Browse content similar to 16/07/2013. Check below for episodes and series from the same categories and more!
Line | From | To | |
---|---|---|---|
11 hospital trusts are placed in special measure. Whose fault is | :00:17. | :00:23. | |
that then? The front benchers blame each other. If the NHS is | :00:23. | :00:28. | |
considered Labour's proudest achievement, today is their darkest | :00:28. | :00:31. | |
moment. This report is about his Government and failings happening | :00:31. | :00:36. | |
now. We will hear from the Health Secretary now. After the rows and | :00:36. | :00:43. | |
expose says, making political lobbying transparent rather than | :00:43. | :00:51. | |
plain packaged plans are expected on MPs' desk tomorrow. We are | :00:51. | :00:56. | |
obsessed with lobbying. The man who invented modern lobbying takes on | :00:56. | :01:00. | |
his citiblgs. Capitalism north vet niece style. | :01:00. | :01:06. | |
Is this what it is to plan your business? No!How a communist | :01:06. | :01:11. | |
dictatorship got itself a market economy. And...Is It terrible?The | :01:11. | :01:17. | |
sex stays but the mumbling has to go. I don't know why, but no.How | :01:17. | :01:27. | |
:01:27. | :01:29. | ||
the BBC Director General has declared war on this kind of thing. | :01:29. | :01:34. | |
The lurid headlines of the weekend suggested 13,000 preventable NHS | :01:34. | :01:40. | |
deaths, but the truth of the Keogh Report today suggested something | :01:40. | :01:45. | |
far more anodyne but just as dismaying. Trapped by mediocrity | :01:45. | :01:51. | |
said the report. It uncovers long standing problems at the trusts, | :01:51. | :01:56. | |
mediocrity known about but never addressed. The Government and | :01:56. | :02:02. | |
Labour were understandably furious, mostly at each other. | :02:02. | :02:07. | |
Today was supposed to be about making our hospitals safe for | :02:07. | :02:13. | |
patients. Instead as the Keogh Report was presented to MPs, it | :02:13. | :02:16. | |
became a political blame game rapidly. The Health Secretary, | :02:16. | :02:21. | |
Jeremy Hunt, said problems had begun under Labour. If founding the | :02:21. | :02:26. | |
NHS is considered Labour's proudest achievement, today is their darkest | :02:26. | :02:31. | |
moment. As a Labour Government is exposed as caring more about its | :02:31. | :02:37. | |
own reputation than our most vulnerable citizens in the NHS. | :02:37. | :02:40. | |
Shadow Health Secretary Andy Burnham hit back. Accusing the | :02:40. | :02:45. | |
Health Secretary of playing politics with people's lives. | :02:45. | :02:50. | |
report is about his Government and failings happening now on this | :02:50. | :02:54. | |
Government's watch. He then referred to decades of neglect in | :02:54. | :03:00. | |
the NHS in the 1980 and 1990s and the challenges of long waiting | :03:00. | :03:03. | |
lists? The last Labour Government dealt with that issue, I'm proud of | :03:03. | :03:09. | |
it and we are proud of our record on the NHS. It is depressing that | :03:09. | :03:13. | |
issues that ought to be about quality and safety of patient care | :03:13. | :03:20. | |
then descend into a political argument between Labour and the | :03:20. | :03:22. | |
Government. We should be reaching to the higher ground asking the | :03:22. | :03:25. | |
kinds of questions Sir Bruce has done in his report, understanding | :03:25. | :03:29. | |
what causes failures of patient care. I hope politicians will move | :03:29. | :03:34. | |
beyond today's discussion and to have that more plaiture discussion | :03:34. | :03:39. | |
that the NHS -- mature discussion that the NHS itself is looking for. | :03:39. | :03:49. | |
:03:49. | :03:52. | ||
The review found 14 hospital trusts There is absence of a culture of | :03:52. | :03:56. | |
openness, a lack of willingness to learn from mistakes and lack of | :03:56. | :04:01. | |
ambition and ineffectual governance. 11 of the 14 hospital trusts were | :04:01. | :04:05. | |
put on perb measures today. One criticised for out of hours care | :04:05. | :04:10. | |
and poor track record on bed sores, and for shifting patients from | :04:10. | :04:15. | |
ward-to-ward, sometimes multiple time, was the George Eliot Hospital | :04:15. | :04:19. | |
Trust near Birmingham. It was making sure patients got to the | :04:19. | :04:22. | |
right ward at the right time, we are increasing beds in the hospital | :04:22. | :04:26. | |
and look to go see if we can put additional nurses and doctors into | :04:26. | :04:30. | |
the hospital out of hours. So there are some really good and positive | :04:30. | :04:35. | |
stuff we can take forward. Each trust met the Keogh team at a risk | :04:35. | :04:41. | |
summit to discuss their future. The Dudley Group NHS Foundation Trust | :04:41. | :04:44. | |
was not singled out for special measures, but its management team | :04:44. | :04:47. | |
has been told to make improvements in talking to patients and other | :04:47. | :04:52. | |
areas. We let patients down in terms of not getting good flow | :04:52. | :04:56. | |
through the organisation so patients waiting for longer than | :04:56. | :05:01. | |
they should have. In making some of our discharge processes not being | :05:01. | :05:04. | |
as slick as they should be so patients are waiting for long | :05:05. | :05:09. | |
periods to go at the end of their stay with us. Most of the trusts | :05:09. | :05:12. | |
accepted the findings of today's report. Many were saying they were | :05:12. | :05:15. | |
looking to increase nursing levels and would be talking more to | :05:15. | :05:20. | |
patients. Should people feel more reassured about the NHS tonight? | :05:20. | :05:25. | |
think they should be thinking that despite some of the findings that | :05:25. | :05:30. | |
we made that we have a fantastic NHS, it is a big organisation, | :05:30. | :05:35. | |
there are some areas which do less well an others, but in the | :05:35. | :05:38. | |
hospitals we have visited and we have found serious cause for | :05:39. | :05:42. | |
