Source · Ombudsman casework

PHSO Casework Decisions

4,067 published decisions 3,444 Health (NHS) 623 Parliamentary 18% 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 4,067 decisions represent approximately 1.3% of the 319,012 total complaints received across the same period. Source: decisions.ombudsman.org.uk.

Decisions

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Reference Organisation Jurisdiction Outcome Date
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-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-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-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-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-002834 United Lincolnshire Hospitals NHS Trust
Mrs Z complained the Trust failed to diagnose her mother's cancer, despite symptoms and tests, and delayed pain management, leading …
NHS in England Closed 31 Jul 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-002829 London Ambulance Service NHS Trust
Mrs B complained the London Ambulance Service delayed answering her 999 call and ambulance arrival for her husband's heart attack, …
NHS in England Not upheld 31 Jul 2024
P-002904 Leeds Teaching Hospitals NHS Trust
Mrs O complained the Trust failed to identify/treat infection, act on deterioration, provide palliative care, and had poor communication for …
NHS in England 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
P-002871 Central and North West London NHS Foundation Trust
Miss E complained the Trust provided inadequate mental health care, including inappropriate discharge, insufficient therapy, poor facilities, and isolation during …
NHS in England Closed 31 Jul 2024
P-002741 University Hospitals of Leicester NHS Trust
Mrs A complained about inadequate communication, misinformation about her mother's cancer diagnosis, poor nutritional care, and premature discharge, which she …
NHS in England Partly upheld 30 Jul 2024
P-002819 Companies House
Mr F complained Companies House failed to provide a reasonable adjustment for filing accounts and provided poor complaint handling, causing …
UK Government Closed 30 Jul 2024
P-002752 A practice in the City of Derby area
Mrs R alleged the midwife failed to signpost housing support, and the Trust did not help with a birth plan, …
NHS in England Partly upheld 30 Jul 2024
P-003285 Warrington and Halton Hospitals NHS Foundation Tr…
Miss E complained staff performed foetal scalp monitoring, additional blood samples, and an episiotomy during her labour without her consent, …
NHS in England Upheld 30 Jul 2024
P-002767 Hampshire and Isle of Wight Integrated Care Board
Mrs A complained the ICB failed to implement agreed SEND tribunal recommendations and delayed addressing her sons' mental health needs, …
NHS in England Closed 30 Jul 2024
P-002795 Cornwall and Isles of Scilly Integrated Care Board
Mr O complained the ICB wrongly declined his mother's continuing healthcare checklist, disputing issues with its completion and consent, resulting …
NHS in England Closed 30 Jul 2024
P-002806 Guy's and St Thomas' NHS Foundation Trust
Mr C complained his late son was inappropriately discharged without IV diuretics, and readmitted with delayed IV diuretics, which Mr …
NHS in England Closed 30 Jul 2024
P-002779 Cumbria, Northumberland, Tyne And Wear Area Team
Mrs K complained about excessive waiting times for gender identity clinic services and NHS England's failure to meet treatment standards, …
NHS in England Closed 30 Jul 2024
P-002763 Lancashire Teaching Hospitals NHS Foundation Trust
Miss T complained staff failed to hydrate her mother, properly monitor pressure areas, or regulate oxygen levels, which she believes …
NHS in England Partly upheld 29 Jul 2024
P-002746 Cambridge University Hospitals NHS Foundation Tru…
Ms A complained the Trust failed to communicate Mr B's suspected heart attack and delayed investigations/treatment, which she believes contributed …
NHS in England Upheld 29 Jul 2024
P-002812 A practice in the Oldham area
Mr O complained the Practice cancelled his monthly prescription, leaving him without medication for five days, which caused severe pain, …
NHS in England Not upheld 29 Jul 2024
P-002814 A dental practice in the City of Brighton and Ho…
Ms A complained the dental practice failed to investigate her sensitive teeth at multiple examinations and inappropriately prescribed antibiotics, causing …
NHS in England Partly upheld 29 Jul 2024