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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Poor communication affects family's chance to spend more time with their mother in her last days

Summary 614 | November 2014

A family complained about surgical delays, questioned the need to amputate their mother's leg and raised concerns about their experience on the morning she died.

Lack of preoperative medication led to patient's stroke

Summary 613 | November 2014

Mr A complained he had a stroke because doctors did not give him a Clexane injection when he had an operation.

Elderly patient let down by orthotic clinics

Summary 612 | November 2014

Mrs B had problems getting the correct supportive footwear from two different orthotic clinics.

Inadequate monitoring and discharge after fall

Summary 611 | November 2014

Miss A was admitted to hospital for a cardioversion, in which the heart is given an electric shock to restore it to its proper rhythm.

Failure to make adjustments for patient with a physical health problem

Summary 610 | November 2014

Ms F complained about elements of the nursing and medical care she received during an admission to a residential unit operated by the Trust.

Extensive bruising during heart surgery was not due to a failing by the Trust

Summary 609 | November 2014

Mrs M complained about the care and treatment she received when she had a pacemaker inserted.

Patient's unnecessary operation

Summary 608 | November 2014

Mr J complained that the operation he had was not necessary. He also was unhappy about other aspects of his treatment and how his complaint was handled.

GP's poor complaint handling

Summary 607 | November 2014

GP practice did not fully respond to Mr C's complaint about the care of Mr B, his patient, although no failings were found in his medical care.

Failure to respond to a complaint

Summary 606 | November 2014

Mrs D's legal representatives complained about inaccurate remarks in a formal report, which questioned their professionalism.

GP practice unfairly removes patient from its list without warning

Summary 605 | November 2014

Miss G said she was forced to register at a different practice which is further away and which has a limited bus service. She also said that her reputation had been tarnished.