
Community pharmacies closing at a rapid rate with deprived areas worst affected
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adminAs the government asks pharmacies to do more to ease pressure on GPs, Sky News analysis has revealed those in England are closing at a rapid rate – with nearly 1,000 lost since 2017, a third of them in the last year alone.
Between July 2017 and July 2023, the number of operating pharmacies in England fell by 914 from 11,723 to 10,809.
Deprived communities, where the need is greatest, have seen the biggest decline. More than one in ten pharmacies have been lost in the poorest 20% of areas in the last six years.
That accounts for 40% of losses in that period.
Dr Leyla Hannbeck CEO of the Association of Independent Multiple Pharmacies says the situation is “awful, terrible” and “the worst it has been in years and years”.
It’s been caused by a combination of government funding cuts, rising rents and costs, staff shortages and supply problems, as well as increased patient demand.
The result is that pharmacists like Reena Barai in Sutton are wondering how long they can stay open.
“Currently, we’re in what I describe as a survival of the fittest,” she says. “Within community pharmacy, the majority of my colleagues really do feel like we’re on a sinking ship.”
“We want to be that front door to the NHS because we know that people go to the GPs or A&E unnecessarily for minor illnesses and they should be coming to the pharmacy. We really want to be that first port of call, but we’re struggling.”
Impact of big chain closures
The bulk of closures so far has been driven by big companies like LloydsPharmacy and Boots. LloydsPharmacy has lost three quarters of its branches (1,087 out of 1442) since 2017 and around two thirds (629 out of 984) in the past year.
Boots, which lost 40 branches in the last year, has also just announced a further 300 closures over the next 12 months.
The loss of these bigger pharmacies has increased the burden on those that remain, many of them smaller, independent businesses, which must pick up the workload without extra funding.
An analysis by The Pharmaceutical Journal in February suggested the impact of this year’s closures could displace nearly one million prescriptions each month to surrounding pharmacies.
Dr Hannbeck says: “Pharmacies are drowning because the workload from those other pharmacies (that have closed) is landing on them.”
Deprived areas are the worst affected
Sky News analysis suggests the increased burden is being felt most acutely in England’s poorest neighbourhoods where people are more likely to depend on their services.
Richard Murray, CEO of the Kings Fund says in deprived areas “there are higher levels of ill health. They’ll probably be a lot more walk ins going into the pharmacy asking for advice, more people going in to collect their medicines, and probably more people struggling with their medicines too”.
Pharmacies in the most deprived 20% of areas are now serving a 13% more people than a decade ago, compared to just 3% more in the least deprived.
On average all pharmacies are dispensing more items, with the number of items dispensed per pharmacy up 17% since 2017.
And poorer areas have seen the greatest increase, dispensing a sixth more than those in the least deprived areas.
“The job can be harder in deprived areas,” says Richard Murray.
“The workforce crises that we see across the profession are often localised, deprived areas may suffer a bit on that front,” he added.
“Pharmacists do generate money from selling other things but at a time of cost-of-living crisis, it just might be harder for other parts of the business to prop up community pharmacy and rather easier in areas that are richer, where people have got more money to spend.”
Pharmacy First and funding cuts
It’s in this context that NHS England recently said it would invest £645 million into a Pharmacy First scheme, allowing pharmacists to prescribe medicines for seven common conditions including sinusitis and shingles. The aim is to reduce the footfall at GP surgeries, saving a potential 10 million appointments each year.
But Leyla Hannbeck and Reena Barai both believe the funding gap that already exists needs to be addressed before pharmacists can take on new responsibilities.
“The funding is absolutely not fit for purpose,” says Hannbeck. “If government really cares about patient care, accessibility to care, and people not landing in GP surgeries or A&E then they have to take pharmacy seriously. And we need an immediate cash injection.”
Cuts introduced in 2016, followed by a five-year funding deal in 2019, that didn’t take account of inflation has shrunk the value of the pharmacy contract in real terms by 30% from £2.8bn to £2.15bn since 2015.
The figures were revealed in a written parliamentary answer in January and amount to an annual shortfall of around £67,000 per pharmacy in England.
A recent National Pharmacy Association report – authored by Professor David Taylor of University College London and Dr Panos Kanavos from the London School of Economics and Political Science – found in England in 2022, community pharmacy accounted for a lower percentage of total health spending than at any point since 1948.
It means Reena Barai is questioning whether she can afford to be involved in Pharmacy First.
“I really want to take part in it (Pharmacy First) because I’ve got the skills, the training, the clinical confidence to do these things. But to do that, I also need to improve my infrastructure to expand the premises.”
“The government will say ‘we’ve just announced x million for Pharmacy First’, but that will be to provide a service. We will also have to train our team, make sure we’ve got the adequate numbers of staff. We’ll need new IT systems.”

