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
Clear

Showing 13 results matching "Epsom and St Helier University Hospitals NHS Trust"

Epsom and St Helier University Hospitals NHS Trust (P-004876)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 23 Feb 2026 · Epsom and St Helier University Hospitals NHS Trust
Treatment Complaint handling Detention Facilities and cleanliness Record keeping and management
AI summary: Mr Z complained the Trust refused dialysis, had security remove him from the unit, lost bodycam footage, refused to respond to his letter, and failed to replace his broken chair.
Epsom and St Helier University Hospitals NHS Trust (P-004779)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 4 Feb 2026 · Epsom and St Helier University Hospitals NHS Trust
Choice and Consent End of life care Administration
AI summary: Mr A complained the Trust reduced his mother's oxygen and removed life support without consent, against medical advice and her best interests.
Epsom and St Helier University Hospitals NHS Trust (P-004539)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 22 Dec 2025 · Epsom and St Helier University Hospitals NHS Trust
None None
AI summary: Ms C complained about care failures during her father's 2020 and 2023 admissions, believing these led to his death and caused her significant distress.
Epsom and St Helier University Hospitals NHS Trust (P-004256)
NHS in England Partly Upheld
Report · Decision date: 13 Nov 2025 · Epsom and St Helier University Hospitals NHS Trust
Diagnosis Communication
AI summary: Mrs K complained the Trust failed to follow up a colon PET scan, ensure family support for a cancer diagnosis, and correctly consent her mother for surgery.
Epsom and St Helier University Hospitals NHS Trust (P-004155)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 31 Oct 2025 · Epsom and St Helier University Hospitals NHS Trust
Treatment Treatment Drugs / medication Treatment
AI summary: Mrs S complained the Trust failed to diagnose/treat her mother's swallowing, maintain nutrition, and administered high diazepam doses, contributing to her death.
Epsom and St Helier University Hospitals NHS Trust (P-003564)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 29 May 2025 · Epsom and St Helier University Hospitals NHS Trust
Drugs / medication Communication Drugs / medication Drugs / medication Surgery
AI summary: Miss O complained about inappropriate HRT advice, incorrect prescriptions, and medication changes that worsened her symptoms. She also alleged damage to her tongue and tooth during a procedure.
Epsom and St Helier University Hospitals NHS Trust (P-003238)
NHS in England Not Upheld
Report · Decision date: 12 Dec 2024 · Epsom and St Helier University Hospitals NHS Trust
Diagnosis
AI summary: Mrs O complained the Trust failed to diagnose Mr A's pericardial effusion, administered an inappropriate drug, and didn't support the family during his resuscitation.
Epsom and St Helier University Hospitals NHS Trust (P-002702)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 20 Jun 2024 · Epsom and St Helier University Hospitals NHS Trust
Diagnosis Administration
AI summary: Mrs I complained the Trust failed to correctly manage her post-surgery fluids and electrolytes, leading to prolonged nausea and vomiting, and misdiagnosed its cause.
Epsom and St Helier University Hospitals NHS Trust (P-002703)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 17 Jun 2024 · Epsom and St Helier University Hospitals NHS Trust
Referral Communication
AI summary: Mr H complained the Trust delayed referring his father for physiotherapy post-discharge and failed to communicate this decision, impacting his father's mobility.
Epsom and St Helier University Hospitals NHS Trust (P-002635)
NHS in England Upheld
Report · Decision date: 30 May 2024 · Epsom and St Helier University Hospitals NHS Trust
Nursing care
AI summary: Miss T complained the Trust failed to provide her father adequate nutrition, delayed dietitian referral, and did not consider alternative feeding methods, contributing to his death.
Epsom and St Helier University Hospitals NHS Trust (P-002617)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 21 May 2024 · Epsom and St Helier University Hospitals NHS Trust
None None None None None
AI summary: Ms A complained her mother's heart failure went undiagnosed/untreated by the Trust and GP, leading to her death. She alleged missed signs, inadequate treatment, and misdiagnosis.
Epsom and St Helier University Hospitals NHS Trust (P-002485)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 19 Feb 2024 · Epsom and St Helier University Hospitals NHS Trust
End of life care
AI summary: Ms A complained the Trust stopped active treatment for her grandfather, Mr I, based on an alleged family agreement, causing distress and reducing their time with him.
Epsom and St Helier University Hospitals NHS Trust (P-003908)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 20 Jul 2023 · Epsom and St Helier University Hospitals NHS Trust
Communication
AI summary: Dr U complained a Trust nurse gave misleading information about her son, failed to update records with dietician letters, and sent false information to his school.
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.

