• #2,801
  • #2,802
The sheer volume of investigations and inquiries into various hospitals across the UK over neonatal deaths- suggests it’s a widespread issue, so it’s not wrong to assume there are a lot of sudden and unexpected deaths everywhere that are currently unexplained.
What are you claiming is a widespread issue, exactly?
 
  • #2,803
<modsnip: Quoted post was removed due to link to non approved source>

It certainly is interesting in that just about all cases, Dewi Evans removed incidents when Letby was off duty and added incidents when Letby was on duty.

What are the chances of the original chart being incorrect in just about every incident when Letby wasn't there and the chart favoured Letby, and also incorrect in just about every incident when Letby was there and the chart favoured Letby? Yet, not incorrect in just about every incident when it didn't favour Letby? I think we need a statistician to come along and gives us the odds. I'm gonna push the boat and say it is highly unlikely.

As for: "it was ultimately up to the jury to decide if the incident was suspicious." I keep hearing this from various posters as some final analysis. I don't think these posters understand the core tenets of the legal system.

That being: the jury needs to hear all of the information before deciding, from both the prosecution and the defence. They didn't get it. They were presented with a chart that looked damning but not the evolution of that chart and its methodology which has led qualified, authoritative people to state: cheery-picked, misleading, scientifically and evidentially worthless.
The problem with your above claims is that Dewi Evans had no idea which nurses worked when. He could not know that any of the deaths which he termed 'not suspicious' were on days Letby didn't work.

So actually, that looks bad for Letby's defense, imo. Those determinations were made without knowing which nurses worked on which shifts, and it just coincidentally happened that the suspicious incidents all happened when Letby was on duty?


google:
Dewi Evans did not know anything about the nurses’ schedules (or duty rosters/shift patterns) when he was initially analysing the babies’ deaths and collapses.Evans, a retired consultant paediatrician, was approached by Cheshire Police (via the National Crime Agency) in May 2017 to review the clinical notes of over 30 babies who had died or collapsed at the Countess of Chester Hospital’s neonatal unit between January 2015 and July 2016. He has repeatedly stated that his medical analysis was conducted blindly with respect to staffing:
  • He explicitly instructed police: “I told Cheshire Police not to tell me if they suspected anyone of being responsible for criminality. In other words, I wanted to investigate the cause of the deaths of these babies. I was not there to investigate the crime.”
  • “At that time I was unaware of the name Lucy Letby or anyone else.”
  • “I approached it in a very clinical way. I only had access to the notes.” (The notes were electronic copies provided by the hospital via police; he had no other data.)
He reviewed each case individually on the medical evidence alone, identifying 15 babies whose collapses he could not explain naturally and later attributing some to air embolism, excessive milk/air injection, trauma, or (in 2018) insulin poisoning. Only after sending his reports did he advise police: “they needed to look at the duty rosters for each of the events, to see which nurses and which doctors had been on duty at the times when the babies were harmed.” It was the police who then cross-referenced the suspicious incidents against the rosters and identified Letby as the common factor. Evans himself only learned her identity (and the shift details) later, once the roster checks had been done. He has confirmed that each medical case stood alone on the clinical notes and did not depend on staffing information. (Note: Evans later received Letby’s shift data for statistical calculations during the Thirlwall Inquiry or post-trial commentary, but this was not part of his original medical analysis of the causes of death/collapse, which formed the core of his expert evidence at trial.)This process was designed to keep his medical opinions independent of any suspect or roster information. While critics have questioned how the police initially selected the 30+ cases (knowing Letby was often present), the evidence shows Evans himself had no knowledge of or access to nurses’ schedules during his core analysis.

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  • #2,804
By whom? Are you unaware? I feel like I'm educating people on the case here.
Not really--people do not often use 'whom' anymore...times are changing.
Right.

Detective Sergeant Jane Moore put together the original chart: "suspicious incidents". Letby was not on duty for roughly one third of those incidents.
'Detective" Jane Moore was NOT a medical expert. So she threw together the dates and names of virtually ALL of the patients deaths in that time period.

Dewi Evans, the prosecution's expert witness, revised the chart. He removed 10 incidents when Letby was not on shift; he added 5 incidents when Letby was on shift. Interestingly, 0 incidents from indictment babies were removed from the Moore chart when Letby was on shift. Feels like the chart is being rigged to tell a story. Hmmm, I'd want the jury to hear all of this (if that was my Sister).
Dewi Evans had no idea which nurses or doctors worked on which days.

He was only given the medical data and medical reports for each death. He had no information concerning the shift schedules.

That information ---that he had no idea who worked when---was given to the jury. So they did not need to concern themselves with that issue that you are working hard to create, imo.


In reality, it is very bad for your girl Letby, that a medical expert looked at ALL of the sudden deaths, using only the medical data, and took away 10 as being unsuspicious. And coincidentally, all of those happened to be on days LL was not on duty.

And he added 5 others as being possibly suspicious. And again, coincidentally, LL happened to be on shift.

If Evans had no idea about who was on shift when, then this information looks really bad for poor Nurse Letby. imo
 
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  • #2,805
<modsnip: Quoted post was removed>

Cyclical patterns of events are expected to happen. We live on Earth, where everything cycles, starting with the seasons. Sometimes we can say why cycles of events happen, sometimes we can't.

But if we can't, it would be expected to rule out natural reasons before one starts looking for serial killers on the units. Not that they can't happen, but with such outliers, one has to rule out the real reasons first.

They never invited the external observer to look at their own practices. They just said, "we did everything as before".

And then when Lucy Letby is already in jail, we find out that Dr. Jayaram has poor understanding of ventilation principles, that dr. Breary lacerated the baby's liver,
Breary did not lacerate the liver --that has been debunked.
that Dr. Gibbs didn't see a neonate under his care for three days, and that there was Pseudomonas on the unit.

BTW, what these doctors did, IMHO, falls under "mistakes inevitable on a very busy unit, with limited funds, and overwhelmed medical personnel", nothing else. But why put a nurse behind bars for it? On no evidence?
Some of the above are problematic and are because of understaffing etc----but that does not make Nurse Letby innocent.

Two things can be true simultaneously:
----The clinic was understaffed and underfunded and it affected some services
and
----There was a serial killer in the unit wreaking havoc
 

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