07/11/2011

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:00:02. > :00:10.The closure of Pfizer - we've a special report on the future of

:00:10. > :00:15.jobs in East Kent. Does it want remain beautiful and bucolic or is

:00:16. > :00:19.it willing to sacrifice countryside to provide industrial premises for

:00:19. > :00:25.jobs for local people? And how healthy is your hospital? We look

:00:25. > :00:31.at how the new Pembury Hospital is coping. The service has been

:00:31. > :00:37.amazing, the nurses made me feel at home. I am horrified by the care.

:00:37. > :00:40.You would not leave somebody for five Alice with a broken hip.

:00:40. > :00:50.Natalie Graham with the untold stories, closer to home. From all

:00:50. > :01:01.

:01:01. > :01:04.round Kent and Sussex, this is Hello, tonight I'm in Crowborough,

:01:04. > :01:11.the highest town in Sussex, which is also where Sir Arthur Conan

:01:11. > :01:14.Doyle chose to live. But we start over in East Kent. It was the place

:01:14. > :01:19.where they discovered Viagra - but that wasn't enough to save the

:01:19. > :01:28.Pfizer site in Sandwich. The drugs company are axing around fifteen

:01:28. > :01:32.hundred jobs. So what on earth does Kent do now? Vince Rogers finds out.

:01:32. > :01:37.The science of pharmacology is a wonderful thing. The boffins can

:01:37. > :01:41.create chemicals which kid diseases and saved lives. But there is one

:01:41. > :01:51.problem they cannot cure. The patient with the illness is the

:01:51. > :01:57.county of Kent. A body blow for East Kent, Pfizer closes its

:01:57. > :02:02.research centre. Pfizer of pulling out. This means the loss of 1,500

:02:02. > :02:07.jobs with the damaging effect on the economy of Kent. Who has got

:02:07. > :02:11.the job of dealing with the problem? That would be it Paul

:02:11. > :02:18.Carter. He is the chairman of the sand which economic development

:02:18. > :02:22.task force and the leader of Kent County Council. Tim Leunig is from

:02:22. > :02:27.the economic History Department of the London School of Economics. I

:02:27. > :02:32.am going to get the council leader to explain what he will do to

:02:32. > :02:37.secure the future prosperity of Kent and if Tim thinks it's a good

:02:37. > :02:43.idea. Has the area got a choice to make?

:02:43. > :02:48.East Kent has big choices. It is beautiful. But jobs are ugly and

:02:48. > :02:53.East Kent has a choice to remain beautiful and bucolic but people

:02:53. > :02:57.will leave the area or is it willing to sacrifice the

:02:57. > :03:03.countryside to provide lots of industrial premises for jobs for

:03:03. > :03:08.local people? Let's get down to specifics. We want to know Paul

:03:08. > :03:16.Carter's priorities for saving Kent. Obviously the first is to sort have

:03:16. > :03:22.a problem in Sandwich. Number one, back Phil Pfizer. That means Pfizer

:03:22. > :03:26.selling the site, rebranding it as Discovery Park and getting smaller

:03:26. > :03:35.pharmaceutical companies to move in, employing the same number of people

:03:35. > :03:40.as if nothing had happened. These are not just office spaces, it is

:03:40. > :03:48.high-tech laboratories and research and development facilities. Pfizer

:03:48. > :03:52.announced last week 650 of their jobs will stay on the site. It is

:03:52. > :03:56.good news they are not shutting down altogether. But when you look

:03:56. > :04:04.at the number of additional jobs that are not from Pfizer, it is the

:04:04. > :04:10.relatively few. One of those is a company called Unilabs. They are

:04:10. > :04:14.fantastic laps. The staff are experienced and hard to come by.

:04:14. > :04:19.Some ex employees are setting up the run businesses on the site.

