While she said she recognised there were some “amazing staff” in the trust, Webber added changes were needed within leadership.

The trust announced in November that Majid was set to retire in June 2026, remaining in post for the public inquiry due to start in February.

However, Webber said retiring was not the change she believed was necessary.

She said: “How there hasn’t been a fundamental change in the leadership of the mental health trust is beyond me – I do not understand it.

“What more do we need to do? A national tragedy, three lives lost, three lives changed forever as well.”

Greg Almond a solicitor representing two of the survivors, Wayne Birkett and Sharon Miller, said it was clear that a “significant amount of work” needed to be done.

He said in a statement: “For the survivors, who deserve to have faith in the mental health provisions in Nottinghamshire, this is a deeply worrying assessment and they can’t help but be left with the feeling that nothing has been done to prevent a reoccurrence.”

Almond said despite the scrutiny the trust had been under since June 2023, there remained “significant and glaring problems within the mental health provision in Nottinghamshire”.