Southport Inquiry exposes how victims were 'failed at every possible turn'

When 17-year-old Axel Rudakubana got into a taxi on 29 July last year, it was the first time he'd left the family home on his own in more than two years.

His troubling behaviour and obsession with violence had brought him into contact with police, including counter-terrorism officers, the criminal justice system, social services, and mental health professionals over the previous five years. His degree-educated, Christian parents, Alphonse Rudakubana and Laetitia Muzayire, were used to his violent outbursts, knew he had bought a small arsenal of weapons online, and had a history of carrying knives.

They thought he posed a threat to his father and older brother, but say they never thought he was capable of carrying out the mass stabbing at a Taylor Swift-themed dance class - killing Elsie Dot Stancombe, seven, Bebe King, six, and Alice da Silva Aguiar, nine, and injuring eight other children and two adults. From the evidence that's emerged at the public inquiry into the atrocity in the Lancashire seaside town, it seems obvious he would carry out an attack, raising serious questions about why so many opportunities were missed to stop him.

Harrowing accounts When the inquiry started at Liverpool Town Hall in July, a little under a year after the murders, we heard harrowing accounts from those who were in the upstairs dance studio in the Hart Space, when Rudakubana walked through the door armed with a 20cm chef's knife. There were tales of extreme bravery - among them an already badly injured girl stabbed another six times in the back when she tried to defend her younger sister, and John Hayes, the businessman stabbed after running from his office next door to tackle the attacker.

Others regretted not doing more - taxi driver Gary Poland, who took Rudakubana to the scene, apologised after the inquiry heard he drove off as children's screams rang out and didn't call police for 50 minutes. The teacher who organised the event, Leanne Lucas, 36, who was badly injured and first to call 999, said there was nothing she could have done to keep the children safe after "multiple organisations" had failed to stop the killer.

'Visceral sense of dread' Rudakubana lived in Cardiff with his parents, who were granted asylum in the UK after fleeing the Rwandan genocide, and his older brother Dion before the family moved to Southport in 2013. His family told how his behaviour rapidly deteriorated when he was in Year 8, as he became withdrawn and isolated and prone to regular violent outbursts at home.

He was expelled from Range High School, in Formby, Lancashire, in October 2019 after calling Childline to say he was carrying a knife into school because he wanted to kill a boy he said was bullying him. He was then sent to The Acorns School in Ormskirk, a pupil referral unit, where the headteacher Joanne Hodson felt a "visceral sense of dread" like "he was building up to something".

When she asked him why he had taken a knife to his former school, "he looked me in the eyes and said 'to use it'," she said. "This is the only time in my career that a pupil has said this to me or behaved in a manner so devoid of any remorse." Assessed as 'medium risk' She feared Rudakubana was going to "bring something" to The Acorns, but he instead took a taxi back to Range High School in December 2019, carrying a knife in his bag, and attacked a boy in the corridor with a hockey stick after he couldn't find the supposed bully.

On 19 February 2020, then aged 13, he received a 10-month referral order after pleading guilty to assault occasioning actual bodily harm, possession of an offensive weapon in a public place and possession of a bladed article. It was his only criminal conviction before the Southport attack.

The order required him to take courses and participate in education but most of his contact with the Lancashire council youth offending team (YOT) was by phone during the first COVID lockdown and social workers had just three 30-minute face-to-face sessions to address his behaviour. Rudakubana was assessed as "medium risk" and despite repeatedly refusing to see social workers, no enforcement action was taken, while two days before his case was closed, on 19 January 2021, it was noted his dad had slapped him in an argument.

The inquiry heard Mr Rudakubana had been kicked in the groin by his son, who threatened to break his laptop in one of his regular violent outbursts at home, which could be triggered by losing an argument or a visit from social workers. His mum said she felt "physically unwell" when he would smash things, while her husband said he was "ashamed" he became "conditioned to his behaviour, allowed him to abuse and assault me" because "any attempt to impose discipline" was met with an "escalation".

