Team have changed, for example the Chief Executive of the Hospital Trust left, the Medical Director left, they both left in 2018. And so it is a new Management Team now, but they are left with the very difficult position of trying to justify what happened before they came into office. But it is the case that members of staff have told the bbc that when they tried to raise legitimate concerns about what was going on in the unit, they were ignored by management. So there are Big Questions to be answered, and i think it is inevitable, as i said, that people will be calling for a Public Inquiry into what has happened here. Are Public Inquiry into what has happened here. Public inquiry into what has happened here. Are there still lessons to happened here. Are there still lessons to be happened here. Are there still lessons to be learned happened here. Are there still lessons to be learned from happened here. Are there still| lessons to be learned from this because we have seen the trial and
these horrible, horrible cases have happened in the past. in these horrible, horrible cases have happened in the past. happened in the past. in terms of death we have happened in the past. in terms of death we have been happened in the past. in terms of death we have been talking, - happened in the past. in terms of- death we have been talking, dominic, about the length of time it took for all of these things to be put together, the fact that these babies were suffering from similar medical episode, that lucy letby was always on shift when it happened, our potential loopholes like that, do they still exist, have they been closed down, what does the system look like now? i’m closed down, what does the system look like now? closed down, what does the system look like now? i m not sure that the s stem look like now? i m not sure that the system has look like now? i m not sure that the system has changed look like now? i m not sure that the system has changed that look like n