Tuesday, February 4, 2025

(Part 2): Neonatal Nurse Lucy Letby: U.K. Major (Welcome) Development: "We did not find any murders." The panel of experts, chaired by Dr. Shoo Lee, which examined the cases of 17 babies whom Letby was charged with murdering or harming has concluded that there is no evidence to support her conviction, The Guardian (North of England Editor Josh Halliday) reports, noting that: "Lee, an emeritus professor at the University of Toronto, said the 14 experts had found “so many problems with the medical care” of the babies and nothing to support the claim they were attacked. “In summary, ladies and gentlemen, we did not find any murders,” he told a press conference in Westminster on Tuesday. The press conference came as the Criminal Cases Review Commission (CCRC), the body that investigates potential miscarriages of justice, announced it had received a “preliminary application” from Letby’s legal team."…"For the first time, experts suggested what they described as plausible alternative explanations for the deterioration of the infants – but ruled out deliberate harm. A 31-page summary report, published on Tuesday, concluded that the Countess of Chester’s neonatal unit was overworked, understaffed, had plumbing issues and was staffed by “inadequate numbers of appropriately trained” clinicians. It said there were “numerous problems” in the care of the 17 babies, including a failure to properly carry out “basic medical procedures, delays in their treatment and the misdiagnosis of diseases”. Lee said: “If this had happened at a hospital in Canada, it would be shut down.”


QUOTE OF THE DAY: "Mark McDonald, Letby’s new barrister, said the report had “demolished” the medical case against her and was “overwhelming evidence that this conviction is unsafe”. He said the failure of Letby’s original legal team to produce any medical experts to give evidence in her defence meant that “all you were left with was the evidence of prosecution experts”. He said: “This is fresh evidence. This is new evidence. It’s compelling evidence because of the nature of people who are giving that evidence – and it wasn’t heard by the jury.” Lee said the expert panel included “some of the most experienced and distinguished paediatric specialists in the world”, from the US, the UK, Germany, Sweden and Japan."

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PASSAGE OF THE DAY: "The panel also cast doubt on the supposed insulin poisonings, which were the foundation of the prosecution case. Jurors in Letby’s original trial were told that the insulin and c-peptide levels of two infants meant they must have been deliberately injected with insulin. Letby’s original legal team did not contest that claim, yet the jury was told that Letby was the only person who could have poisoned both babies."

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PASSAGE TWO OF THE DAY: "One of the UK’s most eminent neonatologists, Prof Neena Modi, a former president of the Royal College of Paediatrics and Child Health, is one of the 14 experts who analysed the cases of 17 babies Letby allegedly harmed. Modi said there were “very, very plausible reasons for these babies’ deaths” and that, across all 17 cases, there was a combination of babies being “in the wrong place, delivered in the wrong place, delayed diagnosis and inappropriate or absent treatment”."

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STORY: "‘No medical evidence’ to support Lucy Letby’s conviction, expert panel finds Babies former nurse was convicted of killing were victims of ‘bad medical care’ or died of natural causes, panel says," by North oof England Editor Josh Halliday, published by The Guardian, on February 4, 2025.


GIST: Babies the former nurse Lucy Letby was convicted of murdering were in fact the victims of “bad medical care” or deteriorated as a result of natural causes, an expert panel has concluded.

Outlining what the senior Conservative MP David Davis described as “one of worst injustices of recent times”, the international team told a press conference there was “no medical evidence” to support claims of deliberate harm.

A panel of experts, chaired by Dr Shoo Lee, examined the cases of 17 babies whom Letby was charged with murdering or harming at the Countess of Chester hospital in north-west England.

Lee, an emeritus professor at the University of Toronto, said the 14 experts had found “so many problems with the medical care” of the babies and nothing to support the claim they were attacked. “In summary, ladies and gentlemen, we did not find any murders,” he told a press conference in Westminster on Tuesday.

The press conference came as the Criminal Cases Review Commission (CCRC), the body that investigates potential miscarriages of justice, announced it had received a “preliminary application” from Letby’s legal team.

A CCRC spokesperson said it was not possible to say how long it would take to come to a decision on whether to refer the case back to the court of appeal, which it can do if it believes there is a real possibility the convictions will be quashed.

