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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
North East and Yorkshire
Independent investigation: Ivy Torrie, Pocklington (2003)
Schizophrenic kills elderly mother (by cutting her throat). Ind Inq (2003/1578) 2009
7 recommendations Report PDF
North East and Yorkshire
Independent investigation: Jack Taylor, Bradford (2010)
Paranoid schizophrenic repeatedly and fatally stabs brother. Drug user – MH history
5 recommendations Report PDF
Midlands
Independent investigation: Jacob Billington, Birmingham (2020)
Paranoid schizophrenic fatally stabs student and seriously injures and stabs seven others. Life – Sec 45a order with minimum of 21 years
5 recommendations Report PDF
North East and Yorkshire
Independent investigation: James Byrne, Sunderland (1998)
MH Homicide. Ind Inq 1999
-1 recommendations Report PDF
South East
Independent investigation: James Ford, Sunbury (2004)
MH patient fatally attacked man with brick. Ind Inq 2007, usual problems team work, poor notes
92 recommendations Report PDF
Wales
Independent investigation: James Fortey, Newport, Gwent (2007)
Schizophrenic fatally stabs former school friend. Critical Ind Inq 2009 – not assertive enough
6 recommendations Report PDF
Midlands
Independent investigation: Jane Edwards, Hanwood, Shrewsbury (2010)
Psychotic man (who killed sister in 1985) fatally and stabs friend 50 times. Stopped Meds – Long MH history – released 2002
3 recommendations Report PDF
Scotland
Independent investigation: Jane Kelly, Powmill (2011)
Schizophrenic man fatally strangles and stabs girlfriend. Previous warnings
-1 recommendations Report PDF
North East and Yorkshire
Independent investigation: Janet Frost, Meadowfielsd – County Hospital Durham (1999)
MH homicide. Ind Inq 2003
-1 recommendations Report PDF
London
Independent investigation: Janet Hossein, East London (2007)
Mental Health patient fatally strangles former girlfriend. Poor internal investigation
6 recommendations Report PDF
London
Independent investigation: Janet Keegan, Enfield & Harringay (1997)
MH homicide of wife after who left after threats and abuse. Ind Inq 1999. Extensive psych history, history of violence with knives
20 recommendations Report PDF
North East and Yorkshire
Independent investigation: Jane WheatleyGary Gardiner, Sheffield (2007)
MH patient fatally stabs ex-partner & boyfriend
7 recommendations Report PDF
Midlands
Independent investigation: Janice Symons, Leicester (1995)
MH patient fatally stabs landlady. Ind Inq 1996
-1 recommendations Report PDF
South East
Independent investigation: Jan Jensen, Hassocks (2012)
Mentally ill man fatally stabs MH patient day after release from psych. hospital. Nurses and others falsified records after the killing
10 recommendations Report PDF
North East and Yorkshire
Independent investigation: Jankee Jaimungal, Batley (2007)
Mentally ill man joins in ferocious and fatal attack on acquaintance. Alcohol user –
-1 recommendations Report PDF
North East and Yorkshire
Independent investigation: Jason Dean, Eston, Middlesbrough (2018)
Mentally ill man fatally batters friend in sustained attack. Convicted manslaughter – sentenced 14 years
12 recommendations Report PDF
North West
Independent investigation: Jason Gregory, St Helens (2017)
Paranoid schizophrenic fatally stabs friend in the heart with machete
12 recommendations Report PDF
East of England
Independent investigation: Jayne Poppy, Leigh on Sea (2002)
Paranoid Schizophrenic batters girlfriend to death. Ind Inq 2008. Released against advice, missed appts, came off meds, no risk assessment.
19 recommendations Report PDF
North West
Independent investigation: Jean Darbyshire, Wigan (2009)
Mentally ill man fatally strangles wife, then kills himself.. Long MH history. Inq found many care failures
-1 recommendations Report PDF
South East
Independent investigation: Jean Robertson, Sittingbourne (2015)
Paranoid schizophrenic fatally batters his grandmother. History of previous serious violence, off meds, released by MHRT
13 recommendations Report PDF
London
Independent investigation: Jean RobinsonDerek RobinsonKevin Molloy, Highgate/Tottenham (2004)
Psychotic man fatally stabs strangers. Ind Inq.2009 Mother had been asking for MH help for him for months.
15 recommendations Report PDF
London
Independent investigation: Jennifer Atkins, Kingsbury (1997)
Mentally ill man fatally attacked wife with a hammer. Ind Inq 2001
-1 recommendations Report PDF
Wales
Independent investigation: Jennifer Mills-Westley, Tenerife (2011)
Recent Welsh patient with schizophrenia fatally stabs grandmother. Inq found many failings in care
19 recommendations Report PDF
North East and Yorkshire
Independent investigation: Jenny Bryant, Consett
Man with dementia fatally assaults fellow care home resident. Care home had difficulties raising concerns
5 recommendations Report PDF
London
Independent investigation: Jenny Foote, Acton (2015)
Mentally ill man fatally batters lone care worker with fire extinguisher. Long MH history with violence
6 recommendations Report PDF