Transcripts For BBCNEWS BBC 20240704 : comparemela.com

Transcripts For BBCNEWS BBC 20240704



vain and died. you used a number of different ways to try to kill _ vain and died. you used a number of different ways to try to kill them, . different ways to try to kill them, thereby— different ways to try to kill them, thereby misleading _ different ways to try to kill them, thereby misleading clinicians - different ways to try to kill them, thereby misleading clinicians intoj thereby misleading clinicians into believing — thereby misleading clinicians into believing the _ thereby misleading clinicians into believing the collapses _ thereby misleading clinicians into believing the collapses had, - thereby misleading clinicians into believing the collapses had, all. believing the collapses had, all might— believing the collapses had, all might have _ believing the collapses had, all might have had, _ believing the collapses had, all might have had, a _ believing the collapses had, all might have had, a natural- believing the collapses had, all. might have had, a natural cause, believing the collapses had, all- might have had, a natural cause, or were _ might have had, a natural cause, or were a _ might have had, a natural cause, or were a consequence _ might have had, a natural cause, or were a consequence of— might have had, a natural cause, or were a consequence of a _ might have had, a natural cause, orj were a consequence of a developing medical— were a consequence of a developing medical condition. _ were a consequence of a developing medical condition. you _ were a consequence of a developing medical condition. you took- medical condition. you took opportunities _ medical condition. you took opportunities to— medical condition. you took opportunities to harm - medical condition. you tookl opportunities to harm babies medical condition. you took- opportunities to harm babies when staff were — opportunities to harm babies when staff were on — opportunities to harm babies when staff were on breaks, _ opportunities to harm babies when staff were on breaks, away- opportunities to harm babies when staff were on breaks, away from i staff were on breaks, away from babies — staff were on breaks, away from babies 0n — staff were on breaks, away from babies. on some _ staff were on breaks, away from babies. on some occasions, - staff were on breaks, away from babies. on some occasions, you falsified — babies. on some occasions, you falsified records— babies. on some occasions, you falsified records to _ babies. on some occasions, you falsified records to indicate - babies. on some occasions, youi falsified records to indicate there were _ falsified records to indicate there were signs — falsified records to indicate there were signs of— falsified records to indicate there were signs of deterioration - falsified records to indicate there i were signs of deterioration before a collapse _ were signs of deterioration before a collapse occurred _ were signs of deterioration before a collapse occurred. you _ were signs of deterioration before a collapse occurred. you knew- were signs of deterioration before a collapse occurred. you knew that. were signs of deterioration before a. collapse occurred. you knew that the last thing _ collapse occurred. you knew that the last thing anyone _ collapse occurred. you knew that the last thing anyone working _ collapse occurred. you knew that the last thing anyone working in - collapse occurred. you knew that the last thing anyone working in the - last thing anyone working in the unit would — last thing anyone working in the unit would or— last thing anyone working in the unit would or didn't _ last thing anyone working in the unit would or didn't think - last thing anyone working in the unit would or didn't think was i last thing anyone working in the . unit would or didn't think was that someone — unit would or didn't think was that someone caring _ unit would or didn't think was that someone caring for— unit would or didn't think was that someone caring for the _ unit would or didn't think was that someone caring for the babies - unit would or didn't think was that| someone caring for the babies was deliberately— someone caring for the babies was deliberately harming _ someone caring for the babies was deliberately harming them. - someone caring for the babies was deliberately harming them. as - someone caring for the babies was deliberately harming them. as the j deliberately harming them. as the number— deliberately harming them. as the number of— deliberately harming them. as the number of unexpected _ deliberately harming them. as the number of unexpected and - deliberately harming them. as the - number of unexpected and unexplained collapses— number of unexpected and unexplained collapses and _ number of unexpected and unexplained collapses and deaths _ number of unexpected and unexplained collapses and deaths escalated, - collapses and deaths escalated, senior— collapses and deaths escalated, senior doctors— collapses and deaths escalated, senior doctors started _ collapses and deaths escalated, senior doctors started to - collapses and deaths escalated, senior doctors started to think i collapses and deaths escalated, . senior doctors started to think the unthinkable — senior doctors started to think the unthinkable and _ senior doctors started to think the unthinkable and consider- senior doctors started to think the unthinkable and consider the - unthinkable and consider the possibility— unthinkable and consider the possibility that _ unthinkable and consider the possibility that someone - unthinkable and consider thej possibility that someone was unthinkable and consider the . possibility that someone was in unthinkable and consider the - possibility that someone was in fact deliberately— possibility that someone was in fact deliberately harming _ possibility that someone was in fact deliberately harming the _ possibility that someone was in fact deliberately harming the babies - possibility that someone was in fact| deliberately harming the babies and you were _ deliberately harming the babies and you were identified _ deliberately harming the babies and you were identified as _ deliberately harming the babies and you were identified as the _ deliberately harming the babies and you were identified as the commoni you were identified as the common factor _ you were identified as the common factor you — you were identified as the common factor you had _ you were identified as the common factor. you had a _ you were identified as the common factor. you had a detached - factor. you had a detached enthusiasm _ factor. you had a detached enthusiasm for— factor. you had a detached enthusiasm for the - factor. you had a detached - enthusiasm for the resuscitation is and what _ enthusiasm for the resuscitation is and what followed. _ enthusiasm for the resuscitation is and what followed. you _ enthusiasm for the resuscitation is. and what followed. you endeavoured to impress _ and what followed. you endeavoured to impress colleagues _ and what followed. you endeavoured to impress colleagues and _ and what followed. you endeavoured to impress colleagues and cliniciansl to impress colleagues and clinicians and sought— to impress colleagues and clinicians and sought reassurance _ to impress colleagues and clinicians and sought reassurance from - to impress colleagues and clinicians and sought reassurance from themi to impress colleagues and clinicians l and sought reassurance from them as to your— and sought reassurance from them as to your competence _ and sought reassurance from them as to your competence and _ and sought reassurance from them as to your competence and skills - and sought reassurance from them as to your competence and skills and - to your competence and skills and would _ to your competence and skills and would message _ to your competence and skills and would message others— to your competence and skills and would message others to - to your competence and skills and would message others to the - to your competence and skills and. would message others to the effect that no— would message others to the effect that no one — would message others to the effect that no one was _ would message others to the effect that no one was at _ would message others to the effect that no one was at fault. _ would message others to the effect that no one was at fault. 0n - that no one was at fault. on occasions, _ that no one was at fault. on occasions, you _ that no one was at fault. on occasions, you cruelly- that no one was at fault. on occasions, you cruelly and l that no one was at fault. 