Seedat is asked if Valdo Calocane's ethnicity played a part in his decision-making around prescribing pills rather than injections, knowing that Calocane had previously not taken his tablets leading to a readmission to his ward.

Calocane had expressed being "not fond of needles".

Seedat said he was aware research had shown people from ethnic minorities could feel harshly treated by inpatient services leading to a lack of trust, and that he felt it was important to create trust with Calocane.

But he said: "Ethnicity never comes into my decision-making, be it around detention or being around treatment options.

"I just have never thought about race."

Seedat is being pressed on his interpretation of Valdo Calocane's messages to his family, including the phrase "red rum" - a reference to murder.

The message to Calocane's brother Elias said: "I didn't work myself into this state of mind. I was thinking about red rum not 120 minutes ago. Now not only do I care, now I feel appreciation."

Seedat said: "I made the assumption that it had some religious context. I did not know what else to make of it at the time.

"That's something I need to reflect on and pay more attention."

Seedat said he did not ask Calocane what it meant, as he had put the phrase into a context of religious discussion between Calocane and his brother.

He agreed that at the time of the messages, Calocane was in a "volatile" state.

Counsel to the inquiry, Rachel Langdale KC, is arguing that Seedat was "clearly remembered" by Valdo Calocane.

Seedat said: "I don't really know what that means, whether he would openly speak to me or not, I don't know.

"I didn't feel that I should be getting involved in a patient that is not on my ward."

Seedat is moving on to being cross-examined.

In August 2021, the inquiry was told Calocane again tried to contact Dr Faizal Seedat to ask about hearing voices during his time at Highbury Hospital by visiting the facility.

Seedat said: "I was told through a corridor conversation that VC had presented to the ward and said this is the following things they had done. I was not aware Valdo was asking to speak to me.

"This would have complicated the treatment pathway and it is my general principle not to be involved if patients are not on my ward."

Later, in February 2022, Calocane tried to ask for his medical notes from Seedat and to discuss his previous admissions.

The inquiry heard a third attempt was made via another medical professional, a Dr Gibson, for Seedat to speak to Calocane.

Dr Gibson asked Seedat to "explain the importance of engaging with the community team". Seedat again declined to speak to Calocane.

"One has to maintain our boundaries in terms of the care that we provide," Seedat told the inquiry.

"I am the sole consultant to a ward and I have a lot of my own responsibilities."

In Valdo Calocane's second discharge summary, it noted "there had been no incidents of violence yet", but this could be a risk "if acutely unwell".

Seedat agreed the notes were not detailed enough and that there could have been a better risk assessment.

Following the discharge, Calocane rang Seedat.

Calocane, the inquiry heard, wanted to contact Seedat about his care - but Seedat said he could not access his records as it would be a data breach.

Seedat messaged his consultant to say he needed monitoring.

Seedat said: "I was concerned because of the surprise nature of him contacting me.

"I can't remember a situation other than meeting former patients in passing."

A reply was sent to Seedat to say Calocane had not been engaging and that "patients with psychosis can sometimes behave in quite erratic ways and are not always predictable in their actions".

After learning about Calocane's discharge, the University of Nottingham - where Calocane studied between 2017 and 2022 - wrote to Nottinghamshire Healthcare NHS Foundation Trust to raise concerns about both Calocane and his neighbours, regarding him returning to his accommodation in Nottingham.

Seedat replied to say "he will have close follow-up and you can't just tell people where they should go, he's an adult".

Reflecting on his comments, Seedat said: "I guess my tone and frustration should not have come out."

Counsel to the inquiry, Rachel Langdale KC, argued this was a risk management issue, proven by what happened after Calocane's first discharge that led to a readmission.

Seedat said in other cases, Nottinghamshire Police had provided information to medical staff about details of incidents which led to an arrest, but not a prosecution or conviction.

But this information was not supplied in Valdo Calocane's case, despite his interactions and history with the police.

"We just send a generic email and we don't really know who's going to answer, [or] what information we're going to get back," Seedat said.

