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Hundreds of doctors are planning to sue the NHS over claims inadequate PPE on the frontline has left them with long COVID, disabled, and in financial ruin.

Dr Kelly Fearnley, 37, was working on a COVID ward at Bradford Royal Infirmary in November 2020 when she caught coronavirus.

More than three years later, the effects of long COVID mean she is still unable to work. After episodes of violent shakes, hallucinations, and a resting heart rate more than double the average, she was diagnosed with limbic encephalitis – inflammation of parts of the brain.

Dr Fearnley suffered swelling on her eyelid after contracting COVID
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Swelling on Dr Fearnley’s eyelid after contracting COVID. Pic: Kelly Fearnley

Meanwhile, Dr Nathalie MacDermott – an infectious diseases registrar who treated people with the Ebola virus – says COVID has left her with spinal damage after her concerns about a lack of PPE during the pandemic were ignored.

A British Medical Association study of 600 doctors with long COVID last year revealed that 60% had suffered persistent ill health since contracting COVID, and around half (48%) had lost earnings.

Dr Fearnley co-founded Long COVID Doctors for Action (LCD4A), which is today pledging legal action against the NHS for negligent workplace exposure to coronavirus, resulting in injury and financial loss.

The group, which is being represented by the legal firm Bond Turner, claims the NHS decided to downgrade guidance as the virus took hold in March 2020, only requiring staff to wear blue surgical face masks, plastic aprons, and gloves when dealing with suspected or confirmed COVID cases.

This is in line with World Health Organisation (WHO) guidance, which says there is only strong evidence for more restrictive masks such as FFP3s, FFP2s, and N95s, being worn for “aerosol-generating procedures” – not general care of COVID patients.

But both the US and European public health authorities advise at least FFP3 or N95 masks for any healthcare worker in a COVID environment, with scientists leaning on both sides.

Dr Simon Clarke, associate professor in cellular microbiology at Reading University, told Sky News there is a “greater than 50% chance” healthcare workers who were infected in early 2020 contracted the virus at work, as lockdown meant other contact was significantly reduced – but there are no guarantees.

He added: “Some masks seem to be more effective than others and can vary quite a lot.

“We have to remember that there was a shortage nationally of PPE. So the supplies of better, more effective masks might have been somewhat restricted.”

The public inquiry into the UK’s handling of the pandemic has heard PPE provision for healthcare workers was “hopelessly inadequate”. Government and public health officials have admitted “mistakes were made”.

Dr Fearnley suffered painful skin rashes after contracting COVID
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Dr Fearnley’s painful skin rashes after contracting COVID. Pic: Kelly Fearnley

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How long COVID ruined my life

Dr Fearnley, who is currently on 12 months’ unpaid leave, having not worked since the end of 2020, says she used higher-grade masks from when she started work as a junior doctor in the spring until she was deployed to a COVID ward in November.

She said: “I walked onto the COVID ward and there was just a small box with blue masks.

“I asked where the other masks were and was told ‘we’re using these now, don’t worry they’ll protect you’.

“The sudden downgrading of PPE was not based on the known science.

“I didn’t have time to think about it. But I spent 12 hours a day, for five consecutive days, surrounded by COVID-positive patients in the absence of adequate respiratory protection.”

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Dr Fearnley films her breathing and heart rate difficulties

‘My brain is still infected’

Dr Fearnley says she tested positive for COVID after one week on the ward. For four weeks she had flu-like symptoms and suffered breathlessness, as well as a swelling around her eye and a red rash across her body.

She tried to return to work after three weeks but only lasted two hours before dizziness and breathlessness forced her to go back home.

“It was like a switch flipped in my body,” she said.

Her long COVID symptoms over the next two years left her largely bedbound and, at times, suicidal.

“I started to turn more of a corner after two-and-a-half years. Now I can get dressed and move around the house. I can exert myself cognitively and physically a little bit more.