Reena Barai, a pharmacist in Sutton, says pharmacies are on a ‘sinking ship’
Fluctuating medication costs
Increased medication costs have added to the funding gap, with some leading pharmacists saying they aren’t fully reimbursed by the NHS.
Ms Barai said: “It gets really difficult when suddenly the price of a bread-and-butter drug that was say 50p goes up to £5 and you’re having to buy the same volume of the drug but an increased cost, that’s what really affects pharmacies a lot, their cash flow.”
“We’re not even guaranteed that we’ll be reimbursed, for example one of the drugs that I’m buying, Atorvastatin, I’m buying it above the cost that the government said that they’ll reimburse us. So, we’re actually out of pocket,” she added.
Staff shortages and burnout
The cash flow crisis and overwhelming workload have made it tougher for community pharmacies to recruit and retain their staff.
Half of pharmacies responding to the Community Pharmacy Workforce Survey 2022 said they were finding it “very difficult” to fill vacancies. The survey also suggested 16% of pharmacist and 20% of technician roles were unfilled.
Mr Murray explains that many have opted to work in GP pharmacies instead: “NHS England has run a big recruitment campaign to take pharmacists into general practice to work alongside the GP teams and that’s ratcheted up the shortages.”
Being short-staffed whilst dealing with increased demand and coping with rising costs makes Reena worry for her own wellbeing.
“It’s exhausting. It’s never-ending,” she says. “Even if you take time off, you can’t put on your out of office and say sorry, you’ve always got to find staff to cover. So, it’s a really all-consuming job. I think I just have to be careful that I don’t burn out and that my team don’t burn out.”
A spokesperson for the Department of Health and Social Care said: “We are carefully monitoring access to pharmaceutical services, but good access remains.
“We have announced £645 million in additional funding in the Primary Care Recovery Plan and thousands more training places for pharmacists as part of the Long-Term Workforce Plan, on top of the £2.6 billion we provide every year to the sector.”
Methodology: To get the number of active pharmacies we looked at the number active on a given date, in this case, the last day of July for every year since 2017. We looked at each pharmacy’s open and close dates to determine if it’s open on the given date. If a pharmacy’s open date is on or before the specified date and it doesn’t have a close date or its close date is after the specified date it’s counted as active.
The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.
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UK
7/7 bombings: Stories that define the bravery of victims and responders 20 years on
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13 hours agoon
July 6, 2025By
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Monday marks 20 years since the 7/7 attacks, which saw four suicide bombers kill 52 people and injure 770 others on the London transport network.
The attacks on 7 July 2005 all happened within an hour of each other, with the bombers having met at Luton railway station in the morning before heading to King’s Cross.
Shezhad Tanweer detonated his device at Aldgate, Mohammed Sidique Khan at Edgware Road, and Germaine Lindsay between King’s Cross and Russell Square – all within three minutes of 8.50am.
Habib Hussain detonated his bomb on board the number 30 bus at Tavistock Square at 9.47am.

