‘Corrosive’ bullying culture at ‘toxic’ NHS trust could put patient care at risk, probe finds

Published

2 years ago

March 28, 2023

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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.

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.

“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.

UK

Diogo Jota: Liverpool players join mourners as Premier League star and his brother Andre Silva buried in Portugal

Published

8 hours ago

July 5, 2025

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Diogo Jota: Liverpool players join mourners as Premier League star and his brother Andre Silva buried in Portugal

Liverpool players past and present have joined the family and friends of Diogo Jota and his brother Andre Silva for their funeral in Portugal.

A service was held in the Igreja Matriz de Gondomar church in their hometown of Gondomar near Porto in northern Portugal on Saturday morning.

Mourners lined the streets and some in the crowd clapped as the brothers’ coffins were carried into the church.

The funeral – in pictures

Jota, 28, leaves behind his wife of only 11 days, Rute Cardoso, and three young children.

His younger brother, 25, was an attacking midfielder for Penafiel in the second tier of Portuguese football.

Liverpool manager Arne Slot, captain Virgil Van Dijk and teammates including Andy Robertson, Conor Bradley, Ryan Gravenberch, Cody Gakpo, Curtis Jones, Darwin Nunez and Joe Gomez were seen at the service.

Former teammates Jordan Henderson, James Milner and Fabinho were also there.

Van Dijk carried a red wreath with Jota’s number 20, while Robertson had a wreath featuring number 30, Silva’s number at Penafiel.

Some of Jota’s teammates in the Portuguese national side also attended, including Bruno Fernandes, of Manchester United, Ruben Dias and Bernardo Silva, of Manchester City, Joao Felix and Renato Veiga, of Chelsea, Nelson Semedo, from Wolves, Joao Moutinho and Rui Patricio.

Ruben Neves was one of the pallbearers after flying in from Florida where he played for Al Hilal in the Club World Cup quarter-final on Friday night.

‘More than a friend’

In a post published on Instagram before the service, he told Jota he had been “more than a friend, we’re family, and we won’t stop being that way just because you’ve decided to sign a contract a little further away from us!”

Jota’s fellow Liverpool midfielder, Alexis Mac Allister, said on Instagram: “I can’t believe it. I’ll always remember your smiles, your anger, your intelligence, your camaraderie, and everything that made you a person. It hurts so much; we’ll miss you. Rest in peace, dear Diogo.”

Porto FC president Andre Villas-Boas and Portugal national team manager Roberto Martinez were also in attendance.

‘With us forever’

Speaking after the ceremony, Martinez said the period since their deaths had been “really, really sad days, as you can imagine, but today we showed we are a large, close family.

“Their spirit will be with us forever.”

The service was private, but the words spoken by the Bishop of Porto, Manuel Linda, were broadcast to those standing outside the church.

He told Jota’s children, who were not at the service, that he was praying for them specifically, as well as their mother and grandparents.

“There are no words, but there are feelings,” he said, adding: “We also suffer a lot and we are with you emotionally.”

The brothers died after a Lamborghini they were travelling in burst into flames following a suspected tyre blowout in the early hours of Thursday morning.

No other vehicles are said to have been involved in the incident.

Liverpool have delayed the return of their players for pre-season following Jota’s death and players past and present paid tribute to him and his brother on social media.

Flowers have been left outside Anfield, where flags have been lowered to half-mast and all club shops, museums and tours have been closed until Monday.

UK

Rachel Reeves hints at tax rises in autumn budget after welfare bill U-turn

Published

11 hours ago

July 5, 2025

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Rachel Reeves hints at tax rises in autumn budget after welfare bill U-turn

Rachel Reeves has hinted that taxes are likely to be raised this autumn after a major U-turn on the government’s controversial welfare bill.

Sir Keir Starmer’s Universal Credit and Personal Independent Payment Bill passed through the House of Commons on Tuesday after multiple concessions and threats of a major rebellion.

MPs ended up voting for only one part of the plan: a cut to universal credit (UC) sickness benefits for new claimants from £97 a week to £50 from 2026/7.

Initially aimed at saving £5.5bn, it now leaves the government with an estimated £5.5bn black hole – close to breaching Ms Reeves’s fiscal rules set out last year.

In an interview with The Guardian, the chancellor did not rule out tax rises later in the year, saying there were “costs” to watering down the welfare bill.

“I’m not going to [rule out tax rises], because it would be irresponsible for a chancellor to do that,” Ms Reeves told the outlet.

“We took the decisions last year to draw a line under unfunded commitments and economic mismanagement.

“So we’ll never have to do something like that again. But there are costs to what happened.”

Meanwhile, The Times reported that, ahead of the Commons vote on the welfare bill, Ms Reeves told cabinet ministers the decision to offer concessions would mean taxes would have to be raised.

The outlet reported that the chancellor said the tax rises would be smaller than those announced in the 2024 budget, but that she is expected to have to raise tens of billions more.

It comes after Ms Reeves said she was “totally” up to continuing as chancellor after appearing tearful at Prime Minister’s Questions.

Criticising Sir Keir for the U-turns on benefit reform during PMQs, Conservative leader Kemi Badenoch said the chancellor looked “absolutely miserable”, and questioned whether she would remain in post until the next election.

Sir Keir did not explicitly say that she would, and Ms Badenoch interjected to say: “How awful for the chancellor that he couldn’t confirm that she would stay in place.”

In her first comments after the incident, Ms Reeves said she was having a “tough day” before adding: “People saw I was upset, but that was yesterday.

“Today’s a new day and I’m just cracking on with the job.”

Sir Keir also told Sky News’ political editor Beth Rigby on Thursday that he “didn’t appreciate” that Ms Reeves was crying in the Commons.

“In PMQs, it is bang, bang, bang,” he said. “That’s what it was yesterday.

“And therefore, I was probably the last to appreciate anything else going on in the chamber, and that’s just a straightforward human explanation, common sense explanation.”

UK

Diogo Jota and Andre Silva’s funeral in pictures

Published

12 hours ago

July 5, 2025

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Diogo Jota and Andre Silva's funeral in pictures

The family and friends of Diogo Jota and his brother Andre Silva have been joined by Liverpool stars past and present and other Portuguese players at the pair’s funeral near Porto.

The Liverpool forward, 28, and his brother died in a car crash in Spain on Thursday.

Pictures below show the funeral at the Igreja Matriz de Gondomar church in the town of Gondomar near Porto. Click here for our liveblog coverage of the day’s events.