When the below scenario observed this caused by not adding the permissions (Claims)

click in in the "Domains" in the Ops-Portal

Then you can add roles as below for the relevant hospital


Once added the role we are clear to and permissions (Claims) while comparing a existing user claims
Existing user claims ( This can be viewed from the user profile)

After that click on the role

You can view the user role then click on "Add Claim

Then can add the the Permissions ( Claims) one by one

Kindly note need to check the user Access one by one then can review by logging on the DashOps