• Dame Julie Mellor, DBE

    Foreword by the Ombudsman

    This is our first clinical report. It focuses on ten cases we investigated where patients did not receive the treatment they urgently needed. In every case, tragically, the patient died.

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  • Executive summary

    Executive summary

    This report highlights the death of patients in the NHS after failure to diagnose and rapidly treat severe sepsis. It focuses on ten cases we investigated where patients did not receive the treatment they urgently needed.

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  • Our recommendations thumb

    Our recommendations

    As part of the report, we have made five key recommendations.

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To read the whole report please download the PDF Download (8.7MB)