With a resigned sigh, a medic lowered her head and confirmed the answer. Dr Anna Ludvigsen joined the Nottingham Inquiry remotely, her weary tone reverberating throughout the room. Questioned by Tim Moloney KC, who represents the relatives of victims from the 2023 Nottingham assaults, about whether workers looking after Valdo Calocane in 2020 believed he could commit murder, her answer appeared to clash with earlier testimony about documentation compiled by colleague Faizal Seedat. That record indicated Calocane displayed no insight or remorse and may ultimately kill someone. Dr Ludvigsen had previously contended her colleague was attempting to startle Calocane and did not genuinely hold those beliefs. The subsequent sigh implied otherwise. This interaction formed part of numerous exchanges indicating substantial failures in the care of the man who would later murder 19-year-old students Barnaby Webber and Grace O’Malley-Kumar along with 65-year-old grandfather Ian Coates, before running down three additional people on 13 June 2023. The concerning element is that this initial week of the public inquiry examining the treatment, or absence thereof, provided to Calocane by Nottinghamshire Healthcare Foundation Trust is merely the beginning, with a deeply troubling picture already emerging. Also highlighted throughout proceedings was how an incident in 2020 where Calocane prompted a young woman to leap from a window, breaking her spine, had been insufficiently recognised for its seriousness. Counsel to the inquiry stated this effectively granted him a way to avoid accountability. Dr Seedat further acknowledged he failed to grasp the meaning of Calocane’s message to his brother indicating he was thinking of red rum, a reversal of the word murder, at that time. Another significant oversight missed. As the timeline of Calocane’s care progresses toward the date of his savage attacks, these shortcomings grow increasingly significant. Among those scheduled to give evidence the following week is care-coordinator Gary Carter, who has previously described having responsibility for Calocane transferred to him during annual leave as an established fact. Colleagues had previously been informed they feared what Calocane might do, and months afterward he was discharged. The subsequent occasion he would face a medic would be after depriving three blameless individuals of their lives, causing lasting harm to three more, and affecting countless others. Separately, during his testimony, Dr Khuram Malik conceded there are individuals he currently treats who are returned to the community despite being deemed unsafe. The consultant psychiatrist revealed he had proposed detaining people under mental health legislation due to danger to themselves or others, only for them to be freed because of insufficient bed availability. As Grace O’Malley-Kumar’s father observed, this should concern residents across the city and county.