Lucy Letby trial day three: Nurse ‘killed two out of three triplets’ – and ‘smiled after killing another premature baby girl at fourth attempt’
A neonatal nurse killed two out of three triplet boys and smiled after killing another premature baby girl on the fourth attempt, a court has heard.
Lucy Letby is charged with 22 counts of murder and attempted murder, involving 17 babies, and is alleged to have gone on a year-long killing spree at the Countess of Chester Hospital between 2015 and 2016.
Letby, of Arran Avenue, Hereford, has pleaded not guilty to all counts.
See the latest updates from court
She denies murdering five boys and two girls and attempting to murder another five boys and five girls.
Warning: This article contains descriptions of newborn and infant deaths, which some readers may find distressing
During the third day of the trial at Manchester Crown Court, jurors were told about eight babies who, the prosecution says, were attacked by Letby.
Pic: Shutterstock
Letby ‘killed two triplet boys’
Prosecutors told the court about Children O and P – two of three triplet boys who Letby allegedly murdered.
Child O died within a few minutes of Letby entering the neonatal unit, at a time when Letby was alone in his room.
Following his death, he was found to have severe liver damage beyond that expected from the CPR he had undergone.
Nick Johnson KC told the court that independent medical experts concluded the damage was “likely the result of some impact trauma”.
“In brutal terms, an assault,” the prosecutor said.
A consultant at the hospital said he was “particularly concerned” about Child O’s death because he had been “clinically stable” beforehand.
What happened on day two of the Lucy Letby trial
Nurse ‘smiled’ after death – and sent sympathy card to victim’s family
“Cold-blooded” Lucy Letby tried to kill one “resilient” newborn girl four times “before succeeding”, the court was told.
Letby was also questioned by police about why she had sent a sympathy card to the baby’s parents.
She had said this was the only time she had done it, “but it is not often the nurses got to know a family as well as they had known Child I’s.”
She accepted to officers that she had kept an image of the card on her phone.
Following Child I’s death on 23 October, Letby asked her parents if they wanted to bathe their baby daughter.
Mr Johnson told the court as the baby’s mother “bathed her recently departed child, Lucy Letby came into the room and in the words of the mother was ‘smiling and kept going on about how she was present at Child I’s first bath and how much Child I had loved it’.”
An independent medical expert concluded the “constellation of findings would strongly indicate Child I died due to unnatural causes”.
Letby is charged with 22 counts of murder and attempted murder
Consultants at hospital had grown suspicious of Letby
By the time Child L was attacked, in April 2016, doctors at the hospital had grown suspicious of Letby.
“By this time Letby was supposed only to be working day shifts because the consultants were concerned about the correlation between her presence and unexpected deaths/life-threatening episodes on the night shifts,” the prosecution told the court.
One consultant walked in on Letby trying to kill Child K after he had grown concerned about the baby being left alone with her, the prosecution said.
The consultant began to feel “uncomfortable” when he realised Letby was alone with the child “because he was beginning to notice the coincidence between the unexplained deaths/serious collapses and the presence of Lucy Letby”.
When he walked into the room, he noted that the infant’s breathing tube was dislodged.
“We alleged she was trying to kill Child K when the paediatric consultant walked in on her,” Mr Johnson told the court.
Pre-term baby ‘screamed’ for 30 minutes
Letby allegedly used the haemophilia of one child – known as Child N – as a cover under which to attack him.
The disease, which causes bleeding for no reason, was attributed to many of the episodes involving the infant boy.
In one instance, the infant’s throat was so swollen and covered with “fresh blood” that a consultant was unable to get a breathing tube down.
There were more attempts made to reintubate Child N, as he was so unwell, but doctors were “unable to see down Child N’s throat because the view was obscured by fresh blood” and a specialist team had to be called in.
“Something – somebody, we say – had caused Child N to bleed again,” the prosecution said.
Child N experienced a “sudden deterioration” which was consistent with some kind of “inflicted injury which caused severe pain, distress and destabilised him”, the court heard.
Independent medical experts said this was “consistent with inflicted injury or having received an injection of air”, jurors were told.
One of the medical experts wrote: “This is life-threatening. He was also noted to be… ‘screaming’ and apparently cried for 30 minutes.
“This is most unusual.
“I have never observed a premature neonate to scream.”
The trial continues.
The parents of survivors of the Southport attack have revealed the “untold stories” of how their “hero” children escaped.
Axel Rudakubana, 18, murdered Elsie Dot Stancombe, seven, Bebe King, six, and Alice da Silva Aguiar, nine, in what the chairman of the public inquiry Sir Adrian Fulford called “one of the most egregious crimes in our country’s history”.
Eight children were injured along with two adults at a Taylor Swift-themed class in the Merseyside seaside town on 29 July last year, while 15 others escaped without physical injuries.
