In 2011, a series of deaths occurred at the Stepping Hill Hospital in Stockport, Greater Manchester. After suspicions were raised concerning the similarities of the deaths, a murder inquiry was launched. Nurse Victorino Chua was found to have poisoned several patients with insulin. He was convicted of murder in 2015 and sentenced to life imprisonment.
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0:00 Deaths At The Hospital
10:00 Wrongly Accused
15:00 Police Investigate Murders
20:00 Murderer Discovered
Evidence of Murder: © Title Role Productions Limited 2020
It was just something you never expected to see at a at a main Hospital this was a murder mystery like no other police admit whoever did this could still be working on the wards he didn’t care who he harmed he didn’t care who did the harming well I didn’t make it to the sink I felt on the bed me breathing was
Terrible it’s very difficult to explain how a human being can get to that kind of level stepping Hill is run by an organization called stockpot Nature’s Foundation trust it’s described as a mediumsized district General Hospital it’s got about 800 beds it employs about 4 ,500 staff of whom there are
Approximately 200 Consultants about 300 trainee doctors and about 3,500 nurses Stephen Hill Hospital is one of the four kind of major hospitals in Greater Manchester and get Services about half a million uh patients every year that will go through the doors there and a lot of the patients are of
The older generation so you’re talking between 75 and 80 years old and you know there’s a huge staff base there there’s about I think 5,000 people that work at stepping Hill hospital as well in terms of the staff base so huge Hospital very busy and obviously one of the major
Hospitals in Greater Manchester They will receive Strokes heart attacks people who have had accidents or emergencies uh in fact anything that might need a blue light ambulance you could end up being taken to Stepping Hill if you’re a local local person on the 27th of June 2011 68-year-old
Josephine Walsh was due to be discharged from Ward A3 of stepping Hill hospital after receiving treatment for chronic obstructive pulmonary disease despite appearing to be alert earlier that morning when nurses prepared to move her to another Ward they found her slumped unconscious in a chair suffering from a hypoglycemic attack
The symptoms of a hypoglycemic attack in the first instance they can be quite Mild they can range from just feeling slightly hungry and anxious to then feeling sweaty and shaky and just feeling kind of unwell people then may notice that their concentration is impaired they can’t think straight they
Sometimes find that they’re not talking properly and then ultimately they will start to lose Consciousness eventually they may even go into a com or potentially they could die after receiving glucose treatment for two apparently random hypoglycemic attacks Josephine’s condition started to improve the incident was investigated internally but deemed not to Warrant any
Police involvement people get sick in hospital all the time in fact that’s the reason why they’re there so nothing was thought suspicious when somebody had a hypoglycemic episode who wasn’t expected to have it however very shortly afterwards in one evening five people had similar episodes and then the hospital staff got extremely
Suspicious two weeks later on the evening of the 10th of July five male patients on Ward A1 suddenly suffered from similar attacks causing concern and confusion on the ward amongst the patients were 41-year-old Grant Mel and 67-year-old Philip Jones had just got over cancer and uh had a leg complaint
Cellulitis I came home and packed a bag and went into hospital I went on to Ward 81 it was a few hours before someone saw me it was quite dark on the ward I don’t know what time they actually chain shifts I don’t know whether it was 9:00 halfast 9 or
10:00 but I know they just changed the shift and the bag with antibiotics in of mine was empty and uh a nurse came and took off and then the other nurse came and said I had blood in me Camul and then within 5 seconds I started getting really hot and sweaty I got up to wash my face out the sink which is only a few yards away but I didn’t make it to the sink I fell on the bed the breathing was terrible another nurse came name the
Staff nurse I think she was opening these packets of glucose and telling me to swallow this but I’m still sweating and they’re asking me questions I knew what questions he was asking me but I was answering them wrong while he were very scary really I didn’t know what what what to think cuz
I just saw i’ gone into hospital for antibiotics which is supposed to make you feel better really not not worse of the five patients who were affected that evening on Ward A1 only Philip was diabetic and the only one who could expect to suffer blood sugar complications although he controlled his
Illness by diet rather than insulin injections luckily for philli the glucose he was administered by the quick-thinking medical staff helped him to recover so coming around then after 3 hours so the the glucose must have been working by then we breathing with getting better and you know was able to
Talk the same evening that Philip was treated by medical staff 41-year-old Grant Mel was admitted to Stepping Hill hospital to have his breathing monitor Grant had phoned his sister to say he’d taken an overdose of medication it was a dose of prescription medication that that he’ taken too much of and so
