Sleeping staff, patients on the roof – life inside Gloucester’s mental health intensive care unit
When Annie got the call on a Friday afternoon in March this year, she was on her way to pick up her daughter from school.
Her son, in his early twenties, was being discharged, with immediate effect from the mental health unit Wotton Lawn in Gloucester, where he had been sectioned in the psychiatric intensive care unit.
“You are being discharged as homeless,” the staff member said, while Annie listened in.
Annie told them she was recording the call, and pleaded to keep him in, warning that this course of action would be potentially fatal for her son.
She was told he had allegedly assaulted another patient. He denied it.
But for several days leading up to this moment the hospital had warned his mother it was time for him to leave.
The young man, we will call ‘John,’ indicated that he was having suicidal thoughts. His confused response to what was happening was that he wanted “euthanasia”.
Annie warned staff she couldn’t get there to pick him up, but they pressed on with the discharge.
The staff member told John: “We are going to formally discharge you at half past four this afternoon. So, you won’t be a patient on this ward at half past four.
“And if you do refuse to leave you will be trespassing and the police will be removing you.”
After the discharge time had elapsed, Annie called her son again.
Annie’s son survived despite sustaining serious injuries
There was no reply – until eventually a member of the public answered the phone.
A woman told Annie that her son was badly injured and being treated by paramedics having thrown himself off a bridge.
“So, he’d basically been told to get out of the mental hospital and two minutes later, he’s on the tracks,” says Annie. “He just walked out of the door, jumped headfirst off a bridge.
“He smashed his skull, his face, had a brain haemorrhage, smashed his arms and legs and punctured his spleen.”
Incredibly, he survived.
That evening Wotton Lawn staff members left some of John’s belongings outside for Annie to collect.
She says no one spoke to her.
In the weeks leading up to this moment, Annie had already been talking to Sky News because she felt her son was not getting proper treatment or care at Wotton Lawn.
She said despite him being sectioned under the Mental Health Act, he was frequently going missing from the hospital.
She says she was unable to see his care plan and that doctors discouraged her from communicating with them.
She claims one consultant even said he would block her emails, after she told him she wanted to put her concerns in writing.
In that period, we collected the stories of several other families and patients who had recently been in the hospital and their experiences echoed Annie’s.
Heidi Hanks said she pleaded to be readmitted to the hospital
Staff gave tablets to patient despite overdose risk
Heidi Hanks was in Wotton Lawn for a period of eight weeks in late 2022 into 2023.
Her husband John says he had no contact with the hospital while she was in their care.
He said: “I’ve never seen her care plan, never spoken to a doctor. I called the hospital to say, ‘what’s the progress, what’s going on?’
“I never got anything back over the whole time she was there.”
Heidi would go missing from the premises and was once found by a member of the public walking down train tracks.
She says when she returned, no one asked her about what had happened.
Heidi says she too was discharged too soon.
She returned the next day pleading to be readmitted because voices were telling her to take an overdose.
She says despite this, she was told to go home and handed the very tablets she had said she was going to take an overdose with.
She swallowed the pills, just outside the hospital, and her husband collected her and took her to A&E.
Photographs obtained by Sky News show staff asleep
Staff photographed asleep in their chairs
Sky News has obtained photographs of several staff members asleep in their chairs in different parts of the hospital.
These pictures have been taken by patients who say those staff members should have been alert and keeping an eye on the people in their care.
Another patient, who we will call ‘Jamie’, says he wasn’t properly watched and despite supposedly having round-the-clock care, was able to get onto the roof of the hospital and jump off it.
‘I wasn’t in a safe place’
Jamie told Sky News: “I broke both my legs, my wrists, my arm my back and my pelvis.
“I was hearing voices and I should have been in a safe place, where I can’t get out and there are no roofs I could jump off.
“But I wasn’t in a safe place at all.”
He says he was mostly looked after by inexperienced agency or ‘bank’ staff and was isolated from his family.
A Care Quality Commission report on the hospital found the psychiatric intensive care units had a 32% vacancy rate and “high rates of bank and agency staff”.
