Source · PSOW (Public Services Ombudsman for Wales)

Cwm Taf Morgannwg University Health Board

PSOW (Public Services Ombudsman for Wales) Upheld Reference PSOW-202102580 Sector Health Category Health Decided 01 July 2022

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Full decision

Mr A complained that during January and February 2021 the Practice failed to provide appropriate care and treatment to his father, Mr B, after he tested positive for COVID-19. Sadly, Mr B died in hospital on 13 February.

The Ombudsman found that the Practice failed to carry out an appropriate assessment of Mr B’s condition during a telephone consultation on 3 February and failed to arrange a timely face to face assessment on 11 February. These were service failures which denied Mr B the opportunity to receive appropriate treatment sooner. The Ombudsman found that, on the balance of probabilities, Mr B would have died even if he had received treatment for the COVID-19 infection on or around 3 February. However, the lost opportunity for a better outcome and the resulting distress and uncertainty over what might have been, were significant injustices to Mr A and his family. For these reasons, the Ombudsman upheld the complaint.

The Ombudsman recommended that the Practice should: • Apologise to Mr B for the failings identified.

• Make a payment of £500 to him in respect of distress arising from the missed opportunities to arrange earlier supportive care for Mr B.

• Share the report with the GPs involved and remind all of its GPs of the importance of good record keeping.

• Discuss the report at a Clinical Governance Meeting and agree an action plan to improve the way it carried out remote consultations.

The Practice agreed to the recommendations.

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Other decisions involving Cwm Taf Morgannwg University Health Boa…

Reference Date Summary Outcome
PSOW-202602556 23 Jul 2026 M A complained about the wait to be seen when he attended the Emergency Department at the Royal Glamorgan Hospital. … Resolved / Early Resolution
PSOW-202602344 10 Jul 2026 Mr A complained that Cwm Taf Morgannwg University Health Board had failed to respond to the complaint he submitted in … Resolved / Early Resolution
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PSOW-202601536 29 Jun 2026 Mrs A complained that Cwm Taf Morgannwg University Health Board had not addressed her concerns sufficiently. She said she had … Resolved / Early Resolution
PSOW-202501942 29 Jun 2026 Mrs B complained about the care and treatment received by her father, Mr A, from the Health Board. Mrs B … Not Upheld
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