09/12/2013 Newsnight Scotland


09/12/2013

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Tonight on Newsnight Scotland, we have the accident report into the

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helicopter that crashed in to the Clutha Bar. But does it raise more

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questions than it answers? And alcohol kills 20 people a week

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in Scotland. With the minimum pricing laws still mired in legal

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action, what can be done to moderate our enthusiasm for drink?

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Good evening. The supermarket shelves are stacked with bottles and

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pubs and clubs are busy as the Christmas party season gets under

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way. For many in Scotland, though, a sociable drink at Christmas, or any

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time of year, is not enough. NHS Health Scotland told us today that

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booze still kills 20 people a week on average and called for more

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action to cut alcohol-related deaths and the illness it causes,

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particularly in women. The Scottish government agree, but their plans

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for minimum unit pricing are still mired in legal argument. Here's

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Andrew Kerr. Alcohol, booze, or even bevvy,

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whatever your name, we certainly enjoy it in Scotland. There's

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nothing wrong with a drink of the Scottish government tell us, we're

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not anti-alcohol just anti alcohol misuse. Karen's nine litres of side

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a day caused major health problems. I went to buy one bottle of cider, I

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would get three bottles, which is three litres. So it is nine litres

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of cider three times -- a day. As soon as they ran out, somebody else

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would come through the door, it would be another two or possibly

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three, then I'd go to sleep, wake up, and if there was none left, I'd

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go to the shop and get another three. Karen's liver was badly

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damaged. That is one of the myriad of health problems booze can bring.

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There is a clear alcohol strategy in place to tackle that. To change our

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destructive relationship with drink. NHS health Scotland have reported on

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progress today and they welcome the fall in alcohol-related deaths but

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warned that the equivalent of 20 people a week dying of drink is too

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many. The health of younger women is of particular concern. Women aged 25

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to 44, we have seen alcohol-related discharges go up a lot. That is on

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ongoing cause of concern. With alcohol sales almost 20% higher here

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than in England and Wales, there is clear evidence of a different

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drinking cult church, a more harmful one. We drink more and we have a

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hype percentage of people drinking the most harmful drink 's, which is

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the cheap gyms and so we need to change drinking habits. We need to

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drink less. Also, will need to stop drinking the harmful drinks and

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drink in moderation. We need to drink in moderation. As medics and

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government tried to nudge us towards a more responsible drinking, one

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solution is swirling around. We think affordability is an important

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element of the explanation of why harm's has been high and why it has

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been falling in recent years. The recession has reduced affordability

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and part of it is price. We think action is required to keep tackling

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affordability of alcohol. Action is required, cue the Scottish

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government ministers nodding in agreement. 60% of booze sold out of

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pubs was below 50p per unit. Remember that? The initial level

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proposed by the government for minimum unit pricing. That policy is

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languishing in the courts. They call for other measures to be looked at

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but the Health Secretary says that policy would tackle affordability.

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Minimum unit pricing is so important because of it has the kind of impact

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we anticipate, many more people will substantially reduce alcohol abuse.

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A major plank in the strategy to change our behaviour and educate the

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young, not much to think about if you are having a glass, but

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something to mull over over Christmas. I'm joined now by Jim

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McCartney, head of the Public health Observatory.

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And by Doctor Deborah Shipton. First of all, Jim, what reasons have you

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identified for the fall in deaths? The most ticks -- the most important

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explanation is that incomes have been falling or staying still as

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prices have been rising over the last ten years. As a result, alcohol

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is less affordable which has restricted the amount of alcohol

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people are able to buy, therefore people have been resulting in less

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alcohol-related deaths. There are a couple of other explanations, too.

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We spent a lot of money improving services, introducing things like

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interventions, which has had some impact. And the ban on multi-byte

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discounting, which has lowered alcohol sales by 3%. With the

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economic downturn going back five years, we saw a spike in the number

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of deaths further back than that, perhaps when people were better off.

