The preventable death of Connor Sparrowhawk in July 2013 led to a number of investigations and enquiries into practice at Southern Health NHS Foundation Trust in whose care he died.
At the request of Connor’s family, NHS England South commissioned the firm Mazars to undertake an independent investigation of the deaths of all patients of Southern Health who had been in receipt of mental health or learning disability services between April 2011 and March 2015.
NHS England have published the independent report today.
Jane Cummings, Chief Nursing Officer, said: “Openness, transparency, learning, improving and working with families should be the core tenets of the NHS, especially where things don’t go right.
“We commissioned this report following concerns expressed by Connor Sparrowhawk’s family, and we are grateful for their contribution to this publication.
“The report now recommends further action from us and others, in particular that its findings should be shared across England to ensure that deaths are investigated properly. We have jointly committed to ensure that this and the other actions it sets out are taken.”