UK - Nurse Lucy Letby Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #10
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11:25am
Claire Hocknell, intelligence analyst for Cheshire Police, has returned to talk the court through the sequence of events for Child I, focusing on the 'fourth event' in late October 2015.
The sequence continues from Child I returning to the Countess of Chester Hospital at October 17, with charts and observations shown from October 22, after Letby had been off work.
11:27am
Nurse Ashleigh Hudson records, for October 22 at 3.04am, that Child I was 'pink and well perfused', with saturation levels above 96%, abdomen 'soft and non-distended'.
Child I was 'unsettled at start of shift and rooting, settled with dummy. Settled and sleeping at present'.
LIVE: Lucy Letby trial, Thursday, February 2
Claire Hocknell, intelligence analyst for Cheshire Police, has returned to talk the court through the sequence of events for Child I, focusing on the 'fourth event' in late October 2015.
The sequence continues from Child I returning to the Countess of Chester Hospital at October 17, with charts and observations shown from October 22, after Letby had been off work.
11:27am
Nurse Ashleigh Hudson records, for October 22 at 3.04am, that Child I was 'pink and well perfused', with saturation levels above 96%, abdomen 'soft and non-distended'.
Child I was 'unsettled at start of shift and rooting, settled with dummy. Settled and sleeping at present'.
LIVE: Lucy Letby trial, Thursday, February 2
11:39am
Nurse Caroline Oakley recorded, for 8am on October 22, Child I's observations were satisfactory.
Further observations by a colleague said Child I was 'pink, alert, active handling well'.
At the end of the day, Child I was noted to be very hungry.
Hourly observations, the prosecution say, were carried through the day and were "unremarkable".
Letby begins her night shift that evening. A slide is shown to the court showing Child I was in room 1 with one other baby. Ashleigh Hudson was the designated nurse for both babies.
Letby was the designated nurse for a baby in room 2 and one in room 3. Another baby in room 3 was Child G. Two babies were in transitional care, and there was another baby whom the prosecution have been unable to confirm their location for that night.
11:40am
Asheligh Hudson records Child I, at the start of her shift at 7.45pm on October 22, was 'unsettled and rooting at start of shift, settled with dummy and containment holding'.
11:45am
Letby messages a colleague to say that night had 'only 8 babies' in the unit, and there is a discussion over transporting a baby to Stoke.
She adds: "I think I need to see greys anatomy !!!"
Later in the conversation, Letby messages to say Child I "had abdo scan that was fine".
11:47am
Letby messages colleague Jennifer Jones-Key, who had enquired "How's work". Letby replies that one of the babies she is looking after that night is being transported out that night.
The prosecution say that would then leave her with one designated baby that night.
11:50am
Ashleigh Hudson records at 10.57pm, 'long line removed due to constant occlusions. Neonal nurse Lucy Letby unable to flush...'
The long line was removed and the TPN [nutrition bag] was moved to a peripheral line.
Child I was observed to 'tolerate this very well'. 'Sucrose offered, but happy with dummy'. Child I was 'pink and well perfused'.
12:06pm
The jury is returning after a 10-minute break, and the trial is now resuming.
Claire Hocknell is continuing to talk through the sequence of events, from 11pm on October 22, 2015. An observation chart shows three-hourly observations are made for Child I through the day (eg 11am, 2pm, 5pm, 8pm), but no record is made at 11pm.
LIVE: Lucy Letby trial, Thursday, February 2
Nurse Caroline Oakley recorded, for 8am on October 22, Child I's observations were satisfactory.
Further observations by a colleague said Child I was 'pink, alert, active handling well'.
At the end of the day, Child I was noted to be very hungry.
Hourly observations, the prosecution say, were carried through the day and were "unremarkable".
Letby begins her night shift that evening. A slide is shown to the court showing Child I was in room 1 with one other baby. Ashleigh Hudson was the designated nurse for both babies.
