3:05pm30/06/26
Hearing ends for the day
The jury has been sent home for the day and the trial will not be sitting again until Friday due to judge and barrister commitments.
2:52pm30/06/26
Police interaction - WARNING GRAPHIC CONTENT
The jurors have watched body-worn camera footage of Temporary Detective Constable Anna Liddell who attended the University Hospital of North Tees.
Mr Wright KC read out the officer's statement before the footage was played.
She says she was met by a consultant who told her that Isabelle was likely to die and was suffering injuries that were the result of trauma because she was covered in bruises.
The officer recorded that there was blood in Isabelle's nappy and in her urine - the nappy was seized and a hair was recovered from it as stored separately.
She wrote: "The doctor told me to come closer and she showed me Isabelle's body.
"I could see a large bruise on her forehead, many bruises all over her abdomen. She also pointed out bruising and swelling around her genital area.
"I noted a large bruise under her vaginal area and the doctor also pointed out bruising to her inner vaginal area."
She says she passed on this information to her supervisor before Walker and her family arrived at the hospital.
The jury hears how it was shown that Isabelle had a bleed on the brain and it was decided to transfer the two-year-old to the RVI in Newcastle.
12:35pm30/06/26
Critical care at Newcastle
Dr John Glazebrook, a consultant in Paediatric and Adult Intensive care and Anaesthesia, at Newcastle Royal Victoria Infirmary.
He says his initially assessment showed that Isabelle was unresponsive to a bright light being shone into her eyes which is a sign of extremely serious brain injury.
A CT scan of Isabelle's head was carried out which showed there was no blood flow to her brain - she had suffered an unrecoverable brain injury.
The doctor told Walker and her mother, Claire, that Isabelle was going to die and she passed away shortly after her breathing tube was removed.
12:31pm30/06/26
Hospital nurse
Mr Wright is asking her if Walker told her about her daughter's illness.
She says: "She told me she thought her boyfriend could be hurting her because of the bruises on her."
Miss Forster says Walker told her that Simpson had seen Isabelle on the morning but she offered no explanation of how she became so ill.
Nicholas Lumley KC, representing Simpson, is now cross examining the nurse.
The barrister asks her whether Walker had said anything about what happened to cause her to be in that state.
She says: "She just found her that way."
Miss Forster says Walker told her that she didn't believe Simpson could have caused the injuries.
Mark McKone KC, representing Walker, is asking the nurse questions on behalf of his client.
The nurse confirms that Walker told her that 'she was starting to think her partner' had caused the bruising to Isabelle.
12:25pm30/06/26
Hearing resumes
The hearing resumes with the next witness, Emma Forster, after a short break in proceedings.
Miss Forster is a registered nurse working in the A&E department at the University Hospital of North Tees.
She tells the court that she didn't work on Isabelle but was tasked with supporting Alexandra Walker.
Mr Wright KC asks her about her interactions with the defendant.
She says: "She told she was in hospital a week earlier with a hairline fracture."
The jury hears how Walker told the nurse that Isabelle had vomited on the day she was admitted to hospital.
Walker told her that she had put her to bed and was checking on her every ten minutes.
Miss Forster says Walker told her that 'her eyes had rolled back and looked dead' and her dad told her to call 999 and start CPR.
11:46am30/06/26
Cross examination
Nicholas Lumley KC, representing Simpson, is now cross examining the paramedic.
He asks Mrs Hunter whether she thought Walker's reaction was unusual and she agrees with the barrister.
Mark McKone KC, representing Walker, is asking the paramedic about the snigger and giggle while she was trying to find out what had happened.
When asked whether people react differently to traumatic incidents, the paramedic agreed with him.
11:40am30/06/26
Paramedic leader
The next witness to give evidence is Rebecca Hunter who is a clinical team leader paramedic for the North East Ambulance Service.
Mrs Hunter says her role on the day was to oversee the treatment of Isabelle by her colleagues.
She says she noticed the toddler had dry vomit on her face and clothing.
Mr Wright KC, prosecuting, asks the paramedic what else she noticed.
"She had extensive bruising that went down from her head to her legs," she says.
The jury hears how she spoke to Walker at the rear of her house and asked for Isabelle's details after telling her that her daughter was 'critically unwell'.
Mrs Hunter says she asked who the male was sitting in the garden and Alexandra said 'dad' and he pointed out that he was her 'dad' and not Isabelle's - which resulted in a little giggle from Alexandra.
She says she also recalled a snigger when she asked her about her surname - she says 'I recollect thinking that wasn't the reaction I was expecting but thought I didn't have time to look into that at the time'.
She says Walker told her that Isabelle had been eating and drinking as her normal in the days leading up to the illness but was a little 'agitated' at times.
"She says she (Isabelle) vomited that morning, put her down for a nap and gone back later to find her unresponsive and floppy and her eyes had rolled into the back of her head," she says.
