "As specified in the Schedule of Approved Collections\npublished at https://digital.nhs.uk/isce/publication/nhs-\nstandard-contract-approved-collections\nwhere mandated for and as applicable to the Provider\nand the Services", "As set out in relevant\nGuidance", "As set out in relevant\nGuidance", "As set out in relevant\nGuidance", "All" ], [ "1a", "Without prejudice to 1 above, daily submissions of\ntimely Emergency Care Data Sets, in accordance with\nDAPB0092-2062 and with detailed requirements\npublished at https://digital.nhs.uk/data-and-\ninformation/data-collections-and-data-sets/data-\nsets/emergency-care-data-set-ecds/ecds-latest-update", "As set out in relevant\nGuidance", "As set out in relevant\nGuidance", "Daily", "A+E, U" ], [ "2", "Patient Reported Outcome Measures (PROMS)\nhttps://digital.nhs.uk/data-and-information/data-tools-\nand-services/data-services/patient-reported-outcome-\nmeasures-proms", "As set out in relevant\nGuidance", "As set out in relevant\nGuidance", "As set out in relevant\nGuidance", "All" ], [ "", "National Requirements Reported Locally", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "1a", "Activity and Finance Report", "Monthly", "In the format specified\nin the relevant\nInformation Standards\nNotice (DCB2050)", "[For local agreement]", "A, MH" ], [ "", "", "", "", "", "" ], [ "1b", "Activity and Finance Report", "Monthly", "[For local agreement]", "[For local agreement]", "All except A,\nMH" ] ], "row_count": 15, "col_count": 6 }, { "headers": [ "", "", "Reporting Period", "Format of Report", "Timing and Method", "Service" ], "rows": [ [ "", "", "", "", "", "" ], [ "", "", "", "", "for delivery of Report", "category" ], [ "", "", "", "", "", "" ], [ "2", "Service Quality Performance Report, detailing\nperformance against National Quality Requirements,\nLocal Quality Requirements and the duty of candour,\nincluding, without limitation:", "Monthly", "As per that agreed with\nthe Trust’s main\ncommissioner", "Within 15 Operational\nDays of the end of the\nmonth to which it\nrelates", "" ], [ "2a", "details of any thresholds that have been breached and\nbreaches in respect of the duty of candour that have\noccurred;", "", "", "", "All" ], [ "2b", "details of all requirements satisfied;", "", "", "", "All" ], [ "2c", "details of, and reasons for, any failure to meet\nrequirements", "", "", "", "All" ], [ "3", "Where CQUIN applies, CQUIN Performance Report\nand details of progress towards satisfying any CQUIN\nIndicators, including details of all CQUIN Indicators\nsatisfied or not satisfied", "[For local agreement]", "[For local agreement]", "[For local agreement]", "All" ], [ "4", "Complaints monitoring report, setting out numbers of", "[For local agreement]", "In accordance with ICB\nagreed format.", "[For local agreement]", "All" ], [ "", "complaints received and including analysis of key", "", "", "", "" ], [ "", "themes in content of complaints", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "5", "Report against performance of Service Development", "In accordance with\nrelevant SDIP", "In accordance with\nrelevant SDIP", "In accordance with\nrelevant SDIP", "All" ], [ "", "and Improvement Plan (SDIP)", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "6", "Summary report setting out relevant information on", "Monthly", "[For local agreement]\nIn accordance with ICB\nagreed format.", "[For local agreement]", "All" ], [ "", "Patient Safety Incidents and the progress of and", "", "", "", "" ], [ "", "outcomes from Patient Safety Investigations, as", "", "", "", "" ], [ "", "agreed with the Co-ordinating Commissioner", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "7", "Data Quality Improvement Plan: report of progress", "In accordance with\nrelevant DQIP", "In accordance with\nrelevant DQIP", "In accordance with\nrelevant DQIP", "All" ], [ "", "against milestones", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "8", "Report on outcome of reviews and evaluations in\nrelation to Staff numbers and skill mix in accordance\nwith GC5.2 (Staff)", "Annually (or more\nfrequently if and as\nrequired by the Co-\nordinating", "[For local agreement]\nNot Applicable", "[For local agreement]\nNot Applicable", "All" ] ], "row_count": 24, "col_count": 6 }, { "headers": [ "", "", "Reporting Period", "Format of Report", "Timing and Method", "Service" ], "rows": [ [ "", "", "", "", "", "" ], [ "", "", "", "", "for delivery of Report", "category" ], [ "", "", "", "", "", "" ], [ "", "", "Commissioner from\ntime to time)", "", "", "" ], [ "9", "Where the Services include Specialised Services\nand/or other services directly commissioned by NHS\nEngland (or commissioned by an ICB, where NHS\nEngland has delegated the function of commissioning\nthose services), specific reports as set out at\nhttps://www.england.nhs.uk/nhs-standard-contract/dc-\nreporting/\n(where not otherwise required to be submitted as a\nnational requirement reported centrally or locally)", "As set out at\nhttps://www.england.n\nhs.uk/nhs-standard-\ncontract/dc-reporting/", "As set out at\nhttps://www.england.n\nhs.uk/nhs-standard-\ncontract/dc-reporting/", "As set out at\nhttps://www.england.n\nhs.uk/nhs-standard-\ncontract/dc-reporting/\nAnd Reports to be sent\nto:", "All" ], [ "10", "Report on progress against Green Plan in accordance\nwith SC18.2 (NHS Trust/FT only)", "Annually", "[For local agreement]", "[For local agreement]", "All" ], [ "", "Local Requirements Reported Locally", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "", "", "", "", "", "" ], [ "1", "", "Monthly", "See attached details in\nSchedule 6 for PTL and\nSLAM format\nrequirement", "The Provider must\nsubmit any patient-\nidentifiable data required\nin relation to Local\nRequirements Reported\nLocally via the Data\nLanding Portal in\naccordance with the Data\nLanding Portal\nAcceptable Use\nStatement.\n[Otherwise, for local\nagreement]\nReports to be sent to:\nIn accordance to SUS\ntimetable", "All" ], [ "", "SLAMs and PLDS and any other associated patient", "", "", "", "" ], [ "", "tracking activity and performance reports related to", "", "", "", "" ], [ "", "Manx Care’s patients under the care of the Provider.", "", "", "", "" ], [ "", "", "", "", "", "" ] ], "row_count": 14, "col_count": 6 }, { "headers": [ "", "Data Quality Indicator", "Data Quality Threshold", "Method of Measurement", "Milestone Date" ], "rows": [ [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "1", "Delete the italicised guidance\nnotes above; insert text\nlocally or state Not Applicable", "", "", "" ], [ "2", "", "", "", "" ], [ "3", "", "", "", "" ], [ "4", "", "", "", "" ] ], "row_count": 6, "col_count": 5 }, { "headers": [ "", "", "Milestones", "Timescales", "Expected Benefit" ], "rows": [ [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 7, "col_count": 5 }, { "headers": [ "#", "Data Element", "Format and\nLength", "Population Guidance", "Notes", "Mandatory (M),\nMandatory Where\nRelevant (R) or\nOptional (O)" ], "rows": [ [ "1", "FINANCIAL MONTH", "max an2", "1=April, 2= May, 3 June….12=March, with no leading zeros.", "The month in which the census occurred.", "M" ], [ "2", "FINANCIAL