Tynwald members will be asked to approve £20.8m of extra cash for the DHSC to address Manx Care’s overspend.
Manx Care received a budget of £357m, plus £10m contingency and £4m, which remains the topic of some controversy.
Minister Claire Christian will ask members to sign off £19m in revenue funding and £1.8m in capital funding, based on the year-end position on March 31.
The department says the single largest pressure, totalling £12.2m, was driven by above planned employee costs and Manx Care’s need to maintain safe staffing levels in emergency care, acute hospital services, mental health and community settings.
Vacancies, recruitment difficulties and higher-than-expected patient demand meant that bank, locum and on-call staff were needed to keep services running safely.
Complex Care
Additional contributory factors included higher than anticipated spending on complex care, increased mental health placements, rising costs for specialist UK treatment, medical motorsport provision, prison healthcare and the air ambulance.
Despite this, Manx Care delivered £9.9m in efficiency savings during 2025-26, exceeding its mandated 2% target.
Ms Christian said: “This supplementary vote reflects the very real pressures being experienced across our health and care system, driven by increased demand, workforce challenges and the rising cost of delivering safe, high-quality services.
“I want to recognise the significant efforts made by Manx Care and the department to manage these pressures responsibly, including delivering on efficiency targets and improving financial governance and oversight.”
The £1.8m capital element will support the first phase of the Endoscopy Modernisation Programme at Noble’s Hospital, designed to secure on-island cancer diagnostic and emergency endoscopy services.
A Financial Recovery Programme for 2026-27 is now being introduced.