The watchdog that examines potential miscarriages of justice has “unimpressive” leadership and is “incompetent”, said its new chair as she takes up her role.

Dame Vera Baird has been appointed to head up the Criminal Case Review Commission (CCRC), which currently has serial child killer Lucy Letby’s appeal in its inbox.

The CCRC is an independent public body that reviews possible miscarriages of justice in the criminal courts of England, Wales and Northern Ireland and refers cases to the appeal courts.

The commission has had four critical reviews in the last 10 years, which Dame Vera said “all find the same thing”.

Speaking to Sky News after her appointment was announced, she said: “They don’t communicate with applicants, are reluctant to challenge the Court of Appeal, they look for reasons not to refer rather than to refer and are quite often incompetent.”

Dame Vera is now charged with turning things around. She cites the example of Andrew Malkinson who was wrongly convicted of rape and spent 17 years in jail, when for most of that time DNA evidence had emerged that could have cleared his name.

He had applied three times to the CCRC but was rejected twice on cost-benefit grounds.

It’s one of several cases leading to calls for “root and branch” reform of the CCRC from the Justice Committee, which said the watchdog “has shown a remarkable inability to learn from its own mistakes”.

An inquiry by Chris Henley KC also found that case workers missed multiple opportunities to help Malkinson.

The previous chair, Helen Pitcher, was forced to resign in January and chief executive Karen Kneller told the committee of MPs they needed a strong replacement.

Ms Kneller said in April: “We don’t have that figurehead and without that figurehead I think it is difficult for the organisation.”

But that replacement did not think much of her evidence to MPs.

“I didn’t find her impressive,” said Dame Vera, who will be meeting her new colleague next week.

“I was really quite concerned about, first of all, the kind of fairly sketchy way in which she even allowed that they got it wrong in Malkinson, and these assertions that she was sorry that people only judged them by the mistakes, and they all took them very seriously, but actually they were otherwise doing a very good job.

“My fear is that the attitude in the case of Malkinson and others, points to there being an attitude that’s not positive, that’s not mission-driven, that is not go-getter in other cases. So, are they getting it done properly?”

A month later, a committee of MPs said Ms Kneller’s position was no longer tenable.

Committee chairman Andy Slaughter said: “As a result of our concerns regarding the performance of the CCRC and the unpersuasive evidence Karen Kneller provided to the committee, we no longer feel that it is tenable for her to continue as chief executive of the CCRC.”

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In February, the CCRC received an application from Lucy Letby, the former nurse convicted of murdering seven babies and attempting to murder seven others. It’s a high-profile, complex case, arriving at a significant moment of flux.

Asked if she thought the CCRC could deal with it, Dame Vera said: “Remember I’m quite new to it. It will need complexity. It will need a team. It will need the readiness to commission reports, I would guess from what’s been said about the lack of scientific value in some of the things that were asserted.

“So it’s going to be a very complex task.”

In the Baird Inquiry into Greater Manchester Police last year, Dame Vera strongly criticised the force. She has a reputation for exposing hard truths to institutions, but now she is the institution. She will need to drive the changes.

“We’ve got two,” explains Emer Szczygiel, emergency department head of nursing at King George Hospital, as she walks inside a pastel coloured room. 

“If I had my time back again, we would probably have four, five, or six because these have helped us so much in the department with the really difficult patients.”

On one wall, there’s floral wallpaper. It is scored through with a graffiti scrawl. The words must have been scratched out with fingernails.

There are no other implements in here.

Patients being held in this secure room would have been searched to make sure they are not carrying anything they can use to harm themselves – or others.

There is a plastic bed secured to the wall. No bedding though, as this room is “ligature light”, meaning nothing in here could be used for self harm.

On the ceiling, there is CCTV that feeds into a control room on another part of the Ilford hospital’s sprawling grounds.

“So this is one of two rooms that when we were undergoing our works, we recognised, about three years ago, mental health was causing us more of an issue, so we’ve had two rooms purpose built,” Emer says.

“They’re as compliant as we can get them with a mental health room – they’re ligature light, as opposed to ligature free. They’re under 24-hour CCTV surveillance.”

There are two doors, both heavily reinforced. One can be used by staff to make an emergency escape if they are under any threat.

What is unusual about these rooms is that they are built right inside a busy accident and emergency department.

The doors are just feet away from a nurse’s station, where medical staff are trying to deal with acute ED (emergency department) attendances.

The number of mental health patients in a crisis attending A&E has reached crisis levels.

Some will be experiencing psychotic episodes and are potentially violent, presenting a threat to themselves, other patients, clinical staff and security teams deployed to de-escalate the situation.

Like physically-ill patients, they require the most urgent care but are now facing some of the longest waits on record.

On a fairly quiet Wednesday morning, the ED team is already managing five mental health patients.

One, a diminutive South Asian woman, is screaming hysterically.

She is clearly very agitated and becoming more distressed by the minute. Despite her size, she is surrounded by at least five security guards.

