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10/10/22

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A British nurse on trial for allegedly murdering seven babies and trying to kill 10 others was a “constant malevolent presence” in the hospital’s neonatal unit where the killing spree took place, a court heard Monday.
Lucy Letby, 32, has been charged with killing five baby boys and two girls, as well as the attempted murder of five boys and five girls, while she worked at the Countess of Chester Hospital in northwest England between 2015 and 2016.
Police started probing the string of deaths after the hospital noticed a spike in the number of babies who were dying or suffering “serious catastrophic collapses” in early 2015.
“Babies who had not been unstable at all suddenly deteriorated,” prosecutor Nick Johnson said during Monday’s opening statements at Manchester Crown Court.
“Sometimes babies who had been sick, but then been on the mend suddenly deteriorated for no apparent reason.”
Prosecutors believe the deaths and collapses of all 17 babies were the work of Letby.
Johnson called her a “malevolent presence” in the neonatal unit when the babies died or their health deteriorated rapidly.
Letby’s first alleged victim was a premature baby boy who was killed when he was just a day old in June 2015, the prosecutor told jurors.
Letby allegedly injected air into the baby’s bloodstream, Johnson added.
A medical expert said the most likely reason for that baby’s demise was air that had been administered deliberately “by someone who knew it would cause significant harm.”
When police were called in to investigate the baby slayings in May 2017, their review uncovered the two baby boys had been poisoned with insulin just two days after they were born, Johnson told jurors.
The blood sugar levels of the two babies had dropped to dangerous levels — but both managed to survive after medical staff intervened.
Letby was on duty when both boys were poisoned, Johnson alleged.
The disgraced nurse, who has pleaded not guilty to the murder and attempted murder charges, was arrested three times in connection with the deaths before she was charged in November 2020.
Letby’s parents and the family members of some of her alleged victims were inside the courtroom Monday.
Her trial is expected to last weeks.

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Camera Icon The court heard the neo-natal specialist later made “false and misleading” entries in the twin boy’s medical notes after she “got rid” of the mother to “cover her tracks”. Credit: Twitter / Twitter
Lucy Letby trial: British nurse accused of murdered newborn babies ‘fobbed off’ worried parents
‘Common denominator’ ‘Malevolent’ nurse poisoned babies with insulin, court told
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The mother of a baby boy interrupted a nurse allegedly murdering her premature son in his incubator, a jury was told yesterday.
It is claimed Lucy Letby, 32, “fobbed off” the worried parent by sending her away, saying: “Trust me, I’m a nurse.”
The court heard the neo-natal specialist later made “false and misleading” entries in the twin boy’s medical notes after she “got rid” of the mother to “cover her tracks”.
Nicholas Johnson KC, prosecuting, said Letby also conducted repeated searches for the boy’s family on social media following his death – even looking up his parents on Facebook on Christmas Day.
Letby is accused of murdering seven babies and injuring ten others at the Countess of Chester Hospital in Cheshire over the course of a year.
It is claimed that she either poisoned them with insulin, injected air into their bloodstreams and stomachs or overfed them with milk.
Manchester Crown Court was told that one child allegedly targeted by Letby was so premature – after being delivered at 23 weeks and six days – that she weighed just 1lb 2oz (0.5kg) at birth.
Jurors were told that, despite her “exceptional prematurity”, the girl, known as Baby G, had been making good progress after surviving her first 100 days of life.
However, she suffered irreversible brain damage and has been left severely disabled after allegedly being injected with milk and air by Letby three times over a fortnight in September 2015.
The court heard that Baby G was permanently harmed a month after the death of the fourth alleged murder victim, Baby E, a twin boy whom Letby was caught attacking by his mother during a night shift.
The woman was visiting the neo-natal unit to deliver breast milk to her seven-day-old son, who was due a feed at 9pm.
Mr Johnson said she discovered Letby with the infant, who weighed under 3lbs (1.3kg) and was acutely distressed and bleeding from the mouth in his incubator.
The court heard that the nurse, who had undergone specialist training to care for very sick babies, reassured the mother that the bleeding had been caused by a feeding tube irritating his throat.
Mr Johnson said she urged her to return to the labour ward, where she was being treated after a Caesarean section.
The prosecutor said: ‘“Trust me, I’m a nurse’ – that’s what she told [the baby’s mother].”
He added that in reality Letby was in the middle of attacking her son at the time.
The court heard that Letby was the nurse assigned to care for Baby E and his twin brother, Baby F, who had been born ten weeks premature in August 2015.
The boys’ mother said that, after discovering Letby with her son in distress at 9pm, she was so concerned that she phoned her husband from the labour ward.
Phone records showed this call was made at 9.11pm.
By 11.40pm, Baby E had begun to collapse, the jury was told.
He is said to have developed a “striking” white and purple rash – seen on the skin of several other of Letby’s alleged victims – and was bleeding during resuscitation attempts.
Although medical staff ‘did their best’ Baby E could not be saved and he was pronounced dead two hours later.
Mr Johnson said his mother and father, and Letby, were all present at his death.
Dr David Harkness, the registrar who was on duty at the time, said he had never seen such a “huge” bleed in such a small baby, which experts later equated to around a quarter of the blood in his body.
He said Baby E’s rash reminded him of what he had seen during the death of the first baby allegedly killed by Letby, Baby A, who died two months earlier.
The court heard that Baby E’s death was initially put down to necrotising enterocolitis – a serious disorder common in premature infants which causes the bowel to become inflamed and die.
Mr Johnson said no post-mortem examination was carried out which, with hindsight, was a “big mistake”.
Experts who later examined Baby E’s medical notes disagreed that necrotising enterocolitis was to blame and concluded he died because air had been deliberately injected into his bloodstream – causing a bubble which can block the movement of blood to the heart and other organs.
One expert, Dr Dewi Evans, said the bleeding was “indicative of trauma” but the absence of a postmortem examination meant it was impossible to confirm what exactly caused it.
Mr Johnson said Letby failed to mention the blood around Baby E’s mouth, which was seen by his mother at 9pm, when she wrote medical notes after his death and altered the timings of her visit to “cover her tracks”.
The jury was told that Baby E was the fourth infant to die in the unit between June and August 2015.
Mr Johnson said his brother, Baby F, was also targeted when Letby deliberately injected insulin into his feed the following day, but he survived.
The prosecutor said it was not in dispute that Baby F had been poisoned with insulin and it was the prosecution case that Letby was responsible.
The court has heard that Letby was a “malevolent” and “constant presence” at the neonatal unit at the hospital in Chester when the 17 babies collapsed or died.
Mr Johnson previously told the jury that doctors at the hospital were baffled by the increased mortality rate at the unit and could not find a medical cause, but the presence of Letby was the “common denominator”.
She denies seven charges of murder and 15 of attempted murder.
None of the babies can be named for legal reasons.

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