Thirty new patients have contacted Sky News following our investigation into the treatment of teenagers in mental health units run by a single provider.
They include a 16-year-old boy whose mother told us her son’s self-harming increased.
Rachel Vickers said of her son Tyson: “He looked like he’d been in a car crash”, and Tyson Vickers added: “It just felt like they’d given up on me.”
In October, Sky News revealed serious allegations of failures in care from more than twenty former patients at units run by The Huntercombe Group, now part of Active Care Group.
Content warning: this article contains references to self-harm
Since then, we’ve been contacted by dozens more former patients independently of one another.
They’ve made further claims over concerns such as the overuse of restraint and inadequate supervision, allegedly leaving patients at increased risk of self-harm.
In response to our joint investigation with the Independent, the Department for Health has described the further allegations of mistreatment as “deeply concerning”.
Sixteen-year-old Tyson Vickers is one of a raft of new patients who’ve come forward in response to our initial investigation.
He spent two months in the Maidenhead unit from the beginning of March this year – he says during his time there he felt “like a lost cause in the mental healthsystem”.
Tyson told us he went into the unit because “I couldn’t keep myself safe”. But he says he didn’t receive the specialist intervention he was expecting.
His mother Rachel said: “I could see that he was getting a lot worse. We were seeing much more self-harm – erratic behaviour that was leading to him needing to be restrained, which we hadn’t had to do at home. It was dawning on me that he wasn’t being looked after.
“He had cuts on his arms. He was bandaged up on both arms. He had a huge black eye. I mean, he looked like he’d been in a car crash.”
Tyson is autistic and transgender. It’s not easy talking about his time at the unit. He said he would ask staff to “refer to me as a male and by the name Tyson with “him” pronouns.
“But sometimes they’d just mess up, and you could tell they didn’t actually respect it”.
Tyson says he gets “flashbacks” from his experiences. He says “just thinking about everything I went through there” makes him tearful when discussing it.
Tyson says: “I was struggling a lot. It just felt like they’d given up on me. I’m not going to get better. I just felt like I couldn’t be helped in any way. I was just sort of like a lost cause in the mental health system.”
“I was told by one staff member I would never get out, that I was just going to be stuck there forever and I couldn’t get help.”
Our original investigation revealed allegations stretching back more than a decade.
There were recurring themes such as the overuse of restraint and lack of staffing and observation to keep patients safe.
The 30 new patients who’ve come forward were inpatients at the units from 2003 – the majority were admitted from 2018.
They all got in touch with us independently of one another.
A patient who wants to remain anonymous, and who was in the Maidenhead unit between 2018 and 2019, told us she is now unable to live independently, which she believes is due to the trauma from her experiences.
This is how she describes her life now after her time at the unit: “I have pretty much daily seizures, walking difficulties, tics and more.
“My mum is my full-time carer as I cannot be on my own due to this. I cannot live independently.”
Another patient, who also wants to remain anonymous, and was admitted to the Maidenhead unit in 2020, shared photographs of injuries to her legs and knuckles which she says were sustained during restraints.
She said: “Sometimes when they were trying to get me in holds, they would swing me round really hard and I would fall into the wall so I would get bruised knuckles.
“Every single day I was getting bruises all over my body.”
Another patient shared pictures she says are of blood on the walls of her room. She told us she was left alone “for hours” to self-harm.
In 2019 Mae, who is 21 now, was an inpatient at Huntercombe’s Stafford unit.
She said: “I wouldn’t be asked to walk to the clinic for a feed, I would just be picked up and dragged there”.
Mae describes feeling like an “animal” in the unit and claims she was “dragged around, locked out of my room, bruised, constantly shouted at and verbally abused.
She said: “I had no autonomy or say in my own care or my own body.”
Ami was in the Maidenhead unit between April 2020 and December 2021.
Now aged 18 she says she wasn’t allowed out of her room for six weeks after an episode of self-harm.
She said when her underwear was taken off so she could be put into anti-ligature clothing, there was a male member of staff in the room.
She said: “I was embarrassed and felt assaulted. It really went past all my boundaries.”
Ami’s mother Rebecca Hinton told us: “We felt helpless, alone, like our voices just fell into a dark well, scared, desperate.”
Separate to our investigation, we’ve learned the first steps have been taken by solicitor Mark McGhee towards legal action against The Huntercombe Group. He’s currently representing nine former patients.
His cases include the family of a young former patient who claims they were raped by a member of staff at the Maidenhead unit.
Thames Valley Police has confirmed they are investigating the allegation.
Mr McGhee said: “This is systemic failure and it’s gross systemic neglect. This hospital was responsible for some of the most vulnerable individuals within our society
“All of these individuals have been profoundly affected in terms of the abuse that they’ve sustained. And it is going to affect the rest of their lives.”
