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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3:05
‘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
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
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.
“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.
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.”
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.
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.
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.”
Kate Forbes narrowly lost out to Mr Yousaf in last year’s SNP leadership contest.
The former finance secretary faced backlash during her campaign after admitting she would have voted against gay marriage in Scotland when it was made legal a decade ago.
The Free Church of Scotland member also told Sky News that having children out of marriage is “wrong” and something she would “seek to avoid”.
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However, the MSP for Skye, Lochaber and Badenoch stressed that “in a free society you can do what you want”.
Ms Forbes had argued that “continuity won’t cut it”.
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After losing to Mr Yousaf by 48% to 52%, she said: “If we are to continue to win elections, we need to continue to listen and maintain trust.”
Ms Forbes turned down the role of rural affairs minister, which at the time was seen as a demotion.
Although her views on social issues remain unpopular with some of her MSP colleagues, she was one of the few SNP ministers who did not delete her WhatsApp messages during the COVID pandemic.
Ms Forbes would face resistance from the Scottish Greens, who have previously ruled out working with her.
STEPHEN FLYNN
Stephen Flynn replaced Ian Blackford as the SNP’s Westminster leader in December 2022.
Mr Gray, the MSP for Airdrie and Shotts, previously served as an MP between 2015 and 2021 before making the switch from Westminster to Holyrood.
Mr Gray, who served as Mr Yousaf’s campaign manager in the SNP leadership contest, was previously the cabinet secretary for wellbeing economy, fair work and energy, and before that the minister for culture, Europe and International Development.
JENNY GILRUTH
Jenny Gilruth, Holyrood’s education secretary, is a former modern studies teacher and is married to ex-Scottish Labour leader Kezia Dugdale.
The SNP MSP for Mid Fife and Glenrothes was a junior minister in Nicola Sturgeon’s government.
She was promoted from transport secretary to cabinet secretary for education and skills after Mr Yousaf took charge in March 2023.
Shona Robison could fancy her chances as Scotland’s leader following her stint as deputy first minister under Mr Yousaf.
Ms Robison, the finance secretary, has been the MSP for Dundee City East since 2003 and is a close friend of former first minister Ms Sturgeon.
She has previously held the post of health secretary, and as cabinet secretary for social justice, housing and local government was behind Holyrood’s efforts to pass the controversial Gender Recognition Reform (Scotland) Bill.
Following the breakdown of the Bute House Agreement, Ms Robison may face a challenge to hold onto her position if the SNP wish to replace those at the top of the chain in an effort to start afresh.
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The former SNP leader, who resigned from that post in 2004 following poor European parliament election results, could be tempted to once again step into the spotlight following his year on the backbenches.
He ruled himself out of the 2023 leadership race, citing that he had to put his young family first.
The MSP for Perthshire North, who was finance secretary under Alex Salmond’s government, has the experience to hold the fort following Mr Yousaf’s departure.
MAIRI MCALLAN
Mairi McAllan is a rising star within the SNP.
The MSP for Clydesdale was a special adviser to Ms Sturgeon and is now the wellbeing economy, net zero and energy secretary.
At the age of 31, Ms McAllan would become the youngest first minister.
As she is expecting her first child, with maternity leave expected to kick in during the summer until March 2025, it seems unlikely she will run for the top job.
Two men have been charged with murder after a man’s torso was found at a nature reserve in Salford, police have said.
Greater Manchester Police said more human remains were discovered this morning in an alleyway close to railway lines in the market town of Eccles.
This follows earlier discoveries of human remains at two other locations – Blackleach Reservoir and Colliery Wood – as part of the investigation over the weekend in the Greater Manchester area.
Police believe the torso – consisting of the bottom of the back, buttocks and thigh – found at Kersal Dale Wetlands on 4 April belongs to a man in his 60s.
Officers have informed his family about his death, but have not yet identified him publicly.
The remains found at the other three locations are still to be tested, but police say they are confident they belong to the same victim.
