Ann Abraham

Ann Abraham (born 25 August 1952) is a public servant who was the Parliamentary Commissioner for Administration and Health Service Commissioner for England (Parliamentary and Health Service Ombudsman) between 2002 and 2011.

Ann Abraham was born in 1952 and attended Kingsfield Grammar School in Bristol.

She confronted the Government over several serious acts of maladministration, which led to an unprecedented tabling of reports under s10(3) Parliamentary Commissioner Act 1967 in which the Ombudsman reports that injustice caused by maladministration has not is not likely to be remedied.

She also maximised her powers under s10(4) Parliamentary Commissioner Act 1967 to issue special reports in order highlights significant examples of maladministration by the Government.

The first special report published by Abraham under s10(4) Parliamentary Commissioner Act 1967 concerned NHS funding for long-term care.

She studied at Bedford College, London, graduating in German and philosophy in 1974.

She was a housing manager between 1979 and 1980, first for Tower Hamlets Council and then for Islington Council.

She then joined the Housing Corporation in 1981, serving until 1990 as a regional director and then operations director.

Two reports had previously been issued on the subject by Sir William Reid, Parliamentary and Health Service Ombudsman between 1990 and 1996.

It was found by Reid that the National Health Service had failed to make long-term care available to patients with mental and physical health needs.

There were also failings in how health authorities had set the eligibility criteria for funding.

She became the Chief executive of the National Association of Citizens Advice Bureaux in 1991, serving until 1997, when she became the Legal Services Ombudsman.

They complained that official information provided by the Government about the security of the pension schemes was misleading and that warnings were not provided about the risks to the schemes in response to an actuarial recommendation in 2000 that such a warning be given.

In 2002, Ann Abraham succeeded Sir Michael Buckley as Parliamentary and Health Service Ombudsman.

Her tenure as Ombudsman saw a major effort to focus the efforts of Government departments on providing good administration, departing from the traditional focus on avoiding maladministration.

The report published by Abraham in February 2003 was strongly critical of the Department of Health.

It was found that numerous health authorities were using criteria that was too restrictive in determining eligibility for funding for NHS care that was not in line with that laid down by the department after the judgment in ex parte Coughlan.

Abraham found that the cost of caring for patients with very severe disabilities was left to relatives instead of the National Health Service.

She recommended the department take a strong lead in providing a "very clear, well defined national framework" for determining eligibility.

This the Government undertook to do, as well as a retrospective review of cases that it had determined.

The backlog of retrospective review cases grew to such an extent that Abraham took the decision in June 2004 to accept cases directly without complainants having to exhaust the NHS complaints procedure.

In a follow-up report in December 2004, Abraham criticised the shortcomings which she had discovered in the retrospective review process.

Record keeping was often poor, decisions were sometimes taken without clinical advice and review processes were sometimes secretive.

Once again, Abraham insisted on a national framework for criteria and recommended the development of good practice guidance to support the criteria.

Thereafter, the Office engaged deeply with the department and the health authorities to ensure that cases were properly assessed according to criteria.

In March 2006, Abraham published a report into the matter – titled Trusting in the Pensions Promise – under s10(3) Parliamentary Commissioner Act 1967 following referrals by more than 200 MPs.

She found that official information provided by the Government was often inaccurate, incomplete and inconsistent; that the response to the actuarial recommendation was maladministration; and a decision to change the minimum funding requirement was done maladministratively.

Complainants had sustained a sense of outrage, had lost opportunities to make informed choices or take remedial action and had suffered distress, anxiety and uncertainty.

She made five recommendations, including that the Government consider arranging for the restoration of the pensions benefits.

The Government rejected the report, insisting that the case for maladministration was not found out and that it was not in the public interest to compensate the pension schemes.

In response, Abraham expressed disappointment at the Government's attitude and commented that it raised doubts about the commitment of the Government to the Ombudsman scheme.

To the Select Committee, she noted that she sought to constructively engage with the Government: "it is maladministration, get over it and let us get on to engagement with the real issues here" The Select Committee supported Abraham, issuing a report which found that the Government bore some responsibility for compensating those affected.

The Government reiterated its position and legal action by complainants followed.

The department published its national framework for determining funding eligibility in June 2007 and the number of NHS continuing care cases being handled by the Office shrunk from 1,500 in November 2007 to just 100 in March 2008.

Through its rigorous reporting and active engagement with the department, the Office under Ann Abraham had helped bring about service improvement in the NHS and provide justice to those wrongly denied funding.

A significant number of complaints were received by members of wound-up final salary occupational pension schemes who learned that the funds of which they had been members were insufficiently funded.

In the Court of Appeal it was held in February 2008 that the Government could not reject the findings of the Ombudsman without reason.

The Government was compelled to reconsider Abraham's recommendation that arrangements be made to restore pension benefits.

It made parallel moves to improve the Financial Assistance Scheme which provided assistance to those whose pension schemes had begun to wind up.

She finished her term as Ombudsman in December 2011 and was succeeded by Dame Julie Mellor.