Dr Stephen Brearey was the lead consultant on the neonatal unit where serial killer Letby worked and raised the alarm in October 2015.
He told BBC Radio 4's Today programme there was "no apparent accountability" for what NHS managers do in trusts.
Letby was handed a whole life sentence on Monday at Manchester Crown Court. BBC News
See also:
- Alison Kelly: Former nursing manager at Letby hospital suspended BBC News
- What the babies' parents told Lucy Letby as she was sentenced BBC News
- Lucy Letby: How could the NHS stop a future killer within? BBC News
- Questions about NHS role in Letby murders not answered, says solicitor representing victim families Channel 4 News
- Lucy Letby: NHS Trust management in charge should face criminal charges, says former MP Channel 4 News
- Full judicial inquiry into horror Lucy Letby killings moves step closer Evening Standard
- Lucy Letby inquiry could be upgraded to compel witnesses, No 10 indicates The Guardian
- Statutory inquiry into Lucy Letby ‘on the table’, government minister admits The Independent
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