Browse content similar to 05/05/2016. Check below for episodes and series from the same categories and more!
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How close does a doctor need to be when a baby is born? | :00:13. | :00:16. | |
Thousands of women give birth under the care of a midwife either at home | :00:17. | :00:19. | |
or in special unit - but when things go wrong, is that | :00:20. | :00:22. | |
We hear from one woman whose baby tragically died. | :00:23. | :00:27. | |
It was only last half an hour of my labour | :00:28. | :00:29. | |
that it was realised that | :00:30. | :00:30. | |
And it was just like a disaster from there | :00:31. | :00:34. | |
Another truce in the ravaged Syrian city of Aleppo - | :00:35. | :00:42. | |
and a let-up in the intense bombing raids. | :00:43. | :00:44. | |
We hear from residents who've been living through | :00:45. | :00:46. | |
And the timeshare club that members say isn't what they bought into - | :00:47. | :00:51. | |
they want compensation and are going to court. | :00:52. | :00:53. | |
The company who sold them dispute the claims. | :00:54. | :01:05. | |
How easy do you find it to get an appointment with your GP? | :01:06. | :01:12. | |
Would you like to go to the surgery at the weekend or be happy to talk | :01:13. | :01:16. | |
A little later this morning, we'll be hearing from GPs | :01:17. | :01:21. | |
who try to see their patients in different ways. | :01:22. | :01:23. | |
We want to hear from you about your experience. | :01:24. | :01:25. | |
We'll be talking to four GPs just after 10. | :01:26. | :01:28. | |
Do get in touch on all the stories we're talking about this morning - | :01:29. | :01:31. | |
And if you text, you will be charged at the standard network rate. | :01:32. | :01:36. | |
Our top story today is that a group of senior medics has | :01:37. | :01:39. | |
called on both sides in the long-running junior doctors' | :01:40. | :01:42. | |
dispute to agree to fresh talks in an attempt to avoid a further | :01:43. | :01:45. | |
The Academy of Medical Royal Colleges, which represents doctors | :01:46. | :01:53. | |
on training and education, says both sides should agree | :01:54. | :01:57. | |
A series of strikes by junior doctors in England affecting routine | :01:58. | :02:05. | |
care was followed last week by two walkouts on all forms | :02:06. | :02:08. | |
That was unprecedented in the history of the NHS, although with | :02:09. | :02:11. | |
consultants and other staff covering the gaps, | :02:12. | :02:14. | |
hospitals reported no problems with essential services. | :02:15. | :02:19. | |
This weekend, junior doctor representatives are meeting to | :02:20. | :02:21. | |
Now leaders of the medical profession are | :02:22. | :02:27. | |
calling for a five-day pause to allow talks during which | :02:28. | :02:30. | |
the government would temporarily suspend work on introducing | :02:31. | :02:32. | |
the new contract, and the BMA would not plan further action. | :02:33. | :02:45. | |
We're calling for a focused brief five-day pause where it gives both | :02:46. | :02:48. | |
sides the opportunity to participate with no ifs, | :02:49. | :02:50. | |
buts, maybes to resolve the remaining issues. | :02:51. | :02:52. | |
Because they tell us they are 95% in agreement, | :02:53. | :02:54. | |
so surely it must be possible to finally close this gap | :02:55. | :03:00. | |
for the benefit of the NHS junior doctors and patients. | :03:01. | :03:02. | |
The British Medical Association said it would agree to the proposal | :03:03. | :03:05. | |
and temporarily suspend industrial action to allow talks with | :03:06. | :03:07. | |
a mutually agreed facilitator, as long as the government did | :03:08. | :03:14. | |
The Department of Health, though, said it was too late to change the | :03:15. | :03:18. | |
process of bringing in contracts, which was well under way. | :03:19. | :03:21. | |
I will be speaking to the DMA just about implementation | :03:22. | :03:31. | |
I will be speaking to the DMA just after ten. Do let us know your | :03:32. | :03:33. | |
thoughts. Annita McVeigh's in the BBC | :03:34. | :03:34. | |
Newsroom with a summary Syrian city of Aleppo | :03:35. | :03:36. | |
following violent clashes between government and rebel forces | :03:37. | :03:51. | |
this week which have Diplomatic pressure | :03:52. | :03:54. | |
from the United States and Russia led to a 48-hour | :03:55. | :03:56. | |
truce being declared. Those in Aleppo in recent weeks may | :03:57. | :03:58. | |
well have asked, "Truce, what truce? " The pause infighting agreed back | :03:59. | :04:05. | |
in February did not include Syria's This video, uploaded to social | :04:06. | :04:08. | |
media, is said to show how bad it has become, | :04:09. | :04:13. | |
though the BBC has not independently verified | :04:14. | :04:15. | |
the Aleppo is divided, parts of it | :04:16. | :04:16. | |
controlled by armed rebels who oppose the Syrian President Bashar | :04:17. | :04:22. | |
al-Assad, parts of it controlled by In the past week | :04:23. | :04:24. | |
fighting between the two sides has been at its most | :04:25. | :04:35. | |
intense for a year. Life for people | :04:36. | :04:42. | |
in Access to basic and essential | :04:43. | :04:47. | |
services such as water and People are living under | :04:48. | :04:52. | |
daily threat and terror. But then on Wednesday | :04:53. | :04:55. | |
in Syrian television | :04:56. | :04:57. | |
reported that the Syrian army has agreed to extend the | :04:58. | :04:59. | |
ceasefire to include Aleppo for 48 The deal was done after pressure | :05:00. | :05:04. | |
from the US and Russia, which have influence on opposing | :05:05. | :05:08. | |
sides in the conflict. America backs the rebels, | :05:09. | :05:10. | |
while Russia supports All those with influence, | :05:11. | :05:12. | |
particularly Russia and Iran, must press the regime to meet | :05:13. | :05:20. | |
its commitment and obligations. For our part, the United States will | :05:21. | :05:24. | |
continue pressing for opposition to We will work with our Russian | :05:25. | :05:28. | |
counterparts to try to restore a real and lasting cessation | :05:29. | :05:33. | |
of hostilities in Aleppo and elsewhere in Syria, | :05:34. | :05:35. | |
and to facilitate a political The only way in which this | :05:36. | :05:37. | |
war will finally end. The truce does not include | :05:38. | :05:40. | |
the so-called Islamic State, nor the Al-Qaeda | :05:41. | :05:48. | |
linked al-Nusra Front. Aleppo was Syria's industrial | :05:49. | :05:50. | |
and financial centre, hard to believe when you look | :05:51. | :05:53. | |
at the state of the city now. And it is thought that at least 5000 | :05:54. | :05:57. | |
of the refugees at the border with Jordan | :05:58. | :05:59. | |
have fled from Aleppo. They, as much as anyone, | :06:00. | :06:01. | |
will be watching, waiting, to see if this | :06:02. | :06:03. | |
latest truce will hold. And we'll be speaking to people | :06:04. | :06:13. | |
in Aleppo about what life is like in the city later | :06:14. | :06:16. | |
on in the programme. Here - the polls have opened | :06:17. | :06:18. | |
for local, regional and some parliamentary elections | :06:19. | :06:21. | |
across the UK, on what's been The elections are for | :06:22. | :06:23. | |
the Scottish Parliament, National Assembly of Wales, | :06:24. | :06:26. | |
Northern Ireland Assembly New mayors will be elected | :06:27. | :06:34. | |
in London, Bristol, Liverpool and Salford, | :06:35. | :06:37. | |
and there are parliamentary by-elections in Ogmore | :06:38. | :06:39. | |
and Sheffield Brightside. Police and crime commissioners | :06:40. | :06:40. | |
are also being elected We are getting reports of problems | :06:41. | :06:56. | |
with polling stations in north London, Barnett specifically. | :06:57. | :06:59. | |
Some polling stations apparently do not | :07:00. | :07:00. | |
have the colour -- correct list of people at the eligible to vote. -- | :07:01. | :07:08. | |
people eligible to vote. A state of emergency has been | :07:09. | :07:15. | |
declared in the Canadian province of Alberta because of a raging | :07:16. | :07:18. | |
wildfire which threatens 88,000 people - | :07:19. | :07:20. | |
the entire population of Fort McMurray - | :07:21. | :07:23. | |
was ordered to evacuate yesterday. Now it's feared large parts | :07:24. | :07:25. | |
of the city could be The fire, driven on by fierce winds, | :07:26. | :07:27. | |
has already gutted 1,600 buildings, while oil companies operating | :07:28. | :07:32. | |
in the area have been Some people took refuge | :07:33. | :07:34. | |
in the nearby town of Anzac, but now an evacuation has | :07:35. | :07:37. | |
been ordered there too. Investigators have yet to establish | :07:38. | :07:39. | |
what caused the blaze. Our reporter James Cook sent this | :07:40. | :07:42. | |
update from just outside the city. Well, perhaps just over ten miles | :07:43. | :07:44. | |
outside the city of Fort McMurray, and this is where as you can see | :07:45. | :07:47. | |
the emergency services are staging Now we have seen | :07:48. | :07:50. | |
various firefighting vehicles, we have seen | :07:51. | :08:00. | |
tankers with fuel to refuel the vehicles that | :08:01. | :08:02. | |
are working in there, and we have also | :08:03. | :08:03. | |
seen buses going on as well. This is a junction | :08:04. | :08:06. | |
and straight down that But if you take a turn | :08:07. | :08:08. | |
along towards the right-hand side here what you will | :08:09. | :08:16. | |
see is another turn, we cannot see right-hand side here what you will | :08:17. | :08:22. | |
see is another town, we cannot see it from here, but a turn called | :08:23. | :08:25. | |
Anzac, and that community now is They have moved away both | :08:26. | :08:28. | |
to the north of Fort McMurray and here to | :08:29. | :08:32. | |
the south and east and they are threatening | :08:33. | :08:35. | |
town of Anzac and the neighbouring communities. | :08:36. | :08:37. | |
A woman from West Yorkshire has been describing how a string | :08:38. | :08:39. | |
of hospital failings led to her son being stillborn. | :08:40. | :08:48. | |
Sam Reid's son Theo died at a midwife-led unit | :08:49. | :08:50. | |
After taking legal action the NHS Trust responsible admitted | :08:51. | :08:53. | |
liability, apologised and settled out of court. | :08:54. | :08:55. | |
Sam Reid has told the BBC how she feels the care she received led | :08:56. | :08:59. | |
It was only last half an hour of my labour | :09:00. | :09:02. | |
that it was realised that | :09:03. | :09:04. | |
And it was just like a disaster from there | :09:05. | :09:09. | |
It was so traumatic that the last half an hour of what happened, | :09:10. | :09:14. | |
when he came out, everything, resuscitating him, I feel that my | :09:15. | :09:19. | |
care wasn't right and I actually feel that that's the reason he died. | :09:20. | :09:29. | |
And we'll bring you more of that interview in a few minutes' time - | :09:30. | :09:33. | |
Britain's newest daily newspaper "The New Day" is closing down, just | :09:34. | :09:36. | |
Publisher Trinity Mirror said that circulation for the title | :09:37. | :09:40. | |
was well below expectations, despite supportive reviews and | :09:41. | :09:47. | |
There were hopes that the paper would sell about 200,000 | :09:48. | :09:51. | |
copies a day, but sales are reported to be about 40,000. | :09:52. | :09:54. | |
At least 31 people have been injured after an Etihad Airways flight ran | :09:55. | :10:11. | |
in to severe turbulence as it prepared to land in the Indonesian | :10:12. | :10:14. | |
Nine passengers and crew were taken to hospital while the others | :10:15. | :10:18. | |
The United Arab Emirates' national airline said that cabin luggage bins | :10:19. | :10:21. | |
At least 31 people have been injured after an Etihad Airways flight ran | :10:22. | :10:24. | |
The United Arab Emirates' national airline said that cabin luggage bins | :10:25. | :10:27. | |
At least 31 people have been injured after an Etihad Airways flight ran | :10:28. | :10:30. | |
The United Arab Emirates' national airline said that cabin luggage bins | :10:31. | :10:33. | |
were damaged while passengers said oxygen masks were released | :10:34. | :10:35. | |
The mother of Fusilier Lee Rigby - the soldier murdered by two Muslim | :10:36. | :10:39. | |
extremists near his barracks in South London three years ago - | :10:40. | :10:42. | |
has told the BBC how she suffers constant pain over his killing. | :10:43. | :10:45. | |
In an exclusive interview, Lyn Rigby said she would never | :10:46. | :10:47. | |
forgive his murderers, and would never be | :10:48. | :10:49. | |
At least 31 people have been injured after an Etihad Airways flight ran | :10:50. | :10:52. | |
She's set up a foundation in honour of her son, to help bereaved | :10:53. | :10:55. | |
families of those who served in the armed forces. | :10:56. | :10:57. | |
Tell us about Lee, tell us about your son, what sort | :10:58. | :11:01. | |
of a young boy was he, what sort of a young man was | :11:02. | :11:04. | |
Always cheeky, tried overstepping the mark a few times. | :11:05. | :11:08. | |
When he joined the Army, he just completely | :11:09. | :11:10. | |
I think they turned the boy into a man. | :11:11. | :11:14. | |
Lee was killed almost three years ago on May the | :11:15. | :11:16. | |
Tell us about that day, how did you find out? | :11:17. | :11:19. | |
I received a phone call from Sarah, my daughter, asking | :11:20. | :11:22. | |
if I had heard about a soldier being murdered in Woolwich. | :11:23. | :11:24. | |
I started panicking then, because Lee always used to phone me | :11:25. | :11:34. | |
if any tragedy happened, you know, just to put | :11:35. | :11:36. | |
my mind at rest that he was safe and well. | :11:37. | :11:42. | |
So I think something hit then, this could be the, as I walked into | :11:43. | :11:53. | |
So I think something hit then, this could be Lee, as I walked into | :11:54. | :11:59. | |
the canteen, obviously the news was on in the canteen, and I saw | :12:00. | :12:03. | |
Them draggin him in the road by his leg. | :12:04. | :12:06. | |
I recognised the build, the hoodie, the boots, he | :12:07. | :12:16. | |
I was trying to reassure the girls that he was probably a week training | :12:17. | :12:44. | |
with cadets, like he used to do. I then went up to bed, | :12:45. | :12:51. | |
this was just before two, and as I got into the bedroom | :12:52. | :12:54. | |
the knock on the door... As for the men who | :12:55. | :12:57. | |
murdered him, Lyn says I could never forgive | :12:58. | :12:59. | |
them and move on, It is always there, | :13:00. | :13:02. | |
it is there constantly, from the minute you open your eyes, | :13:03. | :13:12. | |
to the minute you close, you know, it is a constant | :13:13. | :13:15. | |
heartache all the time. You have got to be there | :13:16. | :13:17. | |
for the children. At the end of the day | :13:18. | :13:19. | |
they've already lost And they don't want | :13:20. | :13:21. | |
to lose their mum, So you have to try and carry | :13:22. | :13:25. | |
on for their sake. Now if you have a spare 70 million | :13:26. | :13:29. | |
dollars lying around, why not put this top | :13:30. | :13:32. | |
of your shopping list? This gigantic rough diamond | :13:33. | :13:34. | |
was mined in Botswana late last year It's 1190 carats and is roughly | :13:35. | :13:37. | |
the size of a tennis ball. Once it's cut and polished it | :13:38. | :13:41. | |
could be the largest top That is what you call a sparkler! | :13:42. | :13:58. | |
I am trying to work out what on earth you would use it for. | :13:59. | :14:05. | |
We will be talking a bit more in a few minutes about the story in the | :14:06. | :14:10. | |
news, Sam's story. We'll would be asking, does a doctor need to be on | :14:11. | :14:14. | |
hand when a woman is giving birth? We will hear from Sam, whose baby | :14:15. | :14:19. | |
tragically died after a series of blunders at the midwife- led unit | :14:20. | :14:26. | |
