A coroner is to write to the health secretary over concerns people are unaware of the risks of having cosmetic surgery overseas, after a British woman died following a ‘Brazilian butt lift’ procedure in Turkey.
Melissa Kerr travelled to the private Medicana Kadikoy hospital in Istanbul for the operation, during which fat is harvested from other parts of the body and injected into the buttocks.
The 31-year-old died on the day she had the procedure – 19 November last year.
Ms Kerr, who was “conscious about her appearance”, had breast enlargement surgery a decade earlier without complications.
But she was only given “limited information regarding the risks and mortality rate” associated with the Brazilian butt lift, an inquest heard.
Ms Kerr, from Denton, Norfolk, died after injected fat entered a vein before moving and blocking her pulmonary artery.
Her cause of death has been recorded as a pulmonary thromboembolism, Norfolk’s senior coroner, Jacqueline Lake, said.
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Ms Lake now intends to write a report to Health Secretary Steve Barclay to outline concerns after telling the inquest there have been a “high number of patient deaths in similar circumstances”.
‘Future deaths can be prevented by better information’
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“I am concerned patients are not being made aware of the risks or the mortality rate associated with such surgery,” she said.
“I do have concerns there will be future deaths and I’m of the view future deaths can be prevented by way of better information.”
Ms Kerr’s death happened four years after mother-of-three Leah Cambridge died due to a fat clot caused by a Brazilian butt lift in Turkey in 2018.
The 29-year-old from Leeds travelled to a private clinic in the coastal city of Izmir for the operation after becoming paranoid about excess stomach weight gain, an inquest heard – despite being told by her partner she did not need surgery.
Image: Leah Cambridge and her partner Scott Franks. Pic: Facebook
Patient underwent ‘limited assessment’ and did not see surgeon in advance
Ms Kerr arranged to pay £3,200 in cash for the procedure in a conversation with a hospital worker via WhatsApp.
She said she was “a bit nervous” before the operation and asked to see photographs of previous patients four times – but there is no evidence she was given them, the inquest heard.
Ms Kerr, a psychological wellbeing practitioner for the charity Mind, did not see a surgeon or clinician in advance and underwent a “limited assessment” prior to the procedure, Ms Lake said.
Consultant plastic surgeon, Simon Withey, who was asked to view evidence in the case and prepare a report as an expert witness during the inquest, said the death rate associated with Brazilian butt lifts is “likely to be in excess of one in 4,000”.
He said it is “quite possible” that, if the risks had been explained “before she was financially committed to proceed, she would not have done”.
Recording a narrative conclusion, Ms Lake said Ms Kerr died after cosmetic surgery.
“There has been the release of an international alert to surgeons regarding the high mortality rate associated with this procedure,” the coroner added.
“There has also been the introduction of a voluntary moratorium (suspension of activity) on this type of procedure in the UK.
“These are clearly not being followed in Turkey.
“I don’t have any authority over hospitals in Turkey and I also appreciate the UK government has no control (over) what happens in other countries.
“However the danger our citizens will continue to travel abroad for such procedures continues, though citizens are unaware of the risks involved.”
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Ms Lake offered her sympathies to Ms Kerr’s family, who listened to the inquest via videolink.
On a JustGiving fundraising page set up after the tragedy, Ms Kerr was described as a “pure and beautiful soul” who was “passionate about helping others”.
Her comments followed the departure of the prince and several others from the organisation in March.
They had asked her to step down, alleging it was in the “best interest of the charity”.
Dr Chandauka told Sky News that Harry had “authorised the release of a damaging piece of news to the outside world” without informing her or Sentebale directors.
The Duke and Duchess of Sussex declined to offer any formal response.
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4:43
Why was Prince Harry accused of ‘bullying’?
‘Strong perception of ill-treatment’
The Charity Commission said it was reporting after a “damaging internal dispute emerged” and has “criticised all parties to the dispute for allowing it to play out publicly”.
That “severely impacted the charity’s reputation and risked undermining public trust in charities more generally”, it said.
But it found no evidence of “widespread or systemic bullying or harassment, including misogyny or misogynoir at the charity”.
Nevertheless, it did acknowledge the “strong perception of ill-treatment felt by a number of parties to the dispute and the impact this may have had on them personally”.
It also found no evidence of “‘over-reach’ by either the chair or the Duke of Sussex as patron”.
‘Confusion exacerbated tensions’
But it was critical of the charity’s “lack of clarity in delegations to the chair which allowed for misunderstandings to occur”.
And it has “identified a lack of clarity around role descriptions and internal policies as the primary cause for weaknesses in the charity’s management”.
That “confusion exacerbated tensions, which culminated in a dispute and multiple resignations of trustees and both founding patrons”.
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4:43
Why was Prince Harry accused of ‘bullying’?