“But I still deal with symptoms daily, my brain still feels infected and there’s an ongoing pathological process in my body I believe needs treatment before I can recover. I feel like I have sustained a traumatic brain injury.

“At 37 I’m living and relying on my 70-year-old father for support. If it wasn’t for him I’d be homeless.”

Dr Fearnley struggled with pins and needles in her arms and legs
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Dr Fearnley struggled with pins and needles in her arms and legs. Pic: Kelly Fearnley

Call for other doctors to join legal action

LCD4A is calling for other doctors and healthcare workers who worked in England and Wales and suffered similar circumstances to join its group legal action.

Hundreds have signed up, many say they have lost their jobs, and had relationships end. Several of those still employed by the NHS claim they have reached maximum sick pay or are struggling to claim benefits.

One consultant, who asked to remain anonymous, but whose income protection and life insurance were denied, said: “I was once at the peak of my career and have had to give up all my dreams and become a shell of my former self.

“There is no hope at present and at times I wish I died during COVID.”

One junior doctor said her long COVID complications mean she feels unable to ever have children – or become a consultant.

The 33-year-old described how brain fog and mobility problems cause her to burn herself on hot cups of tea, having failed to “work out how to hold them safely”.

GP members have reported losing their practices and years on from their original infection one still described going to the toilet as feeling “like climbing Mount Everest”.

Ebola expert warned London hospital about masks

Dr MacDermott is another LCD4A member who moved from her job as a clinical lecturer in paediatric infectious diseases at King’s College London to work on the COVID frontline in March 2020.

The 41-year-old was moved to Great Ormond Street Hospital and worked as a paediatric registrar.

She caught COVID at the end of March and was off work with classic symptoms for 10 days. When she returned in early April, she says she was moved to a different ward, which was largely caring for children with multi-system inflammatory syndrome – a potentially fatal response to COVID seen in children that causes inflammation of various organs.

Dr Nathalie MacDermott now uses a mobility scooter. Pic: Dr Nathalie MacDermott
Image:
Dr Nathalie MacDermott now uses a mobility scooter. Pic: Dr Nathalie MacDermott

Having worked on Ebola and cholera in Africa and Asia, with her background in infectious diseases, she was alarmed by the lack of PPE – and raised it with senior managers.

“I spoke to the head of infection control and said it was unacceptable. I said we should at least have FFP masks but I was told we didn’t need them.”

She claims when she told her staff to wear higher-grade PPE, people would “come to the wards and tell them off for wearing PPE they shouldn’t be wearing”.

Dr MacDermott believes that those responsible for infection control policy across NHS England are to blame for what she, Dr Fearnley, and hundreds of others have suffered as a result of long COVID.

“At the end of the day, people made decisions and those decisions had consequences, and those people are not taking responsibility for those decisions.

“When I worked on Ebola in Liberia, I told healthcare workers that I would never ask them to go into an environment wearing PPE that I wouldn’t go into wearing that PPE myself.

“The NHS sold out their staff during the pandemic. And I’m not going to stay quiet about it because we haven’t learned and we’re still doing it.

“If we had another pandemic tomorrow, we would make exactly the same mistakes again.”

COVID caused spinal cord damage

Dr MacDermott says she caught COVID again and developed severe pain in her neck, back, arms, and soles of her feet.

She continued to be off work and by September 2020 her legs had become “jerky” and her “mobility took a turn for the worse”.

Long COVID has also affected her bladder and bowels, and she now uses a mobility scooter as she is unable to walk without crutches for more than around 100m (330ft).

“The overall conclusion is that I have something called a COVID-related myelopathy, which means COVID has damaged my spine, but we don’t know exactly what that damage is and how it’s done it.”

Dr MacDermott returned to work after almost two years in March 2022. She has had COVID twice since, which she says has set back her neurological symptoms each time.

Her research funding comes to an end in six months and she has so far been unsuccessful in getting further grants. Her health means she can’t do a full-time clinical role.

