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An NHS consultant at the hospital where Lucy Letby murdered seven babies has warned the health service is “almost guaranteeing” another big scandal if whistleblowers are not offered more protection.

Dr Ravi Jayaram, a consultant paediatrician at the Countess of Chester Hospital where Letby killed the babies and attempted to murder six more, says “the system is stacked against the whistleblower”.

The nurse was able to carry out her crimes after the concerns of whistleblowers at the hospital were ignored. It also emerged managers there took 11 months to involve police after suspicions were raised.

In an interview with Sky News, Dr Jayaram backs proposed reform to whistleblowing legislation as part of a private members bill which is due its second reading in the Commons on Friday.

It calls for an independent “Office of the Whistleblower”, which would offer more protection to all members of the public.

“If things stay the same, then the behaviours will stay the same,” Dr Jayaram says, “there will continue to be times when people are too scared to raise concerns for fear of personal harm and retribution.”

He describes a general “culture of cover-up” with “major implications” for not just healthcare, and patient safety, but “across all institutions”.

“By not acting now we’re almost guaranteeing another big NHS scandal… another revelation such as Shrewsbury and Telford, such as the Post Office.”

Dr Ravi Jayaram has called for whistleblowers to be better protected
Image:
Dr Ravi Jayaram has called for whistleblowers to be better protected

Currently whistleblowing in the UK is protected by the Public Interest Disclosure Act (PIDA), which was introduced 25 years ago.

It allows a whistleblower to seek compensation through an employment tribunal if they suffer a detriment because of raising concerns.

It has, however, been criticised for being costly and not addressing or forcing investigations into the reasons behind the whistleblowing.

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Letby: Why were warnings ignored?

Georgina Halford-Hall, director of the WhistleblowersUK not-for-profit organisation that supports whistleblowers, says existing legislation “turns a serious concern that might be about the death of babies, or massive fraud, into a simple dispute between an employer and a worker”.

“The allegations get lost somewhere in the system.”

“Currently legislation incentivises wrongdoing because nobody’s held to account,” she continues, adding that if the law had changed years ago the Post Office scandal may never have happened.

“We know that there were whistleblowers at the Post Office. We know there were whistleblowers across all of the hospitals, and nobody is listening to them.”

Read more:
Doctors will be ‘supported to speak out’ under new guidelines
How police caught Lucy Letby

Georgina Halford-Hall says 'nobody is listening' to some whistleblowers
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Georgina Halford-Hall says ‘nobody is listening’ to some whistleblowers

‘I couldn’t see a way out’

Peter Duffy worked as a consultant urologist at Morecambe Bay NHS Trust and raised concerns about widespread harm in his department.

He left his job as a result, and has since retired early from the medical profession.

“You’re just doing your job,” he says, “it’s only when it’s too late you realise you’re a whistleblower.”

He describes wanting to take his own life due to the toll it took on him personally and professionally: “I couldn’t see a way out.”

Peter Duffy felt suicidal after raising concerns
Image:
Peter Duffy felt suicidal after raising concerns

Aaron Cummins, chief executive at University Hospitals of Morecambe Bay NHS Foundation Trust, says a 2019 independent investigation looked into all concerns raised about the trust’s urology services.

“We encourage colleagues working at the trust to speak up where they have concerns about patient safety or the wellbeing of their colleagues”, he says, “and work hard to foster an environment where raising concerns is prioritised and respected as an essential part of our core business.

“We acknowledge that governance at the trust was not good enough in the past and issues raised were not always addressed.

“There is still more to do, and our priority now is to make further progress and ensure all improvements are robust and sustainable.”

Mr Duffy is also backing the new bill proposing an Office of the Whistleblower, which would have powers to force action and refer criminal offences for investigation.

If it passes through parliament it would also mean the government would have to initially fund the central body.

Eventually more funding would come from fines imposed on organisations.

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Mary Robinson, chair of the All-Party Parliamentary Group (APPG) for Whistleblowing, believes it would “save money” long term by “ending the culture of cover-up”.

“There’s a cost to this cover-up”, she says, “there is a cost to paying people off when they’ve been unfairly dismissed, and also a cost in human lives”.

“It would prevent more cases because it will change the culture in organisations and we need to bring about that culture change.”

A government review of existing UK whistleblowing legislation was due to be published in Autumn 2023, but has been delayed.

No reasons have been given for the delay but a department for business and trade spokesperson said it will be published “later this year”.

