More than 20 former patients or their relatives have revealed how they were “treated worse than animals” and failed by the “awful” care they received at mental health hospitals for teenagers.
Testimonies gathered in an investigation by Sky News raise repeated allegations of over-restraint and inadequate staffing which youngsters say left people at increased risk of self-harm.
Patients described being left in rooms with blood on the walls, and accuse staff of failing to prevent them from hurting themselves.
The mother of one girl, who wishes to remain anonymous, said that patients were “treated worse than animals” with many subjected to “clear trauma, pain and suffering”.
The allegations stretch back more than a decade, impacting teenagers being treated for serious mental health issues by a single provider – The Huntercombe Group – paid for by the NHS.
Sky News has presented its findings to the Department of Health, which described the allegations as “deeply concerning”.
Repeated claims of over restraint
Sky News spent months tracing the group, most of who don’t know each other, in a joint investigation with The Independent.
Eighteen-year-old Alice Sweeting, who was in Huntercombe’s Maidenhead unit for 14 months until autumn last year, told us: “No one’s going to get better in that environment.
“I think it’s awful. It shouldn’t be open. I don’t know why they’re still running.”
At least three of the former patients we spoke to revealed they have been diagnosed with post-traumatic stress disorder (PTSD) since leaving the units – with their treatment at the hospital contributing to the diagnosis.
Amber Rehman, 18, said the time she spent in the unit made her mental health condition “much worse”.
“It hasn’t stopped. Every day, guaranteed. It’s been going through my head more than anything else,” she said.
“I just want to move on.”
Reviews criticise ‘coercive’ restraint
Sky News has seen independent reviews – commissioned by The Huntercombe Group – which raise concerns into the care of three of the young people we’ve spoken to. Two of the reports describe the use of restraint as “coercive”.
We can also reveal the NHS has paid The Huntercombe Group nearly £190m since 2015 to provide adolescent mental health inpatient services, despite repeated criticisms about the standard of care patients have been receiving in its units.
A Department of Health and Social care spokesperson said: “The allegations of mistreatment that have been raised are deeply concerning.
“We take these reports very seriously and are investigating the concerns raised and are working with NHS England and the CQC (Care Quality Commission) to ensure all mental health inpatient settings are providing the standard of care we expect.”
Former Children’s Commissioner Anne Longfield, who is chairing an independent review of inpatient mental health care in England, described the allegations as “barbaric” and called on the CQC to re-inspect the units “urgently” and speak to the youngsters we’ve interviewed.
Police investigate death of patient
The Huntercombe Group was taken over by Active Care Group at the end of last year. Two months after the takeover, a patient died at the group’s unit in Maidenhead, now called Taplow Manor, with Thames Valley police currently investigating.
Taplow Manor and another unit in Staffordshire remain open. Three other children’s mental health units which were part of The Huntercombe Group have closed.
Dr Sylvia Tang, who was CEO of The Huntercombe Group since June 2020 and is now CEO of Active Care Group, said: “The death of a young person at Taplow Manor in February 2022 was a tragic and sad event.
“We have already taken steps to make improvements to the service and remain committed to providing the best possible care for our patients. Our sincere condolences go out to the young person’s parents and all who have been affected.”
In response to our dossier of concerns raised by former patients, Dr Tang said: “At the time most of these incidents are alleged to have taken place, the Active Care Group, did not own the facilities at which they are purported to have happened.
“ACG acquired 12 of The Huntercombe Group services in December 2021 (including the brand), and previous owners retain all the legal entities and associated records for these facilities prior to their acquisition.
“The current group is therefore unable to comment on the services provided prior to this date.”
Active Care Group says it has “robust” processes in place.
The previous owners of The Huntercombe Group – Elli Investments Group – told Sky News: “We regret that these hospitals and specialist care services, which were owned and independently managed by The Huntercombe Group, failed to meet the expected standards for high quality care.”
An NHS spokesperson said: “The NHS has repeatedly made clear that all services must provide safe, high-quality care and deliver on the commitments in their contracts.
“We continue to work closely with the CQC to monitor, identify and take appropriate action where it is needed.”
The UK is on a “slippery slope towards death on demand”, according to the justice secretary ahead of a historic Commons vote on assisted dying.
In a letter to her constituents, Shabana Mahmood said she was “profoundly concerned” about the legislation.
“Sadly, recent scandals – such as Hillsborough, infected blood and the Post Office Horizon – have reminded us that the state and those acting on its behalf are not always benign,” she wrote.
“I have always held the view that, for this reason, the state should serve a clear role. It should protect and preserve life, not take it away.
