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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 inadequately assessed patient at risk of falls
Summary 1035 |
Mrs J complained about several aspects of her medical and nursing care while an inpatient at the Trust. In particular, she said she was dropped while on an inappropriate ward and that her leg was then set in a way that made it difficult for her to retain her independence.
Unreasonable delay in treating broken arm
Summary 1034 |
The Trust failed to recognise the severity of Mr S's condition after he fell off his motorbike, and he suffered an unreasonable wait for surgery.
GP practice's poor communication caused inconvenience
Summary 1033 |
Mr M's GP Practice did not explain to him that it had stopped medication for his psoriasis. Mr M felt that his treatment had been undermined, and that his condition deteriorated as a result.
Trust's poor communication led to delays in physiotherapy
Summary 1027 |
Ms B had treatment for a road traffic accident injury. But she suffered ongoing pain and delays in arranging follow-up appointments and physiotherapy, due to poor communication and co‑ordination of services.
Decision to discharge a patient from hospital was appropriate
Summary 1026 |
Mr H said doctors at the Trust did not treat his father, Mr J, appropriately when he was a patient there. Mr H said that poor assessment and inappropriate discharge arrangements contributed to his father's death. He said that if his father had remained in an acute hospital he might not have died.