Sussex Partnership NHS Foundation Trust (20 001 063a)

Statement Upheld Mental health services 29-Mar-2021

Summary: We consider East Sussex County Council, Change Grow Live, Sussex Partnership NHS Foundation Trust and Old School Surgery missed the opportunity to meet and discuss Ms E’s worsening alcohol misuse and mental health before she died. That has caused Ms E’s family uncertainty. They will not know if a joint meeting would have changed the outcome. The organisations should apologise for that fault.

Old School Surgery (20 001 063c)

Statement Not upheld General practice 29-Mar-2021

Summary: We consider East Sussex County Council, Change Grow Live, Sussex Partnership NHS Foundation Trust and Old School Surgery missed the opportunity to meet and discuss Ms E’s worsening alcohol misuse and mental health before she died. That has caused Ms E’s family uncertainty. They will not know if a joint meeting would have changed the outcome. The organisations should apologise for that fault.

Warrington & Halton Hospitals NHS Foundation Trust (20 002 742a)

Statement Upheld Other 29-Mar-2021

Summary: We consider that Halton Borough Council did not clearly explain the section 47 enquiry process or explain why it changed its supervision arrangements for Mrs X’s daughter. That was distressing for Mrs X. Also, we consider the Council, Warrington & Halton Hospitals NHS Foundation Trust and Halton Clinical Commissioning Group’s poor complaint handling led to significant delays which caused Mrs X frustration and time and trouble.

NHS Halton Clinical Commissioning Group (20 002 742b)

Statement Upheld Other 29-Mar-2021

Summary: We consider that Halton Borough Council did not clearly explain the section 47 enquiry process or explain why it changed its supervision arrangements for Mrs X’s daughter. That was distressing for Mrs X. Also, we consider the Council, Warrington & Halton Hospitals NHS Foundation Trust and Halton Clinical Commissioning Group’s poor complaint handling led to significant delays which caused Mrs X frustration and time and trouble.

Abbey Medical Centre (19 018 460a)

Statement Not upheld General practice 23-Mar-2021

Summary: Dr A has complained in relation to the care of her mother at a Care Home and the delay in a fast-track application for Continuing Healthcare funding. We do not find fault with the care provided or the delay in the application that caused Dr A the injustice has claimed.

Tees, Esk and Wear Valleys NHS Foundation Trust (19 019 435a)

Statement Closed after initial enquiries Community hospital services 17-Mar-2021

Summary: We will not investigate Ms X’s complaint. We most likely would not find fault with how Durham County Council responded to her safeguarding concerns. Also, we are unlikely to find fault with how her integrated care team supported her in response to those concerns.

Kent & Medway NHS & Social Care Partnership Trust (20 006 958a)

Statement Closed after initial enquiries Mental health services 16-Mar-2021

Summary: The Ombudsmen have decided not to investigate a complaint about mental health care being transferred from an NHS Trust to a Council without telling the family. This is because although there appears to have been fault, this has been acknowledged and the organisations have already taken action to put these right. We are therefore unlikely to achieve more by investigating.

NHS Sheffield Clinical Commissioning Group (19 015 370a)

Statement Not upheld Community hospital services 08-Mar-2021

Summary: The Ombudsmen find there was an extensive avoidable delay in the Council assessing two young adults’ needs and producing a support plan for their care at home. This situation caused their mother significant avoidable stress which is an injustice. The Council has agreed to apologise, make a payment to recognise the injustice and to take steps to learn from the case and prevent recurrences.

NHS Sheffield Clinical Commissioning Group (19 015 370b)

Statement Not upheld Community hospital services 08-Mar-2021

Summary: The Ombudsmen find there was an extensive avoidable delay in the Council assessing two young adults’ needs and producing a support plan for their care at home. This situation caused their mother significant avoidable stress which is an injustice. The Council has agreed to apologise, make a payment to recognise the injustice and to take steps to learn from the case and prevent recurrences.

Birmingham & Solihull Mental Health Trust (20 002 158a)

Statement Not upheld Mental health services 23-Feb-2021

Summary: We consider an Approved Mental Health Professional and a Community Psychiatric Nurse appropriately supported Mr L before and after the decision to detain him under section 2 of the Mental Health Act.