May 2023
Somerset NHS Foundation Trust
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. …
Mental Health Investigation
6 recommendations
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Action plan
May 2023
Quality Assurance Review
4 recommendations
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Mar 2023
Quality Assurance Review
8 recommendations
Report PDF
Mar 2023
Quality Assurance Review
9 recommendations
Report PDF
Dec 2022
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 …
Mental Health Investigation
3 recommendations
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Nov 2022
Devon Partnership NHS Trust
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 …
Mental Health Investigation
9 recommendations
Report PDF
Sep 2022
Devon Partnership NHS Trust
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 …
Mental Health Investigation
8 recommendations
Report PDF
Jun 2022
Mental Health Investigation
6 recommendations
Report PDF
Jun 2022
Quality Assurance Review
19 recommendations
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Apr 2022
Devon Partnership NHS Trust
In 2013, NHS England (NHSE) assumed overarching responsibility for the commissioning of independent investigations into mental health homicides and serious incidents committed by patients being treated (or recently treated) for mental illness. …
Mental Health Investigation
2 recommendations
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Action plan
Apr 2022
Quality Assurance Review
7 recommendations
Report PDF
Feb 2022
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 …
Mental Health Investigation
6 recommendations
Report PDF
Action plan
Jan 2022
Cornwall Partnership NHS Foundation Trust
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 …
Mental Health Investigation
2 recommendations
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Action plan
Dec 2021
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 …
Mental Health Investigation
7 recommendations
Report PDF
Action plan
Jul 2021
Avon and Wiltshire Mental Health Partnership NHS Trust
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, …
Mental Health Homicide Review
14 recommendations
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Jan 2021
Gloucestershire Hospitals NHS Foundation Trust
Mental Health Investigation
36 recommendations
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Dec 2020
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 …
Mental Health Homicide Review
17 recommendations
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Jul 2020
Mr P in Dorset NHS England has published an independent investigation report into the care and treatment of a Dorset Healthcare University NHS Foundation Trust
NHS England has published an independent investigation report into the care and treatment of a Dorset Healthcare University NHS Foundation Trust patient who killed another man in Poole in August 2016. Action …
Mental Health Investigation
11 recommendations
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Jan 2020
University Hospitals Bristol and Weston NHS Foundation Trust
Mental Health Investigation
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Oct 2019
To ensure that NHS England continues to commission high quality independent investigations that influence and support system wide development and improvement, NHS England commissioned an external review of all Independent Investigations following …
Mental Health Homicide Review
9 recommendations
Report PDF
Aug 2019
X’ was an inpatient at 2Gether NHS Mental Health Foundation Trust. The 2Gether NHS Foundation Trust
This is the report of an investigation commissioned by NHS England into care and treatment of ‘X’. At the time of the homicide (2014), ‘X’ was an inpatient at 2Gether NHS Mental …
Mental Health Investigation
3 recommendations
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Action plan
Jul 2019
Mental Health Homicide Review
16 recommendations
Report PDF
Feb 2019
Cornwall Partnership NHS Foundation Trust
NHS England has published a mental health homicide review into the care and treatment of Mr M, who was a service-user under the care of Cornwall Partnership NHS Foundation Trust. Both Mr …
Mental Health Investigation
9 recommendations
Report PDF
Action plan
Dec 2018
Royal Cornwall Hospitals NHS Trust
National Guardian's Office
Mental Health Investigation
15 recommendations
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Sep 2018
Mental Health Investigation
14 recommendations
Report PDF