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NHS staff have been told to take “extra caution” when extracting organs after a baby who was declared brain-dead began breathing again.

The safety alert sent to staff at NHS Blood and Transport, seen by Sky News, advised them to pay “particular attention to pre-conditions and red flags” in children after the boy began breathing independently.

The child’s father has told Sky News that “extra caution” is not good enough.

“They did four brain stem tests on him and certified his death. When I asked whether there was an alternative test they said no. If there’s just one test to prove someone is alive or dead it should be 100 per cent accurate.

“They said it’s a miracle. It’s not a miracle, this is faulty medical science.”

Doctors treating the child at a London hospital conducted two sets of brain stem tests before seeking a second opinion to confirm their diagnosis.

Two weeks later, a nurse at the hospital noticed the boy, then four months, was breathing.

The Academy of Royal Medical Colleges (ARMC), which sets the test, said in August it would rewrite the code of practice on brain stem testing after the child’s case came to light.

This week it told Sky News it has sped up the process with a report due to be ready in months.

It has not offered parents or hospitals advice on what to do in the meantime.

David Jones, a professor of bioethics at St Mary’s University, warned there was a risk of organs being extracted from living children if clinicians got diagnoses wrong.

“The doctors could’ve said ‘This child is dead’ and they could’ve taken his organs,” Professor Jones said.

“But they didn’t because of an ongoing legal issue, and because they didn’t, they later found out that he wasn’t dead.”

More and more clinicians are now expressing concern about brain stem testing, according to Professor Jones.

“If the test is a matter of life and death, and if death means you can take organs, you want certainty. I think some of that certainty has been taken away by this case,” he told Sky News.

“Rather than people who were sceptics being a minority, I think there are a lot more people who have become sceptical of the test, at least in relation to children.”

The baby began breathing two weeks after he was declared brain dead
Image:
The baby began breathing two weeks after he was declared brain-dead

The interim safety alert sent to NHSBT staff calls for “extra caution in any infant when diagnosing death using neurological criteria – paying particular attention to pre-conditions and red flags”.

An NHSBT spokesperson said: “There are strict criteria in place in the UK to provide safe, timely and consistent criteria for the diagnosis of death, provided by the Academy of Medical Royal Colleges.

“As medicine advances, new treatments and clinical practice means that protocols must be updated accordingly, and any new learnings shared. Clinicians pay particularly close attention to any rare or unusual cases, to ensure that the highest standards for patient and donor care and safety continue to be upheld.”

Read more from Sky News:
Pig hearts transplanted into brain-dead humans in organ shortage
Podcast: How do we bring to life a conversation about organ donation?

NHSBT refused to comment on whether a moratorium should be in place until the ARMC’s expert group review is published.

Professor Jones said: “I think that if there isn’t a moratorium then at the very least all parents ought to be informed that this has happened and that this is a risk.

“But in the meantime I think that it shouldn’t be used on young children.”

Parental consent in such cases is not straightforward.

In June, the High Court ruled against the parents of 12-year-old Archie Battersbee after Barts Health NHS Trust took them to court to brain stem test him on the recommendation of doctors who said he was brain-dead.

After a legal battle lasting weeks, Archie’s life support machine was switched off and he died on 6 August.

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Parents of boy whose outbursts left them fearing for their lives say Adolescence ‘touched a nerve’

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Parents of boy whose outbursts left them fearing for their lives say Adolescence 'touched a nerve'

A teenager suddenly becomes violent, his anger towards women fuelled by online influencers, while his parents struggle to process what their son is capable of.

Does this sound familiar?

It’s the story of the hit drama Adolescence – but for Jess and Rob, it’s their life.

Their 14-year-old son Harry’s violence has escalated so rapidly he’s had to be taken into care. We’ve changed all their names to protect their identities.

Until the age of 12, Harry’s parents say he was a “wonderful” son. But they saw a change in his personality, which they believe was sparked by an incident when he was hit by a girl. Soon, he developed an online interest in masculine power and control.

Becky Johnson Adolescence  feature
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Harry’s personality changed after he was assaulted (this image shows an actor in a Sky News reconstruction)

“Harry became obsessed with being strong, and I think he developed a difficulty around certain female people because of the assault,” Jess says.

“He had to be in charge… in every setting,” Rob adds.

Then one night, he punched his mother, Jess. His parents called the police in the hope it would shock him out of doing it again. But, as time went on, the violence escalated.

“We probably must have called the police over 100 times,” Rob says.

One attack was so serious, Jess ended up in hospital. The violence spilled outside the home too as Harry assaulted neighbours and friends.

Then he threatened to stab a teacher.

“Every time we think it can’t get any worse, something else happens and it does get worse,” Rob says. “Unfortunately, him getting hold of a knife is quite likely to happen.”

They say Adolescence, which stars Stephen Graham, Ashley Walters and Owen Cooper, touched a nerve.

Becky Johnson Adolescence  feature
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Jess and Rob say they called the police 100 times (this image shows actors in a Sky News reconstruction)

“My worst fear is that he’s going to end up killing one of us,” says Jess. “If not us, then somebody else…”

It’s a shocking thought for any parent to have. As well as contacting police, the family have tried many times to get help from social services and the NHS for Harry’s deteriorating mental health.

“We’ve been told that we’re using too many resources and accessing too many services,” Rob says. “We tried for 18 months to get him more intensive therapeutic help. At every turn it was ‘no, no, no’.”

Read more:
Starmer backs campaign to show Adolescence in schools
Inside the online gangs where boys compete to be cruel

They have found help with an organisation called PEGS that supports parents who are victims of their own children’s violence.

