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Clinical treatment in hospital : Swansea Bay University Health Board

Report date



Clinical treatment in hospital


Early resolution

Case ref number


Report type

Early resolution

Relevant body

Swansea Bay University Health Board

Mr A’s complaint centred on his late father’s management and care during his inpatient hospital admission including the management of the wounds that developed between his toes.
The Ombudsman in terms of pressure sore/wound management identified areas, especially around documentation, where shortcomings were evident and improvements could be made.
As part of the settlement of Mr A’s complaint the Health Board agreed to carry out a number of actions including apologising to Mr A and the family for the failings identified. It was also asked to ensure that wound assessment charts clearly identified each wound being managed and that any discussion/plan and rationale regarding tissue viability management were documented in patients’ records. Finally, the Health Board should ensure any discharge documentation referred to the management and plan of any identified wounds.