Letby, now 35, is serving 15 whole-life prison terms after being convicted of murdering seven babies and attempting to kill another seven at the Countess of Chester hospital. She has twice been refused permission to appeal against her convictions by the court of appeal. A public inquiry is under way on the basis that she is guilty.

Letby was convicted of murdering four of the seven babies by injecting air into their bloodstreams and attempting to kill several others by the same method.

She was also convicted of harming two babies by poisoning them with insulin, pumping air into their feeding tube, force-feeding one with milk, and causing trauma to the abdomen.

Lee, who chaired the expert panel, said the prosecution’s claim that Letby had injected air into babies’ bloodstreams had “no evidence in fact”.

For the first time, experts suggested what they described as plausible alternative explanations for the deterioration of the infants – but ruled out deliberate harm.

A 31-page summary report, published on Tuesday, concluded that the Countess of Chester’s neonatal unit was overworked, understaffed, had plumbing issues and was staffed by “inadequate numbers of appropriately trained” clinicians. It said there were “numerous problems” in the care of the 17 babies, including a failure to properly carry out “basic medical procedures, delays in their treatment and the misdiagnosis of diseases”.

Lee said: “If this had happened at a hospital in Canada, it would be shut down.”

In one example, he said the panel had concluded that Child 1 – a one-day-old twin boy Letby was convicted of murdering by injecting with air – had in fact died as a result of thrombosis due to a failure to begin his infusion until four hours after he was intubated, risking the development of clots.

Another baby, a 10-week-old girl whom Letby was convicted of murdering on her fourth attempt, in fact died as a result of complications linked to respiratory distress syndrome and chronic lung disease, the panel concluded.

Lee claimed doctors had failed to respond to routine warnings about her deterioration and did not treat her with appropriate antibiotics. He added: “This was likely a preventable death.”

The panel also cast doubt on the supposed insulin poisonings, which were the foundation of the prosecution case. Jurors in Letby’s original trial were told that the insulin and c-peptide levels of two infants meant they must have been deliberately injected with insulin. Letby’s original legal team did not contest that claim, yet the jury was told that Letby was the only person who could have poisoned both babies.

Mark McDonald, Letby’s new barrister, said the report had “demolished” the medical case against her and was “overwhelming evidence that this conviction is unsafe”. He said the failure of Letby’s original legal team to produce any medical experts to give evidence in her defence meant that “all you were left with was the evidence of prosecution experts”.

He said: “This is fresh evidence. This is new evidence. It’s compelling evidence because of the nature of people who are giving that evidence – and it wasn’t heard by the jury.”

Lee said the expert panel included “some of the most experienced and distinguished paediatric specialists in the world”, from the US, the UK, Germany, Sweden and Japan.

One of the UK’s most eminent neonatologists, Prof Neena Modi, a former president of the Royal College of Paediatrics and Child Health, is one of the 14 experts who analysed the cases of 17 babies Letby allegedly harmed.

Modi said there were “very, very plausible reasons for these babies’ deaths” and that, across all 17 cases, there was a combination of babies being “in the wrong place, delivered in the wrong place, delayed diagnosis and inappropriate or absent treatment”.

The entire story can be read at: 

https://www.theguardian.com/uk-news/2025/feb/04/no-medical-evidence-to-support-lucy-letby-conviction-expert-panel-finds

PUBLISHER'S NOTE:  I am monitoring this case/issue/resource. Keep your eye on the Charles Smith Blog for reports on developments. The Toronto Star, my previous employer for more than twenty incredible years, has put considerable effort into exposing the harm caused by Dr. Charles Smith and his protectors - and into pushing for reform of Ontario's forensic pediatric pathology system. The Star has a "topic"  section which focuses on recent stories related to Dr. Charles Smith. It can be found at: http://www.thestar.com/topic/charlessmith. Information on "The Charles Smith Blog Award"- and its nomination process - can be found at: http://smithforensic.blogspot.com/2011/05/charles-smith-blog-award-nominations.html Please send any comments or information on other cases and issues of interest to the readers of this blog to: hlevy15@gmail.com.  Harold Levy: Publisher: The Charles Smith Blog.

