Lucy Letby, a nurse at the Countess of Chester Hospital, reportedly showed an "apparent enjoyment of the drama and ritual around death" following the deaths of her murder victims, according to the Thirlwall Inquiry report. The inquiry was launched to investigate deaths at the hospital and assess management practices. It heard that Letby told a colleague, "you'll never guess what just happened," after she murdered a premature baby, Child P, on 24 June 2016. This was a day after Letby had already killed his triplet brother, Child O. The report, compiled by Lady Justice Thirwall, included testimony from hospital staff and parents of the victims. Deputy ward manager Nicola Lightfoot testified that she overheard Letby greeting a night staff member with this phrase. Lightfoot found the comment inappropriate, noting that Letby seemed to treat the death as an "exciting event." The report described her behavior as an example of her "apparent enjoyment of the drama and ritual around death." After Child P's death, Letby accompanied a doctor in speaking to the parents of the two triplets who had died. The third triplet survived unharmed. The doctor described Letby's approach as "inappropriate jolliness" and "brightness," noting how she made a "big deal about taking photos of the boys and making memory boxes." The father recalled Letby dressing Child P, emphasizing the moment as if it were a significant occasion. The inquiry found that the two children should have been saved if concerns raised beforehand linking deaths with Letby's presence had been treated as a safeguarding matter. However, Letby remained on the ward. By the time of the babies' deaths, Letby had already murdered five other victims, including Child C, who died at four days old. The mother of Child C recounted that Letby had prompted her to put the baby in a cold cot, a cooling device for babies shortly after they die. The mother described the situation as distressing and said Letby left the room after the father spoke to her curtly. In another incident, following the death of Child A, text messages showed that Letby told a colleague, nurse JenniferJones-Key, "Just feel I need to be in [Nursery] 1 to get the image out of my head." There were four nurseries in the neonatal unit. Ms Jones-Key responded that her wish "sounds very odd and I think I would be the complete opposite." The Thirlwall Inquiry report included recommendations such as fitting baby monitors to all cots and incubators in neonatal units and installing CCTV cameras focused on insulin storage fridges. Health secretary Yvette Cooper stated she had asked officials to develop plans to install "cot cams" in neonatal units. She expressed profound sorrow for the failures outlined in the report, acknowledging the harm, distress, and loss experienced by families and the NHS's failure to keep babies safe.