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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. 

 

Type
Type
Health cases only
Patient with bleeding on the brain not treated early enough
Summary 825 |
Mrs G complained that medical staff failed to recognise the possibility that her father, Mr P, had an intracerebral bleed (bleeding within the brain) and did not take early action to diagnose and treat this.
Mental health patient denied fair risk assessment after alleged knife incident
Summary 823 |
The Trust withdrew Ms Z's crisis support from her home after an incident in which she allegedly pointed a knife at a member of staff. Although Ms Z was not left without adequate support, staff did not assess the risks properly and the Trust did not revisit its decision to withdraw crisis support.
Practice failed to investigate cancer symptoms early enough
Summary 821 |
A GP practice did not follow national guidance when it investigated Mr A's symptoms and this delayed his diagnosis of cancer. A paramedic from the Ambulance Trust did not communicate appropriately with Mr A and his family.
Queries about a report from Cafcass
Summary 819 |
The Children and Family Court Advisory and Support Service (Cafcass) failed to recognise or correct inaccuracies in its report.
Getting it almost right
Summary 816 |
Mr E complained that UK Visas and Immigration (UKVI) did not properly handle his application for a tier 1 (entrepreneur) visa in 2013. He said that he was not asked to provide relevant evidence and that UKVI did not provide satisfactory explanations during the complaints process.