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 prescribed wrong medication to older woman at the end of her life

Summary 714 | January 2015

A GP at Mrs F's Practice prescribed her medication without taking into account her medical history or giving her adequate information. Mrs F's family were unhappy about another GP's attitude and behaviour.

Nursing and medical staff did not escalate concerns to senior doctor

Summary 713 | January 2015

Mrs H complained of poor care while she was an inpatient. She said this resulted in her having a heart attack and stroke.

Poor record keeping and poor communication with woman in labour who suffered complications after the birth

Summary 712 | January 2015

Mrs C had some poor experiences of care when she was in labour, and felt the complications she had after giving birth were a result of the Trust's actions and could have been avoided.

Trust acted reasonably in removing man's access to health promotion services

Summary 711 | January 2015

Mr S complained that the Trust removed his access to services because of his alleged bad behaviour, which he disputed.

GP Practice removed entire family from its list without warning

Summary 710 | January 2015

The Practice did not respond to Mr B's complaints, which dated back to 2011. When the Practice removed him from the list, his entire family were also removed.

Serious failings in nursing care resulted in a missed opportunity to prevent a man's death

Summary 709 | January 2015

Miss D complained about the care provided to her father in 2010 and the way the Trust dealt with her complaint.

GP and Trust's delay in diagnosing terminal cancer

Summary 708 | January 2015

Mr M complained about severe delays in sending his mother for tests. He felt that the delays meant that by the time his mother was diagnosed with cancer, she had only two weeks left to live. He also complained about a long delay in a visit by an out–of–hours GP when his mother was in pain.

Social worker safeguarded woman in hospital although son was not happy about this

Summary 707 | January 2015

Mr H complained about the actions of a social worker and hospital staff while his late mother, Mrs A, was a patient in hospital in spring 2012. Mr H says this distressed him and Mrs A, and made her condition deteriorate.

Trust delayed giving cancer treatment

Summary 706 | January 2015

Mrs D complained about not getting treatment from the Trust after being diagnosed with cancer. She said that as a consequence of the Trust's failings, she suffered distress and was concerned her life expectancy had been affected.

Inadequate pain relief for girl who had surgery for curvature of the spine

Summary 705 | January 2015

Ms P, a young adult, had surgery for curvature of the spine. Her mother, Mrs P, said staff did not give her enough pain relief. Records relating to this were unreliable, which meant that the Trust did not respond appropriately to Mrs P's complaint.