He was not very well needed to be monitored but thankfully he hadn’t taken a dose which was life-threatening or indeed which was likely to cause him any long-term damage Grant was transferred to W A1 there’s nothing in the records that indicate there were any concerns about him overnight but the following morning
And about the time of the shift change a health care assistant discovered him having what appeared to be a seizure when Grant was then examined by the medical staff it was discovered that his blood sugar levels were life-threateningly low he was given emergency treatment and rushed to
Intensive care to be placed on a ventilator so that’s really when the alarm was raised particularly when a number of people as well as Grant misel found themselves in the same situation the number that occurred on that single night really raised alarm signals suspicions that something unto
Ward was happening were realized when a nurse on Ward A3 noticed that a saline ample she was about to administer to a patient appeared foamy rather than clear I received a call from the deputy medical director to tell me that they have identified a potential contaminant in a sine ampo when they
Went into the treatment room and they were picking up ampols they discovered that some of them were leaking some fluid that appeared to have a fruity smell and that was clearly a contaminant in total 45 amples were found which had been punctured with a hypodermic syringe 19 of which had been
Contaminated all of these were ready to be administered to patients the whole country were concerned about whether or not for example is every sine drip in the whole country contaminated because it wasn’t done at the factory rather than happening at the hospital so hospitals around the country were looking at their
Um saline supplies to ensure that they hadn’t been contaminated with this concern doctors looked carefully at the recent deaths of three patients 71-year-old Arnold Lancaster 44-year-old mother of two Tracy Arden and 83-year-old Derek Weaver in total there were over 20 patients in three Wards affected over a period of Just 4
Weeks staff at the hospital decided to contact greater Manchester police because we couldn’t reassure ourselves that there weren’t any other contaminated bags anywhere in the hospital we decided to remove all the stock from everywhere replace it with new stock and at the same time ensure that where those stocks were
Being stored on the wards that the room will be locked and that any fluids that will be required to be taken from those rooms there will need to be two nurses or two members of Staff going in together and signing for those fluids greater maner police were very
Much aware that they were dealing with a Criminal matter rather than just simply a health matter of course prosecutors weren’t involved at that stage this was simply about containing the situation understanding uh what had happened and uh trying to prevent further harm occurring very quickly they identified
All of the individuals that had sine drips and uh so examination of the drips that they had been given found that they had been contaminated uh with insulin um rather than just simply saline liquid and uh so then we knew that we were dealing with a Criminal all matter with
Investigators now certain that the victims have been poisoned with insulin greater Manchester police began the hugely complex task of finding the person responsible you had about 700 staff working on any one time you would have had people coming in and out including patients and you had visitors in a
Hospital of the size of stepping Hill there were a number of places where strips were kept where medication was kept all of them pretty much were insecure it is as busy as shopping Center and therefore it’s pretty impossible to try and identify any one person that might be responsible for anything
Criminal although we didn’t know at that point in time whether the criminal act was committed by either a member of Staff or by a visitor uh we didn’t know but you still feel angry that someone decided in in in his warped mind or had wared mind to do
Something so cruel and so despicable as this you have to keep a lid in order to always present a very professional approach and attitude but nevertheless uh I think um in retrospect it was extraordinarily difficult for everyone um not only for me but for everyone and whether you were
Having an executive role or being a nurse or a doctor working in the organization you F filled the pressure and the stress we had a hospital in meltdown with every non-emergency patient being turned away we had doctors and nurses whoever did this could still be working
On the wards so your theory is that it’s likely to be someone of Staff um I would suggest that they would need an understanding of what what they’re doing to be able to have carried out the contamination that we found today the media came in their droves and therefore
There was an even greater sense of urgency to work at some speed a lot of pressure put on the police to identify the culprit this led to the sorry situation where they identified Rebecca Leighton who was a nurse at the hospital as being the perpetrator 27-year-old Rebecca Leighton
Worked as a staff nurse at stepping Hill through all the various work that was going on in terms of analysis of w patterns Staffing patterns they came to the conclusion that she was at the scene of at least one of the contaminations although Rebecca Leighton
