Paranoid Schizophrenic kills heavily pregnant stranger (twins) after rowing with mother.. Ind Inq (2005/95) 2009. Recently released from Psych unit, missed meds. Previous threats to kill.
Mental Health Investigation
9 recommendations
Report PDF
Mentally ill man off meds fatally stabs man. Convicted of Manslaughter by diminished reponsibility
Mental Health Investigation
6 recommendations
Report PDF
MH patient strangles& batters wife with iron then sets body on fire at home in front of children. Ind Inq (2006/1787) 2008. MH recent history, recent release
Mental Health Investigation
8 recommendations
Report PDF
Psychotic MH patient fatally stabs father.. Ind Inq 1996
Mental Health Investigation
-1 recommendations
Report PDF
Northern Lincolnshire and Goole NHS Foundation Trust
National Guardian's Office
Mental Health Investigation
23 recommendations
Report PDF
Mar 2026
Review for the recommendations resulting from several serious incident investigation and governance reports involving Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
This is a Quality Assurance Review for the recommendations resulting from several serious incident investigation and governance reports involving Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust and other local stakeholders.
Quality Assurance Review
2 recommendations
Report PDF
Jan 2026
This is the executive summary of the independent investigation into the care and treatment of Mr P.
Mental Health Investigation
8 recommendations
Report PDF
Jan 2026
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
Mental Health Investigation
14 recommendations
Report PDF
Aug 2025
This is the executive summary of the independent investigation into the care and treatment of Mr L.
Mental Health Investigation
7 recommendations
Report PDF
Jul 2025
Independent Patient Safety Investigation (IPSI) Report of Yusuf Mahmud Nazir Appendices The report has also been published on the following websites:
Mental Health Investigation
17 recommendations
Report PDF
Jul 2025
This is an independent review of the care and treatment received by George and Charles prior to an incident of homicide.
Mental Health Homicide Review
12 recommendations
Report PDF
Jul 2025
Rotherham NHS Foundation Trust
Mental Health Investigation
37 recommendations
Report PDF
Jul 2025
Leeds Teaching Hospitals NHS Trust
Maternity and Neonatal
101 recommendations
Report PDF
May 2025
This is the summary report of an assessment of a mental health trust’s internal investigation of the care and treatment of MB.
Mental Health Investigation
7 recommendations
Report PDF
Apr 2025
This is the shared learning bulletin from an independent review into the care and treatment given George .
Mental Health Investigation
3 recommendations
Report PDF
Mar 2025
This is the executive summary of the independent investigation into the care and treatment of Mr J.
Mental Health Investigation
4 recommendations
Report PDF
Mar 2025
This is the summary report of an assessment of a mental health trust’s internal investigation of the care and treatment of JP.
Mental Health Investigation
10 recommendations
Report PDF
Feb 2025
This is the executive summary of the independent investigation into the care and treatment of patient D.
Mental Health Investigation
6 recommendations
Report PDF
Jan 2025
Mental Health Investigation
21 recommendations
Report PDF
Jan 2025
This is the shared learning bulletin from an independent review into the care and treatment given to Mr G.
Mental Health Investigation
11 recommendations
Report PDF
Jan 2025
This is the executive summary of the independent investigation into the care and treatment of patient E.
Mental Health Investigation
14 recommendations
Report PDF
Jan 2025
Tees, Esk and Wear Valleys NHS Foundation Trust
This is a Quality Assurance Review of practice and governance at Tees, Esk and Wear Valleys NHS Foundation Trust. Shared learning from the review has also been published and is available to …
Quality Assurance Review
2 recommendations
Report PDF
May 2024
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
Mental Health Investigation
12 recommendations
Report PDF
Sep 2023
York Road Surgery; The Rotherham NHS Foundation Trust; Sheffield Children’s NHS Foundation Trust; Yorkshire Ambulance Service NHS Trust
NHS South Yorkshire commissioned an independent investigation into the death of Yusuf and the care and treatment he received from his first contact with health services on 15 November 2022 . The …
Mental Health Investigation
19 recommendations
Report PDF
Jul 2023
NHS England commissioned a limited scope independent review into patient safety concerns and governance processes related to the North East Ambulance Service. Chaired by Dame Marianne Griffiths DBE, the review considered the …
Specialist Service Review
5 recommendations
Report PDF