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-004135 A practice in the Worthing area
The Practice failed to manage her father's worsening health, coordinate care, or act on deteriorating kidney function. A treatment centre …
NHS in England Closed 2 Oct 2025
P-004246 South East Coast Ambulance Service NHS Foundation…
The Trust's call handler incorrectly triaged her aunt's 999 stroke calls, delaying ambulance dispatch and transport to a specialist hospital, …
NHS in England Closed 2 Oct 2025
P-004165 Barking, Havering and Redbridge University Hospit…
His aunt was incorrectly told her cancer had spread and treated as palliative without family consultation, receiving substandard care. He …
NHS in England Closed 1 Oct 2025
P-004176 University Hospitals Birmingham NHS Foundation Tr…
The Trust failed to properly investigate her mother's bowel symptoms, missing a blockage, which, combined with continued feeding and enemas, …
NHS in England Upheld 1 Oct 2025
P-004179 Ashford and St Peter's Hospitals NHS Foundation T…
The Trust diagnosed her sister with stage four lung cancer too late, focusing on infection and delaying a PET scan, …
NHS in England Closed 1 Oct 2025
P-004218 A practice in the Sheffield area
The Practice refused blood tests for poisoning, and the Trust later refused to remove a "delusional disorder" diagnosis, which Mr …
NHS in England Closed 30 Sep 2025
P-004024 South Western Ambulance Service NHS Foundation Tr…
The Trust incorrectly categorised 999 calls and delayed sending an ambulance for her husband, which Mrs L believes caused irreparable …
NHS in England Closed 30 Sep 2025
P-004068 A practice in the Ribble Valley area
The Practice provided inadequate care and failed to promptly diagnose IBS or parasitic infections, exacerbated by inaccurate medical records, causing …
NHS in England Closed 30 Sep 2025
P-004055 A practice in the Stockton-on-Tees area
Miss L complained a GP failed to refer her father for specialist care despite a stool sample indicating leukaemia and …
NHS in England Closed 29 Sep 2025
P-003985 Buckinghamshire Healthcare NHS Trust
Miss F complained about poor nutritional monitoring, inappropriate pain relief, delayed re-insertion of a nephrostomy tube, and failure to identify …
NHS in England Partly upheld 29 Sep 2025
P-004077 Barts Health NHS Trust
Mr W complained the Trust unsafely discharged his mother multiple times without adequately treating her pneumonia, leading to her deterioration …
NHS in England Closed 29 Sep 2025
P-003991 Mid and South Essex NHS Foundation Trust
Miss E complained about delayed investigation of her mother's ear symptoms and high blood pressure, and poor pain management during …
NHS in England Partly upheld 29 Sep 2025
P-004108 London North West University Healthcare NHS Trust
The Trust performed a high-risk gastroscopy on her son, N, without proper consent, as he lacked capacity, and did not …
NHS in England Not upheld 29 Sep 2025
P-003967 Surrey and Borders Partnership NHS Foundation Tru…
Mrs E complained the Trust misdiagnosed her son's psychotic crisis as autistic behavior and failed to conduct a senior psychiatric …
NHS in England Closed 29 Sep 2025
P-004036 West Midlands Ambulance Service University NHS Fo…
Miss N complained it took six hours for an ambulance to arrive for her brother, who was struggling to breathe, …
NHS in England Closed 29 Sep 2025
P-004079 University Hospitals Coventry and Warwickshire NH…
The Trust dismissed her mother's symptoms, delayed surgery, provided poor nutritional care, misused a feeding tube, and communicated poorly, leading …
NHS in England Partly upheld 29 Sep 2025
P-003982 Legal Aid Agency
Miss X complained the Legal Aid Agency failed to provide a breakdown of costs, a final bill, or an estimate …
UK Government Closed 29 Sep 2025
P-003941 Leeds Teaching Hospitals NHS Trust
Miss B complained Hospital B staff did not monitor or act on her mother’s deterioration, leading to her death. She …
NHS in England Closed 29 Sep 2025
P-004002 Sherwood Forest Hospitals NHS Foundation Trust
Miss U complained her mother lost her dentures while under Trust care, affecting her ability to eat. She also complained …
NHS in England Closed 29 Sep 2025
P-004086 University Hospitals Sussex NHS Foundation Trust
The Trust provided inadequate care to her husband, including minimal senior review, inappropriate medication, poor pain management, and a fall …
NHS in England Partly upheld 29 Sep 2025
P-004030 Doncaster and Bassetlaw Teaching Hospitals NHS Fo…
Mrs W complained the Trust failed to diagnose her husband's leukaemia earlier and delayed sepsis treatment, contributing to his death. …
NHS in England Partly upheld 29 Sep 2025
P-004205 A practice in the Darlington area
Ms O complained the Practice failed to detect or refer her father for a serious ear infection (MOE) and breached …
NHS in England Partly upheld 28 Sep 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-003917 Sheffield Teaching Hospitals NHS Foundation Trust
Ms R complained the Trust failed to provide adequate care for her brother, Mr S, including not giving antibiotics, fluids, …
NHS in England Closed 26 Sep 2025
P-004114 Care Quality Commission
Miss A complained about significant delays by the CQC in issuing her business registration, requiring multiple applications. She stated these …
UK Government Closed 25 Sep 2025