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Mia was just 10 years old when she and her family knew she needed mental health support. 

But their attempts to access help were met with delays and denials that lead to such a severe deterioration in her condition it nearly cost Mia her life.

“I wasn’t deemed sick enough, I was told it was fine and there was nothing wrong with me”, Mia explains. “I was telling them, ‘this is not normal’, and they didn’t listen.”

But Mia was struggling. Her mental health was worsening and would eventually reach crisis point.

“By the time I was 12 I was self-harming. I felt like some days I couldn’t cope with the day but I was still performing well academically and that, when you’re a kid in this country, that is how they mark your wellbeing.”

It was when Mia turned 15 that help eventually came but only after she suffered a breakdown. She was arrested for false imprisonment and criminal damage after an attack on her teacher, and eventually admitted to a psychiatric unit.

Mia believes earlier intervention would have prevented her deterioration into crisis.

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Mia has taken up climbing

“I would have killed myself. I would have. Mental health care is lifesaving, just as lifesaving as cardiac care, just as lifesaving as diabetes care. You cannot live a healthy, happy life if you are mentally unwell, without support.”

Mia’s story about her struggle to access the right mental health care at the right time exposes a system in crisis. Children and young adults across the country are being forced to endure long waits for specialist care and demand continues to grow.

NHS England estimates a quarter of all 17 to 19-year-olds now have a probable mental health disorder compared to one in 10 just six years ago.

David Barker and his team at Youth Talk offer free confidential counselling for 13 to 25-year-olds.

But they are overrun with record numbers of children and young people in need of help.

The charity has doubled its capacity – but even this is not enough.

Mr Barker told Sky News: “Before the pandemic there was a crisis of young people struggling with their mental health, the pandemic has compounded all of that, hugely, and as a result of that we’re seeing a long tail of the COVID pandemic in terms of mental health and particularly young people.”

Community health services are also struggling. A survey of NHS Providers found that children are now waiting an average of 91 weeks for an autism spectrum disorder assessment and between 72 and 207 weeks for an ADHD assessment.

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Jenna Hughes speaks to Sky News
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Jenna Hughes speaks to Sky News

Jenna Hughes had to wait three years for a diagnosis for her eldest child Amelia.

Her youngest, Imogen, has already been waiting for a year. Caring for Amelia and Imogen without any extra help is having an impact on everyone in the family.

“I’ve struggled with my mental health,” Jenna says. “Because of the level of care my children need. That’s hard on my family. The NHS is overrun but it puts so much pressure on families, and strain and stress.”

Demand is only expected to increase.

And if there is no urgent action, healthcare providers like the Hertfordshire Community NHS Trust predict that by next year their community waiting lists for children and young people will have more than doubled since the pandemic.

Its chief executive Elliot Howard-Jones said the biggest challenge for his trust in responding to the growing crisis was finding the right staff.

“It’s absolutely not where we want to be, we want to have much shorter waiting times for children, it significantly affects their life chances and their educational attainment if we don’t see them quickly.

“The biggest challenge in terms of community services is not the vision for what we want to do which is clearly to support people at home and to help children develop as best as they can, it’s getting the staff and growing the service quickly enough to be able to respond.”

Mia is 21 now. She is in the final year of a wild animal biology degree at the Royal Veterinary College after passing her A levels with top grades.

But the outcome could have been very different and for the many thousands of children still struggling it will be unless the crisis in children’s mental health is addressed urgently.

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

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Liam Payne’s cause of death confirmed during UK inquest opening

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Liam Payne's cause of death confirmed during UK inquest opening

One Direction star Liam Payne died of multiple traumatic injuries, a UK inquest into his death has heard.

The 31-year-old singer, who died in October after falling from the third-floor balcony of a hotel in Buenos Aires, Argentina, was confirmed to have died of “polytrauma”, the inquest opening heard.

The hearing, which Buckinghamshire Coroner’s Court said was held on 17 December, was told it may take “some time” to establish how Payne died.

The inquest into Payne’s death in the UK has been adjourned until a pre-inquest review on 6 November, the coroner’s court said.

