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Case Studies

Southport murders inquiry

by Mark Rowe

The Southport murderer when aged 17 was able to walk up the stairs unimpeded and into the dance yoga class, via unlocked doors on the ground and first floors. Should either of the doors have been locked or otherwise secured? There was nothing legally binding, and a locked specialist fire door would not necessarily have reduced the attack, the inquiry into the murders has stated.

To recap briefly, the Southport murders of three girls were a result of a knife attack at a childrenโ€™s dance club in the coastal town on July 29, 2004. Others were injured.ย  In January 2025 the murderer pleaded guilty and was sentenced to a minimum term of 52 years.

Home Secretary in Commons

In a statement to the House of Commons, Home Secretary Shabana Mahmood stated that the Inquiry makes 67 recommendations. She said: “The government is reviewing these and will respond to those which relate to national government this summer.” The inquiry chair Sir Adrian Fulford is beginning work on a second part of the Inquiry, on ‘identifying and managing the risk posed by violence-fixated individuals’, ‘and will present his final recommendations next spring’.

‘Warning signs’

The report by Sir Adrian Fulford found ‘so many warning signs’ of the murderer’s capacity for fatal violence. In other words, a failure ‘at an organisational and individual level โ€“ to stand up and accept responsibility for managing the risk’ that the murderer posed. The report told of agencies’ ‘merry-go-round of referrals, assessments, case-closures and โ€œhand-offsโ€’, passing the risk to others. As information sharing was often poor, opportunities to intervene were lost.

As for why the murderer did his crimes, the inquiry report stated that police searched for and were unable to find any evidence of him โ€˜having pursued an ideological cause, whether political, religious or racialโ€™. The murderer had a โ€˜preoccupation with extreme violenceโ€™ that โ€˜went beyond mere internet researchโ€™. His โ€˜longstanding preoccupation with attacking a pupil at his former schoolโ€™, and โ€˜repeated statements that he intended to use a knife to attack othersโ€™ added up to โ€˜an entrenched fixationโ€™. Among many aspects covered by the inquiry were the murdererโ€™s purchase online of knives. Also covered were โ€˜Prevent Referralsโ€™, whereby the murderer was passed to the authorities; and โ€˜a failure of parental controlโ€™, partly around the murdererโ€™s plan, one week before his crimes, to attack a local school.

Doors

The main door from the car park to the communal stairwell had a conventional mortice type lock. The doors into the upstairs studio could be locked with a key. But for the leaseholder or event organiser to have locked these doors would have been wholly inappropriate while the building was occupied; indeed, unlawful as a fire exit. Could an alternative, โ€˜specialistโ€™ fire door have been fitted in place of the communal ground floor door, or upstairs โ€“ a โ€˜physical push bar allowing easy exit, and doors with a magnetic lock which can be released typically via a green button but unlock in the event of the fire alarm soundingโ€™? The inquiry did not find specific legal duty as to the standard of security of entrances for such community events. The report pointed to Department for Education safeguarding guidance of 2023 about after-school clubs; which said nothing about whether entrance doors to venues ought to be lockable specialist fire doors or be covered by video door entry. The inquiry found that the lack of such specific guidance from the Department for Education was deliberate; among the inquiryโ€™s recommendations was for the DfE to review such guidance around โ€˜appropriate entrance and exit security measuresโ€™.

The inquiry report noted that the outside door to the communal staircase through which the murderer entered was unlocked, โ€˜as were the wooden doors on the upstairs landing that were the entrance to the upstairs studioโ€™. The inquiry turned to fire safety, given that โ€˜leaseholders and hirers of a venue cannot be expected to lock doors if to do so is in breach of their legal duties in terms of fire safetyโ€™. A responsible person must carry out a risk assessment.

Although the taxi driver who took the murderer to what turned out to be the murder scene didnโ€™t pay his ยฃ9.70 fare, and the driver would have heard โ€˜some of the girls fleeing screaming in panicโ€™, he did not ring 999 until โ€˜some 50 minutes after the first cries of distressโ€™. The inquiry found โ€˜no actual detrimentโ€™ caused by the driverโ€™s delay.

Response

As for Merseyside Police response after the first 999 call within a minute of the crime, two minutes later a chief inspector who was one of the forceโ€™s on-duty incident managers directed โ€˜that armed officers were to make their way to the sceneโ€™ and that meanwhile unarmed officers โ€˜were to approach with cautionโ€™. As the inquiry report noted, this โ€˜reflected learning from the Manchester Arena Inquiry which had been briefed extensively to Force Incident Managersโ€™. It meant that the first police officers arrived on scene slightly inside the forceโ€™s policy of a ten-minute response time to emergency calls. An initial instruction to unarmed officers had been to go to Southport police station, โ€˜around five minutes from the sceneโ€™. Meanwhile Northย West Ambulance Service (NWAS) had told two crews to โ€˜stand offโ€™; that is, as the inquiry report put it, โ€˜to deploy to the scene but stop a safe distance from the final destination in the interests of safetyโ€™. Unarmed police detained a suspect. The inquiry report stated that the police incident manager made the โ€˜correct decisionโ€™ not to declare Operation Plato, โ€˜theย response to a marauding terrorist attackโ€™, whereby 999 responders might โ€˜stand offโ€™ โ€“ an ambulance would proceed towards the scene using blue lights and sirens but stop – until a scene was declared safe, โ€˜delaying treatment and resources going to the sceneโ€™. That Merseyside had two Force Incident Managers on duty at all times was adopted by Merseyside after โ€˜the Kerslake Report into the Manchester Arena Bombing, which came ahead of the public inquiry into the same event chaired by Sirย John Saundersโ€™.

Timings

As for timings, the first 999 call was received by Merseyside Police at 11.47; the first police officer to arrive on scene was at 11.56am; and armed response vehicles arrived at the scene, 34 Hart Street, Southport, โ€˜at or shortly before 12:15โ€™ when the perpetrator was in custody. Armed police, โ€˜trained to a higher level of first aid than unarmed police officers, began to assist in first aidโ€™. The report described the police response as a whole as well-managed that displayed โ€˜effective interโ€‘agency liaison and communicationโ€™, while the NWAS response time was โ€˜appropriateโ€™. The report noted that NWAS โ€˜does not have the capacity or the funding to allow all levels of staff to participate in exercisesโ€™; although โ€˜such exercising was a recommendation of the Manchester Arena Inquiryโ€™ (pictured).

Background

As police gathered intelligence, it transpired that included a โ€˜history from 2019 of him logging onto school websites involving school mass shootings and talking about guns and beheadingsโ€™. The report went over the murderer’s contacts with the authorities beginning in 2019 after he rang Childline and told of having taken a knife to school. The inquiry reported that the murderer bought โ€˜ricin precursors and chemical equipmentโ€™ in January 2022; and tried to produce ricin. In March 2022, the murderer went missing from home, was found with a knife on a bus, and said to police that he had wanted to stab someone. According to the report, the murderer โ€˜was already on the path to his offending in July 2024โ€™, due among other things to โ€˜stockpilingโ€™ of weapons; and when armed, had gone out on previous occasions to attack others. The parents, the inquiry found, had abandoned responsibility. The inquiry report acknowledged that the murderer โ€˜presented a formidable array of problems for his parentsโ€™.

Recommendations

Among the recommendations were for โ€˜a shared multiโ€‘agency riskโ€‘assessment toolโ€™ for use across public sector services, in cases of young people โ€˜who present a high risk of serious harmโ€™. An assessment and diagnosis for the murderer, when he had turned 13, for autism took a year and a half.

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