11/01/2017 Look East (West)


11/01/2017

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Up to five weeks wait to see a GP - demand surges in surgeries

:00:00.:00:00.

A court hears a woman may not have been dead when her body

:00:00.:00:11.

Brexit fears for Cambridge University as admissions

:00:12.:00:15.

Look East has learned patients in this region are facing long waits

:00:16.:00:30.

While it varies practice by practice, our snapshot survey

:00:31.:00:35.

found that for a non-urgent slot in Milton Keynes the average wait

:00:36.:00:39.

But in Northamptonshire patients will wait up to two weeks and it's

:00:40.:00:46.

In fact one practice there told us it can go up to five weeks.

:00:47.:00:52.

Waseem Mirza has been to see how some GP surgeries

:00:53.:00:55.

Trevor Whitby survived a heart attack.

:00:56.:01:00.

The 70-year-old grandfather now needs regular checkups

:01:01.:01:03.

Today, he's being seen at a duty clinic by nurse Kim Richardson at

:01:04.:01:09.

Are you happy to have your injection?

:01:10.:01:16.

Nurse Richardson is one of a bank of 20 nurses here.

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Four of them are paired to each doctor, helping to lighten

:01:20.:01:23.

Two years ago, we introduced nurse led clinics.

:01:24.:01:28.

What that allowed us to do was to employ teams of four

:01:29.:01:31.

That allowed us to increase the number of appointments

:01:32.:01:37.

which were available by using not only the GP's skills but also

:01:38.:01:41.

the skills that are often overlooked within the nursing team.

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On average, Look East has been told patients in Cambridge

:01:46.:01:48.

and Peterborough face a wait to see their own GP of up

:01:49.:01:51.

In one case, a surgery claimed its patients were facing

:01:52.:01:59.

Much has been said of the winter challenge facing the NHS,

:02:00.:02:02.

some calling it the worst winter ever faced by the health service.

:02:03.:02:05.

And it's our A departments like here at Hinchingbrooke Hospital

:02:06.:02:07.

that have been dealing with a higher than usual number of

:02:08.:02:10.

But they're not alone in facing up to the winter challenge.

:02:11.:02:13.

Faced with a tightening budget, fewer resources and more patients

:02:14.:02:16.

through their doors, it's the front line of GP surgeries

:02:17.:02:20.

The group that's responsible for making decisions on local health

:02:21.:02:26.

care say GPs are under more strain in a challenging financial climate.

:02:27.:02:31.

At the moment we have a real shortage of GPs, the demand has

:02:32.:02:36.

massively increased so we are doing another 70 million consultations

:02:37.:02:39.

over the last five years and actually we haven't seen a rise

:02:40.:02:43.

Sometimes it can take more than a week in order to speak

:02:44.:02:48.

to someone on the phone, so that's frustrating.

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They had said go to your doctor within a couple of days and check

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out this, that and the next thing, and it is worrying if

:02:57.:02:59.

They put us on a waiting list and they said maybe a week or two

:03:00.:03:06.

or maybe three or four or six weeks, but they gave us no

:03:07.:03:09.

North Bank practice says it is pioneering a new way

:03:10.:03:16.

of working, putting nurses at the front line.

:03:17.:03:18.

It's just one way in which the very idea of a GP surgery is having

:03:19.:03:21.

to change in order to survive under growing pressure.

:03:22.:03:24.

Waseem Mirza, BBC Look East, Wisbech.

:03:25.:03:29.

Well, the Department for Health has a target to recruit

:03:30.:03:31.

5,000 more GPs by 2020 - and put more money into

:03:32.:03:34.

Earlier, I asked Dr Jonathan Ireland from Northamptonshire's Local

:03:35.:03:37.

Medical Committee if GPs are willing to work outside of core hours.

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Again, it is about resources and capacity in the system.

:03:44.:03:47.