Was not the only member of staff to have been working on the wards at the time of the poisonings attention turned to her when detectives believed they had identified a possible motive that suggested she was angry at being passed over for promotion greater Manchester police also discovered that Rebecca
Leighton had been stealing medication from the hospital this was a huge stressful episode for everyone working for the organization for the NHS and we wanted closure and part of that closure was have we got someone that has been accused and is going to be prosecuted but at the same time we we we
Were relieved because we said well we can now start to get back to normal media attention soon shifted away from the hospital and focused on the prime suspect who some newspapers dubbed the angel of death the media love this kind of thing I mean that’s just the
Nature of of of the media so they went to town on Rebecca Leon examining her life uh what might have caused her to do this going through her family and everything else and going to court and watching everything her picture was plastered all over the media all over
The front pages and then the headlines analysis that took place it was evident to me there wasn’t enough evidence to prosecute Rebecca Leighton and clearly she hadn’t done this there was evidence certainly in relation to prescribed drugs but nothing more and so 6 weeks in
Or so soon as I I had that evidence I decided to discontinue the case against her and free her from custody and that was the right thing to do the crown prosecution service announced that the case against Rebecca Leighton had been discontinued and she was freed from style prison despite this she remained
Suspended by Stockport NHS Foundation trust and was eventually sacked for stealing medication the police were forced to say Rebecca Leighton was the wrong person we got the wrong person and we will all openly admit that you know and her lawyers were saying she was made a scapegoat because a lot of the pressure
Um was focused on the fact that you had somebody on the loose at a hospital the public the media the the staff the police they all wanted somebody to be held accountable for that it is a complex investigation it will take us time to work through but like any
Investigation this is a search for the truth and once we wish to prosecute those responsible and bring them to justice we equally have to Discount and eliminate people from the inquiry who are not responsible and are dedicated medical professionals we went back to square one and and and then we knew that
We were in for a long struggle because we knew that in order to find incriminating evidence it was going to be very very difficult it all kind of went quiet for at least six months I say quiet in a sense of there were no more incidents at the
Hospital they made an arrest suddenly everything stops at the hospital there’s there’s no more dramas there’s no more incidents you know all the fingers are pointing at you know this girl who’s in custody um and yet when we’re told that she’s nothing to do with it then you
Think well who did who who did it and how did that person feel when suddenly somebody else is taking the flak for what they’ve done um the security was so tight at the hospital and with all the extra um Security checks and measures that been put in
Place it was impossible for whoever was responsible to carry on with this poisoning spree despite the scale of the police inquiry months on they were still no closer to identif identifying the person behind the poisonings and every member of staff at the hospital remained a suspect they had hundreds and hundreds
Of potential suspects we had now isolated it to staff members uh on the basis that of the the you what you needed to be able to know to do what you did uh but there were hundreds of Staff members and so we literally had to uh you know eliminate so that there was
Just one left uh and and that meant going through or the police phenomenally going through every chart known to man to try and identify who was where at what time you not only have the core members of uh nursing staff which would be probably on average about 50 per Ward
There may be up to about eight doctors working on A1 and on A3 so it’s quite a sizable number of Staff when we’re talking about potentially 700 people including visitors and everybody else I can’t begin to imagine how complicated it was and how um urgent it was that this was dealt
With 6 months after the poisonings began police received news of a possible breakthrough in the investigation the person that was carrying out these poisonings and these Sinister acts struck again or so it seemed I was required to go urgent ly to A3 I was shown prescription charts which
Are charts that we use in order to prescribe medication and then nurses um use to administer the medication and when we looked at the medication it was clear that some of the dosages were altered person responsible uh had understood that no longer was it possible for the contamination of saline
Drips to be affected and that that would mean that that particular Avenue of harming people was no longer available so the perpetrator then chose a different Tack and namely uh fabricating and adding things to patient records which but which would mean that they would receive fatal doses of uh