concern we have dealt with them quickly. The issues that these | :05:42. | :05:46. | |
hospitals have to address now are about improvement, not immediate | :05:46. | :05:56. | |
:05:56. | :06:11. | ||
The 14 Hospital Trusts were put under scrutiny because they had | :06:11. | :06:14. | |
higher than expected death rates over the last two years, but the | :06:14. | :06:18. | |
review team is sceptical about such data. Statistic kal estimate of | :06:19. | :06:25. | |
unexpected deaths can't be described as needlessly lost lives. | :06:25. | :06:30. | |
Personally I don't set much store about the hospital mortality | :06:30. | :06:33. | |
standardised ratio. The good news is we need to look at mortality, | :06:33. | :06:36. | |
and there is a way of doing it, that is by case note review. We | :06:37. | :06:42. | |
look in great depth at each and every death in a hospital. We get | :06:42. | :06:46. | |
clinicians, physicians to do this who have been specially trained, | :06:46. | :06:50. | |
using all the standardised techniques. From that we can | :06:50. | :06:55. | |
determine what proportion of deaths are avoidable. Isn't that a very | :06:55. | :06:59. | |
time-consuming process? It is a time-consuming process, but there | :06:59. | :07:02. | |
is immediate benefits to the clinicians because they learn | :07:02. | :07:06. | |
things about their own hospital and care. The author of today's report | :07:06. | :07:09. | |
described this as a difficult day, but one he hoped would be a turning | :07:09. | :07:14. | |
point for patient. It may well be a turning point for politics too, as | :07:14. | :07:19. | |
the battle over who loves the NHS the most begins a new chapter. | :07:19. | :07:25. | |
A little earlier I spoke to the Health Secretary, Jeremy Hunt. This | :07:25. | :07:31. | |
is a major report today into an issue of major concern for the | :07:31. | :07:36. | |
entire country. Why would you choose to make such blatant | :07:36. | :07:41. | |
political capital out of it? not. Actually as Health Secretary | :07:41. | :07:45. | |
it is a very difficult day for me today, it is very difficult for any | :07:45. | :07:51. | |
serving Health Secretary to come to the House of Commons and to say you | :07:51. | :07:55. | |
are putting 11 hospitals into special measures that is nearly 10% | :07:55. | :07:59. | |
of all acute trusts. The last thing you want to be responsible for is a | :07:59. | :08:04. | |
service where there are failures. But the difference about today and | :08:04. | :08:08. | |
it is a very big moment for the NHS. The difference is that because we | :08:08. | :08:12. | |
are now being completely transparent about where there are | :08:12. | :08:18. | |
problems, that means that people like me are now going to be held to | :08:18. | :08:21. | |
account for turning round those failing hospitals. Why would you go | :08:21. | :08:26. | |
to the Commons and accuse Andy Burnham of silencing | :08:26. | :08:29. | |
whistleblowerers, and being to blame, and tweets from backbenchers | :08:29. | :08:34. | |
all over the weekend pointing the finger at Burnham saying he should | :08:34. | :08:37. | |
lose his job, where does that get you on this? The fact is one of the | :08:37. | :08:41. | |
big changes we have had to make is overhaul the entire regulatory | :08:41. | :08:45. | |
system that was set up by Labour. So you think he was to blame for | :08:45. | :08:50. | |
this? Well the issue about not confronting failure, I absolutely | :08:50. | :08:55. | |
do think that Labour are squarely to blame. David Cameron, your own | :08:55. | :08:58. | |
leader, quoting the Francis Report said that they were not to blame, | :08:58. | :09:02. | |
he did not want to see scapegoats and it was not the fault of the | :09:02. | :09:05. | |
previous Secretary of State. Why is this different and why are you | :09:05. | :09:09. | |
different to your leader? Well, what David Cameron was reflecting | :09:09. | :09:13. | |
was what was in the Francis Report about the specific issues at Mid | :09:13. | :09:18. | |
Staffs. What we are talking about here is a whole series of problems | :09:18. | :09:22. | |
in hospitals that the NHS tried to solve behind closed doors and they | :09:22. | :09:25. | |
weren't fixed. And the way that we are going to restore confidence and | :09:25. | :09:30. | |
for me as Health Secretary, what I have to do now, is to deliver | :09:30. | :09:33. | |
improved hospitals. Where these were failing hospitals I have to | :09:34. | :09:38. | |
make sure they are now improved. How many more people died as a | :09:38. | :09:41. | |
result of these failings in care do you think? It is very difficult to | :09:41. | :09:46. | |
put an exact number on T it is hotly debated by academics. | :09:46. | :09:49. | |
think it is thousands, that is what you said today, you said thousands | :09:49. | :09:54. | |
more people may have died? I said they may have died. What happened | :09:54. | :09:57. | |
with Mid Staffs was that excess mortality rates. What does that | :09:57. | :10:03. | |
mean? You must let me answer the question. What does "may" have died, | :10:03. | :10:07. | |
did they die as a result of these failings? I think people did die | :10:07. | :10:10. | |
avoidably, yes. There is an argument between academics about | :10:10. | :10:15. | |
precisely how many, but what we do know is that excess mortality rates | :10:15. | :10:21. | |
are a lead indicator for problems in care. What Bruce Keogh looked at | :10:21. | :10:26. | |
was the 14 hospitals can excess mortality rates, and in all 14 he | :10:26. | :10:31. | |
found serious problems in care. Those sorts of figures people are | :10:31. | :10:35. | |
saying are clinically meaningless and academically reckless. | :10:35. | :10:39. | |
Academically reckless, you have said thousands may have died as a | :10:39. | :10:44. | |
result? You are putting words into my mouth. You said that, you said | :10:44. | :10:47. | |
thousands may have died as a result of this? You said may have died, we | :10:47. | :10:53. | |
don't know how many. Let me say this, they may have died. Why isn't | :10:53. | :10:56. | |