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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‘He was going to kill me’: More strangulation cases recorded by police – but many investigations falter

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'He was going to kill me': More strangulation cases recorded by police - but many investigations falter

Around 70% of non-fatal strangulation cases in the last year have been dropped due to evidential issues, exclusive data shared with Sky News shows.

It is now three years since it became a standalone offence in England and Wales, in a landmark piece of legislation designed to protect domestic abuse victims.

Data from the Institute for Addressing Strangulation (IFAS) shows that police are implementing the offence widely – but outcomes for victims are mixed.

Warning: This article contains references to domestic abuse and sexual assault

‘Sarah’ – whose name has been changed to protect her identity – vividly remembers the first time her ex-partner strangled her, one year into their relationship.

She said: “He was drunk, and he climbed on top me. He put his hands around my throat, and he pinned me down with the strength of his body.”

Terrified, she begged him repeatedly to stop, but he carried on.

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“I remember I just felt really numb and scared, but it was weird, it felt like an out-of-body experience.”

Afterwards the only words he spoke to her were “look what you made me do,” she said, and then when the ordeal was over, he carried on with his day as if nothing had happened.

This was the beginning of a pattern of abuse that continued throughout the rest of their relationship, happening on at least 30 more occasions, Sarah estimated.

It became so normalised

He strangled her when she was pregnant. He strangled her whether her children were in the house or not. It always happened during sex, though Sarah was only later able to recognise that this was rape after talking to the police, because for her it had become so normalised.

And, always, he told Sarah it was her fault – that she had somehow ‘made’ him do it.

She later went on to suffer a miscarriage because of the physical abuse.

‘A form of control’

“Looking back now I can see it was a form of control he got off on, knowing that he was in control, and he liked seeing me upset,” she said. “I thought that he was going to kill me because he used to threaten it to me. It was very, very scary.”

This fear of death is common among victims of strangulation and is a recognised tool of control and intimidation.

A US study found that victims of domestic abuse were seven times more likely to be murdered by their current or former partner if there had been an incident of non-fatal strangulation beforehand.

But this form of violence often leaves no obvious external signs of injury, meaning in some cases perpetrators could only be investigated for less serious offences like common assault, which did not reflect the severity of the crime.

Anonymised image of strangulation victim Sarah* speaking to Sky News correspondent Ashna Hurynag
Image:
‘Sarah’ speaking to Sky News correspondent Ashna Hurynag

What are the possible effects on health?

The potential health impacts are wide-ranging, including loss of consciousness, voice changes, difficulty in swallowing and breathing, bruising, haemorrhages, headaches, depression, post-traumatic stress disorder (PTSD), miscarriage, risk of suicide, and death (including delayed death).

Symptoms can arise weeks or months after the event.

It is for these reasons that campaigners fought for the introduction of the standalone offence, which came into effect in June 2022.

‘Much work to be done’

The IFAS has been monitoring the offence since the legislation was introduced and shared its latest report findings exclusively with Sky News.

It said there is still “much work to be done” to better protect victims of strangulation.

New figures obtained by IFAS from the Home Office reveal that over 63,000 crimes of non-fatal strangulation or suffocation were recorded by police in England and Wales in the first two years under the legislation.

There were 39,360 recorded crimes in 2023/24, on average 66 offences per 100,000 people compared with 50 per 100,000 the year before, an increase of 20%.

“Survivors who work with us have recognised time and time again how important it is to be able to see strangulation as a standalone offence and have the opportunity to progress with criminal justice proceedings,” Harriet Smailes, co-author of the report, told Sky News.

The volume of crimes recorded suggests that the offence is being widely recognised and reported by police – and the number resulting in charges, at 12%, is high compared to some other offences.

However, a significant number of investigations result in no further action due to evidential difficulties. This can happen if police or prosecutors do not believe there is enough evidence to proceed, or if the victim does not support the investigation.

This was the outcome in three in five investigations overall, including one in five investigations where the victim did support police action. Outcomes were similar in both years of available data.

“In around half of cases, there are no external, physical, visible signs of injury. That’s not to say that there aren’t internal injuries that can’t be seen just with the naked eye,” said Ms Smailes, who is a research officer at IFAS.

“It might be that that visible injury isn’t present at the time of evidence capture that might develop over time, or because there’s a difference in how individuals show bruising, for example those of different skin tones. That can contribute towards there not being enough perceived evidence to be able to progress with a police case,” she said.

IFAS research officer Harriet Smailes
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IFAS research officer Harriet Smailes

In some cases where a victim disengages from police proceedings, it may be that they did not feel supported and believed in the process or felt that there were “too many obstacles”.

