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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

Health

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

DVA apologises after failing to explain appeals process

10 November 2022

Case Summary

Restrictive Practices in Northern Ireland Schools - an overview report

15 May 2021

This report contains details of investigations into restrictive practices in schools, identifies recurring themes, and includes a number of recommendations to the Department of Education.

Own Initiative Investigation

Complaint against the Driver and Vehicle Agency

16 July 2020

The Driver & Vehicle Agency failed to manage a complainant's medical assessment in a timely manner, thereby increasing the risk that his licence would expire while his renewal was being processed. The Ombudsman also found that the DVA failed to communicate with the Occupational Health Service to ensure the application was treated as a priority.

Investigation Report