Review of the arrangements for investigating the deaths of patients being treated for mental disorder

Footnotes

1. Section 328, Mental Health (Care and Treatment) (Scotland) Act 2003, https://www.legislation.gov.uk/asp/2003/13/section/328

2. Mental Welfare Commission for Scotland, Investigation — the death of Ms MN (2016), https://www.mwcscot.org.uk/about-us/latest-news/investigation-into-the-death-of-ms-mn/

3. PE01604: Inquests for all deaths by suicide in Scotland, http://www.parliament.scot/GettingInvolved/Petitions/inquestsfordeathsbysuicide

4. Scottish Government, Inpatient census 2018: part one (2018) https://www.gov.scot/publications/inpatient-census-2018-part-1-mental-health-learning-disability-inpatient-bed-census-part-2-out-scotland-nhs-placements/

5. Scottish Government, Learning from Loss: family and carers survey https://consult.gov.scot/mental-health-law/investigation-of-deaths-survey-for-families-carers/

6. Scottish Government, Learning from Loss: staff survey https://consult.gov.scot/mental-health-law/investigation-of-deaths-survey-for-staff/

7. Healthcare Improvement Scotland, Learning from adverse events through reporting and review: A national framework for Scotland, (2018) http://www.healthcareimprovementscotland.org/our_work/governance_and_assurance/learning_from_adverse_events/national_framework.aspx

8. The Knowledge Network: Adverse Events, http://www.knowledge.scot.nhs.uk/adverse-events.aspx

9. Scottish Government/COPFS, CMO(2015) 20, https://www.sehd.scot.nhs.uk/cmo/CMO(2015)20.pdf

10. Inspectorate of Prosecution in Scotland: Thematic Review of Fatal Accident Inquiries, https://www.gov.scot/publications/thematic-review-fatal-accident-inquiries/pages/0/

11. Policy Memorandum, Inquiries into Fatal Accidents and Sudden Deaths etc. (Scotland) Bill (SP Bill 63) http://www.parliament.scot/S4_Bills/Fatal%20Accidents%20(Scotland)%20Bill/b63s4-introd-pm.pdf

12. Scottish Government/Police Scotland/COPFS, CMO(2016) 2 https://www.sehd.scot.nhs.uk/cmo/CMO(2016)02.pdf

13. Scottish Government, Duty of Candour. https://www2.gov.scot/Topics/Health/Policy/Duty-of-Candour

14. Jordan v United Kingdom (2003) 37 EHRR 2

15. Salman v Turkey (2002) 34 EHRR 17

16. Scottish Government, Cabinet Secretary for Health and Sport's response to the Health and Sport Committee of the Scottish Parliament (The Governance of the NHS in Scotland) http://www.parliament.scot/S5_HealthandSportCommittee/Inquiries/20181011_Response_IN_from_Cab_Sec_re_NHS_Gov_ltr_of_02.10.18.pdf

17. Section 23(2), Health (Tobacco, Nicotine etc. and Care) (Scotland) Act 2016, http://www.legislation.gov.uk/asp/2016/14/section/23/enacted