The photo was revealed by her friend Dawn, who did not want to use her surname, as part of a new TV documentary about Letby.

Letby was in fact devastated by the accusations against her, according to Karen Rees, former head of urgent care nursing at the Countess of Chester Hospital where she worked.

The photo was revealed by her friend Dawn, who did not want to use her surname, as part of a new TV documentary about Letby.