Healthcare director fit person tests
Lack of robust 'fit and proper person' requirements and ongoing assessment for directors of healthcare providers.
90 items
9 sources
4 inquiries
Source spread
Where this theme appears
Healthcare director fit person tests has been flagged across 9 independent accountability sources:
31 inquiry recs
5 PFD reports
15 committee recs
10 CQC actions
1 NAO rec
15 IMB recs
2 detention investigation recs
4 PHSO decisions
7 LGO/SPSO decisions
When the same issue appears across inquiries, coroner reports, and regulators independently, it indicates a recurring issue across the public record.
Browse by source
Source-grouped records are useful for tracing where a concern came from. Large sections show the 50 strongest matches for that source; counts still show the full theme total.
Inquiry Recommendations (31)
F85 — Accountability of providers' directors
Recommendation: Monitor and the Care Quality Commission should produce guidance to NHS and foundation trusts on procedures to be followed in the event of an executive or non-executive director being found to have been guilty of serious failure in the performance …
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted
F84 — Accountability of providers' directors
Recommendation: Where the contract of employment or appointment of an executive or non-executive director is terminated in circumstances in which there are reasonable grounds for believing that he or she is not a fit and proper person to hold such a …
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted in Part
F83 — Accountability of providers' directors
Recommendation: If a "fit and proper person test" is introduced as recommended, Monitor should issue guidance on the principles on which it would exercise its power to require the removal or suspension or disqualification of directors who did not fulfil it, …
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted
F82 — Accountability of providers' directors
Recommendation: Provision should be made for regulatory intervention to require the removal or suspension from office after due process of a person whom the regulator is satisfied is not or is no longer a fit and proper person, regardless of whether …
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted
F81 — Accountability of providers' directors
Recommendation: Consideration should be given to including in the criteria for fitness a minimum level of experience and/or training, while giving appropriate latitude for recognition of equivalence.
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted
F80 — Accountability of providers' directors
Recommendation: A finding that a person is not a fit and proper person on the grounds of serious misconduct or incompetence should be a circumstance added to the list of disqualifications in the standard terms of a foundation trust's constitution.
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted in Part
F79 — Accountability of providers' directors
Recommendation: There should be a requirement that all directors of all bodies registered by the Care Quality Commission as well as Monitor for foundation trusts are, and remain, fit and proper persons for the role. Such a test should include a …
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted in Part
BRIS-94 — Appoint clinicians to managerial roles based solely on demonstrated competence
Recommendation: Clinicians should not be required or expected to hold managerial roles on bases other than competence for the job. For example, seniority or being next in turn are not appropriate criteria for the appointment of clinicians to managerial roles.
Unknown
BRIS-93 — Require managerial competence for clinicians appointed to managerial roles with training
Recommendation: Any clinician, before appointment to a managerial role, must demonstrate the managerial competence to undertake what is required in that role: training and support should be made available by trusts and primary care trusts.
Unknown
F232 — Employment liaison officers
Recommendation: The Nursing and Midwifery Council could consider a concept of employment liaison officers, similar to that of the General Medical Council, to provide support to directors of nursing. If this is impractical, a support network of senior nurse leaders will …
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted
F231 — Coordination with internal procedures
Recommendation: It is essential that, so far as practicable, Nursing and Midwifery Council procedures do not obstruct the progress of internal disciplinary action in providers. In most cases it should be possible, through cooperation, to allow both to proceed in parallel. …
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted
F229 — Revalidation
Recommendation: It is highly desirable that the Nursing and Midwifery Council introduces a system of revalidation similar to that of the General Medical Council, as a means of reinforcing the status and competence of registered nurses, as well as providing additional …
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted
F227 — Nursing and Midwifery Council Investigation of systemic concerns
Recommendation: The Nursing and Midwifery Council needs to have its own internal capacity to assess systems and launch its own proactive investigations where it becomes aware of concerns which may give rise to nursing fitness to practise issues. It may decide …
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted in Part
F226 — Nursing and Midwifery Council Investigation of systemic concerns
Recommendation: To act as an effective regulator of nurse managers and leaders, as well as more front-line nurses, the Nursing and Midwifery Council needs to be equipped to look at systemic concerns as well as individual ones. It must be enabled …
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted in Part
F225 — Peer reviews
Recommendation: The General Medical Council should have regard to the possibility of commissioning peer reviews pursuant to section 35 of the Medical Act 1983 where concerns are raised in a generic way, in order to be advised whether there are individual …
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted
F224 — Information sharing
Recommendation: Steps must be taken to systematise the exchange of information between the Royal Colleges and the General Medical Council, and to issue guidance for use by employers of doctors to the same effect.
