South West
NHS Region67 health investigations in the South West region.
Independent investigation: Leo Norris (10 days old), Brixham (2010)
Mental Health Investigation
Mentally ill mother fatally smothers 10 day old baby. MH historyPreventable. V many failings in care
-1 recommendations
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Independent investigation: Lyn Grant, London (2003)
Mental Health Investigation
Mentally ill man strangles wife in London then returns to Cornwall to kill himself. Ind Inq, 2005
-1 recommendations
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Independent investigation: Mark Pinnell, Clevedon (2009)
Mental Health Investigation
MH patient fatally stabs aquaintance. MH history
12 recommendations
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Independent investigation: Marta Elena Vento, Bournemouth (2020)
Mental Health Investigation
Paranoid schizophrenic fatally batters young hotel receptionist in extended and brutal assault. Recently released from prison – off meds – diminished responsibility
17 recommendations
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Independent investigation: Maxine Penfold, Cullompton, Devon (2004)
Mental Health Investigation
Paranoid Schizophrenic fatally and repeatedly stabbed mother. Ind Inq 2006. Found poor records and teamwork. Mother sought help two weeks before incident
30 recommendations
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Independent investigation: Mayurathy Perinpamoorthy, Yeovil (2013)
Mental Health Investigation
Mentally ill man repeatedly and fatally stabs female acquaintance. Depression, PTSD & alcohol abuse
15 recommendations
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Independent investigation: Michael Martin, Almondsbury, (1999)
Mental Health Investigation
Paranoid schizophrenic kills father with pickaxe. Ind Inq 2003. Father had repeatedly appealed to MH services for help
9 recommendations
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Independent investigation: Michael Redpath, Swindon (2014)
Mental Health Investigation
Mentally disordered woman sets house on fire and locks it killing friend
5 recommendations
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Independent investigation: Michelle Lock, Bournemouth (1998)
Mental Health Investigation
Mentally disordered man rapes and kills woman. Ind Inq 2002
-1 recommendations
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Independent investigation: Mike Bithrey, Bridgwater (2012)
Mental Health Investigation
Mentally ill & deluded man fatally stabs man. Had previously attempted to kill wife
5 recommendations
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Independent investigation: Ms B, Cheltenham (2008)
Mental Health Investigation
Man with history of MH & substance abuse problems kills partner. Convicted of murder
25 recommendations
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Independent investigation: Muriel Viner, Ferndown, Dorset (1995)
Mental Health Investigation
MH patient kills mother with repeated blows from heavy metal disc and commits suicide. MH patient repeatedly bludgeons mother then commits suicide
-1 recommendations
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Independent investigation: Patricia PhilpottsBen Philpotts, Trevarrian (2010)
Mental Health Investigation
Mentally ill man starts fatal house fire after bludgeoning son and battering wife. Long MH history – previous violence, family concerns. 2012, SCR
-1 recommendations
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Independent investigation: Peter Freeman, Newton Abbott (2019)
Mental Health Investigation
Mentally disordered man fatally stabs his father. Took his own life after killing
9 recommendations
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Independent investigation: Peter Lewis, Somerset (1997)
Mental Health Investigation
MH homicide of partner after rape and abuse by carers. Ind Inq 2000
-1 recommendations
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Independent investigation: Philip Hendy, Bristol (2007)
Mental Health Investigation
Psychotic MH patient fatally stabbed stranger. Repeated failings
-1 recommendations
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Independent investigation: Philip Ryan, Honiton (2017)
Mental Health Investigation
Mentally ill man fatally stabs electrician
6 recommendations
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Independent investigation: Phyllis Deane, Shaldon/Torquay Devon (2007)
Mental Health Investigation
Paranoid Schizophrenic fatally and repeatedly bludgeons grandmother with hammer. Indefinite detention under MHA. Had been discharged – not on meds. Inquiry found killing was preventable
14 recommendations
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Independent investigation: Robert CrookElsie Crook, Swindon (2007)
Mental Health Investigation
Mentally ill man fatally batters parents with hammer then drives them to Lincoln. Many service failings
23 recommendations
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Independent investigation: Robert Newby, Sticklepath (2007)
Mental Health Investigation
Mentally ill man fatally stabs friend. Depressive illness, new medication. Victim was also mentally ill
13 recommendations
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Independent investigation: Rosemary Armstrong, Bournemouth (2010)
Mental Health Investigation
Mentally ill woman fatally stabs mother.. Later tried tosue MH trustfor poor care
-1 recommendations
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Independent investigation: Roy Warnes, Plymouth (2002)
Mental Health Investigation
Psychiatric patient kills neighbour. Ind Inq 2004 found failings. Previous Inpatient
1 recommendation
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Independent investigation: Ryan Merna, Poole
Mental Health Investigation
Mentally ill man repeatedly & fatally stabs vulnerable former friend. Previous warnings of violence
11 recommendations
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Independent investigation: Sally Poynton, Crowlas (2021)
Mental Health Investigation
Psychotic man repeatedly and fatally stabbed his mother and wounded his brother. Family made repeated but unsuccessful efforts to get him help beforehand
13 recommendations
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Independent investigation: Sergio Marquez, Bournemouth (2012)
Mental Health Investigation
Paranoid schizophrenic repeatedly and fatally stabs flatmate and mutilates body. London patient, had absconded from Huntley MH unit months before
4 recommendations
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