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Go directly to an alphabetical linking of the subjects of Care

July 2007
... an audit finds that over the five years prior to 2007, 26 cases of Homicide in London were not inquired into ... if figures for england as a a whole are of the same order, it amounts to a lot missed out - all NHS managers are to conduct such a review.

The full guidelines for Inquiries is available can be downloaded

Inquiries after Homicide are concerned to examine the competence of a system of care that was present in the background to a killing, as judged against the ordinary standards at the time The majority of examinations of this kind show a failure of care.
Without a homicide that brings about this examination, it would still remain that the care system was not as it should have been. It is that - rather than the media headlines. which are truthful but stigmatic; or truthful excuses, that events such as this are not predictable - that should be the matter for public concern, shame, and repair.
The public should require a better regard for the plight of those, unable to judge the behaviour of their own illness, unable to remonstrate for themselves, and therfore of necessity, relying upon other agents to take care.

Criteria
An independent investigation should be undertaken in the following circumstances:
1. when a homicide has been committed by a person who is or has been under the care, i.e. subject to a regular or enhanced care programme approach, of specialist mental health services in the six months prior to the event.
2. when it is necessary to comply with the State’s obligations under Article 2 of the European Convention on Human Rights. Whenever a State Article 2 of the European Convention on Human Rights. Whenever a State agent is, or may be, responsible for a death, there is an obligation on the State to carry out an effective investigation.
This means that the investigation should be independent, reasonably prompt, provide a sufficient element of public scrutiny and involve the next of kin to an appropriate extent.

3. 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 suicides.

Initial management review.
In all adverse events, a rapid (usually within 72 hours) internal service management review should take place. This should cover any necessary immediate action with respect to staff, safeguarding notes or equipment as evidence, changes in policies and procedures, changes to ensure safety (such as ligature point removal), communication with relevant individuals and organisations and initial contact with carers and families.

Internal NHS Mental Health Trust investigation The management review will usually be followed by an internal Trust-led investigation, using an approach such as root cause analysis (RCA). This investigation should establish a clear chronology of events leading up to the incident; determine any underlying causes and whether action needs to be taken with respect to policies, procedures, environment or staff. The chronology, statements and report of any internal investigation should be made available to the independent investigation team. In situations where it is clear at the time of the adverse event that an independent investigation will be commissioned by the SHA then discussion and agreement between the Trust and the SHA should take place to establish the nature and scope of the internal Trust investigation to ensure that any duplication of investigation is avoided.

Quote from the outcome of the Edwards appeal to the European Convention ... " Article 13 of the Convention provides:
Everyone whose rights and freedoms as set forth in [the] Convention are violated shall have an effective remedy before a national authority notwithstanding that the violation has been committed by persons acting in an official capacity.

The page editor will respond to any e-mail
mica@jidgey.e7even.com

go to a List in alphabetical Order of the subject of an Inquiry into care following Homicide alphabetical list .

He would like anyone who notices an Inquiry Report that is available but not on the list, to tell me about it, and if possible provide me with a link.

The ones highlit * in red - are the most recent put on this list

The shift to NPSA guidance means ... a mess ...

the D o H finally asks for advice .... a Forensic specialist - Maden - looks at a sample ! I extract and comment

I am also going - where possible to indicate the nature of the mental illness - disorder - as I see it - of the patient in some sort of code:- S- schizophrenia .. lower case 's' if uncertainty etc
eventually I will also put in the date of the event - where I can trace that.
MD = affective illness
PD = personality vulnerability
DPD = PD with criminal record ... and I suppose A N Other.

