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-005542 Royal Free London NHS Foundation Trust
Ms R complained the Trust failed to maintain her caesarean plan, inadequately addressed midwife behaviour, and delayed acknowledging her complaint, …
NHS in England Closed 8 Jun 2026
P-005020 Royal Free London NHS Foundation Trust
Mr L complained the Trust did not provide safe earplugs during an MRI scan, exacerbating his tinnitus, and about the …
NHS in England Closed 11 Mar 2026
P-004972 Royal Free London NHS Foundation Trust
Mr A complained the Trust did not action a referral for an ultrasound-guided aspiration and steroid injection in his knee, …
NHS in England Closed 3 Mar 2026
P-004644 Royal Free London NHS Foundation Trust
Miss A complained Moorfields failed to properly transfer her care and records to Royal Free, causing significant delays and affecting …
NHS in England Partly upheld 20 Jan 2026
P-004320 Royal Free London NHS Foundation Trust
Complaint concerned a Trust's refusal to offer corrective surgery for 'botched' private ear pinning, despite the impact on mental health, …
NHS in England Closed 24 Nov 2025
P-004153 Royal Free London NHS Foundation Trust
Mrs B complained about inappropriate general anaesthetic, delayed investigation and treatment of abdominal pain, and untimely action on blood results, …
NHS in England Partly upheld 20 Oct 2025
P-004015 Royal Free London NHS Foundation Trust
Ms Y complained about her husband's poor skin and bowel care, lack of mobility encouragement, an unnecessary PET scan, discharge …
NHS in England Partly upheld 28 Sep 2025
P-003757 Royal Free London NHS Foundation Trust
Ms O complained about delayed diagnosis/treatment, inappropriate nutrition, and poor complaint handling by the Trust, which she believed contributed to …
NHS in England Closed 1 Aug 2025
P-003590 Royal Free London NHS Foundation Trust
Mrs W complained about negligent care for her husband, including nurses failing to arrange a doctor's visit or ambulance, and …
NHS in England Closed 1 Jun 2025
P-003338 Royal Free London NHS Foundation Trust
Mrs H complained about significant delays between ENT and audiologist appointments for her son, A, delaying diagnosis and specialist referral, …
NHS in England Closed 27 Feb 2025
P-003358 Royal Free London NHS Foundation Trust
Ms A complained the Trust failed to provide her mother with any pain relief prior, during, or immediately after her …
NHS in England Not upheld 11 Feb 2025
P-003258 Royal Free London NHS Foundation Trust
Mr K complains the Practice failed to admit his mother to hospital promptly, and the Trust delayed treatment, communication, and …
NHS in England Closed 10 Dec 2024
P-002627 Royal Free London NHS Foundation Trust
Ms B complained the Trust caused her aunt a leg injury, failed to manage pain and nutrition, and did not …
NHS in England Upheld 30 May 2024
P-002481 Royal Free London NHS Foundation Trust
Miss R complained the Trust failed to resuscitate her newborn son, Baby R, in June 2021, alleging his death was …
NHS in England Closed 22 Feb 2024
P-003910 Royal Free London NHS Foundation Trust
Mr I complained about multiple failings in his daughter's care, including surgical procedure without consent, poor communication, inadequate nursing care …
NHS in England Closed 26 Jul 2023
P-002045 Royal Free London NHS Foundation Trust
Mr O complained that a Trust removed four teeth but left two infected roots, causing ongoing oral and general health …
NHS in England Closed 30 Jun 2023
P-001815 Royal Free London NHS Foundation Trust
Mrs B complained her husband’s kidney cancer was not detected in March 2018, leading to an eight-month diagnosis delay. She …
NHS in England Closed 28 Feb 2023
P-001396 Royal Free London NHS Foundation Trust
Mrs U complained the Trust refused to provide mittens for her mother, causing her to remove her oxygen mask and …
NHS in England Closed 19 May 2022
P-001392 Royal Free London NHS Foundation Trust
Mrs E complained her husband was given an excessive chemotherapy dose while infected, which worsened his condition and caused an …
NHS in England Upheld 12 May 2022
P-001353 Royal Free London NHS Foundation Trust
Miss G complained her mother was discharged without sufficient diagnosis information, necessary equipment, and family visits were denied due to …
NHS in England Closed 29 Apr 2022
P-001348 Royal Free London NHS Foundation Trust
Miss A complained about inadequate care for her father's kidney issues, sepsis, and cardiac problems in 2016-2017, believing it led …
NHS in England Not upheld 2 Mar 2022
P-001220 Royal Free London NHS Foundation Trust
Mrs G and Mr G complained about inadequate care for Mrs S, citing poor condition assessment, delayed response to low …
NHS in England Partly upheld 27 Oct 2021
P-001061 Royal Free London NHS Foundation Trust
Mr E complained ED staff repeatedly failed to diagnose and treat his arm/chest pain, ignoring prior visits and medical history, …
NHS in England Partly upheld 9 Apr 2021