Health · official figures
Manx Care scorecard.
How the island’s health and care service is doing against its own targets, month by month, from Manx Care’s Integrated Performance Report. The latest figures are for September 2026.
The last check of Manx Care’s report page, on 14 November 2026, did not complete, so the figures below are still those from the September 2026 report.
At a glance, September 2026
Updated 30 October 2026 from the September 2026 report ↗
Emergency 4-hour standard, Noble's
53.2%
Target missedTarget: at least 82%
Missed every month since April 2025
Aug 2026: figure disputed, see note · Sep 2025: 59.0%
Emergency 4-hour standard, Ramsey Cottage Hospital
99.2%
Target metTarget: at least 95%
Met every month since May 2026
Aug 2026: figure disputed, see note · Sep 2025: 99.9%
Emergency 4-hour standard, Noble's and Ramsey together
60.4%
Target missedTarget: at least 82%
Missed every month since April 2023
Aug 2026: figure disputed, see note · Sep 2025: 66.6%
Ambulance, category 1: average response
9m 55s
Target missedTarget: no more than 7 minutes
Missed every month since April 2023
Aug 2026: 9m 34s · Sep 2025: 8m 55s
Ambulance, category 1: 9 in 10 reached within
24m 23s
Target missedTarget: no more than 15 minutes
Missed for 2 months in a row
Aug 2026: 17m 55s · Sep 2025: 16m 48s
Ambulance, category 2: average response
14 min
Target metTarget: no more than 18 minutes
Met every month since August 2026
Aug 2026: 14 min · Sep 2025: 17 min
Cancer: diagnosis within 28 days of referral
66.5%
Target missedTarget: at least 80%
Missed for 30 months in a row
Aug 2026: 69.7% · Sep 2025: 58.9%
Cancer: treatment within 62 days of referral
44.4%
Target missedTarget: at least 85%
Missed every month since April 2023
Aug 2026: 42.1% · Sep 2025: 57.8%
Radiology scans: waiting 6 weeks or more
70.5%
Target missedTarget: under 1%
Missed every month since April 2024
Aug 2026: 69.1% · Sep 2025: 67.3%
People waiting to be given an NHS dentist
3,613
No target
Aug 2026: 3,412 · Sep 2025: 1,319
Adult hospital beds occupied
91.6%
Target missedTarget: no more than 88%
Missed this month
Aug 2026: 87.5% · Sep 2025: 87.4%
Targets are those set for Manx Care in each year’s Mandate from the Department of Health and Social Care, as printed in each month’s report. A run of months counts back from September 2026 to the last month that went the other way, or to the first month with a target in the figures we hold.
Emergency departments
Check the emergency department figures for July 2026 and August 2026 before relying on them. In those months Manx Care’s reports give a figure for Noble’s and Ramsey together that is lower than both of its parts (July 2026: Noble’s and Ramsey together 60.7%, Noble’s 66.6%, Ramsey 99.9%; August 2026: Noble’s and Ramsey together 60.9%, Noble’s 66.2%, Ramsey 99.5%), which cannot be right if the total is the two added together. The inconsistency is in the reports’ own tables, so we show the figures as printed, cannot tell which one is wrong, and make no comparison with other months and no story from them.
Emergency 4-hour standard, Noble's: 53.2% (target at least 82%)Emergency 4-hour standard, Ramsey Cottage Hospital: 99.2% (target at least 95%)Emergency 4-hour standard, Noble's and Ramsey together: 60.4% (target at least 82%)
Show as a table
| Period | Noble's and Ramsey | Noble's | Ramsey |
|---|---|---|---|
| Sept 26 | 60.4% | 53.2% | 99.2% |
| Aug 26 | 60.9% | 66.2% | 99.5% |
| Jul 26 | 60.7% | 66.6% | 99.9% |
| Jun 26 | 65.2% | 58.5% | 99.6% |
| May 26 | 62.5% | 59.1% | 99.4% |
| Apr 26 | 59.5% | 59.5% | — |
| Mar 26 | 60.8% | 60.8% | — |
| Feb 26 | 57.6% | 57.6% | — |
| Jan 26 | 60.7% | 60.7% | — |
| Dec 25 | 63.7% | 61.2% | 99% |
| Nov 25 | 61.3% | 54% | 100% |
| Oct 25 | 68.6% | 61.7% | 99.8% |
| Sept 25 | 66.6% | 59% | 99.9% |
| Aug 25 | 63.4% | 55.7% | 99.7% |
| Jul 25 | 67.8% | 59.7% | 99.9% |
| Jun 25 | 63.3% | 54.8% | 99.9% |
| May 25 | 65% | 55.5% | 99.9% |
| Apr 25 | 62.2% | 56.5% | 100% |
| Mar 25 | 63.9% | 55.5% | 99.7% |
| Feb 25 | 64% | 55.9% | 99.8% |
| Jan 25 | 63.3% | 54% | 99.7% |
| Dec 24 | 67.9% | 61.2% | 100% |
| Nov 24 | 68% | 61.2% | 100% |
| Oct 24 | 66.7% | 59.8% | 100% |
| Sept 24 | 64.8% | 57.7% | 99.8% |
| Aug 24 | 68% | 60.6% | 99.7% |
| Jul 24 | 67.9% | 58.9% | 99.9% |
| Jun 24 | 68.6% | 58.7% | 99.5% |
| May 24 | 66.5% | 54.9% | 99.7% |
| Apr 24 | 67.9% | 55.7% | 100% |
| Mar 24 | 70.2% | 59.5% | 99.8% |
| Feb 24 | 67.3% | 56.3% | 100% |
| Jan 24 | 66.3% | 55.2% | 99.7% |
| Dec 23 | 68% | 57.2% | 99.7% |
| Nov 23 | 69.5% | 58.7% | 100.1% |
| Oct 23 | 71% | 60.6% | 99.9% |
| Sept 23 | 68.7% | 57.9% | 100% |
| Aug 23 | 72.1% | 60.8% | 99.9% |
| Jul 23 | 71.5% | 61.1% | 100% |
| Jun 23 | 75.7% | 66.5% | 99.6% |
| May 23 | 73.9% | 64.5% | 100% |
| Apr 23 | 70.8% | 61.7% | 99.9% |
| Mar 23 | 71% | 59.6% | 99.8% |
| Feb 23 | 70.1% | 58.5% | 99.6% |
| Jan 23 | 68.6% | 55.4% | 98.9% |
| Dec 22 | 67.7% | 53.1% | 99.2% |
| Nov 22 | 67.3% | 55.6% | 99.8% |
| Oct 22 | 69.4% | — | — |
| Sept 22 | 67.3% | — | — |
The line marks the latest target for Noble's and Ramsey. The targets printed in the reports were at least 76% (Apr 2023 to Mar 2025); at least 78% (Apr 2025 to Mar 2026); at least 82% (from Apr 2026). Latest targets for the others: Ramsey: at least 95%.
