The nurse Lucy Letby tried to kill a premature baby by giving him fluids contaminated with insulin, her murder trial has heard.
The boy’s blood sugar levels fell dangerously low and his heart rate rose sharply after Letby intentionally added insulin to his intravenous feed during a night shift, Manchester Crown Court was told.
Letby, 32, is accused of attempting to kill the boy, known as Child F, less than 24 hours after she allegedly murdered his twin brother, Child E, by injecting air into his bloodstream.
The children’s real names cannot be revealed for legal reasons.
The nurse, who is originally from Hereford, denies murdering seven babies and the attempted murders of 10 others between June 2015 and June 2016.
Peter Hindmarsh, professor of paediatric endocrinology at University College London, told the court on Friday that poisoning was the only reasonable explanation for Child F’s sudden deterioration at the Countess of Chester Hospital’s neonatal unit in the early hours of 5 August 2015.
After the infusion of nutrients, which began after midnight, the boy’s heart rate surged to 200 beats per minute and his blood sugar fell to an “extremely low” reading.
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Intravenous refers to a way of giving a substance through a needle or tube inserted into a vein.
Prof Hindmarsh said that a commonly used synthetic human insulin known as Actrapid – a colourless solution – was administered via the infusion.
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He said the brain is reliant on a “constant supply” of glucose to function and the dangers of low blood sugar included seizures, coma and sometimes death.
The boy’s glucose levels stayed low throughout the day shift of 5 August, even after the intravenous line and the connected bag containing the nutrients were replaced.
‘Low blood sugar for 17 hours’
Child F’s blood glucose only rose to safe levels after a decision to stop the nutrients from a second bag at 6.55pm and give him extra sugar independently, the court was told.
Prof Hindmarsh said it was apparent that the boy’s low blood sugar was “persistent” for those 17 hours.
During that time, Child F received twice the amount of glucose normally given to correct hypoglycaemia in a baby, he said.
Child F made full recovery
The witness agreed with Letby’s lawyer, Ben Myers KC, that the blood sample reading of high insulin came from the second stock bag so could not show what level was in the first bag attached in the early hours of 5 August.
But Prof Hindmarsh said similar blood glucose readings around the same period from one person were likely to mean they had a similar amount of insulin earlier in their system.
Child F went on to make a full recovery and was later discharged, the court heard.
Nigel Farage has told Sky News he “can’t be pushed or bullied” by anybody after Elon Musk said the Reform MP “doesn’t have what it takes” to lead his party.
In an interview with Sky’s political correspondent Ali Fortescue, Mr Farage said he has spoken with the billionaire owner of X since his criticism on 5 January, when Mr Musk said: “The Reform Party needs a new leader. Farage doesn’t have what it takes.”
Asked if the pair are still friends, Mr Farage said: “Of course we’re friends. He just says what he thinks at any moment in time.”
He added he has “been in touch” with Mr Musk, though wouldn’t divulge what they had discussed.
“Look, he said lots of supportive things. He said one thing that wasn’t supportive. I mean, that’s just the way it is,” Mr Farage said.
Asked if he was afraid to criticise the tech mogul, the Clacton MP said the situation was “the opposite”, and he openly disagreed with Mr Musk on his views on far-right activist Tommy Robinson.
Mr Farage said: “What he [Musk] was saying online was that effectively Tommy Robinson was a political prisoner and I wouldn’t go along with that.
“If I had gone along with that, he wouldn’t have put out a tweet that was against me.
“By the way, you know, I can’t be pushed or bullied or made to change by anybody.
“I stick to what I believe.”
Mr Musk has endorsed Robinsonand claimed he was “telling the truth” about grooming gangs, writing on X: “Free Tommy Robinson”.
But Mr Farage said that Robinson, who is serving an 18-month jail term for contempt of court, isn’t welcome in Reform UK and neither are his supporters.
He said: “If people within Reform think Tommy Robinson should be a member of Reform and play a central role in Reform, that disagreement is absolutely fundamental.
“I’ve never wanted to work with people who were active in the BNP. I’ve made that clear right throughout the last decade of my on/off political career. So that’s what the point of difference is.”
Despite their disagreement, Mr Farage said he is confident Mr Musk will continue to support Reform and “may well” still give money to it.
Mr Farage was speaking from Reform’s South East of England Conference, one of a series of regional events aimed at building up the party’s support base.
This would apply when councils seek permission to reorganise, so that smaller district authorities merge with other nearby ones to give them more sway over their area.
Mr Farage, who is hoping to make gains in the spring contests, claimed the plans are not about devolution but about “elections being cancelled”.
“I thought only dictators cancelled elections. This is unbelievable and devolution or a change to local government structures is being used as an excuse,” he said.
He claimed Tory-controlled councils are “grabbing it like it’s a life belt”, because they fear losing seats to Reform.
“It’s an absolute denial of democracy,” he added.
Mr Farage was also asked why many Reform members don’t like to speak on camera about why they support his party.
He said he did not accept there was a toxicity associated with Reform and claimed there was “institutional bias against anybody that isn’t left of centre”.
Specialist search teams, police dogs and divers have been dispatched to find two sisters who vanished in Aberdeen three days ago.
Eliza and Henrietta Huszti, both 32, were last seen on CCTV in the city’s Market Street at Victoria Bridge at about 2.12am on Tuesday.
The siblings were captured crossing the bridge and turning right onto a footpath next to the River Dee in the direction of Aberdeen Boat Club.
Police Scotland has launched a major search and said it is carrying out “extensive inquires” in an effort to find the women.
Chief Inspector Darren Bruce said: “Local officers, led by specialist search advisors, are being assisted by resources including police dogs and our marine unit.”
Aberdeenshire Drone Services told Sky News it has offered to help in the search and is waiting to hear back from Police Scotland.
The sisters, from Aberdeen city centre, are described as slim with long brown hair.
Police said the Torry side of Victoria Bridge where the sisters were last seen contains many commercial and industrial units, with searches taking place in the vicinity.
The force urged businesses in and around the South Esplanade and Menzies Road area to review CCTV footage recorded in the early hours of Tuesday in case it captured anything of significance.
Drivers with relevant dashcam footage are also urged to come forward.
CI Bruce added: “We are continuing to speak to people who know Eliza and Henrietta and we urge anyone who has seen them or who has any information regarding their whereabouts to please contact 101.”
Britain’s gas storage levels are “concerningly low” with less than a week of demand in store, the operator of the country’s largest gas storage site said on Friday.
Plunging temperatures and high demand for gas-fired power stations are the main factors behind the low levels, Centrica said.
The UK is heavily reliant on gas for its home heating and also uses a significant amount for electricity generation.
As of the 9th of January 2025, UK storage sites are 26% lower than last year’s inventory at the same time, leaving them around half full,” Centrica said.
“This means the UK has less than a week of gas demand in store.”
The firm’s Rough gas storage site, a depleted field off England’s east coast, makes up around half of the country’s gas storage capacity.