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A 24-year-old woman died from long-term complications stemming from her use of nitrous oxide and immobility, a coroner has ruled.

Ellen Mercer died from a pulmonary embolism after inhaling two to three “big bottles” of the substance each day, an inquest heard.

“This case has highlighted how hugely dangerous it is to use nitrous oxide,” senior coroner Heidi Connor said.

Explained: What is nitrous oxide?

Describing the student’s death as “such a sad waste of a young woman’s life,” the coroner added her use of the drug had been a “significant cause of her immobility and developing clots.”

The inquest heard a post-mortem examination report found Ms Mercer’s death to have been caused by bilateral pulmonary thromboembolism, deep vein thrombosis, and “long-term complications of nitrous oxide use”.

She was said to have spent the previous two weeks unable to leave her bed because of her abuse of the substance.

Ms Mercer died in February last year after being admitted to hospital with a blister caused by a laughing gas canister stuck to her leg.

She had become a habitual user of nitrous oxide and medics who tried to save her reportedly found “features of neurological compromise”.

Subsequent tests showed nitrous oxide inhalation had resulted in Ms Mercer developing serious circulation and breathing problems.

Her fiance Tom Bailey told Sky News his bubbly, kind and caring partner would get through three to four canisters in one sitting.

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Ellen Mercer, who died aged 24 after becoming a habitual nitrous oxide user, with fiancé  Tom Bailey
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Mr Bailey has described how his partner was getting through three to four canisters a day

“Her reactions became slower and her face would show discolouring,” he said. “And then it was all a build-up due to the burns… then she was unable to walk, so then she was unable to go to the toilet.”

Mr Bailey added that his fiancee would “sit there and do all of [the laughing gas] in one go.”

“It got to the point where she couldn’t put it down,” he said. “She’d have to finish it and then she’d want more.

“If she didn’t have it, she wouldn’t be happy without it.”

Ellen Mercer, who died aged 24 after becoming a habitual nitrous oxide user. Pic: Tom Bailey
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Ellen Mercer died aged 24

An ‘extremely serious social problem’

Nitrous oxide itself is not addictive, addiction specialist Chip Somers told Sky News.

He explained: “Psychologically and emotionally, it could certainly have an addictive trait to it. But you’re not going to suffer withdrawal symptoms of a physical nature if you were to suddenly stop taking it.”

Mr Somers is calling for better help for habitual users of the drug. He said: “We should be taking the use of nitrous oxide extremely seriously as a social problem.”

Ellen Mercer, who died aged 24 after becoming a habitual nitrous oxide user, with fiancé  Tom Bailey
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Mr Bailey has spoken out to raise awareness of how dangerous nitrous oxide can be


Mr Somers works with people who have stopped using nitrous oxide and said those clients are “not problematic in terms of the physical withdrawal”.

“But they are problematic as they’re then left with all the unhappiness and dysfunction that probably made them start using something quite mind-altering in the first place,” Mr Somers added.

The government last year banned the recreational use of nitrous oxide and dealers can now face up to 14 years in prison. At the time of the student’s death possession of laughing gas with the intent of getting high was not illegal.

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Mr Bailey said he is in favour of criminalising users and has spoken out after his fiancee’s death to warn others of the drug’s severe consequences.

But Mr Somers says he does not think criminalising “is the way to go”.

“These people are not criminals,” he said. “They are people who need help and criminalising them and punitive fines and maybe even imprisonment is not going to actually solve the problem.”

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‘They’re invisible within society’: Whistleblower says asylum seekers disappear ‘daily’ from hotels

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'They're invisible within society': Whistleblower says asylum seekers disappear 'daily' from hotels

An insider has told Sky News people are still disappearing “daily” from asylum seeker hotels.

In an exclusive interview, the contractor described the chaos he sees within the system as “terrifying” because undocumented people are persistently absconding from hotels.

He spoke to us because he is deeply concerned about the ongoing lack of monitoring at a time when the government has promised to tighten the asylum system.

The man, who we are not naming, works across multiple asylum hotels in one region of England.

“When someone gets to about a week away from the hotel, they’re processed as an absconder,” he said.

