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.
Image: 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. 
Image: 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. 
Image: 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.
Image: 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.
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.
Image: 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.
Image: 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
It was expected that the three-day state visit would take place in September after Mr Trump let slip earlier in April that he believed that was when his second “fest” was being planned for.
Windsor was also anticipated to be the location after the US president told reporters in the Oval Office that the letter from the King said Windsor would be the setting. Refurbishment works at Buckingham Palace also meant that Windsor was used last week for French President Emmanuel Macron’s visit.
This will be Mr Trump’s second state visit to the UK, an unprecedented gesture towards an American leader, having previously been invited to Buckingham Palace in 2019.
Image: Donald Trump and Melania Trump posing with Charles and Camilla in 2019. Pic: Reuters
He has also been to Windsor Castle before, in 2018, but despite the considerable military pageantry of the day, and some confusion around inspecting the guard, it was simply for tea with Queen Elizabeth II.
Further details of what will happen during the three-day visit in September will be announced in due course.
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On Friday, Sky News revealed it is now unlikely that the US president will address parliament, usually an honour given to visiting heads of state as part of their visit. Some MPs had raised significant concerns about him being given the privilege.
But the House of Commons will not be sitting at the time of Mr Trump’s visit as it will rise for party conference season on the 16 September, meaning the president will not be able to speak in parliament as President Macron did during his state visit this week. However, the House of Lords will be sitting.
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After reading it, Mr Trump said it was a “great, great honour”, adding “and that says at Windsor – that’s really something”.
Image: In February, Sir Keir Starmer revealed a letter from the King inviting Donald Trump to the UK. Pic: Reuters
In the letter, the King suggested they might meet at Balmoral or Dumfries House in Scotland first before the much grander state visit. However, it is understood that, although all options were explored, complexities in both the King and Mr Trump’s diaries meant it wasn’t possible.
This week, it emerged that Police Scotland are planning for a summer visit from the US president, which is likely to see him visit one or both of his golf clubs in Aberdeenshire and Ayrshire, and require substantial policing resources and probably units to be called in from elsewhere in the UK.
Precedent for second-term US presidents, who have already made a state visit, is usually tea or lunch with the monarch at Windsor Castle, as was the case for George W Bush and Barack Obama.
A small plane has crashed at Southend Airport in Essex.
Essex Police said it was at the scene of a “serious incident”.
Images posted online showed huge flames and a large cloud of black smoke, with one witness saying they saw a “fireball”.
A police statement said: “We were alerted shortly before 4pm to reports of a collision involving one 12-metre plane.
“We are working with all emergency services at the scene now and that work will be ongoing for several hours.
“We would please ask the public to avoid this area where possible while this work continues.”
Image: A huge fireball near the airport. Pic: Ben G
It has been reported that the plane involved in the incident is a Beech B200 Super King Air.
According to flight-tracking service Flightradar, it took off at 3.48pm and was bound for Lelystad, a city in the Netherlands.
One man, who was at Southend Airport with his family around the time of the incident, said the aircraft “crashed headfirst into the ground”.
John Johnson said: “About three or four seconds after taking off, it started to bank heavily to its left, and then within a few seconds of that happening, it more or less inverted and crashed.
“There was a big fireball. Obviously, everybody was in shock in terms of witnessing it. All the kids saw it and the families saw it.”
Mr Johnson added that he phoned 999 to report the crash.
Southend Airport said the incident involved “a general aviation aircraft”.
Four flights scheduled to take off from Southend this afternoon were cancelled, according to its website.
Flightradar data shows two planes that had been due to land at Southend were diverted to nearby airports London Gatwick and London Stansted.
Image: Plumes of black smoke. Pic: UKNIP
Essex County Fire and Rescue Service said four crews, along with off-road vehicles, have attended the scene.
Four ambulances and four hazardous area response team vehicles are also at the airport, as well as an air ambulance, the East of England Ambulance Service said.
Its statement described the incident as “still developing”.
Image: Fire engines at the airport
David Burton-Sampson, the MP for Southend West and Leigh, posted on social media: “I am aware of an incident at Southend Airport. Please keep away and allow the emergency services to do their work.
“My thoughts are with everyone involved.”
Local councillor Matt Dent said on X: “At present all I know is that a small plane has crashed at the airport. My thoughts are with all those involved, and with the emergency services currently responding to the incident.”
This breaking news story is being updated and more details will be published shortly.
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.
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.”
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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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10:43
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.