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Five of eight mental health services at region's NHS trust deemed unfit by watchdog

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Care watchdogs have rated most mental health services at Norfolk and Suffolk NHS Foundation Trust as 'requiring improvement' or 'inadequate', raising concerns for local patients.

The big picture: The trust, which serves Suffolk residents, has seen five out of eight of its services require improvement or be rated inadequate.

Why it matters: The findings from the Care Quality Commission (CQC), which independently monitors health services, come as the government announces reforms to improve mental health support nationwide. The safety ratings directly affect thousands of Suffolk residents who rely on these services.

A depressed man on a sofa
More than 9,090 Ipswich residents used mental health services in the year to MarchNik ShuliahinGetty Images

By the numbers: The CQC's assessment found significant variations in service quality:

  • Five out of eight mental health services at the trust were judged unfit

  • Four services require improvement

  • One service was rated as inadequate

  • 40% of mental health services across England rated as requiring improvement or inadequate

Rated inadequate:

  • Wards for older people with mental health problems

Requiring improvement:

  • Community-based mental health services for working-age adults

  • Long-stay rehabilitation wards for working-age adults

  • Mental health crisis services

  • Specialist community mental health services for children and young people

Rated good:

  • Child and adolescent mental health wards

  • Community mental health services for people with learning disabilities or autism

  • Community-based mental health services for older people

What they're saying: Health Secretary Wes Streeting said: "Our outdated mental health system is letting down some of the most vulnerable people in our society, and is in urgent need of reform."

Chris Dzikiti, interim chief inspector of healthcare at CQC, highlighted concerns about children's mental health services, noting issues with "lack of resources, ageing estates and poorly designed facilities."

Mark Stafford-White, a Medical Negligence Solicitor at Ellisons , called the latest report "deeply concerning."

It is deeply concerning to see that NSFT has again been rated as inadequate, as this indicates that serious improvements still need to be made to the quality of care provided to some of the most vulnerable individuals in society.

This latest CQC inspection raises serious questions about patient safety, as inadequate services risk leaving patients without the support they need in times of crisis. Mental health care deserves the same level of priority, investment, and scrutiny as physical health services.

Unfortunately, the persistent disparity between the funding and attention given to mental health compared to physical health means that those struggling with mental health conditions often have to fight twice as hard to access the necessary care.

This situation must be addressed urgently to ensure that patient safety is always at the forefront of mental health care and that every patient receives the support they are entitled to.

What's next: The NHS says it is working to reduce waiting times and boost community services, including:

  • Expanding mental health teams in schools

  • Trialling new 24/7 open-access mental health centres

  • Working to ensure hospital care is delivered closer to people's homes

The bottom line: While some services at the trust maintain good ratings, the safety concerns across five key services highlight significant challenges in mental health care provision for Suffolk residents.

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Are organised crime fronts hiding in plain sight on Ipswich high streets?

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The National Crime Agency's crackdown on high street businesses suspected of links to organised crime has made headlines in Shrewsbury but remains conspicuously absent in Ipswich, despite remarkably similar retail patterns.

A pattern emerging elsewhere

While Ipswich residents have yet to witness raids on local businesses, a stark scene is unfolding elsewhere: officers forcing their way into brightly-coloured barber shops, vape stores, minimarts, candy stores and phone repair shops that have proliferated across town centres.

Last month, the National Crime Agency (NCA) coordinated 265 raids on such premises across England and Wales as part of Operation Machinize, targeting high street businesses suspected of being fronts for international crime gangs – but it remains unclear if Suffolk, or Ipswich, has been part of this operation.

Organised crime and the impact on Ipswich's high street
Oliver Rouane-WilliamsIpswich.co.uk

Shrewsbury and Ipswich: towns with similar profiles

In Shrewsbury, a market town not dissimilar to Ipswich, officers detained two Kurdish asylum seekers during raids on barber shops, seizing thousands of pounds in cash and illicit vapes. The intelligence suggested these establishments were linked to money laundering, illegal immigration and drug dealing.

The parallels between Shrewsbury and Ipswich are difficult to ignore. Both are historic county towns with traditional market squares, and a mix of independent and chain retailers. Both have experienced the same influx of barber shops, vape stores, minimarts, candy stores and phone repair shops on their high street.