“Nothing really happens there. They get marked as ‘left the hotel’ and a notification is sent to the Home Office.

“It’s at least weekly. Most of the time it can be daily.”

More on Asylum

The government moved last month to reset its immigration policy by promising to toughen the process for asylum seekers.

The latest figures up to September this year show 36,272 asylum seekers living in hotels.

Failed asylum applicants are given a date to move out by, but they're not actually picked up by the authorities, the insider says
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Failed asylum applicants are given a date to move out by, but they’re not actually picked up by the authorities, the insider says

Overall 110,000 people claimed asylum in the UK between September 2024 and September 2025 – higher than the previous recorded peak of 103,000 in 2002.

The hotel contractor also described to Sky News what he says happens when a resident’s claim for asylum is rejected.

“They get given a date that they need to move out by,” he said.

“You would expect immigration enforcement to go to the hotel to pick these people up. You would expect them to not even be told that they failed their asylum claim.

“You would expect them to just be collected from the hotel… that doesn’t happen.”

He told us that some residents just walk out of the door with no further checks or assistance.

The whistleblower spoke to Sky News' Tom Parmenter in the exclusive interview
Image:
The whistleblower spoke to Sky News’ Tom Parmenter in the exclusive interview

“It must be terrifying for these people as well… ‘what do I do now? I don’t have an address’.

“So what do they do? How do they survive?

“Do they then get forced… to go into an underground world?

“They’re just completely invisible within society.

“For those people to freely be allowed, undetected and unchecked, on the streets of this country is terrifying.”

His account from within the system contrasts with the government’s promises to restore control over the asylum process.

Police and protesters outside the Bell Hotel, Epping, where asylum seekers have been housed. Pic: PA
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Police and protesters outside the Bell Hotel, Epping, where asylum seekers have been housed. Pic: PA

In response to the interview, a Home Office spokesperson said: “This government will end the use of hotels and have introduced major reforms to the asylum system, to scale up removals of people with no right to be here and address the factors drawing illegal migrants to the UK in the first place.

“Nearly 50,000 people with no right to be in our country have been removed and enforcement arrests to tackle illegal working are at the highest level in recent history.

“A dedicated team in the Home Office works with police, across government and commercial companies to trace absconders. Failure to return to a hotel can also lead to asylum claims and support being withdrawn.”

At a community kitchen in Greater Manchester, organisers told us they regularly see people who are living under the radar – surviving with “cash in hand” jobs.

Volunteer Shabana Yunas says the situation is 'getting worse' and 'it is dangerous'
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Volunteer Shabana Yunas says the situation is ‘getting worse’ and ‘it is dangerous’

Volunteer Shabana Yunas helps many hungry and desperate people. She also feels the tension it causes in her community.

“People don’t know who they are and I understand a lot of people are afraid… but if there’s those things in place where we can monitor who is around, then everybody can feel a lot safer.

“If people are coming into the UK and we don’t know who they are and they’re just disappearing, crime rates are going to go up, slavery is going to go higher, child exploitation is going to be more exposed.

“They are too afraid to go to the authorities because they are scared of being deported to a country where their lives could be at risk.

“It’s getting worse, it is dangerous and we do need to do something about this where we can support people.”

Kitchen volunteer Khalid, from Ethiopia, has had his application for asylum rejected four times
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Kitchen volunteer Khalid, from Ethiopia, has had his application for asylum rejected four times

Another volunteer at the kitchen is Khalid.

He arrived in the UK in 2015 having travelled from Ethiopia – he hid on a lorry to get into England.

Read more:
The visa overstayers living under the radar

Stats show rise in asylum seekers being housed in hotels
Britain’s immigration system changes explained

He has applied for asylum and been rejected four times.

He has recently submitted another application and told us political violence at home meant he could not return.

Crucially, he knows plenty of people living off-grid.

“Yeah, they don’t care about what the government thinks, because they already destroyed their life,” he told us.

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Although Khalid now has somewhere to stay, he has previously considered turning to crime to give himself the stability of life in prison.

