UK - Nurse Lucy Letby Faces 22 Charges - 7 Murder/15 Attempted Murder of Babies #10

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Here is the case we should be hearing about today, if court continues.


Child J was born prematurely at 32 weeks and two days gestation, on October 31, 2015, at the Countess of Chester Hospital.

She had an operation for a bowel disorder at Alder Hey Children's Hospital in Liverpool before returning to the neo-natal unit at Chester on November 10, 2015.

Days later, her medical notes showed she was doing well and was healthy, the jury at Chester Crown Court heard.

But she suffered an unexplained collapse overnight on November 26/27 when Letby was one of the six nurses working the night shift.

Before her shift started, Letby texted a work colleague complaining that the babies she was to look after, including Child J, only needed help feeding.

Mr Johnson, prosecuting, told the jury: 'It appears, we suggest, that working in nurseries three and four was not sufficiently stimulating for Lucy Letby.'



But she suffered an unexplained collapse overnight on 26/27 November when Lucy Letby was one of the six nurses working the night shift.

She suffered two serious problems with her breathing in the night and was moved to a high-dependency room.

At 6.56am on 27 November, her oxygen level dropped so low it was unrecordable and she went into seizure.

At 7.20am, Letby gave the baby a glucose infusion, then minutes later child J collapsed again with a seizure and had to be resuscitated with the help of a doctor, but he could not explain why it had happened again.

An independent medical expert who reviewed child J’s case said it was "of concern and consistent with some form of obstruction of her airways, such as smothering".
 
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This is a good link to keep on hand. It is a compilation of all the 22 victims---Babies A through Q---and a brief description of the allegations and alleged evidence.

 
<modsnip: Quoted post was removed>

She looks VERY experienced and quite competent, according to her resume. I don't see that Level 3 Trauma/Emergency care would be any more 'on par' than the credentials and experience she has.

Dr Sandie Bohin
Accreditation: Paediatrics with Neonatology January 1996

I am on the GMC specialist register

QUALIFICATIONS

1981 University of Southampton Bsc: 2:1 Physiology and Pharmacology

1985 University of Bristol MB ChB

1989 DCH

1989 MRCP (London)

1998 FRCPCH

EMPLOYMENT


Junior paediatrics jobs in Bristol, Nottingham and Leicester

1996 – Dec 2008 Consultant Neonatologist,

University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary.

2002 – Dec 2008 Head of Neonatal Service,

2009 – Current Position Consultant paediatrician/neonatologist



Medical Specialist Group, Guernsey

In order to maintain my specialist neonatal skills I have an honorary contract with the Regional Neonatal Intensive Care Unit at St Michaels Hospital, University Hospitals of Bristol NHS Trust.

In Guernsey I am one of 5 paediatricians covering all aspects of general paediatrics, neonatology, child protection and community paediatrics.

I undertake paediatric and neonatal air transfers from Guernsey to the UK.

I have undertaken several SI reviews and RCA’s in Guernsey and have received training in both.

SPECIALIST ROLES

Current:


  • MSG management Board member from 2013-15 with a specific role in Clinical Governance.
  • Clinical Director of the Women and Child Health Directorate from January 2016 – June 2017.
  • Head of Paediatric department 2014-18
  • Chair of the Perinatal Mortality and Morbidity meeting since 2012.
  • Named doctor for Child Protection since May 2018.
  • Chair of the safeguarding peer review meetings
  • Consultant appraiser

Previous:


  • Head of neonatal service – University Hospitals of Leicester from 2001 – Dec 2008
  • Consultant advisor in Clinical Governance for UHL 2002- 2008
  • Co-chair of the British Association of Perinatal Medicine’s clinical excellence committee 2004 – 2007
  • BAPM deputy England & Wales rep 2006 –2008
 
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But I think you can be a registrar and still head up a Neonatal Unit. Do you know if she was a consultant in Bristol or Leicester before she became a consultant of the 3 cot SCBU in Guernsey?
Dr B is not a registrar. She has been a Doctor since at least 1996. Twenty Seven years of experience in Neo-natal units specifically.
 
She looks VERY experienced and quite competent, according to her resume. I don't see that Level 3 Trauma/Emergency care would be any more 'on par' than the credentials and experience she has.

Dr Sandie Bohin
Accreditation: Paediatrics with Neonatology January 1996

I am on the GMC specialist register

QUALIFICATIONS

1981 University of Southampton Bsc: 2:1 Physiology and Pharmacology

1985 University of Bristol MB ChB

1989 DCH

1989 MRCP (London)

1998 FRCPCH

EMPLOYMENT


Junior paediatrics jobs in Bristol, Nottingham and Leicester

1996 – Dec 2008 Consultant Neonatologist,

University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary.

2002 – Dec 2008 Head of Neonatal Service,

2009 – Current Position Consultant paediatrician/neonatologist



Medical Specialist Group, Guernsey

In order to maintain my specialist neonatal skills I have an honorary contract with the Regional Neonatal Intensive Care Unit at St Michaels Hospital, University Hospitals of Bristol NHS Trust.

In Guernsey I am one of 5 paediatricians covering all aspects of general paediatrics, neonatology, child protection and community paediatrics.

I undertake paediatric and neonatal air transfers from Guernsey to the UK.

I have undertaken several SI reviews and RCA’s in Guernsey and have received training in both.

SPECIALIST ROLES

Current:


  • MSG management Board member from 2013-15 with a specific role in Clinical Governance.
  • Clinical Director of the Women and Child Health Directorate from January 2016 – June 2017.
  • Head of Paediatric department 2014-18
  • Chair of the Perinatal Mortality and Morbidity meeting since 2012.
  • Named doctor for Child Protection since May 2018.
  • Chair of the safeguarding peer review meetings
  • Consultant appraiser

Previous:


  • Head of neonatal service – University Hospitals of Leicester from 2001 – Dec 2008
  • Consultant advisor in Clinical Governance for UHL 2002- 2008
  • Co-chair of the British Association of Perinatal Medicine’s clinical excellence committee 2004 – 2007
  • BAPM deputy England & Wales rep 2006 –2008
<modsnip - opinion stated as fact>
I'm not saying she has no relevant experience, just that others are perhaps more qualified.
This is reflected in the reduced mortality rate when babies receive 'the right care, in the right place at the right time'
With the 'right care' being level 3 consultants working with extremely low birth weight infants.
I'm imagining BM will, in SOME of the cases, bring on board level 3 professor neonatologists to create reasonable doubt.
JMO
 
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She was a consultant for 12 years ...then as a consultant she was the neonatal lead after that ....she is extremely experienced

She has also worked in neonatology in Vietnam

She is on numerous advisory boards

The neonatal unit She lead was a teaching hospital

And

Although lives in Guernsey maintains her skills by working at St Michael's hospital in Bristol

Now there is a lot more info out there on her work ...she sounds like you couldn't get any more qualified to work as expert witness
 
I think it's the medical experts for baby I up next, if all the nurses and doctors have given evidence.

Would have been good to have Chester Standard there if it is the experts. Hope there is a decent write up tonight!
 

<modsnip - opinion stated as fact>
I'm not saying she has no relevant experience, just that others are perhaps more qualified.
This is reflected in the reduced mortality rate when babies receive 'the right care, in the right place at the right time'
With the 'right care' being level 3 consultants working with extremely low birth weight infants.
I'm imagining BM will, in SOME of the cases, bring on board level 3 professor neonatologists to create reasonable doubt.
JMO
The key difference is their specific focus on the newborn. All neonatologists are paediatricians but not all paediatricians are neonatologists.
 
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<modsnip: Quoted post was removed>

I haven’t looked in detail at either Dr Evans or Dr Bohin’s credentials. I have assumed that they are both suitably qualified and fairly well established in their fields at the very least in order for the prosecution to have chosen then. That’s not to say that I am taking everything they say as gospel, as in my opinion, based on the questions being asked by the defence, the defence also has
Credible experts who are giving different opinions.

JMO, but I have been impressed by Dr Bohin when she has given evidence, much more so than I have Dr Evans. Dr Bohin has shown herself willing to concede points where the defence raises something as a counter to evidence she has given, which to me boosts her credibility as a fully independent expert who wants to ensure that justice is done in this case . In contrast, Dr Evans has on occasion, made me feel like he is more concerned with defending his opinions and his history with this case, to the extent that he doesn’t concede valid points made by the defence.

I also find Dr Evans a bit unusual for an expert witness in some of his phrasing. He has made quite sweeping statements which you don’t tend to hear medical experts make, which are then easily challenged by the defence. One example, which springs to mind was where he described a baby as a “perfectly healthy baby”, when it clearly wasn’t because it was in the NICU, and he had to then clarify this to say that the baby was healthy given the circumstances.
 
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Interesting that when Dr ventress messages LL about going to New Zealand to set up a neonatal unit she says .."with all the other faces that don't fit" not read that before

Dr Alison Ventress: Hope work wasn’t too bad x

LL: Yeah it was ok. Baby I in 1 with distended abdo. Looks a bit rubbish. Having a chill on sofa in my PJs now.

Dr V: Poor baby I, not again. Sounds like well deserved chill on sofa, I’m doing the same. Let’s go and set up our own neonatal unit with all the other faces that don’t fit who often seem to be the best ones.

LL: Let’s do it, in New Zealand.

Dr V: Yeah, come to NZ with me.

LL: plane/smiley with sunglasses/rainbow emojis.

Dr V: Defo come to NZ then! I could use a friendly face!!

LL: Haha not brave enough to up & leave everything.

Dr V: Yeah I’m scared of leaving everything but more of leaving everyone actually.

LL: That’s good then, I couldn’t leave my parents. They would be completely devastated. Find it hard enough being away from me now and it’s only 100 miles.

Dr V: Aww where are they based?

LL: Hereford. I came here to uni & didn’t go back. They hate it & I feel very guilty for staying here sometimes but it’s what I want.

DR V: Yes I feel guilty for being so far away often, especially as my mum is ill. But I’m already 5 hours away, so what’s an extra 20.

10.09pm –

LL: Families are tough aren’t they! ☹ ☹
Dr V: Some more than others!

(Mail Podcast)The Trial of Lucy Letby, Episode 14: Baby I, “Our daughter could go from perfectly fine to nearly dying in seconds." - The Mail.
 
Dr Alison Ventress: Hope work wasn’t too bad x

LL: Yeah it was ok. Baby I in 1 with distended abdo. Looks a bit rubbish. Having a chill on sofa in my PJs now.

Dr V: Poor baby I, not again. Sounds like well deserved chill on sofa, I’m doing the same. Let’s go and set up our own neonatal unit with all the other faces that don’t fit who often seem to be the best ones.

LL: Let’s do it, in New Zealand.

Dr V: Yeah, come to NZ with me.

LL: plane/smiley with sunglasses/rainbow emojis.

Dr V: Defo come to NZ then! I could use a friendly face!!

LL: Haha not brave enough to up & leave everything.

Dr V: Yeah I’m scared of leaving everything but more of leaving everyone actually.

LL: That’s good then, I couldn’t leave my parents. They would be completely devastated. Find it hard enough being away from me now and it’s only 100 miles.

Dr V: Aww where are they based?

LL: Hereford. I came here to uni & didn’t go back. They hate it & I feel very guilty for staying here sometimes but it’s what I want.

DR V: Yes I feel guilty for being so far away often, especially as my mum is ill. But I’m already 5 hours away, so what’s an extra 20.

10.09pm –

LL: Families are tough aren’t they! ☹ ☹
Dr V: Some more than others!

(Mail Podcast)The Trial of Lucy Letby, Episode 14: Baby I, “Our daughter could go from perfectly fine to nearly dying in seconds." - The Mail.
Enlightening.
When one reads between the lines.

JMO
 
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