SEE BREAKDOWN OF  SOME OF THE ON-GOING INTERNATIONAL CASES (OUTSIDE OF THE CONTINENTAL USA) THAT I AM FOLLOWING ON THIS BLOG,  AT THE LINK BELOW:  HL:


https://www.blogger.com/blog/post/edit/120008354894645705/4704913685758792985


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FINAL WORD:  (Applicable to all of our wrongful conviction cases):  "Whenever there is a wrongful conviction, it exposes errors in our criminal legal system, and we hope that this case — and lessons from it — can prevent future injustices."

Lawyer Radha Natarajan:

Executive Director: New England Innocence Project;


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FINAL, FINAL WORD: "Since its inception, the Innocence Project has pushed the criminal legal system to confront and correct the laws and policies that cause and contribute to wrongful convictions.   They never shied away from the hard cases — the ones involving eyewitness identifications, confessions, and bite marks. Instead, in the course of presenting scientific evidence of innocence, they've exposed the unreliability of evidence that was, for centuries, deemed untouchable." So true!


Christina Swarns: Executive Director: The Innocence Project;

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(Part 1): Neonatal nurse: Lucy Letby: U.K. (Serving 15 whole life terms): Former minister Nadine Dorries explains in the Daily Mail why she believes that a press conference to be held in London oday, February 4, 2025, will be the first step towards Lucy Letby walking free from jail, in a commentary sub-headed, 'Today's the first step on Lucy Letby's road to freedom...and this is the smoking gun that will turbocharge the dismantling of her case.'…"The key expert speaking today will be Dr Shoo Lee, an eminent Canadian neonatologist (now retired) and president of the Canadian Neo-Natal Foundation. It was his (co-authored) 1989 academic paper on air emboli ('blockages') in the bloodstream of a newborn that was used by Dr Evans in the 2023 trial to explain how Lucy Letby targeted some of the babies in the neonatal unit by injecting air into their bloodstream, leading to sudden collapse. Lucy Letby, 35, was convicted of murdering seven babies and attempting to murder eight more Dr Lee is deeply concerned at how his research was misrepresented in the trial. So concerned that he's flown 4,000 miles to unveil the details of an in-depth review conducted by a 'blue-ribbon' panel of 14 international medical experts who have independently examined the deaths of the infants that Lucy was convicted of murdering or harming. Dr Shoo claims that 'my research was misused to convict Letby, and so I did my own inquiry'. I am told that his findings will be 'explosive'."



PASSAGE OF THE DAY: "For me, Lucy's case has something of the Salem witch trials about it. A popular, young nurse – one whom many colleagues believe is innocent – has been portrayed as an evil monster. Will the judiciary be more concerned with protecting the integrity of the criminal justice system than it will be with discovering the truth? And if it does grant the appeal or overturn the conviction, will it lead to an overhaul of how medical expert witnesses are appointed to cases? Only time will tell. But it can't come fast enough – not least for Lucy Letby, whose life is on hold."

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COMMENTARY: "Why I believe this will be the first step towards Lucy Letby walking free from jail, by Nadine Dorries, published by The Daily Mail, on February 3, 2025.

SUB-HEADING: "Today's the first step on Lucy Letby's road to freedom...and this is the smoking gun that will turbocharge the dismantling of her case.


GIST: "Today I shall be front row at a momentous press conference in London called by Lucy Letby's legal team.

What this press conference reveals will, I believe, turbocharge the dismantling of the prosecution's case against the former neonatal nurse, who is serving 15 whole life terms.

It will also focus attention very firmly on the claims of the prosecution's chief witness, Dr Dewi Evans, whose reliability I have questioned previously on these pages.

Sir David Davis MP is chairing the meeting. He has been valiant in his efforts to highlight what he feels are the flaws in the case.

However, Sir David and I part ways on one key point. He is calling for a retrial. I believe Letby's conviction should be overturned, and she should walk free.

The fight to show that her conviction is unsafe on all charges began last September with the appointment of barrister Mark McDonald. Support has since come from leading doctors, scientists, psychiatrists and statisticians who are concerned about the evidence on which the verdict was reached.

