Investigations and complaints

Articles in this category

1. Moving on from patient safety incidents: a qualitative study exploring GP perspectives in England (7 June 2026)

   • Patient safety incident
   • GP
   • (and 4 more)

     Tagged with:

     • Patient safety incident
     • GP
     • Primary care
     • Investigation
     • Staff support
     • Psychological safety

   By Patient Safety Learning, 10 June

   • 0 comments
   • 174 views
   • 
   • Added by Patient Safety Learning
   • 10 June

2. Consultation Analysis Report: Serious Adverse Incident Redesign Programme - Framework for Learning and Improvement (19 February 2026)

   • Patient safety incident
   • Investigation
   • (and 2 more)

     Tagged with:

     • Patient safety incident
     • Investigation
     • Organisational learning
     • Northern Ireland

   By Mark Hughes, 26 February

   • 0 comments
   • 251 views
   • 
   • Added by Mark Hughes
   • 26 February

3. Trust's actions to restrain and prevent patient leaving hospital were disproportionate - Investigation of a complaint against the Northern Health and Social Care Trust (Northern Ireland Public Services Ombudsman, 16 January 2026)

   • Northern Ireland
   • Complaint
   • (and 1 more)

     Tagged with:

     • Northern Ireland
     • Complaint
     • Restrictive practice

   By Mark Hughes, 19 January

   • 0 comments
   • 297 views
   • 
   • Added by Mark Hughes
   • 19 January

4. Patient suffered unnecessary pain after delays in diagnosis: Investigation of a complaint against the Belfast Health & Social Care Trust (Northern Ireland Public Services Ombudsman, 2 December 2025)

   • Northern Ireland
   • Complaint
   • (and 1 more)

     Tagged with:

     • Northern Ireland
     • Complaint
     • Diagnosis

   By Mark Hughes, 4 December, 2025

   • 0 comments
   • 310 views
   • 
   • Added by Mark Hughes
   • 4 December, 2025

5. Investigation into the care of a patient in Causeway Hospital (Northern Ireland Public Services Ombudsman,28 November 2025)

   • Northern Ireland
   • Complaint
   • (and 1 more)

     Tagged with:

     • Northern Ireland
     • Complaint
     • Ulcers / pressure sores

   By Mark Hughes, 30 October, 2025

   • 0 comments
   • 888 views
   • 
   • Added by Mark Hughes
   • 30 October, 2025

6. Closing investigations: The role of national policy in shaping structural, organisational and relational constraints on learning from patient safety incidents (December 2025)

   • Investigation
   • Recommendations
   • (and 2 more)

     Tagged with:

     • Investigation
     • Recommendations
     • Organisational learning
     • Research

   By Patient Safety Learning, 16 October, 2025

   • 0 comments
   • 215 views
   • 
   • Added by Patient Safety Learning
   • 16 October, 2025

7. Professional Standards Authority: Doctors’ sexual misconduct: a turn in the tide? (1 September 2025)

   • Investigation
   • Criminal behaviour
   • (and 3 more)

     Tagged with:

     • Investigation
     • Criminal behaviour
     • Standards
     • Regulatory issue
     • Doctor

   By Patient Safety Learning, 1 October, 2025

   • 0 comments
   • 402 views
   • 
   • Added by Patient Safety Learning
   • 1 October, 2025

8. Failings led to seven month delay in patient receiving cancer diagnosis: Investigation of a complaint against the Southern Health & Social Care Trust (Northern Ireland Public Services Ombudsman, 9 September 2025)

   • Northern Ireland
   • Complaint
   • (and 2 more)

     Tagged with:

     • Northern Ireland
     • Complaint
     • Diagnosis
     • Cancer

   By Mark Hughes, 15 September, 2025

   • 0 comments
   • 370 views
   • 
   • Added by Mark Hughes
   • 15 September, 2025

9. Trust did not give patient enough time to consider risks of surgery: Investigation of a complaint against the Northern Health & Social Care Trust (Northern Ireland Public Services Ombudsman, 14 August 2025)

   • Northern Ireland
   • Complaint
   • (and 1 more)

     Tagged with:

     • Northern Ireland
     • Complaint
     • Consent

   By Mark Hughes, 18 August, 2025

   • 0 comments
   • 315 views
   • 
   • Added by Mark Hughes
   • 18 August, 2025

10. Trust failed to give proper aftercare to patient following angiogram: Investigation of a complaint against the Belfast Health & Social Care Trust (Northern Ireland Public Services Ombudsman, 12 August 2025)

    • Northern Ireland
    • Complaint
    • (and 1 more)

      Tagged with:

      • Northern Ireland
      • Complaint
      • Imaging

    By Mark Hughes, 15 August, 2025

    • 0 comments
    • 295 views
    • 
    • Added by Mark Hughes
    • 15 August, 2025

11. Decision to discharge patient 'a failure in care and treatment': Investigation of a complaint against the Northern Health & Social Care Trust (Northern Ireland Public Services Ombudsman, 4 August 2025)

    • Northern Ireland
    • Complaint
    • (and 1 more)

      Tagged with:

      • Northern Ireland
      • Complaint
      • Discharge

    By Mark Hughes, 5 August, 2025

    • 0 comments
    • 355 views
    • 
    • Added by Mark Hughes
    • 5 August, 2025

12. How were patient safety incidents responded to, investigated, and learned from within the English National Health Service before the implementation of the Patient Safety Incident Response Framework? A rapid review (August 2025)

    • Investigation
    • Patient safety incident
    • (and 3 more)

      Tagged with:

      • Investigation
      • Patient safety incident
      • Research
      • PSIRF
      • Organisational learning

    By Patient Safety Learning, 22 July, 2025

    • 0 comments
    • 453 views
    • 
    • Added by Patient Safety Learning
    • 22 July, 2025