Show as a table
| Period | Stays of over 12 hours in Noble's emergency department |
|---|---|
| Sept 26 | 6.3% |
| Aug 26 | 5.1% |
| Jul 26 | 3.5% |
| Jun 26 | 5.2% |
| May 26 | 6.5% |
| Apr 26 | 6.5% |
| Mar 26 | 6.5% |
| Feb 26 | 9.8% |
| Jan 26 | 8% |
| Dec 25 | 6.4% |
| Nov 25 | 7.9% |
| Oct 25 | 4.9% |
| Sept 25 | 3.8% |
| Aug 25 | 4.6% |
| Jul 25 | 2.7% |
| Jun 25 | 4% |
| May 25 | 4.1% |
| Apr 25 | 4.1% |
| Mar 25 | 4.3% |
| Feb 25 | 6.7% |
| Jan 25 | 6% |
| Dec 24 | 5.3% |
| Nov 24 | 4% |
| Oct 24 | 4.2% |
| Sept 24 | 3.9% |
| Aug 24 | 4.1% |
| Jul 24 | 4.4% |
| Jun 24 | 3.9% |
| May 24 | 3.6% |
| Apr 24 | 3.9% |
The line marks the latest target. The targets printed in the reports were no more than 5% (Apr 2025 to Mar 2026); no more than 4.5% (from Apr 2026).
Ramsey and District Cottage Hospital’s figures are missing for some months in the reports.
Ambulance response times
Ambulance, category 1: average response: 9m 55s (target no more than 7 minutes)Ambulance, category 1: 9 in 10 reached within: 24m 23s (target no more than 15 minutes)Ambulance, category 2: average response: 14 min (target no more than 18 minutes)
Show as a table
| Period | Average |
|---|---|
| Sept 26 | 10 min |
| Aug 26 | 10 min |
| Jul 26 | 9 min |
| Jun 26 | 9 min |
| May 26 | 9 min |
| Apr 26 | 9 min |
| Mar 26 | 9 min |
| Feb 26 | 9 min |
| Jan 26 | 7 min |
| Dec 25 | 9 min |
| Nov 25 | 9 min |
| Oct 25 | 9 min |
| Sept 25 | 9 min |
| Aug 25 | 9 min |
| Jul 25 | 8 min |
| Jun 25 | 9 min |
| May 25 | 9 min |
| Apr 25 | 9 min |
| Mar 25 | 8 min |
| Feb 25 | 8 min |
| Jan 25 | 11 min |
| Dec 24 | 10 min |
| Nov 24 | 10 min |
| Oct 24 | 9 min |
| Sept 24 | 10 min |
| Aug 24 | 9 min |
| Jul 24 | 9 min |
| Jun 24 | 10 min |
| May 24 | 10 min |
| Apr 24 | 8 min |
| Mar 24 | 8 min |
| Feb 24 | 9 min |
| Jan 24 | 8 min |
| Dec 23 | 9 min |
| Nov 23 | 8 min |
| Oct 23 | 11 min |
| Sept 23 | 9 min |
| Aug 23 | 9 min |
| Jul 23 | 11 min |
| Jun 23 | 9 min |
| May 23 | 8 min |
| Apr 23 | 11 min |
| Mar 23 | 12 min |
| Feb 23 | 8 min |
| Jan 23 | 10 min |
| Dec 22 | 10 min |
| Nov 22 | 9 min |
| Oct 22 | 12 min |
| Sept 22 | 10 min |
Show as a table
| Period | 9 in 10 |
|---|---|
| Sept 26 | 24 min |
| Aug 26 | 18 min |
| Jul 26 | 14 min |
| Jun 26 | 16 min |
| May 26 | 16 min |
| Apr 26 | 17 min |
| Mar 26 | 17 min |
| Feb 26 | 18 min |
| Jan 26 | 14 min |
| Dec 25 | 18 min |
| Nov 25 | 18 min |
| Oct 25 | 16 min |
| Sept 25 | 17 min |
| Aug 25 | 16 min |
| Jul 25 | 12 min |
| Jun 25 | 17 min |
| May 25 | 19 min |
| Apr 25 | 16 min |
| Mar 25 | 16 min |
| Feb 25 | 16 min |
| Jan 25 | 23 min |
| Dec 24 | 14 min |
| Nov 24 | 19 min |
| Oct 24 | 18 min |
| Sept 24 | 20 min |
| Aug 24 | 20 min |
| Jul 24 | 16 min |
| Jun 24 | 18 min |
| May 24 | 21 min |
| Apr 24 | 19 min |
| Mar 24 | 18 min |
| Feb 24 | 14 min |
| Jan 24 | 15 min |
| Dec 23 | 19 min |
| Nov 23 | 18 min |
| Oct 23 | 20 min |
| Sept 23 | 17 min |
| Aug 23 | 19 min |
| Jul 23 | 23 min |
| Jun 23 | 19 min |
| May 23 | 17 min |
| Apr 23 | 20 min |
| Mar 23 | 28 min |
| Feb 23 | 15 min |
| Jan 23 | 20 min |
| Dec 22 | 23 min |
| Nov 22 | 19 min |
| Oct 22 | 20 min |
| Sept 22 | 19 min |
Show as a table
| Period | Average |
|---|---|
| Sept 26 | 14 min |
| Aug 26 | 14 min |
| Jul 26 | 18 min |
| Jun 26 | 14 min |
| May 26 | 17 min |
| Apr 26 | 15 min |
| Mar 26 | 18 min |
| Feb 26 | 15 min |
| Jan 26 | 15 min |
| Dec 25 | 14 min |
| Nov 25 | 17 min |
| Oct 25 | 16 min |
| Sept 25 | 17 min |
| Aug 25 | 13 min |
| Jul 25 | 14 min |
| Jun 25 | 15 min |
| May 25 | 12 min |
| Apr 25 | 14 min |
| Mar 25 | 17 min |
| Feb 25 | 14 min |
| Jan 25 | 17 min |
| Dec 24 | 14 min |
| Nov 24 | 19 min |
| Oct 24 | 13 min |
| Sept 24 | 14 min |
| Aug 24 | 12 min |
| Jul 24 | 14 min |
| Jun 24 | 15 min |
| May 24 | 16 min |
| Apr 24 | 13 min |
| Mar 24 | 13 min |
| Feb 24 | 11 min |
| Jan 24 | 12 min |
| Dec 23 | 15 min |
| Nov 23 | 13 min |
| Oct 23 | 12 min |
| Sept 23 | 16 min |
| Aug 23 | 11 min |
| Jul 23 | 13 min |
| Jun 23 | 13 min |
| May 23 | 16 min |
| Apr 23 | 14 min |
| Mar 23 | 16 min |
| Feb 23 | 12 min |
| Jan 23 | 13 min |
Cancer waiting times
Cancer: diagnosis within 28 days of referral: 66.5% (target at least 80%)Cancer: treatment within 62 days of referral: 44.4% (target at least 85%)
Show as a table
| Period | 28 days |
|---|---|
| Sept 26 | 66.5% |
| Aug 26 | 69.7% |
| Jul 26 | 66% |
| Jun 26 | 55.9% |
| May 26 | 66.5% |
| Apr 26 | 62.9% |
| Mar 26 | 70% |
| Feb 26 | 67.3% |
| Jan 26 | 73.5% |
| Dec 25 | 74.2% |
| Nov 25 | 71.2% |
| Oct 25 | 60.4% |
| Sept 25 | 58.9% |
| Aug 25 | 61% |
| Jul 25 | 68.4% |
| Jun 25 | 58.6% |
| May 25 | 56% |
| Apr 25 | 48.6% |
| Mar 25 | 56.9% |
| Feb 25 | 61.4% |
| Jan 25 | 52.7% |
| Dec 24 | 64.4% |
| Nov 24 | 67.6% |
| Oct 24 | 65.7% |
| Sept 24 | 58.7% |
| Aug 24 | 52.9% |
| Jul 24 | 56% |
| Jun 24 | 68.3% |
| May 24 | 72.4% |
| Apr 24 | 72.8% |
| Mar 24 | 78.7% |
| Feb 24 | 72% |
| Jan 24 | 69.2% |
| Dec 23 | 66% |
| Nov 23 | 64.6% |
| Oct 23 | 75.3% |
| Sept 23 | 65.3% |
| Aug 23 | 68.3% |
| Jul 23 | 57.3% |
| Jun 23 | 58% |
| May 23 | 63.7% |
| Apr 23 | 67.4% |
| Mar 23 | 60.3% |
| Feb 23 | 66.2% |
| Jan 23 | 55.8% |
| Dec 22 | 67.5% |
| Nov 22 | 68.3% |
| Oct 22 | 62.6% |
| Sept 22 | 64.7% |
The line marks the latest target. The targets printed in the reports were at least 75% (Apr 2023 to Dec 2025); at least 80% (from Jan 2026).