will where she gave -- where she gave birth. We will try to weave | :14:27. | :14:29. | |
some of your comments into our discussion shortly, if you get in | :14:30. | :14:35. | |
touch, remember our hashtag. Now, sport. A disappointing end for | :14:36. | :14:40. | |
Manchester City in Europe. They lost to Real Madrid last night. | :14:41. | :14:51. | |
They went behind after 20 minutes, when Gareth bail's shot | :14:52. | :14:58. | |
deflected off Fernando. City struggled to get into the game, | :14:59. | :15:03. | |
but they came close when they hit the post in the first | :15:04. | :15:06. | |
half. They went through to We were unlucky because it was a | :15:07. | :15:25. | |
cross and a deflection. The ball went in the top corner. | :15:26. | :15:33. | |
Both teams, we were similar in the first leg. | :15:34. | :15:40. | |
Liverpool's manager believes the support of the fans at Anfield is | :15:41. | :15:43. | |
something he can't buy. They will try to harness it as they reach | :15:44. | :15:45. | |
a European final of their own. They will have to come from behind | :15:46. | :15:59. | |
because of their 1-0 aggregate score last week. | :16:00. | :16:06. | |
passion, our readiness, together with the atmosphere of Anfield, | :16:07. | :16:13. | |
that's what I'm looking for. Despite finishing on the podium two | :16:14. | :16:19. | |
races ago, a Red Bull driver has been replaced by an | :16:20. | :16:28. | |
18-year-old. He was the youngest driver in the sport | :16:29. | :16:29. | |
when he made his debut at the age of 17. Rebel have now swap the two | :16:30. | :16:34. | |
Zara Tindall will be looking to claim her place in Rio | :16:35. | :16:46. | |
at the Badminton Horse Trials which start today. | :16:47. | :16:48. | |
Tindall, who was the BBC Sports Personality of the Year back | :16:49. | :16:50. | |
in 2006, will ride High Kingdom, who took her to team | :16:51. | :16:53. | |
The horse is still to qualify for Rio, having missed almost | :16:54. | :16:58. | |
Bolton's Amir Khan is back in the boxing ring this weekend | :16:59. | :17:05. | |
He'll be the heavy underdog as he moves up two weight classes | :17:06. | :17:11. | |
to face big-punching Mexican Saul Alvarez | :17:12. | :17:12. | |
He's made a special documentary with the BBC ahead of the fight. | :17:13. | :17:19. | |
This is my other baby here. So I've got this, it | :17:20. | :17:34. | |
is the Z06 corvette, zero to 60 in a ridiculous speed. He's not allowed | :17:35. | :17:42. | |
to drive it, he is too young. It is a beautiful car, it is a limited | :17:43. | :17:45. | |
edition one and the colour is nice as well. | :17:46. | :17:47. | |
And you can watch that BBC Three documentary through the iPlayer - | :17:48. | :17:49. | |
That's it for now, see you at 10:30am. | :17:50. | :17:53. | |
It should have been one of the most joyous days of Sam Reid's life, | :17:54. | :18:19. | |
but instead a series of blunders at Pontefract Hospital ended in | :18:20. | :18:22. | |
Her son Theo was stillborn at the midwife led unit | :18:23. | :18:26. | |
They are stand alone units, which can be miles | :18:27. | :18:29. | |
They are led by midwives and don't have the medical facilities | :18:30. | :18:33. | |
and doctors that are available on a labour ward. | :18:34. | :18:35. | |
Some feel that the midwife-led approach is better for women | :18:36. | :18:38. | |
in labour and others that doctors should always be | :18:39. | :18:40. | |
In Sam Reid's case Mid Yorkshire NHS Trust has admitted responsibility | :18:41. | :18:43. | |
and offered to settle the case out of court. | :18:44. | :18:46. | |
It was only the last half an hour of my | :18:47. | :18:52. | |
labour that it was realised something was going wrong. | :18:53. | :18:54. | |
And it was just like a disaster from there | :18:55. | :18:57. | |
It was so traumatic that the last half an hour what happened, | :18:58. | :19:04. | |
when he came out, everything, resuscitating him, I felt that my | :19:05. | :19:06. | |
I actually feel that that is the reason he died. | :19:07. | :19:11. | |
Various, loads of things that went wrong. | :19:12. | :19:19. | |
My notes, everything, they weren't right, I | :19:20. | :19:22. | |
was given the wrong drugs at the wrong time... | :19:23. | :19:25. | |
They never, ever monitored me through my neighbour. | :19:26. | :19:29. | |
They never, ever monitored me through my labour. | :19:30. | :19:31. | |
All the little things like that now are adding up, so that's | :19:32. | :19:36. | |
I had a midwife at the side of me telling me | :19:37. | :19:41. | |
it was all going to be all right, and when the paramedics said we have | :19:42. | :19:44. | |
got a heartbeat I sort of had hope then, and then I just did not want | :19:45. | :19:48. | |
It was the paramedic who said to me, sorry, your son has died. | :19:49. | :19:55. | |
It was just from then that it was like it had hit me. | :19:56. | :20:05. | |
I went into natural labour, everything was going | :20:06. | :20:14. | |
normal, as it should, you take the car seat | :20:15. | :20:17. | |
to the hospital with you, thinking you are going to come home | :20:18. | :20:20. | |
We had been told so many times that should not have happened that day. | :20:21. | :20:36. | |
But we didn't know any of it at that point. | :20:37. | :20:43. | |
And even after he had been born we didn't know that they | :20:44. | :20:46. | |
had done the things they did, or hadn't done the things they were | :20:47. | :20:49. | |
supposed to, we never knew any of that until after. | :20:50. | :20:51. | |
And now we are realising that it was such a | :20:52. | :20:54. | |
Sam Reid talking about Herrick spirits at the devastating loss of | :20:55. | :21:04. | |
her son. We've had a statement | :21:05. | :21:06. | |
from Gill Pownall, the Head of Nursing and Midwifery, | :21:07. | :21:08. | |
at The Mid Yorkshire Hospitals She says: "We have met | :21:09. | :21:10. | |
with Mrs Reid and her family We cannot comment on actions taken | :21:11. | :21:14. | |
in regards to staff, We also cannot comment further due | :21:15. | :21:18. | |
to the ongoing litigation case Viewers in Yorkshire can see more | :21:19. | :21:21. | |
on this story tonight on BBC One at 6:30pm on BBC Look North | :21:22. | :21:29. | |
and everywhere else a little Let's talk a bit more about people's | :21:30. | :21:32. | |
experiences of midwife-led units and how they compare to your more | :21:33. | :21:38. | |
traditional hospital maternity unit. Suzanne Munro, a clinical negligence | :21:39. | :21:51. | |
specialist represented Sam Reid in that case. Sarah Gregson is a | :21:52. | :21:59. | |
consultant midwife at Maidstone birth centre. Marian Reece lives in | :22:00. | :22:05. | |
London and had her baby on a midwife led unit. Richard Stanton's baby | :22:06. | :22:09. | |
girl Kate died in March 2009 just hours after being born in a midwife | :22:10. | :22:14. | |
led unit. Thank you for joining us. Sarah Gregson, first I want to come | :22:15. | :22:19. | |
to you because you are a consultant midwife at a birth centre. Just | :22:20. | :22:23. | |
explain first of all for people not familiar with the various set-ups | :22:24. | :22:27. | |
what a midwife led Centre is and what it can mean in terms of how far | :22:28. | :22:32. | |
away potentially medical experts are if difficulties are encountered and | :22:33. | :22:38. | |
one is needed. OK, yes. As you say, I'm a consultant midwife in Kent and | :22:39. | :22:44. | |
I work across the whole trust, I work in the hospital and in the | :22:45. | :22:49. | |
birth centre as well. Are two types of birth centres, one type of birth | :22:50. | :22:53. | |
centre is attached to the main labour ward in the hospital and the | :22:54. | :22:57. | |
other type is a freestanding birth centre. These can be varying | :22:58. | :23:04. | |
distances from the hospital, ours is about 14 miles. Let's bring in | :23:05. | :23:12. | |
Richard because we heard Sam talk about the loss of 30, and I'm so | :23:13. | :23:17. | |
sorry to say that you also lost your baby after giving birth in a | :23:18. | :23:20. | |
midwife-led unit. Tell us what happened when you went to the unit, | :23:21. | :23:25. | |
your wife had gone into labour and there had been no problems up until | :23:26. | :23:31. | |
that moment? No, none at all. First of all, can I just say, having heard | :23:32. | :23:38. | |
Sam's story how sorry I am to hear again another story that has | :23:39. | :23:41. | |
devastated a family and the lives of that family, so my heart goes out to | :23:42. | :23:45. | |
Sam and her part in for the loss of PO. We lost our daughter Kate on the | :23:46. | :23:51. | |
1st of March 2009 six hours after she was born. -- Theo. My wife had a | :23:52. | :24:01. | |
normal labour, as normal as it could be, but in the last two weeks of her | :24:02. | :24:06. | |
labour their work application is reducing foetal movement, multiple | :24:07. | :24:08. | |
episodes of reducing foetal movement and each was only looked at in | :24:09. | :24:13. | |
isolation so they holistic care was not looked at as an overall picture. | :24:14. | :24:17. | |
She was botched to deliver at a midwife-led unit in our hometown of | :24:18. | :24:21. | |
Ludlow in South Rock show, some 28 miles from the nearest tertiary | :24:22. | :24:25. | |
hospital at the time, royal shoes brief, a journey time of about 40 | :24:26. | :24:31. | |
minutes -- Royal Shrewsbury. She went into labour on Saturday and | :24:32. | :24:36. | |
laboured through the night and at 10:03am on Sunday morning she gave | :24:37. | :24:41. | |
birth to our beautiful they beat daughter Kate. Immediately it was | :24:42. | :24:45. | |
recognisable there were issues with Kate, she was born cold, pale and | :24:46. | :24:50. | |
floppy and she didn't respond. She didn't have much suck reflex, if | :24:51. | :24:56. | |
indeed any at all. The midwife on duty didn't recognise the symptoms | :24:57. | :25:00. | |
because I don't think midwives are trained... | :25:01. | :25:01. | |
BROADCAST INTERRUPTED BY INTERFERENCE. | :25:02. | :25:05. | |
STUDIO: Unfortunately the connection to Richard has frozen, we will try | :25:06. | :25:11. | |
to fix that. Let's read you a statement because we've had a | :25:12. | :25:16. | |
statement from Shrewsbury and Telford Hospital NHS Trust. | :25:17. | :25:17. | |
The chief executive Simon Wright says - | :25:18. | :25:20. | |
"Nothing can make up for the loss of Kate but I sincerely hope | :25:21. | :25:23. | |
that the improvements we have made and continue to make and the lessons | :25:24. | :25:26. | |
we have learned and continue to learn will ensure that these | :25:27. | :25:28. | |
tragic events are not repeated, but instead go to inform | :25:29. | :25:31. | |
and shape our maternity care both now and in the future." | :25:32. | :25:37. | |
Suzanne Munroe, you are the solicitor for Sam who we heard from | :25:38. | :25:42. | |
earlier. We have just heard from Richard in his case the closest | :25:43. | :25:49. | |
hospital was 28 miles away. How much of a factor is that in cases that | :25:50. | :25:55. | |
you have been involved with? The distance to the nearest medical help | :25:56. | :26:00. | |
if there is an issue? There certainly is an issue about | :26:01. | :26:05. | |
distance because my concern as a lawyer is the fact that there are | :26:06. | :26:12. | |
minutes often between a baby being brain-damaged, or tragically the | :26:13. | :26:19. | |
baby dying. In a hospital setting where the emergency care, for want | :26:20. | :26:24. | |
of a better term, is immediately accessible. You can basically pushed | :26:25. | :26:26. | |
through the doors and get to the doctors. Those situations can be | :26:27. | :26:32. | |
dealt with and things can still go wrong even if that happens but if a | :26:33. | :26:37. | |
midwife has got to make a decision to call an ambulance, to drive down | :26:38. | :26:42. | |
the motorway or the dual carriageway, or wherever to the | :26:43. | :26:47. | |
nearest hospital, that is a big issue and I'm seeing it more and | :26:48. | :26:52. | |
more in cases we are looking at. How many cases have you been | :26:53. | :26:59. | |
involved with? Over the years? Yes. In stillbirth cases I would imagine | :27:00. | :27:04. | |
over the last 15 or 20 years, myself, I've probably done about 25 | :27:05. | :27:10. | |
or 30 of those cases and as a team we are probably handling about 20 | :27:11. | :27:16. | |
cases or more at the moment. I'm not seeing less of them. There are more, | :27:17. | :27:22. | |
if anything. Sarah, what do you say to the point Suzanne was making | :27:23. | :27:29. | |
about if there is an issue and the midwife facilities are on the site | :27:30. | :27:33. | |
of the hospital you can just pushed through a door to get instant | :27:34. | :27:36. | |
medical help from a doctor. With these midwife-led units it's not | :27:37. | :27:42. | |
always possible. OK, what I'd like to say first of | :27:43. | :27:47. | |
all, the two cases we've heard this morning sound really harrowing and | :27:48. | :27:50. | |
really terrible and my heart really goes out to the parents concerned | :27:51. | :27:57. | |
and their babies. I can't comment on the individual cases because that | :27:58. | :28:00. | |
would not be appropriate for me to do so. But I think the person who | :28:01. | :28:17. | |
spoke second... Sorry, who was it? Richard who lost his daughter and | :28:18. | :28:20. | |
the nearest hospital was 28 miles away. | :28:21. | :28:25. | |
Yes, to come back to what Richard said, he said something about baby's | :28:26. | :28:31. | |
movements and the history of the baby not moving well for a period of | :28:32. | :28:35. | |
time. The whole thing about midwifery led units is the business | :28:36. | :28:38. | |
of making sure that the right women are there. Clearly somebody who has | :28:39. | :28:43. | |
a history of the baby not moving before birth, that would be | :28:44. | :28:49. | |
absolutely a case where that mother should be in hospital and not in a | :28:50. | :28:54. | |
midwifery led centre. Sorry to interrupt, but how quickly | :28:55. | :29:00. | |
can things change in childbirth and become unpredictable? | :29:01. | :29:04. | |
I would say that in the vast majority of cases we should be able | :29:05. | :29:10. | |
to pick up if there is a problem happening in the labour and do | :29:11. | :29:15. | |
something about it. The absolute key to the safety of midwifery led units | :29:16. | :29:20. | |
is this business of what we call risk assessing which essentially | :29:21. | :29:26. | |
starts from the beginning of the pregnancy to make sure somebody is | :29:27. | :29:29. | |
low risk and suitable for a midwifery led unit birth. That | :29:30. | :29:34. | |
process should not stop there, it should go on through the pregnancy, | :29:35. | :29:38. | |
at each visit things should be checked to see if they are normal | :29:39. | :29:41. | |
and right through the pregnancy and then it goes on when a summary is | :29:42. | :29:45. | |
admitted to a midwifery led unit, check if everything is normal and | :29:46. | :29:54. | |
throughout the Labour itself. It is important to emphasise this business | :29:55. | :29:59. | |
of risk assessment is absolutely key to midwifery led units. I'd like to | :30:00. | :30:08. | |
just say about safety as well, because up until 2011 there had been | :30:09. | :30:15. | |
midwifery-led units for many years but up until 2011 there wasn't | :30:16. | :30:19. | |
really good research around the safety of such units. And in 2011 | :30:20. | :30:25. | |
there was something that changed all of that. That was a really good | :30:26. | :30:31. | |
piece of research called the Birthplace Study looking at 64,500 | :30:32. | :30:36. | |
women who were all low risk and have their babies at different birth | :30:37. | :30:40. | |
settings including freestanding midwifery-led units. They actually | :30:41. | :30:48. | |
found that perinatal mortality rates were the same but there were clear | :30:49. | :30:54. | |
