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 2 of 320

Fife NHS Board · 202403102

Decision 1 July 2026HealthOutcome: Upheld

Subject: Admission / discharge / transfer procedures

C complained about their parent (A)’s discharge from Queen Margaret Hospital following a period of post-surgical rehabilitation. C raised concerns that the discharge was rushed and not properly planned, that there a lack of rehabilitation on the ward prior to discharge, that there was a …

Tayside NHS Board · 202500144

Decision 1 July 2026HealthOutcome: Upheld

Subject: Clinical treatment

C complained that the board unreasonably failed to advise C of their immunology results or act upon these results in the following years. Over a number of years, C's liver function tests (LFT's) continued to deteriorate without clear cause. C was seen at a liver …

Falkirk Health and Social Care Partnership · 202506324

Decision 1 June 2026HealthOutcome: Upheld

Subject: Policy / administration

C complained about a budget proposal by the partnership to remove in house care at one of four Housing with Care complexes and replace it with a mobile home care service. Carers would visit up to four times a day, based on assessed need. Before …

Lothian NHS Board - Acute Services Division · 202407574

Decision 1 June 2026HealthOutcome: Upheld

Subject: Clinical treatment

C complained about the the care and treatment that their late sibling (A) received following emergency abdominal surgery at the Royal Infirmary of Edinburgh. C said that the board failed to provide them with adequate care and treatment in relation to the placement, monitoring and …

A Medical Practice in the Greater Glasgow and Clyde NHS Board area · 202502789

Decision 1 June 2026HealthOutcome: Upheld

Subject: Lists (incl difficulty registering and removal from lists)

C complained that they were unreasonably removed from the practice list. Practices are entitled to remove patients from their lists in certain circumstances. However, the practice must be able to demonstrate that they have acted in a way that is consistent with The National Health …

Moray Health and Social Care Partnership · 202411659

Decision 1 June 2026HealthOutcome: Upheld

Subject: Clinical treatment

C complained on behalf of their adult child (A) about the mental health care and treatment that they received. A had previously received talking therapy from Child and Adolescent Mental Health Services (CAMHS) for multiple mental health conditions. A GP referral was made to adult …

A Dentist in the Greater Glasgow and Clyde NHS Board area · 202501635

Decision 1 June 2026HealthOutcome: Upheld

Subject: Diagnosis

C complained about the dental treatment provided to their adult child (A). C said that A requested a replacement upper retainer (a custom-made device used to maintain the position of teeth after orthodontic treatment) after theirs broke. The dentist provided A with an upper soft …

The City of Edinburgh Council · 202505687

Decision 1 June 2026Local GovernmentOutcome: Upheld

Subject: Mould / damp

C complained to the council about damp and mould in their rental property. C had been moved to the property because of their disabilities; the property is on the ground floor and has a wet room. C first reported issues with water pooling and not …

Borders NHS Board · 202311847

Decision 1 June 2026HealthOutcome: Not Upheld

Subject: Diagnosis

C complained about the care and treatment provided to their late spouse (A) by the board. A, who suffered from Polycythaemia Rubra Vera (PV, a blood cancer), died in hospital. At the time of their admission they were seen to be suffering from anaemia, likely …

A Medical Practice in the Greater Glasgow and Clyde NHS Board area · 202501958

Decision 1 June 2026HealthOutcome: Not Upheld

Subject: Clinical treatment

C complained about the actions taken by a GP after attending the practice with sudden hearing loss. The GP initially diagnosed and treated ear wax impaction. When C attended again, the GP considered that they had Eustachian tube dysfunction (the Eustachian tube is blocked or …

Golden Jubilee National Hospital · 202406685

Decision 1 June 2026HealthOutcome: Upheld

Subject: Clinical treatment

C complained about the care and treatment the board provided to their late parent (A). A was admitted to hospital following a cardiac arrest. Several days later, A was found on the floor of their ensuite bathroom unresponsive and without telemetry (an observation tool that …

Highland NHS Board · 202408152

Decision 1 June 2026HealthOutcome: Upheld

Subject: Clinical treatment

C complained about the care and treatment provided to their child (A). A was urgently referred to the Child and Adolescent Mental Health Service (CAMHS) following a crisis in which they absconded from home whilst awaiting an Autism Spectrum Disorder (ASD) assessment. They initially received …