"It would be helpful to know whether there is somebody specific we could get, and that information be readily made available.

"Evidence about violence etc., would help and inform risk assessment."

Seedat is now being pushed on how "frank" the conversations he is referring to were - with Rachel Langdale KC saying Calocane was not being honest with Seedat.

Seedat said: "I think in hindsight yes, you could make that comment.

"In psychiatry, we don't have any objective ways of determining whether somebody is telling us the truth or not.

"It becomes very difficult to determine that, we have to work with the premise that we are working together. I can't work with a premise that a patient in front of me is lying all the time.

"I have a level of curiosity, I look at both what the patient is saying and also any objective evidence."

He said ahead of his discharge, there were no observations that Calocane was showing symptoms of illness.

Injections were discussed as a possibility for Valdo Calocane, rather than having to take pills, by Seedat.

It was offered as a "helpful aid if he had been struggling with oral medicine", he said.

Calocane told Seedat he was "not fond of needles" and that he would keep taking pills.

Seedat said: "He kept on saying it was more to do with the needle rather than the medication."

Seedat has been asked by Rachel Langdale KC, counsel to the inquiry, if two weeks was long enough to have Calocane (pictured as part of police bodycam footage below) in hospital.

He said: "It is not necessary that length dictates whether effective interventions have been achieved or not.

"Discharging someone from the ward doesn't necessarily mean that treatment stops.

"It's just that the acute phase has been managed so that this person can now be safely managed in the community.

"The discharge was based on clinical evidence."

Image source, Nottinghamshire Police

Asked if any psychological assessment and interventions were carried out during Calocane's second two-week spell at Highbury Hospital, Seedat said: "I think in an acute setting it's very difficult to start.

"One of the important things you have to think about at the very beginning is developing the therapeutic relationship, to build that trust and confidence to actually have meaningful discussions and conversations."

Seedat said he was reassured "at the time, not now", that by the end of the second admission Calocane had shown an awareness of the importance of taking his medication and seeking help.

"Treatment was important," he said. "Treatment controlled his symptoms, and this would control his behaviour and risk."

In his second admission to Highbury Hospital after being sectioned, Dr Faizal Seedat said Calocane was "calmer in general" with no "management problems".

In this second stay at the hospital in 2020, it was noted Calocane "likely" had schizophrenia.

Rachel Langdale KC said this would not mean that he would therefore be a lower risk in the community, and Seedat agreed "VC was clearly a high risk of aggression" but said his "risk of violence was low".

The inquiry has heard that in a ward review during Calocane's second admission in July 2020, it was recorded Seedat warned Calocane he "would end up killing someone".

He said: "That exchange arose having determined that VC was not demonstrating any remorse or any true understanding of what had happened. I wanted to have a very frank conversation, which is clearly documented.

"I painted a worst-case scenario in terms of what could happen if he continues with his behaviours."

Langdale KC asked: "Did you think he could end up killing someone?"

Seedat replied: "No I didn't."

Asked why he said that to Calocane if he didn't think he would kill someone, Seedat said he meant it would be "unintended".

"If he went and did the same thing, and somebody jumped out of the window and maybe if they were on a higher floor, the consequences could be very different," he said.

Seedat has been asked whether he believes triple killer Valdo Calocane was honest with him at the point of the first discharge from Highbury Hospital.

Seedat said he did not think Calocane was being dishonest.

Rachel Langdale KC, counsel to the inquiry, said: "Dealing with his level of intelligence generally and the ability to mask, did you factor that in when you were considering whether he was being honest with you about medication?"

Seedat replied: "I did not form that opinion that he said the right things to get out of hospital."

He added during that admission, Calocane had "developed insight" and understood his symptoms.

Proceedings have now resumed, with Dr Seedat returning to continue his evidence.

He is expected to finish his main evidence, before being cross-examined.

No other witnesses are scheduled to give evidence today.

