Two babies were murdered by Lucy Letby after senior managers at the Countess of Chester were warned about the nurse, it has emerged, as an inquiry which will look at hospital failings was launched.  

Dr Ravi Jayaram, a consultant paediatrician on the hospital’s neonatal ward told the trial of the nurse that by autumn 2015, he and colleagues “had significant concerns” about Letby and that these “were on the radar of someone as senior as the executive director of nursing”.

According to evidence given by Dr Jayaram, the warning about Letby was not acted upon.

Medics who had raised concerns about Letby were also at one point instructed to write to her and formally apologise, or attend mediation with her.