Thirty new patients have contacted Sky News following our investigation into the treatment of teenagers in mental health units run by a single provider.
They include a 16-year-old boy whose mother told us her son’s self-harming increased.
Rachel Vickers said of her son Tyson: “He looked like he’d been in a car crash”, and Tyson Vickers added: “It just felt like they’d given up on me.”
In October, Sky News revealed serious allegations of failures in care from more than twenty former patients at units run by The Huntercombe Group, now part of Active Care Group.
Content warning: this article contains references to self-harm
Since then, we’ve been contacted by dozens more former patients independently of one another.
They’ve made further claims over concerns such as the overuse of restraint and inadequate supervision, allegedly leaving patients at increased risk of self-harm.
In response to our joint investigation with the Independent, the Department for Health has described the further allegations of mistreatment as “deeply concerning”.
Sixteen-year-old Tyson Vickers is one of a raft of new patients who’ve come forward in response to our initial investigation.
He spent two months in the Maidenhead unit from the beginning of March this year – he says during his time there he felt “like a lost cause in the mental healthsystem”.
Tyson told us he went into the unit because “I couldn’t keep myself safe”. But he says he didn’t receive the specialist intervention he was expecting.
His mother Rachel said: “I could see that he was getting a lot worse. We were seeing much more self-harm – erratic behaviour that was leading to him needing to be restrained, which we hadn’t had to do at home. It was dawning on me that he wasn’t being looked after.
“He had cuts on his arms. He was bandaged up on both arms. He had a huge black eye. I mean, he looked like he’d been in a car crash.”
Tyson is autistic and transgender. It’s not easy talking about his time at the unit. He said he would ask staff to “refer to me as a male and by the name Tyson with “him” pronouns.
“But sometimes they’d just mess up, and you could tell they didn’t actually respect it”.
Tyson says he gets “flashbacks” from his experiences. He says “just thinking about everything I went through there” makes him tearful when discussing it.
Tyson says: “I was struggling a lot. It just felt like they’d given up on me. I’m not going to get better. I just felt like I couldn’t be helped in any way. I was just sort of like a lost cause in the mental health system.”
“I was told by one staff member I would never get out, that I was just going to be stuck there forever and I couldn’t get help.”
Our original investigation revealed allegations stretching back more than a decade.
There were recurring themes such as the overuse of restraint and lack of staffing and observation to keep patients safe.
The 30 new patients who’ve come forward were inpatients at the units from 2003 – the majority were admitted from 2018.
They all got in touch with us independently of one another.
A patient who wants to remain anonymous, and who was in the Maidenhead unit between 2018 and 2019, told us she is now unable to live independently, which she believes is due to the trauma from her experiences.
This is how she describes her life now after her time at the unit: “I have pretty much daily seizures, walking difficulties, tics and more.
“My mum is my full-time carer as I cannot be on my own due to this. I cannot live independently.”
Another patient, who also wants to remain anonymous, and was admitted to the Maidenhead unit in 2020, shared photographs of injuries to her legs and knuckles which she says were sustained during restraints.
She said: “Sometimes when they were trying to get me in holds, they would swing me round really hard and I would fall into the wall so I would get bruised knuckles.
“Every single day I was getting bruises all over my body.”
Another patient shared pictures she says are of blood on the walls of her room. She told us she was left alone “for hours” to self-harm.
In 2019 Mae, who is 21 now, was an inpatient at Huntercombe’s Stafford unit.
She said: “I wouldn’t be asked to walk to the clinic for a feed, I would just be picked up and dragged there”.
Mae describes feeling like an “animal” in the unit and claims she was “dragged around, locked out of my room, bruised, constantly shouted at and verbally abused.
She said: “I had no autonomy or say in my own care or my own body.”
Ami was in the Maidenhead unit between April 2020 and December 2021.
Now aged 18 she says she wasn’t allowed out of her room for six weeks after an episode of self-harm.
She said when her underwear was taken off so she could be put into anti-ligature clothing, there was a male member of staff in the room.
She said: “I was embarrassed and felt assaulted. It really went past all my boundaries.”
Ami’s mother Rebecca Hinton told us: “We felt helpless, alone, like our voices just fell into a dark well, scared, desperate.”
Separate to our investigation, we’ve learned the first steps have been taken by solicitor Mark McGhee towards legal action against The Huntercombe Group. He’s currently representing nine former patients.
His cases include the family of a young former patient who claims they were raped by a member of staff at the Maidenhead unit.
Thames Valley Police has confirmed they are investigating the allegation.
