Source · Ombudsmen & enforcement

Parliamentary & Health Service Ombudsman

4,026 casework decisions 4 systemic investigations 22 recommendations updated to 11 Jun 2026

Casework decisions and published systemic investigation reports from the PHSO covering complaints against NHS bodies and UK government departments in England. Casework decisions are synced daily from the PHSO Decisions Portal; each record is matched to the responsible body and classified by clinical or administrative theme.

Across all reports: 4 accepted · 8 partly accepted · 3 rejected · 55% acceptance rate

Latest casework decisions

4,026 decisions · 709 upheld or partly upheld · synced daily

11 Jun 2026 Closed After Initial Enquiries East Sussex Healthcare NHS Trust Mrs X complained her husband's care was substandard, including no diet plan, early discharge without a care plan, and uninvestigated internal bleed/untreated infections, contributing to … 11 Jun 2026 Closed After Initial Enquiries Royal United Hospitals Bath NHS Foundation Trust Miss E complained about her father's care, including incorrect IV medication, a fall due to unsecured bedrails, lack of oxygen, and poor record-keeping, which she … 11 Jun 2026 Closed After Initial Enquiries A practice in the South Kesteven area Mr H complained his GP failed to recognise his symptoms as a hernia complication, did not seek surgical advice, or offer an NHS surgical option, … 11 Jun 2026 Closed After Initial Enquiries A practice in the Shropshire area Mrs D complained her father's GP failed to diagnose and treat his heart failure and diabetes over several years, leading to missed opportunities and contributing … 11 Jun 2026 Closed After Initial Enquiries James Paget University Hospitals NHS Foundation Trust Ms B complained about her mother's end-of-life care, alleging inadequate nutrition, delayed pain relief, unconsented syringe driver, incorrect medication, poor repositioning, failure to discharge home, …

Systemic investigation reports

Rare, Parliament-facing reports · published occasionally · showing 4 of 4

Mar 2024 Section 10(3) Special Report Women's State Pension age: our findings on injustice and associated issues Investigation into DWP's communication of state pension age changes to women born in the 1950s. Found maladministration in a 28-month delay in writing to affected … Feb 2024 Partly accepted Discharge from mental health care: making it safe and patient-centred Systemic investigation into unsafe discharge from mental health settings. Based on PHSO casework showing patients being discharged without adequate follow-up, safety planning or family involvement. … Jun 2023 Partly accepted Broken trust: making patient safety more than just a promise Systemic investigation into patient safety failings across the NHS, examining how the patient safety system fails to learn from mistakes. Draws on PHSO casework to … Dec 2017 Partly accepted Ignoring the alarms: How NHS eating disorder services are failing patients Systemic investigation into NHS eating disorder services, finding patients failed by inadequate training, poor transition from child to adult services, lack of coordination and insufficient …

Bodies most often named

All years · across investigations

#	Body	Investigations
1	Department for Work and Pensions	4
2	HM Government	3
3	Department of Health and Social Care / NHS England	3
4	Department of Health and Social Care	2
5	NHS England	2

Section 10(3) reports

Reports laid before Parliament

1 Section 10(3) report — these rare reports are laid before Parliament when organisations refuse to comply with PHSO recommendations.

What we do with each report

Methodology

Ingest

Published PDF reports downloaded from ombudsman.org.uk. Full text extracted and stored.

Match

Body name in the report matched to canonical body registry using alias resolution and fuzzy matching.

Theme

Recommendation text classified against clinical and administrative themes using AI classification with human spot-checks.

Outcome

Acceptance status, compliance status and follow-up recommendations extracted and stored against the body record.