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The former boss of the hospital where Lucy Letby killed seven babies says she fears it is “more likely than not” that failures of management to deal with complaints about the nurse led to lives being lost needlessly.

Dr Susan Gilby joined the Countess of Chester Hospital as medical director and deputy chief executive in August 2018, a few weeks after Letby was arrested.

Letby, 33, was convicted of murdering seven infants and attempting to kill six others at the hospital’s neonatal unit between June 2015 and June 2016. She will die in prison after being handed 14 whole-life orders.

Concerns about the serial killer were not addressed for months before she was finally taken off frontline duties and given a clerical role in June 2016.

Consultants who raised concerns about Letby as far back as 2015 have said babies could have been saved if hospital management had listened and acted sooner.

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Letby: Why were warnings ignored?

Both the neonatal unit head consultant, Dr Stephen Brearey, and another consultant Dr Ravi Jayaram have spoken of hospital executives’ reluctance to involve the police for fear of damaging the trust’s reputation. Officers were only contacted in 2017.

Speaking to Sky News, Dr Gilby said she commissioned a review and her “reflections on talking to the paediatricians, not just Steve and Ravi… and having looked at the evidence, is that there was certainly a possibility [that management failures to deal with complaints led to lives being needlessly lost]”.

She added: “But it needs to be an external and objective review, looking at all the evidence, and giving people the right of reply to that evidence, that will come to that conclusion, and not for individuals such as myself.

“From a personal point of view, and obviously speaking more as a mother than a doctor or a senior leader in the NHS, it’s my greatest fear and I think it’s more likely than not that that will turn out to be the case.

“I sincerely hope that it isn’t.”

Dr Gilby also said there should be a full public inquiry, as per some parents’ wishes, as a statutory inquiry “would have the powers to compel people to give evidence”.

Read more:
How police caught Lucy Letby
Inside killer nurse’s bedroom
The ‘average’ nurse who became serial killer

Dr Brearey first raised Letby’s association with an increase in baby collapses in June 2015.

He told The Guardian that deaths could arguably have been avoided from as early as February 2016 if executives had “responded appropriately” to an urgent meeting request from concerned doctors.

Dr Jayaram continued to express concerns to management as more sudden and unexpected collapses followed.

Read Sky News coverage of Lucy Letby here

Hospital staff ‘certain’ Letby would not be charged

Dr Gilby said that after she joined the hospital, there was “a very strongly held opinion, that appeared to me was held by everyone, that the police had made an error in arresting Letby”.

“They were certain there would be no charges,” she added. “And doctors who had persisted in raising concerns about Letby… were partly responsible for the arrest of a young woman who they had victimised and harassed over quite some time.

“I found that surprising because I knew that the police would have had substantial evidence that they would have wanted to put in front of her [Letby] if they seemed fit to make an arrest.”

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‘Lucy Letby has destroyed our lives’

Detectives are continuing to review the care of 4,000 babies admitted to hospital while Letby was working as a neonatal nurse.

The period covers her spell at the Countess of Chester from January 2012 to the end of June 2016, and includes two work placements at Liverpool Women’s Hospital in 2012 and 2015.

Dr Gilby said despite Letby’s convictions and the end of the criminal trial at Manchester Crown Court “we’re not quite at the point where we can really say there is closure”.

She added: “The parents and others have questions about the circumstances around the events on the unit and how the crimes were allowed to go on for so long. So there is still a long road ahead in terms of getting answers to those questions.”

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Dr Gilby resigned as chief executive of the Countess of Chester Hospital NHS Foundation Trust in December 2022.

Jane Tomkinson, acting chief executive officer at the Countess of Chester Hospital NHS Foundation Trust, said: “Following the trial of former neonatal nurse Lucy Letby, the Trust welcomes the announcement of an independent inquiry by the Department of Health and Social Care.

“In addition, the trust will be supporting the ongoing investigation by Cheshire Police. Due to ongoing legal considerations, it would not be appropriate for the Trust to make any further comment at this time.”

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Met Police looks into reports Prince Andrew asked officer to investigate accuser – as William plans ‘ruthless approach’ towards royal

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Met Police looks into reports Prince Andrew asked officer to investigate accuser - as William plans 'ruthless approach' towards royal

The Metropolitan Police is looking into reports that Prince Andrew asked an officer to help with an attempted smear campaign against the woman who accused him of sexual assault.

