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About Us
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Our Investigations
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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 finding

Health

‘Significant failings’ in care of service user with special needs

A man said his autistic son’s health deteriorated because the Western Trust did not properly address his needs. Our investigation found that the Trust failed to provide a reasonable level of care and support to both the boy and his family over a 21-year period.

Health & Social Care

Upheld

29 January 2025

13 findings available

Apology from school settles parents' complaint

15 April 2021

Case Summary

Failings found in 'appointee' process

03 October 2019

The Ombudsman has recommended that the Department for Communities should review its operation of the appointee procedure following an investigation into a complaint.

Investigation Report

Investigation finds that Department did not respond adequately to complaint

26 July 2018

The Ombudsman has recommended that the Northern Ireland Civil Service review elements of their Dignity at Work policy after she found maladministration in the way the Department for Communities handled a complaint from a member of the public.

Investigation Report