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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
South East
Independent investigation: Natalie Walker, Broadstairs (2011)
Paranoid psychotic man fatally stabs wife in front of 3 year old child. Drug history – asked to be sectioned before killing before but was sent home.
1 recommendation Report PDF
North West
Independent investigation: Natasha Wild, Rochdale (2016)
Paranoid schizophrenic fatally stabs vulnerable girlfriend. History of MH problems & previous warnings
2 recommendations Report PDF
North East and Yorkshire
Independent investigation: Nathaniel Lees, Halifax (2002)
MH patient fatally and repeatedly stabs boyfriend. Ind Inq. (2003/2374) 2005. Warnings yet deemed no risk. Records deficient.No risk assessment.
-1 recommendations Report PDF
East of England
Independent investigation: Neil Orton, Hemel Hempstead (2007)
Long term MH patient with history of violence fatally stabbed acquaintance. Inq found failings in care
11 recommendations Report PDF
London
Independent investigation: Nicholas Boyd, Camden & Islington (1997)
MH patient fatally and repeatedly stabbed neighbour. Ind Inq 2000. Same psych as in Mursell case
-1 recommendations Report PDF
East of England
Independent investigation: Nicholas Doolan, Cheshunt (2003)
MH patient fatally stabs partner. Suffered Domestic Violence – poor MH care in Herts & Kent
1 recommendation Report PDF
London
Independent investigation: Nicholas Stewart, Earlsfield (2014)
Paranoid schizophrenic fatally and repeatedly stabs acquaintance. Long MH & criminal history, had stopped taking meds
9 recommendations Report PDF
Midlands
Independent investigation: Nicholas Windsor, Northampton (2006)
Psychopath fatally batters man. Indefinite detention under MHA
4 recommendations Report PDF
South East
Independent investigation: Nick Beattie, Southampton (2015)
Mentally disordered man fatally battered disabled and vulnerable acquaintance. Convicted of Murder
13 recommendations Report PDF
Midlands
Independent investigation: Nicole TownshendJane Malkin, Leicester (2007)
Psychotic drives car and mounts pavement killing two strangers (Satan driving). Sought help day before but released, Ind Inq
9 recommendations Report PDF
Midlands
Independent investigation: Nico Meli, Nottingham (2003)
MH patient fatally stabs man. Threatened MH workers that day with knife and hammer but released.
3 recommendations Report PDF
London
Independent investigation: Nigel Yon, Neasden (2015)
Paranoid schizophrenic off meds fatally stabs fellow B&B resident. Questionable care before incident
7 recommendations Report PDF
North East and Yorkshire
Independent investigation: Nihaal Kapede, Staincliffe (2000)
Schizophrenic (sets fire to house) killing young son. Ind Inq 2002
12 recommendations Report PDF
London
Independent investigation: Nurzida Galimozanova, Brixton (2000)
Schizophrenic with history of drug abuse sets his grandmother alight and repeatedly stabs her.. Ind Inq 2004 – several failings in treatment
10 recommendations Report PDF
North East and Yorkshire
Independent investigation: Odessa Carey, Washington (2019)
Psychotic woman fatally stabs her mother and mutilates the body. Long MH history – stopped taking meds – Trial of facts
14 recommendations Report PDF
London
Independent investigation: Older brother, Barking & Havering (1999)
Paranoid schizophrenic fatally stabs elder brother. Barking Havering & Brentwood community health trust
-1 recommendations Report PDF
North East and Yorkshire
Independent investigation: Oluwadamilola Obafemi Wilson, Huddersfield (2005)
Deluded Paranoid Schizophrenic stabs housemate. Ind Inq (2005/2081) 2008. Long MH History
3 recommendations Report PDF
Midlands
Independent investigation: Paige Shatlock Jones (PS/J), Hucknall, Notts (2003)
Mentally ill man rapes and hangs stepdaughter then hangs himself. Ind Inq 2006
12 recommendations Report PDF
North East and Yorkshire
Independent investigation: Pamela Hardy, Wombwell (2010)
Mentally disordered man fatally stabs mother. History of Autism – brief Inq(Ind Inq 2013 Dineen)
8 recommendations Report PDF
South East
Independent investigation: Patricia Eske, Southampton (1996)
MH homicide of mother. Ind Inq 1998
-1 recommendations Report PDF
North West
Independent investigation: Patricia Hammond, Alsager (2010)
Mentally ill man (dementia) repeatedly and fatally stabs wife
3 recommendations Report PDF
South West
Independent investigation: Patricia PhilpottsBen Philpotts, Trevarrian (2010)
Mentally ill man starts fatal house fire after bludgeoning son and battering wife. Long MH history – previous violence, family concerns. 2012, SCR
-1 recommendations Report PDF
London
Independent investigation: Patrick Clarke, South Croydon (2016)
Mentally ill man fatally stabs volunteer care worker in psychiatric hospital
3 recommendations Report PDF
Midlands
Independent investigation: Patrick Cullen, Leics (1995)
Mentally ill man fatally stamps on stranger. Ind Inq 1998
-1 recommendations Report PDF
North West
Independent investigation: Paul BrownDorothy Brown, Liverpool (2014)
Paranoid Schizophrenic fatally stabbed parents. Had sought psychiatric help the day before
12 recommendations Report PDF