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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
Management failing

Consultants first raise concerns about Letby

Dr Stephen Brearey and other consultants first flag concerns about the cluster of deaths and collapses on the unit and note Letby's presence at each event. No action taken by executive team.

Source: Thirlwall Inquiry — Dr Brearey witness statement

Primary-record transcripts

The same thread

The nearest events this site records in the same category (management failing). This site records 4 events in 2015.