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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 into NHS mental health care of ‘X’
Published Nov 2025
East of England
This Mental Health Homicide Review (MHHR) has been commissioned by NHS England regarding person ‘X’ who had been in contact with mental health services. X died from a fall from a height. X’s wife, …
4 recommendations Report PDF Action Plan
Independent investigation into the care and treatment received by Mr B
Published Oct 2025
East of England
The aim of this report is to help improve the delivery of care for people who are at risk of self-harm. Mr B was a 50-year-old man who had been living with secondary progressive …
7 recommendations Report PDF Action Plan
An Independent Investigation into the care and treatment of Mr M
Published Oct 2025
London
This is a learning bulletin from an independent review of Mr M’s care and treatment published on 15 October 2025.
12 recommendations Report PDF
An independent investigation into the care and treatment of SV
Published Sep 2025
Midlands
· Niche
NHS England Midlands Region, commissioned Niche Health and Social Care Consulting Ltd to carry out an independent investigation into the care and treatment of mental health service user SV following a domestic homicide in …
9 recommendations Report PDF
An Independent Investigation into the care and treatment of Mr B
Published Sep 2025
Midlands
This investigation relates to the care and treatment of Mr B during the period between October 2020 and 11 July 2023 when a homicide took place. At the time of the incident the service …
5 recommendations Report PDF
Scottish Government NHS Grampian Diagnostic
Published Sep 2025
Scotland
Report PDF
An independent investigation into the care and treatment of Mr L: Published August 2025
Published Aug 2025
North East and Yorkshire
This is the executive summary of the independent investigation into the care and treatment of Mr L.
7 recommendations Report PDF
An Independent Patient Safety Investigation (IPSI) Report of Yusuf Mahmud Nazir: Published July 2025
Published Jul 2025
North East and Yorkshire
Independent Patient Safety Investigation (IPSI) Report of Yusuf Mahmud Nazir Appendices The report has also been published on the following websites:
17 recommendations Report PDF
Independent Patient Safety Investigation report of Yusuf Nazir
Published Jul 2025
North East and Yorkshire
Rotherham NHS Foundation Trust
37 recommendations Report PDF
An assessment of a mental health trust’s internal investigation of the care and treatment received by MB: Published May 2025
Published May 2025
North East and Yorkshire
This is the summary report of an assessment of a mental health trust’s internal investigation of the care and treatment of MB.
7 recommendations Report PDF
Listening and learning: Amplifying the voices of overseas-trained workers
Published May 2025
National
· National Guardian's Office
4 recommendations Report PDF
An independent investigation into the care and treatment of Colin – April 2025
Published Apr 2025
East of England
This independent review commissioned by NHS England looks at the care and treatment that Colin received between January 2021 and his subsequent death in September 2021. The review included the nature and extent of …
17 recommendations Report PDF Action Plan
An independent review into the care and treatment given to George: Published April 2025
Published Apr 2025
North East and Yorkshire
This is the shared learning bulletin from an independent review into the care and treatment given George .
3 recommendations Report PDF
Independent investigation into the care and treatment of Christopher Stone-Houghton by Hampshire and Isle of Wight Healthcare NHS FT: April 2025
Published Apr 2025
South East
Hampshire and Isle of Wight Healthcare NHS FT
This is the report of the care and treatment of Mr Christopher Stone-Houghton APRIL 2025
6 recommendations Report PDF
An independent investigation into the care and treatment of Mr J: Published March 2025
Published Mar 2025
North East and Yorkshire
This is the executive summary of the independent investigation into the care and treatment of Mr J.
4 recommendations Report PDF
An assessment of a mental health trust’s internal investigation of the care and treatment of JP: Published March 2025
Published Mar 2025
North East and Yorkshire
This is the summary report of an assessment of a mental health trust’s internal investigation of the care and treatment of JP.
10 recommendations Report PDF
NHS GG&C Emergency Department review final report: March 2025
Published Mar 2025
Scotland
40 recommendations Report PDF
An independent investigation into the care and treatment provided to VC
Published Feb 2025
Midlands
The investigation was commissioned by NHS England following the fatal stabbings of three people in Nottingham in June 2023. Three others sustained serious injuries. The purpose of the investigation is to help the NHS …
12 recommendations Report PDF Action Plan
An independent investigation into the care and treatment of patient D: Published February 2025
Published Feb 2025
North East and Yorkshire
This is the executive summary of the independent investigation into the care and treatment of patient D.
6 recommendations Report PDF
Invited Service Review Report: Report on the Breast Surgery Service County Durham and Darlington NHS Foundation Trust
Published Jan 2025
North East and Yorkshire
21 recommendations Report PDF
An independent review into the care and treatment given to Mr G: Published January 2025
Published Jan 2025
North East and Yorkshire
This is the shared learning bulletin from an independent review into the care and treatment given to Mr G.
11 recommendations Report PDF
An independent investigation into the care and treatment of patient E: Published January 2025
Published Jan 2025
North East and Yorkshire
This is the executive summary of the independent investigation into the care and treatment of patient E.
14 recommendations Report PDF
An independent investigation into potential missed opportunities for identification and avoidance of possible harm to paediatric orthopaedic patients at Cambrid
Published Jan 2025
East of England
Cambridge University Hospitals NHS Foundation Trust
Report PDF
Closure report Investigation into the care and treatment of GH (2023)
Published Jan 2025
Scotland
16 recommendations Report PDF
Independent expert opinion on findings of the Cervical Screening Review relating to the cervical cytology laboratory in the Southern Health and Social Care Trust
Published Jan 2025
Northern Ireland
1 recommendation 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