0n - occasions, you cruelly and callously made _ occasions, you cruelly and callously made inappropriate _ occasions, you cruelly and callously made inappropriate remarks - occasions, you cruelly and callously made inappropriate remarks to - occasions, you cruelly and callously. made inappropriate remarks to some of the _ made inappropriate remarks to some of the grieving — made inappropriate remarks to some of the grieving parents _ made inappropriate remarks to some of the grieving parents at _ made inappropriate remarks to some of the grieving parents at the - made inappropriate remarks to some of the grieving parents at the time i of the grieving parents at the time of, of the grieving parents at the time of. or— of the grieving parents at the time of. or in— of the grieving parents at the time of. or in the — of the grieving parents at the time of, or in the immediate _ of the grieving parents at the time| of, or in the immediate aftermath, of the grieving parents at the time . of, or in the immediate aftermath, a death _ of, or in the immediate aftermath, a death when — of, or in the immediate aftermath, a death when the _ of, or in the immediate aftermath, a death. when the homes _ of, or in the immediate aftermath, a death. when the homes of _ of, or in the immediate aftermath, a death. when the homes of you - of, or in the immediate aftermath, a death. when the homes of you and i death. when the homes of you and your parents — death. when the homes of you and your parents were _ death. when the homes of you and your parents were searched, - your parents were searched, confidential _ your parents were searched, confidential documents - your parents were searched, i confidential documents relating your parents were searched, - confidential documents relating to babies, _ confidential documents relating to babies, including _ confidential documents relating to babies, including handover- confidential documents relating to babies, including handoverand i babies, including handoverand resuscitation _ babies, including handoverand resuscitation sheets— babies, including handoverand resuscitation sheets and - babies, including handoverand resuscitation sheets and notes| babies, including handoverand - resuscitation sheets and notes and blood _ resuscitation sheets and notes and blood gas — resuscitation sheets and notes and blood gas readings _ resuscitation sheets and notes and blood gas readings were _ resuscitation sheets and notes and blood gas readings were found - resuscitation sheets and notes andj blood gas readings were found and there _ blood gas readings were found and there were — blood gas readings were found and there were entries— blood gas readings were found and there were entries in— blood gas readings were found and there were entries in a _ blood gas readings were found and there were entries in a diary- there were entries in a diary recording _ there were entries in a diary recording relevant _ there were entries in a diary recording relevant events. l there were entries in a diary- recording relevant events. handover sheets— recording relevant events. handover sheets relating — recording relevant events. handover sheets relating to _ recording relevant events. handover sheets relating to all _ recording relevant events. handover sheets relating to all but _ recording relevant events. handover sheets relating to all but the - recording relevant events. handover sheets relating to all but the first. sheets relating to all but the first four babies — sheets relating to all but the first four babies had _ sheets relating to all but the first four babies had been _ sheets relating to all but the first four babies had been taken - sheets relating to all but the first four babies had been taken from | sheets relating to all but the first. four babies had been taken from the unit and _ four babies had been taken from the unit and kept— four babies had been taken from the unit and kept by— four babies had been taken from the unit and kept by you. _ four babies had been taken from the unit and kept by you. i— four babies had been taken from the unit and kept by you. i am _ four babies had been taken from the unit and kept by you. i am satisfiedl unit and kept by you. i am satisfied you started — unit and kept by you. i am satisfied you started to— unit and kept by you. i am satisfied you started to keep _ unit and kept by you. i am satisfied you started to keep these - unit and kept by you. i am satisfied l you started to keep these documents after those _ you started to keep these documents after those initial— you started to keep these documents after those initial offences _ you started to keep these documents after those initial offences in- you started to keep these documents after those initial offences injune - after those initial offences in june 2015 as— after those initial offences injune 2015 as morbid _ after those initial offences injune 2015 as morbid records _ after those initial offences injune 2015 as morbid records of- after those initial offences injune 2015 as morbid records of the - 2015 as morbid records of the dreadful— 2015 as morbid records of the dreadful events _ 2015 as morbid records of the dreadful events surrounding i 2015 as morbid records of the . dreadful events surrounding the collapses — dreadful eve nts surrounding the collapses of— dreadful events surrounding the collapses of your _ dreadful events surrounding the collapses of your victims - dreadful events surrounding the collapses of your victims and i dreadful events surrounding the . collapses of your victims and what you had _ collapses of your victims and what you had done _ collapses of your victims and what you had done to _ collapses of your victims and what you had done to them. _ collapses of your victims and what you had done to them. you - collapses of your victims and what you had done to them. you had i collapses of your victims and what you had done to them. you had ai you had done to them. you had a fascination— you had done to them. you had a fascination with _ you had done to them. you had a fascination with the _ you had done to them. you had a fascination with the babies - you had done to them. you had a fascination with the babies and l fascination with the babies and their— fascination with the babies and their families _ fascination with the babies and their families that— fascination with the babies and their families that extended i fascination with the babies and their families that extended toj their families that extended to making — their families that extended to making repeated _ their families that extended to making repeated searches- their families that extended to making repeated searches on. their families that extended to - making repeated searches on facebook for their— making repeated searches on facebook for their parents. — making repeated searches on facebook for their parents, sometimes— for their parents, sometimes immediately— for their parents, sometimes immediately following - for their parents, sometimes immediately following the i for their parents, sometimes- immediately following the events and come on _ immediately following the events and come on occasions, _ immediately following the events and come on occasions, much _ immediately following the events and come on occasions, much later. - immediately following the events and come on occasions, much later. a- come on occasions, much later. a piece _ come on occasions, much later. a piece of— come on occasions, much later. a piece of paper— come on occasions, much later. a piece of paper with _ come on occasions, much later. a piece of paper with dense - come on occasions, much later. a piece of paper with dense writing i come on occasions, much later. a. piece of paper with dense writing on both sides _ piece of paper with dense writing on both sides setting _ piece of paper with dense writing on both sides setting out _ piece of paper with dense writing on both sides setting out your - piece of paper with dense writing onj both sides setting out your thoughts and feelings — both sides setting out your thoughts and feelings was _ both sides setting out your thoughts and feelings was found _ both sides setting out your thoughts and feelings was found in _ both sides setting out your thoughts and feelings was found in the - both sides setting out your thoughts and feelings was found in the first. and feelings was found in the first search— and feelings was found in the first search of— and feelings was found in the first search of your _ and feelings was found in the first search of your home _ and feelings was found in the first search of your home in _ and feelings was found in the first search of your home in 2018. - and feelings was found in the first - search of your home in 2018. amongst the phrases— search of your home in 2018. amongst the phrases you — search of your home in 2018. amongst the phrases you wrote _ search of your home in 2018. amongst the phrases you wrote were _ search of your home in 2018. amongst the phrases you wrote were "the - the phrases you wrote were "the world _ the phrases you wrote were "the world is — the phrases you wrote were "the world is better— the phrases you wrote were "the world is better off— the phrases you wrote were "the world is better off without - the phrases you wrote were "the world is better off without