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Dr Faizal Seedat has now finished giving evidence, which marks the end to today's proceedings.

The chair of the inquiry, retired senior judge Deborah Taylor KC, has asked Seedat about his email to police in 2020.

That email followed an incident in May when Calocane broke into a woman's flat. She then fled from a window and fell, fracturing her spine.

Police emailed Seedat about his view of Calocane's mental state at the time and he replied, saying Calocane was not of "sound" mind and had "no recollection of the events".

Asked what he believed that email from police to be, Seedat said he did not think it would determine the force's decision on whether or not to charge Calocane.

Asked about the journal of text messages between Calocane and his family - which was handed to Seedat in 2020, the consultant is asked if it would have been information that should have been passed to police.

They paint a picture of a man who is highly intelligent, physically strong, capable of deceit, and lacking insight", he is told.

Seedat agrees, but argues the police could also be more helpful in sharing information the other way.

"Yes, the text messages were worrying, and closely linked to his symptoms," he said.

"I formed the view that if the symptoms were controlled, the risks would also be managed."

Asked if working in a warehouse - as Calocane was at a site in Kegworth where he attacked two co-workers weeks before the Nottingham attacks - was unusual for someone with paranoid schizophrenia, Seedat said: "Not necessarily, no.

"People who have schizophrenia when they are stable can function normally.

"Maybe one could argue what could be unusual is that somebody who has reached that level of education would be looking for better jobs than that."

Seedat is being pushed on his decision to discharge Calocane, and the risk he posed to the public after the killer had kicked his way into a neighbour's flat forcing her to flee before she fell through a window, seriously injuring herself.

Seedat said: "I accept he was aggressive, he didn't do anything by his own hand.

"The individual took the decision to escape from a situation where someone was being aggressive."

Seedat said his understanding would have been different had police informed him they considered it to amount to grievous bodily harm, or had provided an account of his behaviour on the day of the incident.

Questions are being asked about the accuracy and completeness of the taking of notes by Dr Faizal Seedat.

He said it was an issue for all consultants, of taking verbatim notes of all interactions, and of being able to review all notes taken by colleagues.

Seedat added: "I have recognised and accepted that my documentation could have been and should have been better than it was."

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.