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Mental Health Homicide Review

Joint Domestic Homicide Reviews and independent mental health homicide investigations

40 investigations 40 with recommendations indexed 437 recommendations indexed 8 action plans

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Investigations

40 matching investigations
Report of a review in respect of: Mr N and the provision of Mental Health Services, following a Homicide committed in November 2014
Wales
10 recommendations Report PDF
Report of a review in respect of: The provision of mental health care and treatment provided to Mr M by Betsi Cadwaladr University Health Board (BCUHB), prior to committing a homicide in May 2011
Wales
19 recommendations Report PDF
Report of a review in respect of: Mr D and the provision of Mental Health Services, following the Homicide of Father Paul
Wales
20 recommendations Report PDF
Independent Assurance Review – Assurance of the investigation report and action plan relating to the care and treatment received by PS prior to homicide
Published Nov 2025
East of England
This summary reviews the findings of an independent assurance review conducted to evaluate the care and treatment provided to PS by mental health services. The review was initiated after a tragic incident involving PS, …
7 recommendations Report PDF Action Plan
An independent review of the care and treatment received by George and Charles prior to an incident of homicide: Published July 2025
Published Jul 2025
North East and Yorkshire
This is an independent review of the care and treatment received by George and Charles prior to an incident of homicide.
12 recommendations Report PDF
A Learning Lessons Bulletin on the care and treatment of Mr Y following a Domestic Homicide Review (DHR).
Published Mar 2025
London
5 recommendations Report PDF
Multi-agency systems review to identify the learning following five homicides in Devon (2018-2019); with a focus on mental health care and management in custody
Published Jul 2023
South West
This review should be read in conjunction with the report above, ‘An independent investigation into the care and treatment of Mr A in Devon’. NHS England has published a review looking at areas of …
17 recommendations Report PDF Action Plan
Joint Domestic Homicide Review and independent mental health homicide investigation in South Cumbria
Published Mar 2023
North West
26 recommendations Report PDF
Joint Safeguarding Adult Review and Independent Mental Health Homicide Investigation, Ms G and Mr Q
Published Nov 2022
London
This is the Joint Safeguarding Adult Review and Independent Mental Health Homicide Investigation, Ms G and Mr Q published on 10th November 2022.
23 recommendations Report PDF Action Plan
A Joint Domestic Homicide Review and independent mental health homicide investigation in April 2019 in Northumberland: Published October 2022
Published Oct 2022
North East and Yorkshire
Joint Domestic Homicide Review and independent mental health homicide investigation in April 2019 in Northumberland. Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
This is the Joint Domestic Homicide Review and independent mental health homicide investigation in April 2019 in Northumberland. Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust has also published an assurance statement into this …
14 recommendations Report PDF
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 .
Published Jun 2022
North East and Yorkshire
11 recommendations Report PDF
A Joint Domestic Homicide Review and independent mental health homicide investigation in January 2019, West Cumbria: Published May 2022
Published May 2022
North East and Yorkshire
This is the Joint Domestic Homicide Review and independent mental health homicide investigation in January 2019, West Cumbria. West Cumbria Community Safety Partnership has published an associated action plan which can be found here.
28 recommendations Report PDF Action Plan
Independent Investigation Assurance Review Joint Safeguarding Adult and Mental Health homicide review – Greenwich Mrs A and Ms B
Published Oct 2021
London
17 recommendations Report PDF
An independent mental health homicide investigation into the care and treatment of Ian following the murder of Mr Kamil Ahmad Allamurad
Published Jul 2021
South West
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 …
14 recommendations Report PDF
Independent review of the care and treatment received by JW prior to an incident of homicide in December 2020
Published Dec 2020
South West
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 …
17 recommendations Report PDF
Mental Health Homicides Thematic Review – Quality Assurance Report (volume 1)
Published Sep 2020
South East
13 recommendations Report PDF
External review of all Independent Investigations following Mental Health Homicides
Published Oct 2019
South West
To ensure that NHS England continues to commission high quality independent investigations that influence and support system wide development and improvement, NHS England commissioned an external review of all Independent Investigations following Mental Health …
9 recommendations Report PDF
An independent review of the independent investigations for mental health homicides in England (published and unpublished) from 2013 to 2017
Published Oct 2019
East of England
To ensure that NHS England continues to commission high quality independent investigations that influence and support system wide development and improvement, NHS England commissioned an external review of all Independent Investigations following Mental Health …
9 recommendations Report PDF
assurance report following a homicide/suicide in 2015 that involved a patient under the care of mental health services in Somerset
Published Jul 2019
South West
16 recommendations Report PDF
Report of a review in respect of: Mr E and the provision of Mental Health Services, following a Homicide committed in August 2007
Published Jan 2019
Wales
6 recommendations Report PDF
Report of a review in respect of: Mr K and the provision of Mental Health Services, following a Homicide committed in March 2011
Published Jan 2019
Wales
6 recommendations Report PDF
Follow up review of a statutory mental health independent homicide investigation: Mr S, published in September 2014 Somerset Partnership NHS Foundation Trust
Published Sep 2018
South West
6 recommendations Report PDF
A joint Domestic Homicide Review and Independent Investigation into the care and treatment of ‘Dean’: Published 26 January 2018
Published Jan 2018
North West
Sefton Safer Communities Partnership and Mersey Care NHS Foundation Trust
This is the joint Domestic Homicide and Independent Investigation in to the care and treatment of ‘Dean’ , commissioned by Sefton Safer Communities Partnership and NHS England (North). The associated action plans have been …
10 recommendations Report PDF Action Plan
Combined Serious Case Review and NHS England Mental Health Homicide Review – Child D: Published October 2017
Published Oct 2017
North West
· Verita
This is the Independent Review undertaken on behalf of Stockport Safeguarding Children Board and NHS England in to the death of Child D. The Chair of Stockport Safeguarding Children Board took the decision to …
4 recommendations Report PDF
An independent thematic review of investigations into the care and treatment provided to service users who committed a homicide and to a victim of homicide by Sussex Partnership NHS Foundation Trust. Volume 1: Main report
Published Oct 2016
South West
16 recommendations Report PDF

By region

7 regions

South West

14 investigations

South East

9 investigations

Wales

5 investigations

North East and Yorkshire

4 investigations

North West

3 investigations

London

3 investigations

East of England

2 investigations