that academically reckless, why isn't it clinically meaningless? | :10:56. | :10:59. | |
said to put a number on it. I didn't put a number on it. But he | :10:59. | :11:03. | |
would agree with me that there may be thousands of people who died. | :11:03. | :11:08. | |
But many people living in these areas particularly, and more widely | :11:08. | :11:12. | |
afield, will be very concerned at what they found. When do you think | :11:12. | :11:16. | |
they can rest easy that things rup to scratch, that things are | :11:16. | :11:21. | |
medically safe. Let me make a general point about | :11:21. | :11:25. | |
confidence in the NHS. Give me a time frame? All the hospitals will | :11:25. | :11:28. | |
be inspected within the next 12 months by the new Chief Inspector | :11:28. | :11:33. | |
of hospitals, who starts work today. This is a brand-new Ofsted-style | :11:33. | :11:37. | |
regime. We will be able to see. You can invite me back and we will see | :11:37. | :11:40. | |
the progress that has been made. How long do you think that will be? | :11:40. | :11:44. | |
I would expect to see progress by the time of the first inspection | :11:44. | :11:50. | |
they do. But. Which is?Within the next year. I don't want to give the | :11:50. | :11:54. | |
time scale for every single problem to be pointed out. Within a year | :11:54. | :11:58. | |
would that be too long if they were still in special measures in a | :11:58. | :12:01. | |
year's time, pick a time frame? want to answer, it is very | :12:01. | :12:04. | |
important, the point about confidence is you don't restore | :12:04. | :12:08. | |
confidence for the people who use these hospitals and live near these | :12:08. | :12:11. | |
hospitals by minimising the problem. You restore confidence by showing | :12:11. | :12:15. | |
them that you are doing something to sort it out. We need a system | :12:15. | :12:19. | |
whereby people like me can't get off the hook. It is so public, we | :12:19. | :12:22. | |
have 1 hospitals in special measures. If we don't get the | :12:22. | :12:25. | |
hospitals out of special measures soon. You will be the person coming | :12:25. | :12:28. | |
to me and saying why haven't you succeeded in turning this around | :12:28. | :12:35. | |
and I will be accountable for it. When? I want it as soon as possible, | :12:35. | :12:40. | |
but some of these problems are deeply entrenched. Are you | :12:40. | :12:42. | |
comfortable as Health Secretary that the PM spokesman has a company | :12:42. | :12:48. | |
that lobbies on behalf of big tobacco? Are you talking about | :12:48. | :12:52. | |
Lynton Crosby. Lynton Crosby's work is for the Conservative Party and | :12:52. | :12:58. | |
...He Has a company that also lobbies on behalf of Big Toe bab | :12:58. | :13:06. | |
co-? He hasn't lobbied me or the Prime Minister on issues to do with | :13:06. | :13:09. | |
public health. There is also transparency. Does he never help | :13:09. | :13:13. | |
the PM or advice on issues of policy and public health? No.So | :13:13. | :13:19. | |
that is a whole area he's not allowed to touch? Yes. Are there | :13:19. | :13:22. | |
any other issues he's not allowed to touch? I have given you a | :13:22. | :13:25. | |
straight answer to the question you asked about public health, I don't | :13:25. | :13:28. | |
know where you want to take it. Don't you think it is odd to have | :13:28. | :13:31. | |
somebody who is your election co- ordinator that can't touch a whole | :13:31. | :13:35. | |
area of issues? It is right that he shouldn't. His company has clients | :13:35. | :13:41. | |
in that area. Would you like to bring in this plain packaging for | :13:41. | :13:45. | |
cigarettes now? I want to wait and see what the evidence says, but I'm | :13:45. | :13:50. | |
very sympathetic to measures that stop young people taking up smoking, | :13:50. | :13:54. | |
it is our number one killer. not be brave and just do it. | :13:54. | :13:58. | |
Ireland has set the pace, why not do it? These are very hot low- | :13:58. | :14:02. | |
fought legal issues and we need it make sure if we are doing it that - | :14:02. | :14:06. | |
- hotly fought legal issues and we need to make sure we have the ducks | :14:06. | :14:09. | |
in the row. Why not be a world leader? We have to have the | :14:09. | :14:12. | |
evidence there. When you have a country like Australia that | :14:12. | :14:16. | |
introduced it in January, it won't be too long before we know the | :14:16. | :14:19. | |
impact in terms of the amount of young people it has stopped taking | :14:19. | :14:22. | |
up smoking. And when you have that evidence that's the time, it is a | :14:23. | :14:26. | |
big decision, but that's the time to make your decision. Jeremy Hunt | :14:26. | :14:32. | |
thank you. So there you go, clarification from the Health | :14:32. | :14:35. | |
Secretary that Lynton Crosby, the Conservative election co-ordinator | :14:35. | :14:38. | |
never advises on issues of policy in public health, it is a whole | :14:38. | :14:42. | |
area that he's not allowed to touch. Well tomorrow that question of, if | :14:42. | :14:47. | |
you like, undue influence in lobbying comes to a head, or may do. | :14:47. | :14:50. | |
Proposed reforms to the lobbying industry will attempt to do what | :14:50. | :14:57. | |
Leveson tried to do with the press and Ipsa is trying to do for MPs' | :14:57. | :15:00. | |
expenses. Will it be more successful, or does influence flow | :15:00. | :15:05. | |
where money is happy to pay. In a moment we will hear from James | :15:05. | :15:14. | |
Woolsey and Tim Bell. Central Lobby can be an | :15:14. | :15:16. | |
intimidating place, with queens, prime ministers and saints. Yet it | :15:16. | :15:20. | |
is meant to be for the common man, a place to drop in and lobby your | :15:20. | :15:27. | |
MP. Lobbying doesn't have to be a dirty word. But it is. It is the | :15:28. | :15:33. | |
next big scandal waiting to happen. David Cameron almost got it right, | :15:33. | :15:37. | |
first came phone hacking then lobbying. The latest furore over | :15:37. | :15:41. | |
