Source · PSOW (Public Services Ombudsman for Wales)

Aneurin Bevan University Health Board

PSOW (Public Services Ombudsman for Wales) Upheld Reference PSOW-202401503 Sector Health Category Clinical treatment in hospital Decided 07 April 2025

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Full decision

Mr C complained about the care and treatment provided to his late father, Mr A, by the Health Board. Specifically, the investigation considered whether the Health Board diagnosed Mr A’s hip fracture in a timely manner following his admission to the Royal Gwent Hospital on 7 November 2022.

The investigation found that Mr A’s complaints of right foot and knee pain were investigated in a timely fashion during his admission. However, given his continued difficulty in mobilising and the reference, by a physiotherapist, that Mr A’s pain could be referred from the hip, it would have been prudent for the Hospital to organise a hip X-ray sooner after Mr A’s admission. It is not possible to state with confidence whether an earlier hip X-ray would have evidenced any fracture. However, the lack of an earlier X-ray represented an injustice to Mr C, as he will retain a lingering doubt as to whether Mr A could have been saved some pain and distress. To this limited extent, the Ombudsman upheld this complaint.

The Health Board accepted the Ombudsman’s recommendations and agreed to apologise to Mr C and his family, and remind relevant staff of the importance of carrying out hip X-rays on elderly patients who have a sudden change in their mobility status, which does not improve with therapy.

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Other decisions involving Aneurin Bevan University Health Board

Reference Date Summary Outcome
PSOW-202600070 25 Jun 2026 Ms A complained about the care and treatment received by her late husband while admitted to hospital (“the Hospital”). Ms … Resolved / Early Resolution
PSOW-202509410 18 Jun 2026 Mrs A complained about her husband’s management and care at the Grange Hospital during his admission in 2025. Mr A … Resolved / Early Resolution
PSOW-202502459 17 Jun 2026 Ms B is prelingually deaf (deafness that occurs before learning speech and language). She complained about the care she received … Partly Upheld
PSOW-202601356 12 Jun 2026 Mr A complained that Aneurin Bevan University Health Board failed to respond to a complaint he submitted in September 2025 … Resolved / Early Resolution
PSOW-202600487 08 Jun 2026 Mrs B complained that the Health Board did not appropriately investigate her late father’s possible Stevens-Johnson Syndrome and that it … Resolved / Early Resolution
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