Report Date

20/03/2026

Case Against

A GP Practice in the area of Hywel Dda University Health Board

Subject

Clinical treatment outside hospital; GP

Case Reference Number

202503510

Outcome

Early resolution

Ms D complained about the standard of care provided to her late mother, Mrs E, by the GP Practice. Ms D complained that, following a home visit in April 2025, the GP did not arrange Mrs E’s admission to hospital.

The Ombudsman’s investigation considered the clinical assessment of Mrs E at the home visit, and the action taken as a result of that assessment, including the decision not to arrange Mrs E’s admission to hospital.
The Ombudsman found that the clinical assessment of Mrs E during the home visit was appropriate. However, the recording of the clinical findings should have been more detailed. This aspect of the complaint was therefore partly upheld, limited to the associated record keeping. The Ombudsman concluded that the decision not to arrange emergency admission to hospital for Mrs E was not unreasonable or outside of accepted clinical practice. This aspect of the complaint was not upheld.