UK - Nurse Lucy Letby Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #12

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  • #241
Thank


8:59am

The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more, is expected to continue today (Monday, February 27).
We will be bringing you updates throughout the day.
Thanks. Good to see coverage by the Chester Standard is back!
 
  • #242
This is just my personal take on things. At the centre of this is an average NNU with a sudden dramatic rise in collapses, fatal & non-fatal, which are characterised by being unexpected, impossible to explain by natural events and extremely difficult to resolve. IMO these characteristics with even one such event would be extremely unusual, never mind over 20. The idea that this is just chance just doesn't work, for me anyway. No amount of scrutinising the details, interesting as that is, can change the bigger picture. JMO


And as one of the doctors confirmed, up until 2015 it was not commonplace for them to have to use adrenalin to resuscitate babies.

Philip Astbury, prosecuting, asked the now retired doctor: “Was the use of adrenaline in those circumstances a commonplace occurrence?”

Dr Gibbs replied: “No. It was becoming more common as events continued on the unit with repeated collapses of babies. Until 2015, uncommon.”

 
  • #243
10:21am

The trial, which is now in its 18th week before a jury, is due to resume at 10.30am.

10:27am

Having given evidence in the cases of twins, Child L and Child M, today the court is expected to go back, chronologically in the case, to Child K, who was born in February 2016.
It is the prosecution's case that Lucy Letby attempted to murder Child K, a baby girl, on February 17. The defence deny this.
Child K remained unwell and died on February 20.

 
  • #244
Seems my prediction for baby K going last for the defence to present evidence was wrong.
 
  • #245
10:33am

The 12 members of the jury have come into court, and the trial is now resuming.
Prosecutor Nicholas Johnson KC is reminding the jury of its case for Child K.

10:34am

Mr Johnson tells the court the case is being dealt with out of step, chronologically, due to witness availability.
He says it is alleged Lucy Letby attempted to kill Child K before the baby died a few days later, and it is not a murder charge.

 
  • #246
I'
<modsnip: Quoted post was removed >
... The report commissioned by the hospital was critical in many ways, but could find no cause for the spike in incidents, I believe.
 

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  • #247
10:38am

The court is now hearing a statement from the mother of Child K, who described being thrilled at the news she was pregnant.
At the 12-week scan at the Countess of Chester Hospital, an issue was identified - Child K had a build-up of fluid at the back of her neck. At the 15-week scan, she was reassured everything was normal.
She had regular scans, and further check-ups showed the fluid was disappearing gradually.
At 18-20 weeks, it was discovered Child K had a pocket of fluid at her lungs, but follow-up checks saw this had gone.
Just before 25 weeks, the mum recalls waking up with 'a few niggles and pains'. She was still working at this time.
The midwife was called, and she advised to call the labour ward at the Countess of Chester Hospital - she was advised to attend.
She was informed by a midwife there she had gone into labour "we couldn't believe it".

10:41am

The mother stayed at the hospital and received treatment.
Discussion took place over transferring the mother to a tertiary centre, but the nearest one, Arrowe Park, was full.
On February 16, the mother was given further steroids, and the possibility of a C-section birth was discussed.
There were "no indications of any concerns" of Child K, who was showing no signs of any distress. The decision was made to leave things as they were at that time.
That evening, the mother recalls waking up in pain, and the button was pressed to alert medical staff.
Child K, a baby girl, was born at 2.12am. Staff worked on Child K for 30-45 minutes. The mother later found she had been born weighing 692g - 1lb 8oz.

 
  • #248
10:47am

The consultant explained that the gestational age of 25 weeks meant there would be a medical team solely to look after Child K, who would be placed into an incubator. Once stable, she would be transferred to the special care on the neonatal unit.
A female nurse came in and told the parents Child K was "fine and stable", and if they wanted to see her.
The nurse offered to take photos of the three of them, on the father's phone.
The pictures are timestamped at 4.31am on February 17, making Child K only a few hours old.
The mother was woken up later informing a bed had become available at Arrowe Park. At 9am, the transfer team arrived at the Countess of Chester Hospital. They explained what was going to happen. The process took "some time" as the team had difficulty stabilising her. It was then when the parents considered a name for Child K.
At noon, it was "now or never", for Child K to be transferred to Arrowe Park. The mother had not been discharged at this point, and the medical team "desperately" tried to make it possible so she could be allowed to go to Arrowe Park, which was done at 2pm.
The parents arrived at Arrowe Park at 2.30-2.45pm. Later, arrangements had been made for the parents to stay at the purpose-built accommodation.

 
  • #249
The pencil analogy …. Works for me !
 
  • #250
10:50am

The mother recalled "the strangest feeling which she could not describe" on the morning Child K died.
At the neonatal unit, parents had no restrictions on visiting times. They went in
As soon as she walked in, she could see the readings, including saturations, were low. She knew straight away things weren't great.
A doctor was in the room at the time. "I looked and said, she's not good is she?" The doctor "confirmed the worst," explaining Child K had been fighting all night.
The parents had a long conversation with the doctor, and the decision was made to switch off life support machines.
Child K passed away in her father's arms.

10:51am

A cot was brought into the room to allow the parents time privately with Child K, who had died on February 20.

 
  • #251
  • #252
10:56am

Cheshire Police intelligency analyst Kate Tyndall is now talking the court through the sequence of events for Child K.
They begin with text messages recovered from Letby's phone.
Letby messages a colleague about the unit being a "hive of activity" on February 16 in preparation for a visit from "the big bods", and there is a discussion on the possible of delivery of Child K.
Letby mentions one colleague had suspected conjuctivits, but had still come into work, and adds "Hope I haven't caught anything".
Said colleague had also not "done anything but moan" that day, Letby says.
Letby messages the ill colleague saying she hopes that colleague is felling better soon. The colleague responds she was felling better after a day of bed rest, and thanks Letby for her message.

