Valdo Calocane killed University of Nottingham students Barnaby Webber and Grace O'Malley-Kumar, both 19, as well as 65-year-old caretaker Ian Coates, and attempted to kill three more people in the June 2023 attacks.
Nottingham University Hospitals (NUH) NHS Trust said on Thursday that "11 members of staff have been dismissed and a further 14 have had actions taken against them".
It added that further investigations are ongoing.
Barnaby's mother, Emma Webber, reacted to the news saying: "To learn that 11 staff have been dismissed and 14 faced disciplinary actions is shocking.
"What is more shocking is the scale of misconduct - 150 members of staff accessed the records."
She added: "It's heartbreaking that on top of our tragic loss, we've also had to face such appalling additional failures by members of staff who should know better.
"I'd ask them all to consider how they would feel if it was their child or father."
The decision to sack the staff comes as a public statutory inquiry into the killings continues.
The trust said that it had been investigating the breach since starting investigations in early 2025.
Actions taken so far include two first written warnings, 12 final written warnings and 11 staff dismissed, it said.
"Staff included in these investigations include doctors, nurses, registered medical professionals and admin and clerical colleagues," the statement added.
The trust said it would now consult with regulators such as the Nursing and Midwifery Council (NMC) and General Medical Council (GMC), both of which have powers to strike staff off medical registers.
The trust has also informed the Information Commissioner's Office (ICO) and Nottinghamshire Police.
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'I am truly sorry'
Dr Manjeet Shehmar, medical director at NUH, said: "The families of Ian, Grace and Barnaby have had to endure much pain and heartache, and I am truly sorry that the actions of some of our staff have added to that.
"To access the medical records of our patients without a legitimate reason is totally unacceptable and we are doing all we can to identify where and how that has happened.
"I hope that the families, staff and our communities feel reassured by the outcomes so far, that we are taking this seriously and will continue to do so.
"We know that the vast majority of our staff understand that appropriate access is a fundamental principle of our duty of care and know that it is essential that access to patient records is lawful, justified and directly related to their role.
"By accessing records inappropriately, staff are damaging the valuable contributions made by those colleagues providing care for those patients.
"In those cases where it does happen, I hope that this is a very clear reminder that we will take appropriate action."
Further investigations are ongoing into inappropriate access, including into the files of surviving victims, including Wayne Birkett, Sharon Miller and Marcin Gawronski, the trust said.
Nurses referred to regulator
As the inquiry continued on Thursday, it heard three nurses have been referred to the NMC in relation to Calocane's case.
Diane Hull, chief nurse with the NUH trust, who took up her post a month after the attack, was quizzed about disciplinary processes.
Rachel Langdale KC, counsel to the inquiry, asked her: "In relation to VC's case, we understand one doctor has self-referred. One doctor, we were told yesterday by the medical director, the GMC indicated did not meet the referral criteria.
"Have any of those been referred by the trust, as far as you're aware, to the GMC?"
Ms Hull responded: "I don't know about doctors. I can tell you about nurses.
"Three people have been referred to the NMC. We regularly consult with the NMC.
"We've also committed… to do a further review of professional standards and practice following the inquiry as well."
Health alerts have been issued as the country braces for a heatwave from Friday through to next week.
Sky News weather presenter Jo Wheeler said the UK could see the hottest day of the year so far - smashing the 26.6C (79F) at London's Kew Gardens on 8 April.
Meanwhile, the 32.8C (91F) record for May set in the capital's Camden Square in 1922 could be surpassed.
Over the weekend, temperatures in the UK are expected to exceed those forecast in Mediterranean hotspots including Mykonos, Rhodes and Santorini.
On Friday, the mercury is forecast to hit 29C (84F) - with a 20% chance of 30C (86F) - across the East Midlands, East Anglia, London and north Kent.
On Saturday, temperatures of 30C (86F) - with a 20% chance of 32C (89F) - are expected in Greater London.
While on Sunday they could hit 31-32C (87-89F) - with a 20% chance of 34C (93F) - across south and southeast England and the South Midlands.
Monday looks set to be even hotter, with 32-33C (89-91F) - with a 50% chance of 34C (93F) - forecast for south England and the Midlands.
And on Tuesday, 31-32C (87-89F) - with a 20% chance of 34C (93F) - is expected in south England.
See the five-day forecast for your area
The UK Health Security Agency has issued heat health alerts covering much of the Midlands, eastern and southeast England.
