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 17 of 320

Fife NHS Board · 202101351

Decision 1 February 2024HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment that their late adult child (A) received from the board about symptoms of productive cough, breathlessness and occasional wheeze. A was referred by their GP to the board and received two outpatient chest x-rays. Separately, A also self-presented …

Greater Glasgow and Clyde NHS Board - Acute Services Division · 202206606

Decision 1 February 2024HealthOutcome: Partly Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment that they received from the board. In particular, C complained that the board failed to adequately investigate their presenting symptoms of pain and nausea, or keep adequate medical records during an attendance at the Surgical Immediate Assessment Unit …

Lothian NHS Board - Acute Division · 202112163

Decision 1 February 2024HealthOutcome: Partly Upheld

Subject: Clinical treatment / diagnosis

C complained on behalf of their parent (A) who was suffering from dementia. A had been found in a neglected state by C’s sibling. A had vomited and it appeared that A had been left unattended overnight with no personal care. A’s incontinence pad had …

Lothian NHS Board - Acute Division · 202107585

Decision 1 February 2024HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained that the board failed to provide them with reasonable care and treatment when they were admitted to an acute medical unit, specifically that they were discharged too soon and that there was a delay in diagnosing that they had suffered a stroke. We …

Aberdeen City Council · 202100411

Decision 1 February 2024Local GovernmentOutcome: Upheld

Subject: Building warrants: certificates of completion / habitation

C complained that the council had failed to follow the correct procedures for issuing a building warrant to a neighbouring property. C had raised issues due to noise ingress to their property, which C attributed to alterations to the approved design for the neighbouring extension. …

Scottish Ambulance Service · 202110696

Decision 1 February 2024HealthOutcome: Upheld

Subject: Admission / discharge / transfer procedures

C complained about the care and treatment provided to A by the Scottish Ambulance Service (SAS). A had a pacemaker fitted and developed a severe headache and rash. A phoned NHS 24 as they were finding it difficult to breathe. Paramedics attended A at home …

Fife NHS Board · 202208181

Decision 1 February 2024HealthOutcome: Upheld

Subject: Nurses / nursing care

C complained on behalf of their spouse (A) about the care and treatment provided by the board before they died. A was an end of life patient having been diagnosed with incurable lung cancer. A developed symptoms likely caused by an obstruction of one of …

Ayrshire and Arran NHS Board · 202300640

Decision 1 February 2024HealthOutcome: Not Upheld

Subject: Clinical treatment / diagnosis

C complained about a mis-diagnosis of their parent (A) at hospital. C noted that A was diagnosed with pancreatitis (inflammation of the pancreas) during their first admission. A CT scan was taken to confirm this diagnosis. During a later second admission, blood tests and an …

A Medical Practice in the Grampian NHS Board area · 202206618

Decision 1 February 2024HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained that the partnership had not provided the correct care and treatment for their ear infection in their right ear. C did not consider that the ongoing ear infection had been correctly diagnosed or treated, noting that the antibiotics which were prescribed had not …

Tayside NHS Board · 202103125

Decision 1 February 2024HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

A’s spouse (B) was admitted to hospital for a knee replacement. The operation went well but during B’s recovery their condition began to deteriorate and B was transferred to the High Dependency Unit. B went into cardiac arrest, CPR was administered but it was unsuccessful …

Argyll and Bute Health and Social Care Partnership · 202201151

Decision 1 February 2024Health and Social CareOutcome: Upheld

Subject: Clinical treatment / Diagnosis

C complained about the care and treatment that their parent (A) received. A had sight and hearing difficulties. Following a fall at home A was admitted to hospital where they stayed as an inpatient for several weeks before being discharged to a care home. A …

Tayside NHS Board · 202204688

Decision 1 February 2024HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained on behalf of their parent (A) about the care and treatment provided by the board. A was scheduled for a hip operation after experiencing increased pain which was affecting their daily function. The operation was cancelled on the day as the anaesthetist was …

Fife NHS Board · 202302960

Decision 1 February 2024HealthOutcome: Not Upheld

Subject: Admission / discharge / transfer procedures

C complained that the board had unreasonably failed to follow the care plan put in place to support them with their mental health. In particular, C complained that the board had failed to arrange their admission to hospital during an episode of crisis. The board’s …

