UK - Lucy Letby - Post-Conviction Statutory Inquiry

  • #441
It's actually worse. I thought moons ago that one of the problems was an "adversarial" relationship between docs and managers and here you go.

"The nurse also broke down in tears as she recalled being "bullied and intimidated" by the unit’s manager, Eirian Powell."
She said Ms Powell had an "ADVERSARIAL" relationship with consultants and had dismissed their concerns about Letby as "nonsense" "


There is nothing quite like a feeling of antipathy to render open communication unlikely. I bet she just dismissed the concerns without thinking. Grossly negligent. Must have been horrible for the docs.
 
  • #442
It's actually worse. I thought moons ago that one of the problems was an "adversarial" relationship between docs and managers and here you go.

"The nurse also broke down in tears as she recalled being "bullied and intimidated" by the unit’s manager, Eirian Powell."
She said Ms Powell had an "ADVERSARIAL" relationship with consultants and had dismissed their concerns about Letby as "nonsense" "


There is nothing quite like a feeling of antipathy to render open communication unlikely. I bet she just dismissed the concerns without thinking. Grossly negligent. Must have been horrible for the docs.
This is quite frankly shocking if true!

This, the way it's looking to me, is not just simple negligence or even rank incompetence; it appears that certain people have been going out of their way to not investigate, to not accept what they're being told and to positively resist doing absolutely anything to address what are being told may be a hugely unsafe situation - which it turned out to be.

As has been alluded to a bit on here, it's starting to look very like her behavior was essentially enabled by the hospital and it's senior managers. I'm sure that things like potential corporate manslaughter charges were mentioned a while back now and I don't think I'd be surprised if something like that may result.
 
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  • #443
Without this Inquiry all these voices would never have been heard. All experiences are aligning, in unexpected ways, so that it will be impossible for anyone to hide. IMO.

I think it's very interesting that they have put Powell last this week, before the Inquiry hears from Drs Jayaram and Brearey. I wonder if it's so that her evidence cannot be tailored, in a defensive manner.
 
  • #444
I do think corporate manslaughter charges will follow in due course.
JMO
 
  • #445
This is quite frankly shocking if true!

This, the way it's looking to me, is not just simple negligence or even rank incompetence; it appears that certain people have been going out of their way to not investigate, to not accept what they're being told and to positively resist doing absolutely anything to address what are being told may be a hugely unsafe situation - which it turned out to be.

As has been alluded to a bit on here, it's starting to look very like her behavior was essentially enabled by the hospital and it's senior managers. I'm sure that things like potential corporate manslaughter charges were mentioned a while back now and I don't think I'd be surprised if something like that may result.
BBM - I think that explains putting LL on days, which you just wouldn't do, conduct an experiment, if you suspected someone was really harming and killing babies. I think she'll deny it, because it opens her up to personal culpability, but the 'giving extra support to LL' put forward seems like a rabbit caught in the headlights response, because even if she was only given one baby instead of two or three, one baby is one too many to put in harms way and no one had identified any nursing incompetence. Babies L, M, N, O, P and Q were all daytime shifts, so no one was monitoring her. The doctors didn't even know about this decision. It backfired anyway, because the harm moved from night to day, which helped cement the prosecution's case, yet still the consultants were maligned and the results of the 'experiment' that they didn't know about but she did, not acknowledged.

MOO
 
  • #446
I do think corporate manslaughter charges will follow in due course.
JMO
I must admit I don't have your optimism. I think they've recently changed a law to make this easier, which suggests to me that there was a loophole. I'll see if I can find it.

ETA I don't think I'll be able to find what I read before. I'm also now thinking I'm wrong on this and what I read was to do with their personal culpability as managers, under the existing law.
 
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  • #447
Maybe I should of reworded it as “ I would be surprised if they didn’t “
I’m pretty sure the lawyers for the families have mentioned CMS before on sound bites.
As ever a moving feast.
JMO
 
  • #448
This is quite frankly shocking if true!

This, the way it's looking to me, is not just simple negligence or even rank incompetence; it appears that certain people have been going out of their way to not investigate, to not accept what they're being told and to positively resist doing absolutely anything to address what are being told may be a hugely unsafe situation - which it turned out to be.

