Source · Ombudsman casework

PHSO Casework Decisions

4,426 published decisions 3,735 Health (NHS) 691 Parliamentary 17% upheld or partly upheld Range: Apr 2021–Aug 2026

Published casework decisions from the Parliamentary and Health Service Ombudsman. PHSO selects a subset of completed investigations for publication. These 4,426 decisions represent approximately 1.4% of the 319,011 total complaints received across the same period. Source: decisions.ombudsman.org.uk.

Browse systemic investigation reports →

Organisation: Royal Free London NHS Foundation Trust · Remove organisation filter

Decisions

Page 1 of 2

Royal Free London NHS Foundation Trust · P-005791

Decision 20 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr A complained the Trust failed to diagnose his father's infection, dismissed concerns, provided poor communication, and inadequate end-of-life care.

Royal Free London NHS Foundation Trust · P-005589

Decision 17 June 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mrs B complained about her husband's care, including staff attitude, poor infection management, ignored wishes, incorrect catheter insertion, premature blood transfusion termination, and poor communication around his death.

Royal Free London NHS Foundation Trust · P-005591

Decision 17 June 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mrs W complained the Trust declined to replace her leaking breast implant, causing asymmetry, self-esteem issues, and anxiety.

Royal Free London NHS Foundation Trust · P-005542

Decision 8 June 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Ms R complained the Trust failed to maintain her caesarean plan, inadequately addressed midwife behaviour, and delayed acknowledging her complaint, causing psychological distress.

Royal Free London NHS Foundation Trust · P-005020

Decision 11 March 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr L complained the Trust did not provide safe earplugs during an MRI scan, exacerbating his tinnitus, and about the Trust’s complaint response.

Royal Free London NHS Foundation Trust · P-004972

Decision 3 March 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr A complained the Trust did not action a referral for an ultrasound-guided aspiration and steroid injection in his knee, causing pain, distress, and the need for emergency surgery in Bulgaria.

Royal Free London NHS Foundation Trust · P-004644

Decision 20 January 2026NHS in EnglandOutcome: Partly Upheld

AI-generated summary Miss A complained Moorfields failed to properly transfer her care and records to Royal Free, causing significant delays and affecting her eyesight. She also cited poor complaint handling.

Royal Free London NHS Foundation Trust · P-004320

Decision 24 November 2025NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Complaint concerned a Trust's refusal to offer corrective surgery for 'botched' private ear pinning, despite the impact on mental health, stating it was a cosmetic procedure.

Royal Free London NHS Foundation Trust · P-004153

Decision 20 October 2025NHS in EnglandOutcome: Partly Upheld

AI-generated summary Mrs B complained about inappropriate general anaesthetic, delayed investigation and treatment of abdominal pain, and untimely action on blood results, which contributed to her mother's death.

Royal Free London NHS Foundation Trust · P-004015

Decision 28 September 2025NHS in EnglandOutcome: Partly Upheld

AI-generated summary Ms Y complained about her husband's poor skin and bowel care, lack of mobility encouragement, an unnecessary PET scan, discharge delays, and hospital-acquired pneumonia which she believed led to his death.

Royal Free London NHS Foundation Trust · P-003757

Decision 1 August 2025NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Ms O complained about delayed diagnosis/treatment, inappropriate nutrition, and poor complaint handling by the Trust, which she believed contributed to her mother's death.

Royal Free London NHS Foundation Trust · P-003590

Decision 1 June 2025NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mrs W complained about negligent care for her husband, including nurses failing to arrange a doctor's visit or ambulance, and long waits in ED, which she believes contributed to his death.

Royal Free London NHS Foundation Trust · P-003338

Decision 27 February 2025NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mrs H complained about significant delays between ENT and audiologist appointments for her son, A, delaying diagnosis and specialist referral, causing hearing deterioration and pain.

Royal Free London NHS Foundation Trust · P-003358

Decision 11 February 2025NHS in EnglandOutcome: Not Upheld

AI-generated summary Ms A complained the Trust failed to provide her mother with any pain relief prior, during, or immediately after her pelvic binder fitting, causing immense pain, distress, and a decline in her mother's abilities.

Royal Free London NHS Foundation Trust · P-003258

Decision 10 December 2024NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr K complains the Practice failed to admit his mother to hospital promptly, and the Trust delayed treatment, communication, and placed a COVID-positive patient in her room.

Royal Free London NHS Foundation Trust · P-002627

Decision 30 May 2024NHS in EnglandOutcome: Upheld

AI-generated summary Ms B complained the Trust caused her aunt a leg injury, failed to manage pain and nutrition, and did not prevent pressure sores, contributing to her death.

Royal Free London NHS Foundation Trust · P-002481

Decision 22 February 2024NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Miss R complained the Trust failed to resuscitate her newborn son, Baby R, in June 2021, alleging his death was avoidable due to the Trust's actions.

Royal Free London NHS Foundation Trust · P-003910

Decision 26 July 2023NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr I complained about multiple failings in his daughter's care, including surgical procedure without consent, poor communication, inadequate nursing care leading to pressure sores, and untreated infections.

Royal Free London NHS Foundation Trust · P-002045

Decision 30 June 2023NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr O complained that a Trust removed four teeth but left two infected roots, causing ongoing oral and general health problems discovered years later.

Royal Free London NHS Foundation Trust · P-001815

Decision 28 February 2023NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mrs B complained her husband’s kidney cancer was not detected in March 2018, leading to an eight-month diagnosis delay. She believes earlier diagnosis could have improved his prognosis.

Royal Free London NHS Foundation Trust · P-001396

Decision 19 May 2022NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mrs U complained the Trust refused to provide mittens for her mother, causing her to remove her oxygen mask and die.

Royal Free London NHS Foundation Trust · P-001392

Decision 12 May 2022NHS in EnglandOutcome: Upheld

AI-generated summary Mrs E complained her husband was given an excessive chemotherapy dose while infected, which worsened his condition and caused an earlier death.

Royal Free London NHS Foundation Trust · P-001353

Decision 29 April 2022NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Miss G complained her mother was discharged without sufficient diagnosis information, necessary equipment, and family visits were denied due to COVID-19 restrictions.

Royal Free London NHS Foundation Trust · P-001348

Decision 2 March 2022NHS in EnglandOutcome: Not Upheld

AI-generated summary Miss A complained about inadequate care for her father's kidney issues, sepsis, and cardiac problems in 2016-2017, believing it led to his death and caused the family severe distress.

Royal Free London NHS Foundation Trust · P-001220

Decision 27 October 2021NHS in EnglandOutcome: Partly Upheld

AI-generated summary Mrs G and Mr G complained about inadequate care for Mrs S, citing poor condition assessment, delayed response to low blood pressure/confusion, and issues with both operations.