With respect: she wasn't "on shift" for "all those deaths" and that's proven in evidence submitted in the shift logs and unit records. In addition, deaths in the unit were recorded prior to her engagement and after her departure from employment in that clinical area. Issues have been raised about the shortage of specialists, and premature transfer of newborn's to and from other hospitals, and the effect of unsanitary conditions and practices on child health. There were also reports of clinical practitioners being observed "Googling" how to insert NGT`s (!), which is totally unprofessional and symptomatic of lack of qualified Paediatricians and, unacceptable supervision and practice Management by senior staff.
There were issues identified where "cutting corners" in practice, lack of sufficient qualified clinical staff and poor supervision, definitely impacted in this case. There are other issues concerning the absence of clear mechanisms, whereby practice issues can be raised quickly and directly with Management. What does it say about the "culture" of the Paediatric Unit that staff felt unable or fearful to raise concerns about clinical practice?
There is a case for considering a claim of "Clinical Manslaughter", where those in Management of the Unit and responsible for implementation of practice and Trust Policy, need to be held accountable. Whether or not Letby is guilty, responsibility rests firmly on the shoulders of her Seniors and Unit Managers and the Trustees.
If correct policies and procedures were in place, Letby would not have been allowed so long to practice the way she did without apprehension or investigation.
It doesn't need to happen. It shouldn't be allowed to happen. We clearly haven't learnt from previous cases, like Beverley Allitt for example. It's a dreadful state of affairs