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WARNING: This article contains language and content some readers may find distressing

As a single mum, Lucy* looked forward to her rare nights out. A few years ago, during after-work drinks at a local pub, she started feeling unwell. When she collapsed and passed out, a bouncer called an ambulance. Lucy’s drink had been spiked.

The ambulance was crewed by two paramedics, a man and a woman. Still unconscious, Lucy was placed on a stretcher, strapped on to the bed, and driven towards the hospital.

After a scary episode, Lucy’s friends must have breathed a sigh of relief. She was safe, and being looked after. But, as the female ambulance driver looked in her rear-view mirror to check on Lucy, she says she saw the unimaginable – her male colleague sexually assaulting his patient.

Lucy still doesn’t remember what happened, but she has the police report and crime scene pictures of the inside of the ambulance.

Pointing to a photo of where she was strapped down, she says almost matter-of-factly: “He put my legs up, so my knees were up, and put his hand inside my groin area – possibly touching my vagina.”

When she regained consciousness, she was told what had happened to her. Years later, she is still struggling to process it.

The paramedic denied the charges and was found not guilty at trial, but later struck off by the paramedics’ regulator, the Health and Care Professions Council (HCPC).

They have a lower standard of proof than the criminal courts, and found against him, calling him a “serious threat to patient safety”.

Lucy still wouldn’t feel safe getting into an ambulance today. “It’s awful, you feel so violated and vulnerable,” she says.

Rebecca Hendin illustration for Rachael Venables piece

“It’s a shock to think someone in that position would do that, when they’re supposed to be there to look after you.”

Her story is horrific, but Lucy is not alone. It forms part of a year-long Sky News investigation into sexual misconduct in the ambulance service, which has revealed a culture where abuse and harassment among staff are rife and patients are sexualised.

A senior ambulance boss admits the service has “let victims down”, while stressing that perpetrators are the “minority”.

Jason Killens, head of the Welsh Ambulance Service and the Association of Ambulance Chief Executives, says he expects “a steady increase” in the number of cases, with more paramedics being sacked for sexually inappropriate behaviour over the coming years, because of the work his organisation is doing to change the culture.

Data shared with Sky News shows one in five of the sexual misconduct complaints made against paramedics to their regulator, the Health and Care Professions Council, in 2023 were for acts against patients or members of the public.

While fewer than 1% of all HCPC members had concerns raised against them last year, in sexual misconduct cases, paramedics were hugely over-represented.

They make up just 11% of the HCPC register, but account for 64% of all investigations into sexual harassment against colleagues. The regulator’s chair, Christine Elliot, thinks the sexual misconduct cases are “just the tip of the iceberg”.

Rebecca Hendin illustration for Rachael Venables piece

“This is all about patient safety,” she says. “Patients need to know when they see a practitioner, they can rely on them giving the best care possible with the best behaviour possible.”

‘Totally unnecessary breast examinations’

Cases like Lucy’s are rare but several whistleblowers across multiple trusts have spoken up about a culture in which “banter” or jokes about groping patients are commonplace.

Current and former paramedics claim to have heard patients, particularly young women, being sexualised by the men who had helped to treat or even save them.

One former paramedic revealed the phrase “totally unnecessary breast examinations” (or TUBEs), and said she had heard paramedics talking about “TUBEing” young, drunk women. She also claims to have seen a colleague grope another colleague’s breasts, telling her: “I just TUBEed you.”

A second woman said the same phenomenon was called “jazz hands” in her trust. Both said these were widely understood phrases which referred to colleagues accidentally, or deliberately, touching a woman’s breast during treatment.

A third paramedic told us she’d heard colleagues talk about patients in an explicitly sexual manner, saying things like: “She had nice tits” or “those were silicone”, while bragging about getting a patient’s number and having a “good feel”.

“That is assault. That is sexual assault,” she says.

