A nurse has been charged with the murder of three patients at Stepping Hill Hospital in 2011.
Victorino Chua was re-arrested in connection with the deaths of Tracey Arden, 44, Alfred Derek Weaver, 83, and Arnold Lancaster, 71.
They and 18 others were poisoned with deliberately contaminated products at the hospital in Stockport, Greater Manchester.
Chua has since been charged with three counts of murder, as well as 31 further offences against 25 other patients at the hospital.
The additional charges include 22 of attempted grievous bodily harm and seven of attempted poisoning.
A police investigation into the deaths at Stepping Hill was launched after staff noticed "unexplained" low blood sugar levels in patients.
Officers later found a number of saline drips had been tampered with.
Chua, 48, of Heaton Norris, Stockport, will appear at Manchester City Magistrates Court later today.
Assistant Chief Constable Steve Heywood, of Greater Manchester Police, said: "Our thoughts continue to be with those people who were deliberately poisoned and their families.
"From day one we made a commitment to those people, as well as the wider community, to thoroughly and robustly investigate what occurred.
"In close to three years we have conducted many painstaking enquiries and engaged with numerous medical experts."
He added: "It is absolutely vital he is afforded the right to have a fair trial as outlined in Article 6 of the Human Rights Act."
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