When five-month-old Paul Crampton mysteriously collapsed in hospital, one nurse stood silently in the shadows as doctors battled to save him.
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doctors → collapse → him
His worried parents David and Kath paid little more than a glance to Beverley Allitt, a lurker observing tiny Paul desperately struggling for life in Ward Four.
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parents → pay → Ward
They'd arrived to see their precious boy in the arms of another staff member at Grantham and Kesteven Hospital in Lincolnshire.
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boy → arrive → Lincolnshire
He looked cold, clammy, lethargic and was obviously in some distress.
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He → look → distress
Allitt, then 22, stepped forward to chillingly remark: 'This child is hypo', meaning he had hypoglycaemia because his blood sugar levels had dropped dangerously low.
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levels → step → hypoglycaemia
Unbeknown to all those present, Allitt – dubbed the 'Angel of Death' – was a serial killer attacking babies in her care nearly a quarter of a century before Lucy Letby.
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Allitt → dub → Letby
As Lady Justice Thirlwall's inquiry concluded last week infants murdered by neonatal nurse Letby might have been saved at the Countess of Chester Hospital but warnings about the Allitt case were ignored.
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warnings → conclude → case
As the Cramptons sat at home watching TV news, it brought back painful memories.
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it → sit → memories
Father-of-three Mr Crampton – who believes lessons still haven't been learned – told The Crime Desk it was his wife who first suspected something was amiss with the treatment Paul received.
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Paul → believe → treatment
Beverley Allitt (pictured) – dubbed the 'Angel of Death' – was a serial killer attacking babies in her care
Paul Crampton suffered the first of three unexplainable collapses after being poisoned with huge doses of insulin after being admitted to hospital in March 1991
Letby, 36, murdered seven infants and attempted to murder seven more, one of whom she attacked twice, between June 2015 and June 2016
Her fears were confirmed when police told them their son was one of 13 children attacked by Allitt over 59 days.
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son → picture → days
Four victims were murdered in a spree that has striking parallels to the Letby case.
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that → murder → case
In March 1991, Paul was admitted with a chest infection as a precaution.
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Paul → admit → precaution
The baby had been expected to make a quick recovery and return home.
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baby → expect → recovery
But within hours, Paul suffered the first of three unexplainable collapses after being poisoned with huge doses of insulin.
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Paul → suffer → insulin
'I remember [Allitt] from the hospital,' says retired construction director Mr Crampton, 71, from Grantham.
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Crampton → remember → Grantham
Did she stand out?
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she → stand → ?
Did I particularly warm to her?
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I → warm → her
To me, there wasn't a clue that she was doing things to children in the hospital.
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she → be → hospital
'But Kath felt strongly that something was being done to him.
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something → feel → him
She spoke to the person responsible.
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She → speak → person
However, it seemed beyond their experience and they didn't know how to manage or deal with the developing crisis.'
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they → seem → crisis
A pathology report showed Paul had 43,147 milliunits of insulin in his blood, one of the highest levels ever found in a human.
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Paul → show → human
Detectives believe Allitt had injected a whole adult syringe of the hormone into his body.
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Allitt → believe → body
Pages from the ward allocation log at the time of Paul's admission had been ripped out.
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Pages → rip → admission
They were discovered in a drawer during a search of Allitt's family home in the village of Corby Glen nine miles away from Grantham.
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They → discover → Grantham
She was given 13 life sentences in 1993 for killing seven-month-old Liam Taylor, 11-year-old Timothy Hardwick, two-month-old Becky Phillips and 15-month-old Claire Peck and harming nine others, including Paul.
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She → give → Paul
She claimed to be suffering from Munchausen's syndrome by Proxy.
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She → claim → Proxy
A pathology report showed Paul had 43,147 milliunits of insulin in his blood, one of the highest levels ever found in a human
Allitt was given 13 life sentences in 1993 for killing seven-month-old Liam Taylor, 11-year-old Timothy Hardwick, two-month-old Becky Phillips and 15-month-old Claire Peck and harming nine others, including Paul
'In court, she was a sad individual about to face the full force of the law for her crimes,' Mr Crampton adds.
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Crampton → show → crimes
A 1994 independent inquiry, chaired by Sir Cecil Clothier, into Allitt's crimes found a string of failings.
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inquiry → chair → failings
Paul was transferred to another hospital, Nottingham's Queen's Medical Centre, where he made a full recovery.
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he → transfer → recovery
The now 35-year-old has enjoyed a successful career after obtaining a master's degree and had a daughter of his own.
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old → enjoy → own
Yet two decades after he was attacked by Allitt, Letby, 36, murdered seven infants and attempted to murder seven more, one of whom she attacked twice, between June 2015 and June 2016.
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she → attack → June
She used insulin to try to kill at least two babies.
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She → use → babies
Lady Justice Thirlwall's report condemned Countess of Chester senior executives for mounting an 'exercise in spin' that 'prized' protecting the reputation of the hospital over investigating why infants died at the hands of Britain's most prolific child serial killer.
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infants → condemn → killer
A police probe had been stalled and whistleblowing doctors targeted, the inquiry found.
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inquiry → stall → ?
Letby, who maintains her innocence, is serving 15 whole-life terms and has twice been denied permission to appeal against her convictions.
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who → maintain → convictions
Justice Thirlwall referenced Allitt and nurse Victorino Chua, who murdered and poisoned patients at Stockport's Stepping Hill Hospital, saying: 'Nurses do kill.
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Nurses → reference → Hospital
All doctors, nurses and managers should know that.'
Paul was transferred to another hospital, Nottingham's Queen's Medical Centre, where he made a full recovery
She added: 'Despite professed awareness within the safeguarding team of the case of Beverly Allitt and the Allitt Inquiry's recommendation to be alert to the possibility of malevolent intervention by health professionals as a cause of unexplained clinical events, the training delivered did not include information about the possibility of a staff member harming children.'
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member → know → children
Reflecting on the Allitt and Letby cases, Mr Crampton said they demonstrated the 'inability' of two hospitals to identify suspicious circumstances and order immediate action.
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they → reflect → action
'Someone should have spotted that sequence of events and said, 'Hey, what's going on here',' he adds.
'
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he → spot → events
…and 43 more, not listed.