19/01/2016 BBC Wales Today


19/01/2016

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Every hospital emergency department here is "on the edge" -

:00:00.:00:08.

the warning from the head of the Royal College of Emergency

:00:09.:00:11.

And after yesterday's steel job losses in Port Talbot -

:00:12.:00:17.

the Welsh government will ask the Chancellor for enterprise zone

:00:18.:00:20.

status so that tax breaks can be offered.

:00:21.:00:40.

Every hospital emergency department in Wales is "on the edge" and too

:00:41.:00:45.

many patients spend too long - some more than 24 hours

:00:46.:00:48.

That's the warning from the head of the Royal College

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of Emergency Medicine here who says staff shortages and excessive

:00:52.:00:54.

workloads could put patients at risk.

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But the Welsh Government insists the problems here aren't unique,

:00:56.:00:58.

Our health correspondent Owain Clarke reports.

:00:59.:01:08.

It is first thing in the morning but the emergency department

:01:09.:01:11.

here at the University Hospital of Wales in Cardiff is already full.

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Inside, there is one empty bed, kept free in case

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Last week, we saw a lot of ice so we saw a lot of patients come

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It is a difficult time for the frail elderly as well,

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who do tend to get more infections at this time of year so generally

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the department and the hospitals are more busy in January.

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To ease the logjam in the A, staff from

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around the hospital have come to discuss how many beds can

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We do have a resus space but there is no capacity

:01:42.:01:45.

in our ambulances outside of the minute.

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Even in a hospital of this size, if they can find just a handful

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of beds this morning, it can mean the difference

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They say the effort has already led to fewer ambulances queueing

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But according to one of Wales's leading emergency doctors

:01:58.:02:02.

who works on the other side of the country in Wrexham,

:02:03.:02:04.

a shortage of hospital beds and emergency doctors

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means too many patients in Wales spend too long in emergency units.

:02:07.:02:13.

None of the emergency departments in Wales has the required number

:02:14.:02:16.

of consultants that we think is a minimum from the Royal College.

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In Wrexham, we are four consultants short.

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We have six compared to the required minimum number of ten.

:02:23.:02:25.

Every emergency department is on the edge.

:02:26.:02:27.

We are ever so close to a patient becoming really poorly

:02:28.:02:34.

within our department and that could have a

:02:35.:02:36.

knock-on effect and have disastrous outcomes.

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The latest figures show that the proportion of patients

:02:43.:02:44.

who had to wait more than 12 hours in an urgent care unit has gone down

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since last winter, but despite the milder

:02:49.:02:49.

weather there wasn't an improvement in the four-hour target and arguably

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the pressures are being felt most here at Morriston Hospital

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in Swansea, with just 58% of patients

:02:58.:02:59.

spending less than four hours in this department,

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The minor injuries unit in Singleton and Neath Port and the A service

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in Llanelli take some of the less serious cases so those don't come

:03:10.:03:12.

here but what that does mean is that when you look at our patients here,

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a much higher percentage of them are completed

:03:17.:03:19.

patients, so for example, a typical emergency department might

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be 70% minor injuries, 30% major - we are

:03:24.:03:26.

The local Health Board says it is taking steps to ease

:03:27.:03:33.

This team's job is to find out what extra support frail patients

:03:34.:03:44.

We have measured the length of stay in the over 80s within Morriston

:03:45.:03:49.

Hospital and it has dropped quite significantly from somewhere

:03:50.:03:51.

between 20 days in hospital and it has

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actually dropped down to seven days in the latest data,

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Any bed that becomes available will be filled

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straightaway and what is clear is the pressure is on both

:04:03.:04:05.

here and in emergency units across the country.

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And with the temperatures dropping, it could get worse.

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A group of Welsh Conservative MPs is calling on the Chancellor

:04:21.:04:22.

to reverse his decision to devolve some income tax powers to Wales

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In the letter, seen by BBC Wales, five of the party's MPs wrote

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to George Osborne to say his policy change,

:04:30.:04:33.

announced in his autumn statement, was "disrespectful" and breached

:04:34.:04:35.