Harry: Report falls troublingly short
A spokesperson for Prince Harry said it was “unsurprising” that the commission had announced “no findings of wrongdoing in relation to Sentebale’s co-founder and former patron, Prince Harry, Duke of Sussex”.
They added: “Despite all that, their report falls troublingly short in many regards, primarily the fact that the consequences of the current chair’s actions will not be borne by her, but by the children who rely on Sentebale’s support.”
They said the prince will “now focus on finding new ways to continue supporting the children of Lesotho and Botswana”.
Dr Chandauka said: “I appreciate the Charity Commission for its conclusions which confirm the governance concerns I raised privately in February 2025.”
But she added: “The unexpected adverse media campaign that was launched by those who resigned on 24 March 2025 has caused incalculable damage and offers a glimpse of the unacceptable behaviours displayed in private.”
All police forces investigating grooming gangs in England and Wales will be given access to new AI tools to help speed up their investigations.
The artificial intelligence tools are already thought to have saved officers in 13 forces more than £20m and 16,000 hours of investigation time.
The apps can translate large amounts of text in foreign languages from mobile phones seized by police, and analyse a mass of digital data to find patterns and relationships between suspects.
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2:00
Grooming gang inquiry: ‘Our chance for justice’
‘We must punish perpetrators’
The rollout is part of a £426,000 boost for the Tackling Organised Exploitation (TOEX) programme, which supports officers to investigate complex cases involving modern slavery, county lines and child sex abuse.
“The sexual exploitation of children by grooming gangs is one of the most horrific crimes, and we must punish perpetrators, provide justice for victims and survivors, and protect today’s children from harm,” said safeguarding minister Jess Phillips.
“Baroness Casey flagged the need to upgrade police information systems to improve investigations and safeguard children at risk. Today we are investing in these critical tools.”
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1:36
Key takeaways from the Casey review
Lack of ethnicity data ‘a major failing’
Police forces have also been instructed by the home secretary to collect ethnicity data, as recommended by Baroness Casey.
Her June report found the lack of data showing sex offenders’ ethnicity and nationality in grooming gangs was “a major failing over the last decade or more”.
She found that officials avoided the issue of ethnicity for fear of being called racist, but there were enough convictions of Asian men “to have warranted closer examination”.
The government has launched a national inquiry into the abuse and further details are expected to be announced in the coming weeks.
Rachel Reeves will need to find more than £40bn of tax rises or spending cuts in the autumn budget to meet her fiscal rules, a leading research institute has warned.
The National Institute of Economic and Social Research (NIESR) said the government would miss its rule, which stipulates that day to day spending should be covered by tax receipts, by £41.2bn in the fiscal year 2029-30.
In its latest UK economic outlook, NIESR said: “This shortfall significantly increases the pressure on the chancellor to introduce substantial tax rises in the upcoming autumn budget if she hopes to remain compliant with her fiscal rules.”
The deteriorating fiscal picture was blamed on poor economic growth, higher than expected borrowing and a reversal in welfare cuts that could have saved the government £6.25bn.
Together they have created an “impossible trilemma”, NIESR said, with the chancellor simultaneously bound to her fiscal rules, spending commitments, and manifesto pledges that oppose tax hikes.
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1:56
Could the rich be taxed to fill black hole?
Reeves told to consider replacing council tax
The institute urged the government to build a larger fiscal buffer through moderate but sustained tax rises.
“This will help allay bond market fears about fiscal sustainability, which may in turn reduce borrowing costs,” it said.
“It will also help to reduce policy uncertainty, which can hit both business and consumer confidence.”
It said that money could be raised by reforms to council tax bands or, in a more radical approach, by replacing the whole council tax system with a land value tax.
To reduce spending pressures, NIESR called for a greater focus on reducing economic inactivity, which could bring down welfare spending.
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1:40
What’s the deal with wealth taxes?
Growth to remain sluggish
The report was released against the backdrop of poor growth, with the chancellor struggling to ignite the economy after two months of declining GDP.
The institute is forecasting modest economic growth of 1.3% in 2025 and 1.2% in 2026. That means Britain will rank mid-table among the G7 group of advanced economies.
‘Things are not looking good’
However, inflation is likely to remain persistent, with the consumer price index (CPI) likely to hit 3.5% in 2025 and around 3% by mid-2026. NIESR blamed sustained wage growth and higher government spending.
It said the Bank of England would cut interest rates twice this year and again at the beginning of next year, taking the rate from 4.25% to 3.5%.
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Persistent inflation is also weighing on living standards: the poorest 10% of UK households saw their living standards fall by 1.3% in 2024-25 compared to the previous year, NIESR said. They are now 10% worse off than they were before the pandemic.
Professor Stephen Millard, deputy director for macroeconomics at NIESR, said the government faced tough choices ahead: “With growth at only 1.3% and inflation above target, things are not looking good for the chancellor, who will need to either raise taxes or reduce spending or both in the October budget.”