Medication that clearly they didn’t deserve to or didn’t receive or shouldn’t receive just to give you an example a patient was being prescribed prednisolone 30 milligrams a day which is a a drug that we use to reduce inflammation but the 30 was converted into an 80 similarly another
Drug that we normally use as treatment for heart attacks the dose of 1.5 was changed to 7.5 now the reason why we felt that these were clearly altered intentionally is because these dosages were either too high or excessive and never used the reason why that was so critical was
Because we were able to locate when that happened so we were able to tie a certain group of staff to that event and because it occurred during the night the net was getting narrower and narrower having whittel down the number of Staff members who could have tampered with
Patients notes detectives were now able to determine whether any of these suspects could also have been behind the act of poisoning patient saline bags the previous year this was a murder mystery like no other when you’ve got so many suspects 700 staff members who could capably
Carry out this act we had to elim eliminate them one by one we had tens of thousands of hours of CCTV and the police having scoured that were able to identify who was going where at what time and we could see individuals that were we could therefore quickly eliminate because there were certainly
Nowhere near the individuals that had been given the drips or when the drips had been contaminated um but it then enabled us to focus on one man all of a sudden in January were alerted to the fact that somebody has been arrested a 46-year-old male nurse has been arrested
On suspicion of tampering with medical records on the 5th of January 2012 police arrested Filipino nurse Victorino Cher in connection with the unlawful altering of medical records his home was searched and he was questioned by detectives investigating the poisonings at stepping Hill Hospital the previous summer in order to to
Maintain public confidence you had to get it right second time and the police having identified Chua had similar amounts of evidence to that which was used to charge Rebecca Leighton I was spending various hours talking to assistant chief Constable at the greater maner police who was trying to persuade
Me that they already had enough evidence and given the complexity of this matter given the amount of scientific evidence that was going be necessary but I persuaded him that it was not right to charge Chua at this time it was too early to charge him there was so much work to
Do I was watching the television one night the news at halfast 6 and a fell came on on his bike and I recognized him the police came and then I said to him he was on my ward at night and he said yeah you were so they they confirmed that he was
On my Warden I knew that he were the one that had wash my camera out part of the evidence against cha was tampering with patient charts where um the amount of particular drugs they were due to receive had been tampered in Hand by some individual we had lots of bits of
Evidence that pointed to Chua being our Prime Suspect Victor cha was bailed because he was still very significant part of the investigation they just needed to make sure they had enough evidence to put to the crown prosecution service so the police then have this task on the hands of cating as much
Evidence as they can against victorina orua um and it was a difficult task given the nature of this case the amount of scientific evidence that needed to be examined I had to instruct experts after expert to show that you know what had happened how it had been caused because one element of the
Defense would have been potentially natural causes you know your body actually does produce sugar uh so and you know insulin is produced in your body so you have we had to show that what caused the harm was what he had done and not what your natural body does
And it took a long time but I wanted to make sure that we had all of that ready so when we were in a position to charge him it was then quick to trial and that we could present all our evidence to the court with speed after the arrest of Victorino CH
The media began looking into his background and investigating the filipino’s medical career it was a case which is really high profile you know a decision was taken that I should go to Manila initially for a few days to see you know what Mr ch’s background was
When we arrived in Manila all we knew was his name and his date of birth he was supposedly a trained nurse fully qualified nurse no reason to believe there was anything Sinister about his background so we made an application to the nursing regulator to find out if he
Was qualified and then made some inquiries to the police our inquiries revealed that uh he had studied at the Metropolitan Hospital uh nursing college we discovered that uh he had been kicked out of the college I think in the third year he he’ failed miserably and had switched to another nursing college the
Gank which was one of the least respected nursing institutions in Manila Steven Wright’s investigation into Victor toino Cher led him to a former College regist Who provided him with ch’s college records he invited us in to his home and he found victorina ch’s uh College records he produced them and I
Became very very suspicious very quickly the fact that there seemed to have been marks seemed like someone had changed the results I was really concerned that this could be open to abuse these records should not have been held at that place they should be held centrally by the regulator very suspicious indeed very