“The state should never offer death as a service.”
On 29 November, MPs will be asked to consider whether to legalise assisted dying, through Kim Leadbeater’s Terminally Ill Adults (End of Life) Bill.
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Minister ‘leans’ to assisted dying bill
Details of the legislation were published last week, including confirmation the medicine that will end a patient’s life will need to be self-administered and people must be terminally ill and expected to die within six months.
Ms Mahmood, however, said “predictions about life expectancy are often inaccurate”.
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“Doctors can only predict a date of death, with any real certainty, in the final days of life,” she said. “The judgment as to who can and cannot be considered for assisted suicide will therefore be subjective and imprecise.”
Under the Labour MP’s proposals, two independent doctors must confirm a patient is eligible for assisted dying and a High Court judge must give their approval.
The bill will also include punishments of up to 14 years in prison for those who break the law, including coercing someone into ending their own life.
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However, Ms Mahmood said she was concerned the legislation could “pressure” some into ending their lives.
“It cannot be overstated what a profound shift in our culture assisted suicide will herald,” she wrote.
“In my view, the greatest risk of all is the pressure the elderly, vulnerable, sick or disabled may place upon themselves.”
Labour MP Kim Leadbeater, who put forward the bill, said some of the points Ms Mahmood raised have been answered “in the the thorough drafting and presentation of the bill”.
“The strict eligibility criteria make it very clear that we are only talking about people who are already dying,” she said.
“That is why the bill is called the ‘Terminally Ill Adults (End of Life) Bill’; its scope cannot be changed and clearly does not include any other group of people.
“The bill would give dying people the autonomy, dignity and choice to shorten their death if they wish.”
In response to concerns Ms Mahmood raised about patients being coerced into choosing assisted death, Ms Leadbeater said she has consulted widely with doctors and judges.
“Those I have spoken to tell me that they are well equipped to ask the right questions to detect coercion and to ascertain a person’s genuine wishes. It is an integral part of their work,” she said.
In an increasingly fractious debate around the topic, multiple Labour MPs have voiced their concerns.
In a letter to ministers on 3 October, the Cabinet Secretary Simon Case confirmed “the Prime Minister has decided to set aside collective responsibility on the merits of this bill” and that the government would “therefore remain neutral on the passage of the Bill and on the matter of assisted dying”.
“Immediate action” is being taken after blueprints of jail layouts were shared online.
The maps detailing the layouts of prisons in England and Wales were leaked on the dark web over the past fortnight, according to The Times.
The detailed information is said to include the locations of cameras and sensors, prompting fears they could be used to smuggle drugs or weapons into prisons or help inmates plan escapes.
Security officials are now working to identify the source of the leak and who might benefit from the details.
The Ministry of Justice did not disclose which prisons were involved in the breach.
A government spokesperson said in a statement: “We are not going to comment on the specific detail of security matters of this kind, but we are aware of a breach of data to the prison estate and, like with all potential breaches, have taken immediate action to ensure prisons remain secure.”
The leak comes amid a chronic prison overcrowding crisis, which has led to early release schemes and the re-categorising of the security risks of some offenders to ease capacity pressures.
The UK will “set out a path” to lift defence spending to 2.5% of national income in the spring, the prime minister has said, finally offering a timeframe for an announcement on the long-awaited hike after mounting criticism.
Sir Keir Starmer gave the date during a phone call with Mark Rutte, the secretary general of NATO, in the wake of threats by Moscow to target UK and US military facilities following a decision by London and Washington to let Ukraine fire their missiles inside Russia.
There was no clarity though on when the 2.5% level will be achieved. The UK says it currently spends around 2.3% of GDP on defence.
A spokeswoman for Downing Street said that the two men “began by discussing the situation in Ukraine and reiterated the importance of putting the country in the strongest possible position going into the winter”.
They also talked about the deployment of thousands of North Korean soldiers to fight alongside Russia.
“The prime minister underscored the need for all NATO countries to step up in support of our collective defence and updated on the government’s progress on the strategic defence review,” the spokeswoman said.
“His government would set out the path to 2.5% in the spring.”
The defence review will also be published in the spring.
While a date for an announcement on 2.5% will be welcomed by the Ministry of Defence, analysts have long warned that such an increase is still well below the amount that is needed to rebuild the armed forces after decades of decline to meet growing global threats from Russia, an increasingly assertive China, North Korea and Iran.
They say the UK needs to be aiming to hit at least 3% – probably higher.
With Donald Trump returning to the White House, there will be significantly more pressure on the UK and other European NATO allies to accelerate increases in defence spending.