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 16 results matching "Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust"
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-005046)
NHS in England
Not Upheld
Administration
Administration
Administration
AI summary: Miss R complained the Trust didn't add her to the surgery wait list, failed to follow up after an injection, and didn't respond to appointment requests.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-004804)
NHS in England
Closed After Initial Enquiries
Communication
Treatment
Communication
AI summary: Miss J complained the Trust caused her baby's skull fracture during a c-section, and provided inconsistent explanations about the injury.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-004687)
NHS in England
Not Upheld
None
None
None
None
AI summary: Mrs A complained the Trust delayed investigations into her son's gastrointestinal bleeding, lacked staff, delayed transfer, and provided inconsistent complaint responses, contributing to his death.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-004123)
NHS in England
Not Upheld
Diagnosis
Treatment
AI summary: Mrs X complained about multiple failings including misdiagnosis of bowel obstruction, sepsis risk, inappropriate ward placement, and inadequate follow-up, leading to critical illness and major surgery.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-004030)
NHS in England
Partly Upheld
Diagnosis
Treatment
AI summary: Mrs W complained the Trust failed to diagnose her husband's leukaemia earlier and delayed sepsis treatment, contributing to his death. She sought acknowledgment, apology, and service improvements.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-003770)
NHS in England
Upheld
Treatment
AI summary: Mrs C complained the Trust delayed giving her son, D, intravenous antibiotics for a UTI, leading to his rapid deterioration and death, believing this affected his survival chances.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-003596)
NHS in England
Upheld
Treatment
Treatment
Communication
Communication
AI summary: Miss R complained Doncaster Trust failed to act on her mother's repeated ED visits and Sheffield Trust delayed surgery, believing these contributed to her mother's death.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-003228)
NHS in England
Closed After Initial Enquiries
Tests
AI summary: Miss D complained the Trust delayed performing an ECG and troponin test for her father in the emergency department, believing earlier tests could have prevented his heart attack and death.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-003161)
NHS in England
Closed After Initial Enquiries
Choice and Consent
AI summary: Mrs I complained Trust staff refused to remove her coil, giving conflicting reasons, which caused her extreme distress and fears about unintended pregnancy.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-002890)
NHS in England
Closed After Initial Enquiries
Treatment
Nursing care
AI summary: A patient complained about poor A&E care for sepsis, including being on a trolley without bedding, unmonitored fluids, untimely treatment, and insufficient food, drink, and pain relief.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-002710)
NHS in England
Closed After Initial Enquiries
None
None
None
AI summary: Ms E complained that during a hip injection, staff proceeded despite her pain and insufficient anaesthetic, and didn't consider her medical history, causing significant distress and hip damage.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-002505)
NHS in England
Closed After Initial Enquiries
Treatment
Drugs / medication
AI summary: Mrs T complained about poor inpatient care for her mother, including lack of recovery opportunity, poor communication, and six weeks denial of dementia medication despite liquid alternatives, after a fall.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-001584)
NHS in England
Closed After Initial Enquiries
Diagnosis
AI summary: The complainant alleged the Trust failed to diagnose her brain tumour between 2016, leading to prolonged physical and mental suffering and impacting her quality of life.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-001505)
NHS in England
Upheld
Risk assessment
Communication
Communication
Communication
AI summary: Mrs H complained the Trust failed to assess her mother's fall risk, delayed informing the family about her fall, skull fracture, and end-of-life care, and staff lacked empathy.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-001393)
NHS in England
Closed After Initial Enquiries
Treatment
AI summary: Mrs A complained the Trust proceeded with her husband's surgery despite his cold symptoms, which staff failed to record, leading to his death.
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (P-001204)
NHS in England
Closed After Initial Enquiries
Access
AI summary: Mrs C complained about significant delays in her husband seeing an oncologist, receiving scan results, and undergoing surgery for his cancer, impacting his prognosis and family's well-being.
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.