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 4 of 320

Tayside NHS Board · 202500322

Decision 1 February 2026HealthOutcome: Partly Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment provided to their late spouse (A) during their admission to hospital. A was admitted with symptoms suggestive of a stroke and significantly elevated blood pressure. Initial CT imaging and angiography (a type of x-ray used to check blood …

Clackmannanshire and Stirling Health and Social Care Partnership · 202503645

Decision 1 February 2026Health and Social CareOutcome: Not Upheld

Subject: Occupational therapy / assessment for equipment / adaptations

C, who has a progressive neurological disorder, complained that there was an unreasonable delay in the partnership providing adaptions to their home. We took independent advice from an occupational therapist (a healthcare professional who supports people to improve their ability to carry out everyday tasks). …

Scottish Prison Service · 202412046

Decision 1 February 2026PrisonsOutcome: Upheld

Subject: Removal from association / segregation

C complained that the Scottish Prison Service (SPS) failed to follow the appropriate procedure after they removed C from association (temporarily separated from the normal prison population. A Governor can order a prisoner be segregated from others for up to 72 hours if they believe …

Greater Glasgow and Clyde NHS Board - Acute Services Division · 202500059

Decision 1 February 2026HealthOutcome: Upheld

Subject: Communication / staff attitude / dignity / confidentiality

C complained that the board's communication around their spouse (A)'s care and treatment was unreasonable. C complained about a lack of face-to-face appointments, delays and the board not following their diagnostic pathway. C said that they were informed of A's prostate cancer over the phone, …

Lanarkshire NHS Board · 202502889

Decision 1 February 2026HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment provided following their referral for a transurethral resection of the prostate (TURP, an operation to reduce the size of the prostate gland). The surgery was cancelled on the day when C's prostate was measured and considered too large …

Dumfries and Galloway NHS Board · 202304648

Decision 1 February 2026HealthOutcome: Not Upheld

Subject: Communication / staff attitude / dignity / confidentiality

C complained that the board failed to reasonably communicate with them about the care and treatment of their parent (A). C said that the board failed to inform them that a lump had been found on A’s breast while A was in hospital. A had …

Greater Glasgow and Clyde NHS Board - Acute Services Division · 202405542

Decision 1 February 2026HealthOutcome: Not Upheld

Subject: Clinical treatment / diagnosis

C complained about the treatment that the board provided to their late spouse (A) during a lengthy hospital admission. A's agitation and delirium was treated with anti-psychotic medication and sedatives. A was later discharged to a care home. C was concerned about the amount and …

Forth Valley NHS Board · 202403721

Decision 1 January 2026HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained on behalf of their sibling (A) in relation to the care and treatment that the board provided to A after presenting at an out of hours service with symptoms including epigastric pain, vomiting and shaking. A was sent home with treatment for dyspepsia …

Lothian NHS Board - Acute Services Division · 202403956

Decision 1 January 2026HealthOutcome: Upheld

Subject: Nurses / nursing care

C’s parent (A) suffered a number of falls during an admission to hospital where A sustained a head injury and subsequently died. C complained to the board that A’s falls risk was not effectively managed. The board identified some failings in relation to A’s falls …

Lanarkshire NHS Board · 202401439

Decision 1 January 2026HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment given to their late sibling (A) who had a history of schizoaffective disorder. After a change in the consultant responsible for A’s care, A’s diagnosis was changed and their medication withdrawn over an extended period which led to …

Lothian NHS Board · 202404449

Decision 1 January 2026HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the care that their adult child (A) received from the prison healthcare team and particularly a failure to formulate a treatment plan for ongoing symptoms of stomach pain, nausea, diarrhoea and weight loss. The board noted that numerous tests had been carried …

Lanarkshire NHS Board · 202309413

Decision 1 January 2026HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the standard of medical care and treatment provided to their late partner (A) by the board in relation to their risk and diagnosis of liver cirrhosis (permanent scarring of the liver which leads to dysfunction) and gastrointestinal haemorrhage. A was initially under …

