UK - Nurse Lucy Letby, Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #24

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THIS is probably what Johnson will question her about today. This starts where he left off yesterday, following Baby Q's collapse:




END OF PROSECUTION OPENING SPEECH

Chester Standard:

The proseution say Lucy Letby was "worried" when she got home that night.
She texted a doctor at 10.46pm and asked "do I need to be worried about what Dr G was asking?"
The doctor sought to put her mind at rest and told her that Dr G was only asking to make sure that the normal procedures were carried out.
She replied that after Child Q had collapsed she (LL) had walked into the equipment room and Dr G had been asking the other nurse who was present in the room (when Child Q had collapsed) and how quickly someone had gone to him because she (LL) had not been there.
She continued her texts to the doctor, telling him that she had needed to go to her designated baby in room 1.



The following day, Child Q's gases were unsatisfactory, but he had been extubated 4 hours earlier and was in air with high saturations.
Medical staff noted a 'mildly dilated loop of bowel' on Child Q's left side and raised the possibility of NEC and surgery.
Child Q was transferred to Alder Hey, where he quickly stabilised and no surgery was required.
The prosecution say this was "another child who had suffered life-threatening problems and...when out of the orbit of Lucy Letby, he made a rapid recovery."

Other than three days the following week, that was the last time Lucy Letby worked in the neonatal unit at the Countess of Chester Hospital, the court is told.


In Letby's home search, officers recovered the handover sheet from the morning of June 25 which included Child Q's name. This was a document which should not have left the hospital.
When interviewed by police, Letby agreed Child Q had been well enough for her to leave him on the morning of June 25.
When asked about the excess air aspirated from his stomach, she suggested babies sometimes gulp air when they vomit. She denied putting excess air down the NGT.

Lucy Letby trial recap: Prosecution finishes outlining case, defence gives statement


Mr Johnson: "Following those events, the consultants suspected that the deaths and life-threatening collapses of these 17 children were not medically explicable and were the result of the actions of Lucy Letby.
"No doubt they were acutely aware that making such an allegation against a nurse was as serious as it gets.
"They, at the time, did not have the benefit of the evidence that you will hear and the decision was taken by the hospital took the decision to remove Lucy Letby from a hands-on role. She was moved to clerical duties where she would not come into contact with children.

"The police were contacted and began a very lengthy and complex enquiry.

"This involved the police contacting independent paediatricians and other specialists to review many cases which had passed through the NNU at the CoCH. Following that review, the decision was taken to arrest Lucy Letby – the first arrest came in July 2018.

"On July 3 she was arrested at her home, where the house was searched.
"In addition to some of the paperwork, they found some other interesting items.
"There were some Post-it notes with closely written words on them, some of which included the names of some of her colleagues.
"On some of the notes were phrases such as “Why/how has this happened – what process has led to this current situation. What allegations have been made and by who? Do they have written evidence to support their comments?"


"In her writings, she expressed frustration at the fact that she was not being allowed back on the neonatal unit and wrote 'I haven’t done anything wrong and they have no evidence so why have I had to hide away?'
"Her notes also expressed concern for the long-term effects of what she feared was being alleged against her and there are also many protestations of innocence."



"On another piece of paper, she wrote: 'I don’t deserve to live. I killed them on purpose because I’m not good enough”.
“'I am a horrible evil person' and in capital letters, 'I AM EVIL I DID THIS'.
"That, in a nutshell," Mr Johnson tells the court, "is your case."



That is the conclusion of the prosecution opening.

Lucy Letby trial recap: Prosecution finishes outlining case, defence gives statement
 
1m ago11:00

The jury has filed in​

Court has resumed for this morning.
Proceedings are overseen by Mr Justice Goss.
Representing Letby is Ben Myers KC.
Nick Johnson KC is the barrister for the prosecution.

 
11:03am

The trial is now resuming.
Nicholas Johnson KC, for the prosecution, is continuing to cross-examine Lucy Letby.
Before that begins, Benjamin Myers KC, for Letby's defence, rises to make a statement.
He says Letby was cross-examined on a telephone call it was alleged she had made to Child N's father. Letby had disputed what the court said was agreed evidence. Mr Myers says the disupute was raised by Letby in advance with them, and it was the defence team's mistake to agree that evidence in advance.

