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NARRATOR:
Deep in the Berkshire countryside
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sits one of Britain's
most feared institutions...
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My first impression was,
"This is a prison."
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..Broadmoor Hospital.
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It's notorious
because of who's there.
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A place
where dangerous men are sent...
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..when there's nowhere else
for them to go.
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You are dealing with people
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who carry substantial risk of harm
to the public.
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There's always that risk
that violence might erupt.
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This is the inside story
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told by those
who've worked behind its walls...
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One patient suddenly turned on me
and said,
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"The trouble with you
is that you won't let me be mad."
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..those once detained here...
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..and by the most notorious of all.
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He called me Bob,
and I called him Peter.
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PHONE RINGS
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AUTOMATED MESSAGE:
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Secretly recorded
and speaking from beyond the grave.
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Some will never leave.
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You're there until it's deemed fit
that you could be released.
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This is the story
of how to get out of Broadmoor.
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People have escaped
from high secure units.
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It does happen,
and it happened while I was there.
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NARRATOR: Broadmoor Hospital
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is one of the most secure
institutions in Britain,
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home to over 200 men
with mental illness
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or personality disorders.
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It is surrounded by dense woodland,
22ft-high walls
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and cutting-edge CCTV cameras.
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But despite all the security,
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there's still one sound
synonymous with Broadmoor.
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SIREN BLARES
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The escape siren.
SIREN BLARES
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If there was an escape...
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..these sirens would wail,
warning the local citizens
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that someone dangerous
had left Broadmoor.
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They were tested
every Monday morning at 10am
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and, I think, sent terrible waves
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through the community
and the local area,
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making it very aware
that Broadmoor was there.
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Break-outs from Broadmoor
are incredibly rare -
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but escape is not impossible.
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People have escaped
from high-secure units.
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It does happen,
and it happened while I was there.
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In July 1991,
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one of Broadmoor's
most dangerous and depraved patients
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managed to escape.
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SIREN BLARES
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It was in the morning, and I heard
this noise, and I thought...
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"..Oh, that's the siren."
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I remember that siren.
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It was a wailing...
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whirring god-awful noise.
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As the escaped patient
vanished into the woods,
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the surrounding village
of Crowthorne went into lockdown.
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Everybody locally
were told to lock their doors.
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The kids,
the doors all closed at the schools.
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REPORTER: Schools in the area
were closed,
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and parents were told to keep
their children off the streets.
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With a violent offender on the run,
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staff members
were expected to drop everything
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and report for duty.
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Got in the car.
Drove to Broadmoor quite fast.
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Went straight
to where the reception's all set up.
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So, maps came out
from behind the ward
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so that the police and everybody
knew the areas.
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Masses and masses of telephones,
maps, everything.
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It was like a huge war room, if
you like, and there must have been
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60 police cars in there
from all over.
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Police roadblocks, helicopters -
the lot.
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The whole jamboree.
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Nurses and police were sent out
to search for the runaway patient.
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And we were all put in teams,
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and you paired up with the police,
and off you went.
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But the search teams
had their work cut out.
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The man on the loose
was no ordinary patient.
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He was convicted child rapist
James Saunders,
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also known as the "Wolfman"
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because he'd lived in the wild
whilst being hunted by police.
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They called him the Wolfman
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because he went on the run
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and decided to live rough
in the Wiltshire countryside.
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So, you have this man
who's been on the run.
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It creates a storm nationally
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and earned him the nickname
of the Wolfman.
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After five years and seven months
in Broadmoor for violent rape,
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Saunders was on the run once again.
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Staff scrambled to work out
how on earth he'd got away.
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Evidence of Saunders' cleverness
is that to distract attention
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from the fact
that he was planning to escape,
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he helped to organise
a pizza-making competition
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which involved the chef
and the staff in Broadmoor.
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Neil Wheatcroft was Broadmoor's
head chef at the time.
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He was a wiry muscly patient, who...
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When I first met him,
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he said, "Would I be prepared to do
a demonstration of pizza making?"
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This was the initial meeting
with him, and I said, "Yes, we can."
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But the pizza party
was just a diversion.
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With the staff preoccupied,
Saunders made his escape.
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And it's during this
he used the time to slip away
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and exit through
the shower room window.
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He'd stolen a hacksaw blade
from the workshop.
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And he sawed through
three window bars.
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He's also tied bed sheets together
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so that he could
go down to the ground.
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And he would have dropped
to the deck,
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ran across an open courtyard...
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..to the next wall
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and then over into the woods
and gone. Very clever.
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I mean,
it was extraordinary ability.
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I'm not saying for a moment
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that he shouldn't be incarcerated,
of course,
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but my goodness me,
that was some achievement.
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Saunders was strong, fast
and easily able to hide in the wild.
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REPORTER:
Hunting him is no easy matter.
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Broadmoor is bordered
by dense, thick pine forests.
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All day, helicopters
have been scouring the area,
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flying at treetop height
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whilst men on foot
searched the undergrowth beneath.
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A day and a half passed
with no sign of Saunders.
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I've done nine-hour stints
on the road, searching cars.
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And then a breakthrough.
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Around 40 hours
after the alarm was raised,
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a member of the public
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spotted a man acting strangely
in the woods
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outside the Somerset village
of Croscombe,
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almost 90 miles from Broadmoor.
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They called the police.
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A neighbour apparently
said something to a policeman,
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and then they sent the truck down
to fetch him.
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And he didn't put up a fight,
particularly.
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He just acknowledged it and said,
"Well, you've got me,"
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and went back to Broadmoor.
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Although Saunders
had been recaptured,
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questions were raised
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as to how he had managed
to saw through the window bars.
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One of the things that we used to do
for security purposes
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was we used to
go into patients' rooms,
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and we would rattle our keys
along the bars.
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And if you heard a different sound
from one of the bars,
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that was an indicator
that it had been sawn through.
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It's very complicated
to escape from Broadmoor.
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It's a lot of locks to go through,
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a lot of guards to pass,
a lot of security.
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At Broadmoor, a patient escape
is known as a "Never Event",
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something that
under no circumstances
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should be allowed to happen.
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So what happened next
was doubly damaging.
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And, so, a couple of years later,
in 1993,
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the Wolfman decides to escape again.
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He just took off like a roadrunner.
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Off he went.
And over the wall - gone.