YEAR", "an6", "202425=2024/25, 202526=2025/26 etc. The slash (/) symbol\nmust not be included.", "The financial year in which the census occurred.", "M" ], [ "3", "DATE AND TIME DATA SET\nCREATED", "an19\nDD-MM-CCYY-\nhh:mm:ss", "Valid date and time format - as shown in the Specification.", "The date and time that the file was created prior to its submission. This timestamp will\nbe used to ascertain the latest version of the submission.", "M" ], [ "4", "ORGANISATION IDENTIFIER\n(CODE OF PROVIDER)", "min an3 max\nan6", "Valid ODS code – see the NHS Digital ODS Portal for valid\ncodes. NHS Providers must complete this data element with\ntheir valid national 3-character Trust code with no trailing zeros\n(i.e. RNA not RNA00).", "", "M" ], [ "5", "SITE CODE (OF TREATMENT)", "min an5 max\nan9", "Valid ODS code – see the NHS Digital ODS Portal for valid\ncodes.", "The ORGANISATION SITE CODE of the ORGANISATION where the PATIENT\nwas treated.", "M" ], [ "6", "ORGANISATION IDENTIFIER\n(CODE OF COMMISSIONER)", "min an3 max\nan5", "Valid ODS code – see the NHS Digital ODS Portal for valid\ncodes.", "The derived commissioner as derived with reference to the NHS England\nCommissioner Assignment Method (CAM), where possible given that the exact\ntreatment may not be known in advance, and hierarchy for assigning NHS England\ndirectly-commissioned services.", "M" ], [ "7", "GENERAL MEDICAL\nPRACTICE CODE (PATIENT\nREGISTRATION)", "an6", "Valid ODS code – see the NHS Digital ODS Portal for valid\ncodes.", "National ODS code - see the NHS Digital ODS Portal for valid codes.", "M" ], [ "8", "WITHHELD IDENTITY\nREASON", "an2", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes. To be populated where any of the patient\nidentifiable fields are not provided due to withheld identity\nreasons. Where the TREATMENT FUNCTION CODE\nindicates activity relating to a sensitive data item e.g. HIV or G-\nU Medicine no patient identifiable fields should be populated\nand the appropriate WITHHELD IDENTITY REASON code\nused.", "", "R" ], [ "9", "NHS NUMBER", "n10", "If the NHS NUMBER does not exist the LOCAL PATIENT\nIDENTIFIER (EXTENDED) must be populated. The population\nof this data element is not required where the WITHHELD\nIDENTITY REASON is populated.", "", "R" ], [ "10", "LOCAL PATIENT IDENTIFIER\n(EXTENDED)", "max an20", "", "", "R" ], [ "11", "MAIN SPECIALTY CODE", "an3", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "", "M" ], [ "12", "TREATMENT FUNCTION\nCODE", "an3", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "", "M" ], [ "13", "SOURCE OF REFERRAL (FOR\nOUTPATIENTS)", "n2", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "The source of referral of each Consultant Out-Patient Episode.", "M" ], [ "14", "REFERRER CODE", "an8", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "The code of the PERSON making the REFERRAL REQUEST.", "M" ], [ "15", "PRIORITY TYPE (REFERRAL)", "n1", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "The priority of the service request (referral).", "M" ], [ "16", "REFERRAL TO TREATMENT\nPERIOD START DATE", "an10\nCCYY-MM-DD", "", "", "M" ], [ "17", "REFERRAL TO TREATMENT\nPERIOD STATUS", "an2", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "RTT status is defined as ‘the status of an activity (or anticipated activity) for the RTT\nperiod, decided by the lead care professional’ or in other words:\n• whether each activity is part of an RTT pathway or not;\n• whether the activity has started an RTT clock, stopped an RTT clock or continued\nan existing ticking RTT clock.", "M" ], [ "18", "REFERRAL TO\nPROFESSIONAL CATEGORY", "n1", "1 = Consultant Led\n2 = Nurse Led\n3 = Allied Health Professional Led", "", "M" ], [ "19", "WAITING LIST TYPE", "n1", "1 = Out-Patient Waiting List (First Appointment)\n2 = Out-patient Waiting List (Follow Up Appointment)\n3 = Elective Admission List (Daycase)\n4 = Elective Admission List (Inpatient)\n5 = Diagnostic List\n6 = Transplant List", "", "M" ], [ "20", "NEXT ACTIVITY", "", "1 = O/P Waiting List - Booked.\n2 = O/P Waiting List - Not Booked.\n3 = Awaiting Diagnostic - Booked.\n4 = Awaiting Diagnostic - Booked - Isle of Man Team.\n5 = Awaiting Diagnostic - Not Booked.\n6 = Admitted Waiting List - No TCI Date\n7 = Admitted Waiting List - TCI Date Offered.\n8 = Watchful Wait review", "", "R" ], [ "21", "NEXT ACTIVITY DATE", "an10\nDD-MM-CCYY", "", "", "M" ], [ "22", "OUT-PATIENT\nAPPOINTMENT BOOKED\nDATE", "an10\nDD-MM-CCYY", "", "", "R" ], [ "23", "TO COME IN (TCI) DATE", "an10\nDD-MM-CCYY", "", "The TCI date is a formal offer in writing of a date of admission.", "R" ], [ "24", "INTENDED MANAGEMENT\nCODE", "an1", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "May not be needed as Point of Delivery can be determined from WAITING LIST\nTYPE", "M" ], [ "25", "PLANNED PROCEDURE\nCODE", "an5", "Valid OPCS code - see theThe NHS Classifications Browser\nfor valid codes.", "The intended surgical procedure of those patients with a Decision to Treat, as\ndefined by the Office of Population Censuses and Surveys (OPCS).\nprocedure codes", "R" ], [ "26", "PLANNED PROCEDURE\nDESCRIPTION", "min an3 max\nan125", "Text description of Valid OPCS code - see theThe NHS\nClassifications Browser for valid codes.", "The corresponding text description of the PLANNED PROCEDURE CODE.", "R" ], [ "27", "WAITING LIST PRIORITY (P\nCODE)", "min an1 max\nan2", "1a = Emergency - operation needed within 24 hours\n1b = Urgent - operation needed with 72 hours\n2 = Surgery that can be deferred for up to 4 weeks\n3 = Surgery that can be delayed for up to 3 months\n4 = Surgery that can be delayed for more than 3 months", "Surgical priority group of the patient.", "R" ] ], "row_count": 27, "col_count": 6 }, { "headers": [ "Patient Level Contract Monitoring Data Set (CDS) Specification\nht tps://www.datadictionary.nhs.uk/data_sets/supporting_data_sets/patient_level_contract_monitoring_data_set.html", "", "" ], "rows": [ [ "SUBMISSION HEADER", "", "" ], [ "To carry the submission header details.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "1", "M", "FINANCIAL MONTH" ], [ "2", "M", "FINANCIAL YEAR" ], [ "3", "M", "DATE AND TIME DATA SET CREATED" ], [ "4", "M", "REPORTING TYPE INDICATOR" ], [ "ORGANISATION DETAILS", "", "" ], [ "To carry the Organisation details of the Provider and Commissioner.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "5", "M", "ORGANISATION IDENTIFIER (CODE OF PROVIDER)" ], [ "6", "R", "ORGANISATION SITE IDENTIFIER (OF TREATMENT)" ], [ "7", "M", "ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)" ], [ "8", "R", "ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)" ], [ "9", "M", "ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)" ], [ "10", "M", "GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)" ], [ "DEMOGRAPHICS", "", "" ], [ "To carry the demographic details of the patient.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "11", "R", "WITHHELD IDENTITY REASON" ], [ "12", "R", "NHS NUMBER" ], [ "13", "R", "LOCAL PATIENT IDENTIFIER (EXTENDED)" ], [ "14", "R", "POSTCODE OF USUAL ADDRESS" ], [ "15", "R", "PERSON BIRTH DATE" ], [ "16", "R", "AGE AT ACTIVITY DATE (CONTRACT MONITORING)" ], [ "17", "R", "PERSON STATED GENDER CODE" ], [ "18", "R", "ETHNIC CATEGORY" ], [ "CARE ACTIVITY DETAILS", "", "" ], [ "To carry the care activity details.One occurrence of this group is permitted.