Svilena
@NeoDoc11
Consultant Neonatologist with a law degree. Interest in patient safety. CQC specialist adviser. Ex member of the Ockenden team. Bookworm. Opinions my own.
When it’s eventually recognised that Lucy Letby’s murder convictions were the biggest miscarriage of justice in British legal history, no doubt people will ask: How did this happen? How was this even possible? So I want to put it on the record now because, frankly, I have no…
Some babies died avoidably at the Countess of Chester Hospital. The evidence that they died of accidental harm appears to be far stronger than the evidence that they died of deliberate harm. And yet the coroner didn’t spot either. Why not? My column in @PrivateEyeNews today.
This is a chocolate teapot change. It won’t work because recognising negligence requires genuine accountability, thorough investigation by competent professionals, and a final decision-maker who is actually committed to doing the right thing. In a system run by toxic…
Strong evidence— over years of examining patient safety failures that this is needed. The overriding message must be clear: If you make a mistake, be open & learn but if you choose to cover up, suppress concerns or knowingly put safety at risk - look for a job outside the NHS.
This. I know plenty of consultants who have been scapegoated and driven out of their roles in the NHS simply for raising well evidenced concerns. In fact, this often happens more to consultants than to nurses - I suspect they are more likely to walk into it since some still are…
Diana, please don't be under any illusion that this is not happening already in the NHS. It most certainly isn't just nurses who are victimised, persecuted, gaslit and forced out of their positions and careers for raising concerns. As a senior NHS Consultant Obstetrcian, I...
Important point. Unions are at best hit or miss. Too often, their representatives are about as useful as a chocolate teapot. I’ve helped numerous people push back against harmful workplace dynamics, only to find that the union advice they received was misguided at best,…
And where was her nursing union? Why did they not bring in an experienced lawyer to support her, instead of just a local Rep? Who suggested she write this letter which just enraged the Consultants? She should have filed for Constructive Dismissal the minute she won her Grievance.
Did the managers get something wrong here? Oh yes they did. The managers and Letby absolutely made mistakes. Let’s be clear: she would NEVER have been safe to return to a unit where those who orchestrated a sustained smear campaign against her remained in positions of power -…
"There has been a huge element of dishonesty throughout this process and I want to ensure that you all hear my perspective and are aware of the impact your actions have had on me." Lucy Letby's letter to her accusers: thirlwall.public-inquiry.uk/wp-content/upl…
I was genuinely shocked when LJ Thirlwall chose to ignore a group of highly respected professionals last year after a letter that @PeterElston1 and I wrote to her last year co-signed by many eminent statisticians, scientists and doctors. The letter we wrote was unprecedented in…
The Thirlwall Inquiry on Monday published a report detailing a total expenditure over the latest financial year of £13 million. thirlwall.public-inquiry.uk/wp-content/upl…
Excellent article @Mephitisblog Much more will eventually come out by diary experts in due course. One of the most disturbing patterns emerging in carer MoJ cases is the reckless misinterpretation of diary entries. And why wouldn’t that happen? In this legal system,…
Lucy's handwritten notes ("I'm evil I did this", etc) condemned her. They should not have been admissible. The prosecution told jurors the notes should be "taken as" a confession. But they had not been admitted as a confession, legally speaking. mephitis.co/post/lucy-letb…
It looks like the Channel 5 documentary is back available online. I am really glad I spoke up last year, especially when many of my colleagues — including some in very senior positions — chose to stay silent, even though they had concerns. At the time, I didn’t know whether…
Classic scapegoating 101: ignore the black-and-white evidence presented by the genuine whistleblower, while the lies of the real culprits get repeated until they’re accepted as truth by the ignorant and incompetent. Character assassination replaces accountability. If the NHS can…
Isn't it fascinating that @cheshirepolice denigrate, discredit and gaslight @Voice4theDead, claiming that she was an 'administrator,' with neither 'medical nor legal qualification,' coincident with her blowing the lid off their handling of the Lucy Letby case?
“A Cheshire police spokesperson described Davies’s former position as “an administrative role within the Cheshire coroner’s office”. Steph, are my eyes deceiving me or did Cheshire police lie in writing within their response to the Guardian? Or are they saying that they allow…
Incredibly brave of Miss Davies to speak out. She confirms what was already clear from the notes - key information wasn’t disclosed to the coroner. I’ve written to the new Cheshire coroner, LJ Thirlwall, and Cheshire Police asking them to investigate one doctor in particular for…
I have a firm policy of not engaging with individuals who exhibit trolling behaviours, regardless of any supposed relevance they may think they have — and in Snowdon’s case, I see none. I therefore blocked him a long time ago. Still, I did manage to screenshot as it’s wise to…
There are countless other absurd discrepancies like this, on top of the outright medical nonsense presented at trial. I can understand how some of the medical claims might have seemed plausible to laypeople, but how are there still questions about the rest - when so much of it is…
Thank you to @drphilhammond and all other investigative journalists who have exposed this disgraceful miscarriage of justice. Without your work there’s no doubt an innocent person would die in jail whilst those who were either willfully ignorant or outright deceptive in putting…
Dr Dimitrova (@NeoDoc11) is not a member of Dr Shoo Lee’s panel, but independent from it . She has not seen any evidence to suggest that birth trauma occurred during the delivery of Baby O. She believes the subcapsular haematoma in this case could have developed as a result of…
Chris, will you also be addressing how any new whistleblowing protection systems will include safeguards to distinguish between genuine whistleblowers and those acting vexatiously? Without a clear commitment to properly examining evidence to make this distinction, such a system…
We cannot go on like this! Looking forward to attending and speaking in Parliament today at #WBAW2025 on the need to change UK whistleblowing laws and for an #OfficeOfTheWhistleblower to start fighting for the public interest. Click here to find out more at Whistleblowing…
Ten years ago, Bill Kirkup spoke with rare honesty about the damage caused by cover-ups and the lack of accountability in healthcare. A decade on, not only have things not improved — in many cases, they’ve gotten worse. The pattern is painfully familiar now: someone speaks up.…

If you’re going to arrest the managers for not spotting murder, you may as well arrest the pathologists who performed the six post-mortems, the coroner who got it wrong at inquest, the visiting team from the Royal College of Paediatrics and Child Health, the Care Quality…
I personally think it would be wise to wait until the result of Letby’s CCRC application and any appeal before taking action. A vast sum of public money has already been spent on this. However, the police may argue the CCRC could take years to reach a view. And if it goes to…
James, I completely understand the points you raise. However, on the issue of the "framework of accountability being confused and ineffective" - the reality is that the framework itself isn't always the problem; it's often the lack of consistent and fair application of what can…