Yet while Shrewsbury has seen decisive action, Ipswich residents have yet to witness any comparable enforcement activity. At least not visibly. And if it has, it has yet to make any difference.

The Ipswich landscape

According to commercial property analysts Green Street, the average number of barbers per person in England and Wales has doubled in the past decade.

Walk through Ipswich town centre and the changing retail landscape is evident – multiple barber shops, vape outlets, phone repair shops and sweet shops often within yards of each other, typically with very few visible customers.

It is important to note that we are not suggesting any specific businesses in Ipswich are engaged in illegal activity. The presence of these shops alone does not indicate wrongdoing, and many could be legitimate businesses.

But questions should be asked. And questions are being asked – repeatedly – by residents.

The scale of the problem

The National Crime Agency estimates that £12 billion in illicit cash is laundered in the UK annually, with lots of it flowing through criminal front organisations on high streets.

These businesses appeared to surge as shop vacancies grew following the pandemic, creating opportunities for criminal gangs to establish themselves in plain sight.

The suspicious signs are easy to spot: businesses claiming implausible income levels, unpaid utility bills despite supposed high turnover, and the sale of illicit products like illegal vapes and tobacco.

In Greater Manchester, linked mini-marts were found to be staffed by asylum seekers, some working illegally, with hidden compartments concealing contraband.

What Operation Machinize uncovered

During Operation Machinize, authorities discovered cannabis farms, seized Class A drugs, arrested 35 people and questioned 55 suspected illegal immigrants. Three potential victims of modern slavery were identified. Bank accounts worth over £1 million were frozen and £40,000 in cash seized.

Detective Inspector Daniel Fenn, who led raids in Shrewsbury as part of the operation, said: "Members of the public are angry. They can see these fronts are there. The criminals feel they are hidden here. They think they can come to sleepy areas and won't be found."

The same could easily be said of Ipswich.

The pattern of exploitation is particularly concerning – the NCA believes some shops are used as fronts for drug-trafficking, people-smuggling, modern slavery and child sexual exploitation. In 2023, it secured the conviction of one Iranian Kurdish barber shop owner who was using his London premises as a base for smuggling 10,000 people to the UK in small boats.

Impact on legitimate businesses

Legitimate barbers are calling for a registration scheme and stricter regulation. Gareth Penn, chief executive of the Hair and Barber Council, highlighted how illegal barbers have led to fungal infections from improperly cleaned equipment.

More importantly, though, is the damage being done to genuine businesses that cannot compete with those avoiding costs and taxes, and those that cannot find suitable high street premises.

The damage is significant and potentially long-lasting.

Will Ipswich be next?

For Ipswich, the question now is whether Operation Machinize will visibly extend to Suffolk – or indeed, whether it already has without public knowledge.

Unlike local police forces, the National Crime Agency is exempt from Freedom of Information requests, making it impossible for journalists or the public to determine how many Ipswich businesses, if any, have been investigated.

This distinction is important.

While local police forces handle everyday law enforcement, the NCA was specifically created to tackle serious and organised crime that extends across police force boundaries, international borders, or requires specialist capabilities.

Their involvement signals that these high street businesses are not merely local issues but part of sophisticated criminal networks operating nationally and internationally.

Security Minister Dan Jarvis has stated that "high street crime undermines our security, our borders, and the confidence of our communities", promising "decisive action" to bring those responsible to justice.

The road ahead

There are concerns about the effectiveness of current measures. Of the 265 raids conducted, only 10 shops have been shut down permanently. Many businesses raided were back operating within minutes of officers leaving.

The challenge for authorities extends beyond individual shops to dismantling the organised crime networks behind them – networks that may have been profiting in plain sight for years on our high streets. While local police forces can target individual businesses, only the NCA has the mandate and resources to tackle the international networks behind them.

For Ipswich residents concerned about these issues, the prospect of action against suspicious businesses cannot come soon enough. However, due to the secretive nature of NCA operations, we may never know the full extent of their activities in our town – only their results, if and when they choose to make them public.

Ed Sheeran surprised more than 200 Ipswich students with an impromptu performance at The Baths

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Check out upcoming BTC events across their three brilliant venues

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