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NARRATOR: Broadmoor had been rocked
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by the escape of child rapist
James Saunders.
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The 40-hour manhunt
caused a national scandal.
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It was deeply wounding to Broadmoor
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that such a dangerous man
should be allowed to escape.
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But although he had been recaptured,
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the patient known as the Wolfman
was undeterred.
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Saunders wasn't content
to remain in Broadmoor,
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and so a couple of years later,
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in 1993,
the Wolfman decides to escape again.
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This time, Saunders seized
a chance opportunity.
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He was escorted off the unit
to go to a work area.
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So, there was actually staff there,
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and he just took off
like a roadrunner.
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And he ran just full tilt
and then up a lamp
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and jumped from the lamp onto
the 22ft wall down the other side.
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Off he went and over the wall -
gone.
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Remarkable,
and worthy of the circus.
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My friend said, "Bloody hell,
he just got over the wall.
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"God, he's done it again."
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SIREN BLARES
Yet again.
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The siren sounded yet again.
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It proved that you could escape
from Broadmoor
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if you were determined
and if you were lucky.
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But on this occasion,
luck wasn't on his side.
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When he landed on the other side,
he did his ankle in.
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Saunders was recaptured.
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But that was the last time
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those sirens were sounded in anger
at Broadmoor.
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There was never another escape.
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Things tightened up.
They got more security.
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A lot more cameras
were being installed outside.
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The reality is it's very hard
to escape from Broadmoor, indeed.
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As Saunders discovered,
the only guaranteed way
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out of Broadmoor Hospital
is to get officially discharged...
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..and many patients
do get out the right way,
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like former patient Joshua,
who made progress with his recovery
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and was allowed to leave
after seven years.
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After making
a series of violent threats,
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Joshua was sectioned and sent
to Broadmoor Hospital in 2004.
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At Broadmoor, Joshua received
much-needed treatment.
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Joshua was discharged from Broadmoor
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after a long programme of treatment,
therapy and reflection.
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Though Broadmoor
might look like a prison...
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..it is in fact a secure hospital
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00:13:09,880 --> 00:13:13,680
treating some of the country's most
dangerous mental health patients.
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We work, as anyone else
in psychiatry would work,
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with all the most modern treatments.
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It's just that we have security
as well,
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so it's a proper modern hospital
but with security.
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At Broadmoor,
patients who have committed a crime
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are detained with a hospital order,
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a legal declaration
that detains those criminals
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whose mental health makes them
a risk to themselves or others.
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Unlike a prison sentence,
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a hospital order
has no set end date,
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so patients must remain in Broadmoor
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for as long as doctors
deem it necessary.
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One of the extraordinary things
about Broadmoor is that
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00:14:00,000 --> 00:14:03,920
you aren't really sent
for a determined term.
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You're there until it's deemed fit
that you could be released.
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00:14:07,440 --> 00:14:11,240
This means that if you want
to get discharged from Broadmoor,
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00:14:11,280 --> 00:14:15,320
you'll have to follow a rigorous
process of treatment and therapy.
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00:14:16,520 --> 00:14:18,040
The first stage in all of this
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00:14:18,080 --> 00:14:20,520
is to get the mental illness
under control,
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and so the person
is without the symptoms
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that caused the problem
in the first place.
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00:14:25,120 --> 00:14:29,360
On top of that, you then want
to make sure the person has insight
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00:14:29,400 --> 00:14:32,120
into the past difficulties
that they had...
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..and that they have
an understanding of some of the ways
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00:14:35,920 --> 00:14:39,040
of dealing with the illness
in the future if it were to return.
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00:15:06,920 --> 00:15:08,120
So, within Broadmoor,
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there are different levels
of security on the wards,
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00:15:11,120 --> 00:15:12,480
and you want to see
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00:15:12,520 --> 00:15:15,240
someone progressing
to the lowest level of supervision.
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00:15:15,280 --> 00:15:20,440
So it's about a gradually reducing
the level of surveillance
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until you can reintroduce someone
to the outside world.
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00:15:26,800 --> 00:15:30,040
If a patient has served out
their criminal sentence
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00:15:30,080 --> 00:15:32,600
and can demonstrate that
their symptoms are under control,
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00:15:32,640 --> 00:15:35,400
then even serial killers
can be considered
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00:15:35,440 --> 00:15:38,960
for discharge to the outside world.
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One such patient is Kenneth Erskine,
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00:15:42,440 --> 00:15:45,600
more commonly known
as the Stockwell Strangler.
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00:15:47,280 --> 00:15:48,800
REPORTER:
They were the sort of people
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00:15:48,840 --> 00:15:50,520
least able to defend themselves -
240
00:15:50,560 --> 00:15:53,040
the elderly,
the sick and the frightened.
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00:15:53,080 --> 00:15:55,800
They were the victims of
a psychopath who roamed the streets
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00:15:55,840 --> 00:15:58,840
at night for nearly five months,
looking for pensioners
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00:15:58,880 --> 00:16:02,440
who he strangled to death
and sexually abused.
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00:16:02,480 --> 00:16:06,200
The period
between April and July 1986,
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00:16:06,240 --> 00:16:10,920
we know for certain
that Erskine killed seven times.
246
00:16:10,960 --> 00:16:16,400
He deliberately targeted
vulnerable old individuals.
247
00:16:17,560 --> 00:16:22,200
He was 23.
They were between 67 and 94.
248
00:16:22,240 --> 00:16:25,760
They were people
that he could exercise
249
00:16:25,800 --> 00:16:28,280
a level of control and power over.
250
00:16:28,320 --> 00:16:30,280
REPORTER:
This morning, police repeated
251
00:16:30,320 --> 00:16:31,880
their warning to elderly people
252
00:16:31,920 --> 00:16:35,520
to keep all doors and windows locked
at night.
253
00:16:35,560 --> 00:16:38,160
He would climb into the house,
through the window
254
00:16:38,200 --> 00:16:43,120
and attack the old person,
often sexually.
255
00:16:43,160 --> 00:16:47,080
He would strangle them.
He would sodomise them.
256
00:16:47,120 --> 00:16:48,720
It's impossible to imagine
257
00:16:48,760 --> 00:16:53,840
what that must have felt like
to his victims. Out of nowhere.
258
00:16:53,880 --> 00:16:57,160
Fred Prentice was asleep
in bed in an old folks home
259
00:16:57,200 --> 00:17:00,800
when a man climbed in through
a window and tried to strangle him.
