Independent investigations are required under NHS guidance (Health Service Guidance (94) 27
) when a person commits murder or manslaughter and they have been in a formal programme of care with specialist mental health services in the six months before the event.
Investigations can also be undertaken where there is evidence of significant service failure, such as a cluster of similar serious incidents.
The purpose of an independent investigation is to examine all the circumstances surrounding the care and treatment provided in each case to identify any shortfalls in the quality of service and to make recommendations for any improvements required or lessons that may be learnt for the future.
Investigations take place following completion of any legal proceedings.
Undertaking independent investigations is the responsibility of strategic health authorities and for the Leicester, Leicestershire and Rutland area that is NHS East Midlands
Independent Investigation 2007/1200
Independent Investigation 2007/197
Independent investigation report 2007/197 was published by NHS East Midlands on
17 December 2010. it sets out the investigation findings regarding the care and management of a mental health service user in the care of LPT from September 2006 to January 2007. The report makes four recommendations, three of which relate to LPT. Our response is set out in our action plan in response to the independent investigation report 2007/197.