Who Does What?
• Mental Health Trusts and Strategic Health
• Official investigations by health trusts and authorities
• Health bodies in Scotland, Wales and Northern Ireland
Mental Health Trusts are local NHS organisations responsible for providing specialist care and treatment for people with mental health problems that can’t be treated by the GP alone.
This care is delivered both in hospitals and by community mental health teams.
There are currently 73 mental health trusts across England.
A list of them is here:
Mental Health Trusts are supervised by Strategic Health Authorities (SHAs) which are regional NHS management bodies.
Part of their job is to make sure local mental health services are of a high quality and are performing well.
There are ten SHAs in England.
A useful site listing them and the local health trusts they cover is here: http://www.housing.nhs.uk/SHAList.aspx
Official investigations by health trusts and authorities
If a recent mental health patient commits murder or manslaughter, then the government requires the local Strategic Health Authority to hold a full independent inquiry to see if any lessons can be learned.
There is detailed official Department of Health guidance on how and when these inquiries should take place.
Officially, health bodies do not have a choice. They have to do them, and they have to do them well and promptly and they have to act effectively on any findings or recommendations.
In practice, however, it’s often a very different story.
See Homicide Inquiries.
Mental Health services in Scotland are delivered by 14 regional NHS
boards. A list of them is here:
Inquiries into mental health homicides in Scotland are undertaken
by the Mental Welfare Commission for Scotland. Inquiries are held
when the MWCS become aware of a serious case for investigation or
at the request of the Scottish government.
Mental health services in Wales are provided by seven regional health boards
North Wales - The Betsi Cadwaladr University Health Board
West Wales - Hywel Dda Local Health Board
Powys teaching health board
Gwent - Aneurin Bevan health board,
Merthyr and Rhonnda - Cwmtaf health board
Cardiff & Vale University Health Board
Swansea & Neath, Port Talbot, Bridgend
Abertawe Bro Morgannwg University Health Board
Inquiries into mental health homicides are undertaken on a case by case basis by Healthcare Inspectorate Wales.
IN NORTHERN IRELAND
Mental Health Services in Northern Ireland are provided by five regional Health and Social Care Trusts. A list of them is here.
There is separate guidance issued by the Northern Ireland Department of Health Social Services and Public Safety about inquiries following mental health homicides. It is broadly similar to the guidance in England.
Homicide Inquiries are commissioned by the local Health and Social Care Trust.