by on the findings received by the public and is because the public and that is because the executive summary... we can executiye summary... we can the full report. executive summary... we can disclose the full report. only , --,.-. w. ,0n w- "worit’iié pm intervention, on personal up intervention, on personal up until that treatment was... up until that point there was a to point there was a refusal to disclose it. with ourfull report, you know today $533 $38 fiffi'jhflfif efififif e“??? the fifi“ $39 fifi�*jhflfif efififif 53??? the family are how frightened the family are of valdo calocane. they plan their and they face very

their exits and they face very risks. the shouts from obvious risks. the shouts from the care and the very obvious face and risk of danger. you would not know the extent to valdo calocane which valdo calocane had into his own condition. insight into his own condition. you got better in hospital, he got worse when released. he e= 77 �*what medication —e for him. 77 for him. it 77 ”ifor h'ihfit'siiweh ,,, ' 777forh7i7rr71.77lt7slowe7d him 7777 7 did for him. it slowed him down, it paired his studies. he did not like needles. also die net. like needlee; he elee ~ , . �*what not taking his knew what not taking his did to him. knew �* it made him paranoid, knew —z -z that it may turn violent. all of was known to health effi�*iii “é? efifiifiifi. fl? fiéélifi observed a stockpiling of medicetien. at home. stockpiling of medicetien at home. the stockpiling of medicetion at home. the people who his home. the people who could have considered the long lasting administration of long lasting injectable medication also as depo prior release. do not do so. undoubtedly but do not do so. undoubtedly he was but had he was unwell but he had insight knowledge. he was

insight and knowledge. he was not resistant, he not treatment resistant, he resisted treatment. he was nine months discharged nine months before these attacks. he did not show up these attacks. he did not show up for a patient ;=—77— he was ;——’ 7 ;——* i he was left tothe 7he was left to the general to cope with. the nhs public to cope with. the nhs washed its of him. fiéifiéfi if}. figfijg if fiifi 3317??? �*separate fiéifiéfi if}. fiéfifii elf filfi gaff? �*separate periods fiéifiéfi if}. fiéfifii if filfi gaff? �*separate periods as an four separate periods es en no one four separate periods as an no one joined four separate periods as an no onejoined up inpatient, no one joined-op the he dots. he was discharged effectively as ticking time effectively as a ticking tirner the effectively as a ticking tin'ler the way the families bomb. the way the families have been treated by nhs in run—up to publication of report, is sadly that report, is sadly reflective of families' reflective of the families' struggles since the tragic strp'ggles since the tragic that make events of effects that make events of june 2023. all june 2023. withall. that said, full publication of this even fall pdialication of this does not provide proper as to what went answers as to what went wrong and why, it ensure and why, nor does it ensure that is proper accountability. that is because the report focuses on the systemic nature of failings and nothing more. the family is much more from nhs

expected much more from nhs england. recognising the true accountability and learning e 7be achieved without cannot be achieved without recognition of gross individual so far failings. so far these traumatised families have had to endure nine investigations. -7 firstwas look 7 first was look into the thefirst was a look into the service and that prosecution service and that gave a clean bill gave him a clean bill of health. to's report rise health. to's report gives rise . serious to serious concerns for families with the full facts, to the relating to the noncompliance of valdo calocane with medication may not have been put before the court when his was dealt with. those case was dealt with. those concerns first concerns were first expressed by the families in court they were offered proceedings. they were offered a meeting the prosecution a meeting with the prosecution and only on the of the where 7where heai’d about mighty... e a t%f’i 5:1” quality of 7 quality of the 7 quality of the health

have been proven = -=: that concerns that 7 concernsand iamide imick) iaiacane may not that valdo calocane may not have been treatment resistant by the expert as suggested by the expert a report by as suggested by the expert a repo nhs trust considered multiple itself considered multiple failures in the context of 15 other serious assaults carried by m e nta lly by mentally unwell people from fi�*i�* if}? mafitéllsfflfifiaufiafifila from the previously discharged from the care in the lead up to 2023 and again those families were wrongly excluded from contributing to that report 7 77 august777 7 77 august 7270724. two august 202a. directly contrary any nhs contrary to any nhs guidelines. yet again there are simply left on the the yet again there are simply left on the the the yet again there are simply left on the the ceo he yet again there are simply left on the the ceo of trust confirmingafurther. -- into whether investigation into whether should be facing anyone should be facing action as a this latest report. there ef this latest repeft—l—thererrr . . ~ . also ef this latest repertt—ther—errr . . ~ . also four separate are also four separate investigation is ongoing into the of the the actions of the and nottinghamshire and leicestershire police and to