The surviving victims and their families have been granted anonymity during the inquiry, with one girl referred to as C3. Her father was the first to give evidence at Liverpool Town Hall on Wednesday.
Alice da Silva Aguiar, Elsie Dot Stancombe and Bebe King were murdered in the attack
Reading a statement on behalf of him and his wife, he told how their daughter was the first girl to escape the scene by running from the Hart Space building and hiding behind a parked car before jumping through an open car door.
“Our nine-year-old daughter was stabbed three times in the back by a coward she didn’t even see,” he said.
“Although she didn’t know what was happening – she knew she had to run. She ran out of the studio door, down the stairs, and out of the building.”
Read more: Southport inquiry as it happened
He said she can be seen “looking scared, confused and pained” in CCTV footage of the incident, adding: “It was troubling for us to see what she had to go through, before either of her parents had arrived at the scene.”
“We are so thankful and proud that despite being critically injured, she was able to make the decisions she did in that terrible moment,” he said.
The girl’s father said his daughter “continues to astound” them with the way she dealt with the attack and her recovery, saying: “It has been inspiring for us to witness.”
Inquiry chair Sir Adrian Fulford at Liverpool Town Hall. Pic: PA
He said she has difficulty sleeping, experiences flashbacks, looks over her shoulder scanning for potential danger when she leaves the house, has a fear of loud noises and has to turn off some songs when they come on the radio.
“Our daughter knows that she is loved,” he said.
“It is through this support and love that she will continue to thrive. We couldn’t be prouder of her. She is our hero.”
Stabbed 33 times
The parents of a girl referred to as C1 told how their “beautiful, articulate, fun-loving little girl” was stabbed 33 times.
After being attacked she escaped the building, but Rudakubana was seen dragging her back inside in CCTV footage played during his sentencing hearing, which drew gasps in court, before she was stabbed 20 more times.
“That is how she became known in this nightmare. The girl that was dragged back in,” her mother said.
Police at the scene. Pic: PA
She thanked the teachers who escaped to call police and flag down help but said: “The most painful of truths for us though, and what has been most devastating to come to terms with, is that there were no adults to help during both of her attacks.
“She was only supported by other children. The courage and strength she found leaves me crushed, but in complete awe.”
She added: “It is these untold stories of remarkable strength and bravery that are missing when we have heard other accounts of this day.”
The mother said the “hours and days that followed the attack were a living hell” and her daughter’s memories – including a concert of her “idol” Taylor Swift – have “been forfeited to make space for the trauma that she carries”.
“We tell her she was brave. How proud we are that she was able to help other girls. How her strength makes us feel strong. How important what she did that day was. She is her own hero. She may be a survivor of this attack, but she is still trying to survive this, every single day,” she said.
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‘We need to understand what went wrong’
Attack ‘changed everything’
The mother of a girl referred to as C8 said she was “like any other seven-year-old little girl”, “with an incredible energy” and “full of life”.
But in a statement read out by a legal representative, she said the attack last year “changed everything” when she got a “panicked phone call” from a friend’s mother, who couldn’t find the girls.
“That moment, the sound of fear in her voice and the panic I felt will never leave me,” she said.
“I rushed to the scene and what I saw is something no parent should ever see. My daughter had sustained serious physical injuries including a stab wound to her arm and a cut to her face and chin.”
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‘We don’t want Elsie forgotten’
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She said her daughter “remembers the attack vividly” and later told her “she thought it had to be fake, because she couldn’t believe something that terrible could really be happening”.
“Where she was once eager to go off with her friends, she now needs my support if it is somewhere public or unknown,” she said.
“Simple days out now need a level of safety planning that we would never have considered before.”
‘Constant flashbacks’
The mother of a girl referred to as Q, who escaped without being physically injured, told how she arrived to collect her daughter to find “children running from the building, screaming and fearing for their lives”.
In a statement read to the inquiry by a legal representative on her behalf, she said it was “the most horrific experience of my life”.
“What I saw on that day will stick with me forever, I constantly have flashbacks and relive what happened,” she said.
She said her daughter has become “very withdrawn” since the attack and has asked her parents, “How will I ever be normal again?”
Rudakubana was jailed for a minimum of 52 years in January and is being investigated over an alleged attack on a prison officer at Belmarsh prison in May.
The public inquiry, announced by Home Secretary Yvette Cooper in January, is looking into whether the attack could or should have been prevented, given what was known about the killer.
Rudakubana, who was born in Cardiff, had contact with police, the courts, the youth justice system, social services and mental health services, and was referred to the government’s anti-extremism Prevent scheme three times before the murders.
A rapid review into his contact with Prevent found his case should have been kept open and that he should have been referred to Channel, another anti-terror scheme.
