Multiple care failures led to Nottingham killer being discharged, review finds

A "series of errors and misjudgments" in Valdo Calocane's mental health care led to him being discharged, despite repeatedly not taking medication and showing signs of aggression, months before he killed three people in Nottingham, a report has said.

- Jessica Murray

A review by the Care Quality Commission (CQC) of the treatment that Calocane received from Nottinghamshire healthcare NHS foundation trust over two years between May 2020 and September 2022 found: "The risk he presented to the public was not managed well."

The report concluded: "In Calocane's case there was no single point of failure but a series of errors, omissions and misjudgments."

It said there were "systemic issues with community mental health care which, without immediate action, will continue to pose an inherent risk to patient and public safety".

Calocane killed Grace O'MalleyKumar and Barnaby Webber, both 19 and university students, and Ian Coates, 65, a school caretaker, in a knife rampage through Nottingham in the early hours of 13 June last year.

He then stole Coates' van and drove into three pedestrians, who were seriously injured.

In January, Calocane was given an indefinite hospital order after pleading guilty to three counts of manslaughter on the grounds of diminished responsibility because of a diagnosis of paranoid schizophrenia, which experts concluded had caused him to carry out the killings.