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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 alert district nurses to a risk of pressure sore
Summary 142 |
Staff were aware that Mrs F had developed a red area of skin on her bottom while she was in hospital. However, they did not tell the district nurses about this when Mrs F was discharged. Less than 24 hours after discharge, this turned into a pressure sore.
Poor care and management of a patient with severe abdominal pain
Summary 136 |
Mrs D complained to us about the treatment her mother, Mrs R, received from the time of her admission until her death shortly after. Mrs D felt that the inadequate care her mother received removed any chance she had of surviving.
Trust did not give older patient adequate care
Summary 134 |
Ms J complained that the Trust wrongly discharged her father when he had a chest infection. She also complained about care and treatment during a later hospital admission. Ms J said the failings led to her father's death.