11:54am
Dr Evans confirms he has never been employed at the Countess of Chester Hospital, nor has hae had any involvement with the care of babies involved in this case.
He said he was involved in the development of neonatal care.
"It was an essential and important part of our generation that we provided good services for these ill babies.
"A lot of my experience was not about reading books, but was hands-on. You were there, with a sick baby in the incubator. You support the monitoring - nothing as good as it is now. A lot of it was 'touch and go', really. It could be quite fraught as there were ther deamdns on children's services.
"We were passionate about these babies to get money for developments...and...publicity for baby care.
"In 1980 in Swansea, the health board built a brand new children's department with a new neonatal unit that I had designed.
"Life became easier as...we had some superb nursing staff and by that time there were far more junior doctors developing an interest in baby care."
11:55am
"Babies arrived in all sorts of conditions. The most common were associated with prematurity. One would have to see them through the first few days of life - giving them oxygen...CPAP - which has saved thousands of lives over the past few decades.
"If not CPAP, it would be intubation - a breathing tube into the lungs and put them on...a breathing machine.
"The initial machines were primitive...but they worked.
"In addition to giving babies ventilation support, we would give them IV fluids to help them absorb milk."
11:56am
Cannulas would also be used to help babies get adequate fluid, such as glucose and amino acids.
Sometimes a 'cocktail' of nutrition would be required for each baby.
11:58am
"All the neonatal units are dedicated units. They are responsible only for new-born babies.
"Usually they are next door to the maternity unit. They tend to be divided into sections - the sickest in the intensive care area, babies who are recovering are in a high dependency area, and babies who are recovering but too sick to go home are in the 'ordinary' area."
THE trial of Lucy Letby, the former Countess of Chester Hospital nurse accused of seven baby murders and attempting to murder 10 more, resumes today…
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