assessor

Vocational assessor Elva Breen said that after the incident, Ms Hand found great difficulty in working in a customer-facing role and was struggling with significant anxiety and panic attacks.

Barry Wheller, an independent exams access arrangements assessor, says funding and staffing problems are also becoming a major issue for schools.

Her assessor, Nicola Lightfoot, told how she felt Letby did not have the "overall characteristics" to become a successful nurse.

The Thirlwall Inquiry heard Letby later passed a retrieval placement after requesting a new assessor, claiming she felt "intimidated" by Ms Lightfoot.

It is now setting fees based on what an independent assessor said should be paid, which were a lot higher than they had been.