Source · PSOW (Public Services Ombudsman for Wales)

Betsi Cadwaladr University Health Board

PSOW (Public Services Ombudsman for Wales) Upheld Reference PSOW-202105815 Sector Health Category Prisoner Care Decided 16 December 2022

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Full decision

Mr J complained about the lack of care and treatment provided by Betsi Cadwaladr University Health Board (“the Health Board”) from May 2021 in response to concerns he raised about experiencing chest pain, blood in his stools and knee pain.

The Ombudsman’s investigation concluded that Mr J’s presenting symptoms, which were triaged by a nurse, should have been discussed further with a GP so a decision could be made as to whether Mr J required further tests. This did not happen and was a service failure. It was also of concern that Mr J’s stool sample was not sent for analysis, as this could have led, potentially, to an indication of the issues Mr J was experiencing. In addition, Mr J should have been assessed more promptly when he requested to see a GP on 27 July about stress, anxiety and depression. He was not seen for a further month; this was also a service failure. Both these service failures led to a delay in Mr J’s symptoms being investigated further. This was an injustice to Mr J and the complaint was upheld.

The Ombudsman recommended that the Health Board should apologise to Mr J and arrange appropriate treatment should he still be experiencing the same symptoms. It was also recommended that the staff involved in Mr J’s care should reflect on the findings of the Ombudsman’s report and consider what lessons could be learnt, with particular emphasis on escalating serious concerns more quickly. The Health Board agreed to the recommendations.

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Other decisions involving Betsi Cadwaladr University Health Board

Reference Date Summary Outcome
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
PSOW-202601134 25 Jun 2026 Ms A complained about the care and treatment provided by Betsi Cadwaladr University Health Board to her late sister. Ms … Resolved / Early Resolution
PSOW-202601280 19 Jun 2026 Mrs A complained that the Health Board did not adequately address her concerns and that further improvements were needed toits … Resolved / Early Resolution
PSOW-202600764 10 Jun 2026 Mr X complained that Betsi Cadwaladr University Health Board failed to fully address his concerns that the correct process was … Resolved / Early Resolution
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