PSOW (Public Services Ombudsman for Wales) decision

Betsi Cadwaladr University Health Board

Decided 17 March 2025 Reference PSOW-202310310 Outcome: Not Upheld Sector: Health Category: Clinical treatment in hospital Body on this site: Betsi Cadwaladr University Health Board

Themes assigned by this site (AI-generated): Delayed Recognition of Deterioration, Inadequate Pre-Operative Risk Assessment

Full decision

Decision (the PSOW's words)

Mr Q complained about the care and treatment his mother, Mrs R, received from Betsi Cadwaladr University Health Board. In particular, whether the treatment Mrs R received from November 2021 in relation to her right eye intraocular pressure (“IOP” – when the fluid pressure in the eye is high) was appropriate, and whether this caused a subsequent delay in cataract surgery which eventually took place in September 2022.

The Ombudsman found that the treatment Mrs R received from November 2021 in relation to her right eye IOP was appropriate. Before Mrs R could undergo cataract surgery on her right eye, it was essential that her IOP was reduced first. The Ombudsman was satisfied that the Health Board followed relevant national guidance in addressing this issue.

Once Mrs R’s IOP reduced, she was scheduled for cataract surgery. The Ombudsman concluded that the delay was unavoidable.

Mr Q’s complaint was not upheld.

From: PSOW (Public Services Ombudsman for Wales), decision PSOW-202310310, 17 March 2025