top of page
Operation Room

Health and social care

This page has a database of health and social care inquiries and reports, as well as resources and information about organisations working in this area. Click on an inquiry to go to its detailed page.

Health and social care Inquiries and reports

You can filter by type of report and theme of inquiry.  Click apply to search and reset to start again.

​The investigations found will be displayed and each has a link to this site's page for the inquiry it comes from, and a page direct to the government link if available.

Filter by Issues

Ashworth - The Blom-Cooper Inquiry (1992)

Themes

Health

The Blom-Cooper Inquiry described Ashworth as a "brutalising, stagnant, and closed" institution where a powerful nursing clique used physical violence and psychological intimidation to maintain a prison-like control over patients.

Issues

The Independent Review of Rampton Hospital (2007)

Themes

Health

The 2007 review found that while physical security and external management had significantly improved, "small pockets" of the old, closed culture remained, with some staff still prioritising institutional convenience over individual patient recovery.

Issues

Rampton Tidmarsh Inquiry (1990)

Themes

Health

The Tidmarsh Inquiry concluded that Rampton remained a "troubled institution" where clinical leadership was weak, medical records were dangerously inadequate, and the hospital had failed to break free from the "custodial" culture identified a decade earlier by Boynton.

Issues

Rampton inquiry (Boynton 1980)

Themes

Health

The Boynton Report concluded that Rampton was a "closed and isolated" institution where a self-perpetuating staff culture had led to a breakdown in professional standards, resulting in the physical and emotional ill-treatment of vulnerable patients.

Issues

David 'Rocky' Bennett Inquiry (2004)

Themes

Health

The Bennett Inquiry concluded that David Bennett died from "prone restraint" following a "catalogue of failures," and famously ruled that the NHS was "institutionally racist" in the way it treated Black psychiatric patients.

Issues

Rampton Hospital Inquiry (2000)

Themes

Health

The Bennett Inquiry concluded that Rampton Hospital suffered from a "corrosive and dysfunctional" culture where a powerful group of nurses—dominated by the Prison Officers Association (POA)—prioritised security and personal interests over the therapeutic needs of patients.

Issues

Michael Stone inquiry

Themes

Killings, Health, Social Care

20

Issues

John Barrett

Themes

Health, Killings, Police, Social Care, Legal

The John Barrett Inquiry was a 12-month independent investigation into the 2004 killing of Denis Finnegan, which concluded that the death was an avoidable tragedy caused by "seriously flawed" clinical decisions and a failure to prioritize public safety over patient liberty.

Issues

Isaacs Report (Organ retention)

Themes

Health, Legal

The Isaacs Report was a 2003 independent investigation that exposed the systemic, non-consensual retention of human organs for research in the UK, ultimately triggering the creation of the Human Tissue Act 2004 to legally mandate informed consent.

Issues

Medicines & Medical Devices Safety Review

Themes

Health, Legal, Safety

The Independent Medicines and Medical Devices Safety Review was a 29-month investigation that exposed a "system-wide failure" to listen to thousands of women and children harmed by pelvic mesh, Sodium Valproate, and Primodos.

Issues

Ockenden (Nottingham)

Themes

Health, Maternity

The review has been established in light of significant concerns raised regarding the quality and safety of maternity services at Nottingham University Hospitals NHS Trust (NUH) and concerns of local families. It replaces a previous regionally-led review after some families expressed concerns and made representations to the Secretary of State for Health and Social Care.

Issues

Ely Hospital Commission of Inquiry

Themes

Health, Social Care

The Ely Inquiry was a landmark investigation that confirmed allegations of systemic physical abuse, pilfering of patient supplies, and administrative neglect at a Cardiff psychiatric hospital, leading to the first formal inspection system for the NHS.

Issues

Truth Recovery Independent Panel

Themes

Health, Social Care

The Truth Recovery Independent Panel is a non-statutory body appointed to investigate Mother and Baby Institutions, Magdalene Laundries, and Workhouses in Northern Ireland, focusing on truth, acknowledgment, and accountability

Issues

Royal Liverpool Children's Hospital Inquiry

Themes

Health

Issues

Public Inquiry into the Outbreak of Clostridioides difficile in Northern Trust Hospitals

Themes

Health

Issues

Fuller Independent Inquiry

Themes

Health, Forensic

To investigate the issues raised by the David Fuller case. How Fuller was able to carry out inappropriate and unlawful actions in the mortuary of Maidstone and Tunbridge Wells NHS Trust and why they went apparently unnoticed.