benefits for low risk women, and I emphasise again low risk women, so | :30:55. | :30:58. | |
not people who have complications. But for those women delivering in a | :30:59. | :31:03. | |
freestanding midwifery-led unit there is far less intervention and | :31:04. | :31:10. | |
that actually makes them safer for low risk women. I want to bring in | :31:11. | :31:14. | |
Marion because you are in the studio with your gorgeous boy Eli who you | :31:15. | :31:17. | |
had 11 months ago in a midwife-led unit. You had a good experience, | :31:18. | :31:19. | |
didn't you? I did. Hopefully, I can use a birth | :31:20. | :31:30. | |
centre again. It was really good and the carer was great. I had a -- I | :31:31. | :31:40. | |
had a water birth. A normal, natural birth. Everything went well and the | :31:41. | :31:45. | |
midwives were just amazing. Did you have concerns about what would | :31:46. | :31:48. | |
happen if things went wrong and how far away doctors might be? | :31:49. | :31:53. | |
Thankfully, I was in a birth centre attached to the hospital. That was | :31:54. | :31:57. | |
important, because Eli, being my first birth, I didn't want to be far | :31:58. | :32:08. | |
from hospital. For the second one, because I know every birth is | :32:09. | :32:13. | |
different, I probably would be fine using a stand-alone midwifery led | :32:14. | :32:18. | |
birthing unit. For the first one, I wanted to be close to a hospital. | :32:19. | :32:23. | |
Sarah was talking about the importance of risk assessment to | :32:24. | :32:26. | |
make sure that the right women are sent to these midwife units. What do | :32:27. | :32:32. | |
you say to that? Is that a fair enough point to make? It is a fair | :32:33. | :32:37. | |
enough point, but what we see, and what I have seen for a long time, | :32:38. | :32:42. | |
and it doesn't change, in our experience, mistakes are made in | :32:43. | :32:46. | |
terms of risk assessment. Is that what it comes down to? Just to be | :32:47. | :32:52. | |
clear, the wrong people are going, not necessarily that any birth is | :32:53. | :32:58. | |
unpredictable? I think it is both. I think it is important to assess risk | :32:59. | :33:03. | |
and get it correct, but mistakes are made, and women are assessed as low | :33:04. | :33:08. | |
risk as in Sam's case, so we see that. Also, birth is unpredictable. | :33:09. | :33:13. | |
The majority of work that I do is children who are brain injured, and | :33:14. | :33:21. | |
you have got a maximum of ten minutes before you see a problem if | :33:22. | :33:25. | |
the oxygen supply as been cut off completely. You're talking about | :33:26. | :33:29. | |
potentially damaging brain injury, and ten minutes is not very long. I | :33:30. | :33:34. | |
read out the statement from the trust involved in Richard's case, | :33:35. | :33:38. | |
saying that they had learned lessons and they continue to learn. In your | :33:39. | :33:43. | |
experience, our lessons learned from every mistake is mac I think some | :33:44. | :33:52. | |
are, but were denied -- midwives -- from every mistake is mac I think | :33:53. | :33:59. | |
some are, but if you have a midwife who has two women in labour, and | :34:00. | :34:02. | |
they get into difficulties, which one do they go with? | :34:03. | :34:07. | |
Thank you for joining us. Unfortunately, we've lost Richard | :34:08. | :34:09. | |
during the conversation, but it was good to hear the perspective of all | :34:10. | :34:17. | |
of you. Thank you to Richard if you can see us talking. | :34:18. | :34:26. | |
A viewer says, hope you can see this, all my love and best wishes. | :34:27. | :34:31. | |
My heart goes out to you all. Do keep getting in touch with | :34:32. | :34:35. | |
everything we are talking about today. | :34:36. | :34:35. | |
Coming up: Would you mind seeing | :34:36. | :34:38. | |
your GP on Skype? We'll hera from family doctors | :34:39. | :34:40. | |
who are investigating new ways And we talk to a number of people | :34:41. | :34:43. | |
who say they're victims of a timeshare offer that wasn't | :34:44. | :34:47. | |
all it was cracked up to be. Here's Annita McVeigh | :34:48. | :34:54. | |
in the BBC Newsroom A group of senior medics has called | :34:55. | :34:56. | |
on both sides in the long-running junior doctors dispute to agree | :34:57. | :35:12. | |
to fresh talks in an attempt to avoid a further | :35:13. | :35:14. | |
escalation in the crisis. The Academy of Medical Royal | :35:15. | :35:16. | |
Colleges, which represents doctors on training and education, | :35:17. | :35:18. | |
says both sides should agree The BMA says it's prepared to agree, | :35:19. | :35:21. | |
but the government said it was too late to suspend | :35:22. | :35:24. | |
the contract imposition. A woman from West Yorkshire has been | :35:25. | :35:26. | |
telling this programme about a string of hospital failings | :35:27. | :35:29. | |
before her son was stillborn. Sam Reid's son Theo died | :35:30. | :35:32. | |
at a midwife-led unit After taking legal action the NHS | :35:33. | :35:35. | |
Trust responsible admitted liability, apologised and settled | :35:36. | :35:38. | |
out of court. Sam Reid has told the BBC how | :35:39. | :35:41. | |
she feels the care she received led Here - the polls have opened | :35:42. | :35:45. | |
for local, regional and some parliamentary elections | :35:46. | :35:49. | |
across the UK, on what's been The elections are for | :35:50. | :35:51. | |
the Scottish Parliament, National Assembly of Wales, | :35:52. | :35:53. | |
Northern Ireland Assembly New mayors will be elected | :35:54. | :35:55. | |
in London, Bristol, Liverpool and Salford, | :35:56. | :36:00. | |
and there are parliamentary by-elections in Ogmore | :36:01. | :36:02. | |
and Sheffield Brightside. Police and crime commissioners | :36:03. | :36:05. | |
are also being elected Barnet Council in north London has | :36:06. | :36:07. | |
apologised this morning for problems It says a number of people | :36:08. | :36:14. | |
who didn't have their polling cards It advises people who were turned | :36:15. | :36:18. | |
away to return later. Diplomatic pressure | :36:19. | :36:24. | |
from the United States and Russia has led to the embattled city | :36:25. | :36:27. | |
of Aleppo being included The agreement came into force a few | :36:28. | :36:30. | |
hours ago, and there's already been Syrian state television confirmed | :36:31. | :36:37. | |
the army had announced A state of emergency has been | :36:38. | :36:41. | |
declared in the Canadian province of Alberta because of a raging | :36:42. | :36:50. | |
wildfire which threatens 88,000 people - | :36:51. | :36:52. | |
the entire population of Fort McMurray - | :36:53. | :36:55. | |
was ordered to evacuate yesterday. Now it's feared large parts | :36:56. | :36:59. | |
of the city could be The fire, driven on by fierce winds, | :37:00. | :37:01. | |
has already gutted 1600 buildings, while oil companies operating | :37:02. | :37:11. | |
in the area have been Some people took refuge | :37:12. | :37:13. | |
in the nearby town of Anzac, but now an evacuation has | :37:14. | :37:16. | |
been ordered there too. Investigators have yet to establish | :37:17. | :37:18. | |
what caused the blaze. Britain's newest daily newspaper | :37:19. | :37:27. | |
"The New Day" is closing down, just Publisher Trinity Mirror said that | :37:28. | :37:29. | |
circulation for the title was well below expectations, | :37:30. | :37:33. | |
despite supportive reviews and There were hopes that the paper | :37:34. | :37:35. | |
would sell about 200,000 copies a day, but sales | :37:36. | :37:39. | |
are reported to be about 40,000. At least 31 people have been injured | :37:40. | :37:41. | |
after an Etihad Airways flight ran in to severe turbulence as it | :37:42. | :37:49. | |
prepared to land in the Indonesian Nine passengers and crew were taken | :37:50. | :37:53. | |
to hospital while the others The United Arab Emirates' national | :37:54. | :37:59. | |
airline said that cabin luggage bins were damaged while passengers said | :38:00. | :38:04. | |
oxygen masks were released That's a summary of the latest BBC | :38:05. | :38:06. | |
News - more at 10:00am. Here's some sport now with Hugh, | :38:07. | :38:14. | |
and a disappointing end Good morning. Bad news if you are a | :38:15. | :38:26. | |
Manchester City fan today. They were 90 minutes away from a first | :38:27. | :38:30. | |
Champions League final, but they didn't create much, beating 1-0 by | :38:31. | :38:35. | |
Real Madrid in Spain. Manuel Pellegrini said he had no regrets | :38:36. | :38:39. | |
about their approach. City fans may beg to differ. That deflected shot | :38:40. | :38:48. | |
from Gareth bail meant a golfer Fernando. | :38:49. | :38:54. | |
Juergen clop believes the support at Anfield tonight could make the | :38:55. | :39:05. | |
difference. Rebel have replaced one of their | :39:06. | :39:09. | |
drivers with an 18-year-old. They have replaced him, they say, so he | :39:10. | :39:13. | |
can regain his form. Zara Tindall is hoping to book her | :39:14. | :39:19. | |
place at the Rio Olympics. The Olympic silver medallist will look | :39:20. | :39:24. | |
for an individual spot. That is all the sport for now. Back | :39:25. | :39:27. | |
to you, Joanna. Have you ever been tempted | :39:28. | :39:33. | |
by the idea of a timeshare? Thousands of us own them and enjoy | :39:34. | :39:36. | |
great holidays but a group of over 400 timeshare owners are claiming | :39:37. | :39:39. | |
they were sold a dud, The group are fighting | :39:40. | :39:42. | |
for compensation in a landmark legal case that could lead | :39:43. | :39:45. | |
to thousands of claims. They argue that the company | :39:46. | :39:47. | |
they bought into - RCI Europe - didn't always deliver on the promise | :39:48. | :39:50. | |
of easy exchange of a week bought RCI Europe says it will prove | :39:51. | :39:55. | |
the dispute is unfounded and they have always made clear | :39:56. | :39:59. | |
that members may not get Let's speak now to Jonathan Price, | :40:00. | :40:01. | |
a time share owner taking part in the class action | :40:02. | :40:12. | |
and Paul Gardner Bougaard, chief executive of Resort | :40:13. | :40:14. | |
Development Organisation, which represents | :40:15. | :40:15. | |
timeshare companies. Jonathan, tell us, you are taking | :40:16. | :40:33. | |
part in this class action - why? I bought my first time she in 1984, | :40:34. | :40:39. | |
four ?7,800, a lot of money in those days. I bought into it for two | :40:40. | :40:44. | |
reasons. First, the promise of endless holidays. They had a | :40:45. | :40:48. | |
fabulous, glossy brochure showing pictures of all the places in the | :40:49. | :40:53. | |
world. The promise was, what, that you would have a week in one | :40:54. | :40:57. | |
environment but you could change it every year from where you wanted to | :40:58. | :41:03. | |
go? RCI is the exchange system, it is the club for time-share owners. | :41:04. | :41:07. | |
You deposit your week in their bank and then you can withdraw someone | :41:08. | :41:13. | |
else's week. That is the idea. They said, if you buy this time-share in | :41:14. | :41:18. | |
London now, you can exchange it for all of these wonderful places in the | :41:19. | :41:23. | |
brochure. How did it work out? It didn't work out very well. We | :41:24. | :41:27. | |
discovered fairly quickly, my wife and I, that we couldn't get the | :41:28. | :41:34. | |
places we wanted to go to. We made application after application for | :41:35. | :41:38. | |
places that we really wanted to go to that had attracted us in the | :41:39. | :41:45. | |
first place. It dawned on us after a few years that we had to change our | :41:46. | :41:50. | |
strategy, because it was very frustrating constantly asking to go | :41:51. | :41:53. | |
to places and being told there wasn't any availability. Instead of | :41:54. | :41:58. | |
doing that, we turn things around, and I used to bring RCI and say, | :41:59. | :42:03. | |
where do you have available? And then I would choose. But that was | :42:04. | :42:08. | |
not the promise in the first post. You have had it for a long time - 32 | :42:09. | :42:14. | |
years. Yes. Why has it taken so long to complain? As an individual, you | :42:15. | :42:19. | |
don't feel there is much you can do. I have complained that there is not | :42:20. | :42:25. | |
much action you can take until someone talked about starting this | :42:26. | :42:28. | |
class action, which enabled us to get together. Paul, I know you are | :42:29. | :42:34. | |
not speaking about this particular case, but how many owners do the | :42:35. | :42:41. | |
exchange? There are about 1.2 million time-share owners in Europe, | :42:42. | :42:52. | |
about... You have to understand a lot of our members, owners will | :42:53. | :42:59. | |
exchange within the group or go to the exchange companies. It is a | :43:00. | :43:03. | |
fairly complex system, and the exchange will depend on the value of | :43:04. | :43:06. | |
the time-share being deposited, the time of year someone wants to go. As | :43:07. | :43:12. | |
Mr Price said, it depends on what is available at a particular time. It | :43:13. | :43:16. | |
is quite complex. In their statement of case, RCI say that they have | :43:17. | :43:20. | |
always made clear that not all members will achieve the exchanges | :43:21. | :43:25. | |
they desire. It is inherent in any exchange system that that is the | :43:26. | :43:31. | |
case. That's correct. I have been a time-share owner in the past and we | :43:32. | :43:35. | |
have used exchange. Sometimes it works, sometimes it hasn't. If I do | :43:36. | :43:47. | |
it last-minute, I can get the exchange I want, where we are going | :43:48. | :43:53. | |
to Thailand next month and that was easy to get hold of. The vast | :43:54. | :44:06. | |
majority... RCI in Europe has several loans, most of whom are | :44:07. | :44:10. | |
satisfied. In terms of the proportion of cases that they say | :44:11. | :44:14. | |
are involved, they say it is a tiny fraction. I can't find the figure | :44:15. | :44:19. | |
right now. They say it is a tiny fraction of 1%. In terms of the | :44:20. | :44:32. | |
number of the whole pool. Going back to RCI, and they say they are | :44:33. | :44:35. | |
robustly defending this case. They say the case is founded on a | :44:36. | :44:39. | |
fundamental misunderstanding of how the system works and that the | :44:40. | :44:45. | |
claimants are claiming that RCI skims off time-shares. They say they | :44:46. | :44:53. | |
don't. That would mean that they took the prime properties out of the | :44:54. | :44:56. | |
pool and rented them out to make money. They say they absolutely | :44:57. | :45:00. | |
don't do that. Have you ever come across that happening, Paul? I | :45:01. | :45:04. | |
haven't. The court will need to decide on that. Not to my knowledge. | :45:05. | :45:09. | |
It is a case that's going to court. We will keep across what happens. | :45:10. | :45:13. | |
Thank you both for coming in and joining us. | :45:14. | :45:16. | |
Coming up - how the virtual world could help sufferers | :45:17. | :45:18. | |
It's a great story. Stay with us for that. | :45:19. | :45:28. | |
Britain's newest daily newspaper - The New Day - is to close just nine | :45:29. | :45:32. | |
The editor - Alison Philips - said they had tried everything, | :45:33. | :45:36. | |
but had failed to make the newspaper financially viable. | :45:37. | :45:38. | |
New Day was the first new national paper since the i began in 2010. | :45:39. | :45:41. | |
Our correspondent Jane-Frances Kelly has been following the story. | :45:42. | :45:43. | |
Jane you've been out this morning getting reaction - | :45:44. | :45:45. | |
I went into the centre of London to talk to people to see if they knew | :45:46. | :45:54. | |
about the closure and to show them the paper and say, have you read it? | :45:55. | :46:00. | |
What did you think about it? Sadly, most people hadn't even heard about | :46:01. | :46:05. | |
