Rape Crisis England & Wales is calling for a public inquiry into sexual violence and abuse within mental health inpatient wards after a Sky News investigation uncovered a catalogue of sexual abuse complaints.
The Sky News/Independent Patient 11podcast investigation discovered nearly 20,000 new sexual abuse, harassment and rape complaints – involving both patients and staff – across more than 30 mental health trusts in England since 2019.
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Rape Crisis England & Wales (RCE) described the current situation as “appalling” and “alarming”.
In addition to calls for a public inquiry, it wants the government to appoint a minister responsible for the safety of women on mental health wards, women-only wards, and a provision to allow victims to give evidence.
“We are concerned that without major intervention and leadership at the highest levels, this could lead to sexual violence and abuse simply being accepted as inevitable, when it is absolutely preventable,” said Ciara Bergman, chief executive of RCE.
“We have been raising our concerns about the widespread safeguarding issues with those within the health system for many years.
“It is disturbing that even after the important CQC (Care Quality Commission) report published in 2018 on sexual safety, so little has seemingly changed.
“Women and girls deserve to feel safe wherever they are, but particularly when they are at their most vulnerable.”
Image: Stephanie Tutty, Alexis Quinn and Rivkah Grant are among those who say they were sexually assaulted in NHS care
Following our investigation – which also revealed hundreds of rape or sexual assault complaints involving female patients that were never reported to police, and a landscape where trusts are largely failing to apply 2020 government-backed protections – the health minister said allegations of sexual abuse in mental health settings would be part of a major review.
In February, it was revealed that NHS England was not enforcing safeguarding standards as mandatory across its trusts.
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3:54
NHS psychiatric care ‘collapsing’
In its statement, RCE highlighted its concerns over a “lack of clarity” on the part of government and health leaders regarding the ultimate responsibility for sexual safety on mental health inpatient wards.
“There is no quick fix to this scandalous situation,” said former patient Alexis Quinn, whose escape from psychiatric care following two complaints of sexual assault sparked thepodcast investigation.
“As RCE suggest, it requires political will, leadership and co-produced solutions targeted at positive culture change.”
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3:05
‘I’m just being traumatised’
The Department of Health and Social Care did not respond to the RCE call for a public enquiry.
In a statement, a spokesperson said: “The department has zero tolerance and is clear that the NHS should work to stop sexual assaults happening in NHS services and premises.
“We have been clear patients should not have to share sleeping accommodation with others of the opposite sex and should have access to segregated bathroom and toilet facilities, and we expect NHS trusts to comply with these measures.
“We are working closely with the NHS to ensure anyone receiving treatment in a mental health facility receives safe, high-quality care, and is looked after with dignity and respect, and the Health Services Safety Investigations Body has launched a national investigation into mental health inpatient settings.”
An NHS spokesperson said: “Over 250 organisations have signed up to the first ever NHS sexual safety charter, launched last year in collaboration with healthcare systems and people with lived experience, to provide staff with clear reporting mechanisms, training and support, ensuring that a zero-tolerance approach to tackling sexual misconduct is taken.
“The NHS has made clear that every provider of our services has a legal and moral duty to safeguard patients, to report all incidents of sexual violence, and to take appropriate action with the criminal justice system and safeguarding bodies where harm has occurred.”
If you are impacted by this story, or believe that you experienced sexual abuse in mental health inpatient care, please contact the Rape Crisis England & Wales helpline on 0808 500 2222.
Superintendent Jen Appleford, from Avon and Somerset Police, said the community was in shock and Aria’s family were being supported by police.
“It is impossible to adequately describe how traumatic the past 36 hours have been for them and we’d like to reiterate in the strongest possible terms their request for privacy,” she said.
Supt Appleford said police were working with local schools and other agencies to make sure support is available.
The Duke of Marlborough, formerly known as Jamie Blandford, has been charged with intentional strangulation.
Charles James Spencer-Churchill, a relative of Sir Winston Churchill and Diana, Princess of Wales, is accused of three offences between November 2022 and May 2024, Thames Valley Police said.
The 70-year-old has been summonsed to appear at Oxford Magistrates’ Court on Thursday, following his arrest in May last year.
The three charges of non-fatal intentional strangulation are alleged to have taken place in Woodstock, Oxfordshire, against the same person.
Spencer-Churchill, known to his family as Jamie, is the 12th Duke of Marlborough and a member of one of Britain’s most aristocratic families.
He is well known to have battled with drug addiction in the past.
Spencer-Churchill inherited his dukedom in 2014, following the death of his father, the 11th Duke of Marlborough.