The key expert speaking today will be Dr Shoo Lee, an eminent Canadian neonatologist (now retired) and president of the Canadian Neo-Natal Foundation.

It was his (co-authored) 1989 academic paper on air emboli ('blockages') in the bloodstream of a newborn that was used by Dr Evans in the 2023 trial to explain how Lucy Letby targeted some of the babies in the neonatal unit by injecting air into their bloodstream, leading to sudden collapse.

Lucy Letby, 35, was convicted of murdering seven babies and attempting to murder eight more

Dr Lee is deeply concerned at how his research was misrepresented in the trial. So concerned that he's flown 4,000 miles to unveil the details of an in-depth review conducted by a 'blue-ribbon' panel of 14 international medical experts who have independently examined the deaths of the infants that Lucy was convicted of murdering or harming.

Dr Shoo claims that 'my research was misused to convict Letby, and so I did my own inquiry'. I am told that his findings will be 'explosive'.

As The Mail on Sunday reported this week, previously undisclosed police notes, obtained by the news website Unherd, will also call into question the prosecution's claim that Lucy, now 35, was the 'common denominator' in all the suspicious incidents involving babies at the Countess of Chester Hospital.

Chief prosecution witness Dr Evans originally looked at 28 cases of suspicious incidents, but the police notes show that Lucy was absent for ten of them.

Could it be the case that any other nurse working overtime shift patterns on the chronically understaffed unit – like those worked by Letby – could also have been present for the same number of incidents? The statistics used to support the guilty verdicts are, I have been told, 'all over the place'.

It was last November that I first raised my concerns in the Mail about Dr Evans and what, I believe, could be one of the biggest miscarriages of justice in British legal history.

The bedrock of evidence used to convict Lucy – who was convicted of murdering seven babies and the attempted murder of eight more – was supplied to the court by Dr Evans, a 74-year-old general paediatrician from Wales.

Over 30 years he had given expert evidence in criminal and civil cases on clinical negligence and child safeguarding – but, crucially, by his own admission, he had never specialised exclusively as a neonatologist.

Moreover, he had retired from frontline medicine in 2009. In response to an email submitted by this paper, he said he had not been responsible for the care of a premature baby since 2007.

Given the gravity of the case, I cannot be alone in thinking that a medical expert witness, selected by police and the Crown Prosecution Service to work on behalf of the prosecution to inform a judge and guide a jury, should, at the very least, be a highly qualified specialist in the field and have recently practised in what is one of the most high-tech and rapidly changing specialisms?The bedrock of evidence used to convict Letby was supplied to the

How exactly was Dr Evans chosen for the case? I would argue that he self-selected. In court, he said that after reading about the baby deaths at the Countess of Chester Hospital in a Sunday newspaper, he sent an email to the National Crime Agency in which he wrote that it 'sounds like my kind of case'.

I believe it is fair to suggest that he was touting for work – as, indeed, Letby's barrister put to him during the trial. If so, does that not suggest an inherent bias?

And how exactly was it 'his kind of case'? How many other 'death clusters' in neonatal units had he investigated?

In a podcast after the trial, Dr Evans described visiting Cheshire Police HQ in July 2017 and being shown 'clinical notes' of one or two babies in the Countess cluster, including Baby O.

He recalled 'one of the medics had written down that he'd noticed what he thought was bruising around the liver. Well, that doesn't happen … and I saw some pretty florid, horrid photographs that showed several areas of bleeding over the liver.

'In other words, trauma to the liver – and I thought 'Oh my God, this is dreadful. This is inflicted injury. We need to investigate this.' Seemingly, within minutes, Dr Evans had decided a murder had taken place. What followed led to the arrest of Lucy Letby.

But when Baby O deteriorated, Letby was not even on duty. And it has since emerged – in hospital notes obtained by her legal team – that the liver injury was caused by a consultant, Stephen Brearey.

During an attempt at resuscitation, he had inadvertently inserted a needle into the wrong side of the baby's body and punctured the liver, causing internal bleeding. This fact was not made known at the trial.

