Reports about NHS

The roles of the Parliamentary and Health Service Ombudsman and NHS Resolution: Information for NHS trusts

1 February 2019

This document is for NHS trusts in England, particularly those staff who manage complaints and/or compensation claims raised against their trust.

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Blowing the whistle: an investigation into the Care Quality Commission’s regulation of the Fit and Proper Persons Requirement

19 December 2018

Reports about NHS

Maintaining momentum: driving improvements in mental health care

15 March 2018

This report highlights failings in NHS mental healthcare services, and the devastating human impact on patients and their families. The findings provide fresh impetus to deliver on the Five Year Forward View.

Reports about NHS

Ignoring the alarms: How NHS eating disorder services are failing patients

8 December 2017

Report of an investigation that found that Averil Hart's tragic death from anorexia would have been avoided if the NHS had cared for her appropriately. The report highlights 5 areas of focus to improve eating disorder services.

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Learning from mistakes

18 July 2016

An investigation report into how the NHS failed to properly investigate the death of a three-year old child.

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Cover graphic from unsafe discharge report

A report of investigations into unsafe discharge from hospital

11 May 2016

This report focuses on nine experiences drawn from recent complaints we have investigated, which best illustrate the problems we are seeing with regards to unsafe discharge from hospital.

Reports about NHS

Graphics from opportunity to improve report

An opportunity to improve

18 March 2016

We want to use our own experience of investigating complaints about GP practices to help the NHS support general practice to do better.

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Breaking down the barriers: Older people and complaints about health care

30 December 2015

A report providing a number of broad recommendations for healthcare policy makers and organisations to improve older peoples’ experiences of the complaints system.

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A review into the quality of NHS complaints investigations where serious or avoidable harm has been alleged

8 December 2015

This report explains the findings of our research, highlights the issues we have identified, and sets out the action we believe needs to be taken to improve the quality of NHS investigations.

Reports about NHS

Complaints about acute trusts 2014-15

15 October 2015

This report details the information we have collected about complaints involving acute trusts in England in 2014‑15.

Reports about NHS

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