The release of the final ‘Women’s State Pension Age’ report revealed to the 3.5 million (or so) women waiting on compensation that the Ombudsman has no powers of compliance. He is indeed a toothless watchdog, created so deliberately by the acts of parliament which limit his reach.
His recent dire warnings about the state of the NHS, simply rebound on his office given that it is for the Ombudsman to hold these bodies to account for poor service, poor complaint handling and maladministration. He has confirmed that the situations he inherited, maternity deaths, eating disorders and cover-ups have failed to improve during his term of office.
The only people who fail to see that the Emperor is wearing no clothes are the ones responsible for weaving the yarn and spinning the narrative about the independent and impartial Ombudsman. We have seen from the intervention of the PM that on appointment the Ombudsman must pass muster with very government he is then charged with holding to account.
This review from Nicholas Wheatley exposes the facts about his term of office.
Rob Behrens 7 year term as Parliamentary and Health Service Ombudsman came to an end on 31st March and he no longer has the power to wreck people’s lives with his biased and institution friendly approach to handling the complaints of members of the public against health organisations and public bodies.
Perhaps in recognition of Behrens’ failure to support complainants or perhaps in recognition of the number of times he was economical with the truth when under scrutiny by the Public Administration and Constitutional Affairs Committee, he received little in the way of recognition for his term of service from the Committee when he appeared before them in November for the annual scrutiny of the PHSO. The most that William Wragg, the chair of the Committee, could manage was a weak
“I thank him on behalf of the Committee for his work”.
Hardly the plaudits that might be expected at the end of a successful period as head of the premier Ombudsman service in the UK.
Nick Smith, Labour MP for Blaenau Gwent, was a bit more forthcoming when he spoke in Parliament on 25th March during a debate on the appointment of an Acting Ombudsman to stand in until a new Ombudsman has been appointed. Mr Smith spoke of Behrens’
“sterling work leading the PHSO since 2017”, his “outstanding record of public service, investigating suspected failures in our public service and helping people seek redress”, and his “dedication to the families and victims of public administration, particularly in the NHS”.
If only it was all true, or any part of it was true. Nick Smith did rather give the game away though when he confessed that
“I remember him at Coventry Polytechnic back in the day”.
So Rob and Nick were old buddies.
Alex Burghart, the Parliamentary Secretary to the Cabinet Office, was even more fulsome during the same debate, speaking of
“the great work he has done to transform the PHSO”.
He then gave some examples of this “great work”, stating
“he has improved complaint handling, established an independent expert advisory panel to inform decision making, and set up Europe’s first ombudsman academy to build capability. He has also introduced new ways of working, including mediation in casework.”
He finished his paean with this tribute,
“I praise Rob for his achievements and wish him all the very best for the future.”
Behrens’ “great work” as listed by Alex Burghart is thin gruel indeed. The claimed improvement in complaint handling is nowhere to be seen. The Key Performance Indicators of the Service Charter, set up to monitor case handling from the complainant’s perspective, have shown no improvement, and in some cases declined, over the period of Behrens’ tenure of office. The so-called “independent expert advisory panel” was set up as a light-touch panel at the Ombudsman’s beck and call and does little more than review and make tentative recommendations on PHSO proposals. “Europe’s first ombudsman academy” is the internal training organisation of the PHSO. There is no indication that its accreditations have any value at all outside of the PHSO. As for mediation, only 74 complaints, out of 35,662, were resolved by the PHSO through mediation, in 2022-23. If this is Alex Burghart’s idea of “great work” then it just seems to underline the lack of expectations or even interest that the government has in the work of the Ombudsman.
But why the sobriquet “Butcher” Behrens? For the very simple reason that Behrens term of office will be remembered most notably for the way he slashed the number of investigations into complaints. He almost literally decimated the investigatory capacity of the PHSO by reducing the number of complaints investigated by 84%. In the process he shattered the hopes and expectations of many members of the public who had taken their complaints to the PHSO in the mistaken belief that they would receive due process and redress for the maladministration and system failure they had been subjected to. Not only did he slash the number of investigations, he also failed to mention any intention of doing this in the corporate strategies and business plans he published for public consumption, thereby failing to inform both the public and also Parliament as to his plans for the PHSO at all stages of his tenure. Perhaps this reduction in complaints investigated was the great work referred to by Alex Burghart.
The graph below shows the enormous reduction in investigations undertaken by the PHSO during Behrens tenure.
Not only did Behrens slash the number of investigations by 84%, he also slashed the number of complaints that were fully upheld by 68%, despite a 15% increase in complaints received. Either the number of unjustified complaints made by the public increased more then threefold under Behrens period in office, or more likely there was a deliberate change in complaint handling to ensure that it became more difficult for complainants to have their complaints upheld.
The graph below shows the reduction in the number of complaints fully upheld during Behrens tenure.
