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It was three years before Kelly Boone saw her daughter’s face free from a thick layer of make-up.

Avella was 11 years old when she first began exhibiting symptoms of severe body dysmorphic disorder (BDD) – even going as far as to consult a cosmetic surgeon and begging for rhinoplasty.

At the most severe, it left her housebound and she would cover her head with a towel just to go to the toilet, refusing to let her family see her without the thick layers of foundation.

On one “devastating” occasion, her father Patrick opened a package that had arrived for Avella – it contained injections and filler bought off a dodgy website.

It was not the first time Avella had tried “self-surgery”.

“She didn’t actually use any of the things she bought – by luck,” Kelly, from south Devon, said.

“It was crippling. She was a recluse, just living in her room.

“I was sliding trays of food across her bedroom floor with her in a darkened room at one point.”

As Avella, now 17, makes steps towards recovery, Kelly fears the cost of living crisis will make things harder.

Two showers a day

Although Avella no longer wears layers of make-up she has a strict hygiene routine – including two showers a day – to help her cope with her body dysmorphia.

Amid the soaring cost of energy, bills and inflation, there are concerns it could become harder for the family.

The family’s monthly gas bill has risen from £400 to more than £500. But for Kelly, the price is non-negotiable.

“She’s starting to recover and the gains we’ve made, we can’t negotiate on that,” Kelly told Sky News.

“It’s quite ritualistic and quite necessary to her, and we can’t make any concessions on those, whilst they might be a luxury to some people.

“So we cannot cut down our water bill, the cost of gas – these things are non-negotiable, so our bills are extortionate.”

Avella also cannot get public transport. “She cannot sit face to face with someone,” her mother said – so instead they have to drive her to therapy appointments, and previously to college.

“I can’t believe how quickly my tank gets down to zero,” said Kelly. “It’s very expensive.”

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Avella, age 11, before she began showing symptoms of body dysmorphia
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Avella, aged 11, before she began showing symptoms of body dysmorphia

‘Her recovery has to be at her pace – not at my energy bill convenience’

Kelly said seeing Avella suffer is “excruciating”.

“I would do anything to swap places with her,” she said.

“It’s been really difficult and gut-wrenching, but we’ve also had some really high moments.

“Like the day she decided to wipe her make-up off and come down and show us.

“It was the first time in three years we had seen her without any make-up on.”

As the family takes each day “hour by hour”, none of them want to see Avella slide back to where she was before.

The mother of three said: “Any requested change to her routine, other than what she does for herself of her own choosing would cause immediate anxiety and distress.

“This can snowball to affect other aspects of how she perceives herself. Her recovery has to be at her own pace not at my convenience due to rising energy bill concerns.”

One in three fear for their children

Kelly is not alone, as new research shows a third of parents think the cost of living crisis will significantly affect their children’s mental health.

These children, who have spent their formative teenage years living through the COVID pandemic, face coming of age in a cost of living crisis.

A poll of 2,150 UK parents – by Savanta ComRes and commissioned by the King’s Maudsley Partnership – found a third of parents (33%) feel their child is currently experiencing mental health difficulties.

This rises to 43% of parents with children ages between 16 and 17.

The most common symptom, or behaviour, noticed by parents is anxiety (68%), which is cited by nearly twice as many parents as the next most common response – which is depression or low mood episodes in their children (37%).

Read more: The real cost of being born premature

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‘Grossly underfunded’

Kelly, like many parents, experienced delay after delay in getting treatment for Avella.

Bruce Clark, a consultant child and adolescent psychiatrist and specialist in OCD, BDD and related disorders, said he had seen a “huge rise in mental health presentations to services, both in referrals to generic services” as well as emergency crisis referrals since the pandemic.

The clinical director of Child and Adolescent Mental Health Service, who works at the South London and Maudsley Mental Health Trust said while there are charities that help fill some of the gaps, the sector – particularly around research – is “grossly underfunded”.

The London trust is on the brink of opening a new pioneering mental health centre for children and young people, the Pears Maudsley Centre. Part of the new centre will involve a clinical hub, with research vital to improving support for young people.

“There was always an aspiration to deliver for 35% of the mental health needs in the community,” Dr Clark said.

“Well, we want to do more than 35%. I’d like to find ourselves in a situation with the right clinical research background to deliver as close to 100%.

“You’d never find that acceptable to say we’ll treat 35% of the cancer morbidity in our society, so it would be brilliant if we could not have that limited aspiration for children’s mental health.”

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‘They know Britain is a soft country’: The visa overstayers living under the radar

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'They know Britain is a soft country': The visa overstayers living under the radar

Ramesh lives in fear every day. A police siren is enough to alarm him.

He’s one of up to 400,000 visa overstayers in the UK, one lawyer we spoke to believes.

It’s only an estimate because the Home Office has stopped collecting figures – which were unreliable in the first place.

