East of England
NHS Region88 health investigations in the East of England region.
Independent Assurance Review – Assurance of the investigation report and action plan relating to the care and treatment received by …
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
7 recommendations
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Action Plan
Independent investigation into NHS mental health care of ‘X’
Mental Health Investigation
This Mental Health Homicide Review (MHHR) has been commissioned by NHS England regarding person ‘X’ who had been in contact with mental health services. X died from a fall from a height. X’s wife, Y, was subsequently found to have died due to strangulation. The Major Crime Team concluded that the deaths were due to murder and suicide. Documents Independent Assurance Review – Assurance of the investigation report and action plan relating to the care and treatment received by PS prior to homicide
4 recommendations
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Action Plan
Independent Quality Assurance Review – Norfolk and Suffolk NHS Foundation Trust
Quality Assurance Review
Theindependent assurance reviewprovides an assessment of the implementation of the actions developed in response to recommendations from theindependent investigation into the care and treatment of Mr K in Suffolk.
6 recommendations
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Independent investigation: Adel Makar, Westcliff on Sea (2006)
Mental Health Investigation
MH patient fatally stabs father then hangs himself
25 recommendations
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Independent investigation: Albert Wright, Hainault (2011)
Mental Health Investigation
Mentally ill man fatally stabs elderly relative
8 recommendations
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Independent investigation: Barbara Coleman, Beds (1997)
Mental Health Investigation
Man with schizophrenia fatally stabbed a fellow patient. Ind Inq 1998
-1 recommendations
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Independent investigation: Boris Reavey, Bedford (2008)
Mental Health Investigation
Paranoid schizophrenic fatally stabs stranger three days after release from psych. hospital. long MH history had been inpatient 15 times
-1 recommendations
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Independent investigation: Brenda Horrod, Hickling, Norfolk (1995)
Mental Health Investigation
MH patient fatally batters, stabs and smothers wife day after leaving hospital. Ind Inq 1998, Armstrong
-1 recommendations
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Independent investigation: Brian Haynes, Peterborough (2008)
Mental Health Investigation
Mentally disordered man involved in fatal attack on inmate. Inq found poor care and missed opportunities
-1 recommendations
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Independent investigation: Carol Wetherley, Needham (2010)
Mental Health Investigation
Paranoid Schizophrenic slits mother’s throat claiming Jesus made him do it.. MH History
2 recommendations
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Independent investigation: Christopher Edwards, Chelmsford prison (1994)
Mental Health Investigation
Schizophrenic homicide. Ind Inq 1998, Coonan (European Court HR case)
-1 recommendations
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Independent investigation: Colin Ricketts, Laindon, Essex (2009)
Mental Health Investigation
Mentally ill man with paranoid delusions fatally stabs mother’s boyfriend
5 recommendations
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Independent investigation: Daniel Coleman, Norfolk (1996)
Mental Health Investigation
MH Homicide. Ind Inq 2001 Armstrong
-1 recommendations
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Independent investigation: Denise Palmacci, Bedfordshire (1996)
Mental Health Investigation
Mentally ill man fatally stabs ex-girlfriend after release from Psychiatric hospital. Ind Inq 1997 Price
-1 recommendations
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Independent investigation: Deraye Lewis, Bletchley (2004)
Mental Health Investigation
MH patient fatally punches toddler. Critical Inq. Verita 2010. (Case G) – PD and substance abuse
4 recommendations
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Independent investigation: Derek Salmon, Colchester (2002)
Mental Health Investigation
MH patient fatally and repeatedly stabbed her husband. Yes – Ind Inq
4 recommendations
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Independent investigation: Doreen Griggs, Wisbech, Cambs (2004)
Mental Health Investigation
Paranoid schizophrenic smothers and stabs grandmother fatally. Indep Inq. Hanson 2009
8 recommendations
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Independent investigation: Faith Lovemore (6 wks), Cambridge (2009)
Mental Health Investigation
Mentally ill woman kills baby. MH History
-1 recommendations
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Independent investigation: Frank Empson, Harlow (2006)
Mental Health Investigation
MH patient fatally stabs acquaintance. Drug User
4 recommendations
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Independent investigation: Fred Hodson, Luton (2011)
Mental Health Investigation
Mentally ill man fatally and repeatedly batters strangers head with hammer. Assessed as ‘no danger’ on day of incident
9 recommendations
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Independent investigation: George Acres, Rochford (2018)
Mental Health Investigation
Schizophrenic woman fatally strangles and drowns young son. Found to be insane at the time
3 recommendations
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Independent investigation: Gillian PhilippsDavid Oakes, Stansted Mountfitchet (2015)
Mental Health Investigation
Mentally ill man fatally attacks mother and her partner, weeks after release from prison. Long MH history – subsequently murdered in prison
5 recommendations
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Independent investigation: Graham Rayner, Tavenham, Norfolk (2006)
Mental Health Investigation
Paranoid schizophrenic decapitates victim with axe and hides body in boot of car. Long MH history. prev. violence. Stopped meds. Inq said Preventable.
7 recommendations
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Independent investigation: Jayne Poppy, Leigh on Sea (2002)
Mental Health Investigation
Paranoid Schizophrenic batters girlfriend to death. Ind Inq 2008. Released against advice, missed appts, came off meds, no risk assessment.
19 recommendations
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Independent investigation: John McLusky, Peterborough area (1995)
Mental Health Investigation
MH homicide of mother’s boyfriend. Ind Inq 1997 Mischon
-1 recommendations
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