24/02/2014

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:00:10. > :00:12.Hello from Bristol where we're investigating concerns about heart

:00:13. > :00:14.surgery at Bristol Children's Hospital.

:00:15. > :00:23.Tonight, we speak to the parents of two children who died here. We have

:00:24. > :00:27.a child who has gone from a good heart function to a pure heart

:00:28. > :00:32.function. Is not that he had bad care, he had no care at all.

:00:33. > :00:38.Also tonight: what happened to all the flax? I meet a man trying to

:00:39. > :00:44.bring it back. You grasp the handful and then lay

:00:45. > :00:47.it out, but one end, seeds the other end.

:00:48. > :01:01.I'm Alastair McKee, and this is Inside Out West.

:01:02. > :01:05.We all want our local NHS to be a service we can trust ` especially

:01:06. > :01:09.when it's our children at stake And the care of children's hearts in

:01:10. > :01:12.Bristol has had a traumatic history. Two decades ago at least 35 babies

:01:13. > :01:17.died unnecessarily following sub`standard surgery. The scandal

:01:18. > :01:20.led to multiple inquiries and with a new surgeon the unit rebooted itself

:01:21. > :01:32.to become one of the best in the country. But now new concerns are

:01:33. > :01:35.emerging. A coroner has ruled that Bristol Children's Hospital lost

:01:36. > :01:38.opportunities in treating a 4`year`old boy who died following

:01:39. > :01:41.heart surgery. The last three months have seen

:01:42. > :01:43.national headlines accompanying the inquests into the deaths of two

:01:44. > :01:51.children at the Bristol Children's Hospital in 2012. A report by the

:01:52. > :01:57.hospital linked the deaths, as well as several near misses to poor

:01:58. > :02:00.staffing. The coroner found there was no gross negligence, but in the

:02:01. > :02:05.case of 4`year`old Sean Turner said there were lost opportunities.

:02:06. > :02:08.All very concerning according to Steve Bolsin, the Bristol doctor who

:02:09. > :02:16.blew the whistle to me 19 years ago, and who was forced to leave and work

:02:17. > :02:20.in Australia. There were warning signs, there were

:02:21. > :02:23.people raising flags and as there was 20 years previously, as you

:02:24. > :02:25.know, and still children are being allowed to die.

:02:26. > :02:28.Following these two deaths, a report by the health watchdog, the Care

:02:29. > :02:34.Quality Commission, demanded more money to be spent on staff and

:02:35. > :02:37.resources. And the hospital said that's exactly

:02:38. > :02:41.what they did ` investing more than ?1 million to employ more nurses.

:02:42. > :02:44.But new questions are now being asked about care here in Bristol,

:02:45. > :02:56.and the wider services for children heart surgery here in the West.

:02:57. > :03:02.Paul Starr and Catherine Holley live in Great Elm near Frome. In June

:03:03. > :03:09.2009 they had a little boy, called Samuel.

:03:10. > :03:13.He was a beautiful boy, he was smart, clever, he had a good

:03:14. > :03:19.vocabulary, he had lots of friends, he went to nursery, he had a nice

:03:20. > :03:27.life. He had plenty of time with his family and friends, he was full of

:03:28. > :03:30.fun, he was well loved. Samuel was born with a heart condition and

:03:31. > :03:34.after initial surgery at nine months, he thrived. But at age

:03:35. > :03:40.three, his parents were told that Samuel's condition had deteriorated.

:03:41. > :03:44.We sat down at the cardiologist s desk and he said he didn't want to

:03:45. > :03:48.shock us but that Samuel needed surgery that summer. And we were

:03:49. > :03:55.shocked, it wasn't at all in our understanding that this was going to

:03:56. > :03:58.have to happen. And it was later we found that it was quite severe,

:03:59. > :04:01.really. Samuel's operation in August 20 2

:04:02. > :04:07.took longer than expected and there were complications that required

:04:08. > :04:11.additional surgery. As we were coming back to the ward,

:04:12. > :04:15.the matron was there and he wanted to confirm that we were Samuel's

:04:16. > :04:18.parents and we said yes, and he said at that point that he thinks that

:04:19. > :04:25.Samuel had a stroke, so that was obviously devastating news for us.

