This page contains information on the investigation reports that have been published by NHS Kernow from 1 April 2013.
An independent investigation into the care and treatment of a mental health service user Mr M in Cornwall
An NHS Kernow spokesman said: “We would like to give our sincere condolences to the family.
“As outlined in today’s independent report a review has been undertaken leading up to this deaths of this couple to understand what happened, and if anything could have been done differently.
“The reports confirms this incident could not have been foreseen or prevented, and we are working with Cornwall Partnership NHS Foundation Trust and Outlook South West on an action plan to make sure that lessons are learned and become embedded in the way teams work.”
Independent investigation reports