Show as a table
| Period | 62 days |
|---|---|
| Sept 26 | 44.4% |
| Aug 26 | 42.1% |
| Jul 26 | 39.7% |
| Jun 26 | 50% |
| May 26 | 45.7% |
| Apr 26 | 70.7% |
| Mar 26 | 56.2% |
| Feb 26 | 46.7% |
| Jan 26 | 43.6% |
| Dec 25 | 57.7% |
| Nov 25 | 56.3% |
| Oct 25 | 49% |
| Sept 25 | 57.8% |
| Aug 25 | 33.3% |
| Jul 25 | 41.3% |
| Jun 25 | 38.5% |
| May 25 | 54.8% |
| Apr 25 | 29.6% |
| Mar 25 | 55.8% |
| Feb 25 | 51.1% |
| Jan 25 | 41.5% |
| Dec 24 | 41.3% |
| Nov 24 | 48.4% |
| Oct 24 | 45.7% |
| Sept 24 | 50% |
| Aug 24 | 47.5% |
| Jul 24 | 67.3% |
| Jun 24 | 51.1% |
| May 24 | 63.2% |
| Apr 24 | 59.6% |
| Mar 24 | 68% |
| Feb 24 | 40% |
| Jan 24 | 51.5% |
| Dec 23 | 69.2% |
| Nov 23 | 59% |
| Oct 23 | 57.9% |
| Sept 23 | 53.3% |
| Aug 23 | 65.6% |
| Jul 23 | 34% |
| Jun 23 | 52.9% |
| May 23 | 50% |
| Apr 23 | 21.1% |
| Mar 23 | 62.2% |
| Feb 23 | 34.3% |
| Jan 23 | 31.6% |
| Dec 22 | 42.4% |
| Nov 22 | 42.1% |
| Oct 22 | 33.3% |
| Sept 22 | 22% |
The line marks the latest target. The targets printed in the reports were at least 85% (Apr 2023 to Mar 2025); at least 80% (Apr 2025 to Jan 2026); at least 75% (Feb 2026 to Mar 2026); at least 85% (from Apr 2026).
Diagnostic tests
Radiology scans: waiting 6 weeks or more: 70.5% (target under 1%)
Show as a table
| Period | Radiology | All tests |
|---|---|---|
| Sept 26 | 70.5% | 61.2% |
| Aug 26 | 69.1% | 64.6% |
| Jul 26 | 67.4% | 64.1% |
| Jun 26 | 68.3% | — |
| May 26 | 70.5% | — |
| Apr 26 | 73.2% | — |
| Mar 26 | 71.7% | — |
| Feb 26 | 68.9% | — |
| Jan 26 | 71.6% | — |
| Dec 25 | 71.9% | — |
| Nov 25 | 68.8% | — |
| Oct 25 | 68.6% | — |
| Sept 25 | 67.3% | — |
| Aug 25 | 66.5% | — |
| Jul 25 | 66.9% | — |
| Jun 25 | 66.6% | — |
| May 25 | 65.3% | — |
| Apr 25 | 65% | — |
| Mar 25 | 62.3% | — |
| Feb 25 | 59% | — |
| Jan 25 | 62.4% | — |
| Dec 24 | 63.1% | — |
| Nov 24 | 54.5% | — |
| Oct 24 | 47.2% | — |
| Sept 24 | 58% | — |
| Aug 24 | 60.1% | — |
| Jul 24 | 59.3% | — |
| Jun 24 | 57.2% | — |
| May 24 | 57% | — |
| Apr 24 | 59% | — |
| Mar 24 | 60% | — |
| Feb 24 | 59% | — |
| Jan 24 | 59% | — |
| Dec 23 | 64% | — |
| Nov 23 | 61% | — |
| Oct 23 | 68% | — |
| Sept 23 | 71% | — |
| Aug 23 | 74% | — |
| Jul 23 | 67% | — |
| Jun 23 | 66% | — |
| May 23 | 71% | — |
| Apr 23 | 73% | — |
| Mar 23 | 70% | — |
| Feb 23 | 70% | — |
| Jan 23 | 75% | — |
| Dec 22 | 75% | — |
| Nov 22 | 70% | — |
| Oct 22 | 72% | — |
| Sept 22 | 75% | — |
The line marks the latest target for Radiology. The targets printed in the reports were no more than 1% (Apr 2024 to Mar 2026); under 1% (from Apr 2026).
