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Judith Smith, Professor of Health Policy and Management, University of Birmingham

Lucy Letby: Thirlwall inquiry lays bare the responsibility of NHS management – here’s what needs to change for the future

A public inquiry into the Countess of Chester Hospital found that the deaths of some babies could have been prevented if safeguarding practices had been followed after concerns were raised by staff about former neonatal nurse, Lucy Letby. It also found serious failures in the hospital’s management and oversight.

The Thirlwall inquiry investigated what went wrong with the care of infants in the hospital’s neonatal unit between 2015 and 2018. This included the period of time that Lucy Letby – who has been convicted of seven counts of murder and seven counts of attempted murder – was employed by the hospital.

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