Source · Ombudsman casework

PHSO Casework Decisions

4,437 published decisions 3,745 Health (NHS) 692 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 4,437 decisions represent approximately 1.4% of the 319,011 total complaints received across the same period. Source: decisions.ombudsman.org.uk.

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Decisions

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The Dudley Group NHS Foundation Trust · P-005260

Decision 21 April 2026NHS in EnglandOutcome: Partly Upheld

AI-generated summary Mr R complained about poor investigation and treatment of his mother's heart condition, delayed SALT assessment, failure to treat sepsis, lack of support for nutrition, inadequate pain relief, and poor communication about her prognosis.

Medway NHS Foundation Trust · P-005259

Decision 21 April 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Miss N complained the Trust failed to update next of kin details, incorrectly recorded MRSA, left her mother in pain without observations, and caused a back fracture, contributing to her mother's death.

Legal Aid Agency · P-005264

Decision 21 April 2026UK GovernmentOutcome: Closed After Initial Enquiries

AI-generated summary Mr E complained the Legal Aid Agency pursued him for a debt of £3,586.50 due to an incorrect change of address, leading him to miss correspondence and be unaware of outstanding payments.

Department for Work and Pensions · P-005261

Decision 21 April 2026UK GovernmentOutcome: Closed After Initial Enquiries

AI-generated summary Mr D complained the DWP mishandled his benefits, wrongly assessing PIP, misadvising him onto UC, failing to carry out supersession, and refusing a video call reasonable adjustment, causing distress and homelessness.

HM Courts and Tribunals Service · P-005265

Decision 21 April 2026UK GovernmentOutcome: Closed After Initial Enquiries

AI-generated summary Mr I complained HMCTS lost his Help with Fees application and fee, failed to respond to his complaint promptly, and did not address his concerns, causing severe emotional and psychological impact.

East Lancashire Hospitals NHS Trust · P-005263

Decision 21 April 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mrs U complained the Trust misdiagnosed her with chronic pancreatitis in 2019 and failed to communicate correct CT scan results in March 2023, causing prolonged pain and stress.

North Bristol NHS Trust · P-005252

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

AI-generated summary Mr I complained the Trust charged him and his wife for fertility investigations without prior notification, despite being explicitly told they would not be charged, causing significant emotional and financial trauma.

An independent provider in the Merton area · P-005255

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

AI-generated summary Ms G complained a consultant performed a sacrocolpopexy operation without correct diagnosis or testing, causing a perineal hernia and leading to daily physical pain and inability to work.

Midlands Partnership University NHS Foundation Trust · P-005256

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

AI-generated summary Mrs Q complained the Trust delayed transferring her daughter, Miss V, to a different clinician and ignored letters from her GP, leading to a deterioration in Miss V's mental health and physical symptoms.

Manchester University NHS Foundation Trust · P-005254

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

AI-generated summary Mr F complained the NCA perforated his wife's oesophagus during a procedure, and MFT prematurely discharged her, leading to ongoing complications and her subsequent death.

South East Coast Ambulance Service NHS Foundation Trust · P-005257

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

AI-generated summary Mr E complained the Trust did not categorise his calls as an emergency, delaying an ambulance for his mother, Mrs E, and causing her to miss timely treatment before her death.

The Newcastle Upon Tyne Hospitals NHS Foundation Trust · P-005251

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

AI-generated summary Mrs L complained the Trust performed surgery causing detrimental effects, dismissed her pain, recorded inaccurate notes, discharged her too early, delayed follow-up, and misdiagnosed a skull fracture and brain fluid leak.

Barnsley Hospital NHS Foundation Trust · P-005253

Decision 20 April 2026NHS in EnglandOutcome: Upheld

AI-generated summary Mrs A complained the Trust disconnected her husband’s oxygen, which caused a sudden deterioration in his condition and led to his death.

University Hospitals Plymouth NHS Trust · P-005247

Decision 19 April 2026NHS in EnglandOutcome: Upheld

AI-generated summary Ms U complains the Trust failed to follow up kidney stone scans, provide appropriate ADHD/Autism support, and give sufficient hydration.

A practice in the Arun area · P-005249

Decision 19 April 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr A complains the Practice prescribed medication unsafely, stopped diazepam abruptly, failed to raise safeguarding concerns, and removed him in retaliation.

Nottingham University Hospitals NHS Trust · P-005246

Decision 19 April 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr [name redacted] complained about an ineffectively performed penile prosthesis procedure, inadequate care due to staff disbelief of his mobility issues, and unsafe discharges without proper risk assessment. He also cited staff blaming his distress behaviour.

A practice in the Guildford area · P-005250

Decision 19 April 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary A nurse made safeguarding referrals without informing Mr N and based on fictitious evidence, causing distress and loss of trust.

Calderdale and Huddersfield NHS Foundation Trust · P-005243

Decision 19 April 2026NHS in EnglandOutcome: Partly Upheld

AI-generated summary Mrs M complained the Trust failed to recognise her daughter’s severe medical condition in the emergency department, leading to delayed triage, incorrect priority, and delayed doctor assessments, potentially contributing to her death.

South East Coast Ambulance Service NHS Foundation Trust · P-005244

Decision 19 April 2026NHS in EnglandOutcome: Not Upheld

AI-generated summary Mrs N complained a GP practice, Community Trust, and Ambulance Trust failed to provide appropriate care for her husband, causing missed opportunities that could have prevented his death, regarding hospital attendance and pressure ulcer management.

Department for Work and Pensions · P-005242

Decision 19 April 2026UK GovernmentOutcome: Closed After Initial Enquiries

AI-generated summary Ms B complains DWP failed to contact her about an overpayment, inappropriately issued Direct Earnings Attachments, and continued recovery. ICE also refused to contact her employer.

Department for Work and Pensions · P-005248

Decision 19 April 2026UK GovernmentOutcome: Closed After Initial Enquiries

AI-generated summary DWP provided contradictory pension forecasts, inaccurately recorded entitlements, and gave incorrect advice on voluntary contributions, causing distress and financial difficulties.

North West Anglia NHS Foundation Trust · P-005240

Decision 19 April 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary The Trust missed a CT scan opportunity, treated his wife for heart failure she didn't have, didn't fully investigate symptoms, and discharged her without a plan.

An independent provider in the Hillingdon area · P-005395

Decision 19 April 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary The Provider mismanaged her ADHD assessment by recording incorrect information, resulting in an inaccurate outcome and delaying her diagnosis and treatment.

An independent provider in the Hillingdon area · P-005241

Decision 19 April 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Ms Y complains Harrow Health CIC mismanaged her ADHD assessment, recording incorrect information and resulting in an incorrect outcome.