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WARNING: This article contains language and content some readers may find distressing

As a single mum, Lucy* looked forward to her rare nights out. A few years ago, during after-work drinks at a local pub, she started feeling unwell. When she collapsed and passed out, a bouncer called an ambulance. Lucy’s drink had been spiked.

The ambulance was crewed by two paramedics, a man and a woman. Still unconscious, Lucy was placed on a stretcher, strapped on to the bed, and driven towards the hospital.

After a scary episode, Lucy’s friends must have breathed a sigh of relief. She was safe, and being looked after. But, as the female ambulance driver looked in her rear-view mirror to check on Lucy, she says she saw the unimaginable – her male colleague sexually assaulting his patient.

Lucy still doesn’t remember what happened, but she has the police report and crime scene pictures of the inside of the ambulance.

Pointing to a photo of where she was strapped down, she says almost matter-of-factly: “He put my legs up, so my knees were up, and put his hand inside my groin area – possibly touching my vagina.”

When she regained consciousness, she was told what had happened to her. Years later, she is still struggling to process it.

The paramedic denied the charges and was found not guilty at trial, but later struck off by the paramedics’ regulator, the Health and Care Professions Council (HCPC).

They have a lower standard of proof than the criminal courts, and found against him, calling him a “serious threat to patient safety”.

Lucy still wouldn’t feel safe getting into an ambulance today. “It’s awful, you feel so violated and vulnerable,” she says.

Rebecca Hendin illustration for Rachael Venables piece

“It’s a shock to think someone in that position would do that, when they’re supposed to be there to look after you.”

Her story is horrific, but Lucy is not alone. It forms part of a year-long Sky News investigation into sexual misconduct in the ambulance service, which has revealed a culture where abuse and harassment among staff are rife and patients are sexualised.

A senior ambulance boss admits the service has “let victims down”, while stressing that perpetrators are the “minority”.

Jason Killens, head of the Welsh Ambulance Service and the Association of Ambulance Chief Executives, says he expects “a steady increase” in the number of cases, with more paramedics being sacked for sexually inappropriate behaviour over the coming years, because of the work his organisation is doing to change the culture.

Data shared with Sky News shows one in five of the sexual misconduct complaints made against paramedics to their regulator, the Health and Care Professions Council, in 2023 were for acts against patients or members of the public.

While fewer than 1% of all HCPC members had concerns raised against them last year, in sexual misconduct cases, paramedics were hugely over-represented.

They make up just 11% of the HCPC register, but account for 64% of all investigations into sexual harassment against colleagues. The regulator’s chair, Christine Elliot, thinks the sexual misconduct cases are “just the tip of the iceberg”.

Rebecca Hendin illustration for Rachael Venables piece

“This is all about patient safety,” she says. “Patients need to know when they see a practitioner, they can rely on them giving the best care possible with the best behaviour possible.”

‘Totally unnecessary breast examinations’

Cases like Lucy’s are rare but several whistleblowers across multiple trusts have spoken up about a culture in which “banter” or jokes about groping patients are commonplace.

Current and former paramedics claim to have heard patients, particularly young women, being sexualised by the men who had helped to treat or even save them.

One former paramedic revealed the phrase “totally unnecessary breast examinations” (or TUBEs), and said she had heard paramedics talking about “TUBEing” young, drunk women. She also claims to have seen a colleague grope another colleague’s breasts, telling her: “I just TUBEed you.”

A second woman said the same phenomenon was called “jazz hands” in her trust. Both said these were widely understood phrases which referred to colleagues accidentally, or deliberately, touching a woman’s breast during treatment.

A third paramedic told us she’d heard colleagues talk about patients in an explicitly sexual manner, saying things like: “She had nice tits” or “those were silicone”, while bragging about getting a patient’s number and having a “good feel”.

“That is assault. That is sexual assault,” she says.

Rebecca Hendin illustration for Rachael Venables piece

‘It will be fun. Your career will progress’

“One of my biggest fears was that I wouldn’t be believed because of where I worked. It was the ambulance service and he was the man in charge,” says Ellie*, whose first job was as a call handler in an ambulance control room.

