THE GUARDIAN: NHS to look into deaths of 100,000 mental health patients a year

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Louis Appleby, a professor of mental health at Manchester University and the director of the university’s National Confidential Inquiry into Suicide and Safety in Mental Health, welcomed the move.

“This is about two things: learning from what goes wrong and the public accountability of public services,” he said.

“Families can be hugely frustrated by the repetition of ‘lessons will be learned’ after a tragedy. Here is an attempt, a practical process, to make sure that happens.

“Large studies are one way but examining individual cases can turn up crucial details – gaps in care that can be put right for the safety of others.”