A male nurse has been remanded in custody by magistrates in Leeds after being charged with the murders of four elderly patients in the city.
Three murder charges relate to deaths at Leeds General Infirmary
Colin Norris, 29, of Egilsay Terrace, Glasgow, is also charged with the attempted murder of a fifth patient.
He was refused bail and will appear at Leeds Crown Court next Wednesday.
The women, who were aged between 79 and 90, were patients at two Leeds hospitals - St James's and the Leeds General Infirmary - in 2002.
Mr Norris was charged with the murders of Doris Ludlam, 80, of Pudsey, Bridget Bourke, 88, of Holbeck, and Ethel Hall, 86, of Calverley, at Leeds General Infirmary between June and December 2002.
The attempted murder of Vera Wilby, 90, is also alleged to have taken place at the infirmary.
The fourth murder charge relates to the death of Irene Crooks, 79, of Leeds, at St James's Hospital in October 2002.