Detective Superintendent Andy Stokes, of Derbyshire Police, has praised the bravery of the teenage victims who gave evidence at a trial which resulted in five men being convicted for paying for sex with a child.
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ITV News spent a day with a West Midlands ambulance crew to see first-hand the pressure they are under.
It is alleged the couple committed years of torture and abuse, leaving their children malnourished, undersized and cognitively impaired.