why the Government decided not to introduce plain packaging for | :15:41. | :15:45. | |
cigarettes and whether that might have something to do with the fact | :15:45. | :15:48. | |
that their Aussie election strategist, Lynton Crosby's | :15:48. | :15:52. | |
lobbying firm is employed by the tobacco industry. Labour certainly | :15:52. | :15:56. | |
sees a connection. Now we know that Lynton Crosby's company had a | :15:56. | :16:01. | |
contract with Big Tobacco. And at the same time Lynton Crosby was | :16:01. | :16:04. | |
advising the Prime Minister on what should be in his Queen's Speech and | :16:04. | :16:08. | |
we know that the Prime Minister dropped his bill on tobacco | :16:08. | :16:11. | |
packaging, I think that is a clear conflict of interest. David Cameron | :16:12. | :16:15. | |
has to come clean and explain why once again he's standing up for the | :16:15. | :16:22. | |
wrong people. It was this footage of Conservative MP, Patrick Mercier, | :16:22. | :16:27. | |
apparently offering Fiji to reenter the Commonwealth in exchange for | :16:27. | :16:30. | |
�4,000 that brought "cash for questions" back into the headlines. | :16:30. | :16:40. | |
I don't charge a great deal of money for these things. | :16:40. | :16:43. | |
The story came as no surprise to many in Westminster. The Central | :16:43. | :16:48. | |
Lobby of the House of Commons and this place is infested with | :16:48. | :16:52. | |
lobbyists, and their tentacles stretch in every corner of the | :16:52. | :16:57. | |
building, every area of life in the House of Commons is full of | :16:57. | :17:01. | |
lobbyists. And they are there lurking, ready to persuade, ready | :17:01. | :17:05. | |
to corrupt politicians to do their bidding. And what they will do is | :17:05. | :17:11. | |
to bribe and bully and bamboozle politicians in the interests of | :17:11. | :17:14. | |
their rich paymasters. Tomorrow the Government is expected to try to | :17:14. | :17:18. | |
tighten the rules on lobbying by proposing a register of | :17:18. | :17:23. | |
professional lobbyists. For faith to be restored in this place people | :17:23. | :17:26. | |
need to believe that politicians are making decisions based on what | :17:26. | :17:32. | |
they think is right for the country, rather than on-lineing their own | :17:32. | :17:38. | |
pockets. A register of professional - on lining their own pockets. A | :17:38. | :17:40. | |
register of professional interests sounds like a good idea. The only | :17:40. | :17:46. | |
problem is only a fraction of people paid to meet MPs around | :17:46. | :17:49. | |
policy will end up signing up to it. What is the problem with the | :17:49. | :17:53. | |
register, is it that you don't want to be on it? I absolutely want to | :17:53. | :17:58. | |
be on a register, bring it on. The problem is I think it will just | :17:58. | :18:05. | |
include consultancies. We looked at Biz department figures, last year | :18:05. | :18:09. | |
988 departmental meetings were had with ministers, special advisers, | :18:09. | :18:15. | |
and a permanent secretary. Just two of those 988 meetings were with | :18:15. | :18:20. | |
people like me, the rest were with trade groups and in-house lobbyists | :18:20. | :18:25. | |
and lawyers. The Government's bill is expected to set up a register of | :18:25. | :18:30. | |
professional lobbyists. It is also likely to try to limit the amount | :18:30. | :18:33. | |
third-party organisations can spend on campaigning for political | :18:33. | :18:37. | |
parties. That will affect trade unions. But Labour's got other | :18:37. | :18:43. | |
ideas and has tabled amendments. It wants all paid lobbyists to end up | :18:43. | :18:47. | |
on the register, and it wants any lobbyist doing a senior job for | :18:47. | :18:51. | |
Government to be declared. Perhaps unsurprisingly people think that is | :18:51. | :18:55. | |
aimed at exposing the business affairs of Lynton Crosby. Forget | :18:55. | :19:01. | |
any idea that the political parties will reach consensus on this. Some | :19:01. | :19:07. | |
fear what will get lost is campaigning to make things better. | :19:07. | :19:11. | |
Lobby is not all bad. We exist to lob hey, I'm an MP and not an | :19:11. | :19:16. | |
expert in all fields, I rely on talking to others, NGOs, charities, | :19:17. | :19:21. | |
local businesses talking to me. You have to be open to lobbying. The | :19:21. | :19:24. | |
issue is it has to be transparent and no money should change hands. | :19:24. | :19:30. | |
If you dole with those two aspects lobbying doesn't have to be | :19:30. | :19:35. | |
negative. The Government's proposals is meant to decontaminate | :19:35. | :19:39. | |
lobbying, as long as they are points scoring against each other, | :19:39. | :19:42. | |
it is hard to see that happening soon. | :19:42. | :19:50. | |
Lord Bellamy bell is a Conservative peer and P -- Lord Tim Bell is a | :19:50. | :19:54. | |
Conservative peer, and runs one of the most successful lobbying | :19:54. | :19:58. | |
outfits. And Dr James Woolsey repeatedly has spoken out against | :19:58. | :20:01. | |
lobbying. Welcome both. I want to go back to the question of Lynton | :20:01. | :20:05. | |
Crosby, would that be usual to have whole policy areas completely off | :20:05. | :20:10. | |
limit like that? In my experience of advising political parties on | :20:10. | :20:14. | |
election campaigns is it is not about policy but how you get votes | :20:14. | :20:19. | |
and who you tafrgt your messages to, and how you deliver those drg | :20:19. | :20:25. | |
target your messages and now you different -- how you target your | :20:25. | :20:28. | |
messages and how you get them out. I worked for Margaret Thatcher for | :20:28. | :20:32. | |
15 years if I told her what policies to decide on she would | :20:32. | :20:36. | |
have thrown me out of the room. Jeremy Hunt was certain that those | :20:36. | :20:40. | |
lines should not be crossed? Jeremy Hunt speaks for himself, I don't | :20:40. | :20:44. | |
