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The government is being told to urgently set up a financial package to help patients damaged by epilepsy drug valproate and vaginal mesh.

Calculations for the cost of the package amount to half a billion pounds – just for the initial payments, according to a report by the Patient Safety Commissioner for England, Dr Henrietta Hughes.

Previously, the government rejected calls for such a scheme, but Dr Hughes’s report says that position “is unsustainable” and “is causing immense anxiety for harmed patients”.

Based on the needs identified by patients in a survey, valproate victims would need an initial payment of £100,000 per patient, and vaginal mesh victims would need £20,000.

Because more mesh victims answered the survey, this amounts to an average of £25,000, for an estimated 20,000 claimants, adding up to half a billion pounds.

Still from report by Jason Farrell, Home editor. The government is urged to set up a financial package to help patients damaged by Valproate and Mesh.

However, there would then be a secondary payout based on assessments of future needs.

Dr Hughes told Sky News: “The need for redress is now. I want the government to get on with it, to set up a scheme for patients and start making payments in 2025.”

The report says: “The purpose of the Interim Scheme is to offer patients an initial, fixed sum in recognition of the avoidable harm they have suffered as a result of system‑wide healthcare and regulatory failures.

“The purpose of the Main Scheme is to recognise that the system-wide healthcare and regulatory failures caused different levels of harm to each patient.

“Consequently, the Main Scheme will require a more individualised approach with greater evidential requirements that will require more time to develop.”

Ultimately, this could also mean even larger sums of money.

Primodos not included

Dr Hughes was asked by the Department of Health to explain how to meet the needs of patients who have suffered “avoidable harm” identified by Baroness Cumberlege in her review into mesh, valproate and Primodos published in 2020.

However, controversially, Dr Hughes was told by the government not to look at a scheme for children allegedly damaged by Primodos.

Dr Hughes told Sky News: “I wanted to include the Primodos families and I was told that the government didn’t want them included.

“I said right from the start that if you have an independent review, the government should accept all the recommendations. Cumberlege recommended redress for victims of Primodos and I believe the same.”

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Primodos was a drug given to women as a pregnancy test in the 1960s and 1970s which is alleged to have caused multiple forms of malformations to the foetus in the womb. The manufacturer, Bayer, has always denied a causal link between the drug and birth defects.

Valproate is an epilepsy drug that can cause what is called Valproate Syndrome in children born to women using the drug, which includes distinct facial dysmorphism, congenital anomalies, developmental delay and autism.

Pelvic Mesh implants were given to women to support internal organs after childbirth or a hysterectomy – but have left an estimated 10,000 people with disabilities as the mesh cut into their organs and nerves.

Patricia Alexander. Still from report by Jason Farrell, Home editor. The government is being urged to set up a financial package to help patients damaged by Valproate and Mesh.
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Patricia Alexander

Patricia Alexander, 46, took valproate during both her pregnancies, not knowing it would cause her daughter and son to have autism and life-long learning difficulties.

She told Sky News: “We’re talking about reminding them how to use the toilet properly, washing their hands, drying their hands, having a wash, brushing their teeth… things like this that children would have learned when they’re very small, we’re still having to do every day.”

Her daughter Amelie is 14 and her son Joseph is now 23, but he still needs warning about cars when crossing the road.

Patricia added: “Our biggest worry is what will happen to children when the time comes that we’re not here to look after them.”

It is more than six years since Sky News revealed how regulators knew back in the 1970s that Valproate posed a risk, but for years chose not to tell patients.

Patricia Alexander and son Joseph. Still from report by Jason Farrell Home editor. The government is being urged to set up a financial package to help patients damaged by Valproate and Mesh.
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Patricia Alexander and son Joseph

‘Huge step forward’

Emma Murphy, founder of valproate support group INFACT, told Sky News this report was “a huge step forward,” adding: “The report outlines a number of options and ways the government could now implement redress but this does mean our families are again having to wait for the government to decide what to do.

“INFACT strongly urge the government to act upon this report that they requested and deliver justice to Britain’s valproate children, just like they did with Thalidomide babies.”

Sky News has also campaigned for years for recognition of the harms caused by mesh implants.

