21/01/2013 Inside Out Yorkshire and Lincolnshire


21/01/2013

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Hello, welcome. Tonight, which are at the Thackeray medical museum as

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we look at the future of the NHS. Here is what is on the show.

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With the bill running into hundreds of millions, we investigate the

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cost of medical negligence claims on a maternity wards.

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Knowing that he died because of somebody else's mistake, because

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somebody did not do what they should have done, is unacceptable.

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Also, the countdown has begun to the biggest shake-up in NHS history.

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Phil Hammond finds out what it means the patience.

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The Government is bringing in the marketplace model, introducing more

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choice and competition and putting local GPs in charge. Will it work?

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After the high point of the Olympics, what next for women's

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football? It is freezing tonight, and a look

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how many girls have turned up. That shows so much dedication and

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commitment. Across Yorkshire and Lincolnshire,

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hospital trusts are paying out millions every year in compensation,

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one of the biggest claims relating to maternity services. Almost 180

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million over the last five years. Why? We have been looking at one

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hospital in Yorkshire that has been at the centre of a series of

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Jeremy Hunt has warned NHS managers they cannot expect to keep their

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jobs if they are failings under their care. There is a long way to

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It has had a troubled record. John and Marianne Steel had been trying

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to have a baby for six years. Then, in 2007, aged 42, Marianne found

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out she was pregnant. We were at the doctors, getting it confirmed.

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Miraculously, I had become pregnant. Marianne was booked into Pontefract

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General Infirmary to have her baby. We knew he was a boy from early on,

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you could see it from the first scan. We were all set. Nothing to

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do, apart from deliver. Five days after her due date, Marianne went

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to the Infirmary to be induced. It was established later that from

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about 11am that morning, their baby boy was in serious distress. But a

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series of failures meant that the heart trace wasn't interpreted

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correctly, a blood test which would have raised the alarm wasn't

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carried out and the consultant in charge didn't come to examine

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Marianne when things were becoming critical. In the end, it was four

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hours before an emergency caesarean was carried out. That the time,

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they were not classifying it as an emergency crash Caesarean. Nobody

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that had access to the information was aware that there was a critical

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problem. By the time their baby was born, the situation had reached

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crisis point. The paediatrician told me he was not breathing up,

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and they had spent 10 minutes also trying to resuscitate him. If he

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went on for much longer, he would have severe brain damage. When

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Marianne came round, John had to tell her their son was dead.

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could not believe it. I wanted to die. And of the couple came here to

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have their first baby in 2010. were finding that we were having a

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boy, so we could prepare. They got his room ready, we got his clothes

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and his baby books, with his pictures. We were very excited.

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Everything was going to plan, but they were surprised by the advice

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they received when they went to Dewsbury Hospital. My waters broke

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late on, but we were sent away again to return on the Wednesday

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morning. Is that longer than national guidelines dictate?

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should be within 24 hours. They told us it was against policy to

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induce on an evening, because of staffing levels, so they would only

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did it in a morning. Did that alarm you? Yes, I questioned at a few

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times with the midwife. To reduce the risk of infection, Sarah should

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have been given the option of an induced birth within 24 hours. But

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her delivery was delayed by staff shortages, missing equipment and a

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policy of avoiding assisted births at night. She had a caesarean 61

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hours after her waters had broken. I could see everything that was

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happening. Others tried to block her due to make sure she could not

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see. One of the nurses said, it is not looking good. That was the

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first indication we had. Eventually, one of the consultants came up to

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us and said, we regret to inform you that it has been so long now,

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there is no sign of life. Lawyer Rachelle Mahapatra won compensation

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for both families after the Mid- Yorkshire Hospitals Trust admitted

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liability. In the past two years, she's noticed the Trust's name

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coming up time and time again. did have a disproportionate number

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of babies over a period of time that we noticed they had been a

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number of stillbirths or neonatal deaths within the border. We

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sometimes see patterns, and we saw a lot of still births in Pontefract

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and Jewsbury over a period of time. Mistakes can be expensive. The NHS

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has paid out more than �12 million to settle childbirth compensation

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claims against the trust in the last five years. Two years ago, an

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independent review of the Trust's Women's Services was set up because

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of concerns about low staff morale, the rising number of patient

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complaints and an increase in adverse events. The atmosphere in

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the delivery suite at Dewsbury Hospital was chaotic and the staff