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted
F222 — General Medical Council Systemic investigation where needed
Recommendation: The General Medical Council should have a clear policy about the circumstances in which a generic complaint or report ought to be made to it, enabling a more proactive approach to monitoring fitness to practise.
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted
F86 — Requirement of training of directors
Recommendation: A requirement should be imposed on foundation trusts to have in place an adequate programme for the training and continued development of directors.
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted
BRIS-98 — Regulatory bodies to vary professional duties for full-time managers without patient care
Recommendation: The relevant professional regulatory bodies should make rules varying the professional duties of those professionals, whose registration they hold, who are in full-time managerial roles, so as to take account of the fact that, while occupying such roles, they do …
Unknown
BRIS-96 — Establish minimum clinical practice levels for clinicians in part-time managerial roles
Recommendation: To protect patients, in the case of clinicians who take on managerial roles but wish to continue to practise as clinicians, experts together with managers from the NHS should issue advice as to the minimum level of regular clinical practice …
Unknown
F228 — Administrative reform
Recommendation: It is of concern that the administration of the Nursing and Midwifery Council, which has not been examined by this Inquiry, is still found by other reviews to be wanting. It is imperative in the public interest that this is …
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted
F223 — Enhanced resources
Recommendation: If the General Medical Council is to be effective in looking into generic complaints and information it will probably need either greater resources, or better cooperation with the Care Quality Commission and other organisations such as the Royal Colleges to …
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted in Part
F221 — Ensuring common standards of competence and compliance
Recommendation: Consideration should be given to ensuring that there is regulatory oversight of the competence and compliance with appropriate standards by the boards of health service bodies which are not foundation trusts, of equivalent rigour to that applied to foundation trusts.
Gov response: The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" …
Accepted
29 — Standards for manager quality responsibilities
Recommendation: Clear national standards should be drawn up setting out the responsibilities for clinical quality of other managers, including executive directors, middle managers and non-executives. All Trusts should provide evidence to the Care Quality Commission, as part of their processes, of …
Gov response: 57. We accept these recommendations in principle. 13 http://www.gmc-uk.org/guidance/good_medical_practice/respond_to_risks.asp 14 http://www.nmc.org.uk/standards/code/read-the-code-online/ 58. Following the tragedies at Mid Staffordshire NHS Foundation Trust and University Hospitals of Morecambe Bay NHS Foundation Trust there has been a renewed …
Accepted
28 — National standards for clinical leads
Recommendation: Clear national standards should be drawn up setting out the professional duties and expectations of clinical leads at all levels, including, but not limited to, clinical directors, clinical leads, heads of service, medical directors, nurse directors. Trusts should provide evidence …
Gov response: 57. We accept these recommendations in principle. 13 http://www.gmc-uk.org/guidance/good_medical_practice/respond_to_risks.asp 14 http://www.nmc.org.uk/standards/code/read-the-code-online/ 58. Following the tragedies at Mid Staffordshire NHS Foundation Trust and University Hospitals of Morecambe Bay NHS Foundation Trust there has been a renewed …
Accepted
14 — Review clinical leadership arrangements
Recommendation: The University Hospitals of Morecambe Bay NHS Foundation Trust should review arrangements for clinical leadership in obstetrics, paediatrics and midwifery, to ensure that the right people are in place with appropriate skills and support. The Trust has implemented change at …
Gov response: [A] Recommendations for the Trust Recommendations for the Trust: 1-18 1. The Morecambe Bay Investigation found that there were serious failures in clinical care at University Hospitals Morecambe Bay NHS Foundation Trust, causing avoidable harm …
Accepted
19 — Professional bodies review conduct of registrants
Recommendation: In light of the evidence we have heard during the Investigation, we consider that the professional regulatory bodies should review the findings of this Report in detail with a view to investigating further the conduct of registrants involved in the …
Gov response: 5. We accept this recommendation. Action is under way. 6. The General Medical Council and the Nursing and Midwifery Council have emphasised that they have reviewed the findings of the Morecambe Bay Investigation Report and …
Accepted
IHRD-9 — Leadership Development
Recommendation: The highest priority should be accorded the development and improvement of leadership skills at every level of the health service including both executive and non-executive Board members.
