Lucy Letby: What we have learnt from the evidence given to the public inquiry
After Lucy Letby was sentenced to 15 whole-life terms for murdering seven babies and attempting to murder seven others, an inquiry was launched to ensure lessons were learnt.
The Thirlwall Inquiry is examining three broad themes – the experiences of all victims’ parents, how the concerns of clinicians were handled, and to ensure lessons are learnt from the case of the most prolific child serial killer in modern British history.
About 133 witnesses, including parents who lost their children, hospital executives, and Letby’s former colleagues at the Countess of Chester Hospital, have provided live evidence to the inquiry since September, with a further 396 giving written statements.
The closing statements this week come days after a police investigation into corporate manslaughter was widened to include gross negligence manslaughter.
The inquiry also heard that two baby deaths remain the subject of ongoing police investigation, which Letby has been interviewed in prison over.
Inquiry chair Lady Justice Thirlwall is expected to publish her official report in the autumn, outlining the detailed findings and recommendations based on the evidence that has been heard.
This week, the Thirlwall Inquiry is hearing closing submissions from the various interested parties. Here’s what has been said during the key testimonies so far.
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From September 2024: Letby public inquiry set to begin
Why is it called the Thirwall inquiry and why are there calls for it to be suspended?
Opening the inquiry at Liverpool Town Hall on 10 September last year, Lady Justice Thirlwall said the probe bears her surname so that the parents do not repeatedly see the name of the person convicted of harming their babies.
She said the babies who died or were injured would be at the “heart of the inquiry” and condemned comments at the time that questioned the validity of Letby’s convictions – which the nurse tried and failed to challenge at the Court of Appeal – and some of the evidence used at trial.
The inquiry also remains separate to a 14-member expert panel, led by retired neonatologist Dr Shoo Lee and senior Conservative MP David Davis, which in February said it had analysed medical evidence considered during Letby’s trial and claimed there was no medical evidence that the nurse murdered or attempted to murder 14 premature babies.
Letby’s lawyers have since applied for a review of her case as a “potential miscarriage of justice” by the Criminal Cases Review Commission (CCRC) after two failed bids at the Court of Appeal.
On Monday, the judge said she had received a request last month from lawyers representing former executives at the Countess of Chester Hospital asking for the public inquiry to be suspended.
Lady Justice Thirlwall also said she had recently received a written request from solicitors representing Letby for her to pause the inquiry.
In the letter to the judge, which Sky News has seen, Letby’s lawyers warned Lady Justice Thirlwall that her final report would “not only be redundant but likely unreliable” if it was not put on hold until after the conclusion of the former nurse’s CCRC application.
Chair of the inquiry Lady Justice Thirlwall. Pic: PA
Letby couldn’t ‘wait to get first death out of the way’
One of the nurses who started as a newly qualified nurse at the Countess of Chester Hospital on the same day as Letby told the inquiry that the serial killer had told her she “can’t wait for her first death to get it out the way”.
The nurse said she thought the comment was “strange” at the time, but she put it down to Letby just making conversation.
She also recalled Letby being “animated” when telling her she had been involved with resuscitation attempts of a child on the ward in 2012.
“It was kind of like she was excited to tell me about it,” the nurse said.
‘Likely’ Letby murdered or attacked more children
Neonatal clinical lead at the Countess of Chester Hospital, Dr Stephen Brearey, told the inquiry that he thought it was “likely” Letby murdered or started to harm babies prior to June 2015.
He agreed that “on reflection” several unexpected collapses and deaths before that date now “appear suspicious”.
Dr Brearey added he did not have concerns about those incidents at the time, saying that hospital staff “thought we were going through a busy or particularly difficult patch”.
The Countess of Chester Hospital in 2023. Pic: PA
The inquiry was told that the dislodgement of breathing tubes, which was how Letby tried to kill Child K, generally occurs on less than 1% of shifts.
However, it happened on 40% of shifts that Letby worked when she was a trainee at Liverpool Women’s Hospital.
