A long-awaited report into the practices of former NHS gynaecologist Daniel Hay has revealed significant failings in patient care that contributed to severe physical harm. The review, commissioned by the Gynaecology Review Steering Group and published on Wednesday, examined Mr. Hay's work at University Hospitals of Derby and Burton NHS Foundation Trust between 2015 and 2018. The investigation found that his risky practices and clinical shortcuts resulted in two women suffering severe physical harm and three experiencing moderate physical harm, with the report noting only "good fortune prevented further harm."

The panel reviewed 325 patients treated by Mr. Hay during the specified period, building upon an earlier assessment of 58 women conducted in 2019. The investigation identified numerous clinical deficiencies, including Mr. Hay's failure to take complete patient histories, omission of pre-operation scans, and inadequate documentation. His paperwork was described as "not of an acceptable standard," and he frequently failed to properly explain procedures or discuss risks and benefits with patients, leaving many feeling unsettled and uninformed about their treatment options.

Among the most concerning findings were instances where women underwent hysterectomies without proper consent or understanding of alternative treatments. The report indicated that some patients were made to feel that surgical removal of the womb was their "only option" when less invasive alternatives might have been available. This had profound consequences for women who dreamed of starting families, with the report noting the procedures "adversely affected" their mental health, relationships, and employment.

Following the report's publication, the NHS trust issued a formal apology, expressing being "truly sorry" to the women who received care "below the standards expected." The investigation has prompted recommendations to expand the review to include cases from 2012 to 2015, focusing on major and intermediate gynaecology surgeries. A criminal investigation into Mr. Hay's conduct remains ongoing as the healthcare system confronts the systemic failures that allowed these practices to continue unchecked for years.

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."