:04:26. > :04:32.After weeks in the Paediatric Intensive Care Unit ` known as PICU

:04:33. > :04:36.` Samuel had a cardiac arrest. We came back to the hospital as

:04:37. > :04:39.quick as we possibly could to be told that a second cardiac arrest

:04:40. > :04:42.looked imminent and would we consider withdrawing treatment and

:04:43. > :04:45.we had to agree, at that point it didn't looked recoverable, so we

:04:46. > :04:49.went back into PICU, they removed his lines and we spoke to Samuel and

:04:50. > :05:19.read him stories and he passed away in our arms.

:05:20. > :05:26.Heart surgery on children is complex and carries risks. And, as a result

:05:27. > :05:29.of the Bristol heart scandal, deaths amongst children who've had surgery

:05:30. > :05:35.are monitored and compared to other hospitals. League tables are now

:05:36. > :05:38.published. But care at Bristol has slipped, and although its results

:05:39. > :05:41.are classified as safe, it's ranking measured over the last three years

:05:42. > :05:50.has dropped from third to seventh out of ten.

:05:51. > :05:52.As far as I can see, it's not definitive data that proves that

:05:53. > :05:56.Bristol was statistically significantly worse, but it is data

:05:57. > :06:02.which is indicative of a need to change your approach to these

:06:03. > :06:05.particular types of operations. What's crucial to a hospital's

:06:06. > :06:07.league table position is how many children die within 30 days of their

:06:08. > :06:10.operation. Following Samuel Starr's death, a

:06:11. > :06:13.medical professional raised concerns that the hospital might have been

:06:14. > :06:22.keeping him alive for longer than was necessary to ensure that he

:06:23. > :06:32.passed that 30`day point. Nurse s notes submitted for a review into

:06:33. > :06:36.Samuel Starr's death said: "I was concerned that stalling for a couple

:06:37. > :06:39.of days would not only be cruel to the family and unethical, but would

:06:40. > :06:42.possibly mean that survival from cardiac surgery for 30 days would be

:06:43. > :06:47.achieved for statistics." Not surprisingly, the Starrs were

:06:48. > :06:50.shocked by this suggestion. We had some information from a nurse

:06:51. > :06:53.involved in Samuel's care that she had questioned whether Samuel's

:06:54. > :07:11.passing had been manipulated for the sake of statistical records, that

:07:12. > :07:18.really stopped us in our tracks And in hindsight do you wish that

:07:19. > :07:21.you had allowed him to die earlier? I think we should have been given

:07:22. > :07:25.the option and we should have known. They knew.

:07:26. > :07:29.We put this allegation to the medical director of the Bristol

:07:30. > :07:34.Children's Hospital. Our clinicians utterly refuse that

:07:35. > :07:38.allegation. It is very difficult to believe that an allegation can be

:07:39. > :07:42.meant to be quite that blunt. I don't believe there is any evidence

:07:43. > :07:45.to support that allegation and the attempting to prolong survival so

:07:46. > :07:48.that a certain statistic is achieved is utterly unbelievable and I can't

:07:49. > :07:58.believe it would cross a clinician's mind that would be a factor making

:07:59. > :08:01.any clinical decisions at all. Clinical decisions are made

:08:02. > :08:09.consistently in the best interests of the patient irrespective of what

:08:10. > :08:12.data might be collected. Despite the many questions the

:08:13. > :08:14.Starrs have about Samuel's operation and subsequent care, their biggest

:08:15. > :08:18.concern is whether Samuel's death might have been prevented if there

:08:19. > :08:26.weren't huge delays to his regular check`ups while he was alive.

