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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
Trust gave appropriate care but communication with family was poor
Summary 1043 |
Ms B's family complained that the Trust failed to give her adequate care and treatment when her mental health declined. They said this led to her avoidable death. They also complained about the Trust's poor communication and complaint handling.
Clinical failing but appropriate safeguarding
Summary 1042 |
The Trust's urological department discharged Miss E without full investigations. She disagreed with this decision. Due to inappropriate contact with its consultant urology surgeon, the Trust banned Miss E from the urology department and asked her to visit a neighbouring Trust for treatment.
Failings in nursing care
Summary 1041 |
Mr R received appropriate clinical care but his family were distressed by failings in nursing care. They also claimed that Mr R was a victim of abuse, neglect and discrimination and that this contributed to his death.
Patient's death not linked to medication change
Summary 1040 |
Mrs W complained that the GP Practice caused problems for her late husband, Mr W, when it increased his blood pressure medication. She believed he never fully recovered from this.
GP practice did not appropriately treat or manage patient's pain
Summary 1037 |
The GP Practice and the Trust did not give Mr H appropriate treatment and pain relief for his right toe. He also complained that they both delayed diagnosing him with a bone infection and that, as a result, those failings led to the avoidable partial amputation of his toe.