Source · Ombudsman casework

PHSO Casework Decisions

4,026 published decisions 3,412 Health (NHS) 614 Parliamentary 18% upheld or partly upheld Range: Apr 2021–Jun 2026

Published casework decisions from the Parliamentary and Health Service Ombudsman. PHSO selects a subset of completed investigations for publication — these 4,026 decisions represent approximately 1.3% of the 319,000 total complaints received across the same period. Source: decisions.ombudsman.org.uk.

Decisions

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Reference Organisation Jurisdiction Outcome Date
P-005412 University Hospitals Birmingham NHS Foundation Tr…
Mrs I complained the Trust failed to monitor her anti-D levels during her second pregnancy and did not explain the …
NHS in England Partly upheld 18 May 2026
P-005385 University Hospitals Birmingham NHS Foundation Tr…
The Trust missed opportunities to diagnose her mother's cancer and handled the subsequent complaint poorly, causing significant distress and prolonged …
NHS in England Upheld 13 May 2026
P-005367 University Hospitals Birmingham NHS Foundation Tr…
The Trust failed to document her family's questions about her mother's care, often denying they were asked, which caused avoidable …
NHS in England Closed 11 May 2026
P-005338 University Hospitals Birmingham NHS Foundation Tr…
Ms D complained a doctor performed an episiotomy without consent, forcibly removed her placenta, and gave stitches without pain relief …
NHS in England Closed 4 May 2026
P-005291 University Hospitals Birmingham NHS Foundation Tr…
Mrs B complained Trust staff used too much water to flush her husband's feeding tube, causing him to vomit, aspirate, …
NHS in England Closed 26 Apr 2026
P-005217 University Hospitals Birmingham NHS Foundation Tr…
Mrs P complained the Trust failed to identify her husband's cancer, provided poor inpatient care, and confusingly communicated his diagnosis …
NHS in England Closed 13 Apr 2026
P-005159 University Hospitals Birmingham NHS Foundation Tr…
Mrs M complained about multiple care failures for her daughter, including treatment delays, a dirty room, a mistaken injection, poor …
NHS in England Closed 30 Mar 2026
P-005127 University Hospitals Birmingham NHS Foundation Tr…
Miss A complained about restricted visits, catheterization without consent, lack of inhaler, and discharge with an unexplained wound, causing her …
NHS in England Closed 27 Mar 2026
P-005065 University Hospitals Birmingham NHS Foundation Tr…
Mr B complained about the care his wife received from the Trust following a liver biopsy, stating that complications arose …
NHS in England Closed 19 Mar 2026
P-004931 University Hospitals Birmingham NHS Foundation Tr…
Ms A complained the Trust failed to investigate and act on her brother's abdominal swelling after surgery, leading to a …
NHS in England Closed 26 Feb 2026
P-004905 University Hospitals Birmingham NHS Foundation Tr…
Mrs D complained the Trust incorrectly sutured her following an episiotomy, causing severe pain, discomfort, and psychological impact after childbirth.
NHS in England Closed 25 Feb 2026
P-004917 University Hospitals Birmingham NHS Foundation Tr…
Mrs. A complained about the Trust's failure to monitor her mother's nutrition/hydration, a missed call bell, lack of discharge discussion/care …
NHS in England Closed 25 Feb 2026
P-004891 University Hospitals Birmingham NHS Foundation Tr…
Miss I complained the Trust didn't provide additional pain relief, consider her SPD, or explain ventouse/episiotomy risks during labour, causing …
NHS in England Upheld 24 Feb 2026
P-004896 University Hospitals Birmingham NHS Foundation Tr…
Mrs L complained that the Trust mistreated her father by forcing oral medication and rubbing his injured back hard, causing …
NHS in England Partly upheld 24 Feb 2026
P-004730 University Hospitals Birmingham NHS Foundation Tr…
Miss E complained the Trust gave inadequate advice on kidney dialysis, discharged her without proper instructions or medication, was rude, …
NHS in England Closed 29 Jan 2026
P-004714 University Hospitals Birmingham NHS Foundation Tr…
Mr A complained his father was sexually assaulted by another patient, alleging the Trust knew of the risk but failed …
NHS in England Closed 28 Jan 2026
P-004713 University Hospitals Birmingham NHS Foundation Tr…
Miss A complained the Trust incorrectly applied glue and steri-strips to her son's facial wound and gave no aftercare advice, …
NHS in England Upheld 28 Jan 2026
P-004690 University Hospitals Birmingham NHS Foundation Tr…
Mrs A complained her mother was injured by a faulty dialysis chair, the incident was undocumented, and the Trust failed …
NHS in England Closed 27 Jan 2026
P-004630 University Hospitals Birmingham NHS Foundation Tr…
Ms R complained the Trust failed to give her mother accurate surgical risk information, didn't review medical records, and ignored …
NHS in England Partly upheld 19 Jan 2026
P-004537 University Hospitals Birmingham NHS Foundation Tr…
Miss L complained the Trust failed to treat a gastrointestinal perforation during surgery, provided inappropriate aftercare, and delayed treatment for …
NHS in England Closed 22 Dec 2025
P-004530 University Hospitals Birmingham NHS Foundation Tr…
Miss H complained the Trust incorrectly applied a DNACPR, withheld medication, misrecorded weight, and undignified care for her father. She …
NHS in England Closed 19 Dec 2025
P-004520 University Hospitals Birmingham NHS Foundation Tr…
Miss E complained about her grandfather's hospital care, alleging discharge without treatment/diagnosis or a care package, poor fluid monitoring, and …
NHS in England Closed 18 Dec 2025
P-004473 University Hospitals Birmingham NHS Foundation Tr…
Mrs U complained her sister, Ms A, experienced delayed pain relief, untimely personal care, and inadequate prevention/treatment of C. difficile, …
NHS in England Upheld 16 Dec 2025
P-004464 University Hospitals Birmingham NHS Foundation Tr…
Mrs O complained about her father's care, citing unclear DNACPR status, delayed CPR, unnecessary sedation, poor communication, and lack of …
NHS in England Closed 12 Dec 2025
P-004425 University Hospitals Birmingham NHS Foundation Tr…
The Trust failed to communicate adequately with his mother and family, didn't perform a rectal exam, and didn't follow an …
NHS in England Upheld 27 Nov 2025