2:20pm
He tells the court: "You wouldn't not have expected" Child K's lungs to have deteriorated to the extent shown in the few minutes Joanne Williams was away from the nursery room.
He says his thought processes for going into the room, when Lucy Letby was present, were only to prove to himself that everything was ok.
[my note - CROSS-EXAMINATION]
2:26pm
Mr Myers says Dr Jayaram was worried about being irrational at the time.
Dr Jayaram said he was concerned and didn't want to see Child K in a different condition. They were not based on a clinical reason, or if Child K had any underlying conditions.
Mr Myers said he believed, from Dr Jayaram's interview with police, the suspicious behaviour had been deliberate.
Dr Jayaram: "That had crossed my mind, yes."
Mr Myers: "You 'got her', then?"
Dr Jayaram: "No."
Dr Jayaram said he wanted this investigated objectively in a proper way, and there was "absolutely no evidence that we could prove anything - as that is not our job, we are doctors."
Mr Myers said he had told the police if the tube had been dislodged on purpose. He asks if he had confronted Lucy Letby.
"No, absolutely not." Dr Jayaram said he was focused on the situation.
Mr Myers says it did not happen in the way Dr Jayaram describes.
Dr Jayaram: "I am interested in why you say that."
Mr Myers says it is not documented in medical notes.
Dr Jayaram says that would not be the sort noted in medical documentation.
Mr Myers says there is nothing to say the tube is dislodged.
Dr Jayaram says it is obvious from the medical notes.
2:30pm
He says, in isolation, the incidents were unusual, and more concerning in a pattern of behaviour.
He said: "We, as a group of consultants by this stage, had experience of an unusual event, and there was one particular nurse.
"All of these events were unusual. Yes, if we put in Datix [incident forms] we could have investigated sooner and been here [in court] sooner."
He said he, and his other consultants, wanted to know how this could be investigated, and tried their best to escalate concerns higher up the hospital.
Mr Myers says there is no record anywhere of the suspicious behaviour noted.
Dr Jayaram says he did not anticipate being sat in a courtroom, years down the line, speaking to Mr Myers.
"If you feel someone is deliberately harming [children], you would do so, wouldn't you?"
Dr Jayaram said concerns had been raised before February 2016, and were raised again following this incident.
Mr Myers says Lucy Letby continued to work at the unit for a further four months.
2:34pm
Dr Jayaram says the concerns were first raised in autumn 2015 with senior management, but were told that there was likely nothing going on.
He said the consultants went 'ok', and against their better judgment, carried on.
"We were stuck, as we had concerns.
"In retrospect, we wished we had bypassed them [senior management] and contacted the police."
"We by no means had played judge and jury, but the association was becoming clearer and clearer.
"This is an unprecedented situation for us - we play by a certain rulebook, and you don't start from a position of deliberate harm.
"It is very easy to see things that aren't there - in confirmation bias.
"But these episodes were becoming more and more and more frequent by associaiton."
Dr Jayaram said it should have been documented throughout more.
He says he discussed the incident, but did not formally document it.
Dr Jayaram said he was getting "a reasonable amount of pressure from senior management not to make a fuss".
The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more,…
www.chesterstandard.co.uk
