Manchester Arena bombing victim would have survived but for ‘inadequate’ emergency response, inquiry finds
A victim of the Manchester Arena bombing would likely have survived had it not been for the inadequate emergency response, an inquiry has found.
John Atkinson’s injuries were “survivable” but he did not receive the “treatment and care he should have”, said Sir John Saunders, chairman of the Manchester Arena Inquiry.
Mr Atkinson, a 28-year-old healthcare worker, was one of 22 innocent people who lost their lives following the suicide bombing at the end of an Ariana Grande concert in May 2017.
A report examining the emergency response to the attack found that “significant aspects… went wrong” and “the performance of the emergency services was far below the standard” it should have been.
“Some of what went wrong had serious and, in the case of John Atkinson, fatal consequences for those directly affected by the explosion,” Sir John said.
The inquiry has heard that firefighters did not arrive at Manchester Arena until two hours after the bombing; only one paramedic entered the blast scene in the first 40 minutes, and Greater Manchester Police (GMP) did not declare a major incident for more than two hours.
The father of the youngest victim – eight-year-old Saffie-Rose Roussos – described the emergency response as “shameful” and “inadequate”, with some experts telling the inquiry she could have survived had the response been different.
Saffie-Rose Roussos was the youngest victim of the attack
However Sir John concluded that “there was only a remote possibility that she could have survived with different treatment and care”.
“On the evidence that I have accepted, what happened to Saffie-Rose Roussos represents a terrible burden of injury,” he said.
“It is highly likely that her death was inevitable even if the most comprehensive and advanced medical treatment had been initiated immediately after injury.”
Emergency response ‘prevented victim’s survival’
In the second of three reports into the Manchester Arena bombing, Sir John found that 20 of the 22 people who died in the attack suffered injuries that were “unsurvivable”.
However in the case of Mr Atkinson, the retired High Court judge said that had the victim “received the treatment and care he should have, it is likely that he would have survived”.
“It is likely that inadequacies in the emergency response prevented his survival,” Sir John added.
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Arena bombing victims ‘let down’
Mr Atkinson, a fitness fanatic whose family described him as their “heart and soul”, had received tickets to the Ariana Grande concert as a Christmas present and went with a friend.
He was standing just six metres away from Salman Abedi when the bomber detonated his device at about 10.30pm on 22 May 2017, causing severe injuries to Mr Atkinson’s legs.
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Security failings that led to Manchester attack
The inquiry heard Mr Atkinson, from Bury, Greater Manchester, lost a significant amount of blood as he laid in agony on the foyer floor for 47 minutes before he was carried downstairs by police on a makeshift stretcher to a casualty clearing area at Victoria station.
More than 20 minutes passed – as ambulances queued outside – before he went into cardiac arrest at 11.47pm and was finally rushed to Manchester Royal Infirmary at midnight, where he was pronounced dead about 25 minutes later.
A member of the public, Ronald Blake, held an improvised tourniquet on Mr Atkinson’s right leg for up to an hour before paramedics reached him.
Only three paramedics entered the area known as the City Room, where the bomb went off, on the night – two of them just a few minutes before Mr Atkinson was evacuated.
He was not triaged, assessed or assisted by North West Ambulance Service (NWAS) personnel during his time in the foyer.
In his report, Sir John said he accepted the conclusion of experts that Mr Atkinson “would have survived if given prompt and expert medical treatment”.
He concluded that medical tourniquets should have been applied to Mr Atkinson’s legs and dressings applied to his wounds earlier.
The inquiry chairman said “responsibility for that failure” rested with the arena’s operator SMG and the management of Emergency Training UK, which was contracted to provide healthcare at the venue.
He added that more paramedics should have been in the City Room earlier and they would likely have “identified the need for urgent treatment and evacuation” of Mr Atkinson.
Police at the scene of the bombing on 22 May 2017
“That did not occur,” Sir John said. “Responsibility for that failure rests with NWAS.
“Such treatment would, I am satisfied, have enabled John Atkinson to arrive at hospital prior to having a cardiac arrest and would probably have saved his life.”
Sir John also said that Mr Atkinson should have been moved from the City Room promptly and if firefighters had been at the scene at the time, the victim would have been “prioritised for evacuation”.
He also pointed out that if more ambulances had been at the scene shortly after 11pm, Mr Atkinson would have received treatment and he would have been taken to hospital sooner.
“Either way, he would have reached hospital before having a cardiac arrest and is likely to have survived,” Sir John said.
“John Atkinson would probably have survived had it not been for inadequacies in the emergency response.”
The victims of the Manchester Arena bombing
‘Mistakes’ made by emergency services
In his report, Sir John said “significant aspects of the emergency response on 22 May 2017 went wrong” and “this should not have happened”.
