Woman who thought she was poisoned with tapeworm eggs describes ‘rife’ self-harm in prison
When Bryony was held in prison, she says self-harm was “rife”.
The then 27-year-old – who had no criminal record – was arrested when she was having delusions she was being poisoned.
After her mother’s death from pancreatic cancer, Bryony (not her real name) started to develop mental health problems while she was a university student.
They culminated in a psychosis where she believed there was a tapeworm in her brain which was killing her. Bryony thought a local takeaway worker had poisoned her food with tapeworm eggs.
In the midst of her psychosis in 2017, she threatened to kill the man if he didn’t admit to drugging her and put a match through the door of the takeaway.
Bryony was arrested for malicious communication and attempted arson and placed on remand in the mental-health wing of HMP Styal in Cheshire.
Warning: This story contains references to self-harm
Once in prison, Bryony said she was “so depressed” that she self-harmed for the first-time.
Bryony suffered mental health problems at the time she was held in prison
“I couldn’t see any other option,” she said.
“It was basically a way to cope with my surroundings.
“When you’re psychotic and depressed, being locked away in a cell is one of the worst things you can do to someone.”
Prisoner ‘tried to disembowel himself’
The extent to which mentally unwell prisoners are going to hurt themselves has been revealed in a new report seen exclusively by Sky News.
And there are concerns the problem is being worsened by people with mental health problems being held in prisons for too long before they are transferred to psychiatric hospitals.
The report, from chief inspector of prisons Charlie Taylor, says some mentally unwell prisoners are “so driven to harming themselves they have… removed teeth or maimed themselves to the point of exposing their own intestines, frequently causing life-changing injuries”.
Mr Taylor told Sky News: “We came across a case where a prisoner was, in effect, attempting to disembowel himself.”
Despite these shocking examples, some prisoners are waiting more than a year to be transferred to psychiatric hospitals.
The chief inspector of prisons’ report says inmates are suffering life-changing injuries from self-harm. File pic: PA
NHS guidance says the time between the identification of the need for hospital admission and the transfer to hospital should take no more than 28 days. For those with an urgent need, the transfer should take place faster.
Mr Taylor said this is not happening in 85% of cases – and the average wait time is almost three months.
Prison officers receive limited training in mental health and risk being injured in their interactions with unwell prisoners.
Therefore, many unwell prisoners who are dangerous or difficult to manage end up in solitary confinement for long periods, worsening their condition.
Latest figures show there was a 17% increase in the rate of self-harm incidents among prisoners in England and Wales in the year to June 2023 – with a record level for female inmates.
The Ministry of Justice said there were “notable differences in self-harm trends by gender” – as the rate in female prisons increased “considerably by 63% to a new peak (6,213 incidents per 1,000 prisoners)”, compared to a rise of 3% in male prisons (555 incidents per 1,000 prisoners).
‘She was suffering, really suffering’
Sarah Reed had schizophrenia and was sent to HMP Holloway in 2015.
She was sent to the prison for psychiatric reports to be obtained to confirm whether she was fit to stand trial for an alleged assault, which occurred while she was sectioned as a patient at a psychiatric hospital.
Sarah Reed died after ‘unacceptable delays in psychiatric assessment’
In prison, Sarah was taken off her antipsychotic medication and placed in segregation, where her health rapidly declined.
Sarah’s mother Marilyn Reed told Sky News: “She kept saying ‘mum, I need my meds, I can’t sleep’. She also had these two black eyes. She was suffering, really suffering.
“The last thing she said to me was ‘get me out of here’.”
On 11 January 2016, Sarah was found unresponsive in her cell.
An inquest jury concluded unacceptable delays in psychiatric assessment and failures in care contributed to her death.
A court heard how she spent her final days in a filthy cell, kept in virtual isolation with no visits or telephone calls to family.
The prison closed in July 2016.
Marilyn Reed spoke to Sky News about the death of her daughter Sarah
According to the chief inspector for prisons, there are two reasons for the long delays in transferring acutely mentally unwell prisoners to mental health facilities: bureaucracy and the lack of beds in psychiatric facilities.
