PSOW (Public Services Ombudsman for Wales) decision

Hywel Dda University Health Board

Decided 31 March 2025 Reference PSOW-202406238 Outcome: Resolved / Early Resolution Sector: Health Category: Clinical treatment in hospital Body on this site: Hywel Dda University Health Board

Themes assigned by this site (AI-generated): Complaint record keeping failures, Feedback not integrated

Full decision

Decision (the PSOW's words)

Ms A complained about the care and treatment provided to her late grandfather, Mr B, by the Health Board. Ms A was not given information regarding a biopsy undertaken during the first few days of admission, and not informed of Mr B’s cancer diagnosis until he was discharged from hospital. Ms A was concerned he was kept nil by mouth, not given medication and was not moved out of bed during the latter stages of the admission. Ms A was dissatisfied with the Health Board’s response to her complaint.

The Ombudsman found that the Health Board’s initial investigation had not fully, or adequately, considered all clinical records. Although a further response was provided, it did not fully resolve matters for Ms A, and the information provided raised further questions.

The Health Board agreed within 6 weeks to consider Ms A’s request for an in-depth medical review and the direct questions about Mr B’s tumour and provide a complaint response under the Putting Things Right process.

From: PSOW (Public Services Ombudsman for Wales), decision PSOW-202406238, 31 March 2025