PHSO Casework Decisions
3,622 published casework decisions from the Parliamentary and Health Service Ombudsman (Apr 2021–Mar 2026). PHSO selects a subset of completed investigations for public publication — these 3,622 decisions represent approximately 1.1% of the 321,459 total complaints received across the same period. Source: decisions.ombudsman.org.uk.
3,622
Published Decisions
3,089
Health
533
Parliamentary (Govt)
18%
Upheld / Partly Upheld
Showing 14 results matching "Blackpool Teaching Hospitals NHS Foundation Trust"
Blackpool Teaching Hospitals NHS Foundation Trust (P-005113)
NHS in England
Closed After Initial Enquiries
Drugs / medication
Drugs / medication
AI summary: Miss R complained her mother was given flupentixol decanoate and a blood thinner, which she alleges caused her illness and death.
Blackpool Teaching Hospitals NHS Foundation Trust (P-004748)
NHS in England
Closed After Initial Enquiries
Diagnosis
Treatment
AI summary: Mrs E complained about delays in diagnosing her son with autism, and the lack of follow up care, impacting his school attendance and mental health.
Blackpool Teaching Hospitals NHS Foundation Trust (P-004726)
NHS in England
Partly Upheld
Drugs / medication
Access
AI summary: Miss O complained about inadequate pain management after her hysterectomy, including insufficient pain relief, no morphine driver, and a lack of prompt doctor review, leading to severe pain for hours.
Blackpool Teaching Hospitals NHS Foundation Trust (P-004438)
NHS in England
Upheld
Drugs / medication
AI summary: Mrs O complained her husband was wrongly administered goserelin intended for another patient, causing him significant side effects and contributing to his distress.
Blackpool Teaching Hospitals NHS Foundation Trust (P-003541)
NHS in England
Closed After Initial Enquiries
Treatment
Treatment
Transfer, discharge and aftercare
AI summary: Mr P complained his mother's care in April 2019 was inappropriate, potentially causing her death, and sought an apology and compensation.
Blackpool Teaching Hospitals NHS Foundation Trust (P-003331)
NHS in England
Closed After Initial Enquiries
None
AI summary: Mrs D complained the Trust left her husband insufficiently clothed, causing him to be cold throughout his admission, which she believes contributed to his death from double pneumonia.
Blackpool Teaching Hospitals NHS Foundation Trust (P-003269)
NHS in England
Not Upheld
End of life care
Diagnosis
Nursing care
Record keeping and management
AI summary: Dr F complained the Trust failed to get consent for a DNAR, misdiagnosed a swollen arm and breast wound, withheld IV fluids, provided poor dental/palliative care, and improperly shared medical records.
Blackpool Teaching Hospitals NHS Foundation Trust (P-003202)
NHS in England
Not Upheld
Drugs / medication
Choice and Consent
End of life care
AI summary: Mr R complained the Trust gave his mother incorrect doses of Midazolam, did not discuss a Do Not Attempt Resuscitation Order, and wrongly placed her on end-of-life care.
Blackpool Teaching Hospitals NHS Foundation Trust (P-002960)
NHS in England
Closed After Initial Enquiries
Confidentiality, privacy and safeguarding
Choice and Consent
AI summary: Mrs R complained the Trust inappropriately placed her under a Deprivation of Liberty Safeguard (DoLS) order and incorrectly raised a safeguarding concern about her relationship.
Blackpool Teaching Hospitals NHS Foundation Trust (P-002718)
NHS in England
Not Upheld
None
None
None
None
None
AI summary: Mrs A complained about an incorrect referral and insufficient investigation by an ANP, and delayed diagnosis/treatment of stomach cancer by the Trust, reducing Mr A's survival chances.
Blackpool Teaching Hospitals NHS Foundation Trust (P-002055)
NHS in England
Closed After Initial Enquiries
None
None
AI summary: Mrs A complained the Trust failed to identify her mother as a falls risk and left her bed rail down, causing a fall which Mrs A believes contributed to her mother's death.
Blackpool Teaching Hospitals NHS Foundation Trust (P-001874)
NHS in England
Closed After Initial Enquiries
Nursing care
Drugs / medication
AI summary: Mrs B complained a junior doctor gave spinal anaesthetic without consent, potentially causing non-epileptic seizures, and a nurse caused pain during a seizure.
Blackpool Teaching Hospitals NHS Foundation Trust (P-001498)
NHS in England
Closed After Initial Enquiries
Access
Treatment
AI summary: Mr O complained the Trust delayed his mother's opportunity to see an oncologist for three months after her cancer diagnosis, causing unnecessary heartache.
