A former nursing chief who was accused of refusing to remove Lucy Letby from a neonatal unit despite staff concerns has said she was unable to because she “needed more information”.
Karen Rees had been the head of nursing at the Countess of Chester Hospital’s urgent care division before retiring in March 2018.
During Letby’s trial at Manchester Crown Court, the jury were told how the neonatal nurse tried to kill a baby by injecting him with air during a day shift on Saturday 25 June 2016.
Senior paediatrician Dr Stephen Brearey told the court that the day before that incident he told Ms Rees that he and his colleagues were “not happy” with Letby because of the number of baby deaths and collapses during her shifts.
In a statement given to Sky News Ms Rees has now said she wasn’t given enough information to justify removing Letby from her duties.
The former nursing chief says Karen Townsend, the director of urgent care at the hospital, and Ravi Jayaram, a consultant who was the clinical lead for neonates and paediatrics, told her during a general review meeting that there were concerns about Letby’s clinical practices.
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Ms Rees says she was told at this stage that senior paediatrician Dr Stephen Brearey thought Letby should be removed from the neonatal unit.
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The retired nursing chief says in her statement: “I immediately went to find Ravi Jayaram and Stephen Brearey in order to obtain more information about the allegations that had been made. I went straightaway as it was a Friday afternoon, and I was conscious that staff would be going home for the weekend. I wanted to find out what the concerns were.”
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She adds that she went to the office the two men shared but Dr Brearey wasn’t there.
Ms Rees continues: “Ravi wouldn’t give me any information to explain why Lucy Letby should be removed from the unit. He said nothing about air embolus, or over-feeding. He did not even mention babies dying and Lucy Letby being present. He just asked for Lucy Letby to be removed from the NNU (neo-natal unit).”
Ms Rees says she felt she “urgently” needed to speak with Mr Brearey about concerns around Letby.
She added that after she got hold of him, she explained to the senior paediatrician that she needed more information before she could remove a nurse from the neo-natal unit.
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Ms Rees says in her statement: “Stephen Brearey was measured throughout… I said that if there were issues, then I needed to know what they were.
“Despite that, he refused to give me any more information. He said that he had evidence, but he refused to show it to me.”
Ms Rees says she still doesn’t understand why Dr Brearey wouldn’t provide her with more information.
“At no point did he say that he suspected she had been purposely harming babies. If he had said that there had been 16 deaths, and that she was present for all of them, then my actions may well have differed.
“If Stephen Brearey had given me whatever evidence he said he had, that may have meant that a further death could potentially have been prevented,” she adds in her statement.
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It has also been claimed Dr Brearey had asked Ms Rees if she would be happy if “something happened to any of the babies tomorrow?”.
The retired nursing chief is alleged to have said “yes”.
Ms Rees says in her statement that the claim is “completely untrue” and an “outrageous allegation to make”.
She adds that she is “currently taking legal advice about the untrue allegations”.
What did Dr Brearey claim in court?
Ms Rees’ statement directly contradicts the allegations made by Dr Brearey, who said during Letby’s trial: “She (Ms Rees) was familiar with our concerns already. I explained what had happened and I didn’t want nurse Letby to come back to work the following day or until this was all investigated properly.
“Karen Rees said ‘no’ to that and that there was no evidence.
“I put it to her – was she happy to take responsibility for this decision, in view of the fact that myself and my consultant colleagues all wouldn’t be happy with nurse Letby going to work the following day?
“She responded she was happy to take that responsibility.”
Sky News has contacted Dr Brearey and Mr Jayaram for comment.
Yet here is a dual carriageway of division formed in front of what has become a beacon for unrest – a hotel housing asylum seekers.
Image: Anti-migration protesters opposite the hotel in Altrincham
Image: Counter-protesters show their support for the refugees
Sky News has been testing the mood in Altrincham since locals were first informed last November that the Cresta Court Hotel was being repurposed from accommodating short business stays and local events into lodgings for hundreds of male asylum seekers who crossed the Channel on small boats.
Over the course of eight months there have been angry town meetings, regular low-level protests and last Sunday around 80 people from each side turned up outside the hotel with banners, flags and loudspeakers.
“We stopped the Germans, why can’t we stop dinghies,” says local man Dave Haydock under a St George’s cross cap.
“We’re paying for them to be in there and there’s British people out on the streets,” added local businessman Steve, who is waving a Union Flag. “They’re not fleeing a war to come to Britain – they’re coming from France – they are coming because of all the benefits – and everyone in the UK now knows that.”
Image: Dave Haydock speak to Sky’s Jason Farrell
Image: The demonstrators on either side of the A56
Cost, benefits and risk to women are recurring themes.
“These people coming over without any documentation,” says local Clare Jones as she points in the direction of two schools. “I’m not a racist. I’m just a concerned mum. I don’t feel safe in my own community.”
A man behind a mask who didn’t want to appear on camera says the media “sneers” at these protests because the media is middle class and “this is a working-class movement”.
Altrincham is one of Manchester’s most affluent towns, but there are much poorer areas close by.
The social demographic at the protests was mixed.
On either side of the A56 I met business owners, nurses, teachers and pensioners.
A handful of social media “professional” protesters also turned up, pointing cameras at anything they could film – making selfie videos for their TikTok and YouTube followers.
A small line of police officers was in place to keep the peace.
The counter-protesters forming a line to protect the hotel. Described as “lefties” by the anti-migrant demonstrators, the counter-protesters feel that the people opposite are either “far right, fascists” or “being manipulated by the far right”.
Altrincham resident Alison O’Connell said “this is very frightening” as she pointed at the anti-migrant demonstrators. “We are just here to show support for the refugees in the hotel,” she added.
