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How a controversial camera system is monitoring mental health patients

The Lampard Inquiry started back in September 2024 and I remember going to the first hearing in Chelmsford. Subscribe The bereaved families made placards of their loved ones, they stood outside in silence and then laid flowers to mark the moment. Now, two years on, in a process meant to last another two years, there’s been a development. Last week, we were told the chair, Baroness Lampard, pictured below, could be looking at making interim recommendations. Throughout the process, she has remarked that although this inquiry is looking at almost 2,000 people who were under the care of Essex mental health services from 2000-2023 when they died, the findings could have national implications for other trusts. ‘Records 24 hours a day in patient’s bedroom’ So why has this happened? One system that the inquiry is going to take a closer look at is a controversial monitoring system called Oxevision. It monitors some vital signs of patients remotely by using a camera placed in a room. It’s used by 40% of NHS mental health trusts. But campaigners, particularly the group Stop Oxevision, have asked for this technology to be removed from mental health wards as soon as possible. I spoke to a member, Hat Porter, today and they described to me what they thought this technology did and explained their concerns: “It records 24 hours a day and it’s located in a patient’s bedroom, which is obviously somewhere you’d usually expect to be a private place. “Our concerns are that the use of the technology has been has been kind of implemented as a substitute for proper in-person support, that it’s kind of over relied on and that there’s a lot of misunderstandings and that the presence of a camera, which has often been used without people’s consent, sometimes without even their knowledge, that that has a really big impact on privacy, dignity and human rights.” ‘Not sufficient’ I put it to them that the company behind Oxevision would dispute their claims about consent and in videos I’ve seen online from NHS trusts, they make it clear that the technology is complementary to trained staff and not a replacement. [ ](https://channel4news.substack.com/p/the-nottingham-inquiry-what-lessons) [ How the Nottingham inquiry shines a spotlight on other key mental health care failings ](https://channel4news.substack.com/p/the-nottingham-inquiry-what-lessons) Victoria Macdonald · Feb 12 [ Read full story ](https://channel4news.substack.com/p/the-nottingham-inquiry-what-lessons) A team of lawyers has been working on the inquiry and with bereaved family members who have concerns about this technology. I spoke to solicitor Priya Singh, from Hodge Jones & Allen, who made the point that questions usually asked by nurses would be missing from using devices like this. “It’s not sufficient to say, oh, the patient is moving around. Somebody must go in and say, are you okay? Are you distressed? Do you want help? Is there anything I can do? Share Channel 4 News “How are you spending your time? So I think a lot of our families cannot see the function of it when ultimately the patient should only really be observed when they’ve been prescribed to be observed, they can be observed more, but that more should really be happening face to face.” The Chair will hear evidence over the next two weeks and then a decision made after that, which could have national impact if she does decide this technology should be investigated or even removed. The Department of Health and Social Care said: “The Government is committed to ensuring that lessons are learned from the Lampard Inquiry to improve patient safety. “We are confident that the Inquiry will play an important role in identifying wider learnings for the health system following the tragic events in Essex and will contribute to improvements in patient safety.” We approached LIO Health, which runs Oxevision, for comment. Subscribe Share Channel 4 News Leave a comment

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Oct 5 • 2:03 PM EDT • Health • channel4news.substack.com
50 children in our area hit by cars every year; toxic pond water in Centennial Park; ‘gas station heroin’; plus other stories with Vanderbilt Health sources