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "19", "R", "CDS UNIQUE IDENTIFIER" ], [ "20", "R", "NON CDS UNIQUE IDENTIFIER" ], [ "21", "R", "ACTIVITY TREATMENT FUNCTION CODE" ], [ "22", "O", "LOCAL SUB-SPECIALTY CODE" ], [ "23", "R", "HOSPITAL PROVIDER SPELL IDENTIFIER" ], [ "24", "R", "OUTPATIENT ATTENDANCE IDENTIFIER" ], [ "25", "R", "EMERGENCY CARE ATTENDANCE IDENTIFIER" ], [ "26", "R", "ACTIVITY START DATE (CONTRACT MONITORING)" ], [ "27", "R", "ACTIVITY END DATE (CONTRACT MONITORING)" ], [ "28", "R", "ADJUSTED LENGTH OF STAY" ], [ "29", "R", "PACKAGE OF CARE OR YEAR OF CARE START DATE (CONTRACT MONITORING)" ], [ "30", "M", "UNBUNDLED EPISODE INDICATOR" ], [ "31", "R", "LOCAL TREATMENT CATEGORY CODE" ], [ "32", "R", "LOCAL TREATMENT CODE" ], [ "33", "O", "LOCATION OF ACTIVITY START" ], [ "34", "O", "LOCATION OF ACTIVITY END" ], [ "SERVICE AGREEMENT AND COMMISSIONING DETAILS", "", "" ], [ "To carry the service agreement and commissioning details.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "35", "R", "PROVIDER REFERENCE NUMBER" ], [ "36", "R", "NHS SERVICE AGREEMENT LINE NUMBER" ], [ "37", "M", "COMMISSIONED SERVICE CATEGORY CODE" ], [ "38", "R", "SERVICE CODE" ], [ "39", "M", "POINT OF DELIVERY CODE" ], [ "40", "R", "POINT OF DELIVERY FURTHER DETAIL CODE" ], [ "41", "R", "POINT OF DELIVERY FURTHER DETAIL DESCRIPTION" ], [ "42", "O", "LOCAL POINT OF DELIVERY CODE" ], [ "43", "O", "LOCAL POINT OF DELIVERY DESCRIPTION" ], [ "44", "O", "LOCAL CONTRACT CODE" ], [ "45", "O", "LOCAL CONTRACT MONITORING CODE" ], [ "46", "O", "LOCAL CONTRACT MONITORING DESCRIPTION" ], [ "47", "O", "CONTRACT MONITORING ADDITIONAL DETAIL (FIRST)" ], [ "48", "O", "CONTRACT MONITORING ADDITIONAL DESCRIPTION (FIRST)" ], [ "COST AND PRICING DETAILS", "", "" ], [ "To carry the activity and costing details.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "49", "R", "TARIFF CODE" ], [ "50", "M", "NATIONAL TARIFF INDICATOR" ], [ "51", "M", "ACTIVITY COUNT (POINT OF DELIVERY)" ], [ "52", "M", "ACTIVITY UNIT PRICE" ], [ "53", "M", "TOTAL COST" ], [ "Mandation\nM = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output\netc) cannot be completed without this data element being present.\nR = Required: NHS business processes cannot be delivered without this data element.\nO = Optional: the inclusion of this data element is optional as required for local purposes.", "", "" ] ], "row_count": 72, "col_count": 3 }, { "headers": [ "Type of Survey", "Frequency", "Method of Reporting", "Method of Publication" ], "rows": [ [ "", "", "", "" ], [ "Friends and Family Test (where\nrequired in accordance with FFT\nGuidance)", "As required by FFT\nGuidance", "As required by FFT\nGuidance", "As required by FFT\nGuidance" ], [ "National Quarterly Pulse Survey\n(NQPS) (if the Provider is an\nNHS Trust or an NHS\nFoundation Trust)", "As required by\nNQPS Guidance", "As required by NQPS\nGuidance", "As required by NQPS\nGuidance" ], [ "Staff Survey (appropriate NHS\nstaff surveys where required by\nStaff Survey Guidance)\n[Other]\n[Insert further description\nlocally]", "As required by Staff\nSurvey Guidance", "As required by Staff\nSurvey Guidance", "As required by Staff\nSurvey Guidance" ], [ "[Other insert locally (for\nexample, Service User Survey,\nCarer Survey]", "", "", "" ] ], "row_count": 5, "col_count": 4 }, { "headers": [ "Description", "Details" ], "rows": [ [ "", "" ], [ "Commissioner for which Data Processing\nServices are to be performed", "Manx Care" ], [ "Subject matter of the processing", "Provision of specialized acute and tertiary services, including\nelective and non-elective cases for referred by Manx Care / Isle of\nMan" ], [ "Duration of the processing", "1 April 2025 until Contract end date." ], [ "Nature and purposes of the processing", "The processing involves the collection, recording, organisation, and\nprovision of specialized healthcare services for patients referred by\nManx Care. The purposes include medical treatment, diagnostics,\npatient care management, and maintaining health records in\naccordance with statutory obligations." ], [ "Type of Personal Data", "Patient information, including but not limited to: name, address,\ndate of birth, medical history, diagnostic data, treatment plans, and\nany other relevant medical information necessary for the provision\nof healthcare services" ], [ "Categories of Data Subject", "Patients (and their guardians) referred by Manx Care for\nspecialized healthcare services." ], [ "Plan for return and destruction of the data\nonce the processing is complete UNLESS\nrequirement under law to preserve that\ntype of data", "Data will be retained for the duration of the treatment and for a\nperiod minimum of 8 years after the conclusion of treatment or\n25 years in the case of records relating to the treatment of\nchildren. Upon completion of the processing, the data will be\nsecurely returned to the Commissioner or destroyed in\naccordance with applicable data protection laws and regulations.\nIf there is a legal requirement to preserve certain types of data,\nthe Provider will notify the Commissioner and specify the\nreasons for the extended retention period." ] ], "row_count": 8, "col_count": 2 }, { "headers": [ "Manx Care" ], "rows": [ [ "Noble's Hospital Estate" ], [ "Strang" ], [ "Braddan" ], [ "IM4 4RJ" ] ], "row_count": 4, "col_count": 1 }, { "headers": [ "Scope\nThis Service Level Agreement (“SLA”) covers out of hours stroke consultant on call advice service using\ntelemedicine for stroke patients requiring thrombolysis between:\n- Noble’s Hospital (“the Commissioner”) at Strang Rd, Braddan, Isle of Man IM4 4RJ, Isle of Man\nand\n- Liverpool University Hospitals NHS Foundation Trust (LUHFT) (“the Provider”) at Aintree\nUniversity Hospital (AUH), Lower Lane, Fazakerley, Liverpool, L9 7AL", "", "", "" ], "rows": [ [ "Term\nThis SLA will operate with effect from 1st April 2024 (“Effective Date”) for 24 months. The end date of the\nSLA being 31st March 2027.", "", "", "" ], [ "", "Summary Finance Model", "", "" ], [ "Finance\nThe detailed costs of this SLA are set out in Section 9 below:\nThe total annual charge for this SLA is £57,701.60.\nOut of Hours Covers:\n• Monday to Friday- 17:00-09:00\n• Saturday, Sunday and Bank Holiday- 24 hours, inclusive of the two additional IOM bank holidays\nper year.\n• The SLA includes provision for post-procedure care for 10 thrombectomy patients, detailing an\nadditional per patient charge if required.