speak for him. I do know Lynton Crosby extremely well, I can | :20:44. | :20:48. | |
guarantee you that he did not persuade the Prime Minister to | :20:48. | :20:53. | |
change his position on plain packages. Are you convinced own | :20:53. | :20:56. | |
that? If you come in and say you want to scrape the barnacles off | :20:56. | :21:01. | |
the boat and one of those barnacles is entire public health policy you | :21:01. | :21:05. | |
don't need to have a conversation about smoking and tobacco because | :21:05. | :21:09. | |
it is disappeared. In the report we were hearing about...What Do you | :21:09. | :21:13. | |
mean the importance of disappeared? I think it has been removed. Two | :21:13. | :21:17. | |
very key public health measures are being removed. Just to reflect back | :21:17. | :21:21. | |
on today's events, NHS doctors and nurses all the time are being told | :21:21. | :21:25. | |
about the importance of reducing avoidable mortality. We have the | :21:25. | :21:28. | |
really big win in avoidable mortalties in public health, and | :21:28. | :21:33. | |
yet the two areas which could have made a real difference and the real | :21:33. | :21:37. | |
tools that could have been used to reduce smoking and reduce alcohol | :21:37. | :21:41. | |
abuse, they have been removed by the politicians for short-term | :21:41. | :21:47. | |
political expediency, in my view. By lobbyists? You could argue this | :21:47. | :21:51. | |
is one of the most spectacular examples of hidden lobbying. We | :21:51. | :21:58. | |
don't know. I think the point is that actually if you are also being | :21:58. | :22:02. | |
paid by major tobacco companies and internationally, but the point is | :22:02. | :22:08. | |
we don't know, by big alcohol, then of course, to make a statement that | :22:08. | :22:12. | |
can't influence the kind of advice you are giving is wrong. The public | :22:12. | :22:17. | |
have a right to know. It doesn't smell right? I don't care what it | :22:17. | :22:20. | |
smells like? You don't care what it smells like, extraordinary. | :22:20. | :22:27. | |
type around Big Tobacco and Big Alcohol, the same as small alcohol | :22:27. | :22:31. | |
and small tobacco. As it happens I'm a smoker and happy smoking, all | :22:31. | :22:35. | |
the stuff that Sarah talks about and the health Tsars and fascists | :22:35. | :22:40. | |
have gone on and on about smoking hasn't affected me. I did the very | :22:40. | :22:44. | |
first anti-smoking campaigns in this country when The Royal College | :22:44. | :22:48. | |
of Physician report came across with the linking of smoking with | :22:48. | :22:52. | |
cancer, and emphysema. We did all the anti-smoking advertising, later | :22:52. | :22:58. | |
on we took on a cigarette brand called Silk Cut, I don't take issue | :22:58. | :23:02. | |
with that I believe it should be free. I'm a real Conservative | :23:02. | :23:05. | |
Conservative I believe in the continued...If It doesn't work then | :23:05. | :23:11. | |
fine? The point is if it didn't work why would people pay vast sums | :23:11. | :23:14. | |
for it. It should include people giving high-level political advice | :23:14. | :23:18. | |
at the heart of Government. I think that's something that the public | :23:18. | :23:22. | |
would welcome. What position are you in at the moment, do you feel | :23:22. | :23:25. | |
comfortable with Lynton Crosby and the position he's in for your Prime | :23:25. | :23:28. | |
Minister? I would like to know who else is paying him. The public have | :23:28. | :23:33. | |
a right to know that as well. To see public health completely | :23:33. | :23:37. | |
removed from the political agenda at the same time as somebody is | :23:38. | :23:41. | |
advising about what policy should be in the lead up to the election. | :23:41. | :23:47. | |
I'm afraid it isn't the case to say these things are unconnect. What | :23:47. | :23:52. | |
reforms do we need tomorrow? don't need any reforms. None at all, | :23:52. | :23:56. | |
you are happy with the position of Government? I have never known a | :23:56. | :24:01. | |
lobbyist that gave a politician money or gifts or took them on to | :24:01. | :24:05. | |
events to persuade them to change policies. If you want to define a | :24:05. | :24:07. | |
lobbyist, which the Government define as wishing to influence | :24:07. | :24:10. | |
public policy then every MP is a lobbyist, every journalist, | :24:10. | :24:15. | |
everybody who talks about politics is a lobbyist, every constituent | :24:15. | :24:20. | |
that comes to your surgery is a lobbyist. For God's sake this is | :24:20. | :24:23. | |
smearing a small group of people. You have no evidence for it | :24:23. | :24:29. | |
whatsoever apart from a few fraudulent activities. You don't | :24:29. | :24:35. | |
have the faintest idea what lobbyist gets paid. What does it | :24:35. | :24:41. | |
matter if they get big money or not? The public want transparency | :24:41. | :24:44. | |
about that. The public has never asked me for transparency. Jo it | :24:44. | :24:48. | |
should also be around things like think-tanks, for example, anybody | :24:48. | :24:52. | |
who lobbies for money. It couldn't do that. So everyone should sign up | :24:52. | :24:57. | |
to this register? I I think they would want to. You heard the guy in | :24:57. | :25:01. | |
the film there are only two people on it because they are transparent | :25:01. | :25:05. | |
about what they do? The APCC has every single one of the companies | :25:05. | :25:08. | |
to be named tomorrow, as I understand it, which is what you | :25:09. | :25:11. | |
call the professional lobbying companies, they are already members | :25:11. | :25:15. | |
of it. They already publish their client lists and how much they are | :25:15. | :25:18. | |
paid. It is published on a publicly available website. It is already | :25:18. | :25:23. | |
there. The head of the PRCA, the head of APPC have all said to the | :25:23. | :25:26. | |
Government you don't need to do this, but they completely ignore | :25:26. | :25:31. | |
you and what they are doing is smearing a lot of people who make a | :25:31. | :25:33. | |
