Independent Investigation - Hundred Families

Mr. X Investigation Report
Contents
1. Investigation Team Preface
2. Condolences to the Family and Friends of Mr. and
Mrs. X Senior
3. Executive Summary
4. Incident Description and Consequences
5. Background and Context to the Investigation
6. Terms of Reference
7. The Independent Investigation Team
8. Investigation Methodology
9. Information and Evidence Gathered
10. Profile of the Lincolnshire Partnership NHS
Foundation Trust
11. Profile of the Avon and Wiltshire Mental Health
Partnership NHS Trust
12. Chronology of Events
13. Timeline and Identification of the Critical Issues
14. Further Exploration and Identification of Causal
and Contributory Factors and Service Issues
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