How Donald Trump’s tariffs are wreaking chaos in the British metal industry
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As the clock ticked down towards 12.01am Eastern Standard Time on 12 March, Liam Bates kept refreshing his browser.
Over the preceding weeks, Marcegaglia, the stainless steel company whose long products division he headed up, had rushed to melt and ship as much metal as it could from its furnaces in Sheffield across to the east coast of America, ahead of the imposition of tariffs.
Stainless steel
UK and US industrially interlocked
Of all the varieties of steel, stainless steel – an alloy of iron and chrome, along with other elements like nickel, molybdenum and carbon – is among the most important. Unlike most other iron alloys, which can rust when they encounter oxygen, stainless steel has a passive film that protects it from corrosion and can even self-heal. That makes it essential not just for use in sinks and cutlery (where most people will encounter it on a daily basis) but, arguably even more essential, in surgical instruments, heavy machinery and the pipes and ducts out of sight but essential to keeping civilisation working.
The trick of how to make stainless steel in large quantities was discovered here in Sheffield by Harry Brearley, and while the laboratories he worked for shut down long ago, the furnace at Marcegaglia, in an industrial park just outside the city, can trace a continuous thread back to him. This furnace used to be owned by British Steel, the nationalised corporation responsible for most of Britain’s steel manufacture until the days of privatisation.
Marcegaglia steel furnace in Sheffield
Ever since the invention of stainless steel, Britain has melted, cast and exported vast quantities of the stuff to America. For all that the US has a sizeable stainless steel sector, the two countries’ stainless sectors have nonetheless been industrially interlocked since the days of Henry Ford. You can see it in the way Marcegaglia functions.
It melts down scrap in its electric arc furnace in Sheffield – an enormous cauldron whose electrodes create a storm of lightning that consumes the same power as a sizeable northern city – and adds the relevant alloy ingredients to form a long, heavy metallic bar, a billet as it’s known. That billet is then shipped across the Atlantic to the company’s other site, where the billets are processed into bars that are then sold into the North American market. It is a single economic organism, split only by an ocean.
But today that ocean and that cross-country split have become an enormous problem. The last time Donald Trump imposed tariffs on steel imports, back in 2018, so-called “intermediate” products like the billet made by Marcegaglia and then processed in America were excluded from the duties. This time around, the initial tariff rules had no such exemptions. The upshot was that any steel arriving in American ports after 12.01am Eastern Standard Time on 12 March – including Marcegaglia’s half-finished stainless billets – would incur hefty 25% tariffs.
A race against time
All of which was why Liam Bates had raced to get as much steel as possible into the US before that deadline. But as he refreshed his browser in the run-up to that deadline, he noticed two straggling shipments, still stuck on the Atlantic. The two ships, the Eva Marie and the Atlantic Star, were, between them, carrying about $12m of steel and they had been due to dock in the US on 10 or 11 March. If so, they would have avoided having to pay those 25% tariffs. But now storms and squalls were spreading across the North Atlantic. Would they stray into the ships’ path, disrupting shipping?
If the cargo arrived late, it would obliterate any margin the company hoped to make on its steel. And since those bars were destined for Marcegaglia’s own plant, the company would have to pay all those costs itself (tariffs are technically paid by the importer). Somehow, Bates had found himself helplessly witnessing an unexpected collision of politics and weather – with profound commercial consequences.
Of all the metal items Britain exports to the US, stainless steel is by far and away the biggest category. And the vast majority of that steel comes from the melt shop at Marcegaglia. But the quandary facing Liam Bates, and those companies he sells to in the US, helps illustrate the difficulties of economic policy-by-tariff.
Americans will see cost of most things go up
The prevailing theory behind the White House measures is that by raising the price of all imported metals, it will encourage domestic producers to build new production. It will help the US to reindustrialise – or so says Donald Trump. And in the long run, that might well prove right. Already, metals producers are raising money, promising to restart old, mothballed smelters. After all, if your main overseas competitors have seen their prices rise by 25%, that’s quite a competitive opportunity.
The problem is: building industrial production takes time. Marcegaglia itself is planning to replace its old furnace with a newer model, but the planning process has already taken years; the construction itself will be measured in months if not years too. In other words, even if everything goes to plan, America is very unlikely to replace imported steel with domestic production within the period of Donald Trump’s term as president.
In the meantime, American consumers will see the cost of pretty much everything going up. After all, steel – ignored or dismissed as it sometimes is – is the single most important metallic substance in the world. If something isn’t made of steel it’s made in machines made of steel. And lifting some of those steel prices by 25% will travel like an economic tidal wave through US supply chains.
