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Christina Edkins killing was 'preventable', report says Christina Edkins killing was 'preventable', report says
(35 minutes later)
The death of a teenager stabbed on her way to school could have been prevented if her killer had been given mental health treatment, a report has found.The death of a teenager stabbed on her way to school could have been prevented if her killer had been given mental health treatment, a report has found.
Christina Edkins, 16, was killed by Phillip Simelane, 23, on a bus in Birmingham in March 2013. Christina Edkins, 16, was killed by Phillip Simelane, 23, on a rush-hour bus in Birmingham in March 2013.
An inquiry found that medical staff, police and the prison service missed chances to get him treatment he needed.An inquiry found that medical staff, police and the prison service missed chances to get him treatment he needed.
Simelane, from Walsall, had been diagnosed with paranoid schizophrenia. He admitted manslaughter last October.Simelane, from Walsall, had been diagnosed with paranoid schizophrenia. He admitted manslaughter last October.
He was detained indefinitely under the Mental Health Act by a judge at Birmingham Crown Court.He was detained indefinitely under the Mental Health Act by a judge at Birmingham Crown Court.
'Matter of time''Matter of time'
A review into Christina's death was commissioned by Birmingham Cross City Clinical Commissioning Group (CCG), on behalf of all agencies that had dealt with him. The inquiry found that Simelane's mental health problems were first identified 11 years ago, when he was at school.
It said his mother's repeated requests to GPs and social workers to get him treatment were ignored.
He was involved in several violent incidents including assaulting a police officer and threatening his mother with a knife, for which he was sent to prison in July 2012.
The review into Christina's death was commissioned by Birmingham Cross City Clinical Commissioning Group (CCG), on behalf of all agencies that had dealt with him.
'Meaningless and avoidable'
Dr Alison Reed, chair of the review panel, said: "The attack on Christina was random and unprovoked and therefore it could not have been predicted.Dr Alison Reed, chair of the review panel, said: "The attack on Christina was random and unprovoked and therefore it could not have been predicted.
"However, it is the conclusion of the panel that as Christina's death was directly related to P's mental illness, it could have been prevented if his mental health needs had been identified and met.""However, it is the conclusion of the panel that as Christina's death was directly related to P's mental illness, it could have been prevented if his mental health needs had been identified and met."
'Meaningless and avoidable' The report made 51 recommendations calling for the improved sharing of mental health information between agencies including the NHS, the police and the prison service.
The report found that Simelane's mental health problems were first identified 11 years ago, when he was at school. Phillip Simelane timeline
It said despite repeated requests by his mother to GPs and social workers to get him treatment, they ignored her.
He was involved in several violent incidents including assaulting a police officer and threatening his mother with a knife, for which he was sent to prison in July 2012.
Philip Simelane timeline
April 2007: Reprimanded by police at the age of 16 after being found in possession of a lock knife.April 2007: Reprimanded by police at the age of 16 after being found in possession of a lock knife.
March 2009: Given a police caution after pushing his younger brother into a wall.March 2009: Given a police caution after pushing his younger brother into a wall.
May 2012: Arrested for criminal damage after breaking into his mother's house and throwing an electric fire at her.May 2012: Arrested for criminal damage after breaking into his mother's house and throwing an electric fire at her.
May 2012: Holds a knife to his mother's stomach after accusing her of trying to kill him.May 2012: Holds a knife to his mother's stomach after accusing her of trying to kill him.
July 2012: Jailed for 101 days after being convicted of assault and battery in the attack against his mother.July 2012: Jailed for 101 days after being convicted of assault and battery in the attack against his mother.
October 2012: Seven days after being released from prison, he is convicted of trying to steal a car and possession of cocaine and breach of licence. Spends 59 days inside HMP Birmingham.October 2012: Seven days after being released from prison, he is convicted of trying to steal a car and possession of cocaine and breach of licence. Spends 59 days inside HMP Birmingham.
December 2012: Released from Birmingham Prison and lives rough on the city's streets.December 2012: Released from Birmingham Prison and lives rough on the city's streets.
March 2013: He fatally stabs Christina Edkins on the bus in Hagley Road.March 2013: He fatally stabs Christina Edkins on the bus in Hagley Road.
Source: Birmingham CrossCity CCG reportSource: Birmingham CrossCity CCG report
The report made 51 recommendations calling for the improved sharing of mental health information between agencies including the NHS, the police and the prison service. In a statement, Christina's family said they hoped many recommendations in Dr Reed's report would be implemented so that "no other family has to experience the heartache of such a meaningless and avoidable death of a loved one".
In a statement, Christina's family said they agreed with the findings of the report that the attack could have been prevented. Her great uncle, Chris Melia, said he felt the report was "open and thorough" overall, but it showed a number of people "were just not doing their jobs".
"It was predictable that, without treatment, Phillip Simelane, would eventually resort to a knife attack on another person and it was only a matter of time before he carried out his threats to kill." "The one thing I would say we have a big problem with is that we think it was all so predictable," he said.
The family said they hoped many recommendations in Dr Reed's report would be implemented so that "no other family has to experience the heartache of such a meaningless and avoidable death of a loved one". "There are many instances of people seeing the situation clearly but choosing to do nothing about taking preventative action or action to even help this guy."
Simelane's family said in a statement: "Our son was discriminated against by the system that was put in place to protect him. He said Christina's family had requested an update in 12 months' time to inform them which of the report's recommendations had been acted on.
Some of the report recommendations:
In a statement, Simelane's family said: "Our son was discriminated against by the system that was put in place to protect him.
"The mother's cry was not heard or taken into consideration until innocent lives were impacted upon."The mother's cry was not heard or taken into consideration until innocent lives were impacted upon.
"Having read the heart-touching report, we wonder if it will change anything in the future or is it just a paper exercise meant to put our hearts at peace for little while?""Having read the heart-touching report, we wonder if it will change anything in the future or is it just a paper exercise meant to put our hearts at peace for little while?"
Birmingham CrossCity CCG said it had already implemented a number of recommendations which included improved access to mental health patients' records and better use of assessments that were done in prison. Birmingham CrossCity CCG said it had already implemented a number of recommendations, which included improved access to mental health patients' records and better use of assessments that were done in prison.