21/10/2013 Inside Out East


21/10/2013

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Are 44`tonne trucks going to end up driving through a town near you? I

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take a drive in a truck through Cambridgeshire to see what could

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happen if the A14 becomes a toll road. It will be absolute chaos.

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They are not too bothered in Westminster with their chauffeur

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driven cars. It will be a nightmare. Can you turn one of the worst

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hospitals in the country into one of the best? We join doctors and nurses

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inside Basildon Hospital as they try. We have had some bad

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experiences in paediatrics and we recognise that and have learnt

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lessons. It felt bad, it felt difficult and challenging.

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And a year after Ash Dieback struck our trees, Julie Ranger discovers

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hope for our woodland. We expect a lot of these trees will die, but we

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will monitor them over the next five years to see which of them show the

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greatest tolerance to Ash Dieback. Revealing the stories that matter

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closer to home, this is Inside Out East.

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Tonight, Inside Out is in Felixstowe. The Port of Felixstowe

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handles 3.5 million containers every year. Many of these end up on the

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backs of lorries and then head off round the country along the A14.

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Last month, the government proposed making drivers pay to use the road.

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I have spent the day with a lorry driver who uses that route every day

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to find out what that could mean. Early morning, and haulage workers

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begin their shift. Their freight comes from here, Felixstowe in

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Suffolk ` The biggest container port in Britain. And from here they

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transport everything along the A14, from the beds we sleep in, to the

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clothes we wear. I am here to meet Billy Angus who is starting his

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first run, a job he has been doing for 20 years.

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Hauliers like Billy use the A14 in Cambridgeshire every day. I want to

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find out what tolling this road would really mean. What kinds of

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things do you haul? Everything ` curling tongs, printers. If you are

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lucky, even bits for racing cars, bits for Raleigh cars. Pretty much

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everything that comes into the port of Felixstowe goes on the back of

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your truck? Yes, everything that comes into the country that's

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heading to America, Portugal, Africa ` all in the back of the truck.

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Today it looks like we may have a good run. I shouldn't speak too soon

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but what a clear road today. Should be ok as it is past rush hour.

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No`one has any illusions that the A14 isn't problematic as it is

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heavily congested. The Government says the only way to afford much

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needed improvements is to make road users like Billy pay by making it a

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toll road. It is OK until you get out of Cambridge. But putting in a

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new road isn't going to solve it. Putting a toll road isn't going to

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solve it. What they want to do is come up with another idea. It takes

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us an hour and a half to the truck`stop at Alconbury, which is on

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the A14 A1 intersection in Cambridgeshire. This is the depot.

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All 20,000 acres or whatever it is. This is the drop of point for Debens

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containers? Yes. Everything is dropped off here. It will either be

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delivered by the day men or delivered by the night men.

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Depending on when a customer wants it. Alconbury is the central hub for

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haulage companies for the Midlands and beyond. Billy drops off his load

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and collects another. He can make up to three journeys here in one day.

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While Billy gets his other load, his boss tells me why he would consider

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re`locating away from Felixstowe. He has over 250 lorries and if each

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driver has to pay ?3 to use the toll, the costs will add up. What

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would a toll actually do your business? It could change the where

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we base ourselves even. We are looking at Felixstowe and Alconbury,

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that is a crucial area for us because we do have depots in both of

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those locations. We probably do between over 60 to 120 trunks a day

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to Alconbury. It may only be a ?3 or ?4 but when you magnify that up on

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the journey we do, it is a lot of money. The Government says the price

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of tolling would be more than offset by business benefits and reduced

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journey times. The plan also involves closing a section of the

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A14 by demolishing this viaduct at Huntingdon. Traffic will be

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redirected onto the new toll road. But there are concerns that the

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opposite will happen and nearby villages will end up seeing more

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lorries. Houghton village is near the one of the two alternative route

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designated by the Highways Agency ? the A1123. Alastair Price who lives

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on the main road at Houghton is worried. What kind of impact will

