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Warning – contains graphic details of sexual assault, self-harm and suicide.

The first time she was groped at work, Freya says she was 24 years old, a newly qualified paramedic, and was cleaning out the cupboards of the ambulance station crew room.

“He came behind me without me realising. I was cleaning away, and he put his hands around my body and grabbed my breasts,” said Freya, which is not her real name.

“Then he said, ‘Well, I won’t bother doing that again’.

“People just laughed, some didn’t even look up from the TV. Like it was nothing, completely normal.”

Her story mirrors that of other current and former paramedics who, in several interviews with Sky News, painted a picture of widespread sexual harassment and a toxic culture of misogyny.

The head of the College of Paramedics, Tracy Nicholls, said: “Problems exist in every [NHS] trust, across all four countries in the United Kingdom.”

NHS England told Sky News that any form of sexual misconduct was “completely unacceptable” and every trust had committed to an action plan to improve sexual safety.

Tracy Nicholls, Chief Executive of the College of Paramedics. Still from Rachael Venables Sky News report on sexual harassment and misogyny in the ambulance service.
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Chief executive of the College of Paramedics Tracy Nicholls

‘I had the career I loved stolen from me’

Freya said she put up with jokes and comments for more than a decade – until one day she was locked in the back of an ambulance and sexually assaulted by a senior colleague.

“He just put his hand straight down my top. I was like, in shock. I couldn’t move. I didn’t know how to react. I just froze, absolutely froze,” she said.

“If that wasn’t enough, he then took my breast out. I remember him sucking on my nipple.

“Then, he took out his pen… and he drew a smiley face above and below my nipple.

“I remember going into a station immediately when we got back, and I washed and scrubbed myself and got rid of the ink. He took a photo of it as well on his phone to send to me.”

Freya said it destroyed both her career and mental health.

“I have scars – mentally and physically. I had the career I loved stolen from me. And I’m lonely now, I’m on my own, because I can’t trust anyone.”

She was later rushed to hospital for trying to amputate her breast and even tried to take her own life.

Freya has since left the ambulance service and received a payout from her former employer.

West Midlands Ambulance Service ambulance. Still from Sky News report on sexual harassment and misogyny in the ambulance service generally

‘A minority just feel that behaviour is acceptable’

After students began speaking up about their experiences of harassment, the College of Paramedics began an investigation, running support workshops for the trainees.

Tracy Nicholls, chief executive of the professional body, said: “We have found that our student or female student council members are experiencing misogyny and sexual harassment – if not on a daily basis then on a weekly basis, by a minority of people who just feel that that behaviour is acceptable.”

Ms Nicholls is particularly concerned with the treatment of student paramedics, some of whom reported to the College being pressured into things in exchange for being passed on assignments.

She said: “Sometimes it’s perceived as banter, but immediately there’s a power imbalance there for that student. And sometimes it progresses to a really difficult space where they say ‘I won’t sign you off, until maybe you come out for a date with me’ or ‘I won’t sign you off until you send me a picture of yourself’.”

Ms Nicholls said she would tell her two granddaughters not to join the ambulance service, unless things dramatically change.

Still from Rachael Venables Sky News report on sexual harassment and misogyny in the ambulance service

‘Fresh meat’

Laura – not her real name – is currently a paramedic for a different ambulance service.

She describes sexual harassment as “incessant” in the profession. She says students and new recruits are routinely referred to as “fresh meat”, subjected to sexual comments, questions and jokes – even in front of patients – and are continually sexualised by some male colleagues.

“It’s exhausting,” she said. “You come to work wanting to help your patients but every day you’re dealing with inappropriate behaviour and sexual comments.”

“I realised I looked forward to the winter months where it’s colder, where I can wear my jacket more often so that I’m more covered up.”

“We’ve got the same uniform, you know, we’ve got a standardised unisex uniform, and I shouldn’t have to feel like I’m being objectified and looked up and down by my colleagues, but that’s what happens.”

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Laura is also concerned about the prevalence of relationships between mentors and mentees.

“I’m not saying relationships in the workplace are completely off the cards,” she said.

“But, very often the stories I’ve heard of include mentors who have got wives and kids at home, and almost preying on these students who they think don’t know any better.

“And the student looks up to this paramedic, and the mentor will play on that. And will take advantage of the power that they have.”

