She was sentenced to 14 whole-life orders and will never leave prison.
The prime minister was asked if the government inquiry into her crimes will be statutory, meaning people can be compelled to give evidence.
Ministers had previously said that “after careful consideration”, a non-statutory inquiry into the circumstances at the Countess of Chester Hospital “was found to be the most appropriate option”.
But lawyers for the bereaved families have been calling for a full statutory public inquiry to take place so there was “nowhere to hide”.
“This was one of the most despicable, horrific crimes in our history, and it’s really important that we get answers, particularly for the families of the victims,” Mr Sunak said.
“And of course, my thoughts are with them. The health secretary is taking that work forward, speaking to them to make sure we understand what they need and want and how best we can address that.
“Now, whatever form the inquiry takes, I believe it is important that it is judge-led so that it has a strong, independent voice to get to the bottom of what happened.”
Richard Scorer, from law firm Slater and Gordon which is representing two of the Letby victims’ families, welcomed the prime minister’s recommendation for a judge-led inquiry.
But he added: “It is crucial that the judge and the inquiry has the powers to compel witnesses to give evidence under oath, and to force disclosure of documents.
“For that to happen, the inquiry needs to be put on a statutory basis.
“Otherwise it will lack legal teeth and is likely to be ineffective.”
Tamlin Bolton of Switalskis Solicitors, who represent families of seven of the victims in their claims against the hospital trust, said: “We reiterate and echo the prime minister’s comments.
“We have to bear in mind that the families involved in these heinous crimes have lost confidence in the NHS and will need continual reassurance that the NHS fully comply with an inquiry.
“We are of the view that this can only be achieved by a process that is guaranteed to allow for thorough investigation. A process that has the ability to compel witness attendance and where all evidence is available to the inquiry.
“These families cannot be left to simply hope that the key information is being considered and rely on the willingness of staff to give evidence.
“It is vital that any inquiry moves with pace to ensure everything that happened on that unit and the actions of management are not repeated.”
Letby, 33, refused to attend court for the announcement of a number of guilty verdicts on Friday or for her sentencing on Monday.
Sky News understands the government is now looking at changing the law to force criminals to appear.
Developing nations can use crypto to bypass financial constraints, hedge inflation and attract investment. Emerging economies are discovering crypto’s power.
Yvette Cooper has defended the arrest of more than 500 people for holding signs supporting Palestine Action.
The home secretary said protesters over the weekend may have been objecting to Palestine Action being proscribed as a terror group because they “don’t know the full nature of this organisation”.
Ms Cooper said that could be due to reporting restrictions on court hearings “while serious prosecutions are underway”.
A total of 532 people were arrested on suspicion of supporting a proscribed organisation contrary to Section 13 of the Terrorism Act 2000.
Around half of them (259) were aged 60 and above – including almost 100 people who were in their 70s.
The Met Police said it was the largest number of arrests it had made related to a single operation in at least the past decade.
Image: A woman is dragged away by police officers after attending the Palestine Action protest in Parliament Square. Pic: PA
Ms Cooper added: “Proscription is not about protest around Palestine or Gaza, where we had tens of thousands of people protesting lawfully just this weekend about some of the horrendous events that we’ve seen in the Middle East.”
She said members of Palestine Action have carried out violent attacks, causing injuries and involving weapons and smoke bombs, “causing panic among innocent people” and major criminal damage against national security infrastructure.
The home secretary added there had been “clear security assessments and advice” before Palestine Action was proscribed as a terror organisation in July.
Palestine Action co-founder Huda Ammori said: “Yvette Cooper and No 10’s claim that Palestine Action is a violent organisation is false and defamatory.
“Spraying red paint on war planes is not terrorism. Disrupting Israel’s largest weapons manufacturer Elbit Systems by trespassing on their sites in Britain is not terrorism.”
Former government lawyer Tim Crosland, now spokesman for Defend Our Juries, which organised the weekend’s protest, told Sky News: “Yvette Cooper is so politically invested she’s going to continue to defend the arrests of people simply protesting.
“There will be more people at the next action, the police will be so aggrieved that they’re having to arrest people holding placards protesting against the atrocities in Gaza while they’re having budget cuts.”
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Will volume of arrests at protests overwhelm police?
Sir Keir Starmer’s spokesman said Palestine Action was proscribed based on “strong security advice” following assessments from a “wide range” of experts across government, the police and security services.
“Those assessments were very clear, this is not a non-violent organisation,” he said.
He added Palestine Action had committed “three separate acts of terrorism” but could not go into more detail as further evidence had been provided in a closed court setting due to “ongoing national security reasons”.
Its UK chief executive, Sacha Deshmukh, said: “The protesters in Parliament Square were not inciting violence and it is entirely disproportionate to the point of absurdity to be treating them as terrorists.
“Instead of criminalising peaceful demonstrators, the government should be focusing on taking immediate and unequivocal action to put a stop to Israel’s genocide and ending any risk of UK complicity in it.”
A hostile environment era deportation policy for criminals is being expanded by the Labour government as it continues its migration crackdown.
The government wants to go further in extraditing foreign offenders before they have a chance to appeal by including more countries in the existing scheme.
Offenders that have a human right appeal rejected will get offshored, and further appeals will then get heard from abroad.
It follows the government announcing on Saturday that it wants to deport criminals as soon as they are sentenced.
The “deport now, appeal later” policy was first introduced when Baroness Theresa May was home secretary in 2014 as part of the Conservative government’s hostile environment policy to try and reduce migration.
It saw hundreds of people returned to a handful of countries like Kenya and Jamaica under Section 94B of the Nationality, Immigration and Asylum Act 2002, added in via amendment.
In 2017, a Supreme Court effectively stopped the policy from being used after it was challenged on the grounds that appealing from abroad was not compliant with human rights.
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However, in 2023, then home secretary Suella Braverman announced she was restarting the policy after providing more facilities abroad for people to lodge their appeals.
Now, the current government says it is expanding the partnership from eight countries to 23.
Previously, offenders were being returned to Finland, Nigeria, Estonia, Albania, Belize, Mauritius, Tanzania and Kosovo for remote hearings.
Angola, Australia, Botswana, Brunei, Bulgaria, Canada, Guyana, India, Indonesia, Kenya, Latvia, Lebanon, Malaysia, Uganda and Zambia are the countries being added – with the government wanting to include more.
Image: Theresa May’s hostile environment policy proved controversial. Pic: PA
The Home Office claims this is the “the government’s latest tool in its comprehensive approach to scaling up our ability to remove foreign criminals”, touting 5,200 removals of foreign offenders since July 2024 – an increase of 14% compared with the year before.
Home Secretary Yvette Cooper said: “Those who commit crimes in our country cannot be allowed to manipulate the system, which is why we are restoring control and sending a clear message that our laws must be respected and will be enforced.”
Foreign Secretary David Lammy said: “We are leading diplomatic efforts to increase the number of countries where foreign criminals can be swiftly returned, and if they want to appeal, they can do so safely from their home country.
“Under this scheme, we’re investing in international partnerships that uphold our security and make our streets safer.”
Both ministers opposed the hostile environment policy when in opposition.
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In 2015, Sir Keir Starmer had questioned whether such a policy was workable – saying in-person appeals were the norm for 200 years and had been a “highly effective way of resolving differences”.
He also raised concerns about the impact on children if parents were deported and then returned after a successful appeal.
In today’s announcement, the prime minister’s administration said it wanted to prevent people from “gaming the system” and clamp down on people staying in the UK for “months or years” while appeals are heard.