Rebecca Hendin illustration for Rachael Venables piece

‘It will be fun. Your career will progress’

“One of my biggest fears was that I wouldn’t be believed because of where I worked. It was the ambulance service and he was the man in charge,” says Ellie*, whose first job was as a call handler in an ambulance control room.

She loved the camaraderie and the idea that she was making a difference. Until one day, the manager called her into his office and invited her to a conference with him. At first, she was flattered and a little confused.

“He explained that he’d taken a liking to me and then he reached out and touched my leg.” Shocked, Ellie froze. “I was in my early 20s and didn’t know what his intention was. I was a bit naive, probably.” As he carried on talking, her boss slid his hand “as far up my thigh as it could go”.

Horrified, she shot back in her chair and asked him what he was doing.

“If you come, we’ll share a room. It will be fun. Your career will progress,” her boss replied.

“No,” she exclaimed, rushing out the room in a panic. Back at her desk, she carried on taking 999 calls while he watched over her.

Then she claims the messages started: “They were photos of his private parts, as well as messages suggesting meeting in the car park for sex and saying he wanted to kiss me. A whole manner of very descriptive sexual actions that he said he wanted to do with me.”

The messages carried on “for months”, she says, despite her pleading with him to stop. She was left dreading going to work for fear of seeing him, and avoided going to the toilet in case she ran into him in the corridor.

Venables paramedics piece

Eventually she showed the messages to HR, she says, but claims they suggested moving her to a different office. He wouldn’t be punished.

“It was sexual harassment,” Ellie says, caught between anger and despair. “They didn’t do anything. There was no investigation. No meeting with him that I’m aware of. No statement from me. Nothing. I was the problem.”

She eventually quit the service, but alleges he still works there to this day, an injustice that “makes me feel sick” she says.

An NHS England spokesperson said new national guidance and training has been recently introduced “to stamp out this awful behaviour”.

“Any abuse or violence directed at NHS staff is totally unacceptable and will not be tolerated, and the NHS is committed to tackling unwanted, inappropriate or harmful sexual behaviour in the workplace. We have recently introduced new national guidance and training that will help staff recognise, report and act on sexual misconduct at work to stamp out this awful behaviour,” they said.

‘We failed those individuals… I’m sorry’

Ellie’s story is simply “not right”, says ambulance boss Mr Killens.

“We failed those individuals,” he admits, saying “I’m sorry” to both staff and patients who have “been subject to poor behaviour from our people”.

What should the NHS do if a serious complaint of sexual abuse is made about a paramedic?

Anyone can raise a concern about a paramedic’s fitness to practise including patients, colleagues, police or members of the public.

Where the complaint is serious the NHS is expected to directly raise a concern with the regulator, the Health and Care Professions Council.

What happens when a paramedic is referred to the HCPC for a complaint of sexual abuse?

If the concern is very serious they can apply for an interim order to prevent someone from practising or to place conditions on how they can work until the case has been closed.

The claim is investigated and eventually considered by an independent tribunal panel who can impose a number of sanctions.

They can strike someone off the register or impose a temporary suspension; place a condition of practice or a caution order; or decide no further action is necessary.

How long does it take?

In 2023/24 it was around 160 weeks from receipt of a complaint to reaching the final decision

Why does it take so long?

Last year, there were a total of 2,226 concerns raised, a 26% increase from the previous year.

The HCPC say they face external pressures, like delays from NHS trusts, complex investigations, or having to run alongside the criminal justice system.

They also say “archaic” laws mean they have to take a huge amount of cases to a full tribunal, even when the preference might be to drop the case sooner and want legislative change.

Work is being done, he says, to tackle this kind of behaviour, citing it as his, and his organisation’s, top priority.

That will involve rooting out the perpetrators, but also playing the “long game” to change the culture “so that we can begin to tackle low level misconduct or inappropriate behaviour early, rather than let it fester and get worse,” he says.

According to the HCPC’s chair, cultural change is needed from leadership down. Sexual harassment, Elliot says, needs to be treated as high a priority as “waiting times and crumbling hospitals”.