In a news report following a Murfreesboro child who was killed by an automobile, reporter Amber Jayanth from WSMV Channel 4 News cited statistics gathered at Monroe Carell Jr. Children’s Hospital at Vanderbilt about pediatric pedestrian injuries. Trauma registry data from Monroe Carell indicates that about 50 children per year on average are treated after being hit by a car. William Schaffner, MD, Professor of Preventive Medicine, was quoted by several news outlets about public health issues, including: CNN (mRNA flu vaccine); ABC News and the American Journal of Managed Care (Pennsylvania measles outbreak); News Channel 5 (blue-green algae in the pond at Centennial Park, which can release toxins that make people and pets sick). WSMV Channel 4 News interviewed Saumya Aujla, MD, Assistant Professor of Clinical Physical Medicine and Rehabilitation, about the health risks of kratom, sometimes called “gas station heroin,” and why Tennessee banned the drug. WTVF News Channel 5 interviewed Brianna Smith, MD, Assistant Professor of Pediatrics, Hematology/Oncology at Monroe Carell Jr. Children’s Hospital at Vanderbilt for a piece on Childhood Cancer Awareness Month. Prevention interviewed Mitchell Gigandet, MD, Assistant Professor in the Neuro-Sleep Division, for a story about MDPI research on caffeine that used EEG imaging to see how the drug impacts sleep. It was found that caffeine may make sleep less restorative even when you fall asleep normally and stay in bed for eight hours. The Wall Street Journal reporter Laura Landro interviewed Joseph Schlesinger, MD, Professor of Anesthesiology Critical Care Medicine, for a story about ICU alarms keeping patients from getting sleep and creating alarm fatigue for nurses. Billboard reporter Melinda Newman interviewed country star Dasha about her upcoming vocal surgery at Vanderbilt Health. The story was picked up by numerous print and radio outlets including People.

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Oct 1 • 4:34 PM EDT • Health • news.vumc.org
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The dirtiest places on an airplane; testing for a breast cancer gene mutation; the evolution of esophageal cancer; plus other stories with Vanderbilt Health sources

William Schaffner, MD, Professor of Preventive Medicine, was quoted by several news outlets about public health issues, including: WKRN News 2 (heat-related illness); NBC News (how bad will flu and COVID be this winter?); AAA’s The Extra Mile (the dirtiest places on an airplane); WKRN News 2 (again) (measles in Tennessee); and The Tennessean and Healthline (new COVID vaccines). Schaffner also spoke to the EMJ European Medical Journal for a Q&A interview. Tuya Pal, MD, Professor of Medicine, was quoted in a New York Times story about testing for a breast cancer gene mutation. Michael Gibson, MD, PhD, Professor of Medicine, was quoted in a MedPage Today story about the epidemiologic evolution of esophageal cancer. Medpage Today writer Shannon Fritz quoted Shravani Durbhakula, MD, Associate Professor of Pain Medicine, who answered questions about a street drug called cychlorphine. Becker’s Behavioral Health picked up the story. WSMV Channel 4 News reporter Diana Rocco interviewed Michael Caucci, MD, Associate Professor of Psychiatry and Obstetrics and Gynecology, for a story about postpartum psychosis and the trial of Lindsay Clancy.

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Sep 11 • 3:03 PM EDT • Health • news.vumc.org
Police launch criminal investigation into Reform UK donations

The investigation, which follows a broadcast by Channel 4 News, is being folded into the inquiry that has been underway into other donations.

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Sep 9 • 9:45 AM EDT • Politics • bbc.com
Two senior Reform UK officials step down after undercover report

The party has launched an investigation into claims about funding aired during a Channel 4 News report, and denied any wrongdoing.

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Sep 4 • 4:45 AM EDT • Politics • bbc.com
Dolly’s generosity to Vanderbilt Health highlighted; reading test results before your doctor has a chance; staying healthy this fall; plus other stories with Vanderbilt Health sources