Scottish Ambulance Service · 202410343

Decision 1 January 2026HealthOutcome: Upheld

Subject: Failure to send ambulance / delay in sending ambulance

C complained on behalf of their friend (A), a care home resident. A became unwell and was in a lot of pain. An Out of Hours GP suspected an internal bleed and arranged for an ambulance to be requested. A call was made to Scottish …

Borders NHS Board · 202311156

Decision 1 January 2026HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C broke their leg and underwent an operation. Following a scan the next day, C was told that the results were fine and that they could be discharged home. However, a few days later, C was contacted and told that a further review of the …

Forth Valley NHS Board · 202402894

Decision 1 January 2026HealthOutcome: Partly Upheld

Subject: Clinical treatment / diagnosis

C complained on behalf of their partner (A) about the care and treatment that A received from the board during their two admissions to hospital for suspected pulmonary embolus (when a blood clot blocks a blood vessel in the lungs). A had a stroke during …

Clear Business Water · 202408977

Decision 1 December 2025WaterOutcome: Upheld

Subject: Incorrect billing

C complained that the disconnection date of their water supply was not accurately reflected in their billing. C owned a dog grooming studio that had ceased trading. C said that the original supply to this building was from their home. C had always paid correctly …

Lanarkshire NHS Board · 202402698

Decision 1 December 2025HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment provided to their parent (A). A suffered a heart attack and was treated with increased levels of digoxin (heart medication) in hospital. Over a two-week period A became increasingly paranoid and agitated and needed to be medicated. A …

Fife NHS Board · 202402736

Decision 1 December 2025HealthOutcome: Partly Upheld

Subject: Communication / staff attitude / dignity / confidentiality

C complained on behalf of their spouse (A). The first of C’s complaints was that the board had failed to reasonably and accurately record and report an alleged incident between A and a member of staff. They also complained about the board’s investigation, and future …

Fife NHS Board · 202308194

Decision 1 December 2025HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained that the board’s mental health services did not communicate information regarding C's adult child (A) reasonably. A, who had experienced various mental health issues, was taken to hospital after taking an unknown quantity of tablets. C and another family member were concerned about …

Lanarkshire NHS Board · 202405058

Decision 1 December 2025HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained on behalf of their sibling (A) about the cancer care and treatment that A received and the handling of C’s subsequent complaint about this. We took independent advice from a consultant urological surgeon (specialist in the male and female urinary tract, and the …

Greater Glasgow and Clyde NHS Board - Acute Services Division · 202410876

Decision 1 December 2025HealthOutcome: Not Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment provided to their adult child (A). A has hereditary haemorrhagic telangiectasia (HHT, a rare genetic disorder characterised by abnormal blood vessel formation, leading to frequent bleeding, with potentially severe complications). A attended A&E as they had previously been …

North Glasgow Housing Association Ltd · 202407333

Decision 1 December 2025Local GovernmentOutcome: Upheld

Subject: Neighbour disputes and anti-social behaviour

C complained that the association did not reasonably address reports of antisocial behaviour. C is the Chief Executive of a charity who owns a property in a block where other properties are owned by the association. The charity's tenant complained of antisocial behaviour from one …

Tayside NHS Board · 202405136

Decision 1 December 2025HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained about the care and treatment that they received during an admission to hospital. C attended A&E and the Acute Medical Unit for symptoms that were later diagnosed as an acute ischaemic stroke. We took independent advice from a consultant physician. We found that …

A Medical Practice in the Lanarkshire NHS Board area · 202500555

Decision 1 December 2025HealthOutcome: Upheld

Subject: Clinical treatment / diagnosis

C complained that the practice unreasonably failed to take the appropriate action in response to C's elevated prostate-specific antigen (PSA, a protein in the blood) test result. C requested a PSA test due to having a family history of prostate cancer. C complained about the …

Edinburgh Health and Social Care Partnership · 202407128

Decision 1 December 2025Health and Social CareOutcome: Resolved / Early Resolution

Subject: Clinical treatment / Diagnosis

C complained to us about the pressure damage care provided to their late parent (A). We took independent advice from an appropriately qualified adviser and made some enquiries to the partnership. In response, the partnership offered an appropriate apology to C and explained improvement work …