A clinical nurse specialist has become the 2,000th patient to undergo robotic surgery at Ipswich and Colchester hospitals.
The big picture: Belinda Perkins, 58, who works at East Suffolk and North Essex NHS Foundation Trust (ESNEFT), chose robotic surgery to treat her bowel cancer. "I was told robotic surgery was not as invasive and is at the forefront of treatments available. I felt lucky I had this option," she says.
Belinda Perkins chose robotic surgery to treat her bowel cancerESNEFT
Her story: Despite working in healthcare, Perkins initially dismissed her symptoms. "I didn't think my symptoms were cancer. I assumed it was an inflammatory condition. I'm not overweight, I don't smoke or drink, I exercise regularly and eat a relatively healthy diet," she says.
Early detection: "I'd encourage anyone who has a change in their bowel habits not to dismiss it and to get checked. Nurses can be the worst for ignoring or dismissing symptoms," Perkins adds.
A major milestone for robotic surgery: Belinda was the 2,000th patient to undergo robotic surgery at Ipswich and Colchester hospitals. The trust has invested more than £10m in four Da Vinci robots across its hospitals.
The Da Vinci robotESNEFT
How it works:
Surgeons control the robot while sitting at a separate console
The operating part connects to patients through small keyholes
The robotic arms remain under full surgeon control throughout
What they're saying: "We know that patients have better outcomes through robotic surgery. It's more precise and means it's less invasive for patients so they heal quicker," says Subash Vasudevan, general and colorectal surgeon at ESNEFT and chair of the robotic surgery steering group.
Subash Vasudevan at the Da Vinci console where the surgeon sits to control the robotESNEFT
What's next: The Trust is expanding its robotic surgery programme, with the technology now being used in the new elective orthopaedic centre at Colchester Hospital for partial and full knee replacements.
The bottom line: The transformative robotic surgery programme at ESNEFT has now trained more than 50 surgeons through its Iceni Centre at Colchester Hospital, with visitors from across the UK and Europe.
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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.
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.