Mr McGhee said: “This is systemic failure and it’s gross systemic neglect. This hospital was responsible for some of the most vulnerable individuals within our society
“All of these individuals have been profoundly affected in terms of the abuse that they’ve sustained. And it is going to affect the rest of their lives.”
Active Care Group took over Huntercombe in December 2021.
A spokesperson for Active Care Group said: “We are very sad and concerned to hear about these patient experiences and allegations of poor care, a handful of which relate to time in our care…our policies and clinical interventions are in line with national guidelines and best practice; the care of our patients is our top priority.”
“All complaints are investigated and those meeting thresholds for CQC (Care Quality Commission) and safeguarding are reported as required. We are also pleased to receive positive feedback from many young people and their families.”
The previous owners Elli Investments Group said: “We are saddened by these allegations and regret that these hospitals and specialist care services, which were owned and independently managed by The Huntercombe Group, failed to meet the expected standards for high-quality care.”
NHS England said it’s deeply concerned by these “shocking allegations”.
A spokesperson said: “Consequently these two units, which are run by Active Care Group, have been visited several times by senior commissioners in recent weeks – these visits have included speaking to all current patients, and we will continue to monitor and take appropriate action where necessary.
“The NHS has repeatedly made it clear in recent meetings to the executives of Active Care Group that all services must provide safe, high-quality care and deliver on the commitments in their contracts.”
A Department of Health and Social Care spokesperson said: “The further allegations of mistreatment that have been raised are deeply concerning. Our first priority is to ensure anyone receiving treatment in a mental health facility receives safe, high-quality care, and is looked after with dignity and respect.
“We take these reports very seriously and are working with NHS England and CQC to ensure all mental health inpatient settings are providing the standard of care we expect.”
Chris Dzikiti, Director of Mental Health at the Care Quality Commission (CQC) said: “It is unacceptable for any young person who needs mental health support to receive anything less than the highest standards of care.
“We are grateful to each and every person who has taken the time to share their, or their loved ones, experience of the care they have received.
“We have a range of powers we can use if we find people are not receiving safe care and will take every action possible to protect people where necessary.”
Temperatures in a hamlet in northern Scotland fell to -18.7C (-1.66F) overnight – the UK’s coldest January night in 15 years, the Met Office has said.
Altnaharra, in the northern region of the Highlands, reached the lowest temperature while nearby Kinbrace reached -17.9C (-0.22F).
It is the coldest January overnight temperature since 2010, when temperatures dropped below -15C several times at locations across the UK, including -22.3C (-8.14F) on 8 January in Altnaharra.
Forecasters had previously said there was a very small probability it could reach -19C.
Met Office meteorologist Alex Deakin said: “Friday night into Saturday morning may well be the nadir of this current cold spell.”
Temperatures for large parts of the UK are set to fall again as the cold weather continues.
Met Office meteorologist Zoe Hutin said: “We’ve still got tonight to come, and tomorrow (Saturday) night could also be chilly as well.
More on Uk Weather
Related Topics:
“Temperatures for tomorrow night, it will be mainly eastern parts that see temperatures dropping widely below freezing, so East Anglia, the northeast of England, northern and eastern Scotland as well.
“So another chilly night to come on Saturday, but then as we go into Sunday and into Monday, then we can start to expect temperatures to recover somewhat.
“I won’t rule out the risk of seeing something around or just below freezing again on Sunday night into Monday, but it won’t be quite so dramatic as the temperatures that we’re going to experience as we go overnight tonight.”
On Monday, temperatures are expected to be more in line with the seasonal norm, at about 7C to 8C.
The freezing conditions have led to travel disruption, with Manchester Airport closing both its runways on Thursday morning because of “significant levels of snow”. They were later reopened.
Transport for Wales closed some railway lines because of damage to tracks.
Hundreds of schools in Scotland and about 90 in Wales were shut on Thursday.
Meanwhile, staff and customers at a pub thought to be Britain’s highest were finally able to leave on Thursday after being snowed in.
The Tan Hill Inn in Richmond, North Yorkshire, is 1,732 feet (528m) above sea level.
Six staff and 23 visitors were stuck, the pub said on Facebook.
The government contract for the controversial asylum barge in Dorset has ended.
The last asylum seekers are believed to have left Bibby Stockholm at the end of November after Labour said it would have cost more than £20m to run in 2025.
Its closure this month was expected, and on Friday the management firm and the Home Office confirmed to Sky News the contract had now expired.
It’s currently unclear when Bibby Stockholm will leave Portland and what it will be used for next.