Letby was the designated nurse for a baby in room 2 and one in room 3. Another baby in room 3 was Child G. Two babies were in transitional care, and there was another baby whom the prosecution have been unable to confirm their location for that night.
11:40am
Asheligh Hudson records Child I, at the start of her shift at 7.45pm on October 22, was 'unsettled and rooting at start of shift, settled with dummy and containment holding'.
11:45am
Letby messages a colleague to say that night had 'only 8 babies' in the unit, and there is a discussion over transporting a baby to Stoke.
She adds: "I think I need to see greys anatomy !!!"
Later in the conversation, Letby messages to say Child I "had abdo scan that was fine".
11:47am
Letby messages colleague Jennifer Jones-Key, who had enquired "How's work". Letby replies that one of the babies she is looking after that night is being transported out that night.
The prosecution say that would then leave her with one designated baby that night.
11:50am
Ashleigh Hudson records at 10.57pm, 'long line removed due to constant occlusions. Neonal nurse Lucy Letby unable to flush...'
The long line was removed and the TPN [nutrition bag] was moved to a peripheral line.
Child I was observed to 'tolerate this very well'. 'Sucrose offered, but happy with dummy'. Child I was 'pink and well perfused'.
12:06pm
The jury is returning after a 10-minute break, and the trial is now resuming.
Claire Hocknell is continuing to talk through the sequence of events, from 11pm on October 22, 2015. An observation chart shows three-hourly observations are made for Child I through the day (eg 11am, 2pm, 5pm, 8pm), but no record is made at 11pm.
LIVE: Lucy Letby trial, Thursday, February 2
12:10pm
Nurse Ashleigh Hudson records a retrospective note at 11.57pm that Child I was "very unsettled...due to huger as rooting. Dummy offered and containment holding to no effect."
"After repositioning, [Child I] became quiet, apnoeic and dusky in appearance. With help of neonatal nurse Lucy Letby, repositioned [Child I] on to her back, and at first applied Neopuff with 30% O2..."
A crash call was made to the unit at midnight. Cardiac compressions began.
Dr Rachel Chang records, at midnight, confirming being crash called and giving chest compressions.
Ashleigh Hudson records consultant paediatrician Dr John Gibbs is also called to the unit. He arrives, according to swipe data unit, at 12.06am.
12:12pm
Child I was put on to a ventilator, was more alert, and crying.
The abdomen was soft and not distended prior to ventilation, the court hears.
An x-ray is carried out at 12.23am.
12:16pm
Child I was extubated and 'coped well', was 'relatively settled' and 'sucking dummy' at about 12.35am.
Dr John Gibbs recorded Child I had been 'resisting ventilation', so was extubated.
The cause was recorded as 'likely generalised lung collapse'.
In the plan: 'If further similar collapses will need full ventilation (with paralysis)'.
Nurse Ashleigh Hudson records informing the parents of what happened.
12:19pm
At 1.06am, there is a further event for Child I - another collapse, the prosecution tells the court.
Nurse Ashleigh Hudson records: 'Child I became unsettled again. Dummy/sucrose offered with no effect. Slowly became dusky and O2 dropped to 60s, HR 70s. Ran to labour ward theatre to inform [senior staff].'
Letby was one of two nurses administering breathing support to Child I via Neopuff.
Dr Rachel Chang is recalled to the unit, arriving at 1.12am.
Compressions restarted and Child I was reintubated. At this time, Child I's mother had rung the hospital and she was advised to attend hospital immediately, the court hears.
LIVE: Lucy Letby trial, Thursday, February 2
Nurse Ashleigh Hudson records a retrospective note at 11.57pm that Child I was "very unsettled...due to huger as rooting. Dummy offered and containment holding to no effect."
"After repositioning, [Child I] became quiet, apnoeic and dusky in appearance. With help of neonatal nurse Lucy Letby, repositioned [Child I] on to her back, and at first applied Neopuff with 30% O2..."