Officials are warning of "minor impacts" across health and social care services, including a greater risk to life for vulnerable people.
The Alzheimer's Society said people with dementia are likely to be more vulnerable in warmer conditions.
The charity outlined ways to support loved ones or neighbours with dementia by leaving drinking water within easy reach and ensuring they opt for light-coloured, airy clothes, stay out of the sun between 11am and 3pm, take cool showers and keep blinds closed.
The British Heart Foundation said heart patients also face potential dangers in the heat and should take extra precautions to minimise health risks.
There may also be an increased danger of water-related incidents such as drowning and cold-water shock.
The RNLI said choosing a lifeguarded beach, swimming between the red and yellow flags, and dialling 999 or 112 and asking for the coastguard in an emergency can make all the difference in staying safe on the coast.
Samantha Hughes, RNLI water safety partner, said: "If you find yourself in difficulty in the water, try to remain calm and remember float to live: lean back with your ears submerged, extend your arms and legs, and float until you can control your breathing and wait for help to arrive or before moving to safety."
Campaign group River Action additionally warned of the health risks posed by poor water quality, even in designated bathing spots.
The Royal Society for the Prevention of Accidents (RoSPA) and Children's Burn Trust are also urging people to take care if they are planning a barbecue.
Rebecca Guy, senior policy manager at RoSPA, said: "Barbecues cause serious burns every year, often because people underestimate how hot they stay long after cooking has finished.
"Children should be kept well away from barbecues at all times, and disposable barbecues must never be moved or put in bins until they are completely cold.
"Simple steps like safe placement, supervision and proper disposal can prevent life-changing injuries."
A heatwave in the UK is officially recorded when an area experiences at least three consecutive days with temperatures meeting or exceeding the region's threshold.
Steve Kocher, deputy chief forecaster at the Met Office, said: "Temperatures will climb through the weekend, especially in the south, where 30C is likely to be recorded on Saturday and 32C on Sunday.
"Temperatures are forecast to peak on Monday when we could see 33C recorded in southern England and the Midlands.
"It is likely that the May and spring UK temperature records will be broken over the bank holiday weekend, with forecast temperatures surpassing the existing record of 32.8C.
"As well as it being hot, there will be lots of dry and sunny weather for much of the UK.
"There will, however, be more cloud and some showers in Northern Ireland and western Scotland through the weekend.
"With relatively low sea surface temperatures, there is also likely to be some low cloud and sea fog clinging closely to western coasts."
A motion has been passed at the Public Commercial Service (PCS) union's annual conference stating that the rise of Nigel Farage's party "raises the real threat" of a future Number 10 "that is deeply hostile to both trade unions and to its own workforce".
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It refers to the Reform leader's plans to cut 70,000 civil service jobs, saying that like Donald Trump, who has slashed thousands of federal jobs, "one of the first acts of a Farage Government is likely to be an attack on civil servants and their unions".
In order to continue operating under this scenario, the PCS has agreed to oversee the creation of a Strategic Investment Programme with the target of a 10% surplus for each financial year - up from the 5% objective it has now.
The motion ensures that the money generated under the surplus programme is ringfenced and not used for day-to-day spending until at least 2029, the latest point at which the next general election is expected.
Explaining what the funds will be used for, it states the union must ensure it has the financial resources "to take the industrial, legal and campaigning decisions necessary to defend the union and our members in the event of the election of a hostile government".
The union has rejected accusations from Reform UK that this breaches civil service impartiality, saying this is about protecting members against threats to jobs, pay, pensions, and terms and conditions.
But Dave Penman, who heads the FDA Union that also represents civil servants, told Sky News that any government with an electoral mandate can make changes to the size of the civil service and staff "must serve the government of the day or leave - it's simple".
'You won't have a job to return to'
The PCS represents nearly 200,000 members working across government departments and agencies.
It is not affiliated to any political party but is on the left of politics. Its former general secretary Mark Serwotka, who led it for 23 years until retiring in 2023, is an ally of Jeremy Corbyn's and was initially part of efforts to set up a branch of Your Party in Wales.
He headed the union when it tried to take legal action against the Conservative's Rwanda deportation policy, branding it "inhumane".
Another motion that has been tabled at the PCS conference, which will be voted on later today if time allows, calls for a comprehensive "Industrial Defence Strategy" by the end of 2026, "specifically designed to counter a hostile Reform government".
It says the specific threat of Reform "requires a laser-focused industrial strategy", expressing fears of a legislative agenda that could deauthorise the union alongside "a culture war aimed at demoralizing public servants".
