A hospital nurse accused of murdering seven babies was interrupted by one of her victim’s mothers as she was fatally attacking her newborn son, prosecutors say.
Lucy Letby allegedly killed Child E by an injection of air into the bloodstream while working at the neo-natal unit at the Countess of Chester Hospital, Manchester Crown Court heard.
Prosecutor Nick Johnson KC said that on the evening of 3 August 2015, Child E’s mother visited her son in the unit.
Mr Johnson said: “We say that she interrupted Lucy Letby who was attacking (Child E), although she did not realise it at the time.”
When the mother arrived, her son was “distressed” and bleeding from the mouth, the court heard.
The mother recalled Letby tried to reassure her, he said, and told her a registrar would review the youngster’s condition and she should leave the unit.
“‘Trust me, I’m a nurse’. That’s what she told (the mother),” said Mr Johnson.
“We suggest she was fobbed off by Lucy Letby.”
Image: Pic: Shutterstock
Child E went on to suffer significant blood loss, say the Crown, later in the evening, with a treating registrar saying he had never encountered such a large bleed in a small baby.
Following Child E’s death in the early hours of 4 August, the Crown said Letby made “fraudulent” nursing notes which were “false, misleading and designed to cover her tracks”.
Letby, 32, denies seven counts of murder and 10 counts of attempted murder.
The second day of the prosecution opening at court also heard how Letby went on to show “very unusual interest” in Child E’s family and the families of her other alleged victims.
Mr Johnson said she carried out social media searches on Child E’s family two days after the youngster’s death and again on numerous occasions in the following months, including “even on Christmas Day”.
Jurors heard how the day after allegedly murdering Child E, Letby allegedly used insulin for the first time to poison a baby by trying to murder child E’s twin brother, child F.
Child F was prescribed a TPN (total parenteral nutrition) bag of fluids and later suffered an unexpected drop in his blood sugar levels and surge in heart rate. Checks on his insulin levels were carried out which showed, “conclusive evidence” someone had given child F insulin to poison him.
Mr Johnson said no other baby on the neo-natal unit was prescribed insulin so child F could not have received the drug intended for some other child by negligence.
Mr Johnson said the prosecution allege Letby had injected insulin into the TPN bag before it was hung up to give to the child.
He added: “You know who was in the room and you know from the records, who hung the bag.
“It can’t have been an accident.”
Prosecutors earlier alleged Letby murdered a five-day-old baby by injecting air into his stomach through a nose tube.
She allegedly killed the baby boy, Child C, just six days after murdering for the first time, when she killed another baby boy, Child A, and days later attacked Child B.
Child C died because the air injected into his stomach made him unable to breathe and he suffered a cardiac arrest, Mr Johnson told the jury.
The boy had been born prematurely at 30 weeks on 10 June 2015 weighing only 800 grams, but despite going into intensive care was in good condition.
Five days later, on the nightshift of 14 June, Letby was supposed to be looking after another, more poorly baby, in another room.
But she was the only person in the room when Child C suddenly and unexpectedly collapsed.
Mr Johnson said an independent pathologist – when reviewing the case – concluded Child C died because his breathing became compromised and he suffered a cardiac arrest.
The prosecutor told jurors: “If you are trying to murder a child in a neo-natal unit, it is a fairly effective way of doing it. It doesn’t really leave much trace.”
Image: Lucy Letby arrives on day one of the trial
He said on the afternoon of 14 June, 2015 – hours after Child C died – the defendant searched on Facebook for the youngster’s parents.
Mr Johnson suggested from the timings that this was “one of the first things she did when waking up” after she had earlier finished her shift at about 8am.
He then moved on to detailing the death of Child D, who the Crown say was murdered by Letby with an intentional injection of air into the bloodstream.
Letby sent “many messages” to friends in the wake of Child D’s death and the preceding deaths and collapses in which she suggested they could all clearly be explained as natural causes.
The defendant later told police she could not explain why she had searched on Facebook for Child D’s parents in the aftermath of her death.
She was also asked about another message in which she had referred to an “element of fate” being involved.
Mr Johnson told the jury: “We say, tragically for (Child D) her bad luck or fate was the fact that Lucy Letby was working in the neo-natal unit that night.”
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 migrantsfrom 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.”
Image: ‘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.
Image: Abdullah says ‘Gaza is being destroyed – we need help’
A man from Eritreatells 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”.
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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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Emmanuel Macron has said the UK and France have a “shared responsibility” to tackle the “burden” of illegal migration, as he urged co-operation between London and Paris ahead of a crunch summit later this week.
Addressing parliament in the Palace of Westminster on Tuesday, the French president said the UK-France summit would bring “cooperation and tangible results” regarding the small boats crisis in the Channel.
