# The Lucy Letby inquiry that missed the nurses' story

> A massive investigation into a nurse convicted of murder ignored evidence that she might be innocent.
- Title: The Lucy Letby inquiry that missed the nurses' story
- Summary: A massive investigation into a nurse convicted of murder ignored evidence that she might be innocent. The Thirlwall Inquiry assumed Lucy Letby's guilt and…
- Keywords: lucy letby, thirlwall inquiry, countess of chester hospital, neonatal deaths, wrongful conviction, stephen brearey, ravi jayaram, shoo lee, karen rees, eirian powell, nhs, medical errors
- Source: The New Yorker — https://newyorker.com/news/the-lede/the-new-lucy-letby-report-misses-the-point
- Author: Rachel Aviv
- Published: 2026-09-18T17:04:34.897+00:00
- Read time: 3 min
- Topics: lucy letby, thirlwall inquiry, countess of chester hospital, neonatal deaths, wrongful conviction, stephen brearey, ravi jayaram, shoo lee, karen rees, eirian powell, nhs, medical errors
## A nurse convicted of murder
Lucy Letby, a nurse at Countess of Chester Hospital, was found guilty of murdering babies and sentenced to life in prison three years ago.
## A massive inquiry begins
The government launched the Thirlwall Inquiry, which took three years, sixty days of hearings, and cost twenty-four million dollars.
## Medical evidence falls apart
The prosecution claimed Letby injected air into babies' bloodstreams, relying on a 1989 paper whose co-author says was misinterpreted.
## Fourteen experts find no evidence
Neonatologist Shoo Lee assembled a panel of fourteen medical experts who reviewed thirty-five thousand pages and found no evidence Letby harmed anyone.

> In all cases, death or injury were due to natural causes or just bad medical care.
## A former health secretary changes his mind
Jeremy Hunt, who was Health Secretary during the deaths, now says concerns about the case must be addressed urgently.

> If the deaths were caused by medical errors mistaken for murder, lessons will not be learned and more babies will die.
## Scientists ask to pause the inquiry
Twenty-four clinicians and scientists asked to postpone the inquiry, warning it might miss the real causes of deaths at the hospital.
## The inquiry refuses to reconsider
Lady Justice Thirlwall declined to explore alternative theories about the deaths, keeping the inquiry focused on Letby's guilt.

> It is not for me in the discharge of my duties to seek to explore alternative theories about the deaths.
## Nurses defended Letby from the start
Records from the inquiry show nurses on Letby's unit consistently defended her against doctors' accusations but were dismissed.
## A gut feeling, not evidence
When pediatrician Stephen Brearey first accused Letby, nursing head Karen Rees asked for evidence. He offered only a gut feeling and a drawer of doom.

> I can't remove a nurse from a clinical practice just because of gut feeling and a drawer of doom.
## Doctors admit their suspicion is subjective
At a meeting with hospital executives, pediatrician Ravi Jayaram acknowledged their suspicion of Letby was entirely subjective.
## Nurses saw it as a witch hunt
The neonatal unit's deputy manager said she found it very difficult to act on something she didn't believe in, calling it a witch hunt.

> I found it very difficult to act on something I didn't believe in, it was a witch-hunt.
## Letby was flexible and skilled
Neonatal manager Eirian Powell said Letby was present for so many deaths because she was amenable, flexible, and one of the best nurses.
## Nursing leaders call removal immoral
The director of nursing called Letby's removal from the ward wrong and immoral, warning it sent a message that doctors were believed over nurses.

> It is clear that the 2 consultants call the shots.
## Letby wanted police involvement
At her grievance hearing, Letby said she had nothing to hide and was happy for police to investigate.

> I was happy for the Police to come. I had nothing to hide.
## Two reviews found no deliberate harm
The hospital commissioned two independent reviews of the deaths. Neither identified signs of deliberate harm.
## Doctors bypass hospital executives
After the reviews cleared Letby, pediatrician Jayaram sent an email directly to police, bypassing hospital executives.
## Police find doctors very powerful
The police superintendent said his meeting with the doctors was powerful. That day, police launched a criminal investigation.

> I can't describe how powerful it was. They were just very powerful in what they were saying.
## Letby's bosses now face charges
Three of Letby's bosses were arrested in June 2025 on suspicion of gross negligence manslaughter for failing to stop her sooner.
## A doctor dies after dismissal
A doctor who testified about supportive messages to Letby was fired from his job. A day later, he was found collapsed and eventually died.
## Thirty-seven nurses still say no
When asked if they had concerns about Letby's conduct, all but two of thirty-seven nurses and midwives said no, often emphatically.

> Lucy did not commit any crimes. If there had been CCTV the footage would have proved her innocence.
## Key takeaway

The Thirlwall Inquiry assumed Lucy Letby's guilt and dismissed nurses who defended her, potentially missing the real causes of infant deaths.