18/11/2013 Newsnight


18/11/2013

Investigating the NHS's treatment of patients with brain injuries. A look at the ex-bank boss filmed allegedly buying drugs. Are women bishops on the way? With Kirsty Wark.


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Transcript


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Newsnight exposes the shocking treament being meths out to - meted

:00:08.:00:18.

out to those in brain injury specialist units. Grant the staff

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are coming in, they will come in, you have been told repeatedly the

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staff are coming to wash you. We have to have handover first. The NHS

:00:26.:00:30.

Trust involved accept it was appalling. Will be talking to a

:00:31.:00:34.

former patient who has been through the system, and with her, the woman

:00:35.:00:38.

who is playing a key role in sorting it out. Rare pictures of Guantanamo

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detention camp have been broadcast on US television. Act with us like a

:00:44.:00:50.

human being, not like slaves. That is the voice of Shakar Ama, a UK

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resident. His lawyer is here with his reaction. We're treated to the

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first guided tour of Tate Britain transformed.

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Good evening, when someone suffers a severe brain injury, their chances

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of recovery often rest upon the quality of the programme of

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rehabilitation they receive. Sometimes relatives find it very

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difficult to gauge the quality of that care. But what is indisbutable

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is an expertise in care for brain-injured patients is uneven

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across England. We have the story of desperate measures of a man's

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treament in rehabilitation specialists. Every 90 seconds -- in

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seconds their life and the lives of their families are changed. That's

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what happened to Grant Clarke, he was 43 when he had a massive brain

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emridge. He dropped the children off at school and then he was arranging

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to go motor cross the following day, he had gone over to where the

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motorbikes were scored and just collapsed. Grant was left severely

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physically disabled, mentally he was fine but he couldn't really speak.

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18 months on he's still not home, and his partner feels he was let

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down by poor care at his first specialist rehab unit. I was told he

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would be there for 3-4 months, and I thought rehabilitation was exactly

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that, rehabilitation, to get you home. After injury the brain has to

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effectively build new pathways so that the person can regain the

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ability to do things. That can take weeks, months, even years. And it

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shows why it is so important to have good care and rehabilitation. That

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process of helping Grant relearn skills was meant to happen here, at

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the West Kent neuro-Rehab bill station unit. Not long after he

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arrived here in August last year, they started to worry. He didn't

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have his teeth washed his armpits watches, he was in urine all the

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time, every time I went to see him wet to his armpits and cold. She

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felt her complaints were ignored, so decided to taken a extreme step. He

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was trying inconsolably, and I said would it be better if I got a camera

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for your room. He stopped crying almost immediately and nodded yes.

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From the first day the secret camera picked up care that shocked Binny.

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This LAELT care worker starts cleaning the top of the tube that

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delivers food, fluid and medicine straight to Grant's stop marks care

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is needed because of the risk of infection. She does use an

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antiseptic wipe, but also borrows a pen and uses that. And over ten days

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Grant's call bell, his means of getting help is taken away for three

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times, for between ten and 16 minutes. On this occasion, when he

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presses the bell, a healthcare worker notes he's wet with urine,

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and said he will have to wait until staff changeover is finish. Still

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waiting five minutes later he buzzes again. This time a senior member of

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staff comes in and takes away the call bell. More than ten minutes

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later and with no call bell Grant starts pressing a keypad to get

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attention. When the same woman returns she's not pleased. By now

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Grant has been sitting in his own urine for more than a quarter of an

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hour. But what Binny saw two nights

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running horrified her, Grant wasn't meant to have anything by mouth,

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unable to swallow, choking could be life threatening for him. The camera

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shows an experienced healthcare worker giving Grant drinks of water

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on five occasions. Here Grant starts to cough, the worker whispers him to

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keep it quiet. Binny was really worried and overall Grant was making

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no progress. He had to get out of there, I knew that he wouldn't come

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home, I told them he wouldn't come home if he stays here and you keep

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treating him like this, he's not going to make him home. Questioned

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by police the healthcare worker said he regretted giving the drinks and

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now realised his poor judgment had endangered Grant, no charges were

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brought. The West Kent unit said it specialised in eurorehabilitation,

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but shockingly -- neurorehabilitation, but shockingly,

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an investigation found only one member of staff had specialist

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training in brain injury. The Trust upheld the 26 complaints that the

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family made against the Trust for the four months he was here last

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year and he was moved to place a safety. The Trust says:

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I think the attitude of the staff is very important as well. Professor

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Mike cap Barnes has specialised in euro-rehabilitation medicine for

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four decades. He says it is difficult to find people with

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specialist training in this field but it is vital. You can't do good

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quality rehabilitation without good quality people. It is not about

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fancy equipment or scans, or equipment at all, it is about the

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quality of the person that provides the hands-on assistance. He believes

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that services for people with acquired brain injuries are too hit

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and miss. There are some very good rehabilitation centres in this

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country. But equally, I'm afraid, there are units around the country

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that really don't provide proper co-ordinated rehabilitation at all.

