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“I am a horrible evil person… I AM EVIL I DID THIS.” These were nurse Lucy Letby’s own words, written on a piece of notepaper found by police investigating the deaths of babies on her unit. “I don’t deserve to live. I killed them on purpose because I’m not good enough to care for them.”

Lucy Letby is a serial killer, the most prolific child murderer of modern times in the UK; her name now forever associated with the likes of other medical monsters such as GP Harold Shipman and nurse Beverley Allitt. She is also one of the most prolific female serial killers in British history, alongside the likes of Rose West and Moors murderer Myra Hindley.

After a complex and harrowing trial lasting more than nine months, jurors found her guilty of murdering seven infants and attempting to murder six more – one of them twice – during a year-long period between 2015 and 2016, while working on the Countess of Chester’s neonatal unit.

lucy letby

In pictures taken at work and socially, Letby, 33, is smiling, carefree-looking, apparently happy. You might describe her as someone who looks “nice” or “kind” or “friendly” or like a million other young women, about as far-removed as you could get from the image of a serial killer that would spring to mind for most.

The motivation behind such an horrific killing spree, taking the lives of tiny babies who didn’t stand a chance, is unfathomable – even to some experts who have spent years profiling murderers.

Dr Sohom Das, a consultant forensic psychiatrist whose work takes him into prisons and secure hospitals such as Broadmoor, says Letby doesn’t fit any “typical” killer profiles. Having assessed several women who have killed babies – usually mothers – he also says most are usually driven by psychotic beliefs.

“I’ve seen at least two or three patients who have had delusional beliefs related to schizophrenia, for example, where they believe children are marked by the devil, that they’re somehow saving them from hell or damnation,” he tells Sky News. “Lucy Letby doesn’t fit into that category. I’ve also met serial killers and they tend to be antisocial, angry, they tend to have a long criminal history of violence. Again, Lucy Letby doesn’t fit that kind of motivation.”

Beverley Allitt: ‘Angel of Death’

Former nurse Beverley Allitt is driven away from Grantham magistrates court after her appearance for the murders of four children and injuring five others.

Dr Das describes the case of Beverley Allitt – the nurse known as the “Angel of Death” who murdered four babies and attempted to kill others in Grantham, Lincolnshire, in 1991 – as “eerily similar” in terms of how the children were attacked. Letby injected air into babies’ bloodstreams and overdosed them with insulin, as did Allitt.

However, he does not believe the motivation to be the same. Allitt drew attention to the babies being ill, he says, and wanted attention herself, while Letby did the opposite.

“[Allitt] had Munchausen by proxy – when someone fakes illnesses in other people, usually their own kids, because they like to be connected to the process of ‘being victims’, they like the empathy and sympathy,” he says. “I don’t think Lucy Letby fits that pattern because she wasn’t trying to seek attention.”

Read more on Lucy Letby:
Parents of twin boys criticise hospital bosses
Nurse may have killed others, families told
Mother fears Letby harmed baby in act of revenge

One theory put forward by the prosecution during her trial was that Letby “sabotaged” the care of one baby boy – one of two triplets she murdered – to get the attention of a doctor she had a crush on.

But Beatrice Yorker, a professor emerita of nursing and criminal justice and criminalistics at California State University in Los Angeles, agrees it does not appear as if the nurse was seeking attention.

She highlights the case of Richard Angelo, a nurse who was convicted of killing four patients and suspected of causing more deaths in New York in 1987. “When they arrested him… he admitted it. He said, ‘I do it for the respect that I get from my nursing and doctor colleagues because I perform very well in a code’ (cardiac arrest)…

“I haven’t read anything about Lucy Letby that indicates she wanted to be the centre of attention, that she enjoyed resuscitation of the infants. She seemed much more clandestine and deceitful. Kind of sadistic, maybe.”

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‘They could have stopped her’

Professor Yorker, who has studied more than 130 cases globally of health professionals who kill, says one motive, if not attention, “seemed to be… an act of covert violence or sadism” as the perpetrators found themselves in a position of power.

“They realise that you don’t have to bludgeon somebody, you don’t have to shoot somebody. It is a very powerful way to kill somebody, just to give them a few extra drops of a substance that can make their heart stop. And you don’t even have to prick them with a needle, you inject it into their IV line. That’s a lot of power for people who might have a propensity to kill people or injure people or be violent in a very, very covert way.”