Andrew reportedly tried to get his personal protection officer to dig up dirt for a smear campaign against Virginia Giuffre back in 2011, according to the Mail on Sunday.

The Met Police said it was “actively looking into the claims made”.

The prince – who gave up his Duke of York title on Friday – has been approached for comment.

Meanwhile, it has been reported Prince William is planning to take a “ruthless approach” towards Andrew when he is king. The Sunday Times suggests William will ban his uncle from “all aspects of royal life” because of the ongoing risk to the Royal Family‘s reputation after a series of damaging revelations.

A US lawyer has predicted the scandal engulfing the royal “is not going away” and more stories will “leak out”.

Gloria Allred, who represents many of the victims of the late Jeffrey Epstein, believes Andrew will not be “let off the hook” over his links to the convicted paedophile.

“This is not going away. Even though he’s no longer a duke, and Sarah Ferguson is no longer a duchess, it’s not going away,” she told Sky News.

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Who pushed Andrew to drop his titles?

Andrew relinquished his Duke of York title and remaining honours on Friday evening, after a series of fresh stories linked to the late Ms Giuffre, who was trafficked by Epstein. She died in April, aged 41, with her family saying she “lost her life to suicide”.

Andrew will retain the dukedom, which can only be removed by an Act of Parliament, but will not use it.

Asked whether the government had plans to legislate to remove Andrew’s titles, Energy Security Ed Miliband told Sky’s Sunday Morning with Trevor Phillips programme that they would be “guided by the palace” and the Royal Family.

“I think it’s really important as a government minister that we allow the Royal Family to make its decisions on these questions,” he added.

“Prince Andrew has given up these titles by agreement with His Majesty the King and I think that’s, you know, that’s obviously the position.”

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Prince Andrew urged ‘to come clean’

‘It’s not over’

Ms Giuffre alleged she was forced to have sex with Andrew when she was 17 – allegations he has always denied.

Her posthumous memoirs, which are released on Tuesday, claim Andrew insisted she sign a one-year gag order – to prevent details of her allegations tarnishing the late Queen’s platinum jubilee.

Read more:
Why Andrew hasn’t given up being a prince
Lingering dread over what else could still emerge

And earlier this week, emails emerged showing that Andrew remained in contact with Epstein, several months after he said he had stopped contact.

The former duke paid to settle a civil sexual assault case with Ms Giuffre in 2022, despite insisting he had never met her.

Ms Allred said: “The fact that Virginia is now deceased – may she rest in peace – doesn’t mean it’s over for Prince Andrew. It’s not over. More will come to leak out.”

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Windsor’s take on Prince Andrew

Reports of attempted smear campaign

It has now been reported that Andrew passed Ms Giuffre’s date of birth and social security number to his taxpayer-funded bodyguard in 2011, asking him to investigate.

He is said to have emailed the late Queen’s then-deputy press secretary and told him of his request to his protection officer, and also suggested Ms Giuffre had a criminal record, the Mail on Sunday reported.

A Met Police spokesperson told Sky News: “We are aware of media reporting and are looking into the claims made.”

The prince’s alleged attempt, on which the Met officer is not said to have acted, came in 2011, hours before the publication of the famous photograph of Andrew with his arm around Ms Giuffre in London, which he has claimed was doctored.

The Mail on Sunday said it obtained the email from disclosures held by the US congress.

“It would also seem she has a criminal record in the states,” Andrew said to the former press secretary, according to one email published by the newspaper. “I have given her DoB and social security number for investigation with XXX the on duty PPO.”

Ms Giuffre’s family responded, the newspaper said, saying she did not have a criminal record.

Read more from Sky News:
How Prince Andrew allegations unfolded
Everything we know about titles decision
William and Camilla’s influential roles

In her book, titled Nobody’s Girl: A Memoir Of Surviving Abuse And Fighting For Justice, she wrote, according to The Telegraph: “As devastating as this interview was for Prince Andrew, for my legal team it was like an injection of jet fuel.

“Its contents would not only help us build an ironclad case against the prince but also open the door to potentially subpoenaing his ex-wife, Sarah Ferguson, and their daughters, Princesses Beatrice and Eugenie.”

