Recommendation IHRD-40: SAI Learning Informing Clinical Audit
From Report of the Inquiry into Hyponatraemia-related Deaths, published 31 January 2018.
Recommendation
Learning and trends identified in SAI investigations should inform programmes of clinical audit.
In brief (written by this site)
In June 2026, Minister of Health Mike Nesbitt stated in a written assembly answer that the Department of Health assessed this recommendation on Serious Adverse Incident learning as actioned under Phase 1 of the implementation programme (Mike Nesbitt, Jun 2026). The Minister noted that this position was outlined in an update published by the department in June 2023, which listed the recommendation as actioned (Department of Health (Northern Ireland), Jun 2023; Mike Nesbitt, Jun 2026).
AI-generated summary of the record on this page, checked by a second model and automatic checks, 26 Sep 2026. The record below is the sources' own words.
About this summary
This recommendation applies across many organisations. The record reflects central policy activity; adoption in individual organisations may vary.
Government response
My Department accepts the recommendations of the O'Hara Report in their entirety.
Blanket government agreement does not establish acceptance or delivery by each addressee. Some response passages cover groups of recommendations.
Scope of the government response
The Minister of Health accepted all 96 recommendations together, in one sentence of a written statement to the Northern Ireland Assembly on 25 March 2021. That sentence is not a response to any one recommendation alone, and the Department of Health published no response to each recommendation. The Department's statements of 31 January, 2 February and 30 March 2018 contain no acceptance of the recommendations.
Delivery
Department of Health NI says completed (20 June 2026)
Five recommendations which reference Serious Adverse Incidents (SAIs) were assessed by the Department as actioned under Phase 1 of the Hyponatraemia Related Deaths (IHRD) implementation programme. This position was outlined in an update published by the Department in June 2023. The five recommendations are set out in Table 1 below.
From: AQW 45206/22-27 (Northern Ireland Assembly written question: IHRD recommendations that reference Serious Adverse Incidents), Mike Nesbitt, Minister of Health (Northern Ireland)
Site note: The Minister's written answer gives this passage once, for the five recommendations it lists in its Table 1 (40, 62, 65, 69(iii) and 81), and this recommendation is one of them. The same words are recorded on IHRD-40, IHRD-62, IHRD-65 and IHRD-81.
Department of Health (Northern Ireland) says completed (19 June 2023)
IHRD Phase 1 Recommendations – ACTIONED
From: IHRD Recommendations Phase 1 & Phase 2 (Updated June 2023)
Site note: These words are from the Department of Health's document linked on this page. The Department's website asks automated tools not to fetch its document files directly, so the site cites the page that links the document.
Site note: This is the heading of a table in the Department of Health's June 2023 list of the recommendations. It covers all 66 actions in that table together. It is the Department's table heading, not a statement about this recommendation alone. In October 2022 the Department also said that "full implementation of the 96 recommendations is by no means complete", which refers to the programme as a whole.
Source
Responsible bodies
Themes and tags
Who has spoken
- Department of Health NI
Response, delivery statement - Department of Health (Northern Ireland)
Delivery statement