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Yet that is what they are called, that, I think, is a sad reflection

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on something that needs to be done. And it's people like Shamell

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Courtney and her husband Mark, who have experienced what a lack of

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specialist care can mean in practice time and again. In March 2007 Mark

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had a major asthma attack, it left him severely brain-damaged. He needs

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24-hour care, round the clock, one-to-one. He's totally dependant

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on all his needs, nutritional, manual handling, washing, dressing,

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absolutely everything. So long after the brain injury her concerns now

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are less about Mark's rehabilitation, more about the

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failings in basic care which has meant she has been asked to train

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staff herself. He has been in four different placements in the past

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six-and-a-half years, I have not found that any placement is ideal.

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They all have their serious risks to these patients. That if I wasn't

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there, then you know, I don't think he would be here either. For Grant

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Clarke, being in a new unit that is providing good care and the

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rehabilitation he needs seems to be making a real difference. At the

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last place he was told his future was in a nursing home. Thanks to the

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progress he has made here, he's now starting to spend time back home

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with his family. There is good evidence that although

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rehabilitation costs more money clearly than someone going home or

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to a nursing home. That money is recouped over two-to-three years by

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that person requiring less support from the state, getting back to work

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and therefore earning money. So the short-term investment in further

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rehabilitation for six months or a year will be recouped by the state

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over two-to-three years. Grant is now starting to speak more, and he

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has clear goals. What is it you want to achieve? To walk. To walk. What

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about going home, how important is that to you? Very. Very. The fight

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to get the right help has added to the trauma they faced. They find

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that hard to understand. We asked NHS England to come on to Newsnight

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tonight and discuss care provision for patients with brain injuries,

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nobody was available. But the National Clinical Direct for

:10:57.:11:03.

Rehabilitation and Recovery in the Community gave the

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Here tonight we have Kate Allatt who survived Lock In Syndrome, and knows

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how vital good treatment is, and a rehab specialist who has been asked

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to lead the NHS for the revised treatment of brain injury patients.

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Good evening to both of you. What do you make of Grant Clarke's story?

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Well, it is difficult to comment on individual cases of course. But

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really that doesn't look at all the sort of standard one would expect to

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have. I think the point about that is that it really underlines the

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necessity to have patients who have complex disabilities cared for by

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staff. One staff was specialist in the treatment. That is

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extraordinary, calling itself a specialist unit and one trained

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specialist unit? And the British society of the Rehabilitation

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Medicine has set out standards to say what we would expect staff to be

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on those specialised unit, and the recommendation is at least a third

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of the staff to have specialised training in the nursing staff.

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Before I talk about what happened to you, I know you campaign on behalf

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of relatives and families. Presumably Grant Clarke and Mark's

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cases are not isolated? They are not isolated. There are a lot of people

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I deal with who have great experiences in rehab, if they get

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the opportunity to go to rehab. Which isn't always the case. So I

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have to say that, there are some good example, mine was very good.

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But this was appalling. Appalling, my heart goes out. But how often do

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we see vulnerable people in society being neglected like that, across

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all sectors. And for you, what happened to you? I had a brainstem

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stroke with Locked In Syndrome in February 2010, that left me unable

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to do anything to communicate through blinking. That was it,

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nothing else moved. I felt everything but I could move nothing.