:04:19. > :04:24.parted company with Pfizer in August and the company launched in

:04:24. > :04:30.mid- August. There are 5,000 jobs to be created to get back to square

:04:30. > :04:38.one. Is this possible? Paul Carter says it has happened before in

:04:38. > :04:44.Runcorn, Cheshire. ICI it needs to make �30 million worth of savings,

:04:44. > :04:49.350 jobs are expected to go. closed their factory in the north-

:04:49. > :04:55.west in 1999. Made hundreds redundant and put it up for sale, a

:04:55. > :05:00.similar situation to Pfizer. More people employed on the site are

:05:00. > :05:05.contributing to GDP than there were in the heyday of ICI.

:05:05. > :05:10.difference with Runcorn is it was the manufacture and plant and those

:05:10. > :05:20.jobs a reason to replace because they are low skilled. Have you been

:05:20. > :05:20.

:05:20. > :05:24.to run corn? Actually, the ground would preview run -- wrong. The

:05:25. > :05:29.research and development is going on on the site. The previous site

:05:29. > :05:33.had a big trunk of manufacturer. But when you look at the back of

:05:33. > :05:42.the support to ICI in this country and the research and development

:05:42. > :05:45.that went on at one corner, you can compare the numbers. The government

:05:45. > :05:50.has made Discovery Park an enterprise zone which means

:05:50. > :06:00.business rate discounts, simplified planning rules and support for

:06:00. > :06:01.

:06:01. > :06:06.improving Broadbent. What about the enterprise zone? It is worth having

:06:06. > :06:11.but you do not want to go overboard, there was one in Medway and Medway

:06:11. > :06:15.is not the world's most prosperous place. The danger is it can attract

:06:15. > :06:22.people from elsewhere in the region, across the border but it could be

:06:22. > :06:28.bad news for Thanet. We do not want job displacement, that's what he is

:06:28. > :06:31.referring to. We do have some control over making sure the rate

:06:31. > :06:36.relief goes to new businesses or new investors and does not displace

:06:37. > :06:43.jobs and elsewhere. Tim says the important thing is to keep the

:06:43. > :06:47.critical mass of pharmaceutical jobs on the site where Pfizer leave.

:06:47. > :06:51.It is a tough call and when the workers leave, the intellectual

:06:51. > :06:58.capital has disappeared. Frankly, it would be close to gain over for

:06:58. > :07:04.those jobs. It did not happen in Runcorn. No, but many places it has

:07:04. > :07:10.happened. Additionally, Kent Cancer Council have applied to the

:07:10. > :07:16.regional growth fund, a government pot of money. We learnt four East

:07:16. > :07:20.Kent districts have been awarded �43 million, most of which will go

:07:20. > :07:26.on grants and loans for local businesses with low interest rates.

:07:26. > :07:31.I am delighted. 43 million is 43 million to spend in helping

:07:31. > :07:36.supporting existing businesses to grow and new businesses to invest

:07:36. > :07:42.in those districts including Discovery Park at the former Pfizer

:07:42. > :07:46.site. So, to summarise, it is important to keep a critical mass

:07:46. > :07:52.of jobs at Discovery Park, it is now on enterprise zone of a tin

:07:52. > :07:58.says it can damage local business. The government has given �43

:07:58. > :08:02.million to encourage entrepreneurs. This is not just about Pfizer. The

:08:02. > :08:08.question is what we need to inject into the county to keep the whole

:08:08. > :08:15.economy going? And so, the next priority for Kent. No. 2, in

:08:15. > :08:22.structure. Paul says East Kent would benefit from the development

:08:22. > :08:30.of Manston airport and interconnecting high-speed trains.

:08:30. > :08:36.The largest runway in mainland Europe, it would increase

:08:36. > :08:43.productivity. It could deliver Manston airport with the

:08:43. > :08:46.equivalents of Stansted. About �6 million of the 43 million regional

:08:46. > :08:50.growth fund is to be spent on upgrading the lines so high-speed

:08:50. > :08:55.trains can run through Canterbury to east Kent. The ambition is to

:08:55. > :09:02.make Sandwich as accessible from London as Cambridge. Some rare

:09:02. > :09:09.experts have their doubts. They were never achieve that because

:09:09. > :09:14.someone like Sandwich is stuck at the end of a long winding a line

:09:14. > :09:18.and it will take longer than an hour for trains to get there.