260
00:17:00,840 --> 00:17:02,680
He was just out of control.
261
00:17:02,720 --> 00:17:05,720
He wouldn't stop, indeed,
until he was stopped.
262
00:17:05,760 --> 00:17:08,120
REPORTER:
When eventually caught and tried,
263
00:17:08,160 --> 00:17:11,320
24-year-old Erskine
was sentenced to 40 years,
264
00:17:11,360 --> 00:17:15,960
at the time, the longest ever
jail term handed down in Britain.
265
00:17:16,000 --> 00:17:17,760
Sentenced in 1988,
266
00:17:17,800 --> 00:17:21,440
Erskine was initially sent
to a high security prison.
267
00:17:21,480 --> 00:17:23,640
Shortly after his conviction,
268
00:17:23,680 --> 00:17:26,320
he was sectioned
under the Mental Health Act.
269
00:17:26,360 --> 00:17:28,280
During the trial,
270
00:17:28,320 --> 00:17:32,120
Erskine is reported to have behaved
really quite inappropriately.
271
00:17:32,160 --> 00:17:36,600
Whilst in the dock, he was seen
to be giggling and laughing
272
00:17:36,640 --> 00:17:39,920
and speaking to himself,
and there was also a point
273
00:17:39,960 --> 00:17:42,960
where he was observed
to be masturbating within the dock.
274
00:17:43,000 --> 00:17:46,320
That behaviour really is telling
275
00:17:46,360 --> 00:17:50,880
of somebody who is experiencing
a mental illness.
276
00:17:50,920 --> 00:17:54,320
Erskine was diagnosed
with a personality disorder
277
00:17:54,360 --> 00:17:59,560
as well as his chronic schizophrenia
and goes to Broadmoor.
278
00:18:01,960 --> 00:18:06,080
On arrival at Broadmoor,
Erskine's symptoms were assessed.
279
00:18:06,120 --> 00:18:10,880
Erskine would have been in quite
an acute state of mental illness,
280
00:18:10,920 --> 00:18:16,280
so he would be extremely
destabilised, really quite paranoid,
281
00:18:16,320 --> 00:18:18,640
mistrusting
of the people around him.
282
00:18:20,360 --> 00:18:25,280
He talked about experiencing
what's called command hallucinations
283
00:18:25,320 --> 00:18:29,560
that commanded him
to undertake certain actions,
284
00:18:29,600 --> 00:18:31,360
to do certain things.
285
00:18:31,400 --> 00:18:36,080
I think the key thing
with his experience of psychosis
286
00:18:36,120 --> 00:18:39,360
is that he was completely
out of touch with reality.
287
00:18:39,400 --> 00:18:43,600
So I think he would have presented
as being quite challenging.
288
00:18:43,640 --> 00:18:47,880
At Broadmoor, Erskine received
therapeutic treatment.
289
00:18:47,920 --> 00:18:51,680
Doctors will generally utilise
evidence-based interventions,
290
00:18:51,720 --> 00:18:55,600
such as cognitive behavioural
therapy, schema therapy,
291
00:18:55,640 --> 00:19:00,040
dialectical behaviour therapy, and
these are evidence-based therapies
292
00:19:00,080 --> 00:19:03,440
that we know
that will impact mental illness.
293
00:19:03,480 --> 00:19:07,200
Erskine's mental illness
was also treated with medication.
294
00:19:07,240 --> 00:19:11,160
In general, schizophrenia
is responsive to medication.
295
00:19:11,200 --> 00:19:14,320
These are not just tranquillisers,
they are very specific
296
00:19:14,360 --> 00:19:17,160
antipsychotic,
anti-schizophrenic medications.
297
00:19:17,200 --> 00:19:20,400
And in 90% of cases
of schizophrenia,
298
00:19:20,440 --> 00:19:22,960
they're going to produce
an improvement,
299
00:19:23,000 --> 00:19:26,480
often a very dramatic improvement.
300
00:19:26,520 --> 00:19:27,640
Certainly my experience,
301
00:19:27,680 --> 00:19:30,600
if you remove from the picture
the acute mental illness,
302
00:19:30,640 --> 00:19:33,080
give them some medication,
basically,
303
00:19:33,120 --> 00:19:35,320
the risk practically disappears.
304
00:19:35,360 --> 00:19:39,480
You can't believe when they
first came in, how they presented,
305
00:19:39,520 --> 00:19:45,440
how destructive, how aggressive,
to turn out...
306
00:19:45,480 --> 00:19:46,960
where you think, "My gosh,
307
00:19:47,000 --> 00:19:51,200
"they've gone through
all that therapy and medication,
308
00:19:51,240 --> 00:19:53,000
"and look at them now."
309
00:19:53,040 --> 00:19:54,640
It's just unbelievable, really.
310
00:19:54,680 --> 00:19:56,800
And that's what keeps you going
as a nurse.
311
00:19:56,840 --> 00:20:00,760
In order to be considered eligible
for discharge from Broadmoor,
312
00:20:00,800 --> 00:20:04,920
a patient's entire clinical team
has to be in agreement.
313
00:20:04,960 --> 00:20:09,480
Everybody that's had input with
that patient would have their say,
314
00:20:09,520 --> 00:20:11,800
a long, long process.
315
00:20:11,840 --> 00:20:17,440
And then once everybody in that team
are satisfied,
316
00:20:17,480 --> 00:20:18,800
they go to a tribunal.
317
00:20:20,640 --> 00:20:22,760
Introduced in 1983,
318
00:20:22,800 --> 00:20:26,480
a mental health tribunal
is an independent panel of experts
319
00:20:26,520 --> 00:20:31,200
who meet in a special tribunal suite
to assess patients at Broadmoor.
320
00:20:31,240 --> 00:20:35,360
All patients, including Erskine,
have the legal right
321
00:20:35,400 --> 00:20:38,240
for their detention under the
Mental Health Act to be considered
322
00:20:38,280 --> 00:20:42,120
at a tribunal hearing once a year.
323
00:20:42,160 --> 00:20:44,360
It's essentially
a small court of law
324
00:20:44,400 --> 00:20:48,800
which considers whether the criteria
for detention are still met.
325
00:20:48,840 --> 00:20:53,480
There's a judge,
a medical member and a lay member.
