Locked in the back of an ambulance and sexually assaulted: Female paramedics reveal ‘toxic culture’ of harassment
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.
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.
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
The threat of physical attacks by Iran on people living in the UK has increased “significantly” since 2022, according to a new report by parliament’s intelligence watchdog.
Iran poses a “wide-ranging, persistent and unpredictable threat” to the UK, according to the Intelligence and Security Committee.
It also said Iran’s intelligence services were “willing and able – often through third party agents – to attempt assassination within the UK, and kidnap from the UK”.
Iran’s supreme leader Ayatollah Ali Khamenei. Pic: Office of the Iranian Supreme Leader/West Asia News Agency/Reuters
The report said there have been 15 murder or kidnap attempts against British citizens or UK-based individuals since the beginning of 2022 and August 2023.
Sky News has approached the Iranian embassy for a comment.
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The report authors add: “Whilst Iran’s activity appears to be less strategic and on a smaller scale than Russia and China, Iran poses a wide-ranging threat to UK national security, which should not be underestimated: it is persistent and crucially – unpredictable.”
The committee also says that while the threat is often focused on dissidents and other opponents to the regime, there is also an increased threat to Jewish and Israeli interests in the UK.
The report warns that while Iran has not developed a nuclear weapon, it has taken steps towards that goal.
It found that Iran had been “broadly compliant” with the 2015 Joint Comprehensive Plan of Action (JCPOA), aimed at limiting its nuclear ambitions.
But since Donald Trump withdrew from that deal in 2018, the report said the nuclear threat had increased and Tehran “had the capability to arm in a relatively short period”.
The UK government is also accused of “fire-fighting” rather than developing a real understanding of Iran.
Iran’s president oversees a parade in Tehran in April showing off the country’s military hardware. Pic: West Asia News Agency/Reuters
Missiles are paraded through the capital during the recent National Army Day ceremony. Pic: West Asia News Agency/Reuters
The report says: “The government’s policy on Iran has suffered from a focus on crisis management, driven by concerns over Iran’s nuclear programme, to the exclusion of other issues.
“As one of our expert witnesses told the committee: ‘Strategy is not a word that I think has crossed the lips of policy makers for a while, certainly not in relation to Iran’.”
The committee concluded its evidence-taking in August 2023, the result of two years of work, but the report authors say their conclusions “remain relevant”.
But the report authors questioned whether UK sanctions against individuals would “in practice deliver behavioural change. Or in fact unhelpfully push Iran towards China”.
The committee also said the British government should consider proscribing the Iranian Revolutionary Guards Corps (IRGC), although some argue it would limit the UK’s ability to talk to and influence Iran.
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Responding to the report, a UK government spokesperson said: “The government will take action wherever necessary to protect national security, which is a foundation of our plan for change.
“We have already placed Iran on the enhanced tier of the foreign influence registration scheme and introduced further sanctions against individuals and entities linked to Iran, bringing the total number of sanctions to 450.”
British security services say Tehran uses criminal proxies to carry out its work in Britain.
In December, two Romanians were charged after a journalist working for a Persian language media organisation in London was stabbed in the leg. In May, three Iranian men appeared in court charged with assisting Iran’s foreign intelligence service and plotting violence against journalists.
Earlier this year, the UK government said it would require the Iranian state to register everything it does to exert political influence in the UK, because of what it called increasingly aggressive activity.
The first thing you notice when immigration officers stop a possible illegal moped delivery driver is the speed in which the suspect quickly taps on their mobile.
“We’re in their WhatsApp groups – they’ll be telling thousands now that we’re here… so our cover is blown,” the lead immigration officer tells me.
“It’s like a constant game of cat and mouse.”
Twelve Immigration Enforcement officers, part of the Home Office, are joining colleagues from Avon and Somerset Police in a crackdown on road offences and migrants working illegally.
The West of England and Wales has seen the highest number of arrests over the last year for illegal workers outside of London.
“It is a problem… we’re tackling it,” Murad Mohammed, from Immigration Enforcement, says. He covers all the devolved nations.
“This is just one of the operations going on around the country, every day of the week, every month of the year.”
