Source · PSOW (Public Services Ombudsman for Wales)

Betsi Cadwaladr University Health Board

PSOW (Public Services Ombudsman for Wales) Resolved / Early Resolution Reference PSOW-202404887 Sector Health Category Medical records/standards of record-keeping Decided 21 November 2024

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Original decision on the PSOW (Public Services Ombudsman for Wales) website ↗

Full decision

Mrs A complained that Betsi Cadwaladr University Health Board (“the Health Board”) failed to update her or respond to her second complaint about her late daughter’s care and treatment. She said that 16 months after she submitted the complaint, the Health Board said that it was unable to respond to her concerns because her daughter’s medical records were missing.

The Ombudsman decided that the missing medical records resulted in the loss of opportunity for Mrs A to have an independent investigation into her daughter’s care and treatment. She said that this caused a lasting injustice to Mrs A. The Ombudsman also decided that the Health Board’s complaint handling caused delays and frustration for Mrs A. She decided to settle the complaint without an investigation.

The Ombudsman sought and gained the Health Board’s agreement to apologise to Mrs A for the missing records and offer a redress payment of £1,250 for the loss of opportunity to have her complaint considered. The Health Board agreed to clarify when it discovered the records were missing, take appropriate action to reduce the risk of future loss, and to continue to search for the records. It also agreed to apologise to Mrs A for the issues identified with the complaints handling and offer her £250 redress for the time and trouble taken. Finally, it agreed to respond to aspects of the complaint that were not reliant on the missing records and complete all the agreed action within 6 weeks.

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