it, which indicates the problem. Have you seen this newspaper? Never. | :46:06. | :46:10. | |
Would you have bought it if you had seen it? Probably not. I wonder if | :46:11. | :46:18. | |
you have ever bought it or seen it? I have never heard of it. It was | :46:19. | :46:24. | |
launched two months ago and is closing down. I have never heard of | :46:25. | :46:29. | |
it, and I work in advertising. That is quite surprising. It appears to | :46:30. | :46:36. | |
be very low profile. Yes, I haven't seen it. It is being handed out at | :46:37. | :46:40. | |
stations? No, you have to pay for it. Oh... I wasn't aware of it, will | :46:41. | :46:50. | |
you? Where do they sell it? I guess, in newsagents. It is 50p. It seems | :46:51. | :46:59. | |
reasonable, and it seems like a few pages. It is a lot for 50p. I wasn't | :47:00. | :47:02. | |
aware. As you can tell most people were not | :47:03. | :47:11. | |
aware of it and had not read it. I think the problem is it didn't have | :47:12. | :47:17. | |
a website, and more people are adjusting views online and it didn't | :47:18. | :47:20. | |
seem to have a unique selling point, many critics said it was a hot | :47:21. | :47:26. | |
porch, with papers like the Metro which have been successful people | :47:27. | :47:28. | |
would pick it up when going to work or coming back. | :47:29. | :47:30. | |
Thank you, Jane Frances-Kelly. Another truce of sorts was declared | :47:31. | :47:32. | |
again in the Syrian town of Aleppo yesterday, | :47:33. | :47:35. | |
but however many times we hear the word ceasefire, the violence | :47:36. | :47:40. | |
in the war torn country seems Explosions have been heard | :47:41. | :47:42. | |
across the city and the regime is blaming rebels for violating | :47:43. | :47:46. | |
the deal with This morning, we're going to be live | :47:47. | :47:48. | |
in Syria hearing from those living Ala Tchalabi's mum, | :47:49. | :47:52. | |
dad and sister live in the government-held | :47:53. | :47:58. | |
part of Aleppo. at the Institute | :47:59. | :48:00. | |
of Language Studies. family have been killed | :48:01. | :48:04. | |
by government bombing. Also joining us from Aleppo | :48:05. | :48:09. | |
is Wissam Zarkau, an English teacher at Aleppo's Institute of Language | :48:10. | :48:12. | |
Studies. He lives in the rebel-held | :48:13. | :48:18. | |
area of Aleppo. And Declan Walsh, journalist | :48:19. | :48:20. | |
for the New York Times who has Thank you for joining us. Mohammed | :48:21. | :48:32. | |
you are living with your family in the rebel held area of Aleppo. Tell | :48:33. | :48:36. | |
us what life is like they're on a daily basis for you. Heller, | :48:37. | :48:43. | |
everybody. It is extremely painful to let you know Aleppo is burning, | :48:44. | :48:51. | |
to tell you serious is bleeding. That is what Bashar Al-Assad wanted, | :48:52. | :48:57. | |
to kill civilians everywhere, in every terrain of Syria, especially | :48:58. | :49:06. | |
in the free city of Aleppo. They are going to see a mother weeping over | :49:07. | :49:12. | |
her own children. Weeping over their families, the carcasses of innocent | :49:13. | :49:21. | |
children, people who have seen nothing in their life but this kind | :49:22. | :49:27. | |
of killing, who see nothing murdering and displacement. That is | :49:28. | :49:33. | |
what Bashar Al-Assad wanted to do for the Syrian people. I want to | :49:34. | :49:40. | |
bring in Wissam who lives in the same part of Aleppo as you. Wissam | :49:41. | :49:46. | |
what is your experience of life there? Similar. My family is OK | :49:47. | :49:54. | |
because they had to run away to Turkey and they are living there and | :49:55. | :49:59. | |
I'm glad they are safe but I prefer to stay here. I was abroad but I | :50:00. | :50:03. | |
came back. Why do you prefer to stay there? Because they need people who | :50:04. | :50:10. | |
can teach, they need doctors, people need engineers, we need everyone who | :50:11. | :50:17. | |
can help. It wouldn't be OK to run away in such circumstances, because | :50:18. | :50:22. | |
it is very dangerous for everyone, doctors, teachers, all the people, | :50:23. | :50:28. | |
so people run away but I could stay and I'm here, this is the idea. | :50:29. | :50:33. | |
There was the ceasefire, which obviously came to an end. It is | :50:34. | :50:38. | |
supposed to be back in force again. What has it been like in recent days | :50:39. | :50:43. | |
and months? Today it's better, no bombing, but | :50:44. | :50:50. | |
only for 48 hours, and they have to accept it because they are having | :50:51. | :50:55. | |
some battles somewhere else, that's why. When they are not fighting, | :50:56. | :50:59. | |
Free Syrian Army would-be bombing us. Either they are fighting with | :51:00. | :51:10. | |
the Russian regime, or they are bombing us. I understand why you | :51:11. | :51:17. | |
want to stay because you want to teach but are you concerned for your | :51:18. | :51:22. | |
safety? It's OK, even if we have to die, this would come everywhere, in | :51:23. | :51:30. | |
Turkey, in Europe. You are with me in the studio, but you have family | :51:31. | :51:36. | |
living in the government-held part of Aleppo, what communication do you | :51:37. | :51:40. | |
have with them and what is life like for them? Communication is difficult | :51:41. | :51:44. | |
because they have a lack of electricity and Internet but we use | :51:45. | :51:47. | |
mobile messaging to keep in touch daily. I spoke to them in the last | :51:48. | :51:52. | |
two days. The last 12 days have been very difficult, they described it as | :51:53. | :51:57. | |
constant bombardment and shelling, like rain, they said. They try to | :51:58. | :52:03. | |
stay at home as much as possible. Obviously they have to get out and | :52:04. | :52:07. | |
about sometimes. This is their daily life now, this is their reality. | :52:08. | :52:11. | |
They feel they are living on hope, they are also resilient, as are most | :52:12. | :52:19. | |
people in Aleppo. They feel they have been let down by international | :52:20. | :52:23. | |
community. How do you feel knowing that people | :52:24. | :52:28. | |
who you love so much are in that environment where they are at such | :52:29. | :52:32. | |
great risk? It's very difficult, obviously | :52:33. | :52:35. | |
because part of me wants to be with them. You were asking the gentleman | :52:36. | :52:39. | |
what he wants to go back, because this is home, this is where we were | :52:40. | :52:44. | |
brought up and I need to see my family. I obviously have other | :52:45. | :52:46. | |
responsibilities because I have a kid here so I can't go back and they | :52:47. | :52:50. | |
can't come out. It's very difficult, they are stuck, it is like a prison. | :52:51. | :52:55. | |
But at the same time life has to go on. It has been five years and we | :52:56. | :53:01. | |
have to go on with our lives, but it is scarring everybody, whether | :53:02. | :53:05. | |
physically or mentally, everyone involved. Let's bring in Declan | :53:06. | :53:11. | |
Walsh, the New York Times journalist. What was it like in | :53:12. | :53:17. | |
Aleppo? On the outskirts of the city it has unfortunately got those | :53:18. | :53:21. | |
iconic images of Syria where you have devastated suburbs, people | :53:22. | :53:24. | |
living in very bad conditions, the surprising thing when you get into | :53:25. | :53:28. | |
the centre of the city, the government-controlled aside, I | :53:29. | :53:32. | |
wasn't able to go to the rebel side, as you speak indicated, there is a | :53:33. | :53:36. | |
semblance of normal life going on, there is a lot of traffic, shops are | :53:37. | :53:41. | |
open, people are going to schools and universities, but in the | :53:42. | :53:45. | |
background there is this constant, every couple of hours, and sometimes | :53:46. | :53:48. | |
more frequently, explosions going off, some of it is the sound of | :53:49. | :53:54. | |
Russian warplanes dropping bombs on the rebel side and sometimes it is | :53:55. | :53:58. | |
rebel artillery coming into the government side and dropping in | :53:59. | :54:03. | |
civilian neighbourhoods indiscriminately as far as one can | :54:04. | :54:06. | |
make out. Sometimes when people step outside their front door to go about | :54:07. | :54:11. | |
their daily business they know they are taking a risk and that can | :54:12. | :54:17. | |
result in death. Wissam, you were nodding through a lot of that, what | :54:18. | :54:21. | |
Declan said about normal life going on but there is this drop their all | :54:22. | :54:28. | |
the time as well. Yes, we're getting used to it, what is happening. | :54:29. | :54:39. | |
Schools stopped for about two weeks, but people get used to it, life gets | :54:40. | :54:46. | |
back to normal after the attacks. People try and clean the Ashes and | :54:47. | :54:51. | |
whatever and come back to life. Do you really remember life before it | :54:52. | :54:55. | |
being like this, and can you imagine what life might be like for you in | :54:56. | :55:02. | |
the future. ? I guess it would be excellent | :55:03. | :55:11. | |
without Bashar Al-Assad. Now we can do what we want, we can criticise | :55:12. | :55:17. | |
the people in control of our areas. This is something new, this freedom | :55:18. | :55:21. | |
is something new. Life could be wonderful when the war ends, when | :55:22. | :55:30. | |
the revolution succeeds. How would you feel being away from it? Would | :55:31. | :55:34. | |
you want to go back? My sister was here for a while and | :55:35. | :55:38. | |
went back a few months ago. Why did she do that? She couldn't be | :55:39. | :55:44. | |
away from her mum for so long. It's that feeling of wanting to see | :55:45. | :55:48. | |
them, of course I'd like to go back and help but as an individual I will | :55:49. | :55:52. | |
probably add nothing and probably become another casualty if I go | :55:53. | :55:57. | |
back. It is very frustrating because I can see that on an individual | :55:58. | :56:01. | |
level people sympathise, people want to help out and reach out if they | :56:02. | :56:11. | |
can, but collectively, as a country, or as different nations there is | :56:12. | :56:14. | |
very little being done. I'm constantly frustrated, that maybe I | :56:15. | :56:18. | |
should do something but the reality is there is nothing I can do and we | :56:19. | :56:21. | |
can only do it collectively and governments should do something on | :56:22. | :56:26. | |
our behalf, that is what we hope. Thank you for joining us. We have | :56:27. | :56:38. | |
some comments about maternity services in maternity led units | :56:39. | :56:42. | |
after Sam told us about her experiences in a maternity led unit | :56:43. | :56:47. | |
which led to the tragic death of her baby. | :56:48. | :56:51. | |
Hen - Would it not be prudent to have a doctor | :56:52. | :56:53. | |
Kenneth tweeted - childbirth: are some of these | :56:54. | :56:59. | |
problems exacerbated by closing too many local hospitals serving | :57:00. | :57:01. | |
We have a text from an anonymous person. | :57:02. | :57:15. | |
It's a fine balance to achieve the ideal birthing environment. | :57:16. | :57:18. | |
I have had two premature births, and am grateful for the doctors | :57:19. | :57:20. | |
A tweet from Nicola - my daughter was delivered immediately. | :57:21. | :57:30. | |
Grateful for amazing a neonatal intensive care unit team | :57:31. | :57:32. | |
who took amazing care of her when she needed it. | :57:33. | :57:35. | |
I had the perfect pregnancy, ideal for a midwife unit, it was traumatic | :57:36. | :57:40. | |
and could have gone so wrong without doctors. Thank you for your | :57:41. | :57:46. | |
comments, keep on getting in touch about that and everything else we | :57:47. | :57:47. | |
are talking about. Let's get the latest weather | :57:48. | :57:49. | |
update - with Phil Avery. Good morning, lots of bright | :57:50. | :57:59. | |
weather, you are not alone in Derbyshire, the skies have been blue | :58:00. | :58:03. | |
in many areas. Further north through the central swathe of Scotland it is | :58:04. | :58:07. | |
a mixture of sunny spells and a fair amount of cloud. In between those | :58:08. | :58:10. | |
two regimes we have a weather front of the Borders area in the southern | :58:11. | :58:15. | |
part of Scotland producing a bit of rain, not much more than that, but | :58:16. | :58:19. | |
what I should say is south of the weather front the pollen levels are | :58:20. | :58:22. | |
quite high, so there is a price to pay for the sunshine, and that's | :58:23. | :58:27. | |
only half the story on that one, I will come back to that in a second. | :58:28. | :58:31. | |
A different regime across the North Western corner of Scotland, showers | :58:32. | :58:35. | |
rattling along on a rather noticeable south-westerly wind. But | :58:36. | :58:38. | |
the greater part of the country enjoying fine and dry weather and | :58:39. | :58:44. | |
temperature is responding as a consequence. It is cool issued | :58:45. | :58:47. | |
across the far north-west of Scotland but further south and in | :58:48. | :58:50. | |
inland areas it will be well into the teens if not 20 degrees but this | :58:51. | :58:55. | |
is the other half of the payoff, the UV levels will be high, this is the | :58:56. | :58:58. | |
first time I've said this the season, so don't be caught out, | :58:59. | :59:01. | |
there is a good deal of strength in the sun this time of year. Into the | :59:02. | :59:05. | |
first part of Friday cool -ish start for some but we still have our old | :59:06. | :59:09. | |
friend the weather front to the east side of Scotland, so low cloud and | :59:10. | :59:13. | |
the odd bit of rain here. It is brighter but with a risk of showers | :59:14. | :59:17. | |
further west in Scotland and through Northern Ireland and much of England | :59:18. | :59:20. | |
and Wales hazy sunshine but that will not stop you burning. It will | :59:21. | :59:24. | |
not stop the temperatures either, up into the mid-teens and low 20s, | :59:25. | :59:28. | |
importing much of the warmth if you see it from the western | :59:29. | :59:31. | |
Mediterranean around the flank of the low pressure and into the | :59:32. | :59:35. | |
British Isles. But come Saturday there will be a supply of moisture | :59:36. | :59:38. | |
as well that will work its way primarily but not exclusively up the | :59:39. | :59:42. | |
western side and following behind the persistent rain we may have a | :59:43. | :59:45. | |
rumble of thunder and a flash of lightning as heavy showers | :59:46. | :59:48. | |
developing the northern parts of the Midlands, and North Wales too. | :59:49. | :59:52. | |
Saturday into Sunday we will push the area of persistent rain away | :59:53. | :59:55. | |
from the north-western quarter, the mainland of Scotland, noticed the | :59:56. | :00:00. | |
isobars, quite breezy and it's a bit on shore so north of the Humber | :00:01. | :00:03. | |
along the eastern shore so there could be low cloud, disappointing | :00:04. | :00:07. | |
fare there. What will make the headlines is those temperatures | :00:08. | :00:11. | |
across the greater part of England, Wales and southern Scotland are set | :00:12. | :00:12. | |
to soar. Welcome to the programme | :00:13. | :00:21. | |
if you've just joined us. Could people suffering from paranoia | :00:22. | :00:44. | |
be held by virtual therapy? We investigate a radical new therapy. | :00:45. | :00:49. | |
Would you see your GP on a Saturday? We are talking to doctors who are | :00:50. | :00:52. | |
trying out new ways of seeing their patients. | :00:53. | :01:07. | |
Here's Annita in the BBC Newsroom with a summary of today's news. | :01:08. | :01:14. | |
The Department of Health says it is too late to suspend the imposition | :01:15. | :01:19. | |
of new junior doctor contract in anger. It comes after an attempt to | :01:20. | :01:26. | |
break the deadlock by the Academy of Royal colleges, which has asked for | :01:27. | :01:32. | |