Read more from this investigation:
Life as a female paramedic
‘Toxic’ culture of harassment revealed

But many of the victims we have spoken to say the HCPC takes too long (an average of three years) to investigate misconduct allegations.

Elliot agrees that isn’t good enough, but says they are running initiatives to speed things up, and wants to see legislative change to give her organisation more power to speed up investigations.

They have also created a sexual safety hub for both victims and witnesses of inappropriate behaviour.

It can be hard to hear allegations like Lucy and Ellie’s, contrasting their stories with a service in which the majority of people are dedicated to saving lives.

But it’s also clear that for far too long, abusers and those who commit sexually inappropriate behaviour have operated with impunity in the ambulance service. Some were perhaps protected by allegiances or cover-ups, many others simply hid behind the veneer of “banter”.

Ambulance and NHS bosses have made it clear to Sky News they are determined to root out not just the perpetrators of serious sexual violence, but also to stamp out the culture that breeds this behaviour.

But in the meantime women like Lucy, Ellie and countless others won’t hear an ambulance siren and feel safe, telling us they would even struggle to dial 999 in the case of a medical emergency.

*names have been changed

Illustrations by Rebecca Hendin

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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Public ‘at risk’ as more inmates sent to open prisons – with another manhunt under way

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Public 'at risk' as more inmates sent to open prisons - with another manhunt under way

Public safety is “at risk” because more inmates are being sent to prisons with minimal security, a serving governor has warned – as details emerge of another manhunt for a foreign national offender.

Mark Drury – speaking in his role as representative for open prison governors at the Prison Governors’ Association – told Sky News open prisons that have had no absconders for “many years” are now “suddenly” experiencing a rise in cases.

It comes after a man who was serving a 21-year sentence for kidnap and grievous bodily harm absconded from an open prison in Sussex last month.

Sky News has learned that Ola Abimbola is a foreign national offender who still hasn’t returned to HMP Ford – and Sussex Police says it is working with partners to find him.

WARNING: Some readers may find the content in this article distressing

Ola Abimbola absconded from an open prison. Pic: Sussex Police
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Ola Abimbola absconded from an open prison. Pic: Sussex Police

For Natalie Queiroz, who was stabbed 24 times by her ex-partner while she was eight months’ pregnant with their child, the warnings could not feel starker.

Natalie sustained injuries to all her major organs and her arms, while the knife only missed her unborn baby by 2mm.

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“Nobody expected either of us to survive,” she told Sky News.

Babur Raja was sentenced to 18 years for attempted murder, but Natalie has recently been told that he’s set to be moved to an open prison four years earlier than planned.

“Any day now, my ex who created this untold horror is about to go to an open prison,” Natalie said.

Open prisons – otherwise known as Category D jails – have minimal security and are traditionally used to house prisoners right at the end of their sentence, to prepare them for integrating back into society.

With overcrowding in higher security jails, policy changes mean more prisoners are eligible for a transfer to open conditions earlier on in their sentence.

Natalie Queiroz was stabbed 24 times by her ex-partner
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Natalie Queiroz was stabbed 24 times by her ex-partner

“It doesn’t feel right, it’s terrifying, and it also doesn’t feel like justice,” Natalie said, wiping away tears at points.

Previously, rules stated a transfer to open prison could only take place within three years of their eligibility for parole – but no earlier than five years before their automatic release date.

The five-year component was dropped in March last year under the previous government, but the parole eligibility element was extended to five years in April 2025.

Raja, who is due for release in 2034, has parole eligibility 12 years into his sentence, which is 2028.

Under the rule change, this eligibility for open prison is set for this year – but under the new rules it could have been 2023, which is within five years of his parole date.

Another change, introduced in the spring, means certain offenders can be assumed suitable for open prisons three years early – extended from two years.

Natalie says her ex-partner Babur Raja caused 'untold horror'
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Natalie says her ex-partner Babur Raja caused ‘untold horror’

Natalie has been campaigning to prevent violent offenders and domestic abuse perpetrators from being eligible to transfer to an open prison early.

