Source · PSOW (Public Services Ombudsman for Wales)

Cardiff and Vale University Health Board

PSOW (Public Services Ombudsman for Wales) Partly Upheld Reference PSOW-202408484 Sector Health Category Patient list issues Decided 23 March 2026

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Full decision

The Ombudsman investigated Mr A’s complaint about whether the Health Board appropriately managed his position on the waiting list for gallbladder removal surgery.

The investigation found that, despite a decision being made to place Mr A on the waiting list for a laparoscopic cholecystectomy (a surgical procedure to remove the bladder) in February 2023, due to an error, this did not happen. This error was only identified in March 2024, when Mr A contacted the Health Board for an update on his treatment pathway. The investigation identified that this failure amounted to maladministration. That said, when considering what injustice this caused, the investigation found that it was unlikely that Mr A would have received an appointment for surgery and/or undergone the surgery before the error was corrected given the subsequent delay for surgery.

The investigation also found that, when the error was identified, the Health Board corrected this promptly and placed Mr A on the waiting list at the position he would have been had the error not occurred. The Health Board took appropriate corrective action in addressing the error and therefore did not act with maladministration.

The investigation found that communication with Mr A about his position on the waiting list amounted to maladministration. This is because the explanations provided appeared confusing and lacked sufficient clarity about why his position had changed on the waiting list, but his prioritisation had not. This was an injustice to Mr A. The complaint was upheld to this limited extent in relation to communication. The Health Board agreed to provide Mr A with an apology for the failures outlined.

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Other decisions involving Cardiff and Vale University Health Board

Reference Date Summary Outcome
PSOW-202410002 30 Apr 2026 Ms C complained about the care and treatment provided to her late mother-in-law, Ms D, when she was investigated and … Partly Upheld
PSOW-202502189 23 Apr 2026 The investigation focused on whether Ms A’s waiting time for gallbladder surgery was appropriately managed in line with the Welsh … Partly Upheld
PSOW-202510196 23 Apr 2026 Mr A complained that the Health Board inappropriately submitted three Multi Agency Referral Forms (“MARFs”) to the Council in relation … Resolved / Early Resolution
PSOW-202501454 16 Apr 2026 Mr C complained that Cardiff and Vale University Health Board had not provided him with the mental health care and … Resolved / Early Resolution
PSOW-202509648 15 Apr 2026 Mrs A complained that the Health Board had not responded to all her concerns in its complaint response, and that … Resolved / Early Resolution
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