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When Bryony was held in prison, she says self-harm was “rife”.

The then 27-year-old – who had no criminal record – was arrested when she was having delusions she was being poisoned.

After her mother’s death from pancreatic cancer, Bryony (not her real name) started to develop mental health problems while she was a university student.

They culminated in a psychosis where she believed there was a tapeworm in her brain which was killing her. Bryony thought a local takeaway worker had poisoned her food with tapeworm eggs.

In the midst of her psychosis in 2017, she threatened to kill the man if he didn’t admit to drugging her and put a match through the door of the takeaway.

Bryony was arrested for malicious communication and attempted arson and placed on remand in the mental-health wing of HMP Styal in Cheshire.

Warning: This story contains references to self-harm

Once in prison, Bryony said she was “so depressed” that she self-harmed for the first-time.

Bryony spoke to Sky News about self-harming in prison
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Bryony suffered mental health problems at the time she was held in prison

“I couldn’t see any other option,” she said.

“It was basically a way to cope with my surroundings.

“When you’re psychotic and depressed, being locked away in a cell is one of the worst things you can do to someone.”

Prisoner ‘tried to disembowel himself’

The extent to which mentally unwell prisoners are going to hurt themselves has been revealed in a new report seen exclusively by Sky News.

And there are concerns the problem is being worsened by people with mental health problems being held in prisons for too long before they are transferred to psychiatric hospitals.

The report, from chief inspector of prisons Charlie Taylor, says some mentally unwell prisoners are “so driven to harming themselves they have… removed teeth or maimed themselves to the point of exposing their own intestines, frequently causing life-changing injuries”.

Mr Taylor told Sky News: “We came across a case where a prisoner was, in effect, attempting to disembowel himself.”

Despite these shocking examples, some prisoners are waiting more than a year to be transferred to psychiatric hospitals. 

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The chief inspector of prisons’ report says inmates are suffering life-changing injuries from self-harm. File pic: PA

NHS guidance says the time between the identification of the need for hospital admission and the transfer to hospital should take no more than 28 days. For those with an urgent need, the transfer should take place faster. 

Mr Taylor said this is not happening in 85% of cases – and the average wait time is almost three months.

Prison officers receive limited training in mental health and risk being injured in their interactions with unwell prisoners.

Therefore, many unwell prisoners who are dangerous or difficult to manage end up in solitary confinement for long periods, worsening their condition.

Latest figures show there was a 17% increase in the rate of self-harm incidents among prisoners in England and Wales in the year to June 2023 – with a record level for female inmates.

The Ministry of Justice said there were “notable differences in self-harm trends by gender” – as the rate in female prisons increased “considerably by 63% to a new peak (6,213 incidents per 1,000 prisoners)”, compared to a rise of 3% in male prisons (555 incidents per 1,000 prisoners).

‘She was suffering, really suffering’

Sarah Reed had schizophrenia and was sent to HMP Holloway in 2015.

She was sent to the prison for psychiatric reports to be obtained to confirm whether she was fit to stand trial for an alleged assault, which occurred while she was sectioned as a patient at a psychiatric hospital. 

Sarah Reed died after 'unacceptable delays in psychiatric assessment'
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Sarah Reed died after ‘unacceptable delays in psychiatric assessment’

In prison, Sarah was taken off her antipsychotic medication and placed in segregation, where her health rapidly declined.

Sarah’s mother Marilyn Reed told Sky News: “She kept saying ‘mum, I need my meds, I can’t sleep’. She also had these two black eyes. She was suffering, really suffering. 

“The last thing she said to me was ‘get me out of here’.”

On 11 January 2016, Sarah was found unresponsive in her cell. 

An inquest jury concluded unacceptable delays in psychiatric assessment and failures in care contributed to her death.

A court heard how she spent her final days in a filthy cell, kept in virtual isolation with no visits or telephone calls to family.

The prison closed in July 2016.

Marilyn Reed spoke to Sky News about the death of her daughter Sarah
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Marilyn Reed spoke to Sky News about the death of her daughter Sarah

According to the chief inspector for prisons, there are two reasons for the long delays in transferring acutely mentally unwell prisoners to mental health facilities: bureaucracy and the lack of beds in psychiatric facilities.

Latest NHS figures show 90.5% of overnight beds reserved for mental illness are occupied.

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While there are long delays in transferring prisoners to hospital, Mr Taylor says he has concerns about the way prisons are used “as an alternative to a hospital bed”.

Prisons continue to be used “as a place of safety”, which means people can be remanded in custody during a mental health crisis solely because there are no available hospital places.

Chief inspector of prisons Charlie Taylor
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Chief inspector of prisons Charlie Taylor

Mr Taylor described hearing about a woman who had deliberately jumped in front of traffic four times in the hope that it would end her life. The woman was arrested for a public order offence and remanded in prison.

The draft of the Mental Health Bill sought to remove the use of prison as a place of safety and to reform the Bail Act to prevent courts from remanding defendants for their own protection, solely for mental health reasons.

The bill also proposed a statutory time limit of 28 days to complete transfers from prisons to hospital. 

However, the bill was not included in the King’s Speech in November 2023, meaning that there will be no legislative reform of the Mental Health Act.

Sky's Alice Porter spoke to Bryony
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Sky’s Alice Porter spoke to Bryony

Prison ‘made illness 10 times worse’

Bryony spent six months in prison before appearing in court where she was given a hospital order and transferred to a mental health facility. 

There she was given a diagnosis of bipolar disorder and began treatment.

“I started to get better straight away,” she said.

“I don’t know if getting arrested and getting sent to prison was the right response.

“I think perhaps it might have been more beneficial if I’d have been taken straight to hospital instead of prison.

“I’ve never seen people so ill before. And prison just made that illness 10 times worse.”

A government spokesperson said: “Offenders are entitled to access mental health support in prison, where they are also helped to get off drugs and into rehabilitation.

“NHS England is investing in post-custody care to help prison leavers access their community-based health services – helping to reduce reoffending, cut crime and protect the public.”

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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Arrests on Merseyside after ‘industrial scale’ drugs laboratories found

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Arrests on Merseyside after 'industrial scale' drugs laboratories found

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.

Pic: NWROCU/PA
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Pic: NWROCU/PA

A suspect is led away after being detained in Prescot. Pic: NWROCU/PA
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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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Salisbury novichok poisonings: Putin 'morally responsible' for woman's death after authorising botched spy assassination bid

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.
Pic: Shutterstock
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Sergei Skripal and Yulia Skripal.
Pic: Shutterstock


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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L-R Suspects who used the names of Sergey Fedotov, Ruslan Boshirov and Alexander Petrov. Pics: UK Counter Terrorism Policing
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L-R Suspects who used the names of Sergey Fedotov, Ruslan Boshirov and Alexander Petrov. Pics: UK Counter Terrorism Policing

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
Image:
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
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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
Image:
‘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.

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Soaring demand for mental health, ADHD and autism services to be reviewed after ‘overdiagnosis’ claim

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Soaring demand for mental health, ADHD and autism services to be reviewed after 'overdiagnosis' claim

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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Mental health conditions are being more commonly reported among the working-age population, figures analysed by the Institute for Fiscal Studies found.

More than half of the increase in 16 to 64-year-olds claiming disability benefits since the pandemic is due to more claims relating to mental health or behavioural conditions.

A total of 1.3 million people claim disability benefits – 44% of all claimants – primarily for mental health or behavioural conditions, the analysis shows.

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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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Govt orders review into ADHD rise

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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ADHD is changing the world of work

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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