:09:18. > :09:23.ambition is to turn Manston into something like Stansted and get

:09:23. > :09:30.train times from East Kent to London down to an hour but experts

:09:30. > :09:37.doubt it is possible. The next priority for the future is the kids.

:09:37. > :09:43.Number three, education. No one would deny that education is vital

:09:43. > :09:48.for long-term economic prosperity. But, Kent has two problems. There

:09:48. > :09:52.are many people doing well in schools who go to university and

:09:52. > :09:59.leave and moved to more affluent parts. I did that. I grew up in

:09:59. > :10:04.Chatham, I left Oxford and never came back. What is worse, according

:10:04. > :10:08.to research, kids from poor families get a bad deal in Kent.

:10:08. > :10:13.you are poor in Britain, you do less well in schools in Kent than

:10:13. > :10:17.anywhere in London or any when neighbouring London and that is a

:10:17. > :10:23.challenge. You are comparing a standard comprehensive in the North

:10:23. > :10:28.of England with a high-school were 25% of the cohort is moving into a

:10:28. > :10:33.grammar school education. No, I am not. I am looking at children in

:10:33. > :10:37.the bottom quarter by income and how they would do at 16

:10:37. > :10:43.irrespective of what school they go to and tense does worse than any

:10:43. > :10:47.borough in London. Well, I challenged the statistics. I would

:10:47. > :10:52.send an teeth. They were published in the Financial Times. I have

:10:52. > :10:58.checked the myself. Chris Cook from the Financial Times is the person

:10:58. > :11:01.who did the research. What we found is in Kent there is a higher than

:11:01. > :11:05.average propensity for poor children to fall by the wayside. We

:11:05. > :11:10.found that was because of the grammar school system so the

:11:10. > :11:18.grammar schools are fantastically effective but if you do not get in,

:11:18. > :11:24.you will do badly. You have to consider all the factors. Grammar-

:11:24. > :11:27.school education helps socially deprived students to attain

:11:27. > :11:33.university placements and more academic success than any other

:11:33. > :11:38.system. So, Kent is not serving children from poor families to the

:11:38. > :11:48.detriment of the economy. But Paul Carter and some head teachers

:11:48. > :11:53.

:11:53. > :11:57.No. Four, green technology. Paul Carter says Kent has untapped

:11:57. > :12:01.potential for many new jobs. There are some things like the emphasis

:12:01. > :12:04.on green technology that every council leader across Britain is

:12:04. > :12:08.claiming their area has a special advantage. We have to be careful

:12:08. > :12:11.some of these jobs do not turn out to be like the Silicon Glen in

:12:12. > :12:17.Scotland or the manufacturing of televisions in South Wales which

:12:17. > :12:23.seemed wonderful in the 1980s but disappeared after five years.

:12:23. > :12:27.disagree on the basis we have the longest coastal regions of every

:12:27. > :12:35.county -- any county in a country and proximity to where the energy

:12:35. > :12:38.is consumed. He points out the best us -- a Vestas may start assembling

:12:38. > :12:43.at wind turbines in Sheerness if the government says that a clear

:12:43. > :12:51.long-term policy on wind farms and this would create 2000 jobs on the

:12:51. > :12:56.Isle of Sheppey. One economist says studies have been made about

:12:56. > :13:02.turbines in the county. If you look at the figures, the only way you

:13:02. > :13:08.could justify the prediction is if there was a serious expansion in

:13:08. > :13:12.production of turbines. Paul macro reckons Kent has great potential in

:13:12. > :13:21.renewable energy but economists say it depends on the Government's

:13:21. > :13:26.So, that's the plan - get people working again at the Old Pfizer

:13:26. > :13:30.site, invest in structure -- infrastructure, ensure high

:13:30. > :13:34.standards of education and take advantage of emerging green

:13:34. > :13:44.technology. Many people will be hoping that that works, because the

:13:44. > :13:49.

