Baby 'cot cams' plan after inquiry finds Lucy Letby crimes could have been prevented
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Lucy Letby was convicted of the murders of seven babies and the attempted murder of seven others Health Secretary Yvette Cooper has said officials will "urgently develop plans" to introduce live-streaming cameras on England's baby wards after an inquiry into Lucy Letby's murders and attempted murders.
露西*莱比（Lucy Letby）因谋杀七名婴儿和谋杀其他七人未遂而被定罪 卫生部长伊薇特*库珀（Yvette Cooper）表示，官员们将"紧急制定计划"，在对露西*莱特比（Lucy Letby）的谋杀案和谋杀未遂事件进行调查后，在英格兰的婴儿病房中引入直播摄
Inquiry chair Lady Justice Thirlwall called for a series of urgent reforms to neonatal units, including CCTV for all cots and incubators, and restricting access to insulin.
调查主席Lady Justice Thirlwall呼吁对新生儿单位进行一系列紧急改革，包括所有婴儿床和孵化器的闭路电视，并限制获得胰岛素。
Thirlwall said some of the babies Letby killed could have been saved if managers at the Countess of Chester Hospital had taken action earlier.
Thirlwall说，如果切斯特伯爵夫人医院的管理人员早些时候采取行动，莱比杀死的一些婴儿本可以得救。
Her report criticises a "complete failure to protect babies" and a "profound failure of management, governance and safeguarding" at the hospital.
她的报告批评了医院"完全没有保护婴儿"和"管理，治理和保障的深刻失败"。
Thirlwall said this was because "no one seems to have understood that safeguarding action is required when a member of staff is suspected of causing deliberate harm and does not require colleagues to be sure of guilt."
Thirlwall说，这是因为"似乎没有人理解，当工作人员涉嫌造成故意伤害时，需要采取保护行动，并且不要求同事确信有罪。"
She said it would never be possible to know exactly how many lives could have been saved if safeguarding procedures had been properly followed.
她说，如果妥善遵循保护程序，就永远不可能确切知道有多少生命可以被挽救。
One of the senior doctors who tried to raise concerns about Letby with hospital managers, consultant paediatrician Dr John Gibbs, now retired, told the BBC the Thirlwall Inquiry report was "grim reading".
其中一位试图向医院经理提出对Letby的担忧的高级医生，顾问儿科医生约翰吉布斯博士，现已退休，告诉英国广播公司第三次调查报告是"严峻的阅读"。
In a rare interview he said he accepted that consultants must bear "collective" responsibility for some of the failings identified in the report, and said he wished they had been "brave enough to follow our suspicions and escalate things to the police earlier".
在一次罕见的采访中，他说他接受了顾问必须对报告中确定的一些失败承担"集体"责任，并表示他希望他们"有足够的勇气跟随我们的怀疑并早些将事情
Chief executive and registrar at the Nursing and Midwifery Council (NMC), Paul Rees, said he was "truly sorry for the NMC's failings" in the Letby case and that "we also did not act quickly enough to suspend Lucy Letby".
护理和助产委员会（NMC）首席执行官兼注册官Paul Rees表示，他对Letby案件"对NMC的失败感到非常抱歉"，并且"我们也没有采取足够快的行动来暂停Lucy Letby"。
Watch: The key findings and recommendations from the Lucy Letby report Sharing her findings at Liverpool Town Hall, Thirlwall described "dysfunctional management and governance, a gulf between hospital leadership and clinicians, and failure to understand the fundamentals of safeguarding".
观看：Lucy Letby报告的主要发现和建议 Thirlwall在利物浦市政厅分享她的发现，描述了"管理和治理功能失调，医院领导和临床医生之间的鸿沟，以及未能理解保护的基本原理"。
Letby was moved on to administrative duties in July 2016 after consultants expressed concerns about her to the hospital's executive team.
在顾问向医院的执行团队表达了对她的担忧后，Letby于2016年7月被转移到行政职责。
But the inquiry has found that alarm bells should have been sounded earlier.
但调查发现，早该敲响警钟。
There were several "missed opportunities" for hospital bosses to intervene, the report said, including when three babies died in one cluster in June 2015.
报告称，医院老板有几个"错过的机会"进行干预，包括2015年6月三名婴儿在一个集群中死亡。
Parents of the babies were "kept in the dark for years" over the concerns that their babies might have been deliberately harmed, the inquiry also found.
调查还发现，这些婴儿的父母因为担心他们的婴儿可能被故意伤害而"被蒙在鼓里多年"。
Thirlwall described the lack of consideration shown to parents as "reprehensible".
Thirlwall将父母缺乏考虑描述为"应受谴责"。
Repeatedly untruthful, callous and quiet - what we learned about Lucy Letby from inquiry report Key findings from Lucy Letby Thirlwall Inquiry As it happened: Read the live coverage from the Thirlwall Inquiry The report is highly critical of managers at the Countess of Chester Hospital.