As has been alluded to a bit on here, it's starting to look very like her behavior was essentially enabled by the hospital and it's senior managers. I'm sure that things like potential corporate manslaughter charges were mentioned a while back now and I don't think I'd be surprised if something like that may result.
I'm not sure enabling is the word which I think means "they know but allow it anyway or actually help them" like the way someone buys someone else alcohol knowing they are alcoholic but I'm definitely seeing these guys open doors for her and provide opportunities she otherwise wouldn't have had all be it unknowingly.

I don't think they have an excuse at all tbh. if you boil it down these guys had a split decision when confronted with the fact that bodies were indeed piling up and that was follow the docs lead (the docs had the info and had tried to act on it, the managers may have wanted to investigate themselves but no need when the docs have an idea) or as you said actively refuse to engage with an active procedural and investigative process with Lucy. We know which route they took.

Jeez if it was an experiment to put her on days it's possibly the worst first step In that process one could possibly take. Playing with fire and gas at the same time.
 
  • #449
Nurse T:
Letby had told her and another nurse friend they were the only people she was talking to after she was removed from the unit in July 2016 and assigned to office duties, Nurse T said, but she now knows that was untrue.

Nurse T said she also knew “nothing” about her visits to Liverpool’s Alder Hey Children’s Hospital in 2017 arranged by a doctor who previously worked with Letby at the Countess of Chester.


I think she was/is a master manipulator. Several people thought they were her only source of support. Just like several people ( Dawn, Janet Cox, the bloke who was interviewed on YouTube saying he was visiting her in prison) thought of themselves as her “best friend. And of course her describing Doc Choc as her best friend, which I imagine came as a shock to poor Janet! Then there’s how she talked about running away to open an NNU in New Zealand with Ali Ventress and how they were part of the “faces that didn’t fit”. Using the “us and them” outsider theme to her advantage.

Also acting out a parent/child role with her older colleagues… crying to Karen Rees, asking Catherine De Beger why the consultants hated her so much, having a childish strop in text messages to Jennifer Jones Key because she couldn’t go in room 1. Even having a tantrum and SHOUTING at a shift leader on another occasion when she wasn’t put in room 1. Trying every approach to try to get what she wanted. Even the relationship with Doc Choc seems to have a parent/child vibe at times.

Then there’s the whole Consultants Vs Nurses dynamic, with Eirian Powell in particular apparently having an “adversarial relationship” with the consultants and having a well known soft spot for LL.
 
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  • #450
I think she was/is a master manipulator. Several people thought they were her only source of support. Just like several people ( Dawn, Janet Cox, the bloke who was interviewed on YouTube saying he was visiting her in prison) thought of themselves as her “best friend. Then there’s how she talked about running away to open an NNU in New Zealand with Ali Ventress and how they were part of the “faces that didn’t fit”. Using the “us and them” outsider theme to her advantage.

Also acting out a parent/child role with her older colleagues… crying to Karen Rees, asking Catherine De Beger why the consultants hated her so much, having a childish strop in text messages to Jennifer Jones Key because she couldn’t go in room 1. Even having a tantrum and SHOUTING at a shift leader on another occasion when she wasn’t put in room 1. Trying every approach to try to get what she wanted. Even the relationship with Doc Choc seems to have a parent/child vibe at times.

Then there’s the whole Consultants Vs Nurses dynamic, with Eirian Powell in particular apparently having an “adversarial relationship” with the consultants and having a well known soft spot for LL.
Yep. It wouldn't surprise me if she had a chess board set up in her house, they were all pawns in her scheme.

Using the handover sheets to work out which babies to target, what their vulnerabilities were.

Probably taking copies of the shift-rotas home to target nurses who would sign charts for her without checking on her, who she could play, etc.

IMO
 
  • #451
Yep. It wouldn't surprise me if she had a chess board set up in her house, they were all pawns in her scheme.

Using the handover sheets to work out which babies to target, what their vulnerabilities were.

Probably taking copies of the shift-rotas home to target nurses who would sign charts for her without checking on her, who she could play, etc.

IMO
Play is exactly the right word . She played them all!
 
  • #452
I don't think anyone on the nursing side has given evidence to the Inquiry, so far, to say they knew about the allegations between Jul 2016 and Jan 2017, when she wrote the email to them.

