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Some of UK nurse Lucy Letby's baby murders could have been avoided, inquiry finds - Finance news and analysis from Global Banking & Finance Review
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Some of UK nurse Lucy Letby's baby murders could have been avoided, inquiry finds

Published by Global Banking & Finance Review

Posted on September 15, 2026

4 min read

· Last updated: September 15, 2026

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UK Inquiry: Some Lucy Letby Baby Murders Could Have Been Prevented at Hospital

Inquiry Findings and Reactions

By Sam Tobin

LIVERPOOL, England, Sept 15 (Reuters) - British nurse Lucy Letby was able to murder seven babies because of a "complete failure" to protect infants at the hospital at which she worked, and some of the deaths could have been prevented, the chair of an inquiry said on Tuesday.

Failures in Hospital Safeguarding and Management

Inquiry chair Kathryn Thirlwall criticised senior staff for not acting sooner, blaming dysfunctional management at the Countess of Chester Hospital, in northern England, and a basic lack of understanding of safeguarding.

The Countess of Chester Hospital NHS Foundation Trust apologised and said it was now a different organisation with new leadership, while health minister Yvette Cooper said she was "profoundly sorry" on behalf of the British government and health service.

Background on Lucy Letby Case

Letby, 36, was convicted in 2023 of murdering seven newborns and attempting to murder six others, making her Britain's most prolific serial child killer of modern times. She was later convicted of another attempted murder charge.

Prosecutors said Letby attacked the newborns by giving them an overdose of insulin, injecting them with air or force-feeding them milk between June 2015 and June 2016, in a case that shocked Britain and drew worldwide attention.

Controversy and Ongoing Campaigns

But Letby, who was sentenced to life without parole and maintains she is innocent, has also been the subject of a growing campaign, backed by some medical experts and specialists, which has publicly questioned her convictions.

Thirlwall did not address Letby's guilt or innocence in her report and emphasised the impact on those whose children were harmed, saying: "The families must not be collateral damage in the public argument about whether or not Letby is guilty."

The contents of her report, though, will be pored over by those who assert Letby's innocence, around two dozen of whom gathered outside Liverpool Town Hall on Tuesday.

It will also be examined by the Criminal Cases Review Commission, an independent body that reviews potential miscarriages of justice and is considering an application from Letby's legal team.

"This inquiry has proceeded on the wrong premise and it follows that this has inevitably affected the report as a whole," Letby's lawyer, Mark McDonald, said in a statement.

Report Criticises Failure to Act

"Once there was suspicion that Letby may be causing harm deliberately, safeguarding steps should have been taken," Thirlwall said as she delivered her final report.

She added: "No one seems to have thought that safeguarding action is required when a member of staff is suspected of causing deliberate harm. Suspicion is enough."

Recommendations for the NHS and Government

She made a series of recommendations to improve neonatal services in the state-run National Health Service, calling on the government to tackle the "long-standing underfunding of hospital services for babies and children".

Thirlwall also suggested a series of measures to protect patients, including fitting cots and incubators with cameras, stronger insulin storage safeguards and an NHS protocol for when staff are suspected to have deliberately harmed a patient.

Health minister Cooper told lawmakers that she had asked officials to urgently develop plans for cameras in cots.

Response from Families and Legal Representatives

Richard Scorer, a lawyer at Slater and Gordon who represents three families, said Thirlwall's recommendations should be implemented without delay.

"Far too often public inquiry recommendations are left to gather dust," he said.

Ongoing Investigations and Legal Proceedings

Thirlwall's report was particularly critical of senior executives and nursing leaders at the Countess of Chester Hospital, saying at least two of Letby's murders could have been prevented if action was taken sooner.

Three senior hospital managers were arrested last year on suspicion of gross negligence manslaughter and remain under investigation, Cheshire Police said, with one of the three also suspected of perverting the course of justice.

Evidence submitted by the force in support of further charges relating to Letby's time working at the Countess of Chester Hospital and Liverpool Women's Hospital was, however, deemed to be insufficient by prosecutors last year.

(Reporting by Sam Tobin; Editing by Alex Richardson, Alexandra Hudson, Ros Russell)

Key Takeaways

  • The inquiry identified a "complete failure at all levels" to protect neonates, with safeguarding protocols not triggered despite suspicions, and emphasised that some deaths might have been avoided had action been taken sooner (apnews.com).
  • Thirlwall proposed urgent reforms: neonatal camera surveillance, stricter insulin storage, and a formal NHS protocol for staff suspected of deliberate harm, coupled with tackling chronic under‑funding of paediatric services (apnews.com).
  • While not reassessing Letby’s convictions, the report’s institutional findings will inform the Criminal Cases Review Commission’s ongoing review and were issued amid defence criticism that the inquiry presumes guilt (theguardian.com)

References

Frequently Asked Questions

What did the Lucy Letby inquiry find?
The inquiry found a 'complete failure' to protect infants, indicating that some of the baby deaths caused by Lucy Letby could have been prevented.
Who was criticized in the inquiry report?
Senior staff at the Countess of Chester Hospital were criticized for not acting sooner and for dysfunctional management leading to failures in safeguarding.
What actions were recommended to prevent similar tragedies?
Recommendations included better safeguarding, installing cameras in cots and incubators, stronger insulin storage, and an NHS protocol for staff suspected of harm.
Is there an ongoing review of Lucy Letby's case?
Yes, the Criminal Cases Review Commission is considering an application from Letby's legal team while three hospital managers remain under investigation.

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