The daughter of an elderly cancer patient complained that her syringe driver was removed in the days before her death, causing her to experience unnecessary pain.
We found that a pre-admission assessment for a care home resident did not accurately record her mobility, meaning that the home was ill-prepared for her arrival.
A report has made recommendations to the Northern Ireland Hospice after an investigation found that a number of failures meant a meant a patient in receipt of community palliative nursing did not receive the end of life care she needed.
A patient who died three days after visiting his doctor for a routine medical review received treatment that was 'appropriate and in accordance with relevant guidance' according to an investigation by the Ombudsman.