We sometimes undertake Special Reviews or Investigations of healthcare organisations or services in response to concerns arising from a particular incident or incidents. This depends on the seriousness of these issues and/or frequency of occurrence.
We may consider investigating issues that suggest either systemic issues within a service, or alternatively wider failings within the NHS.
A decision to undertake a Special Review or Investigation may also be influenced by intelligence either collected by HIW or by other audit, regulation and inspection bodies.
Welsh Government also commissions us to undertake a review when a homicide of an adult is committed by an individual known to adult mental health services.
Our special reviews and investigations provide an opportunity for services to learn when something has gone wrong.