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University Hospitals Birmingham NHS Foundation Trust

P-004006 · Statement · Decision date: 17 September 2025 · View University Hospitals Birmingham NHS Foundation Trust scorecard
Complaint (AI summary)
Mrs H complained the Trust delayed her bone cancer treatment, leading to the cancer spreading, her neck collapsing, and hospitalisation, causing significant pain and anxiety.
Outcome (AI summary)
The ombudsman closed the complaint without further consideration, advising Mrs H that she could pursue legal action via a clinical negligence claim.

Full decision details

The Complaint

3. Mrs H complains that following her bone cancer diagnosis early in 2024, the Trust delayed treatment for this until July 2024.

4. Mrs H says the delay resulted in her neck collapsing due to the cancer spreading to other parts of her body, and she had to be hospitalised. She also says the Trust did not make her treatment a priority, which made her feel ignored and suffer with pain and anxiety.

5. As an outcome to this complaint, Mrs H would like the Trust to admit its failings and a financial remedy of £12,500.

Background

6. Early in 2024, the Trust confirmed investigations had shown Mrs H had bone metastases. Over the next two months, the Trust undertook a CT scan and a biopsy. This confirmed Mrs H has metastatic breast cancer.

7. The following month, the Trust started Mrs H on chemotherapy treatment.

Findings

10. The law says we cannot investigate a complaint where a person has (or had) the option to take legal action, unless we consider this is (or was) unreasonable in the circumstances. We have discussed this with Mrs H 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.

11. When considering Mrs H’s complaint, it appears there may be a legal remedy available to her through the courts. This is because she believes the Trust delayed initiating her cancer treatment resulting in her cancer spreading and her neck collapsing.

12. Given Mrs H believes her cancer spread, causing her neck to collapse, due to the delay in treatment provided by the Trust, it appears she may have a claim of clinical negligence.

13. As an outcome to her complaint, Mrs H has told us she is seeking a financial remedy and for the Trust to admit its failings. When we explored this with her, she told us he was seeking a financial remedy in the sum of £12,500.

14. It appears that both we and the courts could potentially achieve the outcome Mrs H is seeking. Through our investigation we can get the Trust to admit its failings if any are present. Through the course of legal proceedings, as a by-product, the courts could also get the Trust to admit its failings. Both we and the courts may potentially achieve the financial remedy Mrs H is seeking.

15. In our view, Mrs H appears to have a cause of action by way of clinical negligence to take this case to court and that this may achieve the outcomes she is seeking. We have gone on to consider whether it was reasonable for Mrs H to explore a legal route.

16. We have discussed the potential need to explore an alternative legal route with Mrs H during a phone call. She raised concerns in relation to having to pay for legal representation. We asked if she had considered ‘no win no fee’ solicitors which she said she had not. She said this was something she wanted to explore. We have not seen any evidence to suggest there would be barriers to Mrs H exploring legal action.

17. Considering the information above we feel it is reasonable for Mrs H to explore a legal remedy to try and resolve her complaint. Whilst we appreciate, she came to us first, the law is clear that we cannot investigate if there is a legal remedy available to the complainant and it is reasonable for them to use it.

18. Mrs H is aware if her circumstances change, legal action cannot be pursued, or it does not achieve all the outcomes she seeks, she can approach us again in a timely manner. We have provided her with information about our time limits.

19. In summary, we have decided there is a potential legal remedy available to Mrs H and it is reasonable for her to pursue this. As such we will not be taking any further action on her complaint.

20. We thank Mrs H for bringing her complaint to us.

Our Decision

1. We have carefully considered Mrs H’s complaint about University Hospitals Birmingham NHS Foundation Trust (the Trust). We consider Mrs H could take legal action on the matter that she has brought to us by way of a clinical negligence claim. Because of this, we have decided not to consider this complaint further.

2. We understand how important Mrs H’s complaint is to her. We recognise what a difficult time this has been due to the pain and anxiety she has experienced.

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