Case summaries

These short, anonymised stories show the profound impact that failures in public services can have on the lives of individuals and their families.

Please note we have not published any new case summaries on this page since 2015. In April 2021 we began publishing our casework decision statements and investigation reports on our decisions portal.

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GP appropriately stopped patient from driving

Summary 925 | March 2015

Mr G complained that his GP stopped him from driving while awaiting a consultation with a specialist ophthalmologist. Mr G said that he had to pay for a private consultation and this left him out of pocket.

GP managed patient's ruptured bicep appropriately

Summary 924 | March 2015

Mr K felt that his GP should have urgently referred him for surgery to treat his ruptured bicep.

Trust provided appropriate support to mental health patient

Summary 923 | March 2015

Mr D said the Trust failed to thoroughly investigate his complaints and the poor treatment he received in 2013 caused him extreme distress.

Failures in investigation of woman's death

Summary 922 | March 2015

Mrs Y was in her eighties and had a history of untreated breast cancer, asthma and dementia. She was admitted to hospital vomiting blood.

Baby born in ambulance, although midwife had earlier dealt with labour appropriately

Summary 921 | March 2015

Mrs M believed that a midwife did not manage her labour appropriately when she was examined in hospital and sent home. Later that day, she called an ambulance and, on the way to hospital, had her baby in the back of the ambulance.

Man left waiting in A&E for hours without explanation

Summary 920 | March 2015

Ward staff told Mr D's Family that a bed was available for him on the ward. The bed manager said that the bed was no longer available and Mr D remained in A&E for some hours.

Trust failed to carry out risk assessment designed to prevent injury to a patient

Summary 919 | March 2015

Mr B complained that his wife's leg was injured while she was an inpatient at the Trust. He believed the injury could have been avoided if proper bed rail protection had been used.

A&E doctor did not thoroughly assess patient's symptoms

Summary 918 | March 2015

Ms K had a disease of the central nervous system. When she went to A&E with a headache and stomach pain, the doctor did not properly assess whether she was suffering from a flare up of her illness.

No fault in decision to transfer patient's treatment to a different hospital

Summary 917 | March 2015

Mr A complained that a member of the Trust's staff made an untrue allegation about him which resulted in his treatment being transferred to a different site. He also complained about how the Trust dealt with the matter. He said the allegation caused him unnecessary stress and inconvenience.

Trust acted to improve communication shortfalls

Summary 916 | March 2015

Mr S complained about the care and treatment his wife received before she died, as well as the way staff communicated with him and his family.