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“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.

A nurse in a special mental health A&E room
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Emer Szczygiel wishes the hospital had more of the ‘ligature light’ mental health rooms

Scratched words on floral wallpaper

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.”

CCTV security screens
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The rooms have a CCTV camera in the ceiling that feeds through to the main control room

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.

A mental health nurse on a hospital ward
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The team were already dealing with five mental health cases when Sky News visited

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.

Security guards speak to a woman

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.”

Emer Szczygiel, emergency department head of nursing at King George Hospital
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Emer Szczygiel says the department gets about 15 to 20 mental health presentations a day

“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.

A man and woman sit by a hospital bed
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Ajay and his wife were watching over their son, who’s been having psychotic episodes

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.”

Ajay Kumar, whose son has been experiencing psychotic episodes since starting university in 2018, speaks to Sky News
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Mr Kumar said his son ran away from hospital and walked for hours to get home

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.”

Matthew Trainer, Chief Executive of Barking, Havering and Redbridge University Hospitals NHS Trust
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‘More and more’ people in mental health crisis are showing up at A&E, says Mr Trainer

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 ONE

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.

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Liverpool football star Diogo Jota killed in car crash

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Liverpool football star Diogo Jota killed in car crash

Liverpool star Diogo Jota has died in a car crash.

The 28-year-old Portuguese forward died in the accident in the early hours of Thursday morning near Zamora, in northwestern Spain.

His brother, Andre Silva, was also killed in the crash on the Rias Bajas Highway (A-52) near Palacios de Sanabria, heading towards Benavente.

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Jota’s former teammate: ‘This can’t be real’

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The site of the accident on the A52

Follow the latest updates following Diogo Jota’s death

Jota and Silva were driving to Santander to catch a ferry back to England ahead of the start of Liverpool’s pre-season training on Monday, CNN Portugal reports.

The news outlet reports that Jota was advised against flying back to England due to recent surgery.

Police said the accident happened at 12.30am when the Lamborghini the pair were travelling in veered off the road.

Palacios de Sanabria in the north of Spain
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Palacios de Sanabria in the north of Spain

“A vehicle left the road and everything indicates a tyre burst while overtaking,” the Guardia Civil in Zamora told Sky Sports News in a statement.

“As a result of the accident, the car caught fire and both people were killed. Pending the completion of forensic tests, one of the deceased has been identified as Diogo Jota, a Liverpool FC player, and his brother, Andre Felipe.”

A Spanish government source told the PA news agency that police were investigating the crash as “a possible speeding incident”.

The aftermath of the crash. Pic: AP
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The aftermath of the crash. Pic: AP

The aftermath of the crash. Pic: AP
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Pic: AP

Police added that no other vehicles were involved in the incident.

Pictures of the aftermath of the crash showed debris scattered along the side of the road, including what appeared to be charred parts of the vehicle.

It comes just 10 days after the player married his long-term girlfriend, Rute Cardoso.

Diogo Jota holds the Premier League trophy aloft after the club's title win in the 2024/25 season. Pic: Reuters
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Diogo Jota holds the Premier League trophy aloft after the club’s title win in the 2024/25 season. Pic: Reuters

Diogo Jota walks the pitch with his family in 2022.
Pic: PA
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Diogo Jota walks the pitch with his family in 2022.
Pic: PA

He had three children.

The footballer, who played as a striker for Liverpool, began his career in his native Portugal and played at Atletico Madrid in Spain before moving to England.

He joined the Merseyside club from Wolverhampton Wanderers in 2020.

Liverpool manager Jurgen Klopp gives instructions to substitute Diogo Jota during the UEFA Europa League quarter-final, first leg match at Anfield, Liverpool. Picture date: Thursday April 11, 2024.
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Former Liverpool manager Jurgen Klopp with Diogo Jota. Pic: PA

Portugal's Cristiano Ronaldo (left) and Diogo Jota (right) during a training session at the SMiSA Stadium, Paisley. Picture date: Monday October 14, 2024.
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Portugal’s Cristiano Ronaldo (left) and Diogo Jota (right) during a training session. Pic: PA

Jota played an important role throughout his five years with the Reds, including scoring six times in Liverpool’s recent Premier League-winning season.

