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NHS patients’ lives will continue to be “at risk” unless whistleblowing laws are changed in the wake of missed chances to catch killer nurse Lucy Letby, the health service ombudsman has told Sky News.

Executives at the Countess of Chester Hospital, where Letby worked, failed to act on repeated concerns raised about her by doctors who linked the neonatal nurse to a growing number of unexplained deaths.

The government has announced an inquiry into how Letby was able to murder seven babies and attempt to kill six others.

Speaking in the wake of the case, Ombudsman Rob Behrens warned: “We know that routinely 11,000 people die avoidably each year in the NHS.

“We know that the NHS spends millions of pounds in litigation in cases involving perinatal death and other forms of mortality in the NHS.

“And so, it’s going to continue to happen unless everyone gets together under the leadership of ministers to address these issues. And there are no quick fixes.

“There needs to be changes to the law to enable whistleblowers not to be fobbed off and threatened in the way that happened in this case.”

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Letby: Why were the warnings ignored?

Mr Behrens said concerns raised about Letby were not acted on because of a “defensive culture” in the NHS which puts “the reputation of the trust above patient safety”.

He said: “We’ve seen it too many times. In too many places, where clinicians are stigmatised because they want to raise patient safety issues.

“And instead of being listened to time and again, what happens is that they are bullied, threatened, and then ultimately reported to the regulatory body the GMC in a disciplinary way.”

He added: “There is a culture which puts the reputation of trust in the NHS above the issue of patient safety.

“And turning that round is immensely difficult, but it is there and we have to learn from disclosures, by clinicians, by managers, by independent reports, principally by users of the service, by patients.

“And what is of great concern to me, as well as the adversarial culture which exists, is that we know that too many times, families and patients are not listened to. And there’s a lack of empathy and compassion”.

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Did hospital fail Letby victims?

Read more:
How police caught Lucy Letby
Inside killer nurse’s bedroom
The ‘average’ nurse who became serial killer

Mr Behrens has written to the health secretary to add his voice to those, including bereaved families, calling for the inquiry into the Letby case to be a statutory inquiry where witnesses would be compelled to give evidence.

He has yet to receive a reply and is not confident of receiving a response from Steve Barclay.

Mr Behrens is not convinced a report into the failings at the Countess of Chester Hospital will prevent a repeat of yet another maternity scandal in the future, unless swift action is taken to enforce systemic change.

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Letby: Hospital doctor speaks out

Since 2015, three major inquiries have exposed the catastrophic failures that led to babies being harmed or dying at the Morecambe Bay, Shrewsbury and Telford and East Kent NHS hospital trusts.

A fourth inquiry into the Nottingham hospital trust is now under way.

“I think that just commissioning reports and hoping they will be implemented is not the answer,” he said.

“I think Bill Kirkup has made that clear from his report into East Kent, where he’s basically saying things that happened 15 years ago which he reported on in Morecambe Bay and nothing has changed.

“So this is about the leadership of the NHS, ministers, boards, managers, NHS England, not sufficiently addressing the culture and what is necessary to deal with that transformation.

“I’m not interested in blame. You know, the courts are about blame. They’ve done that in the Letby case.

“What I want to see happen is that there is learning from the fact that here and elsewhere, the board failed to intervene when they had the opportunity to do so, that senior managers had the mindset that the way to deal with this was to say no, this is not an issue.”

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‘They know Britain is a soft country’: The visa overstayers living under the radar

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'They know Britain is a soft country': The visa overstayers living under the radar

Ramesh lives in fear every day. A police siren is enough to alarm him.

He’s one of up to 400,000 visa overstayers in the UK, one lawyer we spoke to believes.

It’s only an estimate because the Home Office has stopped collecting figures – which were unreliable in the first place.

Britain is being laughed at, one man told us, “because they know it’s a soft country”.

'Ramesh' came to the UK from India
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‘Ramesh’ came to the UK from India

We meet Ramesh (not his real name) at a Gurdwara, a Sikh place of worship, where he goes for food and support.

He insists he can’t return to India where he claims he was involved in political activism.

Ramesh says he came to the UK on a student visa in 2023, but it was cancelled when he failed to continue his studies after being involved in a serious accident.

He tells us he is doing cash-in-hand work for people who he knows through the community where he is living and is currently working on a house extension where he gets paid as little as £50 for nine hours labouring.

“It’s very difficult for me to live in the UK without my Indian or Pakistani community – also because there are a lot of Pakistani people who give me work in their houses for cleaning and for household things,” he adds.

