Report Date

01/10/2024

Case Against

Aneurin Bevan University Health Board

Subject

Clinical treatment in hospital

Case Reference Number

202402104

Outcome

Early resolution

Mr A complained that his discharge from hospital on 14 December 2023 was inappropriate.

The investigation identified that Mr A was a complex patient who did not receive the multi-team input he needed prior to his discharge.

The Health Board agreed to apologise to Mr A for its lapse in care. In addition, in order to prevent any similar future occurrences, the Health Board agreed that within 3 months it would put in place the following arrangements:

• Prior to a step-down in a level of care, complex patients should have a multi-disciplinary meeting, with each specialty’s responsibilities clearly outlined in an easily visible shared care document.

• Prior to discharge, complex patients should have a multi-disciplinary meeting, with each specialty providing their views in an easily visible shared document.