Source · PSOW (Public Services Ombudsman for Wales)

Cardiff and Vale University Health Board

PSOW (Public Services Ombudsman for Wales) Upheld Reference PSOW-202300537 Sector Health Category Clinical treatment in hospital Decided 11 March 2024

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Full decision

The Ombudsman investigated a complaint from Miss C, on behalf of her mother-in-law Mrs B, about care and treatment that Mrs B’s late husband, Mr B, received from the Health Board during his hospital admission in May 2022. She complained that Mr B’s personal care and continence needs were not met, that his medication was not administered appropriately, and that medical staff failed to properly investigate and treat Mr B’s infection. She also complained that Mr B was discharged from hospital without a reasonable discharge assessment, resulting in his re-admission to a separate hospital within 48 hours. The investigation also considered whether the hospital failed to implement a Deprivation of Liberty Safeguard (“DOLS”) to ensure that Mr B was being lawfully detained and whether it took his diagnosis of post-traumatic stress disorder (“PTSD” – an anxiety disorder caused by very stressful, frightening or distressing events) into account.

The investigation found that Mr B’s personal care and continence needs were not met and did not reach acceptable standards. This compromised Mr B’s privacy and dignity and was an injustice to him. The investigation found that Mr B’s pain relief medication was appropriately reviewed and administered. However, medication prescribed for agitation(a state of anxiety or tension) was not administered and there was no reason for this, given Mr B’s preexisting PTSD and ongoing agitated state. These complaints were therefore upheld.

It was determined that the investigation and treatment Mr B received for his infection was appropriate and the standard of clinical care was acceptable. Mr B was also appropriately discharged, having received appropriate clinical review. These complaints were not upheld.

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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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