with the victim s family. we have seen a copy of the review into david fleet s care. it reveals that three weeks before the stabbing a doctor had warned that he wasn t ready to leave hospital because of his worsening mental state and the risks he posed with knives. david fleet s mother wants a public apology for her son and the stone family, saying the tragedy could have been prevented. the board said findings were shared with the welsh government but couldn t be published because of confidential medical information. the welsh government hasn t commissioned independent mental health homicide reviews since 2016, meaning that lessons from fleet s case and others were not shared directly with other health boards. that has been criticised by one leading barrister. we learn from previous disasters how to avoid future disasters. why don t they want to do these reviews? i don t understand it, unless it s on the basis that they can be costly.
even though his mum had warned staff he was still using cannabis and was looking for knives on home visits. in early 2019, ten days after his release, he left his borth home. a knife had gone missing. it was nowhere to be seen. david was nowhere to be seen. oh, my god, where has he gone? i looked out the back window and i could see the air ambulance and ijust remembered having this really sinking feeling, like i knew. david fleet fatally stabbed a complete stranger, 71 year old lewis stone who was out walking his dog. fleet later said, it was because of the voices in my head. his victim s family say there is no excuse or forgiveness for what david fleet did. he pleaded guilty to manslaughter due to diminished responsibility and is indefinitely detained at a secure psychiatric unit. an internal report by hywell dda health board was not publicly shared, including