PSOW (Public Services Ombudsman for Wales) decision

NHS Wales Joint Commissioning Committee

Decided 7 May 2025 Reference PSOW-202400012 Outcome: Not Upheld Sector: Health Category: Clinical treatment in hospital Body on this site: NHS Wales Joint Commissioning Committee

Themes assigned by this site (AI-generated): Clinical negligence harms learning

Full decision

Decision (the PSOW's words)

Miss T complained about the care and treatment she received from a private hospital which was commissioned by the NHS Wales Joint Commissioning Committee. She specifically complained that the penile skin inversion vaginoplasty operation (a surgical procedure to create a vagina out of penile tissue) was not performed to an appropriate clinical standard and she was not provided with sufficient pain relief post-surgery. Miss T also complained that, during revision surgery, she was over-sedated against her wishes.

The investigation found that the vaginoplasty operation was performed to an appropriate clinical standard. In addition, following surgery Miss T was monitored and appropriate pain relief was given. This complaint was not upheld. The investigation also found that Miss T received appropriate sedation during her revision surgery and this complaint was not upheld.

From: PSOW (Public Services Ombudsman for Wales), decision PSOW-202400012, 7 May 2025