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-002788 University Hospitals of Leicester NHS Trust
A mother complained her son received inconsistent care, no diagnosis, unnecessary treatment withdrawal, and inappropriate discharge, potentially causing permanent brain …
NHS in England Closed 13 Aug 2024
P-002897 North Tees and Hartlepool NHS Foundation Trust
A complainant alleged inadequate supervision by the Trust led to her mother suffering two falls, which she believes contributed to …
NHS in England Closed 13 Aug 2024
P-002890 Doncaster and Bassetlaw Teaching Hospitals NHS Fo…
A patient complained about poor A&E care for sepsis, including being on a trolley without bedding, unmonitored fluids, untimely treatment, …
NHS in England Closed 13 Aug 2024
P-002873 Wrightington, Wigan and Leigh Teaching Hospitals …
A complainant alleged the Trust failed to consider her husband's ulcer history or perform a gastroscopy, contributing to his death, …
NHS in England Closed 12 Aug 2024
P-002841 Shrewsbury and Telford Hospital NHS Trust
Mr W complained his wife's food poisoning was not appropriately treated, with incorrect fluid/antibiotic regimes due to a test result …
NHS in England Partly upheld 11 Aug 2024
P-002896 A practice in the Tameside area
Miss H complained the Trust and Practice failed to diagnose her son's pyloric stenosis, dismissed her concerns, and delayed hospital …
NHS in England Closed 11 Aug 2024
P-002903 Sheffield Teaching Hospitals NHS Foundation Trust
Mr K complained the Practice failed to recognise his sister's deterioration and delayed appropriate referrals after her fall, contributing to …
NHS in England Partly upheld 11 Aug 2024
P-002884 UK Visas and Immigration (UKVI)
Dr O complained UKVI refused to refund money paid for three applications for UK settlement and associated Immigration Health Surcharges.
UK Government Closed 11 Aug 2024
P-002838 A practice in the North West London area
Miss A complained about inadequate care for her mother's chesty cough and poor communication, leading to delayed diagnosis of pneumonia …
NHS in England Closed 8 Aug 2024
P-002886 Devon Partnership NHS Trust
Ms I complained about long waiting lists at a gender identity clinic and NHS England's failure to reduce wait times, …
NHS in England Closed 8 Aug 2024
P-002883 A practice in the Solihull area
Miss A complained the Practice failed to identify her breast cancer or refer her for relevant tests, despite her feeling …
NHS in England Closed 8 Aug 2024
P-002863 Homerton Healthcare NHS Foundation Trust
Mrs L complained about her mother's investigation, treatment, medication, dementia care, and communication, questioning if her death was avoidable.
NHS in England Partly upheld 7 Aug 2024
P-002876 Warrington and Halton Hospitals NHS Foundation Tr…
Mr P complained staff gave him flucloxacillin despite an allergy and about poor nursing management of his skin condition dressings, …
NHS in England Partly upheld 7 Aug 2024
P-002899 Liverpool University Hospitals NHS Foundation Tru…
Mr U complained staff over-administered medication, gave him Madopar causing hallucinations, and failed to provide physiotherapy, delaying discharge and worsening …
NHS in England Closed 7 Aug 2024
P-002880 Bedfordshire Hospitals NHS Foundation Trust
Miss Y complained about delayed fractured pelvis diagnosis, poor pain management, inadequate hydration, poor blood sugar monitoring, and delayed atrial …
NHS in England Closed 6 Aug 2024
P-002861 University Hospitals Sussex NHS Foundation Trust
Miss and Mrs Q complained staff stopped Mr Q’s medication and delayed a syringe driver when he was on the …
NHS in England Closed 6 Aug 2024
P-002895 Northumbria Healthcare NHS Foundation Trust
Mrs O complained staff incorrectly informed her about early scan criteria, failed to advise self-referral, and midwives missed opportunities to …
NHS in England Upheld 5 Aug 2024
P-002907 South Central Ambulance Service NHS Foundation Tr…
Miss A complained SCAS ambulance crews failed to provide treatment or observations to her son, whose capacity was compromised, leading …
NHS in England Closed 5 Aug 2024
P-002870 Nottinghamshire Healthcare NHS Foundation Trust
Mr E complained the Trust neglected his mental health care by missing appointments and failing to provide a CPN or …
NHS in England Closed 4 Aug 2024
P-002846 NHS England
Mrs A complained NHS England's review of her father's continuing healthcare eligibility was flawed, disagreeing with domain weightings and the …
NHS in England Closed 4 Aug 2024
P-002851 A practice in the Birmingham area
Dr F complained that emergency department and a GP failed to identify his son's sepsis, misdiagnosing him, which tragically led …
NHS in England Closed 4 Aug 2024
P-002850 East Midlands Ambulance Service NHS Trust
Mrs P complained a GP prescribed inappropriate medication and failed to identify infection. She also alleged a six-hour delay in …
NHS in England Upheld 1 Aug 2024
P-002825 Cambridge University Hospitals NHS Foundation Tru…
Miss E complained staff mishandled her sister, frightening her into self-discharge, which she believes led to her sister's later death …
NHS in England Closed 31 Jul 2024
P-002893 Health and Safety Executive
Mr L complained the HSE inadequately investigated his son's workplace accident, failing to conduct a site visit and providing delayed, …
UK Government Closed 31 Jul 2024
P-002898 Chesterfield Royal Hospital NHS Foundation Trust
Mr M complained the Trust incorrectly diagnosed his daughter with autism, alleging miscalculated assessments, non-evidenced methods, and a rushed process …
NHS in England Closed 31 Jul 2024