Suspicious to many Filipinos nursing is viewed as a passport out of poverty and The Lure of lucrative work overseas has led to a booming forgery industry although the authorities could not categorically State the che’s documents were forged police were so concerned about their veracity that they themselves visited Ed
Manila their investigations uncovered so many loopholes in the system that they eventually raised the issue with the British government police now wondered if the ambiguity surrounding Cha’s credentials had allowed him to leave the Philippines and secure a job with a much higher income in Britain he came to the UK in
2002 uh to working a nursing home he became a bank nurse V NHS in 2007 got a full-time job at stepping Hill in 2009 but the crucial thing really was that soon after arriving in the UK he was approved by the nursing wiffy Council on the basis of showing photoc copies of
His alleged qualifications we employed Victor cha because he had a a a license to to practice as a nurse from the nursing and Midwifery uh uh Council I understand that they now have got more robust processes in order to ensure that that certificates or professional qualifications particularly of nurses
Coming from abroad are coming from Bonafide associations and institutions back in the UK as the investigation into Victorino cha continued detectives uncovered a vital piece of new evidence a handwritten letter that revealed an insight into the mind of Chua it was written by Victorino Cher about himself he talks about himself and
He talks about his life and he talks about his dark thoughts um and there was certain things in that letter that suddenly kind of pieced this all together for police she talks about how much he was hated how much he hated the hospital and the fellow staff that he
Had there and the patients how much he felt done by having come to this country and given his all and this is how he was being treated he also called himself self the angel of death they called it the confession letter because he talked about being the
Angel of death and how he wasn’t a very nice man yet people think he was that there was an evil about him in any case of crime of this nature what you always look for is motivation what motivated a person CU you’ve got to the end of the day you’ve got to explain
To a jury who are 12 men and women who don’t know anything about this case when before they walk in the court and they all be thinking like we all think why did somebody do this and so we the why was what was missing and this letter gave us the
Why Victorino Chua was rearrested on the 28th of March 2014 in relation to this perpetrator we had what we call circumstantial evidence it is literally like a jigsaw puzzle each bit on its own probably doesn’t amount to much it might be a fingerprint there it might be a CCTV still there it
May well be some writing on a patient record there it would be Ward records that show Presence at a particular time but if you add it all together you then have a picture that shows you that you have the perpetrator with the crown prosecution service satisfied that greater Manchester police had gathered
Sufficient evidence to secure a conviction Victorino Chu’s trial got underway at Manchester Crown Court on the 20th of January 2015 trial members of the public from greater maner come into a courtroom and they don’t know what they’re dealing with an enormous undertaking and the evidence itself was
So complicated and uh you know I don’t know how many people know medical experts but everything that they say had to be in effect translat so we had experts commenting on Experts the defense had their experts who uh were trying to undermine our case and suggest that maybe this was all naturally
Produced or that somebody else was responsible but we had to simplify something so complicated so that anybody on the jury would understand that what we were dealing with regardless of how complicated all it is we’ve got one person harming other people the prosecution believed they had a Smoking Gun the so-called confession
Letter penned by Victorino cheer himself the letter was brought up in court but as part of victorina ch’s Defense they said that this letter was written during a counseling session uh which had happened a year before any of these incidents happened at the hospital and
And obviously it was it was as part of the counseling session important that he got out all his feelings and his angers and his his thoughts onto paper but the prosecution argued that these were the thoughts of an angry man with unfinished business who meant to do harm who wanted
To do harm who hated the world really and everything that was happening to him he wasn’t in a good place if anything the prosecution said this built the profile of the man responsible for these crimes what we discovered during the course of the criminal trial was that
Victorina cheer was the nurse who was looking after Grant on the ward over the course of that night when he became very unwell we know from the testimony of one of his colleagues that he was almost certainly the sole person dealing with Grant and we discovered that he had
Taken um a blood sugar reading from Grant without any requirement to do say by the medical staff that sample that was taken was by pure chance kept and Frozen and this would have been completely unknown to Victorino because as far as the staff were concerned when they took a reading