反复不真实，冷酷无情和安静-我们从调查报告中了解到露西*莱比的情况 Lucy Letby Thirlwall调查的主要发现 正如它发生的那样：阅读Thirlwall调查的现场报道 这份报告对切斯特伯爵夫人医院的管理人员非常批评。
Hospital bosses carried out a number of internal reviews into increased infant mortality in 2015 and 2016, but did not invite Cheshire Police to investigate until May 2017.
医院老板在2015年和2016年对婴儿死亡率增加进行了多项内部审查，但直到2017年5月才邀请柴郡警方进行调查。
Letby remained on site until her arrest more than a year later.
莱比留在现场，直到一年多后被捕。
Cheshire Police said it would "carefully review" the contents of the report and "fully consider" relevant recommendations.
柴郡警方表示，将"仔细审查"报告内容，并"充分考虑"相关建议。
Thirlwall said the hospital's former chief executive Tony Chambers behaved in a "dictatorial manner" and had "intended" to obstruct a police investigation into deaths on the ward.
Thirlwall说，该医院的前首席执行官Tony Chambers以"独裁的方式"行事，并"打算"阻挠警方对病房死亡事件的调查。
Chambers, along with director of nursing and head of safeguarding Alison Kelly and medical director Ian Harvey, "dismissed the idea that Letby was deliberately harming babies", Thirlwall added.
钱伯斯与护理总监兼保护负责人艾莉森凯利和医疗总监伊恩哈维一起"驳回了莱比故意伤害婴儿的想法"，Thirlwall补充道。
But whether these managers believed Letby was harming babies or not was "irrelevant", Thirlwall said, adding that action should have been taken as soon as concerns were raised.
但Thirlwall说，这些经理是否认为Letby伤害婴儿是"无关紧要的"，并补充说，一旦提出担忧，就应该采取行动。
In a joint statement, Chambers, Kelly and Harvey along with the hospital's former HR director Sue Hodkinson said: "We are carefully reviewing the Thirlwall report and its recommendations.
在一份联合声明中，Chambers，Kelly和Harvey以及医院前人力资源总监Sue Hodkinson说："我们正在仔细审查Thirlwall报告及其建议。
"Given that there are a number of investigations under way, and that the work of the Criminal Cases Review Commission has not yet completed, it would be inappropriate for us to offer any further comment at this time.
他说："鉴于有多项调查正在进行中，而刑事案件复核委员会的工作尚未完成，我们在此时提出任何进一步的意见是不合适的。"
"Our thoughts remain with the families affected by the tragic events that took place at the Countess of Chester Hospital."
"我们的想法仍然与切斯特伯爵夫人医院发生的悲惨事件所影响的家庭有关。"
Letby "should have been removed from the ward," Thirlwall says The inquiry also condemned wider NHS culture, finding evidence of "toxic negativity" that discouraged whistleblowers.
莱特比"应该被从病房中取出，"Thirlwall说 调查还谴责了更广泛的NHS文化，发现了"有毒消极"的证据，使举报人望而却步。
The chair of the British Medical Association said on Tuesday that whistleblowers in the NHS "deserve strong protections, and the inquiry makes it clear that these doctors did not get them".
英国医学协会主席周二表示，NHS的举报人"应该得到强有力的保护，调查清楚地表明这些医生没有得到他们"。
Regulator the Care Quality Commission (CQC) was also criticised, with the report saying it did not show enough curiosity to look beyond what it was being told by the Countess of Chester Hospital.
监管机构护理质量委员会（CQC）也受到了批评，报告称它没有表现出足够的好奇心来超越切斯特医院伯爵夫人所说的内容。
Responding to the report, the CQC's chief inspector of hospitals said "crucial information" was not shared by the Countess of Chester, but that the commission as a regulator did not take a "sufficiently investigative and inquiring" approach.
在回应报告时，CQC的首席医院检查官表示，切斯特伯爵夫人没有分享"关键信息"，但委员会作为监管机构并没有采取"充分调查和询问"的方法。
Dr Tony Onon said the regulator had since changed its approach to assessments.
Tony Onon博士表示，监管机构此后改变了评估方法。
Health Secretary Yvette Cooper said she was "profoundly sorry" on behalf of the government for the failures set out in the report.
卫生部长伊薇特*库珀（Yvette Cooper）表示，她代表政府对报告中规定的失败表示"深感抱歉"。
She said she had asked officials to "urgently develop plans" for cot-cams in neonatal units, and that the government would consider Thirlwall's other recommendations in full.
她说，她已经要求官员"紧急制定计划"新生儿单位的cot-cams，政府将全面考虑Thirlwall的其他建议。
Cooper also said she expected NHS leaders across the country to uphold their safeguarding responsibilities.
库珀还表示，她希望全国的NHS领导人坚持他们的维护责任。
She plans to meet Thirlwall, who made 17 recommendations including restricting access to insulin, later this week to discuss the inquiry in more detail.