UK flooded with cheap imported steel
The tidal wave is already washing back elsewhere too. With so much steel now unable to get into the US at a decent price, exporters are redeploying shipments elsewhere. All of a sudden countries like the UK are seeing a flood of cheap imported steel – good news in the short run for consumers, but disastrous for what is left of Britain’s domestic industry.
As the deadline approached and Bates nervously refreshed his live vessel tracking map, disaster struck. The squalls across the Atlantic mounted and the Eva Marie and Atlantic Star slowed nearly to a halt. By the time midnight struck and the tariffs came into place, the two vessels were still many miles off the US coast. They had lost the race. The upshot was Marcegaglia would have to pay around $4m in tariffs – about £3m.
That a company was struck with a somewhat arbitrary fee simply to pass goods from one of its factories to another might be among the most egregious examples of the collateral economic damage wrought by trade barriers, but it is likely to be the first of many perverse episodes, with consequences all around the world. For steel is not the only metal to be hit with tariffs. If anything, the drama is even greater for another metal: aluminium.
Aluminium
The world’s biggest factory – hidden in Scotland
Here’s a riddle for you: what is the biggest factory in the world?
You’re probably thinking of vast, cavernous car production lines in Michigan, of shipyards in Korea or steelworks in China. But there’s a strong case to be made that the world’s biggest factory is instead to be found deep in the Highlands of Scotland.
Not that it looks anything like a factory. To the untrained eye, it looks, instead, like heather, forests and bubbling burns of water trickling into lochs. But the 114,000 acres of estates in Lochaber and Badenoch – the third biggest rural estate in Scotland – play a crucial role in helping produce one of the most important substances in the world.
Part of the side of a mountain running into a hydroelectric power station for Fort William aluminium plant
The Fort William aluminium plant sits under the shadow of Ben Nevis, the tallest peak in the United Kingdom. Once upon a time, it was just one of a constellation of smelters dotted around Scotland, that made this country, all told, one of the world’s biggest aluminium producers.
For all that it is very prevalent in the earth’s crust, aluminium used to be one of the world’s most precious metals – so much so that no one had even laid eyes on it until the 19th century. When he wanted to impress his guests, Napoleon III served them dinner not on gold plates but on aluminium.
An extraordinary metal
Why? Because aluminium is very difficult – even harder than iron – to convert from the ores you find in the ground into its metallic form. Burn iron ore hot enough, in the right kind of furnace alongside the right kind of charcoal or coal, and you eventually smelt out a form of metal. But aluminium needs a different kind of force to be persuaded to loosen its bonds and form into a pure metal – the force of electricity.
So only when the Hall-Heroult process, which allows you to smelt aluminium via electrolysis of alumina (a processed version of the bauxite you get out of the ground), was invented in 1886 did aluminium become a widely available metal. Few people talk these days about the Hall-Heroult process, but it was a breakthrough of earth-shattering proportions. Aluminium is an extraordinary metal – strong but light. And those qualities make it essential in aeronautic deployments. No aluminium, no planes.
Fort William aluminium plant
It is no coincidence that the Wright Brothers’ plane at Kitty Hawk had an engine made out of aluminium. Steel would have weighed the glider down too much. And it’s no coincidence that powered flight happened shortly after aluminium became widely available. Without the Hall-Heroult process, the world would have been a very different place.
While the process wasn’t dreamt up in the UK, British industrialists rapidly embraced it, building smelters all over the country. But the catch with aluminium is that you can’t smelt it without a big and (this is important) very reliable supply of power. Turn off the power to those enormous carbon electrodes inside an aluminium smelter and in a matter of hours the metal at its base will solidify, effectively destroying it. More than nearly any other industrial process, this is not something you can just switch off willy-nilly, which helps explain why smelters aren’t typically dependent on variable power sources like wind and solar.
It also explains why, throughout history, these plants have been seen as some of the most important industrial locations throughout the world. The Fort William plant provided most of the aluminium used in Spitfires during WWII. It was repeatedly targeted by the Luftwaffe – indeed there is an old German bomb kept as a memento just near the turbines that power the cells here.
Fort William aluminium dam
Some of the world’s earliest smelters were powered by hydroelectricity – most notably the ones which drew their power from the Niagara Falls plants near Buffalo, New York. But the Fort William plant was subtly but importantly different. Those other hydro plants would typically piggyback off a big dam generating power from a big river – such as the ones you find in the US or Canada, or the fjords of Norway. But none of Britain’s rivers is quite powerful enough or with a reliable enough flow to provide that kind of uninterrupted power.
