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.
Image: 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.
‘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.
‘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.
Image: 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
A care worker who reported the alleged abuse of an elderly care home resident, which triggered a criminal investigation, is facing destitution and potential removal from Britain after speaking up.
“Meera”, whose name we have changed to protect her identity, said she witnessed an elderly male resident being punched several times in the back by a carer at the home where she worked.
Sky News is unable to name the care home for legal reasons because of the ongoing police investigation.
“I was [a] whistleblower there,” said Meera, who came to the UK from India last year to work at the home.
“Instead of addressing things, they fired me… I told them everything and they made me feel like I am criminal. I am not criminal, I am saving lives,” she added.
Image: ‘Meera’ spoke up about abuse she said she witnessed in the care home where she worked
Like thousands of foreign care workers, Meera’s employer sponsored her visa. Unless she can find another sponsor, she now faces the prospect of removal from the country.
“I am in trouble right now and no one is trying to help me,” she said.
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Meera said she reported the alleged abuse to her bosses, but was called to a meeting with a manager and told to “change your statement, otherwise we will dismiss you”.
She refused. The following month, she was sacked.
The care home claimed she failed to perform to the required standard in the job.
She went to the police to report the alleged abuse and since then, a number of people from the care home have been arrested. They remain under investigation.
‘Migrants recruited because many are too afraid to speak out’
The home has capacity for over 60 residents. It is unclear if the care home residents or their relatives know about the police investigation or claim of physical abuse.
Since the arrests, the regulator, the Care Quality Commission (CQC), carried out an investigation at the home triggered by the concerns – but the home retained its ‘good’ rating.
Meera has had no reassurance from the authorities that she will be allowed to remain in Britain.
In order to stay, she’ll need to find another care home to sponsor her which she believes will be impossible without references from her previous employer.
She warned families: “I just want to know people in care homes like these… your person, your father, your parents, is not safe.”
She claimed some care homes have preferred to recruit migrants because many are too afraid to speak out.
“You hire local staff, they know the legal rights,” she said. “They can complain, they can work anywhere… they can raise [their] voice,” she said.
Image: Sky’s Becky Johnson spoke to ‘Meera’
Sky News has reported widespread exploitation of care visas and migrant care workers.
Currently migrants make up around a third of the adult social care workforce, with the majority here on visas that are sponsored by their employers.
As part of measures announced in April in the government’s immigration white paper, the care visa route will be closed, meaning care homes will no longer be able to recruit abroad.
‘Whole system is based on power imbalance’
But the chief executive of the Work Rights Centre, a charity that helps migrants with employment issues, is warning that little will change for the tens of thousands of foreign care workers already here.
“The whole system is based on power imbalance and the government announcement doesn’t change that,” Dr Dora-Olivia Vicol told Sky News.
She linked the conditions for workers to poor care for residents.
Image: Work Rights Centre CEO Dr Dora-Olivia Vicol
“I think the power that employers have over migrant workers’ visas really makes a terrible contribution to the quality of care,” she said.
Imran agrees. He came to the UK from Bangladesh, sponsored by a care company unrelated to the one Meera worked for. He says he frequently had to work 14-hour shifts with no break because there weren’t enough staff. He too believes vulnerable people are being put at risk by the working conditions of their carers.
Migrant workers ‘threatened’ over visas
“For four clients, there is [a] minimum requirement for two or three staff. I was doing [it] alone,” he said, in broken English.
“When I try to speak, they just directly threaten me about my visa,” he said.
“I knew two or three of my colleagues, they are facing the same issue like me. But they’re still afraid to speak up because of the visa.”
A government spokesperson called what happened to Imran and Meera “shocking”.
“No one should go to work in fear of their employer, and all employees have a right to speak up if they witness poor practice and care.”
James Bullion, from the CQC, told Sky News it acts on intelligence passed to it to ensure people stay safe in care settings.
Donald Trump may be denied the honour of addressing parliament on his state visit to the UK later this year, with no formal request yet submitted for him to be given that privilege.
Sky News has been told the Speaker of the House of Commons, Sir Lindsay Hoyle, hasn’t so far received a request to invite the US president to speak in parliament when he is expected to visit in September.
It was confirmed to MPs who have raised concerns about the US president being allowed to address both houses.
