24/06/2013 Newsnight Scotland


24/06/2013

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guarantee contentment. An Newsnight Scotland tonight: If you live in

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Glasgow, you are 30% more likely to die prematurely. But still no easy

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explanation as to why Glasgow's excess mortality exceeds can parable

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places like Liverpool. Also tonight, a look back at the

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career of Lord Fraser, the Tory politician who had few enemies, even

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in Scotland. The so-called Glasgow affect is back

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in the news. In short, you will die earlier if you are Glaswegian and

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nobody knows why. Research is at the Centre for population health are

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trying to filter out, -- filter out identifiable differences between it

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Glasgow, Liverpool and Manchester. But the research seems to find more

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mysteries than answers. There is no doubt Glasgow has

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experienced the same history with most of the same problems on the

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same benefits over the past 100 years as many other major European

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industrial cities. Nor is there any doubt that your life expectancy as a

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modern Sweden is worse than that of comparator citizens elsewhere. The

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scientists and statisticians that study these things would add that

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the Glasgow affect is a fairly recent phenomenon. This graph shows

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life expectancy for Scotland was not bad at all compared with 20 other

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European countries compared to 1950. I1980, Scotland was bottom, and

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since then it has got worse, with younger men living in Glasgow

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carrying the largest part of the statistical word in. But it is not

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just younger men. In Glasgow, 13% more people die prematurely than

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their equivalents in Liverpool or Manchester and if you look at those

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who die under 65, the Glasgow figure is 30% worse than the comparison.

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The causes of death are identified. Alcohol and drugs, violence and road

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accidents and suicide. Heart disease and cancers contribute, but there be

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still no explanation of why they happen more in Glasgow. The research

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confirms that poverty is clearly associated with ill health but the

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statisticians can level at that factor and they still find that you

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die earlier in Glasgow. Your gender does not matter and the effect is

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still evident whether you are from a deprived or non-deprived

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neighbourhood. So what questions are they asking. Specifically in their

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survey, the researchers tried to establish if Glasgow has less sense

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of coherence or social capital and other cities, or do sectarianism or

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recent political history play a part? Two people have a different

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set of values or is it that earlier years experience is worse? So what

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are the answer is? More of that in a moment. Once again it has proved

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extremely difficult to pin down specific differences. The idea of a

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sense of coherence, the extent to which people understand and control

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their own lives and have a sense of meaning, had looked promising, but

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the survey concludes that Glaswegians actually do better on

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the school than their counterparts in the North of England, so that is

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not an explanation of the Glasgow affect either.

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I am joined now by David Walsh, lead author of the new report. Welcome to

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the programme. Despite the extensive survey there is no data to back up

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the theories, as we have been hearing, why Glasgow is different.

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Are you confident the data you have gathered is correct? Yes. It is

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important to clarify what was said in the report, that the big driver

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of poor health in any society, Glasgow included, is poverty and

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deprivation. There seems to be something else going on here.

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Because of that it has allowed a number of theories to be put

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forward. It has allowed a lot of people to put forward a lot of pet

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theories even though there is no data to refute or support them. We

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did a bit of work trying to assess what the most plausible theories

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could be and then we had to try to collect some data for those

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theories. So we have undertaken a sample of the three cities, a

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reasonably representative sample where we are happy with those data.

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But there are always questions about whether it is all sections of

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society. You mentioned pet theories some people have. What are the

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theories out there? Which ones do you subscribe to and also dismiss?

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All sorts of theories have been proposed. This is part of the

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difficulty that so many people have come forward with different

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theories. We have tried to look at this in some sort of scientific and

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logical fashion. In this study we collected data for seven different

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theories. To be clear, the answer will not be one thing. It will be a

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complex interaction of allsorts of different things that interact in a

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way that would be difficult to tease out, but as a first step it is

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important to say, is there any evidence at all for these particular

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theories showing differences between the cities? Some mentioned in the

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report are ones we collected data for, including things like people in

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Glasgow possibly being less optimistic for the future, and that

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would therefore impact on their health and behaviour. Glasgow,

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Liverpool and Manchester are such socio-economically different grunt

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cities that it would be surprising if that was the case. There was no

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evidence of that, that levels of optimism were different in Glasgow

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to Liverpool and Manchester. mentioned in the report the

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philosophical concept of our money, Anderson is or alienation. --