Radical design
So the designers of the Fort William plant did something radical. They bought up vast stretches of the countryside around Ben Nevis (including Ben Nevis itself). And within that estate, they built a series of dams to collect the rainwater trickling down from local watersheds. Those dams weren’t there to generate power for homes – they were there to collect the water and channel it through a series of tunnels, running 16 miles through the hills and through the flanks of Ben Nevis. Then the water, collected from those 114,000 acres, feeds five pipes running down the side of the mountain which run into an enormous hydroelectric power station.
There are many aluminium smelters around the world and many hydroelectric dams. But none are quite like this one. The point being that without the estate, without all those trickling streams and heather-covered watersheds, the plant here simply wouldn’t function. It is all part of a single ecosystem.
These days the plant is connected to the national grid, meaning it also serves another function: balancing. This comes back to one of the dysfunctions of the grid: it doesn’t have enough high-voltage lines connecting Scotland, with all its wind farms, and the south. So on windy days, when there’s too much power in Scotland, instead of curtailing those farms and wasting the electricity, the plant can suck in extra power from the Scottish section of the grid and leave its water where it is as a sort of battery.
Competition from China
The problem the plant has faced is that these days aluminium is a commodity metal. And it’s becoming harder and harder to compete with the cheap metal being exported from China. China dominates the global supply of the metal, in large part because its suppliers benefit from cheap energy and generous government subsidies – neither of which are available in the UK. As the years have gone by, the workers at Fort William have watched as, one by one, every other plant in Britain was shuttered. Rumours still abound that they may eventually be next.
Fort William aluminium plant
And, much as for Marcegaglia down in Sheffield, the tariffs on aluminium will only make life tougher for Alvance, the unit of Liberty House – part of Indian-born Sanjeev Gupta’s business empire – that now owns the Fort William plant. Arguably, the impact could be even greater. The last time Donald Trump imposed tariffs on aluminium back in 2018, the rate he chose was 10%. The difference with the steel tariff level (which was 25% then and now) reflected the fact that the US imported far more aluminium than steel. Imposing severe extra costs on it would, the White House worried, cripple the American aerospace and car businesses dependent on the metal. No such concern this time around. The tariff is 25%.
Quite how that will affect the plant here in the Scottish Highlands remains to be seen. After all, Alvance itself doesn’t sell anything directly to the US, sending its large slabs of metal to other firms in England which process and roll them into sheets and specialised components, some of which end up in the US. Perhaps, as the defence industry ratchets up in the coming years, more of that aluminium will be used by domestic industry. But what’s to stop UK manufacturers doing what they’ve been doing for years, and simply opting for the cheapest metal available, which usually comes from China? Either way, life for the last remaining aluminium plant in the UK is about to get harder, not easier.
But while the main upshot of the trade war building across the Atlantic and the Pacific will be to make both sides worse off – that, at least, is the prediction from the Organisation for Economic Co-operation and Development – that doesn’t mean there won’t be some beneficiaries in this country. For a small but important example, let’s travel from the far north of Britain to its far south.
Tungsten
UK has one of its biggest resources in world
Drive across Dartmoor, the windswept national park in the heart of Devon, and every so often you come across the remains of an old tin mine. At Fox Tor you find the remains of alluvial mining; there is Golden Dagger Mine, which ran all the way to the 1930s, as well as the hollow stone chimney of the pumping house at Wheal Betsy.
Hemerdon tungsten mine
For much of the ancient era, tin – which when mixed with copper creates the alloy bronze – was what we would today call a “critical mineral”, essential for the production of the strong tools and weapons of the Bronze Age. And for centuries, the majority of Europe’s tin came from Cornwall and Devon.
That, of course, is long in the past. But just on the outskirts of Dartmoor is a site that could – just could – make this an important site for critical minerals once again. For here, beneath the soil of southwest England, is one of the world’s biggest resources of tungsten.
Tungsten among few substances on everyone’s list
Tungsten is among the 21st century’s most important critical minerals. Nearly every country has a list of these materials – the kinds of things they need to make their most important products – and the members of those lists vary by region. But tungsten is one of the few substances that feature in everyone’s list. The hardest metal in existence, with the highest melting point, it is essential in the production of hard steel tools, weapons, armour and as the electrodes inside semiconductor circuits. If you are making electronics you need tungsten. If you are going to war you need tungsten.
