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

View Cwm Taf Morgannwg University Health Board scorecard

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.

View original on PSOW (Public Servic… website

Other decisions involving Cwm Taf Morgannwg University Health Boa…

Reference Date Summary Outcome
PSOW-202511046 29 Apr 2026 Mrs A complained that Cwm Taf Morgannwg University Health Board failed to respond to her complaint. The Ombudsman found that … Resolved / Early Resolution
PSOW-202510579 28 Apr 2026 Ms B complained that the Cwm Taf Morgannwg Health Board failed to respond to the concerns she raised in her … Resolved / Early Resolution
PSOW-202509919 27 Apr 2026 Miss B complained that Cwm Taf Morgannwg University Health Board failed to send its complaint response to her Social Worker. … Resolved / Early Resolution
PSOW-202510338 27 Apr 2026 Miss A complained that Cwm Taf Morgannwg University Health Board had not fully addressed her complaint about care and treatment … Resolved / Early Resolution
PSOW-202501014 24 Apr 2026 Mr C complained about the care and treatment he received from Cwm Taf Morgannwg University Health Board. Specifically, the investigation … Not Upheld
View all decisions for this organisation