On the other hand, not all cases where a victim did not support police action are necessarily negative. “It might be that initial needs have been met in that instance through reporting to the police, for example, initial containment of the risk of that situation, and referrals to specialist health or mental health services,” Ms Smailes explained.

Police ‘determined’ to improve

Assistant Commissioner Louisa Rolfe is the National Police Chiefs’ Council lead for domestic abuse.

She told Sky News that securing prosecutions for strangulation is a priority for tackling violence against women and girls, and a key part of national Domestic Abuse Matters training.

“For us to do well in prosecutions, we need to understand how perpetrators operate, how they use this is a sinister way of controlling their victims. And we also know that many victims are frightened to pursue prosecution,” she said.

Investigators not only have to secure detailed evidence rapidly but also present the best possible case so that prosecutors and juries understand how an abuser is operating, she said.

“That can be a challenging job, for a police service that’s under pressure, trying to deal with a myriad of priorities. I know many investigators are passionate about getting this right.”

“We know we’re up against it when it comes to securing convictions, but we’re determined to improve,” she added.

AC Louisa Rolfe, National Police Chief Council lead for domestic abuse
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AC Louisa Rolfe, National Police Chief Council lead for domestic abuse

Fewer than half were convicted

Separate research by IFAS has found that in the first year under the new legislation, only around half of the number of offences charged by police were prosecuted, and less than half of those secured a conviction.

Overall, 47% of the 1,437 prosecutions of non-fatal strangulation and suffocation offences in the year to June 2023 resulted in conviction, based on data from the Ministry of Justice (MoJ) from all courts in England and Wales.

There are several potential reasons that a prosecution may be unsuccessful, including evidential difficulties or a victim withdrawing from the process.

The accused may also have been convicted of a separate offence, but not for the strangulation. Without more detailed data, it is hard to determine to what extent each is contributing to the low conviction rate.

Reflecting on the figures, head of policy and public affairs at domestic abuse support charity Refuge, Ellie Butt, told Sky News that victims often face “huge pressure” from perpetrators to drop out of the criminal justice process.

“When compounded with lengthy court delays and insufficient support, many survivors are forced to withdraw from the process. Police and prosecutors should be working to build cases that can be taken forward even when a survivor can no longer continue,” she said.

The Crown Prosecution Service highlighted to Sky News that the number of new prosecution proceedings has been consistently increasing, particularly domestic abuse-related strangulation offences.

In the latest quarter, 2,000 cases reached their first hearing at magistrates’ court.

Kate Brown, the CPS national lead for domestic abuse, said: “Three years on, we have continued to bring more charges quarter on quarter, with over 2,000 seen in court in the past three months.

“This standalone offence has shone a light on those who seek to use these violent acts to exert power over another person and harm them. We are determined to continue bringing abusers to justice for victims.”

A gendered crime

The new data from IFAS reinforces that strangulation is a gendered crime. Around 80% of victims whose gender was recorded by police were female, while 88% of suspects were male.

The data also shows that while people from all ages are impacted, most victims are younger, with three in five aged 34 or under. The age profile of suspects was slightly higher, with three in five suspects aged between 25 and 44.

‘I want to say it’s not your fault’

Sarah’s case ended in evidential difficulties.

Though her case was reported before 2022, when strangulation became a specific offence, she said she did provide substantial physical evidence to the police and she feels “let down” by the justice system.

She said she has been diagnosed with PTSD, anxiety and other health issues.

“I live with it every day. It can be a song that comes on the radio or a sign or somebody’s name and it would just bring everything back to me to that point, that moment,” she said.

“I want to say it’s not your fault. Nobody has the right to control you, nobody has the right to abuse you, rape you, strangle you.

“I would urge anyone to speak out and if you feel like you haven’t been heard and your voice has not been listened to, speak out again.”


If you or someone you know is a victim of domestic abuse, support is available.


The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling, we aim to better explain the world while also showing how our journalism is done.

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Body found in wooded area in search for missing teenager Cole Cooper

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Body found in wooded area in search for missing teenager Cole Cooper

A body has been found in the search for a teenager who went missing more than four weeks ago.

Cole Cooper, 19, was last seen by a school friend on Wednesday 7 May, in the village of Longcroft near Falkirk, in central Scotland.

Mr Cooper was reported missing by his family on Friday 9 May, sparking a major investigation involving helicopters, divers, digital specialists and hundreds of officers.

Cole Cooper. Pic: Police Scotland
Image:
Cole Cooper. Pic: Police Scotland

Police Scotland said a man’s body was discovered in a wooded area near Kilsyth Road in Banknock, Falkirk, on Friday afternoon.

