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 37 results matching "Leeds Teaching Hospitals NHS Trust"
Leeds Teaching Hospitals NHS Trust (P-004807)
NHS in England
Not Upheld
Diagnosis
Diagnosis
AI summary: Mrs V complained the Trust failed to diagnose her brother's cancer after multiple hospital visits, and didn't act on suspicious findings on a scan.
Leeds Teaching Hospitals NHS Trust (P-004691)
NHS in England
Closed After Initial Enquiries
Record keeping and management
Administration
AI summary: Mr A complained the Trust sent unexpected documents in a subject access request, including a cancer diagnosis he wasn't aware of, and incorrectly removed him from a knee replacement waiting list.
Leeds Teaching Hospitals NHS Trust (P-004586)
NHS in England
Closed After Initial Enquiries
Diagnosis
Diagnosis
Drugs / medication
Access
Access
AI summary: Mrs K complained about inadequate hospital aftercare and investigations, a GP's refusal of an appointment, and NHS111's failure to assess symptoms for her daughter, Ms K, leading to her death.
Leeds Teaching Hospitals NHS Trust (P-004390)
NHS in England
Closed After Initial Enquiries
Diagnosis
Drugs / medication
Choice and Consent
AI summary: Ms E complained the Trust missed opportunities to diagnose her mother's cancer sooner, failed to provide adequate pain relief, and excluded family from DNR discussions.
Leeds Teaching Hospitals NHS Trust (P-004384)
NHS in England
Closed After Initial Enquiries
Diagnosis
Access
AI summary: Miss A complained the Trust dismissed her gynaecological symptoms, prescribed wrong medication, delayed a laparoscopy, and failed to provide a timely follow-up, causing prolonged suffering and mental health impact.
Leeds Teaching Hospitals NHS Trust (P-004263)
NHS in England
Closed After Initial Enquiries
Communication
Nursing care
AI summary: Miss L complained Leeds Teaching Hospitals NHS Trust failed to provide adequate hydration and nourishment and respond to concerns about her mother's worsening health, leading to her death.
Leeds Teaching Hospitals NHS Trust (P-004156)
NHS in England
Partly Upheld
Treatment
Complaint handling
AI summary: Mrs A complained the Trust misdiagnosed her husband, ignored her concerns about blood clots, and failed to consider his social care needs before discharge.
Leeds Teaching Hospitals NHS Trust (P-003941)
NHS in England
Closed After Initial Enquiries
Nursing care
Treatment
AI summary: Miss B complained Hospital B staff did not monitor or act on her mother’s deterioration, leading to her death. She also alleged staff failed to assist her mother with toilet use.
Leeds Teaching Hospitals NHS Trust (P-003686)
NHS in England
Closed After Initial Enquiries
Drugs / medication
Transfer, discharge and aftercare
Choice and Consent
AI summary: Mrs A complained the Trust inappropriately administered an anticoagulant, discharged her unfit father, and placed a DNACPR order against his wishes, contributing to his death.
Leeds Teaching Hospitals NHS Trust (P-003627)
NHS in England
Not Upheld
Treatment
Nursing care
Detention
End of life care
Drugs / medication
AI summary: Mrs B complained her son's care had multiple failings, including delayed gastroscopy, slow fluid drainage, incorrect medication, a preventable fall, and poor end-of-life decisions, contributing to his death.
Leeds Teaching Hospitals NHS Trust (P-003558)
NHS in England
Closed After Initial Enquiries
Diagnosis
Treatment
Communication
AI summary: Mrs A complained her husband received incorrect ED treatment, wrong referral, an ECHO despite breathlessness causing cardiac arrest, and poor communication before his death.
Leeds Teaching Hospitals NHS Trust (P-003441)
NHS in England
Closed After Initial Enquiries
Communication
Choice and Consent
Risk assessment
AI summary: Ms E complained the Trust implanted a non-rechargeable SNS device instead of her chosen rechargeable one, causing discomfort, and she was worried about monitoring and future surgeries.
Leeds Teaching Hospitals NHS Trust (P-003346)
NHS in England
Closed After Initial Enquiries
Choice and Consent
Transfer, discharge and aftercare
Transfer, discharge and aftercare
AI summary: The Trust allegedly rushed an operation instead of offering radium treatment for cancer, and discharged Mrs A prematurely without a care package, leading to her death.
