British Prime Minister Gordon Brown has said the killing of two soldiers by dissident republicans in Northern Ireland will not be allowed to derail the peace process in the British-ruled province. An Irish Republican Army splinter group called The real IRA has claimed responsibility for shooting two British soldiers dead at a British army barracks west of Belfast. Leaders are trying to ensure that the attack will not reverse progress made since the 1998 Good Friday peace deal.
Killer slipped through safety net
Ismail Dogan's family was isolated by both language and cultural barriers |
A mentally ill man who killed a stranger in a stabbing rampage "slipped through the safety net", a report into his treatment has found.
The independent review into the care of Ismail Dogan, a paranoid schizophrenic, was commissioned by NHS London.
Ernie Meads, 58, was killed by Dogan in Edmonton, north London, in December 2004. Five others were badly injured.
Dogan, 33, admitted manslaughter due to diminished responsibility and is being held indefinitely in Broadmoor.
The report examined the actions of the Barnet, Enfield and Haringey Mental Health Trust and the Haringey Teaching Primary Care Trust, relating to Dogan's care between 2000-2004.
Dogan stopped taking his medication in June 2004 and shortly afterwards began talking to himself and behaving oddly.
Yet again, the warnings and pleas of family members went unheeded, with fatal consequences Marjorie Wallace, Sane |
The report found that key opportunities to stabilise Dogan's condition were missed by the health system and that the various professionals responsible for his care in the hospital and in the community did not share vital information.
Turkish-born Dogan, who had been released from a psychiatric hospital in 2001, told psychiatrists in Broadmoor that a bird had spoken to him telling him to carry out attacks on English people.
The report also found that Dogan's parents were afraid of him and tried at least five times to get help for their son.
There was also evidence that the care co-ordinator responsible for Dogan altered notes after his violent attacks, the report found.
'Serial blunders'
That person has since been suspended.
Marjorie Wallace, of the mental health charity Sane, said the review detailed a catalogue of errors.
"This report highlights a familiar litany of serial blunders, mismanagement and miscommunication.
"Yet again, the warnings and pleas of family members went unheeded, with fatal consequences."
Ms Wallace reiterated Sane's call for a "red alert" system to be created that allows authorities and police to respond quickly should a family raise the alarm about loved ones' deteriorating mental health.
In a joint statement, the trusts involved said lessons had been learned from the Dogan case and new mental health procedures were in place.
"In the years since 2004 we have made significant changes to improve clinical governance and risk assessment, care co-ordination and inter-agency communications."
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