UK - Nurse Lucy Letby, Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #26

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I suppose it's too much to hope that the Real Estate agency which LL used to buy her house would still have records of all their dealings with her, ie any other houses which she may have rejected in favour of the one backing on to the cemetery.
 
Buying a 3 bedroom family home as a single 26 year old is an expensive move. She didn’t have a lodger. A small flat, or even a two bedroom house, would have been cheaper and had a smaller mortgage. I can only assume she wanted to put roots down in that particular house long-term.
 
10:29am

The 12 members of the jury are now coming in.

10:32am

The trial judge, Mr Justice James Goss, informs the jury that they will sit no later than 3.45pm tomorrow (Tuesday).
Prosecutor Nicholas Johnson KC says this is "the beginning of the end" of the trial.

 

Dan O'Donoghue
@MrDanDonoghue
·

I'm back at Manchester Crown Court for the trial of nurse Lucy Letby, we're expecting prosecution/defence closing speeches this week. Ms Letby has been on trial since October last year for the murder of seven babies and the attempted murder of 10 more. She denies all charges
Image
Her hair's grown six inches since the trial began, if this was an early sketch!
 
10:35am

Documents are now handed out among members of the jury.

10:39am

Mr Johnson asks the jury to look at an agreed fact which has been 'crossed through'. He says, in case jurors enquire, it has become "irrelevant".
He says it has been a long time since October when he introduced the case.
He says the detail given back then is "nothing" compared to what the jury now know about the case.

 
10:42am

He says the introduction, evidence and cross-examination has been largely chronologically presented. He says the trial judge is likely to be a chronological presentation too.
Mr Johnson says 'drawing together the strands of this case' requires a different approach, and "point out the similarities" and the "evolution" of "Lucy Letby's murderous assaults on these children" and "point out how calaculating and devious she has been".
"We suggest that Lucy Letby gaslighted staff at the hospital - professional people with many many years of experience."
Letby "persuaded" staff the incidents were "just bad luck".
The laboratory synthesised insulin found in two babies wasn't "just bad luck", he added.

 
10:45am

Mr Johnson says Letby picked Mr Mansutti, a plumber, as a defence witness to pick on incidents "which aren't actually relevant" to the case.
He says there may have been one occasion when there was a backed up sink in neonatal room 1, but it did not correlate with any of the incidents heard. If it had, someone would have noted it.
NJ: "His evidence isn't going to help you decide in this case.
"He was called, we suggest, to bolster the tattered credibility of Lucy Letby - and you might ask yourself why."

10:46am

Mr Johnson says Child P's* injuries, combined with the insulin poisonings, had nothing to do with the plumbing.
NJ: "Please do not be distracted."
Letby "got away with her campaign of violence for so long" as it was not contemplated that a nurse could do such acts, he adds.
Mr Johnson says the "similarities" in these cases "shows who this person was".


*my note - I think the reporter means child O's injuries
 
10:51am

Mr Johnson refers to Dr Stephen Brearey's evidence in court.
NJ: "Lucy Letby had used ways of killing babies...that didn't leave much of a trace.
"Her behaviour persuaded many of her colleagues that most of the collapses were 'normal' - they couldn't see the wood through the trees.
"No-one - no-one, was contemplating the possibility of foul play."
Mr Johnson says Dr Brearey said, in relation to 'confirmation bias', that senior nursing staff "didn't believe this could be true", but the year was spent "with increasing suspicion with each incident...none of us wanted to believe it either."
"Then we stopped to take a step back, to think about it...the unexpected collapses...the unusual rash on a number of occasions, the association with Lucy Letby.
"Each time it became more statistically improbable."
Mr Johnson says Dr Brearey didn't know about the liver injury or the insulin poisonings at that time.
Dr Ravi Jayaram had said it was an "unprecedented" situation - "it seems utterly preposterous, then more and more happens.
"It seems easy to see things which aren't there."
"We are taught to think about common things, less common things, rare things. We do not generally consider unnatural causes or deliberate things."