Gov response: Leadership development programmes implemented across HSC. Training provided to Board members.
Accepted
No update 2+ yrs
IHRD-75 — Independent Disciplinary Action
Recommendation: Notwithstanding referral to the GMC, or other professional body Trusts should treat breaches of professional codes and/or poor performance as disciplinary matters and deal with them independently of professional bodies.
Gov response: Trust disciplinary procedures updated to address professional code breaches independently.
Accepted
IHRD-14 — Clinician Competence Assessment
Recommendation: The experience and competence of all clinicians caring for children in acute hospital settings should be assessed before employment.
Gov response: Competence assessment processes incorporated into recruitment procedures for paediatric roles.
Accepted
16 — Clarify manager quality responsibilities
Recommendation: As part of the governance systems work, we consider that the University Hospitals of Morecambe Bay NHS Foundation Trust should ensure that middle managers, senior managers and non-executives have the requisite clarity over roles and responsibilities in relation to quality, …
Gov response: [A] Recommendations for the Trust Recommendations for the Trust: 1-18 1. The Morecambe Bay Investigation found that there were serious failures in clinical care at University Hospitals Morecambe Bay NHS Foundation Trust, causing avoidable harm …
Accepted
PFD Reports (5)
Kate Louise Pierce
Concerns: A practicing GP failed to diagnose a patient and misled parents, with new evidence casting doubt on his fitness to practice. Previous GMC action stalled, posing a risk of future deaths.
Response (GMC): The GMC acknowledges the concerns but states that statutory rules preclude them from investigating events that are more than five years old and they have not received any further complaints …
Responded
Jack Postle
Concerns: The maternity unit suffered from insufficient capacity for safe care, and consultant guidance inappropriately limited the availability of caesarean sections following failed inductions.
Response (West Hertfordshire Teaching Hospitals NHS Trust): West Hertfordshire Teaching Hospitals NHS Trust has developed a Prevention of Future Deaths Action Plan for 2020/21 including measures to improve the maternity pathway and is scoping the possibility of …
Responded
Peter Cole
Concerns: Inadequate monitoring of repeat medication allows vulnerable patients to accumulate dangerous quantities, a widespread problem leading to significant waste of healthcare resources.
Response (NHS England): NHS England references the Long Term Plan as covering monitoring of repeat prescribing. It also highlights the Medicines Safety Improvement Programme and the Dementia Care Pathway guidance, both of which …
Responded
Joseph Price
Concerns: Prison healthcare failed to routinely inquire about and record family history of sudden cardiac death during reception health screenings, missing opportunities to identify and screen at-risk inmates.
Response (NHS England): NHS England acknowledges the concerns and is refreshing the secondary health screening template to include a specific prompt for users to ask relevant questions relating to family history. All reports …
Responded
Gary Starbuck
Concerns: The coroner expressed concern that patients receiving private care for skin cancers may receive inferior care compared to NHS patients, due to a lack of mandated care standards and access to specialist skin MDTs.
