London
NHS Region184 health investigations in the London region.
Independent investigation: Unknown, Unknown (2004)
Mental Health Investigation
Paranoid schizophrenic with history of violence fatally stabs man. Long history of violent offending and inpatient staysInd Inq 2011 NHS London
4 recommendations
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Independent investigation: Vethanayagam Anthonypillai, East Ham (2013)
Mental Health Investigation
Paranoid schizophrenic fatally stabs father
5 recommendations
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Independent investigation: Vincent Douglas, Lewisham (2017)
Mental Health Investigation
Mentally ill man fatally stabbed fellow hostel resident. History of previous violence when unwell – Restricted patient
3 recommendations
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Independent investigation: Vincenzo Gianni, Chelsea, London (1998)
Mental Health Investigation
MH homicide. Ind Inq 1999
-1 recommendations
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Independent investigation: Virginia Griffiths, Hornchurch (2008)
Mental Health Investigation
Schizophrenic man kills mother. Former inpatient – Much previous violence and threats to kill
1 recommendation
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Independent investigation: Waveney Mclure, Hoxton (2008)
Mental Health Investigation
Paranoid Schizophrenic repeatedly batters mother with a hammer after failing to take meds. detained under MHA
2 recommendations
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Independent investigation: William Kean, Canning Town (2004)
Mental Health Investigation
MH patient repeatedly and fatally batters grandfather. Ctitical Ind Inq
5 recommendations
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Independent investigation: WPC Nina Mackay, Stratford, London (1997)
Mental Health Investigation
Paranoid schizophrenic fatally stabs WPC. Ind Inq 1999
-1 recommendations
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Independent investigation: Zaki Oettinger, Croydon (2013)
Mental Health Investigation
Severely depressed mother kills herself and young son at railway station
12 recommendations
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An Independent Investigation into the care and treatment of Mr M
Mental Health Investigation
This is a learning bulletin from an independent review of Mr M’s care and treatment published on 15 October 2025.
12 recommendations
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An independent care pathway review of a young person: Published July 2025
Pathway Review
This is the shared learning bulletin from an independent review of a young person’s care pathway.
8 recommendations
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Independent investigation into the care and treatment of Mr D
Mental Health Investigation
This is the independent investigation report into the care and treatment of Mr D published on 2 November 2023.
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Action Plan
Independent investigation into the care and treatment of AB
Mental Health Investigation
This is the independent investigation report into the care and treatment of AB published on 18th October 2023.
3 recommendations
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Action Plan
Independent investigation into the care and treatment of M
Mental Health Investigation
This is the independent investigation report into the care and treatment of M published on 22nd November 2022.
6 recommendations
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Action Plan
Joint Safeguarding Adult Review and Independent Mental Health Homicide Investigation, Ms G and Mr Q
Mental Health Homicide Review
This is the Joint Safeguarding Adult Review and Independent Mental Health Homicide Investigation, Ms G and Mr Q published on 10th November 2022.
23 recommendations
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Action Plan
Independent investigation into the care and treatment of Mr Y
Mental Health Investigation
This is the independent investigation report into the care and treatment of Mr Y published on 5th October 2022. Mr Y was in receipt of services in South London.
1 recommendation
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Action Plan
Independent review into the care and treatment of Mr X
Mental Health Investigation
This is the independent investigation report into the care and treatment of Mr X published on 13th June 2022. Mr X was in receipt of services in South West London.
5 recommendations
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Action Plan
Independent Assurance Review – Mr X
Quality Assurance Review
This is the independent assurance review for Mr X published on 4th April 2022. Mr X was in receipt of services in South West London.
6 recommendations
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Action Plan
Independent investigation into the care and treatment of Mr N and Mr G
Mental Health Investigation
This is the independent investigation report into the care and treatment of Mr N and Mr G published on 21st February 2022. Mr N and Mr G were in receipt of services in North London.
7 recommendations
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Action Plan
Independent investigation into the care and treatment of Mr N
Mental Health Investigation
This is the independent investigation report into the care and treatment of Mr N published on the 10thFebruary 2022. Mr N was in receipt of services in West London.
26 recommendations
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Action Plan
Independent investigation into the care and treatment of Mr A and Mr B
Mental Health Investigation
This is the independent investigation report into the care and treatment of Mr A and Mr B on the 31st January 2022. Mr A and B were in receipt of services from South West London and St George’s Mental Health NHS Trust.
10 recommendations
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Action Plan
Independent review of the care and treatment of Mr X
Mental Health Investigation
This is the independent investigation report into the care and treatment of Mr X published on the 26thJanuary 2022. Mr X was in receipt of services from East London Foundation Trust.
2 recommendations
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Action Plan
Independentreview of the care and treatment of Mr G
Mental Health Investigation
This is the independent investigation report into the care and treatment of Mr G published on the 16thNovember 2021. Mr G was in receipt of services from Barnet, Enfield and Haringey Mental Health NHS Trust.
17 recommendations
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Action Plan
Independent investigation into the care and treatment of User A
Mental Health Investigation
This is the independent investigation report into the care and treatment of User A, published on 8th September 2021. User A was in receipt of services from North East London NHS Foundation Trust and North East London CCG.
8 recommendations
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Action Plan
Independent investigation into the care and treatment of Mr X
Mental Health Investigation
This is the independent investigation report into the care and treatment of Mr X, published on 25th August 2021. Mr X was in receipt of services from South London and Maudsley NHS Foundation Trust.
3 recommendations
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Action Plan