Denis Finnegan's family, who attended the inquiry report's launch in Croydon yesterday, praised its "critical" and "honest" account. But they condemned the failure of the St George's Mental Health Trust to hold key staff responsible for John Barrett's care to account.

Mr Finnegan's sister, Teresa Kelly, 35, said it was "disgusting" that Nigel Fisher, former chief executive of the trust, was not present at the launch. "He should be here. Where is he now? Sitting pretty in his new job."

Mr Fisher has moved to the Department of Health, where he is advising on foundation trusts. Gill Mezey, the consultant psychiatrist in charge of Barrett's care who was severely criticised in the report, is no longer working with patients of the trust. Her future has yet to be decided.

John Finnegan, Denis's younger brother, added: "We have been tragically let down not by the law but by the lack of commitment from the team at the hospital."

He said the report was "a great relief to my family ... they have gone into it in such depth to find out the exact faults, and they have criticised these faults fully."