Rob Behrens will be remembered as the Ombudsman under which the number of complaints investigated and the number of complaints upheld were slashed, and the hopes of thousands for fair judgement and redress were butchered.
So good riddance Butcher Behrens. You will not be missed.
Maria Caulfield answered a parliamentary question from Rachael Maskell:
UIN 20355, tabled on 25 March 2024
‘Whilst responsibility for any changes to the Parliamentary and Health Service Ombudsman (PHSO) lies with the Cabinet Office, we are not persuaded about the need for the PHSO to initiate investigations into the National Health Service. This could result in reduced contact with individual complainants, reduced PHSO capacity to handle individual complaints, increased costs, and the potential for the PHSO to stray into policy matters and duplicate the work of the Select Committee. The PHSO may already investigate systemic issues where individual complaints suggest more widespread problems and the healthcare system itself already includes organisations that can initiate investigations, including the Health Services Safety Investigations Body, who investigate patient safety concerns across England to improve NHS care at a national level.’
https://questions-statements.parliament.uk/written-questions/detail/2024-03-25/20355
Some other stuff people might be interested in:
Review of the Duty of Candour in Health and Social Care Statement made on 16 April 2024
Statement UIN HLWS407
https://questions-statements.parliament.uk/written-statements/detail/2024-04-16/HLWS407
Death Certification Reform and the Introduction of Medical Examiners Statement made on 15 April 2024 by Maria Caulfield
Statement UIN HCWS395
‘The changes will provide greater transparency on the circumstances surrounding a death.’
https://questions-statements.parliament.uk/written-statements/detail/2024-04-15/HCWS395Lampard Inquiry Update Statement made on 15 April 2024 by Victoria Atkins
Statement UIN HCWS403 – Lampard Inquiry Update
The Inquiry will examine:
https://questions-statements.parliament.uk/written-statements/detail/2024-04-15/HCWS403
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Something for Friday:
Parliamentary and Health Service Ombudsman (Powers) Bill 2nd reading
Session 2023-24 Sitting 19 April 2024
‘A Bill to grant powers to the Parliamentary and Health Service Ombudsman to identify and investigate systemic problems in the benefits system and make associated recommendations to the Secretary of State; and for connected purposes.’
https://bills.parliament.uk/bills/3624
Something today from William Wragg:
Access to redress schemes
‘That this House recognises the challenges faced by individuals and businesses in accessing effective dispute resolution and obtaining redress in cases of injustice; believes that the Government needs to address these specific challenges, namely a fragmented and inconsistent redress landscape; considers statutory guidance to be an essential measure to ensure compensation and redress schemes follow common principles and lead to fair and independent outcomes; and calls on the Government to create a statutory guidance with common principles for setting up and operating a redress scheme.’
https://commonsbusiness.parliament.uk/Document/86754/Pdf?subType=Standard
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I do find breath taking and one of the reasons I have deactivated my Twitter account, the credibility given the PHSO by ‘patient safety heroes’. I dwell upon how it is possible they can remain seemingly oblivious as to what the PHSO is and all the harm it has done. I despair in the true sense of the word. One has been paid millions and wined and dined and given an honourary degree and so on and has taken to ignoring outright Morecambe Bay whistleblowers, even those with MBEs and books published about their experiences ongoing. There are NO excuses. Another the other day stated “Rob Behrens making it very clear here” about NHS cover up. When he was anything but.
It makes me want to weep.
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I know what you mean Clive. Another case of wilful blindness.
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Sorry to go on, please don’t feel you must reply, but to what end? Why do it? James Titcombe has lost the plot. There are some such as Martyn Pitman eho have had a lot on their plate. It is understandable that he is not up to speed on the PHSO, although you’d think there’d be some caution, wouldn’t you. But Derek and the others…Come on! Why? Why give the PJSO any credibility?
Some of it, that from the health care profession is down to a lack of appreciation as to what the patient and their families face when failed by the NHS. Many of them don’t stop to think about patiena. That’s the way it is. Cannot believe, won’t believe thae true horror, a fraction of the horror the failed patient and/or their families face at the hands of the NHS, police, regulators especially the PHSO, judiciary,, charities, probation service (no my time with them is not turning out ‘not too bad’, far, far from it) and anyone or any other organisation that can set about laying into / destroying them too.
They just don’t get it.
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People believe in the system Clive. They can see that it isn’t working very well, and believe it needs tweaking. They are apparently blind to the fact that the systems are corrupt and that the harm caused is by design.
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Sincere and misguided; sincere, misguided and self-interested; or insincere and self-interested.
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I can’t believe that they really think they are doing a good job for the public but they are doing well to please the government.
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Does my fruit!
We don’t stand a chance!
I qm reassured you know where I’m coming from. I feel like I am going mad, or the rest of the world is, or I don’t know… I just don’t know what to make of anything any more.
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‘The law could be updated to make it easier for organisations to offer sincere apologies to those who have been wronged following the launch of a government consultation today (8 April 2024).
