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Published Mar 2015
North East and Yorkshire
Tees, Esk and Wear Valleys NHS Foundation Trust
This is the independent investigation into the care and treatment of Mr F , who was found guilty of two murders and received two life sentences with a minimum term of 37 years. At …
10 recommendations
Report PDF
Action Plan
Published Mar 2015
South West
William Mead from Cornwall died on 14 December 2014, aged 12 months. A coroner’s inquest into William’s death, held on 10 June 2015, identified missed opportunities for an earlier diagnosis and escalation which might …
14 recommendations
Report PDF
Published Feb 2015
National
2 recommendations
Report PDF
Published Jan 2015
North West
5 Boroughs Partnership NHS Foundation Trust
This is the independent investigation into the care and treatment of Patient R , who committed a homicide in April 2011. At the time of the death Patient R was receiving mental health services …
10 recommendations
Report PDF
Action Plan
Published Jan 2015
National
49 recommendations
Report PDF
Published Dec 2014
North West
Mr Y. M r Y received care and treatment for his mental health condition from Mersey Care NHS Trust
This is the report and executive summary of the independent investigation into the care and treatment of Mr Y. M r Y received care and treatment for his mental health condition from Mersey Care …
9 recommendations
Report PDF
Action Plan
Published Dec 2014
National
10 recommendations
Report PDF
Published Nov 2014
North East and Yorkshire
Mr. L. At the time of the incident (2011) Mr L had three brief episodes of care with South West Yorkshire Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr. L. At the time of the incident (2011) Mr L had three brief episodes of care with South West …
13 recommendations
Report PDF
Published Nov 2014
North West
Mr G . Mr G received care and treatment for his mental health condition from Lancashire Care NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr G . Mr G received care and treatment for his mental health condition from Lancashire Care NHS Foundation Trust. …
3 recommendations
Report PDF
Action Plan
Published Nov 2014
North West
Mr B and Ms C . At the time of the homicide (2012) Mr B and Ms C were receiving care from Mersey Care NHS Trust
This is the report of the independent investigation into the care and treatment of Mr B and Ms C . At the time of the homicide (2012) Mr B and Ms C were receiving …
2 recommendations
Report PDF
Action Plan
Published Nov 2014
North East and Yorkshire
Mr J . At the time of the incident (2010) Mr J had been receiving support from a community mental health team at South West Yorkshire Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr J . At the time of the incident (2010) Mr J had been receiving support from a community mental …
2 recommendations
Report PDF
Published Nov 2014
South East
This is the report of the independent investigation into the care and treatment of Mr D and a follow up review . At the time of the homicide (2011), Mr D was receiving mental …
4 recommendations
Report PDF
Action Plan
Published Oct 2014
East of England
South Essex University Partnership NHS Foundation Trust
These are the full reports of the independent investigation into the care and treatment of X . X was found guilty of murder in January 2012. He had previously had contact with mental health …
8 recommendations
Report PDF
Action Plan
Published Oct 2014
North East and Yorkshire
South West Yorkshire Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr N . At the time of the incident (2011) Mr N was not in receipt of mental health services. …
6 recommendations
Report PDF
Published Oct 2014
North East and Yorkshire
Sheffield Health and Social Care NHS Foundation Trust
This is the executive summary of the independent investigation into the care and treatment of Patient L . At the time of the homicide (2011) Patient L was receiving community mental health services provided …
8 recommendations
Report PDF
Action Plan
Published Oct 2014
South East
Mr Z . At the time of the homicide (2010) attempts were being made for Mr Z to access services from the Sussex Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr Z . At the time of the homicide (2010) attempts were being made for Mr Z to access services …
7 recommendations
Report PDF
Published Oct 2014
National
1 recommendation
Report PDF
Published Oct 2014
National
17 recommendations
Report PDF
Published Sep 2014
North West
Mr M . At the time of the homicide (2013) Mr M was receiving care and treatment from Mersey Care NHS Trust
This is the report of the independent investigation into the care and treatment of Mr M . At the time of the homicide (2013) Mr M was receiving care and treatment from Mersey Care …
7 recommendations
Report PDF
Action Plan
Published Sep 2014
East of England
Norfolk and Suffolk NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of B who was killed by her husband A in 2011. A had previously had contact with mental health services in …
5 recommendations
Report PDF
Action Plan
Published Sep 2014
South West
Mr S . At the time of the homicide (2011) Mr S was receiving care and treatment from Somerset Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr S . At the time of the homicide (2011) Mr S was receiving care and treatment from Somerset Partnership …
5 recommendations
Report PDF
Published Jul 2014
London
South London and Maudsley NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr DE . At the time of the homicide (2011) Mr DE was in receipt of psychiatric services provided by …
6 recommendations
Report PDF
Action Plan
Published Jul 2014
South East
This is the report of the independent investigation into the care and treatment of Mr P . At the time of the homicide (2009) Mr P was receiving mental health services from Kent and …
8 recommendations
Report PDF
Published Jul 2014
South East
Mr B . At the time of the homicide (2010) Mr B was receiving care and treatment from Sussex Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr B . At the time of the homicide (2010) Mr B was receiving care and treatment from Sussex Partnership …
2 recommendations
Report PDF
Published Jun 2014
North East and Yorkshire
Northumberland, Tyne and Wear NHS Foundation Trust
This is the executive summary of the independent investigation into the care and treatment of Patient E . At the time of the homicide (2008) Patient E was receiving mental health services provided by …
29 recommendations
Report PDF
Action Plan