“So even though I’ve finally got to the end of my training, having graduated from medical school in 2006, I now can’t be the paediatric infectious diseases consultant I wanted to be.”

Both she and Dr Fearnley say they do not feel safe returning to work in the NHS with its current infection control policy, which is still the same.

Dr Fearnley added: “Coronavirus is unequivocally airborne and warrants respiratory protection.

“Our employers have a legal duty of care. Workers have a right to be protected at work and patients have a right to be cared for in safe environments. Hospitals are failing in their duty of care.”

Legal challenge of proving negligence

Legal commentator Joshua Rozenberg says all claimants face a considerable legal challenge in proving the NHS was negligent at that time.

“They have to show that their employers, the hospitals they were working in, didn’t meet what were then-accepted standards of care.

“Presumably when people didn’t really understand COVID, didn’t know about long COVID, perhaps didn’t know what level of protection was necessary for professionals working in the health service.”

He added that the doctors need to clarify which NHS or government bodies they are going to sue.

“They’ve got to decide who was actually responsible and whether they were negligent or not.”

Sara Stranger, director and head of clinical negligence and serious injury claims at Bond Turner, said: As the nation stood at their doors clapping, our frontline NHS workers risked their lives while caring for patients, without proper protection.

“Thousands contracted the virus themselves, and many have since developed long COVID.

“We are committed to seeking justice for those who were exposed to an unnecessary risk of infection while working on the front line.”

A Department of Health and Social Care spokesperson told Sky News: “Throughout the pandemic the government acted to save lives and livelihoods, prevent the NHS being overwhelmed and deliver a world-leading vaccine rollout which protected millions of lives across the nation.

“We have always said there are lessons to be learnt from the pandemic and we are committed to learning from the COVID-19 inquiry’s findings, which will play a key role in informing the government’s planning and preparations for the future. We will consider all recommendations made to the department in full.”

Sky News has contacted NHS England and the UK Health Security Agency for further comment.

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Rhianan Rudd: How mother’s boyfriend played ‘significant’ role in radicalising youngest UK girl to face terror charges

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Rhianan Rudd: How mother's boyfriend played 'significant' role in radicalising youngest UK girl to face terror charges

Rhianan Rudd, who took her own life at the age of 16, was the youngest girl in the UK to be charged with terrorist offences. 

The inquest into her death, which concluded today, revealed shocking details about her radicalisation by two American white supremacists, one of whom was her mother’s boyfriend, who the coroner said “played a material role in her radicalisation”.

Rhianan gouged a swastika into her forehead, downloaded a bomb-making manual and told her mother she planned to blow up a synagogue.

Investigated by anti-terrorism police and MI5, charges against her were later dropped, but five month later on 19 May 2022, she was found dead in her shower in a children’s home in Nottinghamshire. Hours earlier she had posted on Instagram: “I’m delving into madness.”

The evidence heard in Chesterfield Coroner’s Court from police, social services and even an MI5 operative, raised questions over the state’s part in her death – and whether, despite her obvious radicalisation, this vulnerable, autistic girl should have been treated with more care by the authorities.

Judge Alexia Durran said: “I’m not satisfied, on the balance of probabilities, Rhianan intended to take her own life. Rhianan’s death… was the result of a self-inflicted act but it is not possible to ascertain her intention.

“Rhianan was known, to family and professionals, to be vulnerable, to have autistic traits and have a history of self-harm.”

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The coroner added: “I find she was highly affected by her arrest and was concerned about being sent to prison.”

It was not known what Rhianan was told by her legal team when the charges were dropped but this may have had a “psychological impact” on her, the coroner said.

Rhianan Rudd. Pic: Family handout
Image:
Rhianan Rudd. Pic: Family handout

In an interview released at the verdict, Rhianan’s mother Emily Carter said her daughter “should never have been charged”, that she was failed by those investigating her, including MI5 and counter terrorism police, as well as being let down by mental health services and those caring for her at the home.

