Public Inquiry Recommendations

The PCC should support service users/families and provide information on what constitutes good quality care for people with learning disabilities and autistic …

The PCC should take further steps to ensure that health service users, including carers and families of people with learning disabilities and …

PSNI needs to improve its processes for the review of live investigation files, and have an effective escalation process when progress is …

The Department of Justice should review the timeliness of the handling of each aspect of the prosecution system that has led to …

A regional standing committee of people with learning disabilities and autistic people and their relatives should be established, to be consulted by …

There needs to be a recognition that those service users in Northern Ireland yet to be resettled (if there are any by …

Families should be provided by the relevant Trust with a time frame for resettlement and relevant financial information. Families should also be …

There needs to be a clear regional view of all services available in the community, especially given the variety of services and …

There will be a continuing need, which must be met, for new and ongoing community-based support for young people and adults with …

HSCTs must develop registers of those at risk of requiring unplanned inpatient treatment, similar to the NHS England ‘blue light protocol’, in …

SPPG must ensure that people with learning disabilities and autistic people have access to mainstream (i.e. the same services that are available …

The SPPG must ensure that commissioning includes provision for people with learning disabilities and autistic people cared for in any facility to …

The DoH must devise ways to recruit and retain more allied health professionals and social care staff in the community for autistic …

Communication between the HSCTs and/or resettlement service providers and families and people with learning disabilities should be more open and transparent. Each …

Trusts, private and 3rd sector care providers must ensure that person-centred day activities (including supported employment where appropriate) should be available and …

Planning and commissioning services for people with learning disabilities and autistic people should be done as a single process across the whole …

DoH should establish a comprehensive, centralised workforce intelligence function, similar to those in the rest of the UK, within 12 months of …

A live dashboard of performance, quality and safety indicators within learning disabilities must be developed and made publicly available within 12 months …

A statutory duty of candour should now be enacted in Northern Ireland so that: (i) Every healthcare organisation and everyone working for …

Consideration should be given to a different approach to the prosecution of organisations for failing to prevent deliberate harm being caused by …

In relation to direct redress, including consideration of financial compensation, we recommend that the DoH set up a small working party to …