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The Express Gazette
Wednesday, September 16, 2026

Inquiry Report Criticizes Hospital Leaders' Handling of Concerns

A report on the failures at Countess of Chester Hospital found leadership issues and communication breakdowns that exacerbated patient safety concerns.

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Inquiry Report Criticizes Hospital Leaders' Handling of Concerns

The Thirlwall Inquiry has concluded that hospital leaders at the Countess of Chester Hospital repeatedly failed to act on concerns, with chief executive Tony Chambers described as "dictatorial" in his interactions with consultants. Presentations made by executives to the hospital board were characterized as an "exercise in spin," according to findings within the report.

Solicitor for the families involved, Helen Bolton, acknowledged the report's findings were "difficult reading" but expressed hope that it would initiate significant change. She also criticized the stance taken by Lucy Letby's barrister, Mark McDonald, who described the inquiry as being based on a "false premise" of Letby's guilt. Bolton stated that the inquiry's purpose was to generate recommendations to prevent future harm to children, making such a public dismissal of its value unusual.

Bolton also addressed protests outside Liverpool Town Hall during the report's publication, noting they were distressing for her clients. She emphasized that the families found reassurance in the fact that most of the evidence had been rigorously tested at multiple levels by experienced professionals. Bolton described the protests as an "entirely inappropriate response" to a public inquiry focused on patient safety.

Chambers, along with other senior leaders named in the report, issued a joint statement. They indicated that due to ongoing investigations, including work by the Criminal Cases Review Commission, it would be inappropriate to comment further. The statement concluded by reiterating that their thoughts remain with the families affected by the tragic events at the hospital.

The publication of the inquiry report occurs amidst ongoing efforts by some campaigners and medical experts to challenge Lucy Letby's convictions. Bolton described the inquiry as a potential "pivot point" in addressing systemic issues.


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