Other reports and inquiries

Articles in this category

1. Report of the Muckamore Abbey Hospital Inquiry (18 June 2026)

   • Learning disabilities
   • Northern Ireland
   • (and 3 more)

     Tagged with:

     • Learning disabilities
     • Northern Ireland
     • Patient suffering
     • Patient harmed
     • Legal issue

   By Mark Hughes, Thursday at 13:48

   • 0 comments
   • 542 views
   • 
   • Added by Mark Hughes
   • Thursday at 13:48

2. Independent report: Lord Mann review of antisemitism and other forms of racism in the NHS and healthcare regulatory system (4 June 2026)

   • Race
   • Religion/belief
   • (and 2 more)

     Tagged with:

     • Race
     • Religion/belief
     • Discrimination
     • Recommendations

   By Patient Safety Learning, 5 June

   • 0 comments
   • 238 views
   • 
   • Added by Patient Safety Learning
   • 5 June

3. House of Commons Debate – Hughes Report: Second Anniversary (11 February 2026)

   • Redress
   • Patient harmed
   • (and 4 more)

     Tagged with:

     • Redress
     • Patient harmed
     • Womens health
     • Pregnancy
     • Medication
     • Medical device

   By Mark Hughes, 13 February

   • 0 comments
   • 543 views
   • 
   • Added by Mark Hughes
   • 13 February

4. Verita: A thematic review of six independent investigations (November 2014)

   • Investigation
   • Criminal behaviour

   By Sam, 8 February

   • 0 comments
   • 80 views
   • 
   • Added by Sam
   • 8 February

5. Report on the General Surgery surgical service at The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust (Royal College of Surgeons of England, 6 October 2025)

   • Surgery - General
   • Organisational culture

   By Mark Hughes, 19 December, 2025

   • 0 comments
   • 614 views
   • 
   • Added by Mark Hughes
   • 19 December, 2025

6. Kingdon review of children’s hearing services (10 November 2025)

   • Deafness
   • Organisation / service factors
   • (and 3 more)

     Tagged with:

     • Deafness
     • Organisation / service factors
     • Paediatrics
     • Medicine - Audiology
     • Children and Young People

   By Mark Hughes, 11 November, 2025

   • 0 comments
   • 985 views
   • 
   • Added by Mark Hughes
   • 11 November, 2025

7. Northern Ireland Public Services Ombudsman: Child unnecessarily restrained after Trust failed to monitor use of specialist seating

   • Autism
   • School / university
   • (and 6 more)

     Tagged with:

     • Autism
     • School / university
     • Investigation
     • Patient harmed
     • Medical device / equipment
     • Risk assessment
     • Northern Ireland
     • Complaint

   By Patient Safety Learning, 16 September, 2025

   • 0 comments
   • 175 views
   • 
   • Added by Patient Safety Learning
   • 16 September, 2025

8. The Independent Review of Maternity and Neonatal Services at Swansea Bay University Health Board (July 2025)

   • Maternity
   • Baby
   • (and 3 more)

     Tagged with:

     • Maternity
     • Baby
     • Investigation
     • Organisational Performance
     • Wales

   By Patient Safety Learning, 29 August, 2025

   • 0 comments
   • 486 views
   • 
   • Added by Patient Safety Learning
   • 29 August, 2025

9. Independent Patient Safety Investigation (IPSI) report of Yusuf Mahmud Nazir (31 July 2025)

   • Patient death
   • Children and Young People
   • (and 5 more)

     Tagged with:

     • Patient death
     • Children and Young People
     • Investigation
     • Patient / family involvement
     • Lack of resources
     • Organisation / service factors
     • Organisational culture

   By Patient Safety Learning, 31 July, 2025

   • 0 comments
   • 1,263 views
   • 
   • Added by Patient Safety Learning
   • 31 July, 2025

10. Independent report. David Fuller inquiry: phase 2 report (15 July 2025)

    • Patient death
    • Investigation
    • (and 2 more)

      Tagged with:

      • Patient death
      • Investigation
      • Policies / Protocols / Procedures
      • Criminal behaviour

    By Patient Safety Learning, 18 July, 2025

    • 0 comments
    • 539 views
    • 
    • Added by Patient Safety Learning
    • 18 July, 2025

11. Report for the Thirlwall Inquiry: Analysis of questionnaires from 120 NHS trusts (Nuffield Trust, 24 March 2025)

    • Patient death
    • Baby
    • (and 6 more)

      Tagged with:

      • Patient death
      • Baby
      • Maternity
      • Nurse
      • Investigation
      • Organisational culture
      • Safety process
      • Leadership

    By Patient Safety Learning, 3 April, 2025

    • 0 comments
    • 1,682 views
    • 
    • Added by Patient Safety Learning
    • 3 April, 2025

12. House of Commons Debate – Hughes Report: First Anniversary (27 March 2025)

    • Redress
    • Patient harmed
    • (and 4 more)

      Tagged with:

      • Redress
      • Patient harmed
      • Womens health
      • Pregnancy
      • Medication
      • Medical device

    By Mark Hughes, 31 March, 2025

    • 0 comments
    • 751 views
    • 
    • Added by Mark Hughes
    • 31 March, 2025

13. NHS Greater Glasgow & Clyde Emergency Department Review: March 2025

    • Emergency medicine
    • Accident and Emergency
    • (and 9 more)

      Tagged with:

      • Emergency medicine
      • Accident and Emergency
      • Organisation / service factors
      • Recommendations
      • Scotland
      • Hospital corridor
      • Lack of resources
      • Patient harmed
      • Organisational culture
      • Staff engagement
      • Leadership

