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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
Image:
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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Heidi Alexander says ‘fairness’ will be government’s ‘guiding principle’ when it comes to taxes at next budget

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Heidi Alexander says 'fairness' will be government's 'guiding principle' when it comes to taxes at next budget

Another hint that tax rises are coming in this autumn’s budget has been given by a senior minister.

Speaking to Sunday Morning with Trevor Phillips, Transport Secretary Heidi Alexander was asked if Sir Keir Starmer and the rest of the cabinet had discussed hiking taxes in the wake of the government’s failed welfare reforms, which were shot down by their own MPs.

Trevor Phillips asked specifically if tax rises were discussed among the cabinet last week – including on an away day on Friday.

Politics Hub: Catch up on the latest

Tax increases were not discussed “directly”, Ms Alexander said, but ministers were “cognisant” of the challenges facing them.

Asked what this means, Ms Alexander added: “I think your viewers would be surprised if we didn’t recognise that at the budget, the chancellor will need to look at the OBR forecast that is given to her and will make decisions in line with the fiscal rules that she has set out.

“We made a commitment in our manifesto not to be putting up taxes on people on modest incomes, working people. We have stuck to that.”

Ms Alexander said she wouldn’t comment directly on taxes and the budget at this point, adding: “So, the chancellor will set her budget. I’m not going to sit in a TV studio today and speculate on what the contents of that budget might be.

“When it comes to taxation, fairness is going to be our guiding principle.”

Read more:
Reeves won’t rule out tax rises

What is a wealth tax and how would it work?

👉Listen to Politics at Sam and Anne’s on your podcast app👈      

Afterwards, shadow home secretary Chris Philp told Phillips: “That sounds to me like a barely disguised reference to tax rises coming in the autumn.”

He then went on to repeat the Conservative attack lines that Labour are “crashing the economy”.

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Chris Philp also criticsed the government’s migration deal with France

Mr Philp then attacked the prime minister as “weak” for being unable to get his welfare reforms through the Commons.

Discussions about potential tax rises have come to the fore after the government had to gut its welfare reforms.

Sir Keir had wanted to change Personal Independence Payments (PIP), but a large Labour rebellion forced him to axe the changes.

With the savings from these proposed changes – around £5bn – already worked into the government’s sums, they will now need to find the money somewhere else.

The general belief is that this will take the form of tax rises, rather than spending cuts, with more money needed for military spending commitments, as well as other areas of priority for the government, such as the NHS.

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Justice system ‘frustrating’, Met Police chief says – as he admits London’s ‘shameful’ racism challenge

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Justice system 'frustrating', Met Police chief says - as he admits London's 'shameful' racism challenge

It is “shameful” that black boys growing up in London are “far more likely” to die than white boys, Metropolitan Police chief Sir Mark Rowley has told Sky News.

In a wide-ranging interview with Sunday Morning with Trevor Phillips, the commissioner said that relations with minority communities are “difficult for us”, while also speaking about the state of the justice system and the size of the police force.

Sir Mark, who came out of retirement to become head of the UK’s largest police force in 2022, said: “We can’t pretend otherwise that we’ve got a history between policing and black communities where policing has got a lot wrong.

“And we get a lot more right today, but we do still make mistakes. That’s not in doubt. I’m being as relentless in that as it can be.”

He said the “vast majority” of the force are “good people”.

However, he added: “But that legacy, combined with the tragedy that some of this crime falls most heavily in black communities, that creates a real problem because the legacy creates concern.”

Sir Mark, who also leads the UK’s counter-terrorism policing, said black boys growing up in London “are far more likely to be dead by the time they’re 18” than white boys.

“That’s, I think, shameful for the city,” he admitted.

“The challenge for us is, as we reach in to tackle those issues, that confrontation that comes from that reaching in, whether it’s stop and search on the streets or the sort of operations you seek.

“The danger is that’s landing in an environment with less trust.

“And that makes it even harder. But the people who win out of that [are] all of the criminals.”

Met Police Commissioner Sir Mark Rowley said racism is still an issue in the force
Image:
Met Police Commissioner Sir Mark Rowley

The commissioner added: “I’m so determined to find a way to get past this because if policing in black communities can find a way to confront these issues, together we can give black boys growing up in London equal life chances to white boys, which is not what we’re seeing at the moment.

“And it’s not simply about policing, is it?”

Sir Mark said: “I think black boys are several times more likely to be excluded from school, for example, than white boys.

“And there are multiple issues layered on top of each other that feed into disproportionality.”

‘We’re stretched, but there’s hope and determination’

Sir Mark said the Met is a “stretched service” but people who call 999 can expect an officer to attend.

“If you are in the middle of a crisis and something awful is happening and you dial 999, officers will get there really quickly,” Sir Mark said.

“I don’t pretend we’re not a stretched service.

“We are smaller than I think we ought to be, but I don’t want to give a sort of message of a lack of hope or a lack of determination.”

“I’ve seen the mayor and the home secretary fighting hard for police resourcing,” he added.

“It’s not what I’d want it to be, but it’s better than it might be without their efforts.”

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How police tracked and chased suspected phone thief

‘Close to broken’ justice system facing ‘awful’ delays

Sir Mark said the criminal justice system was “close to broken” and can be “frustrating” for police officers.

“The thing that is frustrating is that the system – and no system can be perfect – but when the system hasn’t managed to turn that person’s life around and get them on the straight and narrow, and it just becomes a revolving door,” he said.

“When that happens, of course that’s frustrating for officers.

“So the more successful prisons and probation can be in terms of getting people onto a law-abiding life from the path they’re on, the better.

