Warning – contains graphic details of sexual assault, self-harm and suicide.

The first time she was groped at work, Freya says she was 24 years old, a newly qualified paramedic, and was cleaning out the cupboards of the ambulance station crew room.

“He came behind me without me realising. I was cleaning away, and he put his hands around my body and grabbed my breasts,” said Freya, which is not her real name.

“Then he said, ‘Well, I won’t bother doing that again’.

“People just laughed, some didn’t even look up from the TV. Like it was nothing, completely normal.”

Her story mirrors that of other current and former paramedics who, in several interviews with Sky News, painted a picture of widespread sexual harassment and a toxic culture of misogyny.

The head of the College of Paramedics, Tracy Nicholls, said: “Problems exist in every [NHS] trust, across all four countries in the United Kingdom.”

NHS England told Sky News that any form of sexual misconduct was “completely unacceptable” and every trust had committed to an action plan to improve sexual safety.

‘I had the career I loved stolen from me’

Freya said she put up with jokes and comments for more than a decade – until one day she was locked in the back of an ambulance and sexually assaulted by a senior colleague.

“He just put his hand straight down my top. I was like, in shock. I couldn’t move. I didn’t know how to react. I just froze, absolutely froze,” she said.

“If that wasn’t enough, he then took my breast out. I remember him sucking on my nipple.

“Then, he took out his pen… and he drew a smiley face above and below my nipple.

“I remember going into a station immediately when we got back, and I washed and scrubbed myself and got rid of the ink. He took a photo of it as well on his phone to send to me.”

Freya said it destroyed both her career and mental health.

“I have scars – mentally and physically. I had the career I loved stolen from me. And I’m lonely now, I’m on my own, because I can’t trust anyone.”

She was later rushed to hospital for trying to amputate her breast and even tried to take her own life.

Freya has since left the ambulance service and received a payout from her former employer.

‘A minority just feel that behaviour is acceptable’

After students began speaking up about their experiences of harassment, the College of Paramedics began an investigation, running support workshops for the trainees.

Tracy Nicholls, chief executive of the professional body, said: “We have found that our student or female student council members are experiencing misogyny and sexual harassment – if not on a daily basis then on a weekly basis, by a minority of people who just feel that that behaviour is acceptable.”

Ms Nicholls is particularly concerned with the treatment of student paramedics, some of whom reported to the College being pressured into things in exchange for being passed on assignments.

She said: “Sometimes it’s perceived as banter, but immediately there’s a power imbalance there for that student. And sometimes it progresses to a really difficult space where they say ‘I won’t sign you off, until maybe you come out for a date with me’ or ‘I won’t sign you off until you send me a picture of yourself’.”

Ms Nicholls said she would tell her two granddaughters not to join the ambulance service, unless things dramatically change.

‘Fresh meat’

Laura – not her real name – is currently a paramedic for a different ambulance service.

She describes sexual harassment as “incessant” in the profession. She says students and new recruits are routinely referred to as “fresh meat”, subjected to sexual comments, questions and jokes – even in front of patients – and are continually sexualised by some male colleagues.

“It’s exhausting,” she said. “You come to work wanting to help your patients but every day you’re dealing with inappropriate behaviour and sexual comments.”

“I realised I looked forward to the winter months where it’s colder, where I can wear my jacket more often so that I’m more covered up.”

“We’ve got the same uniform, you know, we’ve got a standardised unisex uniform, and I shouldn’t have to feel like I’m being objectified and looked up and down by my colleagues, but that’s what happens.”

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Laura is also concerned about the prevalence of relationships between mentors and mentees.

“I’m not saying relationships in the workplace are completely off the cards,” she said.

“But, very often the stories I’ve heard of include mentors who have got wives and kids at home, and almost preying on these students who they think don’t know any better.

“And the student looks up to this paramedic, and the mentor will play on that. And will take advantage of the power that they have.”

Laura loves her job and says she’s speaking out because she wants change to ensure she and other women feel safe enough to stay in the service.

Fear of reprisals

Carol King, a former operations manager at South Western Ambulance Service, where she was in charge of 130 staff, says there’s an inherent power imbalance and vulnerability to working as a paramedic that abusers can exploit.

“So you’ve usually got two people together in an ambulance, obviously it’s isolating, you’re really vulnerable. If there’s an age gap the newer paramedic or trainee might see the older one as their idol.

“And if something does happen you’re afraid of saying anything to anybody senior because you always think you’re going to get reprisals, possibly that you won’t get another job, you won’t be able to move up the career ladder.”

Ms King left the Ambulance Service in 2017.

John Martin, chief executive at the South Western Ambulance Service NHS Foundation Trust (SWASFT), said: “We do not tolerate any member of staff not demonstrating our trust values and behaviours…

“We expect everybody – our people, volunteers and all those that engage with our organisation – to commit to ensuring SWASFT is a safe, supportive and inclusive work place for all.

“We have robust policies and procedures in place for colleagues and volunteers, who include our students, to raise concerns, and we encourage anyone affected by inappropriate conduct to have the confidence to come forward to enable us to take appropriate action.”

‘Completely unacceptable’

The complaints have been backed by a series of reports in recent years into various trusts.

This winter, the Association of Ambulance Chief Executives published a report highlighting concerns for “sexual safety” of staff working in the sector.

They found sexual harassment is deemed “acceptable” or a “rite of passage” in NHS trusts, which “normalises or creates a toxic culture” with “risks to mental and physical health”, and “potentially patient safety”.

They suggested the reason for such a culture lay in “specific factors, such as the nature of working within the ambulance service, having a hierarchical organisation, and having a workforce that until recently has been male dominated, are all thought to contribute to some potential issues with culture or attitudes”.

An NHS spokesperson said: “Any form of sexual misconduct is completely unacceptable and will not be tolerated in the NHS.

“NHS England is taking action to ensure the safety of patients, staff and students by rolling out better reporting mechanisms, training and support as part of the NHS’s new Sexual Safety Charter, and all trusts and local health systems have been asked to appoint a domestic abuse and sexual violence lead, with more than 300 now in place across England.

“Every ambulance trust in England has committed to a single action plan – co-produced by those who have faced misogyny or sexual harassment in the workplace – which commits to improving sexual safety in the ambulance service.”

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