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Mental health patients have alleged they were raped and sexually assaulted while being treated by the NHS, in what has been described as a “national scandal”. 

An investigation by Sky News and The Independent has uncovered nearly 20,000 complaints of sexual assault, abuse and harassment, involving both patients and staff, across more than 30 mental health trusts in England since 2019.

The investigation was sparked by the testimony of Alexis Quinn – a former British youth swimmer whose story is told in the new Sky News podcast Patient 11 – after she escaped from psychiatric care following complaints of sexual assault by male patients.  

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In both instances, Alexis’s alleged attackers faced no criminal action.

Multiple patients and their families have come forward to tell their stories.

They include a law graduate who described how she was sexually assaulted by a male staff member before being moved on to a mixed-gender psychiatric unit. 

Meanwhile, a mother-of-two said she was subjected to five months of “horrific” sexual abuse at the hands of a male staff member.

“I thought it was just me,” Alexis told Sky News.   

“But it’s not just me – there are thousands of people [like me].”

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‘I’m just being traumatised’

In 2011, the Department of Health committed to eradicating mixed-sex care across all its inpatient services. 

Despite this, more than 12 years on, Sky News and The Independent has identified hundreds of allegations of rape and sexual assault in mixed-sex wards and shared spaces in NHS England psychiatric care.

Following more than 50 freedom of information requests to NHS England mental health trusts, with 38 responses, we can reveal:

• Nearly 20,000 “sexual safety incidents” were reported on inpatient mental health wards between 2019 and 2023 – with the annual figure rising each year

A sexual safety incident is defined as any unwanted sexual behaviour that makes a person feel uncomfortable or unsafe. This includes rape, sexual assault, sexual harassment, comments of a sexual nature or observing sexual behaviour, including exposure to nakedness.

• Nearly 4,000 sexual safety incidents were reported between January and August 2023 – higher than the annual total for both 2019 and 2020

• That trusts are largely failing to apply 2020 government-backed sexual safeguarding protections, with only six authorities demonstrating that they are doing so

Sexual safety incidents in mental health inpatient wards have been increasing in the past five years

A separate FOI request conducted by The Independent revealed:

• More than 800 allegations of sexual assault and rape involving female patients across more than 20 trusts between 2019 and 2023 – only 95 of which were reported to the police

• More than 500 allegations of sexual assault and rape in mixed male and female NHS England psychiatric inpatient settings, across more than 20 trusts

Only 14 trusts have carried out audits for sexual safety standards

The findings have been described as a “national scandal” by former Victim’s Commissioner Dame Vera Baird.

Meanwhile, Dr Lade Smith, president of the Royal College of Psychiatrists, said: “The horrendous findings show that there is still much to do to make sure that patients and staff in mental health trusts are protected from sexual harms at all times.

“It is deeply troubling to see that so few incidents in mental health settings go unreported.”

Labour’s shadow health secretary Wes Streeting said it was “chilling” that these “horrific” alleged crimes were reported to have taken place in the NHS.

“Very serious questions must urgently be asked of hospital leaders, who have to explain why the vast majority of these incidents were kept from the police,” he added.

“NHS England must explain why so few trusts have implemented sexual safeguarding protections designed to keep patients safe.

“The government must treat this investigation as a wake-up call and act against the soaring number of mixed-sex wards in the NHS today.”

‘He started to touch me on my breasts’

In 2012, Alexis – a mother who worked as a teacher – entered care following the death of her brother. 

Undiagnosed with autism, she complained of a sexual assault by a male patient at Kent’s Littlebrook hospital on Christmas Day in 2013 after she was placed on an all-male ward.   

Alexis Quinn was a British youth swimmer. Pic: Alexis Quinn
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Alexis Quinn was a British youth swimmer. Pic: Alexis Quinn

“I was in such a bad way… it was Christmas Day and I wasn’t with my little girl,” she said.

“He pressed me up against the door and lifted my top up. And he started to touch me on my breasts and then pulled my trousers down.

“All I could hear was his breathing and everything was slow and really loud and [I remember] not being able to move and being stuck.” 

In a letter to her family in early 2014, Kent and Medway NHS Trust said Alexis “should not have been admitted as the sole female patient on a ward with other male patients” and committed to her safeguarding. 

But just months later in 2014, Alexis made a second complaint after being moved to yet another mixed-gender care setting at St Martin’s Hospital in Kent.

