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Child killer Lucy Letby’s refusal to attend court for the conclusion of her trial has sparked outrage – and calls for changes in the law.

Letby, who was found guilty of murdering seven newborn babies and attempting to murder six others, was only present for two of the four days verdicts were delivered – and refused to return to the dock for her sentencing.

Some of the victims’ families, campaigners and the prime minister have described her behaviour as “cowardly” and a “slap in the face”.

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Court hears traumatic testimony

What are the rules?

The rules around defendants appearing in court are laid out in guidance from the Crown Prosecution Service (CPS).

There are no laws that make it a legal obligation – but the default is that they are expected to attend.

Some of the families in the Letby case along with Cheryl Korbel – the mother of nine-year-old Olivia Pratt-Korbel who was shot dead by Thomas Cashman – are calling for a new law that would close the loophole.

According to the CPS, there may be a good reason for the defendant not to attend court – for example if they are unwell or claim to be unwell.

Felicity Gerry KC, an international barrister and professor of legal practice, tells Sky News often young people do not attend court for fear that they won’t get bail and will therefore lose their homes and be sent straight to prison.

But when there is deemed to be no good reason, the judge can make an order to compel them to attend.

If they are on bail this will mean a warrant for their arrest so they can be brought to court. If they are already in custody, they can order the prison governor where they are being held to get their officers to “use force to secure attendance”.

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Judge sentences killer nurse

What happens when force is used?

If both the judge and the prison governor have agreed the prisoner should attend, a team of typically three prison officers will be sent to their cell door, according to Ian Acheson, a former prison governor and Home Office official.

Once they explain the judge has made the order, most people comply, he says.

“If it’s made clear to the offender that they’ll be going to court, you exclude the possibility of refusal for around 95% of them. You get a bit of a feedback loop where they accept it’s going to happen.

“And guilty people who experience and express remorse usually want the opportunity to be able to see or speak to their victims or their families.”

But if “persuasion fails”, Mr Acheson explains: “That person would be physically restrained with the purpose of putting them in handcuffs.”

He adds: “Force is a very tightly governed thing. But prison officers have all the same powers as a police constable at that point and can use the same force as they can.”

In the face of violence, officers are dressed in personal protective equipment and can also use leg restraints.

They then take the prisoner in handcuffs to a prison van so they can be driven to court and placed in cells inside the court building.

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Letby sentencing no-show ‘disgusting’

Why might a prisoner still not come to the dock?

Even once prison staff have driven the defendant to court, they can still refuse to leave the cells.

“The judge would be informed the prisoner has resisted,” Mr Acheson says. “But then in theory it’s for the judge to then say: ‘I care’ or ‘I don’t care – bring them to court’.”

Reasons for not forcing them to the dock include the risk they could use the opportunity to “retraumatise victims” or “turn it into a circus”, which can often be the case among terrorists, according to Mr Acheson.

Wendy Joseph, a former Old Bailey judge, tells Sky News judges try to avoid these situations at all costs as they can be “devastating” for victims’ families.

But Mr Acheson believes that current guidance allows defendants to manipulate the system.

“As far I understand the discretion rests with the offender, which is morally wrong. The principle needs to belong to the judge – not the perpetrator”.

A general view of Manchester Crown Court, ahead of the verdict in the case of nurse Lucy Letby, who is accused of the murder of seven babies and the attempted murder of another ten, between June 2015 and June 2016 while working on the neonatal unit of the Countess of Chester Hospital. Picture date: Monday July 10, 2023. PA Photo. See PA story COURTS Letby. Photo credit should read: Peter Byrne/PA Wire.
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Manchester Crown Court

Read more:
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How did the police catch neo-natal nurse?
Letby’s crimes ‘very similar’ to Angel of Death murders

He adds while some argue forcing people to appear is “uncivilised”, in the case of Letby, he believes: “It’s more uncivilised to murder babies.”

“The occasions where it would be inappropriate are tiny in my opinion – and in Letby’s case there’s nothing significant that speaks to that.”

Professor Gerry, however, says the system needs to keep a sense of humanity for defendants – as well as victims.

“We’re not a country that shackles people and drags them to court as some kind of medieval practice. Reasons for refusal can be very complicated. I think it’s very dangerous to start calling for people to be forced to court.”

Lucy Letby van
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A prison van arriving at Manchester Crown Court believed to have Lucy Letby inside

Why is sentencing so important?

Guidance on compelling people to come to court varies according to the offence and point in proceedings.

Mr Acheson says that in line with fair justice principles – judges should only be able to demand attendance once someone has been convicted, which means they wouldn’t have to be there for the verdicts being delivered.

