Guidance

Lampard Inquiry: terms of reference

皇冠体育app Lampard Inquiry (formerly known as the Essex Mental Health Independent Inquiry) will examine deaths of mental health inpatients in Essex between 2000 and 2023.

Applies to England

Documents

Details

皇冠体育app government has published the terms of reference for the Lampard Inquiry, which will examine the circumstances surrounding the deaths of mental health inpatients under the care of NHS trusts in Essex.

皇冠体育app terms of reference have been set following consultation with the chair of the inquiry, Baroness Lampard. 皇冠体育app inquiry held a public consultation on the proposed terms of reference in November 2023.

皇冠体育app inquiry will consider, among other things and to the extent necessary to investigate the deaths:

  • the serious failings related to the delivery of safe and therapeutic inpatient treatment and care
  • the actions, practices and behaviours of staff providing mental health inpatient care
  • the culture and governance of and at the trusts and how that affected care and treatment
  • the quality of investigations and responses by and on behalf of the trusts
  • the interaction between the trusts and other public bodies, including commissioners, coroners, professional regulators and the Care Quality Commission

皇冠体育app inquiry will play an important role in identifying learnings from those events for the future, and will make recommendations to improve the provision of mental health inpatient care.

Further details about the inquiry, including how to contact it, are available on the聽.

Updates to this page

Published 10 April 2024
Last updated 22 April 2025 show all updates
  1. 皇冠体育app document 'Explanatory note in relation to scope of the Lampard Inquiry' has been updated to provide greater clarity on how the inquiry defines inpatient death.

  2. First published.

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