Lucy Letby: How could the NHS stop a future killer within?

Twenty years after that recommendation was made, medical examiners are finally being introduced.

"It's entirely possible that at some point what should have happened would have happened [and] somebody would have said 'There is something very wrong here'."Allitt was eventually caught because Paul Crampton's blood sample showed an exceptionally high level of artificial insulin.Other killers have used this technique.

"I think Beverly Allitt did change perceptions amongst clinicians and made the unthinkable slightly less unthinkable," said Dr Kirkup. "Not necessarily an awful lot, as I think we've seen here, but a bit less."Mr Crampton said that he did not dwell on what might have happened to Paul - who is now a dad himself -and stressed his support for the NHS.

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