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.

NHS Hampshire and Isle of Wight ICB (25 008 975a)

Statement Upheld Assessment and funding 10-Feb-2026

Summary: Mr X complained about repeated failures of Hampshire County Council and NHS Hampshire and Isle of Wight Integrated Care Board to work together. He complained this caused: a prolonged delay in discharging his wife from hospital; and, his wife to be left without funding for necessary night-time care. We found fault with the Council and the ICB for failing to manage a funding dispute adequately. This caused an avoidable delay in Mrs X’s discharge from hospital which, in turn, caused avoidable stress and frustration. We have not found fault in the way each organisation considered Mrs X’s night‑time needs against relevant eligibility criteria. The Council and the ICB have agreed to take actions to address the injustice their fault caused.

NHS North Central London ICB (24 012 261a)

Statement Closed after initial enquiries Assessment and funding 09-Oct-2025

Summary: Ms Y complains the Council, Care Provider and ICB failed to assess her mother for NHS Continuing Healthcare. We will not investigate the complaint because we cannot achieve the outcome Ms Y wants and parts of the complaint are premature.

NHS North Central London ICB (24 012 261b)

Statement Closed after initial enquiries Assessment and funding 09-Oct-2025

Summary: Ms Y complains the Council, Care Provider and ICB failed to assess her mother for NHS Continuing Healthcare. We will not investigate the complaint because we cannot achieve the outcome Ms Y wants and parts of the complaint are premature.

NHS Hertfordshire & West Essex ICB (25 001 119c)

Statement Closed after initial enquiries Assessment and funding 17-Sep-2025

Summary: Mrs A complains about the way the Council, Trust, ICB and GP surgery treated her husband, Mr B, before his death. She complains Continuing Healthcare (CHC) funding was delayed and the family were not given enough information. We will not investigate this complaint because we cannot overturn a decision made by the ICB about CHC. For her other points of complaint, an Ombudsmen investigation is unlikely to find fault.

NHS Bedfordshire, Luton and Milton Keynes Integrated Care Board (23 000 946a)

Statement Upheld Assessment and funding 27-Feb-2025

Summary: Mrs G complained about the decision by NHS Bedfordshire, Luton and Milton Keynes Integrated Care Board (the ICB) to reduce the night-time support for her child, D. She also complained about the way Milton Keynes Council (the Council) considered respite for the family and a preferred placement. We found fault in the way the ICB decided to reduce night-time support as it did not follow the recommendations from an independent assessment or properly consider the impact its decision would have on D’s parents. This likely caused D’s parents avoidable worry and distress. The Council did not provide enough support to meet the family’s needs but acted to put things right during our investigation. There was a lack of joined up working when assessing D’s health and social care needs. The ICB and Council have accepted our recommendations to complete a holistic review of D’s needs, apologise to Mrs G, make acknowledgement payments and improve their processes. We have now completed our investigation.

NHS Bedfordshire, Luton and Milton Keynes Integrated Care Board (23 000 946b)

Statement Upheld Assessment and funding 27-Feb-2025

Summary: Mrs G complained about the decision by NHS Bedfordshire, Luton and Milton Keynes Integrated Care Board (the ICB) to reduce the night-time support for her child, D. She also complained about the way Milton Keynes Council (the Council) considered respite for the family and a preferred placement. We found fault in the way the ICB decided to reduce night-time support as it did not follow the recommendations from an independent assessment or properly consider the impact its decision would have on D’s parents. This likely caused D’s parents avoidable worry and distress. The Council did not provide enough support to meet the family’s needs but acted to put things right during our investigation. There was a lack of joined up working when assessing D’s health and social care needs. The ICB and Council have accepted our recommendations to complete a holistic review of D’s needs, apologise to Mrs G, make acknowledgement payments and improve their processes. We have now completed our investigation.