Leeds Teaching Hospitals NHS Trust (P-003350)
NHS in England
Not Upheld
Treatment
AI summary: The Trust initially failed to test a urine sample, did not act on positive results, and repeatedly discounted UTI as a cause for Miss Y's deterioration, leading to her death.
Leeds Teaching Hospitals NHS Trust (P-003352)
NHS in England
Upheld
Treatment
Treatment
Communication
Treatment
Treatment
Treatment
Transfer, discharge and aftercare
Treatment
AI summary: Mrs T complained her father's duodenum was perforated during a procedure, followed by delayed care, poor communication, lack of patient choice, delayed oncology input, incorrect drain removal, and poor discharge planning.
Leeds Teaching Hospitals NHS Trust (P-003203)
NHS in England
Closed After Initial Enquiries
Treatment
Treatment
AI summary: Mr L complained the Trust misdiagnosed his seizures and kidney problems as drug-related, delayed treatment, and unfairly labelled him, causing mental distress.
Leeds Teaching Hospitals NHS Trust (P-003256)
NHS in England
Closed After Initial Enquiries
Treatment
Drugs / medication
Abuse
AI summary: Mr H complained about a plaster cast being too tight, a doctor being dismissive and refusing strong pain relief, and rough treatment from nursing staff for his hand injury.
Leeds Teaching Hospitals NHS Trust (P-003243)
NHS in England
Closed After Initial Enquiries
Treatment
AI summary: Mrs O complained the Trust's care and treatment contributed to her mother's deteriorating condition and ultimately her death.
Leeds Teaching Hospitals NHS Trust (P-003223)
NHS in England
Upheld
Treatment
Drugs / medication
Treatment
Transfer, discharge and aftercare
Treatment
Drugs / medication
Communication
AI summary: Mrs O complains the Trust delayed her husband's bypass surgery, failed to monitor him, discharged him prematurely, delayed a chest drain, and provided wrong medication, contributing to his death.
Leeds Teaching Hospitals NHS Trust (P-003049)
NHS in England
Upheld
Tests
Tests
AI summary: Ms D complained the Trust failed to perform requested endocrinology blood tests for her daughter, R, between 2018 and 2020, and lacked inter-departmental coordination, leaving her thyroid undertreated.
Leeds Teaching Hospitals NHS Trust (P-002904)
NHS in England
Closed After Initial Enquiries
Diagnosis
Diagnosis
End of life care
Communication
Nursing care
Nursing care
Communication
COVID-19
Death, mortuary and post-mortem arrangements
Communication
Complaint handling
AI summary: Mrs O complained the Trust failed to identify/treat infection, act on deterioration, provide palliative care, and had poor communication for Mr E. They also alleged neglect of basic care, unconsented DNACPR, restricted visits, and inappropriate handling of his body post-death.
Leeds Teaching Hospitals NHS Trust (P-002524)
NHS in England
Closed After Initial Enquiries
Surgery
Access
AI summary: Mrs J complained the Trust incorrectly positioned her stoma and delayed fixing its continuous leaking, causing two years of pain, mental distress, and material damage.
Leeds Teaching Hospitals NHS Trust (P-002493)
NHS in England
Upheld
End of life care
Communication
AI summary: Mrs M complained the Trust delayed contacting her about her father’s deteriorating condition and administering end-of-life medication, denying her the opportunity to be with him before he died.
Leeds Teaching Hospitals NHS Trust (P-002392)
NHS in England
Closed After Initial Enquiries
None
None
None
None
None
AI summary: Mr E complained the Trust failed to remove his wife's cancer, caused surgical damage, poorly managed hygiene and medication, and lost her rings, contributing to her premature death.
Leeds Teaching Hospitals NHS Trust (P-003879)
NHS in England
Closed After Initial Enquiries
Treatment
Treatment
Treatment
Treatment
AI summary: Ms and Mrs G complained about delayed aortic dissection diagnosis, inadequate treatment, poor monitoring, and slow ambulance response across multiple NHS bodies, allegedly contributing to Mr G's death.
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.