:13:49. > :13:53.Vince Rogers reporting. A surge in patient numbers and widespread

:13:53. > :13:57.confusion in Kent and East Sussex. Here at Inside Out core we have

:13:57. > :14:07.been investigating how the new �235 million hospital in Pembury has

:14:07. > :14:15.

:14:15. > :14:20.This shiny new hospital opened its doors in September. It serves

:14:20. > :14:26.500,000 people in Kent and Sussex, everywhere from Crowborough to

:14:26. > :14:31.Aylesford. But behind the gloss, we discovered not everyone was happy.

:14:31. > :14:35.In spite of a brand new hospital in Pembury, would Maidstone lose out?

:14:36. > :14:39.We have lost our local service. The complications of all that are going

:14:39. > :14:45.to be very serious. With the new hospital came major changes to how

:14:45. > :14:49.and where patients are treated. When Pembury opened, Maidstone lost

:14:49. > :14:53.its full maternity service and the ability to deal with major trauma.

:14:53. > :14:56.There is still an axe two department at Maidstone, but many

:14:56. > :15:01.patients needing treatment for the most serious injuries are

:15:01. > :15:08.travelling to the new Pembury Hospital instead. -- and A&E

:15:08. > :15:13.department. And while an increase in private patients her push NHS

:15:13. > :15:18.people to the back of the Ku? We can reveal the hospital's plans to

:15:18. > :15:22.step up the number of private beds. Our investigation began with e-

:15:22. > :15:26.mails and complaints. Since the service changed, we have heard

:15:26. > :15:31.staff and patients were worried. Among concerns were long waiting

:15:31. > :15:39.times in A&E, poor patient treatment and safety. We decided to

:15:39. > :15:42.look at the changes and take your concerns to hospital bosses.

:15:42. > :15:47.weaving the environment is overwhelmingly positive. Why are

:15:47. > :15:53.going to take a look at what is going on. First up, A&E. The number

:15:53. > :15:57.of patients going to Pembury's A&E has increased beyond expectations.

:15:57. > :16:00.Since it opened, it has been claimed a n d staff are under

:16:01. > :16:08.pressure. The hospital has overwhelmed and is concerned about

:16:08. > :16:12.the impact this is having on patients. Isabel is At Hand has

:16:12. > :16:17.Alzheimer's. Sandra Springett from Age UK took her to hospital with a

:16:17. > :16:22.broken hip and says she had to wait five hours to be seen by a doctor,

:16:22. > :16:32.and tend to go to bed. Isobel does not have any next of kin and I am

:16:32. > :16:38.horrified by the care she received. You just wouldn't leave somebody

:16:38. > :16:42.fought five hours without -- with a broken hip. That hurts. By 12pm

:16:42. > :16:46.collar they had decided they would not be able to operate that day so,

:16:46. > :16:50.at that point, she could have a cup of tea and something to eat. Very

:16:50. > :16:54.important for all the people to keep hydrated - I think they might

:16:54. > :16:58.know that in our hospital. Hospital bosses say they have been teething

:16:58. > :17:02.problems and Pembury was not expecting such a high amount of

:17:02. > :17:06.patience. Nicki Luffingham is the chief operating officer,

:17:06. > :17:10.responsible for running Maidstone and Tunbridge Wells. We have had

:17:10. > :17:15.some challenges. We were not expecting, despite our best plans,

:17:15. > :17:21.the rise in attendances that we got on day one and two. We got about

:17:21. > :17:24.25% more patients than expected. Everyone understands you are a new

:17:24. > :17:29.hospital but we have heard of and 80-year-old woman waiting five

:17:29. > :17:32.hours in A&E with a broken hip. Surely this is unacceptable.

