“I should have had more courage.” Dr Jayaram said he first became aware that Letby could be causing “inadvertent or even deliberate harm” to babies when he returned from leave after the death of a baby girl, Child I, in October 2015.

A consultant has told a public inquiry he “should have had more courage” and voiced his concerns about Lucy Letby after he had to resuscitate a baby girl.The nurse was later convicted of the attempted murder of Child K by dislodging her breathing tube before senior paediatrician Dr Ravi Jayaram walked into a nursery room in the Countess of Chester Hospital’s neonatal unit in February 2016.

A doctor whose testimony helped convict Lucy Letby has denied at a public inquiry that he made up allegations against the former nurse.Dr Ravi Jayaram, a consultant paediatrician at the Countess of Chester Hospital,

Dr Ravi Jayaram said he feared not being believed if he made a complaint about Letby after he caught the 34-year-old nurse "virtually red-handed".

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Child killer nurse Lucy Letby allegedly told a consultant in a "bizarre" meeting that she was coming back to the neonatal unit if they like it or not.The 34-year-old former nurse is serving a whole life prison sentence after she was convicted of seven murders and seven attempted murders against babies in her care at the Countess of Chester hospital.

A consultant paediatrician whose testimony helped convict Lucy Letby has said he “should have had more courage” and voiced his concerns about the nurse sooner. Ravi Jayaram told a public inquiry that he lay awake at night thinking about why he did not say something at the time.