Rob Behrens, Parliamentary and Health Service Ombudsman since 2017 regularly bemoans the fact that people just don’t understand the role of the Ombudsman. It’s hard to know why there is so much confusion when the role is clearly laid out on the PHSO website.
We make final decisions on complaints that have not been resolved by the NHS in England and UK government departments and other public organisations. We do this fairly and without taking sides. Our service is free.
https://www.ombudsman.org.uk
Simples.
But perhaps if you have a long standing complaint awaiting justice at the Ombudsman’s office you might have been a little confused by this recent tweet.

When the Ombudsman isn’t busy making final decisions on UK complaints he likes to spend his time in International circles. He is after all an elected member of the International Ombudsman Institute (IOI) since 2020 and Vice-President, Europe since November 2021.

If you want to know more about his recent visit to Ukraine you can listen to a helpful interview between Rob Behrens and Donal Gilligan from the Ombudsman Association. It would seem that as well as caring about the thousands of UK citizens who bring desperate complaints to his organisation, Rob Behrens cares deeply about International human rights and through his role in the IOI he was able to share his concern that the Russian Ombuds was not completely impartial.
One of the reasons he went (1 min 40) was to support Chris Field (The President of Int Omb Instit). RB said in the Donal Gilligan interview-
‘The world board came to the view, a common view, that the Russians are not an independent impartial body- as Ombudsman Institutions need to be- but they are simply a mouthpiece of the Kremlin which was ignoring the basic realities of the invasion. So, with great reluctance, we voted to expel the Russians and decided to do whatever we could to provide support to our Ukranian colleagues.’
No shit Sherlock! An Ombudsman lacking impartiality. How had this remained hidden for so long? Urgent action had to be taken and Rob Behrens was the man to spearhead the campaign. Later in the interview he says; “you know, we have to practice our values, not just talk the talk otherwise we bring our own profession into disrepute in the way we are perceived.” Quite right.
After all, with generous transparency Rob Behrens had recently thrown open the doors to the Parliamentary and Health Service Ombudsman for peer review by the IOI. Although the report opens with biographies of the panel members, emphasising both their credibility and impartiality, there was no mention of the senior role that Rob Behrens himself holds in the organisation invited to produce an independent report. Clearly just an oversight.
This extract from the executive summary is positively glowing and indeed all parties appear to be most satisfied with the outcome.
This is the report of the second independent peer review into the Parliamentary and Health Service Ombudsman (PHSO) and the first in the world to be undertaken under the International Ombudsman Institute framework with accredited reviewers. In 2018, the first peer review concluded that, having faced organisational crisis, PHSO was moving out of ‘critical care’ into ‘recovery’.1 This review finds that PHSO is now a substantially stronger organisation than it was at the time of the first peer review in 2018. It is an efficient, enhanced and effective modern Ombudsman service, which provides significant value for its stakeholders. PHSO has improved its internal controls and introduced various initiatives, such as its Complaint Standards, its Academy and accreditation training, new assurance processes and the appointment of a significant number of new staff. At the same time, the work and role of PHSO is made more challenging for the organisation and less accessible to the public by the lack of much-needed reform of its statutory powers and framework.
p5. https://www.ombudsman.org.uk/sites/default/files/PHSO%20peer%20review%202022_0.pdf
Rob Behrens was delighted to take a copy of the report to the recent PACAC scrutiny meeting as evidence that all was well at PHSO.

The IOI report gives details of the Corporate Strategy for 2022 – 2025 as follows.
PHSO’s Corporate Strategy 2022-25 identifies the following strategic objectives: improving access to justice; providing a high quality, empathetic and timely service in accordance with international ombudsman principles; and contributing to a culture of learning and continuous improvement, leading to high standards in public services.
p6
It then goes on to review the complaint handling data from 2018/19 (a year after the arrival of Rob Behrens) to 2021/22 as summarised in the table below. No comment was made about these figures yet this data tells a very damning story about the work of the Ombudsman and in particular the way in which access to justice has decreased since 2018.
2018/19 | 2021/22 | |
Total complaints | 112,262 | 122,367 |
Accepted for consideration | 29,264 | 36,248 |
Rejected after initial checks | 21,672 | 29,213 |
Rejected after primary investigation | 6,332 | 6,760 |
Detailed investigation | 1,837 | 612 |
Upheld in part or full | 746 | 394 |
Government | 38 | 45 |
NHS | 708 | 349 |
An analysis shows that in 2018/19 95.6% of the cases initially accepted as meeting PHSO criteria were rejected before receiving a detailed investigation. 6.2% of accepted cases received a full investigation and 2.5% were upheld to some degree. By 2021/22 the chance of a positive outcome for the complainant had fallen dramatically. 99.2% were rejected prior to receiving a full investigation. Just 1.6% survived to the detailed investigation stage and only 1% were upheld to some degree.
