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The number of people phoning 999 appears to have dropped in parts of England as thousands of ambulance staff and paramedics strike until midnight.

The West Midlands Ambulance Trust thanked people for heeding their advice to only call in an emergency as ambulance trusts reported receiving fewer calls.

The drop in calls comes as health leaders have urged people to still phone for an ambulance if they are in a life-threatening emergency.

It is feared some people in desperate need of help will not phone 999 during the strike action.

Hundreds of members of the army, navy and RAF have been drafted in to cover as paramedics, technicians, control room workers and other staff in England are on strike.

All Category 1 calls (the most life-threatening, such as cardiac arrest) are being responded to during the walkouts, while some ambulance trusts have agreed exemptions with unions for specific incidents within Category 2 (serious conditions, such as stroke or chest pain).

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‘We want to reassure patients’

Dr Adrian Boyle, president of the Royal College of Emergency Medicine (RCEM), said: “There may be a number of reasons why 999 calls are dropping – hesitancy may be a key factor during the industrial action.

“We want to reassure patients and the public that if they need emergency care, A&Es remain open.”

The Welsh Ambulance Service has said demand is “manageable” but any “influx of calls would put significant pressure on our service”.

A member of the military walks nearby an ambulance, on the day ambulance workers strike amid a dispute with the government over pay, near the NHS London Ambulance Service, in London, Britain December 21, 2022. REUTERS/Henry Nicholls
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Members of the armed forces have been drafted in to help

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Members of the armed forces are not due to be sent on critical emergency callouts or to carry out clinical tasks.

Meanwhile, the East Midlands Ambulance Service said it was too early to say how the service was coping.

Up to half of its more than 4,000 workforce were GMB members who were striking.

South Central Ambulance Service said its main impact from strikes was patient transport services in Sussex and Surrey, rather than urgent and emergency care services.

The London Ambulance Service declined to comment on how services were running.

Ambulance workers take part in a strike, amid a dispute with the government over pay, outside NHS London Ambulance Service in London, Britain December 21, 2022. REUTERS/Henry Nicholls
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Ambulance workers take part in strike action in London
Ambulance workers take part in a strike, amid a dispute with the government over pay, outside NHS London Ambulance Service in London, Britain December 21, 2022. REUTERS/Henry Nicholls

Thursday and Friday ‘expected to be busy’

Meanwhile, a chief executive of a large northern teaching trust told the Health Service Journal (HSJ) it had “so far not (been) as bad as I’d feared in terms of hospital pressures – in fact, (emergency departments) are less pressured than usual.

“We haven’t seen cars/taxis with patients arriving in large numbers but the problem is that much of the risk is not currently visible to us given people will be at home.

“We therefore expect very busy days on Thursday and Friday.”

It comes as the Royal Albert Edward Infirmary in Wigan declared a critical incident and said it was full after facing “unprecedented pressures” in its A&E department.

The strike action has taken place as there is a bitter war of words between unions and Health Secretary Steve Barclay who has said he will not back down on pay.

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‘I cannot express how bad it is’ – paramedic

Health secretary accused of ‘blatant lie’

Mr Barclay said the Unite, Unison and GMB unions had “refused” to work with the government at the national level to set out plans for dealing with the strikes.

But the unions said all those agreements had been made locally and were in place.

From a picket line in Longford, Coventry, Unite general secretary Sharon Graham accused Mr Barclay of a “blatant lie” for saying ambulance unions had taken a “conscious decision” to inflict harm on patients.

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Health sec criticises timing of ambulance strike

Meanwhile, a paramedic in Nottinghamshire said patients’ lives have been at risk for a long time due to issues in the NHS.

Tom, 33, from the East Midlands Ambulance Service, said: “I’ve attended elderly patients who have been on the floor with broken hips for over 20 hours.

“They’ve been waiting that long that their limbs have started to become necrotic (dying tissue), resulting in major surgery to remove said limbs.”

Unite union general secretary Sharon Graham (centre), joins ambulance workers on the picket line outside ambulance headquarters in Coventry
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Sharon Graham (centre) joins ambulance workers on the picket line in Coventry

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Sky’s Jason Farrell looks at the impact of ambulance staff walkouts on patients and those who care for them.

‘Don’t get blind drunk’

A former Royal Marine who is among striking health workers described it as “demoralising” to spend entire shifts waiting outside hospitals with patients stuck in the back of ambulances as he demanded “something needs to change”.

Harry Maskers from Cardiff, who works for the Welsh Ambulance Service, said that while he was unable to strike during his military career, he was taking the opportunity to do so now, with “the kicker” being the government’s refusal to discuss the issue of pay.

