Source · PSOW (Public Services Ombudsman for Wales)

Betsi Cadwaladr University Health Board

PSOW (Public Services Ombudsman for Wales) Upheld Reference PSOW-202105284 Sector Health Category Clinical treatment in hospital Decided 21 February 2023

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Full decision

Ms A complained about the care and treatment provided to her late partner, Mr B. Ms A complained that Betsi Cadwaladr University Health Board failed to assess and diagnose Mr B’s condition correctly when he attended the Emergency Department at Wrexham Maelor Hospital on 24 February 2020. Ms A also complained that Mr B was not advised to return to the Emergency Department if his condition worsened.

The Ombudsman found that Mr B was not appropriately assessed or diagnosed when he attended the Emergency Department. Mr B was prematurely discharged home without the appropriate tests being completed. Although these failings would not have altered the clinical outcome for Mr B it was determined this was an injustice to him and Ms A, who subsequently had to attempt to resuscitate him at home. It was not possible to determine what advice had been provided to Ms A and Mr B when he was discharged from the Emergency Department. As a result, the Ombudsman was not able to reach a finding on that part of the complaint.

The Health Board agreed to apologise to Ms A for the failings identified and make a payment to her of £1500. It also agreed to share the investigation report with relevant staff and review its procedures for assessing chest pain in the Emergency Department to address the failings identified.

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Other decisions involving Betsi Cadwaladr University Health Board

Reference Date Summary Outcome
PSOW-202500998 28 Apr 2026 Ms A complained about the care and treatment provided to her daughter, Miss A, by a GP Practice managed by … Not Upheld
PSOW-202507000 27 Apr 2026 Ms A complained about the inpatient care and treatment her late grandfather received from Betsi Cadwaladr University Health Board. She … Resolved / Early Resolution
PSOW-202500274 16 Apr 2026 The investigation into Mrs A’s complaint centred on whether her late son, Mr B, had received appropriate and timely care, … Not Upheld
PSOW-202510227 15 Apr 2026 Mrs A complained about how Betsi Cadwaladr University Health Board had dealt with 2 referrals for her son, B, to … Resolved / Early Resolution
PSOW-202510764 09 Apr 2026 Mrs A complained that Betsi Cadwaladr University Health Board failed to fully address the concerns raised in her complaints to … Resolved / Early Resolution
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