Source · Ombudsman decisions

SPSO Individual Decisions

7,997 total decisions 7,769 investigated 2,239 upheld 54% upheld of investigated Years: Jun 2011–Sep 2026

7,997 published decisions from the Scottish Public Services Ombudsman. The Scottish Public Services Ombudsman investigates complaints about public services in Scotland — councils, the NHS, housing associations, and Scottish Government agencies. Source: spso.org.uk.

Decisions

7,997 records · Page 11 of 320

Forth Valley NHS Board · 202301105

Decision 1 January 2025HealthOutcome: Not Upheld

Subject: Clinical treatment / diagnosis

C complained that the board failed to reasonably assess their mental health condition. C had been receiving treatment for a number of years in England, before returning to Scotland. C said that the board’s assessment questioned C’s existing diagnosis and sought to remove this. C …

Tayside NHS Board · 202203015

Decision 1 January 2025HealthOutcome: Partly Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment that their spouse (A) received during two admissions to hospital. C complained that the board had failed to provide A with adequate personal care during both admissions and failed to adequately manage their medication during their first admission. …

A Dentist in the Grampian NHS Board area · 202303944

Decision 1 January 2025HealthOutcome: Upheld

Subject: Clinical treatment / Diagnosis

C complained about the care and treatment that their child (A) received from a dentist. A injured their front tooth and attended their dental practice for an emergency appointment. The dentist noted there was a 1mm extrusion (tooth displacement) but decided that no treatment was …

Highland NHS Board · 202303373

Decision 1 January 2025HealthOutcome: Not Upheld

Subject: Clinical treatment / diagnosis

C complained that the board failed to provide them with reasonable care and treatment in relation to their breast cancer care. C raised concerns that that the board failed to carry out necessary scans and failed to offer neoadjuvant chemotherapy (treatment given before the primary …

A GP Practice in the Ayrshire and Arran NHS Board area · 202305141

Decision 1 January 2025HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained on behalf of their elderly parent (A). A had a known history of high blood pressure and white coat syndrome (when a patient’s blood pressure rises in response to a stressful situation, such as, a doctor’s appointment or visit to the hospital). A …

A GP Practice in the Greater Glasgow and Clyde NHS Board area · 202302723

Decision 1 January 2025HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the standard of medical care and treatment provided by the practice. C attended the practice with a lesion on their back which was diagnosed as a seborrhoeic wart (a harmless growth on the skin). C underwent cryotherapy treatment (the use of extreme …

Fife NHS Board · 202209356

Decision 1 January 2025HealthOutcome: Partly Upheld

Subject: Clinical treatment / diagnosis

C complained that the board failed to provide them with reasonable care and treatment when they attended the emergency department with pain and swelling in their leg. C was advised that their symptoms did not indicate a pulmonary embolism (a blood clot that blocks a …

Lothian NHS Board · 202304367

Decision 1 December 2024HealthOutcome: Partly Upheld

Subject: Clinical treatment / diagnosis

C complained on behalf of their spouse (A) about the standard of care and treatment received in the months before A died. The board partially upheld the complaint, including failings in communication and a lack of privacy and dignity shown to A. We took independent …

A Medical Practice in the NHS Forth Valley Board area · 202301408

Decision 1 December 2024HealthOutcome: Partly Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment provided to their parent (A). A had presented with foot pain and initially had been thought to have Plantar Fasciitis (an inflammation of the tissue along the bottom of the foot). A later returned to the practice with …

Aberdeenshire Council · 202302482

Decision 1 December 2024Local GovernmentOutcome: Partly Upheld

Subject: Child protection

C complained that the council had failed to keep their child (A) safe whilst in the council’s care and that A had been inappropriately placed in secure accommodation. A had been in care in a number of different settings, including secure units. Some were run …

Borders NHS Board · 202210447

Decision 1 December 2024HealthOutcome: Not Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment provided to their friend (A) when they were admitted to hospital. A was in hospital for around three and a half months after being admitted with weakness and reduced mobility, with a short history of dysuria (pain or …

Fife NHS Board · 202308058

Decision 1 December 2024HealthOutcome: Upheld

Subject: Complaints handling

C complained that the board failed to reasonably respond to their complaint about the way a form was completed by the GP at their GP Practice. We found that while the board provided regular updates, apologised for the delay and reasonably managed C’s contact, the …

