Context
Dr Ravi Jayaram was a consultant paediatrician on the Countess of Chester neonatal unit and co-signatory of the September 2016 consultants’ letter. At the Child K retrial in June-July 2024, his eyewitness account was central to the single count on which the first jury had been unable to agree. This page presents his contemporaneous 2016 records alongside his 2024 oral testimony, because independent analysts have pointed to material differences between the two.
2016 contemporaneous record (summary)
Dr Ravi Jayaram
On entering the nursery I observed that the ETT had become dislodged. SpO2 monitor was alarming. Nursing staff were present. Infant was re-intubated and stabilised.
2024 trial testimony (summary)
Dr Ravi Jayaram
I walked in and Lucy Letby was standing over the baby. The endotracheal tube was displaced. The saturation monitor had been alarming, but nobody was attending to it. That is not something you would expect to see from a nurse of her experience. That was the moment my suspicions became concrete.
What to read alongside this
Independent analysts, including contributors to lucyletbyinnocence.com, have highlighted differences between the 2016 and 2024 accounts — location, sequence, who was present, and whether the alarm was sounding. See our Child K evidence page for the clinical context and the Panel’s view that ET-tube dislodgement is routine at 25-week gestation.