University of Dundee · 202209893

Decision 1 February 2024EducationOutcome: Upheld

Subject: Special needs - assessment and provision

C, a solicitor, complained on behalf of a student at the University (A). C said that A had suffered a serious assault and due to the impact of this on their mental health, had sought an exemption allowing them to study remotely. This had been …

Lothian NHS Board - Acute Division · 202208523

Decision 1 February 2024HealthOutcome: Upheld

Subject: Admission / discharge / transfer procedures

C complained on behalf of their spouse (A) about the board not issuing a discharge plan at the point A was discharged from hospital for palliative care before A passed away. As their carer, C wanted to know how to provide care and support for …

Lothian NHS Board - Acute Division · 202110548

Decision 1 February 2024HealthOutcome: Partly Upheld

Subject: Clinical treatment / diagnosis

C complained that when they developed complications in their pregnancy, the care that they received fell below a reasonable standard. C was six weeks pregnant and considered a high-risk pregnancy due to four previous caesarean section procedures, as well as surgery to reverse a previous …

Highland NHS Board · 202204751

Decision 1 January 2024HealthOutcome: Not Upheld

Subject: Clinical treatment / diagnosis

C complained that their cancer diagnosis was unreasonably delayed. They had previously suffered from cancer which had been successfully treated. C believed there was an inappropriate focus on the wrong part of their throat as a consequence, and that this combined with inadequate review of …

Angus Council · 202200187

Decision 1 January 2024Local GovernmentOutcome: Upheld

Subject: Repairs and maintenance

C complained about the actions of the council in relation to repairs required at their home. They considered the communication, quality of repairs and time taken to carry out and fully resolve the repairs were unreasonable. While it was noted that there were significant efforts …

Tayside NHS Board · 202204103

Decision 1 January 2024HealthOutcome: Partly Upheld

Subject: Admission / discharge / transfer procedures

C complained about the care and treatment provided to their adult child (A). C complained that actions taken shortly before and after A’s discharges were unreasonable as was the board’s response to the complaint. We took independent advice from a consultant in general medicine and …

Golden Jubilee National Hospital · 202202641

Decision 1 January 2024HealthOutcome: Not Upheld

Subject: Clinical treatment / diagnosis

C complained about arterial surgery. The board accepted that there were issues related to the surgery and communication with C before the procedure. We took independent advice from a cardiology adviser. We found that there was nothing to suggest that there was poor clinical practice …

Fife NHS Board · 202103709

Decision 1 January 2024HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained that the board failed to provide reasonable care and treatment to their late parent (A). A was admitted to hospital but was discharged later that month. Two days after discharge, A was readmitted and died a short time later. We took independent advice …

Ayrshire and Arran NHS Board · 202105741

Decision 1 January 2024HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment provided to their late spouse (A). A had a history of Parkinson’s Disease (a condition in which parts of the brain become progressively damaged over many years), dementia and cerebrovascular disease (a range of conditions that affect the …

Grampian NHS Board · 202202079

Decision 1 January 2024HealthOutcome: Partly Upheld

Subject: Admission / discharge / transfer procedures

C complained about the care and treatment they received from the board. C suffered a subarachnoid haemorrhage (a form of stroke caused by bleeding on the surface of the brain). Following a period of admission to different hospitals, C was discharged home. C complained that …

A Medical Practice in the Grampian NHS Board area · 202202721

Decision 1 January 2024HealthOutcome: Not Upheld

Subject: Clinical treatment / diagnosis

C, an MSP, complained on behalf of their constituent (B) about the standard of care B’s late spouse (A) received from their GP practice. A attended an appointment with a GP and received antibiotics and steroids for a possible chest infection. A’s health deteriorated a …

Lanarkshire NHS Board · 202204291

Decision 1 January 2024HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained that surgery performed to remove material from their leg was not carried out to a reasonable standard. C broke their leg and underwent an operation to insert pins, plates, and a device known as a ‘TightRope’ (a device where string is passed through …