investigations relating further investigations relating to the unauthorised accessing of information by members of staff and court and staff and the court and tribunal service and prison and probation service. it is clear prehatien services it is clear ”r .- ..- as,” ..- there prehatien services it is clear ' ., ,, r " . ,,,, there are majorfailings that there are major failings across every organisation before and ifififilflféfie efitfi 775.51??? éfifi sift? attacks. from those the attacks. from those responsible to delivering —7 7 7 to those making7 to those making 7sure justice to those making sure support and care are provided to the victims, their families and the general public at 7 77ti7177e77fam77i7li7e7s7777 7 large. the families believe that the full of these will never be failings will never be understood and we now have a statutory inquiry and cannot see it full accountability. the families that have change in the name of ones. thank you. their'loved'ones: thank: you. �* to you. theirlaved'unesrt = ~- -. to ou. ., over to you. hi, can you hear

me? - thank— over to you. hi, can you hear me? - thank- neil. | me? yeah? thank you, neil. there — me? yeah? thank you, neil. there - be _ me? yeah? thank you, neil. there be some repetition there might be some repetition but _ so _ but quite rightly so. because we've got a lot to say and so much — we've got a lot to say and so much has _ we've got a lot to say and so much has gone but bear much has’gone’wro . ea me. much has’gone’mong’hutbear - m_ much has’gone’wrong but bear me. thank you for with me. thank you for being - again _ with me. thank you for being again. without the media support, our voices and public support, our voices - have _ and public support, our voices - have long _ and public support, our voices have long silenced. would have long been silence? -w_ would have long been silence? would have long been silenced. being said, none of us that being said, none of us should _ that being said, none of us should be here should it is unfathomable to me i noted the other family and i noted the other family members that we have had to fight — members that we have had to fight so — members that we have had to fight so hard for so long at such— fight so hard for so long at such a _ fight so hard for so long at such a great emotional and mentai— such a great emotional and mental cost to get this far. without— mental cost to get this far. without the noise we have had to make. — without the noise we have had to make, without support to make, without the support and guidance received our legal and guidance received our legal and support team, certain and support team, i am certain that_ and support team, i am certain that our— and support team, i am certain that our this tragedy that our story, this tragedy - this— that our story, this tragedy this disgraceful and this disgraceful ofjustice and this disgraceful- _ ofjustice would miscarriage ofjustice would have — miscarriage ofjustice would have - as _ miscarriage ofjustice would have - as i _ miscarriage ofjustice would have as i suspect, the

%p7 agencies and cps had hoped brushed _ agencies and cps had hoped brushed 12:55 carpet and failin-s neatly zzz: e—ezz- the lessons will be a learned category. enough is enough. $725 j—liz j—e d7ay, chan-e will h7en. from today, change will happen. accountability at an _ and i accountability at an - _ and individual eorgaz ' l ' ' 'ri||,:| i - will happen. gorgaénisational. and individual will happen. will level will happen. we will ensure _ level will happen. we will ensure it. a key date as alluded to, many, as alluded to, in september calocane was september 2022, calocane was discharged for the fourth time, once more for sectioned once more for serious violence — sectioned once more for serious violence assaults against others _ violence assaults against others. was released without -e risk assessment, l risk assessment, with - l risk assessment, with no - risk assessment, with no plan a risk assessment, with no plan for his— a risk assessment, with no plan for his continued treatment, discharged to his gp, a gp that have thousands of patients and hundreds of standard of and hundreds of standard - of this _ and hundreds of standard of this type being letters of thistxebeltemdr - every letters of thisttebeltemd every week. letters of thisttapeltemq every week. there letters of thisttebeltemd every week. there was a red not a red flag or a letter raising _ not a red flag or a letter raising awareness. this is an