:08:27. > :08:33.Samuel's local hospital was the RUH in Bath where Bristol consultants

:08:34. > :08:36.held outpatient clinics. Sam's condition meant that he was

:08:37. > :08:42.supposed to have regular scans to make sure his condition didn't

:08:43. > :08:48.suddenly worsen. Following successful surgery in 2010, his

:08:49. > :08:52.heart was scanned. But that turned out to be the last scan he had for

:08:53. > :08:57.some 20 months. So now we have got a child who in 21

:08:58. > :09:01.months has gone from a good heart function to a poor heart function.

:09:02. > :09:05.Now, that has happened in that time, not because he had had bad care

:09:06. > :09:10.within that time, but no care at all.

:09:11. > :09:14.So how can a child with a serious heart condition essentially drop off

:09:15. > :09:18.the system? There was some human error. The Starrs asked a community

:09:19. > :09:22.nurse to ring for an appointment on their behalf. She rang five times

:09:23. > :09:30.over as many months but failed to get an appointment. And Inside Out

:09:31. > :09:34.has discovered that another key factor in these delays was a new

:09:35. > :09:42.American IT system that was being installed to deal with appointments

:09:43. > :09:45.at the RUH. Richard Bacon, MP, who's been asking questions about NHS IT

:09:46. > :09:51.systems for years, says that its faults were well known.

:09:52. > :09:55.There were problems with bookings being missed, because the data would

:09:56. > :09:59.just drop off the system. When you have got things like waiting lists

:10:00. > :10:02.which you have in the NHS ` which are largely unknown in the United

:10:03. > :10:06.States ` making a system deal with waiting lists when it is not

:10:07. > :10:11.designed to deal with waiting lists causes its own big set of problems.

:10:12. > :10:14.And minutes of board meetings at the RUH a year before Sam's death show

:10:15. > :10:19.the hospital was fully aware of the problems with their new computer

:10:20. > :10:21.system. "There were significant issues

:10:22. > :10:30.with?data that had not been migrated. This affected?long term

:10:31. > :10:33.follow up appointments." What do you think now you know that this was a

:10:34. > :10:37.recognized problem a year before Samuel's death?

:10:38. > :10:43.I am absolutely disgusted that it was recognized but no or limited

:10:44. > :10:46.action was taken on it. What should they have done?

:10:47. > :10:50.Reverted back to the old system while they got the new system up and

:10:51. > :10:59.running so that these problems didn't occur. How can you rely on a

:11:00. > :11:01.new system if it doesn't work? In a review of Samuel's death,

:11:02. > :11:07.Bristol Children's Hospital concluded that these delays might

:11:08. > :11:13.have played a part. But were other patients affected by these delays

:11:14. > :11:16.too? We asked the RUH in Bath how many appointments were overdue or

:11:17. > :11:19.delayed because of the computer system and they told us there were

:11:20. > :11:33.63 overdue appointments, with some delays are up to two years before

:11:34. > :11:37.they were discovered. It's very, very serious and the

:11:38. > :11:40.nature of this is that you are dealing with people's lives and it

:11:41. > :11:43.is absolutely essential that if you are going to be using computer

:11:44. > :11:45.systems that you have computer systems that work.

:11:46. > :11:48.The RUH declined to answer any specific questions about their

:11:49. > :11:52.computer system, saying in a statement: "The Coroner's inquest

:11:53. > :11:56.will be held very soon and we hope that this will provide both Samuel's

:11:57. > :11:58.family and everyone involved in his care, with a clearer indication of

:11:59. > :12:02.the circumstances surrounding his death." What the inquest won't be

:12:03. > :12:05.getting to the bottom of is whether any of the other delays involving

:12:06. > :12:12.children with cardiac problems at the RUH might also have affected

:12:13. > :12:15.their care. Despite not knowing all the

:12:16. > :12:20.circumstances behind their son's death, the Starrs have at least some

:12:21. > :12:26.of their questions answered. But other families have been less

:12:27. > :12:29.fortunate. In April 2012 Daniel and Debbie

:12:30. > :12:36.Janew from Gloucester were the proud parents of a baby girl called

:12:37. > :12:40.Isabella. She was also born with a heart defect that needed corrective

:12:41. > :12:44.surgery to give her a better life. We took her down the theatre.

