There is 'not enough information' to support a defence of diminished responsibility for a woman accused of murdering schoolgirl Emily Jones, a jury has been told.

Eltiona Skana, 30, appeared at Manchester Minshull Street Crown Court on Thursday via video link from the high security Rampton Hospital in Nottinghamshire.

Seven-year-old Emily died after she was attacked by the defendant as she rode her scooter towards her mother in Queen's Park, Bolton, on March 22, the jury previously heard.

Skana has denied murdering the child but has pleaded guilty to manslaughter based on a defence of diminished responsibility.

However, on the sixth day of the trial, Dr Saifullah Syed Afghan - a consultant forensic psychiatrist who is treating the defendant at Rampton - told the jury that there was not 'enough information' to support this defence.

Diminished responsibility could apply if Skana was 'suffering from an abnormality of mental functioning' due to her previously diagnosed paranoid schizophrenia. But Dr Afghan says that - while this may be true - he could not be sure that this would have 'substantially impaired' her judgement or provided an explanation for the killing.

"I don't have enough information to go on there, my colleagues have already written reports and believed they have enough information about her mental state at that point in time," he said.

"Unfortunately, Miss Skana hasn't given me that opportunity even when she has been in full remission."

Emily Jones was killed after being attacked in Queen's Park in Bolton
Emily Jones, 7, was killed after being attacked in Queen's Park, Bolton, a jury has heard.

He also told the court there was 'ample evidence' for a diagnosis of paranoid schizophrenia but says this would not be 'complete' without the addition of a secondary diagnosis of 'complex trauma'.

In comparison, the jury heard yesterday from Dr John Crosby, a consultant psychiatrist at a similar high-security institution, Ashworth Hospital, who met with the defendant twice and was given access to her medical history.

Contrary to Dr Afghan's opinion, Dr Crosby told the court he believed Skana would qualify for diminished responsibility.

Michael Brady QC, prosecuting, had told jurors previously that the main issue for them to decide on is whether her paranoid schizophrenia was the reason for the killing - or 'a convenient excuse behind which to hide'.

Earlier in the day, Dr Afghan told the jury that the 30-year-old 'became agitated and acted strangely' after she had been taken off her anti-psychotic medication at Rampton Hospital.

She became gradually more irritable until an incident in late July while Skana was speaking to other patients and staff at the hospital and playing a game.

He told the jury that she had stared into one member of staff’s face and said: “Your body has gone to the soul.”

He said she also shouted 'am I going to die very soon?” and 'you are all going to die'.

This incident was followed by another outburst on August 5 when the defendant was watching a children's TV programme and began 'laughing hysterically' when she saw a child who looked like Emily, the doctor explained.

The trial will continue on Friday.