You have to ask real questions about how much work

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Most GPs do do what are called extended hours in the evenings

:03:50.:03:57.

or at weekends, which is funded additionally because of course GPs

:03:58.:04:00.

are responsible for the whole funding of their practice,

:04:01.:04:04.

including their staffing at their premises and all

:04:05.:04:07.

The Department for health has promised 5000 more GPs by 2020.

:04:08.:04:12.

That will help, won't it, or is it achievable in three years?

:04:13.:04:17.

I think many people think it's not achievable that to train

:04:18.:04:20.

that many GPs and then, well, train that many doctors

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and then attract them into general practice is a big ask.

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More importantly in my view will be to make sure that the promises that

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have been given in the GP review of better funding for the actual

:04:32.:04:38.

budgets for practices as well as the premises,

:04:39.:04:41.

more sustainable workload and also there are efficiency ways of working

:04:42.:04:45.

All those things need to be carried out to make the job more attractive

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so that people actually want to go into general practice.

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What would make GPs' lives easier, just in the next few months?

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I think what we need to see is a more sustainable workload,

:04:58.:05:02.

so to some extent it is about making the plans that are in place

:05:03.:05:06.

reasonable without knocking general practice over at the very moment

:05:07.:05:10.

when general practice is meant to pick up the pieces and help

:05:11.:05:13.

Next tonight, the jury at the Helen Bailey murder trial has

:05:14.:05:18.

heard that she may still have been alive when she was

:05:19.:05:21.

Her body was found in the tank beneath her Hertfordshire home three

:05:22.:05:25.

months after she was reported missing by her partner Ian Stewart.

:05:26.:05:28.

Forensic pathologist Doctor Nathaniel Cary,

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the first witness to be called in this case.

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He performed the postmortem on Helen Bailey's body

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when it was discovered in a cesspit at her home in Royston three months

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He told the court he couldn't be sure how she died.

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He said she was found fully clothed but barefoot,

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We heard the cold water had slowed decomposition

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and that there was no evidence of any injuries

:06:00.:06:02.

But we heard in this case a sleeping drug called Zopiclone was found

:06:03.:06:15.

It had been prescribed to the accused, Ian Stewart, in January.

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Doctor Cary said that although he couldn't rule out

:06:21.:06:24.

the possibility Helen Bailey was alive when she entered

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the water, the drug may have made it easier to kill her

:06:27.:06:29.

Doctor Cary said the drug had been going into Helen Bailey's system

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The court also heard levels of Zopiclone found in her hair

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suggested she ingested the drug on multiple occasions.

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The prosecution allege Ian Stewart had plotted to sedate

:06:56.:06:59.

and kill his fiancee in order to inherit much of her

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Ian Stewart denies murder, perverting the course of justice,

:07:03.:07:08.

fraud and preventing a lawful burial.

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We also heard today that postmortem tests on Helen Bailey's

:07:12.:07:14.

dog proved inconclusive in finding a cause of death.

:07:15.:07:20.

Tomorrow we expect to hear from Helen Bailey's brother.

:07:21.:07:23.

This case is expected to last around seven weeks.

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Kate Bradbrook, BBC Look East, at St Albans Crown Court.

:07:26.:07:31.

More than 200 people met in Cambridge tonight to discuss

:07:32.:07:34.

Many Europeans living in the city say they're worried

:07:35.:07:38.

about losing their right to live and work in the UK.

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Earlier in the day, it was revealed there's been a 14% drop

:07:41.:07:43.

in the number of European undergraduates applying to study

:07:44.:07:46.

Seven months on and there's still an air of uncertainty in Cambridge.

:07:47.:07:55.

The vote to Leave the EU took many by surprise

:07:56.:07:58.

and at a packed meeting tonight, EU nationals living in the largely

:07:59.:08:02.

pro-Remain city made their feelings known.

:08:03.:08:05.

Organised by the grassroots campaign Cambridge Stays,

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it was clear the government's reluctance to publish

:08:09.:08:10.

a Brexit plan had left many with unanswered questions.