    By Patient Safety Learning, 27 March, 2025

    • 0 comments
    • 966 views
    • 
    • Added by Patient Safety Learning
    • 27 March, 2025

14. Independent Mental Health Homicide Review: Independent investigation into the care and treatment provided to VC (January 2025)

    • Criminal behaviour
    • Mental health
    • (and 2 more)

      Tagged with:

      • Criminal behaviour
      • Mental health
      • Investigation
      • Organisational learning

    By Patient Safety Learning, 5 February, 2025

    • 0 comments
    • 1,403 views
    • 
    • Added by Patient Safety Learning
    • 5 February, 2025

15. Ombudsman Wales: An Own Initiative investigation into the administration of carer’s needs assessments in Wales (October 2024)

    • Carer
    • Community care
    • (and 5 more)

      Tagged with:

      • Carer
      • Community care
      • Social Care
      • Patient / family support
      • Wales
      • Investigation
      • Organisation / service factors

    By Patient Safety Learning, 18 November, 2024

    • 0 comments
    • 379 views
    • 
    • Added by Patient Safety Learning
    • 18 November, 2024

16. Call for an inquiry into the persistent and historical gaps in care for those with ME and Long Covid - A letter to the Health and Social Care Select Committee (#ThereForME, 28 October 2024)

    • ME/ Chronic fatigue syndrome
    • Long Covid
    • (and 4 more)

      Tagged with:

      • ME/ Chronic fatigue syndrome
      • Long Covid
      • Research
      • Treatment
      • Long-term conditions
      • Health inequalities

    By Mark Hughes, 28 October, 2024

    • 0 comments
    • 536 views
    • 
    • Added by Mark Hughes
    • 28 October, 2024

17. Report to the Thirlwall Inquiry: addressing Part C of the Terms of Reference

    • Investigation
    • Organisational culture
    • (and 5 more)

      Tagged with:

      • Investigation
      • Organisational culture
      • Patient death
      • Patient harmed
      • Baby
      • Nurse
      • Leadership

    By Patient Safety Learning, 30 September, 2024

    • 0 comments
    • 1,230 views
    • 
    • Added by Patient Safety Learning
    • 30 September, 2024

18. House of Lords. Public inquiries: Enhancing public trust (16 September 2024)

    • Investigation
    • Patient / family involvement
    • (and 2 more)

      Tagged with:

      • Investigation
      • Patient / family involvement
      • Recommendations
      • Organisation / service factors

    By Patient Safety Learning, 16 September, 2024

    • 0 comments
    • 688 views
    • 
    • Added by Patient Safety Learning
    • 16 September, 2024

19. Independent Investigation of the National Health Service in England (Lord Darzi, 12 September 2024)

    • Long waiting list
    • Organisational Performance
    • (and 1 more)

      Tagged with:

      • Long waiting list
      • Organisational Performance
      • Workforce management

    By Mark Hughes, 12 September, 2024

    • 0 comments
    • 2,111 views
    • 
    • Added by Mark Hughes
    • 12 September, 2024

20. Scottish Hospitals Inquiry

    • Investigation
    • Scotland
    • (and 4 more)

      Tagged with:

      • Investigation
      • Scotland
      • Whistleblowing
      • Speaking up
      • Organisational culture
      • Infection control

    By Patient-Safety-Learning, 5 September, 2024

    • 0 comments
    • 523 views
    • 
    • Added by Patient-Safety-Learning
    • 5 September, 2024

21. Infected Blood Inquiry research briefing: Recommendations for recognition, healthcare and patient safety (22 August 2024)

    • Investigation
    • Recommendations
    • (and 2 more)

      Tagged with:

      • Investigation
      • Recommendations
      • Blood / blood products
      • Patient harmed

    By Patient Safety Learning, 3 September, 2024

    • 0 comments
    • 498 views
    • 
    • Added by Patient Safety Learning
    • 3 September, 2024

22. NHS Wales - End of Programme Learning Report: National Nosocomial COVID-19 Programme (15 August 2024)

    • Virus
    • Pandemic
    • (and 5 more)

      Tagged with:

      • Virus
      • Pandemic
      • Healthcare associated infection
      • Infection control
      • Investigation
      • Organisational learning
      • Wales

    By Mark Hughes, 16 August, 2024

    • 0 comments
    • 501 views
    • 
    • Added by Mark Hughes
    • 16 August, 2024

23. Independent Review of Audiology Services in Scotland (25 August 2023)

    • Medicine - Audiology
    • Investigation
    • (and 5 more)

      Tagged with:

      • Medicine - Audiology
      • Investigation
      • Diagnosis
      • Patient harmed
      • Scotland
      • Organisation / service factors
      • Deafness

    By Patient Safety Learning, 11 July, 2024

    • 0 comments
    • 397 views
    • 
    • Added by Patient Safety Learning
    • 11 July, 2024

24. The Nursing and Midwifery Council Independent Culture Review (9 July 2024)

    • Regulatory issue
    • Nurse
    • (and 8 more)

      Tagged with:

      • Regulatory issue
      • Nurse
      • Midwife
      • Staff factors
      • Organisational culture
      • Accountability
      • Discrimination
      • Bullying
      • Speaking up
      • Leadership

    By Patient Safety Learning, 9 July, 2024

    • 0 comments
    • 1,184 views
    • 
    • Added by Patient Safety Learning
    • 9 July, 2024

25. Urology Services Inquiry

    • Surgery - Urology
    • Investigation
    • (and 2 more)

      Tagged with:

      • Surgery - Urology
      • Investigation
      • Patient harmed
      • Medicine - Genitourinary

    By Patient Safety Learning, 4 June, 2024

    • 0 comments
    • 696 views
    • 
    • Added by Patient Safety Learning
    • 4 June, 2024