It is also important to note that prior to Dr Evans' involvement, several of the baby deaths Lucy is accused of committing, including Baby O, had been appraised by neonatal pathologists in Liverpool for a lot longer than ten minutes. They had found no evidence whatsoever of inflicted harm.

It is estimated that over the seven years (from 2016 to the trial in 2023) that Dr Evans was working for Cheshire Police and the CPS, he earned substantially more than seven figures in fees paid to his company, Dewi Evans Paediatric Consulting.

Dr Evans has been asked repeatedly by the Mail to confirm the sum, but he has declined to respond. Surely the public has a right to know: we paid the bill.

(Dr Evans has said that concerns about his evidence are 'unsubstantiated, unfounded and inaccurate' but he declines to comment further until the conclusion next month of the Thirlwall Inquiry, examining events at the Countess of Chester Hospital and their implications following the trial and subsequent convictions.)

Lucy Letby's case has something of the Salem witch trials about it, writes Nadine Dorries

You may ask why I am so interested in this case, the role of Dr Dewi Evans and the conviction of Lucy Letby. Let me explain.

My interest was informed by my own two years as the Health Minister responsible for maternity, neonatal care and patient safety. Two of my three children were born at the Countess Hospital, and, as a former nurse I worked briefly on a Special Care Baby Unit.

As a minister, I launched an inquiry into the unexplained deaths of 15 babies at two hospitals, Margate and Ashford. I was also responsible for extending the terms of reference of the Ockenden Inquiry at the Shrewsbury and Telford Hospital NHS Trust to encompass the deaths of almost 1,900 babies.

I spent a harrowing time talking to mothers who had lost their babies at Nottingham University Hospitals NHS Trust and ordered an inquiry into baby and mother deaths there as a result.

I spent hours talking to hospital chief executives, the Care Quality Commission, doctors, hospital midwives and families before I made the decisions I did.

I instructed the Health Care Safety Investigation Branch (HSIB) to prioritise baby deaths, and instructed them to regularly report to me personally. I found £500,000 for the Royal College of Obstetricians and Gynaecologist to conduct their own research into safer maternity practices.

So, you see, I had some inkling into how and why hundreds of babies had died nationwide over a number of years, mainly in hospitals which were mostly rural, coastal or outliers away from teaching university hospitals, and where staff churn and updated learning was low.

The reports resulting from the inquiries I instigated all told a similar story of sub-optimal care, poor working relationships, rivalry and a lack of communication between midwives and doctors.

There were failures in governance and leadership, as well as understaffing and instances of underqualified staff being placed on high-risk units.

In June 2016, the CQC published a report into the neonatal unit at the Countess of Chester Hospital covering the year which saw the cluster of deaths subsequently linked to Letby. They found the profile of a murderer.

None of it made sense to me, and it still doesn't.

Which brings me back to Dr Evans. How could he have been unaware of all the inquiries into the sub-standard pre and post-natal care of mothers and babies across the UK? Was he really so oblivious to the problems in some units as to be certain that murder was the most likely explanation?

Dr Shoo Lee and his panel of experts will hopefully shine a light today on why those poor babies really did die.

And if their findings suggest that Lucy Letby was not to blame, how long will it be before the establishment admit they got it wrong?

Well, I am hopeful.

The Mail reported yesterday that three members of the Criminal Cases Review Commission are 'familiarising' themselves with the Letby case ahead of a formal application from Lucy's team in a fresh challenge to her conviction announced in December.

The CCRC investigates potential miscarriages of justice and can refer a case back to the Court of Appeal.

Given the time this can take and the new evidence which has come to light, Lucy's barrister Mark McDonald has also applied directly to the Court of Appeal.

For me, Lucy's case has something of the Salem witch trials about it. A popular, young nurse – one whom many colleagues believe is innocent – has been portrayed as an evil monster.

Will the judiciary be more concerned with protecting the integrity of the criminal justice system than it will be with discovering the truth? And if it does grant the appeal or overturn the conviction, will it lead to an overhaul of how medical expert witnesses are appointed to cases?

Only time will tell. But it can't come fast enough – not least for Lucy Letby, whose life is on hold."