The University of Edinburgh graduate said: “I was getting some treatment in a treatment room with a female nurse.

“I’d just come in from a run so I was wearing running shorts and a running vest top and a male patient came into the treatment room and started groping me on my breasts and on my bum.”  

Addressing the second complaint, Kent and Medway NHS Trust said it was “unfortunate that incidents like these occur due to the acute nature of the patients admitted” to the ward.

Alexis’s alleged attackers faced no criminal action because they were deemed “not to have the capacity to go through a police investigation,” according to her mother Linda. 

Alexis Quinn says she suffered a black eye as a result of being restrained in 2015. Pic: Alexis Quinn
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Alexis Quinn says she suffered a black eye as a result of being restrained in 2015. Pic: Alexis Quinn

Kent and Medway NHS Trust told Sky News it has eradicated mixed wards, adding: “We continue to offer out sincerest apologies to Alexis for the unacceptable behaviour she experienced when she was in our care.” 

Sectioned under the Mental Health Act and legally detained, Alexis spent almost four years in largely locked-in care environments, including the now-closed Milton Park Therapeutic Campus in Bedfordshire, where she said she had to shower in front of male staff members.  

‘I felt sick… and I just cried’

Like Alexis, autism patient Rivkah Grant said she found herself exposed to mixed-gender NHS mental health inpatient settings when battling depression.

The 34-year-old law graduate, originally from Enfield, north London, said she was sexually assaulted by a male healthcare worker while on a female ward at Chase Farm Hospital in 2016.

“There was one staff member and he seemed really nice and supportive,” she told Sky News and The Independent. 

“I didn’t realise at the time that this was a bad thing – that he was in my room when I was by myself in the night with the door shut.”

She described being sexually assaulted by the staff member, saying: “He said to me that I must promise not to tell anyone, [or] he’d lose his job.

“I felt sick and I suddenly felt it all – what has happened? And I just cried.”

Autism patient Rivkah Grant said she was sexually assaulted by a male healthcare worker
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Autism patient Rivkah Grant said she was sexually assaulted by a male healthcare worker

Following the incident, Rivkah said she was moved to a mixed-sex ward, despite having told staff she’d been sexually assaulted.

Her attacker was convicted in June 2017 following a police investigation.

‘There is no safety in mental health hospitals’

North London Mental Health Partnership, which now runs Chase Farm Hospital, said the safety of its users is the top priority and that it is “deeply sorry” for what happened to Rivkah.

It said it has since strengthened its safeguarding process. 

“I thought I was in a safe place,” Rivkah said. “And you believe you when you’re in a hospital, you should be safe. You’re in a place where there’s 24/7 care. 

“And unfortunately, obviously, I’ve learned that there is no safety in mental health hospitals.

“I know I’m not the only person who has been through it.”

In 2020, after the Care Quality Commission raised national concerns over sexual abuse in mental health services, the NHS set up new guidelines under its “sexual safety collaboratives”.

Just six trusts have provided evidence they have met the collaboratives’ guidelines, in response to Sky News’ FOI requests.

‘He’s a sexual predator’

In 2015, Stephanie Tutty sought help from Essex mental health services while dealing with the trauma of a rape she suffered in her youth.

While under the care of Essex Partnership University NHS Foundation Trust, the 28-year old mother-of-two said she suffered repeated sexual abuse by a male staff member over a five-month period.

Stephanie Tutty said she suffered repeated sexual abuse by a male staff member. Pic: Stephanie Tutty
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Stephanie Tutty said she suffered repeated sexual abuse by a male staff member. Pic: Stephanie Tutty

After a two-year investigation, she said she was told by police in 2017 that her case could not proceed due to the low likelihood of conviction.

She said: “What happened with [the alleged abuser] will always have a lasting impact on me, even more so than the first rape that made me unwell in the first place.

“He is a predator, with no other words for him – he’s a sexual predator.”

Essex Partnership University NHS Foundation Trust told Sky News and The Independent that reports like Stephanie’s are immediately referred to the safeguarding team and fully investigated.

Charlie Brooker, honorary professor of criminology and mental health at London’s Royal Holloway University, has examined the relationship between sexual assault and mental illness.

He told Sky News and The Independent there should now be an inquiry into sexual safety in mental health wards.