She loved the camaraderie and the idea that she was making a difference. Until one day, the manager called her into his office and invited her to a conference with him. At first, she was flattered and a little confused.

“He explained that he’d taken a liking to me and then he reached out and touched my leg.” Shocked, Ellie froze. “I was in my early 20s and didn’t know what his intention was. I was a bit naive, probably.” As he carried on talking, her boss slid his hand “as far up my thigh as it could go”.

Horrified, she shot back in her chair and asked him what he was doing.

“If you come, we’ll share a room. It will be fun. Your career will progress,” her boss replied.

“No,” she exclaimed, rushing out the room in a panic. Back at her desk, she carried on taking 999 calls while he watched over her.

Then she claims the messages started: “They were photos of his private parts, as well as messages suggesting meeting in the car park for sex and saying he wanted to kiss me. A whole manner of very descriptive sexual actions that he said he wanted to do with me.”

The messages carried on “for months”, she says, despite her pleading with him to stop. She was left dreading going to work for fear of seeing him, and avoided going to the toilet in case she ran into him in the corridor.

Venables paramedics piece

Eventually she showed the messages to HR, she says, but claims they suggested moving her to a different office. He wouldn’t be punished.

“It was sexual harassment,” Ellie says, caught between anger and despair. “They didn’t do anything. There was no investigation. No meeting with him that I’m aware of. No statement from me. Nothing. I was the problem.”

She eventually quit the service, but alleges he still works there to this day, an injustice that “makes me feel sick” she says.

An NHS England spokesperson said new national guidance and training has been recently introduced “to stamp out this awful behaviour”.

“Any abuse or violence directed at NHS staff is totally unacceptable and will not be tolerated, and the NHS is committed to tackling unwanted, inappropriate or harmful sexual behaviour in the workplace. We have recently introduced new national guidance and training that will help staff recognise, report and act on sexual misconduct at work to stamp out this awful behaviour,” they said.

‘We failed those individuals… I’m sorry’

Ellie’s story is simply “not right”, says ambulance boss Mr Killens.

“We failed those individuals,” he admits, saying “I’m sorry” to both staff and patients who have “been subject to poor behaviour from our people”.

What should the NHS do if a serious complaint of sexual abuse is made about a paramedic?

Anyone can raise a concern about a paramedic’s fitness to practise including patients, colleagues, police or members of the public.

Where the complaint is serious the NHS is expected to directly raise a concern with the regulator, the Health and Care Professions Council.

What happens when a paramedic is referred to the HCPC for a complaint of sexual abuse?

If the concern is very serious they can apply for an interim order to prevent someone from practising or to place conditions on how they can work until the case has been closed.

The claim is investigated and eventually considered by an independent tribunal panel who can impose a number of sanctions.

They can strike someone off the register or impose a temporary suspension; place a condition of practice or a caution order; or decide no further action is necessary.

How long does it take?

In 2023/24 it was around 160 weeks from receipt of a complaint to reaching the final decision

Why does it take so long?

Last year, there were a total of 2,226 concerns raised, a 26% increase from the previous year.

The HCPC say they face external pressures, like delays from NHS trusts, complex investigations, or having to run alongside the criminal justice system.

They also say “archaic” laws mean they have to take a huge amount of cases to a full tribunal, even when the preference might be to drop the case sooner and want legislative change.

Work is being done, he says, to tackle this kind of behaviour, citing it as his, and his organisation’s, top priority.

That will involve rooting out the perpetrators, but also playing the “long game” to change the culture “so that we can begin to tackle low level misconduct or inappropriate behaviour early, rather than let it fester and get worse,” he says.

According to the HCPC’s chair, cultural change is needed from leadership down. Sexual harassment, Elliot says, needs to be treated as high a priority as “waiting times and crumbling hospitals”.

Read more from this investigation:
Life as a female paramedic
‘Toxic’ culture of harassment revealed

But many of the victims we have spoken to say the HCPC takes too long (an average of three years) to investigate misconduct allegations.

