He accuses Mr Myers of being focused on process over outcomes, he says the drain was inserted to drain air which it did.

Dr John Gibbs, who was a consultant paediatrician at the Countess of Chester in 2015, is now in the witness box

Dr Gibbs' notes from around 5pm on 25 September show that the drain inserted by Dr Jayaram that morning had moved. Dr Gibbs fixed the drain more securely to stop it moving any further

Dr Gibbs is asked if there's any consequence to the drain moving, he says: 'The main worry is it moving out completely and falling out and being useless'

Asked if there would be any internal consequence, Dr Gibbs says: 'Not that I’m aware of…you wouldn’t want to keep pulling and pushing, that would be rubbing against the lung. Pushing very far in would push against the heart…

'I wouldn’t expect it to cause any trauma or damage to (Child H)at all', he said

Dr Gibbs is now taking the court back over his notes from the early hours of 26 September, when Child H suffered a serious collapse which required CPR and three doses of adrenaline

Dr Gibbs' notes from the time say that it was 'unclear' why the infant went into cardiac arrest. His notes say the likely cause was hypoxia - low oxygen levels - but not clear what had caused that

Ms Letby's defence counsel, Mr Myers is now questioning Dr Gibbs

Mr Myers puts it to Dr Gibbs that against the backdrop of all Child H had been through - the insertion of multiple chest drains - it was 'no surprise' she had a collapse on 26 September. Dr Gibbs says he 'was surprised' by her collapse as she had been stable

The judge has asked Mr Myers to clarify whether he is suggesting Child H's collapse came as a consequence of the procedures (chest drains/intubations etc), he says yes

He says, with particular reference to the drain fitted by Dr Jayaram, that he wants the jury to look 'where it goes and what it could have done'

Court has now adjourned, back Monday.

Wrap up of today’s evidence here 👇🏻 https://www.bbc.co.uk/news/uk-...