NHS England assumed responsibility for the commissioning and oversight of independent investigations in 2013. The 2018/19 Annual Report of Independent Investigations has been published today (30 July 2020)
The 2018/19 Annual Report details the findings and performance of commissioning of independent investigations, which primarily relate to homicides committed by those in receipt of mental health services. Independent investigations carried out under the Serious Incident Framework (2015) ensure that mental health care-related homicides are investigated in such a way that effective learning can be identified, and changes implemented to minimise the risk of recurrence.
NHS England and NHS Improvement has accepted the report findings, which will inform regional and national workplans to influence system improvements.
NHS England and NHS Improvement’s Independent Investigation Governance Committee would like to thank the author, external partners, lay representatives and regional leads who contributed to the report.
- South West Local Area
- Royal Cornwall Hospitals NHS Trust
- Cornwall Partnership NHS Foundation Trust
- Somerset Partnership NHS Foundation Trust
- Avon and Wiltshire Mental Health Partnership NHS Trust
- 2Gether NHS Mental Health Foundation Trust
External review of all Independent Investigations following Mental Health Homicides
To ensure that NHS England continues to commission high quality independent investigations that influence and support system wide development and improvement, NHS England commissioned an external review of all Independent Investigations following Mental Health Homicides (IIMHH) and the national governance arrangements underpinning this work. The review considered investigations undertaken between 2013 – 2017.
- External review independent investigations Executive Summary
- External review independent investigation report
NHS England have accepted the report findings and have developed an action plan which is being implemented and monitored via the regional and national governance mechanisms.
NHS England’s Independent Investigation Governance Committee would like to thank the authors, external partners, lay representatives and regional leads who contributed to the review.