I think you’re spot on. Whose decision was it to upgrade the unit and take on very premature babies that no one was experienced enough to look after, with no neonatologist on site? This lack of familiarity with premature physiologies and norms is everywhere in this case. And then to do only two consultant ward rounds a week?!
People forget that Steven Brearey was Unit Lead Clinician, which is a managerial role, he was responsible for things like governance, rota organisation, and representing neonatology at management level. People think this was a case of plucky doctors vs managers, most of the doctors were actually managers too! Brearey has serious culpability here whether or not she’s guilty.
“I still stand by the fact that if RJ really thought he'd seen her doing something nefarious to a baby he could, and should have acted in that moment.”
Of course he could have and he should have. They were already talking about her being a serial killer by the time of the Baby K incident. It’s utterly incoherent to praise them as heroes when they sat on their hands emailing management for over a year instead of doing something about a serial killer nurse stalking the wards.
“But now we're in the realms of pretty much any baby death in her entire career might be added to the charges, and some people are positively rubbing their hands at the prospect with very little understanding of what that actually means, both for Lucy and in the wider context. Utterly chilling.”
This is exactly the thing. What is Thirlwall aiming to do? Avenues to whistleblow this already existed. The consultants didn’t use them. They instead expected management to fire a nurse without offering a single iota of evidence, instead darkly pointing to a “drawer of doom” (Brearey’s words) which they refused to share! We cannot allow consultants the power to have any nurse fired based only on their say so with no evidence offered, but that’s what they are asking for! It’s ridiculous.