She has been here for 12 hours and wants to leave, but can’t as she’s being held under the Mental Capacity Act.

Her frustration boils over as she pushes against the chests of the security guards who encircle her.

“We see about 150 to 200 patients a day through this emergency department, but we’re getting on average about 15 to 20 mental health presentations to the department,” Emer explains.

“Some of these patients can be really difficult to manage and really complex.”

“If a patient’s in crisis and wants to harm themselves, there’s lots of things in this area that you can harm yourself with,” the nurse adds.

“It’s trying to balance that risk and make sure every emergency department in the country is deemed a place of safety. But there is a lot of risk that comes with emergency departments, because they’re not purposeful for mental health patients.”

In a small side room, Ajay Kumar and his wife are waiting patiently by their son’s bedside.

He’s experienced psychotic episodes since starting university in 2018 and his father says he can become unpredictable and violent.

Ajay says his son “is under a section three order – that means six months in hospital”.

“They sectioned him,” he tells us.

“He should be secure now, he shouldn’t go out in public. Last night he ran away [from hospital] and walked all the way home. It took him four and a half hours to come home.

“I mean, he got three and a half hours away. Even though he’s totally mental, he still finds his way home and he was so tired and the police were looking for him.”

Now they are all back in hospital and could be waiting “for days”, Ajay says.

“I don’t know how many. They’re not telling us anything.”

Matthew Trainer, chief executive of Barking, Havering and Redbridge University Hospitals NHS Trust, is at pains to stress nobody is blaming the patients.

“We’ve seen, particularly over the last few years, a real increase in the number of people in mental health crisis coming into A&E for support,” he says.

“And I don’t know if this is because of the pandemic or wider economic pressures, but what we’re seeing every day is more and more people coming here as their first port of call.”

The hospital boss adds: “If you get someone who’s really distressed, someone who is perhaps experiencing psychosis etc, I’m seeing increasing numbers of complaints from other patients and their families about the environment they’ve had to wait in.

“And they’re not blaming the mental health patients for being here.

“But what they’re saying is being in a really busy accident & emergency with ambulances, with somebody highly distressed, and you’re sat there with an elderly relative or a sick child or whatever – it’s hard for everyone.

“There’s no blame in this. It’s something we’ve got to work together to try to fix.”

New Freedom of Information data gathered by the Royal College of Nursing shows that over the last five years, more than 1.3 million people in a mental health crisis presented to A&E departments.

That’s expected to be a significant underestimate however, as only around a quarter of English trusts handed over data.

For these patients, waits of 12 hours or more for a mental health bed have increased by more than 380%.

Over the last decade, the number of overnight beds in mental health units declined by almost 3,700. That’s around 17%.

The Department for Health and Social Care told Sky News: “We know people with mental health issues are not always getting the support or care they deserve and incidents like this are unacceptable.

“We are transforming mental health services – including investing £26m to support people in mental health crisis, hiring more staff, delivering more talking therapies, and getting waiting lists down through our Plan for Change.”

Claire Murdoch, NHS England’s national mental health director, also told Sky News: “While we know there is much more to do to deal with record demand including on waits, if a patient is deemed to need support in A&E, almost all emergency departments now have a psychiatric liaison team available 24/7 so people can get specialist mental health support alongside physical treatment.

“The NHS is working with local authorities to ensure that mental health patients are given support to leave hospital as soon as they are ready, so that space can be freed up across hospitals including A&Es.”

Patients in a mental health crisis and attending hospital are stuck between two failing systems.

A shortage of specialist beds means they are left untreated in a hospital not designed to help them.

And they are failed by a social care network overwhelmed by demand and unable to provide the early intervention care needed.

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.

A body has been found in the search for a missing Scottish man who disappeared while on a stag do in Portugal.

Greg Monks, 38, was last seen in Albufeira during the early hours of Wednesday, 28 May, while enjoying the first night of a five-day stay.

A major search was launched for the Cambuslang man, with his parents and girlfriend flying out to Portugal to also provide assistance.

His sisters, Jillian and Carlyn, previously spoke to Sky News about the family’s devastation at his disappearance.

Speaking to The UK Tonight with Sarah-Jane Mee before the police’s announcement, they described their brother as a “big part of our family”.

Local police confirmed on Wednesday that a body had been found in the Cerro de Aguia area, where Mr Monks was believed to have been last seen.

A statement by Portuguese police said the body was located on a vacant and uneven lot.

The force added: “After the competent judicial inspection has been carried out, the body will be removed to the area’s legal medicine office for an autopsy to be performed.”

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Mr Monks was earlier described by his sisters as a “real family man”.

When his family arrived in Albufeira, police told them they had spotted Mr Monks twice on CCTV footage walking around the residential area.

The area where he was last seen – more than an hour’s walk from the Albufeira Strip – had a lot of rough terrain, including rocky outcrops and cliffs.

The Foreign, Commonwealth and Development Office (FCDO) said it was supporting Mr Monks’ family and was “in contact with the local authorities”.