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Shipman report: System failed patients
July 19, 2002 Posted: 8:54 AM EDT (1254 GMT)

Dame Janet said only Shipman would know the true murder figure  
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LONDON, England -- Dame Janet Smith has criticised the lack of medical and legal controls that allowed British doctor Dr. Harold Shipman to kill at least 215 of his patients.
In her 2,000-page report Dame Janet, a high court judge who headed the public inquiry, said the systems that should have safeguarded his patients had failed.
Shipman, a GP in Manchester, northwest England, was convicted for the deaths of 15 elderly women patients in 2000, but the inquiry revealed that at least 215 patients, mainly women, were murdered. (Full Story)
A further 45 were "suspicious," the report found.
The consequences had tragic consequences on the families of those who were murdered, but also on the community which became shocked and shaken in its previously unquestioning faith in the medical profession.
"No-one reading this report can fail to be shocked by the enormity of the crimes committed by Shipman," Dame Janet, who investigated the killings, said in her report on Friday.
"His activities have brought tragedy upon them and also upon the communities in which he practiced."  
 
The High Court judge added in her interim report: "It is deeply disturbing that Shipman's killing of his patients did not arouse suspicion for so many years.
"The systems which should have safeguarded his patients against his misconduct, or at least detected misconduct when it occurred, failed to operate satisfactorily."
Dame Janet said Shipman was able to hide behind the respectable veneer of his profession. It ensured that very few relatives felt "any real sense of disquiet" about the circumstances of the victims' deaths. (Suburban Slayer)
"Those who did harbour private suspicions felt unable to report their concerns," she said.
"Deeply shocking though it is, the bare statement that Shipman has killed over 200 patients does not fully reflect the enormity of his crimes.
"As a general practitioner, Shipman was trusted implicitly by his patients and their families. He betrayed their trust in a way and to an extent I believe is unparalleled in history," she said in her report.
His motive for the killings did not become any clearer, Dame Janet reported.
Shipman himself has never admitted his guilt or given any reason for the murders.
Dame Janet ruled out financial gain or sexual depravity as motives, adding only Shipman would know the reason and the real numbers involved.
She added the bearded doctor was highly dominant and addictive, but his true psyche remains a mystery.
"During the visit he would kill the patient. Afterwards he behaved in a variety of ways and had a variety of explanations for what had happened," Smith said.
"The way in which Shipman could kill, face the relatives and walk away unsuspected would be dismissed as fanciful if described in a work of fiction."
Dame Janet said the second phase of her report would consider how to ensure that unexpected or unexplained deaths were reported and that their causes were properly investigated.
"By the end of the inquiry, I hope to be able to make recommendations which will seek not only to ensure that a doctor like Shipman would never again be able to evade detection for so long, but also to provide systems which the public will understand and in which they will have well-founded confidence," she said.
http://www.cnn.com/2002/WORLD/europe/07/19/shipman.relatives.reaction/index.html

Admit slaughter, says local priest
July 19, 2002 Posted: 9:37 AM EDT (1337 GMT)

The unspectacular interior of Shipman's surgery in Hyde, Greater Manchester  
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LONDON, England -- The Roman Catholic priest in Hyde, where 143 of mass killer Dr. Harold Shipman's 215 victims died, appealed for him to end his denials and tell the truth about his mass slaying spree.
Father Denis Maher said: "Dr Shipman, please, please, please own up to what you have done -- not only for Hyde but for yourself too."
The parish priest at St Paul's Roman Catholic Church, Hyde said he was unable to convey "the full range of feelings" of relatives whose emotions were running high with the publication of the report.(Full Story)
He said his parishioners were shocked to see it in black and white that their loved ones had been "unlawfully killed " -- a euphemism for murder, Fr. Maher told Sky News television.
"I've seen people shaking with inconsolable grief in the last few days," Fr. Maher said.
"There is not one person in my parish of Hyde who has not been touched by the evil this man did when he was here," he added. (Families' 'Devastation')

