:00:09. > :00:13.Tonight at Ten: Major failings lead to 11 hospital trusts in England
:00:13. > :00:16.being placed in special measures. A review mentions weak leadership,
:00:16. > :00:26.poor care and overstretched staff, as relatives say their concerns
:00:26. > :00:26.
:00:26. > :00:32.were ignored. He started to deteriorate medically because he
:00:32. > :00:35.was not getting basic care - lack of care - no care. Special teams
:00:35. > :00:38.will be sent in to improve standards, as government and
:00:38. > :00:44.opposition blame each other for what has gone wrong. If founding
:00:44. > :00:48.the NHS is considered the proudest achievement for Labour, today is
:00:48. > :00:52.their darkest moment. You should not play politics with people's
:00:52. > :00:57.lives and you should not play politics on the NHS on which all
:00:57. > :01:00.people depend. We will be asking if this review is changing the terms
:01:00. > :01:03.of the political debate on the NHS. Also tonight... The use of dead
:01:03. > :01:05.children's names by undercover police at Scotland Yard was
:01:05. > :01:08.authorised at the highest level. The missile parts discovered on a
:01:08. > :01:17.North Korean ship about to enter the Panama Canal. A special report
:01:17. > :01:23.on the American boom in shale gas and potential lessons for the UK.
:01:23. > :01:27.Here in the heat of Texas, there is a shale gas gold rush. They have so
:01:27. > :01:33.much they or even going to sell it to Britain. And, can Britain's
:01:33. > :01:39.Chris Froome hold on to the yellow jersey in the Tour de France? In
:01:39. > :01:49.the sport, Wayne Rooney is angry and confused about his position at
:01:49. > :02:01.
:02:01. > :02:05.Good evening. 11 hospital trusts in England have been placed in special
:02:05. > :02:08.measures because of major failings. A review led by NHS England's
:02:08. > :02:12.medical director, Sir Bruce Keogh, cites examples of staffing problems,
:02:12. > :02:22.poor care and weak leadership. The findings provoked bitter exchanges
:02:22. > :02:26.
:02:26. > :02:31.Some of the 14 hospital trusts in England under the spotlight due to
:02:31. > :02:36.their abnormally high death rates. 11 have been put into special
:02:36. > :02:41.measures for fundamental breaches of care. It follows inspections by
:02:42. > :02:47.the NHS medical director, Sir Bruce Keogh. One of those under scrutiny
:02:47. > :02:51.is the trust that runs Basildon Hospital, where 90-year-old Fred
:02:51. > :02:57.Harris, a war veteran, died. His granddaughter's told me after being
:02:57. > :03:04.admitted he was moved to nine wards in just 12 days. It was as if he
:03:04. > :03:08.gave up. Grandad was a fighter. To go through the war, going to
:03:08. > :03:13.hospital, it was the saddest thing and heartbreaking to watch. He said
:03:13. > :03:16.he went from a man to boy. Inspectors found Basildon Trust had
:03:16. > :03:20.seven serious preventable incidents in three years and that
:03:20. > :03:24.improvements were needed in staffing levels and infection
:03:24. > :03:30.control. We are looking at every single patient who dies in hospital
:03:30. > :03:36.to make sure that, if there are lessons to be learned, we learn
:03:36. > :03:41.them. And what does learning points are. Today's review highlights a
:03:41. > :03:46.number of concerns. At Burton Hospitals NHS Foundation Trust,
:03:46. > :03:50.staff were put on rotas requiring them to work 12 days in a row. East
:03:50. > :03:55.Lancashire NHS Trust had a high level of stillborn babies in March
:03:55. > :04:05.this year. 10 side Hospital NHS Foundation Trust was criticised for
:04:05. > :04:06.
:04:06. > :04:10.the poor management did -- deteriorating patience. Stafford
:04:11. > :04:16.hospital sparked the review. This has been seen as a watershed moment
:04:16. > :04:21.for the NHS which must never be repeated. Patients have been making
:04:21. > :04:25.serious complaints about hospitals like this for more than 10 years.
:04:25. > :04:29.Questions are being asked as to why it has taken so long for the NHS to
:04:30. > :04:36.take it seriously. The Health Secretary accused Labour of turning
:04:36. > :04:41.a blind eye to the problems in the NHS when they were in power.
