Adam Kay, the author behind the bestselling medical memoir 'This Is Going to Hurt,' returns with a new work of fiction titled 'A Particularly Nasty Case.' The novel introduces readers to Dr. Eitan Rose, a complex protagonist whose self-destructive tendencies form the core of this medical mystery. The story opens with an 'All-night Bender' chapter that sets the tone for Eitan's reckless behavior, bouncing from London clubs to bathhouses in the company of an American named Chester.

In the few hours before daylight, Eitan engages in a series of irresponsible activities including drinking, drug use, and an unusual life-saving intervention while naked. His night culminates with him falling asleep on a bus-stop bench, only to wake at 7 a.m. with a severe hangover and no time to return home before his hospital shift begins. This establishes the central conflict of a medical professional grappling with personal demons while maintaining professional responsibilities.

Despite his intelligence and medical qualifications, Eitan demonstrates a pattern of poor decision-making that the narrative explores over 336 pages. The character is described as 'not a stupid person - he had the exam results to prove it, if you ignored his D in German - he just did stupid things.' His choice to go out the night before his first day back after extended leave exemplifies this self-destructive trajectory that continues for approximately 188 pages of the novel.

Even potential romantic developments fail to curb Eitan's downward spiral. A 'meet-cute' encounter on the hospital roof with Cole, described as a 'stud muffin porter,' does little to alter his destructive path. The novel maintains Kay's signature blend of medical insight and dark humor while exploring themes of professional burnout and personal redemption within the high-pressure environment of hospital medicine.

London's Metropolitan Police has reversed its longstanding position on grooming gangs in the capital, acknowledging for the first time that it has multiple active investigations into group-based child sexual exploitation. The shift came after an investigation by MyLondon and The Daily Express challenged official statements from both police leadership and Mayor Sadiq Khan, who had consistently maintained there were "no reports" or "no indication" of Rochdale or Rotherham-style rape gangs operating in London.

The investigation uncovered evidence from four separate His Majesty's Inspectorate of Constabulary and Fire & Rescue Services reports spanning 2016 to 2025 that documented at least six potential victims of grooming gang abuse. These case studies, which the Mayor of London personally responded to according to public statements, described children as young as 13 being exploited by groups of predatory men. The reports detailed how girls were plied with drugs and alcohol, raped in hotels by multiple perpetrators, and subjected to life-threatening situations.

Metropolitan Police Commissioner Sir Mark Rowley revealed to Assembly Members at City Hall that the force now acknowledges a "steady flow" of live multi-offender child sexual exploitation investigations and a "very significant" number of historic cases requiring reinvestigation. The commissioner estimated these reviews would cost "millions of pounds a year, for several years" to properly investigate, contradicting previous assertions that the force had "not seen" such cases in London.

Political figures including Reform UK MP Lee Anderson and Shadow Home Secretary Chris Philp have criticized the mayor's handling of the situation, with Anderson stating there is "real, credible evidence that grooming gangs exist in London" and Philp alleging that Khan is "facilitating a cover-up." A spokesman for the mayor maintained that Khan has "always been clear that the safety of Londoners is his top priority" and remains "committed to doing all he can to protect children in London."