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About Us
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For Service Providers
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Our Investigations
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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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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

2 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

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