In November 2021, Rudakubana "trashed" his parents' house, leading to his mother calling the police and, in another incident, kicked his father and threw a plate at a rental car, damaging the windscreen, again leading to his parents calling the police. Teachers 'lost faith' in anti-terrorism programme Meanwhile, staff at The Acorns made three referrals to the government's anti-terror programme Prevent between 2019 and 2021 because he was looking at material about "school mass shootings" and talking about guns and beheadings.

He had also referred to the Manchester Arena attack as a "good battle" and researched the London Bridge terrorist attack, although it later emerged he had anti-Islamic cartoons on his laptop along with graphic images of dead bodies. Every time his case was closed because he did not seem to have any clear ideology, even though the Home Office had alerted Prevent workers to the threat of those interested in school shootings.

When Rudakubana made comments thought to be antisemitic in January 2022, teachers did not make another Prevent referral as the head said they'd "lost faith that anything would be done". His parents said they hid the kitchen knives at home after the Range High School attack, but on 17 March 2022, Rudakubana, then 15, was found on a bus with a small kitchen knife after refusing to pay the fare.

He told police he wanted to stab someone and said, "I've also thought about poisoning people". But instead of being arrested and charged, he was treated as a vulnerable person and taken home by officers who made a referral for social services and mental health support.

It was the last time he left home alone before the attack. 'Struggling to cope' Lancashire council's children and family wellbeing service closed a series of four cases designed to support the family dealing with Rudakubana, and the attempts to get him to leave his house and go to school ended 10 months before the attack because he was refusing to see them.

Presfield Specialist High School, which specialises in pupils with autism, agreed to take Rudakubana on as a pupil in March 2022, but despite repeated attempts to get him to turn to play basketball or eat pizza, his attendance was only 0.7% over two years. He was removed from the roll a month before the attack.

His father told the school attendance team that he would "pay the price" if staff were allowed into the house and his mother "flatly refused" to let them see her son, the inquiry heard. Police were called to the family home after another 999 call in the early hours of 14 May 2022, after Rudakubana threw food and tried to flood the house after an argument about access to his laptop.

Officers recorded that Rudakubana's parents were "struggling to cope" and had agreed to contact Child and Adolescent Mental Health Services (CAMHS) and the GP. Rudakubana was first referred to Alder Hey by his GP in August 2019, but waited 77 weeks for an autism diagnosis.

Forensic Child and Adolescent Mental Health Services (FCAMHS) declined to assess his risk to himself and others without the diagnosis, and in the end he was only treated for anxiety. 'Trust me, I will kill you' One consultant psychologist said she no longer "felt safe" working with Rudakubana's father, who admitted withholding "some" information about his son's violence to CAMHS, which was assessing his risk to himself and others.

Another, Dr Anthony Molyneux, told the inquiry Rudakubana "presented, in essence, as an unremarkable, sullen, untalkative, gawky teenage boy." However, in an incident in early 2024, Rudakubana poured a bottle of oil over his father and told him: "Trust me, I will kill you." Rudakubana was discharged from Alder Hey CAMHS on 23 July 2024, just six days before the attack, with a document recording: "Poses risk to others: None," although they knew he hadn't left the house for five months, was refusing to wash and was not eating properly. The previous day, Rudakubana had burst into his father's bedroom brandishing a kitchen knife identical to the one used in the mass stabbing and jabbed it into the bed.

He asked about the Range, where it was the last day of term, and if Mr Rudakubana would get him petrol. Read more:Rudakubana was 'building up to something'Rudakubana judged as posing no risk to othersThe missed chances to stop RudakubanaMore capacity for mental health referrals 'needed' Foiled 'arson attack' at old school His father refused before begging a taxi driver not to take his son to his old school, where he believed he planned to carry out an arson attack, and Rudakubana threatened him, warning: "Next time, if you stop me, there will be consequences." His bedroom was usually "off limits.