She’s had meetings with ministers and raised both her case and others.

“They actually said – he is dangerous,” she told Sky News.

“I said to [the minister]: ‘How can you make a risk assessment for someone like that?’

“And they went: ‘If we’re honest, we can’t’.”

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What’s wrong with our prisons?

Read more UK news:
Andrew Mountbatten Windsor summoned by Congress
How Elon Musk is boosting the British right

The government told Sky News that Raja’s crimes were “horrific” and that their “thoughts remain with the victim”.

They also insist that the “small number of offenders eligible for moves to open prison face a strict, thorough risk assessment” – while anyone breaking the rules “can be immediately returned”.

Mark Drury, a representative of the Prison Governors' Association
Image:
Mark Drury, a representative of the Prison Governors’ Association

But Mr Drury describes risk assessments as an “algorithm tick box” because of “the pressure on offender management units”.

These warnings come at an already embarrassing time for the Prison Service after migrant sex offender Hadush Kebatu was mistakenly freed last month.

This week, it emerged two others have been freed in error since then, amid new release checks.

In response to this report, the Ministry of Justice says it “inherited a justice system in crisis, with prisons days away from collapse” – forcing “firm action to get the situation back under control”.

The government has promised to add 14,000 new prison places by 2031 and introduce sentencing reforms.

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Congressional letter summons Andrew Mountbatten Windsor to US to explain Epstein links

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Congressional letter summons Andrew Mountbatten Windsor to US to explain Epstein links

The US Congress has written to Andrew Mountbatten Windsor requesting an interview with him in connection with his “long-standing friendship” with paedophile financier Jeffrey Epstein.

The Committee on Oversight and Government Reform said it is investigating the late financier’s “sex trafficking operations”.

It told Andrew: “The committee is seeking to uncover the identities of Mr Epstein’s co-conspirators and enablers, and to understand the full extent of his criminal operations.

“Well-documented allegations against you, along with your long-standing friendship with Mr Epstein, indicate that you may possess knowledge of his activities relevant to our investigation.

“In the interest of justice for the victims of Jeffrey Epstein, we request that you co-operate with the committee’s investigation by sitting for a transcribed interview with the committee.”

Read the letter in full

The congressional committee wants to understand any 'activities' relevant to its Epstein investigation. PA file pic
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The congressional committee wants to understand any ‘activities’ relevant to its Epstein investigation. PA file pic

Virginia Giuffre, who died in April, accused Andrew of sexually assaulting her after being introduced by Epstein. Andrew has always vehemently denied her accusations.

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The letter to the former prince, is addressed to Royal Lodge, Windsor Great Park, the home he agreed last week to leave, when he was stripped of his royal titles.

It outlines his “close relationship” with Epstein and references a recently revealed 2011 email exchange in which Andrew told him “we are in this together”.

And it says the committee has identified “financial records containing notations such as ‘massage for Andrew’ that raise serious questions”.

Read more:
Andrew’s fall from grace
Can William escape Andrew questions in Brazil?

The committee said Andrew’s links to Epstein “further confirms our suspicion that you may have valuable information about the crimes committed by Mr Epstein and his co-conspirators”.

The letter, signed by 16 members of Congress, requested Andrew responds by 20 November.

It came as the King officially stripped his disgraced brother of both his HRH style and his prince title.

The move followed the publication Ms Giuffre’s posthumous memoirs, and the US government’s release of documents from the paedophile’s estate.

Ms Giuffre alleged she was forced to have sex with Andrew three times – once at convicted sex trafficker Ghislaine Maxwell’s home in London, once in Epstein’s address in Manhattan, and once on the disgraced financier’s private island, Little St James.

The incident at Maxwell’s home allegedly occurred when Ms Giuffre was 17 years old.

Epstein took his own life in a New York prison in 2019 while awaiting trial on sex trafficking and conspiracy charges.