‘Dr Death’ Harold Shipman

Harold Shipman

Harold Shipman is one of the UK’s most notorious serial killers. A GP in Hyde, Greater Manchester, he was convicted in 2000 of murdering 15 people between 1995 and 1998, but is suspected to have potentially killed as many as 250 between 1975 and 1998.

He had a “God complex”, says Dr Das. “It was like he was deciding whether to let people live or die, almost like mercy killings.” But rather than having a God complex, he believes Letby suffers from low self-esteem and self-confidence, related to depression and anxiety.

“This kind of offence is so rare anyway, but of the times that it has occurred there are so many typical pigeonholes and criteria and oddly to me, Lucy Letby doesn’t fit into any of them,” Dr Das continued. “So to answer the question, what is the motivation? It’s really hard to actually know. When people do things like this and don’t fit into those categories, it’s usually out of some sort of jealousy or some sort of anger.”

Read more:
How the police caught Lucy Letby
The moment of Letby’s arrest
Inside courtroom seven: The story of the nine-month trial

One of the lines in the note by Letby found by police, which was shown to the court during her trial, said she had an “overwhelming fear… I’ll never have children or marry… I will never know what it’s like to have a family… despair”.

“I think at a stretch you could say she was jealous of these happy families,” says Dr Das. “I think maybe [an explanation could be] that she is somehow connected potentially to the emotional process of grieving. She was present when a lot of these babies died, sometimes when they weren’t even her patients, it’s almost like she went out of her way to be part of that. And that’s something I’ve never heard of or seen in my clinical experience, but it’s the only logical answer I can come to.”

Murders by medics not as rare as you might think

Elizabeth Wettlaufer is escorted by police from the courthouse in Woodstock, Ont, Monday, June 26, 2017. Wettlaufer, a former Ontario nurse who murdered eight seniors in her care, was sentenced Monday to life in prison with no eligibility for parole for 25 years. The 50-year-old pleaded guilty last month to eight counts of first-degree murder, four counts of attempted murder and two counts of aggravated assault. (Dave Chidley/The Canadian Press via AP)
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Elizabeth Wettlaufer confessed to murders in Canada

In the UK, Shipman is the most well known medical killer, but in recent years there has also been Allitt and others – such as the case of ‘Devil Nurse’ Victorino Chua, who was jailed for life with a minimum of 35 years in 2015, for the murder and poisoning of patients at Stepping Hill Hospital in Stockport, Greater Manchester.

After the Letby verdicts were made public, Cheshire police confirmed they are now investigating whether the nurse could have attacked other children in her care before June 2015.

Professor Yorker says that while killers in the medical profession are rare, her research suggests there may be more than those we know about.

She highlights the “sobering” case of Canadian care home nurse Elizabeth Wettlaufer, whose crimes were only uncovered when she told someone she had been murdering and attempting to murder her elderly patients over a period of nine years.

“She would not have been caught,” Professor Yorker says. “She never did it long enough or enough to raise an index of suspicion where you go, okay, we had five deaths a year and now we’ve got 20. She would just do enough to keep it below the radar of the statisticians and risk managers who look at records and incidents of critical patient incidents and deaths.”

One question raised by Letby’s conviction is about her motivations for becoming a nurse – did she enter healthcare in order to kill? Or did this “dark side” develop only once she had started?

Dr Katherine Ramsland, an expert in serial killers who teaches forensic psychology at DeSales University in Pennsylvania, has seen both cases. “It’s a mix,” she says. “Some view healthcare agencies as places of trust where predators have advantages, others are worn down by the demands and decide to ‘reduce’ the workload or set someone up to make them look bad.”

Some can also develop “a delusional belief that they’re helping a patient”, while others see “easy prey for things like theft or self-empowerment, or even thrill,” she adds.

Is Letby a psychopath?

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Letby’s police interview and arrest

A psychopath is someone with an antisocial personality disorder, according to the NHS. This means they are manipulative, lack empathy, and often have a total disregard for the consequences of their actions.

Dr Jane Carter Woodrow, a screenwriter and member of the British Society of Criminology who has written several books about murderers and serial killers, says it would be hard to argue against this in Letby’s case. “How could she not be to be able to do those things,” she says. “It’s the most cowardly act of all killers, [to kill] a child or an elderly person.”

Dr Carter Woodrow says that “once you’ve crossed that line” and “murdered for the first time, I think it gets easier. And you see she feels emboldened as time goes on and the cases kind of escalate, particularly towards the end”.

