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.
NHS England and NHS Improvement has published a mental health homicide review into the care and treatment of Mr T , who was a service-user under the care of Cornwall Partnership NHS Foundation Trust. Mr T took his own life in 2016 after being arrested on suspicion of murdering his baby son, who was subsequently found to have been unlawfully killed. Cornwall Partnership NHS Foundation Trust has published an action plan on its website, in response to the report’s recommendations. Kernow Clinical C
Cambridgeshire and Peterborough NHS Foundation Trust
The findings of an independent investigation into the circumstances surrounding the care and treatment of Mr D are published on this webpage. Mr D had a diagnosis of paranoid schizophrenia and recurrent depressive disorder. He was a recipient of mental health services provided by Cambridgeshire and Peterborough NHS Foundation Trust. On 27 November 2019 Mr D attacked Miss Y, another resident, in the common room of their supported accommodation. Miss Y sadly died later the same day. Mr D was found
This is the independent investigation report into the care and treatment of Mr X published on the 26 th January 2022. Mr X was in receipt of services from East London Foundation Trust.
Mr A and Mr B on the 31st January 2022. Mr A and B were in receipt of services from South West London and St George’s Mental Health NHS Trust
This is the independent investigation report into the care and treatment of Mr A and Mr B on the 31st January 2022. Mr A and B were in receipt of services from South West London and St George’s Mental Health NHS Trust.
NHS England and NHS Improvement has published a mental health homicide review into the care and treatment of Mr P, who was a service-user under the care of Livewell Southwest. He was jailed in 2017 for the manslaughter of his friend, Mr M, whose body had been found at Mr P’s address in December 2016. Livewell Southwest has published an action plan on its website , in response to the report’s recommendations. Following the report on Mr P, an independent quality-assurance review on implementation
The rapid review was commissioned by NHS England and NHS Improvement, following concerns raised by staff at The Christie Hospital, in relation to the Research & Innovation department. The review makes a number of recommendations and the Trust will be developing and action plan to address these. The Christie NHS FT Rapid Review
Mr G published on the 16 th November 2021. Mr G 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 G published on the 16 th November 2021. Mr G was in receipt of services from Barnet, Enfield and Haringey Mental Health NHS Trust.
This is the report of an assurance review of an independent investigation which considered the care and treatment of mental health service user Mr M in Greater Manchester An independent external assurance review report have been published by
University Hospitals of Morecambe Bay NHS Foundation Trust
The purpose of this important investigation is to gain a full understanding of clinical and patient outcomes as the result of care delivered by the Trust’s Urology Service. The Investigation has identified areas for learning, as well as the identification of good practice, to ensure that a recurrence of the same or similar issues will be avoided in the future. Final Independent Investigation Urology Report – University Hospitals of Morecambe Bay NHS Foundation Trust Final Independent Investigati
This is the report of the independent investigation into the care and treatment of Mr D. The associated action plan has been published by Tees, Esk and Wear Valleys NHS Foundation Trust .
Stage 2 Independent Investigation into Southern Health NHS Foundation Trust
A recommendation of the Stage 1 Independent Report into Southern Health NHS Foundation Trust in February 2020 was a limited public investigation into a small number of specific policies and processes to determine the extent of progress and to make further recommendations for the Trust. These issues were: Here is the stage 2 report from the Independent Investigation Panel, Chaired by Mr Pascoe QC. Here are extracts of the stage 2 report featuring the Executive Summary, Recommendations and Conclus
Mr H. At the time of the incident Mr H was receiving care from Lancashire and South Cumbria NHS Foundation Trust
An independent investigation into the care and treatment of Mr H This is the executive summary of the independent investigation report into the care and treatment of Mr H. At the time of the incident Mr H was receiving care from Lancashire and South Cumbria NHS Foundation Trust. The Executive Summary has been published by: This is the assurance review of the actions taken by Lancashire and South Cumbria NHS Foundation Trust and Lancashire and South Cumbria ICB following the publication of the in
This is the report of an assurance review of an independent investigation which considered the care and treatment of mental health service user Mr A in Greater Manchester This is the report of an independent assurance review of an independent investigation which considered the care and treatment of mental health service user Mr A in Greater Manchester, published 2020. An independent external assurance review report and associated assurance statement have been published by:
User A, published on 8th September 2021. User A was in receipt of services from North East London NHS Foundation Trust
This is the independent investigation report into the care and treatment of User A, published on 8th September 2021. User A was in receipt of services from North East London NHS Foundation Trust and North East London CCG.
Investigations by recorded region · full collection
Region
Investigations
London
180
North East and Yorkshire
169
South East
120
North West
103
South West
101
Midlands
92
East of England
87
Wales
43
Scotland
25
National
19
Northern Ireland
5
Key findings
944 independent health investigations across
11 regions, producing
9,266 recommendations.
78% of investigations have extracted recommendations.
740 investigations have recommendations tracked.