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
Feb 2015
London
Investigation into matters relating to Jimmy Savile at Springfield University Hospital
South West London and St George's Mental Health NHS Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Springfield University 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 St Martin's Hospital Canterbury
Kent and Medway NHS and Social Care Partnership Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at St Martin's Hospital Canterbury. 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 Stoke Mandeville Hospital
Buckinghamshire Healthcare NHS Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Stoke Mandeville 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 West Yorkshire Ambulance Service
Yorkshire Ambulance Service NHS Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at West Yorkshire Ambulance Service. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
Feb 2015
National
Themes and lessons learnt from NHS investigations into matters relating to Jimmy Savile
· Kate Lampard and Ed Marsden (Verita)
Commissioned by the Secretary of State for Health in October 2012 to identify themes and lessons from 44 NHS investigations into allegations of abuse by Jimmy Savile on NHS premises. Published February 2015 with 14 recommendations covering celebrity/VIP access, volunteer management, safeguarding, DBS checking, complaints, fundraising governance. Government response published November 2015 accepted 13 of 14 recommendations in principle.
14 recommendations Report PDF Action Plan
Jan 2015
North West
Independent investigation into the care and treatment of Patient R: January 2015
5 Boroughs Partnership NHS Foundation Trust
This is the independent investigation into the care and treatment of Patient R , who committed a homicide in April 2011. At the time of the death Patient R was receiving mental health services provided by 5 Boroughs Partnership NHS Foundation Trust and Mersey Care NHS Trust. The associated action plans have been published by the trusts:
10 recommendations Report PDF Action Plan
Dec 2014
North West
*Independent investigation into the care and treatment of Mr Y: December 2014
Mr Y. M r Y received care and treatment for his mental health condition from Mersey Care NHS Trust
This is the report and executive summary of the independent investigation into the care and treatment of Mr Y. M r Y received care and treatment for his mental health condition from Mersey Care NHS Trust and Imagine Independence (a mental health charity). The associated action plan has been published by Mersey Care NHS Trust.
9 recommendations Report PDF Action Plan
Nov 2014
South East
An independent inquiry into the care and treatment of Mr D: November 2014
This is the report of the independent investigation into the care and treatment of Mr D and a follow up review . At the time of the homicide (2011), Mr D 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 .
4 recommendations Report PDF Action Plan
Nov 2014
North West
Independent investigation into the care and treatment of Mr B and Ms C: November 2014
Mr B and Ms C . At the time of the homicide (2012) Mr B and Ms C were receiving care from Mersey Care NHS Trust
This is the report of the independent investigation into the care and treatment of Mr B and Ms C . At the time of the homicide (2012) Mr B and Ms C were receiving care from Mersey Care NHS Trust. The associated action plan has been published by Mersey Care NHS Trust.
2 recommendations Report PDF Action Plan
Nov 2014
North West
Independent investigation into the care and treatment of Mr G: November 2014
Mr G . Mr G received care and treatment for his mental health condition from Lancashire Care NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr G . Mr G received care and treatment for his mental health condition from Lancashire Care NHS Foundation Trust. The associated action plan has been published by Lancashire Care NHS Foundation Trust.
3 recommendations Report PDF Action Plan
Nov 2014
North East and Yorkshire
*Independent investigation into the care and treatment of Mr J: November 2014
Mr J . At the time of the incident (2010) Mr J had been receiving support from a community mental health team at South West Yorkshire Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr J . At the time of the incident (2010) Mr J had been receiving support from a community mental health team at South West Yorkshire Partnership NHS Foundation Trust. The associated action plans have been published by South West Yorkshire Partnership NHS Foundation Trust. The former North of England Strategic Health Authority (SHA) agreed to commission these investigations alongside a thematic review which also i
2 recommendations Report PDF
Nov 2014
North East and Yorkshire
*Independent investigation into the care and treatment of Mr L: November 2014
Mr. L. At the time of the incident (2011) Mr L had three brief episodes of care with South West Yorkshire Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr. L. At the time of the incident (2011) Mr L had three brief episodes of care with South West Yorkshire Partnership NHS Foundation Trust. The associated action plans (these documents are no longer available online) have been published by South West Yorkshire Partnership NHS Foundation Trust. The former North of England Strategic Health Authority (SHA) agreed to commission these investigations alongside a themati
13 recommendations Report PDF
Oct 2014
South East
*An independent inquiry into the care and treatment of Mr Z: October 2014
Mr Z . At the time of the homicide (2010) attempts were being made for Mr Z to access services from the Sussex Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr Z . At the time of the homicide (2010) attempts were being made for Mr Z to access services from the Sussex Partnership NHS Foundation Trust. The executive summary is available.