Perhaps it’s no coincidence that the main heyday for this mine, which contains plenty of tin as well as tungsten, was in the First and Second World Wars. Much as the Fort William plant provided aluminium for British Spitfires, Hemerdon provided the tungsten and tin needed for the weapons Britain used to fight the Nazis. But ever since then, its history has been chequered, to say the least.
It went into hibernation for decades, a sleep broken for only a single day during the Korean War. Then, a few years ago, investors tried to get it up and running again. They built a vast processing plant and began to mine the metal. But by 2019 the operation had run out of money and imploded. All that was left was an even bigger hole in the ground, a large tailings dam for waste and a hangar filled with processing equipment.
In part, the reason Hemerdon went belly-up that time was because the company made the mistake miners often make: they misjudged the type of ore they were expecting to grind through, meaning their processing plant was far less efficient than it could have been. But an even bigger challenge came back to something that will sound familiar: they were trying to compete with China.
China dominates world tungsten production – even more so than for aluminium and steel. It essentially controls the global market and, just as importantly, the tungsten price. Anyone trying to sell tungsten is contending with Chinese prices which can yo-yo for reasons no one can entirely explain. That makes it fiendishly difficult to compete.
But in recent years, new investors have begun to put fresh funds into the Hemerdon mine, hoping history will not repeat itself and this time around it can exploit that enormous ore resource. And there are at least a couple of reasons to believe (famous last words in finance) that “this time might be different”.
The first is that, in retaliation against Donald Trump’s latest metal tariffs, China has begun to put export limits on tungsten. How this will work in practice remains unclear (remember that like most markets China controls, the way tungsten sales function is almost completely opaque) but if it encourages domestic buyers to look for local suppliers, that could help the mine to find buyers. After all, in theory, it could produce a few thousand tonnes of the metal each year, which would instantly leapfrog Britain to become the world’s second or third-biggest producer (albeit a long way down from China).
Supplies matter more than ever
The second big shift comes back to defence. With the world remilitarising, all of a sudden tungsten supplies matter more than ever. And since defence suppliers pay outsized attention to where metals come from, again, that might allow a British tungsten mine to succeed where predecessors have failed.
Add to this the fact that the mine itself is nearly ready to be exploited and that the new owners reckon they’ve ironed out the problems that beset their predecessors, and it’s a compelling case. They think they could be getting metal out of the ground as soon as next year.
But those overarching challenges haven’t gone away. And nor has another, bigger problem facing the entire industry, not just in the UK but – perhaps even more so – in the US. How can you plan in a world where you just don’t know what’s coming out of the White House in the next few days, let alone the next few years?
Consider: imagine you’re a stainless steel producer or an aluminium smelter in the US. Those 25% tariffs mean all of a sudden in theory you have a competitive advantage over anyone shipping metal into the country. All of a sudden, there’s a strong case to build a smelter or a stainless steel melting shop. So you get to work looking for backers.
Uncertainty creates challenges
But building a plant like this takes time. You need to find a site, connect it to high-voltage power, and build the facilities and all the necessary infrastructure. Best case scenario: it might take a couple of years, but even that is ambitious. And as you contemplate this and map out your plans, those backers will ask you the same nagging question you’ve been asking yourself: sure, the economics of an aluminium smelter might add up today; but what if the president changes his mind tomorrow, or next year? What if those tariffs are pulled by the next president? Then, all of a sudden, the sums very much don’t add up.
All of which is to say, uncertainty around tariffs is a challenge not just for those companies hoping to ship products to America, but for American firms hoping to benefit from this trade war. And bear in mind metals are only the first chapter of what could be a long saga, which ends up engulfing all corners of American trade. These are unpredictable times, however you look at it.
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Arrests on Merseyside after ‘industrial scale’ drugs laboratories found
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Eight people have been arrested on Merseyside by police investigating the discovery of alleged drugs laboratories “on an industrial scale”.
Officers from the North West Regional Organised Crime Unit (NWROCU) executed 10 arrest warrants in dawn raids on Wednesday at residential properties across the region.
Suspects were held on suspicion of the production of, and conspiracy to supply, class A and B drugs, as part of what is believed to be one of the biggest operations of its kind ever seen in the UK.
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A suspect is led away after being detained in Prescot. Pic: NWROCU/PA
At one address in Prescot, police used a saw to cut through the front door before arresting a 68-year-old man, who was escorted to a police van wearing shorts and with a jacket over his head, covering his face.
The NWROCU began investigating two and a half years ago when police in South Wales detained a Liverpool-based suspect with an estimated £1m worth of amphetamines.
