What’s Missing – and Why?

Having spent plenty of time reading Preventing Future Death (PFD) reports from inquests, I’ve recently been reading through independent reviews of NHS treatment and care.  I hadn’t realised quite as many of them are easily gathered in one place and they are providing fascinating, for largely similar reasons. In this post, I want to highlight […]

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Krystian Kilkowski

A jury in Norfolk this week has returned a critical conclusion to the inquest in to the death of Krystian Kilkowski in 2020 – Mr Kilkowski died on his 32nd birthday after being restrained by the police for one hour amidst officers and the Force Control room ringing the ambulance service no fewer than six […]

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NHS Independent Reports

Various circumstances can dictate the need for an independent investigation in to the NHS care and treatment of a mentally ill person.  This can include homicide by an existing mental health patient but there is also wider discretion to determine that such an investigation is necessary.  The pages linked here provide links to many independent […]

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