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Investigations in the NHS

896 investigations 8078 recommendations 11 regions

Independent investigation reports and reviews commissioned by government or NHS bodies. Includes mental health homicide investigations, major maternity reviews, patient safety reviews, and other independent investigations into healthcare failures.

Coverage

By region & key findings

Investigations by region

Key findings

896 independent health investigations across 11 regions, producing 8,078 recommendations. 76% of investigations have extracted recommendations. 683 investigations have recommendations tracked.

Investigations

Click an entry for full report & recommendations
London
Independent investigation: Jenny Morrison (s/w), Balham,S London (1998)
Paranoid Schizophrenic fatally stabbed social worker more than 100 times. Ind Inq 2002. Previous violence,failure to take meds.
-1 recommendations Report PDF
Midlands
Independent investigation: Jill Louis Nevitt, Oswestry (2010)
Mentally ill man fatally and repeatedly stabs wife 28 times. MH history of depression and PTSD
1 recommendation Report PDF
Scotland
Independent investigation: Jim Ward, Ayr (2007)
Paranoid Schizophrenic fatally and repeatedly stabbed father. Ind Inq 2009. Family warnings
27 recommendations Report PDF
North East and Yorkshire
Independent investigation: Joan Hoggett, Sunderland (2018)
Paranoid schizophrenic fatally stabs a grandmother. Previous inpatient – previously warned about killing someone
3 recommendations Report PDF
Midlands
Independent investigation: Joanne Butler, East Shilton, Leics (2006)
Mentally ill man batters mentally ill neighbour and sets house on fire. Ind Inq (ref 9090) 2010
18 recommendations Report PDF
North West
Independent investigation: Joanne Whitelegg, Bolton, Lancs (2000)
MH patient fatally and repeatedly stabs friend 27 times. Ind Inq 2003
24 recommendations Report PDF
South East
Independent investigation: Joan Smythe, Rainham (but SE Coast patient) (2002)
MH patient sexually assaulted and murdered elderly stranger. Ind Inq 2006 Family had been trying to get him help
-1 recommendations Report PDF
South East
Independent investigation: Joe Lewis, Brighton (2014)
Paranoid schizophrenic fatally stabs friend. Judge said a‘disaster waiting to happen’
14 recommendations Report PDF
Midlands
Independent investigation: John Coxall, HMP Nottingham (2015)
Recent mental health patient fatally chokes vulnerable fellow prisoner. Previous inpatient at secure unit
1 recommendation Report PDF
North West
Independent investigation: John Crook, Liverpool (2008)
Mental health patient fatally attacks man in ‘brutal and savage’ assault. Long MH history with violence – Ind Inq. 2013 Conseque
2 recommendations Report PDF
London
Independent investigation: John Curran, Highbury & Islington (2006)
Schizophrenic fatally pushed stranger in front of a tube train, two weeks after telling Drs. Ind Inq 2010. Vol. Homerton patient.
38 recommendations Report PDF
Midlands
Independent investigation: John Dawson, Leics (1995)
MH homicide, kidnapping of stranger w firearm. Ind Inq 1997
-1 recommendations Report PDF
North East and Yorkshire
Independent investigation: John Hall, West Rainton (2013)
MH patient fatally batters acquaintance with baseball bat
4 recommendations Report PDF
North East and Yorkshire
Independent investigation: John Jeffries, Hartlepool (2001)
MH patient fatally and repeatedly battered victim with rock.. Ind Inq 2003 – Previous threats of violence with knives.
-1 recommendations Report PDF
North West
Independent investigation: John MacMillan, Barrow in Furness (2019)
Mentally ill man fatally batters father days after release from psychiatric hospital. Released early due to bureaucratic error – Judge made critical comments
26 recommendations Report PDF
South East
Independent investigation: John McCarthy, Waterlooville (2009)
Deluded Paranoid Schizophrenic fatally stabbed friend thinking he was on mission to assassinate IRA. Long MH History – recently released from Psych hospital
2 recommendations Report PDF
Midlands
Independent investigation: John McGrath, Stapleford, Nottingham (2009)
Schizophrenic man repeatedly and fatally stabs grandfather. Long MH history, family warnings, repeated missed opportunities. Judge criticised MH professionals
5 recommendations Report PDF
South East
Independent investigation: John McKenna, Egham, Surrey (2006)
Paranoid Schizophrenic fatally stabs friend days after release from Psych unit (Chertsey). MH history (Ind Inq 2013, Verita)
7 recommendations Report PDF
East of England
Independent investigation: John McLusky, Peterborough area (1995)
MH homicide of mother’s boyfriend. Ind Inq 1997 Mischon
-1 recommendations Report PDF
East of England
Independent investigation: John Redhead, Potters Bar (2007)
Mental health patient convicted of murdering ex boyfriend. Drug user. Ind inq. 2013 Niche
27 recommendations Report PDF
Wales
Independent investigation: John Rees, Pen Y Graig, Rhondda (2020)
Schizophrenic woman fatally stabs and bludgeons elderly shopper & attempted to murder three others. Had previously sought help for deteriorating Mental Health
7 recommendations Report PDF
North West
Independent investigation: John Speakman, Wigan (2006)
MH patient fatally and repeatedly stabbed drinking partner. With Alcohol abuse.(Ind Inq2012 Consequence)
6 recommendations Report PDF
South East
Independent investigation: John Stevens, Woking (2001)
MH patient fatally and repeatedly stabbed friend. Poor risk assessment, CPA, & information sharing. 2003, Mackay
-1 recommendations Report PDF
London
Independent investigation: John Stringer, Canning Town (2005)
Mentally ill man fatally stabs cousin. MH history – Inq found failings in care. Ind Inq 2010 NHS
6 recommendations Report PDF
North East and Yorkshire
Independent investigation: John TaylorBeverley Taylor, Skipton (2021)
Paranoid schizophrenic fatally stabs both his parents. MH history had sought help day before killings
14 recommendations Report PDF