Mr Barclay had earlier urged the public to “use their common sense in terms of what activities they do” while ambulance workers are on strike, while the medical director of NHS England Professor Sir Stephen Powis urged people not to get “blind drunk”.

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The walkout by ambulance staff and paramedics comes as nurses in Scotland overwhelmingly rejected the latest pay offer from the Scottish government, in a move which could see members of the Royal College of Nursing (RCN) take strike action for the first time ever.

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Health Secretary Steve Barclay says people should use

Meanwhile, National Highways workers will go on strike from Thursday until Christmas Day in the latest phase of industrial action by the biggest civil service union.

The strike involves members of the Public and Commercial Services union (PCS) working as on-road traffic officers and regional operating centre operatives, in London and southeast England.

It comes as planned strikes by railway cleaners in a dispute over pay have been called off.

More than 1,000 cleaners, who are members of the Rail, Maritime and Transport union, would have been involved.

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‘My world crumbled’: The teenage girl who found out her dad was a child sex offender

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'My world crumbled': The teenage girl who found out her dad was a child sex offender

Ava was heading home from Pizza Hut when she found out her dad had been arrested. 

Warning: This article includes references to indecent images of children and suicide that some readers may find distressing

It had been “a really good evening” celebrating her brother’s birthday. 

Ava (not her real name) was just 13, and her brother several years younger. Their parents had divorced a few years earlier and they were living with their mum. 

Suddenly Ava’s mum, sitting in the front car seat next to her new boyfriend, got a phone call.  

“She answered the phone and it was the police,” Ava remembers.  

“I think they realised that there were children in the back so they kept it very minimal, but I could hear them speaking.”  

“I was so scared,” she says, as she overheard about his arrest. 

'Ava'
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‘Ava’ says she was ‘repulsed’ after discovering what her dad had done

“I was panicking loads because my dad actually used to do a lot of speeding and I was like: ‘Oh no, he’s been caught speeding, he’s going to get in trouble.'” 

But Ava wasn’t told what had really happened until many weeks later, even though things changed immediately. 

“We found out that we weren’t going to be able to see our dad for, well we didn’t know how long for – but we weren’t allowed to see him, or even speak to him. I couldn’t text him or anything. I was just wondering what was going on, I didn’t know. I didn’t understand.” 

Ava’s dad, John, had been arrested for looking at indecent images of children online. 

We hear this first-hand from John (not his real name), who we interviewed separately from Ava.  What he told us about his offending was, of course, difficult to hear.

His offending went on for several years, looking at indecent images and videos of young children.

His own daughter told us she was “repulsed” by what he did.

But John wanted to speak to us, frankly and honestly.

He told us he was “sorry” for what he had done, and that it was only after counselling that he realised the “actual impact on the people in the images” of his crime.

By sharing his story, he hopes to try to stop other people doing what he did and raise awareness about the impact this type of offence has – on everyone involved, including his unsuspecting family.

John tells us he’d been looking at indecent images and videos of children since 2013. 

“I was on the internet, on a chat site,” he says. “Someone sent a link. I opened it, and that’s what it was.

“Then more people started sending links and it just kind of gathered pace from there really. It kind of sucks you in without you even realising it. And it becomes almost like a drug, to, you know, get your next fix.” 

John says he got a “sexual kick” from looking at the images and claims “at the time, when you’re doing it, you don’t realise how wrong it is”.

Hand on mouse

‘I told them exactly what they would find’

At the point of his arrest, John had around 1,000 indecent images and videos of children on his laptop – some were Category A, the most severe. 

Referencing the counselling that he since received, John says he believes the abuse he received as a child affected the way he initially perceived what he was doing.

“I had this thing in my mind,” he says, “that the kids in these were enjoying it.”

“Unfortunately, [that] was the way that my brain was wired up” and “I’m not proud of it”, he adds.

John had been offending for several years when he downloaded an image that had been electronically tagged by security agencies. It flagged his location to police. 

John was arrested at his work and says he “straight away just admitted everything”.

“I told them exactly what they would find, and they found it.”

The police bailed John – and he describes the next 24 hours as “hell”. 

“I wanted to kill myself,” he remembers. “It was the only way I could see out of the situation. I was just thinking about my family, my daughter and my son, how is it going to affect them?” 

But John says the police had given information about a free counselling service, a helpline, which he called that day.  

“It stopped me in my tracks and probably saved my life.” 

'John'
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‘John’ thinks children of abusers should get more support

‘My world was crumbling around me’

Six weeks later, John was allowed to make contact with Ava.  

By this point she describes how she was “hysterically crying” at school every day, not knowing what had happened to her dad. 

