Source · Ombudsman casework

PHSO Casework Decisions

4,058 published decisions 3,436 Health (NHS) 622 Parliamentary 17% 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 4,058 decisions represent approximately 1.3% of the 319,011 total complaints received across the same period. Source: decisions.ombudsman.org.uk.

Decisions

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Reference Organisation Jurisdiction Outcome Date
P-004126 Lincolnshire Partnership NHS Foundation Trust
Mrs I complained about the care and treatment provided to her son by multiple NHS Trusts from 2011 to 2023, …
NHS in England Closed 22 Oct 2025
P-004136 Harrogate and District NHS Foundation Trust
Mrs E complained her husband received inadequate mouth care, nutrition, fluids, and inappropriate end-of-life decisions, leading to his death and …
NHS in England Closed 22 Oct 2025
P-004131 Chesterfield Royal Hospital NHS Foundation Trust
Mrs A complained the Trust's delayed actions after her son's changed symptoms, including inappropriate tests and slow reporting, led to …
NHS in England Partly upheld 22 Oct 2025
P-004160 Mid and South Essex NHS Foundation Trust
Mrs G complained the Trust administered dapagliflozin without monitoring, failed to provide nutrition, and delayed Mr G's bypass surgery, leading …
NHS in England Partly upheld 22 Oct 2025
P-004154 University Hospitals of North Midlands NHS Trust
Mrs G complained about delayed follow-up, an inappropriate virtual appointment, and failure to act on her husband's symptoms, which she …
NHS in England Closed 22 Oct 2025
P-004220 A practice in the Warrington area
Miss W complained the Practice misdiagnosed her father’s chest complaint as an infection instead of heart failure, failing to recognise …
NHS in England Closed 22 Oct 2025
P-004123 Doncaster and Bassetlaw Teaching Hospitals NHS Fo…
Mrs X complained about multiple failings including misdiagnosis of bowel obstruction, sepsis risk, inappropriate ward placement, and inadequate follow-up, leading …
NHS in England Not upheld 21 Oct 2025
P-004157 Wrightington, Wigan and Leigh Teaching Hospitals …
Ms A complained about care related to her twins' birth in 2008, her daughter's death in 2006, her son's birth …
NHS in England Closed 21 Oct 2025
P-004228 South West Yorkshire Partnership NHS Foundation T…
Mr H complained the Trust took too long to escalate his wife's needs after a fall, leading to delayed diagnosis …
NHS in England Closed 21 Oct 2025
P-004227 The Royal Marsden NHS Foundation Trust
Mr E complained staff did not correctly insert a cannula during a PET scan, causing fluid leakage, pain, a lump, …
NHS in England Closed 20 Oct 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-004219 The Royal Marsden NHS Foundation Trust
Mrs S complained the Trust inappropriately stopped her son's cancer treatment twice, impacting his quality of life, reducing his life …
NHS in England Closed 20 Oct 2025
P-004130 A practice in the Oldham area
Mrs B complained the Trust failed to protect her sister from infection during investigations while she was undergoing chemotherapy, contributing …
NHS in England Partly upheld 19 Oct 2025
P-004215 University Hospitals Birmingham NHS Foundation Tr…
Miss S complained about delayed investigation of her father's deterioration (including sepsis screening), inappropriate questions, delayed medication, and failure to …
NHS in England Closed 19 Oct 2025
P-004132 Oxford University Hospitals NHS Foundation Trust
Dr A complained her mother choked while being fed by a nurse, leading to aspiration pneumonia and death. She also …
NHS in England Upheld 19 Oct 2025
P-004204 University Hospitals Birmingham NHS Foundation Tr…
Mr H complained about incorrect medication instructions, delayed scans/treatment, incorrect prescriptions, lack of mobility assistance, poor communication, and a long …
NHS in England Upheld 16 Oct 2025
P-004150 Alder Hey Children's NHS Foundation Trust
Miss S complained about avoidable surgical complications and delayed cardiac catheterization for her son, E, which she believes led to …
NHS in England Closed 16 Oct 2025
P-004173 HM Courts and Tribunals Service
Mrs H complained HMCTS lost her adoption file and refused to accept responsibility, preventing her from learning about her birth …
UK Government Not upheld 16 Oct 2025
P-004156 Leeds Teaching Hospitals NHS Trust
Mrs A complained the Trust misdiagnosed her husband, ignored her concerns about blood clots, and failed to consider his social …
NHS in England Partly upheld 16 Oct 2025
P-004158 Gloucestershire Hospitals NHS Foundation Trust
Miss G complained about a lack of nurse escalation, surgical review, and delayed treatment for her father, Mr G, after …
NHS in England Partly upheld 15 Oct 2025
P-004162 Wirral University Teaching Hospital NHS Foundatio…
Mr A complained the Trust gave his wife an antibiotic without informing him, left her on a trolley too long, …
NHS in England Partly upheld 15 Oct 2025
P-004175 Bridgewater Community Healthcare NHS Foundation T…
Mr E complained the Trust vaccinated his son against his wishes, ignored safeguarding concerns, provided unbalanced advice, and breached his …
NHS in England Closed 15 Oct 2025
P-004244 Dartford and Gravesham NHS Trust
Mr D complained the Trust administered a medication on 9 September that led to his mother’s sudden death, causing his …
NHS in England Closed 14 Oct 2025
P-004159 Manchester University NHS Foundation Trust
Miss N complained the Trust failed to gain consent for a 'do not resuscitate' order, poorly treated her mother's heart …
NHS in England Not upheld 14 Oct 2025
P-004170 A practice in the Boston area
Mrs H complained the Surgery misdiagnosed her husband, Mr J, failing to identify sepsis, perform observations, or send him to …
NHS in England Partly upheld 14 Oct 2025