me" . the phrases you wrote were "the . world is better off without me" and "i world is better off without me" and "i am _ world is better off without me" and "i am evil, — world is better off without me" and "i am evil, i— world is better off without me" and "i am evil, i did _ world is better off without me" and "i am evil, i did this". _ world is better off without me" and "i am evil, i did this". the - world is better off without me" and "i am evil, i did this". the impact i "i am evil, i did this". the impact of your— "i am evil, i did this". the impact of your crimes _ "i am evil, i did this". the impact of your crimes has _ "i am evil, i did this". the impact of your crimes has been - "i am evil, i did this". the impact. of your crimes has been immense. "i am evil, i did this". the impact - of your crimes has been immense. as disclosed _ of your crimes has been immense. as disclosed by— of your crimes has been immense. as disclosed by the — of your crimes has been immense. as disclosed by the deeply _ of your crimes has been immense. as disclosed by the deeply moving - disclosed by the deeply moving personal— disclosed by the deeply moving personal statements _ disclosed by the deeply moving personal statements that - disclosed by the deeply moving personal statements that have | disclosed by the deeply moving - personal statements that have been read to _ personal statements that have been read to the — personal statements that have been read to the court _ personal statements that have been read to the court this _ personal statements that have been read to the court this morning. - personal statements that have been read to the court this morning. the i read to the court this morning. the lives _ read to the court this morning. the lives of— read to the court this morning. the lives of newborn _ read to the court this morning. the lives of newborn or— read to the court this morning. the lives of newborn or relatively - lives of newborn or relatively newborn _ lives of newborn or relatively newborn babies _ lives of newborn or relatively newborn babies were - lives of newborn or relatively newborn babies were endedl lives of newborn or relatively - newborn babies were ended almost as soon as— newborn babies were ended almost as soon as they— newborn babies were ended almost as soon as they began _ newborn babies were ended almost as soon as they began and _ newborn babies were ended almost as soon as they began and lifelong - newborn babies were ended almost as soon as they began and lifelong harmi soon as they began and lifelong harm has been _ soon as they began and lifelong harm has been caused, _ soon as they began and lifelong harm has been caused, all— soon as they began and lifelong harm has been caused, all in _ soon as they began and lifelong harm has been caused, all in horrific- has been caused, all in horrific circumstances. _ has been caused, all in horrific circumstances. loving - has been caused, all in horrific circumstances. loving parents| has been caused, all in horrific- circumstances. loving parents have been _ circumstances. loving parents have been robbed — circumstances. loving parents have been robbed of— circumstances. loving parents have been robbed of their— circumstances. loving parents have been robbed of their cherished - been robbed of their cherished children— been robbed of their cherished children and _ been robbed of their cherished children and others _ been robbed of their cherished children and others have - been robbed of their cherished children and others have to - been robbed of their cherishedi children and others have to live with _ children and others have to live with the — children and others have to live with the physical— children and others have to live with the physical and _ children and others have to live with the physical and mental. with the physical and mental consequences _ with the physical and mental consequences of— with the physical and mental consequences of your- with the physical and mental. consequences of your actions. siblings— consequences of your actions. siblings have _ consequences of your actions. siblings have been _ consequences of your actions. siblings have been deprived . consequences of your actions. | siblings have been deprived of brothers— siblings have been deprived of brothers and _ siblings have been deprived of brothers and sisters. - siblings have been deprived of brothers and sisters. you - siblings have been deprived ofj brothers and sisters. you have caused — brothers and sisters. you have caused a — brothers and sisters. you have caused a deep _ brothers and sisters. you have caused a deep psychological. brothers and sisters. you have - caused a deep psychological trauma, brought— caused a deep psychological trauma, brought in— caused a deep psychological trauma, brought in during _ caused a deep psychological trauma, brought in during grief— caused a deep psychological trauma, brought in during grief and _ caused a deep psychological trauma, brought in during grief and feelings. brought in during grief and feelings of guilt, _ brought in during grief and feelings of guilt, caused— brought in during grief and feelings of guilt, caused strains _ brought in during grief and feelings of guilt, caused strains in- of guilt, caused strains in relationships— of guilt, caused strains in relationships and - of guilt, caused strains in. relationships and disruption of guilt, caused strains in- relationships and disruption to the lives of— relationships and disruption to the lives of all— relationships and disruption to the lives of all the _ relationships and disruption to the lives of all the families _ relationships and disruption to the lives of all the families of- relationships and disruption to the lives of all the families of all- lives of all the families of all your— lives of all the families of all your victims _ your victims. this- your victims. this is- your victims. this is bbc. your victims. - this is bbc news and your victims. _ this is bbc news and that your victims. — this is bbc news and that was the judge in this case, mrjustice goss, delivering his sentencing remarks, the sentencing of lucy letby, the nurse at the countess of chester hospital who has been convicted of murdering seven babies in her care and attempting to murder six more and attempting to murder six more and today is her sentencing. she was not in the dock to hear that. she was here at manchester crown court, brought from prison this morning, as she has been throughout the trial, but decided for the conclusion of her trial last week, for the remaining verdicts, not to appear in the dock to hear that and she was not in the dock today to face families who read out harrowing, emotive, in some cases, victim impact statements. some did it themselves, some were represented by legal counsel who read out statements on their behalf but lucy letby will now serve the rest of her life in prison for every one of those counts she was convicted on, the judge has those counts she was convicted on, thejudge has handed down a whole life order. no minimum term. it means life in lucy letby�*s games will mean life and the most prolific murder of babies in modern british history will never be released from prison. we can talk to my colleague who was watching things in court and has been here throughout the ten month trial. we saw the judge's statement, the camera trained on him, but at that time, you were able to see everything else happening in court. tell me about the families. this was a huge and difficult moment. this was a huge and difficult moment-— this was a huge and difficult moment. ., , , moment. how did they react? this has been a culmination _ moment. how did they react? this has been a culmination of _ moment. how did they react? this has been a culmination of years _ moment. how did they react? this has been a culmination of years of- been a culmination of years of police investigation, a ten month trial where they heard harrowing details about what happened, the final moments of their child's lie. there was emotion in court today. there was emotion in court today. the families began the day by reading victim impact statements to describe the impact on their lives. the morning was charged. where we got to the point when the judge said she would serve a whole life tariff, i think there was relief, i think this was a sentence a lot of families wanted and when the judge got to that point, i think there was quite relief in that room. teiiii got to that point, i think there was quite relief in that room.