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Care and Compassion?
In this report, "Care and compassion?" the Health Service Ombudsman says the NHS is failing to treat older people with care, compassion, dignity and respect. The report is based on the findings of ten independent investigations into complaints about NHS care for people over the age of 65 across England. It serves to illuminate the gulf between the principles and values of the NHS Constitution and the felt reality of being an older person in the care of the NHS in England. The Ombudsman's findings show how ten older patients suffered unnecessary pain, indignity and distress while in the care of the NHS. Her investigations highlight common failures in pain control, discharge arrangements, comm...
Listening and Learning
This report comes in the middle of the biggest overhaul to the NHS in over 60 years due changes brought about by the Health and Social Care Act 2012. As the changes in the NHS take place, the Ombudsman's Office caseload suggests that embedding good complaint handling will be essential to avoid the risk of patient complaints going unheard. Last year the Ombudsman received 50% more complaints from people who felt that the NHS had not acknowledged mistakes in care. 16, 333 complaints were resolved. This report, as well as providing statistics and case studies, outlines the learning from the casework in 2011-12. It also suggests how the NHS can improve it's complain handling and sets out ways in which the Ombudsman's own work is change to enable to us to share more information more widely.
The Ombudsman Enterprise and Administrative Justice
The statutory duty of public service ombudsmen (PSO) is to investigate claims of injustice caused by maladministration in the provision of public services. This book examines the modern role of the ombudsman within the overall emerging system of administrative justice and makes recommendations as to how PSO should optimize their potential within the wider administrative justice context. Recent developments are discussed and long standing questions that have yet to be adequately resolved in the ombudsman community are re-evaluated given broader changes in the administrative justice sector. The work balances theory and empirical research conducted in a number of common law countries. Although there has been much debate within the ombudsman community in recent years aimed at developing and improving the practice of ombudsmanry, this work represents a significant advance on current academic understanding of the discipline.
Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry
This public inquiry report into serious failings in healthcare that took place at the Mid Staffordshire NHS Foundation Trust builds on the first independent report published in February 2010 (ISBN 9780102964394). It further examines the suffering of patients caused by failures by the Trust: there was a failure to listen to its patients and staff or ensure correction of deficiencies. There was also a failure to tackle the insidious negative culture involving poor standards and a disengagement from managerial and leadership responsibilities. These failures are in part a consequence of allowing a focus on reaching national access targets, achieving financial balance and seeking foundation trust...
Government response to the House of Lords Select Committee on Public Service and Demographic Change report of session 2012-13
Government response to HL paper 140 (ISBN 9780108550492)
Equity and excellence:
Equity and Excellence : Liberating the NHS: Presented to Parliament by the Secretary of State for Health by Command of Her Majesty
Parliamentary and Health Service Ombudsman: Midwifery Supervision and Regulation: Recommendations for Change - HC 865
The Ombudsman investigated three cases in which local statutory supervision of midwives failed, all of which occurred at Morecambe Bay NHS Foundation Trust. The cases clearly illuminate a potential muddling of the supervisory and regulatory role of supervisors of midwives. The current arrangements do not always allow information about poor care to be escalated effectively into hospital clinical governance or the regulatory system. This means the current system operates in a way that risks failure to learn from mistakes, which cannot be in the interests of the safety of mothers and babies and must change. Working with the Nursing and Midwifery Council (NMC), the Professional Standards Authori...
Administrative redress
In this report the Law Commission sets out conclusions from its review of administrative redress in public and private law following consultation (Law Commission consultation paper 187, 2008, ISBN 9780118404532). The aim of the Commission's review was to consider when and how individuals should be able to obtain redress against public bodies that have acted in a substandard way. The report discusses individuals' access to remedies through the courts, as well as through avenues outside the court system, such as the public sector ombudsmen. In examining court-based remedies, the Commission concludes that there are good arguments for reform but, given the level of opposition to its earlier prop...
Report by the Health Service Ombudsman of England of an investigation into a complaint by Mr & Mrs M
This report is into a complaint by Mr & Mrs M concerning the treatment of the disabled daughter by their GP, the out of hours SEEDS services and the PCT Trust of the hospital their daughter was taken to. No service failure was found with regard to the GP; however the SEEDS doctors failings did constitute service failure. The PCT's handling of the complaint had lesser failures and did not constitute maladadministration