The fact Letby pleaded not guilty also shows psychopathic traits, she says. “She could have pleaded guilty and not put the parents through this terrible trauma again. She could have spared them all these details they’ve had to sit through.”

During the trial, the jury heard how Letby told one mother, “Trust me, I’m a nurse”, as she killed one baby. She also sent a sympathy card to the parents of another she had murdered.

“I think this was about power,” says Dr Carter Woodrow. “Saying, ‘trust me, I’m a nurse’, all the time knowing what she was going to go and do… it’s like somebody with a card up their sleeve that they’re almost laughing about.”

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CPS on Letby’s ‘darker side’ behind ‘angelic smile’

But Dr Das says Letby should not necessarily be classed as a psychopath. “Psychopaths are impulsive, they lack empathy, they don’t care about the rights of other people, they’re very self-serving, self-centred. You could argue she’s all of those things but crucially, a psychopath is really manipulative and deceitful.

“A psychopath does almost everything for a reason, to benefit themselves. So if somehow killing these babies furthered her career, I suppose you could argue at a push that she was a psychopath. But it doesn’t seem like there’s any logical motivation. She’d have some psychopathic traits but I don’t think she’d be a clinical psychopath.

“Psychopaths are also criminally versatile, so a good psychopath can be violent, they lie and they manipulate. They’re often quite fraudulent and they commit other types of offences like robbery, speeding. She never did any of that, she didn’t have any kind of criminal history, there’s no history of aggression. So she just wouldn’t fit into the pattern of what a true psychopath is.”

Dr Das adds that he does not believe Letby is suffering from psychosis and that she knew what she was doing. Dr Ramsland agrees: “She doesn’t seem psychotic, so she would likely have some sense of her behaviour and the way society evaluates it. Whether she would feel remorse is a different question.”

‘High shame, high denial’

The note written by Letby is an example of “high shame, high denial”, says Professor Yorker, something which applies to “child abusers, paedophiles who act out on their interests, and healthcare killers – and it applies to addiction”.

The 12 steps of Alcoholics Anonymous include a step to take each day at a time, she says, because “you can’t cure these high compulsive addictive disorders – you can only deter them or get into recovery where you take it a day at a time. You just say, for this day, I’m not going to act on my urge to drink, or my urge to binge and purge – or my urge to kill.”

While Letby’s note suggested she was admitting the crimes, her denials in court showed otherwise. But Dr Das says it shows “that on some level a part of her does actually feel remorse”. He continues: “People can commit horrible crimes and still feel guilty. In fact, serial killers, especially disorganised serial killers, often battle with this internal kind of conflict, so they feel compelled to go out and kill but they also feel at times guilty of their actions as well. But whatever that part is, it obviously wasn’t present enough for her to tell the truth during a criminal trial.”

Is there any chance someone like this could be rehabilitated?

Dr Ramsland says this would depend on their motivation and psychological state at the time. “Sometimes, healthcare workers are depressed or stressed, so they harm patients as a way to relieve stress or feel empowered. In that case, medication and therapy could assist to improve their behaviour. If they’re highly predatory, however, they’re unlikely to respond well to treatment.”

The difficulties detecting healthcare killers

Serial killer and former nurse Charles Cullen, right, listens as the prosecution presents its case during a hearing at Warren County Courthouse in Belvidere, New Jersey in 2004. Pic: AP Photo/The Express-Times, Joe Gill
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Serial killer and former nurse Charles Cullen murdered patients over 16 years

In 2022, the story of US serial killer Charles Cullen was dramatised in the Netflix film The Good Nurse, starring Eddie Redmayne and Jessica Chastain.

He killed patients over a 16-year period and eventually admitted to 30 to 40 murders, but the true number is thought to be closer to 400 – which would make him the most prolific serial killer in US history.

Letby started working at the Chester hospital’s neonatal unit just before her 22nd birthday – around four years before the start of the allegations in the trial – and colleagues raised suspicions more than a year before bosses contacted the police.

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Professor Yorker says such crimes by healthcare workers may take longer to uncover than say, those by serial killers who stab their victims, as they are usually not as obvious until numbers start stacking up. “We can’t predict, we can’t know why somebody that has antisocial tendencies would cross the line to do this. It makes it really hard to detect.”

Another reason for delays in catching healthcare killers is that society is conditioned to believe certain groups of people are “good”, she says. “For example, the Catholic priesthood, the Boy Scouts. We as a society have been in denial for years where we think really good, upstanding citizens like a Catholic priest or a Boy Scout leader could possibly be molesting children.”