Elliot agrees that isn’t good enough, but says they are running initiatives to speed things up, and wants to see legislative change to give her organisation more power to speed up investigations.

They have also created a sexual safety hub for both victims and witnesses of inappropriate behaviour.

It can be hard to hear allegations like Lucy and Ellie’s, contrasting their stories with a service in which the majority of people are dedicated to saving lives.

But it’s also clear that for far too long, abusers and those who commit sexually inappropriate behaviour have operated with impunity in the ambulance service. Some were perhaps protected by allegiances or cover-ups, many others simply hid behind the veneer of “banter”.

Ambulance and NHS bosses have made it clear to Sky News they are determined to root out not just the perpetrators of serious sexual violence, but also to stamp out the culture that breeds this behaviour.

But in the meantime women like Lucy, Ellie and countless others won’t hear an ambulance siren and feel safe, telling us they would even struggle to dial 999 in the case of a medical emergency.

*names have been changed

Illustrations by Rebecca Hendin

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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Biggest schools shake-up in a decade to cut GCSE exam time – and add AI and fake news lessons

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Biggest schools shake-up in a decade to cut GCSE exam time - and add AI and fake news lessons

The government has announced it will cut GCSE exam time by up to three hours per student.

The final report from a curriculum and assessment review – commissioned by Labour last year, and the biggest of its kind for a decade – recommends cutting the overall volume of exams at Key Stage 4 by 10%, ruling the current amount as “excessive”.

It also calls for the introduction of new maths and English tests in Year 8 to help teachers identify learning gaps sooner, the addition of mandatory citizenship lessons in primary schools, and a major overhaul of the Key Stage 2 grammar, punctuation, and spelling test.

AI among new subjects

The reforms to the national curriculum will also include a focus on AI and data science for post-16 students.

For the first time, primary-aged children will be taught how to spot fake news and identify misinformation and disinformation. This will help them develop their critical thinking skills and protect them when online.

Primary pupils will also learn more about the fundamentals of money. The review recognises that children are now consumers often before they reach secondary school.

A new compulsory reading test in Year 8 will be introduced. This will be in addition to a writing assessment in Year 6, as well as SATs, to identify pupils who need extra support.

Is another exam in Year 8 the right move?

Anjum Peerbacos

Education reporter

Are more exams the only way standards can be improved?

Primary colleagues have said SATs are not the best way to assess children. Previously, primary teachers have taken industrial action over this issue.

There is a danger this additional exam will exacerbate an exam factory culture which already exists in many schools. As a former secondary school teacher and parent I have seen first-hand how many hours of exams the system expects fifteen and sixteen-year-olds to do for their GCSEs.

There has been a huge rise in issues in young people’s mental health and the topic of exams is one of huge stress for young people. To introduce another compulsory exam seems rather short-sighted.

Exams are not the only way to drive up standards for young people and improve their life chances. Is the new system setting up another opportunity to fail?

Schools will also be expected to work towards offering triple science GCSE as standard.

This comes alongside the government exploring a new qualification for 16-18 year olds in data science and AI, with a view to encourage more young people into science and tech careers.

Education Secretary Bridget Phillipson said the changes “will help young people step boldly into the future, with the knowledge to achieve and the skills to thrive as the world around us continues to rapidly evolve”.

Read more from Sky News:
The 100-year trend that may be about to break

Additionally, the government will publish an oracy framework to help ensure more young people become confident and effective speakers, building on the success of existing reading and writing frameworks.

It is also committed to ensuring all pupils retain access to sport and the arts.

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‘Human error’ may have led to grooming gangs investigations being dropped, review says

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'Human error' may have led to grooming gangs investigations being dropped, review says

A major review to unearth failures to tackle grooming gangs has found that potential human error led to some police investigations being dropped.

The review – named Operation Beaconport – is looking into cases between 1 January 2010 and 31 March this year.

Thousands of cases are expected to come under scrutiny.

So far, 1,273 files from 23 police forces have been referred to the review, led by the National Crime Agency (NCA), of which 236 are being examined as a priority because they involve allegations of rape.

