UK - Nurse Lucy Letby, Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #18

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an O'Donoghue

@MrDanDonoghue
·
1h

Over the last week we've been hearing summaries of Ms Letby's police interviews in relation to the alleged offences. Cheshire Police detective Danielle Stonier has been reading Ms Letby's responses, while prosecutor Philip Astbury has been reading the questions asked.


1h

Today we'll be hearing a summary of the interview in relation to Child Q - Ms Letby's final alleged victim. The Crown say on the morning of 25 June 2016, Ms Letby injected air and fluid into the boy's stomach via a nasogastric tube in an attempt to kill him.


1h

In the weeks that followed Child Q's collapse, the court has heard that Ms Letby was taken off frontline duties and placed on a three month "secondment" to the hospital's risk and patient safety office.



28m

In her interview, Ms Letby told police that when she took over the care of Child Q on 25 June he had a low temperature but otherwise there was no other concerns.

27m

Asked if she could give any explanation for why Child Q vomited and collapsed on that day shift, Ms Letby said 'no'

25m

In her interview the expert opinion of Dr Dewi Evans was put to Ms Letby - that air was administered via his NG tube. She said 'I don’t think I'd fed him at that point just did observations....I didn't give him anything'

25m

Asked if it was 'just a coincidence' that Child Q collapsed soon after she left his cot side, Ms Letby said 'yeah, babies can desaturate at anytime'









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  • #484
11:16am

She said she believed the trust and consultants - Dr Ravi Jayaram and Dr Stephen Brearey - were blaming her in harming the babies.
She felt she had had a good working relationship with the two consultants.
She said: "They were trying to make it my problem, because I was there."
She said she did not have any issues with the two consultants, and had a professional relationship with them.
She had spoken to her 'best friend', a nursing colleague, about some of the issues, but not about the 'kill myself' feelings she had.
Letby said she had been banned from contacting anyone, and the redeployment to another unit in the hospital 'would have gone on her record'.
Letby said she had "lost everything", and had lost being part of a "good ursing team", who were "like a family".
She said the note was a way of getting her feelings on paper, and this note was written "all in one session".
Letby adds: "I didn't kill them on purpose."
She said she was worried: "Other people would perceive me as evil if I had missed anything".
"I felt so guilty that they [mum and dad] had to go through this."
Asked about the 'kill them on purpose' note, Letby replies: "I didn't kill them on purpose."
Letby said at the time she felt there may have been practices and competencies in clinical care which she may have missed, which led to the deaths of babies. She said, having reviewed her practices, she did not feel she had failed on the competencies.
She said she was the first member of her family to go to university, and her parents were disappointed she had been removed from the neonatal unit. She confirms she had told him.
She said she was "career focused" and was worried that the investigation would lead to her losing her job and "change what people would think of me".
Asked about the 'I AM EVIL I DID THIS' note: "That's how it all made me feel at the time...not intentionally, but I felt if my practice was not good enough, then it made me feel like an evil person..."
She adds she 'wouldn't deserve to have children' on the basis she had been redeployed to another unit.
She said the trust had redeployed her as they felt her competencies were an issue.
She said she felt, at the time, she had caused the disappointments. She asked 'Why me' on the note as she wondered why she was the only one to undergo the redployment.

 
  • #485
11:18am

Asked about 2016 as a whole, Letby said nursing staff morale fell during the year as the unit continued to have sick babies.
"We were seeing more babies with complex needs and chest strains...stomas...quite a few extreme prematurity babies with congenital defects...we had the twins and the triplets."

 
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  • #487
11:22am

Letby says a lot of staff were "feeling the strain, physically and emotionally", and staff were not offered enough support, and there were issues with equipment availability on the unit.
"I felt there wasn't a good management support structure...that was my personal opinion."
She said the unit was "quite bottom heavy" with a lot of new starters, plus staff on sick leave.
She says no staff intentionally gave poor care at the unit.
Letby says while equipment availability was an issue, it was not the cause of any initial collapses of the babies.
She said if staffing was "better" in terms of numbers, the care could have been better. Child Q was an instance, Letby says, where she was stretched between caring for babies in room 1 and 2.
She says for one of the babies, it was "quite chaotic" when resuscitating.

11:24am

Letby said she was made aware in May 2016, formally, of the higher mortality rate among babies, and that was when she was moved to day shifts.
She said she first noted it was unusual to have a high mortality rate on the unit in June 2015, when three babies died.


 
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Innocent or guilty, I think we'd all be crying for ourselves at this point, to be fair.

I would too but I'd also have cried at the parents testimony..and for sure if it had happened it would have been reported
 
  • #490
Innocent or guilty, I think we'd all be crying for ourselves at this point, to be fair.
No tears for the babies, though? Or the parents?
She's basically sat stone faced throughout the whole thing except for choc doc, the references to her house, and hearing her own testimony. Only seems moved by the things that make her look bad, JMO
 
  • #491
No tears for the babies, though? Or the parents?
She's basically sat stone faced throughout the whole thing except for choc doc, the references to her house, and hearing her own testimony. Only seems moved by the things that make her look bad, JMO
Just to put another viewpoint, it doesn't mean she didn't feel sad for the babies, but when faced with the parents, she was being accused of attacking/killing their children, so the emotions she felt would have been more complicated than for the average onlooker.
 