A crash call was made to the unit at midnight. Cardiac compressions began.
Dr Rachel Chang records, at midnight, confirming being crash called and giving chest compressions.
Ashleigh Hudson records consultant paediatrician Dr John Gibbs is also called to the unit. He arrives, according to swipe data unit, at 12.06am.
12:12pm
Child I was put on to a ventilator, was more alert, and crying.
The abdomen was soft and not distended prior to ventilation, the court hears.
An x-ray is carried out at 12.23am.
12:16pm
Child I was extubated and 'coped well', was 'relatively settled' and 'sucking dummy' at about 12.35am.
Dr John Gibbs recorded Child I had been 'resisting ventilation', so was extubated.
The cause was recorded as 'likely generalised lung collapse'.
In the plan: 'If further similar collapses will need full ventilation (with paralysis)'.
Nurse Ashleigh Hudson records informing the parents of what happened.
12:19pm
At 1.06am, there is a further event for Child I - another collapse, the prosecution tells the court.
Nurse Ashleigh Hudson records: 'Child I became unsettled again. Dummy/sucrose offered with no effect. Slowly became dusky and O2 dropped to 60s, HR 70s. Ran to labour ward theatre to inform [senior staff].'
Letby was one of two nurses administering breathing support to Child I via Neopuff.
Dr Rachel Chang is recalled to the unit, arriving at 1.12am.
Compressions restarted and Child I was reintubated. At this time, Child I's mother had rung the hospital and she was advised to attend hospital immediately, the court hears.
LIVE: Lucy Letby trial, Thursday, February 2
12:25pm
Adrenaline is administered to Child I and Dr John Gibbs is called to the unit again. He arrives at the unit at 1.23am.
A saline bolus is administered to Child I at 1.22am. The medication is co-signed by Lucy Letby and Christopher Booth.
Dr Gibbs records, for 1.25am, Child I had 'poor perfusion - mottled, purple-white'. Sats were in the '70s, pulse 50-60'.
More adrenaline is administered, along with sodium chloride and atropine.
12:28pm
A dose of 10% glucose is administered at 1.38am, co-signed by Ashleigh Hudson and Christopher Booth.
Another dose of adrenaline, the fifth, is made at 1.40am, co-signed by Lucy Letby and Christopher Booth.
The administration of calcium gluconate is made at 1.40am. A sixth dose of adrenaline is made for administering at 1.43am.
Compressions stopped at 1.45am, having begun at 1.16am. Dr John Gibbs adds Child I 'remained mottled and poorly perfused'.
12:32pm
At 1.50am, Dr John Gibbs records: 'HR to 70, sats 70-80 and no pulse palpable. Cardiac compressions restarted at 1.50am'.
Another dose of adrenaline, the seventh, is made at 1.56am, followed by an eighth at 2am.
Dr John Gibbs records Child I was 'not responding to prolonged resuscitation and although her heart was beating there was no effective circulation.
'2.10am hr 40/min on monitor - no pulse (but heartbeat audible without cardiac compression)'.
Ashleigh Hudson records she and Lucy Letby had spoken to the parents about what had happened, and a decision was made to bathe Child I.
Child I's time of death was recorded as 2.30am on October 23, 2015.
12:37pm
Ashleigh Hudson records, at 6.25am: 'NGT on free drainage, produced 2mls. Minimal aspirations of clear mucus and air++ during both resuscitations'.
A colleague of Letby messages her at 6.51am: 'Hey u ok? Good shift? x'
Another colleague messages Letby at 11.58am: 'You ok? I heard about last night. Did you have [Child I]? Xx'
12:46pm
Caroline Oakley records at the end of the day, '[Child I] with parents and family in bedroom 2...
'They have expressed they are very unhappy with AHCH [Alder Hey Children's Hospital] for failing to accept [Child I] for her barium enema, and want her back from AHCH post-mortem ASAP. Bereavement co-ordinator has spoken to them...'
