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University Hospitals Birmingham NHS Foundation Trust

P-004361 · Statement · Decision date: 27 November 2025 · View University Hospitals Birmingham NHS Foundation Trust scorecard
Complaint (AI summary)
The Trust wrongly removed Mr A from an ENT waiting list and gave conflicting information about his re-listing, causing distress and delaying surgery.
Outcome (AI summary)
The complaint was upheld. The Trust admitted failings, re-listed Mr A for surgery, and offered £180 compensation for distress.

Full decision details

The Complaint

6. Mr A complains the Trust removed him from the waiting list for an ENT (Ear, Nose and Throat) appointment in August 2024 after it incorrectly said Mr A had missed multiple calls. He also complains the Trust incorrectly advised him, and his wife, that it had re-listed him for his ENT appointment, but he received communication from the Trust to say he had not been re-listed.

7. Due to the Trust telling him different things about whether he had been re-listed or not, Mr A says he experienced a lot of distress, and it was very overwhelming for him. This distress and feeling overwhelmed also exacerbated the symptoms he already experiences due to having ADHD (attention deficit hyperactivity disorder), anxiety and depression. Overall, it has caused Mr A a lot of unnecessary stress.

8. As a result of the Trust’s errors regarding the appointment, he says he has been suffering longer than necessary with his ENT issues. This is because he believes the Trust would have listed Mr A for surgery sooner if the cancellation had not occurred.

9. As an outcome to his complaint, Mr A would like to be placed on the list for surgery at the place he would have been had the errors not occurred. He would also like a financial remedy.

Background

10. This is a brief background to place the key events to this complaint in context. It does not provide a full account of everything that happened.

11. At the beginning of August 2024, the Trust’s ENT department called Mr A. Mr A missed this call. Mr A returned the call on the same day, and the Trust advised him to wait for another call or a letter which would outline the next steps.

12. At the end of August, Mr A received a letter from the Trust to say it had removed him from the ENT’s list for an appointment. This letter said that this was due to Mr A missing multiple calls.

13. There was then communication between Mr A and the Trust over the next couple of months. This was to confirm whether the Trust had placed Mr A back on the list for an ENT appointment.

14. In late January 2025, Mr A attended an appointment at the Trust’s ENT clinic. The Trust listed Mr A for surgery.

Findings

ENT appointment list

17. Mr A complains the Trust removed him from the waiting list for an ENT appointment in August 2024 after it incorrectly said he had missed multiple calls and voicemails. Mr A says he only received one missed call from the Trust at the beginning of August 2024, and he did not receive any voicemails.

18. Our Principles of Good Administration say when taking decisions, organisations should behave reasonably and ensure that the measures taken are proportionate to the objectives pursued, appropriate in the circumstances, and fair to the individuals concerned.

19. The Trust acknowledges it likely sent Mr A letter advising of his removal from the ENT appointment list after the initial call at the beginning of August. The Trust also accepts its explanation of removing Mr A from the appointment list due to multiple calls missed and voicemails left was incorrect.

20. The Trust’s actions here are not in line with Our Principles of Good Administration. It does not seem proportionate, appropriate, or fair, to remove Mr A from an appointment list for missing one call. There are indications of failings here. We will consider the impact of this later in the statement.

Communication

21. Mr A complains the Trust incorrectly advised him, and his wife, that it had re-listed him for his ENT appointment. He says he still received communication from the Trust to say it had removed him from the list for an appointment.

22. Our Principles of Good Administration say organisations should communicate effectively and should do what they say they are going to do. It also says organisations should maintain reliable records.

23. After Mr A received the letter from the Trust about it removing him from the appointment list, Mr A’s wife contacted Patient Advice and Liaison Service (PALS) department at the Trust on his behalf. PALS confirmed with Mr A’s wife that he had been re-instated on the ENT appointment list.

24. Approximately four weeks later, Mr A says he received an email from the Trust’s ENT department. This email advised Mr A that the ENT department had removed him from the list for an ENT appointment.