— quite relief in that room. tell me more about _ quite relief in that room. tell me more about the _ quite relief in that room. tell me more about the victim _ quite relief in that room. tell me more about the victim impact - more about the victim impact statements. they are very different in tone and content to the evidence the families gave in this trial. this was their opportunity to say everything that was in their head and heart. the families have come several times throughout the trial but the evidence during the trial was more about their recollections of specific events several years ago and not an opportunity at that stage to describe the emotional impact. there was some emotion when the families relived those memories but this was a moment today, even though letby was not there, it was a chance to address her and say how they feel. a lot of the families said they would not forgive her. some decided to say she had lost her power. they would no longer think about her. and some families took the opportunity to remember their children and what their children should have been doing if they were still alive now. an incredibly tough morning. we also mentioned eight of the 11 jurors, there were 12 originally, one was discharged for good personal reasons during the deliberation process. eight did choose to come back and being caught for sentencing. they did. this has taken up so much of their lives and has been an incredibly harrowing and difficult trial to follow. at the beginning they were given a glossary of medical terms, 25 pages. it is a trial that demanded a lot of them, not just trial that demanded a lot of them, notjust in terms of detail, but also getting to grips some of the theories at play in the trial. it is a culmination of so much work on behalf of the police, crown prosecution service service and trial process. 110 hours, thejury have been in the room discussing this case at manchester crown court. we are bringing continuing reaction this morning because there are so many ongoing questions. in particular this investigation operation by cheshire police hummingbird, it has widened and will look at more of lucy letby�*s nursing career. look at more of lucy letby's nursing career. , , , ., career. given the severity of the offences. _ career. given the severity of the offences. the — career. given the severity of the offences, the police _ career. given the severity of the offences, the police decided - career. given the severity of the offences, the police decided to l career. given the severity of the - offences, the police decided to look at the whole footprint of her time as a nurse. she did placements at the countess of chester hospital at liverpool women's hospital and the trust there put out a statement describing how they are dealing with families at the moment. the police are reviewing other cases at the countess of chester where lucy letby came into contact with other children. this is a case that will rumble on for years to come. thank ou. m rumble on for years to come. thank you- my colleague _ rumble on for years to come. thank you. my colleague who _ rumble on for years to come. thank you. my colleague who has - rumble on for years to come. thank you. my colleague who has been . rumble on for years to come. thank you. my colleague who has been in | you. my colleague who has been in court throughout. this trial is believed to be the longest murder trial in british legal history and has lasted ten months. the legal part has concluded in the past hour orso part has concluded in the past hour or so at manchester crown court. we brought you the sentencing remarks by the judge, brought you the sentencing remarks by thejudge, mrjustice brought you the sentencing remarks by the judge, mrjustice goss, brought you the sentencing remarks by thejudge, mrjustice goss, who presided over the trial and laid out in clear detail the cold and calculating nature of lucy letby's crimes, the way in which she murdered and attempted to murder babies in her care, and the way in which he said she tried to cover that up, her disregard for families. she will serve the rest of her life in prison. thejudge has imposed a whole life order which means she will never be released and lucy letby will spend the rest of her life in prison for those crimes of murder and attempted murder of babies she was caring for. we have been getting continuing reaction to that sentence on bbc news. i spoke earlier to doctor malcolm stewart, a retired medical director. questions have been asked about how lucy letby was able to offend in this way and so long, and how questions, concerns raised were not acted upon by senior clinicians and management at the trust and he explained what he thinks needs to be covered in the independent inquiry that will be carried out into lucy letby's offending.— that will be carried out into lucy letby's offending. there are key cuestions letby's offending. there are key questions that _ letby's offending. there are key questions that undoubtedly - letby's offending. there are key questions that undoubtedly the | questions that undoubtedly the inquiry will want to ask. these are probably five. did the trust have a policy for raising clinical concerns and was it followed, fit for purpose and was it followed, fit for purpose and did it report to board? for adverts, unexpected outcomes, where they presented and discussed with learning points identified and actions logged at the meetings relevant in this case? and where these upwardly reported? did a member of the border turned or chair a clinical governance and patient safety committee in the trust? what actions did the medical director and director of nursing take when concerns were brought to them? how were they escalated and to whom? and finally, how did they assure themselves and the board that the necessary systems of clinical governance, they were in place and crucially were effective? in my experience, in each of the trusts, each trust would have claimed to have such systems but what they did not have were effective systems. to what extent are guidelines and processes like this decided centrally and to what extent are they up to the individual trusts? accountability is addressed at every level in the health service. it rests before members of staff but ultimately with the board and in particular the non—executives who hold executive directors to account for delivery of statutory obligations with regard to patient safety. we are looking at here not i think that there were inadequate central mechanisms but some of the systems, identified concerns but were not adequately follow through. this is a common theme in these cases of clinical failure.— this is a common theme in these cases of clinical failure. there are wa s... cases of clinical failure. there are ways- -- do _ cases of clinical failure. there are ways- -- do you — cases of clinical failure. there are ways... do you think _ cases of clinical failure. there are ways... do you think we - cases of clinical failure. there are ways... do you think we will - cases of clinical failure. there are l ways... do you think we will see... there are ways. the first to ensure there is a nonexecutive director sitting on or chairing the principal clinical governance committee and the trust to which concern should have come and that would mean you did not have a situation where the chairman of the board for instance could say the board was not cited. nonexecutive scrutiny of clinical practice would be stronger if a nonexecutive director had a clinical background. and also a regular external review by whichever agency, and there are many, that take place for each trust, if greater scrutiny were placed on whether the governance system in a trust is effective rather than just in place. that was doctor malcolm stuart, a retired medical director, talking about some of the issues in the investigation that will continue despite the conclusion at the end of this legal process is lucy letby's nursing career continues to be investigated. welcome to bbc news. i am anna foster. live from manchester crown court. the headlines... nurse lucy letby will spend the rest of her life in prison — for murdering seven babies and attempting to kill six others. this was a cruel, calculated and cynical campaign of child murder, involving the smallest and most vulnerable of children. letby refused to appear in the dock for her sentencing. her victims' families say she's evil and has destroyed their lives. i think it's cowardly that people who commit such horrendous crimes do not face their victims and hear first—hand the impact that the crimes that had on them and theirfamilies and loved ones. welcome to bbc news, you join me live outside manchester crown court where just in the last hour, the judge mrjustice goss who has provided over the case of lucy letby for almost ten months has really concluded that legal process bypassing the sentence on the convicted killer of children. she is now the most prolific killer of children in british legal history. we now know the 33—year—old nurse from hereford lucy letby wills and the rest of her life in prison as a result of the murders and attempted murder she carried out while working as a nurse on the neonatal unit at the countess of chester hospital. we have heard over a period of months harrowing evidence from the parents

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Transcripts For BBCNEWS BBC 20240704 : Comparemela.com

