Source · PSOW (Public Services Ombudsman for Wales)

A GP Practice in the area of Betsi Cadwaladr University Health Board

PSOW (Public Services Ombudsman for Wales) Partly Upheld Reference PSOW-202505609 Sector Health Category Clinical treatment outside hospital; GP Decided 23 July 2026

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

Full decision

Clinical treatment outside hospital; GP: A GP Practice in the area of Betsi Cadwaladr University Health Board Report Date 23/07/2026 Case Against A GP Practice in the area of Betsi Cadwaladr University Health Board Subject Clinical treatment outside hospital; GP Case Reference Number 202505609 Outcome Upheld in whole or in part Mr C complained about the care provided to his late father, Mr A, by his GP Practice (“the Practice”). Specifically, the investigation considered whether there were any missed opportunities to diagnose and treat his late father Mr A’s cancer between October 2023 and 5 October 2024 when a diagnosis was made. It also considered whether appropriate investigations should have been carried out to confirm diverticulitis.

The investigation found that there were missed opportunities to diagnose and treat Mr A’s cancer from December 2023 onwards and that the diagnosis of diverticulitis should have been reviewed and investigations considered. The Ombudsman upheld both complaints.

The Ombudsman recommended the Practice provide Mr C and the family with a written apology for the failings identified by the Ombudsman’s investigation. It should also obtain written agreement from the GP to discuss this case at their next annual appraisal and hold a significant event analysis meeting to reflect on the Ombudsman’s report and provide the Ombudsman with any learning identified.

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