PUBLIC SERVICES OMBUDSMAN
(WALES) ACT 2019
Notice pursuant to Section 24 (3) of the above Act.
The Public Services Ombudsman for Wales has investigated a complaint and found a service failure by Swansea Bay University Health Board and has sent a report on the results of his investigation to Swansea Bay University Health Board. The complaint related to the care provided to a Learning Disabilities patient who was in a specialist residential unit run by the Health Board. The Ombudsman concluded that there was a failure to monitor the patient and refer for specialist advice when staff noted concerns in relation to the patient's eye which required monitoring. This resulted in the patient not receiving an appropriate level of care pursuant to the fundamentals of care.
The Health Board would like to publicly apologise for the failings identified and for the distress that this caused to the patient and her family. A number of recommendations were made to the Health Board by the Ombudsman, which have been fully accepted and implemented.
A copy of the Ombudsman's report on the results of his investigation will be available on the Health Board's website www.sbuhb.nhs.wales and for inspection by the public without charge during normal working office hours at Swansea Bay University Health Board Headquarters, 1 Talbot Gateway, Port Talbot, SA12 7BR for a period of 3 weeks from 1st October 2020 to anyone who wishes may take a copy of this report or take extracts therefrom.
Photocopies of the report or parts thereof will be provided on request free of charge.
PROFESSOR TRACY MYHILL