Assessment and funding


Recent statements in this category are shown below:

  • NHS Suffolk & North East Essex ICB (25 003 202a)

    Statement Upheld Assessment and funding 26-Aug-2026

    Summary: We found fault by Suffolk County Council, Care UK and NHS Suffolk and North East Essex Integrated Care Board with regards to the care provided to Mrs C when she was resident in the Care Home. This fault placed Mrs C at risk and caused her daughter, Mrs B, significant distress and uncertainty. The Council, Care UK and the ICB will take action to prevent similar problems occurring in future. They will also pay Mrs B a symbolic financial remedy. There was no fault with regards to the handling of an NHS Funded Nursing Care review by the ICB.

  • NHS Leicester, Leicestershire and Rutland Integrated Care Board (26 001 572a)

    Statement Closed after initial enquiries Assessment and funding 25-Aug-2026

    Summary: Mrs A complains about the care provided to her father by a Council, a Trust and a ICB before his death. She also complains the Council failed to complete a continuing healthcare assessment. We will not investigate these complaints because there are no indications of fault which has not already been accepted by the organisations. Where fault has been accepted, it is unlikely we could add anything more. The Council did not investigate parts of Mrs A’s complaint through the formal complaints process. We uphold this part of her complaint because the Council should have investigated, it has now agreed to do so.

  • NHS Humber and North Yorkshire Integrated Care Board (ICB) (25 016 273a)

    Statement Closed after initial enquiries Assessment and funding 06-Aug-2026

    Summary: Mrs X complained about delays by the Council and NHS Integrated Care Board (ICB) in assessing her late mother Mrs Y’s eligibility for an NHS contribution to her care costs, leading to a missed period of funding. She also complained about the ICB’s decision to fund fewer than 24 hours a day of one-to-one support for Mrs Y. Mrs X complained to us late, more than 12 months after becoming aware of the problem. There are no good reasons for us to investigate the complaint now.

  • NHS Humber and North Yorkshire Integrated Care Board (ICB) (25 016 273b)

    Statement Closed after initial enquiries Assessment and funding 06-Aug-2026

    Summary: Mrs X complained about delays by the Council and NHS Integrated Care Board (ICB) in assessing her late mother Mrs Y’s eligibility for an NHS contribution to her care costs, leading to a missed period of funding. She also complained about the ICB’s decision to fund fewer than 24 hours a day of one-to-one support for Mrs Y. Mrs X complained to us late, more than 12 months after becoming aware of the problem. There are no good reasons for us to investigate the complaint now.

  • NHS South Yorkshire ICB (25 022 242a)

    Statement Closed after initial enquiries Assessment and funding 14-Jul-2026

    Summary: Mr A complains about the way staff from the Council and the Integrated Care Board behaved at a meeting. We will not investigate Mr A’s complaint because it is unlikely we can achieve anything more.

  • NHS Devon ICB (25 026 319a)

    Statement Closed after initial enquiries Assessment and funding 24-Jun-2026

    Summary: We will not investigate a complaint by Mrs D about a change in funding by a Council and Integrated Care Board for her son, Mr E’s, joint package of care. The Council and Integrated Care Board has not reduced the care package so we would be unlikely to find a fault leading to a significant injustice to Mrs D and Mr E.

  • NHS Cheshire and Merseyside ICB (25 010 609a)

    Statement Upheld Assessment and funding 26-May-2026

    Summary: Mr B complained NHS Cheshire and Merseyside Integrated Care Board (the ICB) refused to either assess his father’s eligibility for NHS Continuing Healthcare in hospital or provide him with interim NHS funding for the nursing home placement he was discharged to. And he complained about Wirral Metropolitan Borough Council’s (the Council’s) decision to charge his father, Mr G, for his initial care and support at the nursing home. We find fault with the ICB’s approach. It relied on aspects of national guidance but ignored other parts. Without this fault it would have funded Mr G’s care from the point of discharge. We also found fault in the ICB’s and the Council’s handling of Mr B’s complaints. The ICB and the Council have agreed to actions to address the injustice.

  • Wirral University Teaching Hospital NHS Foundation Trust (25 010 609b)

    Statement Not upheld Assessment and funding 26-May-2026

    Summary: Mr B complained NHS Cheshire and Merseyside Integrated Care Board (the ICB) refused to either assess his father’s eligibility for NHS Continuing Healthcare in hospital or provide him with interim NHS funding for the nursing home placement he was discharged to. And he complained about Wirral Metropolitan Borough Council’s (the Council’s) decision to charge his father, Mr G, for his initial care and support at the nursing home. We find fault with the ICB’s approach. It relied on aspects of national guidance but ignored other parts. Without this fault it would have funded Mr G’s care from the point of discharge. We also found fault in the ICB’s and the Council’s handling of Mr B’s complaints. The ICB and the Council have agreed to actions to address the injustice.

  • Leicestershire Partnership NHS Trust (25 022 746a)

    Statement Closed after initial enquiries Assessment and funding 10-Mar-2026

    Summary: Mrs X complains about the lack of support getting a Continuing Healthcare Checklist completed for her sister after she left hospital. Although there are indications of fault by the organisations complained about, they have already accepted and remedied this. It is unlikely investigation by the Ombudsmen would achieve more.

  • Rushey Mead Health Centre (25 022 746b)

    Statement Closed after initial enquiries Assessment and funding 10-Mar-2026

    Summary: Mrs X complains about the lack of support getting a Continuing Healthcare Checklist completed for her sister after she left hospital. Although there are indications of fault by the organisations complained about, they have already accepted and remedied this. It is unlikely investigation by the Ombudsmen would achieve more.

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