File on 4 Investigates

After the Covid-19 pandemic hit, reserves of personal protective equipment quickly dried up. Stories about frontline staff lacking the kit they needed made headlines night after night and photos of nurses wearing bin bags for protection began circulating on social media. In response, the government began hunting down new supplies just as global demand surged. It started using emergency powers to award PPE contracts worth tens of millions of pounds without opening them to competition, leading to claims that some companies were favoured because of their political connections. Phil Kemp investigates what the government got for the £12.5 billion it spent on PPE and uncovers concerns about the quality of some of the kit that was bought. The Department of Health and Social Care said it had been working tirelessly to deliver PPE to protect health and social staff throughout the pandemic with nearly eight billion items delivered so far.

Producer: Anna Meisel

When Prime Minister Boris Johnson said three households would be allowed to mix for 5 days over Christmas, experts and NHS bosses warned the health service would be overwhelmed by cases of Covid 19. Editors of the Health Service Journal and the British medical Journal BMJ said they believed the relaxation of the rules would cost many lives. Three days before Christmas the government was forced to scrap the plans for London and much of South East England when scientists revealed a new coronavirus variant was spreading more rapidly. In other regions the 5 day plan was reduced to Christmas Day – but only for those in the same bubble. In this episode of File on 4, frontline medics chart the rapid rise in Covid cases and deaths post-Christmas, via personal audio diaries which reveal their innermost thoughts, concerns and experiences as they battle the pandemic. The NHS has never been in a more precarious position, with 75 per cent more patients than there were at the April 2020 peak.

A year ago this week, the first reported case of Covid-19 was recorded in the UK. Within weeks frontline medics faced their toughest ever test. Doctors and nurses in intensive care units recorded diaries for a powerful and insightful episode of File on 4 which illustrated the true scale of the challenge they faced. So one year on, how do they think they coped? What have they learned about themselves and the National Health Service which many warn could be overwhelmed by the current second wave of Covid 19 which continues to claim tens of thousands of lives. Reporter Jane Deith revisits some of those doctors and nurses to find out how they themselves survived the biggest challenge of their careers. And she asks whether when they recorded their original diaries, did they envisage they’d be where they are now in battle against the pandemic?

Women are seen as the caring, nurturing sex, safe to be left in charge of children.

But stigma and stereotyping around female perpetrated abuse means it can be seen as a lesser crime, with many victims deeply reluctant to report their ordeal to the authorities.

Experts tell File on 4 that current case numbers are the ‘tip of the iceberg’, while the early indicators of abuse, like online grooming and social media befriending, can be brushed aside when the abuser is a woman.

File on 4 hears from adult survivors who describe decades of trauma and shame caused by their female abusers, as well as the difficulties they faced in reporting the crime.

Psychologists and campaigners say the criminal justice system urgently needs to better support victims to give evidence.

They describe how abusers are still able to take advantage of laws that leave children in informal settings, such as sports clubs and choirs, open to abuse, settings where female abusers can thrive.

And although societal perceptions of female child sexual abuse are changing, many deeply traumatised victims risk being left behind.

Reporter: Melanie Abbott

In the age of social media and the selfie, the perfect look is everything.

That's what influencers tell their followers. Some are also happy to provide a 'how-to guide' to obtaining the perfect body. What they don't mention though, is that they are cashing in, being paid by clinics to promote procedures, some of which are risky and dangerous.

It’s a story that begins on social media. Young women posting online about their experiences of plastic surgery. The online videos, posted to their followers, show their surgeon smile and wave for the camera.

But a big part of their stories is missing. They’re not normal patients. Because these influencers have access to a market of thousands of other young women, they get their surgery for free in exchange for the promotions. Offline the situation is less than picture perfect. File on 4 hears from the women whose lives were changed by the pursuit of the perfect body.

Producer: Kate West

Back in 2018, File on 4 revealed the story of Bethany – an autistic teenager who had been locked in a hospital room alone for two years, her only contact with the outside world through a hatch.

Yet this target has been missed. And almost one in 5 patients with learning disabilities still in hospital has now been there for over ten years.

A series of damning reports – most recently from the CQC – have called for urgent reform. So what has gone wrong with Transforming Care?

Reporter: Melanie Abbott

In January, Reynhard Sinaga was convicted of 159 sexual offences against 48 different men over the course of four trials. But according to police, there’s evidence he abused more than 200 men whilst living as a student in Manchester. He preyed on vulnerable young men, drugged them until they were unconscious and raped them while recording most of his abuse on his phone. Most of his victims woke up with no memory of what had been done to them - oblivious until the police turned up at their doors to explain the horrific truth.

If you have information about this case you believe may be of interest to police you can contact them here: https://mipp.police.uk/operation/06GMP19V24-PO2

If you have been affected by any of the issues raised in this programme you can access support via the following organisations:

Are court backlogs creating miscarriages of justice? When the UK locked down, so did its court system, adding to a backlog that’s left defendants, witnesses and victims facing long waits for trials. Helen Grady speaks to people inside the justice system to find out how it’s coped with the pandemic - from delays in making courts covid-secure to a lack of PPE and overcrowding in prisons. We hear stories from prisons under lockdown and talk to lawyers who fear delays are leading to abuses of the criminal justice system.

For decades there was a boom in tax avoidance where people were paid using loans – and lowered their tax bills in the process. The boom went bust when the government clamped down, leaving some users with vast tax bills.

Many of those people now owe life-changing amounts to HMRC yet campaigners say there has been insufficient action against the companies that promoted the schemes.

But while some individuals face ruin, File On 4 has discovered that the businesses behind some of those loan schemes are still active. But now they’ve been targeting front-line COVID workers.

Reporter: Felicity Hannah

An investigation into a network of companies involved in VAT fraud within Leicester's garment manufacturing industry.

After questions were raised in the summer about slave wages and unsafe working practices, File on 4 has now found a network of companies involved in a cash laundering scheme.

Insiders say VAT fraud is endemic among garment suppliers within the city and there are concerns that millions in tax revenue are being lost each year.

So how does it operate and why isn't more being done to prevent fraud within the fast-fashion supply chain?

Reporters: Paul Kenyon and Ashni Lakhani