326
00:21:01,160 --> 00:21:04,360
The Mental Health Review Tribunal
either says,
327
00:21:04,400 --> 00:21:06,120
"Yes, we're gonna lift
the hospital order
328
00:21:06,160 --> 00:21:08,520
"and leave the restrictions
in place."
329
00:21:08,560 --> 00:21:12,920
Or, "No, we don't agree
that this person is ready."
330
00:21:12,960 --> 00:21:16,240
For Joshua, regular dialogues
with his clinical team
331
00:21:16,280 --> 00:21:19,320
helped him keep his recovery
on track.
332
00:21:30,520 --> 00:21:34,680
But every release from Broadmoor
Hospital has its risks.
333
00:21:36,680 --> 00:21:41,680
And when things go wrong,
the results can be deadly.
334
00:21:41,720 --> 00:21:46,360
He games the system. He is indeed
duly released from Broadmoor.
335
00:21:46,400 --> 00:21:49,760
Then he embarks on what
can only be called a killing spree.
336
00:22:00,200 --> 00:22:04,000
Broadmoor Hospital houses some
of Britain's most violent criminals.
337
00:22:05,040 --> 00:22:06,880
So it's no surprise that
338
00:22:06,920 --> 00:22:11,440
many patient discharges come
under intense scrutiny.
339
00:22:11,480 --> 00:22:15,400
Whenever somebody is discharged
from hospital,
340
00:22:15,440 --> 00:22:17,480
it is on the balance of risks,
really.
341
00:22:17,520 --> 00:22:22,960
You can never be certain of what's
going to happen in the future.
342
00:22:23,000 --> 00:22:25,480
There is a risk that...
343
00:22:25,520 --> 00:22:27,640
that violence might erupt again.
344
00:22:52,160 --> 00:22:55,240
I think there's pressure
in Broadmoor to make sure
345
00:22:55,280 --> 00:22:59,040
that any patient they discharge
was completely safe.
346
00:22:59,080 --> 00:23:03,080
But human behaviour
is so unpredictable.
347
00:23:03,120 --> 00:23:04,760
If you release someone
348
00:23:04,800 --> 00:23:09,800
on the theory that they have been
cured or rehabilitated,
349
00:23:09,840 --> 00:23:11,160
and they proceed to kill again,
350
00:23:11,200 --> 00:23:16,400
then you are hanged
by public opinion and by the media.
351
00:23:16,440 --> 00:23:19,560
And the most notable example
of that, of course, is Graham Young.
352
00:23:25,080 --> 00:23:30,080
In 1962, Graham Young was convicted
of poisoning members of his family
353
00:23:30,120 --> 00:23:34,400
by slipping the dangerous chemical
thallium into their tea.
354
00:23:34,440 --> 00:23:37,280
After being diagnosed
with psychopathic traits,
355
00:23:37,320 --> 00:23:40,640
the Teacup Poisoner
was sent to Broadmoor.
356
00:23:40,680 --> 00:23:42,880
He was just 14 years old.
357
00:23:44,680 --> 00:23:48,200
He had taken a fascination
with chemistry,
358
00:23:48,240 --> 00:23:50,640
and he started off
by killing his stepmother
359
00:23:50,680 --> 00:23:54,680
and trying to kill
his father and sister.
360
00:23:54,720 --> 00:23:59,280
In Broadmoor, he was rather a weird,
creepy man. Sort of remote figure.
361
00:23:59,320 --> 00:24:02,000
Sort of on the periphery
of everything.
362
00:24:02,040 --> 00:24:05,360
Nobody drank
any tea that he'd prepared.
363
00:24:06,440 --> 00:24:12,160
After just two years in Broadmoor,
Young set his sights on freedom.
364
00:24:12,200 --> 00:24:14,760
He was determined
not to spend any longer
365
00:24:14,800 --> 00:24:16,360
in Broadmoor than he can help it.
366
00:24:16,400 --> 00:24:19,800
So he games the system.
367
00:24:19,840 --> 00:24:25,480
He was very, very capable
of saying the right things,
368
00:24:25,520 --> 00:24:27,840
appealing to the authorities
in the correct manner.
369
00:24:27,880 --> 00:24:30,400
I believe that
he was thinking to himself,
370
00:24:30,440 --> 00:24:33,640
"I can groom Broadmoor
to my advantage.
371
00:24:33,680 --> 00:24:38,240
"Convince the authorities
that I am actually rehabilitated,
372
00:24:38,280 --> 00:24:41,240
"regardless of what is in my mind."
373
00:24:41,280 --> 00:24:46,160
In the 1960s, there were
no mental health tribunals.
374
00:24:46,200 --> 00:24:50,800
Young only had to convince his
psychiatrist that he was reformed.
375
00:24:50,840 --> 00:24:54,200
The psychiatrist petitions
the Home Secretary on his behalf,
376
00:24:54,240 --> 00:24:59,600
saying he's given up his mischievous
interest in poisons and violence.
377
00:24:59,640 --> 00:25:00,960
The truth was rather different.
378
00:25:01,000 --> 00:25:03,600
I think he wrote a letter
to his sister at one point,
379
00:25:03,640 --> 00:25:06,360
saying,
"Your friendly local Frankenstein
380
00:25:06,400 --> 00:25:08,360
"is about to be released again."
381
00:25:08,400 --> 00:25:11,680
That is Graham Young...
in a nutshell,
382
00:25:11,720 --> 00:25:14,840
"your friendly local Frankenstein".
383
00:25:14,880 --> 00:25:18,920
In 1971,
just nine years after his arrest,
384
00:25:18,960 --> 00:25:24,160
Young's wish was granted, and he was
allowed to leave Broadmoor Hospital.
385
00:25:24,200 --> 00:25:27,080
It appears that
he was discharged prematurely
386
00:25:27,120 --> 00:25:30,960
by persuading his psychiatrist
and the Broadmoor authorities
387
00:25:31,000 --> 00:25:32,840
that he was fully reformed.
388
00:25:32,880 --> 00:25:35,960
He was only a young man.
So he was discharged.
389
00:25:37,320 --> 00:25:41,440
They helped him to get a job
in a photo development shop.
390
00:25:41,480 --> 00:25:44,960
He has access to poisons,
including thallium.
391
00:25:46,120 --> 00:25:49,080
Within just weeks,
Young began poisoning his colleagues
392
00:25:49,120 --> 00:25:53,680
in his trademark manner
by lacing their tea with thallium.