‘What will become of people like us?’

Anike has lived in limbo for 12 years.

Now living in Greater Manchester, she came to the UK from Nigeria when her sister Esther was diagnosed with a brain tumour – she had a multi-entry visa but was supposed to leave after three months.

Esther had serious complications from brain surgery and says she is reliant on her sister for care.

Immigration officials are in touch with her because she has to digitally sign in every month.

Anike has had seven failed applications for leave to remain on compassionate grounds refused but is now desperate to have her status settled – afraid of the shifting public mood over migration.

“Everybody is thinking ‘what will become of people like us?'” she adds.

It’s a shambles’

The government can’t say with any degree of accuracy how many visa overstayers there are in Britain – no data has been collated for five-and-a-half years.

But piecing together multiple accounts from community leaders and lawyers the picture we’ve built is stark.

Immigration lawyer Harjap Singh Bhangal told us he believed there could be several hundred thousand visa overstayers currently in Britain.

He says: “At this time, there’s definitely in excess of about 200,000 people overstaying in the UK. It might even be closer to 300,000, it could even be 400,000.”

Asked what evidence he has for this he replies: “Every day I see at least one overstayer, any immigration lawyers like me see overstayers and that is the bulk of the work for immigration lawyers.

The Home Office doesn’t have any accurate data because we don’t have exit controls. It’s a shambles. It’s an institution where every wall in the building is cracked.”

The number of those who are overstaying visas and working cash in hand is also virtually impossible to measure.

‘They know Britain is a soft country’

“They’re laughing at us because they know Britain is a soft country, where you won’t be picked up easily,” says the local man we’ve arranged to meet as part of our investigation.

We’re in Kingsbury in northwest London – an area which people say has been transformed over the past five years as post-Brexit visa opportunities opened up for people coming from South Asia.

‘Mini-Mumbai’

The man we’re talking to lives in the community and helps with events here. He doesn’t want to be identified but raises serious questions about visa abuse.

“Since the last five years, a huge amount of people have come in this country on this visiting visa, and they come with one thing in mind – to overstay and work in cash,” he says.

“This area is easy to live in because they know they can survive. It looks like as if you are walking through mini-Mumbai.”

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‘The system is more than broken’

‘It’s taxpayers who are paying’

And he claims economic migrants are regularly arriving – who’ve paid strangers to pretend they’re a friend or relative in order to obtain a visitor visa to get to Britain.

He says: “I’ve come across so many people who have come this way into this country. It’s widespread. When I talk to these people, they literally tell me, ‘Oh, someone is coming tomorrow, day after tomorrow, someone is coming’.

“Because they’re hidden they may not be claiming benefits, but they can access emergency healthcare and their children can go to school.

“And who is paying for it? It’s the taxpayers who are paying for all this,” says the man we’ve met in north London.

Read more from Sky News:
Net migration figures hit four-year low
How Denmark may inspire UK asylum reforms

A Home Office spokesperson said: “We will not tolerate any abuse of our immigration system and anyone found to be breaking the rules will be liable to have enforcement action taken against them.

“In the first year of this government, we have returned 35,000 people with no right to be here – a 13% rise compared to the previous year.

“Arrests and raids for illegal working have soared to their highest levels since records began, up 63% and 51%.”

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The government doesn’t know how many people are overstaying their visas – here’s why

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The government doesn't know how many people are overstaying their visas - here's why

The government can’t say with accuracy how many visa overstayers there are in Britain – no data has been collated for five-and-a-half years.

Sky News has spoken to immigration lawyers about the numbers, and one believes there could be as many as 400,000 living across the country.

Harjap Singh Bhangal described the situation as a “shambles”.

The Home Office doesn’t have any accurate data because we don’t have exit controls. It’s a shambles. It’s an institution where every wall in the building is cracked,” he told Sky’s Lisa Holland.

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The visa overstayers in ‘soft’ Britain

Why doesn’t the government know?

The Home Office used to gather data on visa overstayers by effectively checking a list of passport numbers associated with visas against a list of passport numbers of people leaving the UK, taken from airlines and other international travel providers.

If there was a passport number match in the arrivals and departures part of their database, that person was recorded to have left when they should have. If there wasn’t, they were a potential overstayer.

They stopped producing the figures because a combination of Brexit and COVID added complications that made the Home Office conclude they wouldn’t be able to get to a reliable number using the same method.

It’s now four and a half years since EU citizens had freedom of movement to the UK revoked, and more than three and a half years since pandemic-era travel restrictions ended.