“But that is a real challenge. I mean, we’re talking just after Sir Brian Leveson put his report out about the close-to-broken criminal justice system.

“And it’s absolutely vital that those repairs and reforms that he’s talking about happen really quickly, because the system is now so stressed.”

Giving an example, the police commissioner went on: “We’ve got Snaresbrook [Crown Court] in London – it’s now got more than 100 cases listed for 2029.”

Sir Mark asked Trevor Phillips to imagine he had been the victim of a crime, saying: “We’ve caught the person, we’ve charged him, ‘great news, Mr Phillips, we’ve got him charged, they’re going to court’.

“And then a few weeks later, I see the trial’s listed for 2029. That doesn’t feel great, does it?”

Asked about the fact that suspects could still be on the streets for years before going to trial, Sir Mark conceded it’s “pretty awful”.

He added: “If it’s someone on bail, who might have stolen your phone or whatever, and they’re going in for a criminal court trial, that could be four years away. And that’s pretty unacceptable, isn’t it?”

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Leveson explains plans to fix justice system

Challenge to reform the Met

The Met chief’s comments come two years after an official report found the force is institutionally racist, misogynistic and homophobic.

Baroness Casey was commissioned in 2021 to look into the Met Police after serving police officer Wayne Couzens abducted, raped and murdered Sarah Everard.

She pinned the primary blame for the Met’s culture on its past leadership and found stop and search and the use of force against black people was excessive.

At the time, Sir Mark, who had been commissioner for six months when the report was published, said he would not use the labels of institutionally racist, institutionally misogynistic and institutionally homophobic, which Baroness Casey insisted the Met deserved.

However, London Mayor Sadiq Khan, who helped hire Sir Mark – and could fire him – made it clear the commissioner agreed with Baroness Casey’s verdict.

A few months after the report, Sir Mark launched a two-year £366m plan to overhaul the Met, including increased emphasis on neighbourhood policing to rebuild public trust and plans to recruit 500 more community support officers and an extra 565 people to work with teams investigating domestic violence, sexual offences and child sexual abuse and exploitation.

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UK measles cases rising among children – with leading NHS hospital ‘concerned’

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UK measles cases rising among children - with leading NHS hospital 'concerned'

A leading NHS hospital has warned measles is on the rise among children in the UK, after treating 17 cases since June.

Alder Hey Children’s Hospital in Liverpool said it is “concerned” about the increasing number of children and young people who are contracting the highly contagious virus.

It said the cases it has treated since June were for effects and complications of the disease, which, in rare cases, can be fatal if left untreated.

“We are concerned about the increasing number of children and young people who are contracting measles. Measles is a highly contagious viral illness which can cause children to be seriously unwell, requiring hospital treatment, and in rare cases, death,” the hospital said in a statement to Sky News.

In a separate open letter to parents and carers in Merseyside earlier this month, Alder Hey, along with the UK Health and Security Agency (UKHSA) and directors of Public Health for Liverpool, Sefton and Knowsley, warned the increase in measles in the region could be down to fewer people getting vaccinated.

The letter read: “We are seeing more cases of measles in our children and young people because fewer people are having the MMR vaccine, which protects against measles and two other viruses called mumps and rubella.

“Children in hospital, who are very poorly for another reason, are at higher risk of catching the virus.”

What are the symptoms of measles?

The first symptoms of measles include:

• A high temperature

• A runny or blocked nose

• Sneezing

• A cough

• Red, sore or watery eyes

Cold-like symptoms are followed a few days later by a rash, which starts on the face and behind the ears, before it spreads.

The spots are usually raised and can join together to form blotchy patches which are not usually itchy.

Some people may get small spots in their mouth too.

What should you do if you think your child has measles?

Ask for an urgent GP appointment or call 111 if you think your child has measles.

If your child has been vaccinated, it is very unlikely they have measles.

You should not go to the doctor without calling ahead, as measles is very infectious.

If your child is diagnosed with measles by a doctor, make sure they avoid close contact with babies and anyone who is pregnant or has a weakened immune system.

The skin of a patient after 3 days of measles infection
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The skin of a patient after three days of measles infection

It comes after a Royal College of Paediatrics and Child Health (RCPCH) report released earlier this month determined that uptake of vaccines in the UK has stalled over the last decade and is, in many cases, declining.

It said none of the routine childhood vaccinations have met the 95% coverage target since 2021, putting youngsters at risk of measles, meningitis and whooping cough.

The MMR vaccine has been available through the NHS for years. Two doses gives lifelong protection against measles, mumps and rubella.

File photo of a MMR vaccine
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Two doses of the MMR vaccine give lifelong protection against measles, mumps and rubella. Pic: iStock

According to the latest NHS data, Liverpool was one of the cities outside London with the lowest uptake of the MMR vaccination in 2023-2024.

By the time children were five years old, 86.5% had been give one dose, decreasing to 73.4% for a second dose.

The RCPCH report put the nationwide decline down to fears over vaccinations, as well as families having trouble booking appointments and a lack of continuous care in the NHS, with many seeing a different GP on each visit.

Read more from Sky News:
Met Police chief on London’s ‘shameful’ racism challenge
‘My voice box was removed after NHS missed cancer’

In the US, measles cases are at their highest in more than three decades.

Cases reached 1,288 on Wednesday this week, according to the US Centres for Disease Control and Prevention, with 14 states battling active outbreaks.

The largest outbreak started five months ago in communities in West Texas, where vaccination uptake is low. Since then, three people have died – including two children in Texas and an adult in New Mexico – with dozens more in hospital.

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