a five-day pause in order to enable talks to resume. | :01:33. | :01:35. | |
A series of strikes by junior doctors in England affecting | :01:36. | :01:37. | |
routine care was followed last week by two walk-outs on all forms | :01:38. | :01:40. | |
That was unprecedented in the history of the NHS | :01:41. | :01:44. | |
but with consultants and other staff covering the gaps hospitals reported | :01:45. | :01:47. | |
This weekend junior doctor representatives are meeting | :01:48. | :01:55. | |
Now leaders of the medical profession are calling | :01:56. | :01:58. | |
for a five-day pause to allow talks during which the government | :01:59. | :02:02. | |
would temporarily suspend work on introducing the new contract, | :02:03. | :02:04. | |
and the BMA would not plan further action. | :02:05. | :02:08. | |
We are calling for a focused, brief, five-day pause where it gives both | :02:09. | :02:12. | |
sides an opportunity to participate with no ifs, buts, or maybes, | :02:13. | :02:16. | |
Because they tell us that they are 95% in agreement. | :02:17. | :02:22. | |
So surely it must be possible to finally close this gap | :02:23. | :02:26. | |
for the benefit of the NHS junior doctors and patients. | :02:27. | :02:30. | |
The British Medical Association said it would agree to the proposal | :02:31. | :02:34. | |
and temporarily suspend industrial action to allow talks | :02:35. | :02:37. | |
with a mutually agreed facilitator as long as the government did | :02:38. | :02:40. | |
The Department of Health, though, said it was too late to change | :02:41. | :02:46. | |
the process of bringing in contracts which was well underway. | :02:47. | :02:49. | |
But the door was open for talks about implementation | :02:50. | :02:51. | |
There's a new partial ceasefire in place in the embattled | :02:52. | :03:02. | |
Syrian city of Aleppo following violent clashes | :03:03. | :03:04. | |
between government and rebel forces this week which have | :03:05. | :03:06. | |
Diplomatic pressure from the United States and Russia | :03:07. | :03:09. | |
led to a 48-hour truce being declared. | :03:10. | :03:19. | |
BT has announced it will spend ?6 billion on rolling out superfast | :03:20. | :03:27. | |
fibre and 4G mobile connections. The company which took over EE in | :03:28. | :03:36. | |
January, says it's profits have risen to just over ?3 billion. | :03:37. | :03:39. | |
Here, the polls have opened for local, regional and some | :03:40. | :03:41. | |
parliamentary elections across the UK, on what's been | :03:42. | :03:43. | |
The Prime Minister and the Labour leader cast their votes in the May | :03:44. | :03:53. | |
oral election this morning. The elections are for | :03:54. | :03:54. | |
the Scottish Parliament, National Assembly of Wales, | :03:55. | :03:56. | |
Northern Ireland Assembly and a 124 New mayors will be elected | :03:57. | :03:58. | |
in London, Bristol, Liverpool and Salford, | :03:59. | :04:01. | |
and there are parliamentary by-elections in Ogmore | :04:02. | :04:03. | |
and Sheffield Brightside. Police and crime commissioners | :04:04. | :04:04. | |
are also being elected Barnet Council in North London has | :04:05. | :04:06. | |
apologised after problems with its voter registration lists | :04:07. | :04:11. | |
led to people without polling cards being unable to cast | :04:12. | :04:15. | |
their votes this morning. The council says it's sent out | :04:16. | :04:18. | |
updated lists and is advising people to bring their polling card | :04:19. | :04:21. | |
with them to vote. It says those who were turned away | :04:22. | :04:24. | |
from polling stations this morning A state of emergency has been | :04:25. | :04:27. | |
declared in the Canadian province of Alberta because of a raging | :04:28. | :04:34. | |
wildfire which threatens 88,000 people, the entire population | :04:35. | :04:37. | |
of Fort McMurray, was ordered Now it's feared large parts | :04:38. | :04:43. | |
of the area could be The fire, driven on by fierce winds, | :04:44. | :04:48. | |
has already gutted more At least 31 people have been injured | :04:49. | :04:52. | |
after an Etihad Airways flight ran in to severe turbulence as it | :04:53. | :04:56. | |
prepared to land in the Indonesian Nine passengers and crew were taken | :04:57. | :04:59. | |
to hospital while the others The United Arab Emirates' national | :05:00. | :05:05. | |
airline said that cabin luggage bins were damaged while passengers said | :05:06. | :05:12. | |
oxygen masks were released Britain's newest daily newspaper | :05:13. | :05:14. | |
"The New Day" is closing down, just Publisher Trinity Mirror said that | :05:15. | :05:21. | |
circulation for the title was well below expectations, | :05:22. | :05:26. | |
despite supportive reviews and There were hopes that the paper | :05:27. | :05:28. | |
would sell about 200,000 copies a day, but sales | :05:29. | :05:35. | |
are reported to be about 40,000. That's a summary of the latest BBC | :05:36. | :05:38. | |
News, more at 10.30. Take a look at this... When you | :05:39. | :06:04. | |
think of virtual reality... Actually, we will talk about that | :06:05. | :06:08. | |
later, and how it is helping people get over paranoia. Do stay with us | :06:09. | :06:10. | |
for that. Now, sport. Well this weekend is a pivotal | :06:11. | :06:15. | |
one for Amir Khan - a fourth high profile defeat | :06:16. | :06:18. | |
could mean the end for those glitzy Facing the highly-fancied | :06:19. | :06:21. | |
Mexican Saul Alvarez but in the build up he's been | :06:22. | :06:28. | |
in relaxed mood, spending time with the BBC for 'the Rise of Khan' - | :06:29. | :06:32. | |
made by our very own Alex South... Alex, we'll be talking | :06:33. | :06:35. | |
to you in just in sec about the making of it, | :06:36. | :06:38. | |
but first let's have As soon as I moved to San Francisco, | :06:39. | :06:50. | |
I got this apartment. When my wife came, she said, I want to be in a | :06:51. | :06:56. | |
nice place and make it more formally, so she redecorated | :06:57. | :07:01. | |
everything for me. Have you cleaned up? It is always clean. This is it. | :07:02. | :07:11. | |
The dietary needs looked after - all the fruit. That's right. That is my | :07:12. | :07:15. | |
diet. Take what you want. BBC Sport video journalist | :07:16. | :07:24. | |
Alex South is with me. I was expecting something more | :07:25. | :07:32. | |
glamorous. What was it like spending time with him and his family? | :07:33. | :07:35. | |
Hopefully, it's a glimpse into what it takes to become a champion. As | :07:36. | :07:40. | |
you could see there, it is not the most luxurious flat. He stays there | :07:41. | :07:45. | |
with his and brother, and he eat and sleep 's boxing. He sacrifices, goes | :07:46. | :07:53. | |
away from his family. He plays volleyball to try and strengthen his | :07:54. | :08:00. | |
legs at 7:30am. He then goes for a sleep in a special chamber at 11am | :08:01. | :08:03. | |
to get his muscled back in order, and then he goes back to the gym for | :08:04. | :08:07. | |
sparring in the afternoon before eating the right foods and going to | :08:08. | :08:11. | |
bed again. It is an incredible insight into what it takes to become | :08:12. | :08:15. | |
the best. He is hoping to do that this weekend. You really chart a | :08:16. | :08:20. | |
journey with him. Most people will remember him coming to the forger in | :08:21. | :08:26. | |
the Olympics in 2004. What is the difference now? He's 29, but how has | :08:27. | :08:30. | |
he changed as a person? The big difference is that he has had a | :08:31. | :08:34. | |
family. There is a clip in the programme where he is speaking to | :08:35. | :08:38. | |
Gary Richardson in 2004 at the Olympics, and he looks so young. You | :08:39. | :08:43. | |
forget, he was just 17 years old. No one thought he could get to the | :08:44. | :08:47. | |
Olympics, let alone get a silver medal. He has had a bumpy ride - | :08:48. | :08:52. | |
brushes with the law, he admits to being a bit flash when he was | :08:53. | :08:56. | |
younger, fast cars and expensive watches. But there is a side that a | :08:57. | :09:02. | |
lot of people don't know about. When the teller ban -- Caliban murdered | :09:03. | :09:05. | |
schoolchildren in pleasure while, he went out to see the families that | :09:06. | :09:10. | |
had been affected. He also helped the recent victims of the floods in | :09:11. | :09:14. | |
Carlisle. It is the sort of stuff you don't really hear about him. | :09:15. | :09:18. | |
Family has changed him, and for the better. He has grown as a person. He | :09:19. | :09:24. | |
is 29 years old and he has been doing this since he was eight years | :09:25. | :09:28. | |
old. He works incredibly hard that his craft. Whether it will be enough | :09:29. | :09:33. | |
for him to win at the weekend, that is another matter. He is going up | :09:34. | :09:40. | |
not one but two waits. It is a hell of an effort. Thank you for joining | :09:41. | :09:49. | |
us. You can watch the documentary on the iPlayer. We will be talking | :09:50. | :09:53. | |
about Formula 1 at half past ten. See you then. | :09:54. | :09:56. | |
The Department of Health says it's too late to suspend the imposition | :09:57. | :09:58. | |
of new junior doctors contracts in England after an attempt | :09:59. | :10:01. | |
to break the deadlock by a group of senior medics. | :10:02. | :10:03. | |
This morning, the Academy of Royal Colleges called | :10:04. | :10:05. | |
for a five-day pause in the process of imposing new contracts, | :10:06. | :10:08. | |
and a simultaneous suspension of the threat of further industrial | :10:09. | :10:10. | |
action, to enable talks between the British Medical Association | :10:11. | :10:13. | |
and the Department of Health to resume. | :10:14. | :10:24. | |
Our health editor is here. This proposal on the table, the BMA say | :10:25. | :10:30. | |
yes, but the Department of Health say no. | :10:31. | :10:35. | |
The BMA say they will go along with this. The key point was to get both | :10:36. | :10:39. | |
sides around the table without having to completely give up on | :10:40. | :10:44. | |
their lines in the sand. For the Government, it's going ahead with | :10:45. | :10:47. | |
imposing the new contract. It feels it is a fair contract and needs to | :10:48. | :10:50. | |
be worked on before being introduced in August. The BMA don't want to | :10:51. | :10:57. | |
have any talks with a Government that is hell-bent on continuing to | :10:58. | :11:01. | |
impose the process. They thought was, if users bent that for five | :11:02. | :11:05. | |
days, the Government suspends further work on the contract, the | :11:06. | :11:09. | |
BMA suspends further talk of industrial action, you could get | :11:10. | :11:12. | |
round the table. The BMA says that they could do that but the | :11:13. | :11:15. | |
Government says they cannot suspend the work but they are prepared to | :11:16. | :11:22. | |
talk about a range of other issues. Why will the Government not suspend | :11:23. | :11:28. | |
its work for five days? The Royal colleges are backed in the | :11:29. | :11:33. | |
suggestion that they think it is possible. They talked until | :11:34. | :11:37. | |
Fairbrother e-commerce concessions were made. They alleged -- the | :11:38. | :11:44. | |
Government alleged that the BMA would not continue to talk. I think | :11:45. | :11:51. | |
they will be under a bit of pressure to explain why they are not prepared | :11:52. | :11:55. | |
to engage at this stage with the BMA, sets to have a meeting on | :11:56. | :12:00. | |
Saturday about escalating strike action further. | :12:01. | :12:03. | |
How much pressure is there on the Department of Health? Might they | :12:04. | :12:07. | |
change their stance on this? It will be interesting to see. Today | :12:08. | :12:11. | |
we haven't had a comment yet from Downing Street. They will be | :12:12. | :12:15. | |
briefing journalists shortly. I think they feel this is a public | :12:16. | :12:19. | |
sector dispute. They feel they have made a lot of concessions to a | :12:20. | :12:24. | |
public sector union, and to sort of suddenly go back on that and back | :12:25. | :12:28. | |
into talks sends a confusing message. They think this is a fair | :12:29. | :12:35. | |
contract to be pursued. The entire medical establishment are saying, | :12:36. | :12:38. | |
look, this is worth doing. With that, it is a little bit difficult | :12:39. | :12:40. | |
to resist. Let's talk now to Johann Malawana, | :12:41. | :12:44. | |
who's the chair of the BMA's Thank you for joining us. The | :12:45. | :12:52. | |
Department of Health says these talks have been going on for a long | :12:53. | :12:56. | |
time, two years, what is the point of another five days? The main | :12:57. | :13:00. | |
question to ask is that this is an opportunity to avoid what has been | :13:01. | :13:05. | |
an extremely damaging episode in the NHS. I think every doctor in the NHS | :13:06. | :13:11. | |
and the BMA feels that this is something no doctor would want to | :13:12. | :13:15. | |
do. We feel the Government has pushed us into this. The fact that | :13:16. | :13:23. | |
80% and more of doctors took action says a lot about what the medical | :13:24. | :13:29. | |
profession think. As Hugh said, you have all the medical colleges, the | :13:30. | :13:34. | |
NHS Confederation, everyone saying there needs to be a rethink. | :13:35. | :13:38. | |
Realistically, has anything really changed? If neither side is ready to | :13:39. | :13:42. | |
come from eyes and everything that is being said doesn't indicate that | :13:43. | :13:47. | |
there is really much room for further negotiation, is five days | :13:48. | :13:51. | |
really going to make a difference when the Government's position is | :13:52. | :13:55. | |
that there have been concessions, you were almost there, the | :13:56. | :13:59. | |
difference is now boiled down to quite a small area, and they say it | :14:00. | :14:03. | |
was actually the BMA who walked away from talks at that point. Let's be | :14:04. | :14:09. | |
clear, it is an arbitrary timetable. Come August, whatever happens, the | :14:10. | :14:13. | |
NHS will carry on. There will be doctors working. The idea that we | :14:14. | :14:17. | |
have an absolute deadline that cannot in any way be deviated from | :14:18. | :14:26. | |
is a manifestation of the Government's problem. A deadline can | :14:27. | :14:31. | |
focus minds. But if we're not talking, there nothing else to do | :14:32. | :14:37. | |
when you are in our position. If you are a junior doctor in the front | :14:38. | :14:40. | |
line and you're having a contract imposed on you and you have no | :14:41. | :14:47. | |
ability to affect that, and they have all said it, thousands of | :14:48. | :14:52. | |
doctors have said that this contract is not appropriate or save, and yet | :14:53. | :14:55. | |
the Government continues to impose it. | :14:56. | :14:59. | |
The BMA 's meeting on Saturday. What will be on the table? | :15:00. | :15:07. | |
The next meeting of the junior doctors committee will... There is | :15:08. | :15:13. | |
no further strike action planned as things stand? There is the full | :15:14. | :15:18. | |
range of options that has been outlined extensively in the media. | :15:19. | :15:21. | |
The fact is that doctors don't want to take any form of action, even the | :15:22. | :15:27. | |
first form of action, emergency care only, that was something that hadn't | :15:28. | :15:36. | |
happened in many years. The strike we saw recently was the first time | :15:37. | :15:40. | |
it had happened in the NHS. Would you look to escalate? You have | :15:41. | :15:44. | |
crossed those lines, will another line we crossed with future action? | :15:45. | :15:48. | |
Will there be another strike if there is no compromise? If the | :15:49. | :15:51. | |
government continues down this course of action there are very few | :15:52. | :15:55. | |
options left to doctors because we are seeing Day in and day out | :15:56. | :16:01. | |
reports of doctors leaving the NHS. Just focusing on what you think is | :16:02. | :16:05. | |
