Her murder trial lasted more than ten months and captivated the United Kingdom. The press called Lucy, "UK's most prolific child serial killer in modern times". The judge highlighted, "the cruelty and calculation" of her actions and a mother of an infant girl stated, "I don't think we will ever get over the fact that our daughter was tortured till she had no fight left in her, and everything she went through over her short life was deliberately done by someone who was supposed to protect her and help her come home, where she belonged."
Prologue:
All tragedy invokes the question of what could have been done to stop it, but the prologue is Lucy's life before this tragedy and it's remarkably normal, with no indication that she was a danger to the tiny, premature babies she looked after. She appeared to have been a psychologically healthy and happy, with many close friends and a dedication to nursing. She wanted to be a nurse since she was a teenager,
“She’d had a difficult birth herself, and she was very grateful for being alive to the nurses that would have helped save her life,” her friend Dawn Howe told the BBC. An only child, Letby grew up in Hereford, a city north of Bristol. In high school, she had a group of close friends who called themselves the “miss-match family”: they were dorky and liked to play games such as Cranium and Twister. Howe described Letby as the “most kind, gentle, soft friend.” Another friend said that she was “joyful and peaceful. Letby, who lived in staff housing on the hospital grounds, was twenty-five years old and had just finished a six-month course to become qualified in neonatal intensive care. She was one of only two junior nurses on the unit with that training. “We had massive staffing issues, where people were coming in and doing extra shifts,” a senior nurse on the unit said. “It was mainly Lucy that did a lot.” She was young, single, and saving to buy a house. That year, when a friend suggested that she take some time off, Letby texted her, “Work is always my priority.”
Act I: The Trial
The prosecutors, in seven of the murder or attempted murder charges, relied on an academic paper written in 1989 by Dr. Shoo Lee, one of Canada’s most renowned neonatologists, on a rare complication in newborns — pulmonary vascular air embolism — to argue that Ms. Letby had intentionally injected air into their veins.
At her trial, Lucy suffered from PTSD, was barely coherent and, despite denying that she murdered anyone, she was found guilty of the murder or attempted murder of 14 babies.
Act II:
Dr. Lee had retired to a farm in Alberta in 2021 and only heard of the case when Lucy's lawyer emailed him in 2023. Dr. Lee agreed to help with Ms. Letby’s request for an appeal because the expert witness had misinterpreted his work, but the court ultimately denied her request, saying Dr. Lee’s testimony should have been introduced at trial.
Dr. Lee assembled a team of neonatal specialists to look into the case with the caveat that the panel’s review would be released even if they found Lucy guilty.
Fourteen specialists from around the world assessed the clinical evidence and found: In all cases, death or injury were due to natural causes or just bad medical care.
“There was no medical evidence to support malfeasance causing death or injury” in any of the babies that Ms. Letby was charged with harming.
“If there’s no malfeasance, there’s no murder. If there’s no murder, there’s no murderer,” Dr. Lee said, adding, “And if there’s no murderer, what is she doing in prison?”
Some of the hospital staff, the panel concluded, were caring for the most critically ill or premature babies in a unit that was only meant to treat babies with lesser needs.
Act III: The Hospital
The neonatal unit at the Countess of Chester Hospital, run by the National Health Service in the west of England, was found by the Royal College of Paediatrics and Child Health to have inadequate nursing- and medical-staffing levels and the increased mortality rate in 2015 was not restricted to the neonatal unit.
Burkhard Schafer, a law professor at the University of Edinburgh who studies the intersection of law and science, said,
“Looking for a responsible human—this is what the police are good at. What is not in the police’s remit is finding a systemic problem in an organization like the National Health Service, after decades of underfunding, where you have overworked people cutting little corners with very vulnerable babies who are already in a risk category. It is much more satisfying to say there was a bad person, there was a criminal, than to deal with the outcome of government policy.”
That last sentence warrants repeating: It is much more satisfying to say there was a bad person, there was a criminal, than to deal with the outcome of government policy. It was precisely the need to find a culprit that led to the failure to understand the real reasons that babies died.
Act IV: Yet to be written
We have a nurse in jail for life for murders she didn't commit and a hospital woefully underfunded, that put babies lives at risk. There is no way to rectify things. Lucy, even if released, will be irrevocably damaged. The families who lost their babies will never get them back. The underfunding of hospitals remains unchanged.
It's all a damn tragedy.