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 practice unfairly removed family from its patient list without warning

Summary 604 | November 2014

Mrs B complained that she and her husband were unfairly removed from their GP Practice which meant a long journey to visit another GP.

A couple were left without support when the husband was told he probably had cancer

Summary 603 | November 2014

There was a lack of consideration and support for Mr R and his wife when he was told he probably had cancer. He also had a long wait in A&E, and a delay in being referred to a cancer specialist.

Poor care for man at risk of pressure sores

Summary 602 | November 2014

Mrs B was concerned that her husband may have had to go into a nursing home because of his pressure sores.

Police force entry to patient's home after Trust provides wrong information

Summary 601 | November 2014

Miss B's friend called the police as she was concerned she could not contact her. Miss B was at hospital but the Trust said she was not there.

Failings by Trust meant lost opportunity to save baby's life

Summary 600 | November 2014

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.

Consultant did not respond to requests to review knee replacement surgery

Summary 599 | November 2014

Mr T had a knee replacement operation. He was concerned about the surgery and the aftercare he received. He then had to have another knee operation.

Failings in the way a GP practice handled the removal of patient and his family from the Practice list

Summary 598 | November 2014

Removing Mr B and his family from the GP Practice list caused them significant problems and didn't follow relevant guidelines.

Doctors failed to check man's blood pressure or to consider possible side effects of medication

Summary 597 | November 2014

Mr S complained on behalf of his father that he was prescribed Bisoprolol, a heart drug, by the Trust and was not monitored properly. Mr S also complained about the service he received when he enquired about his father's blood test results. He felt the Trust did not take his complaint seriously.

No consent for vaccination, and a diabetes review done incorrectly

Summary 596 | November 2014

Ms R was unhappy with her treatment at the Medical Centre and complained about lack of consent, a diabetes review, its record keeping and complaint handling.

Poor monitoring of anti–psychotic drug

Summary 595 | November 2014

Trust did not appropriately monitor man's olanzapine prescription for four years.

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