Kate Osborne, Labour MP for Jarrow and Gateshead East, wrote to the speaker in April asking him to stop Mr Trump from addressing parliament, and tabled an early-day motion outlining her concerns.
“I was happy to see Macron here but feel very differently about Trump,” she said.
“Trump has made some very uncomfortable and worrying comments around the UK government, democracy, the Middle East, particularly around equalities and, of course, Ukraine.
“So, I think there are many reasons why, when we’re looking at a state visit, we should be looking at why they’re being afforded that privilege. Because, of course, it is a privilege for somebody to come and address both of the houses.”
But the timing of the visit may mean that any diplomatic sensitivities, or perceptions of a snub, could be avoided.
Image: France’s President Emmanuel Macron addressed parliament during his state visit this month
Lord Ricketts, a former UK ambassador to France, pointed out that parliament isn’t sitting for much of September, and that could help resolve the issue.
In 2017, he wrote a public letter questioning the decision to give Donald Trump his first state visit, saying it put Queen Elizabeth II in a “very difficult position”.
Parliament rises from 16 September until 13 October due to party conferences.
The dates for the state visit haven’t yet been confirmed by Buckingham Palace or the government.
However, they have not denied that it will take place in September, after Mr Trump appeared to confirm they were planning to hold the state visit that month. The palace confirmed this week that the formal planning for his arrival had begun.
With the King likely to still be in Scotland in early September for events such as the Braemar Gathering, and the anniversary of his accession and the death of Queen Elizabeth on the 8th September, it may be expected that the visit would take place sometime from mid to the end of September, also taking into consideration the dates of the Labour Party conference starting on the 28th September and possibly the Lib Dem’s conference from the 20th-23rd.
Image: Mr Trump has said he believes the trip to the UK will take place in September. Pic: Reuters
When asked about parliamentary recess potentially solving the issue, Ms Osborne said: “It may be a way of dealing with it in a very diplomatic way… I don’t know how much control we have over Trump’s diary.
“But if we can manoeuvre it in a way that means that the House isn’t sitting, then that seems like a good solution, maybe not perfect, because I’d actually like him to know that he’s not welcome.”
A message from the speaker’s office, seen by Sky News, says: “Formal addresses to both Houses of Parliament are not automatically included in the itinerary of such a state visit.
“Whether a foreign head of state addresses parliament, during a state visit or otherwise, is part of the planning decisions.”
Image: Mr Trump made his first state visit to the UK in June 2019 during his first presidency. File pic: Reuters
It’s understood that if the government agrees to a joint address to parliament, the Lord Chamberlain’s office writes to the two speakers, on behalf of the King, to ask them to host this.
It will be Mr Trump’s second state visit.
During his first, in 2019, he didn’t address parliament, despite the fact that his predecessor, Barack Obama, was asked to do so.
It was unclear if this was due to the fact John Bercow, the speaker at the time, made it clear he wasn’t welcome to do so.
However, it didn’t appear to dampen Mr Trump’s excitement about his time with the Royal Family.
Speaking earlier this year, he described his state visit as “a fest” adding “it’s an honour… I’m a friend of Charles, I have great respect for King Charles and the family, William; we have really just a great respect for the family. And I think they’re setting a date for September.”
It is expected that, like Mr Macron, the pageantry for his trip this time will revolve around Windsor, with refurbishment taking place at Buckingham Palace.
Liverpool have retired the number 20 shirt in honour of Diogo Jota – the first time it has made such a gesture.
The club said it was a “unique tribute to a uniquely wonderful person” and the decision was made in consultation with his wife and family.
The number 20 will be retired at all levels, including the men’s and women’s first teams and academy squads.
A statement said: “It was the number he wore with pride and distinction, leading us to countless victories in the process – and Diogo Jota will forever be Liverpool Football Club’s number 20.”
The club called it a “recognition of not only the immeasurable contribution our lad from Portugal made to the Reds’ on-pitch successes over the last five years, but also the profound personal impact he had on his teammates, colleagues and supporters and the everlasting connections he built with them”.
Image: Jota’s wife joined Liverpool players to view tributes at Anfield on Friday. Pic: Liverpool FC
Image: Pic: Liverpool FC
Newly-married Jota died alongside his brother when his Lamborghini crashed in northern Spain on 3 July.