:17:32. > :17:36.would accept that this is not the standard of care that we would like

:17:36. > :17:41.to portray. It is not what we want to do and, without going into

:17:41. > :17:47.details - because obviously, I can't - we will apologise for any

:17:47. > :17:51.patients who have had delays. while A&E in Pembury has been busy,

:17:51. > :17:56.in Maidstone it has been much quieter since the service changed.

:17:56. > :18:02.Since the new hospital opened, Maidstone's A&E department is in

:18:02. > :18:06.around 130 cure patients each week compared to last year. -- fewer. It

:18:06. > :18:10.has left doctors like Paul Hobday worried that falling numbers of

:18:10. > :18:15.admissions could mean it is downgraded to a minor injuries unit.

:18:15. > :18:20.A I have spoken to a few colleagues and they are very concerned about

:18:20. > :18:25.the running down of Maidstone Hospital. We feel the next thing

:18:25. > :18:29.that they will change at Maidstone is, despite their denials, closing

:18:29. > :18:34.A&E. Their words are all very well but look at their actions. They

:18:34. > :18:38.have got rid of maternity at Maidstone, most of paediatrics,

:18:39. > :18:42.trauma and orthopaedics has gone, and a lot of other facilities. It

:18:42. > :18:45.makes it inevitable that more services will be squeezed out of

:18:45. > :18:50.Maidstone - not least because they need the money at the Tunbridge

:18:50. > :18:57.Wells and to run a big hospital. But despite the drop in numbers,

:18:57. > :19:02.hospital bosses say Maidstone's A&E is safe. At the moment, A&Es on

:19:02. > :19:08.both sides are fully functioning. We have only seen a 5% drop in

:19:08. > :19:12.attendance rates at the Maidstone A&E, which was predicted. We have

:19:12. > :19:16.not dropped further from there and we are committed to providing two

:19:16. > :19:21.A&E services. So you can give a guarantee that the Maidstone unit,

:19:21. > :19:25.through less use, it won't be downgraded? Be it is only a 5% loss

:19:25. > :19:29.at the moment. There is no way we can downgrade it with a 5%

:19:29. > :19:33.reduction in attendances. hospital says the decision to

:19:33. > :19:37.remove -- remove trauma from Maidstone was taken in the

:19:37. > :19:40.interests of patients. An independent health expert says

:19:40. > :19:45.having doctors in one place means they see enough patience to build

:19:45. > :19:50.expertise. The move in the NHS is to have more specialist sectors.

:19:50. > :19:53.Specialists for trauma called Orthopaedic, for cardiac services,

:19:53. > :19:58.because we are better at doing stuff if the experts are doing it.

:19:58. > :20:02.It is the same with maternity. What we are likely to see is the

:20:02. > :20:06.evolution of more specialist services. The problem or benefit,

:20:06. > :20:11.depending on how you see it, is that you can't have a specialist

:20:11. > :20:16.service on everyone's street corner. The old idea of the district

:20:16. > :20:22.general hospital - and it was a general hospital - is defunct now.

:20:22. > :20:26.Now a look at maternity. When it lost its consultant-led maternity

:20:26. > :20:31.service, Maidstone Open de birthing unit. It offers home-from-home

:20:31. > :20:38.midwifery care and is for low-risk pregnancies. If complications

:20:38. > :20:41.happen, women have to be taken nearly 20 miles to Pembury. Marijke

:20:41. > :20:45.Kenny experienced this journey first hand. She lives in Maidstone

:20:45. > :20:50.and wanted to give birth there. When she went into labour, she had

:20:50. > :20:53.to travel to the new hospital. is worrying because they's it just

:20:53. > :20:58.so many things that can go wrong. It can happen so quickly and you

:20:58. > :21:06.can be in danger really really quickly. I personally feel that

:21:06. > :21:10.it's awful that the services aren't at Maidstone any more. One of the

:21:10. > :21:14.protesters who tried to save the poor maternity service at Maidstone