Emergency services at Aldgate station after one of the explosions. Pic: PA
Two decades have passed, but for the victims’ families, survivors and the responders, the impact is still being felt.
Sky News spoke to some of the people profoundly affected by the attacks.
Passenger went back to the tracks to save lives
Adrian Heili was in the third carriage of the westbound Circle Line train heading towards Paddington.
It was in the second carriage that Mohammad Sidique Khan blew up his device at Edgware Road, killing six people.
If Adrian hadn’t been there, it may well have been more.
He managed to get out of the train and, having previously served as a medic in the Armed Forces, instantly made it his mission to save as many lives as possible.
“Instinct took over,” he tells Sky News.
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1:48
7/7 survivor saw ‘bodies on the track’
His bravery first brought him to Daniel Biddle, who had been blown out of the second carriage and was now trapped in a tight space between the tunnel wall and the track.
Adrian remembers crawling in blood to reach Daniel, who he now calls Danny. His left leg had been blown off, his right severed from the knee down and he lost an eye, along with suffering other extensive injuries.
He pinched shut the artery in Daniel’s thigh to stop the bleeding until paramedics got to him.
Daniel has written a book about his experiences, titled Back From The Dead, and has credited Adrian with saving his life.
Adrian eventually helped first responders carry him out. Then he went back into the tunnel several times over to assist with the evacuation of 12 other people.
He pays tribute to the first responders at the scene, who he says were “amazing”.
“Myself and another gentleman by the name of Lee Hunt were the last to actually leave Edgware Road,” he adds.
“And I remember sitting at the top of the platform on the stairs and just looking out after everyone had left.”
In his book, Daniel has been open about his struggles with PTSD after the attack.
Adrian says he has had a “very good support network” around him to help him deal with the aftermath, and adds that talking about it rather than “holding it in” has been vital.
“It still plays an effect on myself, as it has with Danny,” he says, who he has formed a close bond with.
He says PTSD triggers can be all around the survivors, from police and ambulance sirens to the smell of smoke from cooking.
“But it’s how we manage those triggers that that define us,” he says.
On the 20-year anniversary, he adds: “It’s going to be an emotional time. But I think for me, it’s going to be a time of reflection and to honour those that are not with us and those that were injured.
“They still have a voice. They have a voice with me and I’ll remember it. I’ll remember that day and that, for me, is very important.”
‘Instinctively, I decided to see if there was something I could do to help’
You may recognise Paul Dadge from the photograph below, where he’s helping a 7/7 bombing victim after she sustained severe burns to her face.
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7/7 first responder recalls day of attack
It went viral before the social media age, featuring on the front of national newspapers, and in others across the world.
The Londoner, who was 28 at the time, was on his way to an office in Hammersmith where he had just got a job.
He passed Edgware Road, where he saw a commotion as people rushed out of the station, and an emergency responder go in.
He didn’t yet know that one of the bombers had just set off the explosive in their backpack.
“Instinctively, I decided to see if there was something I could do to help,” he told Sky News.
Paul, who was a former firefighter, made an announcement to those standing outside the station, telling them to stick together if they had been affected by whatever had happened and to wait at a shop near the scene until they had spoken to a police officer.
Many had black soot on their faces, he says, adding that he initially assumed it was due to a power surge.
Eventually the store was evacuated, so Paul went with the victims to a nearby hotel, and it was while doing so that photographers snapped the famous photos of him comforting the victim with a gauze mask, who had been badly burned.
He started noting down the names and details of those who had been injured, along with the extent of their injuries, so that he could pass them onto the emergency services.
It was only three hours after the incident that Paul found out the injuries had been caused by an attack.
His actions had him deemed a hero by the public.
Read more:
How Prevent is tackling extremism 20 years on
Why is the govt’s anti-terrorism programme controversial?
“I know that after that bombing had occurred, everybody worked together as a team,” he says. “I think it’s a bit of a British thing, really, that when we’re really in trouble, we’re very, very good at working together to help each other.”
He says he is still in touch with people he met on that day, including the victim he was photographed with.
He also says the rest of his life has been “carved” by that day, and that he is now much more politically active and conscious of how emergency services respond to major incidents.
He believes emergency services are “a lot more prepared than they were on 7th July”, but adds that he still thinks they would find it “very difficult” to deal with an incident on the scale of the 7/7 attacks today.
‘What is haunting are those screams’
Sajda Mughal is a survivor of the bombing that hit a Piccadilly line train between King’s Cross and Russell Square.
She tells Sky News that about 10 seconds after leaving King’s Cross “there’s a massive bang… which was the explosion”.
“The train shook as if it was an earthquake, and came to a sudden standstill. I fell off my chair to the ground, people fell forward, lights went out.”
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1:22
7/7 survivor: ‘We were told don’t look back’
Sajda adds: “The black smoke that was coming through, it was really intense. And then all I could hear was screams. I could hear people screaming, I could hear people shouting, someone grabbing on to me saying, ‘are you okay’.”
She was “frozen and just going into that thought process of we’re going to die, and then me thinking I haven’t said bye to my loved ones, I haven’t got married, I haven’t had kids, I haven’t seen the world.”
She says that “what is haunting from that morning are those screams and hearing ‘blood, she’s hurt, he’s hurt'”.
Sajda says that as she and others were escorted out through the carriage to King’s Cross, the emergency services told them not to turn around and don’t look back.
She thinks that was because the rescuers didn’t want them to see injured individuals, “so it was a very, very surreal, very traumatic and emotional experience”.
Sajda, who is the only known Muslim survivor of 7/7, says getting through the attack alive “turned my life around 360”.
“I took that pain and I turned it into a positive because I didn’t want that happening again. And so I left the corporate world, I left my dream to want to change hearts and minds.”
She became involved with the JAN Trust, including its work countering extremism.
“I have travelled across the UK, I’ve worked with thousands of mothers and Muslim mothers. I have helped to educate them on radicalisation. And I’ve heard from mothers whose sons… went to Syria, who joined ISIS and died.”
Calls for a public inquiry
Graham Foulkes, whose son David was killed in the Edgware Road Tube bomb, wants there to be a public inquiry into what happened.
He says a “public inquiry is the only way because at a public inquiry people can be compelled to come and give evidence. At an inquest, they can just say ‘no, I’m not coming’ and that’s what happens”.
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7/7: ‘We should have a son’
He adds: “The fact that we’re here 20 years later, there are unanswered questions and terrorists are still slipping through, still getting past MI5, still get past MI6 and MI5, needs to be answered.
“We need to have a better system in place and by not being honest and open about what happened 20 years ago, we’ve got no mechanism in place at all.
“It’s still the same people making the same decisions that allowed MSK [Mohammed Sidique Khan] to get through and allowed the Manchester Arena attack and the Westminster Bridge attack. It’s still the same people, still the same processes. The processes need to change.”