Image: King Charles III at the State Banquet for President of France Emmanuel Macron. Pic: PA
Mr Macron – who is the first European leader to make a state visit to the UK since Brexit – told the audience that while migrants’ “hope for a better life elsewhere is legitimate”, “we cannot allow our countries’ rules for taking in people to be flouted and criminal networks to cynically exploit the hopes of so many individuals with so little respect for human life”.
“France and the UK have a shared responsibility to address irregular migration with humanity, solidarity and fairness,” he added.
Looking ahead to the UK-France summit on Thursday, he promised the “best ever cooperation” between France and the UK “to fix today what is a burden for our two countries”.
Sir Keir Starmer will hope to reach a deal with his French counterpart on a “one in, one out” migrant returns deal at the key summit on Thursday.
King Charles also addressed the delegations at a state banquet in Windsor Castle on Tuesday evening, saying the summit would “deepen our alliance and broaden our partnerships still further”.
Image: King Charles speaking at state banquet welcoming Macron.
Sitting next to President Macron, the monarch said: “Our armed forces will cooperate even more closely across the world, including to support Ukraine as we join together in leading a coalition of the willing in defence of liberty and freedom from oppression. In other words, in defence of our shared values.”
In April, British officials confirmed a pilot scheme was being considered to deport migrants who cross the English Channel in exchange for the UK accepting asylum seekers in France with legitimate claims.
The two countries have engaged in talks about a one-for-one swap, enabling undocumented asylum seekers who have reached the UK by small boat to be returned to France.
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Britain would then receive migrants from France who would have a right to be in the UK, like those who already have family settled here.
The small boats crisis is a pressing issue for the prime minister, given that more than 20,000 migrants crossed the English Channel to the UK in the first six months of this year – a rise of almost 50% on the number crossing in 2024.
Image: President Macron greets Commons Speaker Sir Lindsay Hoyle at his address to parliament in Westminster.
Elsewhere in his speech, the French president addressed Brexit, and said the UK could not “stay on the sidelines” despite its departure from the European Union.
He said European countries had to break away from economic dependence on the US and China.
“Our two countries are among the oldest sovereign nations in Europe, and sovereignty means a lot to both of us, and everything I referred to was about sovereignty, deciding for ourselves, choosing our technologies, our economy, deciding our diplomacy, and deciding the content we want to share and the ideas we want to share, and the controversies we want to share.
“Even though it is not part of the European Union, the United Kingdom cannot stay on the sidelines because defence and security, competitiveness, democracy – the very core of our identity – are connected across Europe as a continent.”
The Princess of Wales and celebrities attended the King’s star-studded state banquet on Tuesday, where Emmanuel Macron paid tribute to the late Queen Elizabeth II.
On the first day of Mr Macron’s state visit, King Charles gave a toast in French and said the three-day trip was another chance to “celebrate a deep and enduring friendship”.
“What’s possibly the most remarkable thing is the way in which the speciality of one country is part of the story of the other,” the monarch said.
“For centuries, our citizens have admired one another. We’ve made each other laugh, and we’ve imitated one another.”
Image: The Prince and Princess of Wales at the State Banquet. Pic: PA
Image: The banquet hall at Windsor Castle. Pic: PA
Image: The King makes a speech at a banquet at Windsor Castle. Pic: PA
Image: King Charles looks at Emmanuel Macron at a state banquet at Windsor Castle. Pic: PA
After the King’s speech, Mr Macron told him France had a “real affection for your mother” Queen Elizabeth II, adding he believed the feeling was “reciprocal”.
“She was your queen,” he said. “To us, she was the Queen.”
He capped off his speech – which repeated his calls for closer relations that he made earlier in the Palace of Westminster – by saying: “In honour of the United Kingdom, of this entente amico that unites our two fraternal peoples in an unwavering alliance.
“Long live the United Kingdom of Great Britain and Northern Ireland! Long live France!”
Image: Emmanuel Macron gives a speech at a state banquet at Windsor Castle. Pic: PA
The Princess of Wales also made her first appearance at a state banquet in almost two years, sitting next to the French president.
Image: Emmanuel Macron and Kate, the Princess of Wales, share a toast. Pic: PA
Also in attendance were Sir Mick Jagger, frontman of The Rolling Stones, who was joined by his fiancee Melanie Hamrick, and Sir Elton John, who was accompanied by his husband David Furnish.
Image: Mick Jagger taking his seat at the state banquet at Windsor Castle. Pic: PA
Image: Elton John and David Furnish at the state banquet at Windsor Castle. Pic: PA
Meanwhile, it was announced that the Bayeux Tapestry, depicting the Norman conquest of England, will return to the UK for the first time in more than 900 years, and will feature in an exhibition from September 2026 to July 2027.
Mr Macron joked ahead of the state banquet that negotiations to bring the 11th-century artwork back to the UK took longer “than all the Brexit tests”. Talks on a loan had started as early as 2018.