Warrants were carried out in April 2024 at industrial sites in Bootle and Huyton, with officers finding a tonne of suspected heroin adulterant at one and 550kg of what was believed to be cocaine adulterant at the other, Inspector Danny Murphy of Merseyside Police said.
Detectives also found 80kg of amphetamine in a simultaneous raid on a suspected laboratory at a residential premises in St Helens.
Inspector Murphy said: “We think the laboratory set-ups and the industrial scale of it at the time, in 2023, was the biggest we’ve seen in the UK, so it’s a big investigation, a very detailed one.”
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Mr Murphy said the organised crime group was suspected of transporting the drugs across the country in a multimillion-pound conspiracy.
Those arrested are alleged to have been “significant players” and to have carried out a number of roles within the suspected criminal enterprise, including “cooking” the drugs and couriering across the country, as well as organising.
Mr Murphy said they believed drugs were imported to the country before being bulked out with adulterants in the labs, potentially making millions of pounds of profit for the gang.
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Salisbury novichok poisonings: Putin ‘morally responsible’ for woman’s death after authorising botched spy assassination bid
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December 4, 2025By
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The assassination attempt on a former Russian spy was authorised by Vladimir Putin, who is “morally responsible” for the death of a woman poisoned by the nerve agent used in the attack, a public inquiry has found.
The chairman, Lord Hughes, found there were “failings” in the management of Sergei Skripal, 74, who was a member of Russian military intelligence, the GRU, before coming to the UK in 2010 on a prisoner exchange after being convicted of spying for Britain.
But he found the assessment that he wasn’t at “significant risk” of assassination was not “unreasonable” at the time of the attack in Salisbury on 4 March 2018, which could only have been avoided by hiding him with a completely new identity.
Mr Skripal and his daughter Yulia, 41, who was also poisoned, were left seriously ill, along with then police officer Nick Bailey, who was sent to search their home, but they all survived.
Sergei Skripal and Yulia Skripal.
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Dawn Sturgess, 44, died on 8 July, just over a week after unwittingly spraying herself with novichok given to her by her partner, Charlie Rowley, 52, in a perfume bottle in nearby Amesbury on 30 June 2018. Mr Rowley was left seriously ill but survived.
In his 174-page report, following last year’s seven-week inquiry, costing more than £8m, former Supreme Court judge Lord Hughes said she received “entirely appropriate” medical care but her condition was “unsurvivable” from a very early stage.
The inquiry found GRU officers using the aliases Alexander Petrov, 46, and Ruslan Boshirov, 47, had brought the Nina Ricci bottle containing the novichok to Salisbury after arriving in London from Moscow with a third agent known as Sergey Fedotov to kill Mr Skripal on 2 March.
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The report said it was likely the same bottle Petrov and Boshirov used to apply the military-grade nerve agent to the handle of Mr Skripal’s front door before it was “recklessly discarded”.
“They can have had no regard to the hazard thus created, of the death of, or serious injury to, an uncountable number of innocent people,” it said.
It is “impossible to say” where Mr Rowley found the bottle, but was likely within a few days of it being abandoned on 4 March, meaning there is “clear causative link” with the death of mother-of-three Ms Sturgess.
Novichok was in perfume bottle. Pic: Reuters
Lord Hughes said he was sure the three GRU agents “were acting on instructions”, adding: “I have concluded that the operation to assassinate Sergei Skripal must have been authorised at the highest level, by President Putin.
“I therefore conclude that those involved in the assassination attempt (not only Petrov, Boshirov and Fedotov, but also those who sent them, and anyone else giving authorisation or knowing assistance in Russia or elsewhere) were morally responsible for Dawn Sturgess’s death,” he said.
Russian ambassador summonsed
After the publication of the report, the government announced the GRU has been sanctioned in its entirety, and the Russian Ambassador has been summonsed to the Foreign Office to answer for Russia’s ongoing campaign of alleged hostile activity against the UK.
Sir Keir Starmer said the findings “are a grave reminder of the Kremlin’s disregard for innocent lives” and that Ms Sturgess’s “needless” death was a tragedy that “will forever be a reminder of Russia’s reckless aggression”.
“The UK will always stand up to Putin’s brutal regime and call out his murderous machine for what it is,” the prime minister said.
He said deploying the “highly toxic nerve agent in a busy city centre was an astonishingly reckless act” with an “entirely foreseeable” risk that others beyond the intended target would be killed or injured.
The inquiry heard a total of 87 people presented at A&E.