LIVE: Lucy Letby trial, Thursday, February 2
Adrenaline is administered to Child I and Dr John Gibbs is called to the unit again. He arrives at the unit at 1.23am.
A saline bolus is administered to Child I at 1.22am. The medication is co-signed by Lucy Letby and Christopher Booth.
Dr Gibbs records, for 1.25am, Child I had 'poor perfusion - mottled, purple-white'. Sats were in the '70s, pulse 50-60'.
More adrenaline is administered, along with sodium chloride and atropine.
12:28pm
A dose of 10% glucose is administered at 1.38am, co-signed by Ashleigh Hudson and Christopher Booth.
Another dose of adrenaline, the fifth, is made at 1.40am, co-signed by Lucy Letby and Christopher Booth.
The administration of calcium gluconate is made at 1.40am. A sixth dose of adrenaline is made for administering at 1.43am.
Compressions stopped at 1.45am, having begun at 1.16am. Dr John Gibbs adds Child I 'remained mottled and poorly perfused'.
12:32pm
At 1.50am, Dr John Gibbs records: 'HR to 70, sats 70-80 and no pulse palpable. Cardiac compressions restarted at 1.50am'.
Another dose of adrenaline, the seventh, is made at 1.56am, followed by an eighth at 2am.
Dr John Gibbs records Child I was 'not responding to prolonged resuscitation and although her heart was beating there was no effective circulation.
'2.10am hr 40/min on monitor - no pulse (but heartbeat audible without cardiac compression)'.
Ashleigh Hudson records she and Lucy Letby had spoken to the parents about what had happened, and a decision was made to bathe Child I.
Child I's time of death was recorded as 2.30am on October 23, 2015.
12:37pm
Ashleigh Hudson records, at 6.25am: 'NGT on free drainage, produced 2mls. Minimal aspirations of clear mucus and air++ during both resuscitations'.
A colleague of Letby messages her at 6.51am: 'Hey u ok? Good shift? x'
Another colleague messages Letby at 11.58am: 'You ok? I heard about last night. Did you have [Child I]? Xx'
12:46pm
Caroline Oakley records at the end of the day, '[Child I] with parents and family in bedroom 2...
'They have expressed they are very unhappy with AHCH [Alder Hey Children's Hospital] for failing to accept [Child I] for her barium enema, and want her back from AHCH post-mortem ASAP. Bereavement co-ordinator has spoken to them...'
LIVE: Lucy Letby trial, Thursday, February 2
Re The discussion of WhatsApp with the colleague heard in evidence yesterday; allocating baby I to different nurse each shift etc. Can anyone recall which baby LL had stated in her police report about the parents wanting continuity of care? Is this the same case with the sympathy card?
12:57pm
A post-mortem examination of Child I takes place on October 26.
On November 5, Letby searches for the mum of Child E and F, then the mum of Child G, then the mum of Child I in the space of three minutes between 11.41-11.44pm, on her day off.
The funeral of Child I takes place on November 10. At 7.34am that day, Letby has a photo taken of a sympathy card she has written for the parents. The card is titled 'Your loved one will be remembered with many smiles'. It adds, in Letby's handwriting, 'Lots of love, Lucy x' on the front.
On the back, Letby has a handwritten message, in which she wrote: "There are no words to make this time any easier.
"It was a real privilege to car for [Child I] and get to know you as a family - a family who always put [Child I] first and did everything possible for her..."
The message concludes with Letby saying she was sorry she could not attend the funeral.
LIVE: Lucy Letby trial, Thursday, February 2
A post-mortem examination of Child I takes place on October 26.
On November 5, Letby searches for the mum of Child E and F, then the mum of Child G, then the mum of Child I in the space of three minutes between 11.41-11.44pm, on her day off.
