Recommendation R67: Independent review of systemic abuse conditions
From Muckamore Abbey Hospital Inquiry Report, published 18 June 2026.
Recommendation
Where there is evidence or suspicion of widespread abuse involving multiple staff and residents, focusing solely on individual perpetrators is insufficient. An independent review of enabling conditions should be conducted separately from case-specific or PSNI investigations. This review must be led by investigators with appropriate expertise in safety science to support rapid system-level changes. PHA, in conjunction with the Chief Social Work Officer (CSWO), should issue guidance for such reviews.
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.