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.”
A former soldier has told a jury his escape from Wandsworth prison to avoid being held with sex offenders and terrorists showed his “skillset”.
Daniel Khalife, 23, who was being held accused of passing secrets to Iran said he was “never a real spy” but planned a fake defection to the state following his arrest after watching American television show Homeland.
He said he wanted to be moved to a high-security unit because he was getting unwanted attention from the sex offenders on the vulnerable prisoners wing and feared a move to Belmarsh prison because, as a British soldier, terrorists wanted to kill him.
Khalife said he first wanted to “make a show” of escaping, acting suspiciously and covering himself in soot from a food delivery lorry on 21 August last year, while he was working in the prison kitchen.
He was spotted and reported to security but was “pretty shocked” when nothing happened so decided to take the “full measure,” he told the jury.
Talking about his escape for the first time at his Woolwich Crown Court trial, Khalife told how he fashioned a makeshift sling from kitchen trousers and carabiners used by inmates to keep their possessions safe from rats.
He attached it to the Bidfood lorry on 1 September last year, to see if it would be spotted by officers at Wandsworth or other prisons on the delivery route.
“I put the two carabiners and the makeshift rope underneath the lorry,” he said.
“When I had made the decision to actually leave the prison I was going to do it properly so I tested the security not just in Wandsworth
Advertisement
“Strangely, over the coming days, I could see it but it wasn’t spotted in Wandsworth or any other prison.”
Then on the morning of 6 September, Khalife said he concealed himself underneath the lorry, resting his back on the sling as the lorry was searched.
“They did normal checks around with torches but they didn’t find me. After that, a governor came to the tunnel and said, ‘Have you searched the vehicle?’
“I was facing upwards. There was action around the lorry.”
He said that when the vehicle stopped he “came out underneath the lorry and stayed in the prone position” until the lorry moved off.
Khalife, who joined the Army aged 16 and took up a post with the Royal Signals, based in Beacons barracks, Staffordshire, said he made no attempt to leave the country and had no intention to “run away” from the charges he was facing.
He was arrested three days later on the footpath of the Grand Union Canal in Northolt, west London, after a nationwide manhunt.
Asked why he had not handed himself in after his escape, Khalife said: “I was finally demonstrating what a foolish idea it was to have someone of my skillset in prison. What use was that to anyone?”
“I accept that I left the prison and didn’t have any permission to do so,” he said. “I accept absolutely that I shouldn’t have done what I did.”
Inspired by Homeland
The court has heard Khalife initiated contact with Iranian intelligence officers after he was told he could not pass developed vetting because his mother was born in Iran.
Khalife told MI5 he wanted to be a “double agent” and he said in court he thought he would be “congratulated” but described his arrest as like a “punch in the face”.
Wearing a blue checked shirt and chinos, he said police were “blinded at the prospect of a successful prosecution” but he did not think being in prison would be in “the public interest”.
“I didn’t do anything that harmed our national security. I wanted to put myself in a position where I could help my country,” he said.
“I believed I could continue my work actually located in the state – the state being Iran.”
Khalife said he took inspiration from watching Homeland, starring Claire Danes and Damian Lewis, in which Americans and terrorists go undercover, on Netflix.
“I had seen one of the characters in the programme had actually falsely defected to a particular country and utilised that position to further the national security interests of that character’s country,” he said.
“The country in question, Iran, thought it was real. She did it to further the interests of her own country.”
Khalife told jurors he is a “patriot”, adding: “I do love my country. All I wanted to do was help. I never wanted to do any harm, I never did do any harm.”
He added: “It is tragic it has come to this and I would do anything to go back to my career.”
Khalife, from Kingston, southwest London, denies a charge of committing an act prejudicial to the safety or interests of the state under the Official Secrets Act between 1 May 2019 and 6 January 2022.
He has also pleaded not guilty to a charge under the Terrorism Act of eliciting information about Armed Forces personnel on 2 August 2021, perpetrating a bomb hoax on or before 2 January 2023 and escaping from prison on 6 September last year.
Huang, who turns 18 in January, was dressed only in his boxer shorts when he repeatedly hit his dormmates as they slept in one of the boarding houses at the co-ed Blundell’s School in Tiverton, Devon, in June last year.
Both boys suffered skull fractures, as well as injuries to their ribs, spleen, a punctured lung and internal bleeding. He then attacked a teacher who attempted to intervene.
They had been asleep in cabin-style beds when Huang climbed up and attacked them shortly before 1am on 9 June last year.
Maths teacher Henry Roffe-Silvester told Exeter Crown Court he was asleep in his own quarters when he was awoken by noises coming from the boarding house and went to investigate.
He said he saw a silhouetted figure standing in front of him in the room who then turned and repeatedly hit him over the head with a hammer.
“Physically I stumbled backwards into the corridor. There was a second blow – I can’t remember if it was before I stumbled back – that’s a little bit hazy for me,” said Mr Roffe-Silvester, who suffered six blows to the head.
Advertisement
Another student heard Mr Roffe-Silvester shouting and swearing as he fled the bedroom and dialled 999 – believing there was an intruder.
The two boys were discovered in their beds a few minutes later.
Huang, from Malaysia, who was 16 at the time, admitted carrying out the attacks but said he was sleepwalking. He denied three charges of attempted murder on the basis he was not guilty by reason of insanity.
But the court was told he had an obsession with the killing of children and hammers, which he said he kept by his bed for “protection” from the “zombie apocalypse”.
Prosecutors said the boy armed himself with three claw hammers and waited for the two boys to be asleep before attacking them.
At his sentencing hearing last month, judge Mrs Justice Cutts said experts could not say how long he would pose a risk to the public as she jailed him for life with a minimum term of 12 years.
“You planned your offences and used hammers you had bought as weapons,” she told Huang, adding that, as an “intelligent boy”, he “knew full well if you hit the boys multiple times with the hammers they would die”.
She told him there was a significant risk he could repeat his attack and therefore he posed “a high level of danger to the public because of the nature of your offences”.
In evidence, Huang told the jury he wanted to come to England to study in a boarding school and was “excited” to do so.
Asked if he was happy at the school, he replied: “Yes I was. I liked my friends, my teachers and the academic aspect of it. I didn’t like the sports and the food at the school.”
He described life at the boarding school, including pupils sharing takeaways and tubs of sweets.
The court heard Huang’s brother, who is two years older than him, also went to Blundell’s.
Huang can be named after a court official confirmed his lawyers would not be appealing the judge’s earlier decision to lift the reporting restriction, which was made at the sentencing hearing following an application by the PA news agency.
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.