Sentencing hearings are among the “most significant” for victims and their loved ones, because recently introduced impact statements allow them to show the perpetrator the effect their crimes have had on them.

And in the Letby case, this form of restorative justice is particularly important, Mr Acheson adds.

“People have been so grievously harmed by her – they deserve to look her in the eye and say ‘this is what you’ve done to me’.”

Judge Mr Justice Goss said in his sentencing remarks Letby will be given a transcript of them – along with the victim impact statements.

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Minister calls for sentencing change

So what could be changed?

In recent years a trend has emerged of criminals refusing to attend court – despite the serious nature of their crimes.

Examples include Koci Selamaj, who did not attend his sentencing for the murder of Sabina Nessa in London, and Cashman, who refused to appear after killing Olivia Pratt-Korbel in Liverpool.

Her mother’s Face The Family campaign is calling for the legal loophole to be closed.

Children’s minister Claire Coutinho has told Sky News “more law is probably required”. “The justice secretary [Alex Chalk] said he’s very committed to making sure these laws are in place,” she said.

Former Justice Secretary Robert Buckland said the new Victims and Prisoners Bill – which is going through parliament – could provide the answer.

He suggested this could include forcing defendants to watch proceedings via video link from their cells – something Mr Acheson describes as a “silly distraction”.

Legal commentator Joshua Rozenberg said the only options available are dragging people by force – or threatening them with longer prison sentences – neither of which he agrees with.

“There’s no point in imposing a prison sentence on someone who’s going to be in prison for the rest of their lives,” he told Sky News.

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Ryland Headley: Man, 92, who raped and murdered Louisa Dunne in Bristol nearly 60 years ago, jailed for life

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Ryland Headley: Man, 92, who raped and murdered Louisa Dunne in Bristol nearly 60 years ago, jailed for life

A 92-year-old man has been sentenced to life with a minimum term of 20 years in prison for the rape and murder of an elderly widow nearly 60 years ago.

Ryland Headley was found guilty on Monday of killing 75-year-old Louisa Dunne at her Bristol home in June 1967, in what is thought to be the UK’s longest cold case to reach trial, and has been told by the judge he “will die in prison”.

The mother-of-two’s body was found by neighbours after Headley, then a 34-year-old railway worker, forced his way inside the terraced house in the Easton area before attacking her.

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The UK’s longest cold case to reach trial

Police found traces of semen and a palm print on one of the rear windows inside the house – but it was about 20 years before DNA testing.

The case remained unsolved for more than 50 years until Avon and Somerset detectives sent off items from the original investigation and found a DNA match to Headley.

He had moved to Suffolk after the murder and served a prison sentence for raping two elderly women in 1977.

Prosecutors said the convictions showed he had a “tendency” to break into people’s homes at night and, in some cases, “target an elderly woman living alone, to have sex with her despite her attempts to fend him off, and to threaten violence”.

Louisa Parker (later Dunne) in 1933. Pic: Avon and Somerset Constabulary
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Louisa Dunne in 1933. Pic: Avon and Somerset Constabulary

Headley during his arrest. Pic: Avon and Somerset Constabulary
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Headley during his arrest. Pic: Avon and Somerset Constabulary

Headley, from Ipswich, who did not give evidence, denied raping and murdering Ms Dunne, but was found guilty of both charges after a trial at Bristol Crown Court.

Detectives said forces across the country are investigating whether Headley could be linked to other unsolved crimes.

Mrs Dunne’s granddaughter, Mary Dainton, who was 20 when her relative was killed, told the court that her murder “had a big impact on my mother, my aunt and her family.

“I don’t think my mother ever recovered from it. The anxiety caused by her mother’s brutal rape and murder clouded the rest of her life.

“The fact the offender wasn’t caught caused my mother to become and remain very ill.

“When people found out about the murder, they withdrew from us. In my experience, there is a stigma attached to rape and murder.”

The front of Louisa Dunne's home. Pic: Avon and Somerset Constabulary
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The front of Louisa Dunne’s home. Pic: Avon and Somerset Constabulary

Louisa Dunne's skirt. Pic: Avon and Somerset Constabulary
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Louisa Dunne’s skirt. Pic: Avon and Somerset Constabulary

Finding out her grandmother’s killer had been caught after almost six decades “turned my life upside down,” she said.

“I feel sad and very tired, which has affected the relationships I have with those close to me. I didn’t expect to deal with something of such emotional significance at this stage of my life.

“It saddens me deeply that all the people who knew and loved Louisa are not here to see that justice has been done.”