Active Care Group took over Huntercombe in December 2021.
A spokesperson for Active Care Group said: “We are very sad and concerned to hear about these patient experiences and allegations of poor care, a handful of which relate to time in our care…our policies and clinical interventions are in line with national guidelines and best practice; the care of our patients is our top priority.”
“All complaints are investigated and those meeting thresholds for CQC (Care Quality Commission) and safeguarding are reported as required. We are also pleased to receive positive feedback from many young people and their families.”
The previous owners Elli Investments Group said: “We are saddened by these allegations and 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.”
NHS England said it’s deeply concerned by these “shocking allegations”.
A spokesperson said: “Consequently these two units, which are run by Active Care Group, have been visited several times by senior commissioners in recent weeks – these visits have included speaking to all current patients, and we will continue to monitor and take appropriate action where necessary.
“The NHS has repeatedly made it clear in recent meetings to the executives of Active Care Group that all services must provide safe, high-quality care and deliver on the commitments in their contracts.”
A Department of Health and Social Care spokesperson said: “The further allegations of mistreatment that have been raised are deeply concerning. Our first priority is to ensure anyone receiving treatment in a mental health facility receives safe, high-quality care, and is looked after with dignity and respect.
“We take these reports very seriously and are working with NHS England and CQC to ensure all mental health inpatient settings are providing the standard of care we expect.”
Chris Dzikiti, Director of Mental Health at the Care Quality Commission (CQC) said: “It is unacceptable for any young person who needs mental health support to receive anything less than the highest standards of care.
“We are grateful to each and every person who has taken the time to share their, or their loved ones, experience of the care they have received.
“We have a range of powers we can use if we find people are not receiving safe care and will take every action possible to protect people where necessary.”
As mother-of-three Danielle pushes two prams down the street in south London, her only thought is where will they all sleep tonight?
The 21-year-old, whose children are all under the age of five, had a council house in Southwark but had to move out because she faced threats of violence.
“I didn’t know that going to the police would end up with me being homeless,” she says.
Heartbroken and panicking, with nowhere else to go, Danielle is in a park with her three children – two daughters, aged one and four, and her two-year-old son.
“I’m so sorry, I wish this could all be better,” she tells them. Her eldest clutches a plastic toy and asks when they are going home.
“We don’t have a home anymore,” Danielle replies. She can’t hide the truth from her any longer.
Danielle, who has long dark hair and is wearing a puffer jacket, is pacing, her mobile phone pressed to her ear, making a series of desperate phone calls, pleading for help.
“Where am I going to go with the kids,” she asks a housing officer. “I have nowhere to go.”
At this point it’s around 3pm and council offices will soon be closing. As her phone dies, Danielle, now sitting on a bench, her eldest daughter comforting her siblings in their buggies, breaks down in tears.
It is hard to imagine someone more vulnerable; a 21-year-old, at risk of violence, a care leaver herself, mother-of-three. If she’s fallen through the net, then who is it catching?
Initially, Southwark council paid for her to have temporary accommodation elsewhere.
But things changed when police informed them it was too dangerous for her to come back to the borough.
“To sit there and tell a four-year-old little girl we can’t go home because we don’t have a home, that’s very upsetting as a mum because I brought her into this world to love her, protect her, to give her a home, and me being a mum telling her I can’t do that right now, it breaks my heart, but I know it’s not my fault,” she tells Sky News.
“Last Tuesday, I got a call to say they could no longer fund my accommodation because the police said it’s no longer safe to return back to Southwark, so they don’t owe me a duty of care.”
The council emailed her a letter which implied she was being made homeless for her own protection. The letter instructed her to present herself to another “local authority homeless person unit to seek rehousing outside of Southwark,” it said. “This is on the grounds of personal protection for you and your children.”
The letter, dated 30 September, explained her current accommodation would terminate on 9 October.
But, when Danielle approached another council, they wanted more details from Southwark. In the meantime, her landlord said Southwark had stopped paying, so he evicted her and changed the locks.
“We are just going around in a loop and in the meantime me and my children are homeless, and nobody seems to care,” she told us when we found her on 10 October.
“They are not protecting me or my children, they’ve put us at an even more high risk, but they don’t seem to acknowledge that.”
As we sit on the park bench together, a Southwark housing officer calls confirming that, despite her being on the streets, they would not extend the temporary accommodation. The person on the phone says it was a management decision.
At this point, we call Southwark’s press office and get a very different tone and a sense that the situation isn’t acceptable.
After an anxious wait, by late afternoon Danielle is told she can return to her temporary accommodation.
But while Danielle was on the streets, she took her child for a routine vaccination and was flagged with children’s social services, which adds to her worries.
