2011 Stepping Hill Hospital poisoning incident

The 2011 Stepping Hill Hospital poisoning incident refers to a series of deaths at the Stepping Hill Hospital in Stockport, Greater Manchester, which began in July 2011.

Background and investigation

The investigation was sparked by a nurse on a ward at the hospital, who noticed that several patients on the ward had unexpected low blood sugar levels. An investigation suggested that a number of saline ampoules and saline drips had been contaminated with insulin,[1] and this was believed to have lowered the blood sugar levels in the patients.

Insulin is a hormone produced by the pancreas to allow the uptake of glucose in the blood to be used by the muscles and cells of the body for energy. The brain requires a constant supply of glucose in order to be able to function properly. As insulin lowers the level of glucose in the blood, if too much of it is present in the circulation this can quickly lead to lowered blood glucose levels, commonly known as low blood sugar (or hypoglycemia); which as a consequence negatively affects the functioning of the brain and central nervous system. This can be rapidly and irreversibly fatal if not recognised and treated early enough. At Stepping Hill it was suspected that, due to the increased levels of insulin in the patients' bloodstreams, they quickly became hypoglycemic and three confirmed fatalities occurred. A number of other patients are also believed by police to have been poisoned in this way, though most did not suffer fatal consequences. Two further deaths in the A1 and A3 wards were added to the investigation on 21 July.[2]

Three patients' deaths – two elderly males, George Keep, 84 and Arnold Lancaster, 71, and a female – Tracey Arden, 44 – were attributed to the alleged contamination,[3] however it was also reported that each of the patients also had underlying medical conditions that made them weaker. On 21 July 2011, it was confirmed that two more patients' deaths were being linked to the investigation, bringing the death count to five.[2][4] Greater Manchester Police (GMP) announced that the inquiry into how saline solutions had been contaminated with insulin would form the basis of a murder inquiry. During the investigation, 60 detectives were involved in determining how and when the saline solutions were contaminated. Meanwhile, a number of armed police guards were stationed at the hospital, and staff were made to work in pairs when administering medication to patients.

Rebecca Leighton

On 20 July 2011, GMP confirmed that they had arrested a 27-year-old female nurse – Rebecca Jane Leighton, who worked at the hospital on ward A1 and A3 – in connection with the murder inquiry.[5] The Nursing and Midwifery Council opened a fitness to practice investigation after the arrest of Leighton.[6][7] On 22 July, Leighton appeared at Manchester City Magistrates' court. She was charged with three counts of criminal damage with intent to endanger life, three counts of criminal damage being reckless as to whether life was being endangered, and one charge of theft. She was remanded in custody to next appear at Manchester Crown Court on 1 August.[8]

Charges against Leighton were dropped on 2 September 2011. The Crown Prosecution Service said it was "no longer appropriate" to continue the case against her. Evidence that was expected to appear in support of the charges had not become available. Nazir Afzal, Chief Crown Prosecutor for the North West, said Leighton had been charged on the basis there was "reasonable suspicion she had committed the offences and there were reasonable grounds for believing the continuing investigation would provide further evidence within a reasonable amount of time". [9] She subsequently hired celebrity publicist Max Clifford to help clear her name.[10]

On 2 December 2011, it was reported that Leighton had been dismissed from her job as a nurse at Stepping Hill Hospital. She had been suspended ever since the allegations were first made nearly five months earlier.[11] An appeal hearing, presided over by Stockport NHS Foundation Trust, against her sacking was held on Thursday 2 February 2012 but the appeal was dismissed. The Trust said it was unable to comment because of confidentiality issues and there was no response from Leighton's lawyers.[12] It was also revealed on that day that police were now investigating a total of 19 deaths at the hospital as possible victims of saline poisoning.[11]

Victorino Chua

On 5 January 2012 it was revealed that a death that had taken place on 31 December 2011 – i.e. after Leighton had been dismissed – was now being linked to the investigation. 46-year-old Victorino Chua, a nurse at the hospital, had been arrested amid claims that forms had been altered and a patient given extra medication.[13] He was later also questioned on the earlier deaths.[14] He was not charged with any offence and was placed on police bail until an unconfirmed date in April,[14] later extended to 10 September.[15] By July 2012, the Greater Manchester Police stated that they were making good progress in the investigation, that twenty-two people had been poisoned and that seven deaths had occurred.[16] On 10 September 2012 Victorino Chua answered bail and was once again rebailed. Bail was extended to January 31, 2013.[17] Bail was later extended two further times, initially to July 9 and then to November 29.[18][19]