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appeared to be busy and under stress, said a report from the Care

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Quality Commission last year. One expert on midwifery says working on

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an understaffed maternity unit is frantic and fragmented. They are

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told there are not enough midwives, so they have to go and help out on

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the Labour Board, and then they have to go to theatre. Midwives are

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moved to plug the gaps in the service which is crumbling. Some

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women are trying to opt out of hospital altogether and want an

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independent midwife for continuity of care. Some midwives are leaving

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the NHS because of work pressure and low morale. I did meet a

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midwife when I was in a large hospital, with a woman who said,

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today has been task orientated and not anything to do with Kevin. I

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thought, how sad. The Mid-Yorkshire Trust say the Care Quality

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Commission now recognises that their maternity services have

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improved, and they say they're sorry about what happened to the

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Steels and the Schofields. I am sorry about the circumstances that

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they experienced. Very difficult circumstances, and they got a poor

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experience. There is nothing I can say that will make them feel any

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better, other than I can assure them and everybody else that this

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will never happen here again. would you say to those women that

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are worth it? We have done a lot in the last year to make changes. I

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will be able to say without any shadow of a doubt that the quality

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of care here is as good as anywhere else in the country. Following her

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emergency caesarean, Sarah Schofield is unable to have

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children. It took Sarah and her husband a year to find out why

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their baby had died. He'd got pneumonia, almost certainly caused

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by the late delivery. I completely blind myself, and I did for quite a

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long time afterwards. It was only when we went to the court and we

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found out it was the fault of the trust and the guidelines had not

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been followed... John and Marianne Steel complained to the General

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Medical Council about their baby's death. An independent report

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concluded that their care fell seriously below the standard

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expected, but the GMC cleared the doctors involved of misconduct.

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Knowing that he died because of somebody else's mistake, because

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somebody did not do what they should have done or could have done

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to help, is not acceptable. Totally unacceptable. I will never accept

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it. For most people, having a baby is the happiest day of your life,

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and hospitals remain a very safe place to give birth. But when

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things go wrong, there's a heavy cost, and some families are still

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Still to come tonight, the England footballer Sue Smith on whether the

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women's game can ever rivalled the This museum charts the history of

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medicine, and for the past 65 years, it has been the NHS that has looked

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after us when we are AAL. But in 10 weeks, the NHS will undergo the

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biggest reorganisation in its history. What changes are planned

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and how will that affect us as patients? We have asked Dr and

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comedian Phil Hammond to investigate.

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This is lovely, madam, because this inhaler would actually go with your

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coat. And a free examination. Do you want to come here and cough,

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sir? I can give you those half price. I'm a GP. And today I'm

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taking healthcare into the community, where it's needed. All

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the sample bottles you could ever need and I'll throw in a crutch.

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It's all free. It's all paid for. This is what the biggest shake-up

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in the history of the NHS is all about - giving local doctors,

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nurses and patients the chance to call the shots and shop around for

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the best care. At least that's the Government's plan. But many doctors

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think the reforms are untested, expensive and over-complicated - a

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view I shared with the former health secretary Andrew Lansley.

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The difficulty with this is that it's 353 pages of wonk. It's

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absolutely impossible to understand it. I choose my words carefully. It

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is unreadable. What did you actually say? It's wonk. But I've

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been wading through the jargon, and it's clear the reforms will affect

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us all. It's vital we put politics aside and try to understand exactly

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what they'll mean for patients. Until now the NHS has been like a

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big supermarket chain that only sells its own brands. It's a one-

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stop shop where all the tricky decisions are made for you. In

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theory, you should get the same high quality care whether you live

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in Scunthorpe or Southend. But like It were? So if I just check your

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eyes there. I can confirm you have two eyes. We're doing two X-rays

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for the price of one. And I can throw in a free brain scan if you

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like. One change we're told patients should notice is care much

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closer to home. Hospitals and GPs will have more freedom to bring in

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innovative ideas. Technology might monitor your health at home and

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routine surgery could be done at high street clinics. Hospitals in

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Gloucestershire have already teamed up with a charity to send this

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mobile chemotherapy unit into rural communities. For cancer patients

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like Graham Freeman, it's a lifeline.

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The concept is great, moving the treatment to the person. Because it

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is a bit of a trauma, suffering from the chemotherapy and the

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travelling. Bringing the treatment closer to the person is a lot

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better. You do feel a little bit better.

