Ismail Dogan – how the mental health services failed

I have set up an urgent meeting with the mental health trust following the publication of an independent investigation into the dreadful case of a paranoid schizophrenic who killed one and seriously injured four others in 2004.

The report by NHS London into the care provided to Ismail Dogan shows gross failings – both in community mental health care and an inability on the part of the Trust to make sure lessons were learnt.

It is another appalling tale of inadequacy and incompetence and worse in Haringey. Baby P was failed by Haringey Council and Haringey Primary Care Trust (PCT), and here we have the third of the trilogy – the Mental Health Trust.

In fact, in this case it looks like the cover-up, the secrecy and the closing ranks were even worse. The internal investigation into the tragedy was not even circulated to staff and middle managers across the Barnet, Enfield & Haringey Mental Health Trust, or Haringey PCT, so that pepole could 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 providing ongoing care, which was a direct contributor to the 2004 incident.

On top of hiding the internal investigation report it is equally worrying that the Trust’s community health team was not up to scratch in 2004. Particularly so as we are currently being asked in a consultation at the moment our views on the proposed closure of an acute mental health ward at St Ann’s in favour of care in the community. This would be an absolute disaster in my view – given the state of the care currently