NHS-related investigations associated with the Midlands region, with filters for category, recommendation coverage, and publication year.
Mentally ill man in stolen car fatally reverses over stranger, after assaulting a family claiming he was Jesus. Convicted Manslaughter by diminished responsibility
Psychotic MH patient stabs young boy (stranger) and father then beats pensioner to death (also a stranger). Ind Inq 2001 – prev hist of violence, left hospital day before, terrible failures, stopped …
Detained paranoid schizophrenic leaves hospital without permission and kills brother in law. Ind Inq 2005
This document provides an overview of key findings from an independent investigation into the NHS care of a young man (Mr N) who killed a close relative. The subsequent investigation, carried out …
This investigation relates to the care and treatment of an adult female (referred to as Ms P in the document) who was known to local mental health services prior to her conviction …
NHS England Midlands Region, commissioned Niche Health and Social Care Consulting Ltd to carry out an independent investigation into the care and treatment of mental health service user SV following a domestic …
This investigation relates to the care and treatment of Mr B during the period between October 2020 and 11 July 2023 when a homicide took place. At the time of the incident …
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 …
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 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 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 …
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 …
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 …
The investigation was prompted by the death of a 92 year-old man in 2019 and was commissioned by NHS England once all related criminal proceedings had been concluded. The purpose of the …
Independent review of maternity services at The Shrewsbury and Telford Hospital NHS Trust, commissioned by the Secretary of State for Health and Social Care in 2017. Led by Donna Ockenden (senior midwife). …
The investigation was prompted by the death of a 34 year-old man in 2017 and was commissioned by NHS England once all related criminal proceedings had been concluded. The purpose of the …
The investigation was prompted by the death of a 37 year-old woman in 2017 and was commissioned by NHS England once all related criminal proceedings had been concluded. The purpose of the …
This investigation was prompted by the death of a nine-year-old boy in 2014 and was commissioned by NHS England once all related criminal proceedings had been concluded. The purpose of the investigation …
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 …
Patient Mr S killed victim 1 and victim 2 and then committed suicide. He had been in contact with mental health services delivered by Derbyshire Healthcare NHS Foundation Trust.
Patient Mr A was charged and convicted of murdering his mother on 3 July 2012. Patient Mr B was charged and convicted of murdering his mother on 20 July 2011. The independent …
P was charged with the murder of Christina in 2013. The independent External Quality Assurance Review was commissioned by NHS England to review progress against the recommendations and actions identified as part …
Patient Mr AS took his life in October 2013 following a long and complex history of mental health illness. The purpose of the review was to fully consider the care and treatment …
Patient Ms Z was convicted of manslaughter with diminished responsibility of the victim. She had previously been in contact with mental health services delivered by Derbyshire Healthcare NHS Foundation Trust.
Patient P was convicted of manslaughter with diminished responsibility of Christina. He had previously been in contact with mental health services and prison mental health services in the West Midlands.