Source · PSOW (Public Services Ombudsman for Wales)

Cwm Taf Morgannwg University Health Board

PSOW (Public Services Ombudsman for Wales) Upheld Reference PSOW-202200969 Sector Health Category Clinical treatment in hospital Decided 12 January 2024

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Full decision

Mr A complained about the care and treatment provided to his late wife, Mrs A, by Cwm Taf Morgannwg University Health Board at the Princess of Wales Hospital (“the Hospital”) between 9 December and 15 December 2020.

The Ombudsman found that the nursing care provided to Mrs A at the Hospital fell below expected standards. The available nursing documentation failed to provide assurance that Mrs A’s nutritional, toileting and skin care needs had been met. As a result, Mrs A may have experienced avoidable hunger, discomfort and distress. The investigation also found that there was a failure by nursing and medical teams to take prompt action when Mrs A’s condition began to deteriorate. This meant that there was an excessive delay in providing senior review and administering antibiotics. For these reasons, the complaint was upheld.

The Health Board agreed to the Ombudsman’s recommendations. These included to apologise and pay £1,000 to Mr A to reflect the distress caused by the failings identified. The Health Board also agreed to arrange for the investigation report to be discussed at appropriate clinical governance meetings for both nursing and medical staff at the Hospital.

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Other decisions involving Cwm Taf Morgannwg University Health Boa…

Reference Date Summary Outcome
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
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-202600854 26 Jun 2026 Mr A complained that Cwm Taf Morgannwg University Health Board failed to answer his concerns about if his diagnosis of … Resolved / Early Resolution
PSOW-202600835 12 Jun 2026 Ms B complained that Cwm Taf Morgannwg University Health Board had not contacted her since July 2025, when it informed … Resolved / Early Resolution
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
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