This was the most complex of cases, set at a time when our security services are seeing a growing number of children being arrested and charged for terrorist offences, while parents often seem oblivious to the radicalising material they are consuming online in their bedrooms.

Ms Durham’s ruling reflected this complexity, finding that while there were some failings the actions of the police and MI5 were “reasonable and proportionate”.

The coroner concluded today that she was satisfied that missed opportunities in her case were “not systemic”.

Judge Alexia Durran said: “In the circumstances I do not consider I should make a prevention of future deaths report.”

At the same she was unequivocal about the “significant” role played by two extremists in radicalising her.

It was her mother’s former boyfriend, an American she’d befriended though a US pen-pal prison scheme, who first introduced Rhianan to far-right ideology.

Dax Mallaburn had been part of a white supremacist prison gang in the US and subsequently came to the UK to live with Rhianan’s mother in September 2017, a year after she’d been to visit him in the US.

In the autumn of 2019, Rhianan alleged that he had touched her inappropriately but later withdrew the allegation and, after a social services assessment, Mr Mallaburn returned to the family home.

Ms Carter says: “In hindsight, he was a bad person but I never saw him talking Nazi stuff with her.”

Before Rhianan was arrested, Mr Mallaburn’s relationship with her mother had broken down and he returned to the US and then Mexico. However, during COVID, Rhianan appeared to contact another far-right extremist, Christopher Cook, and began an online relationship with him.

Cook, who was roughly 18 and living in Ohio, shared far-right texts with Rhianan along with a bomb-making manual, and during this time she became fixated with Adolf Hitler.

Previously unissued photo dated 21/05/25 of Emily Carter, the mother of Rhianan Rudd, who died aged 16. In the 18 months before she died, Rh
Image:
Emily Carter, the mother of Rhianan Rudd

Cook’s lawyer, Peter Scranton, says he too was radicalised online, and he came up with a plan to blow up power stations in the US, for which he was eventually arrested in August 2020, and in February 2022 he pleaded guilty to terrorism offences.

Cook, who was a misfit at school, suffering from “severe depression” according to his lawyer and was “essentially lashing out” as he tried to form a group to carry out his plan.

Mr Scranton told Sky News, “It was white nationalism, and they had this idea, and I don’t know why anyone would feel this way or how they thought it would work, that if they tore down the government and started over they could create a new United States of America that could look like the image that they would want – a white nationalist image.”

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Mr Scranton says Cook told him he didn’t radicalise Rhianan, and it was the former boyfriend, Dax Mallaburn, who’d initially got her into neo-Nazi ideology. However, the coroner found Cook was “a significant radicaliser of Rhianan” at a time when she was “isolated and unsupervised”.

Ms Carter says Rhianan was interested in German history because she was doing it at school and Cook was able to “pull her in”, to racial hatred and antisemitism. She says she didn’t know what was happening, despite having parental controls on Rhianan’s devices. She said: “I could hear her talking to people on there and I’d say who are you talking to and she’d say – just someone from school – and in fact I found out it wasn’t at all.

“When this person she was talking to disappeared, that’s when she sat down on my lap like a baby and cried. She told me this guy Chris had left her, and she was totally in love with him – then she came down and told me she had downloaded a bomb manual and I was like ‘Oh my god, what have you been doing’.”

Ms Carter decided to contact Prevent – a national program in the UK designed to stop individuals from becoming terrorists or supporting terrorism

She says: “I thought putting her in a deradicalisation programme would be a fairly easy undo ‘brain pick’, But it wasn’t until the police turned up that I thought ‘hang on a minute this is a lot deeper than I actually thought it was at first’.”

Ms Carter and her lawyers have argued that the police were heavy-handed, that there should have been a psychological assessment before she was even questioned over terrorism offences.

