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.

Advanced filters

Type

Health

Parliamentary

Organisation

Location

Health cases only

Concerns

Results

Poor clinical assessment by A&E locum doctor

Summary 594 | November 2014

Mr B complained about his visit to A&E in summer 2013. He says his history and records were not checked and he was discharged without treatment. Mr B says this caused him pain, suffering and distress.

Failure to carry out an appropriate medical assessment by telephone

Summary 593 | November 2014

A GP did not complete an appropriate assessment of a patient who died some days after.

GP delayed referring patient for investigations into cancer symptoms

Summary 592 | November 2014

Dr P failed to take appropriate action when a woman in her forties attended with symptoms that suggested colorectal cancer.

Elderly man's food and drink not properly monitored in nursing home

Summary 591 | November 2014

Mrs J complained about the care given to her elderly father, Mr S, for the fortnight he was looked after in the nursing home.

Nurses did not actively try to prevent patient from falling

Summary 590 | November 2014

Nurses did not put in place a falls care plan for eight days and Mr A fell several times.

Elderly lady's leg fractured by ambulance crew

Summary 589 | November 2014

Ambulance crew did not use a hoist to transfer older lady who could not stand in and out of the ambulance.

Family not told about elderly patient's bed sores

Summary 588 | November 2014

Miss F complained that when her mother was discharged from hospital, her family were not told that she had pressure sores; had an untreated urine infection and her nutrition and hydration needs were not met. She said she was too unwell to leave hospital.

A four day delay in a cancer diagnosis, and Trust ignores independent review

Summary 587 | November 2014

Mrs A's family struggled to get acknowledgements and improvements from the Trust even after independent evidence.

GP failed to examine patient's painful knee

Summary 586 | November 2014

Although Miss T had a history of arthritis, her GP failed to examine her when her knee became painful again.

Failings in the assessment and care of a patient with meningitis delayed his diagnosis and treatment but did not result in an unavoidable death

Summary 585 | November 2014

Mr R complained that his late brother, Mr J went to the Trust's A&E department in spring 2013 with signs of infection but he was not treated for this for eight hours. Mr R believed that hospital staff judged his brother had alcohol related issues.