Laura loves her job and says she’s speaking out because she wants change to ensure she and other women feel safe enough to stay in the service.

Fear of reprisals

Carol King, a former operations manager at South Western Ambulance Service, where she was in charge of 130 staff, says there’s an inherent power imbalance and vulnerability to working as a paramedic that abusers can exploit.

“So you’ve usually got two people together in an ambulance, obviously it’s isolating, you’re really vulnerable. If there’s an age gap the newer paramedic or trainee might see the older one as their idol.

“And if something does happen you’re afraid of saying anything to anybody senior because you always think you’re going to get reprisals, possibly that you won’t get another job, you won’t be able to move up the career ladder.”

Ms King left the Ambulance Service in 2017.

Carol King, former operations manager at South Western Ambulance Service. Still from Rachael Venables Sky News report on sexual harassment and misogyny in the ambulance service.
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Carol King, a former operations manager at South Western Ambulance Service

John Martin, chief executive at the South Western Ambulance Service NHS Foundation Trust (SWASFT), said: “We do not tolerate any member of staff not demonstrating our trust values and behaviours…

“We expect everybody – our people, volunteers and all those that engage with our organisation – to commit to ensuring SWASFT is a safe, supportive and inclusive work place for all.

“We have robust policies and procedures in place for colleagues and volunteers, who include our students, to raise concerns, and we encourage anyone affected by inappropriate conduct to have the confidence to come forward to enable us to take appropriate action.”

‘Completely unacceptable’

The complaints have been backed by a series of reports in recent years into various trusts.

This winter, the Association of Ambulance Chief Executives published a report highlighting concerns for “sexual safety” of staff working in the sector.

They found sexual harassment is deemed “acceptable” or a “rite of passage” in NHS trusts, which “normalises or creates a toxic culture” with “risks to mental and physical health”, and “potentially patient safety”.

They suggested the reason for such a culture lay in “specific factors, such as the nature of working within the ambulance service, having a hierarchical organisation, and having a workforce that until recently has been male dominated, are all thought to contribute to some potential issues with culture or attitudes”.

An NHS spokesperson said: “Any form of sexual misconduct is completely unacceptable and will not be tolerated in the NHS.

“NHS England is taking action to ensure the safety of patients, staff and students by rolling out better reporting mechanisms, training and support as part of the NHS’s new Sexual Safety Charter, and all trusts and local health systems have been asked to appoint a domestic abuse and sexual violence lead, with more than 300 now in place across England.

“Every ambulance trust in England has committed to a single action plan – co-produced by those who have faced misogyny or sexual harassment in the workplace – which commits to improving sexual safety in the ambulance service.”

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

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‘I don’t remember feeling this unsafe’: Frightened worshippers too scared to walk the streets

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'I don't remember feeling this unsafe': Frightened worshippers too scared to walk the streets

“I don’t remember feeling this unsafe ever before,” says 76-year-old devout Sikh Resham Kaur who moved to the UK from India when she was 18.

She’s waiting for two men to walk her home from the gurdwara – a Sikh place of worship – at a time of rising fears over physical and verbal racial abuse.

Resham reaches for her walking stick and puts on her shoes.

Sarbjit Singh and Mangat Singh walking Resham Kaur home from the gurdwara
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Sarbjit Singh and Mangat Singh walking Resham Kaur home from the gurdwara

Monty Singh says they are 'not vigilantes'
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Monty Singh says they are ‘not vigilantes’

“When I came to this country, I didn’t fear for my safety. But now I do – every day. It’s a lot worse now,” she says.

It’s a disturbing admission at a time when some fear Britain’s communities are more fragmented than ever.

It comes as new figures last week revealed religious hate crime recorded by police in England and Wales has reached a record high.

Two volunteers arrive, opening the exit door for Resham at the gurdwara in Smethwick in the West Midlands.

Sarbjit Singh – who works in a bakery – and Mangat Singh – who works at a salad farm – are part of the congregation and walk people to and from the gurdwara on their days off to keep them safe.

With attendance numbers at the gurdwara falling because of safety fears, Sarbjit says it’s something they need to do “until we get a bit of peace and tranquillity back in society and the community”.

“We have to do something. We can’t just sit in silence. And we can’t let the congregation just stay at home,” Sarbjit says.

The Oldbury patrol
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The Oldbury patrol

Other groups of Sikh men are also taking action – joining patrols along a road in nearby Oldbury where a young Sikh woman was allegedly raped a few weeks ago.

