Report Date


Case Against

Swansea Bay University Health Board


Admissions/discharge and transfer procedures

Case Reference Number




Mrs Z complained about the treatment her late husband, Mr Z, received from Swansea Bay University Health Board (“the Health Board”). Mrs Z complained that Mr Z should have been re-admitted to Morriston Hospital before 22 November 2020 and that an earlier admission to hospital, and treatment, would have significantly altered his outcome.

The investigation found no evidence that an earlier admission to hospital would have altered the outcome for Mr Z. The Health Board’s failure to action a referral for an inpatient admission on 16 November 2020 was found not to have adversely impacted Mr Z. His leg wound was responding to the oral antibiotics he was prescribed at that time and his subsequent deterioration and re-admittance to hospital on 22 November was not due to this. On this basis, the complaint was not upheld.