I would like to talk in some detail about
this, if I may.
So Baby K was a very premature baby who -- in whom
-- the mother had not been able to have been transferred
to a tertiary centre, so at 25 weeks gestation was born
at the Countess in the early hours of the morning.
Baby was stabilised on the neonatal unit, unwell
but stable and -- I mean, I will go into the details.
They have been widely reported.
But another nurse -- I'm not sure if she is
ciphered or not so I won't say names, but another nurse
was the named nurse looking after the baby and told me
that she was going to the delivery suite to update the
parents and that Letby was -- we used the term "baby
sitting" so another nurse sort of covers while another
nurse has to be away.
Now, it's been reported, there is a narrative that,
you know, I walked in and caught Letby doing something
and that is incorrect. I was sitting outside the room
writing in the notes, but by this stage I had
significant discomfort this was February 2016 and
I just felt uncomfortable knowing that Letby was in the
room.
And actually I was convincing myself that I was
being completely irrational and ridiculous and so I got
up and went in just to make sure everything was fine.
There's been a lot of speculation about whether the
alarms were there or not and all the rest of it but
I didn't walk in and see anything happening. What
I walked in was to find a baby clearly deteriorating and
then when I went to assess Baby K, the endotracheal tube
was dislodged but importantly, the nurse looking after
the baby, who I believe ordinarily by this stage would
have flagged up this deterioration, because in a baby of
this gestation whose oxygen saturations are dropping,
the first thing you do is look at the baby, look at the
ventilator, the chest isn't moving, it's likely it's
a tube problem, not responding at all.
And at the time, my priority was to resuscitate
Baby K, which we did successfully. I will take this
with me to my grave, I at that point thought: well, how
has that happened?
Now, in isolation in that if nothing else had
happened before or after, I would have probably thought
nothing more of it. But was it just coincidence that
this baby who had been stable to this point in the
period where the nurse looking after the baby and Letby
was supervising the baby, this event happened?