considerable contribution to this life. All of us do things that make | :25:33. | :25:37. | |
a difference. They make a difference to people's lives. I | :25:37. | :25:40. | |
happen to to be a real Conservative, I believe people should be paid for | :25:40. | :25:44. | |
what they do. I don't believe there is anything wrong with being paid, | :25:44. | :25:48. | |
nor do I think everybody is corrupt. Do you find if big money changes | :25:49. | :25:52. | |
policy? That is where we are going to. Does it matter if that happens? | :25:52. | :25:56. | |
Not if the policy out of it is good. If somebody has a lot of money they | :25:56. | :26:01. | |
should be able to influence policy? That is not how it work, if you | :26:01. | :26:08. | |
look at what lobbyists get paid. The financial takeover company | :26:08. | :26:12. | |
decided to make financial companies pay fees in order to discover if | :26:12. | :26:17. | |
they were being overpaid for doing takeover bids. Lo and behold it | :26:17. | :26:20. | |
turned out they weren't paid millions but tens of thousands of | :26:20. | :26:23. | |
pounds. Are the public sophisticated enough to see through | :26:23. | :26:27. | |
the people that are trying too hard, if you like. Do we really need | :26:27. | :26:30. | |
regulation to sort this out? point is the public have an | :26:30. | :26:33. | |
absolute right to know who is behind, what is the big money | :26:33. | :26:36. | |
behind organisations that are advising at the heart of Government. | :26:36. | :26:41. | |
Isn't the worry that you paint the political classes as grubby, | :26:41. | :26:46. | |
corrupt, when we have one of the cleanest systems in the world? | :26:46. | :26:49. | |
do because people challenge, we should continue to challenge. It is | :26:49. | :26:55. | |
not unreasonable in my opinion. introduce absurd regulations that | :26:55. | :26:59. | |
have made no difference anywhere else. We are going to have to leave | :26:59. | :27:04. | |
that here. How do you get capitalism to work | :27:04. | :27:10. | |
in a communist state. Now 25 years ago the entire economy of Vietnam | :27:10. | :27:13. | |
was Government-controlled. The debate continues here. Today just a | :27:13. | :27:18. | |
third of it is, the country still calls itself commune is, but this | :27:18. | :27:22. | |
process of liberalisation is reckoned to be key to Vietnam's | :27:22. | :27:28. | |
rapid growth. We have gone in search of Vietnamese milk, bun of | :27:28. | :27:32. | |
the burgeoning industries flourishing in a country not used | :27:32. | :27:42. | |
:27:42. | :27:45. | ||
to' free market. They still preserve a few remnants of war. But | :27:45. | :27:50. | |
Ho Chi Minh, the city normally known as Saigon, is almost | :27:50. | :27:54. | |
unrecoginsable as the place the Americans withdrew troops from 40 | :27:54. | :28:02. | |
years ago. Vietnam's commercial centre sports all the Gaudi | :28:02. | :28:06. | |
accessories you would expect from a booming economy. The high class | :28:06. | :28:10. | |
hotels and cafe lifestyles. Just like this city, the communists who | :28:10. | :28:15. | |
won the American war, as the Vietnam War is known here, have had | :28:15. | :28:21. | |
a makover. One bonders what the communist hero, | :28:21. | :28:24. | |
Ho Chi Minh would make of the fact that the Stock Exchange is named | :28:24. | :28:28. | |
after him. This place is still run by the Communist Party, but | :28:28. | :28:32. | |
apparently Vietnam is now a socialist-orientated market economy. | :28:32. | :28:36. | |
What that really seems to mean is capitalist powerhouse. Over the | :28:36. | :28:41. | |
last 15 years the Communist Party has overseen a spectacular economic | :28:41. | :28:48. | |
boom. But now growth is lagging, in large | :28:48. | :28:51. | |
part because the boom has been based not on wealth, but on the | :28:51. | :29:01. | |
:29:01. | :29:01. | ||
country's poverty. Look at the scale of this place? There must be | :29:01. | :29:11. | |
hundreds of people working here. It is like those dark Satanic mills, | :29:11. | :29:16. | |
and these guys make garments and clothes for all the big western | :29:16. | :29:21. | |
countries. It really is amazing. Vast workshops like this making | :29:21. | :29:27. | |
clothes and other manufactured goods for the west are the engine | :29:27. | :29:30. | |
driving Vietnam's boom, they flourished because they are so | :29:30. | :29:34. | |
cheap. And they are cheap because the workers get paid so little. | :29:34. | :29:44. | |
:29:44. | :29:44. | ||
This is definitely not for the local market. Hi is pretty typical | :29:44. | :29:47. | |
of Vietnam's new urban work force, he has migrated from the | :29:47. | :29:50. | |
countryside and works long hours for what is, by international | :29:50. | :29:58. | |
standards, very low pay. So how hard is it working here? Not hard | :29:58. | :30:08. | |
:30:08. | :30:20. | ||
He heads home as soon as his long day shift is over. This is your | :30:20. | :30:30. | |
:30:30. | :30:33. | ||
place? But almost immediately's back in front of a sewing machine. | :30:33. | :30:43. | |
:30:43. | :31:05. | ||
What time do you think you will It is a long day for you Hi. The | :31:05. | :31:09. | |
Vietnamese Government recognises that piece work is never going to | :31:09. | :31:12. | |
make people like Hi or Vietnam rich. So it has been encouraging the | :31:12. | :31:15. | |
development of new industries, which generate higher profits and | :31:15. | :31:22. | |
can pay workers more. Dairy products have never been a big part | :31:22. | :31:32. | |
:31:32. | :31:38. | ||
of the Vietnamese diet. Vinamilk is hoping to change that. It has grown | :31:38. | :31:43. | |
rapidly to become one of the biggest companies listed on the Ho | :31:43. | :31:47. | |
Chi Minh Stock Exchange, valued at over $5 million. The architect of | :31:47. | :31:52. | |
Vinamilk as success is its formidable former communist boss, | :31:52. | :31:57. | |
Madame Lien. Do you like cows? So what are your plans for the | :31:57. | :32:07. | |