:12:45. > :12:55.Isabella sat her on Debbie's lap, the gas was applied and she fell

:12:56. > :12:59.asleep. We went back up to ward 32 and we waited and we were expecting

:13:00. > :13:03.to be told soon that we were to have her back and take her home after a

:13:04. > :13:06.few hours, maybe. Shortly after thinking that, nurses ran into the

:13:07. > :13:09.room and told us that they'd started the procedure, it hadn't been

:13:10. > :13:22.completed fully because during some parts of the procedure, Isabella's

:13:23. > :13:25.heart went into arrest. Later that day Isabella sadly died.

:13:26. > :13:30.But what caused her to suddenly crash during surgery? The reality is

:13:31. > :13:33.that the Janews simply don't know because they say Bristol Children's

:13:34. > :13:36.Hospital didn't talk to them for five months or offer to let them see

:13:37. > :13:43.an investigation into their daughter's death.

:13:44. > :13:47.I was asked if I could comment on the child death review when it was

:13:48. > :13:50.in draft stage, just to verify any of the facts as we understood them,

:13:51. > :13:57.I was told that this was not possible. I was asked if I could

:13:58. > :14:01.have a copy of the child death review for our own daughter and was

:14:02. > :14:04.told I would not be allowed to get this.

:14:05. > :14:06.Last November, following the scandal of hundreds of unnecessary deaths at

:14:07. > :14:10.Mid Staffordshire Hospital, the Health Secretary, Jeremy Hunt, said

:14:11. > :14:19.that the public will see a new culture of openness in the NHS.

:14:20. > :14:23."From 2014, every organisation registered with the CQC will have a

:14:24. > :14:26.statutory duty of candour. Patients must be told promptly about any

:14:27. > :14:29.avoidable harm but there will be a statutory requirement for the

:14:30. > :14:32.hospital to notify when there has been an avoidable death or serious

:14:33. > :14:51.injury." But what do the Janews think of this promise?

:14:52. > :15:00.We showed them the speech. What do you think of it of that? So, our

:15:01. > :15:11.experiences in the four months after Isabella died doesn't really follow

:15:12. > :15:20.an openness policy by the hospital. We have sent many emails to the

:15:21. > :15:23.hospital and we've had no reply And it seems as if, following the four

:15:24. > :15:26.months after Isabella's death, we have had nothing but obstacles and

:15:27. > :15:35.hurdles that the Trust has put in our way to obtaining the truth.

:15:36. > :15:39.Well, it's part of this culture of honesty and openness which has

:15:40. > :15:43.failed to pervade the NHS. We have people at the top telling us very

:15:44. > :15:48.clearly that the NHS has changed, the culture is now one of

:15:49. > :15:52.transparency and openness. This is not what we are seeing in Bristol `

:15:53. > :15:56.perhaps the message has not got to Bristol. Perhaps someone needs to

:15:57. > :16:02.come down and explain to them what openness and transparency are.

:16:03. > :16:08.We also showed Jeremy Hunt's speech to Bristol's medical director. From

:16:09. > :16:12.2014 every organisation registered with the CQC will have a statutory

:16:13. > :16:23.duty of candour." Is that something you think you have been doing?

:16:24. > :16:27.Yes. We want to be even better at it. We know now we've made changes

:16:28. > :16:31.to some of our policies and procedures to make sure that it s

:16:32. > :16:36.built into what we do. But parents like the Janews say that

:16:37. > :16:38.the trust has just, in the last few weeks, started to have a fuller

:16:39. > :16:41.dialogue with them, with what happened there. This is several

:16:42. > :16:44.months after their bereavement. Well, I know that we did make

:16:45. > :16:50.contact with those parents immediately after their bereavement,

:16:51. > :16:54.we have made several contacts. But they said they were told that

:16:55. > :16:58.you were not prepared to let them see their child death review, they

