Explore categories and regions · All investigations
Published Jun 2016
North East and Yorkshire
Tees, Esk and Wear Valleys NHS Foundation Trust
This is the independent investigation into the care and treatment of Ms A , who killed Mr O on 22 February 2013. At the time of the death Ms A was receiving mental health …
13 recommendations
Report PDF
Published Jun 2016
North West
5 Boroughs Partnership NHS Foundation Trust
This is the independent investigation into the care and treatment of Mr P , who attacked and killed a 17-year-old man on 1 January 2015. At the time of the death Mr P was …
5 recommendations
Report PDF
Action Plan
Published Jun 2016
South East
NHS England published an investigation report into the NHS Care provided to the late Daniel Benfield in June 2016, who suffered from a sub-arachnoid haemorrhage. The report sets out key findings and some recommendations …
5 recommendations
Report PDF
Published Jun 2016
South West
University Hospitals Bristol and Weston NHS Foundation Trust
Report PDF
Published Apr 2016
South West
11 recommendations
Report PDF
Published Feb 2016
North East and Yorkshire
Northumberland, Tyne and Wear NHS Foundation Trust
This is the independent investigation into the care and treatment of Mr A, who stabbed and killed his wife. Mr A then committed suicide. At the time of the murder, Mr A was receiving …
2 recommendations
Report PDF
Action Plan
Published Jan 2016
North East and Yorkshire
Northumberland, Tyne and Wear NHS Foundation Trust
This is the independent investigation into the care and treatment of Mr B , who was found guilty of murder and sentenced to life imprisonment after killing Mr X. At the time of the …
4 recommendations
Report PDF
Action Plan
Published Jan 2016
London
Mr I who committed a homicide in April 2012. At the time of the death, Mr I was in receipt of mental health service from Central and North West London NHS Foundation Trust
This is the independent investigation report into the care and treatment of Mr I who committed a homicide in April 2012. At the time of the death, Mr I was in receipt of mental …
8 recommendations
Report PDF
Action Plan
Published Dec 2015
South West
University Hospitals Bristol and Weston NHS Foundation Trust
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Published Dec 2015
East of England
South Essex Partnership University NHS Foundation Trust
Patient Y was convicted of the murder of Mr Z in June 2011. The patient used services provided by South Essex Partnership University NHS Foundation Trust. Services have now transferred to East London NHS …
9 recommendations
Report PDF
Action Plan
Published Dec 2015
Midlands
Birmingham and Solihull Mental Health NHS Foundation Trust
Patient H was convicted of convicted of manslaughter with diminished responsibility of Mrs H. At the time of the death patient H was under the care of Birmingham and Solihull Mental Health NHS Foundation …
4 recommendations
Report PDF
Published Dec 2015
Midlands
South Staffordshire Shropshire Healthcare NHS Foundation Trust
Patient X was convicted of convicted of manslaughter with diminished responsibility of Ms Y. At the time of the death patient X was under the care of South Staffordshire Shropshire Healthcare NHS Foundation Trust.
1 recommendation
Report PDF
Published Dec 2015
East of England
Hertfordshire Partnership NHS Foundation Trust
Patient T was found hanged at his home in January 2013 and his wife M was found apparently suffocated. At the time Patient T was under the care of Hertfordshire Partnership NHS Foundation Trust …
5 recommendations
Report PDF
Action Plan
Published Dec 2015
South West
Published Nov 2015
London
Mr T who committed a homicide in May 2014. Mr T was in receipt of services from Camden and Islington NHS Foundation Trust
This is the independent investigation report into the care and treatment of Mr T who committed a homicide in May 2014. Mr T was in receipt of services from Camden and Islington NHS Foundation …
12 recommendations
Report PDF
Action Plan
Published Nov 2015
Midlands
South Staffordshire Shropshire Healthcare NHS Foundation Trust
Patient K was convicted of the murder of Jane Edwards. At the time of the death patient K was under the care of South Staffordshire Shropshire Healthcare NHS Foundation Trust. The following action plan …
3 recommendations
Report PDF
Action Plan
Published Nov 2015
South West
Mr X, Ms Y and Mr Z NHS England has published the independent investigation report into the care and treatment of a Dorset Healthcare University NHS Foundation Trust
NHS England has published the independent investigation report into the care and treatment of a Dorset Healthcare University NHS Foundation Trust patient who was the victim of a homicide committed by two other patients …
9 recommendations
Report PDF
Action Plan
Published Nov 2015
National
12 recommendations
Report PDF
Published Nov 2015
South West
11 recommendations
Report PDF
Published Oct 2015
South East
October 2015 Connor Sparrowhawk died in July 2013 while he was in the care of Southern Health NHS Foundation Trust
Connor Sparrowhawk died in July 2013 while he was in the care of Southern Health NHS Foundation Trust. An independent report concluded that Connor’s death was preventable and that there were significant failings in …
1 recommendation
Report PDF
Published Jul 2015
National
6 recommendations
Report PDF
Published May 2015
East of England
This is the report of the independent investigation into the care and treatment of Patient Z . Prior to the event his care pathway involved four different trusts. The following action plans are available:
8 recommendations
Report PDF
Action Plan
Published May 2015
East of England
Hertfordshire Partnership University NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Patient P . Patient P was a well-known user of mental health services provided by Hertfordshire Partnership University NHS Foundation …
6 recommendations
Report PDF
Published Apr 2015
London
Mr Q . Mr Q had recently been discharged from Barnet, Enfield and Haringey Mental Health NHS Trust
This is the report of the independent investigation into the care and treatment of Mr Q . Mr Q had recently been discharged from Barnet, Enfield and Haringey Mental Health NHS Trust (BEH) at …
5 recommendations
Report PDF
Action Plan
Published Mar 2015
North East and Yorkshire
Northumberland, Tyne and Wear NHS Foundation Trust
This is the Independent Investigation into the care and treatment of Mr E , who was convicted of the murder of Victim ND. At the time of the death Mr E was receiving mental …
8 recommendations
Report PDF
Action Plan