In March 2015, the Patients Association published a damning report titled: PHSO – Labyrinth of Bureaucracy.
A follow-up to their 2014 report ‘The Peoples’ Ombudsman – How it Failed Us‘ it collated the experience of over 200 people who had been let down by the Parliamentary and Health Service Ombudsman. Here are the key points;

In response to this public criticism, PHSO stated that ‘…they are changing the way they work and are creating a service charter: a set of promises so the public knows what they can expect.’
PHSO are always changing the way they work, and the promised service charter has now been scrapped due to its failure to demonstrate improvement. Perhaps there wasn’t any improvement?
According to Rob Behrens, the previous Ombudsman, PHSO became an ‘exemplary’ service under his watch and he was awarded a knighthood for his success. However, recent Trustpilot reviews for PHSO continue to record the same type of complaints identified in the 2015 report. Here is a recent selection:
As a government-controlled quango, the PHSO is supporting NHS negligent deaths despite calls for reform and intelligent scrutiny for many years. It has an antiquated tick box system that has never been scrutinized for appropriate purpose while still holding it up as an ‘exemplar’ system. Traumatised complainants are mentally assaulted and punished just for bringing complaints to PHSO’s notice. Workers there, from the lowest customer services to top management, appear to be fixated on promoting themselves and their ‘mission’, whilst working with defendants’ lies. There’s not a scrap of understanding of complainant trauma, and they appear to relish causing further distress on top of that inflicted by (e.g.) NHS deceit, maladministration, and injuries caused. I asked them to investigate the mental harm, ostracization, and subsequent death of my son. After years of appeals, PHSO’s obstructive dismissals and my personal fact-finding, all to no avail, the PHSO chief’s parting comments were that to investigate specific PHSO actions and harmful slanders by BSMHFT were “beyond my expectations” for them to investigate. Neither my NHS case nor PHSO complaints of serious mental harm to me were ever resolved. I was left to survive on permanent NHS medication, having to seek private counseling for traumatic PHSO malfeasance, gaslighting, predisposition and bias, and blatant collusion with the amply-resourced defendants like BSMHFT.
Date of experience: January 23, 2025
One star because I can’t leave zero stars or a minus which would be more appropriate. My Dad was a dialysis patient in St Helier who failed to provide my Dad with 3.5 hours dialysis three times a week, leaving my Dad distraught and vulnerable, having been diagnosed with sepsis. His potassium shot up to over 6 and he died. I provided the PHSO with plenty of evidence about everything that my Dad went through, including his post mortem report. All of which was emotionally devastating to experience and relive to tell it all to the PHSO. Despite all the negative reviews about the PHSO, I felt confident, given all the evidence I provided, that my complaint would be upheld. However, it wasn’t. The outcome recognised that my Dad had less dialysis than he needed but they said it had no consequences. Now I’m not clinical but even I know that increasing urea, creatinine and potassium are killers for a dialysis patient. All of this was shown on the blood tests my Dad had in hospital. Even more devasting, was at the end of the PHSO outcome, it was noted that I was one of at least three people who had complained about the same thing at that very same hospital, St Helier. But still the PHSO did not uphold mine or the other complaints. So I would suggest an online petition being made about the scope and purpose of the PHSO and lobby your MP with your experiences. Be mindful of the trauma of not being heard or believed when we all know we have experienced crap care at the hands of so called professionals. If you are, like me, bereaved then keep your heart full of the love the one who passed will always have for you and no one can take that away from you.
Date of experience: November 30, 2024
I am a NHS professional and complained to the ombudsman about the care a close friend received from his GP which was a possible life or death situation. I echo everyone else’s comments – a utterly useless organisation that has lost its moral compass if it ever had one. Patronising, ignorant, and dismissive. My advice sad to say would be to not even bother and if you feel you have a strong case, use litigation instead.
Date of experience: February 01, 2025
I’d give minus 5 if I could. Don’t expect an independent investigation from these inexperienced people. They will always find in the other person’s favour. They conducted an investigation after a close family member nearly died because a GP misdiagnosed him and the PHSO found the doctor did nothing wrong when there were obvious signs of mistakes. Then when I asked the person dealing with my case why she had forgotten to address many things, she said because it wasn’t part of the original scope even though I had told her 3 times in the first place. In the end they didn’t listen to a word I said. Surely an independent investigation should take into account all viewpoints not just the person who committed the crime.
Date of experience: July 12, 2024
The only conclusion one can draw from a decade of inaction is that the government rather likes the status quo.
* All 3 Patients Association reports, now removed from the Patients Association website, can be seen here

The PHSO acts as the main enabler of NHS misconduct. The hospital that injured me has been able to get away with what they did by simply stating that the PHSO independently endorses their claim not to have done so.
What was unusual about the Oxford University Hospitals lies was that they not only covered up what they had done but concocted a story that effectively prevented me getting the life saving treatment I needed to survive the injuries they had caused.
The falsified accounts covered up the tests they had performed and the ‘lost’ results by fabricating symptoms (things I was supposed to have said) and co-morbidities that supported a totally bogus diagnosis of panic attack. This made me appear to be neurotic.
The falsified accounts also sought to discredit me. For example the Oxford University Hospitals ‘lost’ the record of my initial nursing assessment that happened almost two hours after I arrived, The Oxford University hospital then claimed to find clear documentation that I had been seen over 90 minutes earlier. This made me appear to be dishonest.
The PHSO accepted the hospital’s accounts even though these differed as to which days I had spent in hospital and even which year I attended. The Oxford University Hospitals knew, and recorded in documents withheld by its legal department, that I was likely to die from the injuries they inflicted. It was only when my heart failed that the Oxford University Hospitals offered the treatment I needed to live with the injuries they had inflicted.
