When police family liaison officers knocked on the door, they looked visibly distressed.
Nevres Kemal, a social worker from north London, couldn’t imagine what bad news they could possibly have. Her only daughter had died just over a year ago, she didn’t have any other family.
The scene was similar to when, in July 2020, Nevres had been told her beloved Azra had fallen from a bridge in Kent suffering fatal injuries. She said what followed was like hearing the same terrible news all over again.
Warning: Contains descriptions that some readers may find distressing
The officers explained how Azra’s dead body had been raped by a man while she’d been in the morgue in Tunbridge Wells Hospital.
The victims ranged in age from nine to 100 years old.
Azra, 24, had died from trauma, with a dislocated arm, cracked ribs and a pelvis that was split in half. The detail you are about to read, of what happened to her after she died, is incredibly upsetting, but Nevres wants people to know.
‘My daughter was violated hours after I left’
“I was told that my daughter had been violated… on three occasions in the mortuary,” said Nevres.
“What does one think? How do you comprehend such a thing?”
The first attack on Azra happened only hours before Nevres herself had come to say farewell to her daughter in the mortuary – and it happened again hours after she left.
Nevres told me: “I had spent two hours in the mortuary sleeping with her. And that gave me some sort of comfort. Little did I know that my daughter had been violated prior to that day and the evening of that day.
“So, whilst I’m stroking my daughter’s hair, sleeping on her hair, a man had… crawled all over her skin… And there’s me kissing and cuddling and saying my last goodbyes.”
She added: “And that is quite awful, quite awful, however, it is not Azra’s shame. It is not my shame.
“Like women who are raped around the world they have a voice, Azra has a voice – I am speaking out for my daughter.”
The horrific detail of this case isn’t the only reason why this was perhaps the hardest interview I’ve ever done.
Azra and I were friends
She was my fixer on several stories I worked on at Sky News, helping me gain interviews with people from difficult backgrounds including drug mules and dealers. I wrote a tribute to her when she died. I’ve also been friends with her mother, Nevres, for over a decade.
Nevres was told that Fuller researched Azra online, he may well have read my tribute. He would photograph his victims’ names on the mortuary record log and sometimes their identity tags.
He later told police that he only researched victims after the offending, rather than before. However, in relation to one name on his browser history, he couldn’t explain why he had searched for her when, in the event, her body had been taken to a different morgue.
Fuller used a compact digital camera to film his crimes. He would then upload the videos to his home computer, storing the footage in digital folders that he would sometimes title with the victim’s name.
Officers who searched his home found a homemade box had been attached to the back of drawers within a cupboard. Inside the box were four hard drives with five terabytes of data storage.
The court in Maidstone was told they contained “a library of unimaginable sexual depravity,” all filmed in the mortuaries of the two hospitals at which he worked, first the Kent and Sussex Hospital, where he worked from 1989, and then the Tunbridge Wells Hospital, to which he moved in 2010.
Fuller was brazen
He first assaulted Azra for sixteen minutes on 20 July 2020, a decade after he’d first arrived in the hospital. The second time was the next day when Nevres visited – that evening he was with Azra for twenty-three minutes. Two days later he came back to abuse her again for thirty-five minutes.
These assaults didn’t happen in the dead of night – the first occasion was at 4.50pm and the second 9.20pm, the third, 6.15pm.
“He seemed very confident, to spend so much time with Azra,” said Nevres. “Late afternoon, early evening – he was very brazen.”
To understand how this could happen, Nevres demanded a meeting with the senior staff of Maidstone and Tunbridge Wells NHS Trust, which they agreed to in mid-October.
She discovered that as an electrical maintenance worker he had some legitimate reasons to access the mortuary, and this meant he had his own swipe card.
The mortuary had five staff, who tended to work from 8am to 4pm. Fuller’s shifts were 11am to 7pm. So, his attacks took place during that window at the latter part of his shift.
