Inside Liverpool Crown Court, a tense silence descended as victim’s families gathered in the public gallery, anxiously waiting for Southport killer Axel Rudakubana to enter the dock.

The sentencing hearing, scheduled for 11am, had already started late as police, legal teams, families and journalists had made their way through enhanced security amid heightened tensions over the shocking case.

Every seat was taken, with some choosing to sit in parts of the public gallery with no view of the dock. A piece of frosted glass obscured any chance of catching even a fleeting glimpse of the remorseless killer, described by his own lawyer as having a “total lack of empathy”.

Others, including the grief-stricken parents of Alice da Silva Aguiar, Alexandra and Sergio, had a clear view of the daughter’s murderer.

18-year-old Axel Rudakubana was not in court to hear the judge sentence him to life in prison with a minimum term of 52 years (PA Media)

18-year-old Axel Rudakubana was not in court to hear the judge sentence him to life in prison with a minimum term of 52 years (PA Media)

They watched as Rudakubana, tall and slight, finally entered the glass-screened dock wearing a grey prison-issue tracksuit and a surgical facemask like the one he wore on the day he targeted 26 defenceless girls at a Taylor Swift themed holiday class in Southport last July.

He refused to speak when asked to confirm his identity and sat slumped in the dock with his head bowed accompanied by five dock officers.

The sentencing hearing had come more rapidly than anyone had anticipated. They had all been braced for a harrowing four-week trial which they were spared after the 18-year-old changed his plea without warning on Monday. However, any hope the families had that Rudakubana would accept his punishment with dignity were soon dashed.

Within minutes of prosecutor Deanna Heer KC launching her address, Rudakubana – who had refused to speak entirely at several previous hearings – started to shout over her.

“I need to speak to a paramedic,” he shouted. “I need to speak to paramedic I feel ill.”

Reports published that morning, later contested by police, claimed he had been taken to hospital from prison before the hearing.

Rudakubana’s lawyer Stan Reiz KC revealed prison staff had raised concerns over his wellbeing and his ability “to be in a high-pressure situation”.

“He has not eaten for a number of days and he’s drunk very little over a period of time,” the lawyer said.

Police officers line the streets outside Liverpool Crown Court prior to the departure of Axel Rudakubana (Peter Byrne/PA Wire)

However judge Mr Justice Goose said he had been examined by healthcare professionals before the hearing, who determined he was fit to attend, and told him to stay quiet.

“I can’t remain quiet because I am ill judge,” he protested. “I haven’t eaten for ten days and I’m not going to remain quiet.”

Despite attempts to carry on, he continued to shout over Ms Heer and then told his lawyer he was experiencing chest pains.

The judge, determined to continue, warned him “shouting from the dock is not going to make this happen any quicker”, but the killer refused to stop interrupting. He was ordered from the dock.

A family member shouted “coward” as he was led to the cells by dock officers, while others shook their heads in disgust.

The evidence that followed as Ms Heer recounted the horrifying details of the brutal knife attack was harrowing. Families broke down in the public gallery, with many leaving the court before distressing CCTV footage of the screaming girls fleeing in terror from the knifeman was played.

One clip showed Rudakubana grabbing a girl as she tried to escape and pulling her back into the Hart Space. Moments later, the seven-year-old dressed in summer shorts emerged stumbling and disoriented with visible injuries.

She clung to a wall for a few seconds, looking for her route to safety, but collapsed on the floor. Miraculously, she survived her injuries.

After lunch Rudakubana returned to court, having been seen again by healthcare professionals. He had told his lawyer he would be quiet, but within minutes the interruptions resumed.

“Judge, judge I feel really ill,” he continued. “I need to be seen by a paramedic.”

The judge responded: “He has been seen by a paramedic – two teams of paramedics who deem he’s fit”, before he was ordered from the dock for a second time.

From left to right: Bebe King, Elsie Dot Stancombe and Alice da Silva Aguiar were killed in the mass stabbing (PA Media)

His absence meant he was not in court to listen to a string of devastating victim personal statements, some of which were delivered in person.

One brave survivor, aged just 14, who was stabbed in the back and arm delivered her own victim statement via videolink. She demanded “give me a reason for what you did” as she told her attacker: “I hope you spend your whole life knowing that we think you’re a coward.”

Jailing him life with a minimum of 52 years, Mr Justice Goose said it was highly unlikely Rudakubana would ever be released.

Some family members could be heard to take an audible breath as the sentence was announced. Outside court, they held hands and hugged.

Later, police lined the street as Rudakubana’s prison van was set to leave the court. The killer, who will likely serve his sentence in a maximum security jail, will not be eligible to apply for parole until 2077.

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