He said he himself was unable to come to terms with what had happened in Hyde. "I've been into people's homes. I've been with families a half an hour later when they find their loved ones dead.
"He took away so many lovely, lovely people from this parish -- most of them came to Mass on a daily basis."
Fr. Maher added: "I'm finding it really difficult in the whole area of forgiveness. I know I have to forgive but it is difficult. I am very angry."
Later relatives of 215 victims were holding a news conference to describe their horror at learning the full extent of of his mass slayings. (The system failed)
A further 45 deaths of Shipman's patients were ruled inconclusive by the inquiry report by Dame Janet Smith and their relatives were having to come to terms with the agony of never knowing if they were murdered or not.
Suzanne Brock whose mother Edith, 74, was killed by Shipman told Sky News of her battle to find out the truth. (Silent Suburban Slayer)
Brock said relatives had faced a number of hurdles in her quest for justice -- first to get the attention of the police, then to get through the inquest, and finally to face the public inquiry.
"Every step of the way we have had to fight," Brock said.
Some said the publication of the report would at last allow the people of Hyde to grieve.
But Fr. Maher said: "It is so early to talk about closure. I can honestly see no end to this for a long, long time."
http://www.cnn.com/2002/WORLD/europe/07/19/shipman.relatives.quotes/index.html

Our fight vindicated - relatives
July 19, 2002 Posted: 10:25 AM EDT (1425 GMT)

Christopher Rudol, whose father Ernest was one of Shipman's victims, reacts in Manchester, England, after hearing the news of the Shipman Inquiry  
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HYDE, England -- Relatives of some of the 215 victims murdered by Dr. Harold Shipman described on Friday how they felt "totally vindicated" by the decision to press for a public inquiry so "no stone was left unturned."
"It will be recalled that we had to go to the High Court to win this public inquiry," the families' solicitor Ann Alexander told a news conference in Hyde, where at least 143 died at Shipman's hands.(Full Story)
"I firmly believe the decision of the families to fight for a public inquiry has been wholly vindicated by the process to date."
Alexander, who represents the families of nearly 300 of Shipman's victims and alleged victims, said nobody would ever be able to appreciate what those families have been through and how they felt today.
"Harold Shipman is without equal as a murderer," she said.
Although the extent of his killing was now public, it would be "some time" before the relatives of those he killed could come to terms with what has happened, she said.
QUOTE
"If you do not trust your doctor who can you trust?"
-- Doris McNee
Hyde resident 
Alexander praised Dame Janet Smith's inquiry as "thorough and meticulous."
She said the document was only the first phase of the inquiry that was still examining "the systemic and personal failures which allowed Shipman to kill again and again" to stop anything like it ever happening again. (The system failed)
"Public scrutiny has revealed the manifest shortcomings in the first police investigation... This would probably have been missed had this inquiry not been public.
 
"There is no doubt that in my mind that we would never have got to the truth in private."
Alexander also said the families thought the role of the British doctors' governing body, the GMC, was "probably for them the most important matter which needs to be examined."
She said that in the 1960s it had been reported to the GMC that Shipman had been convicted of both drugs and forgery offences but the doctors' body "didn't take any steps at all."
Jane Hibbert, whose mother Hilda Hibbert was among those murdered told the news conference it was had been "extremely hard" time.
She should be shocked at the number of victims but it had been evident the figure was more than 100, she said.
"It's hard to come to terms with it, but I'm glad that the relatives have had individual verdicts and have been able to come to some kind of finality for their own families."
The son of another of Shipman's victims, Peter Wagstaff said he did not think the doctor's motivation would ever come to light.
"I don't think I've met anybody yet that's ever said they hate him, because I don't think they understand the situation," Wagstaff told the news conference.

Shipman was able to defy the system  
"You can't make sense of it all, you can't come to the right terminology to say what you think of him.
"You can obviously despise him and come to terms with the fact you have been dealing with one of the most evil men in history but everyone must have their own personal feelings about what they think." (Admit slaughter says local priest)
Alexander was asked about compensation but said this was not the motive of the families in pressing for a public inquiry.
"These families did not start this fight in a bid to win compensation. These families wanted to make sure that systems would be changed and lessons would be learned and that in itself would be a fitting memorial to those they had lost."
Suzanne Brock whose mother Edith, 74, was killed by Shipman told Sky News it had been an uphill battle to find out the truth.
Brock said relatives had faced a number of hurdles in her quest for justice -- first to get the attention of the police, then to get through the inquest, and finally to face the public inquiry.
"Its been a struggle," said Brock. "Its been a rollercoaster of emotion. Every step of the way we have had to fight for the families who have been affected by this," Brock said.
"We shouldn't have had to. We are the victims and the victims families in all this."

