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• The families reiterated that the system failed them over triple killer Valdo Calocane. He was discharged "effectively as a ticking time bomb"
• Families are calling for a statutory public inquiry - making it independent, judge-led, and with more powers to compel people to give evidence. Solicitor Neil Hudgell said it must "have teeth"
• Calls have been made for individuals to be held responsible for their "failure" to treat Calocane appropriately. Dr Sanjoy Kumar said he would ask Health Secretary Wes Streeting to hold clinicians responsible
• James Coates spoke of Nottingham's residents being let down. He says he cannot be proud of where he is from
• The frustration of having to fight for lessons to be learned was a theme from the families who spoke. Emma Webber said it could have "been brushed under the carpet"

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Emma Webber also told the BBC she had spoken to the family of one of the three young girls murdered in Southport last summer.

Mrs Webber said the girl's family had reached out to her privately after the 29 July knife attack at a Taylor Swift-themed dance class.

She added their families were both in an "awful club that you'd never want to be in".

Last month, 18-year-old Axel Rudakubana was jailed for a minimum of 52 years for murdering Alice da Silva Aguiar, nine, Elsie Dot Stancombe, seven, and Bebe King, six (pictured below), in Southport.

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Rob Sissons
East Midlands Today Reporter

The victims' families - at their press conference in London - condemned today's report for not going far enough.

They wanted it to name names, analyse individual actions and go beyond what they regard as a preoccupation with system failures.

It does not name anyone, nor does it say if the attacks could have been prevented.

They pledged to fight for NHS staff to be held to account - not as part of a witchhunt as they put it, but an appropriate response they feel to the enormity of what has happened.

They stress the loss of their beloved family members must act as a watershed moment and lead to lasting change in the way people are protected from dangerous individuals with severe mental health issues.

They emphasised only a national public inquiry would bring the insight and change needed to reduce the risk of more killings and injuries of innocent members of the public.

Families spoke today about the latest review, commissioned by NHS England, which is one of many to have taken place in the wake of the killings.

Another, by the Independent Office for Police Conduct (IOPC), is looking into both Leicestershire and Nottinghamshire police.

Meanwhile, a review into the Crown Prosecution Service (CPS) found that while prosecutors had been right to accept Calocane's pleas of manslaughter on the basis of diminished responsibility, they could have handled the case better.

In May last year, a judge ruled Calocane's sentence was not unduly lenient.

And in August, a review published by the Care Quality Commission (CQC) found "a series of errors, omissions and misjudgements" by mental health services.

The CQC report looked into Calocane's care by Nottinghamshire Healthcare NHS Foundation Trust from May 2020 to September 2022.

In December, the victims' families welcomed a move to review homicide law and the sentencing framework for murder.

The victims' families had previously called for a change in homicide law, with Mr Webber's mother Emma saying "murderers will get away with murder".

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Rob Sissons
East Midlands Today Reporter

The latest health report doesn't tell us much we didn't already know from the investigation carried out by the Care Quality Commission (CQC) rapid review.

The key themes are the same - risk assessments that weren't robust enough and communication between teams within the mental health trust was not extensive enough.

The chief executive of the organisation, Ifti Majid, once again apologised to the victims' families.

Asked about accountability, he said the trust would be investigating whether anyone should be facing disciplinary action as a result of the latest report.

The health investigations into the Calocane case are likely to have far-reaching implications.

The report calls for a national debate about how to manage people like Calocane and provides plenty of food for thought for policymakers to come up with more answers.

The press conference has now finished.

A reminder, in case you missed the story...

The NHS has "apologised unreservedly" over a series of failings in the care of triple killer Valdo Calocane, who stabbed to death Barnaby Webber, Grace O'Malley-Kumar and Ian Coates on 13 June 2023.

The independent review, by Theemis Consulting, looked into the treatment given to Calocane by Nottinghamshire Healthcare NHS Foundation Trust prior to the killings, as well as the interactions the NHS had with other agencies involved in his care.

It laid out how Calocane, who has paranoid schizophrenia, had no contact with mental health services or his GP for about nine months prior to the killings - and was discharged after failing to engage with them.

You can read more about this here.

Neil Hudgell, solicitor for the families, said they were aware that resentencing "does not appear to be on the landscape".

On the prime minister's previous pledge to have an inquiry, he said: "We were reassured by the offer to meet with ministers. There's a desire on the part of the families to get there as soon as possible.

"We want it to have teeth, and be judge-led."

When the report was published on Wednesday, the government repeated its commitment to an inquiry into the attacks, with work ongoing to establish its scope.

