Explore categories and regions · All investigations
Published Aug 2025
Midlands
Black Country Healthcare NHS Foundation Trust
A Pathway Review of care for people with severe mental ill health who present a level of risk to others in Black Country Healthcare NHS Foundation was designed to support learning and development following …
2 recommendations
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Published Jul 2025
London
This is the shared learning bulletin from an independent review of a young person’s care pathway.
8 recommendations
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Published Oct 2024
East of England
Central and North-West London NHS Foundation Trust
A pathway review was commissioned by NHS England to understand the service changes made after a serious incident involving a death several years ago. The perpetrator was a young man who had been admitted …
4 recommendations
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Published Jul 2023
North West
Lancashire and South Cumbria NHS FT
These documents represent Part A and Part B of the full report for the independent investigation of the care and treatment of Mr X and the Lancashire Pathway Review. Following an incident in 2019, …
9 recommendations
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Published Jul 2023
North West
8 recommendations
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Published Jun 2023
East of England
Norfolk and Suffolk NHS Foundation Trust
This report was commissioned by the trust and made twelve recommendations to improve the care and treatment of service users, and three recommendations to improve practice following a serious incident. The investigation was prompted …
9 recommendations
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