:32:07. | :32:33. | ||
A multinational, an ambitious woman, very ambitious? Yes.Vinamilk is a | :32:33. | :32:38. | |
poster child for the success of the communist Government's | :32:38. | :32:41. | |
privatisation programme. Just over 25 years ago the entire economy was | :32:41. | :32:48. | |
controlled by the state. Now it is just a third. So this factory is | :32:48. | :32:53. | |
all powered milk products? children. That process of | :32:53. | :33:00. | |
liberalisation is reckoned to be the key to Vietnam's rapid growth. | :33:00. | :33:04. | |
Madame Lien says she sees no contradiction between the country's | :33:04. | :33:14. | |
:33:14. | :33:14. | ||
Apology for the loss of subtitles for 43 seconds | :33:14. | :33:57. | |
growing private sector and its Which sounds rather like capitalism. | :33:57. | :34:01. | |
And the problem with capitalism is that capitalists tend to do what's | :34:01. | :34:10. | |
best for the bottom line. Not what is best for workers. Despite the | :34:10. | :34:16. | |
boss's -- bosses' minimalist sympathies, just a few people can | :34:16. | :34:19. | |
run this vast milk powder factory and the dairy in the Highlands has | :34:19. | :34:26. | |
the latest labour-saving equipment. The state still keeps a very tight | :34:26. | :34:30. | |
grip on other aspects of society, here is the minder who accompanied | :34:30. | :34:36. | |
the Newsnight team wherever we went. Can innovations and enterprise | :34:36. | :34:44. | |
thrive while the state keeps such a close watch. Many investors seem to | :34:44. | :34:48. | |
think so, this is a software engineer who works for a country | :34:48. | :34:52. | |
that looks to borrow ideas from leading companies in the best like | :34:52. | :34:57. | |
Google and Ebay, and tailor them for the Vietnamese market. Once | :34:57. | :35:06. | |
again this is not labour-intensive work. Do you think this is a bit | :35:06. | :35:10. | |
like business? Man, you are a tough competitor. Is this what you feel | :35:10. | :35:20. | |
like when you are planning your business? No!He lives the kind of | :35:20. | :35:23. | |
modern urban lifestyle that many young Vietnamese aspire to, he's | :35:23. | :35:28. | |
optimistic about the future. Actually I'm lucky now because I | :35:28. | :35:37. | |
was born in the peaceful town -- peaceful time, not only me but many | :35:37. | :35:42. | |
students have the space to study and work, not only in our country | :35:42. | :35:49. | |
but in developed countries like the US and Europe. Not everyone shares | :35:49. | :35:55. | |
his optimisim. Hoong is one of Vietnam's army of new graduates, | :35:55. | :35:59. | |
Vietnam's universities have almost two million students, a seven-fold | :35:59. | :36:03. | |
increase in just 15 years. It is another arm of the Government's | :36:03. | :36:08. | |
strategy to upgrade the economy. You are selling these mobile | :36:08. | :36:13. | |
phones? Yes.You are not working in what you want to do? Yeah. I really | :36:13. | :36:22. | |
want to have a job in suitable with my degree. But I can't find a job | :36:22. | :36:32. | |
:36:32. | :36:32. | ||
like that. But Hoong's experience is typical. She graduated two years | :36:32. | :36:35. | |
ago with a degree in hotel management. But she can't find work | :36:35. | :36:42. | |
in the hotel industry. Are there many of your friend from university | :36:42. | :36:52. | |
:36:52. | :37:16. | ||
What do your parents think of the situation. It must be quite | :37:16. | :37:26. | |
:37:26. | :37:39. | ||
difficult for them? The problem is that in vet nam it is not -- is | :37:39. | :37:43. | |
that if Vietnam is not using its brightest and best it will find | :37:43. | :37:47. | |
itself in the middle income trap. Rising wages will price it out of | :37:47. | :37:50. | |
bottom end manufacturing, yet it doesn't seem ready to break into | :37:50. | :37:58. | |
the more lucrative higher value markets quite yet. | :37:58. | :38:03. | |
I think that the BBC chief Tony Hall remarked today "muttering is | :38:03. | :38:07. | |
something we could look at". If you are in any way hard of hearing | :38:07. | :38:12. | |
muttering is something you you have to look at. The announcement was | :38:12. | :38:19. | |
greeted with more whoops of joy than a reduction in the license fee. | :38:19. | :38:29. | |
Has the quiet man had his time? Or have we a mix of kitchen sink | :38:29. | :38:35. | |
realisim. (quietly) it is very beautiful here. Yet all around such | :38:35. | :38:45. | |
:38:45. | :38:45. | ||
decay. The children are starving. Did you think this was just a | :38:45. | :38:53. | |
fairness dispute, a little bit of nothing. A wife did she hang?No | :38:53. | :39:00. | |
Jeggers was for her. Perhaps he should. He must want more. | :39:00. | :39:08. | |
(quietly) then what? Then, picnics. So now that he's started. It is | :39:08. | :39:16. | |
hard to stop even if he wanted to. He thinks they are weak and all day | :39:16. | :39:26. | |
:39:26. | :39:29. | ||
he is making table legs and side boards. (inaudible) with my dresses. | :39:29. | :39:33. | |
You turn it down to the bank tomorrow, we don't want any | :39:33. | :39:37. | |
criminals thieving off you. Nothing like making a point with a | :39:37. | :39:41. | |
bit of choice editing, but to discuss the mumable is Michael | :39:41. | :39:46. | |
Simkins a RADA-trained actor who has performed on the stage and TV | :39:46. | :39:50. | |
dramas and big screen and the Sunday Mirror's TV critic is with | :39:51. | :39:59. | |
us. Is it about not wanting to be ham, is that the biggest worry? | :39:59. | :40:02. | |
can blame the bloke behind me, Marlon brand dough, before him | :40:02. | :40:07. | |
whether it was actors who were positively sup pine like Gary | :40:07. | :40:12. | |
Cooper, who people who delivered it stucatto like Edward Robinson, you | :40:12. | :40:16. | |
could always hear what they said. Brand dough broke the mould and | :40:17. | :40:22. | |
started the trend for a more realistic style. That has been | :40:22. | :40:28. | |