Just 1% of all the complaints accepted in 2021/22 received any kind of uphold.
When the peer review team used the terms ‘efficient, enhanced and effective’ were they referring to the speed at which cases were closed by the Ombudsman? When so many citizen complaints are rejected without receiving a full investigation how can this be determined as high quality and empathetic? And with just a 1% uphold rate how can this possibly lead to a culture of learning and high standards in public services? Surprisingly, none of the eminent peer review team thought to ask these questions. Probably just another oversight. They are very busy people, with lots of meetings to attend.
It is no wonder that the collective Ombuds struggle to find an algorithm for measuring ‘value for money’ when the true value of the Ombudsman is in protecting the state from litigation and compensation. Our Ombudsman may not be the ‘mouthpiece’ of the government but he certainly does his bit to protect them from the angry mob.
In any event. Whether or not your complaint is investigated or upheld, you can take comfort in the fact that Rob Behrens and his fellow Ombuds will sit together and light a candle in protection of your human rights. Now doesn’t that make you feel better.
‘MPs lament NHS and Government complaints body’s “lack of ambition” to return to pre-pandemic service delivery levels’
https://committees.parliament.uk/committee/327/public-administration-and-constitutional-affairs-committee/news/194562/mps-lament-nhs-and-government-complaints-bodys-lack-of-ambition-to-return-to-prepandemic-service-delivery-levels/
‘PACAC Chair William Wragg said:
“…we are disappointed that its policy of not investigating health complaints deemed as less serious will continue for at least another year. We have asked the PHSO to provide its evidence base for continuing this approach.”‘
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The Trust we raised concerns about ( total waste of time as per others experience) later appointed an executive director who was also a director at PHSO. She had both roles for some years. How can that be right?
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Doesn’t surprise me in the slightest. It’s the crony club’ screw as much money out of the NHS as they can. Whilst the nurses have to go on picket lines for their small portion.
READ THE BOARD MINUTES OF YOUR TRUST FOLKS It’s all in there, Medical Directors CEO’s up their salaries with expenses claims £160000 p a salaries topped up with £16000 expenses for one year!
Why is no one challenging them!
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PHSO know this so wont rock the boat They want their money screwed from the public.
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‘What is the role of the Ombudsman?’
To train dozens in mediation who don’t do much meditating?
https://www.whatdotheyknow.com/request/pacac_meeting_29_nov_2022_mediat#incoming-2194024
To tell PACAC about the six pieces of positive feedback it received between April ’21-March ’22 but to ignore Trustpilot?
https://www.whatdotheyknow.com/request/all_complainant_feedback_passed#incoming-2184501
To recruit loads of people who don’t handle complaints?
https://www.whatdotheyknow.com/request/names_and_positions_of_senior_st#comment-108396
To recommend compensation of £1 to some people?
https://www.whatdotheyknow.com/request/889879/response/2118492/attach/3/FOI%2000000286.pdf?cookie_passthrough=1
To produce tables of zeros?
https://www.ombudsman.org.uk/publications/complaints-parliamentary-and-health-service-ombudsman-2021-22
To tell us the Russian Ombuds is the greatest wrong ‘un there is (with complete impartiality, of course)?
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Spot on Jeff. It’s all hot air.
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This would be hilarious if it wasn’t so tragic. No one cares more about impartiality than Behrens- just read his reviews on TrustPilot. Whatever the PHSO is, it is anything but impartial. Such a waste of public money but more importantly it is so letting the poor individuals down whose lives are often left ruined while Behrens goes off on his international jollies and arse licking activities. Its called corruption. See my experience of the PHSO here:
https://patientcomplaintdhcftdotcom.wordpress.com/
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A 1000 days of shocking defence and cover up from a NHS Trust and PHSO for making a complaint against the care my mother received in hospital which led to her horrific death. A part uphold recommendations sent to the trust a written apology from the medical director of the hospital who was the husband of the complaints manager who was handling my complaint.
Promises made of more palliative care and a system change in ICU. Updates and audits promised to prove compliance.