Image: Alison O’Connell
Counter-protester Steph Phoenix said: “Knowing personally people in the hotels, I know they are not coming for our money. These people are desperate. They don’t come over for a laugh, they are coming over because they are escaping something terrible in their own country.”
Nahella Ashraf, co-chair of Greater Manchester Stand Up To Racism, said: “There needs to be an honest conversation about what the problems are in society. Refugees are not to blame. People are worried about the cost of living crisis, but it’s not caused by refugees. By housing people in these hotels, we’ve not taken accommodation away from anyone in Britain.”
Image: Steph Phoenix, right, says the asylum seekers are ‘desperate’
Migrants disappeared into their rooms during the protest, some peering out of their bedroom windows.
Their voices are rarely heard in this debate.
The next day, hotel security advised them not to talk to us.
Those we did speak to all had stories of fleeing instability and threat. Some had just arrived, others had been here months.
Many were anxious about the protests, but equally not put off from their decision to come.
One said he had recently told a local who had been abusive: “I struggled to get here. It was just luck you were born here.”
The fears of increased crime expressed by residents in November don’t appear to have transpired. But Conservative councillor Nathan Evans, who called the first town meeting, says groups of men in the park, men praying in the public library and warning letters from schools to parents about groups of men near the school gates have all caused “an unease across the town”. He says he has warned the police of a “simmering issue”.
Protesters on either side don’t agree on much but both see the hotel as a symbol of broken promises from successive governments – a failure to manage migration in a way that doesn’t inflame communities. What remains is anger.
Managing and containing that anger is a growing challenge.
One year on, how’s Keir Starmer’s government going? We’ve put together an end-of-term report with the help of pollster YouGov.
First, here are the government’s approval ratings – drifting downwards.
It didn’t start particularly high. There has never been a honeymoon.
But here is the big change. Last year’s Labour voters now disapprove of their own government. That wasn’t true at the start – but is now.
And remember, it’s easier to keep your existing voter coalition together than to get new ones from elsewhere.
So we have looked at where voters who backed Labour last year have gone now.
YouGov’s last mega poll shows half of Labour voters last year – 51% – say they would vote for them again if an election was held tomorrow.
Around one in five (19%) say they don’t know who they’d vote for – or wouldn’t vote.
But Labour are also leaking votes to the Lib Dems, Greens and Reform.
These are the main reasons why.
A sense that Labour haven’t delivered on their promises is top – just above the cost of living. Some 22% say they’ve been too right-wing, with a similar number saying Labour have “made no difference”. Immigration and public services are also up there.
Now, YouGov asked people whether they think the cabinet is doing a good or a bad job, and combined the two figures together to get a net score.
Here’s one scenario – 2024 Labour voters say they would much prefer a Labour-led government over a Conservative one.
But what about a Reform UK-led government? Well, Labour polls even better against them – just 11% of people who voted Labour in 2024 want to see them enter Number 10.
Signs of hope for Keir Starmer. But as Labour MPs head off for their summer holidays, few of their voters would give this government an A*.
Gary Neville has criticised the government’s national insurance (NI) rise this year, saying it could deter companies from employing people and “probably could have been held back”.
The former Manchester United and England footballer-turned business owner, who vocally supported Labour at the last election, employs hundreds of people.
But he expressed his frustration at the recent hike on employers’ NI, which has significantly increased the taxes businesses have to pay for their employees.
Speaking to Sky News’ Business Live, Neville said: “I honestly don’t believe that, to be fair, companies and small businesses should be deterred from employing people. So, I think the national insurance rise was one that I feel probably could have been held back, particularly in terms of the way in which the economy was.”
While the Sky Sports pundit thought the minimum wage increase introduced at the same time was necessary to ensure that people are paid a fair wage and looked after, he made it clear the double whammy for businesses at the start of April would be a challenge for many companies big and small.
“I mean look it’s been a tough economy now for a good few years and I did think that once there was a change of government, and once there was some stability, that we would get something settling,” he said. “But it’s not settling locally in our country, but it is not settling actually, to be fair, in many places in the world either.
“I don’t think we can ever criticise the government for increasing the minimum wage. I honestly believe that people, to be fair, should be paid more so I don’t think that’s something that you can be critical of. I do think that the national insurance rise, though, was a challenge.”
Neville’s business interests are diverse, spanning property development, hospitality, media, and sports.
He co-founded GG Hospitality, which owns Hotel Football and the Stock Exchange Hotel, and is involved in Relentless Developments, focusing on building projects in the North West. He is also a co-founder of Buzz 16, a production company, and a partner in The Consello Group, a financial services company.
The tax increase is expected to raise £25bn for the Treasury, with employers having to pay NI at 15% on salaries above £5,000, and up to 13.8% on salaries above £9,100.
The rise has already led the Bank of England to warn that it is contributing to a job market slowdown.
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3:03
NI and tariffs pile pressure on firms
Governor Andrew Bailey warned last month that “the labour market has been very tight in the past few years, but we are now seeing signs that conditions are easing, employment growth is subdued, and several indicators of labour demand and hiring intentions have softened”.
The government has defended the tax increase, announced by Rachel Reeves in last year’s budget and implemented in April, arguing that the money was needed to pay for public services like the NHS to help bring down waiting lists.
‘Can’t get any worse’ for Man Utd
Neville conceded that turning beleaguered football club Manchester United around could prove more difficult than trying to bring about substantial economic growth.
The side finished 15th last season – its worst performance in the history of the Premier League.
“Yeah, that could be a bigger challenge than the economy… I think the two signings are good signings yet, there’s a couple more needed,” Neville said of his former club’s fortunes.
“I think they need a goalkeeper. And I think if they fill those two positions with decent signings, then United can have a lot, I mean, they have to have a better season than last year. It can’t get any worse, really.”