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But could this shift towards more localised care mean hospitals will

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have to close? To find out I've come to London, to one of the

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world's most respected independent think tanks on health policy - the

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King's Fund. I don't think we'll see many hospitals closing as a

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result of care coming closer to home. It will mean hospitals

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changing their roles, perhaps fewer A&E departments, fewer maternity

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services provided in existing hospitals. But that could be to the

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benefit of patients if we're able to plan that in the appropriate way

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and get better outcomes by concentrating those services in

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fewer hospitals. You might not be keen though, if it's your A&E

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that's closing. The second thing patients should

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notice is more choice. Three tomatoes for a pound! Anybody?

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Three inhalers for the price of two. Come and get them! Two caulies,

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�1.50 over there! We've got a separate queue here for six

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symptoms or less. Competition in the NHS isn't new,

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but the reforms step it up a notch. The NHS will become a marketplace,

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with private companies competing with the NHS for business. So when

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your GP says you need a scan, your options may look less like this,

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and more like this. But it should be quality, not price, that will

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decide which are allowed to offer care. It's already happening here

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on the high street, where Specsavers are treating NHS

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patients in 218 of its hearing centres. When I came to Specsavers,

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they do private and NHS, which I find is better than going to the

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hospital. You know you go to the hospital, there's a lot of

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travelling and I don't think you get such a personal attention. So

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this is much, much better. The plan is for patients like Doreen to

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choose their provider by looking at new performance league tables.

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companies must play by the rules and can't encourage NHS patients to

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go private. Ultimately, Specsavers want to protect the NHS work that

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we've managed to gain here and we don't want to do anything to try

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and jeopardise that. We're not going to try and sell a hearing aid.

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More competition could drive up standards and lower costs. But if

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profits slip, companies could pull out or even go under, leaving

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patients in the lurch. Remember the collapse of Northern Rock? Imagine

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if its customers had been queuing not for their life savings but for

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life-saving surgery. If there is going to be a bigger role for

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private companies in delivering care to patients, then there is

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always a possibility, however remote, that that company will not

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be successful, that we will see something like Northern Rock in

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healthcare. The Government's anticipating that. It's putting in

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place what's called a "failure regime" so that the regulator can

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intervene and ensure continuity of services even if the organisations

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are not providing care to the right standard. The third thing patients

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may notice is a shift in their relationship with their GP. So if I

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said, "Trust me, I know the best place to go to get your heart

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surgery". Would you say, "Yeah, you're the doctor. Dr Phil, you

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look like a ginger George Clooney. I love, I trust you?" Since the

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birth of the NHS, doctors have taken the trust of patients for

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granted. But as GPs offer more and more treatments, they could find

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themselves referring patients to their own services. Add private

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companies into the mix and there's real scope for a conflict of

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interest. So just open really wide. Say "Ah". That's great, thank you.

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But should we really be worried? In Bath, Jasmine Bishop is seeing a GP

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on the NHS. But believe it or not, he actually works for Virgin. Yes -

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they of planes, trains and super- fast broadband fame also run this

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walk-in centre, along with 170 other NHS services. Although you

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wouldn't know it from the branding. As Virgin takes over more of the

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NHS, what's to stop you referring patients on to another Virgin

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service to make money for the company, rather than in the best

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interests of the patient? All of our GPs, like any GP in the country,

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have to offer patients a choice when they're being referred for

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another service. So in the end, it's down to the patient to choose

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where they go. And of course, GPs and other clinical staff have a

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professional responsibility too to make sure that they're finding the

:18:51.:18:55.

best care for their patients. That doesn't differ because those GPs

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are employed by us. And you have to ask if patients really mind who

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provides their care. Did you know that this health centre was run by

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Virgin? No. Would it make any difference to you as a patient

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whether it's run by an ordinary NHS GP or a private company? No. So all

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that matters to you is, what? What do you care about in your

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treatment? That I get the best treatment I possibly can get really.

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The bottom line is that if you have a good idea to improve your care,

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tell your GP. If he or she can make it happen, we know the reforms are

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working. It's been a huge upheaval just to get the NHS to listen to

:19:37.:19:40.

patients. And I hope for all our sakes it works. I can't lug all

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this back again. Come on, it's got Football is not just our national

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game, it is an obsession. Stories about players fill the newspapers.