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Yes, they've been declining since 2003, but most alcohol-related

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deaths are in the poorest 10th of the nation and if you look at their

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income, their incomes haven't been rising for a long time before the

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current recession took place. As a result, the incomes of the poorest

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group, the ones buying most frequently, they have been

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stagnating whilst alcohol prices have risen, thus alcohol is less

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affordable. Yet we see the number of women admitted to hospital with

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alcohol-related problems on the rise. What is the underlying

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problem? There is many reasons why women might be drinking more. It is

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far more acceptable now for women to drink and for them to drink to the

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excessive levels we see in men, which is related to the trends we

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see in women nowadays. We heard from Karen, drinking 33 litre bottles at

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a time, at least she was. Are the drinks that women consume cheaper?

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It is difficult to know what people are drinking because the data is

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unreliable. That said, there is general data suggesting that women

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are drinking higher strength so they are more likely to be drinking the

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spirit and the higher strength designer drinks, I guess, than men.

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That is contributing to it. We have had this fall in the death rate even

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though the minimum unit pricing that has been trumpeted by the government

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has not been enacted. How big a difference will we see if that is

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actually enforced? We have got data from North America, in particular

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Canada which introduced the minimum unit pricing. That resulted in

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dramatic falls in alcohol-related deaths. If we restrict price, the

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prices of the cheapest alcohol, it can have a difference. One of the

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main reasons why alcohol-related deaths might be coming down in

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Scotland is because incomes have stagnated. If you call me is to turn

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round and incomes increase, it's possible alcohol-related deaths

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could go back up again. How real is that fear? The data suggest that the

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downturn, the large proportion of it, will be related to alcohol

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becoming less affordable. As it becomes more affordable, as

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household incomes in proof, it is quite likely that alcohol

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consumption will go up and harm will go up. If harm is linked to price,

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does that tell is that many of the health messages we have had over

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recent years haven't permeated through to the public? A lot of

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interventions are educating the publisher and around health risks,

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around the units and recommended levels. They don't really work very

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much in terms of the adult population or in terms of schools

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and children. And we also know that when people are drinking alcohol,

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the decisions they make on the night of how many drinks to have, how to

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continue are not related to units and not related to how units are

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related to the recommended levels. It's much more to do with who they

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are with, the intention they have of the evening. Is littered

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contradiction with these figures in that at Westminster the government

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is not in favour of this minimum unit pricing. -- isn't it a

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contradiction. But the death rates in England are much lower in England

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than Scotland where we have these measures already? Alcohol-related

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problems, just like suicide and of islands, all of these factors are

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determined by other factors in society, whether it is

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unemployment, poor housing, the deindustrialisation of our cities

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and regions. All of these factors taken together have to be taken into

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the context where drugs and alcohol and violence have become normal. It

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is quite right the Scottish government looks at the health

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problems of the country and takes appropriate legislation. It's worth

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remembering that alcohol-related deaths are 70% higher than in

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England, so it has to be a priority here. It used to be the case in

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Scotland that we used to have lower alcohol-related deaths than the rest

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of Europe so this is something new. The statistics give varying picture

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we have the ban on these multi-buy promotions. We have had some

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statistics that say that it hasn't reduced consumption that to much.

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The data is clear. We use sales data, the best proxy to see how much

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alcohol has been taken by the population. Some other reports are

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based on how much people have told researchers, and that data is less

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robust. We are fairly confident there has been a 2.6% reduction in

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sales since that ban came in, particularly in wine, where we think

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on -- where we think wine has been sold as a multi-buying discount. We

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think that has had had a good impact. Small numbers nonetheless.

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If the minimum unit pricing is implemented, if the legal battle is

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sorted out, I presume it's still going to take a long time before the

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ship is turned around? Well, we will see fairly immediate effect in terms

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of the reduction of consumption and reductions in harm also come quite

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soon after reductions in consumption, so we will see some

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immediate effects. And I think we will need to say that we would like

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to keep attention on price, presumably indefinitely in terms

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that it is quite appropriate to have attention on control of availability

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of alcohol. As soon as you take it away, as we've seen in other

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countries when that is relaxed, consumption goes up. That is

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something that will have to be continued. As I say, minimum unit

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pricing is in the courts at the moment, would you like to see other

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measures from politicians at the moment? It could take months or

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years to sort out. We are looking at evidence from other countries to see

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what else might be affected, harms to drinkers themselves, harms to

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society itself, or the treatment of children. There is evidence that

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liquidation -- regulation of the best forms of approach to tackling

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alcohol misuse. And we've seen examples in North America where

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regulating the sale of alcohol can reduce alcohol intake even without

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it affecting the price. Thank you very much.