The Welsh Conservatives say they have long called for the Welsh

:04:36.:04:39.

government to be more accountable for its finances.

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A woman found dead in Usk last week died from "ligature pressure

:04:45.:04:47.

The body of Georgina Symonds was found in a workshop on a farm

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Peter Morgan, from Abergavenny, has been charged with her murder.

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Detectives have made fresh appeal for information,

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40 years after the death of a Welsh teenager in London.

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15-year-old Peter Watts left his home in Colwyn Bay in

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1976 after leaving a note for his parents saying

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he was going to help a friend with homework.

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He was found collapsed in a Euston Road underpass in London

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the following morning with head injuries, and died

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A meeting of steel workers and union representatives

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has taken place in Port Talbot tonight following yesterday's

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announcement of a thousand job losses at Tata Steel across the UK.

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The majority of the jobs will be lost in South Wales,

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750 across Port Talbot and Llanwern in Newport.

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Tonight's meeting has been about getting an understanding

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with our representatives of the process that

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we are going to follow, what has been announced

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And it started to develop the roles that we

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have to now take with the Welsh assembly Government,

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who we have a meeting with tomorrow, and how the pressure can be put

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onto the UK Government so that it can understand

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what needs to be done to save steel-making in the UK.

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Those job losses in the steel industry were again top

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The Welsh government will ask the Chancellor George Osborne

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to give Port Talbot enterprise zone status so that tax breaks can be

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There were further clashes in the House of Commons over

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the steel industry today, and details emerged of a task force

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which will meet for the first time tomorrow.

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Here's our political editor Nick Servini.

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The morning after one of the bleakest days

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Nothing can change yesterday's events.

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What has been occupying minds today is the action needed to prevent

:06:45.:06:47.

In the meantime, the accusations at Westminster continue to fly

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as the UK Government insisted it had done all it could.

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When the bankers bonuses were threatened, he immediately shot

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over to Brussels with an army of lawyers to defend them.

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He would jump into a helicopter for a Tory fundraiser,

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but it has taken him four months to lift a finger for a steelworks

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Well, we want a successful financial services industry because hundreds

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of thousands of people across the country work in it

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but we also want a successful manufacturing and steel industry.

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There was an altogether gentler tone at the assembly as ministers

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confirmed that they had asked the Chancellor to make Port Talbot

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They also gave more details of the task force meeting in Cardiff

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tomorrow along the lines of one set up after the major losses

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were announced at the oil refinery in Pembrokeshire in 2014.

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Nevertheless, at the assembly, as in the comments,

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there were questions for the Government about why

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Why did the Minister wait until the job losses have been

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announced before writing to the Chancellor of the Exchequer

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to pursue the issue of an enterprise zone?

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She's right to say that we knew there were challenges for the steel

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industry, but in terms of the scale of the job losses,

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we did not know about that until the end of last week.

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The job losses brought the problems of the steel industry

:08:18.:08:19.

Now, what the political parties will all agree on are the measures

:08:20.:08:23.

needed to soften the blow, particularly for the younger workers

:08:24.:08:26.

What would be far more divisive is to try to create the kind

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of conditions for the long-term survival of the industry in Wales.

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The question will be - can they set aside their differences

:08:43.:08:45.

At the heart of this will be how to deal with the cheap Chinese steel

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which is flooding the market and pushing prices down.

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It is difficult to determine whether it is legitimate prices that

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are coming in or illegitimate and that is what they are working on.

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I mean, I agree with you that it could have been done faster

:08:59.:09:02.

but actually a lot of it from the UK perspective

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is because our own Government has not been effective in applying

:09:05.:09:07.

and pursuing these things as fast as they could do.

:09:08.:09:20.

It was described today as part of Wales' heritage .

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All efforts will now be made for the Port Talbot steelworks

:09:24.:09:25.

to become part of Wales's future as well.

:09:26.:09:27.