Of course, hospital porters could come down to the mortuary with new bodies at any time of the day. However, Fuller had worked out that no one came into the separate post-mortem room out of hours. The fridge doors in the centre of the mortuary open onto both rooms.
He was able to enter the post-mortem area through the clinical office. The configuration of the rooms was such that he could get in and leave unnoticed by any porter who happened to enter the mortuary on the other side of the fridges, while he was there.
No CCTV in the post-mortem room
Unlike other areas of the mortuary, there was no CCTV in the post-mortem room, which is usual practice in many hospitals to preserve the dignity of patients during post-mortem. So he could open the fridge doors to access bodies, because, whilst they were locked in the receiving area, they were unlocked in the post-mortem room.
There are CCTV cameras in the corridors leading to the mortuary, and the swipe card system keeps a log of people coming and going in case there is an incident, however, these logs were not checked to see if any staff member was making an unusual number of unnecessary journeys into the area.
“He had entered the morgue and autopsy area thousands of times, not hundreds, thousands,” said Nevres, “and no one ever stopped him or asked what’s this guy doing here?”
“I’m told he was the man to go to. He always made himself available to the mortuary staff. They thought he was a great guy and basically, he groomed them. They became compliant and they never questioned him.”
An NHS trust spokesman told me that Fuller would have had many legitimate reasons to visit the morgue – for example temperature checking the fridges.
The court was told: “CCTV from the mortuary area shows that when on cameras he carried items or performed actions that would afford a legitimate explanation for his presence.”
But Nevres feels security was lax
She told me: “We have swipe cards and cameras for a reason. How could they not have records that are automatically exposed to managerial people at the NHS trust?
“No one checked. It was so simple. He would actually abuse women while porters were bringing in bodies.”
On meeting the Chief Executive of the Trust, Miles Scott, Nevres said her first question was “why are you still here?”
She added: “His response was it’s up to the board and he had the backing of the board, and I told him; ‘the victim’s families are the board – I am the board’.
“I believe he needs to resign,” said Nevres.
“He should ask the victims ‘do you think I’m the best person to be managing this hospital trust?’ If you are truly sorry, you would step aside.”
As a social worker, Nevres blew the whistle on Haringey council over the baby-P scandal in 2007 and said as someone involved in the protection of children she would resign if something like this happened on her watch.
Since Fuller’s arrest, the trust has asked Sir Jonathan Michael to chair an independent investigation into whether anything more could have been done.
A maximum sentence of a few years
Another thing that has shocked Nevres is the length of sentencing for people who commit this kind of crime. The law attached to Fuller’s crimes is section 70 of the Sexual Offences Act 2003 – penetration of a dead body – for which the maximum sentence is two years imprisonment.
He also pleaded guilty to section 63 of the Criminal Justice and Immigration Act 2008 – extreme pornography involving a dead body – which can carry a sentence of three years.
Nevres believes there should be a clearer law of necrophilia with much greater punishment for someone who commits a crime on this scale, similar to the sentencing of a rape victim, which can be between 4 and 19 years for each victim.
She said: “Men and women up and down the country will be appalled by what they are reading. And I remind them that if this was your loved one you would roar with rage – and I am silently roaring and I am beseeching people who make laws to create a law that this becomes an offence and the appropriate sentence is passed down.
“We need to respect the dead and this must never happen again.”
Nevres was already dissatisfied with the investigation by Kent police into her daughter’s death. Azra died after falling through a gap between two sides of the A21 dual carriageway near Tonbridge in Kent.
She and a male passenger had been trying to get help after their car caught fire. Essex police have been investigating whether Kent police did a thorough enough investigation into exactly what happened.
So, Nevres was already distrustful of the authorities and police when they came knocking on her door a second time.
Azra was an extraordinary human
Like her mother, Azra was someone who had strong feelings about injustice and, in particular, the protection of women. She would stand her ground against anyone. Once, after meeting a domestic violence victim, she went around the couple’s house and told the man to get out.
“Azra was an extraordinary human being,” said Nevres.