The service rated overall as ‘good’.
But they also found most relatives “had not been given information or been involved in decisions about their relative”.
All the relatives or carers who spoke to the CQC said “they had not been given the opportunity of providing feedback”.
Nicky Davis says she has been able to access the roof on numerous occasions
One patient ‘able to access hospital roof for years’
Another patient, Nicky Davis, is currently in Wotton Lawn.
She has taken photographs of herself on the roof of the hospital on numerous occasions.
She says she’s been able to access it by the same route “for years” having been in and out of the hospital over a six-year period.
Even when on the hospital’s most secure psychiatric ward for the most at-risk patients, Nicky says she was able to access the roof through a window, and on one occasion attempted suicide.
Nicky says the high use of agency staff means patients don’t form a relationship with their carers but the thing that upsets her most is sleeping staff and claims this is widespread and it’s not just at night, but more often on the afternoon into evening shift.
Nicky Davis, left, with her twin sister Laura
‘I’ve actually seen patients walk out of the hospital’
Her mother Joanna Davis, and stepfather Darren Watts, say the level of care is inadequate.
Joanna said: “I’ve seen staff asleep. I’ve seen staff when she’s been escorted to the hospital fall asleep.
“I’ve seen the chair on the door empty so that patients are able to abscond.
“I’ve actually seen patients walk out of the hospital and Nicky have to say to a member of staff, ‘that patient is not allowed leave’.”
Nicky’s twin sister Laura committed suicide after she stayed at Wotton Lawn.
An inquest at Cheshire’s Coroner’s Court completed in February 2023 found Wotton Lawn failed to pass on crucial information about Laura to another hospital, leading to a fatal mistake.
The inquest states: “The information transferred from Wotton Lawn Hospital to Arbury Court Hospital about Laura was deficient, in that it did not include anything about a recent incident.”
It goes on to describe how she had tried to commit suicide in Wotton Lawn and then used the same method successfully because staff hadn’t realised a particular object posed a risk.
‘People can abscond from the psychiatric hospital’
Joy Higgins, from the local Gloucester charity Suicide Crisis, is a former patient at Wotton Lawn.
She says she has spent months examining inquests which have shown failures at Wotton Lawn and other hospitals and the lessons are not being learned.
“I think in particular, where patients have been able to access harmful items on the ward and that’s something that we have seen at more than one inquest, tragically.
“And so that suggests very strongly that the learning has not been taken from the inquest and that it is simply repeating.
“And what we have seen in inquest after inquest is the frequency with which people can abscond from the psychiatric hospital when they are assessed as being at high risk of suicide.”
She added: “It’s a repeated issue that’s been going on not just for months, but for years, where patients are being able to simply leave.
“It’s a requirement that the exit doors are monitored to prevent patients leaving. But too often there are no staff there.
“And so, for me, it’s a management issue and ultimately a senior management issue. The leadership of the trust.”
Trust admits ‘we do not always get things right’
Gloucestershire Health and Care NHS Foundation Trust, which runs Wotton lawn, said: “We are really disappointed to hear these reports and apologise to anyone who hasn’t had good experience of our care.
“Our hospital at Wotton Lawn is a therapeutic environment and, while two of the wards in the hospital are classed as secure, the majority of general hospital patients are allowed to leave the premises when appropriate and this is managed carefully on a case by case basis.
“Our colleagues work hard, often in very difficult circumstances, to support our patients to recover and be safely discharged every day, and we receive regular positive feedback.
“We know, however, that we do not always get things right.
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“While we cannot respond with specific details, context and facts due to patient confidentiality, we were already aware of the cases detailed and have reviewed them fully.
“We take the allegations of staff sleeping on duty very seriously and will investigate further once full details are shared with us.
“We are constantly reviewing our processes and procedures, and will continue to speak to patients and families about improvements they would like to see within the hospital and improve our services based on their feedback.”
But national charities such as SANE and MIND have expressed growing concerns about the state of mental health services across the UK.
Wotton Lawn seems to be another example where patients are being failed.
:: 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.
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’ 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”.
‘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’ 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 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’ 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.
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
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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