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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 24 of 32
Feb 2025
Midlands
An independent investigation into the care and treatment provided to VC
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
Feb 2025
North East and Yorkshire
An independent investigation into the care and treatment of patient D: Published February 2025
This is the executive summary of the independent investigation into the care and treatment of patient D.
6 recommendations Report PDF
Jan 2025
North East and Yorkshire
An independent review into the care and treatment given to Mr G: Published January 2025
This is the shared learning bulletin from an independent review into the care and treatment given to Mr G.
11 recommendations Report PDF
Jan 2025
North East and Yorkshire
An independent investigation into the care and treatment of patient E: Published January 2025
This is the executive summary of the independent investigation into the care and treatment of patient E.
14 recommendations Report PDF
Aug 2024
East of England
Independent review of care by Norfolk and Suffolk Mental Health NHS Foundation Trust – August 2024
Norfolk and Suffolk Mental Health NHS Foundation Trust
This independent review report has been commissioned by NHS England relating to the care provided by Norfolk and Suffolk Mental Health NHS Foundation Trust for an individual who was responsible for the death of …
4 recommendations Report PDF
Mar 2024
Midlands
An independent investigation into the care and treatment of service user Mr N
The investigation resulted from the death of a woman and her male child in 2021 and was commissioned by NHS England once all related criminal proceedings had been concluded. The purpose of the investigation …
3 recommendations Report PDF Action Plan
Jan 2024
North West
An Independent Review into the care and treatment provided by Greater Manchester Mental Health NHS Foundation Trust: Published January 2024
Greater Manchester Mental Health NHS Foundation Trust
Final report This is the final report of the Independent Review into the care and treatment provided by Greater Manchester Mental Health NHS Foundation Trust, following failings within the trust’s services, reported at the …
11 recommendations Report PDF
Nov 2023
London
Independent investigation into the care and treatment of Mr D
This is the independent investigation report into the care and treatment of Mr D published on 2 November 2023.
Report PDF Action Plan
Oct 2023
London
Independent investigation into the care and treatment of AB
This is the independent investigation report into the care and treatment of AB published on 18th October 2023.
3 recommendations Report PDF Action Plan
Sep 2023
Midlands
An independent investigation into the care and treatment of service user Mr A in Nottinghamshire
The investigation resulted from the death of a 87 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 to …
5 recommendations Report PDF Action Plan
Sep 2023
North East and Yorkshire
Independent investigation report into the care and treatment of Yusuf
York Road Surgery; The Rotherham NHS Foundation Trust; Sheffield Children’s NHS Foundation Trust; Yorkshire Ambulance Service NHS Trust
NHS South Yorkshire commissioned an independent investigation into the death of Yusuf and the care and treatment he received from his first contact with health services on 15 November 2022 . The report makes …
Report PDF
Jul 2023
Midlands
An independent investigation into the multi-agency care and supervision of H
The investigation was prompted by an incident in Birmingham in 2020 that resulted in: The purpose of the investigation was to help the NHS and partners understand if there are lessons that could be …
5 recommendations Report PDF Action Plan
Jul 2023
South West
An independent investigation into the care and treatment of Mr A in Devon
Mr A , who was a service-user under Avon and Wiltshire Mental Health Partnership NHS Foundation Trust
This review should be read in conjunction with the report below, ‘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 …
12 recommendations Report PDF
Jun 2023
North West
An independent investigation into the care and treatment of mental health service user Mr E : Published June 2023
Greater Manchester Mental Health NHS FT
This is the full report of the independent investigation report into the care and treatment of service user Mr E. Following an incident in February 2020 Mr E pleaded guilty to manslaughter on the …
5 recommendations Report PDF
May 2023
South West
An independent investigation into the care and treatment of Mr D
Somerset NHS Foundation Trust
NHS England has published an independent investigation report into the care and treatment of Mr D , a newly-referred patient of mental health services in Somerset, who killed his neighbour in 2020. An action …
6 recommendations Report PDF Action Plan
Apr 2023
Midlands
An independent investigation into the care and treatment of service user Mr X in Herefordshire
The investigation resulted from the death of a 59 year-old woman in 2018 and was commissioned by NHS England once all related criminal proceedings had been concluded. The purpose of the investigation was to …
6 recommendations Report PDF Action Plan
Apr 2023
North West
An independent investigation into the care and treatment of mental health service user Mr E : Published April 2023
Mersey Care NHS Foundation Trust
These are the full report and lessons learned bulletin of the independent investigation report into the care and treatment of service user Mr E. Following an incident in January 2019, Mr E was convicted …
6 recommendations Report PDF
Feb 2023
North West
An independent investigation into the care and treatment of mental health service user Ben: Published February 2023
Mersey Care NHS Foundation Trust
These are the Executive Summary report and a Lessons Learnt bulletin of the independent investigation report into the care and treatment of service user Ben. Executive Summary report Lessons Learned bulletin Ben was convicted …
3 recommendations Report PDF
Dec 2022
North East and Yorkshire
An independent investigation into the care and treatment of Ms F in Cumbria, Northumberland, Tyne and Wear Foundation Trust: Published December 2022
This is the independent investigation into the care and treatment of Ms F in Cumbria, Northumberland, Tyne and Wear Foundation Trust. Cumbria, Northumberland, Tyne and Wear Foundation Trust has also published an assurance statement …
11 recommendations Report PDF
Dec 2022
South West
Independent review of mental health treatment and care provided in Dorset and Nottinghamshire
NHS England has published an independent investigation report into the treatment and care of ‘Mark’ , who killed his step-grandfather after moving from Nottinghamshire to Dorset in 2018. Action plans in response to the …
3 recommendations Report PDF
Nov 2022
London
Independent investigation into the care and treatment of M
This is the independent investigation report into the care and treatment of M published on 22nd November 2022.
6 recommendations Report PDF Action Plan
Nov 2022
North East and Yorkshire
An independent investigation into the care and treatment of Christie at Tees, Esk and Wear Valleys NHS Foundation Trust: Published November 2022
An independent investigation into the care and treatment of Christie at Tees, Esk and Wear Valleys NHS Foundation Trust
This is the independent investigation into the care and treatment of Christie at Tees, Esk and Wear Valleys NHS Foundation Trust. Tees, Esk and Wear Valleys NHS Foundation Trust has also published an assurance …
22 recommendations Report PDF
Nov 2022
North East and Yorkshire
An independent investigation into the care and treatment of Emily at Tees, Esk and Wear Valleys NHS Foundation Trust and Cumbria, Northumberland, Tyne and …
An independent investigation into the care and treatment of Emily at Tees, Esk and Wear Valleys NHS Foundation Trust
This is the the independent investigation into the care and treatment of Emily at Tees, Esk and Wear Valleys NHS Foundation Trust and Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust . Tees, Esk …
13 recommendations Report PDF
Nov 2022
North East and Yorkshire
An independent investigation into the care and treatment of Nadia in West Lane Hospital by Tees, Esk and Wear Valleys NHS Foundation Trust: Published …
Tees, Esk and Wear Valleys NHS Foundation Trust
This is independent investigation into the care and treatment of Nadia in West Lane Hospital by Tees, Esk and Wear Valleys NHS Foundation Trust . Tees, Esk and Wear Valleys NHS Foundation Trust has …
12 recommendations Report PDF
Nov 2022
South West
An independent investigation into the care and treatment of Mr S in Devon
Devon Partnership NHS Trust
NHS England has published a summary mental health homicide review into the care and treatment of Mr S , who was a service-user under the care of Devon Partnership NHS Trust. Mr S fatally …
9 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