individual— raising awareness. this is an individual who we know is so dangerous as neil whilst recei-t of recei-ccctofenain... serry. in receipt of an ... with engagement with community teams. — engagement with community teams, the threat was so high the staff— teams, the threat was so high the staff members to -e 77— 7-77 7 77 77-77 we re g members were told to plan your _ these _ members were told to plan your _ these are _ members were told to plan your these are all that we know from staff members that we know from this report — staff members that we know from this report did repeatedly tried _ this report did repeatedly tried concerns and tried to raise concerns and those _ tried to raise concerns and those voices fell on deaf ears, higher— those voices fell on deaf ears, higher up— those voices fell on deaf ears, higher up the ranks. in september 2022 as well, a warrant _ september 2022 as well, a warrant been by warrant had been issued by nottingham force for his nottingham police force for his arrest — nottingham police force for his arrest it— nottingham police force for his arrest. it was in to a arrest. it. was in relatienjloq} - m_ arrest. it was in relation to a violent assault on an worker 7 7 worker that had taken emergency worker that had takeni emergency worker that had taken previously during one of 7: z: 7am 7e777lh 7 7 -—-7 77e7n7lt lh 777 never acted - never acted upon, - - never acted upon, nol was never acted upon, no checks. _ was never acted upon, no checks, no cross communication from _ checks, no cross communication from a _ checks, no cross communication from a police force. from september 2022. and in

september 29227 andin —~——————— 2022, we september 29227 andin _ 2022, we delivered september 2022, we delivered our beautiful child, aged 18 - otd. _ our beautiful child, aged 18 - old. to _ our beautiful child, aged 18 old, to nottingham to eefi7§ z 777 z 77 start the next part of his life. _ start the next part of his life. to _ start the next part of his life, to study, to grow up, to his beloved cricket, 7-= a whole new - a whole new rangel 2 a whole new range of make a whole new range of friends _ make a whole new range of friends in _ make a whole new range of friends in a city he had already— friends in a city he had already come to we know what an 2 we know what an unsafe city did we know what an unsafe city he was — did we know what an unsafe city he was left in what he was being left in and what evil i— he was being left in and what evil i waited in the shadows in the early— evil i waited in the shadows in the early of morning the early hours of the morning onjune the 13th the early hours of the morning on june the 13th 2023. the early hours of the morning onjune the 13th 2023. in the early hours of the morning on june the 13th 2023. in this city atone, _ on june the 13th 2023. in this city alone, since the year 2000, _ city alone, since the year 2000, there have 50 2000, there have been 50 - through- 2000, there have been 50 through mental health. murders through mental health. 50 homicides. under mental health— 50 homicides. under mental health alone. this much referred _ health alone. this much referred to later report is evidence of more evidence of catastrophic failure — more evidence of catastrophic failure. adds to the pile of failure. it adds to the pile of others _ failure. it adds to the pile of others. yes, nine, as neil has said, _ others. yes, nine, as neil has said. nine _ others. yes, nine, as neil has

said, nine painful others. yes, nine, as neil has saii part re painful attempts others. yes, nine, as neil has saii part to )ainful attempts others. yes, nine, as neil has saii part to address tempts others. yes, nine, as neil has saii part to address the ots our part to address the - that - our part to address the - - that - raised. without exception77 almost without exception. wholly _ almost without exception. wholly and little :-= 2 than marking of homework, more than marking of homework, they provide little no of the full art the hill truth art the iiuii truth with clarity of the full truth with huge — clarity of the full truth with huge emissions and —— i'i as -- uge gaps, emissi g i . ons—and— huge gaps, emissions and —— gaps, omissions and no 7777 accountability. 7—= 7 7—= _7 7 detailed but it 7 7 detailed but it is 7 they event detailed but it is r"*""*"""*”"*rn'n of the they event deteiled but it is r"*""*"""*”"*rn'n of the same. the more of the same. the hundreds i families— more of the same. the hundreds families has of these reports on 77m this website. all these _ butl this website. all these but nothin- recommendations but nothing has changed. — recommendations but nothing has changed, has it? is a 72:7 summary of the failure, negligence, bad —— 7 severaups end lies thet eve ....u....u..-.u....- there have severaues end lies thet eve ....u....u..-.u....- there have been since believe there have been since may _ believe there have been since may 2020 up until today. barney. _ may 2020 up until today. barney, grace ian be barney, grace and ian would be here _ barney, grace and ian would be here today if those = those a-encies those a -encies had 2 those agencies had just across those agencies had just - their—