Professor Charlie Brooker has called for an inquiry into sexual safety in mental health wards
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Professor Charlie Brooker has called for an inquiry into sexual safety in mental health wards

He said: “If an inquiry was set up to look at sexual safety in mental health inpatient wards – because in my opinion, it should be – it would be fascinating to see how many people came forward and wanted to give evidence.

“I won’t be at all surprised if it wasn’t several thousand.”

What has the NHS and the government said?

In a statement, NHS England said:  “We are taking action to ensure the safety of patients and staff, including rolling out better reporting mechanisms, training and support as part of the NHS’s new Sexual Safety Charter.  

“NHS England has advised all Trusts and local health systems to appoint a domestic abuse and sexual violence lead to support patients and staff to report incidents and access support, with more than 300 now in place.” 

NHS England went on to cite its commitment to the 2020 government-backed sexual safety protections, despite only six trusts demonstrating their application.

A Department of Health spokesperson said: “Sexual violence or misconduct of any kind is unacceptable and has no place in the NHS, and NHS organisations have a responsibility to protect both staff and patients.

“We are working closely with the NHS to ensure anyone receiving treatment in a mental health facility receives safe, high-quality care, and is looked after with dignity and respect.”

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MP tells Sky News she was attacked online by Tate brothers after Commons contribution

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MP tells Sky News she was attacked online by Tate brothers after Commons contribution

An MP has told Sky News she was attacked online by the Tate brothers after she participated in a debate in the House of Commons about violence against women.

The controversial duo, Andrew and Tristan Tate, are facing charges of rape and human trafficking in the UK – all of which they deny.

But they are still very active online, and according to Sorcha Eastwood, the MP for Lagan Valley, are targeting her.

In a document seen by Sky News, Tristan Tate has highlighted one of the MP’s tweets and writes in private correspondence: “MP, nice target, can we sue her?”

Sorcha Eastwood says at first she thought the replies were from parody accounts and not the Tate brothers.

Her original tweet was about Elon Musk, not the Tate brothers. The MP said Musk’s tweets should be looked at through a counter-extremism lens.

“I was really concerned, I was concerned because to me that is a direct attack for want of a better phrase on me serving my constituents.

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“I couldn’t believe that they decided to pick this random Northern Irish MP. The fact that it wasn’t even about them. This is something I didn’t go looking for.

“I think from my perspective, it’s a very, very sinister attempt to shut down important voices in public life, political discourse.”

It was only when she started noticing an uptick in abuse from other accounts she realised she had encountered some of the brothers’ followers.

“I had rape threats. I had death threats. I had people saying I should be hung from a lamppost. I had people saying I should be chopped into liver. I also had people then who were like we’ll waste 15 minutes raping Sorcha Eastwood.”

Andrew and Tristan Tate
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A representative for the Tate brothers told Sky News that there was no targeted campaign against Sorcha Eastwood

A representative for the Tate brothers told Sky News that there was no targeted campaign against her.

They said: “Ms Eastwood has a distorted view regarding social media if she believes one is required to ‘invite or ask’ people to interact.

“Tristan Tate is entitled to his view in relation to her tweet regarding Elon Musk.”

The self-styled “misogynist influencer” Andrew Tate and his brother Tristan have both been charged with human trafficking, face allegations of trafficking minors, sexual intercourse with a minor and money laundering in Romania.

There is also a European arrest warrant for them as they are facing separate, unrelated charges of rape and human trafficking in the UK. They deny all charges.

Ms Eastwood now worries for others who don’t have a platform like her and who may not feel like they can speak out.

“If this is what has happened to me I have absolutely no doubt that this has happened to others where they have been attempted to be silenced.”

Keir Starmer has previously commented on the Tate brothers’ case in the Commons saying it is “a live issue”, but adding that “the principle is absolutely clear” in relation to whether the brothers should face justice.

Sorcha Eastwood says she wants to see the government do much more to protect against abuse online.

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Tate brothers deny wrongdoing

“I think ultimately the government has taken the wrong course on this. They need to step up.

“This should be an issue of national security as far as the radicalisation of young people online. It should be an issue in terms of the levels of misinformation, disinformation and the lack of trust that is had in our politics right across the UK and Europe.

“I want the government to help me, help every other person to crack down on this and get serious about it. And the only way they’ll be able to do that, is by hitting these tech companies in the only language which they understand, which is money and via robust legislation.”