393
00:25:53,720 --> 00:25:58,240
He embarks on what
can only be called a killing spree.
394
00:25:58,280 --> 00:25:59,880
Not only tried to kill
his own family,
395
00:25:59,920 --> 00:26:02,280
but now he's killing
random people he works with.
396
00:26:02,320 --> 00:26:06,320
One by one, Young's colleagues
began to fall ill.
397
00:26:06,360 --> 00:26:07,640
Many were hospitalised.
398
00:26:07,680 --> 00:26:10,200
The police began an investigation,
399
00:26:10,240 --> 00:26:14,760
and the Teacup Poisoner
couldn't resist the limelight.
400
00:26:14,800 --> 00:26:20,760
He took great delight in going
to the police press conferences
401
00:26:20,800 --> 00:26:24,240
about the number of people who
were becoming sick in his workplace.
402
00:26:24,280 --> 00:26:27,240
And he showed an abnormal interest,
403
00:26:27,280 --> 00:26:31,000
so much so that the police
picked up on him quite quickly.
404
00:26:31,040 --> 00:26:33,400
And then when they checked on
his background,
405
00:26:33,440 --> 00:26:36,760
they found out that
he'd been in Broadmoor for poisoning
406
00:26:36,800 --> 00:26:38,200
and had recently been released.
407
00:26:38,240 --> 00:26:42,000
By the time Young was caught,
two of his colleagues were dead
408
00:26:42,040 --> 00:26:46,000
and several more
were critically ill.
409
00:26:46,040 --> 00:26:50,680
When Young is re-arrested
in November 1971,
410
00:26:50,720 --> 00:26:54,040
he's attempted to poison
no fewer than 70 people.
411
00:26:54,080 --> 00:26:55,880
He has thallium in his pocket.
412
00:26:55,920 --> 00:27:00,720
He has a diary which notes
exactly what dose is given to whom.
413
00:27:02,280 --> 00:27:08,200
So, of course he was arrested and
convicted and returned to prison.
414
00:27:08,240 --> 00:27:11,880
The revelations about Young
caused a national outcry.
415
00:27:13,240 --> 00:27:17,080
I think Broadmoor was hugely damaged
by Graham Young's release.
416
00:27:17,120 --> 00:27:20,280
He's incarcerated
for one set of crimes,
417
00:27:20,320 --> 00:27:24,040
is released and then does exactly
the same thing all over again.
418
00:27:24,080 --> 00:27:28,320
The Graham Young discharge led
to public inquiry
419
00:27:28,360 --> 00:27:32,800
as to how he could be released
and then kill again.
420
00:27:32,840 --> 00:27:35,840
I don't think any country in the
world could produce a better record
421
00:27:35,880 --> 00:27:37,240
than our doctors in Broadmoor,
422
00:27:37,280 --> 00:27:41,080
but the best doctor in the world
can occasionally make a mistake.
423
00:27:41,120 --> 00:27:44,560
That's where the tribunal
can come in handy, really.
424
00:27:44,600 --> 00:27:46,720
Because if there's
a serious difference of opinion,
425
00:27:46,760 --> 00:27:50,520
a judge, an independent doctor
and a social worker
426
00:27:50,560 --> 00:27:53,640
can take a look
at both sides and decide.
427
00:27:54,720 --> 00:27:56,000
The Young inquiry led
428
00:27:56,040 --> 00:27:59,760
to the reform of the psychiatric
hospital system nationally
429
00:27:59,800 --> 00:28:01,320
and eventually the introduction
430
00:28:01,360 --> 00:28:05,720
of high, medium and low secure
psychiatric units.
431
00:28:07,240 --> 00:28:08,440
Today, these units form
432
00:28:08,480 --> 00:28:13,400
a vital part of the discharge
process for every patient.
433
00:28:13,440 --> 00:28:17,360
No-one goes straight from Broadmoor
to the outside world.
434
00:28:18,960 --> 00:28:21,440
Young was probably the most chilling
435
00:28:21,480 --> 00:28:24,680
and the most compulsive
serial killer
436
00:28:24,720 --> 00:28:28,040
we've created in this country.
437
00:28:28,080 --> 00:28:30,160
I don't think
he could stop poisoning.
438
00:28:30,200 --> 00:28:33,720
I think he would have gone on as
long as he could get away with it.
439
00:28:35,960 --> 00:28:39,240
Graham Young's psychopathy meant
that he was able to come across
440
00:28:39,280 --> 00:28:42,240
as calm, sane and rational.
441
00:28:42,280 --> 00:28:45,720
This helped him fool
his Broadmoor psychiatrist.
442
00:28:45,760 --> 00:28:51,080
Psychopaths don't appear,
on the face of it,
443
00:28:51,120 --> 00:28:53,480
to be mentally unwell.
444
00:28:53,520 --> 00:28:55,840
They can plan, they can organise,
445
00:28:55,880 --> 00:28:59,840
they can, you know...
they can think rationally.
446
00:28:59,880 --> 00:29:03,360
They display very charming behaviour
447
00:29:03,400 --> 00:29:06,160
because they knew that
that's what was required.
448
00:29:06,200 --> 00:29:11,200
So they were able to manipulate
particularly their psychiatrists
449
00:29:11,240 --> 00:29:16,360
because that person held the key
to them being discharged.
450
00:29:17,480 --> 00:29:21,200
The challenge for Broadmoor's
doctors becomes even more acute
451
00:29:21,240 --> 00:29:26,160
when a patient has been convicted
of violent, notorious crimes.
452
00:29:26,200 --> 00:29:27,880
With the people who've committed
453
00:29:27,920 --> 00:29:31,360
very serious and
particularly high profile offences,
454
00:29:31,400 --> 00:29:34,240
you are playing
with quite high stakes in this.
455
00:29:35,320 --> 00:29:40,320
And the stakes don't get much higher
than with the Stockwell Strangler.
456
00:29:40,360 --> 00:29:42,440
After 21 years at Broadmoor,
457
00:29:42,480 --> 00:29:46,120
in 2009,
Erskine appealed his conviction.
458
00:29:46,160 --> 00:29:49,000
The Court of Appeals reduced
the murder conviction
459
00:29:49,040 --> 00:29:52,600
to manslaughter on the grounds
of diminished responsibility.