:04:41. > :04:46.sounding the NHS is considered Labour's proudest achievement,
:04:46. > :04:51.today is their darkest moment, as a Labour government is exposed for
:04:51. > :04:56.caring more about its own reputation than our most vulnerable
:04:56. > :05:00.citizens in the NHS. Labour insisted the report highlighted the
:05:00. > :05:04.coalition's own failings. I hope the Government itself will learn a
:05:04. > :05:09.painful lesson from this. You should not play politics with
:05:09. > :05:15.people's lives. You should not play politics with the NHS, on which all
:05:16. > :05:20.people depend. Teams of experts are now being sent into the 11 trusts
:05:20. > :05:25.in trouble and chief executives warned that heads could roll. The
:05:25. > :05:29.NHS medical director said he hoped today would be a turning point for
:05:29. > :05:32.hospitals and their patients. As well as sending in teams of experts
:05:32. > :05:36.to the hospitals in special measures, Professor Sir Bruce Keogh
:05:36. > :05:39.has set targets to improve patient care. But some are already
:05:39. > :05:49.questioning how realistic that is, at a time when the NHS is trying to
:05:49. > :05:53.
:05:53. > :05:58.How to replace mediocrity with excellence? That is the challenge
:05:58. > :06:03.set by the Keogh report and the 14 hospital teams come seen him in
:06:03. > :06:09.action, sent into the failing trusts. One recurrent problem,
:06:09. > :06:14.inadequate numbers of doctors and especially nurses on many wards.
:06:14. > :06:19.Staff in these organisations can be difficult. Many are geographically
:06:19. > :06:24.isolated, they may be a multiple sites. Some are small hospitals
:06:24. > :06:29.which have problems recruiting. Staffing is an issue. We have taken
:06:29. > :06:34.immediate reaction when we have seen problems with staffing.
:06:34. > :06:39.report sets out achievable ambitions for improvement. These
:06:39. > :06:44.include attempting to reduce avoidable deaths. All trusts must
:06:44. > :06:49.use an early warning system if rates rise. Managers must use the
:06:49. > :06:55.wealth of data on outcomes to improve quality. There should be
:06:55. > :06:59.real-time patient feedback with complaints welcomed. Nine out of 10
:06:59. > :07:04.hospital deaths happen after emergency admissions. Like all the
:07:04. > :07:10.14 trusts reviewed, East Lancashire had higher than expected mortality
:07:10. > :07:15.in urgent care. This new resuscitation unit at the Royal
:07:15. > :07:21.Blackburn hospital opens to patients next week. It is part of
:07:21. > :07:25.the trusts solution to the serious failings uncovered. The NHS is
:07:25. > :07:30.facing a difficult future. It needs to make huge efficiency savings.
:07:30. > :07:35.Some doubt whether that is possible whilst also improving standards.
:07:35. > :07:42.cannot put my hand on my heart and say the NHS will balance its budget
:07:42. > :07:46.and provide the best possible standards of NHS care. We need to
:07:46. > :07:52.find �30 billion of efficiency savings and improved quality. That
:07:52. > :07:57.has never been done before. Death rates in NHS hospitals have fallen
:07:57. > :08:02.by nearly a third in the past decade. That improvement includes
:08:02. > :08:06.the trust put under review. The challenge is to eliminate pockets
:08:06. > :08:16.of inadequate care, which threatened to undermine the
:08:16. > :08:20.excellence bound insomuch of the NHS. -- found in so much of the NHS.
:08:20. > :08:23.Our deputy political editor, James Landale, is at Westminster. Is
:08:23. > :08:31.there a sense this review is changing the terms of political
:08:31. > :08:35.debate? In the past, no one could criticise the NHS. Events in
:08:36. > :08:43.Stafford Hospital and today's report have changed that. Criticism
:08:43. > :08:48.is possible. The Conservatives can stop talking about reforming the
:08:48. > :08:53.NHS but can place themselves on the side of patience. It allows them to
:08:53. > :08:57.accuse Labour of covering up the problems when they were in office.
:08:57. > :09:03.For years, Labour has been treated by the British people as the party
:09:03. > :09:09.that can be trusted to look after the NHS. That reputation is under
:09:09. > :09:13.attack. That is why today's exchanges were so venomous and so
:09:13. > :09:23.partisan. They are accused of smearing Andy Burnham and
:09:23. > :09:23.
