NHS-related investigations associated with the South West region, with filters for category, recommendation coverage, and publication year.
MH patient kills woman with brick. Family had tried to get him sectioned beforehand
Psychiatric patient fatally stabbed care assistant in hospital. Had previously killed twice before – wanted to avoid move to MH unit which was non-smoking with no wi-fi.
Paranoid schizophrenic fatally strangles then stabs young son. Long MH history, prev. inpatient
MH patient tortures and murders learning disabled man. Drug history – known MH patient
Delusional mentally ill pensioner repeatedly and fatally stabs his neighbour. Seen by MH staff previous day but not admitted due to lack of beds
Paranoid schizophrenic strangles partner. Ind Inq 2003 found serious failings
Mental health patient beats neighbour to death in row over washing machine. MH history.Ind inq. 2013 HASCAS
Paranoid schizophrenic fatally stabs mentally ill man whilst suffering relapse. Indefinite hospital order with restrictions
Mentally ill man bludgeons ex-wife to death with a hammer. Took his own life afterwards
MH patient fatally stabs friend’s boyfriend 17 times. MH historyInd. Inq. Dale
Schizophrenic fatally strangled partner whilst she was in labour with his child. Ind Inq 2001 13 prev admissions. Prev. violence. Records a mess, No Insight
MH homicide. Ind Inq 2002
Schizophrenic repeatedly and fatally stabbed friend. Many failings – serious incident was ‘foreseeable’
Published January 2026 The executive summary of an independent investigation into the care and treatment given to Adult 1, a mental health service user, who fatally attacked a family member, Adult 2, …
This review should be read in conjunction with the report below, ‘Multi-agency systems review to identify the learning following five homicides in Devon (2018-2019); with a focus on mental health care and …
NHS England has published an independent investigation report into the care and treatment of Mr D , a newly-referred patient of mental health services in Somerset, who killed his neighbour in 2020. …
NHS England has published an independent investigation report into the treatment and care of ‘Mark’ , who killed his step-grandfather after moving from Nottinghamshire to Dorset in 2018. Action plans in response …
NHS England has published a summary mental health homicide review into the care and treatment of Mr S , who was a service-user under the care of Devon Partnership NHS Trust. Mr …
NHS England has published a mental health homicide review into the care and treatment of Patient A , who was a service-user under the care of Devon Partnership NHS Trust. Patient A …
NHS England has published an independent investigation report into the care and treatment of Mr K , a patient of mental health services in Somerset, who killed another man in Honiton in …
NHS England and NHS Improvement has published a mental health homicide review into the care and treatment of Mr T , who was a service-user under the care of Cornwall Partnership NHS …
NHS England and NHS Improvement has published a mental health homicide review into the care and treatment of Mr P, who was a service-user under the care of Livewell Southwest. He was …
NHS England has published an independent investigation report into the care and treatment of ‘Ian’ , a patient of Avon and Wiltshire Mental Health Partnership NHS Trust and of Cygnet Health Care, …
Publication date 7 November 2023. NHS England has published an independent investigation report into the care and treatment of ‘JW’ , who killed an employee at the accommodation where he was staying …