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anomie, Boundless nurse or alienation. These are not our

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hypotheses, people have written them and we are putting them to the test

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trying to find the data. In times of economic or social change it is

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thought there is a breakdown or absence of social norms. It is a

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tricky concept to get your head around but it was proposed related

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to alienation, a section of the population being alienated. The

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survey does not support the hypothesis, but whether a survey

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like this could reach the sections of society you would need to reach

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is open to question. At the end of the report, you have a discussion

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topic looking at how you are going to take this in the future. What

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further investigations might you have and which strands will you go

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down? This survey has collected new data for some hypotheses. We have

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other projects looking at other work. We have a whole programme of

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research looking at this. Data have been collected and interrogated and

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what is going to be important as more evidence and reports come

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through is that we sit down and try to synthesise what all the results

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are and what they actually mean and see how far are learning has

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advanced. So we hope to do that later in the year and next year,

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when the other projects have run their course. And it is a fairly

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shocking statistic, and I'm sure many Glaswegians will be pretty

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shocked to learn that and learned that it is true. Yes. I have stopped

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using the term the Glasgow affect. It has been used and abused a little

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bit and it insights a lot of people in terms of this mystery at the

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bottom line is it is not an exciting thing, it is about white thousands

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of people literally died before their time in Glasgow. It is

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affecting individuals and families and community so it is vital we get

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to the bottom of it. Thank you. There have been many tributes to

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Lord Fraser, the former Conservative Lord Advocate. It was announced at

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the weekend he had died suddenly. His involvement in key episodes of

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Scottish life, the Holyrood Parliament and Lockerbie stand out.

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Our reporter has been looking at his life. Peter Fraser was one of those

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politicians who crossed the party divide. He entered the political

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stage in 1979 as a conservative in the then Angus but lost his seat

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eight years later. He became a life peer. His appointment as a Lord

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Advocate propelled him to the international stage. As Scotland's

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top prosecutor he was in charge of bringing the perpetrators of the

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Lockerbie warming to justice. -- Lockerbie bombing.

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One was acquitted at trial, the other was convicted in 2001 of

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smuggling and explosive on board the flight.

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Years later Lord Fraser IDE is with the decision to release him on

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compassionate grounds. -- agreed with the decision.

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The idea that the President of the United States and the head of the

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FBI should be combine to be anti-Scottish at the moment seems to

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me to be disastrous. More controversial still was the Wellcome

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that the convicted bomber received upon his return to Libya. It was all

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organised. The justice secretary has to take some responsibility for not

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checking that up. Away from the legal scene Lord Fraser was a

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leading figure in the fight against devolution.

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He was a member of a group of conservatives arguing for a

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self-governing Assembly, but in the devolution campaign he argued for a

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no foot. -- vote. Despite Lord Fraser's best effort

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devolution was enacted in 1999. But the early years of the Parliament

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were symbolised by the construction of the new Holyrood building which

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was beset by delays and cost overruns. Lord Fraser was appointed

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to investigate the fiasco. I am determined that the enquiry

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should be as cruel and translated as possible. -- as complete as

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transparent as possible. He had a stylish way of asking questions. You

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would never hear him raising his voice. He was such an engaging man

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that he was almost irresistible. While the conclusions of the enquiry

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into thousand and four did not do live a smoking gun, Lord Fraser

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offered his findings into it. You'll. My report has been delivered

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today within budget. He concluded there was no single villain of the

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piece. Latterly Lord Fraser put his skills to use as an adviser. How

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will he be remembered? Peter Fraser was described as quiet, clever and

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nice. I joined by Alan Cochrane, who was a

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friend of Lord Fraser. Lord Fraser was friendly with pretty much

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everyone across the political divide. Yes. He had an infectious

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giggle. It was readily used by Lord Fraser. He had friendships across

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the political divide. There was a famous case on a flight. The case

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went nowhere. On the flight with him were and Labour MP and under then NP

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and to Mac beers. -- and to peers. Peter Fraser carried out his

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duties. Everyone knew he was a Tory anti-me no secret of his political

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affiliations, but he still managed to land some of the biggest jobs in

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Scotland. Chewing the Hollywood enquiry people write me were looking

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for blood. But Peter Field as He was key in the Lockerbie trial.

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On devolution he went up, down, round the houses. On Lockerbie, he

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