NHS dentistry
People waiting to be given an NHS dentist: 3,613
Show as a table
| Period | Everyone | Adults | Children |
|---|---|---|---|
| Sept 26 | 3613 | 2537 | 1074 |
| Aug 26 | 3412 | 2420 | 983 |
| Jul 26 | 3175 | 2260 | 908 |
| Jun 26 | 2887 | 2063 | 818 |
| May 26 | 2492 | 1772 | 710 |
| Apr 26 | 2473 | 1756 | 707 |
| Mar 26 | 2222 | 1557 | 661 |
| Feb 26 | 2109 | 1488 | 616 |
| Jan 26 | 2322 | 1656 | 661 |
| Dec 25 | 2094 | 1492 | 597 |
| Nov 25 | 1919 | 1371 | 543 |
| Oct 25 | 1682 | 1199 | 478 |
| Sept 25 | 1319 | 934 | 380 |
| Aug 25 | 6021 | 4208 | 1803 |
| Jul 25 | 6216 | 4283 | 1923 |
| Jun 25 | 6536 | 4538 | 1990 |
| May 25 | 6601 | 4599 | 1994 |
| Apr 25 | 6561 | 4577 | 1977 |
| Mar 25 | 6404 | — | — |
| Feb 25 | 6181 | — | — |
| Jan 25 | 6099 | — | — |
| Dec 24 | 6114 | — | — |
| Nov 24 | 6045 | — | — |
| Oct 24 | 5930 | — | — |
| Sept 24 | 5797 | — | — |
| Aug 24 | 5690 | — | — |
| Jul 24 | 5529 | — | — |
| Jun 24 | 5360 | — | — |
| May 24 | 5176 | — | — |
| Apr 24 | 5009 | — | — |
| Mar 24 | 5336 | — | — |
| Feb 24 | 5468 | — | — |
| Jan 24 | 5261 | — | — |
| Dec 23 | 5022 | — | — |
| Nov 23 | 4904 | — | — |
| Oct 23 | 4691 | — | — |
| Sept 23 | 4535 | — | — |
| Aug 23 | 4334 | — | — |
| Jul 23 | 4248 | — | — |
| Jun 23 | 4089 | — | — |
| May 23 | 3936 | — | — |
| Apr 23 | 3509 | — | — |
| Mar 23 | 2638 | — | — |
| Feb 23 | 2983 | — | — |
| Jan 23 | 2808 | — | — |
| Dec 22 | 2651 | — | — |
| Nov 22 | 2528 | — | — |
| Oct 22 | 2330 | — | — |
| Sept 22 | 2086 | — | — |
The list fell sharply in September 2025: Manx Care's report for October 2025 shows 5,183 patients allocated from the list to NHS dental practices that month. Figures from September 2025 on are compared only with each other.
Hospital beds
Adult hospital beds occupied: 91.6% (target no more than 88%)
Show as a table
| Period | Adult hospital beds occupied |
|---|---|
| Sept 26 | 91.6% |
| Aug 26 | 87.5% |
| Jul 26 | 88.5% |
| Jun 26 | 88.9% |
| May 26 | 91.1% |
| Apr 26 | 91.7% |
| Mar 26 | 93.4% |
| Feb 26 | 92.7% |
| Jan 26 | 92% |
| Dec 25 | 89% |
| Nov 25 | 92.8% |
| Oct 25 | 89.9% |
| Sept 25 | 87.4% |
| Aug 25 | 86.2% |
| Jul 25 | 85.9% |
| Jun 25 | 81.1% |
| May 25 | 82.6% |
| Apr 25 | 81% |
| Mar 25 | 79.2% |
| Feb 25 | 86% |
| Jan 25 | 90.6% |
| Dec 24 | 93.2% |
| Nov 24 | 85.2% |
| Oct 24 | 89% |
| Sept 24 | 88% |
| Aug 24 | 92% |
| Jul 24 | 86.1% |
| Jun 24 | 82.1% |
| May 24 | 89.6% |
| Apr 24 | 91.1% |
The line marks the latest target. The targets printed in the reports were no more than 89% (Apr 2025 to Feb 2026); no more than 88% (from Apr 2026).
For how many people are waiting for outpatient appointments and operations, and for how long, by specialty, see healthcare waiting times, from Manx Care’s own waiting-times reports.
Other measures we follow
| Measure | Sep 2026 | Aug 2026 | Sep 2025 | Target | Met? |
|---|---|---|---|---|---|
| Stays of over 12 hours in Noble's emergency department | 6.3% | 5.1% | 3.8% | no more than 4.5% | No |
| Ambulance, category 2: 9 in 10 reached within | 27 min | 28 min | 36 min | no more than 40 minutes | Yes |
| Ambulance, category 3: 9 in 10 reached within | 61 min | 51 min | 45 min | no more than 120 minutes | Yes |
| Ambulance, category 4: 9 in 10 reached within | 84 min | 164 min | 176 min | no more than 180 minutes | Yes |
| Cancer: treatment within 31 days of the decision to treat | 82.0% | 85.1% | 75.9% | at least 96% | No |
| All diagnostic tests: waiting 6 weeks or more | 61.2% | 64.6% | – | under 1% | No |
| Adults waiting to be given an NHS dentist | 2,537 | 2,420 | 934 | None set | – |
| Children waiting to be given an NHS dentist | 1,074 | 983 | 380 | None set | – |
| Delayed transfers of care | 1 | 1 | 7 | no more than 12 | Yes |
Patient safety
The number of serious incidents and never events Manx Care reported each month. These are counts only: the reports do not describe individual cases, and neither do we.
| Reported | Sep 2025 | Oct 2025 | Nov 2025 | Dec 2025 | Jan 2026 | Feb 2026 | Mar 2026 | Apr 2026 | May 2026 | Jun 2026 | Jul 2026 | Aug 2026 | Sep 2026 | 13 months |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Serious incidents reported | 4 | 3 | 3 | 1 | 1 | 4 | 2 | 4 | 1 | 2 | 2 | 3 | 4 | 34 |
| Never events reported | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 2 |
A never event is a serious, largely preventable patient safety incident of a kind that should not happen if the right safeguards are in place.
Every measure in the September 2026 report
The report’s own tables, as printed: about 210 measures across all of Manx Care’s services, with each one’s code and threshold. A dash means the report gives no figure.
