Investigation reports

This investigation found that the system for communicating with patients on healthcare waiting lists is in ‘disarray’, and concluded that significant and repeated failures across the system amounted to ‘systemic maladministration’.

It urged the Department of Health to work with Health Trusts, GPs and others to address the failings.

We found that a medical assessment performed during a home visit was carried out in line with good medical practice, but that the GP should have recorded what had been discussed with the patient and her family, and what they should do if her symptoms did not improve.

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.