:16:59. > :17:03.could only see a summary of it. I don't know about that, I am not

:17:04. > :17:06.aware of that. Can you understand why families like

:17:07. > :17:10.the Janews feel that when they are being told that they can't see the

:17:11. > :17:12.full child death review, they automatically feel there is some

:17:13. > :17:17.kind of cover`up going on? If that is what they were told, then

:17:18. > :17:21.I can understand why they must feel that. As I have said, one thing we

:17:22. > :17:24.want to learn from the review is how we improve the ways in which we

:17:25. > :17:29.communicate with patients so they understand what is going on. We

:17:30. > :17:33.know, we get a lot of feedback from parents, and we know that 98% of

:17:34. > :17:39.parents measured over an entire year have said to us that their care is

:17:40. > :17:44.excellent, very good or good. Can you just sum up your thoughts

:17:45. > :17:52.where we are now as a unit in term of safety and care for patients

:17:53. > :17:56.I think primarily, fundamentally, it is important to recognise that

:17:57. > :17:59.Bristol is a safe unit. Since I started investigating this

:18:00. > :18:03.story, parents, including the Starrs and the Janews, met the NHS's

:18:04. > :18:08.medical director Sir Bruce Keogh to talk about their concerns.

:18:09. > :18:14.Immediately after the meeting, he announced an independent review

:18:15. > :18:20.We've heard some very harrowing stories in a very dignified way

:18:21. > :18:23.What I'm really after is getting to the bottom of these problems,

:18:24. > :18:27.finding a solution and getting the Bristol unit to be the best in the

:18:28. > :18:31.country as quickly as possible. Next week the inquest into the death

:18:32. > :18:34.of Samuel Starr begins ` it will try to get to the bottom of what

:18:35. > :18:40.happened. It will again bring care at Bristol and the RUH into the

:18:41. > :18:43.Spotlight. The government is now deciding which

:18:44. > :18:46.heart surgery units in England should close, and with Bristol in

:18:47. > :18:50.the firing line, many patients here in the West are still waiting to be

:18:51. > :18:53.convinced that this region's service is as good as it can be and

:18:54. > :19:03.hospitals are being open about problems they face.

:19:04. > :19:09.In our final film tonight we're looking back at a once vital ` but

:19:10. > :19:14.now largely forgotten ` arable crop. Flax went into decline 400 years

:19:15. > :19:19.ago. But in World War One it became essential for the production of

:19:20. > :19:37.aircraft wings. I've been to meet a farmer in Gloucestershire who's

:19:38. > :19:43.trying to bring it back again. This is not your ordinary boat. It

:19:44. > :19:49.is made entirely out of this, flax. I will take to the water to find out

:19:50. > :20:09.if it can float. But first, a bit more about the strange crop it is

:20:10. > :20:13.made from. Simon, Hello ` so this is your crop of flax? Yes, over this

:20:14. > :20:17.half an acre. Simon, what made you decide to start farming flax?

:20:18. > :20:23.Curiosity ` we thought we'd find out why, or why not. It has been grown

:20:24. > :20:27.for thousands of years but not in the last few hundred. Simon is

:20:28. > :20:31.particularly keen to find new uses for flax fibres ` but he's learning

:20:32. > :20:39.by farming it the traditional way ` and that means doing things by hand.

:20:40. > :20:47.What you do is grasp the handfuls... Pull it and give it a shake to get

:20:48. > :20:55.rid of the soil. When you have a handful, let it out.