likely to be the next step, would it be an escalation of the action? | :16:06. | :16:09. | |
If the Government pursues this course of action. Which it says it | :16:10. | :16:13. | |
will. Then there are very few options the | :16:14. | :16:18. | |
junior doctors have to make. Unfortunately, I'm not going to | :16:19. | :16:21. | |
pre-and that because we have a democratic process in place to try | :16:22. | :16:26. | |
and work out what the next stages. But, and we have taken soundings | :16:27. | :16:30. | |
across the profession and across the entire membership, the fact is that | :16:31. | :16:37. | |
is a decision for Saturday. If the Government say they are unwilling to | :16:38. | :16:40. | |
even talk to us, everyone can see that when you have 22 Royal colleges | :16:41. | :16:46. | |
and faculties, the NHS Confederation, all of the political | :16:47. | :16:50. | |
parties saying to the government you need to sit round the table and talk | :16:51. | :16:53. | |
to the doctors there has got to be something done about that. I will | :16:54. | :16:57. | |
read you a statement from a spokesperson from the Department of | :16:58. | :16:58. | |
Health. the introduction of new contracts | :16:59. | :17:01. | |
after we agreed to suspend imposition last November, | :17:02. | :17:04. | |
because they went back on their word "It is now too late to change | :17:05. | :17:07. | |
the process of bringing in contracts which is well under way | :17:08. | :17:11. | |
throughout the country. However, the door remains open | :17:12. | :17:13. | |
to talk about implementation and many other non-contractual | :17:14. | :17:15. | |
issues of concern to junior doctors - so if this intervention helps | :17:16. | :17:18. | |
those talks to go ahead, What about that? That says a lot | :17:19. | :17:28. | |
about the Government position, the fact is their own equalities impact | :17:29. | :17:31. | |
assessment says this is a discriminatory contract. If they say | :17:32. | :17:36. | |
they will still talk about it. Talk about all the issues not to do | :17:37. | :17:40. | |
with the contract when the contract itself is the dispute and what is | :17:41. | :17:43. | |
discriminatory against more than half the population of our medics, | :17:44. | :17:49. | |
that is almost ridiculous. And talking about something better | :17:50. | :17:53. | |
than nothing, though, just opening the dialogue again. | :17:54. | :17:57. | |
We are always happy to talk, the problem is the government Mac | :17:58. | :18:00. | |
refuses to engage. Sounds like you say you are both | :18:01. | :18:05. | |
happy to talk. The Government is putting up | :18:06. | :18:08. | |
qualified statements we are not happy to talk about this issue but | :18:09. | :18:11. | |
we will talk about anything as long as it is not this issue. That is a | :18:12. | :18:15. | |
really odd way about running the health service, because right now we | :18:16. | :18:19. | |
are seeing the health service Razzak a stack -- as a catastrophe waiting | :18:20. | :18:27. | |
to happen. Very quickly, because the area of disagreement focuses on | :18:28. | :18:34. | |
Saturday pay, doesn't it? Not as simple as that, the Government | :18:35. | :18:38. | |
claims that but I wrote to the Secretary of State... On the areas | :18:39. | :18:42. | |
of disagreement then, would the BMA compromise? | :18:43. | :18:46. | |
There is such a range of issues that we need to work out how this | :18:47. | :18:50. | |
contract actually works. The main issue is, can you enact a contract | :18:51. | :18:55. | |
that is fundamentally going to unsafe on doctors' working practices | :18:56. | :18:57. | |
and unfair on a significant proportion of the community where | :18:58. | :19:01. | |
effective leaders discriminatory. Sounds like the BMA is not willing | :19:02. | :19:06. | |
to compromise will stop we were always willing to compromise and we | :19:07. | :19:10. | |
went through an entire negotiation process in a truncated time because | :19:11. | :19:14. | |
the Government wanted that time period. | :19:15. | :19:17. | |
We were always trying to work out solutions. We were effectively given | :19:18. | :19:21. | |
three weeks to do three years' work and the Government walked away from | :19:22. | :19:25. | |
those negotiations in February and decided to impose a contract. The | :19:26. | :19:28. | |
Government can claim that we are the ones that are not talking to them | :19:29. | :19:32. | |
but we have always said that we are happy to talk, from the 11th of | :19:33. | :19:36. | |
February we said to the Secretary of State we are happy to talk, why do | :19:37. | :19:40. | |
we carry on the discussions? Basically say we walked away, we | :19:41. | :19:43. | |
didn't, we were there and ready to talk to them and they refused to do | :19:44. | :19:45. | |
so. Thank you for joining us. More revelations surrounding the | :19:46. | :19:52. | |
death of Prince. Now we are told that his team sought help from a | :19:53. | :19:56. | |
doctor who treats painkiller addiction just before he was found | :19:57. | :19:57. | |
dead. Over 500,000 people in the UK | :19:58. | :20:00. | |
are affected by severe paranoia Now scientists think that virtual | :20:01. | :20:02. | |
reality could help treat VR technology, as it is known, | :20:03. | :20:06. | |
is most commonly used for playing games but could exposing patients | :20:07. | :20:13. | |
who suffer from paranoia to situations that would normally | :20:14. | :20:16. | |
frighten them in a virtual way A small research project | :20:17. | :20:19. | |
by scientists at Oxford University Our health reporter Fergus Walsh has | :20:20. | :20:22. | |
been to try out the technology. I'm putting on the virtual | :20:23. | :20:32. | |
reality headset. Just tighten up | :20:33. | :20:34. | |
the controls. And it's transformed me onto a Tube | :20:35. | :20:37. | |
platform, I think it is I'm standing on the Tube platform | :20:38. | :20:49. | |
now, and I can walk up If I walk too far I'll be by the end | :20:50. | :20:54. | |
of the entrance to the tunnel, but, let's wait | :20:55. | :21:02. | |
for the Tube train to arrive. OK, the doors have opened, | :21:03. | :21:07. | |
and I am going to step in, And it's a pretty busy | :21:08. | :21:11. | |
Tube train, there is paranoia, took part in this study | :21:12. | :21:17. | |
and they suffer persecutory Feelings that people are going | :21:18. | :21:26. | |
to harm them, do something to them, and many of them hear voices, | :21:27. | :21:35. | |
and they were encouraged to set This sort of scenario | :21:36. | :21:42. | |
in reality would be And it worked most | :21:43. | :21:46. | |
successfully when they defences and go toe to toe with | :21:47. | :21:53. | |
people. There is a chap here | :21:54. | :21:56. | |
in a blue T-shirt. You would not really | :21:57. | :22:02. | |
do this on a normal Tube train, | :22:03. | :22:03. | |
but you can go right up And with the participants they found | :22:04. | :22:06. | |
that when they could address those fears and go up | :22:07. | :22:10. | |
to people, and realise that the avatars were not | :22:11. | :22:12. | |
going to harm them, that it actually translated and transferred | :22:13. | :22:15. | |
injury almost and helped them reduce actually translated | :22:16. | :22:25. | |
and transferred into real life Let's talk now to Professor Daniel | :22:26. | :22:26. | |
Freeman who lead the research Thank you for joining us. When did | :22:27. | :22:37. | |
the penny dropped that this technology could be used in this | :22:38. | :22:40. | |
way? Good morning, Virtual reality is | :22:41. | :22:43. | |
something we have been using for a number of years, firstly simply to | :22:44. | :22:52. | |
assess paranoia, because sometimes when people fear somebody will harm | :22:53. | :22:58. | |
them, it can be genuine paranoia, or not. We use virtual reality to | :22:59. | :23:04. | |
assess people and also ensure it is safe to use. We've used it for a | :23:05. | :23:07. | |
number of years but it has really taken on life over the last year or | :23:08. | :23:13. | |
two, especially with the are taking off and all the headsets coming out | :23:14. | :23:17. | |
and reaching people's homes. We've used it in this Medical Research | :23:18. | :23:22. | |
Council study for the first time to treat paranoia. When you said you | :23:23. | :23:24. | |
needed to check out whether it was safe to use in this way what were | :23:25. | :23:30. | |
the concerns about it? In the past there have been concerns about | :23:31. | :23:36. | |
virtual reality making people have cyber sickness, that was the term | :23:37. | :23:40. | |
used. But also the low concerns that people who had excessive mistrust | :23:41. | :23:43. | |
would become mistrustful about the agreement but we haven't found that | :23:44. | :23:47. | |
and we have found people appreciated the chance to try the new | :23:48. | :23:50. | |
technology. In the patients that it helped was it an instant fix? It was | :23:51. | :23:55. | |
half an hour, that is all we use, this is an early stage study, we | :23:56. | :23:59. | |
need to do more time with Villar and more clinical trials but just half | :24:00. | :24:05. | |
an hour of going into social situations -- VR. They were fearful | :24:06. | :24:11. | |
of what might happen but they learned to tolerate the anxiety and | :24:12. | :24:15. | |
relearn they are safe around other people and the paranoia began to | :24:16. | :24:19. | |
melt away. So the benefits were remarkably quick. We need to do more | :24:20. | :24:24. | |
studies of this. But it is looking very promising and the benefits | :24:25. | :24:27. | |
transferred to the real-world. Later on people went to their real local | :24:28. | :24:31. | |
shop and were much less distressed. It's interesting that it does | :24:32. | :24:35. | |
transferred to the world when this is something that is being done | :24:36. | :24:39. | |
obviously in a very closed situation where somebody could still say it's | :24:40. | :24:46. | |
fine, I guess it works well in the virtual world but why in the real | :24:47. | :24:49. | |
world wouldn't I feel about the threat that I have? That is one of | :24:50. | :24:54. | |
the great things about virtual reality, consciously we know it is | :24:55. | :24:57. | |
not real but our minds and bodies act as if it is the real world, so | :24:58. | :25:02. | |
despite everyone knowing that it's not real they can relearn safety. | :25:03. | :25:06. | |
This is great because it means people who are particularly worried | :25:07. | :25:10. | |
about entering social situations, you may find it too difficult to | :25:11. | :25:13. | |
start doing that in the real world, can go into virtual reconstructions, | :25:14. | :25:17. | |
do very simple virtual reconstructions with few people in | :25:18. | :25:21. | |
them and we can build up and it leads to real benefits, despite them | :25:22. | :25:25. | |
knowing it is not real. Are there any other applications for | :25:26. | :25:29. | |
this? Are their obvious other ways it could be used? | :25:30. | :25:34. | |
Yes, VI has a long history of being used to treat fear of heights. -- | :25:35. | :25:39. | |
VR. With a fear of heights you get people used to standing in front of | :25:40. | :25:43. | |
real heights and it doesn't matter if you use real heights, or virtual | :25:44. | :25:46. | |
heights the effects are the same and that's an example of how the are | :25:47. | :25:51. | |
tricks the mind to believe it is the real-world -- VR. You go into the | :25:52. | :25:56. | |
computer world with the headset and it feels like you are there. Until | :25:57. | :26:04. | |
you have a go with the are -- VR you don't realise how immersive and | :26:05. | :26:12. | |
realistic it can be. That could be used in another context such as | :26:13. | :26:17. | |
flying or any thing. Does it have to be an ongoing treatment? In the | :26:18. | :26:22. | |
study of virtual reality it was a one-off assessment and it was just | :26:23. | :26:27. | |
over a day, so we just wanted to see the effects so we don't have the | :26:28. | :26:31. | |
data on that but in treating phobias, fears of spiders, the data | :26:32. | :26:35. | |
suggests these fears persist so you probably need a few hours and | :26:36. | :26:39. | |
ideally need to integrate it to incorporate real-life situations and | :26:40. | :26:48. | |
not just in VR. If you combine the two effectively you can see real | :26:49. | :26:53. | |
change. Obviously you work with people who have real fears. For the | :26:54. | :26:57. | |
lucky few who may not have any real fear of anything, how would you | :26:58. | :27:00. | |
explain what it is like for someone who has a crippling fear of | :27:01. | :27:05. | |
something, whatever it is? I think we must remember anxiety is | :27:06. | :27:10. | |
one of the most basic emotions, it is a warning system about danger. | :27:11. | :27:15. | |
It's an important emotion and we should have it because their RL | :27:16. | :27:17. | |
threats out there in the world but of course it is a warning system | :27:18. | :27:21. | |
which means when we have anxiety it feels horrible, most of us have | :27:22. | :27:25. | |
probably had some experience is feeling anxious, and imagine that | :27:26. | :27:28. | |
being magnified in also such situations where you used to be able | :27:29. | :27:32. | |
to cope with them but now you get those horrible feelings when | :27:33. | :27:35. | |
surrounded by other people, it feels horrible, the people who took part | :27:36. | :27:39. | |
in our study were very courageous, went into the situations that make | :27:40. | :27:42. | |
them feel anxious initially but they stayed in their and they relearn | :27:43. | :27:46. | |
their safety and developed a new-found confidence from this. | :27:47. | :27:50. | |
It boils down to facing up to your fears? | :27:51. | :27:55. | |
Partly. Even more what we do is in courage people to drop all of their | :27:56. | :27:58. | |
defences, so when we feel threatened, typically what we do is | :27:59. | :28:03. | |
avoid other people, so we try to get people not to do that and we take | :28:04. | :28:07. | |
the most difficult steps and find out. Of course, this is the right | :28:08. | :28:10. | |
thing to do when the fears are unfounded. | :28:11. | :28:13. | |
Thank you for joining us. , interesting to talk to you, | :28:14. | :28:15. | |
Professor David Freeman. Still to come | :28:16. | :28:18. | |
would you see your GP at the weekend or be happy to talk | :28:19. | :28:30. | |
to them on Skype? We'll talk to a group of GPs | :28:31. | :28:33. | |
about how they treat their patients More revelations surrounding the | :28:34. | :28:43. | |
death of Prince, we here that his team spoke to a doctor specialising | :28:44. | :28:49. | |
in addiction to painkilling drugs. It is important to get back to talks | :28:50. | :28:54. | |
in the dispute that has seen NHS disrupted by industrial action. A | :28:55. | :28:57. | |
group of senior medics, the Academy of Medical Royal Colleges has called | :28:58. | :29:01. | |
on both sides to agree to a pause in the dispute and to fresh | :29:02. | :29:04. | |
negotiations. The Government says it is too late to suspend the | :29:05. | :29:08. | |
imposition of a new contract. There is a new partial ceasefire in | :29:09. | :29:13. | |
place in the embattled city of Aleppo in Syria following violent | :29:14. | :29:16. | |
clashes between government and rebel forces this week leaving us instead. | :29:17. | :29:20. | |
Diplomatic pressure from the United States and Russia led to a 48-hour | :29:21. | :29:24. | |
truce being declared. The telecoms company BT has | :29:25. | :29:29. | |
announced it will spend ?6 billion on rolling out superfast fibre and | :29:30. | :29:33. | |
4G mobile connections over the next three years. The company which took | :29:34. | :29:39. | |
over the mobile phone and broadband company EE in January says its | :29:40. | :29:42. | |