" It is the responsibility of managers to provide the setting in which resources can be deployed to their best clinical effect "....Inquiry Lingham; Sinclair >

Inquiries by Date of Publication Of Report ; Titled - by who led the Inquiry ; and the subject of the Report
click on the appropriate hyperlink (underlined) in the Inquiry Title column to go to a summary and comment
Inq No.	Inquiry Title	Date of Report	Issuing Health Authority	Telephone No.
1	Ritchie; Clunis SchS	February 1994	North&South East Thames	01717255300
2	Blom-Cooper; Robinson... Sch	January 1995	South Devon H.A.	01803866665
3	Hughes ; Boland alc pd	March 1995	N.W.London Mental HealthTrust	01818300033
4	Davies; Rous(Newby)Sch	July 1995	Oxfordshire H.A.	01865741741
5	Dyer ; McFaddenSch	August 1995	Scottish Office	01315568400
6	Woodley; LaudatSch	September 1995	East London&City H.A.	01819832900
7	Mishcom; Greys?	November 1995	East London& City H.A.	01819832900
8	Harbour ; Viner Sch	March 1996	Dorset H.A.	01202893000
9	Blom-Cooper; MitchellSch	March 1996	Suffolk H.A.	01473323323
10	Main ; GadherSch	April 1996	Ealing,Hammersmith&Hounslow	01818930303
11	Mishcom ;HampshireSch	May 1996	Redbridge&Waltham Forest H.A.	01814785151
12	Freeman ; Armstrong pd	June 1996	Tees H A	01642320000
13	Lingham : SinclairSchch	June 1996	West Kent HA	01622710161
14	Holwill ; MabotaSch	September 1996	Redbridge&Waltham Forest H A	01814785151
15	Barlow; TaylorD	September 1996	Tees H A	01642320000
16	Chapman ; BurtonMD	October 1996	Leicester H A	01162731173
17	Wood ; A. SmithSch	October 1996	South Derbyshire H A	01332626300
18	Brown ; StokerD	December 1996	Northumberland HA	01670514331
19	* ???? ; Weaver Sch	January 1997	North Staffordshire HA	01782298000
20	Chapman ; Mursell Sch	March 1997	Camden & Islington H A	01713834155
21	Leslie ; P-Joughlin	March 1997	Isle of Man Government	01624642608
22	Dixon ; Evan B. alc pd	April 1997	Bromley H A	01813158315
23	* * Scourie ** ; Macleod	June 1997	Highland Health Board , Scotland .
23	Richardson ; Carr	June 1997	Berkshire H A	01189503094
24	Chapman ; Winship Sch	June 1997	Nottingham H A	0115 912334
25	Chambers ; Howells	July 1997	Birmingham H A
26	* ????? ; Newson	July 1997	North Staffordshire H A	01872298000
27	Inquiry James ; GW ( recommendations only )	July 1997	Staffordshire HA
28	Inquiry James ; SN	July 1997	Staffordshire HA	.....
29	Mishcom ; P Smith Sch	July 1997	North-West Anglia H A	01733882288
30	Greenwell: Kopernik -StekelSch	July 1997	Croydon H A	01814013900
31	Sedgman ; Medley	August 1997	West Pennine H A	01614555709
32	Mishcom ; Walsh	September 1997	Coventry H A	01203552225
33	Dimond ; Beynon	October 1997	Avon H A	01179766600
34	Williams ; Horner	November 1997	East Lancashire	01282619909
35	Price ; Scott	December 1997	Bedfordshire H A	01582744800
36	Lingham ; Witts	December 1997	Gloucestershire H A	01452318847
37	Keating ; Dunn	December 1997	Newcastle&North Tyneside H A	01912196000
