Warrington & Halton Hospitals NHS Foundation Trust (20 007 502a)

Statement Upheld Hospital acute services 17-Nov-2021

Summary: Mrs F has complained about a Trust and Council in relation to a child protection case involving her niece, Miss G’s child. I found fault with the Trust in obtaining an x-ray report from an unsuitably qualified radiologist. However, this fault did not lead to the injustice Mrs F has claimed and the Trust is making service improvements. In addition, I do not find fault with the Council’s actions.

Warrington & Halton Hospitals NHS Foundation Trust (20 007 502b)

Statement Upheld Hospital acute services 17-Nov-2021

Summary: Mrs F has complained about a Trust and Council in relation to a child protection case involving her niece, Miss G’s child. I found fault with the Trust in obtaining an x-ray report from an unsuitably qualified radiologist. However, this fault did not lead to the injustice Mrs F has claimed and the Trust is making service improvements. In addition, I do not find fault with the Council’s actions.

University Hospitals Dorset NHS Foundation Trust (21 004 083a)

Statement Closed after initial enquiries Hospital acute services 28-Oct-2021

Summary: Mrs F has complained about her mother’s treatment by a Trust and the handling of her discharge from hospital by the Trust and a Council. I will not investigate this complaint as it is late.

Great Western Hospitals NHS Foundation Trust (19 016 113a)

Statement Not upheld Hospital acute services 24-Oct-2021

Summary: Mrs D complains about her father-in-law, Mr E’s discharge planning by the Council and subsequent care in a nursing home and a hospital. We found fault with some aspects of Mr E’s care and have made recommendations to the Council and Home to improve their services. We did not find fault with the Hospital.

The Rotherham NHS Foundation Trust (20 005 155a)

Statement Not upheld Hospital acute services 06-Oct-2021

Summary: Mr D complains about the way his mother, Mrs E, was discharged from hospital, and that communication with him was poor. The Trust accepted its communication with Mr D about Mrs E’s condition while she was in hospital was lacking, meaning he did not have all the relevant information. The Trust has apologised to Mr D and taken steps to improve communication. We did not find fault by the Trust or Council with regard to the other matters we investigated.

Worcestershire Acute Hospitals NHS Trust (20 013 303a)

Statement Not upheld Hospital acute services 03-Oct-2021

Summary: We do not consider Worcestershire Acute Hospitals NHS Trust acted with fault when it assessed Miss X’s mental capacity. Also, when it discharged her to a Nursing Home it did so in her best interests.

North Bristol NHS Trust (19 018 582a)

Statement Not upheld Hospital acute services 16-Sep-2021

Summary: Miss H complains about what happened when her mother, Mrs D was discharged from hospital. We found no fault by the Trust or Council in the way Mrs D was discharged from hospital, or in how they communicated with Mrs D and her family about the discharge process.

South Tyneside and Sunderland NHS Foundation Trust (20 003 765a)

Statement Upheld Hospital acute services 10-Sep-2021

Summary: Mrs B complained about nursing, personal care, and discharge planning provided to her mother, Mrs E. We found fault by the Trust, in personal care, record-keeping and moving and handling. We also found fault by the Council by not involving Mrs B in the discharge planning meeting. The Council and Trust have agreed to apologise to Mrs B and take steps to improve their services. They have also agreed to pay a financial remedy in view of the distress caused to Mrs B.

University Hospitals of Leicester NHS Trust (20 010 092a)

Statement Closed after initial enquiries Hospital acute services 20-Aug-2021

Summary: The Ombudsman will not investigate Mr G and Mr H’s complaint about the Council. This is because an investigation would be unlikely to add to the response they have already received.

Great Western Hospitals NHS Foundation Trust (20 011 171a)

Statement Not upheld Hospital acute services 18-Aug-2021

Summary: Mrs B complained about information an NHS Trust provided to the Council’s commissioned care home provider when her late father was discharged from hospital in December 2019. She complains a Surgery prescribed antibiotics but failed to send the prescription to the pharmacy. She also said the Home delayed in following up on the medication her father needed, and this contributed to his untimely death. We found the Trust at fault for poor record keeping when it dealt with the discharge, but it improved. Faults in the way the Surgery made an electronic request for medication and the Home’s failure to take follow up action caused delay in the medication being received. The Surgery and the Home also missed an opportunity to report the incident to the Council so it could consider its safeguarding procedures. The authorities have agreed to our recommendations and the Council will monitor the Home to ensure it improves the way it records discharge information and it will provide safeguarding training if necessary. The Surgery will remind its staff of the importance of reporting safeguarding concerns to the Council when dealing with incidents relating to patient safety. The Home and the Surgery will apologise to Mrs B for the missed opportunity which contributed to doubt she has about the events which occurred.