她计划在本周晚些时候与Thirlwall会面，Thirlwall提出了17项建议，包括限制获得胰岛素，以更详细地讨论调查。
Lucy Letby has twice been denied permission to appeal against her convictions The consultant paediatrician who had tried to raise his concerns about Letby to hospital management said he accepted the police should have been contacted sooner.
露芦路陆戮颅铆卤篓隆拢 曾试图向医院管理层提出他对莱比的担忧的儿科顾问说，他承认应该早点联系警方。
Dr John Gibbs was working at the Countess of Chester Hospital throughout the period in 2015 to 2016 when Letby carried out her crimes.
约翰*吉布斯博士在2015年至2016年期间一直在切斯特伯爵夫人医院工作，当时莱比实施了她的罪行。
"I wish we consultants had been brave enough to follow our suspicions and escalate things to the police earlier," he said.
他说："我希望我们的顾问有足够的勇气跟随我们的怀疑，早些时候把事情上报给警方。"
"When I say, 'we consultants', I am responsible as well and if my other consultant colleagues didn't go to the police, I should have."
"当我说'我们顾问'时，我也有责任，如果我的其他顾问同事没有去报警，我应该这样做。"
He also spoke about the failure of consultants to spot the significance of blood test results that suggested a baby had been poisoned with insulin in August 2015.
他还谈到了顾问未能发现血液测试结果的重要性，这些结果表明婴儿在2015年8月被胰岛素毒害。
He described this as "a collective team failure".
他将此描述为"集体团队失败"。
He said: "Others of us were on call and covering the neonatal unit over the next week or two before the baby moved out of the unit.
他说："在婴儿搬出新生儿室之前，我们中的其他人在接下来的一两周内随时待命并复盖新生儿室。
We all had the opportunity to review the notes.
我们都有机会回顾这些笔记。
"As I admitted when I appeared before the inquiry to give evidence, I feel we failed the babies and I apologise to the families for that.
"正如我在调查前出庭作证时承认的那样，我觉得我们让婴儿失望了，我为此向家人道歉。
"In a careful way, Lady Justice Thirlwall points out how we could and should have escalated matters ultimately to the police earlier than we did."
"Thirlwall法官以谨慎的方式指出，我们如何能够而且应该比我们更早地将事情最终提交给警方。"
Gibbs said he agreed with the report's finding that hospital executives had multiple opportunities to act and potentially save babies' lives.
吉布斯表示，他同意该报告的发现，即医院管理人员有多种机会采取行动并可能挽救婴儿的生命。
Chief executive and registrar at the Nursing and Midwifery Council (NMC), Paul Rees, said his thoughts were with the babies that died or came to harm and their families "who have endured unimaginable suffering and pain".
护理和助产委员会（NMC）首席执行官兼注册官保罗*里斯（Paul Rees）表示，他的想法是与那些死亡或受到伤害的婴儿及其家人"忍受了难以想象的痛苦和痛苦"。
He said: "From the moment concerns about Letby were first brought to the NMC's attention 10 years ago we should have stepped up proactively, shown a sense of professional curiosity and triggered action at a senior level.
他说："从10年前对Letby的担忧首次引起NMC的关注起，我们就应该积极主动地加强，表现出专业的好奇心，并引发高层的行动。
"We should have considered the possibility of deliberate harm much earlier than we did." He said the NMC had since "strengthened our guidance on interim orders", which clarified to "our decision-makers that they can seek to restrict or suspend a professional's practice much earlier".
"我们应该比我们更早地考虑故意伤害的可能性。" 他说，NMC此后"加强了我们对临时命令的指导"，这向"我们的决策者澄清，他们可以更早地寻求限制或暂停专业人员的做法"。
Thirlwall was clear that her inquiry was not an investigation into Letby's guilt, which some supporters of the jailed nurse still contest.
Thirlwall很清楚，她的询问并不是对Letby有罪的调查，一些被监禁的护士的支持者仍然对此表示质疑。
A number of Letby supporters gathered outside Liverpool Town Hall to voice their concerns over her conviction, calling for her release, before Thirlwall delivered her inquiry findings.
一些莱特比的支持者聚集在利物浦市政厅外，表达他们对她被定罪的担忧，呼吁释放她，然后在Thirlwall发表她的调查结果之前。
Now 36, Letby is serving 15 whole-life prison terms for murdering seven babies and attempting to murder seven more.
现年36岁的莱比因谋杀七个婴儿并试图谋杀七个婴儿而服刑15个终身监禁。
She was convicted in 2023 and has been denied permission to appeal against her convictions twice.
她在2023被定罪，并被拒绝两次对她的定罪提出上诉。
Letby Hospital: Maternity failings at the Countess of Chester Tell us which stories we should cover in Cheshire Will the Thirlwall report change the debate about Lucy Letby?
莱比医院：切斯特伯爵夫人的产科失败 告诉我们在柴郡应该报道哪些故事 Thirlwall报告会改变关于Lucy Letby的辩论吗？
Lucy Letby inquiry report delayed for third time Lucy Letby sentenced to 15th whole life term
Lucy Letby询问报告第三次延迟 露西*莱比被判处第15个终身刑期
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