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Our Investigations
Case Decisions
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Other Resources
Resources
- Patient Safety
  
  Resources on the theme of patient safety in Northern Ireland.
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  Information to help users experiencing vulnerability
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  Ombudsman Principles, Case Digests, Bulletins and more

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

3 findings available

Complainant treated ‘unfairly’ over publication of Charity Commission report

16 July 2020

An Ombudsman investigation has found that a complainant should have been given the chance to comment on the factual accuracy of a report by the Charity Commission prior to its publication. However, the complaint that the report was biased and written in ‘bad faith’ was not upheld.

Investigation Report

Investigation reports

Featured

Failings over Serious Adverse Incident investigation

Care home was inadequately prepared for arrival of resident

Complainant treated ‘unfairly’ over publication of Charity Commission report

Doctor's consultation prior to patient's death was 'reasonable and appropriate'