Clinical treatment outside hospital; GP : A GP surgery in the area of Swansea Bay University Health Board

Mrs F complained to the Ombudsman (via her Community Health Council advocate) about the GP’s action in respect of wrong information in her medical record. She also had concerns with test results, x-rays and referrals, as well as errors with her medication.

The Ombudsman found that the GP’s actions were sufficient in respect of concerns around test results, x-rays and referrals. The Ombudsman also found that the action taken by the GP to resolve errors with her medication was proportionate. However, the Ombudsman was concerned that whilst action to correct Mrs F’s medical record was ongoing, and that a meeting had taken place regarding this, the inaccuracies were still not resolved.

The Ombudsman sought and gained the GP’s agreement to review Mrs F’s medical records to ensure that all information is rectified, to provide Mrs F with the revised records to review and, if necessary, arrange a further meeting to discuss identified discrepancies, within 20 working days.