But once he told her what he’d done, things got even worse. 

“When I found out, it genuinely felt like my world was crumbling around me,” Ava says. 

“I felt like I couldn’t tell anyone. I was so embarrassed of what people might think of me. It sounds so silly, but I was so scared that people would think that I would end up like him as well, which would never happen.

“It felt like this really big secret that I just had to hold in.” 

“I genuinely felt like the only person that was going through something like this,” Ava says.  

She didn’t know it then, but her father also had a sense of fear and shame.

“You can’t share what you’ve done with anybody because people can get killed for things like that,” he says.

“It would take a very, very brave man to go around telling people something like that.” 

And as for his kids?

“They wouldn’t want to tell anybody, would they?” he says.  

For her, Ava says “for a very, very long time” things were “incredibly dark”.  

“I turned to drugs,” she says. “I was doing lots of like Class As and Bs and going out all the time, I guess because it just was a form of escape.

“There was a point in my life where I just I didn’t believe it was going to get better. I really just didn’t want to exist. I was just like, if this is what life is like then why am I here?” 

Professor Rachel Armitage
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Professor Armitage says children of abusers should be legally recognised as victims

‘The trauma is huge for those children’

Ava felt alone, but research shows this is happening to thousands of British children every year.  

Whereas suspects like John are able to access free services, such as counselling, there are no similar automatic services for their children – unless families can pay. 

Professor Rachel Armitage, a criminology expert, set up a Leeds-based charity called Talking Forward in 2021. 

It’s the only free, in-person, peer support group for families of suspected online child sex offenders in England. But it does not have the resources to provide support for under-18s. 

“The trauma is huge for those children,” Prof Armitage says. 

“We have families that are paying for private therapy for their children and getting in a huge amount of debt to pay for that.” 

Prof Armitage says if these children were legally recognised as victims, then if would get them the right level of automatic, free support.  

It’s not unheard of for “indirect” or “secondary” victims to be recognised in law.

Currently, the Domestic Abuse Act does that for children in a domestic abuse household, even if the child hasn’t been a direct victim themselves. 

In the case of children like Ava, Prof Armitage says it would mean “they would have communication with the parents in terms of what was happening with this offence; they would get the therapeutic intervention and referral to school to let them know that something has happened, which that child needs consideration for”.

We asked the Ministry of Justice whether children of online child sex offenders could be legally recognised as victims.  

“We sympathise with the challenges faced by the unsuspecting families of sex offenders and fund a helpline for prisoners’ families which provides free and confidential support,” a spokesperson said. 

But when we spoke with that helpline, and several other charities that the Ministry of Justice said could help, they told us they could only help children with a parent in prison – which for online offences is, nowadays, rarely the outcome.  

None of them could help children like Ava, whose dad received a three-year non-custodial sentence, and was put on the sex offenders’ register for five years. 

“These children will absolutely fall through the gap,” Prof Armitage says. 

“I think there’s some sort of belief that these families are almost not deserving enough,” she says. “That there’s some sort of hierarchy of harms, and that they’re not harmed enough, really.” 

'Ava'
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‘Ava’ started taking drugs after her dad’s arrest and ‘didn’t want to exist’

‘People try to protect kids from people like me’

Ava says there is simply not enough help – and that feels unfair.  

“In some ways we’re kind of forgotten about by the services,” she says. “It’s always about the offender.” 

John agrees with his daughter. 

“I think the children should get more support than the offender because nobody stops and ask them really, do they?” he says.

Nobody thinks about what they’re going through.” 

Although Ava and John now see each other, they have never spoken about the impact that John’s offending had on his daughter.  

Ava was happy for us to share with John what she had gone through.  

“I never knew it was that bad,” he says.  “I understand that this is probably something that will affect her the rest of her life.  

“You try to protect your kids, don’t you. People try to protect their kids from people like me.”

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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MasterChef presenter John Torode sacked

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MasterChef presenter John Torode sacked

MasterChef presenter John Torode will no longer work on the show after an allegation he used an “extremely offensive racist term” was upheld, the BBC has said.

His co-host Gregg Wallace was also sacked last week after claims of inappropriate behaviour.

On Monday, Torode said an allegation he used racist language was upheld in a report into the behaviour of Wallace. The report found more than half of 83 allegations against Wallace were substantiated.

Torode, 59, insisted he had “absolutely no recollection” of the alleged incident involving him and he “did not believe that it happened,” adding “racial language is wholly unacceptable in any environment”.

John Torode and Gregg Wallace in 2008. Pic:PA
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John Torode and Gregg Wallace in 2008. Pic: PA

In a statement on Tuesday, a BBC spokesperson said the allegation “involves an extremely offensive racist term being used in the workplace”.

