Dame Janet Smith concluded that Shipman killed three men at Pontefract General Infirmary in 1972, decades before his crimes as a family doctor were uncovered.
Published

Harold Shipman's killing began earlier than anyone had known. On January 27, 2005, the public inquiry into his crimes concluded that he had killed three patients as a junior hospital doctor in 1972.
Launching the sixth and final report of the Shipman Inquiry, its chairman, Dame Janet Smith, said Shipman killed three men within six weeks at Pontefract General Infirmary in West Yorkshire: Thomas Cullumbine, 54, who died on April 12, 1972; John Brewster, 84, who died on April 28; and James Rhodes, 71, who died on May 22. "In the case of Thomas Cullumbine it is likely that Shipman used morphine to cause his death, but in the other two cases I do not know what drug he used," she said. Her first report, in 2002, had found that Shipman killed 215 patients as a family doctor and none at Pontefract. The new findings raised the total she attributed to him over his career to about 250.
Alerted by a nurse who had worked at the hospital, Dame Janet examined 137 deaths at Pontefract. She found a strong suspicion over four more, including that of Susie Garfitt, a four-year-old girl who died there in October 1972, and some suspicion over 17 others, but could reach no conclusion in 45 cases. She suggested that in his early years Shipman may have been driven partly by a desire to experiment with drugs. "It was the very fact that Shipman was a doctor that enabled him to kill," she said.
The report also rejected a former Preston prison inmate's claim that Shipman had boasted of taking 508 lives. Dame Janet said the report brought the inquiry's work to an end, and the same day Health Secretary John Reid announced a review of how doctors' fitness to practice is assessed and of the role of the General Medical Council. Shipman, convicted in 2000 of murdering 15 patients, had died in prison a year earlier.