exemplfied by the cultural change, everything is spartan and dialogue | :40:28. | :40:31. | |
understated. That is how a lot of people communicate. Like the | :40:31. | :40:35. | |
younger generation today. We are not goinging to lose that are we? | :40:35. | :40:38. | |
don't recognise this as a prevalent problem. Tony Hall was honest | :40:38. | :40:42. | |
enough to admit he's 62 and was perhaps talking to his own | :40:42. | :40:51. | |
generation. I think a lot of the complaints are actually, we saw | :40:51. | :40:56. | |
Eddy Redmain there, and an absurd example. You have soundtrack, | :40:56. | :41:00. | |
actors speaking perfectly normally against the backdrop of pounding | :41:00. | :41:03. | |
rock music because that is groovy and MoD he were, and people of a | :41:03. | :41:09. | |
certain age can't hear what is being said. It is this kind of urge | :41:09. | :41:11. | |
towards modernism that possibly gets in the way of clarity. When | :41:11. | :41:17. | |
you are training and you are a RADA man, is the emphasis on projection | :41:17. | :41:24. | |
and on the kind of acting that speaks to a 1,000-seat theatre? | :41:25. | :41:29. | |
emphasis is less now. When I was training back in the primevil days | :41:29. | :41:35. | |
back in the 1970s, actors cut their teeth in great big theetures where | :41:35. | :41:42. | |
you were playing to 800 seats. When Donald Syndon opened his mouth on | :41:42. | :41:47. | |
the first night he blew me into the orchestra pit, I couldn't believe | :41:47. | :41:53. | |
anyone could deliver 70-80 yards without raising his voice. That has | :41:53. | :41:57. | |
changed. Following on from your point the poor old beleaguered | :41:57. | :42:03. | |
actor, however well they do it on set it is overlaid often with | :42:03. | :42:07. | |
soundtracks and ambient noises which gives it a nice theme. | :42:07. | :42:13. | |
are not told to mumable? No actor it is told to mumable. If you are | :42:13. | :42:19. | |
trying to do the love scene with the royal Philharmonic orchestra | :42:19. | :42:29. | |
:42:29. | :42:32. | ||
behind you, I defy Brian Blessed to do that. The actors are being | :42:32. | :42:36. | |
unfairly accused, they might deliver the line well and they turn | :42:36. | :42:40. | |
the music down to make it moody. What about the rest of the | :42:40. | :42:45. | |
technology, flat-screen TVs, this is mooted as one reason why you | :42:45. | :42:48. | |
can't hear anything, there is no sound bar? I hadn't thought of that, | :42:48. | :42:53. | |
but I think Michael and I agree we don't see this as a prevalent | :42:53. | :42:58. | |
problem. It may be, as Tony said I'm sorry if I sound like a grumpy | :42:58. | :43:02. | |
old man, it may be a grumpy old man complaining about something he | :43:02. | :43:06. | |
personally find irritating. Programmes like The Wire are cool | :43:06. | :43:11. | |
because you can't quite understand them? There is a lot of copying of | :43:11. | :43:15. | |
the Wire, that could have done with subtitles. I thought you could get | :43:15. | :43:22. | |
it? Hi to get subtitles watching it. Follow on from that technology has | :43:22. | :43:25. | |
moved on hugely, when you are filming, the boom operator, the | :43:25. | :43:31. | |
sound man, they can pick up the tick of your wristwatch but also | :43:31. | :43:37. | |
your gurgling digestive system doing last night's curry. The actor | :43:37. | :43:41. | |
sometimes inadvertantly hands over the mechanics of his performance to | :43:41. | :43:45. | |
technology. You are often in the thrall of people who are expert, | :43:45. | :43:50. | |
however much they may be, it is not you judging the performance I in | :43:50. | :43:56. | |
more. That must make you feel impotent? As an actor. A lot of | :43:56. | :44:03. | |
things make me pole impotent! It does mean there is so much | :44:03. | :44:05. | |
technology around the actor can forget they are the person | :44:06. | :44:08. | |
delivering the part. Thank you very much indeed. We hope you heard | :44:08. | :44:13. | |
every word of that, we will take you through a mumbled paper review | :44:13. | :44:23. | |
:44:23. | :44:23. | ||
Apology for the loss of subtitles for 43 seconds | :44:23. | :45:06. | |
now. The Times has a picture of a That's all from us tonight, it is | :45:06. | :45:10. | |
not just the mumbling that is going, it is also the pesky squished up | :45:10. | :45:20. | |
:45:20. | :45:29. | ||
credits at the BBC programme, you (continuity announcement mumble | :45:29. | :45:39. | |
:45:39. | :45:43. | ||
about the next programme). Good evening, more sunshine and more | :45:43. | :45:47. | |
heat, just about sums up the forecast for the British Isles in | :45:47. | :45:51. | |
the next few days. Today we still have some cloud across Northern | :45:51. | :45:55. | |
Ireland and Scotland, a bit more cloud for northern England than | :45:55. | :45:58. | |
early on in the week. For Northern Ireland with sunny spells through | :45:58. | :46:01. | |
the afternoon, a few spot temperatures will get close to the | :46:01. | :46:06. | |
mid-20s, the same can be said for southern and eastern Scotland. The | :46:06. | :46:11. | |
North West plaged with the remnants of a weather front. Shetland should | :46:11. | :46:15. | |
brighten through the afternoon. Northern England should have long | :46:15. | :46:19. | |
spells of sunshine in the mid-20s, across the south-east of England we | :46:19. | :46:24. | |
may get close to 30 degrees. With that kind of heat we may spark off | :46:24. | :46:28. | |
a very isolated thunderstorm. If we see any showers developing they | :46:28. | :46:31. | |
could be lively, but they will be few and far between. Further west | :46:31. | :46:37. | |
more sunshine, of course, and again widely in the 20s. Very little | :46:37. | :46:42. | |
changes in that story as we look at the later part of the week. Just | :46:42. | :46:47. | |
ever so slightly subtle changes, temperatures coming down on | :46:47. | :46:51. | |
Thursday and Friday picking up a more Eastleigh fetch to our weather. | :46:51. | :46:55. |