:21:14. > :21:18.was Dennis Fowle. He is worried the hospital could eventually be left

:21:18. > :21:23.without any maternity care. doubt is that the unit in Maidstone

:21:23. > :21:28.will have a long life. I have always seen it as a sop for our

:21:28. > :21:33.area. They knew that Labour going to take a service away from us and

:21:33. > :21:38.that would be very unpopular. We want our consultant-led service

:21:38. > :21:42.back in Maidstone. That is where it really belongs. We were desperately

:21:42. > :21:46.sorry to lose it. Joy Kemp is a maternity expert and was

:21:46. > :21:49.responsible for helping to plan Maidstone's new birthing centre.

:21:49. > :21:52.She believes passionately that splitting the service was the right

:21:52. > :21:57.thing. The government wants every woman to be able to have a choice

:21:57. > :22:01.between giving birth in a hospital, a midwife-led unit or Birth Centre,

:22:01. > :22:06.and giving birth at home. We are one of the very few places in the

:22:06. > :22:10.country that actually offers all of those three choices. But because of

:22:10. > :22:15.the changes are Maidstone, fewer women can give birth there. Over at

:22:15. > :22:19.Pembury, they are busy. Last month, more than 350 babies were born here

:22:19. > :22:24.and the mothers we spoke to were delighted with the standard of care.

:22:24. > :22:29.What do you think of the maternity service? Are very good. It has been

:22:29. > :22:33.really nice since I've been in here. The service has been amazing. The

:22:33. > :22:38.nurses have made me feel completely at home. The facilities and

:22:38. > :22:43.everything... Next, the hospitals' plans to attract more patients who

:22:43. > :22:49.pay. The new hospital looks magnificent. Modern facilities and

:22:49. > :22:52.equipment. It could not have been built without a �235 million

:22:52. > :22:58.private finance initiative. It let the local trustees private money to

:22:58. > :23:02.avoid paying upfront costs for the building. Private finance

:23:02. > :23:06.initiatives, or PFIs, are controversial. But Pembury could

:23:06. > :23:10.not have been built without one. Some say these schemes end up

:23:10. > :23:14.costing us millions more than they should. The trust is currently

:23:15. > :23:20.paying back around �20 million a year and experts say in the end,

:23:20. > :23:26.the scheme could cost �600 million. That is money that needs to be paid

:23:26. > :23:29.back. So is the answer to attract more private patients? Inside Out

:23:29. > :23:33.discovered the trust plans to increase the number of private

:23:33. > :23:38.patients it sees. I gained access to this document which talks about

:23:38. > :23:43.a proposed PPU at Maidstone Hospital. That is a private

:23:43. > :23:47.patients' unit. It talks about plans to ring-fence beds, operating

:23:47. > :23:51.theatres and diagnostic sessions for private patients. However, when

:23:51. > :23:55.I asked the trust about it, they said there were no plans for any

:23:55. > :23:58.more private beds at Maidstone. Not content with the answer I got on

:23:58. > :24:01.the phone, I decided to ask Nicki Luffingham about the plans in

:24:01. > :24:05.person. With less people using Maidstone

:24:05. > :24:10.Hospital, are there plans to use the beds for private patients

:24:10. > :24:14.instead? Less people using Maidstone Hospital - our full

:24:14. > :24:20.Electa services are there, so people having day surgery and in-

:24:20. > :24:25.patient surgery and all that outpatients are fully running. --

:24:25. > :24:28.elective services. We can possibly close some beds but that is about

:24:28. > :24:32.efficiencies and the system and improving our length of stay, of

:24:32. > :24:38.which is going to be much better for patients. We have opened a

:24:38. > :24:41.private unit on the Tunbridge Wells site. We knew, a good year ago,

:24:41. > :24:46.that we had some capacity in our system, following those

:24:46. > :24:50.efficiencies. We also knew we had a financial gap, following be PFI

