A married dad-of-four who was a nurse at Aintree hospital in Liverpool admitted "his sexual interest in children remains," a court heard.
Christopher Ewan used to work at the Fazakerley hospital's accident and emergency department, and during lockdown downloaded more than 100 child rape photos and videos, plus extreme porn images showing bestiality.
Following a police investigation, Ewan, 45, formerly of Musker Drive, Netherton, admitted downloading and possessing the sick files, the Liverpool Echo reports.
He appeared in the dock at Liverpool Crown Court yesterday for sentencing, when the court heard he had backtracked on previous claims made to the Probation Service and "unreservedly" accepted downloading the images and videos.
Desmond Lennon, defending, said: "Now he unreservedly accepts entirely downloading the images and video clips, and it is accepted that his sexual interest in children remains."
Christopher Hopkins, prosecuting, said Ewan had admitted downloading 137 Category A files – 127 images and 10 videos – between March 3 and June 23 last year. Category A is the most serious category, involving child rape.
Mr Hopkins said Ewan also admitted downloading 219 Category B images when he appeared before magistrates last month.
However, the prosecutor said according to the magistrates' records, it appeared Ewan had pleaded guilty to two duplicate charges, relating to a prohibited image of a child – an error that would have to be resolved by the case being sent back to the magistrates' court.
Recorder Stan Reiz, QC, said: "On the face of it, the defendant has been charged with two criminal offences for the same act."
The court heard there was also an issue relating to his plea in respect of Category C indecent images.
Mr Lennon said: "The defendant certainly pleaded guilty to all matters before the lower court.
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"There is an error so far as the recording of those pleas is concerned."
He added: "The defendant is anxious to be sentenced and obviously very concerned about the outcome, but everything about the system must be done properly. Unhappily and regrettably, the case will have to go off, so the magistrates can rectify these problems."
Ewan had been away from work since last year and is no longer employed, with Liverpool Echo sources saying his colleagues believed he was off sick.
The source told the Echo: "This man was an AED nurse in Liverpool in a position of trust."
Ewan has been suspended by the Nursing and Midwifery Council (NMC), which is likely to ban him from practising as a nurse again.
A spokesman for Liverpool University Hospitals NHS Foundation Trust, which runs Aintree hospital, previously told the Echo: "We are aware of the criminal proceedings relating to Mr Ewan's actions, which were taken outside of his employment with the trust.
"We acted immediately after being informed of Mr Ewan's actions and this included informing the Nursing and Midwifery Council as Mr Ewan's regulatory body. Mr Ewan is no longer an employee of the trust."
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