Wales

Independent investigation: Anthony Kitely, Cardiff (2009)

Schizophrenic man attempted to kill his mother then fatally and repeatedly stabbed his friend. Long MH history, recently released by MHRT against advice

Independent investigation: Brian Dodd, Prestatyn (2003)

Paranoid schizophrenic fatally and repeatedly (28 times) stabbed a stranger. V critical indep inq 2004, previously slashed strangers throat 1996. released 2000. Prev danger to others noted. Had stopped meds

Independent investigation: Caroline Evans, Llangadog, Camarthen (2003)

MH patient fatally shot victim then shot himself. Ind Inq 2005 – Previously sectioned for shotgun threat. Public protection not considered

Report of a review in respect of: Mr N and the provision of Mental Health Services, following a Homicide committed in November 2014

Independent investigation: Dean Shorney, Bargoed (2006)

MH patient fatally and repeatedly stabs victim.. Critical Ind Inq 2008. Known high risk of violence.

Independent investigation: Gwen Poole, Llanbradach, Caerphilly (2009)

Deluded Schizophrenic mentally ill man fatally stabs pensioner (stranger). Indefinite hospital order

Independent investigation: James Fortey, Newport, Gwent (2007)

Schizophrenic fatally stabs former school friend. Critical Ind Inq 2009 – not assertive enough

Report of a review in respect of: The provision of mental health care and treatment provided to Mr M by Betsi Cadwaladr University Health Board (BCUHB), prior to committing a homicide in May 2011

Independent investigation: John Rees, Pen Y Graig, Rhondda (2020)

Schizophrenic woman fatally stabs and bludgeons elderly shopper & attempted to murder three others. Had previously sought help for deteriorating Mental Health

Independent investigation: Karen Welsh, Cardiff (2010)

Paranoid Schizophrenic fatally beat and strangled nurse who befriended him. Sought help before killing

Independent investigation: Karina Menzies, Cardiff (2012)

Paranoid schizophrenic kills disabled young mother and injures 17 others. Long MH history, off meds, nearly killed 13 others including children

Independent investigation: Kenneth Auger, Merthyr Tydfil (2008)

Mentally ill man (bipolar) kills neighbour with a hammer. Repeatedly asked MH services for help – ignored

Independent investigation: Margaret Ford, Templeton, Pembs (2009)

Paranoid Schizophrenic fatally and repeatedly stabs mother then cuts her throat. Long MH History – Family critical

Independent investigation: Sandra Bowring (Vincent), Rhyl, Denbighshire (2006)

MH patient fatally stabs woman five times. Ind Inq 2008. Long MH history – failings – avoidable – High risk to others

Independent investigation: Stephen Rees, Cardiff (2011)

Paranoid schizophrenic fatally slashes hostel resident’s throat. Victim was also mentally ill

Independent investigation: Valerie Thomas, Cardiff (2005)

MH patient fatally stabs elderly stranger (2nd choice). Long MH history. Critical Ind Inq. No Risk ass. CCTV

Report of a review in respect of: Mr D and the provision of Mental Health Services, following the Homicide of Father Paul

The Path to Safer Beginnings in Wales: National Assurance Assessment of Maternity and Neonatal Services

National assurance assessment of maternity and neonatal services across Wales, commissioned by the Cabinet Secretary for Health and Social Care in May 2025. Chaired by Professor Sally Holland (former Children's Commissioner for …

The Independent Review of Maternity and Neonatal Services at Swansea Bay University Health Board July 2025

Independent Review of Vascular Services

Independent Review of Contract and Procurement

Independent Review of Planning

Independent Review of the BCUHB Office of the Board Secretary

Independent Review of Interim Appointments to Executive Posts at BCUHB

Independent Review of concerns raised around BCUHB Patient Safety