11:07am

Mr Johnson says Letby said, in evidence, she found she was not going back to the neonatal unit the day before she went back to work on June 27, 2016. Letby agrees.
Letby says at the end of June 2016, she "liked all the doctors" she worked with.
Letby says she did not know what the issue was, she had not been informed what was happening.
She says she was worried she had "made a mistake" and "was in trouble for something".
Asked about the timing of the call, she said she was worried about receiving the call "so late in the day" [after 5pm] in advance of working a night shift.
She agrees she was worried it was something serious.

 
I wonder if Johnson will try to refute any of this defense stuff---

Here is what Meyers said about the post-it-notes during opening:

Mr Myers refers back to the note shown to the court just before the break.
He said it is a note written in anguish and despair.
She was "going through a grievance procedure" with the NHS at the time, the court hears, and knew what was being said about her before her arrest.
The allegations were "destructive", the court hears.
The note is headed 'not good enough'. The defence notes it does not say 'guilty'.
The note adds: "I will never have children or marry".
Another part of the note says "I haven't done anything wrong".
Mr Myers: "We say people can pour feelings on to paper.
"This [paper] represents the anguished state of mind Letby felt when accused of killing children she had cared for.
"We say this paper represents 'anguish' and not 'guilt'."


[the handovers]

There was further paperwork the police took from Letby's address at the time of her arrest.
The defence say the paperwork was "nothing more extraordinary" that Letby being someone who scribbles a lot of work down, and keeps hold of it.




The defence say the prosecution case is "driven by the assumption of someone doing deliberate harm combined by the coincidence of Letby's presence."



That is, Mr Myers said, combined with Letby "not doing" what is alleged against her.
"You will find, from what we have heard, no evidence of her actually doing harm to a child.
"These allegations are of attacks. You will have heard words of poisoning, sabotage - words likely to have had an emotional impact on you.
"You will have to refer to whether Letby is engaged in any of the attacks alleged.
"Using syringes to inject air? No. Tampering with bags of fluid - or poisoning them? No. Physically assaulting children? Smothering them?
"We are dealing with 24 events and we say there is nothing [to suggest that]."



Regarding the medical evidence, Mr Myers said: "The cause of the deteriorations, or deaths, is not clear and have a number of possibilities.
"Generally, we are dealing with babies who are fragile, and their condition can change and deteriorate very rapidly."
Mr Myers adds the premature and vulnerable babies can come with developmental conditions that require extra treatment, and are prone to infections.
"It is crucial to consider the starting point in these cases.
"There is a question to whether this hospital should have been caring for this number of children."


The defence say there are five 'important' considerations for the evidence:
  • The birth condition of the infant.
  • If there were any problems in the care leading up to the event - events 'can come up from nowhere'
  • Whether the prosecution expert evidence concludes there was deliberate harm done
  • Whether Lucy Letby was present at the relevant time, and what she was doing
  • Whether there were failings in care by other people or the neonatal unit as a whole

If someone looks for something, and has something in mind, they will look for that."
"Confirmation bias," added Mr Myers.

2:21pm

"There is plenty of disagreement" between the prosecution expert evidence and the defence.

Lucy Letby trial recap: Prosecution finishes outlining case, defence gives statement
 
Now11:09

Letby's defence admits 'mistake'​

This morning's session has begun with the judge clarifying to the jury something we heard on Wednesday.
Lucy Letby told the court that she disputed the agreed evidence put before the court by Child N's parents about a phone call she made to them.
Agreed evidence means it has been submitted to the court as an agreed "truth".
Child N's father said Letby phoned him, but Letby said: "I have no recollection of speaking to the family on the phone and I would not have put [colleague]'s name on the note if that were not the case."
Letby's defence, Ben Myers KC, says it was a "mistake" that this evidence was agreed before the court, but says it was a legitimate line of questioning for Nick Johnson KC to have taken.

 
11:09am

Letby agrees this was in the aftermath of Child Q's collapse and Dr John Gibbs making enquiries.
She said she was "upset and worried".
LL: "I was upset and I was concerned something was wrong."

 
Dan O'Donoghue
@MrDanDonoghue
·
5m

He said he will then move to the 'gang of four' doctors , who she has claimed concocted the accusations against her. He will then move to her searches for parents on Facebook, the circumstances in which she said she was isolated from friends and finally her arrest.

