The record

Reviews

Each entry is one inquiry, investigation, policy review or national strategy. Open a review for the findings, the paraphrased recommendations, and the other reviews that share its themes.

SearchTypeSettingThemeStatus

FromToClear

5 reviews

OngoingStatutory inquiryOngoing

Lampard Inquiry

Baroness Kate Lampard

Statutory inquiry into more than 2,000 deaths of people who were under the care of NHS mental health services in Essex between 2000 and the end of 2023, focused on Essex Partnership University NHS Foundation Trust, North East London NHS Foundation Trust, and their predecessor organisations. It is the first public inquiry specifically into mental health deaths. In January 2026 the timetable slipped: closing statements are expected in summer 2027 and the final report in mid-2028. In October 2026 the inquiry held hearings on observation technology and resuscitation, and the chair said she would make interim recommendations if she found an urgent risk.

Digital and information Learning from harm Listening to patients and families+1

Mental health

England

1 recommendation in this hub

2024Incident investigationPublished

Shanley review, Edenfield

Professor Oliver Shanley

Independent review after undercover filming of abuse at the Edenfield Centre and wider concerns about the trust. It described a closed culture, poor leadership and patients who were not safe.

Culture and conduct Leadership and boards Listening to patients and families+3

Mental health

England

2 recommendations in this hub

2015Incident investigationPublished

Mazars, Southern Health

Mazars

Review of how Southern Health investigated deaths of people with a learning disability or mental health problem. Most such deaths were not treated as needing a serious investigation.

Data and early warning Inequalities Leadership and boards+2

Mental health

England

2 recommendations in this hub

2012Independent reviewPublished

Winterbourne View

Department of Health

National review after the Panorama exposure of abuse at Winterbourne View, a private hospital for people with learning disabilities. It followed the serious case review and set out a programme to move people out of inappropriate inpatient units.

Integration and neighbourhood care Listening to patients and families Mental health safety+1

Mental health

England

2 recommendations in this hub

2005Independent reviewPublished

Kerr/Haslam

Nigel Pleming KC

Inquiry into how two psychiatrists in North Yorkshire were able to abuse patients over many years, and why complaints from patients, mostly women, were not believed.

Accountability of managers Complaints and redress Leadership and boards+3

Mental health

England

2 recommendations in this hub