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Three former bosses at hospital where Lucy Letby worked are arrested for gross negligence manslaughter

Three former bosses at hospital where Lucy Letby worked are arrested for gross negligence manslaughter

Daily Mail​3 days ago
Three former bosses at the hospital where Lucy Letby murdered babies have been arrested on suspicion of gross negligence manslaughter, Cheshire Police announced today.
The senior executives, who worked at the Countess of Chester Hospital during the neo-natal nurse's killing spree, were quizzed by detectives yesterday after being invited to attend separate police stations across Cheshire. They have since been bailed pending further enquiries.
Their arrests form part of Cheshire Constabulary's ongoing inquiry into corporate manslaughter at the NHS Trust, where Letby murdered seven premature infants and harmed seven more between June 2015 and June 2016.
In March, Detective Superintendent Paul Hughes, confirmed the corporate manslaughter investigation, codenamed Operation Duet, had been widened to include 'the grossly negligent action or inaction of individuals.'
He said 'those identified as suspects had been notified' but refused to confirm any names.
The Mail is aware of the identities of those arrested but is not naming individuals.
Letby, 35, is serving 15 whole-life orders after being found guilty of murdering seven infants and attempting to murder seven others, with two attempts on one of her victims, at the hospital's neo-natal unit.
She has twice had applications to challenge her convictions rejected by the Court of Appeal.
The Trial of Lucy Letby: The Inquiry Listen and follow on Spotify and Apple Podcasts now.
According to an independent report, leaked to the Mail's Trial+ podcast, in March, babies' lives could have been saved if hospital bosses had acted sooner to remove Lucy Letby from working.
The report, commissioned by the Countess after Letby was first arrested, in July 2018, found managers were 'inexperienced' and missed 14 opportunities to suspend the nurse because they became 'blinkered' to the possibility she was responsible.
Instead of alerting the police, they commissioned a series of ineffectual external investigations, which failed to get to the bottom of why babies were unexpectedly collapsing and dying, the document said.
Executives also 'ostracised' and 'bullied' doctors when they continued to raise concerns and demand police be called in, the report, carried out by independent healthcare consultancy Facere Melius, which has been blocked from publication, concluded.
Although the report does not specifically reveal which babies might have lived, it makes clear that, by February 2016, at least two senior executives at the hospital knew about the link between Letby and the infant deaths.
She tried to kill four children, Babies K, L, M and N, and murdered two triplet brothers, Babies O and P, before being removed from frontline nursing in July that year.
'Earlier action potentially would have reduced the number of baby deaths,' the report said.
'Had different decisions been made the spike in baby deaths would have been picked up sooner internally and externally, and potentially, lives could have been saved.'
At the recent public inquiry, which is investigating Letby's crimes, senior management at the hospital faced serious criticism over their handling of the spike in deaths.
In their closing speeches, in March, lawyers for the infants' families, accused executives of orchestrating a cover up to protect the reputation of the hospital, lying to the families and bullying the consultants who tried to raise the alarm.
Peter Skelton KC, who represents seven of Letby's victims, said they displayed 'a form of individual and corporate self-protection that should have no place in the NHS.'
Kate Blackwell KC, for the senior executives, said in her closing remarks that they now accepted they should have called in police sooner, but the barrister insisted it was never expressed to them in 'stark' terms that Letby was causing deliberate harm before June 2016 – when she attacked and murdered Babies O and P and was finally moved from frontline nursing into an administrative role.
Ms Blackwell said managers accepted they had failed to follow safeguarding policies, made mistakes in their communication with the babies' parents and that there was a breakdown in their relationship with the paediatricians, who should have been better supported.
But she insisted all their decisions were taken 'in good faith' and they 'vociferously denied' claims they deliberately and knowingly 'harboured' a murderer or put the hospital's reputation before the safety of babies in their care.
'The senior managers have emphatically refuted the proposition that either their own reputation or that of the Trust was prioritised over safety,' she added.