across those agencies had just their properly. the done theirjob properly. the scale — done theirjob properly. the scale of— done theirjob properly. the scale of all of is scele ef ell ef this'is '* and scele of ell of this'is _ and epic scele ef ell ef this'is '* and 7 -: public deserve to - public deserve to know - - public deserve to know the | 7— it must be 77 77 7pr_77 77 77 77r— must be dealt with properly. no more _ must be dealt with properly. no more brushing under the carpet are - into— *—=h -l.'-77 the lon- -rass or t7e- - rass 777ty into the long grass or empty promises. and promises. anything and everything that--. .- go everything that could go wrong did. everything that could go wrong did we — everything that could go wrong did. we have failed by two did. we have been failed by two police _ did. we have been failed by two police forces, the nhs, the cps and incorporating the entire criminat— and incorporating the entire criminal system. the criminal justice system. the cps— criminal justice system. the cps - a _ criminal justice system. the cps a prosecution, cps withra weak prosecution. investigation and the 77777_7 eéigi 7727777777 7a n outer reliance on a trial by an expert— outer reliance on a trial by an expert doctor has we an enormous i an enormous miscarriage lgd to an enorm- u . a; 'ustice lgd to an enorm ' ' .justice with lgd to an enormous miscarriage justice with the individual $ e ry presented at court being a very different— presented at court being a very different individual than that in different individual than that _ in this _ different individual than that in this report alone. contained in this report alone. and _ contained in this report alone. and also— contained in this report alone. and also in— contained in this report alone. and also in detail of his g actions leadind into the and hours prior months, weeks and hours prior to his _ months, weeks and hours prior to his - act. _ months, weeks and hours prior to his act, he is months, weeks and hours prior to his courtiers, s months, weeks and hours prior to his courtiers, but he have insi-ht. he knew

was doin-, he knew it was he was doing, he knew it was wrong — he was doing, he knew it was wrong and _ he was doing, he knew it was wrong and he did it anyway and it is for— wrong and he did it anyway and it is for a — wrong and he did it anyway and it is for a inquiry wrong and he did it anyway and it is fora inquiry and iteis tot a public mgulcyand -teg7_ iteis tot a public mguccyand - legal team iteis for a public inquiry and legal team now iteis tot a public inquiry and legal team now to iteis for a public inquiry and legal team now to take iteis tot a public inquiry and legal team now to take this forward. he serves no punishment his he as a resident, he resides as a resident, he receives _ resides as a resident, he receives income via the state receives income'viat" s-.. he receives income'via thestate - he doesn't doorman 777 7 -77 7_—7 e7- emotionally said in the in the emotionally said in the - - 0f— in the emotionally said in the - - of last - in the emotionally said in the of last year, in the emotionally said in the of last year, they he emotionally said in the of last year, they have springof tastyear; they—have -tey_ springof tastyearithey—have they have springof lastyear; they have they have their him back. they have their trrother— him back. they have their brother back already. barnaby was my— brother back already. barnaby was my �* charlie will was my brother charlie will never — was my brother charlie will never have him back. james never grace kumar will never have grace ian kumar will never have grace - ian witt— kumar will never have grace ian will never return back and ian will never return to his — back and ian will never return to his children and grandchildren. is grandchildren. it is disgraceful. the roads and court _ disgraceful. the roads and court are _ disgraceful. the roads and court are unlikely to be court are unlikely to ever be released _ court are unlikely to ever be released. it is absolute court are unlikely to ever be released. it is a patient, he rubbish. he ise patientzhe'is' """”'*"'*’* the rubbish. he iie patientzhe'is' """”'*"'*’* the statistics show responding. the statistics show it- certain. _ responding. the statistics show it certain, �*98%, it is almost certain, over 98%, you wiii— it is almost certain, over 98%, you will out within 20 7 no. he needs to be

of course, m treated of course, he needs to be rehabilitated and then you must — be rehabilitated and then you must serve a penal for must serve a penal element for the murder of my child and th’e’mquer’of mychn't'dandto m- the’mquer’of mychn't'dandto m others. he got away with murder. _ others. he got away with murder, didn't he? this has to be addressed. so enough is be addressed so enough is 7 it is shameful be be addressed so enough is - it is shameful be had enough. it is shameful be had to fight— enough. it is shameful be had to fight so hard against public agencies and institutions that 7 should be there .o i oec. s. the should be thereto—protector; - the respect should be there to protect us. the respect to admit have the respect to admit faiture _ have the respect to admit faiture -- _ have the respect to admit failure —— admit failure, serve consequences about é consequences about mosti make the chan-e now jmgortantl make the cl . | - - | - i is igmgortantly make the change now is desperately needed to that is desperately needed to keep— that is desperately needed to keep public to the keep the public safe. to the prime — keep the public safe. to the prime minister and the rest of government, make this the government,.-. . the government.makethis w the government, .. .. . '. and ourfight. 7-—7 7 7 you have confirmed 7 - you have confirmed there l will be a public inq', . the will be a public inquiry—bidet -m_ will be a public inquiry but! the terms we have agree'the'terrrrs'that we have - pleading agree'the'terrrrs'that we have pleading for, make it been pleading for, make it statutory, of agencies, statutory;aii of the agencies. institutions and ette == 7 individuals must vitally individuals must then and will— vitally individuals must then and will be compelled to attend, evidence and

