Coates

"The baby would be taken away between feeds so that the mother could rest, and the baby could be watched by either a nursery nurse or midwife," says Terri Coates, a retired lecturer in midwifery, and former clinical adviser on BBC series Call The Midwife.

"Where cots rather than babies were labelled, accidents could easily happen", says Ms Coates, who trained as a nurse herself in the 1970s and a midwife in 1981.

Within weeks, Calocane - who also has paranoid schizophrenia - stabbed to death Barnaby Webber, Grace O'Malley-Kumar and Ian Coates on 13 June 2023.

And earlier this year, Ms Miller and Mr Birkett, alongside the families of Mr Webber, Ms O'Malley-Kumar and Mr Coates, were invited to Downing Street to discuss plans for a judge-led public inquiry.

Earlier that morning, he fatally stabbed students Barnaby Webber and Grace O'Malley-Kumar, both 19, and caretaker Ian Coates, 65.