Michal Jaroslaw Polchowski, 68, and Marcin Majerkiewicz, 42, both of Worsley Road, Eccles, have been charged with murder.
They are due to appear at Tameside Magistrates’ Court this afternoon, Greater Manchester Police said.
Assistant Chief Constable Sarah Jackson said: “We have had large numbers of officers, staff and specialists working diligently on this investigation over the last three weeks.
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“It has been very much a large, collective effort, with the victim and family at the heart of it from the outset.
“We have specially trained officers deployed to support the family as they come to terms with this tragic news.
“They are aware of this morning’s further discovery and will continue to be kept up to date with how we are progressing.”
She said despite the charges brought today – “our work is far from over”.
“The scenes we already have established in Bury and Salford will remain in place for much of this week whilst our searches and inquiries continue,” she said.
“Local officers will continue to patrol the impacted areas to provide reassurance.
“We will continue following every line of inquiry to recover and reunite the victim with his family, bringing a dignified end to this terrible scenario.”
She added: “I’d like to thank the communities of Salford and beyond for their co-operation throughout this investigation.
“I know this incident has come as a shock, and the support we’ve had from those in the area is very much appreciated.”
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Humza Yousaf has resigned as Scotland’s first minister after cutting ties with his government’s power-sharing partners.
The leader of the SNP, who only took on the role in March last year, has been at the centre of a chaotic few days in Holyrood after he made the surprise announcement to end his power-sharing deal with the Scottish Green Party on Thursday.
Mr Yousaf cut ties following a bitter row over the SNP’s climbdown on climate targets as he said the agreement between the parties had “served its purpose”.
But as a result, his former Green allies teamed up with the Conservatives, Labour and Liberal Democrats to get behind two no-confidence motions, one in himself as leader of Scotland and another regarding the entire Scottish government.
Ahead of any of those votes taking place, Mr Yousaf stepped down as Scotland’s first minister just after midday on Monday as he said he was “not willing to treat my values and principles or do deals with whomever simply for retaining power”.
He said he will remain in post until a replacement first minister is chosen.
Over the weekend, Mr Yousaf insisted he would not resign but by Monday morning his tune had changed and Sky News was told he was considering resigning.
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He was due to meet the Alba Party’s sole MSP, Ash Regan, who was set to make demands in exchange for her support during a confidence vote. Her vote could have been the decider but he chose to step down before it came to that.
Announcing he was quitting, Mr Yousaf said he “clearly underestimated the level of heart and upset” he caused the Greens when he cut ties with them.
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“To my colleagues in opposition, regardless of political party, genuinely, I bear no ill will and certainly no grudge against anyone,” he said as his voice broke while thanking his wife, children and family for “putting up with me over the years”.
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‘We stand ready to work with new leader’
Mr Yousaf said it had been “an honour” to serve as first minister of Scotland and it was a role he “could never have dreamt” of as a young boy growing up there.
The politician, whose parents are Pakistani and Kenyan, also said he is evidence multiculturalism has flourished in the UK.
“People who looked like me were not in positions of political influence, let alone leading governments, when I was younger,” he said.
“We now live in a UK that has a British Hindu prime minister, a Muslim mayor of London, a black Welsh first minister, and for a little while longer a Scottish Asian first minister of this country.
“So for those who decry that multiculturalism has failed across the UK, I would suggest that the evidence is quite to the contrary and that is something we should all celebrate.”
Mr Yousaf said he was proud to have overseen “the most progressive” tax system in the UK and played a part in lifting an expected 100,000 children out of poverty this year.
He added that he will continue to campaign for independence, which he said “feels frustratingly close” and he is “absolutely certain” his successor will achieve it.
The race to replace Mr Yousaf has now commenced, with several names in the fray, although none have officially declared they have thrown their hats in the ring.
Close ally of Mr Yousaf, John Swinney, former deputy leader under Nicola Sturgeon, is being touted as the favourite.
Stephen Flynn, the SNP’s Westminster leader, has also been mentioned as has Kate Forbes who lost out to Mr Yousaf during last year’s leadership contest.
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