the truth. do right thing. the truth. do the right thing. we are. _ the truth. do the right thing. we are, and we will not stop untit— we are, and we will not stop until it — we are, and we will not stop until it happens. thank you. hello, everyone. thank you for grace was love of coming. grace was the love of our lives, a medical student training to becoming a doctor nottingham university. a family, we have7 gygggis family. webave been at every failed. at every intersection that valdo calocane had with authority, we were failed. any authority, we were failed. leicestershire police failed and arrest valdo identify and arrest valdo calocane. nottinghamshire police failed to execute a

desiree fallen to enemies a nine “eke fans to enemies a nine months. they 7 their investigation. failed in their investigation. in the art charge. they failed in the art charge. they failed in the art charge. they failed in their standards. professional standards. nottingham council workers nottingham councilevorkers " ,- ~ ~ . .u . police and crime failed. the police and crime of the time failed commissioner of the time failed hold the nottinghamshire co nsta ble 7 constable 7 for failure 7fa7ilu7r7e7of7777 77 failure of national standards a failure of national standards in her is now in herforce. it is now by the care quality confirmed by the care quality commission the mental health the nhs homicide review, trust, the nhs homicide review, valdo calocane not a treatment resistant he simply 7777 his medication. 7 his medication. and to take his medication. and that he was fully culpable for 77 to take his medication. r7eport published this report published highlights the failures of the this report published highligi health failures of the this report published highligi health trust as of the this report published highligi health trust butf the this report published

highligi health trust but it he mental health trust but it fats and i mental health trust but it fsfls and i as fails my wife and i as clinicians working in the nhs because it to name because it fails to name individuals responsible for the because it fails to name individ to s responsible for the because it fails to name individ to treat ionsible for the because it fails to name individ to treat valdo e for the because it fails to name individ to treat valdo calocane failure to treat valdo calocane appropriately. we be appropriately. we will be asking the state ashtngthesecretary of state health order the for health to order the trust to hold individual doctors responsible as knew was an evil, violent a known risk to the man. a known risk to the public. who did not take his medication. he was sectioned four �*times a sicker four times. four times a sicker to changes —— four times a psychiatrist failed to changes treatment. times they fail to use on medication. four jekyll medication. four times they failed put provisions they failed to put provisions in the community to sure in the community to make sure took his medication and

he took his medication and ultimately, irresponsibly, discharging him into the community to do harm. failed to considsr public" in nottingham. this safety in nottingham. this report was meant to be more than the failure is 7 found by the care quality commission it fails. commission but it fails. because it does not name the seesuee it sees 7n§t fiefie the that seesuse it sees nee earns the that failed eeeauee it sees het hefie the that failed in psychiatrist that failed in their duty treat valdo their duty to treat valdo a system is up calocane. a system is made up of individuals. if individuals 7 not held to account, are not held to account, systems cannot change in as ou have seen with country. as you have seen with and other attacks and failings and other attacks and ultimately there will be no positive change, no change for and no cha7nge 7 and no cha7nge the7 77 77fbf7th7e777 77 77fbf7th7e77ieés7 77 77fbf7th7e7 13.1; of 77 77fz>f7th7e77ie£s7 of our community; for the loss of our and daughter beautiful and brave daughter there must

grace, there must be change. this a watershed moment. this is a watershed moment. we demand a inquiry with demand a public inquiry with powers compel statutory powers1 powersconepel to account for their witnesses to account for their failures. as neil hoddle failures:as neil hoddle and team module illegal team from module solicitors, demand accountability. n as —— as neil hugill and legal team from neil hugill solicitors demand nothing can accountability. nothing can for our loss. thank compensate for our loss. thank you. compensate for our loss. thank ou. . compensate for our loss. thank ou. , ., ., ., ., you. first of all i wanted to thank