The Conservative government started using the vessel in August 2023.
It said putting nearly 500 men on board while they waited for an asylum decision was cheaper than paying for hotel rooms.
However, it was controversial from the start and sparked legal challenges and protests.
More on Asylum
Related Topics:
Please use Chrome browser for a more accessible video player
0:49
August: 2023: Barge reminds migrant of Islamic State
Days after the first group boarded there was an outbreak of Legionella bacteria in the water system and it had to be evacuated for two months.
Pressure on hospitals is particularly high this winter, with more than a dozen declaring critical incidents in recent days.
Hospitals struggle every winter with additional pressures due to the impact of cold weather, but the early arrival of flu this season and high volume of cases meant Christmas and New Year’s weeks were even busier than usual.
There are currently at least 20 hospitals that have declared critical incidents in England, although this is a fast-moving picture, and some trusts will go into critical incident for as little as half an hour.
The latest NHS winter situation reports give a more detailed look at the level of pressure experienced by individual trusts, including those with the worst ambulance handover delays and highest levels of flu patients.
Ambulance handover delays
When a patient arrives at a hospital in an ambulance, clinical guidelines suggest that it should take no longer than 15 minutes to transfer them into emergency care.
It is now common for handovers to regularly exceed this timeframe, however, when emergency departments are overcrowded and lack the capacity to keep up with new patient arrivals.
This is risky for patients because it delays their assessment and treatment by clinicians, and also reduces the availability of ambulances to respond to new incidents.
The trust with the longest delays was University Hospitals Plymouth, with an average handover time of three hours and 33 minutes over the week – two hours and 40 minutes longer than the average for England. It also recorded the longest average handover times for a single day, at five hours and 14 minutes on New Year’s Day.
Use the table below to search for local ambulance handover times:
On 7 January, University Hospitals Plymouth declared a critical incident at Derriford Hospital due to “significant and rising demand for hospital care”, though this has since been stood down.
The Shrewsbury and Telford Hospital Trust had an average ambulance handover time of three hours and 15 minutes, increasing by more than an hour from one hour and 51 minutes the week before.
In Royal Cornwall Hospitals NHS Trust, 83% of handovers took more than 30 minutes, the highest share among areas dealing with more than five ambulance arrivals per day.
This area also recently declared and then stood down a critical incident.
In total across England, 43 trusts out of 127 had average handover times of more than an hour, while nine areas had average handover times of more than two hours.
Flu
This winter’s flu wave arrived earlier than usual and has hit health services hard.
Over New Year’s week, there were 5,407 flu patients in hospitals in England on average each day, more than three times higher than during the same week last year and increasing by 20% from the week before.
The worst impacted trusts were Northumbria Healthcare and University Hospitals Birmingham, with 15% and 13% of all available beds occupied by flu patients respectively in the latest week.
Wirral University Teaching Hospital NHS Foundation Trust had among the biggest increase in flu patients from the previous week, more than doubling from 18 to 42 patients per day on average.
Use the table below to search for local flu hospitalisations:
There are some indications that flu activity may have now peaked, with national flu surveillance showing a decrease in positive flu tests in the latest week, though activity remains at high levels.
Bed occupancy
Current NHS guidance is that a maximum of 92% of hospital beds should be occupied to reduce negative risks associated with overfilled beds.
These risks include the impact on patient flow resulting from it being more difficult to find beds for patients, and negative impacts on performance and waiting times, as well as being linked to increased infection rates.
In the week to 5 January, 92.8% of 102,546 open hospital beds were available each day on average, not far off the recommended level.
However, bed occupancy was very high in some trusts, with more than 95% of beds occupied in 43 trusts on average over the week.
The trust with the highest rate of bed occupancy was Wye Valley NHS Trust, with 99.9% of 332 beds occupied on average throughout the week.
There was only one day when beds weren’t fully occupied, on 3 January, when two beds of 322 were available.
Use the table below to search for local bed occupancy:
Kettering General Hospital NHS Trust recorded bed occupancy of 98.5% over the week. This trust declared a critical incident on 8 January.
Part of the problem for bed availability is prolonged hospital stays – also known as bed-blocking.
This is often linked to pressures in other parts of the health and social care system, for example when patients can’t be discharged to appropriate social care providers even though they are ready to leave hospital.
Just under half of beds occupied by patients in English hospitals last week were occupied by long-stay patients who had been there for seven or more days.
In seven trusts, at least three in five beds were occupied by long-stay patients, while in Barking, Havering and Redbridge University Hospitals NHS Trust the figure was more than four in five beds.
The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.