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An avoidable death of a three-year-old child from sepsis

together in a co-ordinated way, in order to minimise duplication and ensure ... designing the front desk to try and lose the window barrier and we have.

https://www.ombudsman.org.uk/.../An_avoidable_death_of_a_three_year_...

The Ombudsman's Annual Report and Accounts 2014–15

These four areas are the bedrock of the new framework we are designing for the way we deliver our service. These will be developed into a service charter, which ...

https://www.ombudsman.org.uk/.../Annual%20Report%202014-15_0.pdf

PHSO BOARD OPEN SESSION MEETING 21 June 2018 Minutes ...

Jun 21, 2018 ... However the design of the system was limited by the ... 18.1 A report by Alex Robertson had been distributed to the Board, together with.

https://www.ombudsman.org.uk/.../2018_06_21_Minutes_Board_Open_Se...

End-of-life care: improving 'do not attempt CPR' conversations for ...

This best practice is encouraging and shows the benefits of co-designing resources. ... a golden thread holding several of these recommendations together.

https://www.ombudsman.org.uk/.../End_of_life_care_improving_do_not_a...

The Ombudsman's Annual Report and Accounts 2019-2020

Jul 14, 2020 ... Together with my Belgian counterpart, I also undertook a Peer Review of the Sindic de Greuges de Catalunya. (Ombudsman of Catalonia).

https://www.ombudsman.org.uk/.../The%20Ombudsman’s%20Annual%20...

DRAFT – MINUTES OF THE PHSO ADVISORY BOARD MEETING

Jan 21, 2014 ... 4.2 The Board noted that the COO had appointed Grant Thornton, PHSO's internal auditors, to carry out a review of the risk that PHSO's approach ...

https://www.ombudsman.org.uk/.../Board_minutes_21_January_2014.pdf

Breaking down the barriers - Older people and complaints about ...

The Trust acknowledged and apologised for its failings and put together ... 20 Assurance of Good Complaints Handling for Primary Care - A toolkit for ...

https://www.ombudsman.org.uk/.../Breaking_down_the_barriers_report.pd...

The Ombudsman's Annual Report and Accounts 2020-2021

Jul 19, 2021 ... The design and creation of a Value for Money. Peer Review of PHSO in 2018-19 was recognised as sector best practice and informed the development ...

https://www.ombudsman.org.uk/.../Parliamentary_and_Health_Service_Om...

Women's State Pension age: our findings on injustice and ...

Mar 21, 2024 ... DWP told us the capacity considerations mentioned above, together with a ... its use of user-centred design. It also told us its bespoke ...

https://www.ombudsman.org.uk/.../Women’s-State-Pension-age-our-findin...

Midwifery supervision and regulation:

Dec 10, 2013 ... good practice. The supervisory investigation should have been ... We brought together leaders in the field of midwifery and regulation.

https://www.ombudsman.org.uk/.../Midwifery-supervision-and-regulation_...