Transcripts For BBCNEWS BBC 20240704

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vain and died. you used a number of different ways to try to kill _ vain and died. you used a number of different ways to try to kill them, . different ways to try to kill them, thereby— different ways to try to kill them, thereby misleading _ different ways to try to kill them, thereby misleading clinicians - different ways to try to kill them, thereby misleading clinicians intoj thereby misleading clinicians into believing — thereby misleading clinicians into believing the _ thereby misleading clinicians into believing the collapses _ thereby misleading clinicians into believing the collapses had, - thereby misleading clinicians into believing the collapses had, all. believing the collapses had, all might— believing the collapses had, all might have _ believing the collapses had, all might have had, _ believing the collapses had, all might have had, a _ believing the collapses had, all might have had, a natural- believing the collapses had, all. might have had, a natural cause, believing the collapses had, all- might have had, a natural cause, or were _ might have had, a natural cause, or were a _ might have had, a natural cause, or were a consequence _ might have had, a natural cause, or were a consequence of— might have had, a natural cause, or were a consequence of a _ might have had, a natural cause, orj were a consequence of a developing medical— were a consequence of a developing medical condition. _ were a consequence of a developing medical condition. you _ were a consequence of a developing medical condition. you took- medical condition. you took opportunities _ medical condition. you took opportunities to— medical condition. you took opportunities to harm - medical condition. you tookl opportunities to harm babies medical condition. you took- opportunities to harm babies when staff were — opportunities to harm babies when staff were on — opportunities to harm babies when staff were on breaks, _ opportunities to harm babies when staff were on breaks, away- opportunities to harm babies when staff were on breaks, away from i staff were on breaks, away from babies — staff were on breaks, away from babies 0n — staff were on breaks, away from babies. on some _ staff were on breaks, away from babies. on some occasions, - staff were on breaks, away from babies. on some occasions, you falsified — babies. on some occasions, you falsified records— babies. on some occasions, you falsified records to _ babies. on some occasions, you falsified records to indicate - babies. on some occasions, youi falsified records to indicate there were _ falsified records to indicate there were signs — falsified records to indicate there were signs of— falsified records to indicate there were signs of deterioration - falsified records to indicate there i were signs of deterioration before a collapse _ were signs of deterioration before a collapse occurred _ were signs of deterioration before a collapse occurred. you _ were signs of deterioration before a collapse occurred. you knew- were signs of deterioration before a collapse occurred. you knew that. were signs of deterioration before a. collapse occurred. you knew that the last thing _ collapse occurred. you knew that the last thing anyone _ collapse occurred. you knew that the last thing anyone working _ collapse occurred. you knew that the last thing anyone working in - collapse occurred. you knew that the last thing anyone working in the - last thing anyone working in the unit would — last thing anyone working in the unit would or— last thing anyone working in the unit would or didn't _ last thing anyone working in the unit would or didn't think - last thing anyone working in the unit would or didn't think was i last thing anyone working in the . unit would or didn't think was that someone — unit would or didn't think was that someone caring _ unit would or didn't think was that someone caring for— unit would or didn't think was that someone caring for the _ unit would or didn't think was that someone caring for the babies - unit would or didn't think was that| someone caring for the babies was deliberately— someone caring for the babies was deliberately harming _ someone caring for the babies was deliberately harming them. - someone caring for the babies was deliberately harming them. as - someone caring for the babies was deliberately harming them. as the j deliberately harming them. as the number— deliberately harming them. as the number of— deliberately harming them. as the number of unexpected _ deliberately harming them. as the number of unexpected and - deliberately harming them. as the - number of unexpected and unexplained collapses— number of unexpected and unexplained collapses and _ number of unexpected and unexplained collapses and deaths _ number of unexpected and unexplained collapses and deaths escalated, - collapses and deaths escalated, senior— collapses and deaths escalated, senior doctors— collapses and deaths escalated, senior doctors started _ collapses and deaths escalated, senior doctors started to - collapses and deaths escalated, senior doctors started to think i collapses and deaths escalated, . senior doctors started to think the unthinkable — senior doctors started to think the unthinkable and _ senior doctors started to think the unthinkable and consider- senior doctors started to think the unthinkable and consider the - unthinkable and consider the possibility— unthinkable and consider the possibility that _ unthinkable and consider the possibility that someone - unthinkable and consider thej possibility that someone was unthinkable and consider the . possibility that someone was in unthinkable and consider the - possibility that someone was in fact deliberately— possibility that someone was in fact deliberately harming _ possibility that someone was in fact deliberately harming the _ possibility that someone was in fact deliberately harming the babies - possibility that someone was in fact| deliberately harming the babies and you were _ deliberately harming the babies and you were identified _ deliberately harming the babies and you were identified as _ deliberately harming the babies and you were identified as the _ deliberately harming the babies and you were identified as the commoni you were identified as the common factor _ you were identified as the common factor you — you were identified as the common factor you had _ you were identified as the common factor. you had a _ you were identified as the common factor. you had a detached - factor. you had a detached enthusiasm _ factor. you had a detached enthusiasm for— factor. you had a detached enthusiasm for the - factor. you had a detached - enthusiasm for the resuscitation is and what _ enthusiasm for the resuscitation is and what followed. _ enthusiasm for the resuscitation is and what followed. you _ enthusiasm for the resuscitation is. and what followed. you endeavoured to impress _ and what followed. you endeavoured to impress colleagues _ and what followed. you endeavoured to impress colleagues and _ and what followed. you endeavoured to impress colleagues and cliniciansl to impress colleagues and clinicians and sought— to impress colleagues and clinicians and sought reassurance _ to impress colleagues and clinicians and sought reassurance from - to impress colleagues and clinicians and sought reassurance from themi to impress colleagues and clinicians l and sought reassurance from them as to your— and sought reassurance from them as to your competence _ and sought reassurance from them as to your competence and _ and sought reassurance from them as to your competence and skills - and sought reassurance from them as to your competence and skills and - to your competence and skills and would _ to your competence and skills and would message _ to your competence and skills and would message others— to your competence and skills and would message others to - to your competence and skills and would message others to the - to your competence and skills and. would message others to the effect that no— would message others to the effect that no one — would message others to the effect that no one was _ would message others to the effect that no one was at _ would message others to the effect that no one was at fault. _ would message others to the effect that no one was at fault. 0n - that no one was at fault. on occasions, _ that no one was at fault. on occasions, you _ that no one was at fault. on occasions, you cruelly- that no one was at fault. on occasions, you cruelly and l that no one was at fault. 