Investigations in the NHS

This investigation was prompted by the death of a nine-year-old boy in 2014 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 understand if lessons can be learned that could prevent something similar happening in the future.

The findings of an independent investigation into the circumstances surrounding the care and treatment of James are published on this webpage. James killed his long-term girlfriend in December 2017. He had been a patient of North Essex Partnership Trust (NEPT), now Essex Partnership University Trust (EPUT) since 2000. A joint Independent Investigation and Domestic Homicide Review has taken place and both reports are available below: Essex Partnership University Trust, which is cited in the indep

This is an independent external quality assurance review into the care and treatment of Mr M , a mental health service user in Sussex.

Mr Z, published on 8 th October 2020. Mr Z was in receipt of services from West London NHS Trust

This is the independent investigation report into the care and treatment of Mr Z, published on 8 th October 2020. Mr Z was in receipt of services from West London NHS Trust.

Norfolk and Norwich University Hospitals

Mr J, published on 25 August 2020. Mr J was in receipt of services from South London and Maudsley NHS Trust

This is the independent investigation report into the care and treatment of Mr J, published on 25 August 2020. Mr J was in receipt of services from South London and Maudsley NHS Trust.

· Baroness Julia Cumberlege

Independent review commissioned by the Secretary of State for Health and Social Care in 2018 to examine how the healthcare system responded to patients harmed by three medical interventions: hormone pregnancy tests (Primodos), sodium valproate (epilepsy drug causing birth defects), and pelvic mesh implants. Led by Baroness Julia Cumberlege. Published July 2020. Found the healthcare system to be "disjointed, siloed, unresponsive and defensive". Made 9 strategic recommendations and 50 Actions for Improvement. Government rejected recommendations 3 and 4 (redress and compensation), accepted or accepted in principle the remainder.

Shrewsbury and Telford NHS Trust

Mr P in Dorset NHS England has published an independent investigation report into the care and treatment of a Dorset Healthcare University NHS Foundation Trust

NHS England has published an independent investigation report into the care and treatment of a Dorset Healthcare University NHS Foundation Trust patient who killed another man in Poole in August 2016. Action plans in response to the report’s recommendations have been published by: Dorset Healthcare University NHS Foundation Trust Dorset Clinical Commissioning Group Cornwall Partnership NHS Foundation Trust Bournemouth, Christchurch & Poole Safeguarding Adults Board (BCPSAB) commissioned a supple

Whittington Health NHS Trust · National Guardian's Office

David. At the time of his death David was receiving care and treatment from North West Boroughs Healthcare NHS Foundation Trust

An independent investigation into the care and treatment of David. This is the executive summary of the independent investigation report into the care and treatment of David. At the time of his death David was receiving care and treatment from North West Boroughs Healthcare NHS Foundation Trust. The Executive Summary and associated action plans have been published by: Links to action plans are included and these will continue to be monitored for progress. North West Boroughs Healthcare NHS Found

Findings are published today of an independent investigation into the circumstances surrounding the care and treatment of Mr P, a mental health service user in Essex . Sincerest sympathies are offered to all the people who have been affected by this tragic event. Mr P killed Mrs H and Mr F at his mother’s address in Essex on 22 July 2015. Mr P was convicted of the murder of the two victims, who were his mother and her friend, and received a life sentence in May 2016. NHS England – East of Englan

This is the report of the independent investigation into the care and treatment of a mental health service user A in NAViGO. An independent investigation assurance review (published June 2021) can be viewed here.

This is the report of the independent investigation into the care and treatment of mental health service user Mr M This published report includes: Mr M was convicted of the murder of a man in October 2017 whilst under the care of the Thomas project in Salford. The Thomas project provides a range of recovery focused services through detox and residential rehabilitation into community-based provision

Rotherham Doncaster and South Humber NHS Foundation Trust

This is the abridged executive summary of the independent investigation into the care and treatment of Jack. An independent quality assurance review (published August 2021) can be viewed here.

University Hospitals Bristol and Weston NHS Foundation Trust