Dolly Parton’s generosity to Vanderbilt Health was mentioned in many of her obituaries. A sampling: The New York Times, the BBC, NPR, NBC News, The Guardian, and Scripps News. Vanderbilt Health News posted a tribute to her, as well, and Mark Denison, MD, Professor Emeritus of Pediatrics and former director of the Division of Pediatric Infectious Diseases, spoke to NewsNation for a story about her impact on his research. Everyday Health interviewed Trent Rosenbloom, MD, MPH, Professor of Biomedical Informatics, for a story about a new JAMA study that found two-thirds of patients read test results before connecting with a doctor. Comprehension of test results varied: 6.6 percent said they had a poor understanding, 26.8 percent understood the results fairly well, 31.7 percent understood them well, and 34.9 percent understood the results very well. William Schaffner, MD, Professor of Preventive Medicine, was quoted by several news outlets about public health issues, including: Healthline (cyclosporiasis cases now in 47 states); “The Naked Scientists” podcast (salmonella outbreak sickens hundreds); Medscape (the lighter-than-usual just-completed Australian flu season); and People (how to stay healthy this fall). Scripps News interviewed Jessica Young, MD, Associate Professor of Clinical Obstetrics and Gynecology, about Vanderbilt researchers launching a study to determine if GLP-1 drugs can help people with opioid use disorder. WSMV Channel 4 News reporter Diana Rocco interviewed Kashish Goel, MBBS, Associate Professor of Medicine and Director of Transcatheter Heart Valve Interventions, for a story about patient Dixie Watt and her minimally invasive valve replacement with the M3 device, the first Food and Drug Administration-approved transseptal transcatheter mitral valve replacement. Fogarty International Center writer/editor Susan Scutti interviewed John Koethe, MD, Associate Professor of Medicine, Division of Infectious Disease, for a profile article for their newsletter, Global Health Matters. The article presents him as an example of a Fogarty Fellow success story and focus on his past and present research, including the HIV/AIDS research he conducted for his Fogarty project at the Centre for Infectious Diseases Research in Zambia in 2008 and 2009.

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Aug 27 • 4:33 PM EDT • Health • news.vumc.org
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Why politicians are punchlines at the Edinburgh Fringe

There was a time when satire had an easier gig. Politicians said something ridiculous, comedians made fun of them, audiences laughed, and everyone went home. Subscribe Now the joke is often the headline. In a world where the unbelievable regularly makes the news, where politics can veer into parody before the comedians have had time to write the punchline, you might reasonably wonder: is satire running out of material? Not in Edinburgh. At the Fringe, I can confirm satire has a pulse, even in a relentless and rapid news cycle. Politicians as punchlines Take NewsRevue, the world’s longest-running live sketch show, where politicians are turned into punchlines at industrial speed. Its latest target? Andy Burnham - or, more accurately, his doppelganger, pictured below in the middle. The joke, he tells us, is that there have been so many politicians coming and going that even satire risks suffering from political fatigue. But perhaps that revolving door is precisely why comedy matters. When the news cycle moves faster than our ability to process it, comedians can hold up a mirror - and make us think twice. Small talk Take Ayoade Bamgboye, the Saturday Night Live UK star who won the Best Newcomer prize at last year’s Edinburgh Comedy Awards. Her Fringe debut was critically acclaimed; this year she is turning her attention to one of Britain’s most baffling social rituals: small talk. Share It’s a reminder that satire doesn’t always need a politician in its sights. Sometimes the target is simply us civilians - the strange little rules and rituals we have collectively agreed to pretend are normal. Politics and Palestinian identity For British-Palestinian comedian Sami Abu Wardeh, pictured below, comedy has a more urgent job. His new show, Sami Abu Wardeh Hates You, asks who gets to hate, and whether anger belongs to everyone, not just the far right. His comedy confronts politics and Palestinian identity while refusing to surrender the simple business of making people laugh. Shakespeare meets climate crisis And then there is HAM: an “eco-hijacking” of Hamlet, which its creators describe as “a sordid wrestle between a vegan and a sausage-lover”. Shakespeare meets the climate crisis. Meat meets moral panic. The end result? You’ll leave promising to become vegan and swiftly bulk buying Linda McCartney sausages. HAM was created by theatre company Hotter Project, aka Ell Potter and Mary Higgins, pictured below. They say comedy helped them avoid the preachiness sometimes associated with climate activism - using Shakespeare as a vessel for uncomfortable questions about the planet, politics and the way we live. Perhaps that is satire’s secret weapon. It doesn’t necessarily make the world less absurd. It makes the absurdity crystal clear. And at a moment when reality increasingly feels like it has been written by a sketch writer, the Fringe is proving there is still plenty to laugh and cry at. Satire isn’t dead. It’s alive, subletting and having the time of its life at the Fringe. Subscribe Share Channel 4 News Leave a comment