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the toll road have on this place? Well, if the hauliers move onto this

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road to avoid the toll we are going to have a hundred lorries an hour

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going through at night and 200+ going through in the day. That means

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this road is going to be completely congested. As a result, the houses

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on here will be blighted. He believes that traffic won't just

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stick to the A1123, but villages like Houghton will be end up being

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rat runs. More and more they will start going through smaller villages

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to avoid the traffic. Do you think this will happen they will divert

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off the A14 and then go through villages and clag up all this area

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round here? Yes. We had a major road incident on the A14 on Monday and

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all the roads were clogged up. They were just not moving. Not just the

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A1123. It was the B roads round the back all filling up with cars trying

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to avoid the traffic. That will happen every day if the toll road

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goes ahead. I joined Billy again and he has

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agreed to try out this alternative road. It is a route he doesn't use

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now and he is shocked at the suggestion it could be a viable

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alternative. The Highways Agency say this road will be one of the

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alternative roads that they've highlighted if the toll road

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happens. Is this going to be a good route as an alternative?" No, it is

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going to be a nightmare. We have come off the A14 and we have just

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gone round three roundabouts. One goes to the town centre. One goes to

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an industrial estate and one goes to Tesco. Imagine Tesco's, they are

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going to be crowded out. It's just going to be absolute chaos. Hey`ho.

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They are not too bothered at Westminster in their little

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chauffeur driven cars. It is just going to be a complete and utter

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nightmare. Do you think it is going to put pressure on the towns and

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villages on the area? Without doubt. For these people who say it will

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bring people into the town centre, it certainly will, at 44 tonnes a

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time. We really don't want these going through town centres. These

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should be kept out of town centres at all costs. Too dangerous? Without

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doubt. Unfortunately us and cyclists don't mix. The Road Haulage

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Association along with Deben Transport and others have objected

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to the plans. In our consultation we actually concerned about the tolling

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element. We don't want it tolled. However, we have supported road

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improvements on the route including junctions. It is very, very

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important that we see the road improved. It will be a disaster to

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go along with the toll as it will move traffic off the A14. As for

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Billy Angus he believes there are other ways to tackle congestion.

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There will always be trucks whether they like it or not on the road.

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They must start and listen to hauliers and spend some money. If

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they have money to spend, where would it be best spent? It would be

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better spent on adding an extra lane on little bits. There is no need to

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build a new road. They can add a manage system that they do in

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Birmingham or they do in London." The public consultation for the A14

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toll has just closed and the Department of Transport said it will

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carefully consider all responses. We requested an interview but the

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Department of Transport told us that as it is currently holding a

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consultation into the next steps for the A14, it would be inappropriate

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to comment at this time. You can let me know what you think. Send me a

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tweet. Or send me an e`mail. Coming up a year after ash dieback,

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we find out what is being done to save the trees.

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Basildon Hospital has been rated as one of the worst in the country,

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hardly a week goes by without a damning headline about the stakes,

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or mistreatment. The hospital is hoping to turn things around so,

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with what is happening at other than, could it help other

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hospitals. Alex tells the story. Crisis in

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A, someone has hit the panic alarm. A patient is abusive and

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resisting treatment. The police are on their way. So too is Diane

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Sarkar, director of nursing. Violent outburst of the last thing she

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needs. How things? Has he settled down in? The police have arrived.

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Yes, I have apologised to the other patients. There was a lady in Beit

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went in nine he was upset. Calm restored, it is a distraction from a

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bigger crisis, patient safety. For years, high death rates went

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unchallenged with the deaths of patients like Pamela left patients

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wanting answers. A report found unsafe practices, under staffing and

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problems with out of date drugs. This summer, the hospital was put in

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special measures. Today, they have allowed us in to see what has been

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done to turn things around. Have we got any beds? None at all. It is

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8:30am, it has been a hectic night in A but the matron is coping, no

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longer battling under staffing and thanks to a reorganisation, she is

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confident of clearing the back log. We are having a busy morning here.