0n - occasions, you cruelly and callously made _ occasions, you cruelly and callously made inappropriate _ occasions, you cruelly and callously made inappropriate remarks - occasions, you cruelly and callously made inappropriate remarks to - occasions, you cruelly and callously. made inappropriate remarks to some of the _ made inappropriate remarks to some of the grieving — made inappropriate remarks to some of the grieving parents _ made inappropriate remarks to some of the grieving parents at _ made inappropriate remarks to some of the grieving parents at the - made inappropriate remarks to some of the grieving parents at the time i of the grieving parents at the time of, of the grieving parents at the time of. or— of the grieving parents at the time of. or in— of the grieving parents at the time of. or in the — of the grieving parents at the time of, or in the immediate _ of the grieving parents at the time| of, or in the immediate aftermath, of the grieving parents at the time . of, or in the immediate aftermath, a death _ of, or in the immediate aftermath, a death when — of, or in the immediate aftermath, a death when the _ of, or in the immediate aftermath, a death. when the homes _ of, or in the immediate aftermath, a death. when the homes of _ of, or in the immediate aftermath, a death. when the homes of you - of, or in the immediate aftermath, a death. when the homes of you and i death. when the homes of you and your parents — death. when the homes of you and your parents were _ death. when the homes of you and your parents were searched, - your parents were searched, confidential _ your parents were searched, confidential documents - your parents were searched, i confidential documents relating your parents were searched, - confidential documents relating to babies, _ confidential documents relating to babies, including _ confidential documents relating to babies, including handover- confidential documents relating to babies, including handoverand i babies, including handoverand resuscitation _ babies, including handoverand resuscitation sheets— babies, including handoverand resuscitation sheets and - babies, including handoverand resuscitation sheets and notes| babies, including handoverand - resuscitation sheets and notes and blood _ resuscitation sheets and notes and blood gas — resuscitation sheets and notes and blood gas readings _ resuscitation sheets and notes and blood gas readings were _ resuscitation sheets and notes and blood gas readings were found - resuscitation sheets and notes andj blood gas readings were found and there _ blood gas readings were found and there were — blood gas readings were found and there were entries— blood gas readings were found and there were entries in— blood gas readings were found and there were entries in a _ blood gas readings were found and there were entries in a diary- there were entries in a diary recording _ there were entries in a diary recording relevant _ there were entries in a diary recording relevant events. l there were entries in a diary- recording relevant events. handover sheets— recording relevant events. handover sheets relating — recording relevant events. handover sheets relating to _ recording relevant events. handover sheets relating to all _ recording relevant events. handover sheets relating to all but _ recording relevant events. handover sheets relating to all but the - recording relevant events. handover sheets relating to all but the first. sheets relating to all but the first four babies — sheets relating to all but the first four babies had _ sheets relating to all but the first four babies had been _ sheets relating to all but the first four babies had been taken - sheets relating to all but the first four babies had been taken from | sheets relating to all but the first. four babies had been taken from the unit and _ four babies had been taken from the unit and kept— four babies had been taken from the unit and kept by— four babies had been taken from the unit and kept by you. _ four babies had been taken from the unit and kept by you. i— four babies had been taken from the unit and kept by you. i am _ four babies had been taken from the unit and kept by you. i am satisfiedl unit and kept by you. i am satisfied you started — unit and kept by you. i am satisfied you started to— unit and kept by you. i am satisfied you started to keep _ unit and kept by you. i am satisfied you started to keep these - unit and kept by you. i am satisfied l you started to keep these documents after those _ you started to keep these documents after those initial— you started to keep these documents after those initial offences _ you started to keep these documents after those initial offences in- you started to keep these documents after those initial offences injune - after those initial offences in june 2015 as— after those initial offences injune 2015 as morbid _ after those initial offences injune 2015 as morbid records _ after those initial offences injune 2015 as morbid records of- after those initial offences injune 2015 as morbid records of the - 2015 as morbid records of the dreadful— 2015 as morbid records of the dreadful events _ 2015 as morbid records of the dreadful events surrounding i 2015 as morbid records of the . dreadful events surrounding the collapses — dreadful eve nts surrounding the collapses of— dreadful events surrounding the collapses of your _ dreadful events surrounding the collapses of your victims - dreadful events surrounding the collapses of your victims and i dreadful events surrounding the . collapses of your victims and what you had _ collapses of your victims and what you had done _ collapses of your victims and what you had done to _ collapses of your victims and what you had done to them. _ collapses of your victims and what you had done to them. you - collapses of your victims and what you had done to them. you had i collapses of your victims and what you had done to them. you had ai you had done to them. you had a fascination— you had done to them. you had a fascination with _ you had done to them. you had a fascination with the _ you had done to them. you had a fascination with the babies - you had done to them. you had a fascination with the babies and l fascination with the babies and their— fascination with the babies and their families _ fascination with the babies and their families that— fascination with the babies and their families that extended i fascination with the babies and their families that extended toj their families that extended to making — their families that extended to making repeated _ their families that extended to making repeated searches- their families that extended to making repeated searches on. their families that extended to - making repeated searches on facebook for their— making repeated searches on facebook for their parents. — making repeated searches on facebook for their parents, sometimes— for their parents, sometimes immediately— for their parents, sometimes immediately following - for their parents, sometimes immediately following the i for their parents, sometimes- immediately following the events and come on _ immediately following the events and come on occasions, _ immediately following the events and come on occasions, much _ immediately following the events and come on occasions, much later. - immediately following the events and come on occasions, much later. a- come on occasions, much later. a piece _ come on occasions, much later. a piece of— come on occasions, much later. a piece of paper— come on occasions, much later. a piece of paper with _ come on occasions, much later. a piece of paper with dense - come on occasions, much later. a piece of paper with dense writing i come on occasions, much later. a. piece of paper with dense writing on both sides _ piece of paper with dense writing on both sides setting _ piece of paper with dense writing on both sides setting out _ piece of paper with dense writing on both sides setting out your - piece of paper with dense writing onj both sides setting out your thoughts and feelings — both sides setting out your thoughts and feelings was _ both sides setting out your thoughts and feelings was found _ both sides setting out your thoughts and feelings was found in _ both sides setting out your thoughts and feelings was found in the - both sides setting out your thoughts and feelings was found in the first. and feelings was found in the first search— and feelings was found in the first search of— and feelings was found in the first search of your _ and feelings was found in the first search of your home _ and feelings was found in the first search of your home in _ and feelings was found in the first search of your home in 2018. - and feelings was found in the first - search of your home in 2018. amongst the phrases— search of your home in 2018. amongst the phrases you — search of your home in 2018. amongst the phrases you wrote _ search of your home in 2018. amongst the phrases you wrote were _ search of your home in 2018. amongst the phrases you wrote were "the - the phrases you wrote were "the world _ the phrases you wrote were "the world is — the phrases you wrote were "the world is better— the phrases you wrote were "the world is better off— the phrases you wrote were "the world is better off without - the phrases you wrote were "the world