Care Quality & Safety 20 measures
| Code | Measure | Threshold | Sep 2026 | Aug 2026 | Jul 2026 |
|---|---|---|---|---|---|
| QCS1 | Number of Serious Incidents reported | 4 | 3 | 2 | |
| QCS2 | Number of Never Events reported | 0 | 0 | 0 | 0 |
| QCS3a | Number of Falls with moderate or above harm reported | 6 | 2 | 3 | |
| QCS3b | Percentage of Falls with moderate or above harm reported | 7.5% | 2.4% | 4.4% | |
| QCS4 | Number of pressure ulcers reported, Grade 2 and above | 7 | 18 | 8 | |
| QCS5a | Number of Medication incidents with moderate or severe harm reported | 0 | 0 | 0 | |
| QCS5b | Percentage of Medication incidents with moderate or severe harm reported | 0.0% | 0.0% | 0.0% | |
| QCS6 | Number of Clostridioides difficile (CDI) toxin positive infections reported | 3 | 4 | 1 | |
| QCS7 | Number of meticillin resistant Staphylococcus aureus (MRSA) bacteraemia reported | 0 | 0 | 0 | 0 |
| QCS8 | Number of Pseudomonas aeruginosa bloodstream infections | 1 | 0 | 0 | |
| QCS9 | Number of E. coli bloodstream infections | 5 | 7 | 5 | |
| QCS10 | Number of Klebsiella spp bloodstream infections | 1 | 6 | 2 | |
| QCS11 | Number of Methicillin Sensitive Staphylococcus aureus (MSSA) bloodstream infections | 2 | 2 | 1 | |
| QCS12 | Antibiotic consumption – Defined Daily Doses (DDD) per 1,000 admissions | 6095 | 6061 | 5009 | |
| QCS13 | Percentage of eligible patients having a Venous Thromboembolism (VTE) risk assessment within 12 hours of a decision to admit | ≥ 95% | 88.9% | 97.4% | 94.7% |
| QCS14 | Percentage of eligible hospital deaths that led to a Learning from Death (LFD) review | 81.8% | 70.0% | 81.8% | |
| QCS15 | Crude mortality rate | 23.7 | 35.4 | 23.4 | |
| QCS16 | Number of breaches of mixed sex accommodation policy | 0 | 0 | 0 | 0 |
| CQS27 | Proportion of consumption from “Watch” categories of UK-adapted WHO AWaRe index | 46.7% | 45.0% | 42.0% | |
| CQS28 | Proportion of consumption from “Reserve” categories of UK-adapted WHO AWaRe index | 1.5% | 2.7% | 3.7% |
Service User Experience 10 measures
| Code | Measure | Threshold | Sep 2026 | Aug 2026 | Jul 2026 |
|---|---|---|---|---|---|
| CQS17 | Number of formal complaints received for Manx Care directly managed - 39 services | 52 | 26 | 51 | |
| CQS18 | Percentage of formal complaints acknowledged within 5 days for Manx 100% 96.9% Care directly managed services | 100% | 100% | 100% | |
| CQS19 | Percentage of formal complaints responded to in writing within 20 100% 96.6% days for Manx Care directly managed services | 95.0% | 100.0% | 98.7% | |
| CQS20 | Percentage of formal complaints not resolved within 6 months for Manx Care 0% 0% directly managed services | 0% | 0% | 0% | |
| CQS21 | Friends and Family Test (FFT): Number of - 1846 responses | 1408 | 1294 | 1237 | |
| CQS22 | Friends and Family Test (FFT): Experience 80% 93.0% was Very Good or Good | 93.0% | 94.0% | 94.0% | |
| CQS23 | Friends and Family Test (FFT): Experience 10% 2.0% was neither Good nor Poor | 3.0% | 3.0% | 2.5% | |
| CQS24 | Friends and Family Test (FFT): Experience <10% 5.0% was Poor or Very Poor | 4.0% | 3.0% | 3.5% | |
| CQS25 | Number of contacts received by Manx - 651 Care Advice and Liaison Service (MCALS) | 811 | 671 | 786 | |
| CQS26 | Percentage of contacts received by Manx Care Advice and Liaison Service (MCALS) 90% 94.0% responded to on the same day | 90.0% | 90.0% | 92.0% |
People 11 measures
| Code | Measure | Threshold | Sep 2026 | Aug 2026 | Jul 2026 |
|---|---|---|---|---|---|
| P01 | Percentage of hours lost to staff sickness absence | ≤ 5% | 5.8% | 5.6% | 5.4% |
| P02 | Mandatory Training completion rate | ≥ 85% | 77.2% | 79.9% | 77.4% |
| L01 | Number of personal data breaches reported to the Data Protection Officer | 17 | 15 | 20 | |
| L02 | Number of personal data breaches reported to the Information Commissioner’s Office | 2 | 2 | 2 | |
| L03 | Number of enforcement notices received from the Information Commissioner’s Office | 0 | 0 | 0 | 0 |
| L04 | Number of Subject Access Requests (SAR) | 156 | 123 | 120 | |
| L05 | Number of Access to Health Record Requests (AHR) | 7 | 7 | 5 | |
| L06 | Number of Freedom of Information (FOI) Requests | 17 | 19 | 32 | |
| L07 | Number of SARs responded to after more than one month (or after a period granted by an extension) | ≤ 25 | 92 | 90 | 103 |
| L08 | Number of AHRs responded to after 21 days | ≤ 2 | 2 | 6 | 10 |
| L09 | Number of FOIs responded to after 20 days | ≤ 3 | 5 | 4 | 16 |
Other measures 20 measures
| Code | Measure | Threshold | Sep 2026 | Aug 2026 | Jul 2026 |
|---|---|---|---|---|---|
| IPCT1a | Percentage of general practice appointments that occurred same day | – | 37.9% | 35.6% | |
| IPCT1b | Percentage of general practice appointments that occurred day 1 | – | 7.4% | 8.3% | |
| IPCT1c | Percentage of general practice appointments that occurred days 2-7 | – | 19.3% | 23.3% | |
| IPCT1d | Percentage of general practice appointments that occurred days 8-14 | – | 14.8% | 14.5% | |
| IPCT1e | Percentage of general practice appointments that occurred days 15-21 | – | 8.5% | 9.3% | |
| IPCT1f | Percentage of general practice appointments that occurred days 22-28 | – | 6.1% | 6.2% | |
| IPCT1g | Percentage of general practice appointments that occurred after 28 days | – | 4.7% | 5.4% | |
| IPCT2 | Number of general practice appointments delivered per 1,000 (weighted) patients | – | 355.3 | 410.5 | |
| IPCT3 | Percentage of general practice appointments where the patient did not attend | ≤ 4% | – | 3.5% | 3.6% |
| IPCT4 | Units of Dental Activity delivered as a proportion of all Units of Dental Activity contracted | 96% Year End | 46.1% | 38.6% | 29.9% |
| IPCT5 | Number of patients awaiting allocation to an NHS dentist | 3613 | 3412 | 3175 | |
| IPCT5a | Number of adults awaiting allocation to an NHS dentist | 2537 | 2420 | 2260 | |
| IPCT5b | Number of children awaiting allocation to an NHS dentist | 1074 | 983 | 908 | |
| IPCT6 | Average wait time between patient being added to dental waiting list and allocation to a practice (weeks) | 48 | 51 | – | |
| IPCT6a | Adults - Average wait time between patient being added to dental waiting list and allocation to a practice (weeks) | 48 | 51 | – | |
| IPCTb | Children - Average wait time between patient being added to dental waiting list and allocation to a practice (weeks) | 50 | 51 | – | |
| Number of unique patients seen at NHS dental practices | 4504 | 4459 | 5487 | ||
