A registrar Dr Ukoh recorded that at 09:35 on 24 June that Child P was self-ventilating in air. 15 minutes later, he suffered an acute deterioration at 09:50 hrs. Mr Myers says the Crown's case is that at some point between 09:35 and 09:50 Ms Letby injected the child with air

He says 'whatever has happened, there is no opportunity' for Ms Letby to do this and says given the cast of doctors and nurses in the room it is implausible in the extreme

Mr Myers is taking the jury back over medical notes for Child P from the early hours of 24 June. He says they show the 'direction of travel', he says he was nil by mouth at this time. The senior nurse on duty said the child's abdomen appeared distended at 04:00

Mr Myers is going over the evidence for Child P final and fatal collapse when medics were waiting on a transport team from Arrowe Park to take him. A doctor who cannot be named recalled Ms Letby saying 'he's not going to leave here alive is he'

The doctor gave a vivid account of how she felt this was inappropriate and that Child P had just had a good gas was okay. But Mr Myers has said the clinical evidence shows Child P had an undiagnosed pneumothorax

He also notes that the doctor had said by this stage she was aware of rumours about Ms Letby - but he said 'there’s not even a datix report, not in the notes, no complaint, no issue raised about' what Ms Letby is alleged to have said

Mr Myers says the evidence does show the child was unwell and the doctor, in charge of his care, 'felt out of her depth' - she said in evidence how she was counting down the minutes waiting for the transport team to take him

Mr Myers says if Ms Letby did make the remark alleged it may have been out of 'social awkwardness' and does not prove murder

He says the allegation here against Ms Letby is 'utterly implausible'. He also cites the fact a senior doctor was seen by the mother of Child P 'googling' how to insert a chest drain - he says that is 'indicative of the level of care at the Countess of Chester'

Mr Myers is now on Child Q - the last child on this indictment. He was born in late June 2016 and was "initially stable" after his birth, but jurors heard he deteriorated and needed breathing support shortly after 09:00 on 25 June.

The prosecution said Ms Letby injected air and fluid into the boy's stomach via a nasogastric tube. A medical expert for the prosecution said vomit found on Child Q was evidence that liquid had been given to him and his respiratory problems were likely caused by the fluid

Mr Myers says there's 'no evidence of her having done anything at all' to cause Child Q's collapse

Mr Myers says the clinical evidence is 'consistent with early stage Necrotising enterocolitis (NEC)' - this is a serious condition that can affect newborn babies

Mr Myers says 'what an earth is (Ms Letby) meant to have done, there's no evidence of an attack'

We're back after a break. Mr Myers is now on the final section of his defence closing speech

Mr Myers thanks the jury for their attention to the evidence. He says it 'isn’t difficult for someone to pick up one item or another and give prominence to one or another depending on which position you're coming from'

'The decision on what evidence is important and where it takes the case is for you', he says

He warns of the dangers in this case of 'emotion, suspicion and judging Ms Letby by standards that are not applied to anybody else, unrealistic standards, there's a reliance on the fact she was on the unit as proof for far more than that fact can possibly amount to'

Mr Myers says the consultants who have accused Ms Letby 'are not neutral' he says they are 'deeply involved in what happens, we say at times they have said things deliberately to prejudice Ms Letby's position'

He also says the experts - in particular Dr Dewi Evans - are 'highly partisan'

Mr Myers says 'we say there were terrible failings in care on that unit that has nothing to do with Lucy Letby'

He notes that 'between June 2015 and June 2016 the neonatal unit at the Countess of Chester took more babies than it would usually care for and took babies with greater care needs'

He said 'in that same year there was an increase in the number of deaths and the types of collapses we're looking at in this trial, those two facts are connected we would say'

'What didn’t change was Lucy Letby, she had been a neonatal nurse for years, she was dedicated, she cared for hundreds of babies, she suddenly didn’t change her behaviour in 2015, what changed was the babies on the unit and inability of this unit to cope'

Ms Letby appears to be crying in the dock as Mr Myers continues to wrap up his closing speech

He says 'it is easy to lose sight of the reality of the person at centre of this' and asks the jury not to focus on the 'picture conjured' by the Crown of the nurse

Mr Myers invites the jury to 'apply a presumption of innocence and not a a presumption of guilt, if you do that you will reach the right verdicts, verdicts of not guilt and those are the verdicts we ask you to return'. That completes the defence closing speech