Source · PSOW (Public Services Ombudsman for Wales)

Cardiff and Vale University Health Board

PSOW (Public Services Ombudsman for Wales) Upheld Reference PSOW-202208213 Sector Health Category Clinical treatment in hospital Decided 04 January 2024

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Full decision

Mrs W complained about the care and treatment her son, Y, received from Cardiff and Vale University Health Board between his birth in August 2017, and December 2022. Specifically, she complained that the Health Board failed to carry out appropriate investigations and tests to diagnose Y with a bowel duplication and recto-urethral fistula (where a small hole forms between the urethra and rectum) and failed to refer Y to a specialist hospital at the appropriate time.

The investigation found that there was a delay in Y receiving a diagnosis for his symptoms and this complaint was upheld. It was also found that while it was appropriate to refer Y to a specialist hospital in August 2022, when faeces was found in his urine, it would have been appropriate to refer him earlier due to his ongoing unexplained symptoms. This complaint was also upheld.

The Health Board agreed to apologise to Mrs W for the failings identified and make a financial redress payment of £1000 in recognition of the stress and continued discomfort caused by the delay in carrying out appropriate tests and requesting a second opinion. It also agreed to share the final report with relevant clinicians, remind them of the need to have multi-disciplinary team meetings with all relevant clinicians and all images available for children with complex issues, and remind them that for complex children where there is no improvement in symptoms to seek a second opinion.

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Other decisions involving Cardiff and Vale University Health Board

Reference Date Summary Outcome
PSOW-202410002 30 Apr 2026 Ms C complained about the care and treatment provided to her late mother-in-law, Ms D, when she was investigated and … Partly Upheld
PSOW-202502189 23 Apr 2026 The investigation focused on whether Ms A’s waiting time for gallbladder surgery was appropriately managed in line with the Welsh … Partly Upheld
PSOW-202510196 23 Apr 2026 Mr A complained that the Health Board inappropriately submitted three Multi Agency Referral Forms (“MARFs”) to the Council in relation … Resolved / Early Resolution
PSOW-202501454 16 Apr 2026 Mr C complained that Cardiff and Vale University Health Board had not provided him with the mental health care and … Resolved / Early Resolution
PSOW-202509648 15 Apr 2026 Mrs A complained that the Health Board had not responded to all her concerns in its complaint response, and that … Resolved / Early Resolution
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