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

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.

# Organisation Received Trend Decisions Upheld Partly Upheld Rate vs avg Remedy
Compliance
1 Child Maintenance Service 432 5 4 1 100% +27pp
2 University Hospitals of North Midlands NHS Trust 136 6 3 3 100% +27pp
3 United Lincolnshire Hospitals NHS Trust 129 11 3 8 100% +27pp
4 East Kent Hospitals University NHS Foundation Trust 121 7 4 3 100% +27pp
5 East Suffolk and North Essex NHS Foundation Trust 108 9 3 6 100% +27pp
6 Ashford and St Peter's Hospitals NHS Foundation Trust 78 6 6 100% +27pp
7 York and Scarborough Teaching Hospitals NHS Foundation Trust 76 7 2 5 100% +27pp
8 Surrey and Sussex Healthcare NHS Trust 73 5 1 4 100% +27pp
9 Croydon Health Services NHS Trust 70 6 6 100% +27pp
10 Gateshead Health NHS Trust 69 5 3 2 100% +27pp
11 University Hospitals Birmingham NHS Foundation Trust 339 26 12 12 92% +19pp
12 University Hospitals Sussex NHS Foundation Trust 214 10 2 7 90% +17pp
13 Northern Care Alliance NHS Foundation Trust 178 10 1 8 90% +17pp
14 Department for Work and Pensions 853 9 3 5 89% +16pp
15 UK Visas and Immigration 193 8 4 3 88% +15pp
16 University Hospitals Dorset NHS Foundation Trust 108 7 6 86% +13pp
17 University Hospitals Coventry and Warwickshire NHS Trust 159 12 3 7 83% +10pp
18 County Durham and Darlington NHS Foundation Trust 94 12 4 6 83% +10pp
19 Royal Wolverhampton NHS Trust 83 6 2 3 83% +10pp
20 Cambridge University Hospitals NHS Foundation Trust 81 6 4 1 83% +10pp
21 North Middlesex University Hospital NHS Trust 76 6 1 4 83% +10pp
22 Barts Health NHS Trust 254 10 4 4 80% +7pp
23 Royal Devon University Healthcare Foundation Trust 136 5 1 3 80% +7pp
24 University Hospital Southampton NHS Foundation Trust 83 5 1 3 80% +7pp
25 NORTH WEST ANGLIA NHS FOUNDATION TRUST 74 5 1 3 80% +7pp
26 NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST 65 5 2 2 80% +7pp
27 The Hillingdon Hospitals NHS Foundation Trust 65 5 3 1 80% +7pp
28 Royal United Hospitals Bath NHS Foundation Trust 34 5 3 1 80% +7pp
29 Royal Free London NHS Foundation Trust 269 9 2 5 78% +5pp
30 MID Yorkshire Teaching NHS Trust 132 13 5 5 77% +4pp
31 Manchester University NHS Foundation Trust 320 20 5 10 75% +2pp
32 Mid and South Essex NHS Foundation Trust 267 14 4 6 71% -2pp
33 University Hospitals of Derby and Burton NHS Foundation Trust 113 7 2 3 71% -2pp
34 Portsmouth Hospitals NHS Trust 74 7 2 3 71% -2pp
35 Lewisham and Greenwich NHS Trust 119 10 4 3 70% -3pp
36 Lancashire Teaching Hospitals NHS Foundation Trust 10 2 5 70% -3pp
37 HM Courts & Tribunals Service 830 6 2 2 67% -6pp
38 King's College Hospital NHS Foundation Trust 194 6 2 2 67% -6pp
39 Leeds Teaching Hospitals NHS Trust 158 9 4 2 67% -6pp
40 Chelsea and Westminster Hospital NHS Foundation Trust 120 6 2 2 67% -6pp
All-organisation benchmark 73%

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.