Home / Sources / Investigations in the NHS / All
Index live
Source · Investigations in the NHS

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: Paul Geddes, Plumstead (2003)
Schizophrenic helps beat stranger to death, then sets fire to body during burglary
-1 recommendations Report PDF
London
Independent investigation: Pauline Cole (partner), Manor Park, London (2003)
MH patient Kills 2 in 1985 then fatally stabs partner in 2003. Ind Inq 2006. Previously murdered wife and GP in 1985
-1 recommendations Report PDF
North West
Independent investigation: Pauline StephenHanane Parry, Aintree Merseyside (2003)
Schizophrenic murders two women, dumps dismembered bodies in binbags in alley. Ind Inq 2006 – previously sectioned for stabbing, released as ‘no risk’, had warned of intention
9 recommendations Report PDF
North West
Independent investigation: Paul Masters, Wigan (1996)
homicide by patient w brain injury. Ind Inq 1999
-1 recommendations Report PDF
London
Independent investigation: Paul Royston Herbert, Brent (2010)
Schizophrenic fatally stabs MH patient. Previous violence. Inq found failings in care. Ind inq Winchcombe, 2013
15 recommendations Report PDF
North East and Yorkshire
Independent investigation: Paul Taylor, Jarrow (2019)
Mentally disordered woman fatally stabs partner. Convicted of manslaughter – 14 years
11 recommendations Report PDF
East of England
Independent investigation: PC Johnathan Henry, Luton (2007)
Schizophrenic fatally stabs PC in the neck. alleged contact with MH Services 4 days before incident
13 recommendations Report PDF
London
Independent investigation: Peter Fasoli, Northolt (2013)
Mentally disordered man kills acquaintance, flees to Italy and kills another man.. Convicted of murder
2 recommendations Report PDF
South West
Independent investigation: Peter Freeman, Newton Abbott (2019)
Mentally disordered man fatally stabs his father. Took his own life after killing
9 recommendations Report PDF
London
Independent investigation: Peter Greenfield (PG), Croydon (2003)
Schizophrenic tortures and kills man. Ind Inq 2008. Previous violence, recent psychiatric visit
23 recommendations Report PDF
East of England
Independent investigation: Peter Grimshaw, Colchester (2005)
MH patient fatally stabs friend. Case J in Inq report – many problems in Care. Verita 2010
4 recommendations Report PDF
North East and Yorkshire
Independent investigation: Peter Hartley, Keighley (2001)
Depressive kills victim whilst drunk. Ind Inq. 2005. Bad team work, Bad info.
14 recommendations Report PDF
North West
Independent investigation: Peter Hopwood, Rochdale (2011)
Mentally ill man fatally beats stranger about the head. MH History
1 recommendation Report PDF
South West
Independent investigation: Peter Lewis, Somerset (1997)
MH homicide of partner after rape and abuse by carers. Ind Inq 2000
-1 recommendations Report PDF
North East and Yorkshire
Independent investigation: Peter PurcellJoyce PurcellKeith PurcellGlen Purcell, Benwell, Newcastle (2006)
Psychopathic former soldier executed family members. PTSD? Inq
-1 recommendations Report PDF
North West
Independent investigation: Philip Ellison, Preston (2008)
Psychiatric patient fatally stabs care worker during visit
-1 recommendations Report PDF
South West
Independent investigation: Philip Hendy, Bristol (2007)
Psychotic MH patient fatally stabbed stranger. Repeated failings
-1 recommendations Report PDF
South West
Independent investigation: Philip Ryan, Honiton (2017)
Mentally ill man fatally stabs electrician
6 recommendations Report PDF
Midlands
Independent investigation: Philip Silverstone, Belsize Park (2014)
Paranoid schizophrenic fatally batters pensioners & later kills himself in prison
5 recommendations Report PDF
North East and Yorkshire
Independent investigation: Philip Slater, Silsden (2017)
Mentally ill man fatally stabs stepfather. Long history of MH problems
10 recommendations Report PDF
Midlands
Independent investigation: Phillip Beardmore, Lincoln (2000)
MH patient stabs victim. Ind Inq 2003
-1 recommendations Report PDF
North West
Independent investigation: Phillip Owen, Manchester (2016)
Paranoid schizophrenic fatally stabs man
11 recommendations Report PDF
South West
Independent investigation: Phyllis Deane, Shaldon/Torquay Devon (2007)
Paranoid Schizophrenic fatally and repeatedly bludgeons grandmother with hammer. Indefinite detention under MHA. Had been discharged – not on meds. Inquiry found killing was preventable
14 recommendations Report PDF
London
Independent investigation: Priscilla Edwards, Plumstead (2016)
Mentally ill woman fatally strangles her mother believing her to be a witch. History of previous serious violence, 10 yr inpatient, off meds
17 recommendations Report PDF
London
Independent investigation: Prodip Debnath, Mile End (2010)
Paranoid Schizophrenic inpatient kills MH patient by stamping on his head. Previous violence.
14 recommendations Report PDF