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A culture of bullying at one of England’s biggest NHS trusts could put the care of patients at risk, a report has found.

An independent review of the University Hospitals Birmingham NHS Trust (UHB) has found the number of patient deaths at the trust is higher than would be expected and has warned that “if the cultural environment at UHB has not already affected mortality it is likely to be affecting the patient experience and morbidity”.

The report revealed “extensive complaints” had been made by staff about the organisation’s conduct and that “many were concerned about the ‘toxic atmosphere and bullying at all levels of management'”.

It said the report team “heard many examples of concerning comments following a range of topics, including issues over promotion processes, bullying of staff (including junior doctors), and a fear of retribution if concerns were raised”.

It also highlights concerns around staffing levels. In November 2022, 13.35% of nursing posts at the trust were vacant, compared with an England average of 10%.

It warns that “any continuance of a culture that is corrosively affecting morale and in particular threatens long-term staff recruitment and retention will put at risk the care of patients”.

The report chaired by Professor Mike Bewick, a former deputy medical director at NHS England, who is now an independent consultant, was commissioned last year after a number of complaints were raised about the trust which employs 22,400 people across several sites and operates four major hospitals in the West Midlands.

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Father of junior doctor: ‘Our lives stopped on 22 June’

It followed the death by suicide of Dr Vaishnavi Kumar, 35, who was working at the Queen Elizabeth Hospital Birmingham when she took a fatal overdose in June of last year.

“She wrote a letter,” her father, Dr Ravi Kumar, told Sky News. “She very clearly mentioned that she was doing this because of the QE hospital.”

After taking the overdose she waited three hours to call an ambulance. Her father says that when paramedics arrived “she said under no circumstances was she going to the QE hospital”.

Dr Kumar says his daughter was “bright, fun-loving and compassionate” but things changed soon after she began working at the Queen Elizabeth Hospital.

Dr Vaishnavi Kumar took her own life in June 2022
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Dr Vaishnavi Kumar took her own life in June 2022

“She started facing this toxic environment and she started getting a bit more worried and tearful,” he said, adding sometimes when she returned from work she would say “people are belittling her and demeaning her”.

The report found there was “considerable unrest and anger at the trust’s response” to Dr Kumar’s death, both from her family and “the wider junior doctor community”.

It also found that “this was not the first death by suicide of a doctor at UHB”.

It revealed there was “disappointment and anger” from staff at a lack of senior representation by the trust at Dr Kumar’s funeral, and that the trust only formally wrote to her family two months after her death.

Shockingly, the report found a senior member of staff within medical staffing was unaware of Dr Kumar’s death and emailed the medic personally 26 days after her death to ask why she had been removed from her post and if she was still being paid.

The report concluded the case showed a need for “a fundamental shift in the way an organisation demonstrably cares about its staff as people”.

Dr Kumar’s father said: “It makes me angry and at the same time worried about other junior doctors who are going to follow her.

“Our lives stopped on the 22 June and it’s very hard. Each day is a struggle.

“Now my main worry is to stop it happening to others and that is why I want to bring this forward so people realise that there is a toxic atmosphere.”

A spokesperson for University Hospitals Birmingham said: “Dr Vaishnavi Kumar was a much loved and respected doctor, who was popular with colleagues and patients alike. Her unexpected death was a tragedy and our heartfelt condolences remain with Vaishnavi’s family.

“We have reflected on our response to Vaishnavi’s death, have learnt lessons from this, and are acting on them.

“Dr Kumar wants his daughter’s death to result in improvements in the support offered to all doctors in training and to see a change in the culture of the trust. We are pleased that he has agreed to work with the trust on this.”

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Jonathan Brotherton, chief executive at University Hospitals Birmingham NHS Foundation Trust (UHB) said in response to the report’s findings: “Patients can continue to be confident that the care and treatment provided at our hospitals is safe. We are pleased that Professor Bewick’s overall view ‘is that the trust is a safe place to receive care’.

