英国公开调查报告揭示，切斯特伯爵夫人医院因未及时对护士露西·莱特比采取行动，导致至少3名婴儿本可存活，另有7名婴儿本可免受伤害2。由上诉法院法官瑟尔沃尔主持的调查认定，如果医院在2015年10月撤销莱特比职务，双胞胎O和P不会在2016年6月死亡，另外5名婴儿也不会受伤2。
莱特比因2015年至2016年间谋杀7名新生儿和试图谋杀7名新生儿被定罪，被判15个终身监禁2。该调查由法官Lady Justice Thirlwall主持，于2023年10月正式建立1，收集了近400名证人的证词，报告共822页2。调查发现，医院管理层在婴儿死亡数异常增加后长期推诿，直到2017年4月才向警方报案，较首次发现异常情况晚近两年，且向医院董事会隐瞒真相2。
刑事案件审查委员会正在考虑由国际医学专家提供的证据，声称医疗护理不善和自然原因而非莱特比的行为导致部分婴儿死亡1。莱特比已两次被拒绝上诉权1，坚持无罪并争取推翻定罪2。调查建议在新生儿科每个婴儿床上安装24小时摄像头2。
A major public inquiry into the conduct of Chester hospital has concluded that at least three babies could have survived if staff had taken action against nurse Lucy Letby earlier, with another five infants potentially spared from harm 2. The Thirlwall Inquiry, chaired by Lady Justice Thirlwall, determined that had Letby been removed from the neonatal unit in October 2015, twins O and P would not have died in June 2016 2. The 822-page report, compiled from testimony given by nearly 400 witnesses during hearings held between September 2024 and February 2025 in Liverpool, found that hospital management concealed the rising death rate from the hospital board and delayed reporting the concerns to police by nearly two years, only contacting authorities in April 2017 2.
Letby was convicted of murdering seven infants and attempting to murder seven others between 2015 and 2016 at the Chester hospital's neonatal unit, receiving 15 life sentences 12. The inquiry scrutinized the actions of hospital management, nurses, and midwives, examining whether Letby's work should have been suspended earlier 1. The Criminal Cases Review Commission is currently evaluating evidence submitted by an international panel of medical experts commissioned by Letby's legal team, which claims that poor medical care and natural causes, rather than Letby's conduct, caused the infant deaths 1. Letby has been denied appeal twice and maintains her innocence while fighting to overturn her convictions 12. The inquiry has also recommended that 24-hour CCTV cameras be installed above every infant bed in neonatal units 2.
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