PERFORMANCE: Avon and Wiltshire Partnership Trust has been criticised for the care of three more patients who committed murder or manslaughter.

However, the independent review team, commissioned by NHS South West, concluded the care given could not be blamed for the actions of the three young men who all used illegal drugs and showed symptoms of psychosis.

All three homicides occurred in 2008. The publication of the reports follow two critical reports last year into care of other patients who went on to kill firends and family members and a governance review which found the trust had a “centralist” culture. The chair and chief executive have both since left and been replaced.

AWP’s Medical Director Arden Tomison said: “On behalf of the Trust I would like to offer again our condolences to the families and friends of all the victims and to those who have been affected.

“As the independent investigations highlight, aspects of the way we worked in 2008 could have been better - for example in the way we engaged with families, in collaborative working, in risk management, in sharing information and in care planning - and these are handled very differently today.  But the investigation teams acknowledge that even if different approaches had been followed, it is not reasonable to assume that the outcomes would have been different.”