:09:23. > :09:28.exaggerating the numbers of people who have died at a hospital. --
:09:28. > :09:36.hospitals. He too said that Labour has got are wedded to match and
:09:36. > :09:40.Andy Burnham should resign. -- it is said that Labour has got away
:09:40. > :09:46.with too much. The general election may be just under two years away
:09:46. > :09:50.but campaigning is well under way. And a reminder that we have a
:09:50. > :09:56.question and answer page on the inquiry into hospital death rates.
:09:56. > :09:59.Just go to the website. The link is there. The use of dead children's
:09:59. > :10:04.names by undercover police at Scotland Yard was authorised at the
:10:04. > :10:07.highest level, according to an official inquiry. It concludes that
:10:07. > :10:11.the identities of 42 children were taken and that families deserved an
:10:11. > :10:21.apology. But the children's names have not been published because of
:10:21. > :10:23.
:10:23. > :10:28.a potential risk to the officers Scotland Yard has acknowledged that
:10:28. > :10:32.a tactic it used for nearly 30 years has shocked and offended
:10:32. > :10:37.people. Undercover officers used the identities of dead children. A
:10:38. > :10:42.report says they did not break the law. It was used extensively over
:10:42. > :10:48.several decades. The tactic was seen right at the time and has
:10:48. > :10:52.authorised. The people who used the tactic did it as part of their
:10:52. > :10:54.training. Back in the days when his building used to house the
:10:55. > :11:00.registers of births and deaths, undercover police officers used to
:11:00. > :11:08.come here before their deployments began. They would look for a child
:11:08. > :11:14.that was borne about the same time as them and use that identity to
:11:14. > :11:18.create a legend - a false identity that stood up to scrutiny.
:11:18. > :11:25.Fortitude children had identities used. It is highly likely there
:11:25. > :11:29.were more. -- 42 children. It was sanctioned at the highest level.
:11:29. > :11:33.The Metropolitan Police has apologised for any offence caused
:11:33. > :11:39.but not for the tactic itself. apologise for the shock and defence
:11:39. > :11:43.that has been caused by this particular tactic. It has caused
:11:43. > :11:47.concern to the public and, for that, we apologise. The Met were not
:11:47. > :11:51.confirm the names of the children because it could be risky for
:11:51. > :11:56.operatives. A former officer has already admitted using the identity
:11:56. > :11:59.of this boy, who died at seven. The child's parents died before finding
:11:59. > :12:07.out. The solicitor of another mother said families of dead
:12:07. > :12:10.children could have been put at risk of mistaken recreation.
:12:10. > :12:15.officers had their own real identities that would protect them
:12:15. > :12:19.from being discovered. The families who appear on the birth certificate
:12:19. > :12:24.would have no protection. We have seen in one case a political
:12:24. > :12:29.activist turning up at a house of the family of the dead child, whose
:12:29. > :12:32.identity was used. More investigation is to follow after a
:12:33. > :12:40.series of claims that police officers fathered children and
:12:40. > :12:47.tried to smear innocent people as part of their undercover work. A
:12:47. > :12:52.North Korean ship has been seized by you authorities in Panama. It
:12:52. > :13:00.was stopped at the entrance to the Panama Canal as it was suspected it
:13:00. > :13:05.was carrying tracks. It was seen as an attempt by North Korea to break
:13:05. > :13:09.resolutions on arms trafficking. It has the ingredients of a thriller.
:13:09. > :13:15.A North Korean freighter is seized with what appears to be a plan
:13:15. > :13:20.Destine cargo of banned missile parts. The ship is still being
:13:20. > :13:25.searched after reportedly arriving from Cuba last week, hidden between
:13:25. > :13:32.thousands of sacks of cane sugar. Officials say they have found this
:13:33. > :13:39.- suspected components to missiles strictly banned by UN sanctions.
:13:39. > :13:44.The President came aboard for a personal inspection.
:13:44. > :13:49.TRANSLATION: This is extremely sophisticated. These are aerial
:13:49. > :13:55.defence missiles. We do not know what is inside the other containers.