\n• The SLA includes provision of 1 PA per quarter of Consultant Governance Lead time for\ngovernance purposes.", "", "", "" ], [ "", "Summary Services Specification (“the Services”)", "", "" ], [ "The aim of the service is for", "", "The provision of a consultant-led out of hour’s\ntelemedicine service for the assessment of patients\npresenting with acute stroke who may be eligible to\nreceive thrombolysis or thrombectomy within the Isle\nof Man to (“The Commissioner”)", "" ], [ "The purpose of its provision is to achieve", "", "Support the delivery of a safe out of hours stroke\ncare by the specialist team at LUHFT to (“the\nCommissioner”)", "" ], [ "", "Scope and Description of the Service", "", "" ], [ "What?", "", "The purpose of this service is for the provision of a\nconsultant-led out of hour’s telemedicine service for\nthe assessment of patients presenting with acute\nstroke who may be eligible to receive thrombolysis\nor thrombectomy within the Isle of Man.", "" ] ], "row_count": 8, "col_count": 4 }, { "headers": [ "", "", "Post procedure(thrombectomy) care of patient\nwhich would include (to be funded, initially, on a\npossible 10 patient plus a cost per person\ncost):\n• Transfer from Walton to HASU bed in Aintree\n• Time period up to 24 hours (patients will wait for\nair transfer to IOM)\n• This would be level 2 care with appropriate\nmedical (Stroke consultant and resident doctor)\nnursing, therapy cover with access to MET\nteams/ Critical care should there be\ndeterioration.\nQuarterly governance meeting with IOM stroke\nteam: This will require 1 PA of consultant (LUHFT\nstroke governance lead) time every 3 months.", "", "", "", "", "", "", "", "" ], "rows": [ [ "Where (“Agreed Premises”)", "", "Provided remotely via telemedicine and telephone", "", "", "", "", "", "", "", "" ], [ "By / From whom (“the Provider”)", "", "The on call out of hours stroke consultant at LUHFT\nwill provide advice and guidance and proscribe\ntreatment", "", "", "", "", "", "", "", "" ], [ "On what days / dates etc.", "", "Out of Hours Covers:\n• Monday to Friday- 17:00-09:00\n• Saturday, Sunday and Bank Holiday- 24\nhours, including the additional IOM bank\nholidays", "", "", "", "", "", "", "", "" ], [ "Key personnel", "", "All LUHFT Stroke Consultants who participate on\nthe on-call rota", "", "", "", "", "", "", "", "" ], [ "", "", "", "", "Commissioner", "", "Provider", "", "", "", "" ], [ "", "", "Operational", "", "", "", "", "", "", "", "" ], [ "", "", "Clinical", "", "", "", "", "", "", "", "" ], [ "", "", "Finance", "", "", "", "", "", "", "", "" ], [ "Other specific issues", "", "The aim of this Service Level Agreement is to ensure\ncompliance with resilient compliance procedures\nand monitoring mechanisms that will assist\nmanagement in their duty of care. Furthermore,\noutline continuity of communication to enable\ndelivery of a comprehensive, efficient, professional\nand cost-effective Service aimed at meeting the\nrequirement of all staff, clients and visitors to\nHospital, whilst eliminating or reducing risks.\n• Need for AI for CT perfusion interpretation at\nIOM site – via Brainomix\n• Explore IOM stroke nurse shadowing/training at\nAintree site – funded via education fund and\nadditional to SLA.", "", "", "", "", "", "", "", "" ], [ "", "Summary Operational Model", "", "", "", "", "", "", "", "", "" ], [ "", "Process and Pathways", "", "", "", "", "", "", "", "", "" ], [ "For non-clinical services incl. info re key\ncontacts, day to day management etc.", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 12, "col_count": 11 }, { "headers": [ "For clinical services include referral\ninformation.", "", "", "" ], "rows": [ [ "", "Applicable Quality and Safety Standards", "", "" ], [ "In line with NICE Clinical Guideline 68, the service is to provide:\n• A stroke physician who is trained and experienced in the management of acute stroke via an on-call\ntelemedicine service\n• An assessment of the patient by the stroke physician using agreed network documentation, protocols\nand policies\n• Videoconferencing and remote access to CT head images to allow the stroke physician to decide\nwhether the patient should receive thrombolysis therapy\n• A stroke physician who will link with local staff who are trained in delivering thrombolysis and in the\nmonitoring for any complications associated with thrombolysis.\nRecipients of the service are adults aged 16 years or older who present to an emergency department on\nthe Isle of Man and are identified as potentially having a stroke via a validated stroke assessment tool\n(Recognition Of Stroke In the Emergency Room and National Institute Health Stroke Scale). Eligible\npatients will have presented within eligible treatment delivery time frames and meet the set criteria for\nstroke treatment (thrombectomy / thrombolysis).", "", "", "" ], [ "", "Accountability, Responsibility & Governance", "", "" ], [ "Governance is the framework of accountability to users, stakeholders and the wider community, within\nwhich organisations take decisions and lead and control their functions, to achieve their objectives (Audit\nCommission 2003).\nThe service provider, in collaboration with the Department will ensure effective governance arrangements\nare implemented for the Tele stroke service. The role of the provider for the Tele stroke service in relation\nto governance will be:\n• To hold responsibility for managing indemnity for:\n• Decision to refer for thrombectomy/ thrombolysis\n• Maintenance and safety of their technology\n• To ensure that the identified Medical Director of the tele stroke network acts in collaboration with\nthe Departments Medical Director on the Isle of Man.\n• To facilitate mechanisms for appraisal and feedback for stroke physicians working on the Tele\nstroke rota, and to identify to the Isle of Man if there are any performance concerns\n• To act in accordance with any instruction/s of the Isle of Man Caldecott Guardian\n• Ensure quality is delivered by achievement of agreed standards.\n• Ensure appropriately trained staff as per core standards are available within own site\n• To fully engage in the investigation and action of any patient safety incidents involving Tele stroke,\nin collaboration with the Department\n• To organise the stroke physician rota\n• To have responsibility for the maintenance and replacement of their equipment", "", "", "" ], [ "", "Performance Management", "", "" ], [ "The service provider must be aware of the provisions for handling performance and conduct concerns of\ndoctors in the NHS. The service provider will be required to facilitate feedback for stroke physicians working\non the Tele stroke rota, and inform the Department if there are any performance concerns.\nThe clinicians within the stroke physician rota will be expected to provide feedback on the Department\ntelemedicine team and highlight any performance concerns to the clinical lead.\nBoth parties commit to timely exchange of information such as invoicing and data relating to this service.