He scored a total of 47 times in 123 matches for the club. He also played 49 times for the Portugal national side, scoring 14 times.

Silva, 25, played for Penafiel, a Portuguese second division club.

Diogo Jota holding the trophy on the team bus during the Premier League winners parade in Liverpool.
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Diogo Jota holding the trophy on the team bus during the Premier League winners parade in Liverpool. Pic: PA

Teammates and football legends pay tribute

A statement issued by Liverpool FC said the club was “devastated” by their player’s death.

“The club have been informed the 28-year-old has passed away following a road traffic accident in Spain along with his brother, Andre,” the club said in a statement.

“Liverpool FC will be making no further comment at this time and request the privacy of Diogo and Andre’s family, friends, teammates and club staff is respected as they try to come to terms with an unimaginable loss.

“We will continue to provide them with our full support.”

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Sky’s Greg Milam reports from Anfield Stadium where Liverpool fans are hearing about the death of Diogo Jota.

The Portuguese football federation said it was “utterly devastated by the deaths”.

“Far beyond being an exceptional player, with nearly 50 caps for the national team, Diogo Jota was an extraordinary person, respected by all teammates and opponents, someone with a contagious joy and a reference within his own community.

“We have lost two champions. The passing of Diogo and Andre Silva represents irreparable losses for Portuguese Football, and we will do everything to honour their legacy daily.”

The Portugal and Spain women’s teams held a minute’s silence for Jota and Silva before their match in the Women’s Euros in Switzerland on Thursday evening.

Floral tributes left at Anfield this morning. Pic: Sky
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Floral tributes left at Anfield this morning. Pic: Sky

It came after Liverpool’s manager Arne Slot said in a statement: “What can anyone say at a time like this when the shock and the pain is so incredibly raw? I wish I had the words but I know I do not.

“All I have are feelings that I know so many people will share about a person and a player we loved dearly and a family we care so much about.

“My first thoughts are not those of a football manager. They are of a father, a son, a brother and an uncle and they belong to the family of Diogo and Andre Silva who have experienced such an unimaginable loss.”

Jota’s former manager at Liverpool, Jurgen Klopp, offered his thoughts in a post on Instagram.

“This is a moment where I struggle! There must be a bigger purpose, but I can’t see it,” he said.

“I’m heartbroken to hear about the passing of Diogo and his brother Andre. Diogo was not only a fantastic player, but also a great friend, a loving and caring husband and father.

“We will miss you so much. All my prayers, thoughts and power to Rute, the kids, the family, the friends and everyone who loved them.”

Liverpool captain Virgil van Dijk posted on Instagram: “What a human being, what a player, but most importantly what an unbelievable family man.

“You mean so much to all of us and you always will!”

Cristiano Ronaldo, Jota’s captain in the national team, said: “It doesn’t make sense. Just now we were together in the National Team, just now you had gotten married.

“To your family, your wife, and your children, I send my condolences and wish them all the strength in the world.

“I know you will always be with them. Rest in Peace, Diogo and Andre. We will all miss you.”

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Diogo Jota married his long-term girlfriend just two weeks ago

Jota’s Liverpool teammates Darwin Nunez, Cody Gakpo and Dominik Szoboszlai have also paid tribute.

Szoboszlai wrote: “Words cannot describe how heartbroken and devastated we are… Your smile, your love for the game will never be forgotten.

“We will miss you so much, but you will stay with us forever, on and off the pitch.”

Jota’s former teammates Trent Alexander-Arnold, Sadio Mane, Roberto Firmino and Thiago Alcantara have also shared messages on social media.

Mane posted a picture of himself and Jota with heartbreak emojis.

It came as Liverpool legend Kenny Dalglish wrote on X: “You feel helpless, knowing there’s so little we can do to ease the pain for his wife of just two weeks, his three beautiful children.”