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Mourners gather for Payne’s funeral

Five people have been charged over Payne’s death at the Casa Sur Hotel on 16 October.

The hotel’s manager, a receptionist and a “representative” of Payne have been charged with negligent homicide (similar to manslaughter in UK law), Argentina’s National Criminal and Correctional Prosecutor’s Office previously said in a statement.

They are hotel manager Gilda Martin, receptionist Esteban Grassi and Payne’s “representative” Roger Nores.

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Two others, hotel employee Ezequiel Pereyra and waiter Braian Paiz, have been charged with supplying cocaine.

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Family and friends attended Payne’s funeral on 20 November, including his girlfriend Kate Cassidy and former partner Cheryl, with whom he had a son, Bear.

His One Direction bandmates, Harry Styles, Louis Tomlinson, Niall Horan and Zayn Malik also attended the private ceremony.

Senior Coroner Crispin Butler said during the inquest hearing: “Whilst there are ongoing investigations in Argentina into the circumstances of Liam’s death, over which I have no legal jurisdiction, it is anticipated that procuring the relevant information to address particularly how Liam came by his death may take some time through the formal channel of the Foreign, Commonwealth and Development Office.”

It comes after the star’s final hours were recently detailed by a judge and the Argentinian Public Prosecutor’s Office, who said in a statement Payne had been “demanding” drugs and alcohol during his stay at the hotel.

On 16 October, Payne was in the hotel lobby and “unable to stand” due to the “consumption of various substances”, the court document said.

The receptionist and two others “dragged” the singer to his room.

The document also reiterated the hypothesis that Payne had “tried to leave the room through the balcony and thus fell”.

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Plan to sanction people smuggling gangs is a bold and novel departure – but can the government make it bite?

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Plan to sanction people smuggling gangs is a bold and novel departure - but can the government make it bite?

So can you stop people smugglers by lumbering them with sanctions? That is the government’s latest idea, and it is bold and innovative.

It will certainly get attention, even if that doesn’t mean it will work. But it is another effort by this government to differentiate itself from the leaders who came before.

In a nutshell, the idea is to cut the financing to what the Foreign Office refers to as “organised immigration networks” and is intended to deter “smugglers from profiting off the trafficking of innocent people”.

So far, so convincing. The rhetoric is good. The reality may be more difficult.

For one thing, and we await actual details of what’s going to be done, this raises an enormous question of how this can be accomplished.

A view of small boats and outboard motors used by people thought to be migrants to cross the Channel at a warehouse facility in Dover.
Pic: PA
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A view of small boats and outboard motors used by people thought to be migrants to cross the Channel at a warehouse facility in Dover. Pic: PA

Some of the people smugglers bringing people across the Channel are based in Britain, but most aren’t. And as a general rule, they’re quite hard to track down.

I know that, because I’ve met some of them.

In Kurdistan, I drank tea with a cheerful man, Karwan, who had been responsible for smuggling a thousand people into Europe.

He had absolutely no fear of being caught, and no sense that he was even breaking the law.

The smuggling gang did not want to reveal their faces. From Parsons October 2023 shorthand
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The smuggling gang, who we met in October 2023, did not want to reveal their faces


We meet that afternoon. The smuggler, *Karwan, turns up with three other men, all members of his group - he doesn't like the word "gang" - and accepts the offer of a cup of hot tea. From Parsons VT for shorthand October 2023

Instead, Karwan considered that he was doing a duty to Kurds, allowing them to escape from the hardship of their nation to a more prosperous life in other countries, including Britain. Or, at least, that’s what he said.

How exactly Britain could impose sanctions on him is hard to imagine.

Nor is it hard to think of fear now creeping into the minds of the various smugglers I’ve met during years of reporting from the beaches of northern France.

These people are well aware that they’re breaking the law. You can hardly spend your time dodging French police and claim to be innocent.

Guns are becoming more commonplace in migrant camps. The spectre of sanctions won’t stop them.

Man suspected of supplying small boats for Channel migrant crossings arrested
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Life jackets allegedly belonging to a gang of people smugglers which were seized by police in November

So the question is whether the British government can track down the people at the very top of these organisations and find a way of levying financial sanctions that bite.

