Source · PHSO decision

Leeds Teaching Hospitals NHS Trust

Ref: P-003686 Statement Decision date: 9 July 2025 Jurisdiction: NHS in England Closed After Initial Enquiries

Mrs A complained the Trust inappropriately administered an anticoagulant, discharged her unfit father, and placed a DNACPR order against his wishes, contributing to his death.

Drugs / medicationTransfer, discharge and aftercareChoice and Consent Inadequate Pre-Operative Risk AssessmentCare and discharge planning

Outcome

AI summary
The ombudsman closed the case, as Mrs A could pursue legal action regarding the matter and no further action would be taken.

The complaint

3. Mrs A complains about the care and treatment Leeds Teaching Hospitals NHS Trust (the Trust) provided to her father, Mr B, in June 2024. She says the Trust:

• inappropriately gave her father an anticoagulant injection and failed to properly explain the risks • discharged her father from hospital when he was not fit to do so • put a do not attempt cardiopulmonary resuscitation (DNACPR) order in place which was against her father’s wishes

4. Mrs A says the claimed failings contributed to her father’s sad death, which has caused significant upset distress to her and the rest of the family.

5. Mrs A would like an apology and a financial remedy.

Findings

7. The Health Service Commissioner Act 1993 (the law) says we cannot investigate a complaint where a person has the option to take legal action, unless we consider this is unreasonable in the circumstances. We have discussed this with Mrs A to understand her circumstances and the outcomes she wants. We do not consider whether legal action would succeed but whether it would be a reasonable option to look in to.

8. Mrs A says the Trust provided poor care and treatment to her father, which contributed his death. It appears she could potentially pursue a clinical negligence claim. In line with our legislation, we have considered whether it would be reasonable for her to do so.

9. Mrs A says she would be looking for a financial remedy of approximately £5000. We do not consider compensation in the same way as the courts and the amounts we can recommend are typically more modest in comparison. A court would be able to carefully consider and assess an appropriate amount of compensation. We would not want to disadvantage Mrs A by ‘under settling’ the claim when it would be more appropriate for her to go through a legal process.

10. Mrs A said she was planning to take legal action but wanted to see what would happen with our service. Our process is not a precursor to somebody pursing a legal claim. The law says if somebody may be able to achieve the outcome they are seeking via legal action, they should do so first, before completing our process. Mrs A has said there are no barriers to her obtaining legal advice and she is able to do so.

11. Mrs A is also seeking an apology. Whilst legal action could not be taken with this sole purpose, an apology could potentially be a by- product of legal action.

12. Given the level of financial remedy Mrs A is seeking and there are no barriers, we consider it would be reasonable for her to pursue a legal remedy. If there are any outstanding outcomes that cannot be achieved through the legal claim or if Mrs A finds she is unable to pursue legal action after obtaining advice, she can bring the complaint back to us to consider further.

13. We understand how important Mrs A’s complaint is to her and we thank her for taking the time to bring it to us.

Our decision

1. We have carefully considered Mrs A’s complaint about Leeds Teaching Hospitals NHS Trust (the Trust). We are very sorry to hear about Mrs A’s concerns and appreciate it has been a very distressing and difficult time for her and her family.

2. We consider Mrs A could take legal action on the matter she has brought to us, and we will not take any further action at this stage.

Other decisions about Leeds Teaching Hospitals NHS Trust

View all decisions for this organisation →

Decision details

Reference
P-003686
Decision type
Statement
Jurisdiction
NHS in England
Decision date
9 July 2025
Outcome
Closed After Initial Enquiries
Responsible body
Leeds Teaching Hospitals NHS Trust

Complaint summary

AI
Summary
Mrs A complained the Trust inappropriately administered an anticoagulant, discharged her unfit father, and placed a DNACPR order against his wishes, contributing to his death.

Source links

PHSO portal
Search on PHSO website →

Data from PHSO under Open Government Licence.