38	Adams ; StempSch	December 1997	Leicestershire H A	01162731173
39	Double ; Ledgester	January 1998	Calderdale&Kirklees H A	01484466000
40	*** ??? ; Renouf	April 1998	Bexley&Greenwich H A	01812986000
41	Prins ; Patel	April 1998	Leicestershire H A	01162711173
42	Coonan ; Linford	June 1998	North Essex H A	01376516515
43	Armstrong ; Horrod	July 1998	East Norfolk H A	01603700716
44	Gunn ; Calladine ?	August 1998	Nottinghamshire H A	0115912334
45	Johns ; Eske	July 1998	Southampton& South Hants	01703725446
46	Taylor ; Jones	September 1998	County Durham H A	01913333295
47	Lingham ; Bavabhai	September 1998	Wigan & Bolton H A	01942772711
48	Scotland ;Lukewarm LukeS	November 1998	Lambeth,Southwark&Lewisham	01717167000
49	Price ; Nacci	November 1998	Bedfordshire H A	01582744800
50	Double ; Gabriel	December 1998	Calderdale & Kirklees H A	01484466172
51	Greenwood ; Holden	January 1999	East Lancashire H A	01282619909
52	Gulliver;Keegan(KK)	January 1999	Enfield & Haringey H A	01814409384
53	Gunn; Sears Prince	March 1999	North Essex H A	01376516515
54	Herbert;Donnelly	March 1999	Leicestershire	01162731173
55	Dixon;Elgizouli	April 1999	Kens,Chelsea,&WestL.E.L&City	01717253261
56	Curwen;Hooper	May 1999	Lambeth,Southwark&Lewisham	01717167000
57	Halliday; Powell	May 1999	South Cheshire H A	01244650301
58	Holwill;Licorish	May 1999	Northamptonshire H A	01604615000
59	Williams;Murrie	May 1999	Berkshire H A	01189503094
60	Bhatoa;Aslam	September 1999	Bradford H A	01274366007
61	Brown;Crisp	October 1999	Tees H A	01642320000
62	Moyo; 'AB'	October 1999	Kensington,Chelsea,Westminster	01717253333
63	Robinson;Douglass	November 1999	Sunderland H A	01915656256
64	Halliday ; Roberts	December 1999	Wiltshire H A	01380728899
65	Branthwaite ; Allott	January 2000	Warwickshire H A	01296493491
66	Dimond ; Feza M S	January 2000	East London &City H A	01716556617
67	Galbraith ; 'T'	January 2000	County Durham H A	01913333233
68	Laming ; Cummings	January 2000	Somerset H A	01823272710
69	Etherton ; ' TK '	February 2000	Camden & Islington H A	01718535355
70	Eldergill; Allum	April; 2000	Berkshire Health Authority	0118 950 3094
71	Taylor;Alawode	April 2000	Cambridgeshire HA	01480 398500
72	Bell; Da Conceicao (Phillips)MD	April 2000	Kensington,Chelsea & Westminster	020 7725 3260
73	'Kent; 'R'	? April ? 2000	Kent ? mental health Trust	... ?
74	Chapman; Halewood	May 2000	Liverpool Health Authority	0151 236 4747
75	Dick; Lythgoe	May 2000	Wigan&Bolton HA	01942 772764
76	McGowran; Mahmoud	June 2000	Birmingham HA
77	Weereratne;BathdPD	June 2000	Dorset Health Authority
78	Rubenstein; Arnold	June 2000	Buckingham Health Authority	01296 310000
79	item 13 ...Galbraith ; Ms A on B	september 2000	Calderdale West Yorks SHA	Tel: 0113 295 2000 Fax: 0113 295 2126
80	Dimond; WM	July 2000	Brent&Harrow HA	020 8422 6644
81	Mishcom; D.JosephS deaf	September 2000	Merton S & W;Lambeth S & L	tel ?
82	Chapman;CraigieS	September 2000	IofW, Portsmouth&SE Hants HA