Blackpool Teaching Hospitals NHS Foundation Trust (P-001135)
NHS in England
Closed After Initial Enquiries
Treatment
Complaint handling
AI summary: Mrs P complained about poor pre and post-natal care, including ignored medical history and antibiotic use, leading to her son's early, oxygen-deprived birth and developmental issues, exacerbated by placenta destruction.
Upheld / Partly Upheld
259 + 397
18% of decisions found fault with the organisation complained about.
Not Upheld
247
Complaint investigated but no fault found. 1 resolved during investigation.
Closed After Initial Enquiries
2,718
PHSO decided not to proceed to full investigation.
Most complained-about:
HM Revenue and Customs (80), University Hospitals Birmingham NHS Foundation Trust (72), NHS England (62), Manchester University NHS Foundation Trust (50), HM Courts and Tribunals Service (48).
Published Decisions Over Time
Excludes 2,718 closed before investigation. Quarterly, by outcome.
Annual Complaints (PHSO-wide)
Official PHSO annual statistics across all organisations
| Year | Received | Investigated | Upheld | Upheld % | Remedy % |
|---|---|---|---|---|---|
| 2019-20 | 54,478 | 12,275 | 1,216 | 9.9% | 0% |
| 2020-21 | 44,139 | 7,822 | 617 | 7.9% | 0% |
| 2021-22 | 62,553 | 13,426 | 727 | 5.4% | 0% |
| 2022-23 | 61,297 | 15,734 | 782 | 5.0% | 0% |
| 2023-24 | 63,471 | 17,321 | 946 | 5.5% | 0% |
| 2024-25 | 35,521 | 10,070 | 519 | 5.2% | 0% |
Remedy % = percentage of PHSO remedies complied with on time
Top Themes
Themes by Upheld Rate
AI-classified themes across PHSO casework decisions
| Theme | Decisions | Upheld | Rate |
|---|---|---|---|
| Delayed Recognition of Deterioration | 747 | 184 | 25% |
| Complaint record keeping failures | 632 | 108 | 17% |
| Clinical negligence harms learning | 460 | 92 | 20% |
| Care plan failures | 436 | 121 | 28% |
| Care and discharge planning | 288 | 77 | 27% |
| No person-centred care | 215 | 46 | 21% |
| Inaccurate and inaccessible patient records | 204 | 37 | 18% |
| Patient dignity and privacy | 147 | 40 | 27% |
| Inadequate Pre-Operative Risk Assessment | 136 | 44 | 32% |
| Duty of Candour implementation | 134 | 43 | 32% |
| Medication Contamination/Misadministration | 128 | 33 | 26% |
| DWP policy impact assessment | 106 | 12 | 11% |
| Poor health and social care integration | 97 | 21 | 22% |
| Mental Health Crisis Referral Delays | 74 | 10 | 14% |
| Coroner family information gaps | 74 | 25 | 34% |
PHSO Complaint Categories
PHSO Categories by Upheld Rate
PHSO's own issue classifications — broad categories such as 'Treatment' cover a wide range of clinical complaints
| Category | Decisions | Upheld | Rate |
|---|---|---|---|
| Treatment | 1,610 | 418 | 26% |
| Diagnosis | 850 | 206 | 24% |
| Communication | 792 | 233 | 29% |
| Complaint handling | 534 | 161 | 30% |
| Drugs / medication | 463 | 130 | 28% |
| Nursing care | 388 | 154 | 40% |
| Access | 363 | 87 | 24% |
| Transfer, discharge and aftercare | 353 | 119 | 34% |
| Referral | 262 | 58 | 22% |
| Administration | 191 | 30 | 16% |
| End of life care | 170 | 50 | 29% |
| Choice and Consent | 165 | 48 | 29% |
| Continuing healthcare | 160 | 14 | 9% |
| Surgery | 145 | 32 | 22% |
| Record keeping and management | 133 | 30 | 23% |
Organisation Accountability
Combines PHSO annual complaint statistics (volume, remedy compliance) with published decisions portal data (uphold rate). Sorted by upheld rate for organisations with 5+ investigated decisions. Benchmark: 73% average upheld rate among fully investigated decisions. This differs from the headline 18% figure, which includes all 3,340 published decisions — most of which were closed before full investigation (upheld/not upheld only applies to fully investigated cases). Sparklines show complaint volumes received 2019–20 → 2024–25.
Received = complaints received in most recent year (PHSO annual data). Remedy compliance = % of PHSO-recommended remedies complied with across all available years. — = no data in that dataset for this organisation.