Bundling everything under "The Unit" obfuscates where the decisions (and therefore blame) really lies, as it smooshes together the actions of the nurses, doctors, admin staff, management, board etc in response to a truly horrific but extremely rare situation. Letby got away with harming and killing far too many babies. The appropriate processes were not in place at many levels, from the NNU itself and the labs all the way up to the top to identify and escalate the unexplained deaths, and there seems to have been a reluctance among many people who could have done something to look too hard or risk negative publicity.
Hopefully the inquiry will tease out whether the situation at CoCH NNU was unusually shambolic/poorly run, which allowed Letby to get away with her crimes for so long, or whether it was similar to any other NNU in the country, with the only difference being they don't have serial killers at work. Either way, I hope that there is a decent set of recommendations that enables any other similar healthcare killers to be rapidly identified and stopped.
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PS Fuck Phil Hammond - does he not understand what 'unexpected and unexplained deaths' means?? The babies who went to trial were stable and doing well, considering their state. That's why she didn't get pinned with every single collapse and death on the ward while she was there. Jesus effing Christ he is really annoying me.