We have to understand why he put the safety of the patients third in priority behind the baby unit and the staff and we need to figure out how to change that in future. It's not as if he deliberately set out to endanger the lives of the babies in his care. For this to happen, we need his cooperation. If he's stalling the inquiry because his lawyers are telling him he needs to do that to stay out of jail, it doesn't help anybody.
Insults and sarcasm are also not particularly constructive.
Fortunately, there are some senior figures unwilling to go any further down the road of hand-wringing and saying "Oh, but they were only trying to do their best".
This from Dr. Dewi Evans, senior consultant paediatrician:
Evans, 74, a National Crime Agency-accredited expert who has given medical evidence in hundreds of cases since 1988, said he would ask Cheshire constabulary to investigate the hospital management’s “grossly irresponsible” failure to act.
He said: “They were grossly negligent. I shall write to Cheshire police and ask them, from what I have heard following the end of the trial, that I believe that we should now investigate a number of managerial people in relation to issues of corporate manslaughter.
“I think this is a matter that demands an investigation into corporate manslaughter. The police should also investigate the [hospital] in relation to criminal negligence.” He added: “Failing to act was grossly irresponsible – let’s make it as clear as that. We are talking about a serious emergency. It’s grossly irresponsible and, quite frankly, unbelievable [that they failed to act sooner].”
Evans called for the police investigation after being told about a review produced by the manager of the unit where Letby worked in May 2016 that stated: “There is no evidence whatsoever against LL [Lucy Letby] other than coincidence.”
(from the Guardian, 13th Aug)
There is further evidence that the senior management deliberately lied, after a police inquiry had first been called. They claimed that one baby's death had been fully investigated by an external medical expert, who had found nothing unusual. In fact, the expert in question had refused to take up the case on the grounds that she was not given sufficient information about the case, and could not be expected to give an objective opinion.
The whole thing stinks of the familiar phenomenon of hubristic administrative staff getting well above themselves. It appears that high level staff of this kind have the power to get doctors struck off; whereas the reverse does not seem to be true.