7 recommendations Report PDF
Oct 2014
North East and Yorkshire
*Independent investigation into the care and treatment of Mr N: October 2014
South West Yorkshire Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr N . At the time of the incident (2011) Mr N was not in receipt of mental health services. The associated action plans (these documents are no longer available online) have been published by South West Yorkshire Partnership NHS Foundation Trust. The former North of England Strategic Health Authority (SHA) agreed to commission these investigations alongside a thematic review which also incorporated three earlier
6 recommendations Report PDF
Oct 2014
North East and Yorkshire
Independent investigation into the care and treatment of Patient L: October 2014
Sheffield Health and Social Care NHS Foundation Trust
This is the executive summary of the independent investigation into the care and treatment of Patient L . At the time of the homicide (2011) Patient L was receiving community mental health services provided by Sheffield Health and Social Care NHS Foundation Trust. The associated action plan has been published by the trust.
8 recommendations Report PDF Action Plan
Oct 2014
East of England
Independent Investigation into the care and treatment of X: October 2014
South Essex University Partnership NHS Foundation Trust
These are the full reports of the independent investigation into the care and treatment of X . X was found guilty of murder in January 2012. He had previously had contact with mental health services in Bedfordshire. The associated action plan has been published by South Essex University Partnership NHS Foundation Trust.
8 recommendations Report PDF Action Plan
Sep 2014
South West
An independent inquiry into the care and treatment of Mr S: September 2014
Mr S . At the time of the homicide (2011) Mr S was receiving care and treatment from Somerset Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr S . At the time of the homicide (2011) Mr S was receiving care and treatment from Somerset Partnership NHS Foundation Trust. This is the independent assurance report on actions following publication of the original review.
5 recommendations Report PDF
Sep 2014
North West
Independent investigation into the care and treatment of Mr M: September 2014
Mr M . At the time of the homicide (2013) Mr M was receiving care and treatment from Mersey Care NHS Trust
This is the report of the independent investigation into the care and treatment of Mr M . At the time of the homicide (2013) Mr M was receiving care and treatment from Mersey Care NHS Trust. The associated action plan has been published by Mersey Care NHS Trust.
7 recommendations Report PDF Action Plan
Sep 2014
East of England
Independent investigation into the death of B: September 2014
Norfolk and Suffolk NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of B who was killed by her husband A in 2011. A had previously had contact with mental health services in Suffolk. The associated action plan has been published by Norfolk and Suffolk NHS Foundation Trust.
5 recommendations Report PDF Action Plan
Jul 2014
South East
An independent inquiry into the care and treatment of Mr B: July 2014
Mr B . At the time of the homicide (2010) Mr B was receiving care and treatment from Sussex Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr B . At the time of the homicide (2010) Mr B was receiving care and treatment from Sussex Partnership NHS Foundation Trust. The initial report published in February 2013 identified a number of service issues and the above report provides an update on the actions taken by the Sussex Partnership NHS Foundation Trust since that time.
2 recommendations Report PDF
Jul 2014
London
Independent investigation into the care and treatment of Mr DE: July 2014
South London and Maudsley NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr DE . At the time of the homicide (2011) Mr DE was in receipt of psychiatric services provided by South London and Maudsley NHS Foundation Trust. The associated action plan has been published by the trust .
6 recommendations Report PDF Action Plan
Jul 2014
South East
*Independent investigation into the care and treatment of Mr P: July 2014
This is the report of the independent investigation into the care and treatment of Mr P . At the time of the homicide (2009) Mr P was receiving mental health services from Kent and Medway NHS Social Care and Partnership Trust. Note: NHS England’s south region has published a mental health homicide legacy report. This was commissioned by the former strategic health authority, but not published before that organisation was abolished on 31 March 2013.
8 recommendations Report PDF
Jul 2014
South East
*Mental health homicide investigation legacy report into the care and treatment of Mrs G
This is the report of the independent investigation into the care and treatment of Mrs G . At the time of the homicide (2010) Mrs G received care and treatment from Surrey & Borders Partnership Foundation Trust. Note: NHS England’s south region has published a mental health homicide legacy report. This was commissioned by the former strategic health authority, but not published before that organisation was abolished on 31 March 2013.
8 recommendations Report PDF
Jul 2014
South East
*Mental health homicide investigation legacy report into the care and treatment of Mr X
Mr X This is the report of the independent investigation into the care and treatment of Mr X . Mr X was a former patient at Sussex Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr X . Mr X was a former patient at Sussex Partnership NHS Foundation Trust. There is also an executive summary available . Note: NHS England’s south region has published a mental health homicide legacy report. This was commissioned by the former strategic health authority, but not published before that organisation was abolished on 31 March 2013.
8 recommendations Report PDF
Jun 2014
North West
Investigation into matters relating to Jimmy Savile at Ashworth Hospital
Mersey Care NHS Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Ashworth Hospital. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.