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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 + excerpts
·RCPCH service-review authors; Thirlwall Inquiry

RCPCH service-review authors — witness evidence (Thirlwall Inquiry)

The authors of the 2016 RCPCH Invited Service Review gave evidence at the Thirlwall Inquiry about the terms of reference for that review — service-level rather than individual-case — and how those terms of reference came to be agreed with Trust executives.

Last updated
17 min read

Licence: Open Government Licence v3.0

Original source: thirlwall.inquiry.gov.uk

Mirrored on this site:

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

Context

The authors of the 2016 RCPCH Invited Service Review gave evidence at the Thirlwall Inquiry about the terms of reference for that review and how those terms were agreed with Trust executives.

Key passages

RCPCH review author

The terms of reference were agreed with the Trust. They were service-level. They were not a mandate to investigate individual clinical incidents, nor to reach a view on whether any specific individual had caused harm. A review of that kind would have required different terms of reference and, almost certainly, different investigators.
Thirlwall Inquiry witness evidence, Autumn 2024

Counsel to the Inquiry

And is it correct that the executive team subsequently cited your review as a reason not to contact the police?
Thirlwall Inquiry

RCPCH review author

That was not a use for which our review was designed. I can only speak for how we would have wished the review to be used.
Thirlwall Inquiry

What to read alongside this

See the RCPCH review profile and Ian Harvey’s evidence on the commissioning of the review.

Related on this site

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.