A government spokesperson said: “Violence against women and girls is a scourge on our society which is why we have set out an unprecedented mission to halve these crimes within a decade.

“Tackling illegal abuse both online and offline is central to supporting victims and preventing harm in our communities and we will not hesitate to strengthen laws to deliver this mission.

“Last month, parts of the Online Safety Act came into force meaning companies must take action to protect users from illegal material including extreme sexual violence.

“Further protections from this summer will require platforms to protect children from harmful, misogynistic, and violent content.”

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‘It’s just nasty’: Birmingham residents ‘overwhelmed’ by foul stench and massive rats as bins strike rumbles on

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'It's just nasty': Birmingham residents 'overwhelmed' by foul stench and massive rats as bins strike rumbles on

In parts of Birmingham, the stench is overwhelming – enough to make you heave.

At a block of flats in Highgate, in Birmingham city centre, we find a mountain of bin liners full of rubbish spewing out of the cavernous bin store, which is normally locked.

Mickel comes out to speak to us, while all around bin liners lie open, with the contents for all to see, including used nappies and rotting food.

Birmingham
strike bin workers
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Mickel says they’ve had ‘foxes and rats, literally the size of cats’

Outside Mickel's flat in Highgate, bin liners lie open, spewing out rubbish, including used nappies and rotting food
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Outside Mickel’s flat in Highgate, bin liners lie open, spewing out rubbish

We both find it hard to keep talking amid the awful smell.

“We’ve had foxes and rats, literally the size of cats, flies, it’s just nasty, something needs to be done,” he says.

Birmingham
Birmingham
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Chris says the situation is ‘overwhelming’ as she’s ‘terrified of rats’

Around the corner, I meet Chris, in her dressing gown, popping the bins into her bin store beneath her flat before work.

She unlocks it, and although it isn’t bursting out on to the street yet, it is getting full.

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She says the situation is “overwhelming” as she’s “terrified of rats”. But, even so, she has sympathy for the striking bin workers.

“It’s not an easy job; they must have a heart of gold to do that job,” she says.

“Pay them whatever they need, they deserve it.”

Striking bin workers in Birmingham
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Striking bin workers at Lifford Lane tip, south of the city centre

a mountain of bin liners full of rubbish spewing out of the cavernous bin store, which is normally locked.
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There’s an awful smell coming from a mountain of bin liners outside Mickel’s flat in Highgate

At Lifford Lane tip, south of the city centre, Brigette has pulled up alongside picketing workers. The back seat of her car is full of rubbish.

She apologises for the terrible waft, mixed with air freshener.

Read more:
Pest controllers ‘feel like an emergency service’
Bin workers strike explained

“It’s very pungent, isn’t it? Not nice,” she admits.

“It’s unfortunate, I have some sympathies for all the parties, but, equally, we have a duty of care to stay clean and tidy.”

She says she has her rubbish and that of her elderly aunt and plans to make weekly trips to the tip until a resolution in this pay dispute between the council and the Unite union is found.

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‘US is our closest ally’, Jonathan Reynolds says in reaction to Trump tariffs – but ‘nothing off the table’

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'US is our closest ally', Jonathan Reynolds says in reaction to Trump tariffs - but 'nothing off the table'

The US is “our closest ally” but “nothing is off the table” in response to Donald Trump’s 10% tariffs on imports from the UK, the business secretary has said.

In a statement following the US president’s nearly hour-long address to the world, Business and Trade Secretary Jonathan Reynolds said: “We will always act in the best interests of UK businesses and consumers.

“That’s why, throughout the last few weeks, the government has been fully focused on negotiating an economic deal with the United States that strengthens our existing fair and balanced trading relationship.”

Follow the latest following Trump’s tariffs announcement

Mr Reynolds reiterated the statements from the prime minister and his cabinet over the past few days, saying the US is “our closest ally”, and the government’s approach is to “remain calm and committed to doing this deal, which we hope will mitigate the impact of what has been announced today”.

Business Secretary Jonathan Reynolds arrives in Downing Street, London, for a Cabinet meeting. Picture date: Tuesday January 28, 2025.
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Business Secretary Jonathan Reynolds says “nothing is off the table” following the tariffs announcement. Pic: PA

But he continued: “We have a range of tools at our disposal, and we will not hesitate to act. We will continue to engage with UK businesses, including on their assessment of the impact of any further steps we take.