Latest NHS figures show 90.5% of overnight beds reserved for mental illness are occupied.
Read more:
Ex-prisoner gives shocking account of life in a women’s jail
Huge cost of keeping inmates on indefinite sentences revealed
While there are long delays in transferring prisoners to hospital, Mr Taylor says he has concerns about the way prisons are used “as an alternative to a hospital bed”.
Prisons continue to be used “as a place of safety”, which means people can be remanded in custody during a mental health crisis solely because there are no available hospital places.
Chief inspector of prisons Charlie Taylor
Mr Taylor described hearing about a woman who had deliberately jumped in front of traffic four times in the hope that it would end her life. The woman was arrested for a public order offence and remanded in prison.
The draft of the Mental Health Bill sought to remove the use of prison as a place of safety and to reform the Bail Act to prevent courts from remanding defendants for their own protection, solely for mental health reasons.
The bill also proposed a statutory time limit of 28 days to complete transfers from prisons to hospital.
However, the bill was not included in the King’s Speech in November 2023, meaning that there will be no legislative reform of the Mental Health Act.
Sky’s Alice Porter spoke to Bryony
Prison ‘made illness 10 times worse’
Bryony spent six months in prison before appearing in court where she was given a hospital order and transferred to a mental health facility.
There she was given a diagnosis of bipolar disorder and began treatment.
“I started to get better straight away,” she said.
“I don’t know if getting arrested and getting sent to prison was the right response.
“I think perhaps it might have been more beneficial if I’d have been taken straight to hospital instead of prison.
“I’ve never seen people so ill before. And prison just made that illness 10 times worse.”
A government spokesperson said: “Offenders are entitled to access mental health support in prison, where they are also helped to get off drugs and into rehabilitation.
“NHS England is investing in post-custody care to help prison leavers access their community-based health services – helping to reduce reoffending, cut crime and protect the public.”
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
NHS England has warned the health service is facing a “worst case scenario” December with a surge of “super flu”.
The warning comes as new figures revealed the number of people in hospital with flu have increased by more than half in just one week.
Catch up as it happened: NHS warns of ‘worst-case scenario’ as ‘super flu’ surges
Latest figures show:
• An average of 2,660 patients were in hospital per day with flu last week
• This is the highest ever for this time of year and up 55% on last week
• At this point last year the number stood at 1,861 patients, while in 2023 it was just 402
Health service bosses are warning the number of flu patients in hospital has already increased sharply since the week covered by this data – with no peak in sight.
Read more: Why is flu season worse this year?
Virus outbreaks coincide with doctors’ strikes
Weekly flu numbers in England peaked at 5,408 patients last winter and reached 5,441 over the winter of 2022/23, the highest level since the pandemic.
Alongside rocketing flu, the number of norovirus patients in hospital has also risen by 35%.
The NHS is now warning winter viruses are starting to “engulf hospitals”.
Demand for A&Es and ambulance services is also soaring.
New monthly figures show A&E attendances were a record for November at 2.35 million – more than 30,000 higher than November 2024.
In addition, there were 48,814 more ambulance incidents (802,525) compared with last year (753,711).
Some hospitals across the country have asked staff, patients and visitors to wear face masks to cut the spread of flu, while others have gone in and out of critical incident status due to the high number of people attending A&E.
The record-breaking demand on the NHS coincides with a resident doctors’ strike from 17 to 22 December over pay and jobs – sparking fears of major disruption for patients in the run up to Christmas.
People are being advised to attend any planned appointments scheduled during the strikes unless they have been contacted to reschedule.
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Will doctors accept late deal to avoid strikes?
Flu vaccinations on the up… who can get one?
The NHS is urging anyone eligible to get their flu vaccination to help prevent them getting seriously ill.
Latest figures show more than 17.4 million people have been vaccinated so far this year, more than 381,000 higher than last year.
