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.

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Clinical commissioning group did not follow correct process when it withdrew continuing care funding

Summary 304 | July 2014

Mrs P complained that the clinical commissioning group withdrew NHS continuing care funding for her daughter, D.

Practice did not appropriately manage woman's treatment

Summary 303 | July 2014

A GP practice did not follow national guidance for the management of a rare inflammatory condition that led to rheumatic problems. This caused Mrs A considerable anxiety and distress.

Family denied opportunity to spend time with patient before he died

Summary 302 | July 2014

Mr B's family felt that his care was inadequate after he was admitted to the Trust through A&E. They were unhappy that he died alone."

Trust failed to communicate properly

Summary 301 | July 2014

Mrs A wanted the Trust to recognise failings in her mother's care. She believed that better communication between doctors involved in her mother's care could have minimised her suffering on the day she died.

Failings found in maternity care at Trust

Summary 300 | July 2014

Mrs T complained about the care up to and during the birth of her son.

Trust managed patient's psychotherapy care appropriately

Summary 299 | July 2014

Mrs J felt that the Trust did not manage her psychotherapy care appropriately when she wanted to see a female psychotherapist. She also felt there were insufficient black and minority" ethnic (BME) therapists available in the Trust.

Doctors and nurses failed to identify baby's cleft palate

Summary 298 | July 2014

Miss T complained that her son R had an undiagnosed cleft palate for the first few weeks of his life.

Delayed complaint response added to stress for patient with tumour

Summary 297 | July 2014

Mrs A's oesophagus was perforated during an endoscopy procedure. She was later diagnosed with a tumour, which her daughter, Ms C, believed got worse because of the incident.

Mr C relied on UKVI's guidance but this information was at odds with Immigration Rules

Summary 296 | September 2014

Mr C complained because he applied for indefinite leave to remain in the UK and this was refused by UK Visas and Immigration (UKVI) despite Mr C following UKVI's guidance.

Driver and Vehicle Standards Agency failed to properly investigate allegations about a driving examiner

Summary 295 | September 2014

A driving instructor complained to the Driver and Vehicle Standards Agency (DVSA) about the attitude of a driving examiner, but it did not properly investigate the allegations.

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