Newborn given potentially fatal morphine overdose
Two years before Letby carried out the murder of Child A, she and another nurse gave a potentially fatal dose of morphine to a newborn baby.
Neonatal unit ward deputy ward manager, Yvonne Griffiths, told the inquiry that the infant received 10 times the correct amount of the painkiller at the end of a night shift in July 2013.
Describing it as a “very serious error”, she said the infant could have died if colleagues had not spotted the error an hour later.
Letby was told she had to stop administering controlled drugs as a result of the error, a decision that she told management she was not happy about.
Letby offered ‘tips’ on how to get away with murder
In a WhatsApp exchange in 2017, Letby and union rep Hayley Griffiths discussed the US legal drama How To Get Away With Murder.
The discussion took place a year after the neonatal nurse was moved to clerical duties following concerns she may have been deliberately harming babies.
In a message to Letby, Ms Griffiths wrote: “I’m currently watching a programme called How To Get Away With Murder. I’m learning some good tips.”
To which Letby replied: “I could have given you some tips x.”
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From 2023: Former health secretary Steve Barclay on Letby inquiry
Ms Griffiths responded saying she needed “someone to practice on to see if [she] could get away with it”, and Letby replied: “I can think of two people you could practice on and will help you cover it up x.”
The union rep said: “I truly and deeply regret having started that conversation… this is completely unprofessional.”
No support or counselling given to parents
The parents of two triplet boys murdered by Letby told the inquiry they were given no support or counselling after the deaths of their children.
The children died on successive days in June 2016. Letby was their designated nurse and their deaths led to her being removed from the Countess of Chester Hospital’s neonatal unit to a non-patient facing role.
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How the police caught Lucy Letby
The triplets’ father said: “Following the deaths of our children, we didn’t receive any support or counselling from anyone. Had we received some support, we might have been in a better position to try and act on what our instincts were telling us, which was that something had gone badly wrong.”
Senior consultant: ‘I should have been braver’
Letby’s trial in 2023 heard that senior paediatrician Dr Ravi Jayaram caught the serial killer “virtually red-handed” after an incident in a nursery room at the hospital in February 2016.
Addressing that incident while giving evidence at the inquiry, Dr Jayaram said he had walked into the nursery after feeling “significant discomfort” that Letby was alone with Child K.
Read more from Sky News:
Letby defence calls for miscarriage of justice investigation
Letby interviewed in prison over more baby deaths
After walking in, he said he saw “a baby clearly deteriorating” and the child’s endotracheal tube (ET) dislodged. Despite his concern over the incident, the consultant did not tell anyone at the hospital, or the police.
Explaining why he said nothing, Dr Jayaram said: “It’s the fear of not being believed. It’s the fear of ridicule. It’s the fear of accusations of bullying.
“I should have been braver and should have had more courage because it was not just an isolated thing. There was already a lot of other information.”
Dr Ravi Jayaram. Pics: Rex/ITV/Shutterstock
Hospital boss: ‘I should’ve done better’
Tony Chambers, the former chief executive of the Countess of Chester Hospital, was a key witness to give evidence during the inquiry.
During his evidence, Mr Chambers offered an apology to the families who had fallen victim to Letby and said his language had been “clumsy” in telling the killer nurse the hospital had “her back”.
“I absolutely acknowledged that we hadn’t got that right. We could have done better, we should have done better. I should have done better,” he said.
When pressed on if he tried to “stall and obstruct the police being called or this being made public”, he added: “Had that been what I had done then it would be. But I think it’s an outrageous statement and I do not believe it represents my actions.”
Lady Justice Thirlwall at Liverpool Town Hall. Pic: PA
Jeremy Hunt: ‘Terrible tragedy happened on my watch’
Jeremy Hunt appeared at the inquiry in January where he apologised to the victims’ families, saying he was sorry “for anything that didn’t happen that could potentially have prevented such an appalling crime”.
Mr Hunt was health secretary at the time Letby committed her crimes in 2015 and 2016.
Hunt arrives at Thirlwall Inquiry. Pic: PA
The MP told the inquiry the former nurse’s crimes were “a terrible tragedy” which “happened on my watch” and “although he doesn’t bear direct personal responsibility for everything that happens in every ward in the NHS” he does have “ultimate responsibility for the NHS”.
