After the release of a damning independent investigation into failings in the care of a paranoid schizophrenic who killed one and seriously injured five others in 2004, local MP Lynne Featherstone has set up an urgent meeting with mental health trust bosses to discuss how failings will be addressed.
The report by NHS London into the care provided to Ismail Dogan, who on the 23rd December 2004 stabbed five people, one of them fatally, shows gross failings – both in community mental health care and an inability on the part of the Trust to make sure lessons were learnt.
The report shows that an initial internal investigation was not circulated to staff and middle managers across the Barnet, Enfield & Haringey Mental Health Trust, or Haringey PCT, in order to learn from the incident and avoid it happening again. The report also shows that Mr Dogan’s Psychiatric Nurse amended his notes after the incident to make out his care to be more comprehensive than it actually was. The community mental health team, who managed Mr Dogan’s care in the community, was also shown to have failed in providing ongoing care, which was a direct contributor to the 2004 incident.
Lynne Featherstone comments:
“This report has shown very serious failings in our local mental health services. It has shown both a failure to communicate effectively, to spot deterioration in a patient’s health and a failure to act decisively when the patient could have been helped. This culminated in a horrific event with the death of a local resident.
“One of the most worrying issues is the fact that the internal review was not circulated as widely as it should have been. The Trust now needs to demonstrate that it’s prepared to learn the hard lessons, to avoid tragedies like this happening in the future.
“Another equally worrying issue uncovered by the report is that the Trust’s community team was not up to scratch in 2004. With the ongoing consultation to close an acute mental health ward at St Ann’s Hospital and hand over more responsibility to the community teams- we need assurances that today’s community mental health services have improved drastically since 2004.”