Melanie Taylor - shift-leader, band 6

Q. And what did you understand when you received that?
A. As far as I can remember, I don't think I was in any conversations about these allegations. I was unaware. So this came as a surprise to me. I think from -- possibly naively -- or what I thought this was probably a clinical competence thing that maybe they had questions around her clinical competence because it doesn't say what the allegations are. I did find it quite surprising, and I don't really know further kind of my thought process on it. She --she never came back to the unit --

[Q.] ...We do know from Dr Lambie that, by September 2015,she had observed a group of nurses in a huddle trying to work out or looking at row rotas, where in effect her evidence was they had begun to think the unthinkable and thinking is there a link between somebody and these unexpected deaths or events and looking at rotas. Do you know anything about that conversations by September 2015 between nurses thinking these events are happening?
A. No. If they were happening -- if they were happening, I was not aware of them. I wasn't aware of any suspicions or concerns.
Q. Or questions -- I'm not suggesting suspicions -- the questions at that stage thinking, well, who's on shift? What's going on here? That's not necessarily the same as having a --
A. Yeah --
Q. -- concern about an individual.
A. I don't -- I don't -- again, I don't recall that. I think I did hear comments, I don't know who specifically, but from staff about -- and I think we all thought that that she was there for a lot. My personal feelings, and from what I heard from other staff, were that it was really unfortunate that she'd been there for so many tragic events.

Ashleigh Hudson - band 5 (same as LL)

Q. So if we go to INQ0058624, page 1. This one: "Dear colleagues ..."
A. Yeah.
Q. "... I was redeployed from the unit in July 2016 following serious and distressing allegations." That one?
A. That was the -- from my memory was the first time I had seen in black and white that there been any accusation. She'd been removed from the unit. We had been told it was for her own well-being and it was going to be a short period, that she had a secondment. One of our other nursing staff also had a secondment. So it didn't seem out of the realms of possibility. As time went on, the longer that she was off the unit, it was something that you thought about. You'd think something's not quite adding up and no one's discussing it, no one's saying anything, and it wasn't, from my memory, until this that I saw in black and white that there was allegations and there was concerns.
Q. And this says this letter "after a thorough investigation", was there a conversation, as you might expect at that point, between nurse: what was the investigation then? You know, even knowing that she says here she's been exonerated, did you all -- did you piece that it must be to do with deaths and deteriorations?
A. Yeah, just from common sense.

Q. Dr Lambie's evidence was to the Inquiry that, in September 2015, she'd seen: "... a huddle or a small group of nurses at the nurses' station going through rotas thinking the unthinkable, in effect, looking at who might be connected to the same unexpected events." From what you're saying, that wasn't -- you weren't one of those nurses?
A. No.
Q. Do you know that some of your colleagues were doing that at the time or not?
A. No.

Kathryn Percival-Calderbank - senior neonatal practitioner band 6

Q. And what were your thoughts when you received it? What did you think about it?
A. Because we weren't -- we weren't informed about anything, we -- the fact that we didn't know what these allegations had been and so we were -- and so we were a bit -- a bit stunned by it all really, because we -- we just were still under the impression she'd been on secondment.
Q. Had Eirian Powell or Yvonne Griffiths said anything to the team -- the nursing team after this email had been sent?
A. Not as far as I'm aware, no. I don't --I can't remember being informed about anything.

Q. I want to ask you about an incident which we heard evidence about from Dr Rachel Lambie. She described an occasion when she walked into the neonatal unit, and I think she might have been in the intensive care room, and she found there were some nurses huddled over a computer and they were going through the staff rota, and the reason they were going through the staff rota is because they were trying to enquire, investigate as to who might have been on duty when the recent events had occurred. Now, she thinks this happened before she left the hospital in September 2015, and she remembers a nurse saying words to the effect that, you know, "It would be awful, but we are just checking", something along those lines. Were you, were you part of that conversation?
A. Not as far as I'm aware, no

Kate Bissell - band 6

Q. And what were your thoughts on receiving it? What did you think?
A. Just --
Q. Sorry, go ahead.
A. No. I mean, it's awful. Just I remember thinking it's awful to -- to be -- have allegations like that against you, but then she never back to the unit, so it just all --
Q. What did you think the allegations related to?
A. Related to probably -- they were related to the higher incidence of deaths --
Q. Is that what you thought at the time?
A. -- that were occurring. Possibly, yes.
Q. Is that what you were told?
A. We were never -- we were never told anything, other than -- I felt like the nursing staff were never really told why -- what was happening. We were just told that she was removed from -- from the unit, she went to the risk and safety department, and then obviously we had this email to say that there were allegations made against her. So it kind of fitted that obviously she was moved at the time and then obviously allegations had been made, so it --
Q. Did you have any understanding as to who was making the allegations?
A. No.
Q. Did you have any understanding as to precisely what the allegations were?
A. No.