That alleged attack – and an assault on two taxi drivers in Wolverhampton in August – have horrified the Sikh community. Police are treating both incidents as racially aggravated.

Two Sikh taxi drivers were allegedly assaulted in Wolverhampton in August
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Two Sikh taxi drivers were allegedly assaulted in Wolverhampton in August

Monty Singh, who is taking part in the patrols, says they are “not vigilantes”.

“We need to make it crystal clear that we’re good people, we’re just trying to do the right thing and support our community,” Monty adds.

Pervinder Kaur is the vice president of the gurdwara.

Pervinder Kaur said before the summer people felt safe, but racial abuse is being emboldened
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Pervinder Kaur said before the summer people felt safe, but racial abuse is being emboldened

She believes racial abuse is being emboldened after a summer of demonstrations outside hotels housing asylum seekers and renewed debate about immigration.

“People are more verbal about it now. They are not scared of the consequences,” she said.

A sense of vulnerability is common among minority communities and security measures have also been stepped up at mosques around the country.

Iman Adam Kantar said 'the Union Jack is our flag'
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Iman Adam Kantar said ‘the Union Jack is our flag’

Friday prayers at the Rumi Mosque in Edmonton, north London
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Friday prayers at the Rumi Mosque in Edmonton, north London

Imam Adam Kantar from the Rumi Mosque in Edmonton, north London, said: “Many people are now telling their children not to be outside after certain hours.

“Their [husbands], they prefer to go shopping instead of their hijab [wearing] wives and spouses.

“We have to engage with the wider community and prove that we love this country and its people. The Union Jack is our flag.”

What Britain’s fragmented society has in common is fear among minority communities – even if the causes are different.

Rabbi Josh Levy, the co-lead of Progressive Judaism, has spent years trying to advance interfaith dialogue.

He said: “Single individual(s) or small groups can cause a huge amount of pain and distress.

“There are lots of really great examples of community cohesion around the country. But generally, there is definitely a sense of fragmentation. And whether it’s driven by political concerns or what’s happening internationally.

“We’ve got huge work to do in taking the work that happens on a national level and bringing it into local communities.”

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‘Make or break’: Chancellor warned businesses can’t take more tax hikes in budget

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'Make or break': Chancellor warned businesses can't take more tax hikes in budget

Rachel Reeves has been warned that firms face a “make-or-break moment” at next month’s budget.

The British Chamber of Commerce (BCC) urged the chancellor, who is widely expected to announce tax hikes in November’s budget to fill a gap in the public finances, to steer clear of increasing levies on businesses.

Ms Reeves raised taxes by £40bn last year and the BCC said business confidence had not recovered since.

“Last year’s budget took the wind from their sails, and they have been struggling to find momentum ever since,” BCC director-general Shevaun Haviland said.

She said firms felt “drained” and could not plan ahead as they expected “further tax demands to be laid at their feet” when the budget is delivered on 26 November.

“The chancellor must seize this moment and use her budget to deliver a pro-growth agenda that can restore optimism and belief amongst business leaders,” Ms Haviland added.

“This year’s budget will be a make-or-break moment for many firms.”

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The BCC also called for a reform of business rates and the removal of the windfall tax on gas and oil introduced by the last government.

In its submission, the industry body outlined more than 60 recommendations, including the proposal of further infrastructure investment, cuts to customs barriers and action on skill shortages.

Earlier this year, Prime Minister Sir Keir Starmer announced Labour would aim to approve 150 major infrastructure projects by the next election, with Labour already pledging to support expansions of both Heathrow and Gatwick airports – another of the BCC’s requests.

While the Treasury would not comment on budget speculation, a spokesperson insisted Ms Reeves would “strike the right balance” between ensuring funding for public services and securing economic growth.

She has vowed to stick to Labour’s manifesto pledges not to raise taxes on “working people”.

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Household spending on the wane

The BCC’s plea to halt further tax rises on businesses comes as retail sales growth slowed in September.

“With the budget looming large, and households facing higher bills, retail spending rose more slowly than in recent months,” Helen Dickinson, chief executive of the British Retail Consortium (BRC), said.

“Rising inflation and a potentially taxing budget is weighing on the minds of many households planning their Christmas spending.”

