the chief inspector of health care at the cqc. dr richard taylor is still here. do you think it is to establish why the professionals involved behaved in the way they did which was the point the interviewer was trying to get out? it is which was the point the interviewer was trying to get out?— was trying to get out? it is very important _ was trying to get out? it is very important and _ was trying to get out? it is very important and clearly _ was trying to get out? it is very important and clearly there - was trying to get out? it is very important and clearly there are | important and clearly there are individual decisions that will be looked at by a judge led inquiry about they are systemic issues around consent. it is reasonable to aim to get a patient to consent to a medication that helps them and makes them better and treats their delusions does not give them side—effects, but at what point do we move beyond that to compulsory treatment? i do not think that is clear and that is a matter of professionaljudgment. by the time we got to the fort admission in

the cqc says that the risk assessments, whichever ones were conducted and there were some conducted, properly. that's the first point. the second point is, is just because you can't get hold of a patient, you don't discharge them. that's utterly irresponsible, especially as he has already been identified as someone who would cause significant harm to others. and i think it was irresponsible of that particular physician at that time to discharge him to gpjust because he couldn't be bothered. what he should have done is got hold of the police liaison officer and say, "this dangerous person is not "attending his appointments. "we need to give his name to the police service "to bring him in into the clinic, to be treated," and not simply just discharge him to do harm in the community, which is exactly what he did do. this was utterly irresponsible. there is completely an inconsistent approach to risk assessment. while he was in hospital and during his discharge. and there seems to be that every time he was discharged, there was no reflection on his previous past medical history. this was

the first time the cqc have ever been instructed to do a section 48 on an individual patient and his past that level of senior serious reporting and investigating is done into a hospital, a care home, a trust, you know, an organisation . so i think that organisation. so i think that just shows and what that's uncovered illustrates, so this process is a shock to the system then. >> yeah . not used to this level >> yeah. not used to this level of potential. potential accountability. >> yeah. and i think when the independent nhs england findings come out in the next month or two, they'll be even more because that goes a bit broader than the cqc. and as you said, it's about that . it's about it's about that. it's about that. where's the cohesion, where's the sort of joined up thinking, just doing your job properly? you know, in a hospital, especially in a mental health trust , there should be health trust, there should be a police liaison officer that is the conduit between the two. so dangerous people that have committed offences and are at risk, the public, the police are aware of them

the cqc says the risk assessments, whichever ones were conducted — and there were some conducted — werete. they were not conducted properly. that's the first point. the second point is just because you cannot get hold of a patient, you don't discharge them — that is utterly irresponsible. this was a person with escalating violent behaviour, non—adherence to his medication and lack of engagement with his health care. so, these are all risk factors for homicide. his risk as a danger for public safety should have been taken more seriously and these aspects were completely ignored. the care quality commission says that over the two years calocane was in the care of nottinghamshire mental health services, there were difficulties getting him to take his medication. his aggression was increasing when he was unwell. in the community, he missed appointments, and when he was discharged back to his gp in september 2022, the risks weren't considered properly. while it is not possible to say that the devastating events of last year would not have taken place had valdo calocane received that support,

nottinghamshire health care foundation trust says it accepts the cqc report and that it's doing everything news. around the world and across the uk. this is bbc news. let's turn to the continuing tension in the middle east now. the military wing of hamas said it targeted the israeli city of tel aviv with two rockets. explosions were heard but there were no casualties reported, according to israeli media. it was the first attempt by hamas to hit tel aviv since may. meanwhile, the uk prime minister, sir keir starmer, has urged iran to refrain from attacking israel. his comments in a phone call with the new iranian president, masoud pezeshkian are part of a wider diplomatic push to prevent any escalation of violence. america's top diplomat anthony blinken is also travelling to the region. the white house has warned that iran could launch what it describes as a �*significant attack�* on israel as soon as this week. it's rushing an aircraft carrier strike group and a guided missile submarine to the middle east in a show of support for israel. iran and the group it backs in lebanon, hezbollah, h