And yet we are still waiting to see what a new method might look like.

Read more from Sky News:
Is this what the beginning of a war looks like?
There’s one big problem with Australia’s social media ban

The old method wasn’t perfect. If someone changed their passport while in the UK, for example, or if the airline or individual entered the number wrong when they were leaving, there wouldn’t be a match.

The Home Office regarded the statistics as likely overestimating the true number of overstayers, and the Office for National Statistics designated the figures as “experimental” rather than “official” statistics, meaning the conclusions should be treated with caution. But they were a reasonable best guess.

With all that in mind, between April 2016 and March 2020 upwards of 250,000 people were flagged as potential overstayers, equivalent to 63,000 per year.

That’s more than the 190,000 people who are recorded to have arrived in the UK on small boats since 2018.

It represents 3.5% of the seven million visas that expired over that period, so at least 96.5% of people left when they should.

Other Home Office data reveals that more than 13 million visas were issued between 2020 and the end of June 2025, including a record 3.4 million in 2023.

But what we don’t know is how many have expired, which means it’s difficult for us to even guess how many people might have overstayed.

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‘Exceptional’ British soldier killed in Ukraine accident pictured

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British soldier killed in Ukraine named - as Trump exchanges 'strong words' with Kyiv's allies

The Ministry of Defence have shared a picture of the British soldier who was killed in a “tragic accident” in Ukraine, as Volodymyr Zelenskyy prepares to give Donald Trump a revised plan for peace with Russia.

The Ukrainian president said his delegation is set to hand Kyiv’s proposal to Washington in the “near future”, ahead of talks between European leaders over the plan next week.

But they will comes after Mr Trump called European leaders “weak” and criticised them for failing to end the war between Russia and Ukraine.

As it happened: Soldier who died in Ukraine pictured for first time

Meanwhile, tributes have come in for Lance Corporal George Hooley, a 28-year-old paratrooper who died on Tuesday while observing Ukrainian forces testing a new defensive capability away from the frontline.

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Is Europe’s transatlantic relationship with America on life support?

The MoD said he joined the army in November 2015 and was regarded as “an exceptional soldier and an impressive junior leader with extensive operational experience”.

In a statement released through the ministry, Lance Corporal Hooley’s commanding officer said that the paratrooper had had an “incredibly bright” future in the Parachute Regiment.

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“I have no doubt that he would have continued to perform at the very front of his peer-group over the coming years,” they added.

“All members of The Parachute Regiment mourn his loss; however, our sorrow is nothing compared to that being felt by his family, our thoughts and prayers are with them at this incredibly difficult time.”

Lance Corporal George Hooley with his dog Mabel. Pic: Ministry of Defence
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Lance Corporal George Hooley with his dog Mabel. Pic: Ministry of Defence

‘If you met George Hooley, you remembered it’

The company commander added: “If you met George Hooley, you remembered it.” They said the paratrooper had a “rare gift” and was a “model of professionalism”.

Britain’s Defence Secretary John Healey said the Lance Corporal “served our country with distinction and professionalism” and was “an exceptional soldier who will be very deeply missed”.

“The tributes that have been paid to him are a testament to his exceptional attitude and ability,” Mr Healey said. “George’s tragic death reminds us of the courage and commitment with which our outstanding armed forces serve every day to protect our nation.”

Zelenskyy: Ukraine to share peace plan in ‘near future’

Mr Zelenskyy said that Ukraine was finalising a 20-point peace document to share with the United States.

“We are working very productively to guarantee future security and prevent a recurrence of Russian aggression,” he said.

But Mr Trump had accused Mr Zelenskyy of not reading the original American-backed version of the peace proposal, and in an interview with Politico on Tuesday, claimed the Ukrainian president was “using war” to avoid holding an election.

Read more: Trump’s 28-point Ukraine peace plan in full

Later on Wednesday, Mr Zelenskyy said Kyiv’s peace delegation held a “productive conversation” with the US, and “discussed key issues for recovery, various mechanisms, and visions of reconstruction”.

Prime Minister Sir Keir Starmer, German Chancellor Friedrich Merz and French President Emmanuel Macron also spoke with the US president by phone on Wednesday.

In Ukraine shelling at a hospital in the occupied southern Kherson region killed three medical workers and injured two others, according to a governor installed by Russia.

And on Wednesday morning, Ukraine said its energy infrastructure had been targeted by Russian drone strikes in the southern Odesa region.

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