Britain is being laughed at, one man told us, “because they know it’s a soft country”.

'Ramesh' came to the UK from India
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‘Ramesh’ came to the UK from India

We meet Ramesh (not his real name) at a Gurdwara, a Sikh place of worship, where he goes for food and support.

He insists he can’t return to India where he claims he was involved in political activism.

Ramesh says he came to the UK on a student visa in 2023, but it was cancelled when he failed to continue his studies after being involved in a serious accident.

He tells us he is doing cash-in-hand work for people who he knows through the community where he is living and is currently working on a house extension where he gets paid as little as £50 for nine hours labouring.

“It’s very difficult for me to live in the UK without my Indian or Pakistani community – also because there are a lot of Pakistani people who give me work in their houses for cleaning and for household things,” he adds.

‘What will become of people like us?’

Anike has lived in limbo for 12 years.

Now living in Greater Manchester, she came to the UK from Nigeria when her sister Esther was diagnosed with a brain tumour – she had a multi-entry visa but was supposed to leave after three months.

Esther had serious complications from brain surgery and says she is reliant on her sister for care.

Immigration officials are in touch with her because she has to digitally sign in every month.

Anike has had seven failed applications for leave to remain on compassionate grounds refused but is now desperate to have her status settled – afraid of the shifting public mood over migration.

“Everybody is thinking ‘what will become of people like us?'” she adds.

It’s a shambles’

The government can’t say with any degree of accuracy how many visa overstayers there are in Britain – no data has been collated for five-and-a-half years.

But piecing together multiple accounts from community leaders and lawyers the picture we’ve built is stark.

Immigration lawyer Harjap Singh Bhangal told us he believed there could be several hundred thousand visa overstayers currently in Britain.

He says: “At this time, there’s definitely in excess of about 200,000 people overstaying in the UK. It might even be closer to 300,000, it could even be 400,000.”

Asked what evidence he has for this he replies: “Every day I see at least one overstayer, any immigration lawyers like me see overstayers and that is the bulk of the work for immigration lawyers.

The Home Office doesn’t have any accurate data because we don’t have exit controls. It’s a shambles. It’s an institution where every wall in the building is cracked.”

The number of those who are overstaying visas and working cash in hand is also virtually impossible to measure.

‘They know Britain is a soft country’

“They’re laughing at us because they know Britain is a soft country, where you won’t be picked up easily,” says the local man we’ve arranged to meet as part of our investigation.

We’re in Kingsbury in northwest London – an area which people say has been transformed over the past five years as post-Brexit visa opportunities opened up for people coming from South Asia.

‘Mini-Mumbai’

The man we’re talking to lives in the community and helps with events here. He doesn’t want to be identified but raises serious questions about visa abuse.

“Since the last five years, a huge amount of people have come in this country on this visiting visa, and they come with one thing in mind – to overstay and work in cash,” he says.

“This area is easy to live in because they know they can survive. It looks like as if you are walking through mini-Mumbai.”

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‘The system is more than broken’

‘It’s taxpayers who are paying’

And he claims economic migrants are regularly arriving – who’ve paid strangers to pretend they’re a friend or relative in order to obtain a visitor visa to get to Britain.

He says: “I’ve come across so many people who have come this way into this country. It’s widespread. When I talk to these people, they literally tell me, ‘Oh, someone is coming tomorrow, day after tomorrow, someone is coming’.

“Because they’re hidden they may not be claiming benefits, but they can access emergency healthcare and their children can go to school.

“And who is paying for it? It’s the taxpayers who are paying for all this,” says the man we’ve met in north London.

Read more from Sky News:
Net migration figures hit four-year low
How Denmark may inspire UK asylum reforms

A Home Office spokesperson said: “We will not tolerate any abuse of our immigration system and anyone found to be breaking the rules will be liable to have enforcement action taken against them.

“In the first year of this government, we have returned 35,000 people with no right to be here – a 13% rise compared to the previous year.

“Arrests and raids for illegal working have soared to their highest levels since records began, up 63% and 51%.”

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The government doesn’t know how many people are overstaying their visas – here’s why

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The government doesn't know how many people are overstaying their visas - here's why

The government can’t say with accuracy how many visa overstayers there are in Britain – no data has been collated for five-and-a-half years.

Sky News has spoken to immigration lawyers about the numbers, and one believes there could be as many as 400,000 living across the country.

Harjap Singh Bhangal described the situation as a “shambles”.

The Home Office doesn’t have any accurate data because we don’t have exit controls. It’s a shambles. It’s an institution where every wall in the building is cracked,” he told Sky’s Lisa Holland.

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The visa overstayers in ‘soft’ Britain

Why doesn’t the government know?

The Home Office used to gather data on visa overstayers by effectively checking a list of passport numbers associated with visas against a list of passport numbers of people leaving the UK, taken from airlines and other international travel providers.