83	Eldergill; Cameron	October 2000	Berkshire Health Authority	0118 950 3094
84	Herbert; A JosephS	December 2000	? HA -SWLondon&St George, Trust	?
85	???? : NJ Sch	???? ? 2000	Ealing ? HA	?
86	Galbraith;R&Y	December 2000	Durham & Darlington Health Authority	0191 333 3232
87	Mackay;Horrocks	January 2001	Wirral Health Authority	0151 651 0011
88	Nolan; Hundleby	January 2001	Leicestershire Health Authority	0116 258 8610
89	Chapman; JB	February 2001	Brent & Harrow Health Authority	0208 422 6644
90	Rassaby; Hewett	February 2001	Leicestershire Health Authority	0116 258 8610
91	Bowron; Piccolo	March 2001	North Essex Health Authority	01376 302100
92	Galbraith; 'T'	April; 2001	Birmingham Health Authority	0121 695 2222
93	Roy; anon	April; 2001	Barking & Havering Health Authority	020 8591 9595
94	McGowran; Johnson	April; 2001	Birmingham Health Authority	0121 695 2222
95	Sashidharan; Tute	April; 2001	Ealing, Hammersmith & Hounslow Health Authority
96	Armstrong; Coleman	May 2001	Norfolk Health Authority	tel 01603 307000
97	Bhatoa; Williams	June 2001	Wakefield Health Authority	tel 01924 814400
,98,99. 100	Eldergill; HuntingfordS, Moffat,S LongmanS...together ?	June 2001	North & Mid Hampshire Health Authority	01256 312231
101	Curwen; Leane	August 2001	Brent and Harrow HA	020 8426 9028
102	Dick; Watts	September 2001	North Cheshire Health Authority	01928 593000
103	Downham; Gray	October 2001	Wiltshire Health Authority	01380 728899
104	R Mackay; Rathbone	November 2001	Leicestershire Health Authority	0116 258 8610
105100	Coonan; Hutchinson	November 2001	Lambeth,Southwark& Lewisham Health Authority	0207 655 6600
106	Mackay; Smart	December 2001	Somerset Health Authority	xxx
107	Gilham; Kippax	January 2002	NorthWest Lancashire Health Authority	xxx
108	Gunn; Ackroyd	January 2002	North Derbyshire Health Authority	xxx
109	Price; Hotson	January 2002	East London & City Health Authority	0207 655 6600
110	Arkle; FD&'A'	March 2002	Camden & Islington Health Authority	020 7853 5353
111	Johns; W.Williams	July 2002	Thames Valley Health Authority	01865 337000
112	Holwill; SH	July 2002	North East London Health Authority	0207 655 6600
113	Smoult-Hawtree; Kapte	July 2002	West Yorkshire HA	0113 295 2000
114	Inquiry Bradley; Neale	July 2002	Essex Health Authority	01376 302100
115110	Inquiry Winter; Wills	August 2002	Northumberland &Tyne & Weir H A.	0191 256 3100
116	Downham; Martin	September 2002	Avon Health Authority
117	Inquiry Mishcom; DN	September 2002	North East London Health Authority
118	Greenwood; Steel	September 2002	Lincolnshire (old)Health Authority now Strategic HA
119	Manby; Miss X	November 2002	Bolton PCT 01204 377000 for GMSHA	www.gmsha.nhs.uk
120	Sedgman; AB Sch	December 2002	Brent& Harrow HA - now NWLondonSHA	020 7756 2500
121	Heatly; Mezgebe Sch Sch	December 2002	B Merton Sutton and Wandsworth HA	.... .....
122	Holwill; Marden	january 2003	Leicester,Northamptonshire, and Rutland Strategic HA	0116 295 7500