is better off without me" . the phrases you wrote were "the . world is better off without me" and "i world is better off without me" and "i am _ world is better off without me" and "i am evil, — world is better off without me" and "i am evil, i— world is better off without me" and "i am evil, i did _ world is better off without me" and "i am evil, i did this". _ world is better off without me" and "i am evil, i did this". the - world is better off without me" and "i am evil, i did this". the impact i "i am evil, i did this". the impact of your— "i am evil, i did this". the impact of your crimes _ "i am evil, i did this". the impact of your crimes has _ "i am evil, i did this". the impact of your crimes has been - "i am evil, i did this". the impact. of your crimes has been immense. "i am evil, i did this". the impact - of your crimes has been immense. as disclosed _ of your crimes has been immense. as disclosed by— of your crimes has been immense. as disclosed by the — of your crimes has been immense. as disclosed by the deeply _ of your crimes has been immense. as disclosed by the deeply moving - disclosed by the deeply moving personal— disclosed by the deeply moving personal statements _ disclosed by the deeply moving personal statements that - disclosed by the deeply moving personal statements that have | disclosed by the deeply moving - personal statements that have been read to _ personal statements that have been read to the — personal statements that have been read to the court _ personal statements that have been read to the court this _ personal statements that have been read to the court this morning. - personal statements that have been read to the court this morning. the i read to the court this morning. the lives _ read to the court this morning. the lives of— read to the court this morning. the lives of newborn _ read to the court this morning. the lives of newborn or— read to the court this morning. the lives of newborn or relatively - lives of newborn or relatively newborn _ lives of newborn or relatively newborn babies _ lives of newborn or relatively newborn babies were - lives of newborn or relatively newborn babies were endedl lives of newborn or relatively - newborn babies were ended almost as soon as— newborn babies were ended almost as soon as they— newborn babies were ended almost as soon as they began _ newborn babies were ended almost as soon as they began and _ newborn babies were ended almost as soon as they began and lifelong - newborn babies were ended almost as soon as they began and lifelong harmi soon as they began and lifelong harm has been _ soon as they began and lifelong harm has been caused, _ soon as they began and lifelong harm has been caused, all— soon as they began and lifelong harm has been caused, all in _ soon as they began and lifelong harm has been caused, all in horrific- has been caused, all in horrific circumstances. _ has been caused, all in horrific circumstances. loving - has been caused, all in horrific circumstances. loving parents| has been caused, all in horrific- circumstances. loving parents have been _ circumstances. loving parents have been robbed — circumstances. loving parents have been robbed of— circumstances. loving parents have been robbed of their— circumstances. loving parents have been robbed of their cherished - been robbed of their cherished children— been robbed of their cherished children and _ been robbed of their cherished children and others _ been robbed of their cherished children and others have - been robbed of their cherished children and others have to - been robbed of their cherishedi children and others have to live with _ children and others have to live with the — children and others have to live with the physical— children and others have to live with the physical and _ children and others have to live with the physical and mental. with the physical and mental consequences _ with the physical and mental consequences of— with the physical and mental consequences of your- with the physical and mental. consequences of your actions. siblings— consequences of your actions. siblings have _ consequences of your actions. siblings have been _ consequences of your actions. siblings have been deprived . consequences of your actions. | siblings have been deprived of brothers— siblings have been deprived of brothers and _ siblings have been deprived of brothers and sisters. - siblings have been deprived of brothers and sisters. you - siblings have been deprived ofj brothers and sisters. you have caused — brothers and sisters. you have caused a — brothers and sisters. you have caused a deep _ brothers and sisters. you have caused a deep psychological. brothers and sisters. you have - caused a deep psychological trauma, brought— caused a deep psychological trauma, brought in— caused a deep psychological trauma, brought in during _ caused a deep psychological trauma, brought in during grief— caused a deep psychological trauma, brought in during grief and _ caused a deep psychological trauma, brought in during grief and feelings. brought in during grief and feelings of guilt, _ brought in during grief and feelings of guilt, caused— brought in during grief and feelings of guilt, caused strains _ brought in during grief and feelings of guilt, caused strains in- of guilt, caused strains in relationships— of guilt, caused strains in relationships and - of guilt, caused strains in. relationships and disruption of guilt, caused strains in- relationships and disruption to the lives of— relationships and disruption to the lives of all— relationships and disruption to the lives of all the _ relationships and disruption to the lives of all the families _ relationships and disruption to the lives of all the families of- relationships and disruption to the lives of all the families of all- lives of all the families of all your— lives of all the families of all your victims _ your victims. this- your victims. this is- your victims. this is bbc. your victims. - this is bbc news and your victims. _ this is bbc news and that your victims. — this is bbc news and that was the judge in this case, mrjustice goss, delivering his sentencing remarks, the sentencing of lucy letby, the nurse at the countess of chester hospital who has been convicted of murdering seven babies in her care and attempting to murder six more and attempting to murder six more and today is her sentencing. she was not in the dock to hear that. she was here at manchester crown court, brought from prison this morning, as she has been throughout the trial, but decided for the conclusion of her trial last week, for the remaining verdicts, not to appear in the dock to hear that and she was not in the dock today to face families who read out harrowing, emotive, in some cases, victim impact statements. some did it themselves, some were represented by legal counsel who read out statements on their behalf but lucy letby will now serve the rest of her life in prison for every one of those counts she was convicted on, the judge has those counts she was convicted on, thejudge has handed down a whole life order. no minimum term. it means life in lucy letby�*s games will mean life and the most prolific murder of babies in modern british history will never be released from prison. we can talk to my colleague who was watching things in court and has been here throughout the ten month trial. we saw the judge's statement, the camera trained on him, but at that time, you were able to see everything else happening in court. tell me about the families. this was a huge and difficult moment. this was a huge and difficult moment-— this was a huge and difficult moment. ., , , moment. how did they react? this has been a culmination _ moment. how did they react? this has been a culmination of _ moment. how did they react? this has been a culmination of years _ moment. how did they react? this has been a culmination of years of- been a culmination of years of police investigation, a ten month trial where they heard harrowing details about what happened, the final moments of their child's lie. there was emotion in court today. there was emotion in court today. the families began the day by reading victim impact statements to describe the impact on their lives. the morning was charged. where we got to the point when the judge said she would serve a whole life tariff, i think there was relief, i think this was a sentence a lot of families wanted and when the judge got to that point, i think there was quite relief in that room. teiiii got to that point, i think there was quite relief in that room.