Image source, The Nottingham Inquiry

Consultant psychiatrist Dr Faizal Seedat, from Nottinghamshire Healthcare NHS Foundation Trust, has been speaking about the care of Valdo Calocane over two admissions to Highbury Hospital's psychiatric ward in 2020.

Here were some of the key takeaways:

• Information on Calocane's risk assessments was inadequate, Dr Seedat admitted
• Calocane's family provided Dr Seedat with a journal of text messages between him and his family members, which was used to aid his assessment
• Dr Seedat explained there were no powers to force patients to reveal the contents of their phones and he was unaware Calocane had been watching footage of mass shootings and capital punishment
• Among Calocane's messages were a reference to "red rum", which Dr Seedat did not realise was a reference to murder
• Dr Seedat told the inquiry Calocane showed some awareness he was unwell and that his behaviour was "not normal"
• Police quizzed Dr Seedat about Calocane's mental health and he responded by email rather than filling the required form
• Calocane had been balancing his mental health and his university work and Dr Seedat had told the university he "hoped" he would recover
• The university, the inquiry heard, wanted Calocane to finish his course remotely and move to Wales with his family - but Calocane did not want to
• Calocane was discharged and left to manage his own medication - which he then stopped taking, the inquiry was told

Need to get up to speed on the evidence that's led up to today?

You can catch up by listening to the below as part of the BBC's Need to Know series.

Since 23 February, the judge-led public inquiry has heard more than 100 hours of evidence from over 70 witnesses.

Here are some of the key lines from the evidence so far:

Killer should have been arrested before attacks

The former chief constable of Nottinghamshire Police, Kate Meynell, admitted in her evidence that Calocane should have been arrested before he carried out the attacks as he had a warrant for failing to appear in court.

A number of police personnel have been challenged over the suggestion that executing the warrant would not have made a difference.

Police chiefs admitted not arresting Calocane had been a "serious and systemic and operational failure".

History of violence was known to police

Calocane had a history of police interactions linked to violent incidents, including the assault on a police officer which led to the warrant, dating back to 2020.

But at his sentencing hearing, the court was told he had no previous convictions.

Searches for the killer 'should have been better'

Temporary Deputy Chief Constable Rob Griffin, of Nottinghamshire Police, admitted that searches for the Nottingham attacks killer should have been better.

The force had declared Operation Plato - a national identifier of a "marauding terrorist attack" - but a number of officers were not told immediately of this.

Victims' families waited hours for confirmation

Barnaby and Grace were attacked by Calocane at about 04:00 and, by 05:30, police had established their identities.

But Barnaby's parents were not told their son had died until after 10:00 despite contacting the police for information themselves.

Two of Ian's three sons - James and Lee - told the inquiry they waited even longer.

James said he found out his dad had died through social media at about 15:00.

Image source, PA Media

Calocane's mother Celeste had called mental health services after his first discharge to say she worried her son's mental state "may be deteriorating", Langdale said.

She said he might not have been taking his medication.

In July 2020, Calocane had denied he was unwell to medics and "appeared to be attempting to conceal his symptoms".

Following the incident with a neighbour escaping through a window to get away from Calocane, Dr Seedat said: "VC had become unwell again and this is more likely on the basis that he had stopped taking his medication.

"It was not surprising that his presentation was clearly suggestive of being unwell, presenting with a psychotic clinical picture and demonstrating poor insight."

Pills which had not been taken were found, the inquiry heard.

Dr Seedat wanted him to return to hospital and wrote at the time Calocane was "clearly a risk to others and to himself from retaliation".

The inquiry is now taking a break for lunch.

Seedat is continuing to be questioned on Calocane's first discharge from Highbury Hospital.

Rachel Langdale KC, counsel to the inquiry, said: "Were you confident that when you discharged him, with concerns about him masking and not being straightforward or open about his situation, that this was not a risky, risky situation to discharge him into the community at this point?"

Seedat replied: "I didn't think it was risky on the basis that at the time he was discharged, his mental health had improved and he was at a point where I felt he could be safely managed in the community."