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.”
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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.
Image: 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.”
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.
Yet here is a dual carriageway of division formed in front of what has become a beacon for unrest – a hotel housing asylum seekers.
Image: Anti-migration protesters opposite the hotel in Altrincham
Image: Counter-protesters show their support for the refugees
Sky News has been testing the mood in Altrincham since locals were first informed last November that the Cresta Court Hotel was being repurposed from accommodating short business stays and local events into lodgings for hundreds of male asylum seekers who crossed the Channel on small boats.
Over the course of eight months there have been angry town meetings, regular low-level protests and last Sunday around 80 people from each side turned up outside the hotel with banners, flags and loudspeakers.
“We stopped the Germans, why can’t we stop dinghies,” says local man Dave Haydock under a St George’s cross cap.
“We’re paying for them to be in there and there’s British people out on the streets,” added local businessman Steve, who is waving a Union Flag. “They’re not fleeing a war to come to Britain – they’re coming from France – they are coming because of all the benefits – and everyone in the UK now knows that.”
Image: Dave Haydock speak to Sky’s Jason Farrell
Image: The demonstrators on either side of the A56
Cost, benefits and risk to women are recurring themes.
“These people coming over without any documentation,” says local Clare Jones as she points in the direction of two schools. “I’m not a racist. I’m just a concerned mum. I don’t feel safe in my own community.”
A man behind a mask who didn’t want to appear on camera says the media “sneers” at these protests because the media is middle class and “this is a working-class movement”.
Altrincham is one of Manchester’s most affluent towns, but there are much poorer areas close by.
The social demographic at the protests was mixed.
On either side of the A56 I met business owners, nurses, teachers and pensioners.
A handful of social media “professional” protesters also turned up, pointing cameras at anything they could film – making selfie videos for their TikTok and YouTube followers.
A small line of police officers was in place to keep the peace.
The counter-protesters forming a line to protect the hotel. Described as “lefties” by the anti-migrant demonstrators, the counter-protesters feel that the people opposite are either “far right, fascists” or “being manipulated by the far right”.
Altrincham resident Alison O’Connell said “this is very frightening” as she pointed at the anti-migrant demonstrators. “We are just here to show support for the refugees in the hotel,” she added.
Image: Alison O’Connell
Counter-protester Steph Phoenix said: “Knowing personally people in the hotels, I know they are not coming for our money. These people are desperate. They don’t come over for a laugh, they are coming over because they are escaping something terrible in their own country.”
Nahella Ashraf, co-chair of Greater Manchester Stand Up To Racism, said: “There needs to be an honest conversation about what the problems are in society. Refugees are not to blame. People are worried about the cost of living crisis, but it’s not caused by refugees. By housing people in these hotels, we’ve not taken accommodation away from anyone in Britain.”
Image: Steph Phoenix, right, says the asylum seekers are ‘desperate’
Migrants disappeared into their rooms during the protest, some peering out of their bedroom windows.
Their voices are rarely heard in this debate.
The next day, hotel security advised them not to talk to us.
Those we did speak to all had stories of fleeing instability and threat. Some had just arrived, others had been here months.
Many were anxious about the protests, but equally not put off from their decision to come.
One said he had recently told a local who had been abusive: “I struggled to get here. It was just luck you were born here.”
The fears of increased crime expressed by residents in November don’t appear to have transpired. But Conservative councillor Nathan Evans, who called the first town meeting, says groups of men in the park, men praying in the public library and warning letters from schools to parents about groups of men near the school gates have all caused “an unease across the town”. He says he has warned the police of a “simmering issue”.
Protesters on either side don’t agree on much but both see the hotel as a symbol of broken promises from successive governments – a failure to manage migration in a way that doesn’t inflame communities. What remains is anger.
Managing and containing that anger is a growing challenge.
One year on, how’s Keir Starmer’s government going? We’ve put together an end-of-term report with the help of pollster YouGov.
First, here are the government’s approval ratings – drifting downwards.
It didn’t start particularly high. There has never been a honeymoon.