“I was in depression. I was like, I wanna do some criminal and go jail, to stay in a prison.

“Once upon a time, I’d prefer that way.”

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The visa overstayers in ‘soft’ Britain

Khalid is now volunteering to give his life more purpose as he waits for another decision from the Home Office.

He says he doesn’t blame people who think he should be deported back to Ethiopia.

When asked if he should have been, he said: “That is up to Home Office, like up to government.”

Stopping small boats, clearing backlogs, closing hotels, enforcing the rules and restoring faith in the system are all priorities for the Home Office – solving it all is one of the defining challenges for the Starmer government.

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NHS facing ‘worst case scenario’ December amid ‘super flu’ surge

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NHS facing 'worst case scenario' December amid 'super flu' surge

NHS England has warned the health service is facing a “worst case scenario” December with a surge of “super flu”.

The warning comes as new figures revealed the number of people in hospital with flu have increased by more than half in just one week.

Catch up as it happened: NHS warns of ‘worst-case scenario’ as ‘super flu’ surges

Latest figures show:

• An average of 2,660 patients were in hospital per day with flu last week

• This is the highest ever for this time of year and up 55% on last week

• At this point last year the number stood at 1,861 patients, while in 2023 it was just 402

Health service bosses are warning the number of flu patients in hospital has already increased sharply since the week covered by this data – with no peak in sight.

Read more: Why is flu season worse this year?

Virus outbreaks coincide with doctors’ strikes

Weekly flu numbers in England peaked at 5,408 patients last winter and reached 5,441 over the winter of 2022/23, the highest level since the pandemic.

Alongside rocketing flu, the number of norovirus patients in hospital has also risen by 35%.

The NHS is now warning winter viruses are starting to “engulf hospitals”.

Demand for A&Es and ambulance services is also soaring.

New monthly figures show A&E attendances were a record for November at 2.35 million – more than 30,000 higher than November 2024.

In addition, there were 48,814 more ambulance incidents (802,525) compared with last year (753,711).

Some hospitals across the country have asked staff, patients and visitors to wear face masks to cut the spread of flu, while others have gone in and out of critical incident status due to the high number of people attending A&E.

What are the symptoms of flu?

  • Sudden high temperature
  • Achy body
  • Feeling tired or exhausted
  • Dry cough
  • Sore throat
  • Headaches
  • Difficulty sleeping
  • Loss of appetite
  • Diarrhoea
  • Feeling or being sick

The record-breaking demand on the NHS coincides with a resident doctors’ strike from 17 to 22 December over pay and jobs – sparking fears of major disruption for patients in the run up to Christmas.

People are being advised to attend any planned appointments scheduled during the strikes unless they have been contacted to reschedule.

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Will doctors accept late deal to avoid strikes?

Flu vaccinations on the up… who can get one?

The NHS is urging anyone eligible to get their flu vaccination to help prevent them getting seriously ill.

Latest figures show more than 17.4 million people have been vaccinated so far this year, more than 381,000 higher than last year.

You can get it if you:

• Are 65 or over in England, Scotland, Wales and Northern Ireland

• Are pregnant

• Live in a care home

• Are the main carer for an older or disabled person, or receive carer’s allowance

• Live with someone who has a weakened immune system

• Are a frontline health and social care worker

• Are of school age

• Have certain medical conditions (the NHS has a full list)

Wes Streeting, the health secretary, warned of a “tidal wave of flu tearing through our hospitals”.

“We are working with the NHS to make sure it is able to cope with this as best as possible,” he said.

Analysis – Why these flu figures are so troubling

NHSE press releases can be prone to hyperbole: a “tsunami of infections, worst case scenarios” and “tidal wave of flu surging through hospitals” are recent examples.

But the health service’s headline writers can be allowed this excess right now.

The latest flu numbers are bad. Really bad and could get worse. One recent projection was 8,000 patients, before this wave subsides.

But that’s where the problem lies. There is no peak in sight.

We know flu season has come early. It’s going to last longer. But there’s uncertainty over when we expect to see infections falling.

Hospitals are at capacity. Most of those receiving care are elderly or have underlying health conditions.