annual pre-tax profits have risen 15% to just over ?3 billion. | :29:43. | :29:47. | |
The polls have opened for local, regional and some Parliamentary | :29:48. | :29:51. | |
elections across the UK on what has been called super Thursday. The | :29:52. | :29:54. | |
Prime Minister and labour leader cast their votes in the London | :29:55. | :29:58. | |
mayoral election this morning. Elsewhere elections are being held | :29:59. | :30:02. | |
for the Scottish Parliament, National Assembly of Wales, Northern | :30:03. | :30:05. | |
Ireland Assembly and 124 councils in England. New mayors will be elected | :30:06. | :30:09. | |
in Bristol, Liverpool and Salford and our Parliamentary by-elections | :30:10. | :30:15. | |
in Ogmore and Sheffield Brightside. Meanwhile Police and Crime | :30:16. | :30:18. | |
Commissioner is our being elected in England and Wales. | :30:19. | :30:22. | |
Barnet council in north London, meanwhile, has apologised after | :30:23. | :30:25. | |
problems with its voter registration lists led to be bought without | :30:26. | :30:27. | |
polling cards being unable to cast their votes this morning. The | :30:28. | :30:32. | |
council says it has sent out updated lists and is advising people to | :30:33. | :30:35. | |
bring their polling card with them to vote. It says those turned away | :30:36. | :30:39. | |
from police tastings this morning should return and try again later. | :30:40. | :30:43. | |
State of Emergency has been declared in the Canadian province of Alberta | :30:44. | :30:46. | |
because of a raging wildfire which threatens to destroy most of the | :30:47. | :30:51. | |
city. 88,000 people, the entire population of Fort McMurray, was | :30:52. | :30:55. | |
ordered to evacuate yesterday. Now it is feared large parts of the area | :30:56. | :30:59. | |
could be lost to the flames. The fire, driven on by fierce winds has | :31:00. | :31:03. | |
already gutted more than 1000 buildings. | :31:04. | :31:06. | |
At least 31 people have been injured after an Etihad Airways flight run | :31:07. | :31:08. | |
into severe At least 31 people have been injured | :31:09. | :31:11. | |
after an Etihad Airways flightran in to severe turbulence as it | :31:12. | :31:14. | |
prepared to land in the Indonesian Nine passengers and crew were taken | :31:15. | :31:17. | |
to hospital while the others The United Arab Emirates' national | :31:18. | :31:21. | |
airline said that cabin luggage bins were damaged while passengers said | :31:22. | :31:24. | |
oxygen masks were released Join me for BBC newsroom live out | :31:25. | :31:45. | |
the 11am. Now, sport. We have some pretty unusual news from Formula 1 | :31:46. | :31:51. | |
today. Not usual for a team to change a driver mid-season. It has | :31:52. | :32:01. | |
happened,... He was born in 1997, the son of Joss | :32:02. | :32:17. | |
first Ave -- kerb. In the overall standings, he finished 12th juror in | :32:18. | :32:32. | |
his first season. -- Verstappen let's speak to Jenny. | :32:33. | :32:39. | |
Imagine getting a call from your boss saying, we are demoting you. He | :32:40. | :32:46. | |
has been demoted while Verstappen has a promotion. I don't know how | :32:47. | :32:51. | |
you come back from that. You have been at 18, think you have done | :32:52. | :32:55. | |
really well, been promoted into the full team, and then you're back | :32:56. | :33:00. | |
where you began. You are watching this young star rise through the | :33:01. | :33:03. | |
ranks to take your place. That must hurt. Why are they doing this? It is | :33:04. | :33:11. | |
unusual, isn't it? Red Bull have a track record of | :33:12. | :33:14. | |
being exceptionally harsh with their young drivers. They have a driver | :33:15. | :33:20. | |
programme, and we have seen drivers come in and leave within two years | :33:21. | :33:25. | |
of having started what seemed to be a great career in Formula 1. It is | :33:26. | :33:30. | |
not out of character for Red Bull, but after four braces, it is | :33:31. | :33:34. | |
strange, and a lot of people are reading a lot into this. He had a | :33:35. | :33:41. | |
terrible race in Russia, his home race, and he crashed into the back | :33:42. | :33:45. | |
of Sebastien vet all, a man who used to drive for Red Bull, so not the | :33:46. | :33:52. | |
best political thing to do. One race before that he was on the podium, so | :33:53. | :33:57. | |
to go from here wrote to zero to quickly and be told that you're out | :33:58. | :34:01. | |
of your seat and you have to make way for Verstappen is very painful, | :34:02. | :34:05. | |
and lots of people are saying, why is this happening and why now? I | :34:06. | :34:09. | |
suspect they could not do it before the Russian Grand Prix, given that | :34:10. | :34:15. | |
he is Russian driver, however, Verstappen is hot property. Who | :34:16. | :34:20. | |
knows who was sniffing around to try to get him to sign on the dotted | :34:21. | :34:24. | |
line, and I think it is a way of guarding Verstappen for the future. | :34:25. | :34:28. | |
Thank you for joining us this morning. I will be back with more | :34:29. | :34:30. | |
sport throughout the day. For the first time, a human embryo | :34:31. | :34:34. | |
has been kept alive past the point when it would normally implant | :34:35. | :34:38. | |
in the womb. That's 13 days - right up | :34:39. | :34:40. | |
to the current legal limit on growing and studying human | :34:41. | :34:43. | |
embryos outside the body. The experiments were deliberately | :34:44. | :34:46. | |
ended to stay within the law. Some researchers say extending | :34:47. | :34:51. | |
the international limit may help scientists learn more | :34:52. | :34:53. | |
about the reasons some women suffer We can speak now to professor | :34:54. | :34:56. | |
Jonathon Montgomery, from the Nuffield Council | :34:57. | :35:00. | |
on Bio-ethics, who are meeting Thank you very much for joining us. | :35:01. | :35:11. | |
What is your view of this? How much of a step forward is it? The 14 day | :35:12. | :35:18. | |
rule dates back to 1984, and it hasn't been thought to be needed to | :35:19. | :35:24. | |
review it since then. Suddenly, the scientists have identified something | :35:25. | :35:27. | |
that we might as a society want to know. We should think about whether | :35:28. | :35:33. | |
it is knowledge worth having on whether it offends against our | :35:34. | :35:39. | |
susceptibility is. The independent Government body that exists to | :35:40. | :35:42. | |
explore the social, moral and legal issues around advances in science, | :35:43. | :35:47. | |
the Nuffield trust, at this I did it is time to take stock of the reasons | :35:48. | :35:51. | |
for the rule. It has an open mind and will want to know what people | :35:52. | :35:56. | |
think. It will last the question, should we accept this? What will be | :35:57. | :36:05. | |
weighed up in deciding this? Is it about it being information worth | :36:06. | :36:10. | |
having? We know that all embryo research, all research currently | :36:11. | :36:14. | |
carried out, is of concern to some people in society, and it would be | :36:15. | :36:23. | |
wrong if the law went to far-away. It is also important to understand | :36:24. | :36:26. | |
the causes of miscarriage, to understand how we might help | :36:27. | :36:31. | |
treatments being developed to help with infertility. If it is the case | :36:32. | :36:37. | |
that, looking longer at how embryos developed could help us understand | :36:38. | :36:39. | |
those things, then many people might think that is information worth | :36:40. | :36:43. | |
having. It is not worth having at any price, and we would need to | :36:44. | :36:47. | |
explore the reasons why people think there should be limits. Why was the | :36:48. | :36:51. | |
14 day limit arrived that in the first place? There are a range of | :36:52. | :36:56. | |
reasons why people gave for supporting it in 1984. Two of those | :36:57. | :37:06. | |
relate to whether an embryo is a genetically unique individual. 14 | :37:07. | :37:11. | |
days was thought to be the last point at which natural trimming | :37:12. | :37:13. | |
might occur. It is thought that there might be two embryos, to | :37:14. | :37:19. | |
people if you like, to be created in the future. It was also thought that | :37:20. | :37:24. | |
14 days was also the first possible for point at which the embryo might | :37:25. | :37:30. | |
have any feeling. It is the point at which some think will be primitive | :37:31. | :37:36. | |
streak develops. It is part of the nervous system. We could be pretty | :37:37. | :37:41. | |
confident at the time that no embryo would feel any pain. Those were the | :37:42. | :37:46. | |
reasons given for drawing a compromise between the need for | :37:47. | :37:49. | |
scientific knowledge and the importance of respecting human life. | :37:50. | :37:53. | |
Those questions might look different with our modern biological | :37:54. | :37:56. | |
knowledge, and that is what we would like to discuss. How far with the | :37:57. | :38:00. | |
boundaries have to be pushed potentially in order to get the | :38:01. | :38:02. | |
knowledge the scientists are talking about being possible, looking at | :38:03. | :38:09. | |
miscarriages and why they happen? Babies can be Miss carried at any | :38:10. | :38:13. | |
point in pregnancy, so presumably, if that information were to be | :38:14. | :38:17. | |
gleaned, it wouldn't just be a case of allowing the embryos to continue | :38:18. | :38:26. | |
for a few more days. The first question is, what could we learn | :38:27. | :38:29. | |
from a small extension and is that worth having? Even if we were to | :38:30. | :38:34. | |
extend the time limit slightly, we would still have very strict | :38:35. | :38:42. | |
regulation in place. The approval on the Human Fertilisation and | :38:43. | :38:44. | |
Embryology Authority, which needs to look at the purpose of any research, | :38:45. | :38:48. | |
the researcher has to be appropriate, the place has to be | :38:49. | :38:53. | |
licensed, so we would still be keeping in place those important | :38:54. | :38:58. | |
questions about how valuable the knowledge might be. The first step | :38:59. | :39:02. | |
is asking whether or not at a few extra days would give us any extra | :39:03. | :39:06. | |
knowledge that is what having. We have new papers published yesterday | :39:07. | :39:11. | |
in the journal Nature that suggested as possible that the knowledge might | :39:12. | :39:20. | |
be worth having. What the Nuffield trust wants to do is to see there is | :39:21. | :39:28. | |
a case for saying that the 14 days is a line that is artificial. | :39:29. | :39:31. | |
Possibly, the knowledge is something that the public might think was one | :39:32. | :39:35. | |
pursuing, but we would need here from the public before recommending | :39:36. | :39:39. | |
a change in the law. OK. Thank you very much for joining us. | :39:40. | :39:45. | |
Do you find it difficult to get an appointment with your GP? | :39:46. | :39:47. | |
Or that the slot that you're given with them just isn't enough time? | :39:48. | :39:50. | |
Would you prefer a weekend appointment or be happy to talk | :39:51. | :39:53. | |
A report by the health think-tank the King's Fund suggests | :39:54. | :39:57. | |
the workload of GPs in England has increased dramatically over | :39:58. | :39:59. | |
They looked at 30 million patient contacts from 177 practices | :40:00. | :40:05. | |
between 2010/11 and 2014/15 and found that | :40:06. | :40:08. | |
the number of GP consultations increased by more than 15% | :40:09. | :40:13. | |
with a rise in both face-to-face and steep increase | :40:14. | :40:16. | |
At the same time, the number of GPs grew by almost 5%. | :40:17. | :40:22. | |
There were 35,000 GPs in 2010 and almost 37,000 in 2014. | :40:23. | :40:25. | |
And funding levels dipped from 8.3% of the overall NHS budget to 7.9%. | :40:26. | :40:36. | |
Let's hear from some GPs with experience of different general | :40:37. | :40:39. | |
Dr Sirfraz Hussain joins us from Manchester Medical Practice, | :40:40. | :40:48. | |
where they use innovative ways to consult with patients. | :40:49. | :40:51. | |
Dr Gaurav Gupta is a GP who's experienced working | :40:52. | :40:53. | |
Dr Susy Connell who works in an inner-city practice in Reading. | :40:54. | :40:57. | |
And Dr Bhaskar Bora is a GP in Greenhithe. | :40:58. | :41:00. | |
He can share his experience of working in a more rural location. | :41:01. | :41:11. | |
Thank you for joining us. Doctor Connell, describing typical day for | :41:12. | :41:19. | |
us. A typical day, I don't think most patients realise the length of | :41:20. | :41:23. | |
the appointment, the average is ten minutes. They know the start time. | :41:24. | :41:28. | |
They know that invariably they get called in late, and that is because | :41:29. | :41:31. | |
people have more than one problem to talk about, and often the problems | :41:32. | :41:36. | |
are complicated. Patients are becoming increasingly elderly and | :41:37. | :41:40. | |
they have increasing number 's health problems to be dealt with at | :41:41. | :41:44. | |
one time. Can you ever stick to minutes? How long do some | :41:45. | :41:49. | |
appointments run? They can run to double that, and it's very | :41:50. | :41:53. | |
difficult. I don't think people realise they have such a short time | :41:54. | :41:58. | |
with their GP. What do you do if you're watching the clock is back at | :41:59. | :42:01. | |
tenants, are you tempted to say, sorry, timer. If the patient says, | :42:02. | :42:07. | |
there are a number of things I want to talk to you by, one of the things | :42:08. | :42:11. | |
we can do is say, we only have a short time, what is the most | :42:12. | :42:18. | |
important thing today? If you attempt to start at the top of the | :42:19. | :42:21. | |
list and work through, you will never get through it. Are you able | :42:22. | :42:26. | |
to manage the ten minutes doing it that way? There are ways of doing | :42:27. | :42:29. | |
it, but you constantly feel like you're just not giving people enough | :42:30. | :42:37. | |
time. Doctor Gupta, your practice tried | :42:38. | :42:40. | |
out seven-day working, how did that go? Patients can get attention any | :42:41. | :42:54. | |
time using the art of our service. We tried to do something by having | :42:55. | :42:58. | |
local GP appointments over the weekend. In the first instance, it | :42:59. | :43:10. | |
was found not to be effective. More recently, at the end of 2015, we | :43:11. | :43:15. | |
tried again, only on Saturdays, but again it had to be stopped because | :43:16. | :43:19. | |
there was a lack of GPs available to do those shifts. What about it being | :43:20. | :43:28. | |
user-friendly for patients? Is there a demand from patients that you came | :43:29. | :43:32. | |
across? There was a study last year that looked at 80,000 patients, and | :43:33. | :43:37. | |
we found that demand for Sunday appointments was less than 1%. This | :43:38. | :43:43. | |
is a typical situation that we are finding in pilots across the | :43:44. | :43:45. | |
country, that a lot of them have been stopped because either a lack | :43:46. | :43:51. | |
of demand or a lack of GP workforce. Lack of demand - is that because | :43:52. | :43:54. | |
patients aren't aware it is being offered? Or that they simply don't | :43:55. | :44:02. | |
want it? It is difficult to say. It was put out in the newspapers, there | :44:03. | :44:05. | |
were posters in surgeries, leaflets were done. Demand was variable. On | :44:06. | :44:16. | |
Sunday, people don't want to come and see their GP for routine things. | :44:17. | :44:20. | |
Before we go to the other GPs, I want to bring in the voice of the | :44:21. | :44:24. | |
Department of Health. A spokesperson said, with an ageing population, we | :44:25. | :44:28. | |
know GPs are seeing more patients with complex health conditions than | :44:29. | :44:32. | |
ever before. That is why we are taking action to double the growth | :44:33. | :44:36. | |