“We fully accept his recommendations and welcome the additional assurance that has been asked for through further independent oversight.

“There are a number of significant concerns that we need to, and have started to, address; we will continue to learn from the past, as we move forward.

“We want to develop a positive, inclusive work environment where people want to come to work, in a place that they are proud to work in, to do their very best for our patients. While we will not be able to fix things as quickly as I would like, we do need to do it as quickly as possible, for the benefit of patients and staff; I am committed to ensuring this happens.

“We must now focus on continuing to provide the best possible patient care, building a values-led culture and supporting our incredible colleagues.”

:: 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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Prince Harry visits war victims in Ukraine

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Prince Harry visits war victims in Ukraine

Prince Harry has visited war victims in Ukraine as part of his work with wounded veterans, a spokesperson has said.

The Duke of Sussex was in central London this week for a Court of Appeal hearing over his security arrangements in the UK.

The visit on Thursday to Lviv in western Ukraine, which has frequently been targeted with Russian missiles, was not announced until after he was out of the country.

Prince Harry visits Superhumans Center in Lviv. Pic: Superhumans Center
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Prince Harry visits Superhumans Center in Lviv. Pic: Superhumans Center

Harry, who served 10 years in the British Army, visited the Superhumans Center, an orthopaedic clinic in Lviv that treats and rehabilitates wounded military personnel and civilians.

The prince, 40, was accompanied by a contingent from his Invictus Games Foundation, including four veterans who have been through similar rehabilitation experiences.

Prince Harry visits Superhumans Center in Lviv, Pic: Superhumans Center
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Harry at the rehabilitation centre in Lviv on Thursday. Pic: Superhumans Center

A spokesperson for the Duke of Sussex said Harry had been invited by the centre’s CEO, Olga Rudneva, a year ago, and at the Invictus Games Vancouver Whistler 2025, which took place in February.

Harry travelled to the centre, which offers prosthetics, reconstructive surgery and psychological help free of charge, to see first-hand the support they provide at an active time of war.

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Prince Harry visits Superhumans Center in Lviv, Pic: Superhumans Center
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Prince Harry made an unannounced visit to Ukraine. Pic: Superhumans Center

The duke, who served two tours in Afghanistan, met patients and medical professionals while touring the centre, the spokesperson said.

During his trip to Ukraine, he also met members of the Ukrainian Invictus community, as well as Ukraine’s minister of veterans affairs, Natalia Kalmykova.

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The Duke of Sussex arrives at the Royal Courts of Justice.
Pic: PA
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The Duke of Sussex was in London earlier this week.
Pic: PA

Helping wounded soldiers has been one of Harry’s most prominent causes, as he founded the Invictus Games in 2014 to offer wounded veterans the challenge of competing in sports events similar to the Paralympics.

Harry is the second member of the royal family to visit Ukraine since Russia launched a full-scale invasion of its smaller neighbour in February 2022.

His aunt, Sophie, the Duchess of Edinburgh, made an unannounced visit to Ukraine’s capital of Kyiv last year.

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Starmer says government will fund further local grooming gangs inquiries if ‘needed’

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Starmer says government will fund further local grooming gangs inquiries if 'needed'

The government will fund any further local inquiries into the grooming gangs scandal that are deemed necessary, Sir Keir Starmer has said.

However, the prime minister said it is his “strong belief” that the focus must be on implementing recommendations from the Alexis Jay national review before more investigations go ahead.

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It follows a row over whether Labour is still committed to the five local inquiries it promised in January, after safeguarding minister Jess Phillips failed to provide an update on them in a statement to parliament hours before it closed for recess on Tuesday.

Pic: PA
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Sir Keir Starmer joins police officers on patrol in Cambridgeshire. Pic: PA

Instead, Ms Phillips told MPs that local authorities will be able to access a £5m fund to support locally-led work on grooming gangs.

