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Investigation reports

Browse our investigation reports, case summaries, and Case Digests, or use the filters to search by year, sector, or public body.

Featured

Health

Failings over Serious Adverse Incident investigation

The Western Trust didn’t communicate properly with a woman during its investigation into the death of her husband.

Health & Social Care

Upheld

06 May 2025

97 findings available

PIP and the value of further evidence - follow up report

31 May 2023

In June 2021 the Ombudsman found that repeated failings by the Department for Communities in how it handled further evidence amounted to ‘systemic maladministration’. Ombudsman Margaret Kelly made 33 recommendations on how the system could be improved.

This follow-up report shows that out of the 33 recommendations made, 10 have been fully met, 18 partly met, and 5 not met.

Own Initiative Investigation

Patient’s brain tumour wrongly diagnosed as viral headache

21 December 2022

We asked the Belfast Trust to make service improvements after investigating a man’s complaint that his wife’s brain tumour should have been diagnosed earlier.

Investigation Report