Nottingham rampage horrifyingly avoided mandatory long-term antipsychotic because of his fear of needles, it has been revealed.

In a tragic turn of events in June 2023, students Barnaby Webber and Grace O'Malley-Kumar, both just 19-years-old, alongside 65-year-old caretaker Ian Coates, fell victim to his stabbing spree.

Diagnosed with paranoid schizophrenia, Calocane now abides under an indefinite hospital order after pleading guilty to manslaughter on grounds of diminished responsibility.

Heartbreakingly, a succession of oversights by both mental health professionals and law enforcement left the former University of Nottingham student unchecked, culminating in the brutal end of three lives.

Having been admitted and discharged over several instances within three years, an NHS England commissioned independent review lays bare a harrowing chronicle of missteps.

Despite specialists persistently recommending anti-psychotic depot medication, acknowledged for its gradual release benefits, Calocane eluded this imperative due to his fear of needles - a detail distressingly uncovered in the report.

It noted: "The inpatient teams involved in VC's care were trying to treat VC in the least restrictive way. They took on board VC's reasons for not wanting to take depot medication which included him not liking needles."

Initially, NHS England intended to circulate merely an outline of the extensive 300-page document, invoking patient privacy and data protection concerns.

However, in light of the victims' families' outrage, there has been full disclosure. The families are anticipated to respond later today, as per .

The report has shed light on two years of violent and disturbing behaviour by Valdo Calocane, who hails from Haverfordwest.

His actions included terrifying a neighbour to the point where she leapt out of a window, assaulting a police officer, and holding his flatmates captive.

The document outlines four hospital admissions between 2020 and 2022, as well as numerous interactions with community teams.

Despite this, Calocane was eventually discharged to his GP due to a lack of engagement with mental health services.

The investigation concluded that "the offer of care and treatment available for VC was not always sufficient to meet his needs".

The report also disclosed that other patients under the care of Nottingham Healthcare NHS Trust committed "serious" acts of violence, including three additional killings and an incident where a patient stabbed five individuals in a single weekend.

Health officials conceded that it is "clear the system got it wrong" and extended their apologies to the affected families.

Dr Jessica Sokolov, regional medical director at NHS England (Midlands), stated: "It's clear the system got it wrong, including the NHS, and the consequences of when this happens can be devastating. This is not acceptable, and I unreservedly apologise to the families of victims on behalf of the NHS and the organisations involved in delivering care to Valdo Calocane before this incident took place."

A new directive has been issued to mental health services across England's NHS, instructing them not to discharge patients who fail to attend appointments. This development comes in the wake of Health Secretary Wes Streeting's statement last year that the tragic events "could and should have been prevented".

A damning report by the Care Quality Commission highlighted that Calocane was repeatedly sectioned, only to be discharged by mental health teams on multiple occasions.

In a chilling warning, a doctor had expressed concerns three years prior to the knife attacks that the university student posed a significant risk, stating that he "could end up killing someone".

Investigations related to the case are ongoing into both Nottinghamshire Police and Leicestershire Police, with both forces facing scrutiny for alleged failings.

The families of Calocane's victims have been vocal in their criticism, accusing the services responsible for his care in the lead-up to the attacks of having "blood on their hands".