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-005403 East Suffolk and North Essex NHS Foundation Trust
Mrs A complained about delays in the emergency department, a missed spinal fracture, delayed pneumonia diagnosis, incorrect isolation, poor observation, …
NHS in England Partly upheld 17 May 2026
P-005145 East Suffolk and North Essex NHS Foundation Trust
Miss J complained three organisations failed to administer her mother's medications, treat diarrhoea, and promptly treat sepsis, alleging premature discharge …
NHS in England Partly upheld 30 Mar 2026
P-004918 East Suffolk and North Essex NHS Foundation Trust
Mr. U complained about the Trust's management of his mother's nutrition, hydration, and the timing of a feeding tube, contributing …
NHS in England Closed 25 Feb 2026
P-004899 East Suffolk and North Essex NHS Foundation Trust
Mrs J complained the Trust failed to proactively manage her husband's pain in the stroke unit and didn't arrange a …
NHS in England Closed 24 Feb 2026
P-004532 East Suffolk and North Essex NHS Foundation Trust
Mrs M complained about Mr M's poor clinical care, including neglected sepsis care, inappropriate DNACPR communication, poor record-keeping, and an …
NHS in England Partly upheld 19 Dec 2025
P-004399 East Suffolk and North Essex NHS Foundation Trust
A patient complained the Trust failed to detect abnormalities on his chest X-ray and delayed cardiology investigations, causing him distress.
NHS in England Closed 4 Dec 2025
P-004401 East Suffolk and North Essex NHS Foundation Trust
Mrs D alleged the Trust failed to test Mr D for flu, leading to a missed AHLE diagnosis and incorrect …
NHS in England Partly upheld 4 Dec 2025
P-004368 East Suffolk and North Essex NHS Foundation Trust
Mrs R complained the Trust failed to administer her mother's Parkinson's medication, provided inadequate care, ignored advanced wishes, and didn't …
NHS in England Closed 28 Nov 2025
P-004506 East Suffolk and North Essex NHS Foundation Trust
Mrs O complained about delayed diagnosis, inadequate investigation of breathlessness, unsafe discharge, and poor management of her sister's kidney function …
NHS in England Upheld 20 Nov 2025
P-004235 East Suffolk and North Essex NHS Foundation Trust
Mr H complained about misdiagnosis and incorrect surgery in 2021, missed opportunities to identify a neck fracture in 2023, and …
NHS in England Closed 11 Nov 2025
P-003446 East Suffolk and North Essex NHS Foundation Trust
Mr O alleged the Trust failed to provide timely tests, treatment, and acted on his concerns for his twin daughters' …
NHS in England Closed 20 Mar 2025
P-003336 East Suffolk and North Essex NHS Foundation Trust
Mr A complained the Trust mismanaged his husband's care, including delayed CT scan review, misleading information, an unnecessary biopsy, and …
NHS in England Closed 27 Feb 2025
P-003335 East Suffolk and North Essex NHS Foundation Trust
Mrs B complained about various failings in her fertility care, including delayed medication, mislabelled tests, poor communication, cancelled procedures, and …
NHS in England Closed 6 Feb 2025
P-003175 East Suffolk and North Essex NHS Foundation Trust
Miss R complained the Trust administered morphine to her mother despite knowing of an allergy, provided poor emergency care, and …
NHS in England Closed 19 Nov 2024
P-003093 East Suffolk and North Essex NHS Foundation Trust
Miss O complained the Trust failed to treat her sister quickly, placed her inappropriately, mismanaged hydration and oxygen, neglected posture, …
NHS in England Partly upheld 16 Oct 2024
P-002924 East Suffolk and North Essex NHS Foundation Trust
Mr A complained ward staff failed to provide proper care for his late mother, including not using a fan for …
NHS in England Closed 3 Sep 2024
P-002799 East Suffolk and North Essex NHS Foundation Trust
Mrs L complained the Trust failed to diagnose her husband's rare brain condition earlier and perform appropriate tests, denying him …
NHS in England Closed 24 Jul 2024
P-002827 East Suffolk and North Essex NHS Foundation Trust
Mrs A questioned why her husband's pancreatic cancer diagnosis was missed across multiple CT scans, believing earlier diagnosis could have …
NHS in England Partly upheld 11 Jul 2024
P-002412 East Suffolk and North Essex NHS Foundation Trust
Mrs E complained the Trust improperly discharged her from its pain management clinic despite a new spinal disc bulge, suspecting …
NHS in England Closed 3 Jan 2024
P-001994 East Suffolk and North Essex NHS Foundation Trust
Mr U complained a nurse incorrectly advised his uncle, Mr E, that his care would be fully funded, leading Mr …
NHS in England Closed 24 May 2023
P-001795 East Suffolk and North Essex NHS Foundation Trust
Mr F complained the Practice missed signs of his wife's brain tumour and the Trust delayed radiotherapy and chemotherapy, potentially …
NHS in England Closed 27 Feb 2023
P-001750 East Suffolk and North Essex NHS Foundation Trust
The Trust failed to include Mr K's manual handling and exercise needs in his discharge summary and care plan, leading …
NHS in England Partly upheld 31 Jan 2023
P-001456 East Suffolk and North Essex NHS Foundation Trust
Mrs H complained her father received incorrect medication, untreated pressure ulcers, insufficient physiotherapy, unconsulted care orders, and a delayed continuing …
NHS in England Partly upheld 15 Jul 2022
P-001418 East Suffolk and North Essex NHS Foundation Trust
Mr L complained the Trust reduced his COVID-19 father's oxygen and stopped antibiotics, commenced palliative care against his will, and …
NHS in England Upheld 16 Jun 2022
P-001276 East Suffolk and North Essex NHS Foundation Trust
Mrs T complained the A&E department failed to refer her for an X-ray or provide appropriate treatment after a fall. …
NHS in England Upheld 24 Jan 2022