Thirlwall Inquiry into Lucy Letby hospital failures publishes findings and 14 recommendations
The Thirlwall Inquiry, which investigated how neonatal nurse Lucy Letby was able to murder seven babies and attempt to murder seven others at Countess of Chester Hospital between 2015 and 2016, published its report on Tuesday. Chair Lady Justice Thirlwall found a 'complete failure' to invoke safeguarding procedures at all levels, and said some deaths and collapses could have been prevented if proper action had been taken earlier. The report made 14 recommendations, including installing cot cameras in neonatal units and CCTV on insulin storage fridges. It also described Letby as 'repeatedly untruthful' and 'callous'. The inquiry was not tasked with re-examining Letby's guilt, which remains under review by the Criminal Cases Review Commission. The report's findings focus on hospital management, oversight, and missed opportunities to stop the attacks.
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