Overview

• Consultant psychiatrist Dr Anthony Molyneux told the inquiry he did not read Axel Rudakubana’s full electronic record, relying on an assessment letter and a brief handover despite a CAMHS procedure requiring full-record reviews.
• He said he was unaware of recorded incidents including repeated knife possession at school, a 2019 hockey‑stick assault that led to a conviction and referral order, and a 2022 bus incident where the teen said he wanted to stab people.
• Molyneux described a "studied manipulation" by the parents that he said stage‑managed information for professionals, while predecessor Dr Lakshmi Ramasubramanian recounted feeling intimidated by the father and sought to transfer the case.
• Rudakubana was discharged from CAMHS on July 23, 2024 with a form recording "poses risk to others: none"; CAMHS clinical lead Dr Vicky Killen called that assessment "very far" from acceptable given risks on record.
• Six days later, three children were killed and others injured at a Southport dance class; Molyneux defended his team as having gone "above and beyond" but acknowledged wider system gaps, and the inquiry’s first phase continues into November.