Becky Johnson Adolescence  feature
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PEGS founder Michelle John says many families struggle to have their concerns taken seriously

Last year it was contacted by over 3,500 families, a 70% increase on 2023. Founder Michelle John says many families struggle to have their concerns taken seriously.

“What we’re hearing time and time again is that referrals are not being picked up because thresholds aren’t being met and perhaps the parent or caregiver isn’t a risk to the child,” she says. “Families are falling through gaps.”

In some parts of the country, local organisations are attempting to fill those gaps. Bright Star Boxing Academy in Shropshire has children referred by schools, social workers and even the police.

Joe Lockley, who runs the academy, says the problem is services that deal with youth violence are “inundated”.

“The biggest cause of the violent behaviour is mental health,” he says. “They lack that sense of belonging and control, and it’s quite easy to gain that from the wrong crowd and getting involved in violence.

“Social media is having a huge impact, especially around that young person’s identity.”

Becky Johnson Adolescence  feature
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Ethan at the Bright Star Boxing Academy

Ethan, 18, agrees. He joined the academy aged 14. By then he had already been arrested several times for getting into fights.

He believes bullying sparked anxiety and depression. “Someone could look at me, I’d be angry,” he says.

“Social media – that’s definitely a massive part. You’ve got so many people that are living this material life. They’ve got loads of money.

“My main thing was seeing people with amazing bodies – I felt I couldn’t reach that point and it made me self-conscious, which would add on to the anger which then turned to hatred towards other people.”

Becky Johnson Adolescence  feature
Image:
Ethan says boxing has helped him turn his life around

Without the support of the boxing academy, he believes, he wouldn’t have been able to turn his life around.

“I would either be in prison or I would have done something a lot worse to myself,” he says.

“It’s just this massive mess in your head where you’ve got a million thoughts at once – you don’t know what to think or how to even speak sometimes,” he adds.

“All we need is someone that’s got the time for us… and the understanding that it’s a war in our heads.”

A government spokesperson told Sky News: “We have seen too many preventable tragedies caused by the failings of mental health services, and it’s unacceptable that young people have not been getting the care and treatment they need to keep them, their families and the wider public safe.

“We are working to ensure children and their families get that help. We are investing over £50m to fund specialist support in schools, launching a Young Futures hub in every community, and providing access to a specialist mental health professional in every school in England.”

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK

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Plastic surgeon Peter Brooks found guilty of attempting to murder colleague

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Plastic surgeon Peter Brooks found guilty of attempting to murder colleague

A plastic surgeon has been found guilty of the attempted murder of a fellow doctor who he stabbed after a failed attempt to set his house on fire.

Peter Brooks had cycled to the home of Graeme Perks in Halam, near Southwell, Nottinghamshire, while wearing camouflage gear and armed with a crowbar, petrol, matches and a knife in the early hours of 14 January 2021.

The 61-year-old then doused the ground floor of the property with petrol before stabbing fellow plastic surgeon Mr Perks because he wanted him “out of the way”, his trial at Loughborough Courthouse heard.

The victim’s wife and children were sleeping at the time of the attack, the jury was told.

Mr Perks, a consultant plastic surgeon, had provided evidence in disciplinary proceedings against Brooks, who faced potentially losing his job with Nottingham University Hospitals NHS Trust, the jury was told.

Brooks was “voluntarily absent” from his month-long trial because he was on hunger strike and said he would “rather be dead than incarcerated”, it can now be reported.

He also sacked his lawyers before the trial and was unrepresented in the case.

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Graeme Perks is fighting for his life in hospital. Pic: BAPRAS
Image:
Graeme Perks is fighting for his life in hospital. Pic: BAPRAS

When opening the prosecution’s case, Tracy Ayling KC had told the jury it was “clear that the defendant hated Graeme Perks” and wanted him “out of the way”.

Mr Perks, who was 65 at the time, had retired the month before the attack and suffered “extremely life-threatening” injuries to his liver, intestines and pancreas, and was given a 95% chance of death, the court was told.

He had woken up on the night of the attack when Brooks smashed through his conservatory, the jury heard.

The camouflage suit worn by Peter Brooks during the attack. Pic Nottinghamshire Police
Image:
The camouflage suit worn by Peter Brooks during the attack. Pic Nottinghamshire Police

Mr Perks then went downstairs where his feet “felt a bit damp” from the petrol, which Brooks had also thrown against the wall next to the stairs, before he felt a “blow to his body”, the court was told.

Brooks was later found asleep on a garden bench later that morning when he was taken to hospital for injuries to his hand, and was arrested.

His blood was found on a door at the scene of the attack.

Brooks has been convicted of two counts of attempted murder, attempted arson with intent to endanger life, and possession of a knife in a public place.

Jurors deliberated for more than 12 hours before finding Brooks guilty of all the charges against him.

Retired surgeon Graeme Perks leaving Loughborough Magistrates' Court.
Pic: PA
Image:
Graeme Perks leaves court in Loughborough after giving evidence.
Pic: PA

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Two-phase public inquiry into Southport murders formally launched

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Two-phase public inquiry into Southport murders formally launched

A two-phase statutory public inquiry into the Southport murders has been formally launched.

Home Secretary Yvette Cooper said the first phase would look at the circumstances around Axel Rudakubana’s attack on a Taylor Swift-themed dance class last summer.

It will focus on issues around policing, the criminal justice system and the multiple agencies involved with the attacker who killed three girls – seven-year-old Elsie Stancombe, six-year-old Bebe King and Alice da Silva Aguiar, nine.

It follows the revelation Rudakubana had been referred to the government’s Prevent scheme on three occasions, with the cases being closed each time.

This breaking news story is being updated and more details will be published shortly.

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