Reform UK MP Danny Kruger has accused the PCS of breaching civil service impartiality with the plan - saying the strikes would be unlawful and anyone who takes part in them would not have a job to return to.
He wrote on X: "By publicly confirming the reason for future industrial action as opposition to a specific 'hostile' government, the PCS have ensured their strikes cannot be considered a 'trade dispute' and would be unprotected and unlawful."
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Mr Kruger is a former Conservative MP who defected last year. He is now Reform's efficiency tsar, so will play a crucial role in the job cuts if his party wins the next election.
He wants to reduce the headcount in Whitehall by around 68,500 (13%) and replace senior civil servants who head departments, known as permanent secretaries, with political appointments.
He argues Whitehall is "bloated" with 500,000 civil servants - the highest level in 20 years - and says a smaller workforce will create billions of savings and make it run more effectively.
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Chancellor Rachel Reeves has also pledged to reduce civil service running costs by 16% by the end of the decade, but the publication of a civil service workforce plan has been delayed.
FDA boss Mr Penman said that while Reform are using stronger language to describe their plans, successive governments have tried to cut the civil service but struggle to do so "when faced with the reality of what that means".
However, he said it is ultimately for ministers to "cut the cloth" and set out what the size of the civil service should be - not unions.
He said: "Many will not like the policies of whichever govt they serve and that will apply if Reform were elected. As long as civil servants are not being asked to break their professional code, including upholding the rule of law, they don't get to decide which bits of policy they implement and which they don't."
Southampton Crown Court heard two girls were raped in two separate incidents in Fordingbridge, with the first attack taking place on 26 November 2024 and the second on 17 January 2025.
A 15-year-old boy was sentenced to a youth rehabilitation order (YRO) for three years with 180 days of intensive supervision and surveillance (ISS) for the rape of each of the two girls and two indecent images charges.
The court heard that he had been diagnosed with ADHD as well as "long-standing anxiety".
A second 15-year-old was given the same sentence for three charges of rape against each of the two victims and four counts of taking indecent images in relation to filming of the incidents.
The court was told that he had an IQ of the "bottom 1% of his contemporaries" and had been diagnosed with ADHD.
A third boy, aged 14, was given a YRO for 18 months for two charges of rape in the January incident by encouraging the second defendant and an offence of indecent images.
He was described as having "mild cognitive impairment".
Judge Nicholas Rowland told the defendants: "I have to remember that you are not small adults. I have to think how likely you are to do serious things again and I need to make sure you do not do serious things again in the future."
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Explaining his sentence, he added: "I should avoid criminalising these children unnecessarily and understand the effects of their behaviour and support their reintegration into society."
He added that "peer pressure played a large part in what went on".
The victim of the first incident, who was 15 at the time, attended the sentencing and read out her victim impact statement.
She also read out a poem which she wrote and was directed to her attackers.
She said: "I was caught off-guard, I never want that to happen again, I will never get that innocence back again."
The poem included the line: "All I want to do is die, I no longer have fear for when that comes."
She added: "No one deserves the trauma of being raped."
In a statement read on behalf of the second victim, she said her school attendance had suffered and added: "I often feel overwhelmed, anxious and emotionally exhausted to the point where sitting in a classroom becomes unbearable."
She described suffering nightmares and struggling to sleep and added: "I feel ashamed, insecure and uncomfortable in my own body."
Jodie Mittel KC, prosecuting, told the trial that the girl in the November incident had visited the first defendant after meeting him on Snapchat.
The prosecutor said that after performing sex acts on the boy, who was then 14, she became "scared and anxious" when the second defendant joined them with a third boy who was not charged.
Ms Mittel said that the girl felt "cornered and trapped" and "petrified" as the two defendants raped her while the incident was filmed.
Ms Mittel said that afterwards, videos of the incident had been sent around and other people made jokes about her and she received messages calling her a "slag".
The complainant in the January incident, who was 14 at the time, was raped in a field near to Fordingbridge recreation ground while the incident was also filmed.
Israel intercepted the Gaza-bound aid flotilla and faced global condemnation for its treatment of the pro-Palestinian activists on board.
Its far-right national security minister Itamar Ben-Gvir posted a video on social media showing himself taunting activists kneeling with their hands tied behind their backs - prompting a public rebuke from Prime Minister Benjamin Netanyahu.
Sky News looks at why the flotilla movement exists, who is involved and why it is controversial.
