Independent investigations published in relation to AWP are set out here.

All Prevention of Future Death reports and responses must be sent to the Chief Coroner. In most cases, the Chief Coroner will publish them on the Courts and Tribunals Judiciary website.


An independent mental health homicide investigation into the care and treatment of Ian following the murder of Mr Kamil Ahmad Allamurad.

NHS England (South) commissioned Sancus Solutions to undertake a mental health homicide investigation. The primary focus of this investigation was to critically analyse the care and treatment provided to Ian by the involved primary, secondary and third sector health and social care agencies, with particular regard to the events that led up to Ian's hospital admission on 13 June 2016, and to consider if the incident was predictable, preventable or avoidable.

You can read the full report and Trust Action Plan below: