Tortoise
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Prosecution evidence, March 8th 2023, Day 69 - Tweets https://twitter.com/MrDanDonoghue
Triplets O and P
Electronic Evidence cont.
We're back after a short break for lunch. Court continuing to be shown sequencing evidence for the case of Child O (these included prescriptions, door swipe data, messages between Ms Letby and others etc)
A nursing note from 23 June, recorded at 20:51 by Ms Letby, is being shown to court. It summarises Child O's deterioration and what happened with parents after (being taken to family room to be with him)
Shortly after a doctor, who cannot be named for legal reasons, messaged Ms Letby asking if she was okay - she responded 'think so, just finishing my notes, can't wait to get home'
The doctor asks her if she is going to vote in the Brexit referendum on 23 June 2016, 'no can't face that' she says
To another colleague, Ms Letby says - with a sad emoji - 'I want to be in Ibiza', the nurse had just got back from a holiday there before the two boys died
The nursing colleague says 'I bet you don't want to go back in tomorrow', Ms Letby says 'I do and I don't' think good to go back in and talk about it'
Court continuing to be shown messages between Ms Letby and colleagues sent that evening. In one message a doctor, who can't be named for legal reasons, tells Ms Letby 'we do work well together' with a winking emoji
The messages between the doctor and Ms Letby are after midnight 23 June (into 24 June) when both had finished their shifts. The doctor had comforted the nurse after the death of Child O and both were reflecting on the day
Ms Letby apologises for 'blubbering', the doctor says that is 'normal for someone who cares about the babies' being cared for
The pair wish each other goodnight around 1.25am and then he messages her again that morning asking how she slept and letting her know that a medical director has been on ward
The court is shown an incident report, filled out by Ms Letby on June 30, which related to Child O's collapse and death on 23 June. It states that 'resources not available on unit' to deal with resus
She said that 'staff obtained equipment from children's ward' and that there was a 'delay in this happening due to staff being needed for infant care needs'
Earlier the court heard in a statement from the mother of the triplets that she was told 'if we delivered it would be unlikely that we would stay at Chester as there wouldn’t be enough room for three neonates all at once'
She was told they could end up at Birmingham or Bristol hospital and were told they would 'only stay at Chester if there was sufficient space for all three babies and adequate staffing to care for them'
Nurse Sophie Ellis, designated nurse, night-shift 22/23 June 2016
A former nursing colleague of Ms Letby, Sophie Ellis, is now in the witness box and answering questions about the events surrounding Child O
She recalls Child O was reviewed towards the end of 22 June and he had quite a 'full abdomen'. She's now reviewing observation charts from the 22 June to morning of 23
Other than that, Ms Ellis recorded that Child O was 'stable' throughout that night. Her notes from 2.19am on 23 June state that the boy was 'pink warm and well perfused' and that he was 'tolerating feeds well'
Notes from later that morning, at 7.32am, state that Child O's abdomen 'looks full slightly loopy' and that he 'appeared uncomfortable after feed'
He was reviewed by Dr Mayberry, at that time he did 'not appear in any discomfort on examination'. Plan was to keep him under review
Notes from that morning show that antibiotics were stopped for Child O, Ms Ellis says this 'would suggest that everything was okay'
Ms Ellis says overall based on those notes he 'had a very stable night'
Child O died while Ms Ellis was off duty, she tells the court she found out when she came back on shift that evening. Lucy Letby told her as she had worked the day shift
Cross-Examination
Ben Myers KC is now questioning Ms Ellis. He asks her if there was something of concern, would she report to a doctor - she agrees. He says the doctors were busy that night, she says 'they were'
Triplets O and P
Electronic Evidence cont.
We're back after a short break for lunch. Court continuing to be shown sequencing evidence for the case of Child O (these included prescriptions, door swipe data, messages between Ms Letby and others etc)
A nursing note from 23 June, recorded at 20:51 by Ms Letby, is being shown to court. It summarises Child O's deterioration and what happened with parents after (being taken to family room to be with him)
Shortly after a doctor, who cannot be named for legal reasons, messaged Ms Letby asking if she was okay - she responded 'think so, just finishing my notes, can't wait to get home'
The doctor asks her if she is going to vote in the Brexit referendum on 23 June 2016, 'no can't face that' she says
To another colleague, Ms Letby says - with a sad emoji - 'I want to be in Ibiza', the nurse had just got back from a holiday there before the two boys died
The nursing colleague says 'I bet you don't want to go back in tomorrow', Ms Letby says 'I do and I don't' think good to go back in and talk about it'
Court continuing to be shown messages between Ms Letby and colleagues sent that evening. In one message a doctor, who can't be named for legal reasons, tells Ms Letby 'we do work well together' with a winking emoji
The messages between the doctor and Ms Letby are after midnight 23 June (into 24 June) when both had finished their shifts. The doctor had comforted the nurse after the death of Child O and both were reflecting on the day
Ms Letby apologises for 'blubbering', the doctor says that is 'normal for someone who cares about the babies' being cared for
The pair wish each other goodnight around 1.25am and then he messages her again that morning asking how she slept and letting her know that a medical director has been on ward
The court is shown an incident report, filled out by Ms Letby on June 30, which related to Child O's collapse and death on 23 June. It states that 'resources not available on unit' to deal with resus
She said that 'staff obtained equipment from children's ward' and that there was a 'delay in this happening due to staff being needed for infant care needs'
Earlier the court heard in a statement from the mother of the triplets that she was told 'if we delivered it would be unlikely that we would stay at Chester as there wouldn’t be enough room for three neonates all at once'
She was told they could end up at Birmingham or Bristol hospital and were told they would 'only stay at Chester if there was sufficient space for all three babies and adequate staffing to care for them'
Nurse Sophie Ellis, designated nurse, night-shift 22/23 June 2016
A former nursing colleague of Ms Letby, Sophie Ellis, is now in the witness box and answering questions about the events surrounding Child O
She recalls Child O was reviewed towards the end of 22 June and he had quite a 'full abdomen'. She's now reviewing observation charts from the 22 June to morning of 23
Other than that, Ms Ellis recorded that Child O was 'stable' throughout that night. Her notes from 2.19am on 23 June state that the boy was 'pink warm and well perfused' and that he was 'tolerating feeds well'
Notes from later that morning, at 7.32am, state that Child O's abdomen 'looks full slightly loopy' and that he 'appeared uncomfortable after feed'
He was reviewed by Dr Mayberry, at that time he did 'not appear in any discomfort on examination'. Plan was to keep him under review
Notes from that morning show that antibiotics were stopped for Child O, Ms Ellis says this 'would suggest that everything was okay'
Ms Ellis says overall based on those notes he 'had a very stable night'
Child O died while Ms Ellis was off duty, she tells the court she found out when she came back on shift that evening. Lucy Letby told her as she had worked the day shift
Cross-Examination
Ben Myers KC is now questioning Ms Ellis. He asks her if there was something of concern, would she report to a doctor - she agrees. He says the doctors were busy that night, she says 'they were'
