21/01/2013 Inside Out Yorkshire and Lincolnshire


21/01/2013

Lucy Hester investigates the cost of medical negligence claims on Yorkshire's maternity wards. Dr Phil Hammond explains what the upcoming NHS reorganisation will mean for patients.


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Transcript


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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

:16:44.:16:50.

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.

:18:03.:18:07.

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

:18:13.:18:18.

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

:18:29.:18:36.

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

:18:49.:18:51.

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

:19:18.:19:25.

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

:19:40.:19:50.
:19:50.:19:53.

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

:20:28.:20:32.

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.

:21:11.:21:16.

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

:22:00.:22:04.

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

:22:08.:22:12.

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

:23:02.:23:06.

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

:23:06.:23:11.

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

:23:11.:23:15.

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

:23:15.:23:19.

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.

Toby Foster presents three stories from Yorkshire and Lincolnshire. Lucy Hester investigates the true cost of medical negligence claims on Yorkshire's maternity wards and finds out why so much money is being spent on these claims. GP and comedian Phil Hammond explains what NHS reorganisation will mean for patients. And women's football star Sue Smith discovers what the future holds for the sport after the high point of the Olympics.


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