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Congress requests Andrew explain Jeffrey Epstein friendship – read letter in full

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Congress requests Andrew explain Jeffrey Epstein friendship - read letter in full

Andrew Mountbatten Windsor has been summoned by Congress to answer questions about his friendship with Jeffrey Epstein.

The Committee on Oversight and Government Reform said it is investigating the late financier’s “sex trafficking operations”.

Andrew’s friendship with the paedophile has come under intense scrutiny in recent years and has led to him being stripped of his titles and made to leave his accommodation at Royal Lodge on the Windsor estate.

The memoir of Virginia Giuffre, one of Epstein’s victims, was posthumously published last month and in it she alleged she had sex with Andrew three times while she was a teenager.

Andrew paid a settlement to Ms Giuffre in 2022 and has always denied wrongdoing. He has previously resisted calls to be summoned to the US.

Here is the letter in full:

We write to seek your cooperation in the Committee on Oversight and Government Reform’s (Committee) investigation into Jeffrey Epstein’s sex trafficking operations. The Committee is seeking to uncover the identities of Mr. Epstein’s co-conspirators and enablers and to understand the full extent of his criminal operations.

More on Andrew Mountbatten Windsor

Well-documented allegations against you, along with your long-standing friendship with Mr. Epstein, indicate that you may possess knowledge of his activities relevant to our investigation. In the interest of justice for the victims of Jeffrey Epstein, we request that you cooperate with the Committee’s investigation by sitting for a transcribed interview with the Committee.

It has been publicly reported that your friendship with Mr. Epstein began in 1999 and that you remained close through and after his 2008 conviction for procuring minors for prostitution.

It has also been reported that you traveled with Mr. Epstein to his New York residence, the Queen’s residence at Balmoral, and to Mr. Epstein’s private island in the U.S. Virgin Islands, where you have been accused of abusing minors.

This close relationship with Mr. Epstein, coupled with the recently revealed 2011 email exchange in which you wrote to him “we are in this together,” further confirms our suspicion that you may have valuable information about the crimes committed by Mr. Epstein and his co-conspirators.

As you are well aware, Virginia Roberts Giuffre made several allegations that you abused her when she was just 17 years old.

In her 2021 lawsuit, Ms. Giuffre alleged that she was forcibly “lent out” to you for sexual purposes on three separate occasions. In addition to these allegations, flight logs document several instances in which you were a passenger on Mr. Epstein’s plane between 1999 and 2006, while his criminal activities were ongoing.

In response to a subpoena issued to the Epstein estate, the Committee has identified financial records containing notations such as “massage for Andrew” that raise serious questions regarding the nature of your relationship with Mr. Epstein and related financial transactions.

In her posthumous memoir, Ms. Giuffre expressed a fear of retaliation if she made allegations against you, and writes that the settlement agreement you executed with her restricted her to one-year gag order designed to protect the Crown’s reputation.

Recent reporting confirms those fears, as law enforcement authorities in the United Kingdom have launched an investigation into allegations that you asked your personal protection officer to “dig up dirt” for a smear campaign against Ms. Giuffre in 2011.

This fear of retaliation has been a persistent obstacle to many of those who were victimized in their fight for justice. In addition to Mr. Epstein’s crimes, we are investigating any such efforts to silence, intimidate, or threaten victims, and are interested in any avenues that may further shed light on these activities.

Given these recent events and the appalling allegations that have come to light from Ms. Giuffre’s memoir and other reliable sources, the Committee requests that you make yourself available for a transcribed interview with the Committee and provide insight into the crimes of Jeffrey Epstein’s co-conspirators.

Due to the urgency and gravity of this matter, we ask that you provide a response to the Committee’s interest by November 20, 2025.

The Committee on Oversight and Government Reform is the principal oversight committee of the House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X. If you have any questions about this request, please contact Committee Democratic staff at (202) 225-5051. Thank you for your prompt attention to this request.

The letter is signed by 16 members of the Committee on Oversight and Government Reform.

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