In February 2004, on the day he was due to be admitted to a psychiatric hospital, mentally ill Leslie Gadsby killed his father Arthur with a hammer. Less then two years later, in December 2006, he was conditionally discharged from hospital by a mental health review tribunal, with the agreement of hospital managers and Mersey Care NHS Trust.
In March 2010 he fatally stabbed his mother.
Today a highly critical independent investigation has been published into his care, and the failings that have been uncovered are truly shocking.
Jennifer Mills-Westley’s daughters made the following statement following the HIW enquiry into the treatment of the man who went on to commit her murder:
“Today marks a significant milestone for our family.
Three and a half years after the brutal murder of our mother we now know the truth leading up to that tragic events on Friday 13th May 2011.
The Health Inspectorate of Wales report has highlighted a number of significant basic medical best practice failures. These failings are far worse than we had imagined. (more…)
Healthcare Inspectorate Wales investigation into the care of Mr M (Deyan Deyanov) – November 11 2014
“This shocking report uncovers repeated failings in the care of Deyan Deyanov.
It clearly shows that had his care and treatment in North Wales been better, the brutal killing of Jennifer Mills-Westley might well have been avoided.
Failings in record keeping, diagnosis, risk assessment and care planning meant a seriously ill and violent man was left at liberty when he should have been receiving care and treatment in hospital. (more…)
An official investigation has found that record keeping systems for mental health patients in Sussex are not fit for purpose.
On 15 February 2010, a mental health patient of Sussex Partnership Trust, Steven Dunne fatally stabbed his former neighbour, Gordon Stalker.
We have been working for some time to redesign and build this website. Visitors should find the format cleaner with a greater range of information, opportunities to respond and be involved with the work of hundred families.
In updating the site we’ve discovered some of the original source links have become broken. We are doing our best to fix these although links to all independent inquiry reports should all still work.
Please feel free to contact us with any problems or broken links you discover whilst we’re developing and evolving this site.
We want to make all the information as current and accurate as possible.