Complaints to the Public Services Ombudsman for Wales at record high

Date of article: 15/08/2024

Daily News of: 20/08/2024

Country:  United Kingdom - Wales

Author: Public Services Ombudsman for Wales

Article language: en

The Ombudsman for Wales has published today its Annual Report & Accounts for 2023/24, which shows a staggering 37% increase since 2019 in the number of new complaints received about public services and the behaviour of local councillors.

 

2023/24 marks the Ombudsman Wales’ most efficient year – the office handled over 10,000 cases, closing more than they have ever have done before and reducing the costs for each case and investigation. The office also successfully reduced their aging cases, those over 12 months old, by 70%, by the end of the year. These cases are often the most complex and distressing for the people making the complaint. The Ombudsman Wales is now well on track to meeting the objective to complete all of these older cases by the end of March 2025.

Complaints about public services

During 2023/24, the Ombudsman received:

  • 939 complaints about Health Boards, a 31% increase over the past five years
  • 1,110 complaints about Local Councils, a 28% increase over the last five years
  • 380 complaints about Housing Associations, a 47% increase over the last five years

Clinical treatment in hospital remains the subject of the highest number of complaints, making up 44% of all health complaints.

The Ombudsman found that something had gone wrong and intervened in 20% of those cases, a 52% increase over the last five years. 3 out of 4 times, the Ombudsman intervened by proposing Early Resolution, to deliver justice quickly without the need for a full investigation.

In addition, this year the Ombudsman issued 8 public interest reports on some of the most serious complaints; these related to healthcare and the provision of gypsy and traveller accommodation.

Organisations complied with 97% of the Ombudsman’s recommendations due during the year.

Complaints about the Code of Conduct

The Ombudsman is also responsible for investigating complaints about local councillors breaching the Code of Conduct.

The events which arose at the end of March, concerning a now former member of staff’s social media activity, called into question the office’s impartiality when handling Code of Conduct complaints. In order to rebuild public trust and confidence in our service, the Ombudsman appointed Dr Melissa McCullough to undertake an independent review of our handling of Code of Conduct complaints. The Terms of Reference for the review can be found here. The report on this review is expected in October and will be published then.

During 2023/24, the Ombudsman received 518 Code of Conduct complaints; a 16% increase on last year. 54% of new complaints were made against councillors at Town and Community Councils and 55% were about how councillors promoted equality and respect.

The office does not make final findings about breaches of the Code of Conduct. Instead, where investigations find the most serious concerns, these are referred to the Standards Committee of the relevant local authority, or the Adjudication Panel for Wales. In 2023/24, the Ombudsman made 21 such referrals – Standards Committees and the Adjudication Panel for Wales upheld and found breaches in 85% of the Ombudsman’s referrals they considered in 2023/24.

Improvement work

The Ombudsman has an important role to drive public services improvement. In 2023/24, the Ombudsman’s office continued its important work to introduce complaints handling standards to public bodies in Wales.

56 public bodies across Wales now comply with the Complaints Standards set out by the Ombudsman, including 23 housing associations and all local authorities and health boards in Wales. The office has provided 500 training sessions since 2020, reaching about 10,000 staff at public bodies in Wales.

The office can also investigate on the Ombudsman’s own initiative (without having received a complaint). In 2023/24, the office consulted the public on its next Own Initiative Investigation, which looks at carers and commenced that investigation.

“This annual report reflects the first year since I published my Strategic Plan 2023-26 ‘A New Chapter’. I am pleased to see that we have made good progress towards achieving the ambitious goals set out in the Strategic Plan.

2023/24 has been our most efficient year – we dealt with more complaints than ever before, reduced the costs for each case and investigation and also successfully reduced our aging cases. Our investigation and support staff dug deep to meet this target. We have helped more people and have made a significant contribution towards improving public services in Wales. Our people are our most important asset and I have never been more proud of their hard work.”

Michelle Morris, the Public Services Ombudsman for Wales said:

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La Justicia de Aragón sugiere al Ayuntamiento de Zaragoza que considere prioritario el proyecto de ampliación de aceras de la calle Cortes de Aragón

Date of article: 14/08/2024

Daily News of: 20/08/2024

Country:  Spain - Aragon

Author: Regional Ombudsman of Aragón

Article language: es

Concepción Gimeno envía esta sugerencia al Consistorio, que reconoce que aproximadamente el 22% de las calles de la ciudad disponen de algún tramo de acera no accesible por anchura insuficiente

La Justicia de Aragón, Concepción Gimeno, ha enviado una sugerencia al Ayuntamiento de Zaragoza para que, dentro de sus capacidades presupuestarias, considere prioritario y valore por el servicio competente la redacción del proyecto para la ampliación de aceras de la calle Cortes de Aragón entre las calles Ricla y Hernán Cortés.