Liverpool legend Steven Gerrard shared an image of Jota on Instagram and wrote: “Condolences to his family and friends during this incredibly sad time.”

Liverpool owners Billy Hogan, John Henry and Tom Werner, who are part of the Fenway Sports Group, said: “This tragic situation and the reality of it is truly shocking, devastating and has left us numb with grief.”

Football icon Lionel Messi has also paid tribute, sharing an image of Jota on Instagram with the message “QEPD” – short for the Spanish phrase ‘que en paz descanse’, which translates to “may he rest in peace'”.

European football clubs such as Barcelona and AC Milan have also shared messages, along with basketball player LeBron James and tennis icon Rafael Nadal.

Meanwhile Liverpool FC have opened a physical and digital book of condolence for supporters and members of the public to sign.

The physical book is at the club’s stadium, in the Anfield Road Stand reception area until Sunday evening.

An avid video gamer, Jota also owned an eSports team and regularly streamed on Twitch.

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Diogo Jota’s joyous final weeks make his death even more devastating to comprehend

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Diogo Jota's joyous final weeks make his death even more devastating to comprehend

The joy that filled the final weeks of Diogo Jota’s life makes his death even more devastating to comprehend for his family and millions of fans worldwide.

The most illustrious title of his career was won in May, when he paraded through Liverpool with his teammates and the Premier League trophy.

More success came with Portugal as he won the Nations League for a second time alongside Cristiano Ronaldo in June.

And then came the bliss at marrying his childhood love Rute Cardoso, watched by their three children.

Latest: Liverpool players pay tribute to Jota

Just yesterday Jota posted a video from the ceremony on social media alongside the message “a day we will never forget”.

The happiest of days was remembered before the tragedy that killed Jota and his brother Andre Felipe in northwest Spain.

Diogo Jota and wife Rute
Pic: rutecfcardoso14/Instagram
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Diogo Jota and wife Rute. Pic: rutecfcardoso14/Instagram

Brothers – whose careers both developed at their hometown club, Porto – so tragically dying together.

“Football has lost two great men,” Porto president Andre Villas-Boas said, as fans descended on the club’s stadium to mourn.

At Anfield, Liverpool fans are grieving the versatile forward who was so often in the shadow of Mohamed Salah, as he was under Ronaldo at Portugal.

But he knew how to sacrifice stardom to contribute to the squad.

Liverpool's Diogo Jota holds the  Premier League trophy with Wataru Endo and teammates.
PIc: Reuters
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Diogo Jota holds the Premier League trophy with Wataru Endo and teammates. PIc: Reuters

The last of his 65 Liverpool goals was the winner in the Merseyside derby against neighbours Everton in April – helping the club become the record 20-time champions of England.

A Premier League winners’ medal joining those from the FA Cup and League Cup, won by the 28-year-old after he joined the Reds in 2020.

It was Wolverhampton Wanderers who gave Jota a platform to shine in England after he joined from Atletico Madrid.

Promotion was gained to the Premier League in 2018, and they more than just avoided relegation, but secured back-to-back top-seven finishes.

Jota was a reason why.

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Fans react to Jota death

He was also why Wolves could embark on such a memorable European campaign, and scored two hat-tricks in the run-up to the Europa League quarter-finals in 2020.

“The memories he created will never be forgotten,” Wolves said.

For the football world, the loss of such a talent so young will be hard to comprehend.

And so many are reflecting on the fragility of life as football grieves from Liverpool to Portugal – and beyond.

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Grooming victim ‘lives with trauma every day’ – as force investigates crimes involving more than 700 survivors

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Grooming victim 'lives with trauma every day' - as force investigates crimes involving more than 700 survivors

The father of a grooming victim who was raped by more than 60 men has said she still lives with the “trauma every single day”.

Marlon West, 51, said Scarlett, now 20, was an academic student at a school in Greater Manchester.

She was happy with a good friendship group and enjoyed riding her horse, Jasper.

But her life changed after she was attacked by a gang at a bus station – they started bullying her and she decided it was better to become their friends.

An older female member then started grooming her for rape gangs made up of Muslim men, her father told Sky News.

