Jurors yesterday heard from a consultant who told the court that Ms Letby had asked her whether Child P was “leaving here alive” while they were waiting for a planned transfer of the infant to another hospital

Recalling the conversation the consultant told the court: “I just said, the transport team are going to be here soon, almost thinking out loud. Lucy Letby then said ‘he is not leaving here alive, is he?’, which I found absolutely shocking at the time.”

Ms Letby's defence lawyer, Ben Myers KC accused her of “dramatising for the benefit of the jury and these proceedings”

When proceedings resume, at around 10.30am, we'll be hearing from more senior consultants - who worked with Ms Letby and a number of medical experts, who'll be giving their view on the cause of death of Child P

Consultant Dr John Gibbs is first in the witness box. He is recalling the events immediately after Child O's (Child P's brother) death on June 23 2016

Dr Gibbs tells the court that when he saw Child O, in the moments before his death, he remembered 'feeling uncomfortable and thought oh no, not another one' …

He said he had become 'increasingly concerned at the accumulating number of unusual, unexpected and inexplicable collapses that had been happening on the neonatal unit and that staff nurse Letby had been involved in all of them'

Dr Gibbs tells the court that after Child O's death, his brother Child P was started on antibiotics and sent for an abdominal X-ray as a precaution

Dr Gibbs said that Child P was a 'well baby' on 23 June. He said he was 'extremely concerned' to learn of Child P's death the following day, he said he 'would not have expected that at all'

Dr Gibbs tells the court that the death of the brothers was a 'tipping point for realising something very abnormal and wrong was happening on our neonatal unit'

Ben Myers KC puts it to the medic that if he had a genuine concern, he himself would have taken action - Dr Gibbs says he was aware his colleague Dr Stephen Brearey had raised concerns with nursing management and senior managers at the hospital

Mr Myers repeatedly put it to Dr Gibbs that if he had concerns he would have taken action. Dr Gibbs repeated that he knew it had been raised by colleagues with management. He said the senior consultants had openly discussed 'the one common factor' in the baby deaths

He said it was noted that Ms Lebty had been present on the unit or caring for the babies when they had collapsed in unusual circumstances. Mr Myers asks why it hadn't been reported to the police, Dr Gibbs said it was 'difficult' as they didn't have 'the full picture'

Eventually, Dr Gibbs said that consultants insisted that Ms Letby be removed from the unit. He tells the court that management pushed for her to return a month later - they said only if CCTV is installed in each unit

He said the 'TV cameras never came and neither did nurse Letby'

Dr Gibbs said 'over the next 11months we had to resolutely resist attempts by management to have staff nurse Letby back on the unit'

Dr Stephen Brearey is now giving evidence about the death of Child P.

Dr Brearey said he carried out a review of the case, that highlighted 'some minor deficiencies in care but none of which would have effected the outcome of (Child P)'

The medic said the events of 24 June were 'horrific' and that they would have 'traumatised' even the most experienced members of staff

He said he would expect 99% of babies born at 33week gestation on fourth day of life to survive

Dr Brearey starts to make a broader point about the times at which the deaths had occurred in 2015 and 2016. Mr Myers raises objections, judge says broader conclusions can be made elsewhere in other means

We're now back after a short break for lunch. Dr Oliver Rackham is now in the witness box. He was part of the transport team from Arrowe Park Hospital (he was overseeing the transport of Child P to the hospital before his death)

Dr Rackham was on the neonatal transport team responsible (called Connect) in June 2016. He remembers being given a briefing on 24 June about Child P (he had suffered a number of desats that morning)

The medic tells the court that soon after he arrived at the Countess of Chester, at around 3pm, to transport Child P he collapsed and needed resuscitation. During the course of that resus he received seven doses of adrenaline - all to no effect

Dr Rackham said the medics 'had no explanation for why' Child P collapsed. Asked, with his experience, if he could give any reason for Child P's collapse, he said 'there was no obvious cause, it didn't fit with any obvious reason'

The medic said following Child P's death, there was a debrief on the unit. He said it was a chance for staff who work on resuscitation to 'make sure' that there was nothing missed. He said: 'We felt we had carried out resus well and in accordance with all appropriate guidelines'

Ben Myers KC has just invited Dr Rackham to give his view on adrenaline charts for Child P from that day. They show he received 16 bolus injections of adrenaline over the course of the day and was also given a slow infusion of the drug

From the numbers on the slow infusion chart, Mr Myers says this is 'significantly' higher than the dose that would be ideal - the doctor, with some caution, agrees

Mr Myers asks him to spell out what an excessive amount of adrenaline could do to a neonate - he says that it can cause increased heart rate, blood pressure and have an adverse effect on lactic acidosis

The judge seeks some clarification from the witness. He says that if Child P had been given excessive adrenaline, you would expect to see the effect within 10/15mins