| Number of primary eye examinations | – | 2951 | 2951 | ||
| Percentage of the population who underwent a primary eye examination | – | 3.5% | 3.5% | ||
| IPCT7 | Percentage of infants receiving their New Birth Visit within 14 days of birth | ≥ 85% | 100% | 100% | 100% |
Integrated Mental Health Service 12 measures
| Code | Measure | Threshold | Sep 2026 | Aug 2026 | Jul 2026 |
|---|---|---|---|---|---|
| MH1 | Number of service users on mental health service caseload: Total | 5,728 | 5,655 | 5,628 | |
| MH2 | Number of people awaiting a mental health service: Total | 1,433 | 1,457 | 1,461 | |
| MH2aa | CAMHS: Number of people waiting for a first assessment (via the CMHP team) | 484 | 511 | 511 | |
| MH3 | Percentage of referrals from ED to the Crisis Response and Home Treatment Team (CRHTT) responded to within one hour | ≥ 85% | 86.9% | 95.6% | 100.0% |
| MH4 | Percentage of referrals from general hospital wards to the CRHTT responded to within 24 hours | 100% | 100% | 100% | 100% |
| MH5 | Percentage of patients with a first episode of psychosis assessed by a psychiatrist within two weeks of referral | 100% | – | 100% | – |
| MH6 | Percentage of patients followed up within 3 days of discharge from psychiatric inpatient care | ≥ 90% | 77.7% | 80.0% | 76.4% |
| MH7 | Percentage of appointments where the patient did not attend | ≤ 9% | 8.7% | 8.6% | 8.3% |
| MH8 | Number of admissions (Inpatient service) | 16 | 14 | 23 | |
| MH9 | Number of inpatients aged 18-64 with a length of stay of more than 60 days | 0 | 1 | 1 | |
| MH10 | Number of inpatients aged 65+ with a length of stay of more than 90 days | 0 | 0 | 1 | |
| Average length of stay for discharged patients (Inpatient service) * no patients to be seen | 21 | 22 | 32 |
Social Care 35 measures
| Code | Measure | Threshold | Sep 2026 | Aug 2026 | Jul 2026 |
|---|---|---|---|---|---|
| SC1 | Number of referrals to Adult Social Work | 102 | 97 | 119 | |
| SC2 | Percentage of referrals to Adult Social Care that were received within 31 days of a previous referral | ≤ 6% | 1.0% | 12.4% | 7.6% |
| SC3 | Percentage of initial Adult Social Work assessments completed within target timeframes: Total | ≥ 75% | 54.2% | 70.0% | 66.7% |
| SC3a | Percentage of initial Adult Social Work assessments completed within 28-day timeframe: Adult Generic | ≥ 75% | 100.0% | 83.3% | 87.5% |
| SC3b | Percentage of initial Adult Social Work assessments completed within 28-day timeframe: Older Person | ≥ 75% | 47.6% | 63.6% | 57.9% |
| SC3c | Percentage of initial Adult Social Work assessments completed within 42-day timeframe: Learning Disability | ≥ 75% | 30.0% | 66.7% | 66.7% |
| SC4 | Percentage of service users (or carers) receiving a copy of their initial Adult Social Work assessment | ≥ 95% | 100% | 100% | 97.0% |
| SC5 | Number of Older Person & Dementia Residential Beds Available | 5040 | 5208 | 5208 | |
| SC5 | Percentage of Older Person & Dementia Residential Beds occupied | ≥ 85% | 84.2% | 84.3% | 83.2% |
| SC6 | Number of Learning Disability Residential Beds Available | 73 | 71 | 71 | |
| SC6 | Percentage of Learning Disability Residential beds occupied | ≥ 85% | 91.8% | 93.0% | 93.0% |
| SC7 | Number of Older Person & Dementia Respite Beds Available | 360 | 372 | 372 | |
| SC7 | Percentage of OP & Dementia Respite beds occupied | ≥ 75% | 46.7% | 43.3% | 40.3% |
| SC8 | Number of Learning Disability Respite Beds Available | – | 299 | 271 | |
| SC8 | Percentage of OP & Dementia Respite beds occupied | ≥ 75% | – | 93.6% | 89.9% |
| SC9 | Percentage of service users with a Person-Centred Plan (PCP) in place | 100% | 100% | 100% | 100% |
| SC10 | Number of referrals to Adult Safeguarding | 147 | 133 | 203 | |
| SC11 | Percentage of referrals to Adult Safeguarding that were received within 31 days of a previous referral | ≤ 17% | 10.2% | 9.0% | 6.9% |
| SC12 | Percentage of Planning Meeting Records Completed on time | ≥ 80% | 75.0% | 88.8% | 100.0% |
| SC14 | Number of referrals to Children & Families | 180 | 138 | 165 | |
| SC15 | Percentage of referrals to Children and Families that were received within 12 months of a previous referral | ≤ 41% | 37.2% | 40.6% | 42.4% |
| SC16a | Percentage of Complex Needs Reviews held on time | ≥ 85% | 70.3% | 97.1% | 79.5% |
| SC16b | Number of Complex Needs Reviews held on time | 26 | 34 | 35 | |
| SC17a | Percentage of Initial Child Protection Conferences held on time | ≥ 90% | 100.0% | 50.0% | 60.0% |
| SC17b | Number of Initial Child Protection Conferences held on time | 5 | 3 | 3 | |
| SC18a | Percentage of Child Protection Reviews held on time | ≥ 90% | 88.9% | 100.0% | 100.0% |
| SC18b | Number of Child Protection Reviews held on time | 24 | 6 | 31 | |
| SC19a | Percentage of Looked After Children reviews held on time | ≥ 90% | 100.0% | 100.0% | 94.1% |
| SC19b | Number of Looked After Children reviews held on time | 16 | 12 | 16 | |
| SC20a | Percentage of child protection reviews held, which children participated in or contributed to (where the child was of sufficient maturity) | ≥ 90% | 90.0% | – | 88.0% |
| SC20b | Number of child protection reviews held, which children participated in or contributed to (where the child was of sufficient maturity) | 18 | – | 23 | |
| SC21a | Percentage of looked after child reviews held, which children participated in or contributed to (where the child was of sufficient maturity) | ≥ 90% | 89% | 100% | 100% |
| SC21b | Number of looked after child reviews held, which children participated in or contributed to (where the child was of sufficient maturity) | 16 | 7 | 12 | |
| SC22a | Percentage of complex needs reviews held, which children participated in or contributed to (where the child was of sufficient maturity) | ≥ 90% | 94.4% | 100.0% | 68.0% |
| SC22b | Number of complex needs reviews held, which children participated in or contributed to (where the child was of sufficient maturity) SC5, 7, 8 April 2026 methodology change from point in time (single day) to monthly total | 17 | 7 | 17 |
Hospital Based Care 37 measures
| Code | Measure | Threshold | Sep 2026 | Aug 2026 | Jul 2026 |
|---|---|---|---|---|---|
| HC1a | Number of referrals received for a first outpatient appointments, by Consultant | 2754 | 2373 | 3172 | |
| HC1b | Number of referrals received for a first outpatient appointments, by Nurse | 686 | 628 | 899 | |
| HC1c | Number of referrals received for a first outpatient appointments, by Allied Health Professional | 976 | 969 | 952 | |