11:28am30/06/26
Second paramedic team
Leonie Jordain, who works for the North East Ambulance Service, says she was asked to speak to Alexandra Walker to try and find out how Isabelle was presenting in the week prior to the ambulance being called.
She says she found the mother in the kitchen with a police officer and another male was sitting in the garden.
Walker told her that the toddler had suffered a fractured leg and had been in hospital for treatment.
Walker told her that Isabelle had been sick since coming out of hospital but had not been taken back for treatment.
She tells that jury that there was no mention of anyone else being involved in getting Isabelle up and about on the day she fell gravely ill.
Nicholas Lumley KC, representing Simpson, is now cross examining the paramedic.
The barrister checks the contents of her written statement and she confirms that Walker told her she had gotten her daughter up and she seemed lethargic.
11:16am30/06/26
Written evidence
The statement of Nicole Weir, who works for the North East Ambulance Service, is now being read to the jury by Mr Wright.
She says she was the driving of the ambulance and was less experienced than her colleague Sam Jones who took control of the medical treatment.
"I immediately noticed she was cold," she says.
She says the female and male both moved into the kitchen and felt their behaviour was strange - 'they never opened the door at any time to see whether we had brought the baby back to life'.
Ms Weir says the second paramedic team arrived at the scene and started sucking vomit from the baby's mouth the clear her airway before drilling into her leg bone to administer emergency drugs.
She says they managed to get her heart beating again but there was still no breathing or eye response.
11:06am30/06/26
Hospital travel
The jury hears how Isabelle's pulse became weak again as they transferred her to hospital.
She says CPR was given to the toddler until they arrived at the University Hospital of North Tees.
Ms Jones says she overheard someone in the hospital medical team say that they had spotted blood in Isabelle's nappy.
Nicholas Lumley KC, representing Simpson, is now cross examining the paramedic.
She agrees with him that it was clear that Isabelle was not breathing when she arrived at the scene and 'there was nothing going on at all'.
"She was freezing cold," she says. Mr Lumley asks if she could have been like that for some time and she agrees.
"It appears to you that she had been in this lifeless state for some time," he asks. "Yes," she replies.
The paramedic says it was clear to the eye that Isabelle had bruises to her body.
Mark McKone KC, representing Walker, is now asking the witness questions.
"How you are able to say how long Isabelle had not been breathing for before you get there," he asks.
She replies: "No, I'm not able to say."
11:00am30/06/26
Extra support
The jury hears another paramedic crew arrived at the scene and they started to apply suction to her airway and pads taking a reading from her heart.
She say 'there was a flatline - there was no electrical activity at that time'.
The paramedic says they placed a needle into Isabelle's bone in order to give immediate medical treatment to get her heart going again.
The jury hears how a senior paramedic arrived at the scene as back up to the serious incident.
"They don't get hands on, they are their to oversee and ensure things are done," she says.
Ms Jones says they were able to get Isabelle's heart beating again and eventually her pulse returned but she was still not breathing on her own.
When asked what then became the priority, she says we have to get her to hospital as quickly as possible.
Mr Wright asks the paramedic what happened in the rear of the ambulance. She says there was a discussion over whether it was medical emergency or traumatic event.
"Due to the bruising we went down the traumatic route," she says.
10:53am30/06/26
Emergency treatment
She says there was no blood moving around Isabelle's body - she was cold to the touch with vomit on her face, clothing and floor next to her.
"I have moved her head and she had a bruise in the middle of her forehead," she says.
The paramedic says she tried to clear Isabelle's airway and gave her oxygen through a tube.
The jury hears how she saw a man and a woman in the house but her focus was on the seriously ill child.
Ms Jones says her colleague asked Alexandra Walker about Isabelle's previous medical history and she was told about the break to her leg.
Dealing with other injuries, she says her colleague started CPR and noticed bruises and brought it to my attention.
"She had bruises across her abdomen and her pelvic area," she says. "I was continuing with breaths and my colleague was continuing with CPR."
10:47am30/06/26
Paramedic evidence
Today's evidence starts with paramedic Samantha Jones recounting the details of what happened when she arrived at Isabelle Welsh's Thornaby home on September 13 last year.
The court hears that the ambulance was able to get to the house in a minute after receiving the call that a two-year-old was in cardiac arrest.
Richard Wright KC, prosecuting, is taking the paramedic through her evidence.
Ms Jones says she found Isabelle laid on the floor at the bottom of the stairs.
When asked whether she thought the toddler was breathing - "By the way she looked I could tell she wasn't breathing," she says.
The paramedic checked whether she was breathing and for a pulse and found nothing while there was no reaction from her pupils when she shined a light in her eyes.
"That shows there is some sign of brain damage," she says.
She says 'she was very cold to touch and pale in colour'.
10:34am30/06/26
Evidence recap
Good morning, you can read a recap of yesterday's evidence here -
Isabelle Welsh's mum Googled why toddler was bleeding before 999 call
This morning's evidence should be getting underway shortly.