He recommended that medical examiners should be trained to see the signs or patterns of malicious harm in the work of a healthcare professional.
UK
Software issue impacts thousands of Airbus planes – as UK passengers warned of potential disruption
Airline passengers have been warned of potential travel disruption after Airbus identified a “significant number” A320 planes impacted by a software issue.
In a statement, the plane maker said: “Analysis of a recent event involving an A320 Family aircraft has revealed that intense solar radiation may corrupt data critical to the functioning of flight controls.
“Airbus has consequently identified a significant number of A320 Family aircraft currently in-service which may be impacted.”
File pic: iStock
It is understood the incident that triggered an unexpected repair involved a JetBlue flight from Cancun, Mexico, to Newark, New Jersey, on 30 October, which suffered a sharp loss of altitude which injured several passengers.
An Airbus spokesperson told Sky News the necessary software change would affect up to 6,000 planes.
They added that for most of the affected aircraft, the required software update would take 2-3 hours. However, some aircrafts would need new hardware to be able to adopt the required software and that those aircraft would be affected for longer.
Travel expert, Simon Calder, said the situation was “very concerning” but that he had full faith in the safety procedures of Airbus and airlines. He went on to say that “aviation remains extraordinarily safe.”
However, he warned that customers may not be entitled to cash compensation if affected by delays, as the issue would be considered out of the control of airlines.
EasyJet, British Airways, Aer Lingus, Lufthansa, American Airlines, Delta and Wizz Air are all affected by the issue.
Airbus told Sky News that it had proactively asked the European Union Aviation Safety Agency (EASA) to issue an air worthiness directive for the affected aircraft.
The issue is affecting A319, A320 and the A321 models. The company said the issue is only affecting A320s that are in service, not aircraft that are due to be delivered.
The UK Civil Aviation Authority said it is likely to mean some disruption and cancellation to flights.
Airbus requested that EASA issue an air worthiness directive. Pic: Reuters
Some airlines will be more affected than others, Colombian airline Avianca has announced that it will close ticket sales for 10 days due to the issue.
In a statement, easyJet said: “As we are expecting this to result in some disruption, we will inform customers directly about any changes to our flying programme tomorrow and will do all possible to minimise the impact.”
American Airlines said the Airbus software issue would impact 340 aircraft and it expects some operational delays due to a major software change requirement.
The airline added that it expects the vast majority of the updates to be completed by “today or tomorrow”, and that they are “intently focused” on limiting cancellations.
Wizz Air said some of its flights over the weekend may be affected, while Air India said the issue could lead to delays.
Indigo, an Indian airline which operates over 150 A320s, said it was proactively completing mandated updates on the affected aircraft.
British Airways told Sky News that only three of its aircraft where affected and that the required fixes will be carried out overnight and are not expected to disrupt its operations.
Aer Lingus is in a similar position, with a limited number of aircraft impacted. The Airline doesn’t expect there to be significant operational disruption, but is taking “immediate steps to complete the required software installations”.
In October, the Airbus A320 family broke a major milestone when it overtook Boeing’s 737 to become the most-delivered jetliner in history.
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Famous names affected by prostate cancer have spoken of their disappointment after mass screening for the illness was not recommended for use on the NHS.
The National Screening Committee (NSC), comprised of doctors and economists, told the government that screening is “likely to cause more harm than good”.
Its decision means the NHS is unlikely to offer mass screening for men over the age of 45.
Six-time Olympic gold-medallist Sir Chris Hoy, former Prime Minister David Cameron, Sir Stephen Fry, actor and author Tony Robinson and journalist Dermot Murnaghan, who have all been diagnosed with the disease, spoke out after today’s decision.
David Cameron, Dermot Murnaghan and Sir Chris Hoy were among those who spoke out. Pic: PA/Shutterstock/AP
In a draft recommendation, the committee said the reason it was “not recommending whole population screening using the prostate specific antigen (PSA) test was that it was likely to cause more harm than good”.
