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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Complaint about antibiotic treatment, a care plan and hospital accommodation

Summary 865 | February 2015

Mrs N complained that her husband did not receive adequate care and treatment when he went into hospital and this delayed his recovery.

Complaint about early discharge not upheld

Summary 864 | February 2015

Mrs B had serious complications following abdominal surgery. She complained that this was caused by failings of the Trust.

Patient not told that 'stop smoking' medication could be detrimental to his mental health

Summary 863 | February 2015

Mr A complained that his GP did not take his mental health condition properly into account when he prescribed Champix to help him stop smoking.

Opportunities missed to improve patient's chances of survival

Summary 862 | February 2015

Failings in Mrs C's care meant she missed opportunities for further treatment and she could have been made more comfortable in her last few weeks.

Pharmacy prescribed incorrect medication to patient

Summary 861 | February 2015

Ms B complained that she was given another patient's medication when she collected her prescription from the Pharmacy. She took the medication for two weeks and fell ill.

Delay in starting investigation into GP Practice

Summary 860 | February 2015

Mrs M asked NHS England to investigate her concerns about the death of her husband, who died the day after seeing his GP.

Patient's concerns about discrimination

Summary 859 | February 2015

Mr B was concerned that a surgeon did not want to operate on him because he was HIV positive and transferred him to another hospital to have the operation.

Failings in the care of an older patient did not lead to her death

Summary 858 | February 2015

Mrs F complained about the care and treatment the Trust provided for her late mother. She said doctors contributed to her mother's death, causing her Family distress and grief.

Trust made an error when booking a follow up appointment for patient

Summary 857 | February 2015

Mrs C was not happy with Trust's advice after she had had treatment to her foot, so she went for a private second opinion. The private doctor told her that the Trust's advice was incorrect and had she followed it she would have permanently lost the use of her ankle.

GP correct to visit patient about her mental health

Summary 856 | February 2015

Mrs A complained that her GP visited her without consent. She said that the GP told her she was making the visit to consult her about her symptoms of thrush, but had actually visited to make a mental health assessment.