Recommendation R44: Proactive quality assurance beyond complaints
From Muckamore Abbey Hospital Inquiry Report, published 18 June 2026.
Recommendation
Complaints alone are a poor indicator of quality of care, particularly in a vulnerable population such as those admitted to MAH. A low volume or absence of complaints does not necessarily indicate that care provided is good or satisfactory. Organisations must find proactive approaches to assure themselves and the public that high standards of care are being provided, such as using a validated system to explore the experience of people with learning disabilities and autistic people on a quarterly basis, including regular person and family surveys or interviews. In a learning disability setting, interviewers must be trained in effective methods of communication. Complaints should be analysed for themes quarterly and triangulated with themes from incident reporting and RQIA inspection reports, and displayed on a public dashboard as well as online.
Government response
No government response to this recommendation is on the record yet.
Delivery
No statement on delivery from Health and Social Care Northern Ireland or Northern Ireland Executive has been found in the sources searched (last checked 22 June 2026). This is separate from the response above.