25. Mr A contacted the Trust in mid-October and spoke with PALS. PALS confirmed with Mr A that he was back on the ENT list for an appointment. However, PALS could not say where on the list he was. In other words, whether he was nearer the top of the list to be seen quickly, or near the bottom.

26. The Trust explained that the confusion was due to a delay in updating Mr A’s ENT referral in its system. It said PALS had taken prompt action to restore Mr A’s position on the list. However, the delay in updating the referral meant the ENT department provided Mr A with the wrong information (that he had been removed from the list).

27. The Trust’s actions are also not in line with Our Principles of Good Administration. The Trust did not update the relevant records for Mr A to reflect that it had reinstated Mr A on the list for an ENT appointment.

28. As a result, the Trust’s communication with Mr A was not as effective as it could have been. The Trust advised Mr A it would reinstate him but received communication on the contrary. There are indications of failings here. We will address the impact of these indicated failings below.

Impact

29. Mr A is concerned that due to the Trust’s errors regarding the appointment, he has been suffering longer than necessary with his ENT issues. He thinks the Trust would have listed him for surgery sooner if the mistake had not happened.

30. Mr A says he has been caused distress because of the Trust telling him different things, about whether he had been re-listed or not. He says it was very overwhelming for him. He says this distress and feeling overwhelmed also exacerbated the symptoms he also experiences due to having ADHD (attention deficit hyperactivity disorder), anxiety and depression.

31. We understand the Trust giving Mr A conflicting information about the appointment was distressing. We recognise the mistakes here have caused Mr A to worry about the time taken to have an appointment, and whether this had caused delays in having treatment. We understand that this experience with the Trust had been stressful for Mr A.

32. Our Principles for Remedy are reflected in the NHS Complaints Standards. This says organisations should offer fair remedies to put things right and identify learning and use it to improve services.

33. It says the first step is to provide a meaningful apology. The remedy should return the person affected to the position they would have been if the failing had not happened. If this is not possible, a financial remedy should be provided that compensates them appropriately.

34. In its response to Mr A’s complaint, the Trust apologised and acknowledged the errors in its actions regarding the appointment, and its communication with Mr A. It also recognised the distress its actions caused Mr A. The Trust explained that it had stopped its process of removing patients from waiting list due to missed calls. It said that it is also committed to improving its communication practices to ensure any confusion does not happen again.

35. The Trust has confirmed with us that it has placed Mr A on its surgery waiting list in the place he would have been had the errors not happened. This is one of the outcomes Mr A told us he wanted. We think this puts things right for Mr A in terms on his ongoing clinical care, and the Trust’s actions are in line with our NHS Complaints Standards.

36. As set out in paragraph 31, we recognise Mr A experienced distress, anxiety and stress as a result of the Trust’s error. We considered whether the Trust should award Mr A a financial remedy in recognition of this emotional impact.

37. We think a payment of £180 from the Trust is enough to put things right here, to recognise the impact its actions had on Mr A. The Trust has agreed to make this payment to resolve the complaint. We will ask the Trust to make this payment within four weeks of the date of this statement.

Our Decision

1. We have carefully considered Mr A’s complaint about the Trust. We were sorry to hear about the events Mr A complained about and the impact this had on him.

2. There are indications of failings in the Trust’s actions regarding how it dealt with Mr A’s ENT appointment. Namely that it removed Mr A from its ENT appointment list after Mr A missed one call, despite it claiming that Mr A had missed multiple calls and voicemails. It also incorrectly advised Mr A that it had removed him from the ENT appointment list even after it confirmed with Mr A that he was back on the list.

3. We understand the Trust telling Mr A it had re-listed him for an appointment, to the Trust telling him it had removed him from the list would have been distressing. Similarly, we recognise the delay in Mr A receiving an appointment when he should have done as meant there was uncertainty as to how much longer he would have to cope with his ENT issues.

4. The Trust has confirmed that it has placed Mr A back on the list for his ENT surgery in the place he would have been had the mistakes not occurred. We think a payment of £180 in recognition of the impact caused to Mr A would resolve the complaint at this stage. This is something the Trust has said it is willing to do.

5. We hope our decision here, and the explanations for it, bring Mr A the outcomes he was looking for.

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