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.
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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.
Sara Sharif’s father – who is accused of her murder – has told jurors he “takes full responsibility” for the death of his daughter.
Minicab driver Urfan Sharif, 42, called police in the early hours of 10 August last year saying he had beaten her “too much” for being “naughty”, the court previously heard.
The 10-year-old’s body was found in a bunkbed at the family home in Woking, Surrey, with dozens of injuries, including bruises, burns, broken bones and bite marks, after he and the rest of the family had fled to Pakistan.
Sharif is on trial alongside Sara’s stepmother Beinash Batool, 30, and uncle Faisal Malik, 29, at the Old Bailey in central London.
They all deny murder and an alternative charge of causing or allowing her death.
Sharif said he had initially taken responsibility to save his family, but giving evidence in court blamed his wife for killing his daughter, saying he was out working when she was abused.
He told jurors on Wednesday: “I accept every single thing.”
He made the admission under cross-examination from Batool’s barrister Caroline Carberry KC as his wife sobbed in the dock.
Urfan Sharif, Beinash Batool and Faisal Malik. Pics: Surrey Police
Ms Carberry asked him about a handwritten note left next to his daughter’s body in which he wrote: “Love you Sara.
“Whoever see this note it’s me Urfan Sharif who killed my daughter by beating. I am running away because I am scared but I promise that I will hand over myself and take punishment.”
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Ms Carberry asked if he did kill his daughter by beating and Sharif replied: “Yes, she died because of me.”
She suggested: “In the weeks before she died she suffered multiple fractures to her body, didn’t she, and it was you who inflicted those injuries?”
“Yes,” Sharif replied, before accepting causing Sara’s injuries apart from the burn and bite marks.
“I take responsibility. I take full responsibility,” he said, admitting to causing at least 25 fractures by hitting Sara with a cricket bat or pole and breaking her hyoid neck bone.
Ms Carberry said: “I suggest on the night of the 6 August you badly beat Sara.”
Speaking barely above a whisper in the witness box, Sharif replied: “I accept everything.”
The note left by Sara’s father. Pic: Surrey Police
After a short break, Ms Carberry asked: “Do you accept that you killed her by beating her? Do you accept you had been beating Sara severely over a number of weeks?
“Do you accept using the cricket bat to beat her? Do you accept using the cricket bat as a weapon on her on a number of occasions? Do you accept that you used that cricket bat on her with force?”
Sharif replied: “Yes ma’am.”
He also agreed when asked if he hit her intending to cause Sara “really serious harm” – the legal definition of murder.
Ms Carberry said: “You have pleaded not guilty to the offence of murder. Would you like that charge to be put to you again?”
Sharif replied: “Yeah,” but following a break the cross-examination continued as he insisted: “I didn’t intend to kill her.”
The barrister suggested: “When you confirmed earlier today you beat her to death and you intended to cause her really serious harm that was an admission to the offence of murder.”
Sharif said: “I did not want to hurt her. I didn’t want to harm her.”
Ms Carberry asked: “Do you accept that your beating of her caused her death?”
“Yes,” said Sharif.
But this time he answered “no” when she asked him: “Do you accept by beating her in the way that you did you intended to cause her really serious harm?”
The trial continues.
Health Secretary Wes Streeting has ordered his department to carry out a review of the costs of potentially changing the law to legalise assisted dying.
Mr Streeting, who intends to vote against a landmark bill on the issue, has warned that a new assisted dying law could come at the expense of other NHS services if it is implemented.
It comes as MPs weigh up whether to vote for a change in the law when given the opportunity to do so later this month.
The Terminally Ill Adults (End of Life) Bill, put forward by Labour MP Kim Leadbeater, would give terminally ill people with six months to live the choice to end their lives.
There has been much debate about the bill since its details were published on Monday evening, including that the medicine that will end a patient’s life will need to be self-administered and that people must be terminally ill and expected to die within six months.
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Ms Leadbeater, who has the support of former government minister Lord Falconer and ChildLine founder Dame Esther Rantzen, believes her proposed legislation is the “most robust” in the world and contains safeguards she hopes will “reassure” those who are on the fence.
They include that two independent doctors must confirm a patient is eligible for assisted dying and that a High Court judge must give their approval.
The Labour MP has argued the fact terminally ill patients will have to make the choice themselves and administer the drugs themselves “creates that extra level of safeguards and protections”.
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MP discusses End of Life Bill
However, several cabinet ministers – including Mr Streeting and Justice Secretary Shabana Mahmood, who would be responsible for the new law – have spoken out against the legislation.
Announcing the review, Mr Streeting said: “Now that we’ve seen the bill published, I’ve asked my department to look at the costs that would be associated with providing a new service to enable assisted dying to go forward, because I’m very clear that regardless of my own personal position or my own vote, my department and the whole government will respect the will of parliament if people vote for assisted dying.”
While the health secretary has warned of the potential cost downsides for the NHS, his critics have pointed out there may be potential savings to be made if patients need less care because they choose to end their own lives – something Mr Streeting branded a “chilling slippery slope argument”.
“I would hate for people to opt for assisted dying because they think they’re saving someone somewhere money – whether that’s relatives or the NHS,” he said.
“And I think that’s one of the issues that MPs are wrestling with as they decide how to cast their vote.
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‘Impossible’ for assisted bill to be safe
“But this is a free vote – the government’s position is neutral.”
Speaking to reporters after delivering a speech to the NHS Providers conference in Liverpool, Mr Streeting said there were “choices and trade-offs” and that “any new service comes at the expense of other competing pressures and priorities”.
“That doesn’t mean people should vote against it on that basis,” he said.
“People need to weigh up this choice in the way that we’re weighing up all these other choices at the moment.”
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MPs will debate and vote on Ms Leadbeater’s Private Member’s Bill on 29 November, in what will be the first Commons vote on assisted dying since 2015.
The government has given MPs a “free vote” on the issue, meaning they will be able to vote according to their conscience and without the pressure to conform to party lines.
In 2015, a bill by former Labour MP Rob Marris that would have made it legal for the terminally ill to end their lives was defeated in the Commons by 330 votes to 118.
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