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We have all of the cubicles are currently fall. The hospital has had

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extra funding that many improvements offer new management. We have an

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adult alerts coming in querying a stroke which will come straight into

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recess. We are expecting a two`year`old Peter trick with burns.

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`` paediatrics. We will take you straight through. The baby is rushed

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in. Cappuccino has been spilt on his face. It is only nine o'clock and

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with new patients arriving every few minutes, there are very few vets.

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The director of nursing has to find space. She is visiting a ward to see

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which beds can be freed up. Have your patients been assessed?

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E`screen technology replaces a haphazard system criticised by the

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regulators. What are the blockages for discharge? At a touch, staff can

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check on bed blockers clogging up the transfer of patients from A

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Meanwhile, by 11 there are nine ambulances outside A Beds, how

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are we doing? Literally one in, one out. Any other patients who are

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worried about? It is still a very busy department. We have 45 patients

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in the Department, we have all the patients have been seen by the

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doctor within the hour. This is another change. Hanley patients this

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morning? Three so far. Now, there's a GP on duty to greet arrivals.

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Those with minor ailments of redirected back to their doctors

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surgery. Diane has four miles of hospital corridors to patrol. Today,

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1000 patients will be treated. The cramped paediatrics at the biggest

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problems with a history of avoidable child deaths. It's another

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department undergoing transformation. Good afternoon! How

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things? We have had some bad experiences, we recognise that and

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have learnt lessons. Of course it help bad and difficult and

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challenging particularly for the patients and staff at that time.

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Nurse Claire Marie Battersby is part of the solution. What is that? She

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is the first of 200 extra permanent nurses to hold temporary fillings.

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As spent ?3 million in two years on agency nurses to staffing gaps. It

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will ensure we have good continuity of patient care. It will ensure that

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the nursing staff have enough staff to do the job they are employed to

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do. It makes them feel valued. It will improve the motivation of staff

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and improve the organisation. It's mid`morning and in paediatrics today

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there's one nurse for every three patients. That is a massive change.

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In the past, some child deaths were blamed on poor staffing levels.

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Despite its reputation, the hospital had no trouble filling vacancies. My

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opinion was because of the heat on the hospital, standards are at the

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highest and moving forward it will be a really good start with the

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hospital. Patients are noticing the difference. I am Kyomie. I am 14

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years old and I am always in hospital. I have cystic fibrosis.

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They look after me like I am their daughter. Even her friends warned

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about Basildon's reputation. They said I should go to Great Ormond

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Street but Basildon give me more service here. More people are more

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chatty, the nurses are not stingy. What you say? It is a nice place to

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be. And suitable surroundings cannot be fixed in a hurry. A new

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paediatrics ward is planned that it will take time. So, clever hospitals

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learn from Basildon? We have found across the East more than ?30

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million a year is being spent on agency nurses. Other hospitals are

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coming under government pressure to cut the bill and employ permanent

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staff. Hello, good afternoon. I am Diane Sarkar. Nice to meet you. How

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are things? OK. The level of care has been very good. It is after

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lunch and Diane is back on her rounds. Lorry driver Thomas Mann had

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an asthma attack at the wheel. It could be another week. I am in the

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right hands. Happy patients mean happy staff. There are 4000 working

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at the trust. A row was hit hard by the legacy of needless death, legal

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cases and critical inquests. Staff are feeling happier and engaged and

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more communicated to. Happy staff means happy patients and the

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feedback is becoming more positive. Before the days out, 65 ambulances

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have arrived with over 350 patients treated in A However, this

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hospital is still in trouble. It is under special measures from the

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government and waiting for the result of its latest Care Quality

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Commission inspection but there is growing confidence they will be

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taken out of enforcement action. We have reached a certain point in the

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turning point. I am most proud of the staff, staff have really listens

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to what people said and they really want and have improved the care they

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deliver. It has been a year since we