C1’s mother said: “She deserves the truth, she deserves accountability. She deserves an apology. Our girls deserve an apology.
“Backed up by the promise that changes will be made and this will not be allowed to happen again.”
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While the politicians talk, so many people come from around the world to try to get across the Channel on small boats. But why?
Why make such a perilous crossing to try to get to a country that seems to be getting increasingly hostile to asylum seekers?
As the British and French leaders meet, with small boats at the forefront of their agenda, we came to northern France to get some answers.
It is not a new question, but it is peppered with fresh relevance.
Over the course of a morning spent around a migrant camp in Dunkirk, we meet migrants from Gaza, Iraq, Eritrea, South Sudan, Sri Lanka and beyond.
Some are fearful, waving us away; some are happy to talk. Very few are comfortable to be filmed.
All but one man – who says he’s come to the wrong place and actually wants to claim asylum in Paris – are intent on reaching Britain.
They see the calm seas, feel the light winds – perfect conditions for small boat crossings.
John has come here from South Sudan. He tells me he’s now 18 years old. He left his war-torn home nation just before his 16th birthday. He feels that reaching Britain is his destiny.
“England is my dream country,” he says. “It has been my dream since I was at school. It’s the country that colonised us and when I get there, I will feel like I am home.
“In England, they can give me an opportunity to succeed or to do whatever I need to do in my life. I feel like I am an English child, who was born in Africa.”
‘England is my dream country,’ John tells Adam Parsons
He says he would like to make a career in England, either as a journalist or in human resources, and, like many others we meet, is at pains to insist he will work hard.
The boat crossing is waved away as little more than an inconvenience – a trifle compared with the previous hardships of his journey towards Britain.
We meet a group of men who have all travelled from Gaza, intent on starting new lives in Britain and then bringing their families over to join them.
One man, who left Gaza two years ago, tells me that his son has since been shot in the leg “but there is no hospital for him to go to”.
Next to him, a man called Abdullah says he entered Europe through Greece and stayed there for months on end, but was told the Greek authorities would never allow him to bring over his family.
Britain, he thinks, will be more accommodating. “Gaza is being destroyed – we need help,” he says.
Abdullah says ‘Gaza is being destroyed – we need help’
A man from Eritrea tells us he is escaping a failing country and has friends in Britain – he plans to become a bicycle courier in either London or Manchester.
He can’t stay in France, he says, because he doesn’t speak French. The English language is presented as a huge draw for many of the people we talk to, just as it had been during similar conversations over the course of many years.
I ask many of these people why they don’t want to stay in France, or another safe European country.
Some repeat that they cannot speak the language and feel ostracised. Another says that he tried, and failed, to get a residency permit in both France and Belgium.
But this is also, clearly, a flawed survey. Last year, five times as many people sought asylum in France as in Britain.
And French critics have long insisted that Britain, a country without a European-style ID card system, makes itself attractive to migrants who can “disappear”.
Read more:
Channel crossings rise 50% in first six months of 2025
French police forced to watch on as migrants attempt crossing
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Migrant Channel crossings hit new record
A young man from Iraq, with absolutely perfect English, comes for a chat. He oozes confidence and a certain amount of mischief.
It has taken him only seven days to get from Iraq to Dunkirk; when I ask how he has made the trip so quickly, he shrugs. “Money talks”.
He looks around him. “Let me tell you – all of these people you see around you will be getting to Britain and the first job they get will be in the black market, so they won’t be paying any tax.
“Back in the day in Britain, they used to welcome immigrants very well, but these days I don’t think they want to, because there’s too many of them coming by boat. Every day it’s about seven or 800 people. That’s too many people.”
“But,” I ask, “if those people are a problem – then what makes you different? Aren’t you a problem too?”
He shakes his head emphatically. “I know that I’m a very good guy. And I won’t be a problem. I’ll only stay in Britain for a few years and then I’ll leave again.”
A man from Sri Lanka says he “will feel safe” when he gets to Britain; a tall, smiling man from Ethiopia echoes the sentiment: “We are not safe in our home country so we have come all this way,” he says. “We want to work, to be part of Britain.”
Emmanuel is another from South Sudan – thoughtful and eloquent. He left his country five years ago – “at the start of COVID” – and has not seen his children in all that time. His aim is to start a new life in Britain, and then to bring his family to join him.
He is a trained electrical engineer, but says he could also work as a lorry driver. He is adamant that Britain has a responsibility to the people of its former colony.
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“The British came to my country – colonising, killing, raping,” he said. “And we didn’t complain. We let it happen.
“I am not the problem. I won’t fight anyone; I want to work. And if I break the laws – if any immigrant breaks the laws – then fine, deport them.
“I know it won’t be easy – some people won’t like me, some people will. But England is my dream.”
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