In law, an individual can be found guilty of gross negligence manslaughter if they negligently breach the duty of care they owe the person who died and it was 'reasonably foreseeable' that such a breach gave rise to a 'serious and obvious risk of death.' The circumstances of the breach also have to be 'truly exceptionally bad and so reprehensible' that it amounts to gross negligence.
Neonatologist Professor Neena Modi, Letby's barrister Mark McDonald, Sir David Davis MP and retired medic Dr Shoo Lee, during a press conference to announce 'new medical evidence' which they say casts doubts on her convictions
Mr Hughes, senior investigating officer for Operation Duet, said: 'As part of our ongoing enquiries, on Monday 30th June three individuals who were part of the senior leadership team at the Countess of Chester Hospital in 2015-2016, were arrested on suspicion of gross negligence manslaughter.
'All three have subsequently been bailed pending further enquiries.
'Both the corporate manslaughter and gross negligence manslaughter elements of the investigation are continuing and there are no set timescales for these.'
He added that today's development does 'not impact on the convictions of Lucy Letby for multiple offences of murder and attempted murder.'
'Our investigation into the deaths and non-fatal collapses of babies at the neo-natal units of both the Countess of Chester Hospital and the Liverpool Women's Hospital between the period of 2012 to 2016 is also ongoing.'
Letby, of Hereford, has always maintained she is innocent and in April her new defence team submitted evidence from a panel of international experts to the Criminal Cases Review Commission, the organisation that examines miscarriages of justice, in a bid to have her convictions overturned. The experts claim no murders took place and instead assert that the babies died or collapsed because of natural causes or poor care.
Following the announcement of the arrests, Mark McDonald, Letby's new defence barrister, called for another inquiry into the 'failings of the neonatal and paediatric medical care unit at the Countess of Chester Hospital.'
'Yet another press release from the police at a very sensitive time when the CCRC are looking at the case of Lucy Letby,' Mr McDonald said. 'Despite this the concerns many have raised will not go away, and we will continue to publicly discuss them.
'The reality is that 26 internationally renowned experts have looked at this case and the lead expert has concluded that no crime was committed, no babies were murdered. What is needed is a proper and full public inquiry into the failings of the neonatal and paediatric medical care unit at the Countess of Chester hospital.'
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THREAD LIFTS MR Kshem Yapa, consultant plastic surgeon at the Cadogan Clinic, frequently sees patients who have experienced complications or disappointment from thread lifts. While marketed as a minimally invasive 'lunchtime lift', he says the reality is that thread lifts often fall short of expectations. 'The threads used are designed to create a lifting effect by anchoring into the skin and underlying tissue,' he says. 'But this effect is usually modest and temporary, often lasting less than 12 months. 'The complications I regularly treat include thread migration, visible lumps under the skin, asymmetry, dimpling, and, in some cases, infection. 'Removal of threads can be difficult and lead to scarring or tissue distortion too. 'They can also alter the natural shape of the face in ways that are hard to correct.' 3. BUCCAL FAT REMOVAL EXPERTS also strongly discourage buccal fat removal - which can streamline and contour the face. Mr Tunc Tiryaki, plastic, reconstructive and aesthetic surgeon at the Cadogan Clinic, says: 'It's a procedure that I will never do. 'The buccal fat pads, located between the cheekbones and the lower jaw, play a vital role in maintaining facial shape, structure and youthful volume. 'Fat in the mid-face is essential, not just for contour but for healthy ageing. 'Once removed, this fat cannot be replaced which can lead to premature hollowing, a gaunt appearance, and an increase in visible fine lines and sagging skin as the years go on. 'Many patients are initially pleased with their slimmer facial contours post-surgery. But over time, the effects of buccal fat removal can exaggerate signs of ageing. 'I've seen patients return looking much older than their chronological age and really regretful.' 4. SURGICAL EYE FOX PROCEDURE NOTICED a rise in the number of women with ' fox eyes '? A procedure, which involves lifting and shaping the outer corners of the eyes through incisions, tissue repositioning and, in some cases, removing skin to create a more elongated, upward-tilted eye shape, is on the rise. But it carries serious dangers, according to Mr Tiryaki. 