“There were 19 police officers to arrest a 5ft 1, 14-year-old girl who weighs seven stone. It was over the top,” says Ms Carter.

Once Rhianan was charged, the deradicalisation work under Prevent was put on hold. Ms Carter thinks this was a mistake.

She says: “Leaving her with her own thoughts throughout the entire time of going through the police interviews and everything else – the deradicalisation would have changed the way she was seeing things – I believe she would have been able to handle it all so much better.”

The coroner described the police arrest and interview as “necessary and conducted appropriately” and that, while ceasing the Prevent intervention was an “unfortunate consequence” of the police investigation, it was “an appropriate step”.

During police interviews, Rhianan described being coerced and groomed, including sexually, and having sent explicit images of herself to Cook.

Lawyers representing the family say police and MI5 knew she was the victim of child sexual exploitation but failed to refer her to the relevant body – the National Referral Mechanism.

It was only after a social worker made the referral, that she was identified as a child victim and then the charges were dropped, by which time she had been subject to investigation and prosecution for 15 months.

The coroner agreed that there was a “systems failure” due to a lack of training both within the police and the Derbyshire council who both had had “significant information” that she was a potential victim of modern slavery.

However, she also said it “was impossible to know” whether this would have led to the CPS dropping their charges sooner, “nor that if had more than minimal impact on Rhianan’s death”.

Ms Carter says if she’d been treated differently “she’d be troubled, but I do think she’d still be alive”.

Rhianan’s family say the security services knew her vulnerabilities and that she had a tendency to self-harm, but they failed to take this into account.

Ms Carter said: “I admit my mistakes and I want the organisations to admit their mistakes. There were failings and they need to admit them.”

This ruling however found that the state did not play a role in Rhianan’s death under article 2 of the European Convention on Human Rights.

For the most part, her vulnerabilities were known and taken into consideration. It does however show how extremists will exploit children with mental health problems, young people who are struggling with life who may be a danger to society, but also a risk to themselves.

Counter Terrorism Policing said it offered “sincere condolences to Rhianan’s family and loved ones for their terrible loss”.

Assistant Chief Constable Di Coulson, speaking on behalf of Counter Terrorism Policing in the East Midlands (CTPEM) and Derbyshire Constabulary, said: “This was a complex case involving a very vulnerable young person, who had been subjected to radicalisation.

“Rhianan’s tragic death was clearly devastating for her family. It was felt profoundly by the officers directly involved, but also across Counter Terrorism Policing as a whole.

“Rhianan’s case was a stark moment for our management of the growing numbers of children and young people in our casework – so often presenting vulnerability as well as risk and threat to the public.

“Since Rhianan’s death, we continue to work alongside our partners to evolve the way we approach cases involving children and, where feasible, attempt to rehabilitate and deradicalise, rather than investigate and convict.

“We welcome the findings of the Chief Coroner today, and while we have already made substantial improvements to the way we manage these cases, we will carefully review the findings and make any further changes in order to improve our protection of the public against terrorism.”

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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The five considerable problems with the chancellor’s U-turn on winter fuel payments

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The five considerable problems with the chancellor's U-turn on winter fuel payments

There are considerable problems with the winter fuel payment U-turn, but perhaps the political argument in favour outweighs them all?

First, Rachel Reeves has executed the plan without working out how to pay for it.

This, for an iron chancellor, is a wound that opponents won’t let her forget. A summer of speculation about tax rises is not a summer anyone looks forward to.

Politics latest: Treasury minister challenged over reason for U-turn

Second, the fig leaf that she and Treasury ministers are using is an improvement in economic conditions.

If you were being polite, you’d say this is contested.

The OBR halved growth this year and the OECD downgraded UK forecasts, albeit only by a little, last week.

More on Rachel Reeves

The claim that interest rates are coming down ignores that their descent is slower because of government decisions of the last six months.

Third, the question immediately becomes, what next?

