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 12 results matching "Northern Lincolnshire and Goole NHS Foundation Trust"

Northern Lincolnshire and Goole NHS Foundation Trust (P-004851)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 17 Feb 2026 · Northern Lincolnshire and Goole NHS Foundation Trust
Tests Access Access Abuse Referral Treatment Choice and Consent Drugs / medication Treatment Record keeping and management Choice and Consent
AI summary: Miss W complained about restraint, medication without consent, lack of investigation into pain, inadequate nutrition/hydration, and inaccurate mental health diagnoses during her admissions.
Northern Lincolnshire and Goole NHS Foundation Trust (P-004562)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 5 Jan 2026 · Northern Lincolnshire and Goole NHS Foundation Trust
Treatment
AI summary: Miss P complains about unnecessary continuous foetal heart rate monitoring during labour, which led to an episiotomy without local anaesthetic and caused trauma.
Northern Lincolnshire and Goole NHS Foundation Trust (P-004338)
NHS in England Not Upheld
Report · Decision date: 25 Nov 2025 · Northern Lincolnshire and Goole NHS Foundation Trust
Treatment
AI summary: Miss A complained the Trust failed to perform necessary tests and provide timely DVT treatment for her father, leading to a pulmonary embolism and his death. She sought an apology and service improvements.
Northern Lincolnshire and Goole NHS Foundation Trust (P-003362)
NHS in England Upheld
Report · Decision date: 24 Feb 2025 · Northern Lincolnshire and Goole NHS Foundation Trust
Communication Nursing care End of life care
AI summary: Miss S complained the Trust failed to disclose her mother's diagnosis and adequately meet her nutrition and hydration needs, causing distress and concern about hastened deterioration. She also cited poor end-of-life care planning and communication.
Northern Lincolnshire and Goole NHS Foundation Trust (P-003231)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 31 Dec 2024 · Northern Lincolnshire and Goole NHS Foundation Trust
Drugs / medication Facilities and cleanliness Hospital acquired infection / healthcare-associated infection Treatment
AI summary: Mr U complained his wife suffered delayed nebuliser treatment, incorrect cannula insertion, missed swallow assessment, poor hygiene, and steroid overdose, resulting in infection and mini-strokes.
Northern Lincolnshire and Goole NHS Foundation Trust (P-002917)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 4 Sep 2024 · Northern Lincolnshire and Goole NHS Foundation Trust
Transfer, discharge and aftercare
AI summary: Dr R complained the Trust incorrectly discharged him in September 2023, leaving him in pain and urinary retention following disc damage, causing worry and distress.
Northern Lincolnshire and Goole NHS Foundation Trust (P-002700)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 26 Jun 2024 · Northern Lincolnshire and Goole NHS Foundation Trust
Diagnosis Treatment Treatment
AI summary: Mr P complained the Trust misdiagnosed Miss G with alcohol-related liver disease, failed to investigate other causes, and provided inappropriate follow-up care, leading to her death.
Northern Lincolnshire and Goole NHS Foundation Trust (P-002650)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 23 May 2024 · Northern Lincolnshire and Goole NHS Foundation Trust
Treatment Communication Communication Communication
AI summary: Mr and Miss U complained their father's DNACPR decision was against his wishes and religious beliefs. They also alleged staff provided inadequate information and were rude and unprofessional.
Northern Lincolnshire and Goole NHS Foundation Trust (P-002288)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 2 Nov 2023 · Northern Lincolnshire and Goole NHS Foundation Trust
Communication End of life care
AI summary: Mrs J complained the Trust wrongly accepted her brother's capacity for a ReSPECT form and then inappropriately used it to withdraw treatment, resulting in an undignified death.
Northern Lincolnshire and Goole NHS Foundation Trust (P-001942)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 28 Apr 2023 · Northern Lincolnshire and Goole NHS Foundation Trust
Diagnosis
AI summary: Miss A complained the Trust incorrectly analyzed a lumbar puncture in July 2021, failing to notice abnormal cells until she reviewed her records ten months later.
Northern Lincolnshire and Goole NHS Foundation Trust (P-001367)
NHS in England Closed After Initial Enquiries
Statement · Decision date: 28 Apr 2022 · Northern Lincolnshire and Goole NHS Foundation Trust
Treatment
AI summary: Mr H alleged the Trust covertly gave his mother unsuitable diazepam against her wishes, contributing to her death an hour later by slowing her breathing.
Northern Lincolnshire and Goole NHS Foundation Trust (P-001113)
NHS in England Not Upheld
Report · Decision date: 29 Sep 2021 · Northern Lincolnshire and Goole NHS Foundation Trust
Communication Treatment Treatment Treatment
AI summary: Mrs L complained the Trust refused further treatment, including ventilation, for her COVID-19 positive daughter with learning difficulties, and a nurse sent her away from A&E.
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.