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discovered our ash trees are being killed by a fungus but it's not the

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first time the woodland has been threatened. In the 1960s, a beetle

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nearly wiped out English elm trees. What we learned back then could help

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to save the trees now. A few miles outside Braintree in

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Essex stands one of the UK is most extraordinary trees. When it began

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growing two centuries ago, Britain was at war with the United States

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and Jane Austin's pride and prejudice was being published. But

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what makes the tree so special isn't its age. It's because it is a

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remarkable survivor. What 25 million just like it were killed by

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disease, it, for some reason, escaped the catastrophe at this is

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one of Britain's last remaining elm trees. Now, it is our ash trees that

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are under attack from ash dieback disease which is threatening to wipe

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them out though this time the damage is caused by a fungus rather than a

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beetle. Have we learnt enough to prevent history repeating itself? It

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was here in Ashwellthorpe Lower Wood South Norwich that ash dieback was

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first discovered in native British woodland a century `` a year ago.

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I'm here to see how quickly the disease is spreading. And Edwards

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discovered the outbreak. Here we've got a healthy ash tree but if you

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look over here, this tree has been infected with the ash dieback fungus

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Chalara Fraxinea as you can see it has entered via the leaves and

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killed them off. The fungus has entered the trunk and killed the

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tree all the way down to here. But down the bottom, the trees still

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alive and it is desperately trying to produce new leaves. It is

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desperately trying to stay alive. It makes you feel quite sad. The fungus

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is spread by airborne spores so the disease can spread rapidly. If we

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look on the ground... Look! Yes, if we take this, this is one of the

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Centre parts of the leaf and you can see it is growing the fungus, it is

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producing the spores that will infect the sleeves. One structure

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can reduce 1500 spores in our. We have ten, 15,000 spores and our over

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several hours. You must be devastated. What do you think this

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woodland is going to look like in 20 years? It will be a huge loss. I do

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think about it, I worry about at all of the time. What the knock`on

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effects will be under wonder why it was called Ashwellthorpe. Somebody

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who has seen this before is an Essex nurseryman, Paul King who spotted

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surviving elm trees like the one outside Braintree. He believes some

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trees developed resistance to the disease. Therein may lie the reason

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that these particular types of smooth elm trees have the resistance

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to Dutch elm disease. We were able to get 2000 plugs, small trees, into

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a little container. We grew the on and we have sold them over the last

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few years. All over the UK. We have asked everyone to let us know and

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keep an eye on the trees. Ash dieback is a different type of

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disease to De Chelmsford. One lesson learned from elm trees is how

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important it is to monitor the spread. It is a huge job. Steve

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Scott is checking out a woodland near Dyrham. It is dominated by Ash.

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These trees will be 80 years old. Any signs of disease? There is some

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but I do not think this is Chalara Fraxinea. This looks quite clean to

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me. Nationally, the disease is concentrated in Norfolk, Suffolk and

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Kent spreading up the coast. We think it will spread gently across

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the country this year that we don't know yet. We will be watching and

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waiting to see what happens. The majority of the woodlands are fine

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at the moment. The disease is coming and next to the word a secure

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compound lies in wait. This is one of 14 site the forestry commission

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has been given to test different varieties ash to see how they

:24:32.:24:35.

perform in the wild. It was like the canary in the coal mine we are

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looking to see how the trees perform. And you hope when you come

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back there will be some that may have died but some will still be

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standing. We expect many will dry `` died but we will monitor them to see

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which of them show the greatest tolerance and then we can take

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cuttings from the trees and in the trees and into force of time provide

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trees the next generation. While the hope is planted trees may give us a

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clue how to stop the spread, it is in the laboratory are best long`term

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hope lies. This is the Genome Analysis Centre in Norwich and here

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they are using genetic science to find ways to stop the spread of ash

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dieback. Several organisations across the world are working on a

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solution so could the experience with Dutch elm disease help? The

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progression of the disease might be similar to that with Dutch elm

