An independent investigation into the care and treatment of service user Mr X in Herefordshire

The investigation resulted from the death of a 59 year-old woman in 2018 and was commissioned by NHS England once all related criminal proceedings had been concluded. The purpose of the investigation was to help the NHS and partners understand if there are lessons that could be learned that could prevent something similar happening in the future.The way that mental health services are delivered in Herefordshire has changed since the incident in 2018 (please seeherefor more details). That’s why t