Jun 2023
Greater Manchester Mental Health NHS FT
This is the full report of the independent investigation report into the care and treatment of service user Mr E. Following an incident in February 2020 Mr E pleaded guilty to manslaughter …
Mental Health Investigation
5 recommendations
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Jun 2023
University Hospitals of Morecambe Bay NHS Foundation Trust
These documents have also been published by: University Hospitals of Morecambe Bay NHS Foundation Trust NHS Lancashire and South Cumbria
Quality Assurance Review
23 recommendations
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Jun 2023
Quality Assurance Review
50 recommendations
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Apr 2023
Mersey Care NHS Foundation Trust
These are the full report and lessons learned bulletin of the independent investigation report into the care and treatment of service user Mr E. Following an incident in January 2019, Mr E …
Mental Health Investigation
6 recommendations
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Mar 2023
Mental Health Homicide Review
26 recommendations
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Feb 2023
Mersey Care NHS Foundation Trust
These are the Executive Summary report and a Lessons Learnt bulletin of the independent investigation report into the care and treatment of service user Ben. Executive Summary report Lessons Learned bulletin Ben …
Mental Health Investigation
3 recommendations
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Sep 2022
An independent investigation into the dissolution of the independent midwifery provider One to One Midwives. One to One Final Report Appendices – August 2022 post One to One Midwives was an independent …
Maternity and Neonatal
81 recommendations
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May 2022
Greater Manchester Mental Health NHS Foundation Trust
An independent investigation into the care and treatment of Ms A This is the Executive Summary of the independent investigation report into the care and treatment of Ms A. Ms A was …
Mental Health Investigation
5 recommendations
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Nov 2021
University Hospitals of Morecambe Bay NHS Foundation Trust
The purpose of this important investigation is to gain a full understanding of clinical and patient outcomes as the result of care delivered by the Trust’s Urology Service. The Investigation has identified …
Specialist Service Review
51 recommendations
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Nov 2021
This is the report of an assurance review of an independent investigation which considered the care and treatment of mental health service user Mr M in Greater Manchester An independent external assurance …
Quality Assurance Review
6 recommendations
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Nov 2021
Christie NHS Foundation Trust
The rapid review was commissioned by NHS England and NHS Improvement, following concerns raised by staff at The Christie Hospital, in relation to the Research & Innovation department. The review makes a …
Mental Health Investigation
38 recommendations
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Oct 2021
Blackpool Teaching Hospitals NHS Foundation Trust
National Guardian's Office
Mental Health Investigation
33 recommendations
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Sep 2021
This is the report of an assurance review of an independent investigation which considered the care and treatment of mental health service user Mr A in Greater Manchester This is the report …
Quality Assurance Review
11 recommendations
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Sep 2021
Mr H. At the time of the incident Mr H was receiving care from Lancashire and South Cumbria NHS Foundation Trust
An independent investigation into the care and treatment of Mr H This is the executive summary of the independent investigation report into the care and treatment of Mr H. At the time …
Mental Health Investigation
4 recommendations
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Aug 2021
David at North West Boroughs Healthcare NHS Foundation Trust
An independent assurance review of the independent investigation into the care and treatment of mental health service user David This is the report of an independent assurance review of an independent investigation …
Quality Assurance Review
9 recommendations
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May 2021
An independent assurance review report into the care and treatment of mental health service user A This is the report of an independent assurance review of North West Boroughs’ internal investigation which …
Quality Assurance Review
12 recommendations
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Oct 2020
Quality Assurance Review
9 recommendations
Report PDF
Jun 2020
David. At the time of his death David was receiving care and treatment from North West Boroughs Healthcare NHS Foundation Trust
An independent investigation into the care and treatment of David. This is the executive summary of the independent investigation report into the care and treatment of David. At the time of his …
Mental Health Investigation
9 recommendations
Report PDF
Action plan
Feb 2020
This is the report of the independent investigation into the care and treatment of mental health service user Mr M This published report includes: Mr M was convicted of the murder of …
Mental Health Investigation
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Jan 2020
Quality Assurance Review
6 recommendations
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Nov 2019
Greater Manchester Mental Health NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of a mental health service user (Mr A). Mr A was arrested and charged with murder in October 2017 …
Mental Health Investigation
11 recommendations
Report PDF
Action plan
Sep 2019
North West Ambulance Service NHS Trust
National Guardian's Office
Specialist Service Review
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Aug 2019
Quality Assurance Review
5 recommendations
Report PDF
May 2019
MN. MN was convicted of manslaughter in August 2017. At the time of the homicide MN was receiving care and treatment from Cheshire and Wirral Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of MN. MN was convicted of manslaughter in August 2017. At the time of the homicide MN was receiving …
Mental Health Investigation
9 recommendations
Report PDF
Dec 2018
Quality Assurance Review
11 recommendations
Report PDF