. - nottinghamshire healthcare foundation trust says it accepts the cqc report, and that it's doing everythingmorrow's papers. starting with the metro, which leads with fears of an iranian attack on israel, and keir starmer�*s call with iran's new president, masoud pezeshkian. "iran tells starmer in phone call, retaliation is our right" — it reads. meanwhile, the financial times is leading with the surprise shake—up at starbucks, and the appointment of chipotle's brian niccol as its new ceo. the i turns its attention to elon musk and x — with an article saying the social media platform uses 'far right hate' to sell adverts. the daily telegraph claims there's been a "40% surge in children on disability benefits". the guardian leads with a special report on the 50 women killed by men in the uk so far this year. the paper is marking their lives, with pictures and details about each one. and the daily mail is focused on the so—called worklessness crisis in the uk — and the pressure on the prime minister to get it under control. running was just a lockdown hobby for rose harvey from worcestershire.

the cqc says that the risk assessments, whichever ones were conducted, and there were some conducted,quate. they were not conducted properly. that's the first point. the second point is, is just because you can't get hold of a patient, you don't discharge them. that's utterly irresponsible, especially as he has already been identified as someone who would cause significant harm to others. and i think it was irresponsible of that particular physician at that time to discharge him to gpjust because he couldn't be bothered. what he should have done is got hold of the police liaison officer and say, "this dangerous person is not "attending his appointments. "we need to give his name to the police service "to bring him in into the clinic, to be treated," and not simply just discharge him to do harm in the community, which is exactly what he did do. this was utterly irresponsible. there is completely an inconsistent approach to risk assessment. while he was in hospital and during his discharge. and there seems to be that every time he was discharged, there was no reflection on his previous

nottinghamshire health care foundation trust says it accepts the cqc report and that it's doing everythingof art involving animals in london in as many days. it shows a gorilla, seal, and birds, and it's at the entrance to london zoo — which said it was "absolutely brilliant. " the latest flurry of banksy street art began last monday, with this goat on a wall in richmond. tuesday saw a pair of elephants leaning out of windows in chelsea. the next day, three monkeys appeared on a railway bridge over brick lane, near shoreditch. on thursday, a wolf popped up on a satellite dish in peckham — which was quickly taken by a suspected thief. friday saw the emergence of these pelicans above a fish and chip shop, in walthamstow. then the weekend began with a cat on a disused billboard in cricklewood — again, quickly removed. while sunday saw these piranhas in the city of london. yesterday, an eighth artwork featuring a rhino mounting a nissan micra was revealed in charlton, southeast london. but sadly, it wasn't long before it was defaced. a man wearing balaclava was caught on camera brazenely walki

nottinghamshire health care foundation trust says it accepts the cqc report and that it's doing everythingmprove. alison holt, bbc news. let's speak to the consultant forensic psychiatrist dr hasanen al—taiar, who is also a medical member of tribunal services. dr hasanen al—taiar, thank you very much for your time. i wonder in your opinion what could and should have been done to prevent the deaths of grace, barnaby and ian.— grace, barnaby and ian. thank you for the invite _ grace, barnaby and ian. thank you for the invite and _ grace, barnaby and ian. thank you for the invite and my _ grace, barnaby and ian. thank you for the invite and my sincere - for the invite and my sincere condolences for the families of the victims in such a tragic event. what could have been done differently, technically, i don't work with any specific mental disorder. we are talking about schizophrenia or psychosis where they might lose touch with reality. first of all to ensure the patient receives what we verify as... they should receive the adequate medications. psychotic medication every month, every six mont

we have had this report from the cqc but we also have another report from the nhs coming up another reporth will look at how the different health services interacted together or didn't interacted together or didn't interact together in valdo calocane's case. that public inquiry could pull those threads together and the reason why it is so important is because this is about the treatment for patients, keeping them safe, but also in those extreme cases, keeping the public safe as well and trying to prevent future tragedies. well and trying to prevent future tracedies. �* _, well and trying to prevent future tracedies. �* ., ,, well and trying to prevent future tracedies. �* ., ~' ,, a man has been charged with attempted murder after an 11—year—old girl was stabbed in leicester square in central london. she's been treated for serious but not life—threatening injuries. ioan pintaru has appeared in court this morning. let's speak to our reporter nickjohnson. nick, what more can you tell us? leicester square, the heart of london's west end, usually the site of hollywood film premiers. yesterday,

