The judge said Letby showed a “malevolence bordering sadism” as he handed her a whole-life order for every charge she faced.
Lucy Letby will die in prison after being handed 14 whole-life orders for murdering seven babies and attempting to murder six others while working on a hospital’s neonatal unit.
The judge imposed a whole-life order for each offence she committed, meaning she will spend the rest of her life in prison unless under very exceptional circumstances.
She faced seven murder charges and seven counts of attempted murder because she tried to kill one of the babies twice.
Letby, 33, did not appear in court for her sentencing – something which has renewed calls for a law forcing criminals to face justice in person.
The mother of one of the babies murdered by Letby said her decision not to appear was one “final act of wickedness from a coward”.
Lawyers for another family told Sky News it was a “scandal” that Letby was not in the dock for sentencing, adding that it “makes a mockery of the justice system” and that she “should’ve been dragged to court to face them”.
Mr Justice Goss told Manchester Crown Court during sentencing: “There was premeditation, calculation and cunning in your actions.”
He said Letby “relished” being in the intensive care unit where she took an interest in “uncommon” complications and targeted twins and triplets.
The judge said before passing sentence: “Over a period of 13 months, you killed seven fragile babies and attempted to kill six others.
“Some of your victims were only a day, or a few days old. All were extremely vulnerable.”
He added: “This was a cruel, calculated and cynical campaign of child murder involving the smallest and most vulnerable children, knowing your actions were causing significant physical suffering.
“There was a malevolence bordering on sadism in your actions.
“During the course of this trial you have coldly denied any responsibility for your wrongdoing.
“You have no remorse. There are no mitigating factors.
“In their totality, the offences of murder and attempted murder are of exceptionally high seriousness, and just punishment, according to law, requires a whole-life order.”