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Our Investigations
Case Decisions
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Other Resources
Resources
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  Resources on the theme of patient safety in Northern Ireland.
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  Information to help users experiencing vulnerability
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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

Patient’s symptoms should have prompted checks for endometriosis

The Western Trust’s failure to give a patient an MRI test caused her to experience prolonged pain and unnecessarily delayed treatment of her endometriosis.

Health & Social Care

Upheld

01 August 2025

3 findings available

Housing Association apologises to tenant over handling of complaint

12 August 2022

We asked Choice Housing Association to review its Anti-Social Behaviour procedures, and to ensure its staff are aware of the importance of record keeping when conducting investigations into Anti-Social Behaviour.

Investigation Report

Investigation reports

Featured

Patient’s symptoms should have prompted checks for endometriosis

Ombudsman concerned at serious failings in nursing home

Housing Association apologises to tenant over handling of complaint

Recommendations made to care home following investigation of complaint