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-005525 County Durham and Darlington NHS Foundation Trust
Mrs I complained the Trust failed to properly administer paracetamol, conduct appropriate observations, and neglected her, causing increased risk and …
NHS in England Closed 3 Jun 2026
P-005501 County Durham and Darlington NHS Foundation Trust
Mrs Y complained about an unnecessarily long induction drip, being prescribed enoxaparin for only three months, and delayed referrals to …
NHS in England Partly upheld 28 May 2026
P-005474 County Durham and Darlington NHS Foundation Trust
Mrs L complained STEES delayed changing Mr L’s catheter, which she believed led to missed chemotherapy and premature death. She …
NHS in England Closed 27 May 2026
P-005192 County Durham and Darlington NHS Foundation Trust
Mr Z complained the Trust failed to inform his family of his wife's critical condition, did not treat her for …
NHS in England Closed 6 Apr 2026
P-005074 County Durham and Darlington NHS Foundation Trust
Miss A complained about delays in treatment for her lower back pain from multiple Trusts since 2012, including a failure …
NHS in England Closed 23 Mar 2026
P-004715 County Durham and Darlington NHS Foundation Trust
Ms U complained her father received inadequate assessment, leading to a preventable fall and injury, and cited delayed medication and …
NHS in England Upheld 28 Jan 2026
P-004387 County Durham and Darlington NHS Foundation Trust
Mrs O complained the District Nursing team neglected her mother's hygiene, failed to report concerns or symptoms of organ failure, …
NHS in England Closed 1 Dec 2025
P-004212 County Durham and Darlington NHS Foundation Trust
Mr R alleged the Trust wrongly kept his mother in hospital for a non-life-threatening condition, which he believes led to …
NHS in England Closed 6 Nov 2025
P-003806 County Durham and Darlington NHS Foundation Trust
Ms M complained the Trust delayed a referral and funding application for her son to see an eating specialist, causing …
NHS in England Partly upheld 20 Aug 2025
P-003703 County Durham and Darlington NHS Foundation Trust
Mrs A complained about inadequate medical and midwifery care, including lack of support for bleeding and a doctor refusing examination, …
NHS in England Closed 14 Jul 2025
P-003409 County Durham and Darlington NHS Foundation Trust
Mrs H complained both the Trust and her GP failed to timely investigate her stomach pain and weight loss, delaying …
NHS in England Not upheld 30 Mar 2025
P-003367 County Durham and Darlington NHS Foundation Trust
Mr O complained the Trust discharged his father-in-law without diagnosis, caused preventable pressure sores, made incorrect specialist referrals, and failed …
NHS in England Upheld 26 Mar 2025
P-003322 County Durham and Darlington NHS Foundation Trust
The Trust allegedly provided no clear diagnosis or treatment for Dr V's CRPS, made him feel ignored, and handled his …
NHS in England Closed 24 Feb 2025
P-003054 County Durham and Darlington NHS Foundation Trust
Mr K complained the Trust failed to perform an ultrasound scan and administered anticoagulant medications without checking for internal bleeding, …
NHS in England Closed 13 Oct 2024
P-003094 County Durham and Darlington NHS Foundation Trust
Mrs A complained a DNAR order was placed on her brother without family input, staff made inappropriate comments, IV fluids …
NHS in England Closed 7 Oct 2024
P-003026 County Durham and Darlington NHS Foundation Trust
The Trust included false and damaging information about her in her daughter’s cognitive assessment report, causing mental health deterioration, a …
NHS in England Closed 2 Oct 2024
P-003078 County Durham and Darlington NHS Foundation Trust
Her husband was pressured into an EBUS procedure despite being unfit. Nursing staff failed to identify his deterioration, and his …
NHS in England Partly upheld 1 Oct 2024
P-002950 County Durham and Darlington NHS Foundation Trust
Mrs U complained about poor communication, lack of an overarching care plan, unmet nutrition/hydration needs, and delayed palliative care for …
NHS in England Partly upheld 25 Sep 2024
P-003002 County Durham and Darlington NHS Foundation Trust
Ms K complained the Trust inappropriately transferred her father while he was too unwell and then failed to provide necessary …
NHS in England Partly upheld 11 Sep 2024
P-002902 County Durham and Darlington NHS Foundation Trust
Mrs G complained about her husband's hospital care, including medication dosage, inadequate respiratory treatment, a DNACPR order, and poor communication. …
NHS in England Closed 22 Aug 2024
P-002843 County Durham and Darlington NHS Foundation Trust
Mrs U complained about unprofessional emergency department staff, including incorrect symptom transcription, not being listened to, discussing private matters, repeated …
NHS in England Closed 20 Aug 2024
P-002696 County Durham and Darlington NHS Foundation Trust
Mrs E complained the Trust failed to prevent a fall, provide sufficient pain relief, give clear prognosis information, and had …
NHS in England Not upheld 26 Jun 2024
P-002588 County Durham and Darlington NHS Foundation Trust
Mrs T complained her father received inadequate food and drink, lacked mobility efforts, and had poor record keeping, contributing to …
NHS in England Partly upheld 29 May 2024
P-002654 County Durham and Darlington NHS Foundation Trust
Miss G complained the Trust inappropriately gave her mother end-of-life medication and recorded a DNACPR without family consent, believing it …
NHS in England Closed 2 May 2024
P-002451 County Durham and Darlington NHS Foundation Trust
Mrs H complained her nil-by-mouth father-in-law was given oral medication, missed Parkinson's medication, suffered poor record-keeping, and poor communication, contributing …
NHS in England Closed 29 Feb 2024