Common purpose / How care is organised
Mental health safety
Inpatient deaths, closed cultures and the use of surveillance technology recur from Southern Health and Winterbourne View to Edenfield and the Lampard Inquiry.
7 reviews · 5 recommendations
Reviews, most recent first
- OngoingLampard Inquiry
Baroness Kate Lampard
- 2024Cass review
Dr Hilary Cass
- 2024Shanley review, Edenfield
Professor Oliver Shanley
- 2019NHS Long Term Plan
NHS England
- 2015Mazars, Southern Health
Mazars
- 2012Winterbourne View
Department of Health
- 2005Kerr/Haslam
Nigel Pleming KC
What they asked for
No final recommendations have been published. Interim recommendations on observation, monitoring technology and resuscitation were under consideration after the October 2026 hearings, and had not been issued by 21 October 2026.
To be determined
Listen to patients and families as a primary source of intelligence about wards.
The trust
Expand mental health services and improve maternity safety as named programmes.
NHS England
Investigate deaths of people with a learning disability or mental illness to the same standard as other unexpected deaths.
NHS trusts
Stop using hospitals as long-term homes for people with learning disabilities and autism.
NHS and local authorities