Investigations in the NHS

Rotherham NHS Foundation Trust

This is an independent review of the care and treatment received by George and Charles prior to an incident of homicide.

Independent Patient Safety Investigation (IPSI) Report of Yusuf Mahmud Nazir Appendices The report has also been published on the following websites:

This is the shared learning bulletin from an independent review of a young person’s care pathway.

· National Guardian's Office

This is the summary report of an assessment of a mental health trust’s internal investigation of the care and treatment of MB.

Hampshire and Isle of Wight Healthcare NHS FT

This is the report of the care and treatment of Mr Christopher Stone-Houghton APRIL 2025

This is the shared learning bulletin from an independent review into the care and treatment given George .

This independent review commissioned by NHS England looks at the care and treatment that Colin received between January 2021 and his subsequent death in September 2021. The review included the nature and extent of involvement of all agencies, private and NHS, that Colin had contact with, dating back to his first contact with services in relation to his symptoms of confusion. Documents

This is the summary report of an assessment of a mental health trust’s internal investigation of the care and treatment of JP.

This is the executive summary of the independent investigation into the care and treatment of Mr J.

This is the executive summary of the independent investigation into the care and treatment of patient D.

The investigation was commissioned by NHS England following the fatal stabbings of three people in Nottingham in June 2023. Three others sustained serious injuries. The purpose of the investigation is to help the NHS and partners understand if there are lessons that could be learned that could prevent something similar happening in the future. The report published shares all the findings and recommendations for that purpose. NHS Nottingham and Nottinghamshire Integrated Care Board and Nottingham

Cambridge University Hospitals NHS Foundation Trust

Tees, Esk and Wear Valleys NHS Foundation Trust

This is a Quality Assurance Review of practice and governance at Tees, Esk and Wear Valleys NHS Foundation Trust. Shared learning from the review has also been published and is available to download here.

This is the executive summary of the independent investigation into the care and treatment of patient E.

This is the shared learning bulletin from an independent review into the care and treatment given to Mr G.

Shrewsbury and Telford NHS Trust

Central and North-West London NHS Foundation Trust

A pathway review was commissioned by NHS England to understand the service changes made after a serious incident involving a death several years ago. The perpetrator was a young man who had been admitted informally via Street Triage with psychotic symptoms, but he left the ward without permission and police subsequently established that a young woman had been killed. Central and North-West London NHS Foundation Trust is responsible for a number of actions identified within the teview and hold a

Norfolk and Suffolk Mental Health NHS Foundation Trust

This independent review report has been commissioned by NHS England relating to the care provided by Norfolk and Suffolk Mental Health NHS Foundation Trust for an individual who was responsible for the death of their grandmother. This report aims to strengthen local services in the context of the evidence and relevant information about the incident. The report supports learning and informs the NHS and the public on future service provision.