Pending
Committee Recommendations (15)
#12 —
Recommendation: We conclude that the Bill provides a timely vehicle to introduce reforms to the fit- and-proper persons test for appointments to NHS boards. We therefore recommend that the Bill is used to establish a UK-wide public register of people that …
No Published Response
#14 —
Recommendation: The Government should require all practitioners performing invasive surgical cosmetic procedures to have specialist training and hold appropriate board certification in the procedures they undertake. (Recommendation, Paragraph 52) Non-surgical cosmetic procedures
Response Pending
#13 —
Recommendation: Currently, any doctor on the medical register can legally perform highly invasive cosmetic surgery in the private sector, regardless of specialist training or competence. This is a risk to patient safety. Despite the introduction of the Intercollegiate Cosmetic Surgery Certification …
Response Pending
#18 — TrustMark's registration process fails to adequately assess installer businesses' financial stability and liquidity.
Recommendation: The original installer is liable for fixing the installation to meet the relevant standards. However, the National Audit Office reported that not all installers are complying with the remediation process.38 We asked TrustMark whether the process for installer businesses to …
Gov response: 1. PAC conclusion: A clear and catastrophic failure with external and internal wall insulation installations under ECO4 and GBIS has left more than 30,000 homes with defects. 1. PAC recommendation: The Department should not allow …
Response Pending
#19 —
Recommendation: The Government should bring forward consistent, enforceable standards for the non-surgical cosmetic sector that prioritise patient safety and competency, while ensuring training routes remain accessible and affordable for a predominantly female-led workforce. Training routes should include Ofqual-approved qualifications and apprenticeship …
Response Pending
#18 —
Recommendation: The absence of a legislative framework for training and qualifications in the non-surgical cosmetic sector has resulted in significant variability in standards, with justified concerns about short courses, online training, and the ease of entry into practice. (Conclusion, Paragraph 77)
Response Pending
#17 —
Recommendation: The Government should accelerate regulatory action. Procedures that are deemed high risk such as liquid BBLs and liquid breast augmentations, which have already been shown to pose a serious threat to patient safety, should be restricted to appropriately qualified medical …
Response Pending
#25 —
Recommendation: The Government should assess whether outlets in the UK that are recruiting patients for medical treatment overseas should be brought into a regulatory regime and be subject to investigation and, where necessary, sanction. (Recommendation, Paragraph 97) Body image
Response Pending
#24 —
Recommendation: We welcome Government action on educating the public on the risks of travelling abroad for cosmetic procedures and providing guidance on how to do so as safely as possible and its use of social media channels to do so. With …
Response Pending
#23 —
Recommendation: The Government should review the need for the NHS to systematically record data on complications arising from cosmetic procedures performed abroad. Publishing such data in an annual release would enable a comprehensive assessment of the financial impact on the NHS …
Response Pending
#22 —
Recommendation: The increasing number of cases requiring medical treatment after cosmetic surgery abroad raises serious concerns for patient safety and places additional financial strain on the NHS. However, the true extent will remain unknown until comprehensive data is collected. (Conclusion, Paragraph …
Response Pending
#21 —
Recommendation: The Government should work with the devolved administrations to ensure regulatory alignment across all UK nations on legislation governing non- surgical cosmetic procedures. (Recommendation, Paragraph 82) Cosmetic tourism
Response Pending
#20 —
Recommendation: While Scotland has taken steps to introduce a licensing scheme for non-surgical cosmetic procedures, Wales and Northern Ireland have yet to announce similar plans. This lack of regulatory alignment across the UK creates significant risks, including inconsistent safety standards and …
Response Pending
#16 —
Recommendation: However, the Government is not moving quickly enough in introducing such a system. At present, individuals without any formal training can carry out potentially harmful interventions, placing the public at risk. Successive Governments have failed to act swiftly enough to …
Response Pending
#15 — Require the New Hospital Programme to conduct comprehensive live clinical testing of Hospital 2.0 designs.
Recommendation: Before the evidence session, we visited a “super hospital” project in Denmark. The Danes had built a prototype of a new operating theatre on the edge of an existing hospital and each surgical team was given access to it so …
Gov response: The government disagrees with the Committee’s recommendation. The government agrees that NHP should test Hospital 2.0, its standardised approach to building hospitals, and intends to do so at the earliest opportunity within one of the …
Not Accepted
CQC Inspection Actions (10)
Medistaff24
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Must Do
10-12 Hainsworth Park
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Must Do
JDK Limited (Glenholme Care)
The directors have mismanaged the service and the regulated activity has not been carried out in compliance with the regulations. One of the directors has been unable to provide evidence of a DBS certificate.