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Aug 24 • 12:02 PM EDT • Politics • channel4news.substack.com
What England's local councils tell us about fragmenting politics

Even the most ardent advocate for local democracy would concede that council chambers are not always the most exciting places. Subscribe Whether it’s planning meetings, motions or resolutions, you’d be forgiven for switching off. Unless it’s lockdown and we’re talking about standing orders, of course. Remember Jackie Weaver, who infamously “had no authority here” at a chaotic parish council Zoom call in 2021? Yet, as a general rule since then, council meetings rarely make the headlines beyond local papers and news websites. Reform’s success After Reform’s stunning success at the local elections in May though, the leader of the party’s group on Kirklees Council suddenly found she’d gone viral online for admitting that she didn’t actually understand council procedures. “I don’t understand the constitution”, Councillor Sarah Wood, pictured above, told the council chamber. “I have not had sufficient time to read that as yet. I don’t understand what standing orders are, what they’re made up of, nor do I understand what an amendment is.” Share Channel 4 News Councillor Wood later defended her comments to the BBC, and said that “new councillors and not just us, are coming from jobs”. She claimed that the sharing of the clip mocking her online was an example of “Reform-bashing”. She added: “Yes, we need to know procedures. Yes we need to do the homework. And we have addressed that now and we have put that right.” So, with standing orders getting another moment in the spotlight, not to mention the fracturing and fragmentation from May’s results, we set out to find out how new councillors are doing across England in this new political landscape. New political landscape Where better to start then than Kirklees, in West Yorkshire. Reform is the largest party, the council is under no overall control and has chosen a new leader - Sarah Wood - after two failed attempts to elect one. It is difficult to secure interviews with new Reform councillors, but John Hardie, pictured below, told us it’s been a “whirlwind” since being elected in May. He represents the Dalton ward and told us the party’s lack of political experience hasn’t been a hindrance. “We’ve come with lots of experience, lots of business experience and life experience, and it’s been good, actually, too. And to mix with other councillors who have been in the political world, and we can learn from each other.” Indeed, more parties are now having a say than ever before. In Manchester, the Green Party followed up their victory in the parliamentary by-election in Gorton and Denton by gaining 17 seats on the city council. That makes them the official opposition to Labour, who have long dominated Manchester City Council. [ ](https://channel4news.substack.com/p/how-landmark-green-by-election-win) [ How landmark Green by-election win could change British politics ](https://channel4news.substack.com/p/how-landmark-green-by-election-win) Krishnan Guru-Murthy · Feb 27 [ Read full story ](https://channel4news.substack.com/p/how-landmark-green-by-election-win) Thirza Amina Asanga-Rae, pictured below, is one of those new councillors, representing Moss Side. We asked her how being the official opposition can make a difference. She said: “I think even the fact that we’ve made history in what we’ve done, it’s been a 50-year stronghold of Labour in Manchester, and now that we’ve broken that and chipped in that, there’s real hope that we can not only run the council in the future, but currently hold them to account. So, I think that’s powerful. It’s just going to help shape and build what I call the green wave.” The reality, though, is that several newly elected councillors across the country have already left their roles through resignations, suspensions or defections. ‘It’s a slog’ Asanga-Rae adds: “It’s a job, it’s a slog. Obviously, we’re going through hard times. Austerity is real. We’re talking about food, child poverty, furniture poverty. The list is endless, and I think people who come into a councillor role need to be willing to help, really roll the sleeves up and get involved and help, and I think a lot of the career politicians, who think it’s the ‘la-di-da’ position, get in and realise I’m not going to do this work and bounce.” Share Although Manchester still has a clear majority, many councils, including Kirklees, are now under no overall control. That is perhaps the strongest sign of the political fragmentation we are seeing. Burnley is another example of this. Reform is now the largest party, yet they’re not part of the power-sharing coalition on this council - the Liberal Democrats and a local group of independents. Zulkernehn Hayat, pictured below, is part of The Independent Group. He represents Queensgate ward and told us all councils can benefit from having more independent councillors. ‘This is where I was brought up’ He said: “This is my home. This is Burnley. This is where I was brought up. Why do I need to get approval from somebody in a head office down south somewhere, you know? “This is my biggest argument. If okay, my neighbour comes to me with an issue, I can then take that straight to the council, because I don’t need to get approval from anywhere else. And this is the benefit of being independent.” So, while voters will always inevitably want quick results, perhaps spare a thought for the newly-elected councillors who are still navigating local government - one standing order at a time. 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Jul 27 • 3:01 AM EDT • Politics • channel4news.substack.com
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Andy Burnham and the rise of ‘aura farming’ in politics