:20:56. > :20:58.Once pulled, the crop is laid out in the field to allow moisture from the

:20:59. > :21:04.ground to dissolve the tough outer stalks so we can get to the

:21:05. > :21:09.all`important fibres within. You've got to get it just rotten enough but

:21:10. > :21:13.not too rotten otherwise it spoils. Fields of flax are a very rare sight

:21:14. > :21:18.in Britain today but for many years it was an important crop. The

:21:19. > :21:25.ancient Egyptians farmed it to make their famous linen. In fact there is

:21:26. > :21:29.evidence that it was grown in the country of Georgia as early as

:21:30. > :21:34.30,000 BC. In Britain it was a popular crop for clothes and other

:21:35. > :21:42.products until relatively recently. To learn about its decline I'm

:21:43. > :21:45.joined by an agricultural historian. John, I know that for centuries even

:21:46. > :21:49.millennia, fields of flax were a very common sight in this country `

:21:50. > :21:56.what happened ` why did it disappear?" In a word, cotton. With

:21:57. > :22:03.the expansion of cotton production in America, it undermines flax as a

:22:04. > :22:06.viable source of fibre. So it was cheaper to bring cotton in from

:22:07. > :22:13.America than grow flax in this country? Considerably cheaper.

:22:14. > :22:17.And I guess the use of slave labour in places we bought cotton from

:22:18. > :22:19.played a part in keeping it cheaper to use cotton.

:22:20. > :22:27.Despite a long`term decline, the outbreak of World War One saw demand

:22:28. > :22:33.And with their men away on the front line, the country turned to its land

:22:34. > :22:35.girls to do the hard work, as one landgirl Winifried Sandford later

:22:36. > :22:38.explained. We were taken to and from the fields

:22:39. > :22:42.in lorries, a jolly ride bumping over the country roads, standing up

:22:43. > :22:46.and holding on. Flax must be pulled by hand, not by machines, we were

:22:47. > :22:50.told. We were a welcome amusement for the folk who lived around and in

:22:51. > :22:53.Yeovil. They came in hundreds to see girls in breeches, living in tents,

:22:54. > :23:02.girls who were helping to make those aeroplanes that zoomed low over the

:23:03. > :23:06.fields of Somerset. Back on the farm I'm finding out

:23:07. > :23:17.what's happening next to the flax we've harvested, with Simon's wife

:23:18. > :23:24.Ann. This has been dried out for several months and stored away until

:23:25. > :23:32.we're ready to use it. We will break it. Right, let's do it.

:23:33. > :23:43.To break the stalks we're using a homemade hand`roller based on

:23:44. > :23:50.designs from the late`1700s. Next comes a process called

:23:51. > :23:54.scutching. This is the process. As you can see it flies everywhere and

:23:55. > :24:02.you get lots of small piece of small fibre coming off. Once upon a time

:24:03. > :24:07.every worker in the village would have had their own personalised

:24:08. > :24:12.scutching knife. People spend a lot of time on their names. They would

:24:13. > :24:15.decorate and paint them and give them to their loved ones.

:24:16. > :24:21.So you knew you were really loved if you go a scutching knife for

:24:22. > :24:26.Christmas. Exactly. This is your own design?

:24:27. > :24:30.Obviously I'm not loved. To scrape away the last dusty shives

:24:31. > :24:36.of stalk the fibres are pulled through a set of hackling combs `

:24:37. > :24:44.ready for spinning into yarn. You are going onto the next ones, that

:24:45. > :24:48.looking good. All the time you are getting rid of the fibres, you're

:24:49. > :24:50.separating the fibres. I can feel it getting softer. I started with

:24:51. > :24:58.rather more... I'm not sure I've been very efficient here. It is

:24:59. > :25:04.lovely. It is very fine. You are just being nice.

:25:05. > :25:09.Fibres vary in length. They are drawn by hand over to a series of

:25:10. > :25:12.metal spikes... With World War Two looming the

:25:13. > :25:16.country again found itself in need of flax. By now the crop was being

:25:17. > :25:22.imported, but the threat of war cut off supply.

:25:23. > :25:24.In 1938 flax imports from Russia virtually ceased ` governments

:25:25. > :25:38.increased production with increased in acreage. Farmers were encouraged

:25:39. > :25:44.to plant it. Labour is released to enable activities like weeding and

:25:45. > :25:53.harvesting in the autumn to be successfully undertaken. First boy

:25:54. > :25:59.takes pieces from the bundle and passes them the machine. You can see

:26:00. > :26:02.this steady rise and fall of the flyers as they went the yarn onto

:26:03. > :26:06.the bobbins. Back with Ann and we're spinning our

:26:07. > :26:11.flax fibres into yarn the old fashioned way.

