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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
North East and Yorkshire
Independent investigation: Lee Johnson, Newcastle (2003)
Paranoid schizophrenic repeatedly stabs neighbour.. Ind Inq 2008
10 recommendations Report PDF
London
Independent investigation: Lee Pomeroy, Horsley, Guildford (2019)
Paranoid schizophrenic fatally and repeatedly stabs stranger after altercation on train. History of Mental illness & serious violence – (London patient)
1 recommendation Report PDF
South West
Independent investigation: Lee Turner, Barnstaple (2018)
Paranoid schizophrenic with long history of mental illness fatally stabs complete stranger. Not taking Meds, family’s concerns unheeded
8 recommendations Report PDF
North East and Yorkshire
Independent investigation: Lenny Leak, Gateshead (2001)
Fatally poured petrol over flatmate and lit it during argument.. Ind Inq 2004 – history of previous violence.
-1 recommendations Report PDF
London
Independent investigation: Leonie McGlashan, Wood Green (1995)
Drug Induced psychotic killed mother after absconding from Psych unit. Very critical Ind Inq 1995. Poor notes, info, teamwork
12 recommendations Report PDF
North East and Yorkshire
Independent investigation: Leonne Weeks, Dinnington (2017)
Recent psychiatric patient repeatedly and fatally stabs teenage girl. Convicted of murder – Inquiry found failings in care
6 recommendations Report PDF
South West
Independent investigation: Leo Norris (10 days old), Brixham (2010)
Mentally ill mother fatally smothers 10 day old baby. MH historyPreventable. V many failings in care
-1 recommendations Report PDF
London
Independent investigation: Lesley Wright, Tooting (2006)
MH patient fatally stabs wife 77 times. V Critical Ind Inq 2008. Dr had requested urgent treatment
19 recommendations Report PDF
North West
Independent investigation: Leslie Brown, Warrington (2006)
Paranoid Schizophrenic fatally stabs neighbour after failing to take meds
2 recommendations Report PDF
Midlands
Independent investigation: Lewis Hodge, Birmingham (1999)
Paranoid schizophrenic kills victim with machete. Ind Inq 2004, previous violence
-1 recommendations Report PDF
Midlands
Independent investigation: Liam Pennick, Derby (2017)
Mentally ill man fatally stabs flatmate. Convicted of Manslaughter by diminished responsibility
3 recommendations Report PDF
North West
Independent investigation: Liaquat Ali, Bury (1999)
MH homicide. Ind Inq 2003. Previous threats of violence
-1 recommendations Report PDF
London
Independent investigation: Lidie Diema, Beckton (1994)
MH Patient repeatedly stabs, kicks and beats girlfriend to death. Ind Inq 1996
13 recommendations Report PDF
North East and Yorkshire
Independent investigation: Linda Goswell, Cygnet hospital, Bradford (2014)
Mentally ill patient fatally strangles another. Previous violence – no beds in Bath so transferred to Bradford
20 recommendations Report PDF
South East
Independent investigation: Lin & Megan Russell, Kent (1996)
Man with PD & psychosis killed strangers with a hammer. Ind Inq 2006, Had asked for help before incident.
7 recommendations Report PDF
East of England
Independent investigation: Lisa Sullivan, Walton on the Naze (2005)
Mental Health patient strangles partner. Ind Inq found failings in care
12 recommendations Report PDF
South East
Independent investigation: Lorna Thomas, Milton Keynes (1995)
MH man stabbed his girlfriend. Ind Inq 2000
9 recommendations Report PDF
North East and Yorkshire
Independent investigation: Louise DonnellyTracey Donnelly, Sheffield (2011)
Paranoid Schizophrenic fatally and repeatedly stabs partner and her daughter claiming to be Son of God. Drug & MH history – previous inpatient
8 recommendations Report PDF
South East
Independent investigation: Louise Murrie, Southend (1994)
MH homicide of daughter by suffocation. Ind Inq 1999
-1 recommendations Report PDF
London
Independent investigation: Lucy Ayris, Hayes (2015)
Mentally disordered man fatally stabbed girlfriend
32 recommendations Report PDF
North East and Yorkshire
Independent investigation: Lynda Lovatt, South Shields (2004)
MH patient fatally stabbed partner 40 times.. Parents had taken him to be sectioned hours earlier but released.
-1 recommendations Report PDF
South West
Independent investigation: Lyn Grant, London (2003)
Mentally ill man strangles wife in London then returns to Cornwall to kill himself. Ind Inq, 2005
-1 recommendations Report PDF
London
Independent investigation: Magdalena Welna, Ilford (2014)
Mentally ill man fatally stabbed woman before killing himself. Previous history of violence
6 recommendations Report PDF
North East and Yorkshire
Independent investigation: Mahrouf Bibi, Keighley, Yorks (1996)
MH patient kills sister in law in front of children and mother. Ind Inq 1999 – system failures
-1 recommendations Report PDF
North East and Yorkshire
Independent investigation: Malcolm Hodgson, Halifax (1995)
MH patient strangles neighbour. Ind Inq 1998, Awol from Psych unit
-1 recommendations Report PDF