Johnson told the jury that Letby’s attempts to kill the infant, Baby I, were “extreme … even by the standards of this overall case”. On the third day of the trial, jurors were also told Letby had sent a sympathy card to the grieving parents of a baby she murdered at her fourth attempt. Nick Johnson KC, prosecuting, told the jury that three months after the death of Baby K, in April 2016, Letby had been moved to day shifts “because the consultants were concerned about the correlation between her presence and unexpected deaths and life-threatening episodes on the night shifts”. Letby is accused of murdering seven babies in the same period.

She was one of 10 babies that Letby allegedly attempted to murder on the neonatal unit of the Countess of Chester hospital between June 2015 and June 2016. The baby, who can be named only as Baby K, died three days later but Letby is not charged with her murder. He did not make a contemporaneous note of his suspicions or about the alarm failing to activate, the trial before judge Sir James Goss was told. Jayaram was “troubled” because Letby was the only person in the room, the court heard. Letby was “making no effort to help” the baby and had not called for assistance, jurors were told, while an alarm connected to the infant appeared to have been silenced. Jayaram rushed to help the infant and found that her chest was not moving and her breathing tube had been dislodged, it was alleged. Ravi Jayaram, a paediatric consultant, had been “uncomfortable” that Letby was alone with the 12-week premature baby because he had “started to notice a coincidence between unexplained deaths, serious collapses and the presence of Lucy Letby”, the trial at Manchester crown court heard.

Lucy wilde nurse