London (PTI): A UK-born Indian-origin consultant paediatrician at a hospital in northern England is among those who raised concerns and helped convict a nurse found guilty of killing seven babies by a UK court on Friday.

Dr Ravi Jayaram, from the Countess of Chester Hospital in Chester, said some of those lives could have been saved if his concerns about former nurse colleague Lucy Letby had been heeded and the police alerted sooner.

Letby, 33, was found guilty of the murder of seven newborn babies and also found guilty of seven counts of attempted murder relating to six other babies by a jury at Manchester Crown Court. She will be sentenced at the same court on Monday.

"I do genuinely believe that there are four or five babies who could be going to school now who aren't," Dr Jayaram told ITV News' in a television interview after the verdict.

He told the channel that consultants first began raising concerns after three babies died in June 2015. As more babies collapsed and died, senior medics like him held several meetings with hospital executives to raise their concerns about Letby.

Eventually, it was in April 2017 that the National Health Service (NHS) trust allowed doctors to meet with a police officer.

"The police, after listening to us for less than 10 minutes, realised that this is something that they had to be involved with. I could have punched the air," said Dr Jayaram.

Shortly afterwards, an investigation was launched that would lead to Letby's arrest.

The UK's Crown Prosecution Service (CPS) told the court that Letby used a variety of methods to secretly attack a total of 13 babies in the neonatal ward at the Countess of Chester hospital between 2015 and 2016.

During her trial, which began in October last year, Manchester Crown Court heard that doctors at the hospital began to notice a significant rise in the number of babies who were dying or were unexpectedly collapsing.

The CPS presented evidence of Letby using various methods to attack babies, including the injection of air and insulin into their bloodstream; the infusion of air into their gastrointestinal tract; force feeding an overdose of milk or fluids; impact-type trauma.

Her intention was to kill the babies while deceiving her colleagues into believing there was a natural cause, the jury was told.

"Lucy Letby sought to deceive her colleagues and pass off the harm she caused as nothing more than a worsening of each baby's existing vulnerability. In her hands, innocuous substances like air, milk, fluids or medication like insulin would become lethal. She perverted her learning and weaponised her craft to inflict harm, grief and death," said Pascale Jones of the CPS.

"Time and again, she harmed babies, in an environment which should have been safe for them and their families. Her attacks were a complete betrayal of the trust placed in her," he said.

Letby was first arrested in July 2018 and subsequently charged in November 2020.

Jonathan Storer, Chief Crown Prosecutor for CPS Mersey-Cheshire, added: "This is an utterly horrifying case. Like everyone who followed the trial, I have been appalled by Letby's callous crimes.

"To the families of the victims I hope your unimaginable suffering is eased in some way by the verdicts. Our thoughts remain with you."

Among the mountain of evidence presented in court were many handwritten notes discovered by police during their investigation.

They included phrases such as: "I killed them on purpose because I'm not good enough to care for them"; "I am evil I did this"; and "today is your birthday and you are not here and I am so sorry for that". These notes gave an insight into Letby's mindset following her attacks, the court was told.

The CPS was able to show the jury that Letby was the one common denominator in the series of deaths and sudden collapses in the neonatal unit.

Besides, medical documents featuring falsified notes made by the nurse to hide her involvement and social media activity to deceive her colleagues were among the other pieces of evidence presented in court.

Letby was found not guilty of two charges of attempted murder and the jury, many of them visibly distraught at the tough case, was unable to reach verdicts on six further counts of attempted murder.
Through the trial, Letby claimed that she was being wrongly accused to cover hospital failings.

The Cheshire Constabulary, which investigated the case, said it had been one of the toughest cases for them.

"The details of this case are truly crushing. A trained nurse responsible for caring and protecting tiny, premature babies; a person who was in a position of trust, she abused that trust in the most unthinkable way," said Detective Chief Inspector Nicola Evans, the Deputy Senior Investigating Officer.

"I cannot begin to understand what the families have had to endure over the past seven or eight years but we have been humbled by their composure and resilience throughout this whole process," she said.

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Chennai (PTI): In a changed political atmosphere in Tamil Nadu with no single political party having a simple majority to form the government post the Assembly election, opinion is divided among the allies led by the Dravidian majors in extending external support to Vijay-led TVK in government formation.