The funeral of Child I takes place on November 10. At 7.34am that day, Letby has a photo taken of a sympathy card she has written for the parents. The card is titled 'Your loved one will be remembered with many smiles'. It adds, in Letby's handwriting, 'Lots of love, Lucy x' on the front.
On the back, Letby has a handwritten message, in which she wrote: "There are no words to make this time any easier.
"It was a real privilege to car for [Child I] and get to know you as a family - a family who always put [Child I] first and did everything possible for her..."
The message concludes with Letby saying she was sorry she could not attend the funeral.
LIVE: Lucy Letby trial, Thursday, February 2
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Re the continuity ...From memory I think that was one of the sets of twins. Maybe E&F?
In police interviews, Letby said the student nurse fed Child P at two-hourly intervals on June 23, and she had fed Child P alone at 6pm.
She said she had agreed to be Child P's designated nurse because the parents had asked for some continuity.
www.chesterstandard.co.uk
ETA it was Baby P
In police interviews, Letby said the student nurse fed Child P at two-hourly intervals on June 23, and she had fed Child P alone at 6pm.
She said she had agreed to be Child P's designated nurse because the parents had asked for some continuity.
Lucy Letby trial recap: Prosecution finishes outlining case, defence gives statement
THE prosecution in the trial of Lucy Letby, accused of murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to…
Last edited:
possibly this text, though it's not a police interview
Colleague: 'Hi Lucy. Hope you are OK?'
LL: 'I think we all did everything we possibly could under very difficult and sad circumstances. Haven't had much sleep. Don't really want to see parents but it's got to be done. 'I said to [nurse] that I can't look after B because I just don't know how I'm going to feel seeing parents. Dad was on the floor crying saying ''please don't take our baby away'' when we took him to the mortuary. It's just heartbreaking. It's the hardest thing I've ever had to do. Hopefully have a more positive one tonight.'
Colleague responded saying she would prefer that LL cared for B so her parents 'don't have a totally new face'.
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Your loved on will be remembered with many smiles
Jesus, if guilty, that's really sinister, bearing in mind she's accused of smiling when the deceased baby was being bathed as well as allegedly killing her.
If guilty...finding/choosing a card with that on, sending it and then taking a pic of it to keep on your phone. WTAF?
All IMO
The sympathy card written by Lucy Letby for Child I. Picture recovered from Lucy Letby's phone. (Image: Crown Prosecution Service.)
LIVE: Lucy Letby trial, Thursday, February 2
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Ah it was actually Baby P, one of the triplets I was thinking of
"
In police interviews, Letby said the student nurse fed Child P at two-hourly intervals on June 23, and she had fed Child P alone at 6pm.
She said she had agreed to be Child P's designated nurse because the parents had asked for some continuity.
Lucy Letby trial recap: Prosecution finishes outlining case, defence gives statement
THE prosecution in the trial of Lucy Letby, accused of murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to…
If Guilty, I wonder if the card is to get people off the scent. She said it was the one and only time she has sent a card. Why now? Why so soon after LL noticed less than nice comments about her does she send a card to the family of Baby I?? Esp where the Mum reports they barely knew her... IMO
Im confused where Dan O'Donaghues tweet about parents in lacey underwear fits in. It doesnt appear to be mentioned above and there it says Baby Is Mum is at home. Does it refer to the parents of the baby being moved to Stoke? If so, why include it?
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Possibly implying the parents were having sex (I'm assuming in the parents' accomodation at the hospital) Don't know how It's relevant though
Jmo .. but always feels like she may be inserting herself into others grief.
I wonder if another member of staff went to the funeral not her
Yes, parents of a different baby being transported out that night. I think it's to show character of LL, could be seen to be disapproving of the mother.
WaxLyrical
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Feels rather creepy the sympathy card started with “There are no words”, same as the infamous confession post it. JMO
That is SO unprofessional. Nurses say all sorts to each other, as you can imagine, but to put this in a message??
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