The inquiry also heard Ludvigsen recorded in ward review notes, on 16 July 2020, that Seedat “observed that there seems to be no insight or remorse and that the danger is that this will happen again, and perhaps [Calocane] will end up killing someone”.
The BBC previously reported on the killer’s medical notes which revealed the doctor’s warning during Calocane’s second admission to Highbury Hospital.
He was discharged two weeks after those notes were recorded.
Ludvigsen said she “vividly” remembered that particular ward round and admitted she was “shocked” by Seedat’s “very, very direct approach”.
She told the inquiry Seedat was warning Calocane of what happens when he was unwell in a “frank” conversation, rather than raising concerns about his risk.
“You do realise, you could end up killing someone if this happens again?” she recalled Seedat saying.
Seedat is expected to give his evidence to the inquiry on Thursday.
Tim Moloney KC, representing the bereaved families, said: “Although that context was given, in fact, that level of serious violence that might lead to somebody’s death, was [that] something people were concerned about, however Dr Seedat meant it?”
Ludvigsen replied: “Yes.”
She added she was already aware of the “high risks involved” with Calocane because during her first encounter with him, he told her he was thinking about “capital punishment”.
However, later in her evidence, she said she and others did not think Calocane was likely to kill someone.
Counsel to the NHS trust, Jason Beer KC, said: “At any point did you think that Dr Seedat actually thought that this would be a likely outcome?”
“No, no. None of us did,” she said.