On Thursday morning, Home Secretary Yvette Cooper insisted the “victim-centred, locally-led inquiries” will still go ahead, while a Home Office source told Sky News more could take place in addition to the five.

Speaking to Sky News’ Rob Powell later on Thursday, Sir Keir confirmed that there could be more inquiries than those five but said the government must also “get on and implement the recommendations we’ve already got”.

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The prime minister said: “Of course, if there’s further local inquiries that are needed then we will put some funding behind that, and they should happen.

“But I don’t think that simply saying we need more inquiries when we haven’t even acted on the ones that we’ve had is necessarily the only way forward.”

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Yvette Cooper speaks to Sky News

Ms Phillips’s earlier comments led to accusations that the government was diluting the importance of the local inquiries by giving councils choice over how to use the funds.

Sky News understands she was due to host a briefing with MPs this afternoon at 5pm – the second she had held in 24 hours – in an attempt to calm concern amongst her colleagues.

Review recommendations ‘sat on a shelf’

Sir Keir insisted he is not watering down his commitment for the five local enquiries, but said the Jay recommendations were “sitting on a shelf under the last government” and he is “equally committed” to them.

He added: “At the most important level, if there is evidence of grooming that is coming to light now, we need a criminal investigation. I want the police investigation because I want perpetrators in the dock and I want justice delivered.”

In October 2022, Professor Alexis Jay finished a seven-year national inquiry into the many ways children in England and Wales had been sexually abused, including grooming gangs.

Girls as young as 11 were groomed and raped across a number of towns and cities in England over a decade ago.

Prof Jay made 20 recommendations which haven’t been implemented yet, with Sir Keir saying on Thursday he will bring 17 of them forward.

However, the Tories and Reform UK want the government to fund a new national inquiry specifically into grooming gangs, demands for which first started last year after interventions by tech billionaire Elon Musk on his social media platform X.

Tesla CEO Elon Musk wears a 'Trump Was Right About Everything!' hat while attending a cabinet meeting at the White House, in Washington, D.C., U.S., March 24, 2025. REUTERS/Carlos Barria
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Elon Musk has been critical of Labour’s response to grooming gangs and has called for a national inquiry. Pic: Reuters

‘Fuelling confusion’

Reform leader Nigel Farage said the statement made by Ms Phillips “was one of the most cowardly things I have ever seen” as he repeated calls for a fresh inquiry.

Robert Jenrick, the shadow justice secretary, also told Sky News that ministers were “fuelling confusion” and that the “mess.. could have been avoided if the government backed a full national inquiry – not this piecemeal alternative”.

Tory leader Kemi Badenoch said the government needed to look at “state failings” and she would try and force a fresh vote on holding another national inquiry, which MPs voted down in January.

‘Political mess’

As well as facing criticism from the Opposition, there are signs of a backlash within Labour over how the issue has been handled.

Labour MPs angry with government decision grooming gangs


Photo of Mhari Aurora

Mhari Aurora

Political correspondent

@MhariAurora

With about an hour until the House of Commons rose for Easter recess, the government announced it was taking a more “flexible” approach to the local grooming gang inquiries.

Safeguarding minister Jess Philips argued this was based on experience from certain affected areas, and that the government is funding new police investigations to re-open historic cases.

Speaking on Times Radio, former chair of the Equality and Human Rights Commission Sir Trevor Phillips called the move “utterly shameful” and claimed it was a political decision.

One Labour MP told Sky News: “Some people are very angry. I despair. I don’t disagree with many of our decisions but we just play to Reform – someone somewhere needs sacking.”

The government has insisted party political misinformation was fanning the flames of frustration in Labour.

The government also said it was not watering down the inquiries and was actually increasing the action being taken.

But while many Labour MPs have one eye on Reform in the rearview mirror, any accusations of being soft on grooming gangs only provides political ammunition to their adversaries.

