Source · PSOW (Public Services Ombudsman for Wales)

Cwm Taf Morgannwg University Health Board

PSOW (Public Services Ombudsman for Wales) Not Upheld Reference PSOW-202309335 Sector Health Category Clinical treatment in hospital Decided 17 October 2025

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Full decision

Mrs B complained about the care her mother, Mrs A, received from the Health Board in 2023, specifically whether: Mrs A was given too much morphine following her documented fall on the GP Assessment Unit in April and that the Health Board subsequently failed to identify and treat a fracture of Mrs A’s coccyx (the bone at the base of the spine) between April and May. Mrs B also complained that an apparent second fall between 24 and 25 June, while Mrs A was on a ward, was avoidable and whether it was dealt with appropriately. Finally, she queried whether her complaint was dealt with appropriately and in line with the Health Board’s complaints procedure.

The investigation found that there was no evidence to suggest Mrs A was given too much morphine and so this point of complaint was not upheld.

Furthermore, the Health Board acted appropriately while seeking to diagnose whether Mrs A had a coccyx fracture and there was no evidence Mrs A suffered a fall between 24 and 25 June, so these points were not upheld.

Finally, although the Health Board did not fully comply with the statutory complaint process, it provided Mrs B with a formal response to her complaint in accordance with the legislation. This point was not upheld.

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Other decisions involving Cwm Taf Morgannwg University Health Boa…

Reference Date Summary Outcome
PSOW-202511046 29 Apr 2026 Mrs A complained that Cwm Taf Morgannwg University Health Board failed to respond to her complaint. The Ombudsman found that … Resolved / Early Resolution
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PSOW-202509919 27 Apr 2026 Miss B complained that Cwm Taf Morgannwg University Health Board failed to send its complaint response to her Social Worker. … Resolved / Early Resolution
PSOW-202510338 27 Apr 2026 Miss A complained that Cwm Taf Morgannwg University Health Board had not fully addressed her complaint about care and treatment … Resolved / Early Resolution
PSOW-202501014 24 Apr 2026 Mr C complained about the care and treatment he received from Cwm Taf Morgannwg University Health Board. Specifically, the investigation … Not Upheld
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