Q. And then we heard evidence from Dr Rachel Lambie about an occasion when she went to the neonatal unit and she said she was walking through the intensive care unit and she came upon nursing staff in a small huddle in the corner, over the computer, and she said she asked them what they were doing, and one of the nurses replied that they were going through the rota just to make sure there wasn't somebody who was on "for all of them", I think -- I'm not sure what that was a reference to but maybe the recent events, and Dr Lambie gave oral evidence that she recalled the nurse saying something along the lines of "It's an awful thing to think but we're just looking." Were you involved in that huddle around the computer? Does that ring any bells?
A. No, I wasn't involved in that, and I don't recall that -- looking at an off -- an off-duty on the computer, did she say?
Q. Well, I think her evidence is that "They were in a small huddle in the corner over the computer and they said they were looking at the rota", do you know anything about that incident?
A. No


Elizabeth Marshall - neonatal assistant band 4

Q. Do you recall when Letby was taken off the unit?
A. Vaguely, yes.
Q. And do you recall any discussion either with your nursing colleagues or with your managers about the reason she had been removed from the unit?
A. No. I -- I remember that she was placed in a non-clinical role but not really specifically why that was being done.

If I had been working in that unit, and I was being asked that question, whether I was in that huddle with colleagues, wondering about if Lucy might have been on the schedule during the deaths, etc.....I would probably have the same answer as all of the above colleagues====
" No, I don't recall that,...no, I wasn't involved, no, it doesn't ring any bells..."
 
  • #453
If I had been working in that unit, and I was being asked that question, whether I was in that huddle with colleagues, wondering about if Lucy might have been on the schedule during the deaths, etc.....I would probably have the same answer as all of the above colleagues====
" No, I don't recall that,...no, I wasn't involved, no, it doesn't ring any bells..."
To clarify, I think it is possible, even likely, that some of those workers did recall being in a huddle, and discussing Lucy, and her schedule.

But to be asked about that in the Inquiry can feel very problematic. I'd feel like I was putting myself in a bad position by doing so. They'd ask who else was 'in the huddle' and why didnt we voice our concerns, etc. IMO
 
  • #454
Really interesting article. Apparently letby wasn't the super nurse she presented herself as.

"Lucy Letby initially failed her final year placement as a student nurse after she was noted to be “cold” and lacking empathy with patients and families, a public inquiry has heard.

Her assessor Nicola Lightfoot, deputy ward manager on the children’s unit at the Countess of Chester Hospital, said it was apparent to her that Letby did not have the “overall characteristics” to become a successful registered nurse.

Giving evidence at the Thirlwall Inquiry into events surrounding the neonatal nurse’s crimes, Ms Lightfoot said: “I found Lucy to be quite cold. I did not find a natural warmth exuding from her which I expect from a children’s nurse."


ETA. I think we can assume this experience has played a role in some of the things we have heard her say like "it's not about me it's about those families going home" and others like that. It's feigned empathy totally fake. That's many years down the line for her to still be thinking about that and acting on it. That's her mask.

ETA ++ she was correct. Lucy said she wanted her "first death out of the way" on her first day at the Countess. Who on earth would be thinking about that on your first day in a job you thought was everything? Almost like that was quite prominent in her mind. That should be the last thing not the first.

I can totally see what others are saying now. She really was odd and so fake. If she is cold she obviously worked hard to fake it ey? Why work hard on that if its not really "you"? In that video of her arrest and on the unit audio she did seem cold to me, was her tone. Sounded cold.

What was it that kept her plugging towards being a NNU nurse if its not love of babies and families?
 
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  • #455
To clarify, I think it is possible, even likely, that some of those workers did recall being in a huddle, and discussing Lucy, and her schedule.

