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
Nov 2013
South East
*Mental health homicide investigation legacy report into the care and treatment of Mr P: November 2013
This is the mental health homicide investigation report into the care and treatment of Mr P . 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.
7 recommendations Report PDF
Oct 2013
East of England
*Independent investigation into the care and treatment of Mr A: October 2013
Hertfordshire Partnership University NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr A . Mr A was treated by Dacorum Community Mental Health Team, a service which is commissioned by Hertfordshire Partnership University NHS Foundation Trust.
11 recommendations Report PDF
Oct 2013
South East
*Mental health homicide investigation legacy report into the care and treatment of Mr B: October 2013
This is the report of the independent investigation into the care and treatment of Mr B . At the time of the homicide (2007) Mr B had been receiving care and treatment at Kent and Medway Social Care and NHS 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
Aug 2013
North West
Independent investigation into the care and treatment of Mr A: August 2013
This is the report of the independent investigation into the care and treatment of Mr A . At the time of the homicide (2010) Mr A was receiving mental health services provided by Cheshire and Wirral Partnership Trust. The associated action plan has been published by the trust .
3 recommendations Report PDF Action Plan
Aug 2013
South East
Aug 2013
East of England
*Independent investigation into the care and treatment of Mr X: August 2013
This is the report of the independent investigation into the care and treatment of Mr X . At the time of the homicide (2009) Mr X was under the care of Hertfordshire Partnership Foundation Trust. The following action plans are available:
9 recommendations Report PDF Action Plan
Jun 2013
East of England
*Independent investigation into the care and treatment of Mr H: June 2013
South Essex Partnership University NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr H. At the time of the homicide (2010) Mr H was under the care of the South Essex Partnership University NHS Foundation Trust. The associated action plan has been published by the trust.
4 recommendations Report PDF Action Plan
Jun 2013
East of England
*Independent investigation into the care and treatment of Mr J: June 2013
former Suffolk Mental Health Partnership NHS Trust
This is the report of the independent investigation into the care and treatment of Mr J . At the time of the homicide (2010) Mr J was under the care of the former Suffolk Mental Health Partnership NHS Trust, which is now the Norfolk and Suffolk NHS Foundation Trust.
2 recommendations Report PDF
May 2013
South East
*Independent investigation into the care and treatment of Mr G: May 2013
This is the report of the independent investigation into the care and treatment of Patient G. At the time of the homicide (2011) Patient G was receiving mental health services provided by Kent and Medway NHS and Social Care 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.
1 recommendation Report PDF
Mar 2013
East of England
*Independent investigation into the care of Mr A: March 2013
Cambridge and Peterborough NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr A . At the time of the homicide (2008) Mr A was under the care of the Cambridge and Peterborough NHS Foundation Trust. The following documents are available:
11 recommendations Report PDF
Jan 2013
East of England
An independent review of the independent investigations for mental health homicides in England (published and unpublished) from 2013 to 2017
To ensure that NHS England continues to commission high quality independent investigations that influence and support system wide development and improvement, NHS England commissioned an external review of all Independent Investigations following Mental Health Homicides (IIMHH) and the national governance arrangements underpinning this work. The review considered investigations undertaken between 2013 – 2017. NHS England have accepted the report findings and have developed an action plan which i
9 recommendations Report PDF
Jan 2013
Midlands
An independent review of the independent investigations for mental health homicides in England (published and unpublished) from 2013 to 2017
To ensure that NHS England continues to commission high quality independent investigations that influence and support system wide development and improvement, NHS England commissioned an external review of all Independent Investigations following Mental Health Homicides (IIMHH) and the national governance arrangements underpinning this work. The review considered investigations undertaken between 2013 – 2017. NHS England have accepted the report findings and have developed an action plan which i
9 recommendations Report PDF
Jan 2013
North West
An independent review of the Independent Investigations for Mental Health Homicides in England (published and unpublished) from 2013 to 2017
To ensure that NHS England continues to commission high quality independent investigations that influence and support system wide development and improvement, NHS England commissioned an external review of all Independent Investigations following Mental Health Homicides (IIMHH) and the national governance arrangements underpinning this work. The review considered investigations undertaken between 2013 – 2017. NHS England has accepted the report findings and have developed an action plan which is
9 recommendations Report PDF
Jan 2013
North East and Yorkshire
An independent review of the Independent Investigations for Mental Health Homicides in England (published and unpublished) from 2013 to 2017
To ensure that NHS England continues to commission high quality independent investigations that influence and support system wide development and improvement, NHS England commissioned an external review of all Independent Investigations following Mental Health Homicides (IIMHH) and the national governance arrangements underpinning this work. The review considered investigations undertaken between 2013 – 2017. NHS England has accepted the report findings and have developed an action plan which is
9 recommendations Report PDF
Jan 2013
London
Independent investigation into Mental Health Homicides 2013-2017
To ensure that NHS England continues to commission high quality independent investigations that influence and support system wide development and improvement, NHS England commissioned an external review of all Independent Investigations following Mental Health Homicides (IIMHH) and the national governance arrangements underpinning this work. The review considered investigations undertaken between 2013 – 2017. NHS England have accepted the report findings and have developed an action plan which i
9 recommendations Report PDF
Jan 2013
South West
Independent investigation into the care and treatment provided to Mr X by Devon Partnership NHS Trust (2013)
Devon Partnership NHS Trust
In 2013, NHS England (NHSE) assumed overarching responsibility for the commissioning of independent investigations into mental health homicides and serious incidents committed by patients being treated (or recently treated) for mental illness. Previously this responsibility had been held by the strategic health authorities. The purpose of publishing the findings and learning from this investigation some years after the event is to ensure that NHS England and NHS Improvement openly and transparen
2 recommendations Report PDF Action Plan
May 2012
Midlands
*Independent investigation into the care and treatment of Mr R: May 2012
Northamptonshire Healthcare NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr R. At the time of the homicide Mr R was under the care of Northamptonshire Healthcare NHS Foundation Trust. Mr R had previously had contact with Nottinghamshire Healthcare NHS Trust. The following action plans are available:
11 recommendations Report PDF Action Plan
Feb 2012
South East
*Mental health homicide investigation legacy report into the care and treatment of F and G: February 2012
This is the mental health homicide investigation report into the care and treatment of F and G. At the time of the homicide (2005) F and G were receiving mental health services provided by East Kent NHS and Social Care Partnership Trust (now part of the Kent and Medway NHS and Social Care 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 organisat
2 recommendations Report PDF
Feb 2011
South East
*Mental health homicide investigation legacy report into the care and treatment of RA: February 2011
This is the mental health homicide investigation report into the care and treatment of RA . 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.
1 recommendation Report PDF
May 2008
South East
*Mental health homicide investigation legacy report into the care and treatment of Mr Y: May 2008
May 2008 This is the report of the independent investigation into the care and treatment of Mr Y . Mr Y had received care and treatment at Sussex Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr Y . Mr Y had received care and treatment at Sussex Partnership NHS Foundation Trust and the Priory. 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.
4 recommendations Report PDF