Is “aura farming” the new political superpower? There are some days in TV news when you find yourself standing in the middle of a farm, surrounded by baby goats, trying to explain internet slang. Subscribe This was one of those days. There I was, in wellies, trying to unpack aura farming - a Gen Z term for carefully cultivating your image online so that you look effortlessly cool, authentic and charismatic. The trick, apparently, is that it can’t look like you’re trying too hard. Which, I’ll admit, felt slightly ironic as we filmed an entire report on a farm purely because the word farming is in the title. ‘Shaped by algorithms’ Whether you like it or not, politics increasingly feels like it’s being shaped by algorithms as much as manifestos. Take Andy Burnham. Since arriving at Number 10, he’s been impossible to miss online. One minute he’s out for a casual jog with Mo Farah. Next he’s announcing policy alongside TikTok high priestess Bus Aunty. His social media paints a very deliberate picture: less polished Westminster operator, more bloke from the North who just happens to be running the country. It’s not accidental. Burnham’s “King of the North”, New Order-loving persona has become part of a carefully constructed political brand. Authenticity is now something politicians work incredibly hard to make look effortless. But Burnham isn’t inventing this playbook. Like so many of us doomscrolling on an evening, he’s been influenced online. The digital strategy of New York Mayor Zohran Mamdani, pictured above right, has become a case study in viral political communication, and some of the people behind that campaign have recently been advising the Labour Party in Britain. Their message is simple: if you want to reach younger voters, you need to show up where they already spend their time. Embracing content creators And increasingly, that doesn’t mean traditional news interviews (awkward). It means speaking to content creators like Max from The Career Ladder, whose channels reach around 20 million followers worldwide. His interview with Burnham, pictured below, was posted almost immediately after he became Prime Minister. What struck me wasn’t just the audience size, but something Max told me afterwards: many people in the comments said they’d discovered Britain had a new Prime Minister through his interview. Think about that for a moment. Not through rolling news. Not through newspapers. Through a creator they were already following while scrolling. Share That’s a profound shift in how political information reaches people, one that’s been gathering momentum for some time. It also explains why politicians are embracing content creators and spending millions on digital marketing. Of course, this isn’t unique to one party. ‘Personality before policy’ In many ways, the right were quicker off the mark in building their aura online. Donald Trump built much of his political identity on social media. Nigel Farage remains one of Britain’s strongest political performers on TikTok. Politicians across the spectrum now understand that personality often reaches people before policy does. During a six-week UK general election campaign alone, overall digital ad spending routinely tops £11m. Share Channel 4 News Former Number 10 social media adviser Andrew Wong put it well when he told me that “vibes” can help someone get noticed, but they only work if they’re rooted in a genuine personality. Force it, and audiences spot it instantly. The bigger question is whether internet charisma can backfire on you - especially when you’re Prime Minister. Because behind Burnham’s carefully curated videos is a veteran politician with decades of Westminster experience. The spontaneity is produced. While the authenticity may be genuine, it’s managed. That’s not necessarily a criticism. It’s simply the reality of modern political communication. Aura farming alone is not enough to harvest change. But in the age of algorithms, winning attention may be the first battle. Subscribe Share Channel 4 News Leave a comment

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Jul 25 • 4:01 AM EDT • Politics • channel4news.substack.com
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