Source · PSOW (Public Services Ombudsman for Wales)

A GP Practice in the area of Aneurin Bevan University Health Board

PSOW (Public Services Ombudsman for Wales) Upheld Reference PSOW-202205981 Sector Health Category Clinical treatment outside hospital; GP Decided 18 April 2023

Full decision

Clinical treatment outside hospital; GP : A GP Practice in the area of Aneurin Bevan University Health Board Report Date 18/04/2023 Case Against A GP Practice in the area of Aneurin Bevan University Health Board Subject Clinical treatment outside hospital; GP Case Reference Number 202205981 Outcome Upheld in whole or in part Mrs X complained that there was no proper examination or assessment of her late husband, Mr X’s condition during a GP consultation in August 2021. As a result, no appropriate treatment or referral for further investigation was made.

Whilst the ultimate diagnosis would not have been altered, the Ombudsman found no evidence to indicate that an appropriate assessment of Mr X’s presenting symptoms, or proper examination, took place during the consultation. The response to the complaint by the GP Practice was also inadequate resulting in Mrs X having to pursue her complaint to the Ombudsman.

The Ombudsman upheld the complaint and the following recommendations were agreed: • The GP Practice should review and discuss the complaint at a Significant Event Analysis (SEA) meeting.

• The GP Practice should provide a further written apology to Mrs X reflecting the Ombudsman’s findings, and explain the outcome of the SEA meeting.

• The GP should discuss the complaint, and his learning from it, at his next annual appraisal.

18 April 2023

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Reference Date Summary Outcome
PSOW-202402831 23 Mar 2026 Mr C complained on behalf of his late mother, Mrs A, about the care and treatment she received from her … Partly Upheld
PSOW-202503839 29 Jan 2026 Ms X complained that the Practice refused her request for a home visit to carry out a blood test. She … Resolved / Early Resolution
PSOW-202407677 19 Jan 2026 We investigated Mr A’s complaint against a GP Practice in the area of Aneurin Bevan University Health Board (“the Practice”) … Not Upheld
PSOW-202501194 22 Jul 2025 Mrs X complained that the Practice failed to respond to her complaint that she submitted to it in November 2024. … Resolved / Early Resolution
PSOW-202501157 27 Jun 2025 Mrs X complained about the care provided to her late mother by a GP practice in the Aneurin Bevan University … Resolved / Early Resolution
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