On 29 March 2014 Victorino Chua was charged with the murders of Tracey Arden, Arnold Lancaster and Alfred Derek Weaver, and 31 other offences including GBH and attempted poisoning. He was remanded in custody to appear at Manchester Magistrates' Court later.[20] On 18 May 2015 Victorino Chua was convicted on two counts of murder.[21] He was found not guilty of murdering Arnold Lancaster, who had been suffering from terminal cancer, but was convicted of attempting to cause him and twenty other patients grievous bodily harm with intent by poisoning. He was also found guilty of eight offences of unlawfully administering or causing to be taken by another person any poison or destructive or noxious thing with intent to injure, aggrieve or annoy, or attempting to do so, after deliberately altering prescriptions. The jury at Manchester Crown Court had deliberated for eleven days.[22][23][24] Chua received 25 life sentences and was told that he would spend a minimum of 35 years in jail before he would be eligible for parole.[25]

References

  1. ↑ "BBC News – Police investigate three deaths at Stepping Hill Hospital". BBC. 15 July 2011. Archived from the original on 22 July 2011. Retrieved 23 July 2011.
  2. 1 2 "Tributes to 5th patient to die in Stepping Hill saline sabotage probe as police ar e given more time to question nurse | Manchester Evening News". menmedia.co.uk. 11 July 2011. Retrieved 23 July 2011.
  3. ↑ "Stepping Hill Hospital deaths: Suspect 'may be on site'". BBC News. 19 July 2011. Archived from the original on 22 July 2011. Retrieved 23 July 2011.
  4. ↑ "Stepping Hill Hospital: Nurse Rebecca Leighton Held For More Time After Five People Have Now Died | UK News | Sky". News.sky.com. Retrieved 23 July 2011.
  5. ↑ "BBC News – Stepping Hill Hospital: Nurse arrested in murder probe". BBC. 20 July 2011. Archived from the original on 21 July 2011. Retrieved 23 July 2011.
  6. ↑ "Nursing regulator opens fitness to practise proceedings in Stepping Hill case". Nursing and Midwifery Council. Retrieved 20 July 2011.
  7. ↑ Ford, Steve (20 July 2011). "Registered nurse arrested over Stepping Hill deaths named". Health Service Journal. Retrieved 20 July 2011.
  8. ↑ "Stepping Hill Hospital: Rebecca Leighton remanded in custody". BBC News. 23 July 2011. Archived from the original on 23 July 2011. Retrieved 23 July 2011.
  9. ↑ "Stepping Hill saline deaths: Nurse Rebecca Leighton charges dropped". BBC News. 2 September 2011. Retrieved 2 September 2011.
  10. ↑ "Rebecca Leighton: Nurse seeks help from Max Clifford". BBC News. 7 September 2011.
  11. 1 2 "Nurse Rebecca Leighton dismissed from Stepping Hill". BBC News. 2 December 2011.
  12. ↑ "Stepping Hill nurse Rebecca Leighton loses sack appeal". BBC News. 3 February 2012.
  13. ↑ "Stepping Hill Hospital saline inquiry: Nurse arrested". BBC News. 5 January 2012.
  14. 1 2 Carter, Helen (8 January 2012). "Stepping Hill hospital nurse bailed". The Guardian (London).
  15. ↑ Jennifer Williams (8 April 2012). "Surprise inspection at Stepping Hill hospital after poison probe". men. Retrieved 18 May 2015.
  16. ↑ "Stepping Hill probe making good progress". Greater Manchester Police. July 2012. Retrieved 30 September 2012.
  17. ↑ men Administrator (6 September 2012). "Stepping Hill hospital poison probe nurse Victorino Chua has bail extended". men. Retrieved 18 May 2015.
  18. ↑ Richard Wheatstone (25 January 2013). "Victorino Chua was arrested last January by detectives investigating the death of patients whose drips were allegedly contaminated at Stepping Hill hospital in Stockport hospital last summer – Manchester Evening News". men. Retrieved 18 May 2015.
  19. ↑ Dean Kirby (8 July 2013). "Nurse arrested in connection with Stepping Hill poison probe has bail extended until November". men. Retrieved 18 May 2015.
  20. ↑ "Stepping Hill deaths: Nurse Victorino Chua charged with murder". BBC News. 29 March 2014.
  21. ↑ "Stepping Hill nurse Victorino Chua guilty of murdering patients". BBC News. 18 May 2015.
  22. ↑ "Nurse, Victorino Chua, found guilty". Greater Manchester Police. 18 May 2015. Retrieved 18 May 2015.
  23. ↑ "'Evil angel' nurse guilty of murder". Belfast Telegraph. 18 May 2015. Retrieved 18 May 2015.
  24. ↑ Fallowfield, Carl (18 May 2015). "Nurse guilty of murdering patients". Cumbria Crack. Retrieved 18 May 2015.
  25. ↑ "Stepping Hill nurse Victorino Chua jailed for life". BBC News. 19 May 2015. Retrieved 25 May 2015.

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