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Sunday 22/02/2026

Court Upholds Nurse's Murder Convictions in Elderly Patient Deaths

Published 26 June 2025

Highlights

  1. Rewritten Article

    Headline: Court Upholds Nurse's Murder Convictions in Elderly Patient Deaths

    In a significant legal decision, the Court of Appeal has dismissed the appeal of Colin Campbell, a nurse convicted in 2008 for the murder of four elderly patients in Leeds. Campbell, who was previously known as Colin Norris, was sentenced to life imprisonment with a minimum term of 30 years for injecting the patients with insulin, leading to fatal hypoglycaemia.

    Background of the Case

    The case dates back to 2002 when Campbell worked in orthopaedic wards in Leeds. The victims, Doris Ludlam, 80, Bridget Bourke, 88, Irene Crookes, 79, and Ethel Hall, 86, all died from unexplained hypoglycaemia. Campbell was also found guilty of attempting to murder a fifth patient, Vera Wilby, aged 90. The prosecution argued that the cluster of cases within a short period pointed to Campbell's involvement, as he was present during or shortly before the incidents.

    Appeal and Legal Arguments

    Campbell's appeal, heard over 14 days, was based on new medical insights suggesting that the patients might have died from natural causes. His legal team, led by Michael Mansfield KC, presented evidence of other hypoglycaemia cases occurring after Campbell left the hospital. However, the Crown Prosecution Service maintained that the original trial provided sufficient evidence, with James Curtis KC emphasizing the lack of natural hypoglycaemia evidence in the victims.

    Court's Decision

    The appeal judges, Lady Justice Macur, Mr Justice Picken, and Sir Stephen Irwin, concluded that the additional cases did not undermine the original convictions. They stated, "We have no doubt about the safety of any of the five convictions," reinforcing the verdicts. The Criminal Cases Review Commission, which had referred the case, described the evidence as "wholly circumstantial," but the court found it compelling enough to uphold the convictions.

  2. Scenario Analysis

    The dismissal of Campbell's appeal underscores the challenges of overturning convictions based on circumstantial evidence, even with new medical insights. This case highlights the complexities involved in legal appeals, particularly when scientific advancements are introduced post-conviction. Moving forward, the decision may influence how similar cases are approached, especially those involving medical evidence. Legal experts suggest that while the ruling reaffirms the original trial's findings, it also raises questions about the role of evolving medical knowledge in the justice system. As such, future appeals might increasingly rely on cutting-edge scientific evidence to challenge past convictions.

In a significant legal decision, the Court of Appeal has dismissed the appeal of Colin Campbell, a nurse convicted in 2008 for the murder of four elderly patients in Leeds. Campbell, who was previously known as Colin Norris, was sentenced to life imprisonment with a minimum term of 30 years for injecting the patients with insulin, leading to fatal hypoglycaemia.

Background of the Case

The case dates back to 2002 when Campbell worked in orthopaedic wards in Leeds. The victims, Doris Ludlam, 80, Bridget Bourke, 88, Irene Crookes, 79, and Ethel Hall, 86, all died from unexplained hypoglycaemia. Campbell was also found guilty of attempting to murder a fifth patient, Vera Wilby, aged 90. The prosecution argued that the cluster of cases within a short period pointed to Campbell's involvement, as he was present during or shortly before the incidents.

Appeal and Legal Arguments

Campbell's appeal, heard over 14 days, was based on new medical insights suggesting that the patients might have died from natural causes. His legal team, led by Michael Mansfield KC, presented evidence of other hypoglycaemia cases occurring after Campbell left the hospital. However, the Crown Prosecution Service maintained that the original trial provided sufficient evidence, with James Curtis KC emphasizing the lack of natural hypoglycaemia evidence in the victims.

Court's Decision

The appeal judges, Lady Justice Macur, Mr Justice Picken, and Sir Stephen Irwin, concluded that the additional cases did not undermine the original convictions. They stated, "We have no doubt about the safety of any of the five convictions," reinforcing the verdicts. The Criminal Cases Review Commission, which had referred the case, described the evidence as "wholly circumstantial," but the court found it compelling enough to uphold the convictions.

What this might mean

The dismissal of Campbell's appeal underscores the challenges of overturning convictions based on circumstantial evidence, even with new medical insights. This case highlights the complexities involved in legal appeals, particularly when scientific advancements are introduced post-conviction. Moving forward, the decision may influence how similar cases are approached, especially those involving medical evidence. Legal experts suggest that while the ruling reaffirms the original trial's findings, it also raises questions about the role of evolving medical knowledge in the justice system. As such, future appeals might increasingly rely on cutting-edge scientific evidence to challenge past convictions.

Court Upholds Nurse's Murder Convictions in Elderly Patient Deaths

Judges in courtroom upholding nurse's murder conviction
Sofia RomanoSofia Romano

In This Article

HIGHLIGHTS

  • Colin Campbell's appeal against his 2008 murder convictions for killing four elderly patients was dismissed by the Court of Appeal.
  • Campbell, formerly known as Colin Norris, was found guilty of injecting the patients with insulin, causing fatal hypoglycaemia.
  • The appeal was based on new medical evidence suggesting natural causes, but judges upheld the original verdicts.
  • The Criminal Cases Review Commission had referred the case, citing "wholly circumstantial" evidence.
  • Judges concluded that additional hypoglycaemia cases did not support Campbell's appeal, affirming the safety of his convictions.

In a significant legal decision, the Court of Appeal has dismissed the appeal of Colin Campbell, a nurse convicted in 2008 for the murder of four elderly patients in Leeds. Campbell, who was previously known as Colin Norris, was sentenced to life imprisonment with a minimum term of 30 years for injecting the patients with insulin, leading to fatal hypoglycaemia.

Background of the Case

The case dates back to 2002 when Campbell worked in orthopaedic wards in Leeds. The victims, Doris Ludlam, 80, Bridget Bourke, 88, Irene Crookes, 79, and Ethel Hall, 86, all died from unexplained hypoglycaemia. Campbell was also found guilty of attempting to murder a fifth patient, Vera Wilby, aged 90. The prosecution argued that the cluster of cases within a short period pointed to Campbell's involvement, as he was present during or shortly before the incidents.

Appeal and Legal Arguments

Campbell's appeal, heard over 14 days, was based on new medical insights suggesting that the patients might have died from natural causes. His legal team, led by Michael Mansfield KC, presented evidence of other hypoglycaemia cases occurring after Campbell left the hospital. However, the Crown Prosecution Service maintained that the original trial provided sufficient evidence, with James Curtis KC emphasizing the lack of natural hypoglycaemia evidence in the victims.

Court's Decision

The appeal judges, Lady Justice Macur, Mr Justice Picken, and Sir Stephen Irwin, concluded that the additional cases did not undermine the original convictions. They stated, "We have no doubt about the safety of any of the five convictions," reinforcing the verdicts. The Criminal Cases Review Commission, which had referred the case, described the evidence as "wholly circumstantial," but the court found it compelling enough to uphold the convictions.

WHAT THIS MIGHT MEAN

The dismissal of Campbell's appeal underscores the challenges of overturning convictions based on circumstantial evidence, even with new medical insights. This case highlights the complexities involved in legal appeals, particularly when scientific advancements are introduced post-conviction. Moving forward, the decision may influence how similar cases are approached, especially those involving medical evidence. Legal experts suggest that while the ruling reaffirms the original trial's findings, it also raises questions about the role of evolving medical knowledge in the justice system. As such, future appeals might increasingly rely on cutting-edge scientific evidence to challenge past convictions.