Health archive 2019-2020


Archive has 207 results

  • Partnerships In Care Ltd (17 018 823c)

    Statement Closed after initial enquiries Mental health services 26-Nov-2019

    Summary: Mrs B has complained about her daughter’s treatment by a Council and a Trust on behalf of a Care Commissioning Group. The Ombudsmen find fault with the Council and Trust in relation to a lack of aftercare under s.117 of the Mental Health Act. They also uphold a complaint about the Council and Trust not refunding supported living fees. However, they do not find fault in relation to a residential move which broke down. The Council, Trust and Clinical Commissioning Group have agreed to a number of actions to remedy the impact of the identified faults.

  • St. Andrews Healthcare (Northampton) (17 018 823d)

    Statement Closed after initial enquiries Mental health services 26-Nov-2019

    Summary: Mrs B has complained about her daughter’s treatment by a Council and a Trust on behalf of a Care Commissioning Group. The Ombudsmen find fault with the Council and Trust in relation to a lack of aftercare under s.117 of the Mental Health Act. They also uphold a complaint about the Council and Trust not refunding supported living fees. However, they do not find fault in relation to a residential move which broke down. The Council, Trust and Clinical Commissioning Group have agreed to a number of actions to remedy the impact of the identified faults.

  • Milton Keynes Clinical Commissioning Group (17 018 823e)

    Statement Upheld Mental health services 26-Nov-2019

    Summary: Mrs B has complained about her daughter’s treatment by a Council and a Trust on behalf of a Care Commissioning Group. The Ombudsmen find fault with the Council and Trust in relation to a lack of aftercare under s.117 of the Mental Health Act. They also uphold a complaint about the Council and Trust not refunding supported living fees. However, they do not find fault in relation to a residential move which broke down. The Council, Trust and Clinical Commissioning Group have agreed to a number of actions to remedy the impact of the identified faults.

  • NHS Lambeth Clinical Commissioning Group (17 005 393a)

    Statement Upheld Other 25-Nov-2019

    Summary: Mrs B complains the Council delayed in assessing her needs and completed an inadequate assessment which did not properly reflect her needs. She says the Council recorded incorrect health information about her and the CCG delayed in completing a healthcare funding assessment. She says the faults caused her distress and left her out of pocket. The Ombudsmen found the Council failed to assess Mrs B promptly and this caused her uncertainty and distress. The CCG delayed its assessment and failed to calculate redress in line with government guidance and this left Mrs B out of pocket. The Council and the CCG acted to improve their processes and procedures. They have also agreed to the Ombudsmen’s recommendations and will apologise to Mrs B and pay a financial remedy.

  • Torbay and South Devon NHS Foundation Trust (16 015 030a)

    Statement Not upheld Hospital acute services 20-Nov-2019

    Summary: The Ombudsmen found fault with the care provided to a woman with complex needs by several health and social care organisations. This included failure to arrange assessments and reviews, failures in transition planning and failure to make appropriate safeguarding referrals. This fault meant opportunities were missed to explore whether the woman had additional care needs. This also resulted in distress and uncertainty for her sister, who is pursuing the complaint on her behalf. The organisations concerned have agreed to take action to remedy the injustice to the complainants.

  • Pembroke Surgery (16 015 030b)

    Statement Upheld General practice 20-Nov-2019

    Summary: The Ombudsmen found fault with the care provided to a woman with complex needs by several health and social care organisations. This included failure to arrange assessments and reviews, failures in transition planning and failure to make appropriate safeguarding referrals. This fault meant opportunities were missed to explore whether the woman had additional care needs. This also resulted in distress and uncertainty for her sister, who is pursuing the complaint on her behalf. The organisations concerned have agreed to take action to remedy the injustice to the complainants.

  • Royal Devon & Exeter NHS Foundation Trust (16 015 030c)

    Statement Not upheld Hospital acute services 20-Nov-2019

    Summary: The Ombudsmen found fault with the care provided to a woman with complex needs by several health and social care organisations. This included failure to arrange assessments and reviews, failures in transition planning and failure to make appropriate safeguarding referrals. This fault meant opportunities were missed to explore whether the woman had additional care needs. This also resulted in distress and uncertainty for her sister, who is pursuing the complaint on her behalf. The organisations concerned have agreed to take action to remedy the injustice to the complainants.

  • Devon Partnership NHS Trust (16 015 030d)

    Statement Upheld Mental health services 20-Nov-2019

    Summary: The Ombudsmen found fault with the care provided to a woman with complex needs by several health and social care organisations. This included failure to arrange assessments and reviews, failures in transition planning and failure to make appropriate safeguarding referrals. This fault meant opportunities were missed to explore whether the woman had additional care needs. This also resulted in distress and uncertainty for her sister, who is pursuing the complaint on her behalf. The organisations concerned have agreed to take action to remedy the injustice to the complainants.

  • NHS Devon CCG (16 015 030e)

    Statement Not upheld Other 20-Nov-2019

    Summary: The Ombudsmen found fault with the care provided to a woman with complex needs by several health and social care organisations. This included failure to arrange assessments and reviews, failures in transition planning and failure to make appropriate safeguarding referrals. This fault meant opportunities were missed to explore whether the woman had additional care needs. This also resulted in distress and uncertainty for her sister, who is pursuing the complaint on her behalf. The organisations concerned have agreed to take action to remedy the injustice to the complainants.

  • Westwood Surgery (19 003 596b)

    Statement Upheld General practice 12-Nov-2019

    Summary: The Ombudsmen find there was fault on the part of a Surgery in the care it provided to a patient with dementia. It should have done more before prescribing a sedative on a long-term basis, and it should have performed a more thorough examination when the patient became unwell. These faults have left the patient’s daughter with uncertainty which, in turn, caused distress. The Surgery has agreed to provide an apology and produce an action plan to help put things right.

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