Instead, it proposes a targeted screening programme every two years for men with specific genetic mutations, known as BRCA-1 and BRCA-2, between the ages of 45 and 61.
But Sir Chris, who confirmed last year that his prostate cancer diagnosis was terminal, with doctors giving him two to four years to live, criticised the move.
The former Team GB cyclist, who confirmed in February 2024 that he was undergoing treatment, said: “I am extremely disappointed and saddened by the recommendation announced by the National Screening Committee today to rule against national screening for men at high risk of prostate cancer.
“More than 12,000 men are dying of prostate cancer every year; it is now the UK’s most common cancer in men, with black men at double the risk, along with men with a family history, like myself.
“While introducing regular checks for men carrying the BRCA genes is a very small step forward, it is not enough. I know, first hand, that by sharing my story following my own diagnosis two years ago, many, many lives have been saved.
“Early screening and diagnosis saves lives. I am determined to continue to use my platform to raise awareness, encourage open discussion, raise vital funds for further research and support, and to campaign for change.”
Sir Chris Hoy. Picture: PA
His views were echoed by Lord Cameron, who this month announced he was treated for prostate cancer last year.
Lord Cameron said in a post on X: “I am disappointed by today’s recommendation on prostate cancer screening from the National Committee.
“Targeted screening is a natural first step – but the recommendation today is far too targeted, not including black men or men with a family history, both high-risk groups.
“Prostate cancer is the most common cancer among British men. We are letting down too many men if we don’t push for a wider screening programme that includes all high-risk groups – and not just the men involved, but their families too, who risk losing a loved one unnecessarily. As I know all too well, prostate cancer can be symptomless early on.
“That’s why screening is so essential – catching the cancers early when they can be more effectively and successfully treated, like in my own case.”
Former British Prime Minister David Cameron said he was treated for prostate cancer last year. (AP Photo/Alex Brandon)
Sir Tony, journalist Mr Murnaghan and retired footballer Les Ferdinand also voiced their disappointment after the decision.
Sir Tony, 79, who starred as Baldrick in Blackadder, said: “I’m bitterly disappointed. Getting an early diagnosis for prostate cancer could save your life, but we still have no screening programme for it in the UK.
“I was lucky I found my cancer early, but nearly 10,000 men a year are diagnosed too late for a cure, and that’s just not right.”
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Why prostate cancer screening not being expanded
Broadcaster Mr Murnaghan, 67, added: “With prostate cancer cases higher than they’ve ever been, and the disease dominating the national conversation, I really thought we were heading to an exciting moment here.
“I’m so disappointed that the committee has decided not to recommend screening – it felt about time progress was made for men.”
He added in a statement shared with Sky News: “An acceptable halfway house, would perhaps be to extend screening to black men – and those with a known history of cancer in their family. But clearly a full nationwide screening programme would be best.”
Sir Stephen, who is a Prostate Cancer Research ambassador who revealed in 2018 he had undergone surgery after being diagnosed with the disease, said: “I’m deeply disappointed by today’s news. Men in the UK deserve so much better. Prostate cancer remains the second biggest cancer killer of men in this country, with more than 12,000 dying every year.
“The only way we will make a dent in that appalling statistic is by catching prostate cancer early, before symptoms appear – and the best way to do that is through a screening programme. I hope the country sees sense.”
Retired footballer Les Ferdinand also voiced his concerns over the decision. Pic: Reuters
Mr Ferdinand, whose grandfather died from prostate cancer, added: “I’ve seen members of my family survive prostate cancer, because their cancer was found in time.
“Without a national screening programme, the responsibility to find prostate cancer early and in time for a cure rests entirely on men’s shoulders, and it shouldn’t be this way.
“Black men are at double the risk of prostate cancer and twice as likely to die, and something has to be done.”
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Prostate cancer decision ‘a massive mistake’
Colin McFarlane, an actor who was diagnosed with prostate cancer in 2023, told Sky News presenter Jonathan Samuels the decision was a “massive mistake”.