This conditioning can be even higher for women, as women make up such a small percentage of killers, she adds. “This is a feminine form of abuse, even though there are quite a few male doctors and male nurses who engage in healthcare serial killing. We as a society recognise masculine forms of violence – bludgeoning, shooting, stabbing, strangling, raping, those kinds of acts are overtly aggressive. What we as a society do not recognise are the covert or the feminine forms of violence – smothering, injecting, poisoning.”

And while people may think serial killers or psychopaths might stand out, Dr Carter Woodrow says it is often the opposite. “It is not really a question of looking different. It’s looking the same as everyone else – and that’s how you fool people.”

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Russell Brand charged with rape and sexual assault

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Russell Brand charged with rape and sexual assault

Russell Brand has been charged with rape and two counts of sexual assault between 1999 and 2005.

The Metropolitan Police say the 50-year-old comedian, actor and author has also been charged with one count of oral rape and one count of indecent assault.

The charges relate to four women.

He is due to appear at Westminster Magistrates’ Court on Friday 2 May.

Police have said Brand is accused of raping a woman in the Bournemouth area in 1999 and indecently assaulting a woman in the Westminster area of London in 2001.

He is also accused of orally raping and sexually assaulting a woman in Westminster in 2004.

The fourth charge alleges that a woman was sexually assaulted in Westminster between 2004 and 2005.

Police began investigating Brand, from Oxfordshire, in September 2023 after receiving a number of allegations.

Read more from Sky News:
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The comedian has previously denied the accusations, and said all his sexual relationships were “absolutely always consensual”.

Met Police Detective Superintendent Andy Furphy, who is leading the investigation, said: “The women who have made reports continue to receive support from specially trained officers.

“The Met’s investigation remains open and detectives ask anyone who has been affected by this case, or anyone who has any information, to come forward and speak with police.”

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Last UK blast furnaces days from closure as Chinese owners cut off crucial supplies

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Last UK blast furnaces days from closure as Chinese owners cut off crucial supplies

​​​​​​​The last blast furnaces left operating in Britain could see their fate sealed within days, after their Chinese owners took the decision to cut off the crucial supply of ingredients keeping them running. 

Jingye, the owner of British Steel in Scunthorpe, has, according to union representatives, cancelled future orders for the iron ore, coal and other raw materials needed to keep the furnaces running.

The upshot is that they may have to close next month – even sooner than the earliest date suggested for its closure.

Read more: Thousands of jobs at risk as British Steel consults unions over closure

The fate of the blast furnaces – the last two domestic sources of virgin steel, made from iron ore rather than recycled – is likely to be determined in a matter of days, with the Department for Business and Trade now actively pondering nationalisation.

The upshot is that even as Britain contends with a trade war across the Atlantic, it is now working against the clock to secure the future of steelmaking at Scunthorpe.

British Steel proceesing

The talks between the government and Jingye broke down last week after the Chinese company, which bought British Steel out of receivership in 2020, rejected a £500m offer of public money to replace the existing furnaces with electric arc furnaces.

More on China

The sum is the same one it offered to Tata Steel, which has shut down the other remaining UK blast furnaces in Port Talbot and is planning to build electric furnaces – which have far lower carbon emissions.

These steel workers could soon be out of work
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These steel workers could soon be out of work

However, the owners argue that the amount is too little to justify extra investment at Scunthorpe, and said last week they were now consulting on the date of shutting both the blast furnaces and the attached steelworks.

Since British Steel is the main provider of steel rails to Network Rail – as well as other construction steels available from only a few sites in the world – the closure would leave the UK more reliant on imports for critical infrastructure sites.

British Steel in action

However, since the site belongs to its Chinese owners, a decision to nationalise the site would involve radical steps government officials are wary of taking.

They also fear leaving taxpayers exposed to a potentially loss-making business for the long run.

British Steel

The dilemma has been heightened by the sharp turn in geopolitical sentiment following Donald Trump’s return to the White House.

The incipient trade war and threatened cut in American support to Europe have sparked fresh calls for countries to act urgently to secure their own supplies of critical materials, especially those used for defence and infrastructure.

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Gareth Stace, head of UK Steel, the industry lobby group, said: “Talks seem to have broken down between government and British Steel.

“My advice to government is: please, Jonathan Reynolds, Business Secretary, get back round that negotiating table, thrash out a deal, and if a deal can’t be found in the next few days, then I fear for the very future of the sector, but also here for Scunthorpe steelworks.”