Forth Valley NHS Board · 202500014

Decision 1 June 2026HealthOutcome: Partly Upheld

Subject: Complaints handling

C complained that the board failed to report an injury to their spouse (A)'s wrist. A was in hospice care and was having their wrist examined by a consultant neurologist (specialists in disorders of the nervous system). C reported hearing a crack and that A …

Lothian NHS Board - Acute Services Division · 202407182

Decision 1 June 2026HealthOutcome: Partly Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment provided to their late spouse (A). A had primary sclerosing cholangitis (PSC, a chronic disease of the liver) and was under specialist supervision due to the increased risk of cholangiocarcinoma (CCA, cancer of the bile duct). An MRI …

Fife NHS Board · 202410341

Decision 1 May 2026HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment provided by the board in relation to a cancerous lesion (squamous cell carcinoma, SCC) on their middle finger. C received cryotherapy for eight months but at the end of the treatment, the lesion was worse. C said that …

A Dentist in the Greater Glasgow & Clyde NHS Board area · 202410419

Decision 1 May 2026HealthOutcome: Partly Upheld

Subject: Clinical treatment / Diagnosis

C complained on behalf of their child (A) who was a patient of the practice. A's care was disrupted by COVID-19 and they were not seen by the practice for four years. C complained that the practice unreasonably charged them for white fillings after there …

Glasgow City Health and Social Care Partnership · 202408872

Decision 1 May 2026HealthOutcome: Not Upheld

Subject: Other

C complained about the care and treatment provided to their adult child (A). A experienced a decline in mental health and was referred to their local community mental heath team by their GP. A was in contact with mental health services for a period of …

Grampian NHS Board · 202504517

Decision 1 May 2026HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment that they received in A&E, and the subsequent handling of their complaint by the board. C initially attended the A&E with vomiting, diarrhoea and abdominal pain. Although C and their partner raised the possibility of appendicitis, this was …

Lanarkshire NHS Board · 202409961

Decision 1 May 2026HealthOutcome: Not Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment provided to their adult sibling (A). A had treatment for breast cancer, was admitted to hospital a short time later and died approximately two weeks after being admitted. C complained about A’s medical and nursing care and treatment …

West Dunbartonshire Council · 202503012

Decision 1 May 2026Local GovernmentOutcome: Upheld

Subject: Secondary School

C complained about events at their child (A)'s school, in relation to suspected candidate malpractice and subsequent investigations into the school’s handling of the matters. C queried whether the council followed the correct process when C raised their concerns, as C was of the view …

Lothian NHS Board - Acute Services Division · 202411654

Decision 1 May 2026HealthOutcome: Upheld

Subject: Nurses / nursing care

C complained that their parent (A) suffered a fall while in hospital. C was concerned that bedrails and falls risk assessments were not appropriately completed prior to A suffering the fall. The board said in their complaint response that both bedrails and falls risk assessments …

Greater Glasgow and Clyde NHS Board - Acute Services Division · 202405247

Decision 1 May 2026HealthOutcome: Partly Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment provided to their parent (A). A had dementia and had suffered several falls. C complained that the board failed to reasonably investigate A’s fall and that they failed to reasonably consider carrying out a Significant Adverse Event Review …

Greater Glasgow and Clyde NHS Board - Acute Services Division · 202406274

Decision 1 May 2026HealthOutcome: Partly Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment of their adult child (A) following A’s admission to hospital. A had a long standing, complex medical history including two kidney transplants and kidney cancer, and A died during their admission. In particular, C complained about A being …

Lanarkshire NHS Board · 202410955

Decision 1 May 2026HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the standard of medical care provided by the board during two attendances at A&E with severe abdominal issues. C was discharged home on both occasions, and shortly after the second discharge, the results of a magnetic resonance scan (MRI) indicated that they …

Greater Glasgow and Clyde NHS Board - Acute Services Division · 202409771

Decision 1 May 2026HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment provided by nursing staff to their late sibling (A), who was admitted to hospital with a chest infection. A was discharged with injuries and delirium, which C believed was due to a fall they had shortly after admission. …