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I would say I am concerned and confused as to what the situation

:08:15.:08:18.

is going to be formally as a German citizen living in the UK and I have

:08:19.:08:22.

come here really to get more clarity about what my options are.

:08:23.:08:26.

I'm very worried indeed because I'm thinking,

:08:27.:08:28.

all this 40, 50 years, paying tax, national insurance

:08:29.:08:36.

and everything else, is this all of a sudden

:08:37.:08:37.

Am I going to be chucked out just because my face don't fit?

:08:38.:08:43.

I was born in 1991, so I grew up as a European and I grew up

:08:44.:08:49.

with the feeling that I could move anywhere in the UK and I will be

:08:50.:08:53.

fine and I would be welcomed, and so Brexit was quite a shock.

:08:54.:08:56.

There was concern also today at how Brexit is affecting our universities

:08:57.:08:59.

with MPs taking evidence at a public hearing in Oxford.

:09:00.:09:04.

We've seen at Cambridge a 14% reduction in the number

:09:05.:09:08.

of applications from the European Union.

:09:09.:09:12.

From what the University can tell, many EU students are thinking twice

:09:13.:09:15.

Students are worried about the uncertainty of funding,

:09:16.:09:20.

students are worried about anti-immigrant sentiment

:09:21.:09:23.

and they are also worried about loss of possible collaboration with EU

:09:24.:09:26.

Reassurance will come from the Prime Minister and what she'll

:09:27.:09:32.

But that may take months, if not years.

:09:33.:09:35.

Mousumi Bakshi, BBC Look East, Cambridge.

:09:36.:09:40.

Controversial plans to build a new canal in Daventry have

:09:41.:09:42.

It'll be a one and half mile extension from the Grand Union Canal

:09:43.:09:46.

Daventry District Council says the scheme will include

:09:47.:09:49.

new waterfront bars and caf s which will encourage tourism

:09:50.:09:52.

That's all from me - but with snow on the way let's get

:09:53.:10:00.

We've got some very cold, potentially wintry weather

:10:01.:10:04.

heading our way over the next few hours and at much colder

:10:05.:10:07.

Under clear skies, temperatures dropping to low single figures,

:10:08.:10:10.

so the risk of a touch of frost in sheltered spots, despite the fact

:10:11.:10:14.

And tomorrow's weather's going to be shaped by this weather system coming

:10:15.:10:19.

There is a yellow warning out for this part of the country

:10:20.:10:23.

But we start the day on a dry and potentially bright note.

:10:24.:10:28.

It will quickly start to turn cloudy with a spell of rain

:10:29.:10:31.

This could be heavy in places and as that milder air hits the cold

:10:32.:10:36.

air, the potential is there for some of this to turn to sleet or snow.

:10:37.:10:40.

It is likely to be quite slushy because it will be falling on wet

:10:41.:10:43.

ground but the possibility is still there of some

:10:44.:10:46.

accumulation and a cold day with a northerly wind,

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The national weather's coming up, here's the outlook.

:10:50.:10:53.

A bitterly cold day for Friday with some strong northerly winds.

:10:54.:11:01.

start to the weekend. Time for the national weather prospects if you

:11:02.:11:04.

are on the move. Good evening, a lot going on with

:11:05.:11:13.

the weather in the next few days, numerous weather warnings in for so

:11:14.:11:16.

buried in mind if you have travel plans. Lots of isobars on the chart

:11:17.:11:20.

overnight which means it will be windy for all. The strongest winds

:11:21.:11:23.

in Scotland, lots of wintry showers with snow getting down to

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increasingly low levels and some wintry showers in Northern Ireland

:11:27.:11:31.

and northern England. A cold night for Northern England, particularly

:11:32.:11:33.

in more rural spots, frosty and I see for some and some of the snow

:11:34.:11:39.

really blowing around over higher ground in Scotland. Strong wind and

:11:40.:11:41.

further snow to take us into tomorrow. It may well make for some

:11:42.:11:45.

tricky travelling conditions. The forecast for tomorrow in

:11:46.:11:46.

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