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Investigations in the NHS

896 investigations 6864 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 6,864 recommendations. 76% of investigations have extracted recommendations. 680 investigations have recommendations tracked.

Investigations

Click an entry for full report & recommendations
Midlands
Independent investigation: Ellen FrithKatie BaxterZoe Pennick, NottinghamEast Midlands (2005)
D&A Patient fatally strangles victims (prob PD). Indep Inq due
-1 recommendations Report PDF
North West
Independent investigation: Emily Jones, Bolton (2020)
Paranoid schizophrenic woman off meds & known to be a danger to children,fatally attacks young girl. Sec 45a Hybrid order
5 recommendations Report PDF
London
Independent investigation: Enrique Parada- Blanco, Kingsbury (2008)
Paranoid schizophrenic fatally battered father with claw hammer. Recently released from MH hospital – many failings
8 recommendations Report PDF
London
Independent investigation: Eric Daggers, Croydon (2005)
MH woman fatally stabs partner. Ind Inq NHS 2008
23 recommendations Report PDF
North East and Yorkshire
Independent investigation: Eric Kirby, Bishop Auckland (1997)
MH homicide of partner.. Ind Inq 2000
-1 recommendations Report PDF
London
Independent investigation: Ernie Meads, Edmonton, Wood Green, N London (2004)
Paranoid Schizophrenic fatally stabbed stranger (and seriously injured five others). Not taking meds. Ind Inq 2009 Discharged patient,family concern over increasing violence.
8 recommendations Report PDF
London
Independent investigation: Eshun Marnade Chattun, Springfield hospital Tooting (2003)
Paranoid Schizophrenic fatally attacked Psych nurse. Ind Inq 2006. Trust fined
21 recommendations Report PDF
East of England
Independent investigation: Faith Lovemore (6 wks), Cambridge (2009)
Mentally ill woman kills baby. MH History
-1 recommendations Report PDF
London
Independent investigation: Faridon Alizada, Erith (2008)
Recent MH patient fatally stabs teenager & wounds two others. Heavy drug user & long history of violence
2 recommendations Report PDF
North West
Independent investigation: Florence Higham (16 days), Stockport (2015)
Mentally ill man inflicts multiple fatal injuries on young baby
4 recommendations Report PDF
London
Independent investigation: Florise Corette, Lewisham (2015)
Mentally ill man fatally batters elderly mother. Had been released from Psych. hospital that day
17 recommendations Report PDF
East of England
Independent investigation: Frank Empson, Harlow (2006)
MH patient fatally stabs acquaintance. Drug User
4 recommendations Report PDF
East of England
Independent investigation: Fred Hodson, Luton (2011)
Mentally ill man fatally and repeatedly batters strangers head with hammer. Assessed as ‘no danger’ on day of incident
9 recommendations Report PDF
London
Independent investigation: Freya Emson(3 mnths), NE London (2000)
Mentally ill psychiatrist kills baby daughter then herself. Ind Inq 2003
17 recommendations Report PDF
Wales
Independent investigation: Fr Paul Bennett, Aberdare (2007)
Paranoid schizophrenic repeatedly & fatally stabbed Priest (neighbour) frenzied attack. Ind Inq 2009
20 recommendations Report PDF
North West
Independent investigation: Garry Warburton, Lancs (1998)
Long term MH patient fatally batters best friend. Ind Inq 2002
-1 recommendations Report PDF
London
Independent investigation: Gary Brisco, Tower Hamlets (2013)
Psychiatric patient with schizophrenia fatally stabs fellow hostel resident. Long history of mental illness & substance abuse
-1 recommendations Report PDF
South West
Independent investigation: Gary Miller, Plymouth (2016)
Mentally ill man fatally batters friend around the head
9 recommendations Report PDF
North West
Independent investigation: Geeta RaoLeela Rao, Wigan (2008)
Paranoid schizophrenic repeatedly and fatally stab sister and mother
2 recommendations Report PDF
North East and Yorkshire
Independent investigation: Gemma Simpson, Harrogate (2000)
Delusional Schizophrenic kills and dismembers friend. Released from Psych hospital 6 wks before when still unwell
2 recommendations Report PDF
Midlands
Independent investigation: George Ackroyd, Hope, Derbyshire (1999)
Paranoid schizophrenic beheads father. Ind Inq 2002
-1 recommendations Report PDF
East of England
Independent investigation: George Acres, Rochford (2018)
Schizophrenic woman fatally strangles and drowns young son. Found to be insane at the time
3 recommendations Report PDF
North East and Yorkshire
Independent investigation: George Bowley (Mr A), Bradford (2000)
MH homicide (on CCTV). Ind Inq (2000/315) 2003 – sent to Rampton
-1 recommendations Report PDF
South West
Independent investigation: Georgina Robinson, Torbay (1993)
Paranoid schizophrenic fatally stabbed occ. therapist in acute psych ward. Ind Inq 1995 MH failures, ‘entirely predictable’ previous assaults
-1 recommendations Report PDF
Midlands
Independent investigation: Geraldine Simpson, Birmingham (1997)
MH homicide of woman by throwing her from 12th floor flat. Ind Inq 2001
8 recommendations Report PDF