:26:12. > :26:23.And then finally the yarn is woven into cloth.

:26:24. > :26:30.So that's it. I've been through every step to get from this to this

:26:31. > :26:33.and it's only taken ` well, all day. Despite being part of life in

:26:34. > :26:39.Britain for thousands of years, the farming, processing and weaving of

:26:40. > :26:45.flax has all but vanished. So is there any chance of a revival?

:26:46. > :26:53.Is there any future for flax in this country? The future is quite bright

:26:54. > :26:56.if we successfully mechanise the task of harvesting and if we develop

:26:57. > :27:07.machines to harvest mechanically. That is intentional for further

:27:08. > :27:09.expansion. Simon also thinks flax has a future: as an alternative to

:27:10. > :27:18.man`made fibres. New uses are in composites. It has

:27:19. > :27:26.natural variability in it and it has flexibility. There is a great deal

:27:27. > :27:30.of research in this country as well into plant fibes.

:27:31. > :27:33.To prove his point Simon has developed a canoe made out of woven

:27:34. > :27:39.flax fabric, waterproofed with flax resin. So, you reckon it floats

:27:40. > :27:48.Yes. Well the only way to find out is to put it in the water.

:27:49. > :27:54.From linen bed`sheets to aircraft wings and Canadian canoes, there's

:27:55. > :28:09.no doubt Flax has its uses. And who knows, the idea of a locally`grown

:28:10. > :28:12.boat might actually catch on. And BBC local radio will be

:28:13. > :28:18.unearthing many of the forgotten stories of WW1 and its impact here

:28:19. > :28:25.at home. You can catch these at 8.15 every morning this week.

:28:26. > :28:29.Well that's just about it for this week but if you'd like to keep in

:28:30. > :28:32.touch with what we're up to then you can find us on Twitter. Or you can

:28:33. > :28:42.email us: insideoutwest@bbc.co.uk But from all of us here in Bristol

:28:43. > :28:55.thanks for watching and goodnight. Next week ` we're in Romania on the

:28:56. > :28:56.trail of the fake bomb detectors. You are crazy people. What is this

:28:57. > :29:10.BBC? Hello, I'm Ellie Crisell with your

:29:11. > :29:14.90 second update. Two women and four dogs have been found shot dead at a

:29:15. > :29:17.house in Farnham. An 82-year-old dog breeder has been arrested on

:29:18. > :29:21.suspicion of murder. He's been named locally as John Lowe.

:29:22. > :29:24.Dave Lee Travis is to face a re-trial over two charges of

:29:25. > :29:27.indecent assault and sexual assault. The former Radio One DJ was cleared

:29:28. > :29:31.of 12 other offences earlier this month. He said his "nightmare goes

:29:32. > :29:35.on". They call it a living hell. These

:29:36. > :29:38.are the faces of men, women and children desperate for food. More

:29:39. > :29:41.than 20,000 are trapped in a bombed-out area in Syria. Just 0

:29:42. > :29:46.packets of food made it in today. We've a special report at Ten.

:29:47. > :29:49.Just where is Ukraine's former President? He's on the run after the

:29:50. > :29:54.crisis there. An arrest warrant s out for Viktor Yanukovych. He's

:29:55. > :29:57.wanted for mass murder. Was he just too British for American

:29:58. > :30:01.tastes? CNN is axing Piers Morgan's primetime chat show. The programme

:30:02. > :30:05.Hello, I'm Sabet Choudhury. Teacher Jake Thompson died of head injuries

:30:06. > :30:08.after being hit by a 13.5 tonne truck. Lorry driver Paul Vowles is

:30:09. > :30:11.alleged to have driven through changing traffic lights. He denies

:30:12. > :30:12.causing death by careless driving.