This investigation found that the system for communicating with patients on healthcare waiting lists is in ‘disarray’, and concluded that significant and repeated failures across the system amounted to ‘systemic maladministration’.
It urged the Department of Health to work with Health Trusts, GPs and others to address the failings.
We found that a medical assessment performed during a home visit was carried out in line with good medical practice, but that the GP should have recorded what had been discussed with the patient and her family, and what they should do if her symptoms did not improve.
The Ombudsman has found that an RQIA inspection and subsequent report was completed according to relevant standards, but that it should have taken further steps to provide the registered manager of a care home with a copy of the draft report so that she could comment on its factual accuracy.