rate in GPs through new incentives for training, recruitment, retention | :44:37. | :44:41. | |
and return to practice. We are committing an ex ?2.4 billion to | :44:42. | :44:45. | |
general practice and that will help reduce pressure on GPs and retain a | :44:46. | :44:49. | |
healthy workforce well into the future. Talking about other ways of | :44:50. | :44:53. | |
trying to reduce the pressure on trying to deal with patient demand, | :44:54. | :44:57. | |
let's go to Doctor Hussein. You are an inner-city GP, tell us what you | :44:58. | :45:10. | |
have done to deal with workloads? I started doing Skype consultations | :45:11. | :45:15. | |
about three years ago. The pressure for GPs is the big issue. The other | :45:16. | :45:20. | |
issue that we mustn't forget is patients and how we can best serve | :45:21. | :45:25. | |
them. Having them come to the surgery is not necessarily the best | :45:26. | :45:30. | |
way to serve them. Video consultations is one solution, but | :45:31. | :45:37. | |
it is not efficient in itself in terms of time. The new way of | :45:38. | :45:41. | |
thinking is that you can combine what a patient wants with the | :45:42. | :45:48. | |
opportunity to -- to connect with the GP using the computer | :45:49. | :45:52. | |
technologies. For example, the NHS is so far behind, if you had to go | :45:53. | :45:56. | |
to our bank ten years ago, you had to go to the branch, were now you do | :45:57. | :46:02. | |
it on your phone. While back, you had to go to supermarkets to buy | :46:03. | :46:06. | |
groceries, but you can now do it on your phone and they will deliver. | :46:07. | :46:11. | |
hear what you are saying but when you are talking to a GP, for a lot | :46:12. | :46:15. | |
of people isn't it about having face to face contact and if it is | :46:16. | :46:19. | |
something they are quite sensitive about they want that direct | :46:20. | :46:24. | |
communication with someone. I don't disagree with that at all. What I'm | :46:25. | :46:29. | |
saying is that it depends on what the patient is wanting. When you see | :46:30. | :46:32. | |
them the first time the second time maybe for results and the third time | :46:33. | :46:36. | |
maybe to discuss how they got on with the treatment you prescribed | :46:37. | :46:38. | |
command the fourth time that it worked or it didn't work our what we | :46:39. | :46:43. | |
do from here so it each consultation has a different aspect -- or that it | :46:44. | :46:49. | |
worked. Not every time requires a person to be in the surgery. The NHS | :46:50. | :46:53. | |
is so far behind in terms of how we use technology, it is patients | :46:54. | :46:57. | |
themselves that are far more advanced than we are. If you look at | :46:58. | :47:01. | |
things like the banking system which is absolutely has to have such | :47:02. | :47:08. | |
security around it for what it entails you don't have to go into a | :47:09. | :47:11. | |
branch anymore to do a lot of things. I want to know what Susy | :47:12. | :47:17. | |
Connell and Gareth Gupta have to say about the NHS being too far behind | :47:18. | :47:20. | |
in terms of technology -- Gorokhov Gupta. I've never been given the | :47:21. | :47:26. | |
opportunity to use it but I would be willing to give it a try. You sell a | :47:27. | :47:30. | |
lot of your patients are elderly, do you think they would embrace it? | :47:31. | :47:34. | |
They wouldn't be able to, even if you refer patients to websites to | :47:35. | :47:38. | |
give them information about the conditions of the elderly just, | :47:39. | :47:42. | |
because they weren't educated in doing that, because they have not | :47:43. | :47:46. | |
been educated from the start in doing that, generally they find that | :47:47. | :47:51. | |
very difficult. Gareth Gupta, do you find that everybody that comes in | :47:52. | :47:56. | |
really does need to see a GP? That is a point and we can look at | :47:57. | :48:00. | |
different ways of doing things but as you have seen in The King's Fund | :48:01. | :48:03. | |
report the crisis is much more severe than we are talking about and | :48:04. | :48:06. | |
doing a few consultations by Skype and a few telephone consultations | :48:07. | :48:10. | |
will not solve the problem. You have seen the consultation rates, they | :48:11. | :48:17. | |
are unsustainable. We can definitely use technology better. My experience | :48:18. | :48:21. | |
of elderly people using technology is not the same as yours because | :48:22. | :48:27. | |
lots of our patients take on technology even very well even if | :48:28. | :48:31. | |
they are elderly patients. We can use it but realistically speaking | :48:32. | :48:33. | |
this needs a bigger solution than just using technology and these bits | :48:34. | :48:38. | |
and pieces. It is a great testament to the hard work of GPs and their | :48:39. | :48:43. | |
staff that in spite of all of these pressures patient satisfaction is | :48:44. | :48:49. | |
85% and we have seen what kind of pressures we are dealing with today. | :48:50. | :48:57. | |
Let's bring in Doctor Bhaskar Bora, you work in a row area, what are the | :48:58. | :49:03. | |
issues there? Good morning, yes, I work in a role area and in fact I | :49:04. | :49:07. | |
have enjoyed working in a role area because we become part of the | :49:08. | :49:13. | |
community. I feel that we take pride in the traditional family- Doctor | :49:14. | :49:18. | |
model. While it is important to make sure that we provide access in terms | :49:19. | :49:24. | |
of e-consultations and telephone consultations, lots of patients like | :49:25. | :49:27. | |
to have the face-to-face appointment. We know each member of | :49:28. | :49:34. | |
the family. And in fact, I feel that having talked a lot about access | :49:35. | :49:39. | |
which is important, we seem to have lost the continuity of care. That is | :49:40. | :49:44. | |
something which I think in a rural practice we try and maintain as much | :49:45. | :49:49. | |
as we can. Is that something that you lose? | :49:50. | :49:55. | |
That connection with your patients? Not at all. If you are a GP and you | :49:56. | :49:59. | |
have stayed in that patch for a long time you get to know your patients | :50:00. | :50:03. | |
and see them grow up, I've seen their kids grow up, I've seen my | :50:04. | :50:07. | |
elderly patients go through hospital admissions and come out. And because | :50:08. | :50:12. | |
you have that connection with them, when you speak to them on the phone, | :50:13. | :50:18. | |
or by Skype, video consultation, you still retain that connection. The | :50:19. | :50:22. | |
family - Doctor relationship is the core of anything we do. And it's | :50:23. | :50:29. | |
important that we allow and give it enough space and time. Ten minutes | :50:30. | :50:35. | |
is not enough. Our surgery is piloting 15 minute consultations to | :50:36. | :50:38. | |
see if we can improve the quality of our consultations so that we get | :50:39. | :50:42. | |
more done and that person does not need to come back unnecessarily. And | :50:43. | :50:45. | |
if they need to come back, be they physically need to come back? To | :50:46. | :50:48. | |
discuss results do they need to sit in front of me for me to tell them | :50:49. | :50:52. | |
that their vitamin de levels are low? Can that not be dealt with in | :50:53. | :50:58. | |
another way? Can that be dealt with by another professional? We have | :50:59. | :51:01. | |
piloted using the pharmacist and the pharmacist will ring and discuss | :51:02. | :51:06. | |
medications and how to use them and give lots of advice around health | :51:07. | :51:10. | |
care and better management of medicines and how to improve their | :51:11. | :51:21. | |
efficacy. You are agreeing as you are | :51:22. | :51:24. | |
listening, Susy Connell? You do not need a patient in front | :51:25. | :51:27. | |
of you to tell them their results are normal and even if they are not | :51:28. | :51:31. | |
normal you don't need them in front of you to explain what the | :51:32. | :51:34. | |
management is. I think you need a patient in front of you if you need | :51:35. | :51:37. | |
to examine them. Do the patients always know that? | :51:38. | :51:43. | |
No, I don't think they do. It has been a model, such as my colleague | :51:44. | :51:47. | |
was describing, that has been available for a long time and to try | :51:48. | :51:51. | |
and change this model will take a while but it is going to have to | :51:52. | :51:54. | |
change because the way we are doing things is not sustainable. There are | :51:55. | :51:58. | |
not enough of us for the increasing number of people to come and see us, | :51:59. | :52:02. | |
the increasing consultations that we want, and the increasing nature of | :52:03. | :52:06. | |
the complicated and of what people have. There is always the issue as | :52:07. | :52:11. | |
well, not of people going to see a GP too much, but people who don't | :52:12. | :52:16. | |
want to bother the GP and hear a conversation like this and think I | :52:17. | :52:20. | |
can never get another moment and would go and leave it until the last | :52:21. | :52:23. | |
minute and then there is a major health issue. There are very few | :52:24. | :52:30. | |
absolute emergencies. Even if you're diagnosed with cancer and you see | :52:31. | :52:34. | |
your GP who thinks you have cancer is still a two-week wait before you | :52:35. | :52:39. | |
are seen in a hospital. Illnesses have natural histories and actually | :52:40. | :52:45. | |
a lot of what we deal with is very short-term and will resolve by | :52:46. | :52:48. | |
itself. There is a lot of worry out there. I think that we should | :52:49. | :52:54. | |
refrain from portraying patients as the problem. We are living in a | :52:55. | :52:59. | |
society which fortunately has managed to have a higher life | :53:00. | :53:04. | |
expectancy and people are getting older. But that is a good thing. | :53:05. | :53:08. | |
What we really need to do is move away from doing what the politicians | :53:09. | :53:13. | |
want and to do what the patients need. That is the need of the hour. | :53:14. | :53:17. | |
What we really need to be doing is increased the funding and | :53:18. | :53:23. | |
stabilising the core services, cut bureaucracy on GPs by getting rid of | :53:24. | :53:28. | |
CQC and appraisals and we need to have a moratorium on any new | :53:29. | :53:32. | |
projects for the next few years to stabilise and make sure the NHS is | :53:33. | :53:38. | |
sustainable. As medicine is growing we are doing more and more complex | :53:39. | :53:42. | |
work. Things that used to happen in the hospital a few years ago are | :53:43. | :53:47. | |
happening in GP practices. Patients don't need to see different GPs for | :53:48. | :53:51. | |
the same problem at different times, that can lead to delays in diagnosis | :53:52. | :53:56. | |
and frustration for the patient. I think the patients are definitely on | :53:57. | :54:01. | |
our side and saying that the patients are using the service | :54:02. | :54:04. | |
inappropriately is somehow missing the point. I absolutely agree. We | :54:05. | :54:10. | |
are almost out of time but I want to read the comments from some viewers. | :54:11. | :54:15. | |
Skype GP would be great because if you are ill without leaving your | :54:16. | :54:19. | |
home you can get advice on Skype. Roy says it's nearly impossible to | :54:20. | :54:22. | |
see the same doctor twice as pre-booked appointments are not | :54:23. | :54:26. | |
allowed. Anonymous text: the computer cannot diagnose you, I have | :54:27. | :54:29. | |
to book a telephone or Skype consultation and this can be a week | :54:30. | :54:33. | |
and if you need one-to-one it is another week so it takes two to | :54:34. | :54:36. | |
three weeks to see a GP. Thank you for joining us. | :54:37. | :54:40. | |
In his final weeks, the music star Prince hid any signs | :54:41. | :54:43. | |
But it's been revealed that a leading addiction specialist | :54:44. | :54:46. | |
was requested by the singer's team just a day before he died. | :54:47. | :54:50. | |
Joining me now is our entertainment correspondent, Sinead Garvan. | :54:51. | :54:55. | |
What has emerged, Sinead? A man named Doctor Howard Kornfeld, a | :54:56. | :55:05. | |
leading addiction specialist America who runs a huge clinic in | :55:06. | :55:10. | |
California, was called up the day before Prince died and it is his | :55:11. | :55:13. | |
lawyer actually who has talked in America and we have a clip of him | :55:14. | :55:15. | |
coming up. Dr Kornfeld was contacted | :55:16. | :55:17. | |
by representatives of Prince on the Dr Kornfeld is a national expert | :55:18. | :55:20. | |
on addiction treatment and pain He is board certified in emergency | :55:21. | :55:27. | |
medicine, pain management He was contacted because | :55:28. | :55:36. | |
he is a nationally He set in motion a plan to deal | :55:37. | :55:39. | |
with what he felt was Prince to a doctor in | :55:40. | :55:47. | |
Minnesota. On Thursday morning, he contacted | :55:48. | :55:56. | |
a trusted colleague of his. That Minnesota doctor | :55:57. | :55:59. | |
cleared his schedule for Thursday morning to | :56:00. | :56:03. | |
provide privacy to Prince. Prince did not show up | :56:04. | :56:09. | |
for that appointment He died two weeks ago, is it any | :56:10. | :56:25. | |
clearer what the cause of death was? No, the autopsy took place the next | :56:26. | :56:28. | |
day and they said at the time it would take weeks and weeks so we | :56:29. | :56:33. | |
still don't know. The police in minister to have called in national | :56:34. | :56:39. | |
forces, the drug enforcement agency, to help with this because | :56:40. | :56:42. | |
painkillers were found on him but we don't know how he got them and | :56:43. | :56:45. | |
whether they lead to anything. He made those comments, people are | :56:46. | :56:51. | |
pouring over everything in his last days, those comments to an audience, | :56:52. | :56:57. | |
don't cry for me just yet. Yes, I think we just have to sit and wait | :56:58. | :57:00. | |
for this one. These are interesting developers, the fact the addiction | :57:01. | :57:04. | |
specialist was called in the day before and as you heard in that | :57:05. | :57:08. | |
clip, life-saving mission. This doctor didn't actually go, his son | :57:09. | :57:12. | |
went to see Prince who works at the clinic with him but isn't a doctor | :57:13. | :57:17. | |
and he was the one who found Prince's body along with their | :57:18. | :57:22. | |
staff. You may remember the 911 call who was a guy called Andrew | :57:23. | :57:26. | |
Kornfeld, Doctor Howard Kornfeld's son who made the call. Very sad. | :57:27. | :57:33. | |
Thank you, Sinead. Thank you for getting in touch today. You've been | :57:34. | :57:37. | |
getting in touch about midwife-led maternity care, an anonymous text | :57:38. | :57:42. | |
said: there is a massive inconsistency with midwife care, my | :57:43. | :57:46. | |
son was born in January and never saw the same midwife during my care. | :57:47. | :57:51. | |
Twice I saw a GP because there was not a midwife available. I think all | :57:52. | :57:54. | |
first-time mothers should be classified as high risk as they have | :57:55. | :57:57. | |
never been through this experience before so you don't know how their | :57:58. | :58:02. | |
body will respond. The postmortem examination was inconclusive, we | :58:03. | :58:09. | |
will always wonder why he died. On Facebook and I think everybody has a | :58:10. | :58:13. | |
responsibility, staff shortages with existing staff working with | :58:14. | :58:15. | |
outbreaks and spreading themselves thinly while the clients are adamant | :58:16. | :58:19. | |
they want a certain type of birth so for the professionals it means being | :58:20. | :58:24. | |
extremely clear on parameters for low risk women. Thank you for all of | :58:25. | :58:25. | |
your commits today. We are not here tomorrow, instead | :58:26. | :58:32. | |
there will | :58:33. | :58:33. |