UK - Nurse Lucy Letby, Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #23

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  • #541
I just wanted to say, Mary, I really appreciate your input in this trial discussion. I think I have a good idea of which way you are leaning in terms of guilt or innocence, but you are always willing to acknowledge valid points made by both sides of the argument, even if the point somewhat goes against the verdict you would seemingly render if on the jury.

I have found this incredibly useful in helping me to sort out my opinions on various things, particularly because of your extensive background in the relevant field, and your willingness to explain things from scratch to people like me who have no medical background (and equal willingness to have a nitty gritty technical discussion with those who want it).
I love this post.not many are willing to put their opinions forward looking at both sides of the coin.you both can explain things very well
 
  • #542
Dan O'Donoghue

@MrDanDonoghue
·
8m

Ms Letby is back in the witness box. Mr Johnson is continuing to ask her about her evidence in relation to Child H

Dan O'Donoghue

@MrDanDonoghue
·
6m

There's a technical hiccup, clerk in court has pressed the wrong button on his computer so the annexe at Chester - where families are watching can't see proceedings, nor can the press gallery in another annexe

Dan O'Donoghue

@MrDanDonoghue
·
4m

After five minutes, we're back. Mr Johnson asks Ms Letby if she believes Child H's collapse, in late September 2015 was due to staffing issues at the hospital - she says no

Dan O'Donoghue

@MrDanDonoghue
·
1m

Asked if it is an issue of medical competence, she says 'yes I think potentially with the management of her chest drains'. Asked to elaborate, she says management means 'the insertion of them and how they were secured'
 
  • #543
2m ago10:41

Letby: Doctors at Countess of Chester 'lacked experience' when dealing with Child H​

Nick Johnson KC, for the prosecution, begins by asking Letby if she is suggesting staffing levels at the Countess of Chester Hospital contributed to the incidents with Child H.
"No," Letby replies.
Next, she is asked if medical competence or incompetence had any effect.
"Potentially with the location of the chest drains and how they were secured," Letby says.
There is a slight pause due to an issue with the court's transcribing software, so Mr Johnson asks the questions a second time so they can be submitted into the record.
Letby continues by saying the insertion of Child H's chest drains, and how they were secured, may have contributed to the infant's problems.
"Lack of experience and using multiple drains of different types that nobody seemed confident to use" may have played a part, she says.
"Multiple doctors" lacked the experience required, she says.

 
  • #544
10:41am

Nicholas Johnson KC is continuing to cross-examine Lucy Letby on Child H.
Letby is asked if staffing issues contributed to Child H's collapse. She says "no", but believes the "management of the chest drains" was a contributory factor.
LL: "I believe it has been accepted throughout the trial that there were issues with the chest drains".
Letby said the location of the chest drains on Child H may have been a factor, and that Child H's pneumothoraces were not treated correctly, due to a lack of experience and "nobody seemed particularly confident" on managing the number of chest drains - she says that was down to "multiple" doctors. Asked who those wuold be, Letby said that would include Dr [Ravi] Jayaram, Dr [David] Harkness, Dr [John] Gibbs and "Dr [Alison] Ventress, even".

 
  • #545
Judith Moritz
@JudithMoritz
·
1m

Lucy Letby trial: the nurse is back in the witness box, for the 9th day. Nick Johnson KC, prosecution lead counsel, is continuing to cross-examine her.

Judith Moritz
@JudithMoritz
·
32s

Nick Johnson KC is working through the cases of each of the 17 babies in the trial, and is currently up to baby L* - a girl who it's alleged Lucy Letby attempted to murder twice in Sept 2015. She denies this - and all 22 charges on the indictment.


*I believe this is a typo, should be baby H
 
  • #546
Dan O'Donoghue

@MrDanDonoghue
·
4m

Ms Letby says problems were a result of a 'lack of experience and using different types of drains that no one was feeling confident to use'...she says that was the responsibility of Dr Harkness, Dr Jayaram and Dr Gibbs

Dan O'Donoghue

@MrDanDonoghue
·
40s

Ms Letby is being asked about what led to Child H's collapse on the night of 26/morning of 27. Mr Johnson quotes a statement from the girl's father, who said he was with his daughter till around midnight - he left with his mother in law and was called back in the early hours
 
  • #547
Now10:52

Letby texted colleague complaining about 'unsafe' unit​

The court is shown a Facebook message Letby sent to a colleague on 24 September 2015 in which she complained about the unit being unsafe.
The message reads: 'It's completely un safe [angry face emoticon]. Yeah I told [colleague] that & she is going to look into it. I still have to do next Wed day as can't cover it but getting paid as over time for last night. [sic]'
Letby admits she also lacked experience dealing with the chest drains Child H required. She says she had to get assistance from a colleague.
She is then asked about the help her colleague gave her.
"I can't remember every detail and I think it would be unrealistic if I could remember every detail," she tells the court.