:19:59.:20:05.

What about the women's game? Can the sport ever rival men's

:20:05.:20:10.

football? England international and Doncaster Belles winger, Sue Smith

:20:10.:20:20.
:20:20.:20:28.

has been trying to find out. That win over Brazil at Wembley

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last summer marked the peak of women's football in this country. A

:20:32.:20:35.

record crowd of more than 70,000 watched our opening game of the

:20:35.:20:42.

Olympics. Sadly, I was looking on from a TV studio. But as I try to

:20:42.:20:45.

regain my fitness after the serious injury that kept me out of last

:20:45.:20:48.

summer's Games, I've been looking at the sport I love from a

:20:48.:20:53.

different perspective. I'm lucky enough to play for one of the few

:20:53.:20:57.

clubs where the women are allowed to use the same pitch as the men.

:20:57.:21:01.

But the sad truth is that for some of our games, we'd only fill the

:21:01.:21:11.
:21:11.:21:11.

number of seats that surround me here in a stadium that holds 15,000.

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Men's football is advertised. as if women's football has not as

:21:16.:21:19.

important that we should be entitled to be on television as

:21:19.:21:22.

well. How do we bridge the beautiful

:21:22.:21:25.

game's gender gap then? You'll see a day in the life of two teenage

:21:25.:21:28.

stars of the future from the same club. But do they demonstrate just

:21:28.:21:34.

how ingrained inequality remains in football? It's a January night and

:21:34.:21:37.

pre-season training starts here for me and my Doncaster Belles team

:21:37.:21:42.

mates. Thankfully we're indoors. After signing for Doncaster Belles

:21:42.:21:47.

I only made one appearance. I scored and minutes later suffered a

:21:47.:21:51.

terrible knee injury. I feared it could be the end of my playing days.

:21:51.:22:00.

I went from elation to despair in moment. But that's football. I have

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not kicked a ball in eight months and the physio has said I can kick

:22:04.:22:08.

the ball tonight for a start I can't wait. I am a little bit

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nervous but here goes! The women's Super League is a

:22:12.:22:16.

summer sport and we don't kick off until March. Doncaster Belles were

:22:16.:22:19.

the top team in the league a few years back but recently results

:22:19.:22:24.

haven't been so good. We're hoping to put that right this time around.

:22:24.:22:26.

I've played for four different clubs including Leeds and Lincoln

:22:26.:22:30.

Ladies on the way to winning 93 England caps and I'm hoping for a

:22:30.:22:38.

few more years and goals before I hang up my boots. But I'd like to

:22:38.:22:47.

help raise the profile of the women's game at the same time. I

:22:47.:22:51.

have come as for a little breather. It is so good to be that, I am

:22:51.:22:56.

absolutely loving it. A little bit of a breather and then back on.

:22:56.:22:59.

One of team mates I'm looking forward to playing with is Kasia

:22:59.:23:02.

Lipka this season. She's a good example of just how hard it is for

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the top talent to make ends meet in the women's game. She's been an

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England international for the last four years. But I reckon she'd

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probably be better off financially if she had a part-time bar job. How

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did you get into football? brother, who is three years older

:23:19.:23:22.

than me, key words always playing and I wanted to do what he was

:23:22.:23:29.

doing. When I started I started in a boys' team. I used to turn up on

:23:29.:23:34.

the boy is used to say, they have got a girl. When I was about 11 I

:23:34.:23:38.

joined a girls' team. This is Jordan Ball, he's the same

:23:38.:23:41.

age as Kasia and in his first year as a professional at Doncaster

:23:41.:23:44.

Rovers. He trains with the first team squad and looks to have a

:23:44.:23:47.

bright future in the game. But despite Kasia being a regular

:23:47.:23:51.

first teamer, her life is very different to Jordan's. He's a full

:23:51.:23:54.

time salaried footballer now and can concentrate 100% on developing

:23:54.:23:58.

his talent. He knows that if he makes it he can earn thousands of

:23:58.:24:08.

pounds a week. I know when I can go home I can play pool of have a nap

:24:08.:24:12.

in the afternoon. A lot of my friends at university doing

:24:12.:24:17.

coursework. It is a relief. No such relief for Kasia. She's on

:24:17.:24:19.

a sports scholarship at Leeds University currently cramming for

:24:19.:24:25.

exams. And she has to train every day on top of her university work.

