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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

Investigation into CCEA’s handling of student’s exam grade appeal

07 December 2021

We found no maladministration in the way the Council for the Curriculum, Examination and Assessment’s made its decision about an exam grade, but were critical of the system it had in place for receiving appeals.

Investigation Report

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