NHS in England Closed After Initial Enquiries Search on PHSO website

Leeds Teaching Hospitals NHS Trust

P-003686 · Statement · Decision date: 9 July 2025 · View Leeds Teaching Hospitals NHS Trust scorecard
Drugs / medication Transfer, discharge and aftercare Choice and Consent Inadequate Pre-Operative Risk Assessment Care and discharge planning
Complaint (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.
Outcome (AI summary)
The ombudsman closed the case, as Mrs A could pursue legal action regarding the matter and no further action would be taken.

Full decision details

The Complaint

3. Mrs A complains about the care and treatment Leeds Teaching Hospitals NHS Trust (the Trust) provided to her father, Mr B, in June 2024. She says the Trust:

• inappropriately gave her father an anticoagulant injection and failed to properly explain the risks • discharged her father from hospital when he was not fit to do so • put a do not attempt cardiopulmonary resuscitation (DNACPR) order in place which was against her father’s wishes

4. Mrs A says the claimed failings contributed to her father’s sad death, which has caused significant upset distress to her and the rest of the family.

5. Mrs A would like an apology and a financial remedy.

Findings

7. The Health Service Commissioner Act 1993 (the law) says we cannot investigate a complaint where a person has the option to take legal action, unless we consider this is unreasonable in the circumstances. We have discussed this with Mrs A to understand her circumstances and the outcomes she wants. We do not consider whether legal action would succeed but whether it would be a reasonable option to look in to.

8. Mrs A says the Trust provided poor care and treatment to her father, which contributed his death. It appears she could potentially pursue a clinical negligence claim. In line with our legislation, we have considered whether it would be reasonable for her to do so.

9. Mrs A says she would be looking for a financial remedy of approximately £5000. We do not consider compensation in the same way as the courts and the amounts we can recommend are typically more modest in comparison. A court would be able to carefully consider and assess an appropriate amount of compensation. We would not want to disadvantage Mrs A by ‘under settling’ the claim when it would be more appropriate for her to go through a legal process.

10. Mrs A said she was planning to take legal action but wanted to see what would happen with our service. Our process is not a precursor to somebody pursing a legal claim. The law says if somebody may be able to achieve the outcome they are seeking via legal action, they should do so first, before completing our process. Mrs A has said there are no barriers to her obtaining legal advice and she is able to do so.

11. Mrs A is also seeking an apology. Whilst legal action could not be taken with this sole purpose, an apology could potentially be a by- product of legal action.

12. Given the level of financial remedy Mrs A is seeking and there are no barriers, we consider it would be reasonable for her to pursue a legal remedy. If there are any outstanding outcomes that cannot be achieved through the legal claim or if Mrs A finds she is unable to pursue legal action after obtaining advice, she can bring the complaint back to us to consider further.

13. We understand how important Mrs A’s complaint is to her and we thank her for taking the time to bring it to us.

Our Decision

1. We have carefully considered Mrs A’s complaint about Leeds Teaching Hospitals NHS Trust (the Trust). We are very sorry to hear about Mrs A’s concerns and appreciate it has been a very distressing and difficult time for her and her family.

2. We consider Mrs A could take legal action on the matter she has brought to us, and we will not take any further action at this stage.

Other Decisions About Leeds Teaching Hospitals NHS Trust

P-004807 · 10 Feb 2026
Mrs V complains the Trust did not identify or act on suspicious findings on a scan taken of her brother …
Not Upheld
P-004691 · 27 Jan 2026
Mr A complains about the actions of Leeds Teaching Hospitals NHS Trust in relation to the handling of a subject …
Closed After Initial Enquiries
P-004586 · 8 Jan 2026
Mrs K complains about aspects of care and treatment the Trust gave her daughter, Ms K, between February and December …
Closed After Initial Enquiries
P-004390 · 3 Dec 2025
Ms E complains about the care and treatment her mother Ms H received from the Trust. Ms E complains the …
Closed After Initial Enquiries
P-004384 · 1 Dec 2025
Miss A complains about the care and treatment provided to her by the Trust in 2022 and 2023. She complains …
Closed After Initial Enquiries
View all decisions for this organisation →