“Nobody wants a trade war, and our intention remains to secure a deal. But nothing is off the table, and the government will do everything necessary to defend the UK’s national interest.”

More on Donald Trump

‘Get back round the negotiating table’, say Tories

The Conservative Party’s shadow business and trade secretary described the US president’s announcement as “disappointing news which will worry working families across the country”.

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Sky’s Ed Conway examines how economies across the world are impacted by tariffs

Andrew Griffith hit out at the government for having “failed to negotiate with President Trump’s team for too many months after the election, failed to keep our experienced top trade negotiator, and failed to get a deal to avoid the imposition of these tariffs by our closest trading partner”.

“The chancellor’s emergency budget of just a week ago with its inadequate headroom is now at risk, casting uncertainty about more taxes or spending cuts,” he continued. “Sadly, it is British businesses and workers who will pay the price for Labour’s failure.”

He called on ministers to “swallow their pride” and “get back round the negotiating table to agree a fair deal to protect jobs and consumers in both the UK and the US alike”.

Relief in Westminster – but concessions to Trump to come

It has been quite a rollercoaster for the government, where they went from the hope that they could avoid tariffs, that they could get that economic deal, to the realisation that was not going to happen, and then the anticipation of how hard would the UK be hit.

In Westminster tonight, there is actual relief because the UK is going to have a 10% baseline tariff – but that is the least onerous of all the tariffs we saw President Trump announce.

He held up a chart of the worst offenders, and the UK was well at the bottom of that list.

No 10 sources were telling me as President Trump was in the Rose Garden that while no tariffs are good, and it’s not what they want, the fact the UK has tariffs that are lower than others vindicates their approach.

They say it’s important because the difference between a 20% tariff and a 10% tariff is thousands of jobs.

Where to next? No 10 says it will “keep negotiating, keep cool and calm”, and reiterated Sir Keir Starmer’s desire to “negotiate a sustainable trade deal”.

“Of course want to get tariffs lowered. Tomorrow we will continue with that work,” a source added.

Another source said the 10% tariff shows that “the UK is in the friendlies club, as much as that is worth anything”.

Overnight, people will be number-crunching, trying to work out what it means for the UK. There is a 25% tariff on cars which could hit billions in UK exports, in addition to the blanket 10% tariff.

But despite this being lower than many other countries, GDP will take a hit, with forecasts being downgraded probably as we speak.

I think the government’s approach will be to not retaliate and try to speed up that economic deal in the hope that they can lower the tariffs even further.

There will be concessions. For example, the UK could lower the Digital Services Tax, which is imposed on the UK profits of tech giants. Will they loosen regulation on social media companies or agricultural products?

But for now, there is relief the UK has not been hit as hard as many others.

Liberal Democrat leader Sir Ed Davey has reacted furiously to Mr Trump’s announcement of a “destructive trade war”, and called on the government to stand up against “Trump’s attempts to divide and rule”.

“The prime minister should bring our Commonwealth and European partners together in a coalition of the willing against Trump’s tariffs, using retaliatory tariffs where necessary and signing new trade deals with each other where possible.”

Speaking on Wednesday evening at a White House event entitled ‘Make America Wealthy Again’, the US president unleashed sweeping tariffs across the globe.

Mr Trump held up a chart detailing the worst offenders – which also showed the new tariffs the US would be imposing.

The UK’s rate of 10% was perhaps a shot across the bow over the 20% VAT rate, though the president’s suggested a 10% tariff imbalance between the two nations. Nonetheless, tariffs of 10% could directly reduce UK GDP by between 0.01% and 0.06%, according to Capital Economics.

A 25% duty on all car imports from around the world is also being imposed from midnight in the US – 5am on Thursday, UK time.

Read more:

World reacts to Trump’s tariff announcement
Tariffs will have consequences for globalisation, the US economy and geopolitics
Trump’s tariffs explained

The UK government had been hoping to negotiate an economic deal with the US in a bid to avoid the tariffs, but to no avail. The government says negotiations will continue.

The Confederation of British Industry said “negotiating stronger trading relationships with all like-minded partners will be foundational to any success”.

The business secretary is expected to make a statement in the House of Commons on Thursday, and we are also expecting to hear from the prime minister.

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