“I know I am a good mum,” she says. “A doctor might have thought my nails were dirty or I didn’t look like a normal person, but she has to understand, I had nowhere to go that day.
“I had no keys, nowhere to live. I was living out of a black bag in my grandad’s shed. So, what do you expect?”
In a statement, councillor Sarah King from Southwark told us: “This has been a very distressing situation for Danielle and her children, and I hope that she is at least relieved to be in safe accommodation now. We will be working to resolve her housing situation permanently and continue to support her until that happens.”
The council she was applying to told us they believed the issue was now being dealt with by Southwark.
Housing lawyer Simeon Wilmore told Sky he’s come across this kind of thing “many times” and believes both councils have behaved badly.
“Southwark should have been in contact with the receiving party or receiving local authority and it should be more managed and structured, and she should be at the centre of the decision making,” he said.
“If they have reason to believe she may be eligible for priority needs then the duty of care kicks in. They must accommodate.”
The problem is councils have run out of homes. In Southwark alone 17,700 people are on the borough’s waiting list, nearly treble the figure over five years ago.
On average councils spend 1% of their budget on temporary accommodation, but research by Sky News has found 30 councils spend 10% or more, with several spending over 20% of their overall budgets on homelessness. This is council money going to private landlords.
Adam Hugg, head of housing at the Local Government Association, says the numbers of people needing support “are going through the roof” and the lack of available homes “creates a real challenge”.
He says there is a need for long-term investment to build more council houses as well as reform to housing benefit to make sure more people can be kept in their homes.
Danielle has few home comforts in her temporary flat, which has plain white walls and a TV on the floor. Her wish is for a place she can make her own and paint her daughter’s bedroom walls pink.
She has Halloween decorations on a shelf, while in a corner of the living room there is a long box containing a Christmas tree. On top, there is a child’s yet-to-be-filled-out wish list for Father Christmas, while a pack of red and white baubles and a can of snow spray sit nearby.
“These are all my little Christmas bits I’m going to do with the kids when we eventually have a home,” Danielle says, but she still has no idea when that might be.
“They have told me I’m not going to be here for Christmas,” she says. “So, I don’t know where I’ll be. I just hope it’s not on the street.”
It seems the housing crisis has reached a point where even extreme vulnerability is no guarantee of help.
Councils want more secure longer-term government funding so they can build more homes, but with more children than ever living in temporary accommodation, this is a chronic national problem that will take more than one Christmas to solve.
Sara Sharif’s stepmother sent her sister some pictures of the 10-year-old looking bruised and miserable – and told her to “delete” them, a court has heard.
“Look what he’s doing,” Beinash Batool told Qandeela Saboohi, referring to the beatings Sara was allegedly getting from her father, Urfan Sharif.
“Delete the pictures.”
A series of WhatsApp messages exchanged between 2020 and 2023, in which Batool told her sister about the physical attacks Sharif was allegedly inflicting on his daughter, were read out to a jury at the Old Bailey.
Batool repeatedly told her sister that Sharif was hitting Sara for being “naughty”, “rude and rebellious”, and because she had cut up his clothes, hidden keys and torn up documents.
Batool, 30, Urfan Sharif, 42, and Sara’s uncle, 29-year-old Faisal Malik, are accused of carrying out a campaign of abuse culminating in Sara’s murder on 8 August last year.
As early as February 2020, Batool described Sharif as going on a “rampage” after spilling hot tea, saying he was “possessed”.
Writing about 10 photographs of Sara, she wrote: “This is how bad he is beating her… I feel really sorry for her. He beat the crap out of her.”
On another occasion, Batool said Sharif “went ballistic” and “beat Sara up like crazy”. She expressed fears he could break an arm or leg.
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In May 2021, Batool told Ms Saboohi: “Not great in our house, it’s all a bit manic. Urfan beat the crap out of Sara and my mind is all in bits. I really want to report him.
“Why the hell doesn’t Urfan learn – she’s covered in bruises, literally beaten black.”
Afterwards, Sharif sat “on his fat bum” and played the board game Ludo, she said.
She went on: “Why the hell I’m even letting him in the house. I’m sorry for Sara, poor girl cannot walk. She literally fainted in the kitchen in the morning. He made her do sit-ups all night.”
Asked what Sara had done, Batool said: “Because she hid the keys.”
By 2022, Batool said she was planning to get some “legal advice” but was advised by her sister to give it time and not to rush.
In an update later that year, Batool said she was thinking about taking Sara out of school, saying: “I don’t want to but kinda don’t have a choice.
“I’m just fed up of her behaviour and Urfan’s. Sara’s body is literally bruised because Urfan beat her up. I cannot even cover it up.