The claim was “investigated and substantiated by the independent investigation led by the law firm Lewis Silkin”, they added.

“The BBC takes this upheld finding extremely seriously,” the spokesperson said.

“We will not tolerate racist language of any kind… we told Banijay UK, the makers of MasterChef, that action must be taken.

“John Torode’s contract on MasterChef will not be renewed.”

Australian-born Torode started presenting MasterChef alongside Wallace, 60, in 2005.

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Why Gregg Wallace says he ‘will not go quietly’

A statement from Banijay UK said it “takes this matter incredibly seriously” and Lewis Silkin “substantiated an accusation of highly offensive racist language against John Torode which occurred in 2018”.

“This matter has been formally discussed with John Torode by Banijay UK, and whilst we note that John says he does not recall the incident, Lewis Silkin have upheld the very serious complaint,” the TV production company added.

“Banijay UK and the BBC are agreed that we will not renew his contract on MasterChef.”

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Earlier, as the BBC released its annual report, its director-general Tim Davie addressed MasterChef’s future, saying it can survive as it is “much bigger than individuals”.

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BBC annual report findings

Speaking to BBC News after Torode was sacked, Mr Davie said a decision is yet to be taken over whether an unseen MasterChef series – filmed with both Wallace and Torode last year – will be aired.

“It’s a difficult one because… those amateur chefs gave a lot to take part – it means a lot, it can be an enormous break if you come through the show,” he added.

“I want to just reflect on that with the team and make a decision, and we’ll communicate that in due course.”

Mr Davie refused to say what the “seriously racist term” Torode was alleged to have used but said: “I certainly think we’ve drawn a line in the sand.”

In 2022, Torode was made an MBE in the Queen’s Birthday Honours, for services to food and charity.

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David Fuller: Offences committed by hospital worker who sexually abused dozens of corpses ‘could happen again’

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David Fuller: Offences committed by hospital worker who sexually abused dozens of corpses 'could happen again'

An inquiry into the case of a hospital worker who sexually abused dozens of corpses has concluded that “offences such as those committed by David Fuller could happen again”.

It found that “current arrangements in England for the regulation and oversight of the care of people after death are partial, ineffective and, in significant areas, completely lacking”.

The first phase of the inquiry found Fuller, 70, was able to offend for 15 years in mortuaries without being suspected or caught due to “serious failings” at the hospitals where he worked.

Phase 2 of the inquiry has examined the broader national picture and considered if procedures and practices in other hospital and non-hospital settings, where deceased people are kept, safeguard their security and dignity.

What were Fuller’s crimes?

Fuller was given a whole-life prison term in December 2021 for the murders of Wendy Knell and Caroline Pierce in Tunbridge Wells, Kent, in 1987.

During his time as a maintenance worker, he also abused the corpses of at least 101 women and girls at Kent and Sussex Hospital and the Tunbridge Wells Hospital before his arrest in December 2020.

His victims ranged in age from nine to 100.

Phase 1 of the inquiry found he entered one mortuary 444 times in the space of one year “unnoticed and unchecked” and that deceased people were also left out of fridges and overnight during working hours.

‘Inadequate management, governance and processes’

Presenting the findings on Tuesday, Sir Jonathan Michael, chair of the inquiry, said: “This is the first time that the security and dignity of people after death has been reviewed so comprehensively.

“Inadequate management, governance and processes helped create the environment in which David Fuller was able to offend for so long.”

He said that these “weaknesses” are not confined to where Fuller operated, adding that he found examples from “across the country”.

“I have asked myself whether there could be a recurrence of the appalling crimes committed by David Fuller. – I have concluded that yes, it is entirely possible that such offences could be repeated, particularly in those sectors that lack any form of statutory regulation.”

Sir Jonathan called for a statutory regulation to “protect the security and dignity of people after death”.

After an initial glance, his interim report already called for urgent regulation to safeguard the “security and dignity of the deceased”.

On publication of his final report he describes regulation and oversight of care as “ineffective, and in significant areas completely lacking”.

David Fuller was an electrician who committed sexual offences against at least 100 deceased women and girls in the mortuaries of the Kent and Sussex Hospital and the Tunbridge Wells Hospital. His victims ranged in age from nine to 100.

This first phase of the inquiry found Fuller entered the mortuary 444 times in a single year, “unnoticed and unchecked”.

It was highly critical of the systems in place that allowed this to happen.

His shocking discovery, looking at the broader industry – be it other NHS Trusts or the 4,500 funeral directors in England – is that it could easily have happened elsewhere.

The conditions described suggest someone like Fuller could get away with it again.

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