Palmprint images. Pic: Avon and Somerset Constabulary
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Palmprint images. Pic: Avon and Somerset Constabulary

After her statement, Mr Justice Sweeting told Mrs Dainton: “It is not easy to talk about matters like this in public.

“Thank you very much for doing it in such a clear and dignified way.”

The judge told Headley his crimes showed “a complete disregard for human life and dignity.

“Mrs Dunne was vulnerable, she was a small elderly woman living alone. You treated her as a means to an end.

“The violation of her home, her body and ultimately her life was a pitiless and cruel act by a depraved man.

“She must have experienced considerable pain and fear before her death,” he said.

Sentencing Headley to life imprisonment with a minimum term of 20 years, the judge told him: “You will never be released, you will die in prison.”

Detective Inspector Dave Marchant of Avon and Somerset Police said Headley was “finally facing justice for the horrific crimes he committed against Louisa in 1967.

“The impact of this crime has cast a long shadow over the city and in particular Louisa’s family, who have had to deal with the sadness and trauma ever since.”

The officer praised Ms Dainton’s “resilience and courage” during what he called a “unique” case and thanked investigators from his own force, as well as South West Forensics, detectives from Suffolk Constabulary, the National Crime Agency and the Crown Prosecution Service (CPS).

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Charlotte Ream, of the CPS, described Headley’s crimes as “appalling”.

She said Louisa Dunne “died in a horrifying attack carried out in the place where she should have felt safest – her own home.

“Mrs Dunne’s death continues to have a traumatic impact on her family members: the passage of time has not lessened their pain.

“For 58 years, this appalling crime went unsolved and Ryland Headley, the man we now know is responsible, avoided justice.”

Jeremy Benson KC, defending Headley, offered no personal mitigation on behalf of the defendant.

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Three members of Lucy Letby hospital’s senior leadership team arrested

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Three members of Lucy Letby hospital's senior leadership team arrested

Three managers at the hospital where Lucy Letby worked have been arrested on suspicion of gross negligence manslaughter.

They were in senior roles at the Countess of Chester Hospital in 2015 and 2016 and have been bailed pending further enquiries, Cheshire Constabulary said. Their names have not been made public.

Letby, 35, was found guilty of murdering seven children and attempting to murder seven more between June 2015 and June 2016 while working in the hospital’s neonatal unit.

Detective Superintendent Paul Hughes explained that gross negligent manslaughter focuses on the “action or inaction of individuals”.

There is also an investigation into corporate manslaughter at the hospital, which began in October 2023.

That focuses on “senior leadership and their decision-making”, Mr Hughes said. The intention there is to determine whether any “criminality has taken place concerning the response to the increased levels of fatalities”.

The scope was widened to include gross negligence manslaughter in March of this year.

lucy letby
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Lucy Letby was found guilty of murdering seven children and attempting to murder seven more

Mr Hughes said it is “important to note” that this latest development “does not impact on the convictions of Lucy Letby for multiple offences of murder and attempted murder”.

He added: “Both the corporate manslaughter and gross negligence manslaughter elements of the investigation are continuing and there are no set timescales for these.

“Our investigation into the deaths and non-fatal collapses of babies at the neo-natal units of both the Countess of Chester Hospital and the Liverpool Women’s Hospital between the period of 2012 to 2016 is also ongoing.”

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A public inquiry has also been examining the hospital’s response to concerns raised about Letby before her arrest.

In May, it was announced the inquiry’s final report into how the former nurse was able to commit her crimes will now be published early next year.

Earlier this year, lawyers for Lucy Letby called for the suspension of the inquiry, claiming there was “overwhelming and compelling evidence” that her convictions were unsafe.

In February, an international panel of neonatologists and paediatric specialists told reporters that poor medical care and natural causes were the reasons for the collapses and deaths.

Their evidence has been passed to the Criminal Cases Review Commission (CCRC), which investigates potential miscarriages of justice, and Letby’s legal team hopes her case will be referred back to the Court of Appeal.

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‘My lungs felt like they were filled with blood’: Stab victim reveals reality of knife crime

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'My lungs felt like they were filled with blood': Stab victim reveals reality of knife crime

As we pulled back the hospital curtain, he was hunched over and clearly in pain.

He had climbed off the hospital bed to greet us with a polite smile, then hobbled back to lie down again.

Every breath was uncomfortable, but he wanted to share the horrible reality of knife crime.

The young victim
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The young knife attack victim in Manchester

“I’ve never in my life been stabbed so I don’t know how it’s meant to even feel,” he said.

