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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
NHS England and NHS Improvement’s Independent Investigation Governance Committee would like to thank the author, external partners, lay representatives and regional leads who contributed to the report.
Published Jul 2020
London
1 recommendation Report PDF
An independent investigation into the care and treatment of a mental health service user Mr P in Dorset
Published Jul 2020
South West
Mr P in Dorset NHS England has published an independent investigation report into the care and treatment of a Dorset Healthcare University NHS Foundation Trust
NHS England has published an independent investigation report into the care and treatment of a Dorset Healthcare University NHS Foundation Trust patient who killed another man in Poole in August 2016. Action plans in …
11 recommendations Report PDF
An independent investigation into the care and treatment of a mental health services user ‘Mr P’ in Essex – June 2020
Published Jun 2020
East of England
Findings are published today of an independent investigation into the circumstances surrounding the care and treatment of Mr P, a mental health service user in Essex . Sincerest sympathies are offered to all the …
5 recommendations Report PDF Action Plan
An independent investigation into the care and treatment of David: Published June 2020
Published Jun 2020
North West
David. At the time of his death David was receiving care and treatment from North West Boroughs Healthcare NHS Foundation Trust
An independent investigation into the care and treatment of David. This is the executive summary of the independent investigation report into the care and treatment of David. At the time of his death David …
9 recommendations Report PDF Action Plan
Whittington Health NHS Trust: A summary of speaking up learning and actions in response
Published Jun 2020
London
Whittington Health NHS Trust · National Guardian's Office
Report PDF
An independent investigation into the care and treatment of a mental health service user A in NAViGO: Published March 2020
Published Mar 2020
North East and Yorkshire
This is the report of the independent investigation into the care and treatment of a mental health service user A in NAViGO. An independent investigation assurance review (published June 2021) can be viewed here.
5 recommendations Report PDF
Report to NHS England and NHS Improvement and St George’s University Hospitals NHS Foundation Trust of the Independent Scrutiny Panel for Cardiac Surgical Services at St George’s University Hospitals
Published Mar 2020
London
21 recommendations Report PDF
Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust March 2020
Published Mar 2020
London
12 recommendations Report PDF
An independent investigation into the care and treatment of Jack by Rotherham Doncaster and South Humber NHS Foundation Trust: Published February 2020
Published Feb 2020
North East and Yorkshire
Rotherham Doncaster and South Humber NHS Foundation Trust
This is the abridged executive summary of the independent investigation into the care and treatment of Jack. An independent quality assurance review (published August 2021) can be viewed here.
6 recommendations Report PDF
An independent investigation into the care and treatment of a mental health service user (Mr M) in Greater Manchester: Published February 2020
Published Feb 2020
North West
This is the report of the independent investigation into the care and treatment of mental health service user Mr M This published report includes: Mr M was convicted of the murder of a man …
Report PDF
Stage 1 Report into Southern Health NHS Foundation Trust by Nigel Pascoe QC
Published Feb 2020
South East
33 recommendations Report PDF
Independent investigation report into the care and treatment of Mr N in Derbyshire
Published Jan 2020
Midlands
Mr N was released from prison whilst detainable, but no suitable bed could be found. Mr N approached a policeman saying he was hearing voices telling him to kill people. The policeman took him …
10 recommendations Report PDF
An independent inquiry into the care and treatment of Mr CD: January 2020
Published Jan 2020
South East
Southern Health NHS Foundation Trust
This is a report of the independent investigation into the care and treatment of Mr CD who was convicted of murder on 8 March 2016. Mr CD had received mental health and substance misuse …
13 recommendations Report PDF
An independent investigation into the care and treatment of Mr K: January 2020
Published Jan 2020
South East
This is an independent investigation into the care and treatment of Mr K , a mental health service user in Sussex.
10 recommendations Report PDF
The Independent Inquiry into Histopathology Services A report for University Hospitals Bristol NHS Foundation Trust December 2010
Published Jan 2020
South West
University Hospitals Bristol and Weston NHS Foundation Trust
Report PDF
Independent investigation into the care and treatment of Mr B and Ms A
Published Nov 2019
London
Mr B and Ms A, published on 13 November 2019. Mr B and Ms A were in receipt of services from Central and North West London NHS Foundation Trust
This is the independent investigation report into the care and treatment of Mr B and Ms A, published on 13 November 2019. Mr B and Ms A were in receipt of services from Central …
32 recommendations Report PDF Action Plan
An independent investigation into the care and treatment of a mental health service user (Mr A) in Greater Manchester
Published Nov 2019
North West
Greater Manchester Mental Health NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of a mental health service user (Mr A). Mr A was arrested and charged with murder in October 2017 and was …
11 recommendations Report PDF Action Plan
report into the care and treatment of X
Published Oct 2019
South East
7 recommendations Report PDF
An independent investigation into the care and treatment of two mental health service users Mr A and Mr O in Lincolnshire: Published 9 September 2019
Published Sep 2019
North East and Yorkshire
This is the report of the independent investigation into the care and treatment of two mental health service users Mr A and Mr O. This is the Independent Quality Assurance Review of Mr A …
8 recommendations Report PDF
An independent investigation into the care and treatment of a mental health service user Mr. K in Suffolk
Published Sep 2019
East of England
This independent investigation arises from the murder of Russell, 37, on 13 June 2013. Mr K admitted manslaughter on the grounds of diminished responsibility and was detained indefinitely under the Mental Health Act.
6 recommendations Report PDF
An independent investigation into the care and treatment of a mental health service user (Tom) in Cambridgeshire – September 2019
Published Sep 2019
East of England
Sally. He had a long and complex mental health history and had previously had contact with mental health services at Northamptonshire Healthcare NHS Foundation Trust
The findings of an independent investigation into the circumstances surrounding the care and treatment of Tom are published on this webpage. Tom was charged and convicted of the manslaughter by diminished responsibility of his …
7 recommendations Report PDF
Report of the Liverpool Community Health Independent Review
Published Sep 2019
National
10 recommendations Report PDF
Barking, Havering and Redbridge University Hospitals NHS Trust Independent review of Board governance
Published Sep 2019
National
12 recommendations Report PDF
Investigation Report NHS Improvement re: Wirral University Teaching Hospital NHS Foundation Trust - Issues Arising from Senior Staff Concerns Reported in Late 2017
Published Sep 2019
National
2 recommendations Report PDF
Independent review into treatment and care provided by 2Gether NHS Mental Health Foundation Trust
Published Aug 2019
South West
X’ was an inpatient at 2Gether NHS Mental Health Foundation Trust. The 2Gether NHS Foundation Trust
This is the report of an investigation commissioned by NHS England into care and treatment of ‘X’. At the time of the homicide (2014), ‘X’ was an inpatient at 2Gether NHS Mental Health Foundation …
3 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