The inquiry chairman said he had “no doubt that lives were saved by the emergency response”, but added: “Looked at overall, and objectively, the performance of the emergency services was far below the standard it should have been.”
He said GMP “did not lead the response” the way it should have; Greater Manchester Fire and Rescue Service (GMFRS) “failed to turn up at the scene at a time when they could provide the greatest assistance”; and NWAS “failed to send sufficient paramedics” into the City Room and “did not use available stretchers to remove casualties in a safe way”.
The inquiry heard that police officers, arena staff and members of the public were forced to carry injured people using advertising hoardings, crowd barriers and tables due to the lack of stretchers, which Sir John said was “a painful and unsafe way of moving the injured”.
He added that “one of the most emotional and upsetting parts of the inquiry” was hearing of the “despair” of those injured, who could hear ambulance sirens outside but saw few paramedics arrive.
Among the failures identified in the report:
• Inspector Dale Sexton, the force duty officer at GMP’s headquarters, became “overburdened” and made a “significant mistake” in failing to declare a major incident in the early stages of the emergency response. GMP only declared a major incident close to 1am – two and a half hours after the bomb went off
• After inaccurate reports of gunshots, Insp Sexton declared Operation Plato – the emergency response to an attack by a marauding terrorist with a gun – but failed to communicate this to other emergency services
• GMFRS station manager Andrew Berry sent firefighters to Philips Park fire station, three miles away from the scene, meaning some firefighters were driving away from the incident and past ambulances travelling in the opposite direction
• Inspector Benjamin Dawson, from British Transport Police (BTP), declared a major incident around 10 minutes after the attack but did not tell GMP or GMFRS
• There was “substantial confusion” over the location of a rendezvous point for emergency services, with each service choosing their own
• NWAS declared a major incident about 15 minutes after the attack but this was not shared with any other emergency service
Sir John said “there was the failure of anyone in a senior position in GMFRS to take a grip of the situation during the critical period of the response”.
He acknowledged he had “criticised a large number of people” who he considered had “made mistakes on the night”, adding that “some of those criticisms may seem harsh, particularly given the situation that those individuals were faced with”.
“They were trying to do their best,” he added. “I do understand the enormous pressures that they were acting under.
“They had to do many things in a short time and it may not be surprising that things went wrong. I am not unsympathetic to them.
“But I need to identify mistakes where they have been made because otherwise there is no prospect of preventing them in the future.”
Read more:
The missed opportunities to stop Salman Abedi
Manchester Arena lives could have been saved – but warning was ‘fobbed off’
Salman Abedi carried out the suicide bombing
Among a series of recommendations, Sir John said that “in the event that public funding cuts are in the future considered necessary by the government, the Home Office should consider whether some funding arrangement for police services different from that applied in the post-2010 period is necessary”.
Responding to the report, Home Secretary Suella Braverman said it was “a devastating reminder of the Manchester Arena attack and the horror of that night”.
“Without doubt, our emergency services show incredible courage when responding to incidents of this magnitude,” she said.
“It’s right that we reflect and work together to learn from this tragedy. I will carefully consider the recommendations made so far to strengthen our response.”
Sir John’s first report on security issues at the arena venue was issued last June and highlighted a string of “missed opportunities” to identify Abedi as a threat before he walked across the City Room foyer and detonated his shrapnel-laden device.
The third and final report will focus on the radicalisation of Abedi and what the intelligence services and counter-terrorism police knew, and if they could have prevented the attack. It will be published at a later date.
UK
Ryland Headley: Man, 92, who raped and murdered Louisa Dunne in Bristol nearly 60 years ago, jailed for life
A 92-year-old man has been sentenced to life with a minimum term of 20 years in prison for the rape and murder of an elderly widow nearly 60 years ago.
Ryland Headley was found guilty on Monday of killing 75-year-old Louisa Dunne at her Bristol home in June 1967, in what is thought to be the UK’s longest cold case to reach trial, and has been told by the judge he “will die in prison”.
The mother-of-two’s body was found by neighbours after Headley, then a 34-year-old railway worker, forced his way inside the terraced house in the Easton area before attacking her.
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The UK’s longest cold case to reach trial
Police found traces of semen and a palm print on one of the rear windows inside the house – but it was about 20 years before DNA testing.
The case remained unsolved for more than 50 years until Avon and Somerset detectives sent off items from the original investigation and found a DNA match to Headley.
He had moved to Suffolk after the murder and served a prison sentence for raping two elderly women in 1977.
Prosecutors said the convictions showed he had a “tendency” to break into people’s homes at night and, in some cases, “target an elderly woman living alone, to have sex with her despite her attempts to fend him off, and to threaten violence”.
Louisa Dunne in 1933. Pic: Avon and Somerset Constabulary
Headley during his arrest. Pic: Avon and Somerset Constabulary
Headley, from Ipswich, who did not give evidence, denied raping and murdering Ms Dunne, but was found guilty of both charges after a trial at Bristol Crown Court.
