Investigations in the NHS

David at North West Boroughs Healthcare NHS Foundation Trust

An independent assurance review of the independent investigation into the care and treatment of mental health service user David This is the report of an independent assurance review of an independent investigation which considered the care and treatment of mental health service user David at North West Boroughs Healthcare NHS Foundation Trust, published in June 2020. The independent external assurance review report and associated assurance statement have been published by:

Mr X, published on 25th August 2021. Mr X was in receipt of services from South London and Maudsley NHS Foundation Trust

This is the independent investigation report into the care and treatment of Mr X, published on 25th August 2021. Mr X was in receipt of services from South London and Maudsley NHS Foundation Trust.

The investigation was prompted by the death of a 37 year-old woman in 2017 and was commissioned by NHS England once all related criminal proceedings had been concluded. The purpose of the investigation has been to help the NHS and partners understand if lessons can be learned that could prevent something similar happening in the future.

This investigation was commissioned by NHS England and was conducted in partnership with the Domestic Homicide Review which was commissioned by Southend, Essex and Thurrock Domestic Abuse Board. The investigation was prompted by the death of a woman in Essex in 2020. The purpose of the investigation was to help the NHS and partners understand if there are lessons that could be learned that could prevent something similar happening in the future.

Avon and Wiltshire Mental Health Partnership NHS Trust

NHS England has published an independent investigation report into the care and treatment of ‘Ian’ , a patient of Avon and Wiltshire Mental Health Partnership NHS Trust and of Cygnet Health Care, who killed another man in Bristol in July 2016 Action plans in response to the report’s recommendations have been published by: Avon and Wiltshire Mental Health Partnership NHS Trust Cygnet Health Care (for more information please contact communications@cygnethealth.co.uk ) Bristol Safeguarding Adult Bo

An independent investigation into the care and treatment of a mental health service user Ms C in Humber Teaching NHS Foundation Trust

This is the report of the independent investigation into the care and treatment of Ms C . An independent quality assurance review of the implementation of recommendations resulting from this independent investigation was published in August 2022 and is available here.

The findings of an independent investigation into the circumstances surrounding the care and treatment of Mr Z are published on this webpage: Essex Partnership University Trust and NHS Thurrock ICS, which are cited in the report’s recommendations, have also published an action plan an action plan in response to the findings.

A in Northumberland, Tyne and Wear NHS Foundation Trust

This is the independent external quality assurance review following an internal investigation into the care and treatment of A. A post-publication assurance review in relation to the implementation of recommendations resulting from the investigation into the homicide committed by a mental health service user, A, can be viewed here .

An independent assurance review report into the care and treatment of mental health service user A This is the report of an independent assurance review of North West Boroughs’ internal investigation which considered the care and treatment of mental health service user A Mental health service user A was found guilty of manslaughter in May 2018. He was ordered by the court to be detained under Section 37/41 of the Mental Health Act (1983) to remain in the medium secure hospital. At the time of th

This is the executive summary of an independent investigation into the care and treatment of Mr M.

Gloucestershire Hospitals NHS Foundation Trust

Publication date 7 November 2023. NHS England has published an independent investigation report into the care and treatment of ‘JW’ , who killed an employee at the accommodation where he was staying in December 2020.

The findings of an independent investigation into the circumstances surrounding the care and treatment of Mother in Essex are published on this webpage. Mother had been under the care of secondary mental health services since March 2017. Following the homicide of Child R by his Mother in July 2018, NHS England commissioned an independent investigation into the care and treatment of mental health service user, Mother. An independent investigation into Mother and a related serious case review into

Mr S, published on 16th December 2020. Mr S was in receipt of services from Central North West London NHS Trust

This is the independent investigation report into the care and treatment of Mr S, published on 16th December 2020. Mr S was in receipt of services from Central North West London NHS Trust.

Bedfordshire Hospitals NHS Foundation Trust