The findings are published today following an independent investigation into the care and treatment of Mr D.

Mr D attacked Miss Y, another resident, in the common room of their supported accommodation on 27 November 2019. Miss Y sadly died later the same day. Mr D was found guilty of murder and sentenced to a minimum of 15 years in February 2021.

The main purpose of an independent investigation is to ensure that mental health care related homicides are investigated in such a way that lessons can be learned effectively to prevent recurrence. The investigation process may also identify areas where improvements to services are required which could help prevent similar incidents occurring.

The overall aim is to identify common risks and opportunities to improve patient safety and make recommendations about organisational and system learning.

A full copy of the independent investigation report is available on the NHS England and NHS Improvement – East of England website.