Response to the Care Quality Commission's Learning from deaths report
19 March 2019
Rob Behrens, Parliamentary and Health Service Ombudsman responds to today's publication of the Care Quality Commission's Learning from deaths report: 'Time and time again we find NHS investigations into avoidable deaths inadequate, causing further suffering to families who have lost...
Death of woman after routine operation was avoidable, Ombudsman finds
26 February 2019
A grandmother’s death following a low-risk, routine hip replacement operation was avoidable, an investigation by the Parliamentary and Health Service Ombudsman has found. A catalogue of errors at East Lancashire Hospitals NHS Trust, including failing to properly monitor and treat...
Failure of Care Quality Commission to make sure NHS employs ‘fit and proper’ directors
19 December 2018
A Parliamentary and Health Service Ombudsman report published today reveals significant weaknesses in the way the Care Quality Commission (CQC) used the NHS ‘fit and proper’ person test. The Ombudsman carried out an independent investigation into a whistle-blower’s complaint about...
Complaints to the Ombudsman about the communication of changes in the state pension age for women
19 December 2018
On 8 October, we issued a proposal to investigate a sample of complaints about the communication of changes in the state pension age for women and associated issues. We have since been notified that the High Court will be considering...
Elderly man with Alzheimer’s disease died when agency failed to provide night care
18 November 2018
An elderly man with Alzheimer’s disease died following a fall from bed when an agency night carer failed to attend his home. A Parliamentary and Health Service Ombudsman investigation found service failings by the nursing agency and made recommendations to...