Inquiry into Hyponatraemia-Related Deaths – December 2019

Date published: 16 December 2019

The Department of Health today published the fourth update on the ongoing work to implement the recommendations of the Inquiry into Hyponatraemia-Related deaths (IHRD).

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This update report - “Working Together to Put Things Right” - is more detailed than the previous three and provides further information on progress. 

Most of the recommendations are operational and can be made in the absence of an Executive and Assembly however some will require a Minister and legislature.  For those that we can action, circulars will issue to the relevant HSC organisations advising them of the actions they should take to implement the recommendations.  When necessary, circulars will be accompanied by new or updated guidance which will have already been developed by the programme co-produced by stakeholders.

For those that do require Ministerial and Executive approval, proposals are being drawn up, some of which may include an analysis of different options for the implementation of the recommendations.

The next update will be May 2020 when it is hoped that circulars will have issued within the health service detailing how individual recommendations should be implemented.

In the meantime, the programme and all of its Workstreams and Sub-Groups remain open to receive submissions at any time from any stakeholder, individuals or groups, who wish to put their views, ideas and evidence forward to be considered against individual recommendations.

To make a submission to the programme please email highlighting in the email the recommendation or recommendations you wish to submit on.

The progress report can be found online

Notes to editors: 

1. The IHRD Implementation Programme is comprised of nine workstreams and 200 people from different backgrounds working through the recommendations arising from the Inquiry into Hyponatraemia-Related Deaths (IHRD).

2. Further information on the IHRD Implementation Programme can be found on the Department's website at

3. For media enquiries please contact the DoH Press Office team on 028 9052 0579 or email For out of hours please contact the Duty Press Officer on 028 9037 8110 and your call will be returned.

4. Follow us on Twitter @healthdpt

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