David Foulkes
Speaking of the last 20 years, Graham says: “We’re lucky enough to have a daughter, and we have the two most wonderful grandchildren as well. But we should have a son, and he should have his family.
“And I shouldn’t be having this conversation with you. I should be at home at this time having dinner or going to the pub with David, and it’s not possible to describe the feeling of having your son murdered in such a pointless way.”
‘The resilience was as inspiring as the attack was ghastly’
“Most of all, my thoughts are with the families of the 52 people who lost their lives and also the more than 700 who were injured, some of them horrifically seriously on that day,” Metropolitan Police Commissioner Sir Mark Rowley says.
He also pays tribute to those who stepped forward on the day, like Paul Dadge, and the emergency services, who he says acted “extraordinarily” to help others.
“They and the families and the victims – what strikes me is how they’re still carrying the effects of that day through to today and for the rest of their lives,” he adds, saying you can still see the “heavy burden” many of them carry 20 years on.
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‘We’re in difficult times’, Met Police chief says
The commissioner, who was a senior officer in Surrey at the time, says he remembers the “slow horror” of watching on as investigating and reporting uncovered what had happened.
“The way everyone stepped forward, the bravery… the resilience was as inspiring as the attack was ghastly.”
He says the attacks have led to “massive changes” in counter-terrorism work to better protect the public.
“The first was the changes that brought policing and our security services, particularly MI5, much more close together so that we now have the closest joint operating arrangements anywhere in the world,” he says.
“And secondly, counter-terrorism work became something that wasn’t just about what was based in London and a network was built with bases in all of the regions across the country.”
He adds the unit now has a reach “far stronger and far more effective at protecting communities than we had before that day”.
Asked about those who may still feel under threat from similar attacks now, he says the public has “extraordinary people working hard day in and day out to protect you” and that policing and security services have strengthened due to experiences like that of the 7/7 bombings.
“The efforts of all those who were involved on that day… that all feeds through to today… [and gives us] one of the strongest and most effective preventative approaches you could possibly have,” he says.
“But sadly we are in difficult times and no system will ever be perfect,” he adds, but concludes by saying communities can “be rest assured about the amazing work that’s going on”.
UK
Boy, four, dies after gravestone falls on him at Rawtenstall Cemetery in Lancashire, police say
Published
13 hours agoon
July 6, 2025By
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A four-year-old boy has died after a gravestone fell on him at a cemetery, police have said.
The boy was fatally injured at Rawtenstall Cemetery on Burnley Road, Haslingden, at lunchtime on Saturday, Lancashire Police said.
Paramedics tried to save him but “tragically” the boy died in the “devastating” incident, the force said in a statement.
Officers were called to the cemetery at 1pm “following reports a gravestone had fallen onto a child.
“Tragically, and despite the best efforts of the emergency services, the boy sadly died. Our thoughts are with his loved ones at this devastating time.”
His death was not being treated as suspicious and a file will be sent to the coroner “in due course”.
Rossendale Borough Council posted on X on Saturday evening: “We are deeply saddened by the tragic death of a young child at Rawtenstall Cemetery today. Our thoughts are with the family at this devastating time.
More on Lancashire
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Britain’s young extremists
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Andy MacNae, Labour MP for Rossendale and Darwen, said on Facebook his thoughts went out to the family and everyone affected by the “tragic incident”.
Local councillor Liz McInnes also wrote on Facebook it was “a terrible tragedy. My heartfelt and deepest sympathies to the family of this poor boy. The whole of Rawtenstall is grieving”.
UK
How Prevent is tackling young extremism 20 years after the 7/7 bombings
Published
1 day agoon
July 6, 2025By
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Radicalised nine-year-olds, teenagers mixing incel culture with extreme right ideologies and a Muslim who idolises Hitler – this is just some of the casework of those tasked with deradicalising young extremists in the UK.
Monday will mark 20 years since the 7/7 attacks on the London transport network when four suicide bombers killed 52 people and injured 770 others.
A year later the government set up its deradicalisation programme Prevent as part of its counter-terrorism strategy.
Sky News has spoken to two leading intervention providers (IPs) at Prevent who both say their work is getting ever more complex and the referrals younger.
The Metropolitan Police’s Prevent co-ordinator, Detective Superintendent Jane Corrigan, has also told Sky News it is “tragic” that when it comes to terrorism, “one in five of all our arrests is a child under 17”.
She believes parents should talk to their children about what they are reading and seeing online.
“Parents instinctively know when something doesn’t feel right when their child is becoming withdrawn or isolated – not wanting to engage,” she says.
More on Prevent
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People worried that someone they know has thoughts that could lead to terrorism can refer them to Prevent.

