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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Doctor's failure to accurately date pregnancy before termination procedure caused patient and family distress

Summary 694 | December 2014

Ms A consulted a doctor in the Trust's pregnancy counselling clinic about ending her pregnancy. When the doctor assessed Ms A, he did not date the pregnancy correctly.

Ambulance delay added to new mum's anxiety and distress after home birth complications

Summary 693 | December 2014

It took well over an hour for an ambulance to arrive when Ms W's midwife called 999.

Trust and out–of–hours GP service failed to give good care

Summary 692 | December 2014

Mrs D complained that the GP out–of–hours service did not respond appropriately to her concerns about her husband. It did not offer a home visit or clearly explain her options when she called the service, and this led to delays in his treatment. Mrs D also complained about the Trust's care and treatment of her husband. She felt his death one week after admission could have been avoided if he had had better care.

Trust did not give correct pain relief in A&E

Summary 691 | December 2014

Mrs B complained to us that she did not get appropriate care and treatment when she went to the Trust's emergency department several times in a year.

Poor care and delays in transferring acutely ill older patient caused distress

Summary 690 | December 2014

When Mrs H went into the Trust's mental health unit, her family became worried about her care.

Trust did not give patient clear advice to get a referral from her GP

Summary 689 | December 2014

Mr J complained that staff at the Trust did not tell his wife to report her symptoms of bleeding to her GP. He said that the Trust failed to consider her symptoms properly, which led to a delay in her diagnosis of cancer, and treatment for it.

Trust did not provide aftercare information but gave nursing care to the right standard

Summary 688 | December 2014

When Mrs P went into hospital, Trust staff did not help her when she had unexpected symptoms or record what had happened. She was also unhappy about the information staff gave her when she went home.

Maternity record confusion when Trust did not identify patient correctly

Summary 687 | December 2014

Mrs B complained that the Trust confused her records with a family member's during her labour. When staff realised the mistake, they did not take action to correct the records.

Failure to check CCTV meant man could never know if Trust lost his belongings

Summary 686 | December 2014

Mr K was taken to A&E after he was found unconscious. He believes he had property when he arrived in A&E and it was lost during his stay. The Trust said he did not have the property when he was at the Trust.

Hospital missed opportunity to try to save patient's fallopian tube

Summary 685 | December 2014

Miss F had an ectopic pregnancy, a pregnancy outside the womb. When her condition got worse, the Trust only gave her one treatment option and she lost a fallopian tube.