— quite relief in that room. tell me more about _ quite relief in that room. tell me more about the _ quite relief in that room. tell me more about the victim _ quite relief in that room. tell me more about the victim impact - more about the victim impact statements. they are very different in tone and content to the evidence the families gave in this trial. this was their opportunity to say everything that was in their head and heart. the families have come several times throughout the trial but the evidence during the trial was more about their recollections of specific events several years ago and not an opportunity at that stage to describe the emotional impact. there was some emotion when the families relived those memories but this was a moment today, even though letby was not there, it was a chance to address her and say how they feel. a lot of the families said they would not forgive her. some decided to say she had lost her power. they would no longer think about her. and some families took the opportunity to remember their children and what their children should have been doing if they were still alive now. an incredibly tough morning. we also mentioned eight of the 11 jurors, there were 12 originally, one was discharged for good personal reasons during the deliberation process. eight did choose to come back and being caught for sentencing. they did. this has taken up so much of their lives and has been an incredibly harrowing and difficult trial to follow. at the beginning they were given a glossary of medical terms, 25 pages. it is a trial that demanded a lot of them, not just trial that demanded a lot of them, notjust in terms of detail, but also getting to grips some of the theories at play in the trial. it is a culmination of so much work on behalf of the police, crown prosecution service service and trial process. 110 hours, thejury have been in the room discussing this case at manchester crown court. we are bringing continuing reaction this morning because there are so many ongoing questions. in particular this investigation operation by cheshire police hummingbird, it has widened and will look at more of lucy letby�*s nursing career. look at more of lucy letby's nursing career. , , , ., career. given the severity of the offences. _ career. given the severity of the offences. the — career. given the severity of the offences, the police _ career. given the severity of the offences, the police decided - career. given the severity of the offences, the police decided to l career. given the severity of the - offences, the police decided to look at the whole footprint of her time as a nurse. she did placements at the countess of chester hospital at liverpool women's hospital and the trust there put out a statement describing how they are dealing with families at the moment. the police are reviewing other cases at the countess of chester where lucy letby came into contact with other children. this is a case that will rumble on for years to come. thank ou. m rumble on for years to come. thank you- my colleague _ rumble on for years to come. thank you. my colleague who _ rumble on for years to come. thank you. my colleague who has - rumble on for years to come. thank you. my colleague who has been . rumble on for years to come. thank you. my colleague who has been in | you. my colleague who has been in court throughout. this trial is believed to be the longest murder trial in british legal history and has lasted ten months. the legal part has concluded in the past hour orso part has concluded in the past hour or so at manchester crown court. we brought you the sentencing remarks by the judge, brought you the sentencing remarks by thejudge, mrjustice brought you the sentencing remarks by the judge, mrjustice goss, brought you the sentencing remarks by thejudge, mrjustice goss, who presided over the trial and laid out in clear detail the cold and calculating nature of lucy letby's crimes, the way in which she murdered and attempted to murder babies in her care, and the way in which he said she tried to cover that up, her disregard for families. she will serve the rest of her life in prison. thejudge has imposed a whole life order which means she will never be released and lucy letby will spend the rest of her life in prison for those crimes of murder and attempted murder of babies she was caring for. we have been getting continuing reaction to that sentence on bbc news. i spoke earlier to doctor malcolm stewart, a retired medical director. questions have been asked about how lucy letby was able to offend in this way and so long, and how questions, concerns raised were not acted upon by senior clinicians and management at the trust and he explained what he thinks needs to be covered in the independent inquiry that will be carried out into lucy letby's offending.— that will be carried out into lucy letby's offending. there are key cuestions letby's offending. there are key questions that _ letby's offending. there are key questions that undoubtedly - letby's offending. there are key questions that undoubtedly the | questions that undoubtedly the inquiry will want to ask. these are probably five. did the trust have a policy for raising clinical concerns and was it followed, fit for purpose and was it followed, fit for purpose and did it report to board? for adverts, unexpected outcomes, where they presented and discussed with learning points identified and actions logged at the meetings relevant in this case? and where these upwardly reported? did a member of the border turned or chair a clinical governance and patient safety committee in the trust? what actions did the medical director and director of nursing take when concerns were brought to them? how were they escalated and to whom? and finally, how did they assure themselves and the board that the necessary systems of clinical governance, they were in place and crucially were effective? in my experience, in each of the trusts, each trust would have claimed to have such systems but what they did not have were effective systems. to what extent are guidelines and processes like this decided centrally and to what extent are they up to the individual trusts? accountability is addressed at every level in the health service. it rests before members of staff but ultimately with the board and in particular the non—executives who hold executive directors to account for delivery of statutory obligations with regard to patient safety. we are looking at here not i think that there were inadequate central mechanisms but some of the systems, identified concerns but were not adequately follow through. this is a common theme in these cases of clinical failure.— this is a common theme in these cases of clinical failure. there are wa s... cases of clinical failure. there are ways- -- do _ cases of clinical failure. there are ways- -- do you — cases of clinical failure. there are ways... do you think _ cases of clinical failure. there are ways... do you think we - cases of clinical failure. there are ways... do you think we will - cases of clinical failure. there are l ways... do you think we will see... there are ways. the first to ensure there is a nonexecutive director sitting on or chairing the principal clinical governance committee and the trust to which concern should have come and that would mean you did not have a situation where the chairman of the board for instance could say the board was not cited. nonexecutive scrutiny of clinical practice would be stronger if a nonexecutive director had a clinical background. and also a regular external review by whichever agency, and there are many, that take place for each trust, if greater scrutiny were placed on whether the governance system in a trust is effective rather than just in place. that was doctor malcolm stuart, a retired medical director, talking about some of the issues in the investigation that will continue despite the conclusion at the end of this legal process is lucy letby's nursing career continues to be investigated. welcome to bbc news. i am anna foster. live from manchester crown court. the headlines... nurse lucy letby will spend the rest of her life in prison — for murdering seven babies and attempting to kill six others. this was a cruel, calculated and cynical campaign of child murder, involving the smallest and most vulnerable of children. letby refused to appear in the dock for her sentencing. her victims' families say she's evil and has destroyed their lives. i think it's cowardly that people who commit such horrendous crimes do not face their victims and hear first—hand the impact that the crimes that had on them and theirfamilies and loved ones. welcome to bbc news, you join me live outside manchester crown court where just in the last hour, the judge mrjustice goss who has provided over the case of lucy letby for almost ten months has really concluded that legal process bypassing the sentence on the convicted killer of children. she is now the most prolific killer of children in british legal history. we now know the 33—year—old nurse from hereford lucy letby wills and the rest of her life in prison as a result of the murders and attempted murder she carried out while working as a nurse on the neonatal unit at the countess of chester hospital. we have heard over a period of months harrowing evidence from the parents

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