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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
Trust put right its failings in care and treatment
Summary 700 |
Ms F complained about the care her late grandmother received, and about the fact that the family could not be with her when she died because staff had recorded only one contact number for the family.
Hospital did not act on patient's written wishes
Summary 697 |
Mrs and Mr C complained that the Trust had not been aware of, and did not act on, Mrs C's advance directive (a document that set out her wishes about her treatment) and that communication with the family had been poor. They felt the Trust did not recognise the impact its actions had had on them, and its service improvements had not done enough to stop the mistakes happening again.
Misdiagnosis prevented appropriate care
Summary 696 |
Mr P's daughter–in–law, Mrs L, complained that Mr P's diagnosis was unclear, his treatment was inadequate and communication from Trust staff was poor. The Trust acknowledged only minor communication failings and maintained that Mr P's care and treatment was appropriate.