:13:55. > :14:01.Panama is a peaceful country, not one of war. Here is a breakdown of
:14:01. > :14:06.the route taken by that North Korean ship. On 17th April, it left
:14:06. > :14:11.the Russian port and crossed the Pacific Ocean. Analysts say the
:14:11. > :14:18.ship's transponder was switched off, arousing suspicions. On 1st June,
:14:18. > :14:23.it passed through the Panama Canal, stated destination Havana. Then it
:14:23. > :14:28.disappeared. On July 11th, it arrived back in Panama and was
:14:28. > :14:37.ordered back to port. A day later, the ship was searched. Noss career
:14:37. > :14:41.has fruit -- North Korea has few friends internationally. There is a
:14:41. > :14:46.long-standing diplomatic and military co-operation. The chief of
:14:46. > :14:51.staff of the North Korean Army visited Havana earlier this month.
:14:51. > :14:57.This seizure - this shipment - might be seen within the wider
:14:57. > :15:03.context of renewed military co- operation. Panama says the North
:15:03. > :15:06.Korean crew of 35 put up a fight and broke the cranes to make it
:15:07. > :15:16.harder to unload. It will take days to find the answers they are
:15:17. > :15:22.
:15:22. > :15:27.The American boom in energy supplies is not just limited to oil. The
:15:27. > :15:31.latest boom is underway extracting gas from shale rock, deep
:15:31. > :15:39.underground, from a process known as fracking. The trade has boosted
:15:39. > :15:45.sales of US gas by 600% over 12 years. The US. Selling gas to
:15:45. > :15:49.Britain by 2015. David Shukman has sent this report from Texas.
:15:49. > :15:58.A glimpse of the underworld, a 3-D view revealing the geology beneath
:15:58. > :16:03.our feet. This is the latest way to discover shale, a type of rock
:16:03. > :16:08.holding so much gas it is transforming the future of fuel.
:16:08. > :16:14.has changed the face of the energy picture in the US. In 2007 we were
:16:14. > :16:23.looking at import in gas to the US. In 2015 we are looking at exporting
:16:23. > :16:29.gas. Southern Texas is one shale gas frontier. America now produces more
:16:29. > :16:32.gas than Russia, and the key is fracking, breaking up the shale.
:16:32. > :16:38.Fracking has been around for years but new techniques keep making it
:16:38. > :16:43.easier all the time to get hold of the gas which lies deep underground.
:16:43. > :16:46.The first stage is to drill straight down, maybe for a mile or more. Then
:16:46. > :16:52.to turn the drill horizontally and run it right through the layer of
:16:52. > :16:56.shale rock. The aim, to get at tiny fissures of rock. Some are less than
:16:56. > :17:03.a millimetre across. Inside them are molecules of gas trapped down
:17:03. > :17:12.inside. What is called slip of water and chemicals are pumped in at high
:17:12. > :17:15.pressure. This is to widen those fissures. Tiny grains, a bit like
:17:15. > :17:18.sand are added to the mix and they are designed to hold the cracks
:17:18. > :17:26.open. What this does is release the gas. It is then flushed along
:17:26. > :17:29.through the drill pipe and then back up to the surface. New research is
:17:29. > :17:38.enhancing how this process happens all the time. What this means is
:17:38. > :17:42.there is a shale gas boom underway. A mass of machinery. One risk of
:17:42. > :17:50.fracking is Tremor is, but they are very rare. Another risk is polluting
:17:50. > :17:58.the water. If the work is not done carefully. In open country there are
:17:58. > :18:06.few objections but it is controversial close to homes. This
:18:06. > :18:11.man had fracking right on his doorstep, just beside his house in
:18:11. > :18:15.California. The company involved would not comment. The fracking was
:18:15. > :18:19.for oil and not gas but the process was the same. It was a major
:18:19. > :18:26.inconvenience because of the activity around the lock, the
:18:26. > :18:30.smells, the dust on the road from the amount of trucks, the noise.
:18:30. > :18:35.fracking is worth billions. This terminal in Louisiana, built to
:18:35. > :18:40.import gas is now being converted to export it. American shale gas will
:18:40. > :18:47.be sent from here to Britain, Spain and other countries, potentially
:18:47. > :18:52.huge business. So fracking operations are speeding up, with
:18:52. > :18:56.more than a million in America so far. There is a lot of opposition.