Presumably, if these people were in Britain, they’d be arrested, with the prospect of their assets being frozen.

So imposing sanctions will probably involve working alongside European countries, coordinating action and sharing information. A process that has become more complicated since Brexit.

Sanctions have previously worked well when targeted towards high-profile people and organisations with a clear track record.

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The oligarchs who have propped up Vladimir Putin’s regime, for instance, or companies trying to procure armaments for hostile states. All have been targeted by a coalition of nations.

But this idea is novel – unilateral for a start, even if, one assumes, the French, Germans, Belgians and others have been warned in advance.

It’s also not quite clear how it will work – organised crime is famously flexible and if you successfully sanction one person, then someone else is likely to take over.

As for levying sanctions on the smuggling leaders in Iraq, Syria, Libya, Egypt, Albania and beyond – well, good luck.

An inflatable dinghy carrying migrants makes its way towards England in the English Channel.
Pic: Reuters
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An inflatable dinghy carrying migrants makes its way towards England in the English Channel. Pic: Reuters

What it does is to draw that distinction between the recent past, when the Rwanda plan was the main ambition, and Keir Starmer’s reliance on focusing on criminality and working together with partners.

And one other note. For years, the government has talked about people crossing the Channel as illegal migrants, even though there is a dispute between UK and international law about whether these people are actually breaking the law.

Now the Foreign Office is using the term “irregular migration”. Is this a change of tone, or just a stylistic whim? Just as with the sanctions, we will wait and see.

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Senior Tory MP Sir David Davis calls for Lucy Letby retrial

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Senior Tory MP Sir David Davis calls for Lucy Letby retrial

A senior Conservative has called for a retrial for Lucy Letby, the nurse jailed for murdering seven babies and attempting to murder seven others.

Former minister Sir David Davis has said he believes a retrial will “clear” her, as her conviction was “built on a poor understanding of probabilities” and lacked “hard evidence”.

He told MPs on Wednesday “there is case in justice” for a retrial, but admitted there was a problem.

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David Davis

Much of the expert analysis of the case notes he was referring to, was available at the time but not presented to the jury, he said.

That meant the Court of Appeal can dismiss it, “basically saying the defence should have presented it at the initial trial”.

In effect, he said, the court can say: “‘If your defence team weren’t good enough to present this evidence, hard luck you stay banged up for life’.”

Such an outcome “may be judicially convenient, but it’s not justice,” he said.

He said earlier: “There was no hard evidence against Letby, nobody saw her do anything untoward. The doctor’s gut feeling was based on a coincidence – she was on shift for a number of deaths, and this is important, although far from all of them, far from all of them.

“It was built on a poor understanding of probabilities, which could translate later into an influential but spectacularly flawed piece of evidence.”

Sir David said Letby’s case “horrified the nation” and that it “seemed clear a nurse had turned into a serial killer”.

“Now I initially accepted the tabloid characterisation of Letby as an evil monster, but then I was approached by many experts, leading statisticians, neonatal specialists, forensic scientists, legal experts and those who had served at Chester Hospital who were afraid to come forward,” he added.

These experts convinced Sir David that “false analyses and diagnoses” had been used to “persuade a lay jury” to find Letby guilty.

Responding to Sir David, Justice Minister Alex Davies-Jones said it is “an important principle of the rule of law that the Government does not interfere with judicial decisions”.

She added: “It is not appropriate for me or the government to comment on judicial processes nor the reliability of convictions or evidence.”

Ms Davies-Jones later told the Commons that Letby could apply to the Criminal Cases Review Commission if she believed she had been wrongly convicted.

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Letby, from Hereford, is serving 15 whole-life orders after she was convicted at Manchester Crown Court of murdering seven infants and attempting to murder seven others, with two attempts on one of her victims, between June 2015 and June 2016.

Letby, who was in her mid-20s and working at the Countess of Chester Hospital at the time of the murders, is now the UK’s most prolific child killer of modern times.

The 33-year-old killed her victims by injecting the infants with insulin or air or force-feeding them with milk.

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