South East
NHS Region83 health investigations in the South East region.
Independent investigation: Gilbert McCallum, Dover (2001)
Mental Health Investigation
Man with MH problems killed man. Ind Inq 2005
10 recommendations
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Independent investigation: Gordon Stalker, Brighton (2010)
Mental Health Investigation
Paranoid schizophrenic repeatedly and fatally stabs neighbour believing him to be a witch stealing his soul. History of increasingly erratic and threatening behaviour. Inq found death was preventable.
1 recommendation
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Independent investigation: Harry Messenger, Faversham (2017)
Mental Health Investigation
Mentally disordered man repeatedly and fatally batters neighbour with a hammer. Convicted of murder
7 recommendations
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Independent investigation: James Ford, Sunbury (2004)
Mental Health Investigation
MH patient fatally attacked man with brick. Ind Inq 2007, usual problems team work, poor notes
92 recommendations
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Independent investigation: Jan Jensen, Hassocks (2012)
Mental Health Investigation
Mentally ill man fatally stabs MH patient day after release from psych. hospital. Nurses and others falsified records after the killing
10 recommendations
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Independent investigation: Jean Robertson, Sittingbourne (2015)
Mental Health Investigation
Paranoid schizophrenic fatally batters his grandmother. History of previous serious violence, off meds, released by MHRT
13 recommendations
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Independent investigation: Joan Smythe, Rainham (but SE Coast patient) (2002)
Mental Health Investigation
MH patient sexually assaulted and murdered elderly stranger. Ind Inq 2006 Family had been trying to get him help
-1 recommendations
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Independent investigation: Joe Lewis, Brighton (2014)
Mental Health Investigation
Paranoid schizophrenic fatally stabs friend. Judge said a‘disaster waiting to happen’
14 recommendations
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Independent investigation: John McCarthy, Waterlooville (2009)
Mental Health Investigation
Deluded Paranoid Schizophrenic fatally stabbed friend thinking he was on mission to assassinate IRA. Long MH History – recently released from Psych hospital
2 recommendations
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Independent investigation: John McKenna, Egham, Surrey (2006)
Mental Health Investigation
Paranoid Schizophrenic fatally stabs friend days after release from Psych unit (Chertsey). MH history (Ind Inq 2013, Verita)
7 recommendations
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Independent investigation: John Stevens, Woking (2001)
Mental Health Investigation
MH patient fatally and repeatedly stabbed friend. Poor risk assessment, CPA, & information sharing. 2003, Mackay
-1 recommendations
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Independent investigation: John Willdig, Southampton (2014)
Mental Health Investigation
Paranoid schizophrenic fatally stabs pensioner. MH history
13 recommendations
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Independent investigation: John Williams, Camberley (2011)
Mental Health Investigation
Mentally ill man repeatedly and fatally stabs man
15 recommendations
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Independent investigation: Jonathan Ellison, Brighton (2011)
Mental Health Investigation
Mental Health Patient fatally batters vulnerable man. Long Forensic history, D&A problems, PD
-1 recommendations
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Independent investigation: Jonathan Newby, Oxford (1993)
Mental Health Investigation
Psychotic fatally attacked volunteer care worker. Ind Inq 1995, previously sectioned
5 recommendations
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Independent investigation: Joseph Day, Folkestone (2001)
Mental Health Investigation
Schizophrenic (triggered or exacerbated by drug abuse) fatally stabbed another. Ind Inq 2004 found failures and errors. No Risk Ass. Team work poor
-1 recommendations
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Independent investigation: Judith Kimber, Portsmouth (2004)
Mental Health Investigation
Paranoid Schizophrenic with history of violence fatally smothers mother
6 recommendations
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Independent investigation: Julie Ann Wendel (Ms L), Netherfield, East Sussex (2002)
Mental Health Investigation
Long term MH patient strangled girlfriend. Indep Inq. Previous violence. 2005, Georgiou
9 recommendations
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Independent investigation: Justin Skrebowski, Abingdon (2015)
Mental Health Investigation
Psychotic man fatally stabs stranger. Long history of MH problems & violence. Had prev made threats to kill
5 recommendations
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Independent investigation: Katie Kazmi, Reading (1999)
Mental Health Investigation
Schizophrenic ex Broadmoor inmate fatally stabs stranger 77 times. Ind Inq 2002. ‘damning indictment of incomptence and complacency
-1 recommendations
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Independent investigation: Keith Bevis, Portsmouth (2013)
Mental Health Investigation
Paranoid schizophrenic fatally stabs man 38 times. 24 year history of mental illness – ‘revolving door’ patient
11 recommendations
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Independent investigation: Keziah Flux Edmonds, East Cowes, IoW (2016)
Mental Health Investigation
Depressed man fatally drowns daughter and takes his own life. MH history
12 recommendations
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Independent investigation: Laura Sturla, Gillingham (2003)
Mental Health Investigation
Mentally ill man fatally injects former patient with heroin
-1 recommendations
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Independent investigation: Lin & Megan Russell, Kent (1996)
Mental Health Investigation
Man with PD & psychosis killed strangers with a hammer. Ind Inq 2006, Had asked for help before incident.
7 recommendations
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Independent investigation: Lorna Thomas, Milton Keynes (1995)
Mental Health Investigation
MH man stabbed his girlfriend. Ind Inq 2000
9 recommendations
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