11:15am
Mr Johnson asks about the significance of 9pm that night. Letby says: "I don't know what you mean."
Mr Johnson says it's the mother's evidence that she knew Child E was due a feed at 9pm, so came down to the unit for that feed.
Mr Johnson says Letby's recollection that Child E's mother brought milk with her fixes the time as being 9pm.
Letby: "I don't agree."
Mr Johnson asks about the 16ml 'mucky aspirate', which Letby agrees was taken before 9pm.
Mr Johnson asks where the milk for the 9pm feed was coming from.
Letby says the milk would come from the milk fridge in nursery room 1. She says she does "not remember" where the milk would come from for this feed specifically.
No feed was recorded for 9pm.
Mr Johnson says the SHO did not record no feed for 9pm, having said in evidence that would be the sort of thing he would record for a baby.
Letby says sometimes doctors don't record such notes.
11:25am
Letby is asked why the 'large vomit of fresh blood' is not recorded on the observation chart for 10pm. Letby says she recorded it in her nursing notes, and Dr David Harkness was present when it happened.
Letby is asked why she waited over an hour for the observation of the aspirate to be raised with the doctor.
LL: "I don't recall speaking to a doctor", but Letby recalls speaking to an SHO on the phone about it.
Letby says there was no observation of blood prior to 10pm.
NJ: "Was [Child E's mother] telling the truth about you?"
LL: "In what sense?"
NJ: "In the sense of what you said to her - when she says she came down to see her boys, she saw [Child E] with blood around his lips."
Child E's mother's illustration of what she says was present on Child E's lips is shown to the court.
NJ: "Did you ever see anything like that?"
LL: "[Child E] did have blood like that - after 2200."
Letby adds "there was no blood prior to that."
Letby accepts she was alone in room 1 when the mother came down. She says that would have been around the handover time at 8pm.
NJ: "You are not telling the truth about that, are you?"
LL: "Yes I am."
Letby says she does not accept causing an injury to harm Child E. She denies at any stage 'having a fall out' with Child E's mother.
Letby says she has never seen a baby with blood like that around her mouth in her career. She agrees it was "wholly exceptional".
She denies telling Child E's mother the cause of the bleed was via insertion of the naso-gastrinal tube. She says the insertion could cause "a small amount of blood" from the tube.
The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more,…
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