File pic: iStock
‘A pic-n-mix of ideologies’
Home Office figures show 11-year-olds are the largest age group to get referred.
Concerning cases are passed on to IPs such as Nigel Bromage who told Sky News: “Often there will be a pic-n-mix of ideologies.
“From my own examples and experience, we are aware of people looking at the incel culture and mixing that with some far-right elements.”

Sky’s Jason Farrell with intervention provider Nigel Bromage, who was exposed to extremism when he was a child
Incels, meaning “involuntary celibates” are men who have been unable to have a relationship with women despite wanting one and become misogynistic and hateful as a result.
Like many IPs, Mr Bromage from Birmingham comes from an extremist background himself, having once been a regional organiser for the proscribed Neo-Nazi group Combat 18.
For him too, it began as a child.
“It all started with someone giving me a leaflet outside my school gates,” Mr Bromage says.
“It told me a horrific story about a mum getting killed by an IRA bomb explosion – and at the end of the leaflet there was a call to action which said: ‘If you think it’s wrong then do something about it’.”
He developed a hatred for Irish republican terrorism which morphed into general racism and national socialism.
“At the very end I thought I was going to go to prison, or I would end up being hurt or even killed because of my political beliefs,” he says.

Mr Bromage says his youngest case involved a nine-year-old
Boy, 9, groomed by his brother
Mr Bromage reveals his youngest case was a nine-year-old who had been groomed by his brother.
“He was being shown pro-Nazi video games, and his older brother was saying ‘when I go to prison or I get in trouble – they you’re the next generation – you’re the one who needs to continue the fight’,” he says.
“Really, he had no interest in the racist games – he just wanted to impress his brother and be loved by his brother.”

