Mental Health Homicide Review

This summary reviews the findings of an independent assurance review conducted to evaluate the care and treatment provided to PS by mental health services. The review was initiated after a tragic incident involving PS, which highlighted significant failures in care coordination, clinical management, and service pathways. Documents

This is anindependent review of the care and treatment received by George and Charles prior to an incident of homicide.

These are the Full Report, Associated Action Plan and Home Office Letter for the Joint Domestic Homicide Review and independent mental health homicide investigation in South Cumbria. Full ReportAssociated Action PlanHome Office Letter These documents have also been published by:•Lancashire and South Cumbria NHS FT•NHS Lancashire and South Cumbria ICB•South Cumbria Community Safety Partnership

This is the Joint Safeguarding Adult Review and Independent Mental Health Homicide Investigation, Ms G and Mr Q published on 10th November 2022.

This isthe Joint Domestic Homicide Review and independent mental health homicide investigation in April 2019 in Northumberland. Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust has also publishedan assurance statementinto this case.

This is theJoint Domestic Homicide Review and independent mental health homicide investigation in January 2019, West Cumbria. West Cumbria Community Safety Partnership haspublished an associated action plan which can be found here.

This is thejoint Domestic Homicide and Independent Investigation in to the care and treatment of ‘Dean’, commissioned by Sefton Safer Communities Partnership and NHS England (North). The associatedaction planshave been published by Sefton Safer Communities Partnership and Mersey Care NHS Foundation Trust.

This is theIndependent Reviewundertaken on behalf of Stockport Safeguarding Children Board and NHS England in to the death of Child D.  The Chair of Stockport Safeguarding Children Board took the decision to convene a serious case review in Sept 2015 and commissioned an independent author. NHS England, North Region commissioned an independent review into the care and treatment of the Child D’s father. The Verita team authored Chapter 11 of this report.

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 Homicides (IIMHH) and the national governance arrangements underpinning this work. The review considered investigations undertaken between 2013 – 2017. NHS England has accepted the report findings and have developed an action plan which is

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 Homicides (IIMHH) and the national governance arrangements underpinning this work. The review considered investigations undertaken between 2013 – 2017. NHS England have accepted the report findings and have developed an action plan which i

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 Homicides (IIMHH) and the national governance arrangements underpinning this work. The review considered investigations undertaken between 2013 – 2017. NHS England have accepted the report findings and have developed an action plan which i

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 Homicides (IIMHH) and the national governance arrangements underpinning this work. The review considered investigations undertaken between 2013 – 2017. NHS England have accepted the report findings and have developed an action plan which

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 Homicides (IIMHH) and the national governance arrangements underpinning this work. The review considered investigations undertaken between 2013 – 2017. NHS England have accepted the report findings and have developed an action plan which