 
  • #548
She's a fighter, I'll give her that.
She certainly is that but quite who she's fighting for is a puzzle. Based on yesterday's performance, she seems hell bent on giving all her ammunition to the prosecution.
 
  • #549
Judith Moritz
@JudithMoritz
·
1m

Nick Johnson KC is asking Lucy Letby about the first occasion when baby L* collapsed, overnight on 26th Sept 2015. He suggests that "this is another occasion" where she has "deliberately misrepresented the facts" in the nursing notes for the baby. She denies this.

my note - *typo - should be baby H
 
  • #550
Dan O'Donoghue

@MrDanDonoghue
·
2m

Mr Johnson has pulled up Ms Letby's nursing note about this collapse, he says 'you misrepresented the time of this event, I'm going to suggest this another occasion where you have deliberately misrepresented the facts'
 
  • #551
Now10:59

Letby accused of 'misrepresenting' time on medical notes​

"Let's concentrate on what caused Child H to collapse," Nick Johnson, the prosecution barrister, now says.
Child H collapsed in the early hours of 26 September. Her father previously gave evidence in this trial.
His statement, first heard by the court in January 2023, is now being re-read to the court - it says:
"She was in an incubator and on c-pap to help her breathe...
"On the Friday I had been there late with Child H's grandmother, until about midnight. We had come back to the house and I was awoken by her in the early hours."

The prosecution says this witness statement shows that notes written by Letby at 4.28am "misrepresented the time" of Child H's problems.
Letby's notes say a senior doctor was present - something the prosecution says she has falsified.

 
  • #552
10:59am

Letby says she had dealt with chest drains in Liverpool, but not at the Countess of Chester Hospital. She says she did not have much experience, and had a nursing colleague to assist her in the care of Child H.
Letby is asked about the time between 8pm and 2am on September 25-26. She says she cannot recall, specifically, the assistance she had from a nursing colleague that night, but she was there 'on and off', and "gave me a lot of verbal advice that night" in the management of Child H's chest drains, and on baptism after the collapse of Child H.
Mr Johnson reads from Child H's father's statement. He refers to being at the unit until "about midnight", and was woken up from home "in the early hours".
Letby's nursing note is shown to the court. It includes: '...x2 chest drains in situ at start of shift - intermittently swinging. Serous fluid++ accumulating.
'2330 Bradycardia and desaturation requiring Neopuff in 100% to recover. 10ml air aspirated from chest drain by Reg Ventress...inserted a 3rd chest drain...'
Mr Johnson says Letby misrepresented the time of this event.
Letby tells the court she would have got that time from her notes written at the time.
An intensive care chart is shown to the court. It includes, for 2200 - '2210 desat...SHO present...serous fluid++ x2 drain'
Letby says she cannot recall which SHO was on duty that night. Mr Johnson says the SHO on duty was Jessica Scott, and she has not recorded a note saying she was present for this.
Another note 'Brady desat 2330 10ml aspirated from...drain...' Other details are '+clear [in the OP row]' and '+small blood stained [in the Suction ET row]'.
Mr Johnson says this is another child producing blood in Letby's care.
Letby says this blood has likely come from the ET Tube in the lungs. She denies moving it around to destabilise Child H.

 
  • #553
Judith Moritz
@JudithMoritz
·
12s

CORRECTION: Nick Johnson is currently questioning Lucy Letby about baby H - not baby L. Baby H - a girl - collapsed twice on consecutive nights 26/27 Sept 2015. Lucy Letby denies attempting to murder her.

Judith Moritz

@JudithMoritz
·
1m

Nick Johnson KC: "Here we have another child in your care who’s producing blood stained secretions in their throat. Had you interfered with baby H's breathing tube? Had you moved it around a bit to destabilise it?" Lucy Letby: "No"
 
  • #554
Dan O'Donoghue
@MrDanDonoghue
·
3m

Mr Johnson is continuing to take Ms Letby over nursing notes from that shift. In one column, shortly before midnight she notes there was 'blood stained secretions' from Child H's mouth. Mr Johnson asks if this was a result of her interfering with the baby's ET tube, she says no

Dan O'Donoghue
@MrDanDonoghue
·
1m

Mr Johnson points to Child H having a desaturation at around 22:10 on that shift, he says this would be a serious medical issue which would require assistance from a doctor - Ms Letby agrees, she says there was an SHO present.

Dan O'Donoghue
@MrDanDonoghue
·
1m

Mr Johnson rejects this, saying she 'cooked' the books to make it look like there was one there. She says 'no'.