“I’ve been diagnosed with prostate cancer, but I’m not having any treatment. I have something called active surveillance, so every three months I have a PSA blood test, and then once a year I have an MRI,” he said.
McFarlane said black men over the age of 45 are at high risk, and “should be invited for screening”. He added: “I personally think men over 50 should be invited for screening, because they’re also at risk. I’m concerned now for all the black men out there who are high risk.”
NSC added it did not recommend extensive screening for black men due to a current lack of evidence and data.
The committee also does not recommend targeted screening for men with a family history of the disease, who are also at a higher risk of prostate cancer.
The National Screening Committee is comprised of doctors and economists. File pic: iStock
Health Secretary Wes Streeting said he would consider the findings ahead of March’s final decision, adding that he wanted to see earlier diagnosis and quicker treatment, but that needed to be balanced against “the harms that wider screening could cause to men”.
Professor Sir Mike Richards, a former national cancer director and chairman of the NSC, told a briefing that modelling on PSA shows “whole population screening may lead to a small reduction in prostate cancer deaths, but the very high levels of overdiagnoses” means the harms outweigh the benefits.
Experts are also waiting to see data from a large trial launched by Prostate Cancer UK last week into whether combining PSA with other tests, such as rapid MRI scans, may lead to recommending population-wide screening.
Read more from Sky News:
Why prostate cancer is expected to be left without national screening
Scotland to roll out ‘simple’ genetic test
The trial is looking at the most promising screening techniques available, including PSA blood tests, genetic tests and 10-minute MRI scans, and whether they can be combined for a national screening programme.
The results will be ready within two years, it is hoped.
Mr Streeting added: “In the meantime, we will keep making progress on cutting cancer waiting times and investing in research into prostate cancer detection – in the last 12 months, 193,000 more patients received a diagnosis for suspected cancer on time.
“We are also providing funding to the £42m TRANSFORM trial, which has the potential to revolutionise prostate cancer screening, cutting out harmful side effects and making screening far more accurate.”
A delivery driver who killed a seven-year-old girl in a head-on crash during a dangerous overtake manoeuvre in Lincolnshire has been jailed for six years.
Veselin Dudenski, 39, was out delivering parcels when his white Citroen Relay van struck a blue Kia Rio carrying Elsie Gascoigne in the back seat.
The incident happened in Metheringham Heath Lane, Nocton, on the evening of 3 January this year.
Elsie died the next day in hospital.
Her father, who was driving the car and had taken her shopping and to McDonald’s before the crash, suffered fractures to his breast bone, lower back and arm, including a “major injury with significant long-term implications”.
The defendant, a professional van and lorry driver for 17 years, was banned from driving for eight years during Friday’s sentencing at Lincoln Crown Court.
Veselin Dudenski. Pic: Lincolnshire Police/PA
Dudenski, who the court heard has a young child, is likely to face automatic deportation as he is a foreign national.
He pleaded guilty at an earlier hearing to causing death by dangerous driving and causing serious injury by dangerous driving in relation to Elsie’s father.
Prosecutor Claire Holmes told the court: “[The defendant] made a dangerous overtake of an unknown vehicle. At the time he overtook this vehicle, he was approaching a hidden dip in the road.
“There were warnings of the dip, namely a road sign and road markings. A careful and competent driver should have been fully aware of the hidden dip.”
Read more from Sky News:
Robber who killed pensioner for cottage pie jailed for murder
National prostate cancer screening not recommended on NHS
She said a warning sign about a hidden dip stood 425m from the crash site and noted if the defendant had waited to overtake, he would have seen the oncoming Kia.
The hearing was attended by members of Elsie’s family.
In a statement read to the court, Elsie’s parents said she was “bright, loving, funny and full of life”.
“Losing Elsie is not just the loss of a child, it’s the loss of our entire future,” they said.
“We have lost her laughter, her dreams and everything she would have become.”
Defending Dudenski, Charles Myatt told the court the defendant believed the road was clear as he started the overtake.
Mr Myatt said the defendant was usually a “decent, law-abiding driver” who made a “catastrophic error of judgement”.
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