A new review has uncovered numerous failings in the NHS care and treatment of Valdo Calocane, the paranoid schizophrenic who killed three people in Nottingham in June 2023. The review found that Calocane's risk 'was not fully understood, managed, documented or communicated' and that the voice of his family 'was not effectively considered' in his treatment. The report also revealed that other patients under the same trust had committed acts of 'serious violence'.
Valdo Calocane, who was diagnosed with paranoid schizophrenia, was given a hospital order in January 2024 after admitting manslaughter on the basis of diminished responsibility
In response, the government repeated its commitment to an inquiry into the attacks, with work ongoing to establish its scope.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 is the first duty of the government to keep its citizens safe - it is now clear that the previous government failed Grace, Barnaby and Ian in that duty," the statement added. It was documented that Calocane's behaviour was an episode of psychosis brought on by the stress of course work and a forthcoming exam, coupled with a lack of sleep.
He was initially called by the crisis team. The contact was a phone call rather than a face-to-face appointment "because of Covid-19 restrictions at the time".In July 2020, Calocane was admitted to hospital for a second time after forcibly entering a neighbour's flat. On a number of occasions, his care co-ordinator had suggested the use of depot medication - which releases slowly over time meaning patients need to administer medications less frequently.
Calocane was admitted to hospital at the end of January 2022 for almost a month - his fourth hospital admission. The report said "opportunities to assertively try to reach out to when he disengaged from services were limited" because of pressures in the team. Claire Murdoch, NHS England's national mental health director, added: "Nationally, we have asked every mental health trust to review these findings and set out action plans for how they treat and engage with people who have a serious mental illness, including how they work with other agencies such as the police.
NHS Mental Health Schizophrenia Nottingham Killings Public Inquiry
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