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The process of getting better, is it about a partnership, the way that

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nurse was talking to Grant like a child. Well again I think that is

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appalling and very patronising, I think that is very controlling. I

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think the key thing in rehabilitation units there should be

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a specialised neuroteam, speech therapist, neuro-psychologist,

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neuro-physiotherapists, and I think especially in europsychologists, as

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part of a re-- neuro-psychologists, I think you need loved ones on

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board. You were unable to communicate, they wouldn't know if

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you were receiving proper care or not? Exactly, and also you have to

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also factor in the fact that loved ones tend to, a lot of loved ones

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tend to believe the doctor in the white coat because they don't know

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any different. Part of the problem is that you can't be guaranteed, as

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we said, what did Professor Michael Baines said, that there were units

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that don't provide proper co-ordinated care at all. It is a

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postcode lottery? Indeed, it is fair to say up until now rehabilitation

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has been something of a Cinderella speciality. Much of the focus has

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been on acute and frontline services. Specialised rehabilitation

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hasn't had the level of prioritisation that we would want to

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see. Is that because as the professor was saying that the

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initial injection of cash is high for rehabilitation, but it is down

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the line that the savings are made and trusts saying they can't afford

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it? It does look expensive to start off with, when you see those

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advantages play out over the life of the patient and we're often looking,

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as indeed in this film and quite young patients who have got the rest

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of their lives to really make the gains. Is that about the budgets of

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hospitals, they would like to think about the outcome three or four

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years down the road, but they are concerned about their budget over

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the next 12 months. Absolutely, that is partly the way the system is

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funded at the moment going from year-to-year. Are you suggesting it

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shouldn't be funded like that? No, I think one would like to see

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long-term planning and strategy really trying to make sure that we

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take advantage. We have, as Mike said really good evidence that

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rehabilitation can be cost effective, we need to make sure we

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do reap those benefits. On just the question of your rehabilitation, how

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did that play out, were you with the same staff, did you have continuity

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of care. I was in ICU for nine weeks and then went to 0s George Osborne

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straight there, and they were an amazing team. They had a very driven

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patient. Motivation of the loved one, motivation of the patient and

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the team, who identified with a young mother with three kids at

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home, it was easy for them to do something for me, because they could

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see and feel my might. They got out of me as much as I did out of them.

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It was two-way and I worked hard. I think that is important. Also

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rehabilitation, I have to say the rehabilitation should start earlier

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than it does in this country, it should start in ICU as it does in

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Denmark, two days after the coma. J In a moment rare access to the side

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of Guantanamo pay BAI detention camp. The Reverend Paul Flowers who

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led the Co-Op bank when it almost fell off the precipice was charged

:17:18.:17:24.

with allegedly trying to buy cocaine. Today the accusations about

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his behaviour were less about the drug deal about how about man with

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almost no experience of banking got the job in the first place. A review

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has been announced by the bank. Talk about breaking bad with a dose

:17:39.:17:42.

of breaking banks to go with it. The story of Paul DMROURS is

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extraordinary as it is multileveled. A Methodist minister, who

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aauthoriseding a Sunday newspaper sting put the meth into Methodist.

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Handing over ?200 for buying drugs. What else are we going to get, Ket?

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Up until June he was chairman of the Co-Op bank, a bank that went from

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one financial disaster to another, eventually being bailed out by hedge

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funds. The Reverend's life was in contrast to his poorer banking

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experience. I worked for bank for four years after I left school, and

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I undertook the examinations of the Institute of Bankers, I completed

:18:25.:18:27.

part one and the best part of part two of those explanations before I

:18:28.:18:33.

went to become a Methodist minister. So I have some experience but I

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would judge that experience was largely out of date in relation to

:18:38.:18:44.

the needs of contemporary banking, nonetheless I still had that

:18:45.:18:49.

grounding. All that training in pre-desminute analogue banking four

:18:50.:18:54.

decades ago must have been some use. Still he would be right on the money

:18:55.:18:58.

to give us the modern numbers, wouldn't he. Give everybody who is

:18:59.:19:02.

listening to this an idea of the size of the Co-Op Bank, roughly what

:19:03.:19:07.

is your total asset value? About just over ?3 billion. I'm talking

:19:08.:19:12.

about the assets so we are looking at the balance sheet here. I'm

:19:13.:19:17.

talking about the balance sheets and the asset figures were ?3 billion.

:19:18.:19:22.

You are offering me and I'm telling you that your annual accounts show

:19:23.:19:28.

it at ?47 billion. Indeed they did, forgive me. Your loan book is about

:19:29.:19:33.

