Source · PSOW (Public Services Ombudsman for Wales)

Swansea Bay University Health Board

PSOW (Public Services Ombudsman for Wales) Upheld Reference PSOW-202202959 Sector Health Category Clinical treatment in hospital Decided 17 January 2024

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Original decision on the PSOW (Public Services Ombudsman for Wales) website ↗

Full decision

Mr A complained about the care and treatment provided by Swansea Bay University Health Board (“the Health Board”) after he accidentally cut his left index finger with a utility knife. In particular, he said that the Health Board failed to prescribe appropriate antibiotics to prevent an infection at the time of surgery to repair the cut. Mr A said that this resulted in his wound becoming infected and the eventual loss of his finger.

The investigation concluded that the decision not to prescribe Mr A antibiotics at the time of surgery was correct, as the wound did not appear to be infected at that time. Missed opportunities were identified to prevent an infection occurring and to recognise that Mr A’s wound may have become infected. As such Mr A’s complaint was partially upheld.

As a result of these failings the Health Board agreed to apologise to Mr A and offer him a payment of £750. The Health Board also agreed to refer Mr A for consideration of a prosthetic to replace his amputated finger, remind staff involved in Mr A’s care of the importance of keeping accurate records and ensure that clinicians responsible for would assessment and management are appropriately trained.

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