They noted down what that reading was and that sample was destroyed and that was normally the case but what they did do just for medical purposes every so often they’d pick a sample and keep it and freeze in it just or happened that Grant Mel’s blood was frozen that night
That sample was sent off to an expert and he actually managed to find this synthetic insulin in the sine solution and he ruled that the only way that could have been in the blood was to have been put in there by somebody now that was a hard-hitting piece of evidence
That it went alongside the fact that when they looked at the records from that night Victor nura was working that night on the 18th of May 2015 nearly 4 years after the first poisoning the jury finally came to a decision given what had happened uh with the earlier charging of Rebecca Leighton
We were um on tenter hooks we obviously felt that we had presented the case a very strong case a very compelling case so when the jury came back with a series of guilty verdicts including murder we were obviously extremely relieved I think when you’ve got a trial
Which involves a lot of really complex issues and a lot of medical jargon in particular you do worry that the jury system won’t work so there’ll be bamboo all by enabled defense QC I think the police were quietly confident but it wasn’t a nailed on guilty verdict type case Victorino Chua was found guilty of 33 charges including two counts of murder and was jailed for life with a minimum term of 35 years he is a very dangerous individual a very calculated individual um thankfully um very very rare um and that is why it’s been good that he’s been
Brought to to Justice we were extraordinarily relieved I think as sense of relief and again a sense of the starting of closure behind this event because this took the best part of 2011 and 2015 this is nearly four years where a huge Cloud you know was hanging on not
On on the hospital but on on on on the staff there wasn’t a day where we didn’t discuss the case or we had to do something related to the case once Victor our Che was found guilty um I think there was mixed emotions really um obviously from the family’s point of
View they had justice but at the same time many had lost family members and many had been through experiences that were un imaginable but it wasn’t just those that were directly affected you know it was the the hospital staff it was the hours of investigative work that
The police had to do we have those victims who received Justice at the trial what we don’t know is how many other people he either harmed or attempted to harm and there are people out there who may well have had doses of something but they weren’t fatal or they
Weren’t anything that caused serious harm so we will never know how many people sure hurt it’s very difficult to explain how a human being can get to that kind of level now you know he’s been described as a psychopath and he must be a psychopath
In order to do do the things that he did he didn’t care who he harmed he didn’t care who did the harming you he was more than happy for nurses and and other doctors and other Hospital staff to take the blame or and you know and to harm
Other people he didn’t care which patient got it he was one of the most calculating criminals I’ve ever had to deal with I think stepping Hill was obviously used as an example really in the aftermath of this case is to to the standards that all hospitals should adhere
To Stockport NHS Foundation trust has a duty of care to its patients to ensure that they’re looked after properly and part of that duty of care is ensuring that the healthc Care Professionals that it employes are people who are able to undertake that job properly um obviously victorua was convicted of a criminal
Offense but not withstanding that there were lots of issues about his registration his training and the extent to which he was looked into properly before being employed by the trust in response to the questions about Victorino chua’s qualifications the nursing and Midwifery Council issued the following statement in May
2015 we understand that greater Manchester police have concerns about Mr ch’s qualifications but we have not been shown evidence that his documents were fraudulent when Mr chur joined the register in 2002 our registration process allowed applicants to provide photocopies of documentation we recognize that this was far from ideal
And we have significantly strengthened our processes since then we now require original documentation and applicants must undergo a face-to-face interview and a two-stage test of competence in a statement following che’s conviction Anne Barnes then chief executive of Stockport NHS Foundation trust which runs stepping Hill Hospital said our storage of sine and management
Of prescription charts at the time of the incident was typical of those in other hospitals across the country whilst no Hospital systems and processes can offer a complete guarantee against the actions of a determined criminal additional measures are now in place which go beyond standard Practice you know you trust people and then all of a sudden you don’t trust people because of the thing that’s happened you don’t trust anybody then I was one of the lucky ones really that they could have killed me but they didn’t um but feel sorry for the ones
That had died you know it’s not fair on their family is it really