From experience: My own PHSO case was one of very many cases of persons dying tragically and avoidably through all the reasons the PHSO gives, and not recognised by them as such (and not in the cases admitted and resolved as such), because the PHSO has no real investigative competence and are 'putty in NHS hands', when it comes to denials, excuses, manufactured evidence and actual lying, even to the extent of blaming the deceased for thier own illness or incapacity due to that illness.
My case was submitted in 2009 after my son took his own life only weeks after false allegation made against him, an appeal for careful handling, and an ambivalent rejection of serious complaints against clinical staff harmful method. Despite several complaints being made about his care before his death, there had been zero action on the mismanagement seen, and so-typical care failures noted above.
The PHSO had no communication or clinical acuities, nor had the ability nor felt the need for spotting 'chain of events' failures. For instance the PHSO showed no skill in using root-cause-anaysis of failures over years of mismanagement and actual abuse of the patient's diagnosed condition.
My case is yet unresolved (July 2023), and there is no recourse for me for the mental abuses committed--by tactic--by the PHSO, over that entire time: denials and cynical mocking has always been the fallback defence of the PHSO, and there is no measure of this or of candour, transparency or damage left for future victims of identical NHS failures. In my opinion the PHSO is a processing system backing up an unobserved or reinterpreted NHS complaints system, to give some people a false security or satisfaction of 'something being done', yet the PHSO still being 'Crusaders for Govt. Services', in real terms.
The report as it stands appears to be another sham and cover-up reflecting NO CHANGE HERE, and hiding the real negative value of the PHSO, even more so, in present day climate of broken Government systems.
It's the gritty truth, and my apologies to any affected in the same awful way as I have experienced and still suffer and require medical and psychological help, for all my efforts to help others... to no avail in many unfortunate incidents and losses since 2009.
Thank you.