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Mrs Webber says she thinks it's time the families get the opportunity to meet Prime Minister Sir Keir Starmer and senior cabinet ministers.

She said: "They do not have the full detail."

Mrs Webber is now speaking about the NHS taking the decision to publish the review in full - after it was suggested that only a redacted version would be released.

It was understood the full version was going to be kept confidential due to "data protection legislation relating to patient information".

A spokesperson for NHS England said: "Independent mental health homicide reports are commissioned by NHS England and published in line with the requirements of confidentiality and data protection legislation relating to patient information."

But when releasing the report, the NHS said it decided to publish the report in full in line with the wishes of the families, and "given the level of detail already in the public domain".

Mrs Webber added: "Everything's been a battle.

"It should not take us being tortured endlessly to try and get clarity, answers and the truth.

"There's only a U-turn because of the pressure, and it's just not right."

Mrs Webber has just been talking about the history of incidents prior to the Nottingham attacks.

Calocane was treated by Nottinghamshire Healthcare NHS Foundation Trust.

The review into the trust as well as the wider NHS revealed that other patients under the care of the same trust - some of whom had been discharged - had also perpetrated acts of "serious violence" across 15 incidents between 2019 and 2023.

She said: "It's failure, the word is coming up again and again."

Mrs Webber added there was a "risk to public safety".

Grace O'Malley-Kumar's mother, Dr Sinead O'Malley-Kumar, has spoken about how public safety should be considered in treatment for mental health issues.

She said that if you had cancer, you could make a choice not to have treatment, but added this should not be the case for people in mental health crises.

She said: "Accountability is very important.

"If anyone thought Valdo Calocane was sharing a student flat with their child, the neighbour of their parent, their choices would have been very different."

Solicitor Neil Hudgell says the families feel they have not been heard by the various agencies involved in the case so far.

He added: "It's been very striking to the legal team, every time we sit with the families, how traumatic this is. They have been unable to move the dial.

"I think the words 'afterthought', 'marginalised', 'not involved at all', simply adds to the trauma of such a difficult situation."

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Emma Webber is speaking about a feeling that Calocane should have been tried on a murder charge.

She said: "We were never consulted, we were railroaded. If I knew then what I know now, everything would be different, but how do you deal with your child being murdered?"

Calocane, who has paranoid schizophrenia, was sentenced to a hospital order in January 2024 after admitting manslaughter on the basis of diminished responsibility.

A review into the Crown Prosecution Service (CPS) found while prosecutors had been right to accept Calocane's pleas, they could have handled the case better.

And in May last year, a judge ruled Calocane's sentence was not unduly lenient.

Emma Webber said all of the families were calling for people involved in the failings in the Nottingham attacks case to be named individually.

"Names must be named," she said.

She added the professional implications of being named were no comparison to the loss of a family member.

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Mr Coates continued: "The report shows the failures in just this individual case.

"Imagine what's happening with every other patient.

"To the people of Nottingham, you have been failed, and will continue to be failed until changes are made."

He added that failings in local services were an added issue for him, as a city resident.

"Where I'm from, I want to be proud, but I can't," he added.

James Coates, son of Ian Coates - who was just four months from retirement when Calocane stabbed him to death before stealing his van, using it to drive into and seriously injure three pedestrians on 13 June 2023.

Mr Coates has been speaking about how hard it is for the families to be fighting.

He said: "I'm the voice for my father who can't speak for himself.

"It's hard, I work full-time, I have a new marriage, I have a lot of stress and still I don't want anyone else to suffer.

"The police, they failed us, the NHS, they failed us, who do we turn to?"

He said: "This is a watershed moment.

"We demand accountability and will not stop until we get justice for the victims of the Nottingham attacks."

He added people had been left with "broken lives".

Dr Sanjoy Kumar, the father of 19-year-old Grace O'Malley-Kumar - who was killed by Valdo Calocane while trying to defend Barnaby Webber - is calling for individuals to be held to account - saying "a system is made of individuals".

He said: "He was sectioned four times. Four times the psychiatrists failed to change the treatment. Four times they failed to put provisions to ensure he took his medication, ultimately discharging him into the community to do harm."

Mrs Webber has called on the government to make the public inquiry it has previously committed to statutory.

She said: "To the prime minister and rest of the government, make this trauma stop, and make our fight stop now.

"Yes you've agreed to a public inquiry.

"Agree the terms that we have been pleading for, make it statutory.

"Do the right thing. We won't stop until that happens."