| Number of unique patients waiting (open referrals) a first | 14351 | 14588 | 14919 | ||
| HC2a | Consultant-led hospital appointment Number of patients waiting (open referrals) for first | 16798 | 17128 | 17596 | |
| HC2b | Consultant outpatient appointment Number of patients waiting (open referrals) for first | 596 | 750 | 791 | |
| HC2c | Nurse outpatient appointment Number of patients waiting (open referrals) for first | 1990 | 2090 | 1955 | |
| AHP appointment Number of patients waiting for follow-up Consultant outpatient | 36324 | 35864 | 35572 | ||
| Number of patients waiting for follow-up Nurse outpatient appointment | 3049 | 2898 | 2898 | ||
| Number of patients waiting for follow-up AHP appointment | 5418 | 5295 | 5212 | ||
| Average waiting time (weeks) from referral to first outpatient appointment | 57 | 58 | 57 | ||
| HC3 | Maximum waiting time (weeks) from referral to first outpatient appointment | 360 | 640 | 932 | |
| HC4 | Number of patients waiting (open referrals) for daycase procedures | 2762 | 2724 | 2812 | |
| Average waiting time (weeks) from decision to treat to definitive treatment (daycase procedure) | 45 | 44 | 42 | ||
| HC5 | Maximum waiting time (weeks) from decision to treat to definitive treatment (daycase procedure) | 409 | 405 | 400 | |
| HC6 | Number of patients waiting (open referrals) for inpatient procedures | 386 | 419 | 398 | |
| Average waiting time (weeks) from decision to treat to definitive treatment (inpatient procedure) | 30 | 28 | 28 | ||
| HC7 | Maximum waiting time (weeks) from decision to treat to definitive treatment (inpatient procedure) | 184 | 180 | 176 | |
| HC8 | Percentage of theatre utilisation (uncapped) | ≥ 85% | 75.7% | 78.0% | 81.3% |
| HC9 | Percentage of theatre utilisation (capped) | ≥ 85% | 72.6% | 75.1% | 77.8% |
| HC10 | Percentage of outpatient appointments where the patient did not attend | ≤ 8% | 6.5% | 6.4% | 6.7% |
| HC11 | Number of transfers of care that were delayed | ≤ 12 | 1 | 1 | 1 |
| HC12 | Adult general and acute bed occupancy rate | ≤ 88% | 91.6% | 87.5% | 88.5% |
| HC13a | Number of admissions, by Elective | 660 | 603 | 702 | |
| HC13b | Number of admissions, by Non-elective | 824 | 775 | 826 | |
| Average length of stay, Noble’s Hospital | 3 | 3 | 3 | ||
| Average length of stay, Ramsey & District Cottage Hospital | – | – | – | ||
| HC14 | Number of patients discharged with a length of stay of 7 or more days: Noble’s Hospital | ≤ 157 | 156 | 135 | 138 |
| HC15 | Number of patients discharged with a length of stay of 7 or more days: Ramsey & District Cottage Hospital | ≤ 24 | 0 | 0 | 0 |
| HC16 | Number of patients discharged with a length of stay of 21 or more days: Noble’s Hospital | ≤ 37 | 35 | 31 | 36 |
| HC17 | Number of patients discharged with a length of stay of 21 or more days: Ramsey & District Cottage Hospital | ≤ 18 | 0 | 0 | 0 |
| HC18a | Number of Emergency admissions to hospital occurring within 7 days of the most recent discharge from hospital | – | 24 | 30 | |
| HC18b | Percentage of Emergency admissions to hospital occurring within 7 days of the most recent discharge from hospital | ≤ 4% | – | 4.0% | 4.2% |
| HC19a | Number of Emergency admissions to hospital occurring within 30 days of the most recent discharge from hospital | – | 52 | 77 | |
| HC19b | Percentage of Emergency admissions to hospital occurring within 30 days of the most recent discharge from hospital | < 11% | – | 8.7% | 10.7% |
| HC20a | Number of patients discharged from inpatient wards at the weekend | 139 | 166 | 169 | |
| HC20b | Percentage of patients discharged from inpatient wards discharged at the weekend | ≥ 17% | 9.6% | 12.5% | 10.9% |
Integrated Diagnostics & Cancer Services 11 measures
| Code | Measure | Threshold | Sep 2026 | Aug 2026 | Jul 2026 |
|---|---|---|---|---|---|
| DC1 | Maximum 28 days from referral for suspected cancer to date of diagnosis | ≥ 80% | 66.5% | 69.7% | 66.0% |
| DC2 | Decision to treat to first definitive treatment within 31 days | ≥ 96% | 82.0% | 85.1% | 84.1% |
| DC3 | Maximum 62 days from referral for suspected cancer to first treatment | ≥ 85% | 44.4% | 42.1% | 39.7% |
| DC4 | Number of referrals to cancer pathway: | 484 | 344 | 547 | |
| DC5 | Suspected cancer/Other Number of referrals to cancer pathway: All referral types | 539 | 408 | 617 | |
| DC6 | Median waiting time from referral to diagnosis or ruling out of cancer | 18 | 18 | 19 | |
| DC7 | Number of patients waiting for first cancer outpatient appointment | 179 | 177 | 147 | |
| Number of patients waiting more than 62 days on cancer Patient Tracking List (PTL) awaiting first appointment: All referral types | 163 | 165 | 123 | ||
| DC10 | Percentage of patients waiting 6 weeks or more for a diagnostic test (All Diagnostics) | <1% | 61.2% | 64.6% | 64.1% |
| DC8 | Percentage of patients waiting 6 weeks or more for a diagnostic test (Radiology)* | <1% | 70.5% | 69.1% | 67.4% |
| DC9 | Number of requests for diagnostics received - Radiology | 8536 | 8018 | 8996 |
Integrated Care Women Children & Families 20 measures
| Code | Measure | Threshold | Sep 2026 | Aug 2026 | Jul 2026 |
|---|---|---|---|---|---|
| QCF1 | Percentage of antenatal booking appointments completed within the first 10 weeks of pregnancy | ≥ 80% | 89.7% | 79.3% | 82.8% |
| QCF2 | Number of births | 44 | 53 | 74 | |
| QCF4 | Midwife to birth ratio Method of delivery: Elective caesarean section (percentage) | 22.7% | 23.5% | 20.8% | |
| QCF5 | Method of delivery: Emergency caesarean section (percentage) | 15.9% | 15.7% | 13.9% | |
| QCF6 | Method of delivery: Instrumental (percentage) | 4.6% | 11.3% | 8.1% | |
| QCF7 | Method of delivery: Spontaneous (percentage) | 56.8% | 37.7% | 39.7% | |
| QCF8 | Rate of induction of labour | 20.5% | 37.3% | 40.3% | |
| QCF9 | Women who had a 3rd or 4th degree tear at delivery | < 2% | 0.0% | 0.0% | 0.0% |
| QCF10 | Women who had a postpartum haemorrhage of 1,500ml or more | < 1.2% | 4.6% | 7.8% | 0.0% |
| QCF11a | Number of Stillbirths | 0 | 0 | 0 | |
| QCF11b | Stillbirth rate per 1,000 deliveries | 0.0 | 0.0 | 0.0 | |
| QCF12 | Number of admissions to Neonatal Unit | 6 | 8 | 10 | |
| QCF13 | Percentage of full-term babies admitted to Neonatal Unit within 28 days of birth | 4.5% | 7.8% | 2.7% | |
| QCF14 | Average length of stay in Neonatal Unit (days) | 13 | 7 | 8 | |
