She said “much more should have been done” after three babies had died within a short space of time in similar circumstances.

“Had prompt and effective action been taken at that time,” the mother said, “so many other babies would have survived or not have suffered enduring life-changing harm.

“How many babies needed to die or be seriously harmed for action to be taken to stop Lucy Letby? Sadly, we all now know the answer.

“People paid huge salaries allowed this to happen. They made doctors apologise to Lucy Letby when she had murdered babies and continued to harm other babies.

“The Countess of Chester Hospital was totally blinded by self-preservation that they forgot why they exist – to remain true to the Hippocratic oath.”

Letby, 34, from Hereford, will spend the rest of her life in prison after being convicted of murdering seven babies and attempting to murder seven others.

The inquiry, being chaired in Liverpool by High Court judge Lady Justice Thirlwall, is expected to sit until early next year.

Her findings are expected to be published by the late autumn of 2025.

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