460
00:29:52,640 --> 00:29:55,120
Appeal judges heard
new medical evidence proving
461
00:29:55,160 --> 00:29:58,240
Erskine had been suffering
from severe schizophrenia
462
00:29:58,280 --> 00:30:00,440
at the time of the killings.
463
00:30:00,480 --> 00:30:02,200
With his conviction reduced,
464
00:30:02,240 --> 00:30:05,920
Erskine's future was now largely in
the hands of his Broadmoor doctors.
465
00:30:07,120 --> 00:30:11,640
But should a man guilty
of seven killings ever be set free?
466
00:30:11,680 --> 00:30:14,960
So, Erskine would have
to really demonstrate compliance
467
00:30:15,000 --> 00:30:17,880
with treatment and that medication.
468
00:30:17,920 --> 00:30:22,760
He would have to demonstrate an
insight into his violent offending
469
00:30:22,800 --> 00:30:27,000
and the factors that led to that
and contributed towards that.
470
00:30:27,040 --> 00:30:29,080
Seven killings.
471
00:30:29,120 --> 00:30:33,600
I mean, a man who clearly suffers
from some kind of disease.
472
00:30:33,640 --> 00:30:38,840
I think it's a very difficult thing
to decide what you should do
473
00:30:38,880 --> 00:30:40,440
with someone like Kenneth Erskine.
474
00:30:40,480 --> 00:30:45,280
I hesitate to say lock them up
and throw away the key,
475
00:30:45,320 --> 00:30:51,960
but I am profoundly cautious
about releasing someone like Erskine
476
00:30:52,000 --> 00:30:54,600
so that they may soon taste freedom
477
00:30:54,640 --> 00:30:58,320
because I fear that they may
commit the same crimes again.
478
00:30:59,360 --> 00:31:03,000
But Erskine has appeared to be
making progress with his recovery.
479
00:31:03,040 --> 00:31:08,200
In 2016, he was transferred
from Broadmoor to Thornford Park,
480
00:31:08,240 --> 00:31:11,440
a nearby medium-secure unit.
481
00:31:11,480 --> 00:31:14,880
I think it can be difficult
for people to understand sometimes
482
00:31:14,920 --> 00:31:18,480
that somebody who has done
something really horrendous
483
00:31:18,520 --> 00:31:22,840
can ever be safely discharged
into the community.
484
00:31:22,880 --> 00:31:25,080
But once you give them
some medication,
485
00:31:25,120 --> 00:31:28,440
get the illness under control,
you're often left with someone
486
00:31:28,480 --> 00:31:32,000
who actually presents very little,
if any, risk to anybody.
487
00:31:32,040 --> 00:31:36,000
And it's very important to recognise
that in those circumstances.
488
00:31:37,200 --> 00:31:40,520
Now one of Britain's
most prolific serial killers
489
00:31:40,560 --> 00:31:43,680
is reportedly eligible
for day release.
490
00:31:44,840 --> 00:31:46,880
It's a very interesting arc
491
00:31:46,920 --> 00:31:51,840
for this extraordinarily violent,
vicious man
492
00:31:51,880 --> 00:31:54,400
to go through a period
of rehabilitation
493
00:31:54,440 --> 00:31:56,440
with the help of Broadmoor.
494
00:31:56,480 --> 00:32:01,920
I think the fact that Erskine is now
in a lower security environment
495
00:32:01,960 --> 00:32:07,640
is, to some extent,
a reflection of Broadmoor's success.
496
00:32:07,680 --> 00:32:09,680
Probably they regard it
as a success.
497
00:32:09,720 --> 00:32:12,440
I suppose it gives you hope.
498
00:32:12,480 --> 00:32:15,440
It's important to know
that there's always a chance,
499
00:32:15,480 --> 00:32:17,880
no matter what they've done,
it's really important.
500
00:32:17,920 --> 00:32:20,120
There's always a chance
that in the future,
501
00:32:20,160 --> 00:32:21,520
they will be able to be released.
502
00:32:23,160 --> 00:32:28,280
There will be freedom for them
in the capacity that they can feel,
503
00:32:28,320 --> 00:32:30,760
that actually, they can go
the other side of the wall.
504
00:32:32,160 --> 00:32:35,320
The mission of Broadmoor is to...
505
00:32:36,840 --> 00:32:39,720
..exercise and practice therapy
506
00:32:39,760 --> 00:32:41,800
so that people can get better.
507
00:32:41,840 --> 00:32:46,360
The patient is going
to be back out in society,
508
00:32:46,400 --> 00:32:49,840
living with us as our neighbours.
509
00:32:49,880 --> 00:32:54,960
Shouldn't we invest everything so
that they are restored in some way,
510
00:32:55,000 --> 00:32:57,000
so that we can continue
to live in harmony?
511
00:32:59,600 --> 00:33:01,000
That's a challenge,
512
00:33:01,040 --> 00:33:05,280
to start looking at bringing
somebody back out into society
513
00:33:05,320 --> 00:33:07,640
because you're there
to protect the society as well,
514
00:33:07,680 --> 00:33:09,160
protect the public.
515
00:33:09,200 --> 00:33:11,040
That's a duty of care.
516
00:33:13,200 --> 00:33:16,120
But there's the crux of the debate.
517
00:33:16,160 --> 00:33:19,320
The public want to be protected.
518
00:33:19,360 --> 00:33:23,920
They do not see Broadmoor's role
as rehabilitation.
519
00:33:23,960 --> 00:33:27,400
They say we just simply don't want
those dreadful, dangerous men
520
00:33:27,440 --> 00:33:29,880
anywhere on the streets.
521
00:33:29,920 --> 00:33:31,440
It's a conflict.
522
00:33:31,480 --> 00:33:35,680
And Erskine precisely captures
the conflict.
523
00:33:36,800 --> 00:33:41,760
Whether Kenneth Erskine will ever be
completely free remains to be seen,
524
00:33:41,800 --> 00:33:44,320
but one of Broadmoor's
most infamous residents
525
00:33:44,360 --> 00:33:46,760
was content to stay there forever.
526
00:33:46,800 --> 00:33:49,080
Ronnie Kray, in many ways,
527
00:33:49,120 --> 00:33:52,120
Broadmoor was probably
the ideal place for him.
528
00:33:52,160 --> 00:33:54,520
He was content in Broadmoor.
