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-004791 Gateshead Health NHS Foundation Trust
Mrs C complained about difficulties obtaining pain relief during labour, including delays and failure to discuss all options with her.
NHS in England Closed 9 Feb 2026
P-004432 Gateshead Health NHS Foundation Trust
Mrs T complains about her husband's care and says diagnosing his cardiological condition was delayed. She also complains there was …
NHS in England Upheld 28 Nov 2025
P-003743 Gateshead Health NHS Foundation Trust
Miss R complained the Trust prescribed an excessively high dose of zopiclone alongside other sedatives to her oxygen-dependent mother, believing …
NHS in England Closed 11 Aug 2025
P-003453 Gateshead Health NHS Foundation Trust
Mrs H complained about Miss E's delayed toilet access after an enema and inadequate care, risk assessments, and one-to-one nursing, …
NHS in England Partly upheld 30 Mar 2025
P-002963 Gateshead Health NHS Foundation Trust
Mrs R complained the Trust inappropriately discharged her mother twice, failed to consider her support needs, kept poor records, and …
NHS in England Closed 26 Sep 2024
P-002765 Gateshead Health NHS Foundation Trust
Mrs N complained about the hospital's management of her mother's fall risk, leading to three preventable falls, and the Trust's …
NHS in England Upheld 14 Jul 2024
P-002653 Gateshead Health NHS Foundation Trust
Mr E complained the Trust wrongly put his mother on end-of-life care with excessive sedation, accelerating her death in 2018.
NHS in England Closed 15 May 2024
P-002496 Gateshead Health NHS Foundation Trust
Ms A complained the Trust did not properly assess her father’s continence and falls risk, leading to him falling and …
NHS in England Upheld 11 Mar 2024
P-002420 Gateshead Health NHS Foundation Trust
Mr A complained the Trust failed to biopsy or regularly scan a lung growth from 2017-2019, delaying a cancer diagnosis …
NHS in England Closed 8 Jan 2024
P-003900 Gateshead Health NHS Foundation Trust
The Trust allegedly performed an incorrect total knee replacement, then failed to take Mr E's concerns about complications seriously.
NHS in England Closed 1 Sep 2023
P-001680 Gateshead Health NHS Foundation Trust
There was poor communication, medication errors, incorrect NHS numbers on a DNACPR, and unsatisfactory discharge risk assessment during the patient's …
NHS in England Closed 14 Dec 2022
P-001830 Gateshead Health NHS Foundation Trust
Mrs O complained the Trust failed to communicate the severity of her mother's condition and provide updates, leading to her …
NHS in England Closed 10 Nov 2022
P-001534 Gateshead Health NHS Foundation Trust
Mrs I complained staff made insensitive comments and performed unnecessary observation checks on her mother while she was approaching end-of-life …
NHS in England Closed 30 Sep 2022
P-001469 Gateshead Health NHS Foundation Trust
Miss A complained the Trust failed to sufficiently investigate her thyroid pain in October 2019, despite her ongoing discomfort affecting …
NHS in England Closed 25 Jul 2022
P-001111 Gateshead Health NHS Foundation Trust
Mr T complained ED staff inadequately investigated his dislocated toe and orthopaedic care was severely delayed for a year, causing …
NHS in England Partly upheld 30 Sep 2021