\nPerformance monitoring will align with the above-mentioned service provision and (where appropriate)\nthrough the staff member’s appraisals, 1-2-1s and other performance management undertaken by LUHFT.", "", "", "" ], [ "", "Review", "", "" ] ], "row_count": 7, "col_count": 4 }, { "headers": [ "BETWEEN:\n(The “Commissioner”)", "" ], "rows": [ [ "AND\n(The “Provider”)", "" ], [ "Together referred to as the “Parties” or individually a “Party”.", "" ], [ "Term\nThis Agreement will commence on 1st April 2024 for an initial period of 24 months or until terminated\nby either party in accordance with clause 10 of the Conditions (“the Term”).", "" ], [ "Services\nThe Services to be provided by the Provider to the Commissioner shall be as set out in Section 1\n(“the Services”)", "" ], [ "Entire Agreement. This Agreement comprises\nI. Service Level Agreement Overview [Section 1 of this document]\nII. This signature page [Section 2 of this document]\nIII. The attached Conditions [Section 3 of this document]\nIV. Nominated Officers [Section 4 of this document]\nV. Change Control Process [Sections 5 & 6 of this document]\nVI. Documents relied on [Section 7 of this document]\nVII. Service Specification Model (Section 8 of this document)\nVIII. Finance Model (Section 9 of this document)", "" ], [ "", "" ], [ "Signed on behalf of the Commissioner", "Signed on behalf of the Provider" ], [ "", "" ], [ "Name:", "Name:" ], [ "Title:", "Title:" ], [ "Organisation:", "Organisation:\nLiverpool University Hospitals Group" ], [ "Date:", "Date:\n05.03.2026" ] ], "row_count": 12, "col_count": 2 }, { "headers": [ "Nominated representative of the Commissioner", "Nominated representative of the Provider" ], "rows": [ [ "Signed:", "Signed:" ], [ "Name:", "Name:" ], [ "Title:", "Title:" ], [ "Address:", "Address:\nUniversity Hospitals of Liverpool Group\nAintree Hospital\nLower Lane\nLiverpool\nL9 7AL" ], [ "Tel No:", "" ], [ "Email:", "Email:" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "Revision Date", "Brief Summary of Changes", "", "Changes", "" ], "rows": [ [ "", "", "", "Marked", "" ], [ "07/02/2025", "Draft created based on past SLA contents & update from HoOp/ Finance\nTeam on what is currently being delivered.", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 6, "col_count": 5 }, { "headers": [ "CV Ref:", "Commissioner:", "", "", "Provider:", "", "", "", "Date:" ], "rows": [ [ "Service:", "", "", "", "", "", "", "", "" ], [ "Basis of Contract Variation:", "", "", "", "", "Funding:", "", "", "" ], [ "Commencement date of CV:", "", "Duration:", "", "", "", "", "Profile:", "" ], [ "Activity Details", "", "", "", "", "", "", "", "" ], [ "Current Year:", "", "", "Recurrent Full Year Effect:", "", "", "", "", "" ], [ "Finance Details", "", "", "", "", "", "", "", "" ], [ "Current Year:", "", "", "Recurrent Full Year Effect:", "", "", "", "", "" ], [ "Operational Changes", "", "", "", "", "", "", "", "" ], [ "Current Year:", "", "", "Recurrent Full Year Effect:", "", "", "", "", "" ], [ "Authorisation", "", "", "", "", "", "", "", "" ], [ "Authorised by :\nOn behalf of Liverpool University Hospitals NHS\nFoundation Trust (“the Provider”)\nOn behalf of the Commissioner", "", "Confirmation of activity/operational changes:\nContracting Dept", "", "", "", "Confirmation of funding available:\nFinance Dept", "", "" ] ], "row_count": 11, "col_count": 9 }, { "headers": [ "Scope\nThis Service Level Agreement (“SLA”) covers the Provision of Ophthalmology Out of Hours On-Call\nSupport between:\n- Manx Care (“the Commissioner”) at Noble’s Hospital, Strang Rd, Braddan, Isle of Man IM4 4RJ,\nIsle of Man\nand\n- Liverpool University Hospitals NHS Foundation Trust] (“the Provider”) at Royal Liverpool\nUniversity Hospital, Prescot Street, Liverpool, Merseyside, L7 8XP", "", "", "" ], "rows": [ [ "Term\nThis SLA will operate with effect from 1st April 2026 (“Effective Date”) for 3 years. The end date of the SLA\nbeing 31st March 2029.\nThe Parties may agree to extend the Term by a further period of up to two (2) years by giving not less than\nsix (6) months’ prior written notice before the end of the initial Term. Any such extension must be confirmed\nin writing and signed by both Parties.", "", "", "" ], [ "", "Summary Finance Model", "", "" ], [ "Finance\nThe detailed costs of this SLA are set out in Section 9 below:\nThe total annual charge for this SLA is £45,000\nThe commissioner will pay a sum of £30,000 per annum for the provision of this service along with an\nadditional payment of £15,000 per annum which will be ring fenced by the provider to pay for educational\ntraining of those ophthalmology doctors providing the on-call support.", "", "", "" ], [ "", "Summary Services Specification Model (“the Services”)", "", "" ], [ "The aim of the service is to", "", "Provide an Ophthalmology Out of Hours On-Call to\n(“The Commissioner”)", "" ], [ "The purpose of its provision is to achieve", "", "Support the delivery Ophthalmology Out of Hours On-\nCall to (“the Commissioner”) through provision of\nProgrammed Activities (PAs)", "" ], [ "", "Scope and Description of the Service", "", "" ], [ "What?", "", "This SLA covers the provision of out-of-hours virtual\nophthalmology support by LUHFT’s St Paul’s Eye Unit\nto Manx Care. The service includes:\n• Second on-call support (08:00–20:00) on\nweekends and bank holidays for Manx Care\nophthalmology doctors.\n• On-call advice (20:00–08:00) 7 days a week\nfor Manx Care Emergency Department doctors.", "" ] ], "row_count": 8, "col_count": 4 }, { "headers": [ "", "", "Support is provided remotely, with referral decisions\nmade jointly using agreed clinical pathways. A Data\nSharing Agreement will support the secure exchange\nof clinical images to aid decision-making.", "", "", "", "", "", "", "", "", "" ], "rows": [ [ "Where (“Agreed Premises”)", "", "The service is delivered virtually from the St Paul’s Eye\nUnit, Royal Liverpool University Hospital, to Manx Care\nclinicians on the Isle of Man, with patient transfers\narranged as needed via established air ambulance\nprotocols.", "", "", "", "", "", "", "", "", "" ], [ "By / From whom (“the Provider”)", "", "Liverpool University Hospitals NHS Foundation Trust\n(LUHFT), St Paul’s Eye Unit at the Royal Liverpool\nUniversity Hospital", "", "", "", "", "", "", "", "", "" ], [ "On what days / dates etc", "", "Every night (20:00–08:00), 365 days per year, for\nEmergency Department support\nEvery weekend day and Isle of Man bank holiday\n(08:00–20:00), for second on-call support to non-\nConsultant ophthalmology doctors", "", "", "", "", "", "", "", "", "" ], [ "Key personnel", "", "", "", "Commissioner", "", "", "", "Provider", "", "", "" ], [ "", "", "Operational", "", "", "", "", "", "", "", "", "" ], [ "", "", "Clinical", "", "xx", "", "", "", "", "", "", "" ], [ "", "", "Finance", "", "xx", "", "", "", "", "", "", "" ], [ "Other Specific issues", "", "Not applicable.", "", "", "", "", "", "", "", "", "" ], [ "", "Summary Operational Model", "", "", "", "", "", "", "", "", "", "" ], [ "", "Process and Pathways", "", "", "", "", "", "", "", "", "", "" ], [ "For non-clinical services incl. info re key\ncontacts, day to day management etc.", "", "Day-to-day service delivery will be coordinated by the\nClinical Lead from Manx Care Ophthalmology, with\ncontractual oversight managed by the Surgical Care\nGroup. LUHFT will provide quarterly activity reports,\nand any service-related issues or process changes will\nbe jointly managed and communicated by the\nappropriate contacts from both organisations.", "", "", "", "", "", "", "", "", "" ], [ "For clinical services include referral\ninformation.", "", "Referrals to LUHFT’s on-call Ophthalmology service\nare made by Manx Care ophthalmology or Emergency\nDepartment clinicians, following the Emergency Eye\nCare Referral Pathway. Contact is made via the\nLUHFT switchboard, and referrals may include image\nsharing (supported by a Data Sharing Agreement).