What we're the clinical conclusions and how were procedures changed? I find it difficult to understand how fellow nurses and nurse managers allowed this to escalate unless:
a) this was a very poorly performing unit
b) they had a sequence of tragic complex cases that went wrong.
This does not mean that Letby did not kill the babies. However, I feel uneasy about aspects of the case.
#lucyletby #countessofchesterhospital