
The case against Lucy Letby — the nurse convicted of murdering seven babies and attempting to kill seven more — is facing renewed scrutiny after a previously undisclosed email has surfaced, raising serious concerns about a key witness’s consistency.
At the heart of the matter is consultant Dr. Ravi Jayaram, the only hospital staff member who claims to have seen Letby act suspiciously. His testimony played a crucial role in both of Letby’s trials, particularly concerning the alleged attempted murder of an infant known as Baby K.
Jayaram told the court that he walked into Baby K’s room and found her oxygen levels had dropped because her breathing tube was dislodged. Letby, he claimed, was standing by the incubator but didn’t raise the alarm. “Lucy Letby was stood next to the incubator. She wasn’t looking at me. She didn’t have her hands in the incubator,” he said at Letby’s retrial.
The prosecution argued Letby had dislodged the tube on purpose and Jayaram had caught her “virtually red-handed.” But an email obtained by UnHerd tells a very different story — and it wasn’t made available to Letby’s defence before either trial.

Dated 4 May 2017, the email from Jayaram to seven colleagues suggests Letby had actually called him for help because of low oxygen levels. That detail contradicts his later statements to police, to the court, and even to the ongoing Thirlwall Inquiry. In fact, in his official statements between 2017 and 2023, Jayaram repeatedly insisted he had gone to Baby K’s room unprompted, citing concern that Letby was alone with the child during a period marked by “unusual incidents.”
Yet in his original email, he described the scene differently: “Staff nurse Letby [was] at incubator and called Dr Jayaram to inform of low saturations.” The note also stated that Baby K’s death was consistent with complications from extreme prematurity.
Letby’s defence team wasn’t made aware of this email until September 2024 — two months after she was convicted of trying to kill Baby K. The Crown Prosecution Service and Cheshire Police both claim they only discovered it in August, though it had been submitted to the Thirlwall Inquiry before that.
The revelation could prove vital as Letby’s lawyer, Mark McDonald, prepares a submission to the Criminal Cases Review Commission, urging them to refer the case back to the Court of Appeal.
Dr. Jayaram hasn’t responded to requests for comment, and the Countess of Chester Hospital has declined to speak further due to the ongoing investigations and inquiry.
As public trust wavers and new questions surface, this unexpected twist could reshape one of the UK’s most notorious criminal convictions in recent history.
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