Investigations & Reviews

Investigations & Reviews

We are a trusted and credible investigatory firm at the time when you need this the most. As the leading supplier of independent investigations to NHS England and NHS Improvement, our breadth and depth of experience has helped us to become a recognised leader in this field.

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With a vastly experienced expert team we conduct investigations in all sectors: acute, community, ambulance, specialist, primary care, mental health, private healthcare as well as in social care. Many of our national review reports are publicly available.

Working in partnership with our clients, we facilitate the development of outcome focused action plans. It is well known that when serious incidents occur, providers, managers and commissioners have a responsibility to embed learning to improve practice and prevent recurrence. We support organisations in developing the tools to support this process.

What we do

Mental health homicide investigations

Complex system wide catastrophic incident investigations

National enquiries and investigations

Provider commissioned independent level 2 and 3 investigations

Never Events and Never Event cluster investigations

Death in custody clinical reviews

Domestic Homicide Reviews

Safeguarding reviews and investigations

Complex complaint and whistleblowing enquiries

Our expertise

We have developed our rigorous investigative method to an extremely high standard that is recognised as a benchmark in the NHS.

We are one of very few investigation firms who are ISO certified for our quality and information governance processes. This gives you the assurance you need when commissioning a firm like Niche at a vital time for you. All of our investigators are security cleared to either BPSS standards or DBS checked. Many of our practitioners are clinically trained to a very high level.

Our investigations are robust, proportionate, evidence-based and supported by the most up to date examples of good practice. Our Improvement Analytics team support our work, helping identify correlations and themes between incidents, using qualitative and quantitative evidence to inform our work. We ensure our recommendations are pragmatic; we develop practical plans to resolve contributory factors, taking a proactive approach to patient safety aiming to help you prevent the recurrence of incidents.


Please contact one of our Partners for more information.

Investigations & Reviews expertise

Case Study: Reviewing a cluster of seven incidents within a team

There were two issues for the Trust; a preference for an independent...

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Case Study: Improving complaint handling in a trust

A central London acute Trust asked us to help them identify why their outcomes for dealing with complaints were poor and what they could...

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Our Other Services

Improvement Analytics

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Large-Scale Enquiries

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