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Our Investigations
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Other Resources
Resources
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  Resources on the theme of patient safety in Northern Ireland.
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  Information to help users experiencing vulnerability
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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

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

4 findings available

Ombudsman critical of Transport NI’s failure to provide and record reasons why four planning applications were considered acceptable.

17 September 2018

An investigation into the way Transport NI (now DfI Roads) dealt with consultation responses to a planning application has led to the Ombudsman making a number of recommendations.

Investigation Report

Investigation reports

Featured

Failings over Serious Adverse Incident investigation

Trust provided care home resident with appropriate treatment

Nursing home admits that it failed to administer medication and carry out a proper risk assessment for patient

Investigation into the care and treatment of a patient in the Northern Ireland Children’s Hospice

Ombudsman critical of Transport NI’s failure to provide and record reasons why four planning applications were considered acceptable.