529
00:33:54,560 --> 00:33:56,160
He had everything he wanted.
530
00:33:57,200 --> 00:34:00,640
I think one of the Krays
once called it cushty.
531
00:34:08,240 --> 00:34:11,320
NARRATOR: The majority of patients
released from Broadmoor Hospital
532
00:34:11,360 --> 00:34:14,120
pose little threat
to the British public.
533
00:34:14,160 --> 00:34:17,280
But no patient goes straight
from Broadmoor to the outside world.
534
00:34:19,040 --> 00:34:21,720
They are first sent
to medium-secure units
535
00:34:21,760 --> 00:34:23,120
outside the hospital.
536
00:34:38,120 --> 00:34:40,120
Patients in medium security
537
00:34:40,160 --> 00:34:42,640
are granted access
to certain privileges.
538
00:34:56,600 --> 00:35:00,240
The security is always there,
but relaxed.
539
00:35:00,280 --> 00:35:01,920
A lot more relaxed.
540
00:35:02,960 --> 00:35:05,920
The move from Broadmoor
to a medium-secure unit
541
00:35:05,960 --> 00:35:09,800
can be a momentous day
for both patients and staff.
542
00:35:09,840 --> 00:35:13,440
I felt good about the ones
I'd helped get to that stage,
543
00:35:13,480 --> 00:35:15,080
and you get a shake of your hand
and say,
544
00:35:15,120 --> 00:35:16,720
"Thanks for looking after me."
545
00:35:16,760 --> 00:35:19,320
And you think,
"Yeah, OK, it's been worth it."
546
00:35:20,400 --> 00:35:24,520
The best thing for myself personally
as a nurse,
547
00:35:24,560 --> 00:35:28,160
the fact that you do see
a day coming
548
00:35:28,200 --> 00:35:31,560
where somebody eventually
gets transferred.
549
00:35:31,600 --> 00:35:37,240
It just gives me so much joy
to see somebody leaving.
550
00:35:37,280 --> 00:35:39,920
And they've got a whole life
out there to live.
551
00:35:41,040 --> 00:35:44,920
But life after Broadmoor
can be difficult.
552
00:35:44,960 --> 00:35:50,160
After years inside, the outside
world can be a disorientating place.
553
00:35:50,200 --> 00:35:52,560
They haven't seen a car
for ten years,
554
00:35:52,600 --> 00:35:54,320
haven't been to the pub,
555
00:35:54,360 --> 00:35:57,240
haven't been out for a meal
or a walk in the park.
556
00:35:57,280 --> 00:35:59,040
It's so different for them,
you know.
557
00:35:59,080 --> 00:36:02,320
Once transferred
to a medium-secure unit,
558
00:36:02,360 --> 00:36:06,720
escorted trips are an option,
but they can be challenging.
559
00:36:44,200 --> 00:36:47,320
Even fully discharged patients
remain in contact
560
00:36:47,360 --> 00:36:48,760
with Broadmoor staff,
561
00:36:48,800 --> 00:36:52,600
staying in touch
in case any problems arise.
562
00:36:52,640 --> 00:36:54,480
People would be discharged,
563
00:36:54,520 --> 00:36:57,640
and it would be part of my job
to supervise them in the community.
564
00:36:57,680 --> 00:37:00,600
They couldn't just go out
to the shops,
565
00:37:00,640 --> 00:37:03,960
they couldn't form
normal social relationships
566
00:37:04,000 --> 00:37:05,800
like the rest of us could.
567
00:37:07,160 --> 00:37:10,600
You'd hear examples
of people in their own flat
568
00:37:10,640 --> 00:37:15,560
looking around for somebody to ask
for permission to go to the toilet.
569
00:37:17,640 --> 00:37:22,160
Really institutionalised
and very, very difficult to adapt.
570
00:37:24,560 --> 00:37:27,400
When I was at Broadmoor,
one of the patients
571
00:37:27,440 --> 00:37:30,680
who was being prepared for discharge
572
00:37:30,720 --> 00:37:35,200
was taken out to Reading
on a shopping trip on a train.
573
00:37:35,240 --> 00:37:40,000
During the journey, he was
very anxious and very agitated,
574
00:37:40,040 --> 00:37:44,680
and at one point, he stood up
on the train and fell over.
575
00:37:45,880 --> 00:37:49,520
The train was moving so fast,
he'd never been used to such speed.
576
00:38:10,160 --> 00:38:14,520
For some patients, the prospect
of living an independent life
577
00:38:14,560 --> 00:38:17,480
outside Broadmoor
is too much to handle.
578
00:38:17,520 --> 00:38:21,360
There is a minority of people
who don't have families
579
00:38:21,400 --> 00:38:25,920
who looked upon us
as part of the family.
580
00:38:25,960 --> 00:38:30,320
There was one lady
who was finally discharged,
581
00:38:30,360 --> 00:38:33,400
and she was banging on the gates
to come back in.
582
00:38:35,040 --> 00:38:36,720
That says a lot, really, doesn't it?
583
00:38:40,320 --> 00:38:42,800
Not all patients get discharged
from Broadmoor.
584
00:38:42,840 --> 00:38:46,880
In fact, not all patients
want to be discharged.
585
00:38:46,920 --> 00:38:49,800
Sometimes, patients and staff
come to recognise
586
00:38:49,840 --> 00:38:52,920
that Broadmoor
is simply their final home.
587
00:38:57,680 --> 00:39:01,240
GEOFFREY: Ronnie Kray,
there's no question about it.
588
00:39:01,280 --> 00:39:05,120
In many ways, Broadmoor was probably
the ideal place for him.
589
00:39:05,160 --> 00:39:06,880
Convicted of murder,
590
00:39:06,920 --> 00:39:11,560
The East End gangster Ronnie Kray
was sent to Broadmoor in 1979
591
00:39:11,600 --> 00:39:14,800
after being diagnosed
with paranoid schizophrenia.
592
00:39:16,520 --> 00:39:18,880
Ronnie Kray was not entirely sane.
593
00:39:18,920 --> 00:39:23,000
He was by far the most dangerous
of the two twin brothers,
594
00:39:23,040 --> 00:39:25,240
and he was very much a loose cannon.
595
00:39:25,280 --> 00:39:30,720
Kray's friend, Maureen Flanagan,
made regular visits to Broadmoor.