:18:56. > :19:03.One state has banned it but with huge demand for the fuel, a gold
:19:03. > :19:07.rush is on. A review led by the Liberal
:19:07. > :19:14.Democrats exploring alternatives to Britain's Trident nuclear deterrent
:19:14. > :19:16.has highlighted divisions within the coalition government. The report
:19:16. > :19:18.proposes cutting the number of missile carrying submarines which
:19:18. > :19:22.the Lib Dems insist will not want demise national-security but the
:19:22. > :19:29.defence secretary Philip Hammond says the decision is either naive or
:19:29. > :19:32.reckless. For more than 40 years, the UK's
:19:32. > :19:38.nuclear armed submarines have stormed the seas, with at least one
:19:38. > :19:43.on patrol at any given time. That is seen by supporters as the ultimate
:19:43. > :19:49.guarantee of the UK's security. Its ability to launch long range
:19:49. > :19:53.missiles at a moment notice, deterring a potential attack. But
:19:53. > :19:58.the Trident system will reach the end of its current life at the end
:19:58. > :20:04.of the decade, renewing it could cost �20 billion. The Liberal
:20:04. > :20:08.Democrats insisted on a review as to whether there was a cheaper option.
:20:08. > :20:13.We can adapt our deterrent in the 21st century by ending 24-hour
:20:13. > :20:17.patrols when we do not need them and buying fewer submarines. That way we
:20:17. > :20:24.can take a big step down the ladder of disarmament and keep our country
:20:24. > :20:28.safe. At the moment, the UK has four Vanguard submarines armed with
:20:28. > :20:32.nuclear weapons. But the review says it could end 24-hour patrols and go
:20:32. > :20:37.down to three submarines, although it has ruled out other ideas such as
:20:37. > :20:42.using cruise missiles and, aircraft. All this has highlighted the
:20:42. > :20:47.coalition's differences. If you reduce from four boats to three
:20:47. > :20:52.boats, that is not at all the same level of deterrence. It would not be
:20:52. > :20:58.credible as a deterrent on the same scale. For a small saving in money,
:20:58. > :21:01.it is making a big reduction in Britain's nationals at it if.
:21:01. > :21:05.decision on replacing the Vanguard submarines does not have to be made
:21:05. > :21:11.until after the next election, allowing plenty more time for debate
:21:11. > :21:14.over what having the deterrent means for the UK and its allies abroad.
:21:14. > :21:20.Whether we like it or not, people still admire and respect brute
:21:20. > :21:22.force. We have not gone beyond that. The possession of nuclear
:21:22. > :21:28.weapons and an effective deterrent are extremely important to
:21:28. > :21:32.Britain's face in the world. Without a like-for-like replacement for
:21:32. > :21:37.Trident, some fear the UK's permanent seat on the UN Security
:21:37. > :21:41.Council could be at risk. But antinuclear campaigners, CMD, say
:21:41. > :21:45.the government's review should have looked at not replacing Trident at
:21:45. > :21:49.all. The BBC has revealed that the cost
:21:49. > :21:54.of investigating the Jimmy Savile scandal and other related issues has
:21:54. > :21:57.reached more than �5 million. The figure was published as part of the
:21:57. > :22:04.corporation's accounts and annual report, which also includes details
:22:04. > :22:07.of some of the BBC's most successful programme exports. We can talk to
:22:07. > :22:13.David Sillitoe outside New Broadcasting House. The BBC says
:22:13. > :22:17.there are extreme highs and extreme lows in this. Desperate lows was the
:22:17. > :22:26.phrase used and the most desperate was the saddle scandal. That is what
:22:26. > :22:31.lies behind these three enquiries -- the Jimmy Savile scandal. They look
:22:31. > :22:36.at what happened in the 60s and 70s, contemporary BBC culture and why did
:22:36. > :22:41.Newsnight not report on the Jimmy Savile scandal? Lord Patten, the BBC
:22:41. > :22:48.chairman said, yes, it is expensive but levels of BBC Trust are
:22:48. > :22:52.beginning to recover. It was not all bad news. For instance, we found out
:22:52. > :22:57.the programme Top Gear is now the most successful programme and the
:22:57. > :23:01.BBC commercial arm will be making even more out of it. That deal has
:23:01. > :23:05.shareholders and they paid those shareholders, one of them, the top
:23:05. > :23:14.gear presenter Jeremy Clarkson stands to make around �30 million.