One Labour MP told Sky News the issue had turned into a “political mess” and that they were being called “grooming sympathisers”.

On the update from Ms Phillips on Tuesday, they said it might have been the “right thing to do” but that it was “horrible politically”.

“We are all getting so much abuse. It’s just political naivety in the extreme.”

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Fewer criminals set to be jailed amid overcrowding

‘We will leave no stone unturned’

Ms Phillips later defended her decision, saying there was “far too much party political misinformation about the action that is being taken when everyone should be trying to support victims and survivors”.

“We are funding new police investigations to re-open historical cases, providing national support for locally led inquiries and action, and Louise Casey… is currently reviewing the nature, scale and ethnicity of grooming gangs offending across the country,” she said.

“We will not hesitate to go further, unlike the previous government, who showed no interest in this issue over 14 years and did nothing to progress the recommendations from the seven-year national inquiry when they had the chance.

“We will leave no stone unturned in pursuit of justice for victims and will be unrelenting in our crackdown on sick predators and perpetrators who prey on vulnerable children.”

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Government should be ‘ashamed’ over grooming gangs inquiries confusion, says victim’s father

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Government should be 'ashamed' over grooming gangs inquiries confusion, says victim's father

The father of a grooming gang victim has told Sky News the government should be “ashamed” of itself over the confusion surrounding inquiries – accusing it of “messing around with survivors’ lives”.

Safeguarding minister Jess Phillips this week sparked fresh uncertainty over whether regional inquiries into grooming gangs – promised by the government in January – would go ahead.

Following two days of confusion, the home secretary, Yvette Cooper, insisted on Thursday that five local inquiries will take place – and hinted more could follow.

But her comments have done little to reassure Marlon West, whose daughter Scarlett was a victim of sexual exploitation in Manchester.

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PM challenged on grooming gang inquiry timeline

Ms Phillips’s statement in parliament on Tuesday – which sparked criticism after it failed to mention the reviews – left survivors “so disappointed”, he said.

The uncertainty “makes you dizzy because you get hope and think ‘I’m getting somewhere now’ then they do a U-turn as they’ve done twice this week”, Mr West continued.

“I think they should be ashamed of themselves,” he said. “The government now are messing around with survivors’ lives and campaigners like me.”

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Govt denies ‘watering down’ grooming gang inquiries

Throughout her ordeal, Scarlett has “been let down by the local authority, by social workers, by the police force,” he said. “With the government, she’s just been let down again. That’s what’s cruel.”

Mr West added he is “really disappointed” in the government’s decision to push forward with the five regional inquiries instead of a statutory, national one.

Marlon West
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Mr West’s daughter Scarlett was a victim of sexual exploitation

He pointed out that police officers and professionals can refuse to give evidence at regional inquiries, whereas national ones can compel them to do so.

“With a statutory inquiry, it’d be more like a [legal] setting,” Mr West said. “Professionals will not be allowed to refuse interviews. They have to attend.

“It needs to [be in a] legal arena where they are compelled to give evidence.”

A family photo of Scarlett
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Scarlett West

His comments came as the prime minister said the government is focussing on implementing the “hundreds” of recommendations from previous inquiries into grooming gangs.

Sir Keir Starmer said: “My strong belief is we’ve got to implement those recommendations.

“At the moment, and under the last government, they just stacked up and sat on a shelf. So they need to be implemented.”

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Grooming gangs: What happened?

Read more:
A timeline of the scandal
What we know from grooming gangs data

Both the prime minister and the home secretary have rejected claims the government’s pledge to hold “victim-centred, locally-led inquiries” is being “watered down”.

Asked by Sky News presenter Anna Jones if that was the case, Ms Cooper replied: “No, completely the opposite.

“What we’re doing is increasing the action we’re taking on this vile crime.”

Sir Keir separately said: “We put the money behind it. We’re not watering it down. We’re committed to that.

“But, I’m equally committed to implementing the recommendations that we’ve got.”

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