“He beat Sara up yesterday and I can’t send her to school on Monday looking like that.
“She ripped Urfan’s documents in front of him and was being rude and rebellious.”
Referring to an image of Sara in a hijab, Batool wrote: “You haven’t even seen her body, it’s a whole lot worse.”
Days later, she said Sara’s school was worried about her and Sharif was “stressed” about it.
In an apparent reference to Sara’s injuries, she wrote: “Urfan told me to cover it up with makeup and she’s going to wear sunglasses.”
Two months before Sara died, Batool referred to “Sara’s antics”, telling her sister: “Urfan beat the crap out of Sara… Yeah, he beat her up like crazy.
“Her oxygen level dropped really low, she’s finding it hard to stay awake.”
Asked if Sharif had hit her on the head, Batool said: “Nah, but she’s breathing really rapidly.”
The day before Sara died, Ms Saboohi tried to make contact but Batool told her she was “not in the mood to speak”.
Two days later, the defendants were captured on CCTV as they prepared to board a flight to Pakistan from Heathrow Airport.
That CCTV has now been shown to the jury.
On 10 August last year, police found Sara’s body in a bunkbed after Sharif called from Pakistan to say he had beaten her up “too much” for “being naughty”.
William Emlyn Jones KC, the prosecutor, has previously told jurors it was disputed whether messages Batool sent to two of her sisters were accurate or gave a full picture.
All three defendants, formerly of Hammond Road in Woking in Berkshire, have denied murder and causing or allowing the death of a child between 16 December 2022 and 9 August 2023.
What you need to know is this. The budget has not gone down well in financial markets. Indeed, it’s gone down about as badly as any budget in recent years, save for Liz Truss’s mini-budget.
The pound is weaker. Government bond yields (essentially, the interest rate the exchequer pays on its debt) have gone up.
That’s precisely the opposite market reaction to the one chancellors like to see after they commend their fiscal statements to the house.
In hindsight, perhaps we shouldn’t be surprised.
After all, the new government just committed itself to considerably more borrowing than its predecessors – about £140bn more borrowing in the coming years. And that money has to be borrowed from someone – namely, financial markets.
But those financial markets are now reassessing how keen they are to lend to the UK.
More on Budget 2024
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The upshot is that the pound has fallen quite sharply (the biggest two-day fall in trade-weighted sterling in 18 months) and gilt yields – the interest rate paid by the government – have risen quite sharply.
This was all beginning to crystallise shortly after the budget speech, with yields beginning to rise and the pound beginning to weaken, the moment investors and economists got their hands on the budget documentation.
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0:33
Chancellor challenged over gilt yield spike
But the falls in the pound and the rises in the bond yields accelerated today.
This is not, to be absolutely clear, the kind of response any chancellor wants to see after a budget – let alone their first budget in office.
Indeed, I can’t remember another budget which saw as hostile a market response as this one in many years – save for one.
That exception is, of course, the Liz Truss/Kwasi Kwarteng mini-budget of 2022. And here is where you’ll find the silver lining for Keir Starmer and Rachel Reeves.
The rises in gilt yields and falls in sterling in recent hours and days are still far shy of what took place in the run up and aftermath of the mini-budget. This does not yet feel like a crisis moment for UK markets.
But nor is it anything like good news for the government. In fact, it’s pretty awful. Because higher borrowing rates for UK debt mean it (well, us) will end up paying considerably more to service our debt in the coming years.
And that debt is about to balloon dramatically because of the plans laid down by the chancellor this week.
And this is where things get particularly sticky for Ms Reeves.
In that budget documentation, the Office for Budget Responsibility said the chancellor could afford to see those gilt yields rise by about 1.3 percentage points, but then when they exceeded this level, the so-called “headroom” she had against her fiscal rules would evaporate.
In other words, she’d break those rules – which, recall, are considerably less strict than the ones she inherited from Jeremy Hunt.
Which raises the question: where are those gilt yields right now? How close are they to the danger zone where the chancellor ends up breaking her rules?
Short answer: worryingly close. Because, right now, the yield on five-year government debt (which is the maturity the OBR focuses on most) is more than halfway towards that danger zone – only 56 basis points away from hitting the point where debt interest costs eat up any leeway the chancellor has to avoid breaking her rules.
Now, we are not in crisis territory yet. Nor can every move in currencies and bonds be attributed to this budget.
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Markets are volatile right now. There’s lots going on: a US election next week and a Bank of England decision on interest rates next week.
The chancellor could get lucky. Gilt yields could settle in the coming days. But, right now, the UK, with its high level of public and private debt, with its new government which has just pledged to borrow many billions more in the coming years, is being closely scrutinised by the “bond vigilantes”.