Of course absolutely nothing, the rudest of letters received from hospital saying not to contact, PHSO advising me to go to judicial review.
Roll on 5 years same trust, another terrible horrific EOL causing painful premature death. My first thought, vindictive treatment for daring to complain 5 years earlier.
Integrated services taking up the challenge as my refusal to play the trusts complaint procedure game and certainly no PHSO not fit for purpose involvement. An advocate being my voice, first response from fat cat exec admin breath taking incompetency.
Ok NHS Trust, you have punished me, I am too wounded and weak to fight you and believe will never recover. But I can assure that those involved will receive karma even those without conscience will lay awake at night and reflect. Even Boris who wrote ‘we are all together in this’ will think twice about ever eating his birthday cake again.
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Who Clive? Email laraginfo@yahoo.co.uk
I am dismayed at any Body dealing with Phso. But they are all bound to bend to leading statutory cover up body dealing with public. Shocking. Disgusting. Failing. Hence this blog https://www.pslhub.org/learn/patient-engagement/patient-stories/how-can-patients-voices-be-heard-and-acted-upon-when-they-attempt-to-report-incidents-of-harm-r5700/
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Dear Richard,
Patients stories are not being heard, if they are nothing absolutely nothing is being acted upon. No one absolutely no one can be trusted regarding NHS complaint HSIB, CQC NH England, not even you. Is that your email to respond to?
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Dear Della, You have nailed it again. ‘Russians not an impartial body’ ‘simply a mouthpiece ignoring the basic realities.’ How absolutely terrifying seeing the image of Behrens in the same room as Zelensky who is a real leader, fighting for his country his people and for us. Then to see Behrens boasting the image on his twitter account and then spouting his opinions. This is it folks, this is all we have, a hopeless government who ‘allow’ a not fit for purpose organisation to continue. If PHSO’s unqualified crony NHS investigators had blatantly not ignored the basic realities of my past case and had reacted with kindness and wisdom and made sure ‘their’ weak recommendations were acted upon palliative care/EOL issues for a second time, would not have occurred. Jeremy Hunt said that the ‘new integrated services in NHS would provide autonomy and accountability in one of his recent speeches. Does this mean the end of PHSO and Behrens? Accountability in NHS is LEARNING aka collateral damage. May the universe save us or my prophesy of complete disaster and demise of NHS will finish us if we continue with this system.
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It’s amazing that the international ombuds didn’t realise the Russian ombud was dodgy until war broke out. They are all too busy slapping each other on the back.
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Here is a new complaint regards the NHS sent to the PHSO and awaiting PHSO confirmation they are to investigate!
The NHS define HOUSEBOUND STATUS to mean the following: (See PALS Letter)
Basically it means if you are housebound then you cannot leave your home for any reason whatsoever!
The Equality Advisory Support Service (EASS) states this is a breach of Article 8 of the Human Rights Act
I would also suggest it breaches the European Convention on Human Rights too! especially:
Freedom of Movement
Right to Private Life
Right to Family Life without Government body interference
And lastly your right to access community resources!
It would be great if you guys can write to your MPs regards this issue for the NHS deny any breach
The Department for health and social care dont give a crap regards the breach of human rights
And the PHSO indicate they may take 10 months to start an investigation!
While being housebound I cannot leave my home for any reason whatsoever! Even with assistance!!
I questioned what would happen if I had to visit A&E for an emergency (no answer)
I questioned if I could (with assistance) visit my disabled Daughter only 2 miles away! (no answer)
I then asked what happens if I had to attend Court? (No Answer)
Be assisted to go to see the (CAB)!! (No Answer)
What about speaking to my MP at their surgery? (No Answer)
Attend a Funeral, Wedding? (According to the Criterion for Housebound Status I would not be allowed to attend).
Hope you highlight this issue because the Human Rights of every vulnerable person subject to this criterion
Under the NHS.MFT is in principle under house arrest with threat to remove care in the Community if they
Leave their home even with assistance.
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The only time anyone in authority has any concern about human rights is when there is a photo opportunity
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Perhaps the most depressing development I learnt this year, and there’s been quite a number, is a certain, very prominent patient safety hero now dancing to the PHSO’s tune. I wrote to him and asked ‘WHY?’ (I received a woolly, vague response).
There can no treachery more deserving of an ‘Et tu?’.
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Bless you Della!
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Parliamentary Health Service Ombudsman is corrupt by design and protects stealth privatisation fragmented patchy cruel care and poor policy
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