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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
Serious breaches in established standards and practice in mental health ward
Summary 532 |
Mr M complained about his inpatient experience on a ward at the Trust's hospital in late 2012. He said the Trust did not give him information about his rights under the Mental Health Act; failed to take accurate and complete nursing records; threatened and used force to administer medication without getting his consent; denied him comfort and warmth; and deprived him of sleep. He also complained that he was detained against his will for some time.
Nursing failure caused serious injustice
Summary 530 |
Mrs Q complained on behalf of her sister, Mrs L, about the care and treatment she received at the Trust. As a result of failings by the Trust, Mrs L lost a significant degree of independence and required much greater support from Mrs Q.
Trust did not manage pain after an operation
Summary 528 |
Mr A complained about the pain he suffered after a brain operation, and about how the Trust cared for him. He was also unhappy about how it handled his complaint.
New mother died after transfer delay
Summary 527 |
During her pregnancy, Mrs D had good care from her GP Practice and trust. However, she became ill after the birth of her child. Senior clinicians did not get involved in her care and did not refer her to a specialist unit quickly enough. Although the care and treatment she received at the specialist unit were in line with established good practice, she had a cardiac arrest and died.
Practice ignored complaint
Summary 526 |
Mr T's GP Practice sent his employer some of his medical records and took too long to deal with his complaint about this.