“She lived for 24 years, but she touched so many people. She was compassionate, warm. An LSE law graduate. She became a beautiful woman and didn’t see any barriers. She was individualistic and smart. She lived life to the full. She was my only child.
“I’ve tried to protect Azra all my life and when she was really helpless, lying there still being raped and abused – she couldn’t scream out, couldn’t call me, she couldn’t call the police.
“But I will ensure her voice is heard and that will be my mission.”
A 32-year-old woman is cancer-free after undergoing the UK’s first liver transplant for advanced bowel cancer.
Bianca Perea, a trainee lawyer from Manchester, was diagnosed with the most advanced kind of bowel cancer in November 2021, with doctors telling her they aimed to prolong her life rather than find a cure.
But, alongside other treatments including targeted drug therapy, chemotherapy and surgery, the transplant has been a huge success and Ms Perea now has no signs of cancer anywhere in her body.
Ms Perea first visited her GP in Wigan after feeling constipated and bloated. After tests, a colonoscopy and a biopsy, she was diagnosed with stage four bowel cancer, which had spread to all eight segments of her liver.
Ms Perea accepted the diagnosis, but said she refused to believe the outlook was so bleak.
“I don’t want to sound kind of ignorant or arrogant or anything like that but I just didn’t feel in my gut that that was going to be it,” she said.
Her mother asked about a possible transplant at that stage but was told it was not a feasible treatment.
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Ms Perea had 37 rounds of a targeted drug called panitumumab plus chemotherapy for two and a half years.
She had an excellent response to the treatment, which meant she was able to have an operation in May 2023 to remove the bowel tumour.
But scans showed she still had tumours in her liver, which could not be operated on.
Nevertheless, because her response to chemotherapy had been so good and her bowel cancer was seemingly gone, doctors began to look at liver transplants.
Ms Perea was added to the transplant list in February 2024 and was lucky enough to find a donor last summer.
She said: “Within four weeks of going under the knife, I was able to drive and walk the family dogs, it was really quite incredible.
“To go from being told I’d only have a short time to live to now being cancer-free is the greatest gift.
“I’ve been given a second chance at life and I’m going to grab it with both hands. I am so grateful to the family who agreed to donate their loved one’s liver.
“I do believe this is a cure. They’re always hesitant to say that, obviously, but I am cancer-free right now.”
Now, Ms Perea is looking forward to going on holiday this year and is working on improving her fitness.
“My liver is doing really well,” she said. “I get tests on that, and I’ve just had my second scan and that’s all clear, so it’s really good.”
Dr Kalena Marti, Ms Perea’s oncologist, said: “To see that Bianca has had such a positive outcome is wonderful.
“When we looked at the tumour cells in her liver after it had been removed, they weren’t active.
“This is excellent news, and we hope that this means that the cancer won’t come back.”
She added: “Advanced bowel cancer is complex and there are lots of different types of the disease, so what works for one person might not work for another. As a result, it’s important that we continue to develop new treatments.
“Thanks to the generosity of organ donors and their loved ones, we can now access liver transplants for some patients, which is fantastic.”
You can watch a full interview with Ms Perea at 8.30am this morning on Sky News Breakfast.
Millions of commuters returning to work and school this morning will face more snow, ice and rain, as several weather warnings remain in place across the UK.
More travel disruption is likely due to flooding from heavy rain and thawing snow, the Met Office said, with 97 flood warnings and 262 flood alerts in place.
It comes after most of the country saw heavy snow or icy rain fall over a wintry weekend.
Major airports closed their runways for several hours due to snow, while stranded vehicles and collisions blocked key roads across England.
An amber weather warning remains in place until 6am this morning across parts of Lancashire, Cumbria and the Lake District.
Travel delays, stranded vehicles and power cuts are all likely under the warning – while rural communities could be cut off with up to an additional 15cm of snow falling during the period, the Met Office said.
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Leeds Bradford Airport warned passengers last night that disruption caused by the bad weather is likely to continue into Monday.
