Source · PSOW (Public Services Ombudsman for Wales)

Betsi Cadwaladr University Health Board

PSOW (Public Services Ombudsman for Wales) Not Upheld Reference PSOW-202408384 Sector Health Category Clinical treatment in hospital Decided 04 December 2025

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

Full decision

Mr C complained about the care and treatment provided to his late father, Mr B, by Betsi Cadwaladr University Health Board between 25 and 27 November 2024. Specifically, the investigation considered whether Mr B received timely and appropriate care from hospital staff when he was in the ambulance outside the Hospital Emergency Department for an extended timeframe, and whether Mr B received timely and appropriate care when he was subsequently transferred to the Emergency Department.

The Ombudsman found that whilst there were delays in Mr B’s care when he was in the ambulance outside the Emergency Department, and earlier investigation would have been desirable, it could not be concluded that it would have altered the course of his deterioration, management or outcome. The investigation also found that timely and appropriate care was provided when Mr B was subsequently transferred into the Emergency Department. The Ombudsman did not uphold the complaints.

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