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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.”

Do you have a story you would like to share? Email sky.today@sky.uk or Whatsapp 07583000853

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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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Labour accused of another manifesto breach after major workers’ rights U-turn

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Labour accused of another manifesto breach after major workers' rights U-turn

The Labour government is facing accusations of two manifesto breaches in as many days after turning its back on a promise to protect workers from unfair dismissal from day one in a job.

A day after Rachel Reeves confirmed an extended freeze on income tax thresholds that critics said amounted to a manifesto-breaching tax hike on working people, the business secretary announced a key measure in the flagship Employment Rights Bill would be watered down.

The qualifying period for unfair dismissal is currently two years, and Labour said in their manifesto they would bring it down to one day.

But Peter Kyle announced on Thursday it would now be six months, having faced opposition from businesses.

Mr Kyle defended the change, insisting “compromise is strength”, but Tory leader Kemi Badenoch described it as “another humiliating U-turn” and a number of Labour MPs aren’t happy.

Andy McDonald, MP for Middlesbrough and Thornaby East, branded the move a “complete betrayal”, while Poole MP Neil Duncan-Jordan said the government had “capitulated”.

Former employment minister Justin Madders, who was sacked in Sir Keir Starmer’s reshuffle earlier this year, also disputed claims the move did not amount to a manifesto breach.

“It might be a compromise,” he said, “but it most definitely is a manifesto breach.”

What did the manifesto say?

The Employment Rights Bill was a cornerstone of Labour’s 2024 election manifesto, and also contains measures that would ban zero-hours contracts.

The party manifesto promised to “consult fully with businesses, workers, and civil society on how to put our plans into practice before legislation is passed”.

“This will include banning exploitative zero-hours contracts; ending fire and rehire; and introducing basic rights from day one to parental leave, sick pay, and protection from unfair dismissal,” it said.

Angela Rayner was a key driver of the bill before she left cabinet, but Peter Kyle (below) is now calling the shots. Pic: PA
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Angela Rayner was a key driver of the bill before she left cabinet, but Peter Kyle (below) is now calling the shots. Pic: PA

Pic: Reuters
Image:
Pic: Reuters

How did we get here?

But the legislation – which was spearheaded by former deputy prime minister Angela Rayner – has been caught in parliamentary ping pong with the House of Lords.

Last month, some peers objected to the provisions around unfair dismissal, suggesting they would deter some businesses from hiring.

They also opposed Labour’s move to force employers to offer guaranteed hours to employees from day one, arguing zero-hour contracts suited some people.

Ministers said reducing the qualifying period for unfair dismissal turned the bill into a “workable package”.

Read more:
Budget 2025: The key points at a glance
Starmer insists Labour ‘kept to our manifesto’

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Employment Rights Bill is ‘anti-growth blueprint’

Businesses have largely welcomed the change, but unions gave a more hostile response.

Sharon Graham, the general secretary of Unite, said the bill was now a “shell of its former self”.

“With fire and rehire and zero-hours contracts not being banned, the bill is already unrecognisable,” she said.

The TUC urged the House of Lords to allow the rest of the legislation to pass.

Paul Nowak, the general secretary, said: “The absolute priority now is to get these rights – like day one sick pay – on the statute book so that working people can start benefitting from them from next April.”

‘Strikes the right balance’

The Resolution Foundation said the change in the unfair dismissal period was a “sensible move that will speed up the delivery of improvements to working conditions and reduce the risk of firms being put off hiring”.

It said the change “strikes the right balance between strengthening worker protections and encouraging businesses to hire” and deliver “tangible improvements to working conditions”.

The Confederation of British Industry (CBI) added: “Businesses will be relieved that the government has agreed to a key amendment to the Employment Rights Bill, which can pave the way to its initial acceptance.

“This agreement keeps a qualifying period that is simple, meaningful and understood within existing legislation.

“It is crucial for businesses confidence to hire and to support employment, at the same time as protecting workers.”

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Budget 2025: Reeves urged to ‘make the case’ for income tax freeze – as PM hits out at defenders of ‘failed’ policy

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Budget 2025: Reeves urged to 'make the case' for income tax freeze - as PM hits out at defenders of 'failed' policy

Rachel Reeves needs to “make the case” to voters that extending the freeze on personal income thresholds was the “fairest” way to increase taxes, Baroness Harriet Harman has said.

Speaking to Sky News political editor Beth Rigby on the Electoral Dysfunction podcast, the Labour peer said the chancellor needed to explain that her decision would “protect people’s cost of living if they’re on low incomes”.

In her budget on Wednesday, Ms Reeves extended the freeze on income tax thresholds – introduced by the Conservatives in 2021 and due to expire in 2028 – by three years.

The move – described by critics as a “stealth tax” – is estimated to raise £8bn for the exchequer in 2029-2030 by dragging some 1.7 million people into a higher tax band as their pay goes up.

Rachel Reeves, pictured the day after delivering the budget. Pic: PA
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Rachel Reeves, pictured the day after delivering the budget. Pic: PA

The chancellor previously said she would not freeze thresholds as it would “hurt working people” – prompting accusations she has broken the trust of voters.