Several yellow weather warnings for snow, ice and rain will remain in place across Britain and Northern Ireland until this afternoon.
The Environment Agency said a combination of melting snow and rain could lead to “significant river flooding”, and advised people to stay away from swollen rivers and not drive through flood water.
Cold air will return and remain across the whole country from Monday onwards after a brief spell of milder conditions in southern areas, the Met Office said.
Deputy chief forecaster Mike Silverstone said: “The low pressure that brought the snow and heavy rain in the south will move out to the east by Monday. This will allow a cold northerly flow to become established again for much of next week.
“This will bring further sleet, snow and hail showers to northern Scotland in particular, but possibly to some other areas, especially near western coasts, with a fair amount of dry and bright weather elsewhere.”
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He added: “Temperatures will remain below average, with widespread frost and the threat of ice at times. Some areas, especially in the north, may struggle to get above freezing for several days.”
Further weather warnings could be issued with the potential for some snow to fall in southern and central England and Wales around the middle of the week, Mr Silverstone said.
You can stay up to date with the latest forecasts and warnings by clicking here.
Sir Keir Starmer will launch his plan to deliver millions more appointments across the NHS and to reduce waiting times to 18 weeks over the next five years.
The prime minister will lay out how greater access to community diagnostic centres (CDCs) will help deliver up to half a million more appointments, alongside 14 new surgical hubs and three expanded existing hubs.
Up to a million appointments could be freed up by giving patients the choice to forego follow-up appointments currently booked by default, the government says.
Overall, the plan will involve a drive to deliver two million extra appointments by the end of next year.
The aim of the reforms is that by the end of March 2026, an extra 450,000 patients will be treated within 18 weeks.
Figures published by NHS England last month showed an estimated 7.54 million treatments were waiting to be carried out at the end of October – the lowest figure since March 2024.
According to the Institute for Fiscal Studies (IFS), the last time the NHS met the target of 92% of patients receiving treatment within 18 weeks was in 2015.
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The reforms for England will also see an overhaul of the NHS app to give patients greater choice over where they choose to have their appointment and will also provide greater detail to the patient including their results and waiting times.
The first step in the digital overhaul will be completed by March 2025, when patients at over 85% of acute trusts will be able to view their appointment details via the NHS app, the government said.
They’ll also be able to contact their provider and receive updates, including how long they are likely to wait for treatment.
In the effort to free-up one million appointments, patients will be given more choice over non-essential follow up appointments, while GPs will also be given funding to receive specialist advice from doctors before they make any referrals.
Sir Keir is expected to say: “This government promised change and that is what I am fighting every day to deliver.
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1:37
Streeting: ‘We’re going as far and as fast as we can’
“NHS backlogs have ballooned in recent years, leaving millions of patients languishing on waiting lists, often in pain or fear. Lives on hold. Potential unfulfilled.
“This elective reform plan will deliver on our promise to end the backlogs. Millions more appointments. Greater choice and convenience for patients. Staff once again able to give the standard of care they desperately want to.”
The CDCs will be open 12 hours a day and seven days a week wherever possible. Patients will be able to access a broader range of appointments in locations that are more convenient for them and which may speed up the pace of treatment.
There have been some concerns that giving patients choice of the location of their treatment may see some hospitals in greater demand than others – but Health Secretary Wes Streeting said this was a “matter of principle”.
“When I was diagnosed with kidney cancer, I was inundated with colleagues in parliament who were asking who my surgeon was, whether I was going to the best place for treatment, whether I was exercising my right to choose in the NHS,” he said.
“Now, it turned out I had one of the best kidney cancer surgeons in the country assigned to me by the NHS, so I was lucky.
“But frankly, someone like my mum as a cleaner should have as much choice and power in the NHS as her son, the health secretary.”
NHS chief executive Amanda Pritchard said the government’s plan was an “ambitious blueprint”.
“The radical reforms in this plan will not only allow us to deliver millions more tests, appointments and operations, but do things differently too – boosting convenience and putting more power in the hands of patients, especially through the NHS app.”