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It's not much more than a week since the Police Scotland helicopter

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crashed into the Clutha Bar in Glasgow. The wreckage was taken to

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the Air Accidents Investigation Branch in Farnborough for analysis,

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and today they issued their first report into the crash. They have

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found no evidence of engine or gearbox failure in the helicopter.

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Catriona Renton has the details of the report.

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It is ten days now since witnesses said they saw the police helicopter

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drop like a stone from the sky. The crew had started work at 8:45pm,

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flying from Glasgow. At 10:18pm, the pilot requested clearance from air

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traffic controllers to return to the heliport. This was the last

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communication with him. Four minutes later, radar contact with the

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helicopter was lost. Today's report said the helicopter struck the flat

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roof of the pub with a high rate of descent and low or negligible

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forward speed. A preliminary examination showed all the main

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rotor blades were attached at the time of impact but that neither the

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main nor the tail rotor were rotating. After the initial

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examination, the helicopter was lifted clear of the building by a

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crane. 95 litres of fuel were removed from its tanks. In

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Farmborough, they found no evidence of major mechanical disruption of

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either engine and that the main rotor gearbox was capable of

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providing drive. So far, extensive damage has prevented similar checks

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on the other gearbox. Experts say what has been rolled out leaves more

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questions than answers. Given what we know from this report, what

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theory do you think the investigators will be working on? I

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think it's too early to even guess what theory they may be working

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towards. This is an interim report. We can't really draw any conclusion

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from the report at this moment. Does this report rule anything out? I

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don't think it does. One of the tiny footnotes within this document says

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that it is a tentative report pointing to where they are at the

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moment, what they have been looking at, but they say they found no

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problems with the engines all the gearbox, but it's very much early

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days because there is still some investigation to go. There's an

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investigation to go into an awful lot of other things as well. For

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example, the electronics on board particular helicopter, fitted with

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the full authority digital electronic control system for the

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engines. That leaves no ability for the pilots to take manual control if

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something went wrong, for example. If the system failed, it follows

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that the rotors would stop turning on the aircraft would come down.

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They could be looking at many other avenues as well. On the subject of

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the data that the helicopter itself may provide, I presume there is the

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danger that some of that data may be lost. That's right. Many of the

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systems on board modern aircraft of any type have data capture devices

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built-in, which gives some indication as to Fort conditions and

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so forth. Now, the investigations will look at those and tried to

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retrieve whatever they can retrieve and download whatever data happens

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to be there, provided that those parts are not so badly damaged that

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the chips themselves are damaged. So there is about. There is also the

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possibility that many of the police systems on board this helicopter,

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such as CCTV cameras, voice recordings of conversations between

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the helicopter and police control of the helicopter and air traffic

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control, might provide some answers as well. It's interesting they

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talked of no evidence of major mechanical disruption. Is it

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possible a very small Fort could cause such a failure? It is

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possible. At the end of the day, we are talking about a very complex

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aircraft and one that is reliant on all sorts of systems, not just the

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engines and the rotor blades. Any particular part of that airframe

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might well be ultimately found is the cause of this accident. But it's

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only ten days since the helicopter came down and the investigators are

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looking at everything, every not in bold. People will want answers

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relatively quickly. What time frame could you put on this? I don't think

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we can. There's an awful lot of extra work to do. It may be

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something crops up tomorrow or the day after, which would give us a

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relatively clear indication as to what happened. But equally, that

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elusive bit of the puzzle may only be discovered six or 12 months from

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now. In the meantime, do questions still need to be asked about the

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fleet? Yes. There are an awful lot of these particular helicopters.

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Many police forces will want to know that their helicopters, the ones

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they are depending on for mission-critical operations every

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day, are safe to fly, so there is pressure on the investigators to

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come up with answers as quickly as possible.

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Now a quick look at tomorrow's front pages.

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That's all from me. I'll be back with Good Morning Scotland on Radio

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Scotland tomorrow at 6am. Gordon will be here tomorrow. Good night.

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We have entered a relatively settled spell of weather. But not completely

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