Investigations / Service Reviews

Undertaking service reviews and serious incident reviews in both private and NHS teams either as the independent investigator or as part of a team working in Independent Homicide investigations HSG (97/24). Themes have included:-

  • Bullying and Harassment
  • Clinical errors and communication errors
  • Poor documentation and safeguarding concerns
  • Each investigation utilises root cause analysis theory and an understanding of human factors to provide a balanced, proportionate report for the client
  • Recommendations follow the S.M.A.R.T process and are designed to progress the service within a  “ no blame “ framework
  • Close liaison with the client and teams involved with regular updates provided
  • Provision of training and aftercare to embed long term improvements

Clients have included

  • St. Andrews Health Care
  • Dorset Healthcare University NHS Foundation Trust
  • Avon and Wiltshire Mental Health Partnership NHS Trust
  • West London Mental Health Trust
  • North East London NHS Foundation Trust
  • Barnet, Enfield and Haringey Mental Health Trust
  • Cambridge and Peterborough Mental health Trust
  • Cygnet Health Care
  • Christchurch Group
  • Maidstone and Tunbridge Wells NHS Trust
  • Arden and Worcestershire CSU