British Steel declined to comment.

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Prince Andrew’s Pitch@Palace branded ‘crude attempt to enrich himself’ as Chinese spy documents set to be released

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Prince Andrew's Pitch@Palace branded 'crude attempt to enrich himself' as Chinese spy documents set to be released

Prince Andrew’s efforts to make money from his Pitch@Palace project have been branded as a “crude attempt to enrich himself” at the expense of “unsuspecting tech founders”, as new documents may shed more light on what he and his team have been attempting to sell.

Today is the deadline for documents to be released relating to Prince Andrew‘s former senior adviser Dominic Hampshire and his interactions with the alleged Chinese spy Yang Tengbo.

In February, an immigration tribunal heard how the intelligence services had contacted Mr Hampshire about Mr Yang back in 2022. Mr Yang helped set up Pitch@Palace China, a branch of the duke’s scheme to help young entrepreneurs.

The alleged Chinese spy, Yang Tengbo, has links with Prince Andrew
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The alleged Chinese spy, Yang Tengbo, has links with Prince Andrew

Pic: Pitch@Palace
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Yang Tengbo. Pic: Pitch@Palace

Judges banned Mr Yang from the UK, saying his association with a senior royal had made Prince Andrew “vulnerable” and posed a threat to national security. Mr Yang challenged that decision at the Special Immigration Appeals Commission (SIAC).

Since that hearing, media organisations have applied for certain documents relating to the case and Mr Hampshire’s support for Mr Yang to be made public. SIAC agreed to release some information of public interest. It is hoped they may include more details on deals that he was trying to do on behalf of Prince Andrew.

So what do we know about potential deals for Pitch@Palace so far?

In February, Sky News confirmed that palace officials had a meeting last summer with tech funding company StartupBootcamp to discuss a potential tie-up between them and Prince Andrew relating to his Pitch@Palace project.

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The palace wasn’t involved in the fine details of a deal but wanted guarantees to make sure it wouldn’t impact the Royal Family in the future. Sky News understands from one source that the price being discussed for Pitch was around £750,000 – there are, however, reports that a deal may have stalled.

Photos we found on the Chinese Chamber of Commerce website show an event held in Asia between StartupBootcamp and Innovate Global, believed to be an offshoot of Pitch.

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Who is alleged Chinese spy, Yang Tengbo?

Documents, released in relation to the investigations into Mr Tengbo, have also shown how much the duke has always seen Pitch as a way of potentially making money. One document from 21 August 2021 clearly states “the duke needed money at the time, and saw the relationships with China through Pitch as one possible source of funding”.

But Prince Andrew’s apparent intention to use Pitch to make money has led to concerns about whether he is unfairly using the contacts and information he gained when he was a working royal.

Norman Baker, former MP and author of books on royal finances, believes it is “a crude attempt to enrich himself” and goes against what the tech entrepreneurs thought they were signing up for.

Read more:
Who is Yang Tenbo?
Virginia Giuffre says she has days to live
Emails between Andrew and Epstein revealed

He told Sky News: “The data given by these business people was given on the basis it was an official operation and not something for Prince Andrew, and so in my view, Prince Andrew had no right legally or morally to take the data which has been collected, a huge amount of data, and sell it…

“And quite clearly if you’re going to sell it off to StartupBootcamp, that is not what people had in mind. The entrepreneurs who joined Pitch@Palace did not do so to enrich Prince Andrew,” he said.

Rich Wilson was one tech entrepreneur who was approached at the start of Pitch@Palace to sign up, but he stepped away when he spotted a clause in the contract saying they’d be entitled to 2% equity in any funding he secured.

He feels Prince Andrew is continuing to use those he made a show of supporting.

He said: “It makes me feel sick. I think it’s terrible – that he is continuing to exploit unsuspecting tech founders in this way. A lot of them, I’m quite grey and old in the tooth now, I saw it coming, but clearly most didn’t. And a lot of them were quite young.

“It’ll be their first venture and you’re learning on the trot, so to speak. So to take advantage of people in such a major way – that’s an awful, sickening thing to do.”

We approached StartupBootcamp who said they had no comment to make, and the Duke of York’s office did not respond.

With reports that a deal may have stalled, it could be a big setback for the duke – especially with questions still about how he’ll continue to pay for his home on the Windsor estate now that the King no longer gives him financial support.

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