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Mental Health Investigation

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

779 investigations 606 with recommendations indexed 6,452 recommendations indexed 117 action plans

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Investigations

779 matching investigations
Independent investigation: Vincent Douglas, Lewisham (2017)
London
Mentally ill man fatally stabbed fellow hostel resident. History of previous violence when unwell – Restricted patient
3 recommendations Report PDF
Independent investigation: Vincent Francis, Wells (2009)
South West
MH patient fatally stabs friend’s boyfriend 17 times. MH historyInd. Inq. Dale
9 recommendations Report PDF
Independent investigation: Vincenzo Gianni, Chelsea, London (1998)
London
MH homicide. Ind Inq 1999
-1 recommendations Report PDF
Independent investigation: Virginia (Ginny) Sivil and unborn baby, Bath (1998)
South West
Schizophrenic fatally strangled partner whilst she was in labour with his child. Ind Inq 2001 13 prev admissions. Prev. violence. Records a mess, No Insight
-1 recommendations Report PDF
Independent investigation: Virginia Griffiths, Hornchurch (2008)
London
Schizophrenic man kills mother. Former inpatient – Much previous violence and threats to kill
1 recommendation Report PDF
Independent investigation: Warren Duke, Slough (but Tees patient) (2015)
North East and Yorkshire
Mentally ill man off meds fatally stabs man. Convicted of Manslaughter by diminished reponsibility
6 recommendations Report PDF
Independent investigation: Waveney Mclure, Hoxton (2008)
London
Paranoid Schizophrenic repeatedly batters mother with a hammer after failing to take meds. detained under MHA
2 recommendations Report PDF
Independent investigation: Wendy Pashley, Rotherham (2006)
North East and Yorkshire
MH patient strangles& batters wife with iron then sets body on fire at home in front of children. Ind Inq (2006/1787) 2008. MH recent history, recent release
8 recommendations Report PDF
Independent investigation: Wilfred Marchant, Leicester (1999)
Midlands
Psychotic MH patient stabs young boy (stranger) and father then beats pensioner to death (also a stranger). Ind Inq 2001 – prev hist of violence, left hospital day before, terrible failures, stopped meds.
-1 recommendations Report PDF
Independent investigation: William Bodle, Bournemouth (1998)
South West
MH homicide. Ind Inq 2002
-1 recommendations Report PDF
Independent investigation: William Kean, Canning Town (2004)
London
MH patient repeatedly and fatally batters grandfather. Ctitical Ind Inq
5 recommendations Report PDF
Independent investigation: William Moss, Newquay (2007)
South West
Schizophrenic repeatedly and fatally stabbed friend. Many failings – serious incident was ‘foreseeable’
14 recommendations Report PDF
Independent investigation: William Taylor, Cleveland (1995)
North East and Yorkshire
Psychotic MH patient fatally stabs father.. Ind Inq 1996
-1 recommendations Report PDF
Independent investigation: WPC Nina Mackay, Stratford, London (1997)
London
Paranoid schizophrenic fatally stabs WPC. Ind Inq 1999
-1 recommendations Report PDF
Independent investigation: Zafar Iqbal, Nottingham (2000)
Midlands
Detained paranoid schizophrenic leaves hospital without permission and kills brother in law. Ind Inq 2005
-1 recommendations Report PDF
Northern Lincolnshire and Goole NHS Foundation Trust: A case review of speaking up processes, policies and culture
North East and Yorkshire
Northern Lincolnshire and Goole NHS Foundation Trust · National Guardian's Office
23 recommendations Report PDF
An Independent Investigation into the adequacy of previous hospital-level investigations into Consultant Surgeon A: Published May 2026
Published May 2026
North West
Final report This is the final report of the Independent Investigation into the adequacy of previous hospital-level investigations into the clinical practice and leadership of Consultant Surgeon A, to determine whether further action is …
10 recommendations Report PDF
An independent investigation into the care and treatment of Sam in Essex
Published Apr 2026
East of England
· Niche
NHS England East of England Region and Midlands Region, commissioned Niche Health and Social Care Consulting Ltd (Niche) to carry out an independent investigation into the care and treatment of mental health service user, …
5 recommendations Report PDF Action Plan
Temporary Workers, Permanent Voices: A Speak Up Review
Published Mar 2026
National
· National Guardian's Office
6 recommendations Report PDF
Independent investigation of the care and treatment of Mr N
Published Feb 2026
Midlands
This document provides an overview of key findings from an independent investigation into the NHS care of a young man (Mr N) who killed a close relative. The subsequent investigation, carried out by Psychological …
6 recommendations Report PDF
An independent investigation into the care and treatment of Ms P
Published Jan 2026
Midlands
· Niche
This investigation relates to the care and treatment of an adult female (referred to as Ms P in the document) who was known to local mental health services prior to her conviction for homicide …
4 recommendations Report PDF
An independent investigation into the care and treatment of Mr P: Published January 2026
Published Jan 2026
North East and Yorkshire
This is the executive summary of the independent investigation into the care and treatment of Mr P.
8 recommendations Report PDF
An independent investigation into the care and treatment of Adult 1
Published Jan 2026
South West
Published January 2026 The executive summary of an independent investigation into the care and treatment given to Adult 1, a mental health service user, who fatally attacked a family member, Adult 2, in 2021. …
13 recommendations Report PDF
Independent Culture Review Report: Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
Published Jan 2026
North East and Yorkshire
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
14 recommendations Report PDF
Invited Service Review Report: Report on the General Surgery surgical service at The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust
Published Dec 2025
East of England
The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust
21 recommendations Report PDF

By region

11 regions

London

162 investigations

North East and Yorkshire

137 investigations

South East

99 investigations

Midlands

80 investigations

East of England

78 investigations

South West

78 investigations

North West

75 investigations

Wales

27 investigations

Scotland

25 investigations

National

13 investigations

Northern Ireland

5 investigations