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Lucy Letby hospital could have prevented some baby deaths, inquiry finds
On Tuesday, The Thirlwall Inquiry released its final report at Liverpool Town Hall, finding 'dysfunctional management and governance' at The Countess of Chester Hospital. Lady Justice Thirlwall concluded some babies' lives could have been saved had the hospital acted differently.
Eirian Powell, a senior nurse, viewed Letby as a 'star' for her willingness to work extra shifts, despite a 2013 incident where the junior nurse administered 10 times too much morphine. Powell allowed her to break rules without consequence.
Hospital bosses delayed inviting Cheshire Constabulary to investigate until May 2017, despite consultant concerns dating to 2015. Families were 'kept in the dark' about suspicions until police contacted them in July 2018, more than three years later.
The report issued 14 recommendations to prevent future harm, including fitting baby monitors in all cots and restricting insulin access via digital controls. NHS England must 'set out a roadmap' for implementing these measures by March 31 next year.
Inquests into the deaths of babies Letby was convicted of murdering are scheduled for May 2027. Cheshire Constabulary continues investigations into potential corporate manslaughter offenses while Letby serves 15 life sentences.