Must Do
Floron Residential Home for the Elderly
This was a breach of regulation 19 (fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must Do
Charlton House Medical Centre
On 27 September 2021 the newly appointed clinical lead emailed CQC to advise he had withdrawn from his role with the practice leaving no active clinical lead to direct clinical staff and to make clinical decisions, this placed patients at …
Must Do
Charlton House Medical Centre
There was no active or adequate oversight of GPs, GP locums and nurses working in the practice which continued to place patients at risk of harm.
Must Do
Manchester Court
The provider follows their staff recruitment policy closely with regard to the link to the guidance relating to Fit and proper persons employed.
Should Do
Kindered Hearts Limited
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Must Do
Kingsleigh Residential
The provider had failed to ensure the registered manager had the necessary skills, competence and experience to manage the regulated activity.
Must Do
Regency Clinic - City of London
The service should have a patient eligibility criteria for the treatments offered.
Should Do
IMB Recommendations (15)
Springhill (2023)
Monitoring any new initiatives rolled out to enable the prison to better scrutinise the impact and quality of healthcare delivery and the health complaints system (6.1.3, 6.1.4 and 6.1.10).
Governor / Director
Downview (2023)
healthcare complaints management.
Governor / Director
The Mount (2021)
The Prison Service needs to review what lessons can be learned when evaluating tenders and planning for changes in healthcare providers.
HMPPS
Wakefield (2022)
We ask the minister and his/her officials to explain how the ministry perceives the performance of prisoner healthcare at HMP Wakefield when compared against the performance specification in the contract.
Ministry of Justice
Norwich (2020)
The Board has been told that it cannot observe healthcare meetings and has not received copies of the minutes. The memorandum of understanding agreed with Her Majesty’s Prison and Probation Service allows Boards access to contract documents (see section 8.2).
Governor / Director
Huntercombe (2022)
To urgently replace the part of the healthcare facility which has water ingress and is therefore not a suitable working environment.
Governor / Director
Downview (2022)
It has been regrettable that there has been such a lack of stability with the management of healthcare during the reporting year and this has undoubtedly impacted on provision. We are reassured to see a permanent healthcare head appointed shortly after the end of the reporting period, which hopefully will lead to a more concerted effort on behalf of the …
Governor / Director
Bronzefield (2022)
What plans are in place to manage a smooth transition to the new healthcare services contract? (See paragraph 6.1.1.)
Governor / Director
Grendon (2023)
The Board looks forward to a monthly set of routinely collected/agreed healthcare data through which we can monitor the quality of healthcare.
Governor / Director
Grendon (2023)
The Board looks forward to monitoring any new initiatives rolled out to enable the prison to better scrutinise the impact of health delivery and the health complaints’ system.
Governor / Director
Gartree (2023)
We ask the Minister to explain how the Ministry of Justice perceives the performance of prisoner healthcare at HMP Gartree when compared against the performance specification in the contract.
Ministry of Justice
Gartree (2024)
The Board raised questions with the Minister last year about the quality and performance of service providers and remains concerned, particularly with regard to healthcare. So, we ask, again, how the Minister plans to address these issues?
Ministry of Justice
Holme House (2021)
The Board recommends that the Governor's leadership team take an increased interest in healthcare complaints, ensuring responses meet their timescales and are comparable to prison complaints.
Governor / Director
Frankland (2021)
Can HMPPS review the physical environment for healthcare, which is no longer sufficient for the size of the establishment?
HMPPS
Cookham Wood (2022)
Appointment of a permanent Governor: Is the YCS confident that appointment of a substantive postholder to the role of Governor at Cookham Wood can be made? Will there be adequate plans in place to support a smooth leadership transition when this eventually takes place?
