The Thirlwall Inquiry heard the Countess of Chester’s operating theatre was described as “cold and unhygienic”. Triplet parents reported chaos and inadequate care, with Lucy Letby involved before their sons' deaths. The parents demanded their surviving child be taken to Liverpool Women’s Hospital, noting better hygiene and care.

The operating theatre where some babies were delivered at Lucy Letby’s hospital was like “something out of a horror film”, the Thirlwall Inquiry has heard. A father whose two sons died at the Countess of Chester said his partner was taken to a “dingy, cold and unhygienic” room for a caesarean section in June 2016. The mother was carrying triplets, and when the doctor made the incision to remove the babies, blood and spinal fluid splattered on to a wall of the theatre and landed on her head, the inquiry heard.

Although she complained about the pain, the mother was told by the anaesthetist: “It’s not hurting”..