Every year, nearly 300 children who are 10 or younger are referred to Prevent.
Home Office figures show that over the last six years 50% of referrals were children under the age of 18.
Eleven-year-olds alone make up a third of total referrals, averaging just over 2,000 a year, with the figure rising even higher in the most recent stats.
Another IP, Abdul Ahad, specialises in Islamic extremism.
He says the catalyst for radicalisation often comes from events aboard.
Ten years ago, it was Syria, more recently Gaza.
“It is often a misplaced desire to do something effective – to matter, to make a difference. It gives them purpose, camaraderie and belonging as well – you feel part of something bigger than you,” he says.

Fifty-two people were killed on 7 July 2005 when four suicide bombers blew up three London Underground trains and a bus. Pic: PA
Clients want someone to ‘hear them’
Some of his clients “don’t fit into any particular box”.
“I’m working with a guy at the minute, he’s a young Muslim but he idolises Hitler and he’s written a manifesto,” he says.
“When you break it down, some people don’t know where they fit in, but they want to fit in somewhere.”
Mr Ahad says the young individual mostly admires Hitler’s “strength” rather than his ideologies and that he was drawn to darker characters in history.
Often his clients are very isolated and just want someone to “hear them”, he adds.
Read more:
What is Prevent – and why is it controversial?
PM warns of new kind of terror threat

Intervention provider Abdul Ahad specialises in Islamic extremism
Mr Ahad is also an imam who preaches at the Al-Azar Mosque in South Shields, a well-regarded centre for community cohesion and outreach.
He uses his understanding of the Islamic faith in his Prevent sessions to help guide his referrals away from extreme interpretations of the Koran by offering “understanding and context”.
He says: “We quote the correct religious texts – we explain their responsibility as a Muslim living in the UK and we re-direct their energies into something more constructive.”
Common theme of mental health issues
Mental health problems are a common theme among those referred to Prevent including depression and autism.
A recent inquest into the death of autistic teenager Rhianan Rudd found she took her own life after being radicalised by two white supremacists.
Her mother was critical of Prevent, as well as the police and MI5 after she had referred her daughter to the deradicalisation programme and Rhianan was subsequently charged with terrorism offences.

Last month a coroner found some failings in the processes around protecting Rhianan, but none of them attributable to Rhianan taking her own life.
Det Supt Corrigan says a referral doesn’t mean individuals end up being arrested or on an MI5 watchlist.
She says: “You’re not reporting a crime, but you are seeking support. I would say the earlier you can come in and talk to us about the concerns you have the better. Prevent is just that – it is a pre-criminal space.
“It’s tragic when you see the number of young people being arrested for very serious charges. Just look at terrorism – one in five of all our arrests is a child under the age of 17. We need to think about how we respond to that.”
Prevent has been criticised for failures such as when Southport killer Axel Rudakabana failed to be recognised as needing intervention despite three referrals, or when MP David Amiss’ killer Ali Harbi Ali went through the programme and killed anyway.

Axel Rudakubana failed to be recognised as needing intervention despite three referrals. Pic: Merseyside police
It’s harder to quantify its successes.
Mr Ahad says he understands why the failures hit the headlines, but he believes the programme is saving lives.
He says: “I think the vast majority of people get radicalised online because they are sitting in their room reading all this content without any context or scholarly input. They see one version of events and they get so far down the rabbit hole they can’t pull themselves out.
“I really wish Prevent was around when I was a young, lost 15-year-old because there was nothing around then. It’s about listening to people engaging with them and offering them a way of getting out of that extremism.”

File pic: iStock
‘Radicalisation can happen in days to weeks’
Det Supt Corrigan says: “I’ve sat with parents whose children have gone on to commit the most horrendous crimes and they all spotted something.
“Now, with hindsight, they wished they had done something or acted early. That’s why we created this programme, because radicalisation can happen in days to weeks.”
Twenty years on from 7/7 the shape of the terrorist threat has shifted, the thoughts behind it harder to categorise, but it is no less dangerous.
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