Source · Ombudsmen & enforcement

Parliamentary & Health Service Ombudsman

4 investigations 22 recommendations 4 accepted 2017–2024

Published systemic investigation reports from the PHSO covering complaints against NHS bodies and UK government departments in England. Each report 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

Recent published investigations

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.