the cqc, cqc said that calocane records made it clear that he was acutely unwell and it included thosentenced to an indefinite hospital order and is now residing at ashworth high security hospital in merseyside. after killing those three people, barnaby webber and grace o'malley—kumar, 219 year old students who were on their way home from a night out here in nottingham, as well as ian coates, a 65 year old caretaker who was on his way to work. now this happened a little over a year ago, in june 2023. the families reacting today have said that the medics and doctors that cared for valdo calocane, who was experiencing symptoms of psychosis and schizophrenia when he conducted that knife attack, have blood on their hands and they've now said that after a meeting with wes streeting, the health secretary and the attorney general , that it has attorney general, that it has been confirmed to them that there will be a review into a pubuc there will be a review into a public inquiry into what happenedin public inquiry into what happened in june last year. now it is the nottinghamshire healthcare

. >> cressida, does england's mental health act need reform in light of cqc review?the aftermath of one of these tragic stabbings . valdo calocane tragic stabbings. valdo calocane killed three people and there's been lots of failures. they're saying that he wasn't monitored properly. things could have been different, >> oh yeah. >> oh yeah. >> because one of his mental health, observers or doctors wrote a letter saying that he's going to he's going to kill someone. so, you know, i mean, that should have been taken seriously. i would have thought. >> right. exactly. so the argument here is, do we need the act to be reformed, or do we need people to use the powers they've already got properly? and of course, this is a lot about labelling and diagnosis. and i can understand why professionals get very nervous about labelling because, you know , it has an impact on the know, it has an impact on the patient and so on. but also the reason we label is so you can predict behaviour, which is exactly what you've just said. so the argument here is no, don't change things. just j

and ultimately what the end of this review has found is that the cqc identified that the mental healthtinghamshire minimised or admitted the risks that surrounded valdo calocane and the risks that he presented to members of the public. a couple of the risks that have been identified from eight different risk assessments while he was in contact with the health care trust over a period of around two years from may 2020 to september 22nd, 2022. was that valdo calocane was experiencing symptoms of psychosis. of course, he was suffering from schizophrenia and he was refusing to take medication. now the cqc says that the records make it clear that the records make it clear that valdo calocane was acutely unwell, and that was during the penod unwell, and that was during the period that he was being cared for and treated by the nottinghamshire healthcare nhs foundation trust. he was sectioned four different times andifs sectioned four different times and it's because of those interactions and ultimately those failings that today we've heard from the families who describe the doctors and medics

a review published by the care quality commission or cqc, on tuesday regarding the case found a seriesnts by mental health services. a litany of errors basically allowed a knowingly dangerous, mentally ill, sick man to roam the streets without any serious supervision. in a statement, the victims families said that the organisations involved must bear a heavy burden of responsibility . burden of responsibility. remember notting hill carnival last year? youths actually running through the streets in sadiq khan's london, brazenly carrying zombie knives and machetes. how can you even be allowed to buy these things, let alone get away with carrying them openly? it's frightening. well, one answer to all of this you'll need to take a seat for this one. police are asking owners of zombie knives and machetes to hand them back in exchange, and give them the holder of such an object, the market value as compensation if they turn them in before the knives are banned on september the 24th this year. i mean, are you having a laugh? you heard it here, folks. cash for knives. you couldn't make it up.

the cqc says the risk assessments, whichever ones were conducted — and there were some conducted — wereed back to his gp in september 2022, the risks weren't considered properly. while it is not possible to say that the devastating events of last year would not have taken place had valdo calocane received that support, what is clear is that the risk he presented to the public was not managed well and that opportunities to mitigate that risk were missed by the team. the report also says more should have been done to include valdo calocane's mother and brother in his care. they told bbc panorama they tried to raise concerns with mental health teams. later, calocane said he didn't want information shared with them. we're his family. we're trying to help as best we can, but we're sort of like cut off after a point, and we're not told pretty much anything. nottinghamshire health care foundation trust says it accepts the report and that it's doing everything in its power to understand and learn from the missed opportunities. the families of barnaby webber, grace o'malley—kumar and ian coates