Thirlwall Inquiry into Lucy Letby Case

That is the, uh, final report of the Thirlwall Inquiry. This is the public inquiry into, uh, the children being murdered and harmed by Lucy Letby. Now, she is, I know a lot of people don't like this, she is a convicted

murderer. She is serving 15 whole life prison terms for murdering seven babies and attempting to murder seven others, including one baby who she tried to murder twice. Um, uh, this is between 2015 and 2016 when she was working as a nurse in the neonatal

unit at the Countess of Chester Hospital. Now, the Thirlwall Inquiry is not... They've been very categorical. They are not looking at her guilt. That's a matter for the Criminal Cases, uh, Review Commission. Um, they are looking into that, and th- and that, and that commission will be

looking at the Thirlwall Inquiry report. Mm. Uh, but, um, the, the, the, the Lady Justice Thirlwall is, uh, six months of evidence,

thousands of documents. It's cost 18 million quid. These things always cost absurd amounts of money. Um, it's a m- damn sight quicker than most public inquiries though. Uh, and basically she's looking at how, how, you know,

complaints or concerns about the number of deaths in this neonatal unit were handled, whether there were specific complaints about Lucy Letby, and, and, and what action could've been taken sooner to stop her, to stop the deaths. Now, there've been claims that actually these were, you know,

by others saying, you know, this, uh, huge number of campaigners- Mm ... including some seriously good medical, world-class medical experts saying they believe a, a number of these murders, or if not all of these murders, were

actually not murders, uh, and, and were, um, and were as a result of failings in the hospital. There was, you know, sewage in, uh, i- i- n- nearby and, and, and poor, you know, very, very newly born babies were, were, were basically not getting

the treatment they needed in a safe environment. However, however, that, um, that is not being looked at. But what is gonna be looked at is whether or not any babies could have lived or avoided injury if action had been taken earlier.

And this is one of the key things, is that the death rate really early on was, was, you know, deaths in two weeks was what they would expect in a year. That should immediately... We've had inquiry after inquiry into this stuff.

That should immediately, alarm bells, that should go straight to the Department of Health. Right, let's start an inquiry straight away. Yeah. What is going on? What, what could be the factors why this

is happening? Um, c- c- concerns from doctors being... A new number of consultants going to the hospital and then being forced to apologize to Lucy Letby-

Yeah ... over their accusations that, "Look, we think she's the only nurse who's on duty every time this happens. We think there's some suspicious behavior." Um, uh,

abject failures by every person in senior positions in the hospital. Again and again, these people, they get off scot-free, do they not? We've seen there re- there are some criminal inquiries, investigations go o- on into, uh, failures, uh, by senior figures, so obviously no one

wants to prejudice any of that. But nevertheless, the usual thing we're gonna discover is, you know, lessons from previous inquiries weren't learned, more could've been done,

management abject failures, systems abject failures, and just no lessons ever learned from anything, and none of the, uh, recommendations from all the previous inquiries to where things have gone wrong in the NHS-

Mm-hmm ... ever being implemented by hospital bosses and managers. I mean, I dis- I, I haven't lost a baby, and these parents have lost babies. Whether they were murdered or whether,

you know, uh, legally their children were murdered- Yeah ... to, to the, the fact that the NHS completely fails again and again and again is, is criminal in itself.

Mm. And this is one of the things that really needs to be borne in mind because I believe that Lucy Letby is guilty. It was the longest trial in English history. Th- a lot of evidence was presented. A lot of the claims that are made on the other side, that this

was just a case of knitting together some extraneous statistics to, to damn her unnecessarily just don't really hold up to scrutiny- They didn't, yeah ... the more that you read about the case.

Um, that being said, that doesn't mean that there isn't still a huge problem with the standard of maternity care- Yeah ... in this country, and I think that's part of the reason

which, uh, aside from the people who've got really wrapped up in the sort of Letbyist position, shall we say, um, people have some grain of doubt is because people will have gone through, um, NHS maternity services.

Yeah. They will have noticed just how ropey it can be, which again is not any knock on the, on the nurses, the vast majority of which are not Lucy Letbys- Mm

... by any stretch of the imagination. Uh, but that just that i- one could imagine, even if not horrors on this scale, children kind of falling through the gap because of just how poor the, the care can be- E- even, even if a n-

... because of systemic failures ... even if a nurse is incompetent or a doctor is incompetent, we've seen again and again in the NHS, no action is taken- Yeah

... to keep people alive, which is surely more important than anything. That's literally the job. You would think. I, I, I find it, i- I mean, it is intolerable. Uh, and we really, really, really need

some people who are in charge of these sort of organizations to go to prison. We have got to focus minds so that these things are stopped in their tracks much, much sooner. Um-