Home / Sources / Investigations in the NHS / Mental Health Homicide Review
Index live
Source · Investigations in the NHS · Category

Mental Health Homicide Review

Joint Domestic Homicide Reviews and independent mental health homicide investigations

585 investigations 418 with recs 4,120 total recs 8 action plans

Investigations

Page 23 of 24
South West
Independent investigation: William Moss, Newquay (2007)
Schizophrenic repeatedly and fatally stabbed friend. Many failings – serious incident was ‘foreseeable’
14 recommendations Report PDF
North East and Yorkshire
Independent investigation: William Taylor, Cleveland (1995)
Psychotic MH patient fatally stabs father.. Ind Inq 1996
-1 recommendations Report PDF
London
Independent investigation: WPC Nina Mackay, Stratford, London (1997)
Paranoid schizophrenic fatally stabs WPC. Ind Inq 1999
-1 recommendations Report PDF
Midlands
Independent investigation: Zafar Iqbal, Nottingham (2000)
Detained paranoid schizophrenic leaves hospital without permission and kills brother in law. Ind Inq 2005
-1 recommendations Report PDF
London
Independent investigation: Zaki Oettinger, Croydon (2013)
Severely depressed mother kills herself and young son at railway station
12 recommendations Report PDF
Nov 2025
East of England
Independent Assurance Review – Assurance of the investigation report and action plan relating to the care and treatment received by PS prior to homicide
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
Jul 2025
North East and Yorkshire
An independent review of the care and treatment received by George and Charles prior to an incident of homicide: Published July 2025
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
Mar 2025
London
A Learning Lessons Bulletin on the care and treatment of Mr Y following a Domestic Homicide Review (DHR).
5 recommendations Report PDF
Nov 2022
London
Joint Safeguarding Adult Review and Independent Mental Health Homicide Investigation, Ms G and Mr Q
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
Jun 2022
North East and Yorkshire
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 …
11 recommendations Report PDF
Jul 2021
South West
An independent mental health homicide investigation into the care and treatment of Ian following the murder of Mr Kamil Ahmad Allamurad
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
Dec 2020
South West
Independent review of the care and treatment received by JW prior to an incident of homicide in December 2020
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
Oct 2019
South West
External review of all Independent Investigations following Mental Health Homicides
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
Apr 2019
North East and Yorkshire
A Joint Domestic Homicide Review and independent mental health homicide investigation in April 2019 in Northumberland: Published October 2022
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
Jan 2019
North East and Yorkshire
A Joint Domestic Homicide Review and independent mental health homicide investigation in January 2019, West Cumbria: Published May 2022
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
Jan 2018
North West
A joint Domestic Homicide Review and Independent Investigation into the care and treatment of ‘Dean’: Published 26 January 2018
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
Jan 2018
South West
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
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
Oct 2017
North West
Combined Serious Case Review and NHS England Mental Health Homicide Review – Child D: Published October 2017
· 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
Jul 2014
South East
*Mental health homicide investigation legacy report into the care and treatment of Mr X
Mr X This is the report of the independent investigation into the care and treatment of Mr X . Mr X was a former patient at Sussex Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr X . Mr X was a former patient at Sussex Partnership NHS Foundation Trust. There is also an executive …
8 recommendations Report PDF
Jul 2014
South East
*Mental health homicide investigation legacy report into the care and treatment of Mrs G
This is the report of the independent investigation into the care and treatment of Mrs G . At the time of the homicide (2010) Mrs G received care and treatment from Surrey & Borders …
8 recommendations Report PDF
May 2014
South West
Independent investigation into the care and treatment of Mr MC and the homicide of Mr GN: May 2014
· Niche
This is the report of the independent investigation into the care and treatment of Mr MC . South West Strategic Health Authority commissioned the care of Mr MC but NHS England took over the …
13 recommendations Report PDF
Apr 2014
South West
Mental health homicide investigation legacy report into the care and treatment of Mr A
Mr A . Mr A was a former patient from Avon and Wiltshire Mental Health Partnership NHS Trust
This is the report of the independent investigation into the care and treatment of Mr A . Mr A was a former patient from Avon and Wiltshire Mental Health Partnership NHS Trust. The following …
7 recommendations Report PDF Action Plan
Apr 2014
South West
Mental health homicide investigation legacy report into the care and treatment of Ms A
This is the mental health homicide investigation report into the care and treatment of Ms A . The following documents are available: Note: NHS England’s south region has published a mental health homicide legacy …
11 recommendations Report PDF Action Plan
Apr 2014
South West
Mental health homicide investigation legacy report into the care and treatment of Ms X
This is the mental health homicide investigation report into the care and treatment of Ms X . The following documents are available: Note: NHS England’s south region has published a mental health homicide legacy …
7 recommendations Report PDF Action Plan
Nov 2013
South East
*Mental health homicide investigation legacy report into the care and treatment of Mr H: November 2013
This is the mental health homicide investigation report into the care and treatment of Mr H. Note: NHS England’s south region has published a mental health homicide legacy report. This was commissioned by the …
7 recommendations Report PDF

By region

10 regions

London

135 investigations

North East and Yorkshire

96 investigations

South East

82 investigations

South West

71 investigations

East of England

60 investigations

North West

58 investigations

Midlands

54 investigations

Wales

17 investigations

Scotland

8 investigations

Northern Ireland

4 investigations