From the Guardian article Golaz posted above:
https://www.theguardian.com/uk-news/article/2024/sep/08/a-superbug-doctor-shortages-and-a-neonatal-unit-out-of-its-depth-failures-at-lucy-letby-hospital-revealed
The Royal College of Pediatrics and Child Health report, commissioned after the infant deaths in 2015 and 2016:
"highlighted the shortage of senior doctors, given the acute medical needs of the babies admitted. At the time there were seven consultant paediatricians, one with a special interest in newborns , but no consultant neonatologist. They had to double up on the paediatric and neonatal wards. They were overstretched, awaiting the appointment of two further consultants, and “there should have been a greater level of consultant presence on the ward”, especially at peak times, the report said.
From a neonatologist reviewing evidence given at the trial:
“There were delays in realising babies were in difficulty, poor recognition and management of [serious medical episodes known to affect premature babies], delays in instituting treatment, repeated occurrence of failed intubations [the difficult and delicate insertion of breathing tubes into tiny babies],” she said. “These factors cause further deterioration of already compromised infants and increase the likelihood of death.”
From a nurse caring for newborns at Chester before 2007
"The most senior nurses were gradually replaced over the following years with less-experienced ones and cheaper nursery nurses who did not have a registered nursing qualification. “When you had ANNPs and senior nursing sisters with decades of clinical experience, the fact the consultants weren’t there enough didn’t matter so much. We recognised problems, we’d seen them before. But it became an accident waiting to happen,” Worden told the Guardian.
Can we really be confident that the doctors on this ward could tell when an unexpected (to them) death was suspicious?
And given that the jury were instructed that they did not need to know how murder was committed to convict, and that none of the deaths in Letby's cases were found to be suspect at post-mortem and certified with causes that are reasonably common in premature babies, what reliable indicator do we have that there was ever a murder on this ward?