“Formal identification has yet to take place however the family of missing man Cole Cooper, 19, has been informed,” the force said in a statement. “Enquiries remain ongoing to establish the full circumstances.”

Officers said the last confirmed sighting was at 8.45pm on the A803 at its intersection with Cumbernauld Road, Longcroft, on 7 May.

Speaking to Sky News Breakfast earlier this week, his brother Connor said their family felt “lost” and described his sibling’s disappearance as “hell… for all of us”.

He described him going missing as “very much out of character” and said that even if his brother wanted some space or alone time, he would have notified family or friends beforehand – and would never “put his younger siblings through this”.

His mother Wendy Stewart described the situation as “total heartache” and was afraid he may have been “picked up by a car”.

“Is it actually happening?” she said. “I have been wanting to wake up and it’s just been a big nightmare.”

Read more from Sky News:
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The search for Cole Cooper goes on
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A missing poster near the last place Cole Cooper was seen

During the search, police visited more than 220 properties and trawled through around 1,000 hours of CCTV footage in a bid to find Mr Cooper.

Specialist resources from across the country were mobilised, including a helicopter and drones from the air support unit, as well as officers from the dive and marine unit.

The force previously indicated there was no suggestion of any criminality.

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Arrests of illegal migrant workers increase by 51% in year since Labour elected

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Arrests of illegal migrant workers increase by 51% in year since Labour elected

Arrests of migrants working illegally in the UK have increased by 51% in the year since the general election, after the government targeted restaurants, nail bars, and construction sites.

From 5 July 2024 – the day after Labour won the election – to 31 May 2025, 6,410 people have been arrested on suspicion of working illegally, according to Home Office figures.

This is a rise of 51% on the previous year when the Conservatives were in government, the department says.

As part of Labour’s Plan for Change, enforcement officials have made 9,000 visits to restaurants, nail bars, and construction sites, among other premises, to root out those suspected of working without a visa – a 48% increase in activity during the previous year.

Video footage shows the moment 36 people were arrested at a construction site in Belfast‘s Titanic Quarter where enforcement officials uncovered people breaching their visa conditions and working in the UK having entered the country illegally.

Enforcement officials arrest illegal workers in a nail bar in Belfast. Pic: Home Office
Image:
Enforcement officials arrest illegal workers in a nail bar in Belfast. Pic: Home Office

In Surrey last month, nine people were arrested at a caravan park after intelligence revealed it was being used for illegal delivery drivers.

In Bradford in March, a further nine people were arrested after officers identified a popular pick-up spot for illegal workers.

A raid on a caravan in Surrey with suspected links to illegal workers. Pic: Home Office
Image:
A raid on a caravan in Surrey with suspected links to illegal workers. Pic: Home Office

Read more from Sky News
Cancer patients missing holidays
Water bosses’ bonuses banned
Prisoners to be moved to lower security jails

People traffickers often trick migrants into deadly small boat crossings by promising they will be able to find work in the UK, when in reality, those arrive safely are instead forced into squalid conditions, for no or little money.

Employers are supposed to carry out right-to-work checks on all new employees who come from abroad – with those who fail to do so facing £60,000 fines per worker, director disqualifications, and prison sentences of up to five years.

A suspect is guided into a van after arrests are made in Surrey. Pic: Home Office
Image:
A suspect is guided into a van after arrests are made in Surrey. Pic: Home Office

Immigration enforcement workers at a caravan site in Surrey. Pic: Home Office
Image:
Immigration enforcement workers in Surrey. Pic: Home Office

30,000 returned to home countries

Alongside the arrests, since Labour came to power, almost 30,000 people who had no right to be in the UK have been returned to their home countries, according to Home Office data.

The government says it is also introducing tougher laws, extending right-to-work checks, and targeting particular sectors known to be linked to illegal workers.

Dame Angela Eagle, minister for border security and asylum, said: “For too long, employers have been able to take on and exploit migrants, with people allowed to arrive and work here illegally.

“This will no longer be tolerated on our watch. That’s why we are ramping up our enforcement activity and introducing tougher laws to finally get a grip of our immigration and asylum system.”

Eddy Montgomery, director of enforcement, compliance and crime for immigration enforcement, added: “Our work to tackle illegal working is vital in not only bringing the guilty to account, but also in protecting vulnerable people from exploitation.

“I’m incredibly proud of our enforcement teams across the country for their hard work, skill and cooperation on these often challenging but highly important operations.”

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