But here is the big change. Last year’s Labour voters now disapprove of their own government. That wasn’t true at the start – but is now.
And remember, it’s easier to keep your existing voter coalition together than to get new ones from elsewhere.
So we have looked at where voters who backed Labour last year have gone now.
YouGov’s last mega poll shows half of Labour voters last year – 51% – say they would vote for them again if an election was held tomorrow.
Around one in five (19%) say they don’t know who they’d vote for – or wouldn’t vote.
But Labour are also leaking votes to the Lib Dems, Greens and Reform.
These are the main reasons why.
A sense that Labour haven’t delivered on their promises is top – just above the cost of living. Some 22% say they’ve been too right-wing, with a similar number saying Labour have “made no difference”. Immigration and public services are also up there.
Now, YouGov asked people whether they think the cabinet is doing a good or a bad job, and combined the two figures together to get a net score.
Here’s one scenario – 2024 Labour voters say they would much prefer a Labour-led government over a Conservative one.
But what about a Reform UK-led government? Well, Labour polls even better against them – just 11% of people who voted Labour in 2024 want to see them enter Number 10.
Signs of hope for Keir Starmer. But as Labour MPs head off for their summer holidays, few of their voters would give this government an A*.
Gary Neville has criticised the government’s national insurance (NI) rise this year, saying it could deter companies from employing people and “probably could have been held back”.
The former Manchester United and England footballer-turned business owner, who vocally supported Labour at the last election, employs hundreds of people.
But he expressed his frustration at the recent hike on employers’ NI, which has significantly increased the taxes businesses have to pay for their employees.
Speaking to Sky News’ Business Live, Neville said: “I honestly don’t believe that, to be fair, companies and small businesses should be deterred from employing people. So, I think the national insurance rise was one that I feel probably could have been held back, particularly in terms of the way in which the economy was.”
While the Sky Sports pundit thought the minimum wage increase introduced at the same time was necessary to ensure that people are paid a fair wage and looked after, he made it clear the double whammy for businesses at the start of April would be a challenge for many companies big and small.
“I mean look it’s been a tough economy now for a good few years and I did think that once there was a change of government, and once there was some stability, that we would get something settling,” he said. “But it’s not settling locally in our country, but it is not settling actually, to be fair, in many places in the world either.
“I don’t think we can ever criticise the government for increasing the minimum wage. I honestly believe that people, to be fair, should be paid more so I don’t think that’s something that you can be critical of. I do think that the national insurance rise, though, was a challenge.”
Neville’s business interests are diverse, spanning property development, hospitality, media, and sports.
He co-founded GG Hospitality, which owns Hotel Football and the Stock Exchange Hotel, and is involved in Relentless Developments, focusing on building projects in the North West. He is also a co-founder of Buzz 16, a production company, and a partner in The Consello Group, a financial services company.
The tax increase is expected to raise £25bn for the Treasury, with employers having to pay NI at 15% on salaries above £5,000, and up to 13.8% on salaries above £9,100.
The rise has already led the Bank of England to warn that it is contributing to a job market slowdown.
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NI and tariffs pile pressure on firms
Governor Andrew Bailey warned last month that “the labour market has been very tight in the past few years, but we are now seeing signs that conditions are easing, employment growth is subdued, and several indicators of labour demand and hiring intentions have softened”.
The government has defended the tax increase, announced by Rachel Reeves in last year’s budget and implemented in April, arguing that the money was needed to pay for public services like the NHS to help bring down waiting lists.
‘Can’t get any worse’ for Man Utd
Neville conceded that turning beleaguered football club Manchester United around could prove more difficult than trying to bring about substantial economic growth.
The side finished 15th last season – its worst performance in the history of the Premier League.
“Yeah, that could be a bigger challenge than the economy… I think the two signings are good signings yet, there’s a couple more needed,” Neville said of his former club’s fortunes.
“I think they need a goalkeeper. And I think if they fill those two positions with decent signings, then United can have a lot, I mean, they have to have a better season than last year. It can’t get any worse, really.”