:24:50. > :24:56.initiative, and we needed to do everything we can to bridge that

:24:56. > :25:00.gap before asking for help. But are there plans to introduce a private

:25:00. > :25:06.patients' unit at Maidstone? It is very early days for this private

:25:06. > :25:10.patients' unit. It has only been open for two weeks at the site. Our

:25:10. > :25:14.ultimate strategy is to have private patients' units across our

:25:14. > :25:17.organisation. We do not know where it will be or how big it will be

:25:17. > :25:22.but we do wish to provide private patients' services in both

:25:22. > :25:28.hospitals. How do you think services -- patients in Maidstone

:25:28. > :25:33.will feel that they have lost services? That has a very negative

:25:33. > :25:37.story. We believe it to be a very positive story. We may not be

:25:37. > :25:41.looking at a ward. We have not decided where we will be put in it

:25:41. > :25:46.yet. We have quite a lot of spare capacity at Maidstone when we have

:25:46. > :25:51.finished reconsider it - but reconfiguring hour services. This

:25:51. > :25:56.is capacity we are not using for NHS patients. We are not depleting

:25:56. > :25:59.it in any way. We believe we are adding. But some doctors are

:25:59. > :26:03.concerned that are raising money through private patients is

:26:03. > :26:07.becoming more of a priority. Private Patients in the NHS

:26:07. > :26:12.hospitals have always had a little impact but it is the scale of it.

:26:12. > :26:16.We have all known, as doctors, that it intrudes. When it intrudes to a

:26:16. > :26:22.small degree because the numbers are small, people have tolerated

:26:22. > :26:26.that since 1948. The scale now is going to be in a different league.

:26:26. > :26:30.It will have the same impact as in Tunbridge Wells on NHS patients,

:26:30. > :26:36.which is that they will inevitably be squeezed from more operating

:26:36. > :26:38.slots, diagnostic slots, and that means waiting lists will increase.

:26:38. > :26:41.A Health & Social Care Bill is going through Parliament. It could

:26:41. > :26:46.end the limit on the amount Hospital raised from private

:26:46. > :26:52.patients, meaning more could be treated at NHS hospitals across the

:26:52. > :26:56.country. Roy Lilley says that far from being a bad thing, the trust's

:26:56. > :27:02.plans to increase the number of private patients is good. There is

:27:02. > :27:08.no silver bullet. This is part of the book shot. It is income.

:27:08. > :27:11.Providing it goes to any to services, why should we worry?

:27:11. > :27:15.hospital's running costs are high due to the money it owes under the

:27:15. > :27:19.PFI. The trust says private patients would help pay back the

:27:19. > :27:23.money it owes, meaning they don't have to take away cash from

:27:23. > :27:28.frontline care. It is all about us ploughing that money back into a

:27:28. > :27:35.major services. The money we made privately goes back to alter Milly

:27:35. > :27:40.improving patient care. We want to do it at both sides. As the paint

:27:40. > :27:44.is barely dry and staff settle in, it is clear they are trying hard to

:27:44. > :27:47.get used to live at the new hospital. It has brought changes,

:27:47. > :27:57.challenges and some difficult decisions which may yet have to be

:27:57. > :27:58.

:27:58. > :28:03.made to make sure it remains A If you want more information

:28:03. > :28:10.about a night's show, you can visit our Kent or Sussex websites. You

:28:10. > :28:16.can also watch the whole show again by putting on the iPlayer. Coming

:28:16. > :28:21.up next week: Kent's most annoying crime wave - a metal thefts.

:28:21. > :28:25.What was taken was the sheets of lead that covered this roof. They

:28:25. > :28:32.were 4 ft wide and 7 ft long. They came and rolled them up and took

:28:32. > :28:40.them away. If it isn't locked down now, it just disappears. What

:28:40. > :28:45.squatters left behind in Sussex. There are dirty towels, food left.

:28:45. > :28:49.Hardly any empty bottles. I can't believe it. And would you donate