What is the Gaza flotilla movement?
International activists say the decades-long modern flotilla movement aims to break the Israeli naval blockade of Gaza and deliver urgent humanitarian aid to the besieged enclave - plus establish a maritime route for this to happen through the Mediterranean.
The gradual blockade of Gaza began in 1991, when Israel cancelled the general exit permit that had previously allowed most Palestinians to move freely.
Israeli restrictions were tightened when Hamas won elections in 2006 and took control of Gaza the following June.
Gaza has been under an Israeli, air, land and sea blockade since 2007.
Restrictions were ramped up further after the Israel-Hamas war which began after the militant group's multi-pronged attack on southern Israel on 7 October 2023, that killed about 1,200 people.
According to the Hamas-run Gaza Health Ministry, more than 72,700 Palestinians have been killed since the start of Israel's military campaign. Its figures do not differentiate between civilians and fighters.
Egypt, which has the only border crossing with Gaza not controlled by Israel, has also greatly restricted movement in and out.
Israel says its naval blockade is lawful and necessary for its own protection - but it has resulted in severe shortages of food, drinking water, medicine and fuel in Gaza.
Last August, a famine was declared in Gaza City and its surrounding neighbourhoods by the Integrated Food Security Phase Classification (IPC) - a globally recognised system for classifying the severity of food insecurity and malnutrition.
In December, the IPC said nutrition and food supplies had improved following a ceasefire agreed by Israel and Hamas in October as part of US President Donald Trump's Gaza peace plan, but added more than 100,000 people were experiencing catastrophic conditions and warned the situation remained "highly fragile".
According to the UN, at least 1.9 million people - or about 90 per cent of the population - across the Gaza Strip have been displaced during the Israel-Hamas conflict. Many now live in bombed-out homes and makeshift tents.
Who is involved in the flotilla movement?
In August 2008, two boats from the Free Gaza Movement, became the first to reach Gaza and delivered hearing aids and medicines.
Similar bids have ended with Israel intercepting the vessels involved and detaining activists - including the latest attempt to breach the blockade, organised by the Global Sumud Flotilla.
The flotilla, made up of more than 50 boats, departed for Gaza last week from Turkey, near Cyprus.
Organisers said they wanted to draw renewed attention to the conditions for nearly two million Palestinians in the besieged Gaza Strip.
Katy Davidson, an activist from the British delegation on the flotilla, said any interception would still help draw attention to the situation.
The Global Sumud Flotilla said all 50 boats were intercepted in the eastern Mediterranean, with 428 participants from more than 40 countries detained, including 78 Turks.
Dr Margaret Connolly, sister of Irish President Catherine Connolly, was among at least 12 Irish citizens on board the flotilla that were detained by Israel.
The flotilla was making a renewed attempt to deliver aid to Gaza after earlier missions were intercepted by Israel in international waters, including near the southern Greek Island of Crete.
Previous flotillas - including one last year which set off from Barcelona carrying Swedish activist Greta Thunberg - were also intercepted by Israel, with participants later deported.
The flotilla mission Thunberg took part in was made up of around 40 civilian vessels and involved more than 500 activists from more than 44 countries.
The climate campaigner was also on board the Madleen, which was intercepted and brought to shore in Israel a few months earlier.
Israel started allowing some basic aid into Gaza in May 2025 after a three-month total blockade aimed at pressuring Hamas and preventing the group from importing arms.
But critics say it amounts to collective punishment and humanitarian workers have warned of mass starvation unless there is an end to the blockade.
Palestinians and international aid bodies say supplies reaching Gaza are still insufficient, despite the US-brokered ceasefire that included guarantees of increased aid.
Why is the flotilla movement controversial?
The United States and Israel have repeatedly alleged flotilla leaders and associated groups have ties to Hamas - which organisers have denied.
Israel has called the flotilla movement "a PR stunt at the service of Hamas" with no real intent to deliver aid to Gaza.
It has characterised the convoys as political "provocations", and claimed the boats carry a tiny, symbolic amount of aid.
The United States this week imposed sanctions against four activists involved in the flotilla missions, accusing organisers of "supporting Hamas". The move was announced after the latest Israeli interception.
"The pro-terror flotilla attempting to reach Gaza is a ludicrous attempt to undermine President Trump's successful progress toward lasting peace in the region," said Treasury Secretary Scott Bessent.
He said his department would "continue to sever Hamas's global financial support networks, no matter where in the world they are."