13. NHS Resolution: Advice for claimants

    • Negligence claim
    • Complaint
    • (and 1 more)

      Tagged with:

      • Negligence claim
      • Complaint
      • Patient harmed

    By Patient_Safety_Learning, 15 July, 2025

    • 0 comments
    • 654 views
    • 
    • Added by Patient_Safety_Learning
    • 15 July, 2025

14. Patient & Client Council: Engagement on Framework for Learning and Improvement from Patient Safety Incidents Consultation

    • Patient safety incident
    • Investigation
    • (and 2 more)

      Tagged with:

      • Patient safety incident
      • Investigation
      • Organisational learning
      • Northern Ireland

    By Mark Hughes, 18 June, 2025

    • 0 comments
    • 269 views
    • 
    • Added by Mark Hughes
    • 18 June, 2025

15. HSJ Podcast: The never-ending care scandal (28 March 2025)

    • Investigation
    • Maternity
    • (and 4 more)

      Tagged with:

      • Investigation
      • Maternity
      • Patient death
      • Patient harmed
      • Organisational Performance
      • Organisational learning

    By Patient Safety Learning, 31 March, 2025

    • 0 comments
    • 397 views
    • 
    • Added by Patient Safety Learning
    • 31 March, 2025

16. Framework for Learning and Improvement from Patient Safety Incidents Consultation (Northern Ireland – deadline 5pm on 20 June 2025)

    • Patient safety incident
    • Investigation
    • (and 2 more)

      Tagged with:

      • Patient safety incident
      • Investigation
      • Organisational learning
      • Northern Ireland

    By Mark Hughes, 11 March, 2025

    • 0 comments
    • 762 views
    • 
    • Added by Mark Hughes
    • 11 March, 2025

17. Keeping the NHS Honest

    • Complaint
    • Investigation

    By Patient_Safety_Learning, 25 November, 2024

    • 0 comments
    • 611 views
    • 
    • Added by Patient_Safety_Learning
    • 25 November, 2024

18. Involvement in serious incident investigations: a qualitative documentary analysis of NHS trust policies in England (9 October 2024)

    • Investigation
    • Organisational culture
    • (and 5 more)

      Tagged with:

      • Investigation
      • Organisational culture
      • Patient safety incident
      • Policies
      • Just Culture
      • Research
      • Patient

    By Patient Safety Learning, 11 November, 2024

    • 0 comments
    • 610 views
    • 
    • Added by Patient Safety Learning
    • 11 November, 2024

19. HSE: Recording open disclosure on NIMS and reporting notifiable incidents to the relevant regulator

    • Legal issue
    • Patient safety incident
    • (and 2 more)

      Tagged with:

      • Legal issue
      • Patient safety incident
      • Ireland
      • Reporting

    By Patient Safety Learning, 31 October, 2024

    • 0 comments
    • 1,199 views
    • 
    • Added by Patient Safety Learning
    • 31 October, 2024

20. Northern Ireland Public Services Ombudsman’s report: Building trust in public services at a time of challenge (24 October 2024)

    • Northern Ireland
    • Complaint
    • (and 1 more)

      Tagged with:

      • Northern Ireland
      • Complaint
      • Investigation

    By Patient Safety Learning, 30 October, 2024

    • 0 comments
    • 668 views
    • 
    • Added by Patient Safety Learning
    • 30 October, 2024

21. Common themes 2024: A summary of themes arising from NCEPOD reports relevant to all healthcare specialties

    • Patient safety incident
    • Patient death
    • (and 7 more)

      Tagged with:

      • Patient safety incident
      • Patient death
      • Investigation
      • Communication
      • Patient / family involvement
      • Policies
      • Discharge
      • Consent
      • Documentation

    By Patient Safety Learning, 7 October, 2024

    • 0 comments
    • 657 views
    • 
    • Added by Patient Safety Learning
    • 7 October, 2024

22. Medical negligence exposed: The death and cover-up of Robbie Powell and his family's fight for justice with Will Powell and Sir Rob Behrens (12 September 2024)

    • Investigation
    • Patient / family involvement
    • (and 4 more)

      Tagged with:

      • Investigation
      • Patient / family involvement
      • Organisational learning
      • Organisational culture
      • Speaking up
      • Patient death

    By Patient Safety Learning, 25 September, 2024

    • 0 comments
    • 1,126 views
    • 
    • Added by Patient Safety Learning
    • 25 September, 2024

23. Care Quality Commission: Incident management in NHS maternity services (19 September 2024)

    • Patient safety incident
    • Maternity
    • (and 1 more)

      Tagged with:

      • Patient safety incident
      • Maternity
      • PSIRF

    By Patient Safety Learning, 23 September, 2024

    • 0 comments
    • 365 views
    • 
    • Added by Patient Safety Learning
    • 23 September, 2024

24. Risk controls identified in action plans following Serious Incident Investigations in secondary care: A qualitative study (26 June 2024)

    • Investigation
    • Human factors
    • (and 4 more)

      Tagged with:

      • Investigation
      • Human factors
      • Ergonomics
      • Implementation
      • Risk management
      • Qualitative

    By Patient-Safety-Learning, 17 July, 2024

    • 0 comments
    • 687 views
    • 
    • Added by Patient-Safety-Learning
    • 17 July, 2024

25. David Oliver: How well is the duty of candour enforced in the NHS? (8 May 2024)

    • Duty of Candour
    • Regulatory issue
    • (and 2 more)

      Tagged with:

      • Duty of Candour
      • Regulatory issue
      • Transparency
      • Patient safety incident

    By Mark Hughes, 14 May, 2024

    • 0 comments
    • 600 views
    • 
    • Added by Mark Hughes
    • 14 May, 2024