HMPPS
Detention Investigations (2)
Review into the Welfare in Detention of Vulnerable Persons — Rec 21
I recommend that the Home Office immediately consider an alternative to the current rule 35 mechanism. This should include whether doctors independent of the IRC system (for example, Forensic Medical Examiners) would be more appropriate to conduct the assessments as well as the training implications.
Immigration Detention
Assessment of government progress in implementing the report on the … — Rec 20
An action plan should be drawn up to address the shortcomings I found in healthcare facilities within the immigration estate to ensure a clinically safe, compliant and appropriate environment for the delivery of care to detainees.
Immigration Detention
PHSO Casework Decisions (4)
P-004569 — Charity Commission
Ms M complains the Commission failed to carry out a ‘fit and proper’ investigation into concerns she raised about a charity.
UK Government
Jan 2026
P-003829 — Sheffield Children's NHS Foundation Trust
Ms P complains about how the Trust cared for her son. She questions if the consultant was qualified to give care, and complains about the treatment decisions the Trust made, its communication with her and how it treated her. She also complains about its complaint handling.
NHS in England
Partly Upheld
Oct 2023
P-003908 — Epsom and St Helier University Hospitals NHS Trust
Dr U complains about the care and treatment her son received from a nurse at the Trust. She states the nurse gave misleading and inaccurate information about her son during meetings and failed to consider his best interests.
NHS in England
Jul 2023
P-002632 — Royal Devon University Healthcare NHS Foundation Trust
Mr H complains on behalf of his grandson that the paediatrician did not appropriately manage his medication and there was a lack of leadership in the management of his care.
NHS in England
May 2024
LGO / SPSO Decisions (7)
PSOW-202103154 — Meddyg Care Porthmadog
Mr A, through his Community Health Council Advocate, complained about the care and treatment his father, Mr B, received at the Care Home. Mr B’s care needs meant he was in receipt of NHS Continuing Health Care (“NHSCHC”) from the Health Board who were responsible for monitoring the care provided …
PSOW (Public Services Om…
Health
Upheld
Feb 2023
21-012-554 — London Borough of Enfield
Summary: We will discontinue our investigation into Ms A’s complaint. The Office of the Public Guardian is currently investigating concerns about Ms A acting as her daughter’s lasting power of attorney. We cannot say Ms A is a suitable representative for her daughter.
LGO (Local Government & …
Adult Care Services
Mar 2022
21-011-337 — Southend-on-Sea City Council
Summary: We will not investigate this complaint about the Council’s investigation into whether a landlord was a fit and proper person to operate a house in multiple occupation. This is because Mr X has not been caused an injustice as a result of the actions of the Council.
LGO (Local Government & …
Housing
Upheld
May 2022
PSOW-202104666 — Pobl
Mrs A complained about the robustness and accuracy of a Stage 2 investigation undertaken by the Council into the care and support provided to her late mother (Mrs C) by an Extra Care Facility operated by Pobl. The Ombudsman commenced an investigation into the appropriateness of the Stage 2 investigation …
PSOW (Public Services Om…
Health
Apr 2022
PSOW-202308118 — Liberty Care Ltd
Mrs C complained about Aneurin Bevan University Health Board (“the Health Board”) and a registered Residential Care Provider (“the Care Provider”) which the Health Board had commissioned to provide care to her son, Mr A. The investigation looked at whether between November 2021 and October 2022, the Health Board failed …
PSOW (Public Services Om…
Health
Not Upheld
Mar 2025
22-008-209 — Bosence Farm Community Limited
Summary: We cannot investigate this complaint about the actions of Mr B’s Treatment Provider. This is because complaints about treatment provision are not within the jurisdiction of the Ombudsman.
LGO (Local Government & …
Adult Care Services
Dec 2022
201101678 — Greater Glasgow and Clyde NHS Board
Mrs C had fertility treatment which began in 2008. She had a successful pregnancy in 2009 and in 2011 was invited back for further treatment. On attending the appointment, she was advised there had been an administrative error, and she should not have been invited for further treatment as she …
SPSO (Scottish Public Se…
Health
Upheld
May 2012