Home / Sources / Investigations in the NHS / An independent investigation into the care and treatment …
Index live
Source · Investigations in the NHS

An independent investigation into the care and treatment of Mr P: Published January 2026

North East and Yorkshire Published 01 Jan 2026 Subject Mr P

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

Report PDF NHS England Source
Jump to 8 recommendations

Acceptance status

Per recommendation
No Response Published
8
Total recommendations
8
About this data

Acceptance status tracks whether the trust accepted or responded to each recommendation.

Independent health investigation reports and reviews commissioned by government or NHS England.

About this investigation

Source & metadata

Independent investigation report. Recommendations and any published response are extracted below.

Recommendations

8 total
96.1 The Trust No Response Published
Recommendation
Developing staff skills in the recognition and management of domestic abuse.
96.2 The Trust No Response Published
Recommendation
Increase awareness and knowledge of the need for professional curiosity, gathering detailed information and using historical risk information to review current risk situations.
96.3 The Trust No Response Published
Recommendation
Incorporate the use of integrated formulation to develop needs-based care plans.
96.4 The Trust No Response Published
Recommendation
Enhancing the competency, training, support offer, skills mix and, co-working opportunities for mainstream mental health teams in assessing and motivating service users to contemplate change and if appropriate, engagement with the specialist substance misuse provision. Read more
96.5 The Trust No Response Published
Recommendation
Increasing awareness of pathways of care and treatment for individuals with Personality Disorder.
96.6 The Trust No Response Published
Recommendation
Enhancing the training, support offer, and co-working opportunities to mainstream mental health teams working with those with neurodivergent presentations.
96.7 The Trust No Response Published
Recommendation
Developing long-term care pathways which support rehabilitation/independent living needs for all people with complex long-term needs, not just those with psychosis.
96.8 The Trust No Response Published
Recommendation
The Trust should liaise with the police and social care to support them in improving information sharing with the Trust regarding risk, particularly in relation to domestic abuse processes.