But younger, fitter people can’t afford to be complacent.

This is a particularly nasty strain that is highly infectious. Nobody is immune. Except those people who have protected themselves with a vaccine.

Warning ‘extremely challenging few weeks ahead’

Professor Meghana Pandit, NHS national medical director, warned the health service faces “an extremely challenging few weeks ahead” with “staff being pushed to the limit”.

She said: “With record demand for A&E and ambulances and an impending resident doctors’ strike, this unprecedented wave of super flu is leaving the NHS facing a worst-case scenario for this time of year – with staff being pushed to the limit to keep providing the best possible care for patients.

“The numbers of patients in hospital with flu is extremely high for this time of year. Even worse, it continues to rise and the peak is not in sight yet, so the NHS faces an extremely challenging few weeks ahead.”

She added: “We have prepared earlier for winter than ever before, and stress-tested services to ensure people have a range of ways to get the help they need and avoid needing to go to A&E.

“For non-life-threatening care, people should call NHS 111 or use 111 online, which can direct you to the most appropriate place, and use A&E and 999 for life threatening conditions and serious injuries.”

Read more from Sky News:
US accused of ‘piracy’
Flights diverted in Moscow

Mr Streeting has offered the British Medical Association (BMA) a last-minute deal in the hope doctors will call off the walkout, which starts next Wednesday.

The doctors’ union has agreed to put the offer to members over the coming day, and is expected to announced a decision on Monday, just two days before the planned strike.

The offer includes a fast expansion of specialist training posts as well as covering out-of-pocket expenses such as exam fees, but does not include extra pay.

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Super flu strikes during perfect storm for NHS

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Super flu strikes during perfect storm for NHS

The spread of subclade K, the super flu, is picking up – and it’s not looking good for the NHS.

An average of just under 2,700 hospital beds a day in England were occupied by patients with flu last week.

There are fears that could jump to somewhere between 5,000 and 8,000 by the end of this week.

That’s on top of COVID and RSV.

And with the possibility of a five-day strike by resident (junior) doctors next week, it’s a perfect storm for hospitals.

An NHS hospital ward at Ealing Hospital in London. Pic: PA
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An NHS hospital ward at Ealing Hospital in London. Pic: PA

Christmas flu

Children are the super-spreaders of flu. It races around classrooms and some schools have temporarily shut because of the impact.

More on Health

The Christmas holidays aren’t far off. They are likely to put the brakes on children passing around the virus.

But it’s also a time of year when families mix with elderly relatives, who are more likely to be hit hard by the infection – perhaps even needing hospital care.

So while the holidays may temporarily slow the overall rise in infections, the impact on hospitals could get much worse.

File pic: PA
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File pic: PA

Subclade K

Flu is spreading so rapidly at the moment because immunity to subclade K from previous infections and vaccinations is low.

The virus – a variant of the H3N2 flu strain – suddenly acquired seven new mutations in late summer.

Every 100 people infected with seasonal flu would typically pass the virus on to 120 others.

With subclade K, it’s 140.

And that’s why cases are rising so quickly on the charts.

At the moment, 18 in every 100,000 patients in England are consulting their GP with flu-like symptoms. That’s still well short of the peak of around 50 in every 100,000 in 2017/18, the worst flu outbreak in recent years.

File pic: PA
Image:
File pic: PA

The grim reality of flu

Flu is a really unpleasant disease, nothing like a cold. I’ve had it twice in my life and it physically hurt to get out of bed. It’s grim.

Most people get over it with a few days’ rest and paracetamol to take the edge off the fever.

But vulnerable people can become seriously ill. In the outbreak of 2017/18, around 22,000 died.

Read more:
Nurses ‘deeply concerned about what lies ahead’
NHS braced for ‘toughest winter’ after record-breaking month

That’s why the NHS is urging people in certain groups – the over 65s, those with underlying health conditions, pregnant women, carers and children – to get the jab.

The vaccine isn’t a great match for subclade K, but still reduces the chance of hospital admission by 30-40% in adults.

It’s impossible to say when the spread will peak, but the latest figures suggest the outbreak is far from over.

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