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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 failed to diagnose husband's fractured hip
Summary 203 |
Mrs B complained to us that the Trust failed to diagnose Mr B's hip fracture. By the time the Trust identified the fracture, he needed a hip replacement instead of a repair.
Inpatient care on a ward
Summary 201 |
Ms E's mother was admitted to the ward in the final stages of illness to build up fluids and weight.
Trust failed to admit patient to stroke unit after he arrived at A&E
Summary 196 |
Mrs R complained about her husband's care and treatment when he went to A&E in the winter of 2012. Mrs R complained that there was an avoidable delay in staff diagnosing that her husband had had a stroke that led to delay in giving him necessary treatment.
Poor communication with patient's family
Summary 194 |
The Trust did not communicate well with Mr Ys family and did not explain the reasons why a do not attempt resuscitation (DNAR) order was in place.