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
Failings by Trust meant lost opportunity to save baby's life
Summary 600 |
Investigations were not completed which meant the opportunity to deliver a baby early was lost. Later, lack of investigations led to a day of worry and distress for a couple before being told their baby had died.