Murad Mohammed, from Immigration Enforcement, says his team are attempting to tackle the issue
Just outside the Cabot Circus shopping complex, we stop a young Albanian man who arrived in the UK on the back of a truck.
He’s on an expensive and fast-looking e-bike, with a new-looking Just Eat delivery bag.
He says he just uses it for “groceries” – but the officer isn’t buying it. He’s arrested, but then bailed instantly.
We don’t know the specifics of his case, but one officer tells me this suspected offence won’t count against his asylum claim.
Such is the scale of the problem – the backlog, loopholes and the complexity of cases – that trying to keep on top of it feels impossible.
This is one of many raids happening across the UK as part of what the government says is a “blitz” targeting illegal working hotspots.
Angela Eagle, the border security and asylum minister, joins the team for an hour at one of Bristol’s retail parks, scattered with fast food chains and, therefore, delivery bikes.
Border security and asylum minister, Angela Eagle, speaks to Sky News
She says arrests for illegal working are up over the last year by 51% from the year before, to more than 7,000.
“If we find you working, you can lose access to the hotel or the support you have [been] given under false pretences,” she said.
“We are cracking down on that abuse, and we intend to keep doing so.”
There are reports that asylum seekers can rent legitimate delivery-driver accounts within hours of arriving in the country – skipping employment legality checks.
Uber Eats, Deliveroo, and Just Eat all told Sky News they’re continuing to strengthen the technology they use to remove anyone working illegally.
But a new Border Security Bill, working its way through Parliament, could see companies fined £60,000 for each illegal worker discovered, director disqualifications and potential prison sentences of up to five years.
“I had them all in to see me last week and I told them in no uncertain terms that we take a very tough line on this kind of abuse and they’ve got to change their systems so they can drive it out and off their platforms,” the minister tells me.
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The gig economy – so prevalent in every city – creates another incentive for those wanting to risk their lives coming to the UK illegally.
More than 20,000 migrants have crossed the English Channel to the UK in 2025 – a record number at this point of the year.
For some of those who arrive, a bike and a phone provide a way to repay debts to gang masters.
There were eight arrests today in Bristol, one or two taken into custody, but it was 12 hours of hard work by a dozen immigration officers and the support of the police.
As two mopeds are pushed onto a low-loader, you can’t help but feel, despite the best intentions, that at the moment, this is a losing battle.
We see the boat from a distance – the orange of the life jackets reflected in the rising sun.
And as we draw closer, we can make out dozens of people crowded on board as it sets off from the shore, from a beach near Dunkirk.
There is no sign of any police activity on the shore, and there are no police vessels in the water.
Instead, the migrants crammed into an inflatable dinghy are being watched by us, on board a private boat, and the looming figure of the Minck, a French search and rescue ship that soon arrives.
Minck, a French search and rescue ship, shadows the boat
The dinghy meanders. It’s not heading towards Britain but rather hugging the coast.
A few of the passengers wave at us cheerfully, but then the boat starts to head back towards the shore.
Sky’s Adam Parsons at the scene
As it nears a different beach, we see a police vehicle – a dune buggy – heading down to meet it.
Normal practice is for French police officers to slice through the material of any of these small boats that end up back on shore.
Two police officers get out of the buggy and wait. A police helicopter arrives and circles above, performing a tight circle over the heads of the migrants.
The police think they might be about to go back on to the beach; in fact, these passengers know that most of them are staying put.
Listen to The World with Richard Engel and Yalda Hakim every Wednesday
The boat stops a short distance from the shore and four people jump out. As they wade towards the beach, the boat turns and starts to head back out to sea.
We see the two police officers approach these four men and have a brief conversation.
They don’t appear to check the bags they are carrying and, if they do question them about why they left the boat, it is the most cursory of conversations.
In reality, these people probably don’t speak French but they were almost certainly involved in arranging this crossing, which is against the law. But all four walk away, disappearing into the dunes at the back of the beach.
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We follow the boat as it chugs off in the direction of Britain, carrying around 50 people.
The Minck returns to shadowing its progress, but its job is limited to offering help if the boat gets into trouble.
Otherwise, if the engine keeps working, then this flimsy vessel will reach British waters in a few hours’ time.
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