Issues

Royal Commission on Lunacy and Mental Disorder

Themes

Health, Social Care

Issues

The Eljamel and NHS Tayside Public Inquiry

Themes

Health

Issues

Scottish Covid-19 Inquiry

Themes

Health

Issues

Scottish Hospitals Inquiry

Themes

Health

Issues

Scottish Child Abuse Inquiry

Themes

Health, Social Care

To investigate the abuse of children in care in Scotland

Issues

UK Covid-19 Inquiry

Themes

Health

The UK Covid-19 Inquiry is an ongoing, independent public inquiry into the UK's response to and the impact of the COVID-19 pandemic, chaired by Baroness Heather Hallett, aiming to learn lessons for the future

Issues

Leadership, Accountability, Monitoring, Training, Communication

Vale of Leven Hospital

Themes

Health

The Vale of Leven Hospital Inquiry investigated the occurrence of C. difficile infections at the Vale of Leven Hospital, identifying systemic failures and resulting in 75 recommendations to improve infection control and healthcare practices

Issues

Leadership, Training, Communication, Accountability, Monitoring

Muckamore Abbey Hospital Public Inquiry

Themes

Health

The Muckamore Abbey Hospital Public Inquiry investigates allegations of patient abuse at the hospital and aims to prevent such incidents in the future

Issues

Training, Monitoring, ICT

E.Coli in South Wales

Themes

Health

The inquiry investigated the causes and handling of the 2005 E. coli O157 outbreak in South Wales, resulting in 24 recommendations to prevent future outbreaks

Issues

Pennington group

Themes

Health

The Pennington Group Inquiry investigated the 1996 E. coli O157 outbreak in Scotland, identifying the causes and making recommendations to prevent future outbreaks

Issues

Communication, Training, Monitoring

Foot and mouth

Themes

Health

Issues

BSE

Themes

Health

The inquiry found that while the government did not intentionally lie, its "campaign of reassurance" and delay in acknowledging the link between BSE-infected beef and human vCJD caused a catastrophic failure of public trust and safety.

Issues

Communication

Kerr/Haslam

Themes

Health

Issues

Training, Accountability, Monitoring

Neale

Themes

Health

The Neale Inquiry investigated how Richard Neale, a gynaecologist previously struck off in Canada, was able to continue practicing in the UK despite concerns about his competence and conduct, leading to several recommendations for improving medical oversigh

Issues

Ayling

Themes

Health

The inquiry investigated how the NHS failed for over two decades to act on repeated complaints against GP Clifford Ayling, who was convicted in 2000 of indecently assaulting female patients under the guise of medical examinations.

Issues

Resources

Shipman

Themes

Health

The Harold Shipman Inquiry investigated the actions of general practitioner Harold Shipman, who was found to be one of the most prolific serial killers in history, and recommended extensive reforms to prevent such abuses in the future.

Issues

Monitoring

Allitt

Themes

Health

The Allitt Inquiry investigated the tragic murders and injuries caused by nurse Beverly Allitt on the children's ward at Grantham and Kesteven General Hospital, leading to significant recommendations for improving child safety in hospitals

Issues

Monitoring, Training, Communication

Infected Blood Inquiry

Themes

Health

The Infected Blood Inquiry investigated the circumstances under which thousands of UK patients were given contaminated blood and blood products, resulting in over 3,000 deaths and widespread suffering

Issues

Monitoring, Accountability, Candour

Penrose (Scotland)

Themes

Health

The Penrose Inquiry was a public inquiry into hepatitis C and HIV infections from NHS Scotland treatment with blood and blood products, often used by people with haemophilia

Issues

Redfern

Themes

Health

The Redfern Inquiry investigated the removal and analysis of organs from deceased nuclear workers in the UK between 1961 and 1992

Issues

The Royal Liverpool Children's Inquiry (Alder Hay)

Themes

Health

The Alder Hey Inquiry investigated the unauthorized removal, retention, and disposal of human tissue, including children's organs, at Alder Hey Children's Hospital in Liverpool

Issues

Bristol Royal Infirmary

Themes

Health

The inquiry investigated the management of children's heart surgery at the Bristol Royal Infirmary, identifying failures and making recommendations to improve patient safety.

Issues

Monitoring, Training, Accountability, Communication

Ashworth special hospital (Fallon 1999)

Themes

Health

The Fallon Inquiry investigated allegations of misconduct and poor management at the Personality Disorder Unit of Ashworth Special Hospital, leading to multiple recommendations for improvement

Issues

Training, Monitoring

Berwick report

Themes

Health, Social Care, Safety

This was an independent report examining patient safety in the NHS.

Issues

Mid Staffordshire NHS Foundation (Francis review and inquiry)

Themes

Health

An initial non statutory review into severe failings in patient care at the Mid Staffordshire NHS Foundation Trust, was subsequently converted in to a full statutory inquiry, leading to numerous recommendations for systemic improvements in the NHS.

Issues

Leadership, Accountability, Training, Monitoring

Kirkup report (Morecombe)

Themes

Health

The Kirkup Report was an independent investigation into the management, delivery, and outcomes of maternity and neonatal services at the University Hospitals of Morecambe Bay NHS Foundation Trust, identifying significant failures and making recommendations to prevent future incidents

Issues

Communication, Training, Monitoring, Accountability

Ockenden (Shrewsbury)

Themes

Health, Maternity

The Ockenden Inquiry was an independent review of maternity services at the Shrewsbury and Telford Hospital NHS Trust, led by Donna Ockenden, which identified widespread failings and made recommendations to improve maternity care across England

Issues

Training, Accountability

bottom of page