Source · PSOW (Public Services Ombudsman for Wales)

Betsi Cadwaladr University Health Board

PSOW (Public Services Ombudsman for Wales) Not Upheld Reference PSOW-202208258 Sector Health Category Clinical treatment in hospital Decided 27 November 2023

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Full decision

Ms B made a complaint about the nursing care provided to her late aunt, Mrs C, by Betsi Cadwaladr University Health Board, while she was in hospital between 28 February and 25 April 2022. The investigation considered whether appropriate care and treatment were provided to prevent Mrs C from developing pressure sores, and whether her pressure sores contributed to the decline in her health.

The investigation also considered whether appropriate care and monitoring were provided in relation to Mrs C’s nutritional needs while she was in hospital.

The Ombudsman determined that whilst there were some concerns relating to how often care was provided on one ward, this did not result in the development of any pressure sores. There were no concerns regarding the care provided on a subsequent ward, when a pressure sore to Mrs C’s sacrum (the area at the base of the spine) developed. This sore was highly likely to have been unavoidable. There was no indication that the deterioration of Mrs C’s pressure sore after her discharge, or any associated decline in her health, was a result of failings by the hospital.

The Ombudsman also found, in relation to Mrs C’s nutritional needs, that appropriate care, monitoring and input was provided. Although failings in record keeping were identified, it was determined that that this did not prevent the appropriate interventions taking place for Mrs C. The complaint was not upheld.

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Other decisions involving Betsi Cadwaladr University Health Board

Reference Date Summary Outcome
PSOW-202504962 23 Jul 2026 Mrs A complained about the management and care provided to her late father, Mr B, at Betsi Cadwaladr University Health … Not Upheld
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
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