Scarlette's school photo before the abuse began
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Scarlett before she was groomed

Mr West said six men were involved in grooming her from the age of 14 but she was raped by more than 60 before the abuse finally stopped shortly before she turned 18.

By then, she was too terrified to leave home.

“Scarlett isn’t a survivor and a lot of these other girls aren’t survivors,” he said. “The reason being is they’re still living with the trauma every day.”

Mr West, an advanced nurse practitioner for mental health services at the NHS, said his daughter was thrown out of school aged 14 and would go missing for weeks at a time.

On one occasion, he tracked her down to a property in Derbyshire, but when he eventually persuaded police to attend, he was told Scarlett was “safe” with the woman who groomed her and “her friends”.

Scarlett enjoyed riding her horse
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Scarlett enjoyed riding her horse

Mr West said he was “absolutely furious” when police and social services dismissed the abuse as “a lifestyle choice” and was so desperate he put Scarlett into care when she was 15.

“I couldn’t keep her safe,” he said. “It’s the hardest decision of my life.”

But within a week of her returning home, when she had to leave the care system after turning 16, she was going missing again.

Mr West said the female groomer had stayed in contact with Scarlett and “was literally waiting for her” when she came home.

She was then trafficked all over the country, including Bradford, Birmingham and London.

Marlon West and his daughter Scarlett look information on her case
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Marlon West and his daughter Scarlett

Mr West said he had to “scream” at police to track her down before they raided a property in Rochdale where she was found along with heroin and crack cocaine.

Scarlett was arrested and released on bail, but wasn’t charged because she was on a Home Office database as being at risk of trafficking, he said.

“Even though that [arrest] was inappropriate, that stopped it because she was terrified of going out of the house, which she still is now to a certain extent.”

Mr West believes the abuse also came to an end because she was getting older and her abusers were no longer interested.

“This is not just about child sexual exploitation but also criminal exploitation – she was doing county lines, she was picking up firearms for them,” he said.

Scarlett and her dad Marlon
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Scarlett and her dad Marlon

Mr West said any child can be at risk of grooming.

“They’re stereotyping a lot of these survivors, that they’re coming from broken homes, or they’re in care,” he said.

“A groomer doesn’t stand outside a school gate and think, ‘I’m not grooming her because her dad’s a doctor or her dad’s a GP’ – they don’t care. Once they target, that’s it.”

Mr West was speaking as a report by police watchdogs revealed Greater Manchester Police has live grooming investigations involving 714 victims and survivors.

The force said it has 1,099 lines of enquiry relating to potential suspects but only 269 who are confirmed.

“I think there’s more – a lot of survivors haven’t come forward. One, because they’re probably still being groomed and secondly because they’re terrified of GMP and how they’ve been treated in the past,” he said.

“It’s higher than it’s ever been. Services such as police and social services are terrified of political correctness.

“The groomers know they can get away with it because there aren’t many arrests and so it’s increased.”

GMP Chief Constable Sir Stephen Watson promised to go after child rapists and paedophiles “relentlessly” after the publication of the report, which was largely positive about the force’s turnaround in tackling the gangs.

But Mr West believes they are “still failing”, although he welcomed the investigation opened into his daughter’s case.

He said he is “hopeful” the national inquiry into grooming gangs by the government last month “will expose a lot of the cover-ups and give accountability” but is worried about the involvement of services such as councils and police forces because of a lack of trust.

A GMP spokesperson said: “We have met with Scarlett and her father and we’re conducting an extensive investigation into their allegations.

“While we understand the impact of their experiences cannot be undone, we aim to ensure that the experience of the GMP of today would be much improved from that of previous years.”

A Tameside Council spokesperson previously said they were legally unable to comment on Scarlett’s case.

But they said: “Where any concerns or issues are raised we work closely with individuals, families and our partners to provide support and resolve, as appropriate.

“Where individuals aren’t satisfied with the services received, we do have a statutory complaints procedure and individuals can ultimately take their complaint to the Local Government & Social Care Ombudsman.”

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