NCA deputy director Nigel Leary said initial reviews suggest there were mistakes in some investigations.

He said: “Initial reviews have identified that in some cases where there has been a decision to take no further action (NFA), there were available lines of inquiry that could have been pursued.

“We’ve seen in those cases what appears to be potentially human error.”

Mr Leary said that in some cases the inquiries haven’t followed what the NCA would characterise as “proper investigative practice”.

“That includes, for example, lines of inquiry being identified but not being followed, victim accounts not being taken in a way that we would recognise as best practice, and suspects not being pursued or interviewed in the ways that we would anticipate,” he said.

Read more from Sky News:
Hull grooming gangs investigation reopened
Officers taken off Hull grooming gangs investigation

Last month, the Metropolitan Police announced officers were reviewing 9,000 cases of child sexual exploitation.

It is expected that some of these will be referred to Operation Beaconport, which is looking at cases involving two or more suspects, more than one victim, contact offences, where the suspects are still alive, and that have not already been independently reviewed.

The investigation into grooming gangs and other non-familial sexual abuse in Rotherham between 1997 and 2013, Operation Stovewood, has cost £89m over 11 years. It is not clear how much the latest investigation will cost.

However, Mr Leary said it would be the “most comprehensive investigation of its type in UK history”, with the NCA estimating thousands of officers will be involved in the overall operation.

Victims will fear that wrongs are discovered, but not righted

There is already a system in place for what are known as “non-recent” sexual abuse cases to be reviewed called Operation Hydrant.

But the NCA is looking to identify cases in the last five years, which could show that women and girls are still being failed by police forces. 

Worryingly, the NCA says it has “already identified investigations that were incorrectly closed with no further action taken” as police chiefs are ordered to hand over their files in hundreds of closed cases under powers unique to the NCA.

This often comes with mixed feelings for the survivors. When Sky News investigated a closed case called Operation Marksman into an alleged grooming gang in Hull in 2021 – the case was reopened. A review team found the initial investigation was “flawed” and a new team in Humberside was ordered to re-investigate. 

But, two years on, the young women involved told Sky News they were angry and frustrated to discover the new team had only just finished going through the original files. What is more, evidence gets old – phones and laptops get swapped and deleted, DNA evidence has long disappeared.

This will run alongside the government’s national public inquiry, which has faltered after two potential chairs pulled out due to pressure from victims on the inquiry panel. 

With police resources stretched in many directions, what may happen is wrongs are discovered but not righted.

However, encouragingly, this isn’t just a review exercise by the NCA but also an effort to learn from mistakes, improve methodology, share more data which, if done well, could build a better success rate.

Officials are recording the ethnicity of suspects and victims as part of the review, and have found gaps in the existing data that they are trying to fill.

As they examine cases, they aim to flag any dangerous suspects, and any that are at risk of fleeing the UK.

Investigators have vowed to be “honest and transparent” with victims from the start, to avoid giving them unrealistic expectations.

Richard Fewkes, from the National Police Chiefs’ Council, said while going after perpetrators is important, some victims will just want to feel they are being listened to.

He said: “Justice means different things for different victims and survivors, and no one victim and survivor is the same.

“For some, justice is just being believed, perhaps for the first time, by someone in authority – being listened to.

“Or it might even be understanding that the review has taken place, a reinvestigation has taken place in an appropriate, focused, robust way, but nothing more can be done.

“For some that is justice in their mind.”

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Number of female MPs could plummet for first time if no action taken

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Number of female MPs could plummet for first time if no action taken

The number of female MPs could plummet for the first time in more than a century if action is not taken now, campaigners have warned.

If Reform UK, which has led voting intention polls since April, or the Conservatives, win the next general election, women’s representation would fall drastically.

Politics Hub: Latest updates and analysis

A Labour win would stall the current percentage of female MPs, which stands at its highest ever at 41% (264 out of 650) – but is still lower than the UK population, of which 51% are women.

If Reform win the next election, set for 2029, women’s representation could fall to 26%, analysis of Electoral Calculus polling data by 50:50 Parliament found.

If the Tories win, 33% of MPs would be women, while Labour would remain the same.