122 = ?no 57	Bhatoa; A Sch	March 2003	West Yorkshire SHA
123	Robinson; Wild	March 2003	Kent & Medway SHA	01622 710161
124	Galbraith; DG	March 2003	Calderdale and Kirkless (old)Health Authority now Strategic HA
125120	Taylor; GE	March 2003	Leeds HA now West Yorks SHA
126	Kent ;R' Sch	March 2003	Kent & Medway SHA	01622 719802
127	Snowden; Rawcliffe	June 2003	Bury PCT { Greater Manch SHA ]	access Reprt (bottom ofpage) <
128	Barnard; Rogers	May 2003	Kent & Medway SHA	01622 719802
129	Bellis; Bidwell (event 1997!) D	July 2003	Norfolk HA -Norf, suff & Cambridge SHA
130	Galbraith; Q&G	September 2003	County Durham & Tess SHA
131	Galbraith; Ms ''A' .. p d alc	September 2003	West yorkshire SHA
132	ECHR; JT ... Sch[ RCA - comment Prof Burns }	September 2003	NELondon SHA
133 MD	Joyce; Emron MD	October 2003	NE Londom SHA
134S,135mD	Weereratne; H. S Weereratne; Smd	September 2003	South West Peninsular SHA	Link to full Report 01726 627940
136Pd	Robinson; Littlewood	December 2003	County Durham & Tess SHA
137 Sch	Greenwood; Harrison	December 2003	Cumbria & Lancashire SHA	Peter.weller@clha.nhs.uk
138 Sch	Curwen; Mr 'A'	December 2003	NW London SHA	020 7756 2500
139 S	Inquiry Blofeld; Bennet S	February 2004		Norfolk, Suffolk & Cambridgeshire
140 Dep	Inquiry Robinson; dr, S .. Depr	April 2004 (event Feb 2000 )	Hants, & I of Wight SHA and review june 2005 Item 12
141 mD	Inquiry Mackay; X MD	May 2004	South West Peninsular SHA	Link to full Report 01726 627940
142	Inquiry Gledhill; Janes	May 2004	Kent & Medway SHA	01622 719802
143 S 144 S	Inquiry Eldergill:- Hamilton S; - Rehman S	March 2004	Birmingham & Black Country SHA	0121 695 2202
145	Downham; Assaf	April 2004	Trent SHA ( Gedling PCT )	?
146	Inquiry Armstrong; Towell	April 2004	Northumberland & Tees SHA	?
147	Price; Sukumaran MD	May 2004	North East London SHA
148	Grisell; Neaven Sch	May 2004	NWLSHA
149	External RCA Inquiry unpublishedInq PC; Chair Mrs S Williams (pd)	July 2004	Thames Valley SHA 01865 337000 at Board paper 48 Septemeber 2004
150	Inquiry Mackay; P ( S )	July 2004	SW Peninsular SHA	Link to Inquiry Report
151	Smallridge; Waters	july 2004	01293 778849	SE Coast SHA ex wessex SHA	01293 778849
152	link to summary of Inquiry Georgiou; Levy [ D ]	June 2004	Lambeth PCT telephone: (020) 7716 7100	Report from Leroy.Adamson-Parks@lambethpct.nhs.uk,
153	Inquiry SHA Non-exec; Dunbar	November 2004	Norfolk, Suffolk & Cambridge SHA	tel: Tel: 01223 597500 emma.greenfield@nscsha.nhs.uk
154	Gunn; Pick	January 2005	Leicestershire SHA	Tel:0116 2957500
155	Barnard; Hearn	January 2005	Kent and Medway SHA	Tel: 01622 710 161
156	Inquiry Garlick; Gallagher	February 2005	Northumberland, Tyne & Wear SHA	Tel: 0191 210 6400 Fax: 0191 210 6401
157	Inquiry Hope; 'J' Sch (go to a summary)	March 2005	SW Peninsular SHA
158	'AB ...CD ...EF ' ... June 2005 Board Item 10	May 2005	Hampshire & I oW SHA	Tel: 023 8072 5400
159	Inquiry Robinson; Hardy	September 2005	North Central London SHA	020 7808 9899