Detectives said forces across the country are investigating whether Headley could be linked to other unsolved crimes.
Mrs Dunne’s granddaughter, Mary Dainton, who was 20 when her relative was killed, told the court that her murder “had a big impact on my mother, my aunt and her family.
“I don’t think my mother ever recovered from it. The anxiety caused by her mother’s brutal rape and murder clouded the rest of her life.
“The fact the offender wasn’t caught caused my mother to become and remain very ill.
“When people found out about the murder, they withdrew from us. In my experience, there is a stigma attached to rape and murder.”
The front of Louisa Dunne’s home. Pic: Avon and Somerset Constabulary
Louisa Dunne’s skirt. Pic: Avon and Somerset Constabulary
Finding out her grandmother’s killer had been caught after almost six decades “turned my life upside down,” she said.
“I feel sad and very tired, which has affected the relationships I have with those close to me. I didn’t expect to deal with something of such emotional significance at this stage of my life.
“It saddens me deeply that all the people who knew and loved Louisa are not here to see that justice has been done.”
Palmprint images. Pic: Avon and Somerset Constabulary
After her statement, Mr Justice Sweeting told Mrs Dainton: “It is not easy to talk about matters like this in public.
“Thank you very much for doing it in such a clear and dignified way.”
The judge told Headley his crimes showed “a complete disregard for human life and dignity.
“Mrs Dunne was vulnerable, she was a small elderly woman living alone. You treated her as a means to an end.
“The violation of her home, her body and ultimately her life was a pitiless and cruel act by a depraved man.
“She must have experienced considerable pain and fear before her death,” he said.
Sentencing Headley to life imprisonment with a minimum term of 20 years, the judge told him: “You will never be released, you will die in prison.”
Detective Inspector Dave Marchant of Avon and Somerset Police said Headley was “finally facing justice for the horrific crimes he committed against Louisa in 1967.
“The impact of this crime has cast a long shadow over the city and in particular Louisa’s family, who have had to deal with the sadness and trauma ever since.”
The officer praised Ms Dainton’s “resilience and courage” during what he called a “unique” case and thanked investigators from his own force, as well as South West Forensics, detectives from Suffolk Constabulary, the National Crime Agency and the Crown Prosecution Service (CPS).
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Charlotte Ream, of the CPS, described Headley’s crimes as “appalling”.
She said Louisa Dunne “died in a horrifying attack carried out in the place where she should have felt safest – her own home.
“Mrs Dunne’s death continues to have a traumatic impact on her family members: the passage of time has not lessened their pain.
“For 58 years, this appalling crime went unsolved and Ryland Headley, the man we now know is responsible, avoided justice.”
Jeremy Benson KC, defending Headley, offered no personal mitigation on behalf of the defendant.
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Three managers at the hospital where Lucy Letby worked have been arrested on suspicion of gross negligence manslaughter.
They were in senior roles at the Countess of Chester Hospital in 2015 and 2016 and have been bailed pending further enquiries, Cheshire Constabulary said. Their names have not been made public.
Letby, 35, was found guilty of murdering seven children and attempting to murder seven more between June 2015 and June 2016 while working in the hospital’s neonatal unit.
Detective Superintendent Paul Hughes explained that gross negligent manslaughter focuses on the “action or inaction of individuals”.
There is also an investigation into corporate manslaughter at the hospital, which began in October 2023.
That focuses on “senior leadership and their decision-making”, Mr Hughes said. The intention there is to determine whether any “criminality has taken place concerning the response to the increased levels of fatalities”.
The scope was widened to include gross negligence manslaughter in March of this year.
Lucy Letby was found guilty of murdering seven children and attempting to murder seven more
Mr Hughes said it is “important to note” that this latest development “does not impact on the convictions of Lucy Letby for multiple offences of murder and attempted murder”.
He added: “Both the corporate manslaughter and gross negligence manslaughter elements of the investigation are continuing and there are no set timescales for these.
“Our investigation into the deaths and non-fatal collapses of babies at the neo-natal units of both the Countess of Chester Hospital and the Liverpool Women’s Hospital between the period of 2012 to 2016 is also ongoing.”
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A public inquiry has also been examining the hospital’s response to concerns raised about Letby before her arrest.
In May, it was announced the inquiry’s final report into how the former nurse was able to commit her crimes will now be published early next year.
Earlier this year, lawyers for Lucy Letby called for the suspension of the inquiry, claiming there was “overwhelming and compelling evidence” that her convictions were unsafe.
In February, an international panel of neonatologists and paediatric specialists told reporters that poor medical care and natural causes were the reasons for the collapses and deaths.
Their evidence has been passed to the Criminal Cases Review Commission (CCRC), which investigates potential miscarriages of justice, and Letby’s legal team hopes her case will be referred back to the Court of Appeal.