Dr Harold Shipman's surgery in Hyde, Greater Manchester  
The daughter-in-law of one of Shipman's patients, Norma Dean, 66, told the UK's Press Association: "What annoys me is that the police had a chance to find this out before and they did not.
"People knew there was something wrong and if they had taken it further a lot of people would still be here today."
Dominic Henson, 65, of Newton, near Hyde, whose son and daughter-in-law were patients of Shipman, said that it was costing too much to keep the killer alive in prison.
He said: "How did he get away with that many people? Somebody must have been suspicious well before now.
"They should give him one of his own injections."
        

http://www.cnn.com/2002/WORLD/europe/UK/07/19/shipman.profile/index.html?related

Shipman: The silent suburban slayer
July 19, 2002 Posted: 9:35 AM EDT (1335 GMT)

The surgey where the deadly Shipman worked from  
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By CNN's Avril Stephens
LONDON, England -- Harold Shipman was the silent suburban killer, targeting elderly women with names like Norah, Winifred, and Irene, and killing them behind the lace curtains of their own homes.

His motives remain a mystery. Prosecutors said he had a lust for power over life and death and a desire to "play God." He also tried to gain financially from his victims.
But the 56-year-old father of four, who denied murdering 15 women at his trial which ended in January 2000 with conviction and a sentence of life in prison, has never given any reasons.

From the start of the trial it was suspected that he was responsible for many more deaths. Now an inquiry has said he murdered 215 of his patients between 1975 and 1998, making him one of the world's most notorious serial killers. (Full Story)

Almost from the beginning of his 24-year career as a general practitioner in Hyde on the outskirts of Manchester, England, Shipman is believed to have started administering deadly doses.

He would inject his patients, mainly women aged between 75 and 84, with diomorphine -- the medical term for heroin -- during his afternoon rounds.
Shipman was well versed in the administration of drugs having been an addict during the 1970s, leading to his conviction in 1976 for forging prescriptions for his own use.

More than half of the 521 death certificates he wrote were likely to have been premature, according to a British government audit report.
And he often kept husbands and siblings away from the patients' bedsides in their dying moments when he was around. (Families' Devastation)

Softly spoken, greying, bearded and bespectacled, Shipman would comfort dying victims. Later, he would enter "heart problems," "stroke" or "old age" on the death certificate.

He betrayed their trust in a way and to an extent that I believe is unparalleled in history
— Dame Janet Smith

He forged the will of his last victim, 81-year-old Kathleen Grundy, so he could inherit £386,000 ($610,000), but it was this final crime that tripped Shipman.
The alarm was raised after Grundy's daughter, a lawyer, became suspicious about her mother's will bestowing her entire estate to Shipman. (Systems 'Failures')

He never admitted his guilt and refused to reveal his thinking. A local priest has called on Shipman to end his denials and tell the truth about his mass slaying spree.
Shipman began his killing in 1975, a year after he began practicing as a GP in Yorkshire. But the bulk of his victims died after he had moved to Hyde. ('Admit Slaughter')

Father Denis Maher said: "Dr Shipman, please, please, please own up to what you have done -- not only for Hyde but for yourself too."
When passing sentence on Shipman at his trial in January 2000, Judge Thayne Forbes, said: "None of your victims realised yours was no healing touch."

http://www.cnn.com/2002/WORLD/europe/07/04/uk.shipman/index.html?related


Life means life for UK 'Dr Death'
July 4, 2002 Posted: 2:41 PM EDT (1841 GMT)

Serial killer Shipman received 15 life sentences  
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LONDON (CNN) -- British Home Secretary David Blunkett has ruled that serial killer Harold Shipman must spend the rest of his life behind bars.