Both the DMK and AIADMK are at unease as the Congress and also a section in the AIADMK express willingness to extend external support to Vijay-led Tamilaga Vettri Kazhagtam in forming the government.

Post poll, the TVK's political prospects appear to impact alliances led by both the Dravidian majors in a different manner, triggering a speculation of a split.

Leema Rose Martin, who won from Lalgudi on an AIADMK ticket, has stated that talks were underway on extending support to the TVK. Her son-in-law Aadhav Arjuna, who won from Villivakkam is TVK's general secretary.

On May 5, former AIADMK minister O S Manian, emerging from his meeting with party general secretary Edappadi K Palaniswami, stated that AIADMK would not support TVK in forming the government.

The AIADMK, which finished third in the elections with 47 seats has cancelled its meeting of MLAs designate on Wednesday amidst a difference in extending external support to the TVK, which won 108 seats, including two seats by its founder Vijay.

As Vijay is gearing up for his swearing-in on May 7, the police have tightened security at his residence here. The party has lodged its MLA-elect at a resort in Mamallapuram and has simultaneously engaged in talks with the Congress and AIADMK, a source said.

The DMK that won 59 seats on its own, has convened a meeting of its newly elected legislators on May 7 evening and the party is likely to elect the youth wing secretary Udhayanidhi Stalin, who won from Chepauk-Thiruvallikeni as its legislature party leader.

Congress general secretary K C Venugopal admitted that TVK chief Vijay requested the Congress for support to form the government.

"The INC is clear that the mandate in Tamil Nadu is for a secular government, committed to protecting the Constitution in letter and spirit. The INC is determined not to allow the BJP and its proxies to run the government of Tamil Nadu in any manner. Thiru Vijay has also spoken about drawing inspiration from Perunthalaivar Kamaraj," he said.

Accordingly, the Congress leadership has directed the TNCC to take a final decision on Vijay’s request, keeping in view the sentiments of the state as reflected in the electoral verdict, Venugopal said in a statement.

DMK spokesperson Saravanan Annadurai slammed the Congress decision and said the move to ally with TVK, pledging the support of its five MLAs to the party, was tantamount to "backstabbing the DMK and the people of Tamil Nadu."

"They have betrayed the mandate given by the people. Even before the ink on the returning officer’s signature on the victory certificate has dried, they have chosen to go ahead with this alliance," he told PTI.

The most important question was who took this "foolhardy decision, and how is it going to backfire on the Congress?" he asked.

"I don’t think they had any serious deliberation on this. The larger issue is their opposition to the BJP, which is their ideological enemy. We have supported the Congress throughout. It was our leader M K Stalin, who named Rahul Gandhi as the prime ministerial candidate when the BJP and RSS were criticising him. And now, within a day, they say they are supporting TVK. This is not the mandate of the people of Tamil Nadu,” Saravanan said.

The Congress' exit from its long-standing alliance with the DMK will be a significant moment in the political scenario of the state, commentator and political analyst Sumanth Raman said.

The Congress may be betting on the TVK as a long-term partner option, but that comes with risks, as the TVK is as yet an unknown quantity, he said.

"For the DMK, if the TVK+Congress becomes the choice of the minorities as it well could, it is an existential threat. It was the minority vote that gave the DMK alliance a 12%-15% cushion in the polls. If that goes, their chances of winning drops dramatically," Raman said on 'X.'

The Congress won 5 seats. However, DMK's other allies, the IUML, VCK, CPI and CPI (M) and DMDK have categorically stated that they would not support TVK.

As of now, the TVK requires the support of 11 MLAs to attain a simple majority of 118 to form the government.

The PMK, which won 4 seats and AMMK one - both allies of AIADMK - have not announced their decision yet.

"AIADMK’s real post-result drama may not be outside the party, but inside it. Whispers from the west and north suggest that a Coimbatore hand and a Villupuram voice may soon ask the question everyone is avoiding: Is it time to save the party from the leadership, before the cadre are forced to do it themselves? In politics, coups don’t begin with slogans. They begin with silence, phone calls and “review meetings,” Aspire Swaminathan, who is credited with founding the AIADMK IT wing in 2014, said on 'X.'

He has resigned from the AIADMK in 2021 and now acts an as independent political analyst.