Source · PSOW (Public Services Ombudsman for Wales)

Aneurin Bevan University Health Board

PSOW (Public Services Ombudsman for Wales) Not Upheld Reference PSOW-202502263 Sector Health Category Clinical treatment in hospital Decided 20 April 2026

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Mr F complained about the care his father, Mr G, received from the Health Board following a diagnosis of an aggressive brain tumour, including the management of Mr G’s falls risk and his potential need for hospice care between January and May 2023. Mr F also complained about the management of Mr G’s medication and blood sugar levels, and the communication with the family during Mr G’s final admission to hospital between 22 and 30 May.

The investigation found that, unfortunately, balance problems and falls were an inevitable outcome of Mr G’s diagnosis and deterioration, but he was resistant to intervention and dismissive of concerns and suggestions for support. Similarly, Mr G wanted to stay in his own home. Mr G had capacity to make these decisions and there were no failings on the part of the Health Board to consider what level – and location – of care and support was appropriate. These complaints were not upheld.

In relation to Mr G’s inpatient admission, the investigation found that there were occasional missed doses of Mr G’s steroid and blood pressure medication, and that his blood sugar levels were not monitored as often as they should have been. However, Mr G was not always compliant to take his medication or have blood tests. Furthermore, there was no evidence that these things had any clinical impact for Mr G or the progression of his disease. The investigation also found that appropriate updates were provided to the family, and that information was shared when it was requested. There was no evidence to suggest that the hospital staff could have known (and therefore prepared the family) for Mr G’s sudden demise. These concerns were also not upheld.

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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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