Independent investigation: Aiyse Sullivan, Dorset (1997)
Mentally ill man killed girlfriend (PD). Ind Inq 2000
Mental Health Investigation
-1 recommendations
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Source · Investigations in the NHS
South West
NHS-related investigations associated with the South West region, with filters for category, recommendation coverage, and publication year.
101 investigations
79 with recommendations
853 recommendations
14 action plans
Investigations
Independent investigation: Alan Clarke, Salisbury (2008)
Mentally ill man fatally stabs friend. Dem Resp – hospital order MSU
Mental Health Investigation
-1 recommendations
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Independent investigation: Alan Riddock, Bristol (2008)
Mental health patient beats man to death. MH history.Ind inq 2013 HASCAS
Mental Health Investigation
-1 recommendations
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Independent investigation: Alexander Cusworth, HMP Dartmoor (2015)
Mentally disordered prisoner with history of violence fatally stabs fellow prisoner
Mental Health Investigation
2 recommendations
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Independent investigation: Alison Stevenson, Helston (2021)
Mentally disordered man repeatedly and fatally stabbed his grandmother. Convicted of Murder – Life – minimum 18 years
Mental Health Investigation
5 recommendations
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Independent investigation: Brian Marsh, Swindon (2007)
Mentally ill man in frenzied fatal attack on stepfather, and attacks mother. Many failings – Preventable homicide
Mental Health Investigation
23 recommendations
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Independent investigation: Carl James, Swindon (2007)
Schizophrenic fatally stabbed friend 6 times. Prev. threatened violence. Mother warned MH services
Mental Health Investigation
4 recommendations
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Independent investigation: Carol Trethewey (Mrs S), St Austell, Cornwall (2000)
Depressive repeatedly and fatally stabbed wife. Ind Inq 2003, failings in care,got 3 yrs probation
Mental Health Investigation
4 recommendations
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Independent investigation: Colin Beynon, Bristol (1995)
Schizophrenic batters father to death with hammer on home visit. Ind Inq 1997 found “string of errors”
Mental Health Investigation
-1 recommendations
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Independent investigation: Donna Smart, Shepton Mallet (2000)
MH homicide of wife (alc). Ind Inq 2001
Mental Health Investigation
-1 recommendations
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Independent investigation: Dorothy Shepherd, Winchcombe (2010)
Paranoid Schizophrenic fatally stabs grandmother. History of prev. violence. V many failings in care
Mental Health Investigation
26 recommendations
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Independent investigation: Gary Miller, Plymouth (2016)
Mentally ill man fatally batters friend around the head
Mental Health Investigation
9 recommendations
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Independent investigation: Georgina Robinson, Torbay (1993)
Paranoid schizophrenic fatally stabbed occ. therapist in acute psych ward. Ind Inq 1995 MH failures, ‘entirely predictable’ previous assaults
Mental Health Investigation
-1 recommendations
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Independent investigation: John Witts, Cinderford (1995)
Mentally ill man fatally stabs brother. Ind Inq 1997
Mental Health Investigation
-1 recommendations
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Independent investigation: Joseph Osmond, Salisbury (1997)
Mentally ill man fatally and repeatedly stabbed landlord. Ind Inq 1999. previously sectioned, then released before killing
Mental Health Investigation
-1 recommendations
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Independent investigation: Joyce Lovell, Donhead St Mary, Wilts (2008)
Mentally ill man fatally batters mother. Poor practice found
Mental Health Investigation
13 recommendations
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Independent investigation: Lee Turner, Barnstaple (2018)
Paranoid schizophrenic with long history of mental illness fatally stabs complete stranger. Not taking Meds, family’s concerns unheeded
Mental Health Investigation
8 recommendations
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Independent investigation: Leo Norris (10 days old), Brixham (2010)
Mentally ill mother fatally smothers 10 day old baby. MH historyPreventable. V many failings in care
Mental Health Investigation
-1 recommendations
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Independent investigation: Lyn Grant, London (2003)
Mentally ill man strangles wife in London then returns to Cornwall to kill himself. Ind Inq, 2005
Mental Health Investigation
-1 recommendations
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Independent investigation: Marta Elena Vento, Bournemouth (2020)
Paranoid schizophrenic fatally batters young hotel receptionist in extended and brutal assault. Recently released from prison – off meds – diminished responsibility
Mental Health Investigation
17 recommendations
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Independent investigation: Maxine Penfold, Cullompton, Devon (2004)
Paranoid Schizophrenic fatally and repeatedly stabbed mother. Ind Inq 2006. Found poor records and teamwork. Mother sought help two weeks before incident
Mental Health Investigation
30 recommendations
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Independent investigation: Michael Martin, Almondsbury, (1999)
Paranoid schizophrenic kills father with pickaxe. Ind Inq 2003. Father had repeatedly appealed to MH services for help
Mental Health Investigation
9 recommendations
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Independent investigation: Ms B, Cheltenham (2008)
Man with history of MH & substance abuse problems kills partner. Convicted of murder
Mental Health Investigation
25 recommendations
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Independent investigation: Muriel Viner, Ferndown, Dorset (1995)
MH patient kills mother with repeated blows from heavy metal disc and commits suicide. MH patient repeatedly bludgeons mother then commits suicide
Mental Health Investigation
-1 recommendations
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Independent investigation: Patricia PhilpottsBen Philpotts, Trevarrian (2010)
Mentally ill man starts fatal house fire after bludgeoning son and battering wife. Long MH history – previous violence, family concerns. 2012, SCR
Mental Health Investigation
-1 recommendations
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