The Compensation Act, which became law in 2006, made it easier for public institutions, private companies and their employees to apologise, without admitting liability in civil proceedings.
Yet almost 20 years on, there is little evidence this has encouraged businesses to use apologies more as form of reparation – leaving many victims without proper closure and a sense they are unable to move on with their lives.’
https://www.gov.uk/government/news/should-the-law-change-to-make-it-easier-for-organisations-to-apologise
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Well of course all the above mentioned murky characters are continuing to carry out our Government’s wishes.Peggy
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£2,046,428.01 (corrected figure) spent on recruitment agencies in 2022.
https://www.whatdotheyknow.com/request/recruitment_agency_spend_of_ps12#incoming-2337033
Dwarfed the annual amount awarded for stress, anxiety and maladministration to the few whose complaints weren’t binned early.
Jobs advertised in calendar year 2023
https://www.whatdotheyknow.com/request/jobs_advertised_in_calendar_year#incoming-2536994
The list includes a Talent Acquisition Advisor, so things are looking up!
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Over two million!!!
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2022/23:
35,662 complaints
612 investigated
89 complaints fully upheld.
In Ombudsman speak this equals:
‘Of the complaints we investigate each year, we uphold, in full or in part, around 50%.’
https://www.ombudsman.org.uk/making-complaint/how-we-deal-complaints
An impressive sounding but highly misleading claim that makes people think they have a decent chance of succeeding. And we don’t know how many partly upheld complaints concern delay or poor communications in a complaint concerning serious wrongdoing. A year or two down the line some complainants provide details on Trustpilot:
https://uk.trustpilot.com/review/www.ombudsman.org.uk
It’s just one gunshot to the head after the other.
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And so a period of great service on behalf of government departments and the NHS comes to an end. Instead of a new Ombudsman being appointed to the post on 1st April, we now have an ongoing saga of no permanent Ombudsman in place with the selected candidate apparently blocked by the Prime Minister. How unseemly to have William Wragg, Chair of the Public Administration and Constitutional Affairs Committee (PACAC) bringing the matter to the floor of the House of Commons after 9.00pm on 25th March (the day before parliamentary recess) which was the only method left for appointing Rebecca Hilsenrath, the current CEO at PHSO as Acting Ombudsman, thus enabling this dysfunctional organisation to continue.
Better to have let this organisation wither on the vine and stop conning the public. Members of the press take note – this is not a watchdog but a government lapdog and the government line that it is independent of government has now been proven a sham by the inability to get the appointment of a new Ombudsman through without the sanction of the Prime Minister.
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Well he ruined my life for 4 years, The Trust completely ignored the recommendations he suggested, his poodle Amanda Campbell for some reason kept apologising to me personally. His support of the UK’s trust managers was sickening, he’s just after one of those awful fake gongs, one of his ‘cronies’ will assist I’m sure. PHSO how absolutely pointless just a contrived buffer between the toxic culture of NHS and the distressed complainant.
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“So good riddance Butcher Behrens. You will not be missed” pretty much sums up Behrens’ tenure in office at the Ombudsman.
PHSO is just one in the ineffective plethora of regulators, commissioners and other professional bodies who fail to fulfill their duty as a protective layer of accountability and in maintaining patient safety in the NHS. It’s all a charade, a theatre of the absurd in which these organisations are nothing but players in the system that is designed to give the appearance of accountability, redress and public interests….while the reality is anything but. While those who hold power continue to lie and cover up, patients continue to die.
Here is my story of state cover up by the corrupt as hell NHS and the equally corrupt system designed to protect it: https://patientcomplaintdhcftdotcom.wordpress.com/
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Hi R’ I have been reading your report again. I think it has been a couple of years since I first saw it in this PHSOtheFACTS blog. Reacquainting myself with some of the detail… My goodness! The allegations quietly dropped as they were lies, only for police to enthusiastically settle for harassment, seemingly unphased, no probs at all with their time wasted over the implausible lies upon which you were arrested, handcuffed and thrown in the cells for hours on end…I have that T-shirt.
Just a reminder that I do so very much appreciate you sharing all this with us. There are many similarities with my own complaint experience and were I to think it was just I.
I have deactivated my Twitter account. If by any chance you are finding it to be a mixed bag to say the least , then please take some solice that it’s not just you!.
In the words of someone who has said it before, stumbling across Twitter is like stumbling into a lunatic asylum. I cannot actually believe…
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Another fabulously well researched snd written article. Showing Butcher Behrens PHSO how an investigation report should be presented. Sadly, he is just another person in this giant game of pass the parcel (aka blame). Which appears go be the hallmark of UK PLC public services
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corrupt by design and creates more distress and long term suffering as general public go through ombudsman process expecting accountability resolution but end up decades later broken from a corrupt by design system that at all costs protects institutions rather then the people it serves
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