596
00:39:30,760 --> 00:39:32,800
He had his black moods,
597
00:39:32,840 --> 00:39:35,480
where he told me when he first
woke up in the morning,
598
00:39:35,520 --> 00:39:37,600
he knew it was gonna be a bad day.
599
00:39:37,640 --> 00:39:40,760
He thought he was going
down a tunnel,
600
00:39:40,800 --> 00:39:43,160
and at the end of it was bloodshed.
601
00:39:43,200 --> 00:39:45,320
Once hospitalised,
602
00:39:45,360 --> 00:39:48,600
crazed schizophrenia
was treated with medication.
603
00:39:48,640 --> 00:39:52,480
He started freaking out,
and he felt he wanted to attack.
604
00:39:52,520 --> 00:39:57,720
And that's what had to be subdued
in Broadmoor and regulated.
605
00:39:57,760 --> 00:39:58,960
And it was.
606
00:39:59,000 --> 00:40:03,640
He's been injected many times
and sedated.
607
00:40:03,680 --> 00:40:06,920
They call it the liquid cosh.
608
00:40:06,960 --> 00:40:09,360
And sometimes, it takes him days
to get over that.
609
00:40:09,400 --> 00:40:14,480
Over time, the gangster's
fearsome persona diminished.
610
00:40:14,520 --> 00:40:18,800
Author Bernard O'Mahoney
recalls meeting Kray in Broadmoor
611
00:40:18,840 --> 00:40:20,520
for the first time.
612
00:40:21,600 --> 00:40:23,240
I went into the visiting room.
613
00:40:23,280 --> 00:40:25,840
I was looking for really big guy,
614
00:40:25,880 --> 00:40:28,800
jet black hair and inky black eyes.
615
00:40:30,120 --> 00:40:32,320
And this little guy
616
00:40:32,360 --> 00:40:35,680
in his immaculate suit
sort of waved at me, you know?
617
00:40:35,720 --> 00:40:36,960
I thought, "That can't be him."
618
00:40:37,000 --> 00:40:40,840
He was like a little old man,
do you know what I mean? He...
619
00:40:40,880 --> 00:40:43,360
He wasn't intimidating to me at all.
620
00:40:43,400 --> 00:40:46,920
But, er, I think he was quite happy
where he was, to be honest.
621
00:40:48,840 --> 00:40:51,000
He knew. He knew exactly
what was wrong with him,
622
00:40:51,040 --> 00:40:53,400
and he knew he'd never come out.
623
00:40:53,440 --> 00:40:55,320
When Maureen organised a petition
624
00:40:55,360 --> 00:40:57,600
to try and get
the Kray twins released,
625
00:40:57,640 --> 00:40:59,360
Ronnie intervened.
626
00:40:59,400 --> 00:41:02,320
He said,
"Take my name off of the petition."
627
00:41:02,360 --> 00:41:04,920
I went round to the East End.
I got 10,000 signatures.
628
00:41:04,960 --> 00:41:08,000
He said, "Take it off.
I'm never gonna leave."
629
00:41:10,560 --> 00:41:14,360
There is no doubt, too,
that some of the criminal community
630
00:41:14,400 --> 00:41:17,640
regarded Broadmoor
as a holiday camp.
631
00:41:17,680 --> 00:41:20,080
A soft option, a lovely place to go.
632
00:41:20,120 --> 00:41:22,640
I think one of the Krays
once called it cushty.
633
00:41:23,920 --> 00:41:29,760
But Broadmoor was the one place,
I think, that Kray felt comfortable.
634
00:41:29,800 --> 00:41:33,480
He became more calm, more happy.
635
00:41:33,520 --> 00:41:35,680
He was content in Broadmoor.
636
00:41:35,720 --> 00:41:39,280
He had everything he wanted.
Number one, his room.
637
00:41:40,320 --> 00:41:46,360
His room became to look like
his bedroom in his mother's house,
638
00:41:46,400 --> 00:41:49,600
with the little desk there
with these pictures
639
00:41:49,640 --> 00:41:53,040
and the single bed here and the rug
on the floor and the curtains.
640
00:41:53,080 --> 00:41:57,400
He played his opera.
He loved to listen to Maria Callas.
641
00:41:59,360 --> 00:42:03,240
I think he felt,
"I can make sense of this,
642
00:42:03,280 --> 00:42:05,680
"and I can make a life for myself."
643
00:42:05,720 --> 00:42:10,600
He was a very notorious gangster
indeed.
644
00:42:10,640 --> 00:42:15,000
But perhaps, at Broadmoor,
he found an element of peace.
645
00:42:19,960 --> 00:42:23,400
Peace, too, has descended
on the Berkshire countryside.
646
00:42:24,600 --> 00:42:27,120
The Broadmoor sirens
have been decommissioned
647
00:42:27,160 --> 00:42:30,880
and replaced with a high-tech
text-alert system.
648
00:42:30,920 --> 00:42:35,520
In 2019,
the entire hospital was redeveloped,
649
00:42:35,560 --> 00:42:38,600
transforming Broadmoor
into an institution
650
00:42:38,640 --> 00:42:41,120
fit for the 21st century.
651
00:42:41,160 --> 00:42:44,240
PAUL DEACON: The new hospital
that is built is now right beside
652
00:42:44,280 --> 00:42:46,440
the old Broadmoor Hospital.
653
00:42:46,480 --> 00:42:47,600
Very modern.
654
00:42:48,560 --> 00:42:53,120
Lovely conditions inside.
Activities.
655
00:42:53,160 --> 00:42:56,480
Technology. Completely different.
656
00:42:56,520 --> 00:42:59,360
All those things are very crucial
to somebody
657
00:42:59,400 --> 00:43:02,200
who's going through
mental health problems.
658
00:43:05,200 --> 00:43:08,600
Nobody chooses
to have mental health issues.
659
00:43:08,640 --> 00:43:10,440
Who on earth would choose that?
660
00:43:11,760 --> 00:43:13,880
So I would say support them.
661
00:43:13,920 --> 00:43:16,520
And take a minute, surely,
just to stop
662
00:43:16,560 --> 00:43:19,520
and talk to somebody
who you can see they're troubled.
663
00:43:21,200 --> 00:43:22,840
"Are you OK? Do you need a hand?"
664
00:43:22,880 --> 00:43:26,640
Or, "You look upset.
What can we do for you?"
56468
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