\nWhere appropriate, patients may be transferred off-\nisland to St Paul’s Eye Unit via air ambulance, in line\nwith existing procedures.", "", "", "", "", "", "", "", "", "" ], [ "", "Applicable Quality and Safety Standards", "", "", "", "", "", "", "", "", "", "" ], [ "Royal College of Ophthalmologists (RCOphth) Standards for Urgent & Emergency Eye Care\nThe service must comply with RCOphth guidance for urgent and emergency secondary ophthalmic care,\nincluding:\n• Maintaining robust, reliable clinical and administrative arrangements between the advising unit\nand the receiving/remote hospital to ensure timely and efficient referral, escalation, and transfer\npathways.\n• Ensuring access to and use of approved emergency ophthalmic protocols for high-risk\npresentations (acute glaucoma, endophthalmitis, orbital haemorrhage, CRAO, etc.).\n• Operating a formally recognised 24/7 urgent and emergency care plan, covering patients\npresenting locally, transferred from other hospitals, or already admitted with new eye problems.", "", "", "", "", "", "", "", "", "", "", "" ] ], "row_count": 14, "col_count": 12 }, { "headers": [ "Patient-Centred Standards\n Rapid access for emergencies.\n Avoid delays or mis-triage.\n Effective communication with local clinicians.", "", "" ], "rows": [ [ "", "Accountability, Responsibility & Governance", "" ], [ "• Day-to-day service management will be the responsibility of the allocated professional from Manx\nCare’s Ophthalmology Service.\n• Contractual management will be undertaken by the allocated professional from Manx Care’s\nSurgical Care Group, in liaison with LUHFT.\n• LUHFT will provide a quarterly report detailing the number, date, time, and nature of on-call\nepisodes within 15 working days of each quarter end.\n• The service will be reviewed annually by both parties.\n• In the event of a dispute, escalation will be made to the Chief Executive Officer of Manx Care and\na LUHFT representative.", "", "" ], [ "", "Performance Management", "" ], [ "Both parties commit to timely exchange of information such as invoicing and data relating to this service.\nPerformance monitoring will align with the above-mentioned service provision and through the staff\nmember’s appraisals, 1-2-1s and other performance management undertaken by LUHFT.\nFor more details, please refer to Section 3 ‘Attached Condition’ sub-section 4 ‘Performance Monitoring and\nQuality of Service’.", "", "" ], [ "", "Review", "" ], [ "This SLA is subject to annual review and reaffirmation by signature.", "", "" ], [ "", "Resolution", "" ], [ "Any matters requiring resolution in the event or queries arising from the detail of this SLA will be managed\nwith reference to clause 9 of the attached Conditions.", "", "" ] ], "row_count": 8, "col_count": 3 }, { "headers": [ "BETWEEN:\n(The “Commissioner”)", "" ], "rows": [ [ "AND\n(The “Provider”)", "" ], [ "Together referred to as the “Parties” or individually a “Party”.", "" ], [ "Term\nThis Agreement will commence on 1st April 2026 for an initial period of [3 years or until terminated\nby either party in accordance with clause 10 of the Conditions (“the Term”).\nThe Parties may agree to extend the Term by up to a further two (2) years by giving not less than\nsix (6) months’ prior written notice before the end of the initial Term. Any such extension must be\nagreed in writing and signed by both Parties.", "" ], [ "Services\nThe Services to be provided by the Provider to the Commissioner shall be as set out in Section 1\n(“the Services”)", "" ], [ "Entire Agreement. This Agreement comprises\nI. Service Level Agreement Overview [Section 1 of this document]\nII. This signature page [Section 2 of this document]\nIII. The attached Conditions [Section 3 of this document]\nIV. Nominated Officers [Section 4 of this document]\nV. Change Control Process [Sections 5 & 6 of this document]\nVI. Documents relied on [Section 7 of this document]\nVII. Service Specification Model (Section 8 of this document)\nVIII. Finance Model (Section 9 of this document) if applicable.", "" ], [ "", "" ], [ "Signed on behalf of the Commissioner", "Signed on behalf of the Provider" ], [ "", "" ], [ "Name:", "Name:" ], [ "Title:", "Title:" ], [ "Organisation: Manx Care", "Organisation:" ], [ "Date:", "Date:" ] ], "row_count": 12, "col_count": 2 }, { "headers": [ "Nominated representative of the Commissioner", "Nominated representative of the Provider" ], "rows": [ [ "Signed:", "Signed:" ], [ "Name:", "Name:" ], [ "Title:", "Title:" ], [ "Address:", "Address:" ], [ "Tel No:", "Tel No:" ], [ "Email:", "Email:" ] ], "row_count": 6, "col_count": 2 }, { "headers": [ "Revision Date", "Brief Summary of Changes", "", "Changes", "" ], "rows": [ [ "", "", "", "Marked", "" ], [ "July 2025", "SLA V2 moved onto new SLA template", "", "", "" ], [ "Feb 26", "Reviewed and updated by Manx Care", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ], [ "", "", "", "", "" ] ], "row_count": 6, "col_count": 5 }, { "headers": [ "CV Ref:", "Commissioner:", "", "", "Provider:", "", "", "", "Date:" ], "rows": [ [ "Service:", "", "", "", "", "", "", "", "" ], [ "Basis of Contract Variation:", "", "", "", "", "Funding:", "", "", "" ], [ "Commencement date of CV:", "", "Duration:", "", "", "", "", "Profile:", "" ], [ "Activity Details", "", "", "", "", "", "", "", "" ], [ "Current Year:", "", "", "Recurrent Full Year Effect:", "", "", "", "", "" ], [ "Finance Details", "", "", "", "", "", "", "", "" ], [ "Current Year:", "", "", "Recurrent Full Year Effect:", "", "", "", "", "" ], [ "Operational Changes", "", "", "", "", "", "", "", "" ], [ "Current Year:", "", "", "Recurrent Full Year Effect:", "", "", "", "", "" ], [ "Authorisation", "", "", "", "", "", "", "", "" ], [ "Authorised by :\nOn behalf of Liverpool University Hospitals NHS\nFoundation Trust (“the Provider”)\nOn behalf of the Commissioner", "", "Confirmation of activity/operational changes:\nContracting Dept", "", "", "", "Confirmation of funding available:\nFinance Dept", "", "" ] ], "row_count": 11, "col_count": 9 }, { "headers": [ "· Pathology" ], "rows": [ [ "1) Biochemistry:" ], [ "" ], [ "Albumin" ], [ "Alkaline Phosphatase" ], [ "Amylase" ], [ "Bilirubin" ], [ "Calcium (total and ionized)" ], [ "Cholesterol (Total and HDL)" ], [ "Creatinine" ], [ "Glucose" ], [ "HbA1c (Glycosylated Hemoglobin)" ], [ "LDH (Lactate Dehydrogenase)" ], [ "Lipid Profile" ], [ "Magnesium" ], [ "Potassium" ], [ "Sodium" ], [ "Total Protein" ], [ "Triglycerides" ], [ "Urea" ], [ "" ], [ "2) Haematology:" ], [ "" ], [ "Full Blood Count (FBC)" ], [ "Blood Film Analysis" ], [ "Coagulation Screen (including INR/APTT Ratio)" ], [ "D-Dimer Testing" ], [ "Reticulocyte Counts" ], [ "Malaria Screen" ], [ "Plasma Viscosity" ], [ "" ], [ "3) Immunology:" ], [ "" ], [ "Immunoglobulins (IgG, IgA, IgM)" ], [ "Rheumatoid Factor" ], [ "Thyroid Peroxidase Antibodies" ], [ "Microbiology:" ], [ "Glandular Fever Screen" ], [ "MRSA Screening" ], [ "Urine Culture and Sensitivity" ], [ "Blood Cultures" ], [ "Stool Pathogen Testing" ], [ "" ], [ "4) Serology:" ], [ "" ], [ "" ], [ "•H Ieslpea otfi tMis aSnc r •e e InMin4 g4 RJ" ], [ "mHaIVn xTceasrtei.nimg (Urgent Testing Available)" ], [ "Rubella Antibodies" ] ], "row_count": 48, "col_count": 1 }, { "headers": [ "· Cardiology\n1) ECG:\nStandard 12 lead\n24/48/72 hour\n7 day\n14 day\n2) Echocardiography:\nTransthoracic\nBubble/Contrast\nAmbulatory Monitoring:\nBlood Pressure (ABP)\n3) Exercise Tolerance Testing:\nTreadmill ETT\nPacemaker/CRT-P:\nIn-office Follow-up\nRemote Follow-up\n4) CRT-D/ICD - In-Office Follow Up\n5) Implantable Loop Recorder: In-\nOffice and Remote Follow Up", "", "", "" ], "rows": [ [ "", "", "· Respiratory", "" ], [ "", "", "1) Lung Function Tests:", "" ], [ "", "", "", "" ], [ "", "", "Flow Volume Loop", "" ], [ "", "", "DLCO", "" ], [ "", "", "Body Plethysmography", "" ], [ "", "", "Nitrogen Washout", "" ], [ "", "", "FeNO", "" ], [ "", "", "Impulse Oscillometry", "" ], [ "", "", "Bronchodilator Reversibility", "" ], [ "", "", "Earlobe Capillary Blood Gas", "" ], [ "", "", "", "" ], [ "", "", "2) Exercise and Challenge Tests:", "" ], [ "", "", "", "" ], [ "", "", "Six-minute Walk Test", "" ], [ "", "", "Mannitol Challenge Test", "" ], [ "", "", "Sleep Apnoea Diagnostics:", "" ], [ "", "", "Overnight Oximetry", "" ], [ "", "", "Polygraphy", "" ], [ "", "", "TOSCA", "" ], [ "", "", "Fixed Pressure CPAP", "" ], [ "", "", "Autoset CPAP", "" ], [ "", "", "Face-to-Face Follow-up", "" ], [ "", "", "Remote Follow-up", "" ], [ "", "", "", "" ], [ "", "", "", "" ], [ "", "", "3) N", "on-Invasive Ventilation:" ], [ "", "", "", "" ], [ "", "", "NIV", "" ], [ "", "", "ASV", "" ], [ "", "", "Fac\nup", "e-to-Face and Remote Follow-" ] ], "row_count": 31, "col_count": 4 }, { "headers": [ "· Cardiology" ], "rows": [ [ "1) ECG:" ], [ "" ], [ "Standard 12 lead" ], [ "24/48/72 hour" ], [ "7 day" ], [ "14 day" ], [ "" ], [ "2) Echocardiography:" ], [ "" ], [ "Transthoracic" ], [ "Bubble/Contrast" ], [ "Ambulatory Monitoring:" ], [ "Blood Pressure (ABP)" ], [ "" ], [ "3) Exercise Tolerance Testing:" ], [ "" ], [ "Treadmill ETT" ], [ "Pacemaker/CRT-P:" ], [ "In-office Follow-up" ], [ "Remote Follow-up" ], [ "" ], [ "4) CRT-D/ICD - In-Office Follow Up" ], [ "5) Implantable Loop Recorder: In-\nOffice and Remote Follow Up" ] ], "row_count": 23, "col_count": 1 }, { "headers": [ "· Radiology" ], "rows": [ [ "" ], [ "CT" ], [ "MRI" ], [ "Ultrasound" ], [ "Fluroscopy" ], [ "Image Guide d Procedures" ], [ "Mammograp hy and Breast\nScreening" ], [ "X-ray" ], [ "Bone Densitometry" ], [ "Dental Imaging" ] ], "row_count": 10, "col_count": 1 }, { "headers": [ "#", "Data Element", "Format and\nLength", "Population Guidance", "Notes", "Mandatory (M),\nMandatory Where\nRelevant (R) or\nOptional (O)" ], "rows": [ [ "1", "FINANCIAL MONTH", "max an2", "1=April, 2= May, 3 June….12=March, with no leading zeros.", "The month in which the census occurred.", "M" ], [ "2", "FINANCIAL YEAR", "an6", "202425=2024/25, 202526=2025/26 etc. The slash (/) symbol\nmust not be included.", "The financial year in which the census occurred.", "M" ], [ "3", "DATE AND TIME DATA SET\nCREATED", "an19\nDD-MM-CCYY-\nhh:mm:ss", "Valid date and time format - as shown in the Specification.", "The date and time that the file was created prior to its submission. This timestamp will\nbe used to ascertain the latest version of the submission.", "M" ], [ "4", "ORGANISATION IDENTIFIER\n(CODE OF PROVIDER)", "min an3 max\nan6", "Valid ODS code – see the NHS Digital ODS Portal for valid\ncodes. NHS Providers must complete this data element with\ntheir valid national 3-character Trust code with no trailing zeros\n(i.e. RNA not RNA00).", "", "M" ], [ "5", "SITE CODE (OF TREATMENT)", "min an5 max\nan9", "Valid ODS code – see the NHS Digital ODS Portal for valid\ncodes.", "The ORGANISATION SITE CODE of the ORGANISATION where the PATIENT\nwas treated.", "M" ], [ "6", "ORGANISATION IDENTIFIER\n(CODE OF COMMISSIONER)", "min an3 max\nan5", "Valid ODS code – see the NHS Digital ODS Portal for valid\ncodes.", "The derived commissioner as derived with reference to the NHS England\nCommissioner Assignment Method (CAM), where possible given that the exact\ntreatment may not be known in advance, and hierarchy for assigning NHS England\ndirectly-commissioned services.", "M" ], [ "7", "GENERAL MEDICAL\nPRACTICE CODE (PATIENT\nREGISTRATION)", "an6", "Valid ODS code – see the NHS Digital ODS Portal for valid\ncodes.", "National ODS code - see the NHS Digital ODS Portal for valid codes.", "M" ], [ "8", "WITHHELD IDENTITY\nREASON", "an2", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes. To be populated where any of the patient\nidentifiable fields are not provided due to withheld identity\nreasons. Where the TREATMENT FUNCTION CODE\nindicates activity relating to a sensitive data item e.g. HIV or G-\nU Medicine no patient identifiable fields should be populated\nand the appropriate WITHHELD IDENTITY REASON code\nused.", "", "R" ], [ "9", "NHS NUMBER", "n10", "If the NHS NUMBER does not exist the LOCAL PATIENT\nIDENTIFIER (EXTENDED) must be populated. The population\nof this data element is not required where the WITHHELD\nIDENTITY REASON is populated.", "", "R" ], [ "10", "LOCAL PATIENT IDENTIFIER\n(EXTENDED)", "max an20", "", "", "R" ], [ "11", "MAIN SPECIALTY CODE", "an3", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "", "M" ], [ "12", "TREATMENT FUNCTION\nCODE", "an3", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "", "M" ], [ "13", "SOURCE OF REFERRAL (FOR\nOUTPATIENTS)", "n2", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "The source of referral of each Consultant Out-Patient Episode.", "M" ], [ "14", "REFERRER CODE", "an8", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "The code of the PERSON making the REFERRAL REQUEST.", "M" ], [ "15", "PRIORITY TYPE (REFERRAL)", "n1", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "The priority of the service request (referral).", "M" ], [ "16", "REFERRAL TO TREATMENT\nPERIOD START DATE", "an10\nCCYY-MM-DD", "", "", "M" ], [ "17", "REFERRAL TO TREATMENT\nPERIOD STATUS", "an2", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "RTT status is defined as ‘the status of an activity (or anticipated activity) for the RTT\nperiod, decided by the lead care professional’ or in other words:\n• whether each activity is part of an RTT pathway or not;\n• whether the activity has started an RTT clock, stopped an RTT clock or continued\nan existing ticking RTT clock.", "M" ], [ "18", "REFERRAL TO\nPROFESSIONAL CATEGORY", "n1", "1 = Consultant Led\n2 = Nurse Led\n3 = Allied Health Professional Led", "", "M" ], [ "19", "WAITING LIST TYPE", "n1", "1 = Out-Patient Waiting List (First Appointment)\n2 = Out-patient Waiting List (Follow Up Appointment)\n3 = Elective Admission List (Daycase)\n4 = Elective Admission List (Inpatient)\n5 = Diagnostic List\n6 = Transplant List", "", "M" ], [ "20", "NEXT ACTIVITY", "", "1 = O/P Waiting List - Booked.\n2 = O/P Waiting List - Not Booked.\n3 = Awaiting Diagnostic - Booked.\n4 = Awaiting Diagnostic - Booked - Isle of Man Team.\n5 = Awaiting Diagnostic - Not Booked.