What does history tell us?

Every parliament since women were allowed to be MPs in 1918 has seen an increase, apart from small drops in 1950, 1979 and 2001.

Nancy Astor was the first woman to take her seat in the Commons and served from 1919 to 1945.

A statue of Nancy Astor in Plymouth, unveiled in 2019 by then PM Theresa May. Pic: Reuters
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A statue of Nancy Astor in Plymouth, unveiled in 2019 by then PM Theresa May. Pic: Reuters

The 80s saw a substantial increase in female MPs before a large jump in 1997, and there has been a big rise from 128 women MPs in 2005 to the current 264.

Despite this, no major party reached gender parity in its selection of candidates for last year’s election.

Labour selected 47% women, Greens were at 44%, Conservatives 34%, Lib Dems 28% and Reform 16%.

Female MPs in 2014 campaign to 'Bring Back Our Girls' in support of 200 schoolgirls abducted in Nigeria. Pic: Reuters
Image:
Female MPs in 2014 campaign to ‘Bring Back Our Girls’ in support of 200 schoolgirls abducted in Nigeria. Pic: Reuters

50:50 Parliament, which campaigns for gender equality in politics, is calling for people to “Ask Her to Stand” to encourage more women to get involved with politics to help balance the scales.

It has installed a “push for equality” panic button outside parliament to raise awareness of the gender disparity.

Stella Creasy, Labour MP for Walthamstow since 2010, has campaigned for abortion rights, childcare reform, and became the first MP to appoint a locum MP to manage constituency work during her maternity leave, after campaigning for better maternity rights for MPs.

She told Sky News gender parity in parliament is important, as a broad range of views and experiences is needed “to shape good quality policymaking”.

Read more:
Parliament to review baby rules after MP reprimanded

Labour MP Stella Creasy in the Commons with her baby
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Labour MP Stella Creasy in the Commons with her baby

“For me, this is not about electing women for the sake of it, or because they champion women’s rights per se; it is because gender balance will lead to better outcomes for all and the furthering of all of our rights,” she said.

“There is strength in diversity, and we cannot hope to make decent policy, or pass good legislation, if half of the population are not adequately represented in the House.

“Childcare is a perfect example – it isn’t just good for mums, it is essential infrastructure for society and therefore the economy to get it right.”

‘Why would you think men are better at politics?’

Harriet Harman, a Labour peer and co-host of Sky News’ Electoral Dysfunction podcast, is a former minister who put forward the Equality Bill, now the Equality Act 2010, which protects people from discrimination in the workplace and in wider society.

She told Sky News: “The time is long past that women could be expected to put up with men making all the decisions.

“Male-dominated parliaments are evidence of discrimination. Unless you think men are just better at politics than women. And why would you think that?

“A team of men and women with a breadth of experience is what works best. Who wants to go back to the old boys’ network running the country? Not me.”

(L to R) Ruth Davidson with her podcast co-hosts, Sky News political editor Beth Rigby and Baroness Harriet Harman. Pic: PA
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(L to R) Ruth Davidson with her podcast co-hosts, Sky News political editor Beth Rigby and Baroness Harriet Harman. Pic: PA

‘Different voices make better decisions’

Former leader of the Scottish Conservatives Baroness Ruth Davidson, also a co-host of Electoral Dysfunction, said parliament “works better when it looks and feels closer to the country it seeks to represent”.

“Women politicians often have different experiences before entering parliament, including in their prior interactions with public services,” she added.

“It is important that laws and funding decided in the Commons and elsewhere are informed by the widest experience of how such decisions impact in practice.

“Having different voices round the table, offering challenge from a variety of perspectives, is how you make better laws, better decisions and a better Britain.”

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Sky News goes inside a Reform meeting in Scotland

Lyanne Nicholl, CEO of 50:50 Parliament, said the impact of their prediction playing out will be “devastating”, as she pointed out gender parity “isn’t about party politics – it’s about democracy”.

She said “we risk turning back the clock” and policymaking “ignoring half the population”, as she called the data a “wake-up call” for everyone.

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