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The Thirwall Inquiry has heard that a hospital director felt “out of her depth” when dealing with senior doctors’ concerns about the serial killer nurse Lucy Letby. Karen Townsend, divisional director of urgent care at the Countess of Chester Hospital, said she did not take more action when senior doctors told her they were worried Letby was associated with an increase in unexpected deaths and collapses on the neonatal unit. Ms Townsend said she was being led by how the “executive team wanted to manage it”. She did not add the concerns raised by Dr Ravi Jayaram and Dr Stephen Brearey to the hospital risk register after their meeting because there were “no details” shared during the conversation, she added.
Ms Townsend was asked if she thought the police should have been called by the end of June 2016. She said: “I probably felt out of my depth because I didn’t have the clinical insight, I didn’t have the clinical knowledge and this was a very, very serious situation, and I felt I was very much being led by how the executive team wanted to manage it at that time because of how awful a scenario it was.”
Later, Ruth Millward, a patient safety manager, told the inquiry that there was an unhealthy culture in the NHS to copy people into emails so people can say they have passed on information. Ms Millward was asked about an email she and others received from a consultant in March 2016, which identified a number of unexpected deaths on the neonatal unit and had a table showing which nurses were on duty. She said: “There’s a very unhealthy culture in the NHS to copy people into emails so you can say that you have told so and so when in fact you haven’t, and from what I can recall of the email this is not a final report.”
Letby was convicted of murdering seven babies and attempting to murder a further seven, including two attempts on the same victim, all between June 2015 and June 2016. The inquiry continues
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