Independent investigation into the care and treatment of Mr MC and

Independent investigation into the care and treatment of Mr MC and the homicide of Mr GN
This is the independent investigation into the care and treatment of Mr MC. Mr MC has a long
history of contact with mental health services, and has been admitted to high and medium secure
hospitals in the past. He has also spent time in prison for serious assaults. He has been consistently
diagnosed with paranoid schizophrenia and some personality difficulties / dissocial personality
disorder.
On 17 March 2012 Mr MC fatally stabbed Mr GN with a samurai sword in the Keystones shared
house in Bristol. Mr MC was on trial leave at the Keystones house, under section 17 of the Mental
Health Act (1983).
At Bristol Crown Court, Mr MC was given an indeterminate sentence for the protection of the public
and is detained in hospital for treatment. He remains at Broadmoor and will not be considered for
release without it being sanctioned by the Secretary of State or a tribunal.
Mr MC was a patient at Fromeside Medium Secure Unit in Bristol, a service which was commissioned
by the former South West Strategic Health Authority. At the time of the incident he had been in
Fromeside for twelve months and appeared to be making good progress, was relatively symptom
free, was becoming engaged with community activities, complying with medication, and had been
free from alcohol and illicit drugs. There had been no actual physical assaults for twelve months.
South West Strategic Health Authority commissioned the care of Mr MC but NHS England took over
the responsibility for commissioning these services as specialist commissioners following the
reconfiguration of the NHS in 2013.