I was stunned to discover that a whistle-blower from the Oxford University Hospital had already sent the PHSO the evidence of a killer pattern in my ECG.
Had the PHSO taken my complaint or the damning evidence seriously I would have had an honest diagnosis and received the treatment I needed to live with the injuries.
The Oxford University Hospitals still refuses to retract or correct the lies it told about me and my treatment because these are endorsed by the PHSO.
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Indeed, this is how the ‘impartial’ complaint system works. The NHS fabricate an account and PHSO confirms it despite the evidence to the contrary. Then tell you to go to Judicial Review if you are unsatisfied. You were lucky not to lose your life. They so called ‘caring professions’ really don’t care about us at all.
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Hi Della
The PHSO lacks the capacity, diligence, and expertise to function as an effective Ombudsman. I guess they are allowed to carry on because they keep a lid on concerns about the failing NHS. This lets NHS misconduct continue until it reaches scandal proportions.
Oddly I also have a current complaint with the PHSO about the NHS using doctors anonymity, which , as you know, is something the PHSO does but that the GMC disapproves of. I will let you know what the PHSO has to say about it.
David
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Please keep us informed David.
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Dear PHSOTHETRUESTORY,
I would like to forward if i may, a copy of a recent email i sent to the corrupt PHSO, and so, i wished you would post/upload it on to your website, as it mirrors exactly everything bad that was said about the PHSO in the damning assessment reports from the Patients Association.
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Happy to post it. Please send to Phso-thefacts@outlook.com
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In respect of PHSO’s fraudulent ” service charter” and the fact that it is “government-controlled quango” can I draw your attention to PACAC’s Public Body Inquiry?
The PHSO-the- facts campaign got a shout-out in the evidence published on the 25th of March 2025.
https://committees.parliament.uk/writtenevidence/137262/pdf/
Out of the 8-published responses for the call for evidence, 2 citizens refer to the Parliamentary Ombudsman. The other lady referred to the faulty 999/ Ambulance response & then the issue of dealing with the PHSO/PSO.
https://committees.parliament.uk/work/8745/public-bodies/publications/written-evidence/
Now that the newly elected Government are seeking “efficiency” in Public Service, surely the utter-waste-of-time-and-money – that is the PHSO should (finally) be over-hauled to become fit for purpose?
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PACAC numbering indicates they have only published 8 out of 19 submissions received. I will be in a position to supplement your observations next week. Thanks for posting the update regarding this PACAC inquiry
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Rob Behrens must have meant it’s an exemplary service for the government because it’s certainly not an exemplary service for users. The Trustpilot reviews are scathing. A theme I have noticed with the Trustpilot reviews is that people feel a lot worse having gone to the PHSO and wish they hadn’t. What you must do to get a knighthood.
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The Ombudsman causes secondary harm and extends the pain whilst maintaining a sanctimonious air.
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Any responsible organisation which produced such a critical report would, ordinarily, revisit the issue. At PHSO The True Story we know that, despite several overtures to the Patients Association, they have declined to do so.
My message to the Patients Association is they should seek out the patients views on their experiences and state whether the Association thinks things have got better or worse.
They need to get onside but I do fear the current Board and CEO at the Patients Association lack the inclination to do so. They can always ask for outside help. PHSO The True Story can supply a great deal of information.
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What has changed is the Patients Association is now sponsored by and dependent on big Pharma. So all publications must be aligned the vision of its sponsors. Which means not rocking the boat.
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Nothing like greasing someone’s palm to secure ideological conformity.
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Do we best know WHICH pharma companies have their claws in the Patients Association?
Was it a coincidence that previous employees for AstraZeneca found their way onto the Management Team and the Panel at the PHSO under Mellor and then Behrens?
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Who were they?
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In response to Della’s query “Who were they?”
The first one that comes to mind was Sally Sykes.
She had previously been Head of UK Communications for AstraZeneca Pharmaceuticals and later, as the original PHSO-the-facts members will recall – became an Executive Member (with Mick Martin) at the PHSO under Mellor’s rule.
In 2016, someone made an FOI in an attempt to verify the “declaration of interests” of the PHSO boardroom.
https://www.whatdotheyknow.com/request/declarations_of_external_interes
Steve Brown, who seemed to have previously done a stint with AZ never best resolved the FOI query.
Former Pfizer employees keep a foot in the PHSO executive team too. Was not Claire Forbes formally with Pfizer prior to arriving at the PHSO?
I’ll get back to you with further examples ….
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The data shows that nothing has changed with the PHSO and it continues “not fit for purpose” because it fails to provide remedy and justice to thousands of wronged individuals, delivering instead further emotional damage as their complaints are denied honest investigation and remedy.
In my case, the investigator at the PHSO informed me my complaint was going to be upheld based upon clinical advice obtained from an independent expert and a report had been drafted in my favour. However, on informing the NHS Trust of this outcome, suddenly the Ombudsman underwent a U turn, the draft report that originally upheld my complaint was destroyed and a new report was produced that no longer upheld any of my complaint. It turns out the Trust’s CEO was mates with the PHSO’s Managing Director and they colluded to dismiss my complaint to protect professional reputations rather than learn from their mistakes and protect patient safety. Its open corruption:
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Hi Della
Well what can we do. I have written to various people like Wes Streeting but no reply although I expect he gets thousands of emails. With the new Government saying that they are reforming the NHS my idea is to suggest dealing with these things as all the deflection must be really expensive. I suppose I’m being naive. I did email Private Eye confirming the true antics of the PHSO. I did write to the House of Commons and got a polite but useless reply with some links and a fone number that just had various recordings. I have been thinking of the dropping in to my MP next time I can make it to a surgery but although he patiently listened some years ago basically it was no go. Peggy
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