PHSO Systemic Investigations

Breaking down the barriers: Older people and complaints about health care

A report providing a number of broad recommendations for healthcare policy makers and organisations to improve older peoples’ experiences of the complaints system.

A review into the quality of NHS complaints investigations where serious or avoidable harm has been alleged

This report explains the findings of our research, highlights the issues we have identified, and sets out the action we believe needs to be taken to improve the quality of NHS investigations.

Report of the results of an investigation into a complaint about High Speed 2 Ltd (HS2 Ltd)

Our report on the results of an investigation into a complaint about High Speed 2 Ltd (HS2 Ltd).

Complaints about UK government departments and agencies and some UK public organisations 2014-15

A report highlighting the complaints about UK government departments and agencies and some UK public organisations 2014-15

Complaints about acute trusts 2014-15

This report details the information we have collected about complaints involving acute trusts in England in 2014‑15.

Dying without dignity

End of life care could be improved for up to 355,000 people a year in England, according to a report published today by the Parliamentary and Health Service Ombudsman

What does our work say about NHS dental charging

This report highlights the confusion surrounding NHS dental charges and is illustrated by summaries from our casework.

My expectations for raising concerns and complaints

This vision aims to align the health and social care sector on what good looks like from the user perspective when raising concerns and complaints about health and social care.

A report by the Parliamentary Ombudsman on an investigation into a complaint about the Electoral Commission

Home Office failures put a family in danger

A report by the Parliamentary Ombudsman on an investigation into a complaint by Mrs A and her family about the Home Office

An avoidable death of a three-year-old child from sepsis

An investigation into a complaint from Mr and Mrs Morrish about The Cricketfield Surgery, NHS Direct, Devon Doctors Ltd, South Devon Healthcare NHS Foundation Trust and NHS Devon Plymouth and Torbay Cluster

Warm Front: how early engagement with the Ombudsman helps to resolve complaints

This report on our investigations into three complaints about the Warm Front scheme shows how a government department has taken positive action in response to our involvement.

Report by the Health Service Ombudsman for England and the Local Government Ombudsman on a joint investigation into a complaint made by Mr D

This is the final report on the investigation into Mr D’s complaint about NHS Plymouth Primary Care Trust (the PCT) and Plymouth Council (the Council).

The Parliamentary Ombudsman’s review of government complaint handling 2013

In this report, we set out the details of complaints about government departments and their agencies in 2013.

Investigation reports concerning the University Hospitals of Morecambe Bay NHS Foundation Trust

The investigations in this report follow the avoidable death of a baby.

Handling allegations of corruption

A report by the Parliamentary Ombudsman on an investigation into a complaint about the Department for International Development

Midwifery supervision and regulation: A report by the Health Service Ombudsman of an investigation into a complaint from Mr L

This is one of three complaints we are publishing which deal with midwifery supervision and regulation under the SHA.

Midwifery supervision and regulation: A report by the Health Service Ombudsman of an investigation into a complaint from Ms Q and Mr R

This is one of three complaints we are publishing which deal with midwifery supervision and regulation under the SHA.

Midwifery supervision and regulation: recommendations for change

This report follows the completion of three investigations into complaints from three families, all of which related to local midwifery supervision and regulation.

Midwifery supervision and regulation: A report by the Health Service Ombudsman of an investigation into a complaint from Mr M

This is one of three complaints we are publishing which deal with midwifery supervision and regulation under the SHA.

Care and treatment in a care home

A report by the Health Service Ombudsman and the Local Government Ombudsman on a joint investigation

Sexual assault abroad

A report by the Parliamentary Ombudsman on an investigation into a complaint about the Foreign and Commonwealth Office

Hospital fails to diagnose breast cancer

A report into how a hospital failed to diagnose breast cancer.

Time to act: Severe sepsis: rapid diagnosis and treatment saves lives

This is our first clinical report. It focuses on ten complaints we investigated about patients with severe sepsis who did not receive the treatment they urgently needed.

Designing good together: transforming hospital complaint handling

This report is about the third piece of research which brought together patients, complainants, carers and NHS staff to participate in a two–day workshop on the NHS Hospital complaints system.