The entire story can be read atL

https://www.dailymail.co.uk/debate/article-14355839/Why-believe-step-Lucy-Letby-walking-free-jail-NADINE-DORRIES.html



PUBLISHER'S NOTE:  I am monitoring this case/issue/resource. Keep your eye on the Charles Smith Blog for reports on developments. The Toronto Star, my previous employer for more than twenty incredible years, has put considerable effort into exposing the harm caused by Dr. Charles Smith and his protectors - and into pushing for reform of Ontario's forensic pediatric pathology system. The Star has a "topic"  section which focuses on recent stories related to Dr. Charles Smith. It can be found at: http://www.thestar.com/topic/charlessmith. Information on "The Charles Smith Blog Award"- and its nomination process - can be found at: http://smithforensic.blogspot.com/2011/05/charles-smith-blog-award-nominations.html Please send any comments or information on other cases and issues of interest to the readers of this blog to: hlevy15@gmail.com.  Harold Levy: Publisher: The Charles Smith Blog.

SEE BREAKDOWN OF  SOME OF THE ON-GOING INTERNATIONAL CASES (OUTSIDE OF THE CONTINENTAL USA) THAT I AM FOLLOWING ON THIS BLOG,  AT THE LINK BELOW:  HL:


https://www.blogger.com/blog/post/edit/120008354894645705/4704913685758792985


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FINAL WORD:  (Applicable to all of our wrongful conviction cases):  "Whenever there is a wrongful conviction, it exposes errors in our criminal legal system, and we hope that this case — and lessons from it — can prevent future injustices."

Lawyer Radha Natarajan:

Executive Director: New England Innocence Project;


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FINAL, FINAL WORD: "Since its inception, the Innocence Project has pushed the criminal legal system to confront and correct the laws and policies that cause and contribute to wrongful convictions.   They never shied away from the hard cases — the ones involving eyewitness identifications, confessions, and bite marks. Instead, in the course of presenting scientific evidence of innocence, they've exposed the unreliability of evidence that was, for centuries, deemed untouchable." So true!


Christina Swarns: Executive Director: The Innocence Project;

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Discredited Child Abuse Paediatrician Barbara Knox: Jacksonville, Florida: Nine members of the First Coast Child Protection Team are calling for child abuse pediatrician Dr. Barbara Knox to be removed from Child Protection Team claiming the workplace is toxic, WTSP reports, noting that: "These employees claim that Knox's actions are potentially jeopardizing investigations, and they accuse the University of Florida (UF) of ignoring complaints filed about her leadership."…"Knox, a board-certified child abuse pediatrician, first caught our attention in 2024 when Corey and Diana Sullivan had their three children removed from their custody after bringing their baby to Wolfson Children’s Hospital in Jacksonville for a swollen leg. Knox diagnosed the baby with multiple broken bones and a liver laceration. “She looked at me and said in my 30 years of experience the only way for a child to obtain this injury is for her to be punched repeatedly in the abdomen or she was dropkicked across the room,” Diana Sullivan said. “And I looked at her and said what do you mean? She’s eight pounds. Wouldn’t we see any type of physical marks on her body? Wouldn’t she act like she is in pain? I mean she’s not showing any signs of pain or discomfort. Wouldn’t there be any type of discoloration or bruising if she’s bleeding internally? And she just kept saying no.” The Sullivans believe their daughter was misdiagnosed. A review by a geneticist suggested the child’s malnutrition in the womb led to weakened bones, making fractures more likely without excessive force. While the Sullivans fight felony child abuse charges and fight to regain custody of their children, nine members of the First Coast Child Protection Team are coming forward with concerns about Knox, concerns they’ve raised in written complaints with the agency."




QUOOTE OF THE DAY: "All nine say they are now calling for Knox to be removed from the Child Protection Team. “I don’t know of any other solution,” an employee said. “You have nine people sitting here knowing very well that they could be signing their own letter of termination and they're all sitting here before you telling their stories. It's serious, and it needs attention and not only does it need attention, there needs to be action.”

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STORY: "Members of Child Protection Team in Florida say workplace is 'toxic,' by Reporter Heather Crawford, published by WTSP on January 30, 2025.