 
10:54am

Mr Johnson refers to the 'gang of four conspiracy theory'.
He says in Letby's defence statement, there is a suggestion that the collapses and deaths were a product of staff shortages, or mistakes, or insufficiently qualified staff.
Mr Johnson says Letby said that was a "medical opinion", but the jury have not had any 'medical opinion' to back that up.
NJ: "The only things that matter is to concentrate on the issues in this case. Concentrate on the 17 children in this case...and see if there are any shortcomings.
"We suggest that was an uncomfortable exercise for Lucy Letby."

10:56am

Mr Johnson says for Child A, Letby said there were issues with the long line, and "if we agree" it was an air embolous, that Melanie Taylor would have done so.
Mr Johnson says Child A did not die of dehydration, and it was not Melanie Taylor who supplied the air embolous.
For Child B, nothing. For Child C, nothing.

 
Dan O'Donoghue

@MrDanDonoghue
·

Jury are now in, prosecutor Nick Johnson KC is on his feet. Addressing the panel of eight women and four men directly he says 'this is the beginning of the end as far as I’m concerned, you’ll be glad to know'

Mr Johnson says to the jury that it 'probably seems an awful long time ago, that date in October when I stood here and introduced you to this case'

Mr Johnson is explaining how he will approach his closing speech, he says 'what we want to do is point out similarities' of the cases and 'point out the evolution of Lucy Letby's murderous assaults on these children and point out how calculating and devious she has been'

He says Ms Letby 'gaslighted the staff at the countess of chester' by persuading them the baby deaths at the facility were 'just a run of bad luck'

Mr Johnson says the defence decision to call plumber Lorenzo Mansutti as a witness last week, to talk about sewage issues at the hospital, was a 'distraction' to 'bolster the tattered credibility of Lucy Letby'

He says Ms Letby 'got away with her campaign of violence for so long' because people couldn't contemplate a nurse was trying to kill babies

Mr Johnson says Ms Letby's claim that senior doctors apportioned blame on her for shortcomings at the hospital is a 'conspiracy theory' and says she offered no evidence, beyond 'general allegation' for this
 
Andy Gill
@MerseyHack
·
27m

At #Manchester Crown Court for the continuing trial of nurse Lucy #Letby. She denies murdering 7 babies at the Countess of #Chester Hospital, and attempting to murder 10 others, in 2015 and 2016. Today Nick Johnson KC, for the prosecution, will start his closing speech @BBCNWT

Andy Gill
@MerseyHack
·
17m

“We want to point out the similarities of cases which are weeks and sometimes months apart, to point out the evolution of Lucy Letby’s murderous assault on these children, to point out how calculating and devious she’s been.”

Andy Gill
@MerseyHack
·
12m

“We suggest Lucy Letby gaslighted staff at the Countess of Chester- doctors and nurses alike, professional people with many years combined experience. She persuaded them that what they knew in their heart of hearts was utterly abnormal was just a run of bad luck."

Andy Gill
@MerseyHack
·
9m

“Lucy Letby got away with her campaign of violence for so long because people didn’t contemplate the remotest possibility of people trying to kill tiny babies.” says Mr Johnson.

Andy Gill
@MerseyHack
·
5m

Mr Johnson says Miss Letby used methods that didn’t leave much of a trace. “Her behaviour persuaded her colleagues that the collapses and deaths were normal. Many simply couldn’t see the wood for the trees.”

Andy Gill
@MerseyHack
·
4m

Mr Johnson says defence suggestions that there were poor staffing levels which contributed to some of the deaths we irrelevant in many of the alleged attacks.

Andy Gill

@MerseyHack
·
28s

Among other examples, Mr Johnson says staffing levels could not have contributed to attacks on two alleged victim who were poisoned with insulin. Miss Letby denies she was the poisoner, as she denies all the charges she faces.
 
11:02am

For Child D, Letby said there was a delay in antibiotics - but Child D did not die from an infection, Mr Johnson says.
For Child E, it was delay in response to the bleeding. Mr Johnson asks where did the bleed come from in the first place.
For Child F, nothing.
For Child G, initial blame with a colleague, but Letby went back on that.
For Child H, 'some of the drains were not securely put in', and 'potential incompetence'. Mr Johnson says Letby uses the word 'potential a lot'.

