PSOW (Public Services Ombudsman for Wales) Resolved / Early Resolution

Hywel Dda University Health Board

PSOW-202504824 · Health › Clinical treatment in hospital · Decision date: 08 January 2026 · View Hywel Dda University Health Board scorecard

Full Decision

Ms A complained about the Health Board’s communication with her about a shoulder operation. She said that she had only later been told that she had suffered a punctured lung.

It did not appear from information considered during the assessment that Ms A had suffered a punctured lung. However, the Ombudsman decided that the Health Board’s communication with Ms A could have been clearer. She decided to settle the complaint without an investigation.

The agreement of the Health Board was sought and gained to take the following action within 3 months: – Arrange a meeting with Ms A and her advocate and relevant clinicians to explain events that took place during and after the shoulder operation.