---

The Authority commissioning the old Mandatory external inquiries now changes , and in the overlap to the new arrangements, the Inquiry system is changing also, without the relatively predictable internal consistency of the old one.
That sort of Inquiry had also been found wanting by the European Court, when one Inquiry [ edwards]had not made sufficent allowance in its practice to give the family affected 'the rights of victims' to an explanation full enough to enable them to decide what further steps thay might take.

The usual 'Court' for this would be an inquest - with new guidelines to Coroners to be sure family 'victims' got their say. In convicted Homicide there will not be a Coroner Inquest.

The old mandatory external Inquiry , which had come to follow some sort of standard process, is now being abandoned, and each relevant Strategic Health Authority, together with the Primary Care Trust and the 'delivering' Care Trust implicated, are devising their own interpretation of what to do, generally saying they are following advice from the National Patient Safety Agency, as to how to apply a Root Cause Analysis procedure to the care and treatment given, and how that contributed to the final event.

The first one to hand is from london and was so hard to follow they asked Professor Burns form George's to comment which he did benignly and in a practical way - although getting the RCA out of the way by saying it was hard to follow !

How far back will they go ?

Some PCT's and SHA's are raising the issue of confidentiality and that they might not publish.

A quite awful Inquiry Report from an event in 1997 has just come to hand [ Bellis; Bidwell ] anorexic in content, and delivered six years late !!?? It quotes the National Confidential Enquiry as backing up giving up the mandatory external Inquiry Reports.
Will they point to inherited Resource constraints: overcrowded admission wards, high re-admission rates, high sickness rates , high locum and agency usage; using 'confidentiality' as an excuse for not seeking wider information about community behaviour, known to family and local people, and the police; finding some consultant psychiatrists somewhat detached, abrogating leadership

Here is the anonymised RCA team at the latest ( Welsh; Khan ) Inquiry Report

.... The members of the Root Cause Analysis Team were independeny of the organisations affected by the incident
,,,, comprised of

TCA Investigator

Chief Nurse ( former MHAct Commissioner

Two Consultancy general adult psychiatrists

Consultant Forensic Psychiatrist

Senior Psychiatric Social Worker

Lay representative and Investigative Co-ordinator

 