During the general election campaign, Labour promised not to increase VAT, national insurance or income tax rates.

Sir Keir Starmer has insisted there’s been no manifesto breach, but acknowledged people were being asked to “contribute” to protect public services.

He has also launched a staunch defence of the government’s decision to scrap the two-child benefit cap, with its estimated cost of around £3bn by the end of this parliament.

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Prime minister defends budget

‘A moral failure’

The prime minister condemned the Conservative policy as a “failed social experiment” and said those who defend it stand for “a moral failure and an economic disaster”.

“The record highs of child poverty in this country aren’t just numbers on a spreadsheet – they mean millions of children are going to bed hungry, falling behind at school, and growing up believing that a better future is out of reach despite their parents doing everything right,” he said.

The two-child limit restricts child tax credit and universal credit to the first two children in most households.

The government believes lifting the limit will pull 450,000 children out of poverty, which it argues will ultimately help reduce costs by preventing knock-on issues like dependency on welfare – and help people find jobs.

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Budget winners and losers

Speaking to Rigby, Baroness Harman said Ms Reeves now needed to convince “the woman on the doorstep” of why she’s raised taxes in the way that she has.

“I think Rachel really answered it very, very clearly when she said, ‘well, actually, we haven’t broken the manifesto because the manifesto was about rates’.

“And you remember there was a big kerfuffle before the budget about whether they would increase the rate of income tax or the rate of national insurance, and they backed off that because that would have been a breach of the manifesto.

“But she has had to increase the tax take, and she’s done it by increasing by freezing the thresholds, which she says she didn’t want to do. But she’s tried to do it with the fairest possible way, with counterbalancing support for people on low incomes.”

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She added: “And that is the argument that’s now got to be had with the public. The Labour members of parliament are happy about it. The markets essentially are happy about it. But she needs to make the case, and everybody in the government is going to need to make the case about it.

“This was a difficult thing to do, but it’s been done in the fairest possible way, and it’s for the good, because it will protect people’s cost of living if they’re on low incomes.”

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Prostate cancer: NHS screening programme could come one step closer today

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Prostate cancer: NHS screening programme could come one step closer today

An NHS screening programme for prostate cancer could come one step closer if it’s backed today by a key committee that advises the government.

The National Screening Committee, comprised of doctors and economists, will reveal whether it now believes the benefits of screening outweigh any risks, and whether testing could be done at a reasonable cost to the NHS.

When it last looked at the evidence in 2020, it rejected calls for screening, even though prostate cancer kills 12,000 men a year.

But in recent months, there has been growing pressure for screening from high-profile public figures such as Olympian Sir Chris Hoy and former Sky News presenter Dermot Murnaghan.

Both have been diagnosed with advanced prostate cancer, yet the disease is curable if detected in its early stages.

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Sir Chris Hoy and Dermot Murnaghan on facing cancer

Former prime minister David Cameron has also backed the campaign for screening this week after revealing he had been treated for the cancer.

The committee will decide whether new research has tipped the scales in favour of screening older men, or whether to target only those at higher risk, such as black men and those with a family history of the disease.

The case for…

Lithuania is currently the only country to screen all men aged 50-69 with a blood test for PSA, a protein released by prostate cells.

A low level is normal. But levels can rise steeply in men with cancer.

A recent study showed that regular PSA testing of men over 50 could reduce deaths by 13%.

That’s about the same survival benefit of breast screening.

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Cameron treated for prostate cancer

…and the case against

But the PSA blood test isn’t completely reliable.

One in seven men with prostate cancer actually have a normal PSA level.

And even those with a high level may have a cancer that is so slow growing that it’s just not a threat.

That’s why the National Screening Committee has warned in the past that PSA screening could lead men to have surgery or other treatment that they don’t actually need. Treatment can result in incontinence or impotence.

But the evidence has moved on.

These days men with a high PSA should have an MRI scan of their prostate, which significantly reduces the risk of unnecessary treatment. And the treatment itself is getting safer.

But the committee may judge that the risks and benefits of screening all men in their 50s and 60s are still too finely balanced to give the go-ahead.

They may wait for results from the Transform trial, which has just been launched and will compare different screening strategies. That could take many years.

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‘When I was diagnosed, it was too late’

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U-turn over unfair dismissal policy

But campaigners are hopeful that the committee will recommend the screening of men at higher risk of prostate cancer in the meantime.

Black men have twice the risk of those from other ethnic groups.

Men whose father or brothers have had prostate cancer are two and a half times the risk.

And there is also an increased risk for men whose mother or sisters have had breast or ovarian cancer.

Roughly 1.3 million men fall into one of the risk groups.

But identifying and inviting them for screening could prove tricky. GPs don’t always note a patient’s ethnicity in their medical records, and they would usually only know about a patient’s family history if they have been told.

If the committee recommends screening in some form, it is likely to go out to a public consultation before landing on the desk of Health Secretary Wes Streeting for a final decision.

Ultimately, it is his call whether at least some men are screened for what is now the most common cancer in England.

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