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
Dec 2015
East of England
Independent investigation into the care and treatment of patient Y: December 2015
South Essex Partnership University NHS Foundation Trust
Patient Y was convicted of the murder of Mr Z in June 2011. The patient used services provided by South Essex Partnership University NHS Foundation Trust. Services have now transferred to East London NHS Foundation Trust.
9 recommendations Report PDF Action Plan
Dec 2015
East of England
Independent report into the care of patient T: December 2015
Hertfordshire Partnership NHS Foundation Trust
Patient T was found hanged at his home in January 2013 and his wife M was found apparently suffocated. At the time Patient T was under the care of Hertfordshire Partnership NHS Foundation Trust (HPFT).
5 recommendations Report PDF Action Plan
Nov 2015
South West
An independent investigation into the care and treatment provided to Mr X, Ms Y and Mr Z
Mr X, Ms Y and Mr Z NHS England has published the independent investigation report into the care and treatment of a Dorset Healthcare University NHS Foundation Trust
NHS England has published the independent investigation report into the care and treatment of a Dorset Healthcare University NHS Foundation Trust patient who was the victim of a homicide committed by two other patients in July 2012. Dorset Healthcare University NHS Foundation Trust have published the associated action plan on their website.
9 recommendations Report PDF Action Plan
Nov 2015
London
Independent investigation into the care and treatment of Mr T
Mr T who committed a homicide in May 2014. Mr T was in receipt of services from Camden and Islington NHS Foundation Trust
This is the independent investigation report into the care and treatment of Mr T who committed a homicide in May 2014. Mr T was in receipt of services from Camden and Islington NHS Foundation Trust. This version replaces the one originally published on 7 July 2017 as Recommendation 5 was incorrectly allocated .
12 recommendations Report PDF Action Plan
Nov 2015
Midlands
Independent investigation into the care and treatment of patient K: November 2015
South Staffordshire Shropshire Healthcare NHS Foundation Trust
Patient K was convicted of the murder of Jane Edwards. At the time of the death patient K was under the care of South Staffordshire Shropshire Healthcare NHS Foundation Trust. The following action plan from South Staffordshire and Shropshire Healthcare NHS Foundation Trust is available.
3 recommendations Report PDF Action Plan
Oct 2015
South East
Independent review into issues that may have contributed to the preventable death of Connor Sparrowhawk: October 2015
October 2015 Connor Sparrowhawk died in July 2013 while he was in the care of Southern Health NHS Foundation Trust
Connor Sparrowhawk died in July 2013 while he was in the care of Southern Health NHS Foundation Trust. An independent report concluded that Connor’s death was preventable and that there were significant failings in his care and treatment. Following publication of this report in February 2014, Oxfordshire Safeguarding Adults Board and NHS England (South) commissioned a second report in June 2014 to find out whether there were wider commissioning, leadership or management issues that could have co
1 recommendation Report PDF
May 2015
East of England
Independent investigation into the care and treatment of P in Hertfordshire: May 2015
Hertfordshire Partnership University NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Patient P . Patient P was a well-known user of mental health services provided by Hertfordshire Partnership University NHS Foundation Trust (HPFT). The associated action plan has been published by Hertfordshire Partnership University Foundation Trust.
6 recommendations Report PDF
May 2015
East of England
Independent investigation into the care and treatment of Z: May 2015
This is the report of the independent investigation into the care and treatment of Patient Z . Prior to the event his care pathway involved four different trusts. The following action plans are available:
8 recommendations Report PDF Action Plan
Apr 2015
London
Independent investigation into the care and treatment of Mr Q: April 2015
Mr Q . Mr Q had recently been discharged from Barnet, Enfield and Haringey Mental Health NHS Trust
This is the report of the independent investigation into the care and treatment of Mr Q . Mr Q had recently been discharged from Barnet, Enfield and Haringey Mental Health NHS Trust (BEH) at the time of the death. The associated action plan has been published by Barnet, Enfield and Haringey Mental Health NHS Trust.
5 recommendations Report PDF Action Plan
Mar 2015
North East and Yorkshire
Independent investigation into the care and treatment of Mr E: March 2015
Northumberland, Tyne and Wear NHS Foundation Trust
This is the Independent Investigation into the care and treatment of Mr E , who was convicted of the murder of Victim ND. At the time of the death Mr E 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.
8 recommendations Report PDF Action Plan
Mar 2015
North East and Yorkshire
Independent investigation into the care and treatment of Mr F: March 2015
Tees, Esk and Wear Valleys NHS Foundation Trust
This is the independent investigation into the care and treatment of Mr F , who was found guilty of two murders and received two life sentences with a minimum term of 37 years. At the time of the murders, Mr F was receiving mental health services provided by Tees, Esk and Wear Valleys NHS Foundation Trust. The associated action plan has been published by Tees, Esk and Wear Valleys NHS Foundation Trust.
10 recommendations Report PDF Action Plan
Mar 2015
South West
William Mead – Root Cause Analysis Investigation Report
William Mead from Cornwall died on 14 December 2014, aged 12 months. A coroner’s inquest into William’s death, held on 10 June 2015, identified missed opportunities for an earlier diagnosis and escalation which might have prevented the death of William. A multi-agency investigation was undertaken into the circumstances of William’s death, led by NHS England and Kernow CCG. The findings of the investigation are contained within this Root Cause Analysis report , which makes recommendations for a n
14 recommendations Report PDF
Feb 2015
London
Investigation into matters relating to Jimmy Savile at Bethlem Royal Hospital
South London and Maudsley NHS Foundation Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Bethlem Royal Hospital. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
Feb 2015
North West
Investigation into matters relating to Jimmy Savile at Birch Hill Hospital Rochdale
Pennine Acute Hospitals NHS Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Birch Hill Hospital Rochdale. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
Feb 2015
North East and Yorkshire
Investigation into matters relating to Jimmy Savile at Calderdale Royal Hospital
Calderdale and Huddersfield NHS Foundation Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Calderdale Royal Hospital. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
Feb 2015
South East
Investigation into matters relating to Jimmy Savile at Crawley Hospital
Sussex Community NHS Foundation Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Crawley Hospital. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
Feb 2015
North East and Yorkshire
Investigation into matters relating to Jimmy Savile at Leeds General Infirmary (further investigation)
Leeds Teaching Hospitals NHS Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Leeds General Infirmary (further investigation). Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
Feb 2015
North East and Yorkshire
Investigation into matters relating to Jimmy Savile at Meanwood Park Hospital
Leeds and York Partnership NHS Foundation Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Meanwood Park Hospital. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
Feb 2015
North East and Yorkshire
Investigation into matters relating to Jimmy Savile at Queen Elizabeth Hospital Gateshead
Gateshead Health NHS Foundation Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Queen Elizabeth Hospital Gateshead. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
Feb 2015
Midlands
Investigation into matters relating to Jimmy Savile at Rampton Hospital
Nottinghamshire Healthcare NHS Foundation Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Rampton Hospital. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
Feb 2015
North East and Yorkshire
Investigation into matters relating to Jimmy Savile at Royal Victoria Infirmary Newcastle (further investigation)
The Newcastle upon Tyne Hospitals NHS Foundation Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Royal Victoria Infirmary Newcastle (further investigation). Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
Feb 2015
North West
Investigation into matters relating to Jimmy Savile at Scott House Hospital Rochdale
Calderstones Partnership NHS Foundation Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Scott House Hospital Rochdale. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
Feb 2015
London
Investigation into matters relating to Jimmy Savile at Shenley Hospital
Central and North West London NHS Foundation Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Shenley Hospital. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.