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

Page 1 of 1
Reference Organisation Jurisdiction Outcome Date
P-005538 Royal Devon University Healthcare NHS Foundation …
Ms D complained the Trust refused to re-examine a new breast lump found after a mammogram, causing her mental distress …
NHS in England Closed 7 Jun 2026
P-005013 Royal Devon University Healthcare NHS Foundation …
Mrs A complained the Trust did not properly assess her father and allowed him to eat solid food, leading to …
NHS in England Closed 10 Mar 2026
P-004683 Royal Devon University Healthcare NHS Foundation …
Mrs S complained the Trust incorrectly discharged her from spinal care, provided insufficient discharge information, gave vague explanations, and failed …
NHS in England Closed 26 Jan 2026
P-004450 Royal Devon University Healthcare NHS Foundation …
Mr B complained the Trust inappropriately changed his planned anaesthetic for catheter insertion, causing trauma, bleeding, and triggering PTSD due …
NHS in England Partly upheld 10 Dec 2025
P-004412 Royal Devon University Healthcare NHS Foundation …
Mrs A complained the Trust incorrectly charged her mother for Acute Healthcare At Home care without consent, causing her significant …
NHS in England Closed 3 Dec 2025
P-004353 Royal Devon University Healthcare NHS Foundation …
The consultant refused a PICC line, leading to 66 cannulations, wrongly referred Ms H for psychiatric issues, and dismissed her …
NHS in England Closed 27 Nov 2025
P-004304 Royal Devon University Healthcare NHS Foundation …
Mrs K complained about her husband's inadequate pain management, delayed communication of his cancer's spread, and slow involvement of the …
NHS in England Partly upheld 20 Nov 2025
P-003648 Royal Devon University Healthcare NHS Foundation …
Mr A complained the Trust failed to consider all his symptoms, monitor his blood appropriately, and follow an appropriate medication …
NHS in England Closed 30 Jul 2025
P-003320 Royal Devon University Healthcare NHS Foundation …
Mrs A complained about her daughter's post-operative care, alleging the Trust dismissed infection symptoms, delayed antibiotics, triggering an MS flare, …
NHS in England Closed 19 Feb 2025
P-003297 Royal Devon University Healthcare NHS Foundation …
Mrs E complained Royal Devon University Healthcare NHS Foundation Trust staff failed to communicate with her and her son, inappropriately …
NHS in England Partly upheld 9 Jan 2025
P-003010 Royal Devon University Healthcare NHS Foundation …
Mr E complained the cardiology team inappropriately discharged him, that he was exposed to flu in poor conditions, and the …
NHS in England Closed 14 Oct 2024
P-002991 Royal Devon University Healthcare NHS Foundation …
Mr O complained the Trust failed to treat his back pain in A&E and unfairly labelled him as aggressive, discharging …
NHS in England Closed 18 Sep 2024
P-002971 Royal Devon University Healthcare NHS Foundation …
Mrs I complained her mother received no pain relief as an inpatient, underwent treatments outside her care plan, and the …
NHS in England Closed 13 Sep 2024
P-002856 Royal Devon University Healthcare NHS Foundation …
Mrs O complained the Trust failed to conduct appropriate investigations and attempted an inappropriate discharge, causing profound worry and loss …
NHS in England Closed 27 Aug 2024
P-002760 Royal Devon University Healthcare NHS Foundation …
Mr R complained about his father's care, including being left shoeless, unclean sheets, cold food, an open window, staff comments …
NHS in England Closed 24 Jul 2024
P-002632 Royal Devon University Healthcare NHS Foundation …
Mr H complained the Trust's paediatrician mismanaged his grandson's medication and lacked leadership, causing his mental health to deteriorate.
NHS in England Closed 8 May 2024
P-002541 Royal Devon University Healthcare NHS Foundation …
Ms V complained staff in A&E did not properly assess her or provide follow-up advice after an accident, leading to …
NHS in England Upheld 29 Apr 2024
P-002370 Royal Devon University Healthcare NHS Foundation …
Mrs N complained the Trust delayed her double hip replacement due to a physiotherapist incorrectly referring her for spinal investigations, …
NHS in England Not upheld 8 Dec 2023
P-001972 Royal Devon University Healthcare NHS Foundation …
Ms D complained about the 2014 prescription of Isotretinoin for acne rosacea, alleging it caused severe side effects affecting her …
NHS in England Closed 4 Apr 2023