\n6 = Admitted Waiting List - No TCI Date\n7 = Admitted Waiting List - TCI Date Offered.\n8 = Watchful Wait review", "", "R" ], [ "21", "NEXT ACTIVITY DATE", "an10\nDD-MM-CCYY", "", "", "M" ], [ "22", "OUT-PATIENT\nAPPOINTMENT BOOKED\nDATE", "an10\nDD-MM-CCYY", "", "", "R" ], [ "23", "TO COME IN (TCI) DATE", "an10\nDD-MM-CCYY", "", "The TCI date is a formal offer in writing of a date of admission.", "R" ], [ "24", "INTENDED MANAGEMENT\nCODE", "an1", "Valid code - see the NHS Data Model and Dictionary website\nfor valid codes.", "May not be needed as Point of Delivery can be determined from WAITING LIST\nTYPE", "M" ], [ "25", "PLANNED PROCEDURE\nCODE", "an5", "Valid OPCS code - see theThe NHS Classifications Browser\nfor valid codes.", "The intended surgical procedure of those patients with a Decision to Treat, as\ndefined by the Office of Population Censuses and Surveys (OPCS).\nprocedure codes", "R" ], [ "26", "PLANNED PROCEDURE\nDESCRIPTION", "min an3 max\nan125", "Text description of Valid OPCS code - see theThe NHS\nClassifications Browser for valid codes.", "The corresponding text description of the PLANNED PROCEDURE CODE.", "R" ], [ "27", "WAITING LIST PRIORITY (P\nCODE)", "min an1 max\nan2", "1a = Emergency - operation needed within 24 hours\n1b = Urgent - operation needed with 72 hours\n2 = Surgery that can be deferred for up to 4 weeks\n3 = Surgery that can be delayed for up to 3 months\n4 = Surgery that can be delayed for more than 3 months", "Surgical priority group of the patient.", "R" ] ], "row_count": 27, "col_count": 6 }, { "headers": [ "Patient Level Contract Monitoring Data Set (CDS) Specification\nhttps://www.datadictionary.nhs.uk/data_sets/supporting_data_sets/patient_level_contract_monitoring_data_set.html", "", "" ], "rows": [ [ "SUBMISSION HEADER", "", "" ], [ "To carry the submission header details.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "1", "M", "FINANCIAL MONTH" ], [ "2", "M", "FINANCIAL YEAR" ], [ "3", "M", "DATE AND TIME DATA SET CREATED" ], [ "4", "M", "REPORTING TYPE INDICATOR" ], [ "ORGANISATION DETAILS", "", "" ], [ "To carry the Organisation details of the Provider and Commissioner.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "5", "M", "ORGANISATION IDENTIFIER (CODE OF PROVIDER)" ], [ "6", "R", "ORGANISATION SITE IDENTIFIER (OF TREATMENT)" ], [ "7", "M", "ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)" ], [ "8", "R", "ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)" ], [ "9", "M", "ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)" ], [ "10", "M", "GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)" ], [ "DEMOGRAPHICS", "", "" ], [ "To carry the demographic details of the patient.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "11", "R", "WITHHELD IDENTITY REASON" ], [ "12", "R", "NHS NUMBER" ], [ "13", "R", "LOCAL PATIENT IDENTIFIER (EXTENDED)" ], [ "14", "R", "POSTCODE OF USUAL ADDRESS" ], [ "15", "R", "PERSON BIRTH DATE" ], [ "16", "R", "AGE AT ACTIVITY DATE (CONTRACT MONITORING)" ], [ "17", "R", "PERSON STATED GENDER CODE" ], [ "18", "R", "ETHNIC CATEGORY" ], [ "CARE ACTIVITY DETAILS", "", "" ], [ "To carry the care activity details.One occurrence of this group is permitted.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "19", "R", "CDS UNIQUE IDENTIFIER" ], [ "20", "R", "NON CDS UNIQUE IDENTIFIER" ], [ "21", "R", "ACTIVITY TREATMENT FUNCTION CODE" ], [ "22", "O", "LOCAL SUB-SPECIALTY CODE" ], [ "23", "R", "HOSPITAL PROVIDER SPELL IDENTIFIER" ], [ "24", "R", "OUTPATIENT ATTENDANCE IDENTIFIER" ], [ "25", "R", "EMERGENCY CARE ATTENDANCE IDENTIFIER" ], [ "26", "R", "ACTIVITY START DATE (CONTRACT MONITORING)" ], [ "27", "R", "ACTIVITY END DATE (CONTRACT MONITORING)" ], [ "28", "R", "ADJUSTED LENGTH OF STAY" ], [ "29", "R", "PACKAGE OF CARE OR YEAR OF CARE START DATE (CONTRACT MONITORING)" ], [ "30", "M", "UNBUNDLED EPISODE INDICATOR" ], [ "31", "R", "LOCAL TREATMENT CATEGORY CODE" ], [ "32", "R", "LOCAL TREATMENT CODE" ], [ "33", "O", "LOCATION OF ACTIVITY START" ], [ "34", "O", "LOCATION OF ACTIVITY END" ], [ "SERVICE AGREEMENT AND COMMISSIONING DETAILS", "", "" ], [ "To carry the service agreement and commissioning details.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "35", "R", "PROVIDER REFERENCE NUMBER" ], [ "36", "R", "NHS SERVICE AGREEMENT LINE NUMBER" ], [ "37", "M", "COMMISSIONED SERVICE CATEGORY CODE" ], [ "38", "R", "SERVICE CODE" ], [ "39", "M", "POINT OF DELIVERY CODE" ], [ "40", "R", "POINT OF DELIVERY FURTHER DETAIL CODE" ], [ "41", "R", "POINT OF DELIVERY FURTHER DETAIL DESCRIPTION" ], [ "42", "O", "LOCAL POINT OF DELIVERY CODE" ], [ "43", "O", "LOCAL POINT OF DELIVERY DESCRIPTION" ], [ "44", "O", "LOCAL CONTRACT CODE" ], [ "45", "O", "LOCAL CONTRACT MONITORING CODE" ], [ "46", "O", "LOCAL CONTRACT MONITORING DESCRIPTION" ], [ "47", "O", "CONTRACT MONITORING ADDITIONAL DETAIL (FIRST)" ], [ "48", "O", "CONTRACT MONITORING ADDITIONAL DESCRIPTION (FIRST)" ], [ "COST AND PRICING DETAILS", "", "" ], [ "To carry the activity and costing details.One occurrence of this group is required.", "", "" ], [ "ID", "Mandation", "Data Elements" ], [ "49", "R", "TARIFF CODE" ], [ "50", "M", "NATIONAL TARIFF INDICATOR" ], [ "51", "M", "ACTIVITY COUNT (POINT OF DELIVERY)" ], [ "52", "M", "ACTIVITY UNIT PRICE" ], [ "53", "M", "TOTAL COST" ], [ "Mrea n •d a Ntioonble’s Hospital • Strang • Braddan • Isle of Man • IM4 4RJ\nM = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output\netc) c a +nn4o4t (b0e) c o1m62pl4e t6ed5 0w0it0ho0u t t h is dat a eelnemquenirti beesi@ng mpreasnexnct.are.im\nR = Required: NHS business processes cannot be delivered without this data element.\nwww.manxcare.im\nO = Optional: the inclusion of this data element is optional as required for local purposes.", "", "" ] ], "row_count": 72, "col_count": 3 } ] }, { "case_id": 5303641, "title": "Letters of Estrangement", "authority": "Manx Care", "date_received": "2026-02-12", "outcome": "All information sent", "summary": "A request was made for the number of Letters of Estrangement issued by Manx Care's Children and Families Service over the last 10 years, broken down by year. The authority disclosed that 119 letters were issued between 2016 and 2026, providing a full annual breakdown.", "key_facts": [ "Manx Care issued a total of 119 Letters of Estrangement from 1 January 2016 to March 2026.", "The highest number of letters in a single year was 17, issued in 2016.", "No Letters of Estrangement were issued in 2026 up to the date of the response.", "The data covers the Children and Families Service specifically.", "The request was received on 12 February 2026 and responded to on 20 March 2026." ], "data_mentioned": [ "119", "17", "5", "13", "12", "16", "15", "6", "3", "Nil", "1 January 2016", "20 March 2026", "12 February 2026", "5303641" ], "exemptions_cited": [], "tables": [ { "headers": [ "Year", "Number of letters issued" ], "rows": [ [ "2016", "17" ], [ "2017", "5" ], [ "2018", "13" ], [ "2019", "12" ], [ "2020", "16" ], [ "2021", "16" ], [ "2022", "15" ], [ "2023", "6" ], [ "2024", "3" ], [ "2025", "13" ], [ "2026 to date", "Nil" ], [ "Grand Total", "119" ] ], "row_count": 12, "col_count": 2 } ] } ] }