“The pain came when I realised the blood’s just spitting out of the side of my rib cage and that’s when I started panicking.

“My lungs felt like they were filled with blood… I thought each breath that I take, I’m going to drown in my own blood.

“I just felt as though I was slowly slipping away.”

Paramedics helped save his life and got him to the hospital in Manchester.

The young victim was clearly in pain

Sky News cannot name the young victim or go into the details of the attack because the police are investigating his case.

We were alongside a support worker called Favour, who is part of a growing team called Navigators. They go into hospitals to help young victims of violence.

While checking on how his recovery is going, she gently asked what he wanted to do next.

“You should have the right to feel safe,” she said to him.

“So don’t blame yourself for what happened… we are going to be there to help you.”

Favour talks with the victim
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Favour talks with the victim

‘Scarring and traumatic’

In a corridor outside the major trauma ward at the Manchester Royal Infirmary, Favour said: “They are often scared, often really tired from being in hospital.

“It does stay with you, not just for a couple of weeks, but it can go on for months, years, because it is something very scarring and traumatic.

“Having someone to talk to, being able to be very vulnerable with… that can lead you to find different spaces that are safe for you, can make a huge difference.”

In the adjacent Children’s Hospital in Manchester, we met the clinical lead at the Greater Manchester Violence Reduction Unit.

Support worker Favour is part of a team called Navigators
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Support worker Favour is part of a team called Navigators

Dr Rachel Jenner is a senior consultant who expanded her emergency department work into the wider mission of violence reduction after treating one particular young stab victim.

“When he arrived at the hospital, he was obviously very distressed and stressed,” she said. “A little bit later on, when things were stable, I asked him if he wanted me to call his mum.

“When I asked that question, he just kind of physically crumpled on the bed and just looked like the vulnerable child that he was, and that was really impactful for me.”

Dr Rachel Jenner
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Dr Rachel Jenner

‘Positive results’

The Violence Reduction Unit was established in 2019 with a commitment from the city’s authorities to work together better to prevent violence and deal with it efficiently when it occurs.

Dr Jenner still treats young knife crime victims, but revealed the number of stab-related admissions is falling in her hospital.

“The trend is downwards,” she confirmed. “We’ve definitely seen some positive results.”

The latest statistics in England and Wales show the number of hospital admissions for assault by a sharp object fell by 3% to 3,735 admissions in the year ending September 2024.

“We’re never complacent,” Dr Jenner said. “You reality check yourself all the time, because obviously if… someone gets stabbed, then it’s quite possible that I’ll be treating them.”

She said the Navigators are crucial to working with young patients.

“They have a really different way of engaging with young people, they’re much better at it than many other professionals,” she said.

“It’s not a one-size-fits-all model, they actually wrap around that support according to circumstances… that’s a really positive improvement.”

Tacking violence ‘like infectious disease’

Dr Jenner added: “We try and take a public health approach to violence reduction. In the same way that we would address an infectious disease, if we can use those methods and principles to look at violence.

“Not just reacting when it happens, but actually looking at how we can prevent the disease of violence, that in the long term will have a bigger impact.”

The key is teamwork, Dr Jenner said. Collaboration between the police, community leaders, victim support, health workers and people in education has noticeably improved.

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Students practise stopping a bleeding
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Students practise stopping a bleed

Children describe knife crime threat

The hospital also sends consultants into schools to teach pupils how to stop bleeds as part of an annual nationwide initiative that reaches 50,000 young people.

At a Stop The Bleed session in Bolton, Greater Manchester, we met 11 and 12-year-olds growing up with the threat of knife crime.

One Year 7 boy said: “There was a stabbing quite near where I live so it does happen, but it’s very crucial to learn how to stop this bleed and how to stop deaths.”

Another two friends talked about a boy their age who had been involved in an incident with a knife.

“No one would expect it for someone that young,” one said. “They’re just new to high school, fresh out of primary, and they shouldn’t just be doing that, too young.”

Teacher
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Sanaa Karajada

‘We are dealing with it every day’

Their school has decided to tackle the problem of knife crime head-on rather than pretend it isn’t affecting their pupils.

The pastoral lead at the school, Sanaa Karajada, told Sky News: “We are dealing with it every single day, so we have policies and procedures in place to prevent any escalations in our schools or in the community.

“It is very, very worrying and it’s upsetting that [students] are having to go through this, but you know we’ve got to be realistic… if we are shying away from it, we’re just saying it’s not a problem.

“But it is a problem within the community, it’s a problem in all of the UK.”

The government has pledged to halve knife crime within a decade.

These signs of progress may offer some hope, but there is still so much work to do.

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