:23:14. > :23:17.Thank you. The Prime Minister of Italy has arrived in London for
:23:17. > :23:23.talks with David Cameron and says the United Kingdom poses a big risk
:23:23. > :23:30.to the European Union. Enrico Letta was talking about David Cameron's
:23:30. > :23:33.proposed referendum on the EU. This is the Italian prime
:23:33. > :23:40.Minister's office in Rome. The 46-year-old prime minister is Enrico
:23:40. > :23:46.Letta. As he arrives for his first official visit to Britain, he warns
:23:46. > :23:52.the UK poses a risk to the future of the European Union. The big risk is
:23:52. > :23:59.the exit of the United Kingdom. In my view it would be a disaster for
:23:59. > :24:06.Europe. It would be a very negative step for the UK and for our common
:24:06. > :24:11.future. Do you think Britain can win back significant powers? Do you
:24:11. > :24:17.think that is a realisable goal? think it can be possible and it can
:24:17. > :24:22.be useful for us as well. At home, Italy is in its worst recession for
:24:22. > :24:26.20 years. Take this carpentry business, a victim of the
:24:26. > :24:33.construction industry in deep crisis. Half the staff here have
:24:33. > :24:37.been laid off and youth unemployment nationally is at 40%. TRANSLATION:
:24:37. > :24:46.There is no future. We are living day to day, hand to mouth, fighting
:24:46. > :24:52.with the banks every day. Is there a risk here of losing an entire
:24:52. > :24:58.generation which might conclude that Europe cannot deliver? I think it is
:24:58. > :25:01.the main risk and my view is really the nightmare of my job. In the
:25:01. > :25:07.midst of this crisis, there are questions about the stability of the
:25:07. > :25:13.government. Enrico Letta is in coalition with the party of Silvio
:25:13. > :25:15.Berlusconi and some of his allies are warning that if the country's
:25:15. > :25:21.highest court rejects his appeal against a corruption charge, it
:25:21. > :25:25.could ring down the coalition. course, it is their choice, they can
:25:25. > :25:33.decide what to do. But I am completely convinced that there is a
:25:33. > :25:39.big separation between what the government can do and what the
:25:39. > :25:44.destiny of Mr Berlusconi will be. For all of that, Enrico Letta
:25:44. > :25:49.insists his coalition is strong but Italy is still seen as a risk to the
:25:49. > :25:55.euro zone. As for the British government, it will want to explore
:25:56. > :25:58.what the Italian leader means when he proposes a more flexible Europe.
:25:58. > :26:03.Britain's Chris Froome has reinforced his position as leader in
:26:03. > :26:08.the Tour de France with five stages to go. He is ahead of his nearest
:26:08. > :26:11.rival by over four minutes. Froome is not just contending with the
:26:11. > :26:17.challenge of the race, he is also having to deal with persistent
:26:17. > :26:22.questions about doping. Last year, he was the servant, now
:26:22. > :26:28.he is the master. In the absence of Sir Bradley Wiggins, Chris Froome
:26:28. > :26:31.has assumed the lead in his team and the Tour de France. With success,
:26:31. > :26:37.comes the inevitable cynicism. He has two answer speculation that he
:26:37. > :26:43.is doping. I can understand why people are asking, given the history
:26:43. > :26:46.of the sport and they have been let down similar times before. But I
:26:46. > :26:52.have also been let down. I have believed in people who have turned
:26:52. > :26:58.out to be cheats and liars but I can assure you I am not. Froome began
:26:58. > :27:02.Tuesday's stage with a lead of four minutes. He has the lead's yellow
:27:02. > :27:11.jersey. He has team-mates in black to take the headwind and watch out
:27:11. > :27:17.for opponents. Accidents can happen and one did, very nearly. There was
:27:17. > :27:25.little margin for error. One of his big rivals, Alberto Contador, was in
:27:25. > :27:30.a rush. Trying to avoid that fall almost cost Froome. He was off the
:27:30. > :27:34.road and briefly off his bike. He resumed unscathed and accused his
:27:34. > :27:40.rider of being careless. It was a timely reminder that nothing is
:27:40. > :27:45.straightforward. One little accident and that can be the end of your
:27:45. > :27:50.tour. I'm trying to take the least this cover can but stay at the front
:27:50. > :27:55.of the race. He is still four minutes and 14 seconds ahead