Here is the full article sweep.
It’s another Knapton word salad.
A doctor who gave evidence at the
Lucy Letby trial will be named in a submission to the Criminal Cases Review Commission (CCRC) after complaints about her were raised by 28 families.
Dr Sandie Bohin, the consultant paediatrician, told the trial that babies at the Countess of Chester Hospital had been deliberately harmed.
Letby was found guilty of the
murders of seven infants and the attempted murders of seven others between 2015 and 2016, and jailed for
15 whole life terms.
If new charges are brought against the former nurse, Dr Bohin will probably take the stand again.
However, The Telegraph understands that a submission to the CCRC will question her credibility as an expert witness.
The families of young patients on Guernsey have claimed that she obstructed a referral, failed to listen to parental concerns and reported parents to social services or school attendance officers if they questioned her judgment.
Mark McDonald, Letby’s barrister, who has submitted a file to the CCRC, in which dozens of experts question her convictions, said he planned to add complaints against Dr Bohin as new grounds for appeal.
Complaints against Dr Bohin, shown at the Letby trial, could help secure an appeal Credit: PA
Mr McDonald said: “Dr Bohin’s importance cannot be underestimated. She was instrumental to the prosecution case at Lucy’s trial and she is critical to the ongoing police inquiry.”
In one instance, it was alleged that Dr Bohin cancelled the surgery of a child with a life-threatening cardiac defect because she believed her symptoms were caused by a respiratory virus.
The child was later found to have a vascular ring – where the windpipe and oesophagus are squeezed – and needed extensive surgery, which could increase her risk of cancer and autoimmune diseases.
An investigation by the Royal College of Paediatrics and Child Health found that Dr Bohin and her team should have investigated the symptoms further. An initial General Medical Council (GMC) inquiry said: “The child’s care has clearly not been ideal.”
However, the college concluded that it was “unlikely” the delay caused physical harm, and the GMC found that while Dr Bohin should have assessed the baby “more fully in a timely manner”, it probably had not led to long-term harm.
‘Recollection’s may vary’
Responding to the complaints, Dr Bohin told The Telegraph: “To quote the late Queen, ‘people’s recollection of events vary’ and that is certainly the case here. I am not a cardiologist and therefore would never make a diagnosis of a vascular ring in any child.”
The child’s family disputed that the delay did not cause harm and joined eight other families in submitting a group complaint to the GMC about Dr Bohin in June 2024.
One family, whose daughter had
anorexia, clashed with Dr Bohin after she allegedly instructed the girl to consume a set number of calories each day, despite a dietician warning that this could trigger refeeding syndrome – a potentially fatal condition.
Dr Bohin said: “In Guernsey, young people with anorexia are jointly managed by the dietetic service and the children’s
mental health service. They alone decide the management of these patients, including the calorie intake.”
The original GMC complaint was rejected but the families are appealing this, claiming an investigation is “of urgent public interest” because of the Letby case.
The 11 pieces of evidence that Letby’s lawyers passed to the Criminal Cases Review Commission
- Nineteen detailed reports prepared by 16 experts from seven different countries which find no evidence of harmful acts committed by Lucy Letby and highlight a litany of errors by the treating clinicians.
- Two reports from the UK’s leading statisticians refuting the premise of the prosecution case of an unexplained spike in deaths and a coincidence of Letby being present when babies are said to have died or collapsed.
- Three reports, written by nine internationally renowned experts, on the issue of insulin, rejecting the hypothesis that exogenous insulin was given to any baby by Letby.
- The failure of the prosecution to disclose to the defence that the police had instructed an expert, met with the expert, taken guidance and advice from the expert and then not proceeded on that advice. This arguably led to the jury being misled on the central thesis of the prosecution case, that there had been a spike in deaths and the staff rota showed Letby being on duty for each incident.
- The failure of the prosecution to disclose a medical statement from a treating clinician which could have had a bearing on the defence approach at trial.
- Evidence from numerous interviews, podcasts and articles from (expert witness) Dr Dewi Evans since the trial, where he arguably undermines his independence as an expert witness.
- The failure to disclose a new report drafted by Dr Evans twelve months after Letby was convicted of murder. This report addresses the cause of death of one of the babies for which Letby was convicted of murder.
- The failure of the prosecution to adduce before the jury the report from the Royal College of Paediatrics and Child Health (RCPCH) which, following a full review of the neonatal unit, raised several issues concerning suboptimal care.
- The failure of the prosecution to disclose to the defence the involvement of a senior coroner’s officer into the investigation of Letby and the results of her investigation.
- The failure of the prosecution to disclose that the coroner investigating the death of one baby (for which Letby has been convicted of murder) did not see important evidence of a hospital procedure which we say ultimately may have led to the child’s death.
- The change of position by Dr Evans on a key element of the case against Letby. This, we say, not only may have misled the jury but also the Court of Appeal.
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A spokesman for the families said: “We believe that these behaviour patterns are significant in relation to Dr Bohin’s role as a prosecution expert witness in the Lucy Letby trial and as the primary expert witness in the ongoing case against Ms Letby.”
Families have also claimed they were referred to social services if they questioned a diagnosis by Dr Bohin.
In 2018, one family said their child had developed ME after contracting suspected glandular fever and was recommended “graded exercise”, a treatment that is no longer recommended by the
NHS. After the child’s mother disagreed about the course of action, she was referred to social services.
In another instance, a Guernsey doctor misdiagnosed a child suffering from hypopituitarism, a life-threatening condition that required her to take daily doses of steroids, leaving her seriously ill for three years and unable to attend school.
‘Unequivocal apology’
When the family complained about the misdiagnosis, Dr Bohin reported the youngster to the school attendance officer, claiming she may have been missing without medical justification.
The child’s GP told an investigation that she believed safeguarding had been triggered as a response to the parents making a complaint. After the parents submitted a further complaint, Dr Bohin signed a letter in February 2016 offering an “unequivocal apology” to the family, acknowledging their distress.
Guernsey’s Data Protection Commissioner later ruled that Dr Bohin’s disclosure to the school attendance service had been “neither fair nor lawful”.
In 2021, following complaints from four families that Dr Bohin had referred them to social services after they sought second opinions and treatments, Guernsey’s medical director commissioned healthcare consultancy SEW to look into the matter.
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SEW did not find that Dr Bohin misused the safeguarding process, and had acted in the best interests of the children, but it did find “potential bias” and a “fundamental breakdown in trust”. It also warned that she had engaged in “fixed thinking”.
Responding to the complaints, Dr Bohin added: “There is no evidence to back up the claim that I made inappropriate referrals to social services. This was fully investigated by SEW and found not to be the case.
“The Police, the
CPS [Crown Prosecution Service] and Counsel were all aware of the continuing issue with four families from Guernsey. I have no idea who the other five families are who joined this group in their referral to the GMC.”
Dr Bohin is the second prosecution expert called into question since Letby’s conviction, after the expertise of
Dr Dewi Evans was scrutinised by neonatologists.