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-202601587 24 Jul 2026 Ms A complained that she was dissatisfied with Betsi Cadwaladr University Health Board’s response to her complaint about her inpatient … Resolved / Early Resolution
PSOW-202504962 23 Jul 2026 Mrs A complained about the management and care provided to her late father, Mr B, at Betsi Cadwaladr University Health … Not Upheld
PSOW-202601648 23 Jul 2026 Mrs A complained that Betsi Cadwaladr University Health Board administered an overdose of morphine to her mother, resulting in her … Resolved / Early Resolution
PSOW-202504789 30 Jun 2026 Mr B complained about the care and treatment received by his late wife, Mrs B, from the Health Board. The … Partly Upheld
PSOW-202601887 26 Jun 2026 Mr A complained that the Community Mental Health Team at Betsi Cadwaladr Health Board had failed to provide him with … Resolved / Early Resolution
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