Investigation reports

We found that failures in the care and treatment of a patient by a GP Practice had no impact on the prognosis or outcome, but had they not occurred it may have been possible for the patient to have received an earlier diagnosis.

We recommended that the Hospice should review staff training on clear communication with patients and their carers, following our investigation into a complaint by the parents of a child in its care.

An investigation has concluded that the care plans prepared for a resident of a nursing home in Armagh were largely adequate, but that it had underestimated the resident’s risk of a fall, and that it was inconsistent in its assessment of his mental state.