 
  • #253
10:59am

The night shift for February 16 is shown to the court. The paediatrician of the week is John Gibbs, the on-call consultant is Dr Ravi Jayaram.
Lucy Letby is on duty, looking over two babies in room 2 at the start of the night shift.
There are two babies in room 1, three babies in room 2, three in room 3 and three in room 4. A further baby is in the Transitional Care Unit.
Child K is later transferred to room 1 after she is born.

11:03am

Child K is born with 'dusky, floppy, no resp effort' at birth, and a heart rate of 60bpm.
The 'Apgar score' is 4/10 at one minute, 9/10 after five minutes and 9/10 at 10 minutes after birth. Previously, the court has heard the Apgar score measures how well a baby is doing in the minutes after being born.
Child K was admitted to the neonatal unit at 2.40am due to her "extreme prematurity", Mr Johnson tells the court, as well as the fact she was to be transferred to a tertiary centre at a later point.

 
  • #254
11:09am

Dr Ravi Jayaram makes a note to the transport team at 3.15am.
Observations are taken for Child K at 3.30am. A blood sample later showed no bacterial growth recorded.
Further communication is made with the transport team at 3.35am.

11:10am

Swipe data is recorded showing Child K's designated nurse Joanne Williams leaving nursery room 1 at 3.47am to go to the labour ward.
It is just after that, the prosecution say, the event alleged in the case of Child K happened, and the baby girl collapsed.

11:13am

The event is recorded as happening by Dr Jayaram and Dr James Smith at 3.50am - "sudden deterioration" - sats dropping to 40%, Child K bagged via ET tube with Neopuff.
The 'sats recovered quickly' following treatment, and Child K was reintubated.
Designated nurse Joanne Williams also recorded the event. She is a co-signer for Child K to be administered morphine, with the other co-signer being Lucy Letby.
Lucy Letby is the co-signer for further medication for Child K at 4.20am, the other co-signer being nurse Caroline Oakley.

 
  • #255
'Because of the inability of doctors to find genuine medical reasons for the deaths and collapses the police were called in'.

Officers from Cheshire Constabulary commissioned a detailed review by experienced doctors with no connection to the Countess of Chester Hospital.

'That (review) suggests that from the middle of 2015 to the middle of 2016 somebody in the neonatal unit poisoned two children with insulin. [...]

Trial of Lucy Letby, 32, will start today

A review by the Royal College of Paediatrics and Child Health the following February said no "definitive explanation" had been found for the increase in mortality rates at the neonatal unit and there were no "obvious factors" linking the deaths.

BBC : Countess of Chester Hospital: Woman held in baby deaths probe
 
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  • #256
11:26am

Further observations and medication administrations are given through the early morning.
A nursing note is made for Child K by Lucy Letby, who was not Child K's designated nurse, at 6.04am-6.10am.
An x-ray records the ET tube is in the right place at 6.07am.
Dr Jayaram notes an event at 6.15am: '@0615 began to have lower sats & IV down to 2.5...Tube pulled back to 6cm".
Retrospective notes by Dr Jayaram record: 'Tube noted to have slipped to 8cm @ lips - withdrawn and heart rate picked up immediately.'
Nurse Melanie Taylor takes over designated care for Child K for the day shift at 7.30am.
Lucy Letby has signed for a 7ml saline bolus for Child K at 7.30am.

11:34am

Further records show that, throughout the morning, ventilation requirements for Child K gradually increased.
The transport team arrived at the hospital at 8.50am, for transferring Child K to Arrowe Park. Dr Jayaram discusses transport arrangements in notes which are recorded at 9.15am.
A message sent to Letby at 10.04am from a colleague says: 'Hope you had a good shift and are in the land of nod now!'

 
  • #257
11:46am

Further records are made of attempts to stabilise Child K so she can be transferred to Arrowe Park, through medication administrations.
At noon, Child K is moved into a transport incubator.
The formal handover from the neonatal unit to the transport team took place at 12.25pm-12.30pm.
Child K arrived at Arrowe Park by 1pm on February 17.
Medical records showed Child K was cared for at Arrowe Park Hospital from 1.15pm on February 17.

11:48am

Letby messages her colelague at 5.48pm: '25wkr delivered so fairly busy...'
The message was in reply to a colleague saying she had hoped the shift had gone well, and expecting she was asleep at that time ('in the land of nod').
Letby adds: 'Everything ok? Not like you not to text back'. The colleague apologises.
Letby then messages about staffing limitations at the hospital for the following shift.

 
  • #258
11:51am

On Saturday, February 20, 2016, the decision is recorded to withdraw life support from Child K. The time of death is recorded as 5.28am.
The doctor records, as the cause, 'extreme prematurity' and 'severe respiratory distress syndrome'.
Lucy Letby made a Facebook search on April 20, 2018, at 11.56pm, for the surname of the family of Child K.

 
  • #259
what's that then? sorry if it's obvious :D

Imagine each circumstance or coincidence with these babies is a pencil. On it's own, completely breakable but when they are all added together you have a whole bunch of pencils bound tightly and they then become unbreakable.
That is what the defence is expecting the jury to dismiss.
The pencil theory old as the hills.
All MHO obviously.
 
  • #260
Imagine each circumstance or coincidence with these babies is a pencil. On it's own, completely breakable but when they are all added together you have a whole bunch of pencils bound tightly and they then become unbreakable.
That is what the defence is expecting the jury to dismiss.
The pencil theory old as the hills.
All MHO obviously.
Ah, new one for me. I've heard the rope analogy, with all its strands.
 
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