Key findings from Lucy Letby Thirlwall Inquiry
The inquiry found a "complete failure to protect babies on the neonatal unit" where the nurse worked.
The Lucy Letby Thirlwall Inquiry has concluded that the deaths and near-deaths of several babies at the Countess of Chester Hospital could have been prevented if safeguarding practices had been followed. The inquiry found a complete failure in protecting the babies on the neonatal unit, with Letby murdering seven babies and attempting to murder seven others.
The chairwoman, Lady Justice Thirlwall, noted that if all the babies Letby was convicted of murdering were removed from the annual death figures, the mortality rates would have remained consistent with previous years. However, the inquiry highlighted a series of missed opportunities for safeguarding action, including the disregard of insulin test results and the failure to report concerning incidents to the appropriate authorities.
Hospital bosses were also found to have repeatedly failed in their duty of candour with parents, investigators, and regulators.
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