 
11:06am

For Child I, nothing on event one or three. For event two, Ashleigh Hudson was blamed for not full monitoring after Child I was taken off antibiotics within 48 hours, but Child I had been off antibiotics for 'much longer'.
In the fourth event, 'potential medical staff issues' with doctors being absent may have contributed.
For Child J, nothing.
For Child K, nothing.
For Child L, nothing.
For Child M, the 'unit was very stretched' and Child M was not in a proper bed.
For Child N, the unit was 'very busy', but Child N was due to go home.
For child O, nothing.
For child P, concern overnight for Child P's condition - but there was no medical record of this.
For Child Q, nothing.
Mr Johnson adds: "Do you really think the [gang of four] would say things to get Lucy Letby convicted?"
He says: "What did the doctors say that wasn't true?"

11:08am

Mr Johnson says the 'gang of four' didn't do a very good of scapegoating Lucy Letby, as they missed the insulin evidence - "the best bit of evidence".
He says "all the clues point in one direction, don't they? She's sitting in the back of court."
He says the four "didn't even know" about the "wildly out of kilter" insulin readings when they "blew the whistle".

 
Andy Gill

@MerseyHack
·
2m

Mr Johnson addresses the allegation by Lucy Letby that a “Gang of Four” doctors conspired to blame her for unexpected collapses and deaths on the unit. He says, as the defendant, she has to prove nothing, but there’s no evidence to support her allegation about the doctors.
 



Dan O'Donoghue

@MrDanDonoghue

Mr Johnson is currently giving brief summaries of what was said by Ms Letby in relation to each baby in this case and what the evidence has shown

Mr Johnson asks the jury to consider 'where is the evidence for the 'shortcomings alleged in defence'. On the 'gang of four' theory, he asks them to consider 'what was their motive for scapegoating Lucy Letby, she didn't give you specifics...she hasn't told you the evidence'

He says 'ask yourself the question, why would the doctors do that…do you really think, Dr Brearey, Dr Gibbs, Dr Jayaram (and another doctor) said things that were not true to get Lucy Letby convicted?'
 
11:13am

"Lucy Letby, we say, put a lot of effort in trying to pull the wool over your eyes."
He says Letby spent a lot of time talking about being isolated from her friends.
He refers to the 'I AM EVIL I DID THIS' notes - he says "we will come back to them at the end", but says "there are more important things in this case".
He says it was established Lucy Letby was "not isolated" and was "still in contact" with people she had "not been allowed to contact".
"Even though she knew what we had from our phone, she did repeat the lie.
"We went to the spreadsheet and the lie was exposed, wasn't it?
"She thought that if she said something often enough...it would be accepted.
"We suggest that Lucy Letby was an opportunist - she used their vulnerabilities as camoflague."
He says the misperception of the vulnerabilities "gave her away".
He says Letby thought Child A and Child B had an inherited blood disorder, and that allowed her the cover to target them.
"If she had left it there- she probably would have got away with it."

11:17am

"Her ignorance of insulin c-peptide...and the ratio [to insulin]...allowed her to poison [Child E and Child L].
"What she didn't know about the disconnection [between the insulin and insulin c-peptide ratio] leaves a biological footprint which leaves foul play.
"She would have got away with that - if police hadn't...referred the cases to Dr [Dewi] Evans."
He says Letby returned from a holiday in June 2016 and embarked on a "killing spree", with Child O and Child P killed and attempting to murder Child Q.
He says Letby put in 'false data sheets' to cover her tracks, and first put in the theory of an air embolus at June 30, 2016.


Andy Gill
@MerseyHack
·
3m

“If there’s no evidence to support [the conspiracy] why was Lucy Letby so fixated on seeming to persuade you [the jury] that there was a conspiracy amongst the doctors?” says Mr Johnson

Andy Gill

@MerseyHack
·
4m

Mr Johnson says Miss Letby is an opportunist who tried to use the vulnerabilities of some of her alleged victims to cover her tracks, but some of them gave her away.
 
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