Dan O'Donoghue

@MrDanDonoghue
·
2m

Mr Johnson accuses Ms Letby of 'making it up as you go along', she rejects this. He quotes evidence from Child H's father, who made no mention of an SHO/doctor being there with his daughter. He says 'this is your lies isn't it' - she says 'no'
 
Last edited:
  • #555
11:04am

Letby accepts that a 52% desaturation is a potentially serious event.
She says: "I don't agree" to the suggestion she has "cooked the books" in the nursing notes.
She denies falsifying notes for Child H by giving the impression Child H was deteriorating prior to the collapse.
Letby is asked why the '52% desautation' is not in her nursing note.
"Not every single thing gets written down...that is an error on my part."
Letby says the SHO was present for that earlier desaturation.
Letby denies writing in the intensive care chart after Child H's collapse.
NJ: "You're making this up as you go along, aren't you?"
LL: "No."

11:08am

Mr Johnson says Child H's father's statement, which was agreed evidence, did not mention a collapse or an SHO being present.
Letby denies lying.
Dr Alison Ventress records a note for Child H, timed 11.50pm. It begins 'Several episodes of desaturation in past 2 hours...1st one after gas taken...became agitated...'
Mr Johnson says Letby told this information to Dr Ventress.
Letby says she did not know if she told her this information, she may have been present in the room.

 
  • #556
11:12am

Dr Ventress adds: 'Further episodes no change in HR recovered with bagging...[oxygen requirement down] to 30% between episodes'.
Letby denies "trying it on" or "falsely creating the impression to Dr Ventress that [Child H] had been having problems for a couple of hours."
LL: "No, I don't agree that it was false."
Mr Johnson says the notes (on the observation chart and Letby's nursing notes) don't match.
Letby agrees it's an "innocent coincidence" (as said by Mr Johnson).

 
  • #557
Judith Moritz

@JudithMoritz
·
41s

Nick Johnson KC is looking at clinical notes relating to baby H. He tells Lucy Letby "Your nursing notes were typed and the handwritten notes on the charts don’t match up".
NJKC: Are you trying it on?
LL - No
NJKC: You’re making this up as you go along aren’t you?
LL - No
 
  • #558
Dan O'Donoghue
@MrDanDonoghue
·
3m

Mr Johnson quotes notes from Dr Alison Ventress, who records that Child H had 'Several episodes of desaturation in past 2 hours' (this is at 23:50) Mr Johnson says Ms Letby gave this information to Dr Ventress

Dan O'Donoghue
@MrDanDonoghue
·
2m

Mr Johnson accuses Ms Letby of 'falsely creating the impression to Dr Ventress that (Child H) was having problems for a couple of hours' - Ms Letby rejects this

Dan O'Donoghue
@MrDanDonoghue
·
1m

Mr Johnson pulls up Ms Letby's observation charts for Child H in the hours prior to this, he says if there were problems they would be in these charts - the baby appears stable on these documents

Dan O'Donoghue

@MrDanDonoghue
·
1m

Ms Letby says not necessarily, she says at the time those observations were taken 'everything was fine' with the baby girl
 
  • #559
11:17am

An observation chart for Child H is shown for September 25-26. Letby is asked if the results show any concern up to midnight.
Letby: "This [the observations taken] reflects that specific moment in time" and says that chart shows no concerns, with all readings in the normal range.
Dr Ventress added in her 11.50pm note: '2nd chest drain advanced back in to 4cm as was almost out. Done prior to chest x-ray'. Mr Johnson says this was Dr Ravi Jayaram's x-ray.
Letby is asked why she had not noticed that. Letby says medical staff put drains in and managing them was not part of her nursing role.
She accepts she knew chest drains were more secure when stitched in rather than taped in. She says she was checking the chest drains. She denies removing the chest drain to cause a desaturation just after Child H's father left.

 
  • #560
11:18

'It's not lies': Letby defends omission in her nursing notes​

Letby is then asked if she interfered with Child H's tube, if she "moved it around a bit to destabilise her".
"No," Letby replies.
Letby's nursing notes suggest Child H began to deteriorate shortly before midnight and a senior doctor was present - but this doctor is unnamed in her notes (it just says SHO - senior house officer).
Letby tells the court a senior doctor was present as Child H began to deteriorate.
"I know that is what you say," Mr Johnson replies, before adding she has "cooked the records".
"I don't agree," Letby says.
"You are creating the impression Child H was deteriorating in the lead up to her more serious crash," Mr Johnson says.
"No," Letby replies.
Mr Johnson then continues: "You are making this up as you are going along, aren't you?"
"No," Letby says.
Mr Johnson claims Letby hasn't included the name of the senior doctor present because one wasn't there.
"It's common practice to write SHO or Reg," Letby says, adding that it is something that "all staff would do"
"In your case, it seems to happen when babies collapsed," Mr Johnson says.
"I can't answer that, we are only looking at collapsed babies, we aren't looking at my whole work over four years," Letby replies.
Mr Johnson says Child H's father's statement has "no mention of seeing his baby collapsing" and "no mention of a doctor being there".
He accuses her of lying.
"It's not lies," Letby says.

 
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