Pic AP
Lord Hughes said there was a decision taken not to issue advice to the public not to pick anything up which they hadn’t dropped, which was a “reasonable conclusion” at the time, so as not to cause “widespread panic”.
He also said there had been no need for training beyond specialist medics before the “completely unexpected use of a nerve agent in an English city”.
After the initial attack, wider training was “appropriate” and was given but should have been more widely circulated.
In a statement following the publication of his report, Lord Hughes said Ms Sturgess’s death was “needless and arbitrary”, while the circumstances are “clear but quite extraordinary”.
“She was the entirely innocent victim of the cruel and cynical acts of others,” he said.
‘We can finally put her to peace’ . Pic: Met Police/PA
‘We can have Dawn back now’
Speaking after the report was published, Ms Sturgess’s father, Stanley Sturgess, said: “We can have Dawn back now. She’s been public for seven years. We can finally put her to peace.”
In a statement, her family said they felt “vindicated” by the report, which recognised how Wiltshire police wrongly characterised Ms Sturgess as a drug user.
But they said: “Today’s report has left us with some answers, but also a number of unanswered questions.
“We have always wanted to ensure that what happened to Dawn will not happen to others; that lessons should be learned and that meaningful changes should be made.
“The report contains no recommendations. That is a matter of real concern. There should, there must, be reflection and real change.”
Wiltshire Police Chief Constable Catherine Roper admitted the pain of Ms Sturgess’s family was “compounded by mistakes made” by the force, adding: “For this, I am truly sorry.”
Russia has denied involvement
The Russian Embassy has firmly denied any connection between Russia and the attack on the Skripals.
But the chairman dismissed Russia’s explanation that the Salisbury and Amesbury poisonings were the result of a scheme devised by the UK authorities to blame Russia, and the claims of Petrov and Borisov in a television interview that they were sightseeing.
The inquiry chairman said the evidence of a Russian state attack was “overwhelming” and was designed not only as a revenge attack against Mr Skripal, but amounted to a “public statement” that Russia “will act decisively in its own interests”.
Lord Hughes found “some features of the management” of Mr Skripal “could and should have been improved”, including insufficient regular written risk assessments.
But although there was “inevitably” some risk of harm at Russia’s hands, the analysis that it was not likely was “reasonable”, he said.
“There is no sufficient basis for concluding that there ought to have been assessed to be an enhanced risk to him of lethal attack on British soil, such as to call for security measures,” such as living under a new identity or at a secret address, the chairman said.
He added that CCTV cameras, alarms or hidden bugs inside Mr Skripal’s house might have been possible but wouldn’t have prevented the “professionally mounted attack with a nerve agent”.
Sky News has approached the Russian Embassy for comment on the report.
UK
Soaring demand for mental health, ADHD and autism services to be reviewed after ‘overdiagnosis’ claim
Published
3 hours agoon
December 4, 2025By
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A review into the rising demand for mental health, ADHD and autism services has been launched by the health secretary.
The independent review will look at rates of diagnosis, and the support offered to people.
Health Secretary Wes Streeting said the issue needs to be looked at through a “strictly clinical lens” after he claimed in March that there had been an “overdiagnosis” of mental health conditions, with “too many people being written off”.
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The review will be led by leading clinical psychologist Professor Peter Fonagy, the national clinical adviser on children and young people’s mental health, who will work with academics, doctors, epidemiological experts, charities and parents.
He will look at what is driving the rising demand for services, and inequalities in accessing support.
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The Department of Health said 13 times more people were waiting for an autism assessment in September 2025 compared with April 2019.
There is £688m in extra funding going towards hiring 8,500 more mental health workers so the NHS can expand on talking therapies and increase the number of mental health emergency departments.
Mr Streeting said: “I know from personal experience how devastating it can be for people who face poor mental health, have ADHD or autism, and can’t get a diagnosis or the right support.
“I also know, from speaking to clinicians, how the diagnosis of these conditions is sharply rising.
“We must look at this through a strictly clinical lens to get an evidence-based understanding of what we know, what we don’t know, and what these patterns tell us about our mental health system, autism and ADHD services.
“That’s the only way we can ensure everyone gets timely access to accurate diagnosis and effective support.”
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Prof Fonagy said: “This review will only be worthwhile if it is built on solid ground. We will examine the evidence with care to understand, in a grounded way, what is driving rising demand.
“My aim is to test assumptions rigorously, and listen closely to those most affected, so that our recommendations are both honest and genuinely useful.”
The findings will be published next summer.
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