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April 2026: Thirlwall Inquiry final report due after Easter · CCRC still reviewing 31+ independent expert reports · Shoo Lee Panel (Feb 2025): no medical evidence of deliberate harm.

Lucy Letby Facts
Inquiry witness evidence — summary
·Alexandra Mancini; Thirlwall Inquiry

Alexandra Mancini — external neonatal reviewer (Thirlwall Inquiry)

Alexandra Mancini, senior neonatal nurse and external reviewer, gave Thirlwall Inquiry evidence on the reviews commissioned at the time of the cluster, the specific operational recommendations that were or were not acted upon, and the nursing-leadership perspective on how a struggling unit should be managed.

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Licence: Open Government Licence v3.0

Original source: thirlwall.inquiry.gov.uk

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Crown Copyright. Mirrored under the Open Government Licence v3.0 with attribution.

Context

Alexandra Mancini, senior neonatal nurse and external reviewer, gave Thirlwall Inquiry evidence on the reviews commissioned at the time of the cluster, and the specific operational recommendations that were or were not acted upon by the Trust.

Key ground

Alexandra Mancini

External-review recommendations are only as useful as the Trust’s follow-through. In this case, a number of our recommendations were either not implemented or implemented partially.
Thirlwall Inquiry witness evidence

Read alongside

RCPCH review authors, Dr Subhedar.

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Attribution and licence

Contains public-sector information licensed under the Open Government Licence v3.0. Original source: thirlwall.inquiry.gov.uk . Mirrored on this site on 2026-04-21.