El Justiciazgo recibió una queja en la que se advertía de que las aceras de la mencionada calle no cumplen con la normativa municipal al no tener la suficiente anchura (1,40 metros en la acera de los impares y 1,70 metros en la de los pares). Además, en el escrito se hacía referencia al mal estado de las baldosas y a que los contenedores se dejan en medio de la acera, una situación que se ve agravada para las personas con movilidad reducida.

El Ayuntamiento de Zaragoza reconoce en su contestación al Justicia de Aragón que las aceras de la calle Cortes de Aragón no cumplen con la anchura mínima de 1,80 metros que especifica la Orden por la que se desarrolla el documento técnico de condiciones básicas de accesibilidad, pero remite su ampliación a un proyecto de reforma integral para el que no existe orden de redacción del proyecto ni partida presupuestaria.

En términos generales, el Consistorio señala que “aproximadamente el 22% de las calles de la ciudad disponen de algún tramo de acera no accesible por anchura insuficiente”.

En su sugerencia, Concepción Gimeno recuerda que “es un principio consagrado en distintas convenciones internacionales y en el ordenamiento jurídico que las personas con discapacidad en su vida social ordinaria han de ser partícipes de iguales condiciones que el resto de la ciudadanía”. A pesar de ello, el Justiciazgo es consciente de las limitaciones presupuestarias y valora positivamente los esfuerzos del Consistorio en tratar de conseguir que las calles de Zaragoza sean accesibles.

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Woman repaid thousands after healthcare provider failed to properly assess and fund her mother’s care

Date of article: 08/08/2024

Daily News of: 20/08/2024

Country:  United Kingdom

Author: Parliamentary and Health Service Ombudsman

Article language: en

A woman has been repaid over £37,000 after England’s health Ombudsman found that a healthcare provider failed to properly assess and fund her mother’s care.

The Parliamentary and Health Service Ombudsman (PHSO) is urging Integrated Care Boards (ICB) to learn from mistakes and take action to prevent other families facing unnecessary financial strain after a case investigated by the Ombudsman highlighted the issue.

A 61-year-old woman from Beverley, who wishes to remain anonymous, and her late mother financed the latter’s continuing healthcare (CHC) – which are care packages for adults arranged and funded by the NHS - between May and November 2018. This was due to a failure by East Riding of Yorkshire Clinical Commissioning Group (CCG) to fully arrange and fund the care.

The woman and her mother suffered substantial financial loss and also acute anxiety about money running out.

The mother had chronic obstructive pulmonary disease (COPD), anxiety, hypoxia, a low blood oxygen condition causing shortness of breath, and a tremor.

The woman felt she had to coordinate care and look after her mother with little support from the CCG, now known as Humber and North Yorkshire ICB.

The CCG began assessing the mother on 11 May 2018 and agreed funding for 21 hours of care a week. In October funding was agreed for 24-hour care but a Personal Health Budget (PHB) was not finalised before she died on 1 November 2018, aged 81.

The woman complained about the money she was owed for her mother’s care, but the CCG only reimbursed her for £2,418.81.

PHSO’s investigation found avoidable delays in establishing the PHB once funding was agreed. The Ombudsman also found that an assessment could have been completed earlier for night care.

Other failings included:

  • communication not meeting guidance
  • the mother’s health needs not appropriately assessed
  • a clinical review not completed until September
  • reimbursement guidance not followed and case circumstances not considered.

The Ombudsman recommended the ICB pay £26,382.73 plus interest to the woman for costs incurred and unreimbursed care, acknowledge its failings and produce an action plan to ensure the same mistakes are not repeated. 

The ICB has complied with our recommendations and after undertaking an internal assessment paid £37,124.47 to the woman.

The woman said:

“We were concerned that we were going to run out of money. We knew the care she needed and how much it would cost.

“Over that summer I was trying to care for my mother whilst working full-time. It’s those kinds of memories that will haunt me. She should have had proper carers and I was filling gaps because we couldn’t afford to get carers.

“In the midst of this I had a bereavement and lost a really close friend very quickly, and I was also supporting my son.

It was just a very difficult time and my mother was very anxious and very fragile.

“The Ombudsman helped enormously. They explained to me what should have happened and that’s the first time anybody did that, except for the initial assessment.

“I hate the thought of another person going through the stress and financial worry we suffered. I hope me complaining helps to change things for the better so that this doesn’t happen to anyone else.”

Parliamentary and Health Service Ombudsman Rebecca Hilsenrath said:

“Losing a parent is among the most difficult experiences any of us will undergo. That trauma should not be needlessly exacerbated by having to shoulder the immense emotional and financial burden of providing care due to a lack of proper assessment. These women should never have had to pay for this care and should never have had to suffer the consequent anxiety about running out of money.”

The Ombudsman published its report Continuing Healthcare: Getting it right first time in 2020, which outlined common failings seen in NHS CHC. The report found that failings, like those in this case, often resulted in families funding care when the NHS should have.

Rebecca Hilsenrath added:

“When there are errors in healthcare, it is vital they are recognised and addressed for everyone’s sake. Every complaint we uphold represents an error the NHS has investigated but failed to address. Our investigations aim to encourage learning and service improvements, so that the NHS can avoid placing financial strain on other families with complex health care needs.”

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La sixième édition de « Place aux droits » 2024 à Marseille !

Date of article: 26/08/2024

Daily News of: 28/08/2024

Country:  France

Author: National Ombudsman of France

Les vendredi 4 et samedi 5 octobre 2024, le Défenseur des droits organise la sixième édition de « Place aux droits ». L’institution sera présente à Marseille, pour répondre aux questions des habitants sur leurs droits.

Deux jours de permanences juridiques

Le Défenseur des droits s’installe à Marseille, Porte d’Aix, au carrefour du centre-ville et des quartiers nord. Des juristes seront présents pour répondre aux questions des habitants et les informer sur leurs droits durant deux jours : 

  • Vendredi 4 octobre de 8h30 à 19h30
  •  Samedi 5 octobre de 9h30 à 16h

Difficultés avec une administration, avec les forces de l’ordre, problèmes de prestation sociale, atteintes aux droits d’un enfant, victime de discrimination… Autant de problématiques pour lesquelles les équipes du Défenseur des droits pourront orienter, conseiller et accompagner gratuitement le public.

Une nouvelle étape pour « Place aux droits »

Chaque année, l’opération « Place aux droits » propose des permanences juridiques dans une région différente. Après Toulouse en 2017, Lille, la Guadeloupe et la Martinique en 2018, Mayotte et la Réunion en 2019, Strasbourg en 2022, une délégation de juristes de l’institution s’est rendue à Trappes en 2023. 

Pour les habitants, c’est une occasion d’exposer leurs difficultés à une équipe pluridisciplinaire. Pour les juristes du Défenseur des droits, ce moment permet de mieux connaître les difficultés concrètes d’exercice des droits et la présence des services publics dans chaque territoire.

En 2024, c’est au tour de Marseille d’accueillir l’opération « Place aux droits ».

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La Justicia de Aragón pide garantizar la atención sanitaria a los mutualistas en el medio rural

Date of article: 23/08/2024

Daily News of: 28/08/2024

Country:  Spain - Aragón

Author: Regional Ombudsman of Aragón

Concepción Gimeno sugiere al Gobierno de Aragón que se establezcan las medidas adecuadas para atender al cumplimiento del convenio firmado en 2022 para la prestación de dichos servicios en pueblos de menos de 20.000 habitantes

La Justicia de Aragón, Concepción Gimeno, ha emitido una sugerencia dirigida al Departamento de Sanidad del Gobierno de la Comunidad para garantizar la prestación en zonas rurales de determinados servicios sanitarios a los mutualistas y demás beneficiarios adscritos a entidades de seguro de asistencia sanitaria concertada con dichas mutualidades.

La sugerencia hace referencia, en concreto, a que se establezcan las medidas necesarias para atender al cumplimiento del Convenio entre la Mutualidad General de Funcionarios Civiles del Estado, el Instituto Social de las Fuerzas Armadas, la Mutualidad General Judicial y el Gobierno de Aragón firmado en 2022 y que reconoce a los mutualistas la prestación de los servicios de Atención Primaria que precisen en municipios del medio rural de menos de 20.000 habitantes.

La resolución está motivada por la queja de un aragonés que tuvo dificultades para que atendieran a su padre en el Centro de Salud de Sabiñánigo por ser mutualista con una empresa que está incluida en el mencionado convenio.

Por su parte, el Departamento de Sanidad reconoce en su contestación al Justiciazgo que estos mutualistas tienen derecho a que se les preste atención sanitaria según el convenio y así se lo ha traslado al Servicio Aragonés de Salud.

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