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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: Rae Torbet(Ms E), Hastings, Sussex (2003)
MH patient fatally and repeatedly stabbed ex girlfriend. Ind Inq 2005
20 recommendations Report PDF
East of England
Independent investigation: Ramatunnessa Choudhury, Luton (2010)
Paranoid schizophrenic repeatedly beat mother to death in front of children. Long MH history with serious violence. Not taking meds
4 recommendations Report PDF
London
Independent investigation: Rebecca Sessacar, Croydon (2012)
Psychotic man repeatedly and fatally stabs wife in front of child. Had been sectioned 2 weeks before but released
17 recommendations Report PDF
South East
Independent investigation: Remy Surage (Mr S), Orpington, Kent (1998)
MH homicide – stabbed and killed. Ind Inq 2004. Had been sectioned for previous violence
15 recommendations Report PDF
North East and Yorkshire
Independent investigation: Richard Astin, Huddersfield (2019)
Paranoid schizophrenic fatally stabbed acquaintance. Convicted of murder – life with minimum of 19 years
3 recommendations Report PDF
South East
Independent investigation: Richard Baker (Mr G), Hastings (2003)
Paranoid schizophrenic strangles acquaintance. Drug and alcohol. 2006, Georgiou
7 recommendations Report PDF
Midlands
Independent investigation: Richard Chandler, Warwickshire (1998)
MH double homicide (drove into them). Ind Inq 2000 (released 2002 after 3 yrs)
-1 recommendations Report PDF
South East
Independent investigation: Richard Cromarty, Maidstone (2003)
MH patient fatally stabs neighbour 20 times. Indep Inq
-1 recommendations Report PDF
London
Independent investigation: Richard Hamilton, Maida Vale (2012)
Recent MH patient fatally stabs flatmate. Substance abuse problems
8 recommendations Report PDF
London
Independent investigation: Richard James, Northwood (2007)
Paranoid schizophrenic fatally stabs neighbour. Long MH history
9 recommendations Report PDF
London
Independent investigation: Richard Loudwell, Broadmoor (2004)
Mentally ill man killed patient. Ind Inq 2009
-1 recommendations Report PDF
Midlands
Independent investigation: Richard Marden, Towcester (1999)
MH patient battered father to death with gas bottle. Critical Ind Inq, 2003. No CPA
-1 recommendations Report PDF
London
Independent investigation: Richard Price, Bromley (2009)
Psychiatric patient batters and fatally kicks pub customer in head. MH history
9 recommendations Report PDF
Midlands
Independent investigation: Richard Redshaw (12)Tom Redshaw, Coventry (1995)
MH patient sets fire to flat killing neighbour and his son.. Ind Inq 1997
-1 recommendations Report PDF
Midlands
Independent investigation: Rina Panchal, Thurmaston, Leicester (2007)
Mentally ill man fatally stabs shopworker. MH history
4 recommendations Report PDF
South West
Independent investigation: Robert CrookElsie Crook, Swindon (2007)
Mentally ill man fatally batters parents with hammer then drives them to Lincoln. Many service failings
23 recommendations Report PDF
London
Independent investigation: Robert Lewis, Sutton (2010)
Schizophrenic fatally stabs resident in shared hostel and hangs himself in prison cell.
11 recommendations Report PDF
East of England
Independent investigation: Robert MitchellArthur WilsonShirley Wilson, Bramford, Suffolk (1994)
Paranoid Schizoprenic absconds from open psych ward to behead father and strangle elderly neighbours. Ind Inq 1996 (Blom-Cooper). Previous history of attempted murder and assault
-1 recommendations Report PDF
South West
Independent investigation: Robert Newby, Sticklepath (2007)
Mentally ill man fatally stabs friend. Depressive illness, new medication. Victim was also mentally ill
13 recommendations Report PDF
North East and Yorkshire
Independent investigation: Rob McNeill, Scunthorpe (2017)
Paranoid patient kills vulnerable patient in psychiatric unit. Convicted of Manslaughter by diminished responsibility
8 recommendations Report PDF
Scotland
Independent investigation: Robyn Goldie, Wishaw (2018)
Mentally disordered woman fatally neglects her sick child. Culpable homicide – jailed for 3.5 years
-1 recommendations Report PDF
North East and Yorkshire
Independent investigation: Rodney Ramkissoon, Leeds (2006)
Mental Health patient fatally batters man in sustained attack. Ind Inq (2006/4924) 2009
7 recommendations Report PDF
Midlands
Independent investigation: Rodney Wells, Nottingham (2006)
MH patient fatally stabbed daughter’s boyfriend. Long MH history, with violence. 2010, Verita.
7 recommendations Report PDF
London
Independent investigation: Ronald Parsons, Bromley (2014)
Mentally ill patient fatally batters elderly & vulnerable neighbour. Recently released from psych unit
3 recommendations Report PDF
North West
Independent investigation: Rosalind McManus, Birch Hill H, Rochdale, Lancs (2007)
Paranoid schizophrenic fatally strangled co-patient in Psych hospital believing her to be a spy. MH patient in hospital
-1 recommendations Report PDF