Investigations in the NHS

Mersey Care NHS Foundation Trust

This is an independent investigation into the care and treatment of S who was convicted of manslaughter on the grounds of diminished responsibility. At the time of the homicide (2014), S was receiving mental health services provided by Mersey Care NHS Foundation Trust. The action plan is available via the Mersey Care NHS Foundation Trust website . An independent external quality assurance review (published 20 December 2018) can be viewed here.

Mr EF who committed a homicide in May 2014. Mr EF was in receipt of services from Barnet, Enfield and Haringey Mental Health NHS Trust

This is the independent investigation report into the care and treatment of Mr EF who committed a homicide in May 2014. Mr EF was in receipt of services from Barnet, Enfield and Haringey Mental Health NHS Trust.

Mr L who committed a homicide in June 2013. Mr L was in receipt of services from East London NHS Foundation Trust

This is the independent investigation report into the care and treatment of Mr L who committed a homicide in June 2013. Mr L was in receipt of services from East London NHS Foundation Trust.

X This is the independent investigation report into the care and treatment of Mr X who committed a homicide in 2013. Mr X was in receipt of services from Oxleas NHS Foundation Trust

This is the independent investigation report into the care and treatment of Mr X who committed a homicide in 2013. Mr X was in receipt of services from Oxleas NHS Foundation Trust.

Ms A who committed a homicide in October 2011. Ms A was in receipt of services from Oxleas NHS Foundation Trust

This is the independent investigation report into the care and treatment of Ms A who committed a homicide in October 2011. Ms A was in receipt of services from Oxleas NHS Foundation Trust.

Patient P was convicted of manslaughter with diminished responsibility of Christina. He had previously been in contact with mental health services and prison mental health services in the West Midlands.

Patient M killed his cellmate in HMP Peterborough and was subsequently convicted of manslaughter on the grounds of diminished responsibility. The investigation was conducted jointly with the Prison and Probation Ombudsman (PPO) investigation into the death in custody of M’s cellmate.

This is the independent investigation report into the care and treatment provided to Mr X and Mr Y.

Mr DB . At the time of homicide December 2014 Mr DB was receiving care and treatment from Pennine Care NHS Foundation Trust

This is the report of the independent investigations into the care and treatment of Mr DB . At the time of homicide December 2014 Mr DB was receiving care and treatment from Pennine Care NHS Foundation Trust. The associated plans have been published by the relevant Trusts and CCG:

Southern Health NHS Foundation Trust

This is the report of the independent investigation into the care and treatment of JK who was convicted of murder and was given a life sentence with a 20 year tariff. At the time of the homicide (June 2014), JK was receiving mental health services provided by Southern Health NHS Foundation Trust. This is the assurance report commissioned by NHS England of the Southern Health NHS Foundation Trust Action Plan following the independent investigation into the care and treatment of JK.

Tees, Esk and Wear Valleys NHS Foundation Trust

This is the independent investigation into the care and treatment of MR , who was involved in an incident with another resident at a care home. MR was in receipt of mental health services provided by Tees, Esk and Wear Valleys NHS Foundation Trust. The associated NHS action plans have been published by North Durham Clinical Commissioning Group and Tees, Esk and Wear Valleys NHS Foundation Trust .

Independent review to follow up care provided for Mr Q at Hertfordshire Partnership University NHS Foundation Trust

This is the report of the independent investigation into the care and treatment of Mr RS . At the time of the homicide (2012) Mr RS was receiving care from Sussex Partnership NHS FoundationTrust.

Rachel . At the time of the homicide (2014), Rachel was a mental health service user at Avon and Wiltshire Mental Health Partnership NHS Trust

This is the report of the independent investigation into the care and treatment of Rachel . At the time of the homicide (2014), Rachel was a mental health service user at Avon and Wiltshire Mental Health Partnership NHS Trust. The Avon and Wiltshire Mental Health Partnership NHS Trust action plan is available. ¹pseudonym

Mr S who committed a homicide in November 2012. Mr S had previously received treatment from Central and North West London NHS Foundation Trust

This is the independent investigation report into the care and treatment of Mr S who committed a homicide in November 2012. Mr S had previously received treatment from Central and North West London NHS Foundation Trust and West London Mental Health Trust.

Mr S . At the time of the homicide, he was receiving services from Somerset Partnership NHS Foundation Trust

This is the report of the independent investigation into the care and treatment of mental health service user Mr S . At the time of the homicide, he was receiving services from Somerset Partnership NHS Foundation Trust. Somerset Partnership NHS Foundation Trust have published the associated action plan . This is the independent assurance report on actions following publication of the original review.

This is the report of the independent investigation into the care and treatment of Mr X who was convicted of manslaughter on the grounds of diminished responsibility. At the time of the homicide (2011), Mr X was receiving mental health services provided by Kent and Medway NHS and Social Care Partnership Trust. Kent and Medway NHS and Social Care Partnership Trust has published the associated action plan .

Tees, Esk and Wear Valleys NHS Foundation Trust

This is the independent investigation into the care and treatment of Ms A , who killed Mr O on 22 February 2013. At the time of the death Ms A was receiving mental health services provided by Tees, Esk and Wear Valleys NHS Foundation Trust. The associated action plans have been published by the relevant CCG and Trust.

5 Boroughs Partnership NHS Foundation Trust

This is the independent investigation into the care and treatment of Mr P , who attacked and killed a 17-year-old man on 1 January 2015. At the time of the death Mr P was receiving mental health services provided by 5 Boroughs Partnership NHS Foundation Trust. The associated action plans have been published by the relevant trusts:

NHS England published an investigation report into the NHS Care provided to the late Daniel Benfield in June 2016, who suffered from a sub-arachnoid haemorrhage. The report sets out key findings and some recommendations for the organisations involved in his care.

Northumberland, Tyne and Wear NHS Foundation Trust

This is the independent investigation into the care and treatment of Mr A, who stabbed and killed his wife. Mr A then committed suicide. At the time of the murder, Mr A was receiving mental health services provided by Northumberland, Tyne and Wear NHS Foundation Trust. The associated action plan has been published by Northumberland, Tyne and Wear NHS Foundation Trust.

Northumberland, Tyne and Wear NHS Foundation Trust

This is the independent investigation into the care and treatment of Mr B , who was found guilty of murder and sentenced to life imprisonment after killing Mr X. At the time of the murder, Mr B was receiving mental health services provided by Northumberland, Tyne and Wear NHS Foundation Trust. The associated action plan has been published by Northumberland, Tyne and Wear NHS Foundation Trust.

Mr I who committed a homicide in April 2012. At the time of the death, Mr I was in receipt of mental health service from Central and North West London NHS Foundation Trust

This is the independent investigation report into the care and treatment of Mr I who committed a homicide in April 2012. At the time of the death, Mr I was in receipt of mental health service from Central and North West London NHS Foundation Trust, he was residing at St Mungo’s Broadway and receiving support from Turning Point.

Birmingham and Solihull Mental Health NHS Foundation Trust

Patient H was convicted of convicted of manslaughter with diminished responsibility of Mrs H. At the time of the death patient H was under the care of Birmingham and Solihull Mental Health NHS Foundation Trust.

South Staffordshire Shropshire Healthcare NHS Foundation Trust

Patient X was convicted of convicted of manslaughter with diminished responsibility of Ms Y. At the time of the death patient X was under the care of South Staffordshire Shropshire Healthcare NHS Foundation Trust.