'The procedure is irreversible as once tissue is cut or removed, it cannot be restored to its original state,' he says. 'This means that if the final result appears unnatural, asymmetrical, or simply doesn't suit the patient's features, it can't be undone. 'Revision surgery is extremely complex and complications can include visible scarring, tightness or pulling around the eyes, changes in facial expression or even interference with blinking closing eyes.' 5. LIQUID SILICONE THE use of silicone injections for cosmetic enhancement is also of serious concern, Mr Tiryaki says. While medical-grade silicone is used in implants that are enclosed – such as breast implants – free silicone injections, especially those involving non-medical or "industrial" silicone, are highly dangerous and widely condemned. 'In the short term, silicone injections may create the shape in areas like the lips, face, or buttocks,' he says. 'However, the body views silicone as a foreign substance, which can result in a range of severe complications. 'Silicone can migrate from the original injection site to other parts of the body, leading to often disfiguring outcomes. 'It can cause chronic inflammatory responses, nerve damage, tissue necrosis and result in lifelong complications. 'In many countries, including the United States and the UK, injectable silicone is banned for cosmetic use due to its dangerous profile.' HOW TO FIND THE RIGHT SURGEON ACCORDING to Mr Mayou, finding the right surgeon isn't always about having a doctor who agrees to all the desired procedures. 'A growing concern is the trend of combining too many procedures into a single surgical session,' he says, 'While it may seem convenient to address multiple areas at once, extended operating times increase the risk of complications, such as blood clots, fluid overload, poor wound healing, and cardiac strain. 'The body can only tolerate so much trauma in one sitting.' He adds: 'Wherever you're having surgery, it's crucial to do your homework. 'Choosing the right surgeon and facility ensures a safer experience and more satisfactory results.' Use the checklist below to make an informed decision. UK surgery safety checklist Is the surgeon fully qualified and licensed to perform this procedure? Are they on the General Medical Council (GMC) specialist register for plastic surgery or aesthetic medicine? What professional bodies are they affiliated with? Some to look out for include BAAPS, BAPRAS, RCS. How experienced is the surgeon with this specific procedure? Ask for examples of recent work with before-and-after photos. Can you speak with previous patients or read verified testimonials? What are the known risks and complications of the procedure? Have they been clearly explained? Where will the surgery take place? Is the clinic or hospital CQC-registered and inspected? What does post-operative care involve? Who do you contact if something doesn't feel right? Is there an emergency protocol in place if complications occur? What happens if revision surgery is needed later on? Will it be included and what will it cost? Does the quoted price include all follow-up appointments and aftercare? When seeking cosmetic surgery outside the UK, the risks increase due to variations in medical standards, regulation and aftercare, Mr Mayou says. This checklist helps you minimise those risks. Cosmetic surgery abroad – added precautions: Is the surgeon internationally accredited and trained to recognised standards? What is the name and accreditation status of the medical facility? Will you meet your surgeon before the day of surgery? Do they speak fluent English to ensure clear communication before and after the procedure? What aftercare is available if you're only staying a short time post-op? What is the advised recovery time and how soon can you safely fly home? What insurance is provided to cover complications during or after your trip? Who will provide care or treatment if complications arise once you return to the UK? Does your travel insurance cover elective surgery abroad? Will the clinic offer support with revision surgery if the results are unsatisfactory? What are the risks of getting surgery abroad? IT'S important to do your research if you're thinking about having cosmetic surgery abroad. It can cost less than in the UK, but you need to weigh up potential savings against the potential risks. Safety standards in different countries may not be as high. No surgery is risk-free. Complications can happen after surgery in the UK or abroad. If you have complications after an operation in the UK, the surgeon is responsible for providing follow-up treatment. Overseas clinics may not provide follow-up treatment, or they may not provide it to the same standard as in the UK. Also, they may not have a healthcare professional in the UK you can visit if you have any problems. Source: NHS

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