There were multiple "missed opportunities" as medics failed to perform a formal handover when a "delusional" man who went on to kill his sister returned to his family.

Melvin James also repeatedly stabbed his mother before taking his own life in the attack.

It took place in Wolverhampton in the West Midlands a month after he was sent home from Royal Edinburgh Hospital with the all-clear in February.

He had been treated at the psychiatric ward for what doctors suspected was a "drug-induced psychosis".

The 36-year-old attacked his mother before inflicting multiple stab injuries on himself - one of which was fatal.

His 33-year-old sister Anne-Marie James was found fatally stabbed in the heart at the address.

His family was never given a face-to-face handover by hospital doctors, which was what an inquest jury described on Thursday as one of "three missed opportunities".

Delivering their conclusions after a four-day inquest in Oldbury, West Midlands, a jury of six men and four women found: "There was no formal handover by hospital staff. There were three missed opportunities.

"First, was the lack of detail given in communication between hospital staff and Melvin James' family.

"Second, communication between the hospital and Melvin's family had not been documented fully. Thirdly, there was no follow-up (care) after discharge."

The hospital's documentation of conversations with the family was described as "inadequate".

Senior coroner for the Black Country, Zafar Siddique, said he would write to the hospital with a report to prevent future deaths.

He said: "It does raise some concerns about the discharge procedure."

An internal hospital review is still under way over the handling of Mr James.

NHS Lothian said it welcomed the coroner's findings.

Jacquie Campbell, chief officer for acute services, said: "We will welcome the coroner's report and will respond to his findings and recommendations.

"We will take all necessary actions to improve our services."