160	Snowden:Rawcliffe .. sch	Sept 2003	GMC SHA; Bury MHTrust	tel no Tel: 0161 236 9456
161	ECRI; Khan	November 2004		Report
162	item 6 final Report: Leeds Teaching; Mr'X'	November 2004	West Yorkshire SHA [ ECRI Report ]	Tel: 0113 295 2000 Fax: 0113 295 2126
163	Hayes; 'D' ( RCA )	March 2005	SouthWest Peninsular SHA: 01726 627940	Link to Executive summary and Recommendations
164	Bough; Coulter ... item 10 RCA Summary )	February 2005	SWYorks MHT [West Yorkshire SHA February Board meet item 10]	Tel: 0113 295 2000
165	Inquiry Roberts 'B' and 'F'	May 2005	SWYorks MHT [West Yorkshire SHA February Board meet item 10]	Tel: 0113 295 2000
166	Inquiry Capon; King	June 2005 200	N'folk & Waveney Partnership Trust	01603 421421
155	Baugh; mr B {item 14 ] summary	september 2005 200	West Yorkshire SHA
167	Inquiry Bradley; Salmon	January 2005	press release plus link go to May 2005
168	Jenkins; Davies	june 2005	Camarthenshire Local Health Board	01554 744400
169	Anon; Connelly- press release	Link to Board Paper 48/04sept 2004	Thames Valley SHA enquiries Board Paper 22/04 March 04 (see earlier unpublished homicides Board Paper 22/04 ]	Tel: 01865 337000
170	Harbour; Regan	May 2005	Kent & Medway SHA	Tel: 01622 710 161 Fax: 01622 719 802
171	Inquiry 'JT'	June 2005	Oxleas PCT [ SELondon SHA ]	Tel: 020 7716 7000 communications@selondon.nhs.uk
172	Summary Inquiry Unsworth; 'P'	September 2005	Surrey and Sussex SHA	Tel: 01293 778899 link to full Inquiry Report
173	Inquiry Unsworth ; Mr 'E'	October 2005	South Central SHA	Link to Inquiry Report
174	Sheppard; Mr 'A'	November 2005..	Surrey & Sussex SHA paper 12.06	Tel: 01293 778899 Fax: 01293 778888
175	TridentRCA; Mr 'X' Item 12 {Unsworth; Ralph}	November 2005	West Yorkshire SHA	Tel: 0113 295 2000
176, 177, 178	J,S,P	Board report	Thames Valley SHA	Tel: 01865 337000
179	Inquiry MT	Newcastle Social Services
180	Downham; Newland	2006	Avon & Gloucester SHA item 8:1	Tel: 01249 858500 Fax: 01249 858501
181	Mackay; Ms 'X' .. pd	Feb 2006	Surrey & Sussex SHA paper 12.06	Tel.Tel: 01293 778899
182	Wells-Philip; 'Q' .. pd	Feb 2006	Surrey & Sussex SHA paper 12.06	tel noTel: 01293 778899
183	Snowden:Rawcliffe .. sch	Sept 2003	GMC SHA	tel no Tel: 0161 236 9456
184	Unsworth; Mr 'P'	September 2005	Surrey & Sussex HA	tel Tel: 01293 778899
185	Georgiou; Mr 'M' [pd]	july 2005	Surrey & Sussex HA	tel Tel: 01293 778899
186	Harbour; Loudwell Georghiu: Mr H	March 2006	Kent & Medway SHA (medway PCT )	tel Tel: 01622 710 161
187	Inquiry Galbraith; Leigher	June 2006	Durham & Tees Valley { NE SHA}Tel: 0191 210 6400	http://www.northeast.nhs.uk/predecessor-shas/publications-reports-cdtvsha/independent-inquiries
188	Downham; Newland	full report June 2006	SouthWest SHA; avon gloucester & wiltshire sha	Telephone: 01935 384000 Email: go@southwest.nhs.uk
189,	Inquiry ? ; PH & SS	may 2006	LondonSHA north & east london SHA	020 7655 6600 enquiries@nelondon.nhs.uk
190	Weereratne; Foskett july 2003 summary	July 2006	?	?
191	Price; Soans Wade september 2003 Summary	July 2006	?	?
192	Inquiry Frances; Stone sumary	Inquiry Report September 2006	West kent HA = SE Coast SHA	01293 778899
193	ECRI; Corner	:September 2006	apply to Central Liverpool PCT ]	Tel: 0151 296 7000 Fax: 0151 285 4601
194	Inquiry Dunkley; Hodgkins [ death after restraint ]	:September 2006	link to Inquiry	Portsmouth City Teaching !!! Primary CareTrust Tel 023 9283 8340
195	Inquiry Robinson; Barrett [ summary ]	:November 2006	link to Inquiry Report	SouthWest London & St George's Mental Health NHS Trust
196	Inquiry Barnard; Cann	: October 2006	SW London SHA	SouthWest London & St George's Mental Health NHS Trust
197	Mishcom; PS	2006	Restricted release :summary only	NHS London
198	Inquiry Roberts 'D'	:November 2006	Item 5link to Inquiry Report	Yorks & Humber SHA ; bradford ] Tel: 0113 295 2000
199	Inquiry Marcus; Mariam Miles link to Report	December 2006	London SHA	Tel: 020 7016 8872
200	Inquiry Robinson; Barrett [ summary ]	:November 2006	link to Inquiry Report	London SHA 020 8545 6000
201	inquiry Dineen; S3 Giles pd	:December 2006	Inquiry Report access	Yorkshire & Humber SHA
202,203	Dineen; S1 & S2	:December 2006	Link item 5	Yorkshire & Humber SHA Tel: 0113 295 2000
204	Inquiry Armstrong; Seans Crone	january 2007	link ( left of page ] Report	North East SHA	Tel: 0191 210 6400
205, 206	Inquiries Chambers: OS ( Pers) & Bradshaw; PW ( schiz )	March 2007	summary OS, z summary PW	West Midlands SHA	Tel: 0845 155 1022
207	Inquiry Unsworth; Mr 'E' summary	september 2006	link to Report	south midlands SHA etc	tel Tel: 01635 275500
208	Veritas; MS	june 2006	Bolton	NWest [ GM/c ] SHA etc	tel 0161 236 9456 enquiries@northwest.nhs.uk
209	Dineen; W1(md )	Oct 2006	wolverhampton	West Midlands SHA	Tel: 0845 155 1022
209	210	Inquiry HIW; Mr D: geraint Evans.	2007	Wales HIW	Wales

back to Home page

Dave Sheppard Associates .. a useful site which follows - amongst other things - the Inquiries.

 

* = not released .

** = title is a place name

*** = public Inquiry not held .

Sarah Lawson - a victim [ 145 above ] limited issue, restriction objected too, by the chair

Related Inquiries . Phillips . M.C.