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.

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Decisions

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A dental practice in the Oxford area · P-005850

Decision 28 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary A dental practice incorrectly advised a patient that braces were required before age 18, leading to missed orthodontic treatment, misaligned teeth, and reduced self-confidence.

A practice in the Lincoln area · P-005848

Decision 28 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary The Practice failed to follow up on ECG results, mismanaged appointments, and delayed uploading an urgent psychiatrist's letter, causing Mrs M distress and perceived health risks.

Imperial College Healthcare NHS Trust · P-005846

Decision 28 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary The Trust repeatedly denied her mother needed dialysis, placed her on an end-of-life pathway without family consent, misinformed them, and delayed ICU referral.

Oxford University Hospitals NHS Foundation Trust · P-005841

Decision 28 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary The Trust failed to safely manage medication, pain, and post-operative care, did not make reasonable adjustments for autism, and failed to obtain informed consent.

HM Courts and Tribunals Service · P-005844

Decision 28 July 2026UK GovernmentOutcome: Closed After Initial Enquiries

AI-generated summary HMCTS lost paperwork, failed to respond to emails about evidence, and did not sanction a party for missing a deadline, causing distress and a hearing postponement.

South Tyneside and Sunderland NHS Foundation Trust · P-005842

Decision 28 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary The Trust delayed his surgery due to inconsistent HIV status information, lacked clear theatre procedures for BBV patients, and unfairly issued a Red Card.

Barts Health NHS Trust · P-005832

Decision 27 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr P complained the Trust failed to respond to his allergic reaction, proposed inappropriate surgery, denied a second opinion, stopped him filming, and threatened his wife.

The Royal Wolverhampton NHS Trust · P-005839

Decision 27 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mrs O alleged significant failings in her mother's care before death, including unadministered oxygen, no medical review, poor hydration/nutrition, failure to transfer to ICU, and inappropriate anticipatory medication.

Northern Care Alliance NHS Foundation Trust · P-005838

Decision 27 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Miss R complained her father lacked adequate oxygen and faced delayed chest secretion treatment in January 2024, and insufficient nutrition in March 2024, causing his condition to worsen.

A practice in the Basingstoke and Deane area · P-005834

Decision 27 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Miss B complained an ANP inappropriately prescribed medication, overly relied on computer systems, staff failed to record safety concerns, and the Practice mishandled her complaint.

London Ambulance Service NHS Trust · P-005829

Decision 27 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr F complained the Ambulance Service incorrectly categorised a 999 call, inadequately assessed his grandfather, delayed care, and failed to provide CPR or download defibrillator data.

A practice in the Surrey Heath area · P-005830

Decision 27 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr Q complained his GP and the Trust delayed diagnosing and treating his mother's pancreatitis and failed to provide adequate pain relief, leading to her death.

A practice in the City of Plymouth area · P-005831

Decision 27 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mrs K complained her deceased husband's GP did not properly investigate his COPD symptoms, failed to make appropriate referrals, and mishandled the complaint, leading to his premature death.

Home Office · P-005833

Decision 27 July 2026UK GovernmentOutcome: Closed After Initial Enquiries

AI-generated summary Miss B complained the Home Office did not properly reconsider her mother's WCS application regarding disabilities, employment history, and decisions on banking/driving license categories.

HM Revenue and Customs · P-005835

Decision 27 July 2026UK GovernmentOutcome: Closed After Initial Enquiries

AI-generated summary Ms O complained HMRC stated she was overpaid Working Tax Credits for 2020-21 and demanded repayment, causing her significant stress.

Oxleas NHS Foundation Trust · P-005836

Decision 27 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr D complained the Trust delayed his MRI and psychology referrals and did not support his request for out-of-hours therapy, worsening his complex PTSD symptoms.

A practice in the Southend-on-Sea area · P-005824

Decision 26 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mrs R complained the Practice sent incorrect and delayed referrals for specialist care, alongside poor communication and complaint handling, causing delayed diagnosis and treatment.

A practice in the Wiltshire area · P-005827

Decision 26 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr D complained the Practice failed to refer him to OpRestore early, lost his blood pressure readings, and acted unprofessionally, causing distress and delayed care.

Leeds Teaching Hospitals NHS Trust · P-005826

Decision 26 July 2026NHS in EnglandOutcome: Partly Upheld

AI-generated summary Mrs E complained the Trust failed to provide clear guidance for her second-trimester miscarriage, recommended surgery then advised against it, and handled her complaint dismissively.

Consumer Council for Water (CCW) · P-005821

Decision 26 July 2026UK GovernmentOutcome: Closed After Initial Enquiries

AI-generated summary Mr S complained that CCW failed to handle his complaint properly, not taking agreed action within timescales and causing further financial harm, stress, and frustration.

A practice in the Bradford area · P-005820

Decision 26 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Mr L complained the Practice failed to uphold the Armed Force's Covenant during a July 2025 appointment, not providing appropriate support for his complex PTSD and worsening his suicidal ideation.

A practice in the Leeds area · P-005819

Decision 26 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Miss K complained the Practice failed to respond to her urgent mental health request and provide routine follow-up calls between February and June 2025, causing a serious decline in her mental health.

University Hospitals Coventry and Warwickshire NHS Trust · P-005825

Decision 26 July 2026NHS in EnglandOutcome: Closed After Initial Enquiries

AI-generated summary Miss A complained her father's life could have been saved due to inadequate care from the Trust over several months, leading to his unexpected death and causing her anxiety and trauma.