Why not personal independent payments (PIP) and the two-child benefit cap?

At this stage, it would feel like a climbdown if they did not back down over those.

But then, what will the markets – already policing this closely – make of it, and could they punish the government?

Fourth, this is aggravating divisions in the Parliamentary Labour Party: the soft left Compass group and ministers like Torsten Bell pushing bigger spending arguments.

Those MPs in Tory-facing seats who rely on arguments that Labour can be trusted with the public finances are worried.

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Fifth, this has created a firm division between No 10 (the PM) and No 11 (the Chancellor).

No 10 is now conscious that it does not have enough independent advice about the market reaction to economic policies and is seeking to correct.

Others, I am told, are just critical of the chancellor’s U-turn – for she wobbled first.

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How much cash will Reeves give each department?

Given the litany of arguments against, why has it happened?

Because the hope is this maxi U-turn lances the boil, removes a significant source of pensioners’ anger and brings back Labour voters, a price they calculate worth paying, whatever the fiscal cost.

We wait to see who is right.

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NHS trust and ward manager found not guilty of manslaughter after woman took her own life at hospital

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NHS trust and ward manager found not guilty of manslaughter after woman took her own life at hospital

Warning: This article contains references to suicide

An NHS trust on trial following the death of a young woman at an east London hospital has been cleared of corporate manslaughter.

Alice Figueiredo, 22, took her own life while being treated at Goodmayes Hospital in July 2015.

The North East London NHS Foundation Trust (NELFT) had been charged with corporate manslaughter and was found not guilty, following a months-long trial. But it was instead found guilty of failing to ensure the health and safety of non-employees.

A not guilty verdict was also returned for hospital ward manager Benjamin Aninakwa, who was charged with gross negligence manslaughter.

Aninakwa also denied a charge of failing to take reasonable care for the health and safety of patients on the ward. He was found guilty.

The decisions were made after the joint-longest jury deliberation in English legal history.

A spokesperson for the North East London NHS Foundation Trust said their thoughts were with Alice’s family and loved ones.

“We extend our deepest sympathy for the pain and heartbreak they have suffered this past ten years,” they said.

“We will reflect on the verdict and its implications, both for the Trust and mental health provision more broadly as we continue to work to develop services for the communities we serve.”

Aninakwa was accused of failing to remove items from the ward capable of use for self-harm and failing to ensure incidents of self-harm were recorded, considered and addressed.

Alice Figueiredo story

Ms Figueiredo was described as a bright and gifted young woman, who had been head girl at her school.

She struggled with her mental health and had been diagnosed with an eating disorder as well as bipolar affective disorder.

In February 2015, Ms Figueiredo was admitted to Hepworth Ward, an acute psychiatric unit at Goodmayes Hospital.

During her five months on the ward, the jury at the Old Bailey heard how she had attempted to harm or kill herself on 39 occasions, including 18 times with plastic bags.

Despite this, Ms Figueiredo was able to access a bag, and on 7 July she killed herself using a bag taken from a communal toilet on the ward.

Alice Figueiredo was admitted to Goodmayes hospital
Image:
Alice Figueiredo was admitted to Goodmayes Hospital

The trial also heard evidence about the reporting of incidents on the hospital computer system.

Last year, Health Secretary Wes Streeting made damning remarks about NELFT at a conference of NHS leaders.

“I’m very aware of NELFT not least because NELFT has and continues to appear in the headlines for providing really poor quality care,” he said.

Ms Figueiredo’s family visited her regularly in hospital, and repeatedly raised concerns about her care.

The jury heard how her mother, Jane Figueiredo, wrote to managers warning: “It is only a matter of time before there is a fatality on this ward.”

Campaigners believe Ms Figueiredo’s death points to wider problems with mental health care.

Deborah Coles, director of the charity Inquest, said: “I hope that irrespective of the verdict, this will send shock waves and ensure that learning and change is an absolute priority.”

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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