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July 2026: Government declines to widen the Thirlwall terms of reference (16 July) · new 100-page insulin report to the CCRC challenging the trial evidence (9 July) · Thirlwall report still expected no earlier than September · inquests relisted to 2027 · Shoo Lee Panel: no medical evidence of deliberate harm.

Lucy Letby Facts

Conflict-map · Professional bodies

Royal College of Paediatrics and Child Health

UK paediatrics professional body

NeonatologyOfficial inquiry evidence2Expert/professional
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Main contribution

The Royal College of Paediatrics and Child Health conducted an invited review of the Countess of Chester neonatal unit in November 2016, after the trust raised concerns about rising deaths. According to an account given in the House of Commons, the review identified inadequate staffing, delayed escalation of concerns to tertiary units, and a 'disconnection between the neonatal leadership and the trust's governance and risk management processes' as issues that could explain the deaths.

Key claim

The review was a casenote review commissioned to examine clinical care, not to investigate deliberate harm; the reviewer, Dr Jane Hawdon, told the Thirlwall Inquiry it was 'a fairly superficial exercise... only based on the information that's provided' and that she was not told a staff member was under suspicion. According to David Davis MP, the review's findings on staffing and escalation were not shown to the jury at trial.

Sources

Related evidence

/evidence/rcpch-2017-report

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