00:00Why does this happen? That's the question. Why? And we can go on in this country, doing
00:08inquiry after inquiry after inquiry, until we call it what it is. It's a systemic problem
00:15that needs to be solved. You can be a brilliant nurse, a brilliant psychiatric nurse or doctor,
00:21but if you haven't got resources, you set up to fail. You set up to fail.
00:26On the 13th of June, 2023, Valdokalikain killed three people and injured three others in Nottingham.
00:40The lives he took were those of students Barnaby Webber, Grace O'Malley Kumar and caretaker Ian Coates.
00:49Months before the attacks, Valdokalikain, who was diagnosed with paranoid schizophrenia,
00:55was discharged from mental health services run by Nottinghamshire Healthcare Foundation Trust.
01:02However, the serious decline of his mental health started in May 2020, when his mother,
01:08Celeste Callicain, received a call to tell her her son had been suffering from a psychotic episode
01:14and had forced his way into a neighbour's flat. That incident was the start of years of anxiety for
01:20Miss Callicain, waiting for the phone to ring again, for the next crisis to happen.
01:26Then, the worst did happen.
01:30I therefore make an order under all six counts of the indictment
01:34that you will be readmitted to and detained at Ashworth High Security Hospital.
01:38There is so much more to say and clearly serious questions regarding this case
01:42and events leading up to this monster being out in society.
01:46But for today, our darling son, his dear friend Grace and a wonderfully kind grandfather Ian
01:53have been stolen from us forever and let down by the very system that should have been protecting them.
02:00We will never come to terms with the loss of our beloved daughter Grace
02:06and how she lost her life, her heroic actions.
02:11She was a gift to us and she was a gift to the country.
02:14My family has suffered a great loss.
02:16The children who my father had a positive impression on have suffered a great loss.
02:20The city of Nottingham has suffered a great loss.
02:23The NHS Mental Health Trust have to be held accountable for their failures along with the police.
02:28Three years on, a public inquiry into the tragedy has begun.
02:32And with me today, Alvarado Kellecane's family,
02:35ready to speak about how the system failed to prevent that devastating day.
02:40Six years.
02:41He hasn't stopped.
02:43Yeah, it's kind of been non-stop since then.
02:45Until there's a crisis, you don't have a response.
02:48That's how I felt with the system.
02:51No crisis is a good crisis, right?
02:53So if you're waiting for crisis, you're going to get a bad crisis or a worse crisis.
02:56So every time you're flipping the coin, is it going to be a monumental tragedy
03:00or is it going to be something that's relatively less bad, but still bad, right?
03:05What was that like, waiting, constantly having to wait for the crisis,
03:10expecting the unmanageable might happen with Aldo?
03:15So it does feel hopeless when you're in it because you provide the information,
03:21you provide concerns, and often they'll tell you, well, it's okay.
03:25You know, it's, you know, it's fine.
03:29You know, they'll say, Valdo's okay, or we've seen him, we've spoken to him,
03:32we think he's okay.
03:34Even if we're sure that it's not the case, or sometimes we're not sure that it's not the case.
03:38And we, you know, you trust sometimes.
03:40You trust what people are telling you, you trust the professionals.
03:42But the issue is that it's because there isn't an incident to act upon.
03:48And then, yeah, you end up with cases like this.
03:50And it's not just homicide.
03:52There are a thousand many more cases of suicide,
03:56which also have exactly the same hallmarks,
03:58because, yeah, it's the same thing.
04:01It all works within the same system.
04:02It's just that the tragedy is different, right?
04:04Instead of someone hurting someone else, they hurt themselves.
04:07And it's, you know, orders of magnitude more suicides than homicides.
04:14What do you feel that is?
04:15What do you feel the deep-rooted failures are here and were with Valdo's care?
04:21There doesn't seem to be enough resources,
04:23and there aren't enough experienced staff.
04:27And they're all being severely overworked
04:30and under-resourced and probably underpaid in some ways.
04:35There's no way something like that can function properly.
04:38Even the best functioning system, you will find mistakes.
04:41But when you so severely reduce the resources,
04:46there is a consequence, and in this case it's treatment.
04:49Where do you feel the bigger failings lie here?
04:52Is it in the systemic failings that are keeping clinicians under pressure?
04:58Is it with individual clinicians?
05:00Where do you see these failings?
05:02You can be a brilliant nurse, a brilliant psychiatry nurse or doctor,
05:06but if you haven't got resources, you're set up to fail.
05:11You're set up to fail.
05:13You know, you can't treat someone properly, well, or effectively,
05:17someone with a mental disorder without knowing them properly,
05:21without being able to pick up on, I guess, the more subtle symptoms that may display.
05:28If you know someone properly, you'll be much better geared to doing that.
05:32And it's just like a cycle, just like, kind of, we manage a crisis.
05:37It's stable now.
05:38We need our bed.
05:39So somebody else, it needs to be discharged.
05:41And then we go back again.
05:44I may be telling them for some period of time,
05:47oh, it's not well, it's not well.
05:48They reassure me, oh, it's fine, it's fine, because there's no imminent crisis until the crisis happens.
05:53Then he goes to the hospital.
05:55Then it's the same cycle again.
05:57Why does this happen?
05:59That's the question.
06:00Why?
06:02And we can go on in this country, doing inquiry after inquiry after inquiry,
06:08until we call it what it is, it's a systemic problem that needs to be solved.
06:13This is beyond a personal failure.
06:15Because if it's just like an individual failure, it will just happen in one trust,
06:20then it won't happen in another.
06:21But if it happens in here, it happens across the country.
06:24When you hear reports, and considering we've had inquiry after inquiry,
06:31we know what the failings are, we know what the needs are,
06:35but you hear reports such as the government isn't protecting mental health funding,
06:39the proportion of mental health funding is reducing.
06:42How does that make you feel, considering the tragedy?
06:45We were in a situation, yeah, for the third year running,
06:49the government has decided that the proportion of the NHS funding,
06:55the NHS budget that's going to be spent on mental health services
06:58is going to decrease for the third year running.
07:01Like in Valdo's case, it didn't just affect Valdo's life,
07:04it didn't just affect our life as a family, it affected other family.
07:08So the priority on that sector needs to be checked.
07:12Also, I think part of the issue is that people don't know
07:16about how these things come about.
07:18They only see it in cases like this where there's huge media coverage.
07:22So I'm not sure people are being helped to understand
07:28what gets us to this point,
07:30so that we can better understand how to get out of this point.
07:33Who was Valdo before he got ill?
07:36What was the boy and the man like before his illness?
07:40You just need to be able to know him,
07:46the man behind the illness, you know.
07:52That's who he is, who he is Valdo.
07:55As I tell people, I've raised three wonderful kids.
08:00They've been raised exactly the same way,
08:02with moral, with character, with kindness, with respect.
08:09And then the only difference, one is a paranoia schizophrenia.
08:13For the people out there that's maybe going through paranoia schizophrenia,
08:17they don't need to be scared.
08:19If they need help, they should ask for it.
08:22They should speak to people because the way this case has been portrayed
08:25the last three years, I feel my heart goes heavy
08:29for anyone that has got paranoid schizophrenia out there.
08:33They're not monsters.
08:35They're not evil.
08:35the same.
08:36They're treating human beings with a severe mental health condition.
08:40They just need somebody to understand what they need,
08:44what the therapeutic treatment need is to help them.
08:49That's who they are, but they're still the person they are.
08:54With illness they have to, they don't understand themselves,
08:58and then the society doesn't understand.
09:00The society can't see it.
09:02you know
09:04that's why
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