Overview
- The expert, Dr Tina Irani, said assessments focused too much on risks to Axel Rudakubana and not enough on the risks he posed to others, and she flagged safeguarding concerns about parental non‑engagement.
- Alder Hey CAMHS discharged him on July 23, 2024 with a form recording "poses risk to others: None," which the service’s clinical lead later described as "very far" from acceptable.
- Consultant psychiatrist Dr Anthony Molyneux testified he had not reviewed the full record and was unaware of prior violent and extremist‑related concerns, acknowledging a "significant blind spot" despite procedures requiring record checks.
- Evidence detailed long waits and fragmentation, including a 45‑week delay for autism assessment, FCAMHS closing his case in 2020 while awaiting diagnosis, and missed opportunities to re‑refer after diagnosis.
- Notes of a 2020 FCAMHS meeting recording a "£5 bet" about predicting his future were condemned by a service leader, and Dr Irani questioned a 2022 police decision not to act over a bus knife incident taken without clinical input.