  • #492
No tears for the babies, though? Or the parents?
She's basically sat stone faced throughout the whole thing except for choc doc, the references to her house, and hearing her own testimony. Only seems moved by the things that make her look bad, JMO

I suppose. Never having been in anything like this situation, I'm just thinking that she's gone into survival mode & blanking things out regarding the babies & their families. Playing devil's advocate here! If she were being calculating she could pretend to be distressed about the babies for the benefit of the jury. I think maybe she's just detached herself from what happened on the unit. JMO
 
  • #493
11:30am

Letby agrees she felt people's attitudes changed towards her when she was moved to day shifts in April 2016 and she felt she doubted her abilities.
Letby is asked if she had taken any paperwork home in relation to the babies, Letby denies she has taken papers home, then adds: "I don't know - I might have taken some handover sheets accidentally. Not medical notes.
"They [the handover sheets] might have been taken [home] in my pocket."
Asked about another of the notes, which has the word 'HATE' in a circle in bold letters, Letby said she had just been removed from the job she loved and she had been prevented from talking to people.
She said about the note: 'they thought I was doing it in purpose - not that I felt I did do it on purpose'.
She adds: "I am very hard on myself...I felt as though I wasn't good enough."
Police ask: "Lucy, were you responsible for the deaths of these babies?"
Letby: "No."

 
  • #494
11:30am

Letby agrees she felt people's attitudes changed towards her when she was moved to day shifts in April 2016 and she felt she doubted her abilities.
Letby is asked if she had taken any paperwork home in relation to the babies, Letby denies she has taken papers home, then adds: "I don't know - I might have taken some handover sheets accidentally. Not medical notes.
"They [the handover sheets] might have been taken [home] in my pocket."
Asked about another of the notes, which has the word 'HATE' in a circle in bold letters, Letby said she had just been removed from the job she loved and she had been prevented from talking to people.
She said about the note: 'they thought I was doing it in purpose - not that I felt I did do it on purpose'.
She adds: "I am very hard on myself...I felt as though I wasn't good enough."
Police ask: "Lucy, were you responsible for the deaths of these babies?"
Letby: "No."

She may have taken handovers home in pocket?
257 of them
 
  • #495
Well, that's the theory of handover sheets being taken home to protect herself from victimisation blown out of the window, I would say. Surely she would have said if that were the case?

This makes no sense to me:

'She is asked about 'a large quantity of handover sheets' at Letby's home address. She replies there was "no specific reason" why she had taken them home.

She said she would have been aware she still had the handover sheets when she got home, and put them in a folder in the spare room.

She said she "didn't know how to dispose of them" and no-one else had seen them.'
 
  • #496
11:36am

In a third overarching interview, Letby is asked about the handover sheets.
She said, 'ideally', the handover sheets should be put in the confidential waste bin at the end of her shifts.
She said that at times, they would come home with her.
She is asked about 'a large quantity of handover sheets' at Letby's home address. She replies there was "no specific reason" why she had taken them home.
She said she would have been aware she still had the handover sheets when she got home, and put them in a folder in the spare room.
She said she "didn't know how to dispose of them" and no-one else had seen them.
She said she would have seen those handover sheets at home "hardly ever".
She said she did not have a shredder and those sheets were at home 'inadvertently'.
Other paperwork at home would have been policy sheets from different hospitals, in relation on how to care when a patient presents with various symptoms.

11:41am

Letby said she 'had just not done anything' about the handover sheets when she got home.
Asked about the mobile phone she used in 2015-2016, she said she would have used the phone at work, and not have let anyone else use it.
There was one nursing colleague she would have contacted often, Letby says, using Whatsapp, FB Messenger and text messages.
The messages would discuss patients, relaying information if they were unwell or had passed away.
She said she had a "support network" and it was "helpful to speak to a colleague" in relation to babies.
She added she would speak to her mum each day. She would not speak in as much detail if a baby had passed away to her, as she would to nursing colleagues, but would talk for support.
Letby says she had reassurance from a doctor colleague, and was "close to him in the later stages".
 
  • #497
She has a shredder?? I thought
 
  • #498
She said she "didn't know how to dispose of them" and no-one else had seen them.'

If only she'd had something like, oh I dont know... a shredder!!! oh..
 
  • #499
11:47am

Letby said after a diffiult day at work, she would 'seek reassurance', including a doctor colleague, and she would seek information about some debriefs when babies had died in which she had been involved in their care.
Letby says she had started working on a neonatal unit in January 2012. She continued her training across a range of skills over the following years.
In May 2015 there was a course for medicine administration via a bolus at the hospital, where - under supervision from a doctor - nurses would be able to administer medication via a long line.
She said it was "different", and a "lot more risk", and said she was "competent" having done that training.

 
  • #500
She said she did not have a shredder and those sheets were at home 'inadvertently'.

:confused:
 
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