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Mental Health Investigation

Independent investigations into the care and treatment of mental health service users

779 investigations 606 with recs 5,758 total recs 117 action plans

Investigations

Page 1 of 32
North East and Yorkshire
Independent investigation: Abdullah Jama, Blackheath (2009)
Paranoid Schizophrenic fatally batters with an axe after leaving Sheffield Psych Unit and Greenwich hospital. Long MH history, not taking meds
12 recommendations Report PDF
North East and Yorkshire
Independent investigation: Abida Bi, Bradford (2010)
Paranoid schizophrenic beats wife to death with crowbar. Long MH history. Prev. threats to kill wife. (Ind Inq 2012 Dineen)
3 recommendations Report PDF
North West
Independent investigation: Adam Nightingale, Rochdale (2015)
Mentally ill man with history of violence fatally punches stranger. Investigation finds death was preventable
10 recommendations Report PDF
East of England
Independent investigation: Adel Makar, Westcliff on Sea (2006)
MH patient fatally stabs father then hangs himself
25 recommendations Report PDF
Midlands
Independent investigation: Adil Butt, Leicester (1996)
MH homicide. Ind Inq 1999 – failure to evaluate and assess properly
-1 recommendations Report PDF
North East and Yorkshire
Independent investigation: Adrian Pawson, Wakefield (1998)
Paranoid Schizophrenic hospital patient with collection of knives fatally and repeatedly stabbed another patient. Ind Inq 2001, wrong risk assessment, avoidable
-1 recommendations Report PDF
South West
Independent investigation: Aiyse Sullivan, Dorset (1997)
Mentally ill man killed girlfriend (PD). Ind Inq 2000
-1 recommendations Report PDF
Midlands
Independent investigation: Alan Clark, Barnsley (2000)
MH patient fatally and repeatedly stabs victim (affair). Ind Inq 2004
1 recommendation Report PDF
South West
Independent investigation: Alan Clarke, Salisbury (2008)
Mentally ill man fatally stabs friend. Dem Resp – hospital order MSU
-1 recommendations Report PDF
South East
Independent investigation: Alan Creasey, Lancing (2017)
Mentally disordered man fatally batters and stamps on man. Convicted of Murder
6 recommendations Report PDF
Scotland
Independent investigation: Alan Geddes, Aberdeen (2019)
Paranoid and deluded former patient repeatedly and fatally stabs stranger on release from prison. History of violence, drug abuse, & psychosis – convicted of murder
11 recommendations Report PDF
South West
Independent investigation: Alan Riddock, Bristol (2008)
Mental health patient beats man to death. MH history.Ind inq 2013 HASCAS
-1 recommendations Report PDF
North West
Independent investigation: Alan ScottStella Scott, Allerton, Liverpool (2008)
Schizophrenic repeatedly and fatally stabbed parents. Previous inpatient
3 recommendations Report PDF
East of England
Independent investigation: Albert Wright, Hainault (2011)
Mentally ill man fatally stabs elderly relative
8 recommendations Report PDF
Midlands
Independent investigation: Alex Robinson, Lincoln (2014)
Mentally disordered man drowns grandson. Long MH history – Recently released from inpatient unit
16 recommendations Report PDF
South West
Independent investigation: Alexander Cusworth, HMP Dartmoor (2015)
Mentally disordered prisoner with history of violence fatally stabs fellow prisoner
2 recommendations Report PDF
South East
Independent investigation: Alison Gable, Theale (2003)
Sectioned MH patient on day release kills girlfriend. Ind Rev 2004 – originally unpubl. Not in public interest
-1 recommendations Report PDF
North East and Yorkshire
Independent investigation: Alison McKenzie, Middlesbrough (2019)
Paranoid schizophrenic fatally stabs mother. Off meds – long history of serious mental illness
6 recommendations Report PDF
South West
Independent investigation: Alison Stevenson, Helston (2021)
Mentally disordered man repeatedly and fatally stabbed his grandmother. Convicted of Murder – Life – minimum 18 years
5 recommendations Report PDF
London
Independent investigation: Allah Ditta, Barking (2005)
Mentally ill man kills hostel worker with hockey stick and knife. Long MH history – AOT had warned about dangers
8 recommendations Report PDF
South East
Independent investigation: Amaaar Khan, Slough (2014)
Depressed and anxious woman jumped in front of a high speed train holding her young son. Family said there had been ‘shortfalls’ in her mental health treatment
17 recommendations Report PDF
North East and Yorkshire
Independent investigation: Amina Ali, Sheffield (2004)
Psychotic MH patient sets fire to flat killing occupant. Ind Inq (2004/282) 2006. Warnings unheeded
-1 recommendations Report PDF
London
Independent investigation: Anastasia Voykina, Streatham (2012)
Mentally ill man off meds fatally batters girlfriend with hockey stick. Violent history, Should have been seen daily by CMHT
15 recommendations Report PDF
London
Independent investigation: Andrew Else, Croydon (2014)
Paranoid schizophrenic fatally stabs stranger 200 times. Had previously stabbed teenager in head three weeks earlier
6 recommendations Report PDF
South East
Independent investigation: Angela Titley, Private Psych hospital, Redhill, Surrey (2004)
Psychotic MH patient fatally and repeatedly stabbed lover with Swiss Army Knife. Ind Inq 2009. May have missed meds
-1 recommendations Report PDF

By region

10 regions

London

172 investigations

North East and Yorkshire

141 investigations

South East

107 investigations

East of England

87 investigations

North West

86 investigations

South West

82 investigations

Midlands

75 investigations

Wales

17 investigations

Scotland

8 investigations

Northern Ireland

4 investigations