Paediatric consultants at The Countess have suspected Lucy Letby for nearly eight months so a broader meeting of senior doctors is convened to review 10 deaths since June 2015. A review of the nursing observations, staffing and junior doctor rotas for the 12 hours before the deaths is conducted and no link between the deaths and Lucy Letby is identified. However, a number of recommendations, such as new UVC guidance, are made.