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September 2026: Thirlwall Inquiry final report published (15 September) — a complete failure to protect babies, 17 recommendations, and no finding on the guilt of Lucy Letby or her convictions · CCRC review continues · inquests relisted to 2027 · Shoo Lee Panel: no medical evidence of deliberate harm.

Lucy Letby Facts
Management failing

RCPCH review published

The RCPCH review focuses on service issues and does not examine individual cases in depth. It is later criticised by consultants and at the Thirlwall Inquiry as inadequate.

Source: RCPCH, Thirlwall Inquiry testimony

Primary-record transcripts

The same thread

The nearest events this site records in the same category (management failing). This site records 6 events in 2016.