Prior to this, the twice-married Spencer-Churchill was the Marquess of Blandford, and also known as Jamie Blandford.
His ancestral family home is Sir Winston’s birthplace, the 300-year-old Blenheim Palace in Woodstock.
But the duke does not own the 18th century baroque palace – and has no role in the running of the residence and vast estate.
The palace is a Unesco World Heritage Site and a popular visitor attraction with parklands designed by “Capability” Brown.
In 1994, the late duke brought legal action to ensure his son and heir would not be able to take control of the family seat.
Blenheim is owned and managed by the Blenheim Palace Heritage Foundation.
A spokesperson for the foundation said: “Blenheim Palace Heritage Foundation is aware legal proceedings have been brought against the Duke of Marlborough.
“The foundation is unable to comment on the charges, which relate to the duke’s personal conduct and private life, and which are subject to live, criminal proceedings.
“The foundation is not owned or managed by the Duke of Marlborough, but by independent entities run by boards of trustees.”
The King hosted a reception at Blenheim Palace for European leaders in July last year, and the Queen, then the Duchess of Cornwall, joined Spencer-Churchill for the reveal of a bust of Sir Winston in the Blenheim grounds in 2015.
The palace was also the scene of the theft of a £4.75m golden toilet in 2019 after thieves smashed their way into the palace during a heist.
The duke’s representatives have been approached for comment.
We’re estimated to consume 8.2kg each every year, a good chunk of it at Christmas, but the cost of that everyday luxury habit has been rising fast.
Whitakers have been making chocolate in Skipton in North Yorkshire for 135 years, but they have never experienced price pressures as extreme as those in the last five.
“We buy liquid chocolate and since 2023, the price of our chocolate has doubled,” explains William Whitaker, the real-life Willy Wonka and the fourth generation of the family to run the business.
Image: William Whitaker, managing director of the company
“It could have been worse. If we hadn’t been contracted [with a supplier], it would have trebled.
“That represents a £5,000 per-tonne increase, and we use a thousand tonnes a year. And we only sell £12-£13m of product, so it’s a massive effect.”
Whitakers makes 10 million pieces of chocolate a week in a factory on the much-expanded site of the original bakery where the business began.
Automated production lines snake through the site moulding, cutting, cooling, coating and wrapping a relentless procession of fondants, cremes, crisps and pure chocolate products for customers, including own-brand retail, supermarkets, and the catering trade.
Steepest inflation in the business
All of them have faced price increases as Whitakers has grappled with some of the steepest inflation in the food business.
Cocoa prices have soared in the last two years, largely because of a succession of poor cocoa harvests in West Africa, where Ghana and the Ivory Coast produce around two-thirds of global supply.
A combination of drought and crop disease cut global output by around 14% last year, pushing consumer prices in the other direction, with chocolate inflation passing 17% in the UK in October.
Skimpflation and shrinkflation
Some major brands have responded by cutting the chocolate content of products – “skimpflation” – or charging more for less – “shrinkflation”.
Household-name brands including Penguin and Club have cut the cocoa and milk solid content so far they can no longer be classified as chocolate, and are marketed instead as “chocolate-flavour”.
Whitakers have stuck to their recipes and product sizes, choosing to pass price increases on to customers while adapting products to the new market conditions.
“Not only are major brands putting up prices over 20%, sometimes 40%, they’ve also reduced the size of their pieces and sometimes the ingredients,” says William Whitaker.
“We haven’t done any of that. We knew that long-term, the market will fall again, and that happier days will return.
“We’ve introduced new products where we’ve used chocolate as a coating rather than a solid chocolate because the centre, which is sugar-based, is cheaper than the chocolate.
“We’ve got a big product range of fondant creams, and others like gingers and Brazil nuts, where we’re using that chocolate as a coating.”
Image: The costs are adding up
A deluge of price rises
Brazil nuts have enjoyed their own spike in price, more than doubling to £15,000 a tonne at one stage.
On top of commodity prices determined by markets beyond their control, Whitakers face the same inflationary pressures as other UK businesses.
“We’ve had the minimum wage increasing every year, we had the national insurance rise last year, and sort of hidden a little bit in this budget is a business rate increase.
“This is a small business, we turn over £12m, but our rates will go up nearly £100,000 next year before any other costs.
“If you add up all the cocoa and all the other cost increases in 2024 and 2025, it’s nearly £3m of cost increases we’ve had to bear. Some of that is returning to a little normality. It does test the relevance of what you do.”