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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 did not acknowledge serious failings and distressed bereaved wife with poor complaint handling
Summary 342 |
Mr H's wife, Mrs H, complained that an incident with continuous positive airway pressure equipment meant that Mr H had low levels of oxygen for a significant period of time. She felt that this contributed to his deterioration and the train of events that ended in his death 12 days later. She believed that nurses on the medical assessment unit were not competent in providing continuous positive airway pressure therapy.
Concerns about trust's discharge arrangements and complaint handling
Summary 340 |
Mrs L made a number of complaints about the co­ordination of her discharge from hospital in 2013. Initially the Trust missed the point of Mrs L's complaint and when she complained about the time taken to respond, it did not answer her concerns.
Poor record keeping made it difficult to investigate dentist's care and treatment
Summary 336 |
Mrs A complained that in early 2012 her young son had an inadequate dental assessment from his dentist. The dentist did not identify that her son had problems with his teeth. Mrs A said that the dentist's communication was poor and he was not proactive in treating her son. She was also dissatisfied with the practice's complaint handing because it did not properly address her concerns and there were lengthy delays.