Health Investigations

Independent health investigation reports and reviews commissioned by government or NHS England. Includes mental health homicide investigations, major maternity reviews, patient safety reviews, and other independent investigations into healthcare failures.

797
Investigations
5779
Recommendations
11
Regions

Investigations by Region

Key Findings

797 independent health investigations across 11 regions, producing 5,779 recommendations. 71% of investigations have extracted recommendations. 562 investigations have recommendations tracked.
Independent investigation: Derek Brotherton, Bradford (2004)
North East and Yorkshire
Paranoid Schizophrenic fatally stabs stepdad.. Ind Inq. (2004/1904) 2006. Turned away from hospital day before.
7 recommendations Report PDF
Independent investigation: Derek Salmon, Colchester (2002)
East of England
MH patient fatally and repeatedly stabbed her husband. Yes – Ind Inq
4 recommendations Report PDF
Independent investigation: Derek Saxby, Folkestone (2004)
South East
MH Patient with schizophrenia kills fellow hostel resident. Long MH history. (Ind Inq 2013, Verita)
2 recommendations Report PDF
Independent investigation: Diego Pineiro Villar (12) (A), Covent Garden (2000)
London
fatally stabbed 12 yr old child 30 times. Ind Inq 2002. Judge had previously wanted to section him
-1 recommendations Report PDF
Independent investigation: Dolores Smith, Earlsfield (2012)
London
Paranoid schizophrenic fatally beat mother then slit her throat. 20 year history of mental illness
3 recommendations Report PDF
Independent investigation: Donald Fletcher, Camden (2007)
London
Paranoid schizophrenic fatally batters boyfriend and stabs him 17 times. Long MH history – inquiry found many failings. 2011 Verita
6 recommendations Report PDF
Independent investigation: Donald Lock, Findon (2015)
South East
Paranoid schizophrenic repeatedly and fatally stabs stranger. MH history, some previous violence, family not listened to
21 recommendations Report PDF
Independent investigation: Donna Smart, Shepton Mallet (2000)
South West
MH homicide of wife (alc). Ind Inq 2001
-1 recommendations Report PDF
Independent investigation: Doreen Griggs, Wisbech, Cambs (2004)
East of England
Paranoid schizophrenic smothers and stabs grandmother fatally. Indep Inq. Hanson 2009
8 recommendations Report PDF
Independent investigation: Doreen Mann, Dewsbury (2008)
North East and Yorkshire
MH patient fatally batters wife and cuts her throat before committing suicide. MH history
-1 recommendations Report PDF
Independent investigation: Dorothy Shepherd, Winchcombe (2010)
South West
Paranoid Schizophrenic fatally stabs grandmother. History of prev. violence. V many failings in care
26 recommendations Report PDF
Independent investigation: Douglas Heathwaite, Newton Aycliffe (1995)
North East and Yorkshire
MH homicide of stranger.. Ind Inq 1998
-1 recommendations Report PDF
Independent investigation: Douglas Scott, Manor Park (2007)
London
Schizophrenic repeatedly and fatally stabs mother’s boyfriend with scissors. MH patient in Tower Hamlets, had stopped meds
4 recommendations Report PDF
Independent investigation: Earl Swaby, Bristol (2010)
South West
Mental Health Patient convicted of manslaughter after fatal stabbing. MH history
-1 recommendations Report PDF
Independent investigation: Eddie Thorpe, Dewsbury (2008)
North East and Yorkshire
Paranoid schzophrenic fatally batters father
-1 recommendations Report PDF
Independent investigation: Edna Gadsby, Liverpool (2010)
North West
Paranoid schizophrenic fatally stabs mother (had previously murdered father in Feb 2004 – released 2006). MH staff unaware of previous warning signs
-1 recommendations Report PDF
Independent investigation: Eduardo Mendoza, Hammersmith (2007)
London
Mentally ill woman fatally stabbed uncle 111 times. Had attacked him before. (Ind Inq 2012 Verita)
5 recommendations Report PDF
Independent investigation: Edward Miles, Tower Hamlets (2003)
London
Fatally and repeatedly stabbed husband. Ind Inq 2006
12 recommendations Report PDF
Independent investigation: Edward Shaw, Ladbroke Grove (2006)
London
Mentally ill woman with history of substance abuse repeatedly and fatally stabs friend. History of previous violence
4 recommendations Report PDF
Independent investigation: Edwin Whatsize, Glen Parva (2019)
Midlands
Mentally disordered man repeatedly and fatally stabs grandfather. Diminished responsibility
3 recommendations Report PDF
Independent investigation: Eileen Cameron, Reading, Berks (1997)
South East
MH homicide of mother. Ind Inq 2000
-1 recommendations Report PDF
Independent investigation: Eileen Halewood, Liverpool (1998)
North West
Paranoid schizophrenic fatally stabs mother. Ind Inq 2000
-1 recommendations Report PDF
Independent investigation: Eileen McLachlan, Wallsend, Tyne &Wear (1995)
North East and Yorkshire
Schizophrenic kills mother.. Ind Inq 1997
-1 recommendations Report PDF
Independent investigation: Eleftheria Demetriou, Wood Green (2012)
London
Mentally ill man repeatedly stabbed elderly neighbour. Recently discharged patient
6 recommendations Report PDF
Independent investigation: Elizabeth Cook, Langley, Berks (2006)
South East
Paranoid schizophrenic fatally stabs mother. Ind Inq 2006
4 recommendations Report PDF