SUB-HEADING: "'We are in the middle of being bullied': 9 members of Child Protection Team call for end of 'toxic' work environment."

SUB-HEADING: "Nine members of the First Coast Child Protection Team are calling for child abuse pediatrician Dr. Barbara Knox to be removed from the team."


GIST: "Nine members of the First Coast Child Protection Team in Florida are speaking out about their boss, Dr. Barbara Knox, alleging a toxic work environment and concerns over her handling of child abuse cases. 


These employees claim that Knox's actions are potentially jeopardizing investigations, and they accuse the University of Florida (UF) of ignoring complaints filed about her leadership.


Knox, a board-certified child abuse pediatrician, first caught our attention in 2024 when Corey and Diana Sullivan had their three children removed from their custody after bringing their baby to Wolfson Children’s Hospital in Jacksonville for a swollen leg. 


Knox diagnosed the baby with multiple broken bones and a liver laceration.


“She looked at me and said in my 30 years of experience the only way for a child to obtain this injury is for her to be punched repeatedly in the abdomen or she was dropkicked across the room,” Diana Sullivan said. 


“And I looked at her and said what do you mean? She’s eight pounds. Wouldn’t we see any type of physical marks on her body? Wouldn’t she act like she is in pain? I mean she’s not showing any signs of pain or discomfort. Wouldn’t there be any type of discoloration or bruising if she’s bleeding internally? And she just kept saying no.”


The Sullivans believe their daughter was misdiagnosed.


 A review by a geneticist suggested the child’s malnutrition in the womb led to weakened bones, making fractures more likely without excessive force.


While the Sullivans fight felony child abuse charges and fight to regain custody of their children, nine members of the First Coast Child Protection Team are coming forward with concerns about Knox, concerns they’ve raised in written complaints with the agency. 


“We are here to champion the children. We’re here to protect those that can't speak for themselves, yet we are in the middle of being bullied and retaliated against,” one employee said, “How do you go to work every day and protect abused children when the abuse is being perpetrated against you and your peers?”

Alleged Retaliation and Work Environment Issues


The team members, who requested we not use their names or show their faces for fear of retaliation, described a hostile and unprofessional work environment.


 While they could not discuss any specific cases due to privacy laws, they claim that Knox has created a pattern of bullying in the office, disregarding professional protocols.


“I mean there have been numerous times, and we all have been on call with Knox, and she will tell us not to call her past a certain time,” an employee said. “I have to staff this case about a kid with an injury, but I'm scared to call her because she told me not to, then what do you do?


It’s a complaint echoed in a December 2024 email from an employee who wrote “I received a call about a child’s death and another about a child with possible head trauma, both of which occurred after 10 p.m. I was left in an uncomfortable position, unsure whether to follow Knox’s instructions or prioritize the urgent needs of the patients.” 


The team also expressed concerns about time-sensitive evidence collection in cases of sexual abuse or assault. “If she’s telling you not to call her, time's ticking and so that evidence could be lost,” one employee explained.


Past Allegations in Other States

These accusations are not isolated. Knox previously worked in Wisconsin and Alaska, where former colleagues reported similar behavior, according to published reports.


 In Wisconsin, Knox was placed on paid administrative leave in 2019 due to workplace issues. 


A letter obtained by Wisconsin Watch said, "The reason she was placed on leave did not relate to dishonesty, clinical skills, medical diagnostic abilities, or incorrect medical diagnoses." She resigned before an investigation was completed according to UW Health.


Knox then worked in Alaska where former employees made numerous complaints about her management and medical judgment, according to Wisconsin Watch and Anchorage Daily News. She resigned from her position in Alaska in 2022 and joined the University of Florida that same year. According to her offer letter from UF, she was hired for $280,000 annually for her faculty appointment.


“We first and foremost feel that UF was negligent in even hiring Knox, given her past,” an employee said.


Employees Fear Retaliation

Despite documenting their concerns and submitting them to UF, the employees feel their complaints have been ignored.


“She will indicate to other employees that this employee has mental health problems. They've gone off the deep end. They need to see a therapist. It's part of her M.O. It's what she does to every employee who she feels like is pushing back,” an employee explained.