But to be asked about that in the Inquiry can feel very problematic. I'd feel like I was putting myself in a bad position by doing so. They'd ask who else was 'in the huddle' and why didnt we voice our concerns, etc. IMO
Yes I agree, in that, if I was one of the more junior nurses in the huddle with a couple of seniors who could more easily judge then, as most juniors have attested, my experience would've mainly comprised just that unit, so the rates wouldn't be as striking to me. I certainly wouldn't be suspecting colleagues, so why put myself in the 'firing line' of the inquiry when I was one of the most naive/unsuspecting?
 
  • #456
ETA. I think we can assume this experience has played a role in some of the things we have heard her say like "it's not about me it's about those families going home" and others like that. It's feigned empathy totally fake. That's many years down the line for her to still be thinking about that and acting on it. That's her mask.

ETA ++ she was correct. Lucy said she wanted her "first death out of the way" on her first day at the Countess. Who on earth would be thinking about that on your first day in a job you thought was everything? Almost like that was quite prominent in her mind. That should be the last thing not the first.

I can totally see what others are saying now. She really was odd and so fake. If she is cold she obviously worked hard to fake it ey? Why work hard on that if its not really "you"? In that video of her arrest and on the unit audio she did seem cold to me, was her tone. Sounded cold.

What was it that kept her plugging towards being a NNU nurse if its not love of babies and families?
RSBM

Also matches up with Kathryn de Beger's evidence - 09/10/2024 – Transcript of Week 5 Day 3 | The Thirlwall Inquiry

Q. Given that you knew at this time that the allegation was that Letby had deliberately killed babies on the neonatal unit, did it give you any cause for concern that she was displaying this distress at the anniversary of a baby death?

A. No, not at all, because she -- it was in the context of she said that she was feeling particularly distressed but how much more distressed would the parents be at the loss of their baby, that's how she framed it, and -- but we had no other conversation about that.

Q. -- in this role. In that period of time, so from when you started in 2010 until July 2017, how many times had you come across a situation where a member of staff was displaying this kind of distress around the anniversary of the death of a patient, is that at all a normal situation for you to confront?

A. I can't recall another situation, no.

---

I think people who don't feel empathy would mistake what empathy is.

Like these instances in the trial - (links in media thread)

Nick Johnson asks Lucy Letby why she made those comments. She replies "I was trying in that awful situation to have a little bit of normality. I was referring to a positive memory. Baby I had enjoyed her first bath. It wasn’t meant with any malice"
Lucy Letby: "You’d still talk to babies as though they were alive"
Nick Jonson KC: "Do you understand the difference between life and death?
Lucy Letby: "Yes"

A female consultant said Letby was "animated" and "so excited" asking about a memory box and her behaviour was "inappropriate". In cross-examination, the 'talking enthusiastically' was said that it would 'soften the blow' for the grieving parents who had lost two of the three triplets.
 
  • #457
Really interesting article. Apparently letby wasn't the super nurse she presented herself as.

"Lucy Letby initially failed her final year placement as a student nurse after she was noted to be “cold” and lacking empathy with patients and families, a public inquiry has heard.
Now that's exactly the type of thing I meant when I was saying that very little has come out about her, let alone things which paint her a less than stellar light as regards other people's feelings towards her!

I suspect that this may be the crack in the door that will allow lots of stuff from her earlier life to enter the room.

My guess is that this will have been a common thing with her from a very young age.
 
  • #458
What was it that kept her plugging towards being a NNU nurse if its not love of babies and families?
RSBM

A supply of victims that can't talk, possibly.

MOO
 
  • #459
Dear god … she APPEALED the fail !
Of course she did … Clash of personalities apparently.
She would have a fight in an empty room as my mum would say.
 
  • #460
Dear god … she APPEALED the fail !
Of course she did … Clash of personalities apparently.
She would have a fight in an empty room as my mum would say.
Not sure it was an "appeal" as such. From the couple of articles I've read it's pretty standard that you get to re-do the points you fail on and if you pass them in four weeks they pass you.

Having said that, if you've been failed because you lack empathy and are cold and emotionless towards parents with desperately sick babies then I can't really get my head round how you can change that, let alone within four weeks.

Once of the articles mentioned that part of why she failed was because she wasn't getting drug calcs or side effects right - those I can see how you can knuckle-down and pass as it's purely academic. Not having the right personality for the job is a different matter but, on the other hand, it's really just someone's opinion.

I definitely think that she's the type who'd have kicked off big style had they have failed her at that point, though, especially if she's passed the academic stuff and was failed just on being unemotional.
 

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