As we pulled back the hospital curtain, he was hunched over and clearly in pain.
He had climbed off the hospital bed to greet us with a polite smile, then hobbled back to lie down again.
Every breath was uncomfortable, but he wanted to share the horrible reality of knife crime.
The young knife attack victim in Manchester
“I’ve never in my life been stabbed so I don’t know how it’s meant to even feel,” he said.
“The pain came when I realised the blood’s just spitting out of the side of my rib cage and that’s when I started panicking.
“My lungs felt like they were filled with blood… I thought each breath that I take, I’m going to drown in my own blood.
“I just felt as though I was slowly slipping away.”
Paramedics helped save his life and got him to the hospital in Manchester.
Sky News cannot name the young victim or go into the details of the attack because the police are investigating his case.
We were alongside a support worker called Favour, who is part of a growing team called Navigators. They go into hospitals to help young victims of violence.
While checking on how his recovery is going, she gently asked what he wanted to do next.
“You should have the right to feel safe,” she said to him.
“So don’t blame yourself for what happened… we are going to be there to help you.”
Favour talks with the victim
‘Scarring and traumatic’
In a corridor outside the major trauma ward at the Manchester Royal Infirmary, Favour said: “They are often scared, often really tired from being in hospital.
“It does stay with you, not just for a couple of weeks, but it can go on for months, years, because it is something very scarring and traumatic.
“Having someone to talk to, being able to be very vulnerable with… that can lead you to find different spaces that are safe for you, can make a huge difference.”
In the adjacent Children’s Hospital in Manchester, we met the clinical lead at the Greater Manchester Violence Reduction Unit.
Support worker Favour is part of a team called Navigators
Dr Rachel Jenner is a senior consultant who expanded her emergency department work into the wider mission of violence reduction after treating one particular young stab victim.
“When he arrived at the hospital, he was obviously very distressed and stressed,” she said. “A little bit later on, when things were stable, I asked him if he wanted me to call his mum.
“When I asked that question, he just kind of physically crumpled on the bed and just looked like the vulnerable child that he was, and that was really impactful for me.”
Dr Rachel Jenner
‘Positive results’
The Violence Reduction Unit was established in 2019 with a commitment from the city’s authorities to work together better to prevent violence and deal with it efficiently when it occurs.
Dr Jenner still treats young knife crime victims, but revealed the number of stab-related admissions is falling in her hospital.
“The trend is downwards,” she confirmed. “We’ve definitely seen some positive results.”
The latest statistics in England and Wales show the number of hospital admissions for assault by a sharp object fell by 3% to 3,735 admissions in the year ending September 2024.
“We’re never complacent,” Dr Jenner said. “You reality check yourself all the time, because obviously if… someone gets stabbed, then it’s quite possible that I’ll be treating them.”
She said the Navigators are crucial to working with young patients.
“They have a really different way of engaging with young people, they’re much better at it than many other professionals,” she said.
“It’s not a one-size-fits-all model, they actually wrap around that support according to circumstances… that’s a really positive improvement.”
Tacking violence ‘like infectious disease’
Dr Jenner added: “We try and take a public health approach to violence reduction. In the same way that we would address an infectious disease, if we can use those methods and principles to look at violence.
“Not just reacting when it happens, but actually looking at how we can prevent the disease of violence, that in the long term will have a bigger impact.”
The key is teamwork, Dr Jenner said. Collaboration between the police, community leaders, victim support, health workers and people in education has noticeably improved.
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Students practise stopping a bleed
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The hospital also sends consultants into schools to teach pupils how to stop bleeds as part of an annual nationwide initiative that reaches 50,000 young people.
At a Stop The Bleed session in Bolton, Greater Manchester, we met 11 and 12-year-olds growing up with the threat of knife crime.
One Year 7 boy said: “There was a stabbing quite near where I live so it does happen, but it’s very crucial to learn how to stop this bleed and how to stop deaths.”
Another two friends talked about a boy their age who had been involved in an incident with a knife.
“No one would expect it for someone that young,” one said. “They’re just new to high school, fresh out of primary, and they shouldn’t just be doing that, too young.”
Sanaa Karajada
‘We are dealing with it every day’
Their school has decided to tackle the problem of knife crime head-on rather than pretend it isn’t affecting their pupils.
The pastoral lead at the school, Sanaa Karajada, told Sky News: “We are dealing with it every single day, so we have policies and procedures in place to prevent any escalations in our schools or in the community.
“It is very, very worrying and it’s upsetting that [students] are having to go through this, but you know we’ve got to be realistic… if we are shying away from it, we’re just saying it’s not a problem.
“But it is a problem within the community, it’s a problem in all of the UK.”
The government has pledged to halve knife crime within a decade.
These signs of progress may offer some hope, but there is still so much work to do.
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