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An expert medical panel evaluating the response to the Nottingham attacks found that 19-year-old student Barnaby Webber had a small chance of survival if he had received aggressive fluid resuscitation at the scene, making his death potentially preventable, while the injuries to Grace O'Malley-Kumar and Ian Coates were non-survivable.
The public inquiry heard that police failed to disclose crucial documents found at killer Valdo Calocane's home, including written thoughts on TNT and nitrate fertiliser explosives, references to Manchester Arena, and online searches for large venues in Nottingham.
Psychiatric experts who assessed Calocane after his arrest were not provided with the suspect's notes or evidence of his previous violent assaults, which counsel to the inquiry Rachel Langdale KC described as an important omission that cannot be remedied.
Newly disclosed evidence from staff at the Nottinghamshire Healthcare NHS Foundation Trust revealed that mental health teams faced unsafe pressures to discharge high-risk patients who did not engage with services and had failed to meet national standards for years leading up to the attack.
Inquiry chair Judge Deborah Taylor is expected to issue her final report early next summer after hearing closing submissions that detailed widespread failures across police, mental health services, and public authorities.
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