Total retail sales in the UK increased by 2.3% year-on-year in September, against growth of 2% in September 2024 and above the 12-month average growth of 2.1%, according to BRC and KPMG data.

While food sales were up by 4.3% year-on-year, this was largely driven by inflation rather than volume growth.

Non-food sales growth slowed to 0.7% against the growth of 1.7% last September, making it below the 12-month average growth of 0.9%.

Total retail sales in the UK increased in September compared to the year before. File pic: PA
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Total retail sales in the UK increased in September compared to the year before. File pic: PA

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Online non-food sales only increased by 1% against last September’s growth of 3.4%, which was below the 12-month average growth of 1.8%.

“The future of many large anchor stores and thousands of jobs remains in jeopardy while the Treasury keeps the risk of a new business rates surtax on the table,” Ms Dickinson said.

“By exempting these shops when the budget announcements are made, the chancellor can reduce the inflationary pressures hammering businesses and households alike.”

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Thousands of homes now need repairs after insulation fitted under government scheme

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Thousands of homes now need repairs after insulation fitted under government scheme

Thousands of homes fitted with insulation under a flagship government scheme now need major remedial work, or risk damp and mould, the public spending watchdog has warned.

A damning report by the National Audit Office (NAO) said “clear failures” in the Energy Company Obligation (ECO) scheme to tackle fuel poverty and pollution had led to low quality installations and even potential fraud.

It blamed incompetent subcontractors and weak monitoring and government oversight for the issues, which in extreme cases could cause fires.

Fuel poverty campaigners warned the system had “let cowboys through the front door”, saying it must be fixed to bring down energy bills and keep people warm.

Almost all homes – some 98%, affecting 22,000 to 23,000 properties – fitted with external wall insulation under the ECO are affected, the NAO said.

A further 29% of homes with internal wall insulation – around 9,000 to 13,000 dwellings – also face major issues that need fixing.

A small percentage of homes – 6% with external insulation and 2% with internal – put people in immediate danger, such as poor ventilation that could cause carbon monoxide poisoning, and electrical safety issues that could start fires.

ECO is a scheme that obliges energy companies to pay for energy efficiency measures in vulnerable households out of consumer bills.

Gareth Davies, head of the NAO, said ECO is “important to help reduce fuel poverty and meet the government’s ambitions for energy efficiency”.

But “clear failures in the design and set-up” had led to “poor-quality installations, as well as suspected fraud”, he added.

‘Gaming the system’

The report says the reason things had gone so badly wrong could be down to work being subcontracted to individuals and firms who are not competent or certified, uncertainty over standards, and businesses “cutting corners” or “gaming the system”.

The energy regulator Ofgem last year estimated businesses had falsified claims for ECO installations in between 5,600 and 16,500 homes.

That means they could have claimed between £56m and £165m from energy suppliers – ultimately paid for by bill-payers.

More than 20,000 homes are said to be affected. File pic: iStock
Image:
More than 20,000 homes are said to be affected. File pic: iStock

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Martin McCluskey, the government minister for energy consumers, criticised the “unacceptable, systemic failings” that had affected thousands of families.

He added: “We are fixing the broken system the last government left by introducing comprehensive reforms to make this process clear and straightforward, and in the rare cases where things go wrong, there will be clear lines of accountability, so consumers are guaranteed to get any problems fixed quickly.”

The government urged households to take up the free audit that will be offered in a forthcoming letter, and said installers would be forced to remedy the issues free of charge.

However, insulation has the potential to vastly improve homes, analysts pointed out.

Jess Ralston from energy think tank ECIU said: “The majority of households that have benefitted from insulation schemes have lower bills and warmer, healthy homes, particularly during the early years of the gas crisis when the UK’s poor quality housing stock was one of the reasons we were so badly hit compared to other European countries.”

Simon Francis, co-ordinator of the End Fuel Poverty Coalition, said: “Insulation and ventilation, when done properly, are among the safest and most effective ways to bring down energy bills and keep people warm.”

But the report had revealed a “system that has let cowboys through the front door, leaving thousands of victims living in misery and undermining public trust”.

Sue Davies, Which? head of consumer protection policy, called it “a damning indictment of a failed scheme, where poor oversight has allowed rogue traders to cause huge damage to people’s homes and lives”.

She said the government must take swift action to rectify the damage, as well as ensuring “there is no repeat of this scandal by putting in place robust consumer protections and effective oversight”.

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