You can get it if you:
• Are 65 or over in England, Scotland, Wales and Northern Ireland
• Are pregnant
• Live in a care home
• Are the main carer for an older or disabled person, or receive carer’s allowance
• Live with someone who has a weakened immune system
• Are a frontline health and social care worker
• Are of school age
• Have certain medical conditions (the NHS has a full list)
Wes Streeting, the health secretary, warned of a “tidal wave of flu tearing through our hospitals”.
“We are working with the NHS to make sure it is able to cope with this as best as possible,” he said.
Warning ‘extremely challenging few weeks ahead’
Professor Meghana Pandit, NHS national medical director, warned the health service faces “an extremely challenging few weeks ahead” with “staff being pushed to the limit”.
She said: “With record demand for A&E and ambulances and an impending resident doctors’ strike, this unprecedented wave of super flu is leaving the NHS facing a worst-case scenario for this time of year – with staff being pushed to the limit to keep providing the best possible care for patients.
“The numbers of patients in hospital with flu is extremely high for this time of year. Even worse, it continues to rise and the peak is not in sight yet, so the NHS faces an extremely challenging few weeks ahead.”
She added: “We have prepared earlier for winter than ever before, and stress-tested services to ensure people have a range of ways to get the help they need and avoid needing to go to A&E.
“For non-life-threatening care, people should call NHS 111 or use 111 online, which can direct you to the most appropriate place, and use A&E and 999 for life threatening conditions and serious injuries.”
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Mr Streeting has offered the British Medical Association (BMA) a last-minute deal in the hope doctors will call off the walkout, which starts next Wednesday.
The doctors’ union has agreed to put the offer to members over the coming day, and is expected to announced a decision on Monday, just two days before the planned strike.
The offer includes a fast expansion of specialist training posts as well as covering out-of-pocket expenses such as exam fees, but does not include extra pay.
The spread of subclade K, the super flu, is picking up – and it’s not looking good for the NHS.
An average of just under 2,700 hospital beds a day in England were occupied by patients with flu last week.
There are fears that could jump to somewhere between 5,000 and 8,000 by the end of this week.
That’s on top of COVID and RSV.
And with the possibility of a five-day strike by resident (junior) doctors next week, it’s a perfect storm for hospitals.
An NHS hospital ward at Ealing Hospital in London. Pic: PA
Christmas flu
Children are the super-spreaders of flu. It races around classrooms and some schools have temporarily shut because of the impact.
The Christmas holidays aren’t far off. They are likely to put the brakes on children passing around the virus.
But it’s also a time of year when families mix with elderly relatives, who are more likely to be hit hard by the infection – perhaps even needing hospital care.
So while the holidays may temporarily slow the overall rise in infections, the impact on hospitals could get much worse.
File pic: PA
Subclade K
Flu is spreading so rapidly at the moment because immunity to subclade K from previous infections and vaccinations is low.
The virus – a variant of the H3N2 flu strain – suddenly acquired seven new mutations in late summer.
Every 100 people infected with seasonal flu would typically pass the virus on to 120 others.
With subclade K, it’s 140.
And that’s why cases are rising so quickly on the charts.
At the moment, 18 in every 100,000 patients in England are consulting their GP with flu-like symptoms. That’s still well short of the peak of around 50 in every 100,000 in 2017/18, the worst flu outbreak in recent years.
File pic: PA
The grim reality of flu
Flu is a really unpleasant disease, nothing like a cold. I’ve had it twice in my life and it physically hurt to get out of bed. It’s grim.
Most people get over it with a few days’ rest and paracetamol to take the edge off the fever.
But vulnerable people can become seriously ill. In the outbreak of 2017/18, around 22,000 died.
Read more:
Nurses ‘deeply concerned about what lies ahead’
NHS braced for ‘toughest winter’ after record-breaking month
That’s why the NHS is urging people in certain groups – the over 65s, those with underlying health conditions, pregnant women, carers and children – to get the jab.
The vaccine isn’t a great match for subclade K, but still reduces the chance of hospital admission by 30-40% in adults.
It’s impossible to say when the spread will peak, but the latest figures suggest the outbreak is far from over.
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