Rugby, and with the start of the Six Nations just a fortnight

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Wales coach, Warren Gatland, has named 37 players in his squad.

:09:31.:09:34.

Cardiff Blues wing, Tom James, has been re-called,

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six years after winning his last cap.

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Aled Davies from the Scarlets is the only uncapped player.

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Wales start their campaign against last year's winners,

:09:41.:09:42.

The coaching team back to a 37 man squad, slightly larger than usual

:09:43.:09:48.

due to a number of injured leading players.

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With the likes of Captain Sam Warburton and Scarlets full-back

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Liam Williams are on their way back to fitness as another Six Nations

:09:58.:10:00.

I think we're in a good place the moment and we've got some good

:10:01.:10:04.

players that have come back from injury.

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We still have one or two players that have picked up injuries

:10:07.:10:09.

during the World Cup but I think 31 of that squad were involved

:10:10.:10:12.

in the World Cup so there is a lot of continuity.

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As well as the comfort of consistency, the head coach has

:10:15.:10:17.

It has been six years since the Blues wing Tom James

:10:18.:10:23.

I have been pretty impressed with Tom over the Christmas period.

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It was disappointing to lose him in the Rugby World Cup.

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He was selected in our original squad.

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I think he adds a little bit of an X Factor.

:10:33.:10:36.

Among the forwards, Josh Turnbull makes a return following a two-year

:10:37.:10:39.

absence and Alun Wyn Jones after re-signing his national dual

:10:40.:10:44.

contact with Ospreys features in a powerful contingent of forwards

:10:45.:10:47.

with four British Lions in the back row.

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And along with the older heads, Gatland has chosen one uncapped

:10:52.:10:54.

player, Aled Davies, picked in light of the injured

:10:55.:10:57.

Also in the backs, Rhys Priestland is included, despite the initial

:10:58.:11:03.

announcement that he was to step back from international rugby.

:11:04.:11:08.

And Jonathan Davies and Hallam Amos made a welcome return from injury.

:11:09.:11:11.

So on a beautiful day here at the Vale hotel,

:11:12.:11:14.

Six Nations has kicked off for Wales.

:11:15.:11:16.

They will be hoping for a swift return to key injured players

:11:17.:11:20.

as they aim for a perfect start to the 2016 campaign with a win

:11:21.:11:23.

against the holders Ireland in Dublin on the 7th of February.

:11:24.:11:30.

Very cold and in fact the coldest night of the winter so far for many

:11:31.:11:44.

of us. A widespread frost and some freezing fog as well. The

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temperature could fall as low as minus seven Celsius in some places

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by the end of the night. A widespread sharp frost for many of

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us and that is how we start tomorrow. Frosty, freezing fog, the

:11:58.:12:04.

warning in force, but otherwise, bright clear and sunny. A crisp

:12:05.:12:09.

winter morning. Freezing fog across the rest of the UK. They could

:12:10.:12:15.

linger all day in some spots. Otherwise, we have an icy road

:12:16.:12:17.

warning in force across Scotland. Many places bright with winter

:12:18.:12:21.

sunshine tomorrow. Parts of northern England tomorrow a little bit

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cloudy. Out of seven Celsius in Belfast. In Wales tomorrow, a bright

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and sunny afternoon, lots of blue sky. Any freezing fog should have

:12:30.:12:36.

disappeared from many places. To Celsius to three Celsius, up to six

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Celsius on the Pembrokeshire coast. Another widespread frost tomorrow.

:12:43.:12:45.

Cloud increasing during the night, some spots of rain in the West.

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Temperatures staying above freezing. On Thursday, much cloudier, mist and

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fog patches, also some splashes of rain and less cold with a

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south-easterly breeze and that sets the scene for Friday. Much milder,

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into double figures, some rain, clearing to drier and brighter

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weather. Saturday looks dry at the moment with temperatures much higher

:13:09.:13:12.

than recently saw a change on the way turning milder later this week.

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The cold spell coming to an end. From all of us on the

:13:16.:13:21.

programme, goodnight.

:13:22.:13:28.

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