Devon Partnership NHS Trust
Independent investigation into the care and treatment provided to Mr X by Devon Partnership NHS Trust (2013)
In 2013, NHS England (NHSE) assumed overarching responsibility for the commissioning of independent investigations into mental health homicides and serious incidents committed by patients being treated (or recently treated) for mental illness. Previously this responsibility had been held by the strategic health authorities.
The purpose of publishing the findings and learning from this investigation some years after the event is to ensure that NHS England and NHS Improvement openly and transparently shares all learning from commissioned NHS independent investigations.
It also serves to provide a progress report on how the learning has changed clinical practice and improved the quality of services to patients experiencing mental health problems in Devon.
The report’s findings and learning are available here.
An assurance report compiled by Devon Partnership NHS Trust, setting out service-improvements in response to the recommendations, is also available.
An independent investigation into the care and treatment of Patient A in Devon
NHS England has published a mental health homicide review into the care and treatment of Patient A, who was a service-user under the care of Devon Partnership NHS Trust. Patient A fatally stabbed a stranger outside a shopping centre in 2018.
Devon Partnership NHS Trust and NHS Devon have both published a joint action plan on their websites, in response to the report’s recommendations.
The action plans are available at:
An independent investigation into the care and treatment of Mr S in Devon
NHS England has published a summary mental health homicide review into the care and treatment of Mr S, who was a service-user under the care of Devon Partnership NHS Trust. Mr S fatally stabbed his father at his parents’ home in 2019.
Devon Partnership NHS Trust and NHS Devon have both published a joint action plan on their websites, in response to the report’s recommendations.
The action plans are available at: