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NHS Yorkshire and the Humber

A key task of the integrated governance team at NHS Yorkshire and the Humber is the commissioning, management and reporting of independent investigations.

In accordance with national guidance, Strategic Health Authorities (SHAs) are responsible for commissioning an independent investigation in the following circumstances:

  • When a homicide has been committed by a person who is or has been under the care of specialist mental health services in the six months prior to the event
  • When it is necessary to comply with the government’s obligations under Article 2 of the European Convention on Human Rights. Whenever a government agent is, or may be, responsible for a death, there is an obligation on the government to carry out an effective investigation
  • Where the SHA determines that an adverse event warrants independent investigation, for example if there is concern that an event may represent significant systemic service failure, such as a cluster of unexpected deaths including suicides

The purpose of an independent investigation when a homicide has been committed by a person who is, or has been under the care of specialist mental health services in the six months prior to the event, is to examine all the circumstances surrounding the care and treatment provided in each case to identify any errors or shortfalls in the quality of service and to make recommendations for improvement as necessary.

Since 2006, NHS Yorkshire and the Humber has published the independent investigation reports set out in the table below:

Independent investigation 2006/8119

pdf iconFinal report (438.2KB)

pdf iconAction plan (41.8KB)

 Independent investigation 2006/4924  

pdf iconFinal report(406.8KB)

 

pdf iconAction Plan (70.2KB)

Independent investigation
2006/1787

pdf iconFinal Report   (118KB)

pdf iconAction Plan (69.4KB)

Independent investigation 2005/3404

pdf icon Final report (135.7KB)

pdf iconAction plan (107.4KB)

Independent investigation 2005/2100

pdf iconFinal report (227.7KB)

pdf iconAction plan (136.5KB)

Independent investigation 2005/2081 pdf iconFinal report    (232KB)

pdf iconAction plan (133.1KB)

Independent investigation 2005/2579  

pdf iconFinal report (459.7KB)

 

pdf iconAction Plan (57.4KB)

Independent investigation 2005/2880

 

pdf iconFinal report (340.4KB)

 

pdf iconAction Plan (73.3KB)

Independent investigation 2004/3403

pdf iconFinal Report (368.5KB)

 pdf iconAction Plan (99.4KB)

 

Independent investigation 2004/1964

pdf icon Final report (346.3KB)

 
Independent investigation 2004/1904 

pdf iconFinal report (207.3KB)

pdf iconAction plan (46.6KB)
Independent investigation 2004/680

pdf iconFinal Report (128.3KB)

pdf iconAction Plan (67.8KB)

Independent investigation  2004/487

pdf iconFinal Report (897.9KB)

pdf iconAction Plan (49KB)

Independent investigation
2003/827 and 2004/282

pdf iconFinal report (298.4KB)

pdf iconAction plan (71.6KB)

Independent investigation 2003/1578 and 2005/95

pdf iconFinal report 2003/1578 (246.9KB)

 pdf iconFinal report 2005/95 report (264.6KB)

 

 pdf iconOverarching report and action plans (175.9KB)

pdf iconHumber mental health trust statement - BH (51.1KB)

pdf iconHumber mental health trust statement - MT (94.9KB)

 

 

An independent inquiry report, commissioned by the SHA, into incidents at Airedale NHS Foundation Trust between 2000 and 2002.

pdf iconJoint media statement (21.6KB)

 

pdf iconEnc B - Airedale Independent Inquiry Report (cover sheet) (43.7KB)

pdf iconEnc B - Airedale Independent Inquiry Report (685.5KB)

pdf iconEnc B - Airedale Independent Inquiry Report - Appendices (24.3MB)

pdf iconEnc B - Airedale Independent Inquiry Report - Action Plan (159.1KB)

 

 

A report on Breast Cancer Services at Scarborough and North East Yorkshire Healthcare NHS Trust in 2008

An independent peer review commissioned by NHS Yorkshire and the Humber

pdf iconFinal report (131.8KB)

 

pdf iconJoint NHS statement (43.3KB)

  

pdf iconAction plan (119.4KB)

 

 

An independent review into three
serious untoward incidents that
occurred within the learning disability services in Bradford.

pdf iconYHSHA Independent Review (Bradford LD) (191.4KB)

 

 

Report of the Independent Inquiry into the Colin Norris Incidents at Leeds Teaching Hospitals NHS Trust in 2002

   

 

pdf iconFinal report (297KB)

 

 

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