NHS Injury Benefit Scheme (PO-13972)

Ombudsman’s Determination

I do not uphold Mrs L’s complaint and no further action is required by NHS BSA.Outcome

My reasons for reaching this decision are explained in more detail below.

Complaint summary

Mrs L is unhappy because NHS BSA has declined her application for Permanent Injury Benefit (PIB), which she believes she is entitled to under the Scheme.

NHS BSA is satisfied that Mrs L sustained her injury during the course of her employment, thereby meeting the first criteria for PIB. However, NHS BSA says Mrs L does not meet the second criteria, as she cannot evidence Permanent Loss of Earning Ability (PLOEA).