article: 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. It said his mother's repeated requests to GPs and social workers to get him treatment were ignored. The family of Simelane said in a statement: "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?" 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. The inquiry found that Simelane's mental health problems were first identified 11 years ago, when he was at school. 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. 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 [Simelane's] mental illness, it could have been prevented if his mental health needs had been identified and met." 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. 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. 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. 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. 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. Source: Birmingham CrossCity CCG report Christina had been travelling to Leasowes High School in Halesowen on the number nine bus, two weeks after her 16th birthday, when she was attacked. 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". Her
summary: 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.