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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
An independent investigation into the care and treatment of service user Tom in Leicestershire
Published Aug 2022
Midlands
Leicestershire Partnership NHS Trust
The investigation was prompted by the death of a 92 year-old man in 2019 and was commissioned by NHS England once all related criminal proceedings had been concluded. The purpose of the investigation was …
3 recommendations Report PDF Action Plan
Independent review into the care and treatment of Mr X
Published Jun 2022
London
This is the independent investigation report into the care and treatment of Mr X published on 13th June 2022. Mr X was in receipt of services in South West London.
5 recommendations Report PDF Action Plan
An independent investigation into the care and treatment of a mental health service user Mr J in Kent
Published Jun 2022
South East
This is the report of the independent investigation into the care and treatment of a mental health service user Mr J in Kent. At the time of the homicide (2018), Mr J was under …
11 recommendations Report PDF
An Investigation Report for Systems Learning: COVID-19 Outbreak Control Team Weston General Hospital
Published Jun 2022
South West
6 recommendations Report PDF
An independent review into the care and treatment of Mr G between 2014-2019: Published May 2022
Published May 2022
North East and Yorkshire
Published May 2022 This is the extended executive summary of the independent investigation into the care and treatment of Mr G. South West Yorkshire Partnership NHS Foundation Trust
This is the extended executive summary of the independent investigation into the care and treatment of Mr G. South West Yorkshire Partnership NHS Foundation Trust has also published an assurance statement into this case.
8 recommendations Report PDF
An independent investigation into the care and treatment of mental health service user Ms A: Published May 2022
Published May 2022
North West
Greater Manchester Mental Health NHS Foundation Trust
An independent investigation into the care and treatment of Ms A This is the Executive Summary of the independent investigation report into the care and treatment of Ms A. Ms A was convicted of …
5 recommendations Report PDF
Root Cause Analysis Investigation Report into the Death of Dr Julien Warshafsky
Published May 2022
South East
NHS England has published a Root Cause Analysis Investigation Report into the Death of Dr Julien Warshafsky . The focus of this case review is to explore opportunities for collective learning and identify actions …
1 recommendation Report PDF
Independent investigation into the care and treatment provided to Mr X by Devon Partnership NHS Trust (2013)
Published Apr 2022
South West
Devon Partnership NHS Trust
In 2013, NHS England (NHSE) assumed overarching responsibility for the commissioning of independent investigations into mental health homicides and serious incidents committed by patients being treated (or recently treated) for mental illness. Previously this …
2 recommendations Report PDF Action Plan
An independent investigation into the care and treatment of mental health service user Mr G: Published 30 March 2022
Published Mar 2022
North East and Yorkshire
Published 30 March 2022 This is the extended executive summary of the independent investigation into the care and treatment of Mr G. Bradford District Care NHS Foundation Trust
This is the extended executive summary of the independent investigation into the care and treatment of Mr G. Bradford District Care NHS Foundation Trust has also published an assurance statement into this case.
10 recommendations Report PDF
A review into culture and bullying at University Hospitals of North Midlands NHS Trust
Published Mar 2022
Midlands
University Hospitals of North Midlands NHS Trust
7 recommendations Report PDF
Independent investigation into the care and treatment of Mr N and Mr G
Published Feb 2022
London
This is the independent investigation report into the care and treatment of Mr N and Mr G published on 21st February 2022. Mr N and Mr G were in receipt of services in North …
7 recommendations Report PDF Action Plan
Independent investigation into the care and treatment of Mr N
Published Feb 2022
London
This is the independent investigation report into the care and treatment of Mr N published on the 10 th February 2022. Mr N was in receipt of services in West London.
26 recommendations Report PDF Action Plan
An independent investigation into the care and treatment of service user Mr X in Derbyshire
Published Feb 2022
Midlands
The investigation was prompted by the death of a 34 year-old man in 2017 and was commissioned by NHS England once all related criminal proceedings had been concluded. The purpose of the investigation is …
3 recommendations Report PDF Action Plan
An independent investigation into the care and treatment of Mr A: Published February 2022
Published Feb 2022
North East and Yorkshire
Published February 2022 This is the executive summary of the independent investigation into the care and treatment of Mr A. South West Yorkshire Partnership NHS Foundation Trust
This is the executive summary of the independent investigation into the care and treatment of Mr A. South West Yorkshire Partnership NHS Foundation Trust has also published an assurance statement into this case.
9 recommendations Report PDF
An independent investigation into the care and treatment of a mental health service user Mr K in Somerset
Published Feb 2022
South West
NHS England has published an independent investigation report into the care and treatment of Mr K , a patient of mental health services in Somerset, who killed another man in Honiton in June 2017. …
6 recommendations Report PDF Action Plan
Independent investigation into the care and treatment of Mr A and Mr B
Published Jan 2022
London
Mr A and Mr B on the 31st January 2022. Mr A and B were in receipt of services from South West London and St George’s Mental Health NHS Trust
This is the independent investigation report into the care and treatment of Mr A and Mr B on the 31st January 2022. Mr A and B were in receipt of services from South West …
10 recommendations Report PDF Action Plan
Independent review of the care and treatment of Mr X
Published Jan 2022
London
This is the independent investigation report into the care and treatment of Mr X published on the 26 th January 2022. Mr X was in receipt of services from East London Foundation Trust.
2 recommendations Report PDF Action Plan
Independent investigation into the care and treatment of Mr D – January 2022
Published Jan 2022
East of England
Cambridgeshire and Peterborough NHS Foundation Trust
The findings of an independent investigation into the circumstances surrounding the care and treatment of Mr D are published on this webpage. Mr D had a diagnosis of paranoid schizophrenia and recurrent depressive disorder. …
6 recommendations Report PDF Action Plan
An independent investigation into the care and treatment of a mental health service user Mr T in Cornwall
Published Jan 2022
South West
Cornwall Partnership NHS Foundation Trust
NHS England and NHS Improvement has published a mental health homicide review into the care and treatment of Mr T , who was a service-user under the care of Cornwall Partnership NHS Foundation Trust. …
2 recommendations Report PDF Action Plan
Assurance report into the progress from the recommendations made from the independent investigation into the care and treatment of Mr J
Published Jan 2022
London
7 recommendations Report PDF
Local Review of the Quality Governance Arrangements in place within Swansea Bay University Health Board, for the delivery of Healthcare Services to Her Majesty’s Prison Swansea
Published Jan 2022
Wales
29 recommendations Report PDF
An independent investigation into the care and treatment of a mental health service user Mr J in Surrey
Published Dec 2021
South East
This is the learning lessons bulletin into the care and treatment of Mr J .
Report PDF
An independent investigation into the care and treatment of a mental health service user Mr P in Plymouth
Published Dec 2021
South West
NHS England and NHS Improvement has published a mental health homicide review into the care and treatment of Mr P, who was a service-user under the care of Livewell Southwest. He was jailed in …
7 recommendations Report PDF Action Plan
West Suffolk Review
Published Dec 2021
East of England
Report PDF
Independent review of the care and treatment of Mr G
Published Nov 2021
London
Mr G published on the 16 th November 2021. Mr G was in receipt of services from Barnet, Enfield and Haringey Mental Health NHS Trust
This is the independent investigation report into the care and treatment of Mr G published on the 16 th November 2021. Mr G was in receipt of services from Barnet, Enfield and Haringey Mental …
17 recommendations Report PDF Action Plan

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