The Duke of York and the Prince of Wales at the Duchess of Kent's funeral last month. Pic: PA
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The Duke of York and the Prince of Wales at the Duchess of Kent’s funeral last month. Pic: PA

Andrew, who remains a prince and continues to live in the Crown Estate property Royal Lodge, said on Friday that the “continued accusations about me distract from the work of His Majesty and the Royal Family”.

He insisted he was putting his “family and country first” and would stop using “my title or the honours which have been conferred upon me”.

Ms Allred told Sky News she felt Andrew’s statement on Friday, describing the scandal as a “distraction”, was an “insult” to Epstein’s victims.

“What it’s saying [the statement] is it’s continued bad PR for the monarchy,” she said.

“All right, I’m happy about this small consequence that he has to pay… no longer a duke, but look, he’s living a privileged life while many victims are still suffering from the harm that was done by many people involved with Jeffrey Epstein.”

Ms Giuffre’s family has urged the King to go further and take away Andrew’s prince title.

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Hannah, 22, died after buying poison online – why her death raises serious questions for NHS

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Hannah, 22, died after buying poison online - why her death raises serious questions for NHS

Pete Aitken says his daughter Hannah would still be alive if she hadn’t been sent to a series of “failing” mental health hospitals, which made her increasingly unwell.

Warning: This article contains references to suicide

Hannah Aitken was 22 when she took her own life two years ago. Her death has left her family in turmoil.

“I think about Hannah every hour of every day, more than once, every hour, every day,” her dad Pete said.

Throughout the family home are photos, candles and purple flowers, Hannah’s favourite colour. Her parents have planted a tree in the garden where her beloved trampoline once stood.

Pete Aitken, whose daughter Hannah died by suicide in 2023
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Pete Aitken, whose daughter Hannah died by suicide in 2023

Hannah had autism and ADHD and struggled with her mental health. In 2017, she was sent to Huntercombe Hospital-Stafford. It was in special measures when she arrived.

Pete says the unit made Hannah worse. “I don’t believe that they gave her any care or treatment there that helped her.”

Over a period of four years, Hannah was sent to six different mental health hospitals. The majority were publicly funded and privately run.

Three were rated by the care regulator, the CQC, either ‘inadequate or ‘requires improvement’. Two of the units were closed down while Hannah was a patient.

“That to me is an indication of how bad the system is, and how bad the care that she received was,” Pete said.

“All they could do was… like prison keep her safe, but not give her any quality of life. They took all that away from her.”

'I don't believe that they gave her any care', Pete says
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‘I don’t believe that they gave her any care’, Pete says

Over the years, Sky News has investigated failings within the mental health system, including the Huntercombe Group, which ran a number of hospitals.

Hannah emailed Sky News in 2023 following one of our reports to share her story.

She wrote: “I will never forget what I was put through… I put up with so much and it’s only now I realised it wasn’t right, for years I blamed myself.”

Hannah never fully recovered from her hospital admissions. In September 2023, she took a fatal dose of poison, which she had bought online.

Her family are now campaigning for a change in the law governing poisons.

Family photos of Hannah Aitken, who died in 2023
Image:
Family photos of Hannah Aitken, who died in 2023

Her dad said: “One gram of this poison is lethal. We found out from Hannah’s inquest she ordered a kilogramme of 99.6% purity.

“There is a legitimate use for it, but we understand that the concentration for that is something like less than 1%.”

Hannah’s death once again raises questions about why the NHS outsources mental health services to failing private providers.

Read more from Laura Bundock:
Warning of six million new cancer cases – with these areas worst hit
Hospital accused of ‘covering up’ concerns about suspended surgeon

An NHS England spokesperson said: “Our thoughts are with Hannah’s family at this incredibly difficult time.

“The NHS has repeatedly made clear that all services must provide safe, high-quality care, irrespective of whether they are NHS or independent sector-led, and we continue to work closely with the CQC to monitor, identify and take appropriate action where it is needed.”

Elli Investments Group, the owners of The Huntercombe Group until 2021, has said they regret that these hospitals, which were independently managed, failed to meet expectations

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK

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Prince William plans ‘ruthless approach’ towards Prince Andrew, as lawyer for Jeffrey Epstein’s victims predicts further leaks

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Prince William plans 'ruthless approach' towards Prince Andrew, as lawyer for Jeffrey Epstein's victims predicts further leaks

Prince William is planning to take a “ruthless approach” towards Prince Andrew when he is king, according to reports, as a US lawyer predicts the scandal engulfing the royal “is not going away” and more stories will “leak out”.

