Why could Ben Myers find no expert witnesses to defend the insulin poisoning theory, whereas Mark McDonald has found plenty?
Letbyโs fate was effectively sealed at the pre-trial expert meeting, when experts on both sides agreed exogenous insulin had been given to two babies, alongside a theory as to how Letby might have secretly spiked nutrition bags. The jury never heard expert explanations of the unreliability of the tests, particularly in neonates, and the far more plausible causes for the prolonged hypoglycaemia in these two particular neonates.
The judge knew about the expert agreement on exogenous insulin before the trial started, the jury found unanimous guilt on the insulin cases and were then directed by the judge to use this finding of guilt in making judgements on other cases.
Even if the CCRC concludes there is reasonable doubt in the insulin cases, having been given very detailed experts reports that the jury never saw, Letby may not get an appeal because these experts could have given their evidence at the original trial. Which comes back to my first question. Why couldnโt Myers find experts prepared to challenge the insulin poisonings when McDonald can?
My full report on the pre-trial joint expert meeting is below. Other reports at
private-eye.co.uk/special-reโฆ
Someone should tell that to the idea of a "booking" system which is anything but a booking system. I can book a restaurant. "Booking" a doctor is a terrifying form. It should be identical to a restaurant booking.
1/2 Has the NHS been told so often it is failing that it now feels that everyone else in the NHS canโt cope rather than helping patients by checking why requests and referrals havent been passed between clinicians rather than simply blaming others and IT for poor communications.
2/2 Then refusing to investigate citing confidentiality, processes & departmental borders, or blaming lack of staff or quoting exaggerated times for processes in order to support in patients the idea that the NHS is failing.
NHS needs quality control rather than targets to help.
Is it common practice for NHS hospitals to have a delay of several weeks before their referrals are put on their system even when sent by the NHS Electronic Referral System? If so this is a dangerous situation as letters are delayed in getting to the clinicians for prioritising.
These stats are frankly bonkers. If anybody is complaining about why they are waiting to see a GP. They need to ask why successive governments have not supported the same growth in GP numbers as it has hospital medic numbers
โฆโฆ@wesstreetingโฉ fix it or fail
Great to see a plan to enable AI in the NHS and other public services. This should make us healthier and safer and will boost our economy. Those in primary care have been aware of the advantages of intelligent IT for decades.
Clinical benefits must be prioritised.
Hopefully funding or at least paying for the equipment, software and for the audit data extracted from CQC to encourage independent practices to release this business sensitive data eventually came through? #RCGP#BMA
Some BIG News: Lexacom Echo speech recognition software is now powered by the Lexacom Comprehension Engine.
A system that AUTOMATICALLY explains complicated medical terms in plain English as the doctor dictates or writes patient notes.
Beta-Blockers for Secondary Prevention following #MI in Patients Without Reduced Ejection Fraction or #HeartFailure: An Updated Meta-Analysis
Meta-analysis of 24 studies (290,349 patients) shows:
๐No significant mortality reduction in patients post-2010 with preserved EF (HR, 0.97).
๐Trend towards increased CV mortality (HR, 1.29) and significant rise in MACCE (HR, 1.24).
academic.oup.com/eurjpc/advaโฆ#EAPC@ESC_Journals@escardio
In partnership with @FIFAcom and @WHO, Saudi Arabian Football Federation is helping to raise awareness about the risks of concussion among players ๐ค
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It's been a particularly special day - we launched #SuspectAndProtect into the world.
FIFA's social impact campaigns aim to create just that, and hopefully this raises valuable, global awareness - at all levels of football.
Concussion can happen at any time, to anyone.
Thatโs why FIFA have teamed up with @WHO to launch a new global concussion awareness campaign, designed to protect players and help us all to know the signs and symptoms.
#SuspectAndProtect
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I hope those GP partners who voted for working to rule realised that the Integrated Care Boards could build community surgeries and employ specialist nurses, physios, primary care pharmacists and newly trained GPs to do their jobs in the new community care hubs #HistoryRepeats