Lothian NHS Board - Acute Division · 202301188

Decision 1 December 2024HealthOutcome: Partly Upheld

Subject: Record keeping

C complained that Lothian NHS Board (Board 1) unreasonably failed to maintain records of specialist advice they provided to another board (Board 2). C attended A&E at Board 2 with symptoms of significant pain, problems passing urine and lack of sensation. On the specialist advice …

Tayside NHS Board · 202301856

Decision 1 December 2024HealthOutcome: Not Upheld

Subject: Clinical treatment / Diagnosis

C had a number of concerns about their child (A)’s behaviour, development, and educational attainment. A was referred to Child and Adolescent Mental Health Services (CAMHS) in the board. An assessment was carried out, the result of which was that A was not diagnosed with …

Greater Glasgow and Clyde NHS Board - Acute Services Division · 202302835

Decision 1 December 2024HealthOutcome: Upheld

Subject: Appointments / Admissions (delay / cancellation / waiting lists)

C complained about the care and treatment received by their young child (A). A had a complex congenital (from birth) heart condition. C complained to the board after A received heart surgery, which had been part of the treatment planned for A. C complained that …

Aberdeen City Council · 202208569

Decision 1 December 2024Local GovernmentOutcome: Partly Upheld

Subject: Neighbour disputes and anti-social behaviour

C and their autistic child took up their tenancy, having been offered the property following assessment for priority for allocation. C reported anti-social behaviour that they were experiencing from neighbours to the council. The behaviour ranged from communal areas being untidy and vandalised, to evidence …

Lanarkshire NHS Board · 202302985

Decision 1 December 2024HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C’s elderly parent (A) spent two months in hospital due to extensive bruising on their arms and legs with no obvious cause. A suffered acute hip pain while in hospital and became dependent on oxygen. C complained about concerns that they had regarding many aspects …

Greater Glasgow and Clyde NHS Board - Acute Services Division · 202309427

Decision 1 November 2024HealthOutcome: Partly Upheld

Subject: Clinical treatment / diagnosis

C complained about the care provided to their adult sibling (A) when they attended A&E following an accident. C also complained that the board failed to reasonably investigate A’s symptoms when they attended hospital with headaches on two further occasions the following year. A was …

Tayside NHS Board · 202107450

Decision 1 November 2024HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment provided to their late parent (A). Scans revealed findings that were suggestive of bladder cancer. Over a number of further admissions, A received treatment to resect (remove) a bladder tumour, fit and remove catheters, treat infection and generally …

East Renfrewshire Health and Social Care Partnership · 202203333

Decision 1 November 2024Health and Social CareOutcome: Partly Upheld

Subject: Hotel services - food / laundry etc

C complained on behalf of a relative (A) who had a learning disability and had been prescribed a special adjusted diet according to the International Dysphagia Diet Standardisation Initiative (IDDSI) guidelines. A had choked on their food and required emergency care. C complained that A’s …

Greater Glasgow and Clyde NHS Board - Acute Services Division · 202205577

Decision 1 November 2024HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained that the board failed to provide their late partner (A) with reasonable treatment for bladder incontinence. A was admitted to hospital following a fall in which they fractured their hip. A was catheterised after undergoing surgery. C complained that when A’s catheter was …

Argyll and Bute Health and Social Care Partnership · 202301503

Decision 1 November 2024Health and Social CareOutcome: Upheld

Subject: Child services and family support

C complained about the service provided in respect of their grandchild (A). C complained that A was not being provided with a stable home environment by their parent (B). C was concerned about the condition of B’s home and whether A and their siblings were …

Glasgow City Health and Social Care Partnership · 202210928

Decision 1 November 2024Health and Social CareOutcome: Upheld

Subject: Complaints handling

C complained about the way that the partnership handled their complaint about the care and treatment provided to C’s late sibling. C said that the complaint process had been long and difficult to follow and it had been hard to obtain a clear and final …

Tayside NHS Board · 202300714

Decision 1 November 2024HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained that the board failed to provide reasonable care and treatment to their late parent (A). A became acutely unwell with uncontrollable diarrhoea, severe abdominal pain and vomiting. After visits from both a community nurse and out-of-hours GP, C called for an ambulance. The …

Forth Valley NHS Board · 202301731

Decision 1 November 2024HealthOutcome: Partly Upheld

Subject: Nurses / nursing care

C complained about the nursing care and treatment provided to their parent (A) who was admitted to hospital after a fall. We took independent advice from a registered nurse. We found that there were unreasonable time gaps between care and comfort checks, making it impossible …