:24:25.:24:29.

How do manage to combine studying and being a semi-professional

:24:29.:24:34.

footballer? I get up about 8 o'clock and all my flat mates asked

:24:34.:24:39.

him in bed. I have got to go and do my lectures, or training, might get

:24:39.:24:44.

back at about 10 at night. It is follow-on. It would be nice to

:24:44.:24:49.

fully concentrate on my football which a male on my age would be

:24:49.:24:56.

able to do. She would be on a decent sum of money. Do you think

:24:57.:25:01.

women's football would develop more if we had were full-time

:25:01.:25:08.

professionals and? If you add on the lower leagues of men's football,

:25:08.:25:13.

when people are part-time, it is not of a good standard. There are

:25:13.:25:16.

some really good women players out there.

:25:16.:25:19.

Keen to make an impression, Jordan's the last to leave the

:25:19.:25:23.

training field but he opts for a session in the weights room.

:25:24.:25:26.

Then it's off home with the afternoon to do as he pleases

:25:27.:25:32.

before training the next morning. And this is where Jordan hopes to

:25:32.:25:36.

be playing regularly soon. Doncaster Rovers are at the top of

:25:36.:25:40.

League One. They could do with a win today at home to Colchester to

:25:40.:25:44.

keep up their hopes of automatic promotion back to the Championship.

:25:44.:25:47.

I remember coming here on match day when they'd given away free

:25:47.:25:50.

entrance to our game with the Donny Rovers ticket and the match was

:25:50.:25:53.

straight afterwards but the crowds just streamed out past me. I'm

:25:53.:25:57.

thinking free pies next time. So what do we have to do to get the

:25:58.:26:01.

crowds in? I decided to ask my manager John Buckley who played for,

:26:01.:26:09.

among others, Leeds and Celtic. Do you think that we can ever get a

:26:09.:26:17.

state where we are compared to the men's game? I think we are making a

:26:17.:26:20.

mistake to compare. You know yourself the standard of the girls'

:26:21.:26:24.

game is getting better and better. The quality of the women's game is

:26:24.:26:32.

that they keep the ball. We are equal in them in a lot of ways.

:26:32.:26:37.

When the ball goes do either box then you can see the physicality of

:26:37.:26:43.

the game. If somebody is six photo annual fight for it, that physical

:26:43.:26:48.

aspect is going to show. -- is somebody is six foot and you are

:26:48.:26:51.

firefight. I've joined a Sheffield Wednesday

:26:51.:26:55.

girls training session. There are eight junior squads and the club

:26:55.:26:59.

has 139 players aged from seven to 28-years-old. So, it's as good a

:26:59.:27:02.

place as any to take a health check on the future of the women's game.

:27:02.:27:05.

As you can see it is absolutely freezing here tonight and look how

:27:05.:27:09.

many girls have turned up. That just shows how much it dedication

:27:09.:27:14.

and commitment from the players and the coaches as well. Can I ask who

:27:14.:27:21.

is your favourite footballer. Jermaine Johnson. Wayne Rooney.

:27:21.:27:27.

I was not expecting that on! When I started playing football my role

:27:27.:27:30.

model was Ryan Giggs because there weren't any women footballers are

:27:30.:27:36.

made to look up to. Who wants to play for England and? Yes.

:27:36.:27:40.

And why not? Kasia Lipka used to play at Sheffield Wednesday. Now

:27:40.:27:43.

she's with the England squad ahead of a foreign training camp, while

:27:43.:27:46.

fitting in a bit of revision of course. But if she reaches full

:27:46.:27:49.

international status she'll earn �20,000 a year, less than half a

:27:49.:27:54.

day's pay for Wayne Rooney. The ladies game remains the poor

:27:54.:27:58.

relation from the grass roots up to the top clubs. But things have

:27:58.:28:05.

improved. Watching these young girls really makes me feel

:28:05.:28:09.

optimistic about the future. Their appetite for the game, technical

:28:09.:28:15.

ability and enthusiasm is inspiring. And what's even better, it's

:28:16.:28:19.

happening up and down the country. Who knows, the stars of Rio 2016

:28:19.:28:27.

might be playing on a pitch near you.

:28:27.:28:31.

That is all from us for tonight. Remember, if you have got a story

:28:31.:28:36.

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