Family doctor Shipman was dubbed "Dr. Death" after being convicted of murdering 15 elderly female patients with lethal injections of diamorphine and one count of forging a will.

Prosecutors say he may have killed hundreds more during his 24 years as a general practitioner in Hyde, Greater Manchester, northwestern England.
Shipman, 55, received 15 life sentences in 2000 and the trial judge said in his case a life sentence should mean life.

"I do not usually comment on the tariff decided in individual life sentence prisoner cases," said Blunkett. "However, I recognise that Harold Shipman's crimes raise issues of particular public concern, and I therefore intend to depart from my usual practice in this case.

"Harold Shipman was convicted in January 2000 on 15 counts of murder. I extend my deepest sympathies to the families and friends of the victims.

"These were the most heinous of offences and the gross breach of the duty of trust he owed as a doctor to the victims, all of whom were trusting patients. Taking all the circumstances into account I have decided that nothing less than a whole life tariff should apply in this case."

Blunkett has acknowledged that a recent ruling by the European Court of Human Rights could encourage 'whole life' murderers in their legal attempts to strip home secretaries of the power to decide how long serious criminals remain in jail.
Judges at the Strasbourg court ruled that former Home Secretary Jack Straw breached the human rights of murderer Dennis Stafford from County Durham by keeping him in jail longer than recommended by the Parole Board.

The judges said the power of a government minister to overrule the Parole Board was used illegally.

Blunkett vowed after the Strasbourg ruling to fight any attempts by murderers sentenced to 'whole life' prison tariffs to win their freedom by exploiting the judgment.
Moors murderer Myra Hindley is another high-profile British killer seeking freedom despite having a 'whole life' sentence.


http://www.cnn.com/2001/WORLD/europe/UK/06/21/uk.doctor/index.html?related

Shipman deaths within minutesJune 21, 2001 Posted: 7:32 AM EDT (1132 GMT)

Shipman practised despite a drugs conviction  
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MANCHESTER, England (CNN) -- Victims of serial killer Dr Harold Shipman would have been dead within minutes, the public inquiry into his crimes heard on Thursday.

The inquiry at Manchester town hall, north-west England, is investigating the final moments of 466 former patients of the man dubbed "Doctor Death."
On the second day of the hearings Dr Henry McQuay, professor of pain relief at Oxford

University, said patients injected with 30mg or more of diamorphine would be dead within 10 minutes or less.

He said the drug would take effect within minutes, causing the person to stop breathing.

"If you do not breathe for three minutes then your brain will be starved of oxygen and you will die."

In a report prepared for the inquiry, which is expected to last two years and is chaired by High Court judge Dame Janet Smith, McQuay wrote: "Lips would then go blue and then fingers would go blue.

"Skin colour would become pallid, death would follow."

McQuay told lead counsel to the inquiry, Caroline Swift QC, that the effects of diamorphine would be worse on elderly people.

Shipman, 55, of Hyde, Greater Manchester, was convicted in January 2000 of murdering 15 elderly female patients with lethal injections of diamorphine ands one count of forging a will. He received 15 life sentences.

Prosecutors say he may have killed hundreds more during his 24 years as a general practitioner in Hyde near the northern city of Manchester.

The inquiry, which is expected to last two years, began with an overview of Shipman's career from 1974 to the time of his arrest in 1998.

On its first day, Swift told the inquiry Shipman was forced to resign from practice in 1975 -- just 18 months into his first job as a doctor -- after being convicted of forging prescriptions for a painkiller.

Shipman admitted his addiction and received treatment. He was fined $660.
In 1977, he accepted another medical job and was considered an esteemed member of the staff. He left in 1992 to set up a one-man practice.

In March 1998 another doctor expressed concern about the number of cremation certificates Shipman asked him to co-sign, but police concluded there was not enough evidence to pursue charges.

The investigation that led to his conviction was reopened months later after the daughter of an 81-year-old widow discovered her mother had apparently changed her will to leave everything to Shipman.

Inquests have added another 25 to Shipman's list of unlawful killings, and a report has linked him directly to 236 more suspicious deaths.