Natasha Brown. Still from report by Jason Farrell, Home editor. The government is being urged to set up a financial package to help patients damaged by Valproate and Mesh.
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Mesh victim Natasha Brown speaks to Sky’s Jason Farrell

Mesh victim Natasha Brown described the pain as “like there is a piece of wood, a pencil, wedged in there.”

She now walks with a crutch, has had to give up her cleaning business, and is dependent on her two young daughters.

She said: “I don’t want them to be my carers. It’s really hard when you’re cooking tea and you have to get your 12-year-old to lift something out of the oven for you, and seeing my neighbours take them on long walks or taking them kayaking, and all I get is the photographs at the end.

“I want to be doing that. I’m only 49. I’m supposed to be doing those things for them, and with them. It has taken our lives away, and that’s wrong.”

Natasha Brown. Still from report by Jason Farrell, Home editor. The government is being urged to set up a financial package to help patients damaged by Valproate and Mesh.
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Ms Brown now walks with a crutch due to the pain she suffers

‘Gaslit for years’

Kath Sansom, founder of campaign group Sling The Mesh, said: “While we are pleased that this report validates the suffering of thousands of women – many who have lost jobs, pensions, homes, partners, and live in constant pain – there are also concerning elements to it.

“Most notably, the initial sum of £25,000 for mesh is disappointingly low. We hope second-stage payments for women directly harmed will compensate for that.

“All women harmed by pelvic mesh trusted they were having a gold standard surgery, with little to no warning of risks from their surgeon, and as a result experienced irreversible, life-altering complications.

“Many were then gaslit for years, and, just like the post office scandal, told they were the only ones suffering, forcing them to suffer in silence.

“Finally, our hearts go out to the Primodos families who have been campaigning since the 1960s and 70s, who have no positive financial redress news at all in this report.”

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From February 2022: Epilepsy drug victim: ‘Government hid this’

Marie Lyon from the Association for Children Damaged by Hormone Pregnancy tests said: “The PSC has failed to engage with our families to ensure their patient safety needs are met.

“For more than five decades, our families have had sole responsibility of both the physical and mental health of their children. Shameful.”

Women’s health minister Maria Caulfield said: “Our sympathies remain with those affected by sodium valproate and pelvic mesh and we are focused on improving how the system listens to patients and healthcare professionals, as well as introducing measures to make medicines and devices safer.

“I am hugely grateful to the Patient Safety Commissioner and her team for their work on this important issue.

“The government is carefully considering the Patient Safety Commissioner’s recommendations and will respond to the report fully, in due course.”

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‘Physical threat’ from Iran on people living in UK has ‘increased significantly’, watchdog says

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'Physical threat' from Iran on people living in UK has 'increased significantly', watchdog says

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.
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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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Millions of Iranians unite in mourning

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.

More on Iran

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.

Iranian President Masoud Pezeshkian and military commanders watch as military equipment passes by during the National Army Day parade
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Iran’s president oversees a parade in Tehran in April showing off the country’s military hardware. Pic: West Asia News Agency/Reuters

An Iranian missile is seen during the National Army Day parade ceremony in Tehran
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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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Defiant Khamenei makes appearance
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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.

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‘A constant game of cat and mouse’: Inside the crackdown on illegal moped delivery drivers

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'A constant game of cat and mouse': Inside the crackdown on illegal moped delivery drivers

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.

Police chase suspected illegal immigrant working as a delivery drivers

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
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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.

A man inspects the Just Eat food delivery bag of a suspected illegal immigrant working as a delivery driver

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.

Angela Eagle, Minister for Border Security and Asylum
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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.”

A suspected illegal immigrant working as a delivery driver being arrested

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.

A suspected illegal immigrant working as a delivery driver holds his helmet

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.

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This flimsy vessel carrying migrants could reach British waters in a few hours’ time

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This flimsy vessel carrying migrants could be hours away from reaching British waters

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.

Picture to go with Adam Parsons' eyewitness of migrants crossing on 10/07/25
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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.

Picture to go with Adam Parsons' eyewitness of migrants crossing on 10/07/25
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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.

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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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Why do migrants want to come to the UK?

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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