If there was a passport number match in the arrivals and departures part of their database, that person was recorded to have left when they should have. If there wasn’t, they were a potential overstayer.

They stopped producing the figures because a combination of Brexit and COVID added complications that made the Home Office conclude they wouldn’t be able to get to a reliable number using the same method.

It’s now four and a half years since EU citizens had freedom of movement to the UK revoked, and more than three and a half years since pandemic-era travel restrictions ended.

And yet we are still waiting to see what a new method might look like.

Read more from Sky News:
Is this what the beginning of a war looks like?
There’s one big problem with Australia’s social media ban

The old method wasn’t perfect. If someone changed their passport while in the UK, for example, or if the airline or individual entered the number wrong when they were leaving, there wouldn’t be a match.

The Home Office regarded the statistics as likely overestimating the true number of overstayers, and the Office for National Statistics designated the figures as “experimental” rather than “official” statistics, meaning the conclusions should be treated with caution. But they were a reasonable best guess.

With all that in mind, between April 2016 and March 2020 upwards of 250,000 people were flagged as potential overstayers, equivalent to 63,000 per year.

That’s more than the 190,000 people who are recorded to have arrived in the UK on small boats since 2018.

It represents 3.5% of the seven million visas that expired over that period, so at least 96.5% of people left when they should.

Other Home Office data reveals that more than 13 million visas were issued between 2020 and the end of June 2025, including a record 3.4 million in 2023.

But what we don’t know is how many have expired, which means it’s difficult for us to even guess how many people might have overstayed.

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‘Exceptional’ British soldier killed in Ukraine accident pictured

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British soldier killed in Ukraine named - as Trump exchanges 'strong words' with Kyiv's allies

The Ministry of Defence have shared a picture of the British soldier who was killed in a “tragic accident” in Ukraine, as Volodymyr Zelenskyy prepares to give Donald Trump a revised plan for peace with Russia.

The Ukrainian president said his delegation is set to hand Kyiv’s proposal to Washington in the “near future”, ahead of talks between European leaders over the plan next week.

But they will comes after Mr Trump called European leaders “weak” and criticised them for failing to end the war between Russia and Ukraine.

As it happened: Soldier who died in Ukraine pictured for first time

Meanwhile, tributes have come in for Lance Corporal George Hooley, a 28-year-old paratrooper who died on Tuesday while observing Ukrainian forces testing a new defensive capability away from the frontline.

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Is Europe’s transatlantic relationship with America on life support?

The MoD said he joined the army in November 2015 and was regarded as “an exceptional soldier and an impressive junior leader with extensive operational experience”.

In a statement released through the ministry, Lance Corporal Hooley’s commanding officer said that the paratrooper had had an “incredibly bright” future in the Parachute Regiment.

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“I have no doubt that he would have continued to perform at the very front of his peer-group over the coming years,” they added.

“All members of The Parachute Regiment mourn his loss; however, our sorrow is nothing compared to that being felt by his family, our thoughts and prayers are with them at this incredibly difficult time.”

Lance Corporal George Hooley with his dog Mabel. Pic: Ministry of Defence
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Lance Corporal George Hooley with his dog Mabel. Pic: Ministry of Defence

‘If you met George Hooley, you remembered it’

The company commander added: “If you met George Hooley, you remembered it.” They said the paratrooper had a “rare gift” and was a “model of professionalism”.

Britain’s Defence Secretary John Healey said the Lance Corporal “served our country with distinction and professionalism” and was “an exceptional soldier who will be very deeply missed”.

“The tributes that have been paid to him are a testament to his exceptional attitude and ability,” Mr Healey said. “George’s tragic death reminds us of the courage and commitment with which our outstanding armed forces serve every day to protect our nation.”

Zelenskyy: Ukraine to share peace plan in ‘near future’

Mr Zelenskyy said that Ukraine was finalising a 20-point peace document to share with the United States.

“We are working very productively to guarantee future security and prevent a recurrence of Russian aggression,” he said.

But Mr Trump had accused Mr Zelenskyy of not reading the original American-backed version of the peace proposal, and in an interview with Politico on Tuesday, claimed the Ukrainian president was “using war” to avoid holding an election.

Read more: Trump’s 28-point Ukraine peace plan in full

Later on Wednesday, Mr Zelenskyy said Kyiv’s peace delegation held a “productive conversation” with the US, and “discussed key issues for recovery, various mechanisms, and visions of reconstruction”.

Prime Minister Sir Keir Starmer, German Chancellor Friedrich Merz and French President Emmanuel Macron also spoke with the US president by phone on Wednesday.

In Ukraine shelling at a hospital in the occupied southern Kherson region killed three medical workers and injured two others, according to a governor installed by Russia.

And on Wednesday morning, Ukraine said its energy infrastructure had been targeted by Russian drone strikes in the southern Odesa region.

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