Calls for Action and Accountability

The staff members believe Knox's behavior is negatively impacting the effectiveness and credibility of the First Coast Child Protection Team. “I think that there's a pattern of this behavior. It's not a coincidence that this has happened in two other states. If there's that many people coming forward, that's also not a coincidence,” one employee stated. “It's tarnishing the Child Protection Team reputation and our credibility.”


They are calling on the University of Florida and state agencies to act.


“I think had you asked us six months ago what we wanted to see, I think we would have said we want intervention, we want some leadership to come in and do team building, we want a professional reset,” an employee said. “At this point we see that there is no change … It’s not sustainable.”


All nine say they are now calling for Knox to be removed from the Child Protection Team.


“I don’t know of any other solution,” an employee said.


“You have nine people sitting here knowing very well that they could be signing their own letter of termination and they're all sitting here before you telling their stories. It's serious, and it needs attention and not only does it need attention, there needs to be action.”


The University of Florida’s Response 

The University of Florida declined our request for an interview, but sent us a statement supporting Knox.


“Dr. Knox's expertise in her field is well-established, as are her positive contributions on behalf of children,” Steve Orlando, UF’s Associate Vice President for Communications said. "When she was hired by the University of Florida she met all conditions of employment, and she continues to do so. Dr. Knox is a key part of the faculty, and since her arrival her background and understanding in the field have enhanced our program and have made the community a safer place for children and their families."


Other Responses

The Florida Department of Health said it cannot confirm nor deny the existence of any investigation into a healthcare practitioner until ten days after probable cause is found.


We also reached out to the Jacksonville Sheriff’s Office.


“We have seen no issues with cases as a result of the individual in question. As a result of the information received, we will closely monitor the steps taken at the First Coast Child Protection Team to identify potential internal issues – and determine if steps should be taken on our end,” Police officer M.A. Morel said.


The entire story can be read at:


https://www.firstcoastnews.com/article/news/10-investigates/we-are-in-the-middle-of-being-bullied-9-members-of-child-protection-team-call-for-end-of-toxic-work-environment/77-1f192b6b-9915-4430-aec4-001b0985703a

PUBLISHER'S NOTE:  I am monitoring this case/issue/resource. Keep your eye on the Charles Smith Blog for reports on developments. The Toronto Star, my previous employer for more than twenty incredible years, has put considerable effort into exposing the harm caused by Dr. Charles Smith and his protectors - and into pushing for reform of Ontario's forensic pediatric pathology system. The Star has a "topic"  section which focuses on recent stories related to Dr. Charles Smith. It can be found at: http://www.thestar.com/topic/charlessmith. Information on "The Charles Smith Blog Award"- and its nomination process - can be found at: http://smithforensic.blogspot.com/2011/05/charles-smith-blog-award-nominations.html Please send any comments or information on other cases and issues of interest to the readers of this blog to: hlevy15@gmail.com.  Harold Levy: Publisher: The Charles Smith Blog.

SEE BREAKDOWN OF  SOME OF THE ON-GOING INTERNATIONAL CASES (OUTSIDE OF THE CONTINENTAL USA) THAT I AM FOLLOWING ON THIS BLOG,  AT THE LINK BELOW:  HL:


https://www.blogger.com/blog/post/edit/120008354894645705/4704913685758792985


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FINAL WORD:  (Applicable to all of our wrongful conviction cases):  "Whenever there is a wrongful conviction, it exposes errors in our criminal legal system, and we hope that this case — and lessons from it — can prevent future injustices."

Lawyer Radha Natarajan:

Executive Director: New England Innocence Project;


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FINAL, FINAL WORD: "Since its inception, the Innocence Project has pushed the criminal legal system to confront and correct the laws and policies that cause and contribute to wrongful convictions.   They never shied away from the hard cases — the ones involving eyewitness identifications, confessions, and bite marks. Instead, in the course of presenting scientific evidence of innocence, they've exposed the unreliability of evidence that was, for centuries, deemed untouchable." So true!


Christina Swarns: Executive Director: The Innocence Project;

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