Here is what the Judge said - contextualised...
In the photo of the comment it appears that the judge is saying that Jayaram's testimony is tainted and unreliable... when he is saying that the Defence is saying that Jayaram's testimony is tainted and unreliable [and that surfactant given late].
The trial judge begins referring to the case of Child K, born at 2.12am on February 17, 2016, weighting 1lb 8oz. She was transferred to the neonatal unit prior to transfer to a tertiary unit - Arrowe Park Hospital, where her condition continued to deteriorate, and the mother agreed, in the "most heartbreaking decision" of her life, to end life support for Child K on February 20.
The prosecution say Letby attempted to kill Child K within two hours of her being born, interfering with the breathing tube, causing her to collapse. There were two further collapses and the prosecution allege there was sabotage by Letby, but they are not the subject of charges.
There is no expert opinion in Child K's case, and the evidence is circumstantial, the judge says. The prosecution urge the jury to rely on inferences.
The defence, the judge says, point to Child K's extreme prematurity, and no 'direct evidence' of harm caused. [The defence say] Child K was given surfactant late, and witness Dr Ravi Jayaram's evidence is "tainted and unreliable".
Letby had no recollection of events, but believed the ET Tubes were not secured correctly.