Dan O'Donoghue

@MrDanDonoghue
·
40s

Mr Johnson is asking Ms Letby about the 27 June 2016. This followed the collapse of her final alleged victim, Child Q, on 25 June. She was told by the manager of the unit not to come in for her shift, in messages from the time she tells colleagues she is 'panicked'
 

Dan O'Donoghue
@MrDanDonoghue

Slight delay to proceedings - few legal issues to deal with first. Jury due in just before 11am.


Nick Johnson KC has set out how he will conclude his cross examination (now each child has been dealt with). He said he's going to start with the text messages sent by Ms Letby after her removal from the neonatal unit

He said he will then move to the 'gang of four' doctors , who she has claimed concocted the accusations against her. He will then move to her searches for parents on Facebook, the circumstances in which she said she was isolated from friends and finally her arrest.

Mr Johnson is asking Ms Letby about the 27 June 2016. This followed the collapse of her final alleged victim, Child Q, on 25 June. She was told by the manager of the unit not to come in for her shift, in messages from the time she tells colleagues she is 'panicked'

Mr Johnson puts it to her that she was having a 'meltdown' as she realised hospital bosses had 'sussed out' what she 'had been up to' - 'no' she responds
 
11:14am

Letby says she was worried about the next day, but not concerned it had gone 'right to the top'.
NJ: "You knew they were on to you, didn't you?"
LL: "No."
Letby had messaged a doctor about it: "I can't talk about this now."
She writes, 12 minutes later: "Sorry, that was rude.
Felt completely overwhelmed & panicked for a minute.
"We all worked tirelessly & did everything possible, i don't see how anyone can question that.
"Im having a meltdown++ but think that's what I need to do"
Letby says she was having a 'dramatic' meltdown.
LL: "It was all happening very last minute and in the evening - it was not normal."
She says this is different from work pressures as "this was personal". She denies that people were 'sussing' her.

11:16am

A message on Letby's phone at 11.29pm included: "Death datix x 2
Datix - no bicarb, delay in io access
Sign out ffp on meditech & pink chart
[Child O] charts obs
Fluids in sluice
Sign drugs
Sign curosurf out
Traffic light drug compatibility - inotropes, and no policy for panc
Delay in people doing drugs"
Letby said this was documents she had not yet completed for babies she had cared for.

 
so the defense retracted that agreed upon evidence, that she had phoned Child N's parents---
 
Last edited:
11:25am

A message sent by Letby's nursing colleague to Letby: "[doctor] came in chatting to me at the start of last nights shift n I said [baby] needs L.L soon as uvc been in nearly 2wks n he said something about [child O]s already being changed n I said it hadn't n he told me about the open port!"
Letby's responded: "I told her about it that night.
"Yes because Thought it's a massive infection risk and risk of air embolism, don't know how long it had been like that."
A Datix form for the clinical incident is shown to the court - June 30, 2016, 3pm, with the port on one of the lumens noted to not have a bung on the end and was therefore 'open'. Registrar informed. Letby is the reporter of the incident.
Mr Johnson says this was a potential case of accidental air embolus which Letby had reported.
NJ: "You had your thinking cap on, didn't you?"
LL: "No."
Letby said this was something which needed to be reported.
NJ: "You removed the port and covered it as a cinical incident, didn't you?"
LL: "No."
NJ: "This is an insurance policy - so you could show the hospital was so lax..."
LL: "No."
NJ: "It was to cover for accidental air embolus."
LL: "No."

11:26am

Letby is asked about the investigation and Letby being seconded to an office-based role.
Letby messaged: "Hoping to get as much info together as possible -if they have nothing or minimal on me they'll look silly, not Me"
"Did you think attack was the best form of defence?"
"This was me responding what was happening to me."

 
Now11:09

Letby's defence admits 'mistake'​

This morning's session has begun with the judge clarifying to the jury something we heard on Wednesday.
Lucy Letby told the court that she disputed the agreed evidence put before the court by Child N's parents about a phone call she made to them.
Agreed evidence means it has been submitted to the court as an agreed "truth".
Child N's father said Letby phoned him, but Letby said: "I have no recollection of speaking to the family on the phone and I would not have put [colleague]'s name on the note if that were not the case."
Letby's defence, Ben Myers KC, says it was a "mistake" that this evidence was agreed before the court, but says it was a legitimate line of questioning for Nick Johnson KC to have taken.


That's a biggie. I would like to know more as to the detail - when did LL's legal team sign off with her on this agreed 'truth' and since it's quite a dispute in accounts, surely they'd recall this?
 
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