A panel of specialists has released medical summaries on the 17 infants concerned within the homicide trial of Lucy Letby.
The previous Countess of Chester Hospital nurse was convicted in 2023 of murdering seven infants and attempting to murder seven others. A 12 months later, she was convicted on one further count of attempted murder.
Letby, who’s serving 15 whole-life orders, has at all times denied the allegations.
On Thursday, a panel of 14 medical specialists offered its case summaries for all the infants featured in Letby’s 10-month trial.
The summaries have been handed over to the Legal Circumstances Evaluate Fee by Letby’s lawyer, Mark McDonald, in a bid to clear her name.
The panel concluded that no prison offences had been dedicated on the Countess of Chester Hospital in 2015 and 2016.
Letby is serving 15 whole-life orders after she was convicted of murdering seven infants and trying to homicide seven others (PA Media)
As an alternative, it offered different causes for the infants’ deterioration, as follows:
Child 1 (generally known as Little one A within the trial): The prosecution stated the boy was murdered by an injection of air into the bloodstream which induced an air embolism the place bubbles kind and block the blood provide. The panel discovered no proof of air embolism and stated the kid had died from thrombosis, the place a blood clot varieties in a vessel.
Child 2 (Little one B): The prosecution stated Letby tried to homicide Little one A’s twin sister by additionally injecting air into her bloodstream. The panel discovered no proof of air embolism and stated the kid had collapsed from thrombosis.
Child 3 (Little one C): The prosecution stated the boy was murdered with air pressured down his feeding tube and into his abdomen. The panel stated the kid died following ineffective resuscitation from a collapse after an “acute small bowel obstruction” that went unrecognised.
Child 4 (Little one D): The prosecution stated the woman was murdered by an injection of air into the bloodstream. The panel discovered no proof of air embolism and dominated the kid died of systemic sepsis, pneumonia and disseminated intravascular coagulation (blood clotting). Points with failures to provide related antibiotics have been additionally recognized.
Letby was a nurse on the Countess of Chester Hospital (Getty Photographs)
Child 5 (Little one E): The Crown stated Letby murdered the dual boy with an injection of air into the bloodstream and she or he additionally intentionally induced bleeding to the toddler. The panel stated there was no proof of air embolism and bleeding was induced both by an absence of oxygen pre-birth or a congenital blood vessel situation.
Child 6 (Little one F): The prosecution stated Letby tried to homicide Little one E’s twin brother by administering insulin. The panel dominated that the kid’s insulin ranges and insulin/C-peptide ratio didn’t show that exogenous insulin was used and have been inside the norm for pre-term infants. It added that there was poor medical administration of the kid’s extended hypoglycaemia.
Child 7 (Little one G): The prosecution stated Letby tried to homicide the woman by overfeeding her with milk and forcing air down her feeding tube. The panel stated there was no proof to assist air injection into the abdomen or overfeeding. The toddler’s vomiting and medical deterioration was because of an infection, it discovered.
Child 8 (Little one H): Jurors cleared Letby of 1 rely of tried homicide and failed to succeed in a verdict on a second rely. Prosecutors stated the nurse sabotaged the woman’s care ultimately which led to 2 profound oxygen desaturations. The panel stated the deteriorations have been because of medical mismanagement of a pressure pneumothorax the place air is trapped between the lung and chest wall.
On this body from a video offered by Cheshire Constabulary, Lucy Letby is questioned following her arrest on July 3, 2018 (Getty Photographs)
Child 9 (Little one I): The prosecution stated Letby murdered the toddler by injecting air into her bloodstream and abdomen. The panel stated it discovered no proof of air injections and that the child died of respiratory problems attributable to respiratory misery syndrome and continual lung illness.
Child 10 (Little one J): Jurors couldn’t attain a verdict on an allegation of tried homicide. No particular type of hurt was recognized by the prosecution however they stated Letby did one thing to trigger the collapse of the woman. The panel stated the deterioration was attributable to sepsis and there was no proof to assist malicious airway obstruction.
Child 11 (Little one Okay): The prosecution stated Letby tried to homicide the woman by intentionally dislodging her respiratory tube. Amongst its findings the panel stated there was no proof to assist a dislodged endotracheal tube (ETT) and the medical deterioration was attributable to use of an undersized ETT.
Child 12 (Little one L): The Crown stated the nurse poisoned the boy with insulin. The panel stated the toddler’s insulin-related ranges have been inside the norm for pre-term infants and there was no proof of deliberate administration.
An artist’s drawing of Lucy Letby giving proof throughout her trial at Manchester Crown Court docket (PA Archive)
Child 13 (Little one M): Prosecutors stated Letby tried to homicide Little one L’s twin brother by injecting air into his bloodstream. The panel stated there was no proof of air embolism and his collapse was attributable to sepsis or a coronary heart downside.
Child 14 (Little one N): The Crown stated the boy was the sufferer of tried homicide by inflicted trauma in his throat and an air injection into his bloodstream. The panel stated there was no air embolism and it was doubtless his blood oxygen ranges dropped because of his haemophilia situation or routine cares, which was “exacerbated” by repeated makes an attempt to insert a respiratory tube.
Child 15 (Little one O): The prosecution stated Letby murdered the triplet boy by injecting air into his bloodstream and inflicting trauma to his liver. The panel stated he died from liver harm attributable to traumatic supply, leading to bleeding within the stomach and profound shock.
Child 16 (Little one P): Prosecutors stated Letby murdered Little one O’s brother by injecting him with air. The panel stated there was no proof to assist that mechanism and that he died from a collapsed lung that was “suboptimally managed”.
Child 17 (Little one Q): Jurors couldn’t attain a verdict on an allegation of tried homicide. The Crown stated Letby tried to homicide the boy by injecting liquid, and probably air, down his feeding tube. The panel stated there was no proof to assist air injection into the abdomen and the kid deteriorated as a result of he had early signs of a severe gastrointestinal downside, or sepsis.
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