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disease but it is a different situation, we have genetics and DNA

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technology and also we have the advantage that ash is a greater

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diversity in its Gmail `` Geno. Researchers are working on a project

:25:49.:25:52.

to map the gene aim of the ashtray and to try to discover genetic

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reasons why some trees have proved resistant `` tolerant to the

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disease. DNA technology is helping enormously to understand what causes

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the disease and how tolerance works. So you are trying to find the best

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trees to cross breed to give the greatest resilience? Ultimately,

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that is the idea, to identify the best combinations. Scientists are

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using microbiology to examine spores of the fungus to find out where and

:26:24.:26:28.

how it developed. The work is urgent. In fact, tackling ash

:26:29.:26:33.

dieback is seen as important that one of the first times in history,

:26:34.:26:38.

scientists from around the world of sharing their discoveries as they

:26:39.:26:43.

make them. When you do a research project, you have an idea and you

:26:44.:26:47.

want to do something and you are scared someone else will follow it

:26:48.:26:51.

up. But we have decided because the problem is so imminent and said, we

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will get better progress by sharing and working together. Even so, it

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will be years before a solution is found. I think we will see a lot of

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death of ash trees or severe disease on the ashtrays but I hope in the

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longer term, 20 to 40 years, we will identify trees which have tolerance

:27:16.:27:21.

and be able to breed from those trees and those will replace the

:27:22.:27:25.

trees presently being infected. In Essex, that rare surviving elm tree

:27:26.:27:30.

and the 2000 cuttings Paul King took give some hope. They may not be

:27:31.:27:36.

immune to give me 50 years and I can tell you whether they are, they've

:27:37.:27:42.

got resistance. The one thing we have on our site is DNA. In that

:27:43.:27:48.

particular margin, there might be some valuable help. But really it is

:27:49.:27:57.

a stab in the dark at the moment. It is a race against time to find trees

:27:58.:28:01.

that are tolerant to ash dieback. Let's hope along the way, lessons

:28:02.:28:06.

learnt about how to prevent other diseases taking hold in our native

:28:07.:28:11.

would `` woodland. Ash dieback neighbour the latest threat to the

:28:12.:28:16.

trees but it will be the last. `` may be the latest threat. That is

:28:17.:28:24.

it for this week. You can send me an e`mail... I am on Twitter. See you

:28:25.:28:32.

next week. These other stories from the East. Jack's Council adapted her

:28:33.:28:41.

home so is it good value making her move? And author returns to Luton to

:28:42.:28:48.

see if it has overcome the problems that made him leave. And hold onto

:28:49.:28:55.

your hats, we meet the fastest kids in the country.

:28:56.:29:07.

Hello, I'm Ellie Crisell with your 90 second update. The UK is getting

:29:08.:29:11.

its first nuclear power plant for 20 years. Hinkley Point C in Somerset

:29:12.:29:14.

got the go-ahead today. Ministers say it will help lower energy bills

:29:15.:29:17.

but critics argue investment in renewable sources would be better.

:29:18.:29:20.

Meanwhile, N-power has become the third energy supplier to raise its

:29:21.:29:23.

gusts. Dual-fuel bills will go up by over ?100 a year from December.

:29:24.:29:29.

82-year old Mohammed Saleem was stabbed on his way home from a

:29:30.:29:33.

Birmingham Mosque. Today a Ukrainian student pleaded guilty to his

:29:34.:29:36.

murder. He also admitted plotting explosions. Fears of a mega fire in

:29:37.:29:43.

Australia. Experts say three bushfires in New South Wales could

:29:44.:29:47.

merge into one. A state of emergency's been declared. 30,0 0

:29:48.:29:52.

tonnes in six months. That's how much food waste Tesco says it

:29:53.:29:55.

generates. It estimates just under half of all bakery items end up in

:29:56.:29:57.

the bin - it's promised to Hello. The family of a schoolgirl

:29:58.:30:05.

who died on a level crossing in

:30:06.:30:06.

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