| QCF15a | Neonatal mortality (number) | 0 | 0 | 0 | |
| QCF15b | Neonatal mortality (rate per 1,000 live births) | 0.0 | 0.0 | 0.0 | |
| QCF16 | Number of unplanned admissions to Intensive Therapy Unit (ITU) | 0 | 0 | 0 | |
| QCF17 | Percentage of babies with a first feed of breastmilk (initiation rate) | ≥ 75% | 65.9% | 60.4% | 66.2% |
| QCF18 | Percentage of women who were current smokers at time of pregnancy booking | 1.5% | 9.4% | 6.3% | |
| QCF19 | Percentage of women who were current smokers at time of delivery | 2.3% | 2.0% | 6.9% |
Emergency Care 21 measures
| Code | Measure | Threshold | Sep 2026 | Aug 2026 | Jul 2026 |
|---|---|---|---|---|---|
| EC1 | Total number of Emergency Department | 4123 | 3977 | 4379 | |
| EC2 | Attendances (excl. AATU) Average time between arrival and triage at Noble's Hospital Emergency Department | ≤ 20 minutes | 24 | 19 | 21 |
| EC3 | Average time between triage and assessment by doctor at Nobles ED by Manchester Triage System (Category 1) | 17 | 15 | 24 | |
| EC3 | Average time between triage and assessment by doctor at Nobles ED by MTS (Category 2) | 71 | 59 | 60 | |
| EC3 | Average time between triage and assessment by doctor at Nobles ED by MTS (Category 3) | 108 | 78 | 90 | |
| EC3 | Average time between triage and assessment by doctor at Nobles ED by MTS (Category 4) | 100 | 76 | 90 | |
| EC3 | Average time between triage and assessment by doctor at Nobles ED by MTS (Category 5) | 73 | 60 | 82 | |
| EC4 | Percentage of Emergency Department attendances where the service user was admitted, transferred or discharged within 4 hours of their arrival (Nobles and RCDH) | ≥ 82% | 60.4% | 60.9% | 60.7% |
| Percentage of Emergency Department attendances where the service user was admitted, transferred or discharged within 4 hours of their arrival: Non admitted | 68.9% | 75.2% | 74.1% | ||
| Percentage of Emergency Department attendances where the service user was admitted, transferred or discharged within 4 hours of their arrival: Admitted | 16.3% | 17.4% | 19.8% | ||
| EC5 | Percentage of Emergency Department attendances where the service user was admitted, transferred or discharged within 4 hours of their arrival: Noble's Hospital | ≥ 82% | 53.2% | 66.2% | 66.6% |
| EC6 | Percentage of Emergency Department attendances where the service user was admitted, transferred or discharged within 4 hours of their arrival: RCDH | ≥ 95% | 99.2% | 99.5% | 99.9% |
| EC7 | Percentage of attendances at Noble's Hospital Emergency Department with a total time in ED of over 12 hours from arrival | ≤ 4.5% | 6.3% | 5.1% | 3.5% |
| EC8 | Percentage of waits for admissions that were more than 12 hours from a decision to admit | ≤ 14% | 11.7% | 13.7% | 8.1% |
| EC9 | Percentage of Emergency Department attendances that resulted in an admission: Noble's Hospital | 19.6% | 18.3% | 16.7% | |
| EC10 | Percentage of Emergency Department attendances that resulted in an admission: RCDH | 0.0% | 0.0% | 0.0% | |
| OPEL. Number of days at level 1 | – | 3.0 | 3.0 | ||
| OPEL. Number of days at level 2 | – | 15.5 | 13.0 | ||
| OPEL. Number of days at level 3 | – | 12.5 | 15.0 | ||
| OPEL. Number of days at level 4 | – | 0.0 | 0.0 | ||
| EC11 | Number of patient interactions with Manx Emergency Doctors (MEDS) | 2147 | 2424 | 2312 |
Ambulance Services 13 measures
| Code | Measure | Threshold | Sep 2026 | Aug 2026 | Jul 2026 |
|---|---|---|---|---|---|
| APL1 | Number of 999 calls received by the Ambulance | 1091 | 1212 | 1247 | |
| APL1a | Service: Total Emergency | 919 | 1017 | 1052 | |
| APL2 | Category 1 Mean Response Time | 7 mins | 10 | 10 | 9 |
| APL3 | Category 1 Response Time at 90th Percentile | 15 mins | 24 | 18 | 14 |
| APL4 | Category 2 Mean Response Time | 18 mins | 14 | 14 | 18 |
| APL5 | Category 2 Response Time at 90th Percentile | 40 mins | 27 | 28 | 38 |
| APL6 | Category 3 Response Time at 90th Percentile | 120 mins | 61 | 51 | 64 |
| APL7 | Category 4 Response Time at 90th Percentile | 180 mins | 84 | 164 | 119 |
| APL8 | Number of Ambulance crew turnaround times from arrival to clear should be no longer than 30 minutes | 261 | 275 | 285 | |
| APL8 | Percentage of Ambulance crew turnaround times from arrival to clear longer than 30 minutes | ≤ 30% | 41.2% | 40.6% | 41.3% |
| APL9 | Number of Ambulance crew turnaround times from arrival to clear should be no longer than 60 minutes | 28 | 33 | 29 | |
| APL9 | Percentage of Ambulance crew turnaround times from arrival to clear longer than 60 minutes | ≤ 4% | 4.4% | 4.9% | 4.2% |
| APL10 | Percentage of 999 ambulance calls that led to a conveyance to the Emergency Department | 65.4% | 63.2% | 61.2% |
Every report
- September 2026 ↗
- August 2026 ↗
- July 2026 ↗
- June 2026 ↗
- May 2026 ↗
- April 2026 ↗
- March 2026 ↗
- February 2026 ↗
- January 2026 ↗
- December 2025 ↗
- November 2025 ↗
- October 2025 ↗
- September 2025 ↗
- August 2025 ↗
- July 2025 ↗
- June 2025 ↗
- May 2025 ↗
- April 2025 ↗
- March 2025 ↗
- February 2025 ↗
- January 2025 ↗
- December 2024 ↗
- November 2024 ↗
- October 2024 ↗
- September 2024 ↗
- August 2024 ↗
- July 2024 ↗
- June 2024 ↗
- May 2024 ↗
- April 2024 ↗
- March 2024 ↗
- February 2024 ↗
- January 2024 ↗
- December 2023 ↗
- November 2023 ↗
- October 2023 ↗
- September 2023 ↗
- August 2023 ↗No monthly tables; not used for the charts
- July 2023 ↗No monthly tables; not used for the charts
- June 2023 ↗No monthly tables; not used for the charts
How these figures are made, sources and licence
Manx Care publishes its Integrated Performance Report each month, about four weeks after the month ends. We read each new report once, take the figures from its tables and keep every measure here month by month, from the reports since September 2023, whose tables reach back to September 2022. Manx Care revises recent months, so each month shows the figure from the latest report that gives it. Each month’s target is the one printed in that month’s own report, because targets change from year to year. Ambulance times are shown as the report rounds them, to the minute; the tiles give minutes and seconds where the report prints them. Codes and wording changed in 2024 and 2026, so a measure is followed by what it measures rather than its code.
Source: Manx Care, Integrated Performance Report. Contains public sector information licensed under the Open Government Licence (Isle of Man). Open Government Licence ↗
Last checked 14 November 2026. Report a data problem →