The Sunday Times suggests William will ban his uncle from “all aspects of royal life” because of the ongoing risk to the Royal Family‘s reputation after a series of damaging revelations.

It comes amid reports that Andrew tried to get the Metropolitan Police to dig up dirt for a smear campaign against his sexual assault accuser Virginia Giuffre back in 2011.

Gloria Allred, who represents many of the victims of the late convicted paedophile Jeffrey Epstein, believes he will not be “let off the hook”.

“This is not going away. Even though he’s no longer a duke, and Sarah Ferguson is no longer a duchess, it’s not going away,” the US lawyer told Sky News.

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Who pushed Andrew to drop his titles?

Andrew relinquished his Duke of York title and remaining honours on Friday evening, after a series of fresh stories linked to the late Ms Giuffre, who was trafficked by Epstein. She died in April, aged 41, with her family saying said she “lost her life to suicide”.

She alleged she was forced to have sex with Andrew when she was 17, allegations he has always denied.

“The fact that Virginia is now deceased – may she rest in peace – doesn’t mean it’s over for Prince Andrew. It’s not over. More will come to leak out,” Ms Allred added.

Ms Giuffre’s posthumous memoirs, which are released on Tuesday, claim Andrew insisted she sign a one-year gag order – to prevent details of her allegations tarnishing the late Queen’s platinum jubilee.

And earlier this week, emails emerged showing that Andrew remained in contact with Epstein, several months after he said he had stopped contact.

The former duke paid to settle a civil sexual assault case with Ms Giuffre in 2022, despite insisting he had never met her.

Please use Chrome browser for a more accessible video player

Windsor’s take on Prince Andrew

Reports of attempted smear campaign

It has now been reported that Andrew passed Ms Giuffre’s date of birth and social security number to his taxpayer-funded bodyguard in 2011, asking him to investigate.

He is said to have emailed the late Queen’s then-deputy press secretary and told him of his request to his protection officer, and also suggested Ms Giuffre had a criminal record, according to the Mail on Sunday.

Sky News has contacted the Met for comment. A spokesperson for the force told the PA news agency: “We are aware of media reporting and are looking into the claims made.”

The prince’s alleged attempt, on which the Met officer is not said to have acted, came in 2011, hours before the publication of the famous photograph of Andrew with his arm around Ms Giuffre in London, which he has claimed was doctored.

The Mail on Sunday said it obtained the email from disclosures held by the US congress.

“It would also seem she has a criminal record in the states,” Andrew said to the former press secretary, according to one email published by the newspaper. “I have given her DoB and social security number for investigation with XXX the on duty PPO.”

Ms Giuffre’s family responded, saying she did not have a criminal record, the newspaper said.

Read more from Sky News:
How Prince Andrew allegations unfolded
Everything we know about titles decision
William and Camilla’s influential roles

In her book, titled Nobody’s Girl: A Memoir Of Surviving Abuse And Fighting For Justice, she wrote, according to The Telegraph: “As devastating as this interview was for Prince Andrew, for my legal team it was like an injection of jet fuel.

“Its contents would not only help us build an ironclad case against the prince but also open the door to potentially subpoenaing his ex-wife, Sarah Ferguson, and their daughters, Princesses Beatrice and Eugenie.”

The Duke of York and the Prince of Wales at the Duchess of Kent's funeral last month. Pic: PA
Image:
The Duke of York and the Prince of Wales at the Duchess of Kent’s funeral last month. Pic: PA

Andrew, who remains a prince and continues to live in the Crown Estate property Royal Lodge, said on Friday that the “continued accusations about me distract from the work of His Majesty and the Royal Family”.

He insisted he was putting his “family and country first” and would stop using “my title or the honours which have been conferred upon me”.

Ms Allred told Sky News she felt Andrew’s statement on Friday, describing the scandal as a “distraction”, was an “insult” to Epstein’s victims.

“What it’s saying [the statement] is it’s continued bad PR for the monarchy,” she said.

“All right, I’m happy about this small consequence that he has to pay… no longer a duke, but look, he’s living a privileged life while many victims are still suffering from the harm that was done by many people involved with Jeffrey Epstein.”

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