Investigation Reports

Ombudsman criticises Council’s record keeping over planning application for heat and power plant

July 5, 2021

Derry City and Strabane District Council has been criticised for not making contemporaneous records  over whether to carry out a Habitat Regulation Assessment during a planning case.

Procedure to insert catheter should have been abandoned when patient became distressed.

July 5, 2021

The Ombudsman has recommended staff training in a Trust to help improve communication with patients who become distressed during post-birth procedures.

Trust apologises over care of patient who took his own life

May 5, 2021

Our investigation found that the South Eastern Trust failed to properly assess the risks faced by a patient, and could have done more to help him before his death.

Ombudsman critical of council’s handling of planning application.

April 29, 2021

We found that failings by Ards and North Down Borough Council resulted in delays to a golf club’s planning application.

Trust carried out proper investigation into Care Home resident’s unexplained fracture

April 19, 2021

We concluded that the investigation by the Belfast Health and Social Care Trust followed all relevant guidelines, but asked it to remind staff of the importance of routinely consulting the GPs of vulnerable adults when carrying out future investigations.

Woman’s wait for surgery was ‘unacceptable’

April 14, 2021

Our report found that an endometriosis patient did not receive hormonal treatment to help her condition during her four year wait for surgery.  We also found that the health trust only invited her for hospital appointments when prompted to do so by the patient and her GP.

Council apologises to complainant over handling of planning application

March 29, 2021

We reminded Mid and East Antrim Borough Council of its record keeping responsibilities following our investigation of a complaint brought by an MLA.  We also asked it to consider developing a formal policy around the role of public representatives in the planning process.

Patient’s pain relief injections were withdrawn ‘in line with medical practice and standards.’

March 18, 2021

We found that the Belfast Health and Social Care Trust acted appropriately when stopping a patient’s pain relief injections, but asked it to reflect on the best way to manage the issues around patients having treatments withdrawn that, to them, have resulted in benefits.

Child’s delayed autism diagnosis caused ‘upset, frustration and uncertainty’

March 11, 2021

Our investigation into a complaint about the Southern Health and Social Care Trust found that it did not consider all of the available information when making a child’s autism diagnosis.  We asked it to apologise to the child and her mother after appropriate intervention and support only became available following a correct diagnosis over two years later.

Trust failed to tell patient his referral for shoulder surgery had been downgraded from urgent to routine

March 2, 2021

The Belfast Health & Social Care Trust is setting up a process to tell GPs when it has downgraded their referrals after we asked it to apologise to a patient who had complained about a delay in treatment.