St. Albans Medical Group (23 006 504e)

Statement Upheld General practice 27-Aug-2025

Summary: Mrs A complains about the care and treatment of her mother, Mrs B. She also complains about how long North East and North Cumbria Integrated Care Board (the ICB) took to respond to her complaint. We found the ICB took too long to respond to Mrs A’s complaint which caused her unnecessary distress. I recommended and the ICB agreed to apologise and make a symbolic payment to remedy this injustice. We also found a doctor from St Albans Medical Group changed Mrs B’s medical records after her death. Staff from Wardley Gate Care Centre disposed of used medication in a way which caused Mrs A doubt about whether Mrs B’s medication had been given correctly. However, I have seen evidence both organisations have already made appropriate changes to their processes, so no further action is needed.

St. Albans Medical Group (23 006 504f)

Statement Upheld General practice 27-Aug-2025

Summary: Mrs A complains about the care and treatment of her mother, Mrs B. She also complains about how long North East and North Cumbria Integrated Care Board (the ICB) took to respond to her complaint. We found the ICB took too long to respond to Mrs A’s complaint which caused her unnecessary distress. I recommended and the ICB agreed to apologise and make a symbolic payment to remedy this injustice. We also found a doctor from St Albans Medical Group changed Mrs B’s medical records after her death. Staff from Wardley Gate Care Centre disposed of used medication in a way which caused Mrs A doubt about whether Mrs B’s medication had been given correctly. However, I have seen evidence both organisations have already made appropriate changes to their processes, so no further action is needed.

St. Albans Medical Group (23 006 504d)

Statement Upheld General practice 27-Aug-2025

Summary: Mrs A complains about the care and treatment of her mother, Mrs B. She also complains about how long North East and North Cumbria Integrated Care Board (the ICB) took to respond to her complaint. We found the ICB took too long to respond to Mrs A’s complaint which caused her unnecessary distress. I recommended and the ICB agreed to apologise and make a symbolic payment to remedy this injustice. We also found a doctor from St Albans Medical Group changed Mrs B’s medical records after her death. Staff from Wardley Gate Care Centre disposed of used medication in a way which caused Mrs A doubt about whether Mrs B’s medication had been given correctly. However, I have seen evidence both organisations have already made appropriate changes to their processes, so no further action is needed.

Partnership Of East London Co-Operatives (24 017 682c)

Statement Closed after initial enquiries General practice 24-Jun-2025

Summary: Mr X complained about end-of-life care for his mother, Mrs Y, from Jewish Care, Gants Hill Medical Practice, Partnership Of East London Co-Operative, NHS North East London Integrated Care Board and London Ambulance Service NHS Trust. We would likely find fault with the Practice, PELC and ICB if we investigated the complaint. Those organisations have agreed to resolve the complaint by providing a proportionate remedy for the injustice Mr X suffered.

Gants Hill Medical Centre (24 017 682d)

Statement Closed after initial enquiries General practice 24-Jun-2025

Summary: Mr X complained about end-of-life care for his mother, Mrs Y, from Jewish Care, Gants Hill Medical Practice, Partnership Of East London Co-Operative, NHS North East London Integrated Care Board and London Ambulance Service NHS Trust. We would likely find fault with the Practice, PELC and ICB if we investigated the complaint. Those organisations have agreed to resolve the complaint by providing a proportionate remedy for the injustice Mr X suffered.

Minchinhampton Doctors Surgery (24 015 507a)

Statement Closed after initial enquiries General practice 07-May-2025

Summary: We will not investigate Miss X’s complaint about her brother, Mr Y’s, care and treatment by Gloucestershire County Council, Gloucestershire Health and Care NHS Foundation Trust and Minchinhampton Surgery. A significant amount of time has passed since some of the events complained about occurred which impacts on our ability to consider them now. We are unlikely to find fault on some points. Finally, further investigation by the Ombudsmen is unlikely to achieve the changes to Mr Y’s care that Miss X is hoping for.

Trevelyan House Health Surgery (24 013 547a)

Statement Closed after initial enquiries General practice 19-Mar-2025

Summary: Ms X complained that the London Borough of Wandsworth and Central London Community Healthcare NHS Trust failed to arrange or provide adequate care for her mother, at home, in the summer of 2022. We will not investigate Ms X’s complaint. This is because it is unlikely an investigation would be able to make findings or recommend outcomes Ms X would find satisfactory.

Uppingham Surgery (24 001 540b)

Statement Not upheld General practice 13-Mar-2025

Summary: Mr A complained about his brother, Mr B’s care and treatment by a care home funded by a council, a GP and a hospital. Mr A said poor care led to his brother’s death. We found fault with the hospital’s complaint handling, leading to frustration for Mr A. The hospital took appropriate action to address this injustice. We have not found fault with the other parts of the complaint or with the other organisations.

Queens Road Surgery (24 001 615b)

Statement Not upheld General practice 07-Mar-2025

Summary: We uphold Mrs X’s complaint about the way her husband, Mr X, was discharged from hospital and the care he received in a care home. We found fault with how Leicestershire County Council and Leicestershire General Hospital NHS Trust discharged Mr X. We also found fault with some aspects of Mr X’s care. As a result, Mr X did not always receive appropriate care and Mrs X was caused distress and uncertainty. The Council and the Trust will apologise to Mrs X and pay her a total of £400. The Council will also make some systemic improvements. We did not find fault with Queens Road Surgery.

Whitemoor Medical Centre (24 009 211a)

Statement Closed after initial enquiries General practice 07-Nov-2024

Summary: Mrs A complains about the way the Care Home and GP Practice cared for her mother, Mrs B. We will not investigate this complaint because we are unlikely to achieve anything more. This is because the coroner has already looked at the issues, and there has already been an independent investigation.