Report Date

26/02/2026

Case Against

Betsi Cadwaladr University Health Board

Subject

Clinical treatment in hospital

Case Reference Number

202506407

Outcome

Early resolution

Mrs A complained that Betsi Cadwaladr University Health Board failed to provide sterile and hygienic catheter care, and support her in her catheterisation regime, whilst she was inpatient. Mrs A believes that this resulted in her contracting an infection.

The Ombudsman identified that it was documented that Mrs A was to have hourly catheter flushes, however, there was a lack of documentation to support the clinical decision making.

The Ombudsman sought and gained the Health Board’s agreement to within 4 weeks, provide Mrs A with a further response on the issue identified and if possible, provide an explanation on why hourly flushing was indicated. Further, to reconsider and respond to Mrs A’s concern that the care and treatment provided contributed to the infection, in light of the issue identified.