?32 billion. It is one of the features of our banking crisis that

:19:34.:19:38.

when the dust settled it was clear that many of the people who had been

:19:39.:19:41.

approved by the regulators to steward our most important

:19:42.:19:45.

institutions were in retrospect wholly unsuitable. Though on the

:19:46.:19:48.

evidence of recent revelations, perhaps the Reverend Paul Flowers

:19:49.:19:54.

will be in a league of his own. Earlier I spoke to the chair of the

:19:55.:19:58.

Treasury Select Committee you saw there, I began by asking him how

:19:59.:20:03.

someone like Paul Flowers could be chairman of a large bank without any

:20:04.:20:08.

banking experience? What we discovered, if we didn't already

:20:09.:20:13.

know, is that the system of regulation was a flop, a failure. It

:20:14.:20:18.

was scarcely worth having. This called approved persons regime meant

:20:19.:20:22.

almost anybody could get through. I think it is important that we find

:20:23.:20:27.

out how exactly he was scrutinised. How he did get through in this

:20:28.:20:31.

specific case, and I will be writing to the regulators to ask them that

:20:32.:20:35.

question. He was interviewed by the FSA to be a non-executive director

:20:36.:20:39.

and he had a second interview when he became a chairman, this is at the

:20:40.:20:43.

height of the banking crisis. It is quite extraordinary at least I would

:20:44.:20:47.

feel it would be extraordinary did we not already know on the banking

:20:48.:20:50.

commission, which I also chaired in the summer, that this regime, this

:20:51.:20:55.

approved persons regime was not fit for purpose. That is why we

:20:56.:20:58.

recommended not to reform it but abolish it and replace it by

:20:59.:21:02.

something much more robust. Are you confident that your recommendations

:21:03.:21:07.

will be implemented in full? I can't be fully confident yet, it is

:21:08.:21:10.

crucial that parliament and the banking commissioners hold the

:21:11.:21:13.

Government's feet to the fire on this and make sure they implement

:21:14.:21:16.

these proposals in full. They are a package of measures, if taken

:21:17.:21:20.

together, can make a material difference to the way banks behave.

:21:21.:21:27.

You highlighted something to David Cameron something you worry will not

:21:28.:21:31.

be implemented what is that? There are a number, the Government haven't

:21:32.:21:35.

worked out the definition of a bank for the purposes of the legislation,

:21:36.:21:38.

that was made clear in the debate in the House of Lords, the Government

:21:39.:21:42.

have gone to think about it. Their definition of a banks could exclude

:21:43.:21:47.

investment banks. Most of us feel investment banks should be included

:21:48.:21:51.

in the licensing regime that we have proposed in the replacement for the

:21:52.:21:55.

very regime that went wrong here with the Reverend Flowers. When he

:21:56.:22:00.

was in front of you, at the Treasury select, did you have any idea that

:22:01.:22:05.

perhaps it was something to do with his lifestyle that he might have

:22:06.:22:10.

been behaving the way, say in the assets of the bank saying they were

:22:11.:22:15.

?3 billion and not ?40 billion? We will never know why he seemed in a

:22:16.:22:19.

sense slightly short of the odd fact about the bank that he was running.

:22:20.:22:23.

It is extraordinary that he had no idea at all about the asset base of

:22:24.:22:27.

his own bank after several years as chairman. Now, there are lots of

:22:28.:22:32.

non-executives in banks, are you confident that all the

:22:33.:22:36.

non-executives in large banks in this country are up to the job? You

:22:37.:22:45.

can FLEFR be -- never be absolutely confident of that. We have put in

:22:46.:22:49.

place a regulatory regime we are hoping the Government will

:22:50.:22:53.

implement. If it is implemented fully should achieve that. That

:22:54.:22:56.

means intensive interviews, not only at the beginning, but also during

:22:57.:23:01.

people's tenure, to pick up whether anything is going wrong, a very

:23:02.:23:05.

detailed list of what their responsible for, as individuals,

:23:06.:23:08.

which can then be checked back to see how they are doing. And with

:23:09.:23:11.

these interviews conducted by very senior people. I understand the veg

:23:12.:23:15.

lators are -- regulators are beginning to do that. The problem is

:23:16.:23:19.

going forward you could have these interviews for non-executive

:23:20.:23:23.

directors that are more rigorous to ascertain their background and

:23:24.:23:26.

experience. I'm talking about the non-executive directors in the banks

:23:27.:23:29.

at the moment. Can you retrospectively test them? Of

:23:30.:23:32.

course, one can have them come forward to be looked at to see if

:23:33.:23:36.

they fit the standards of the new regime. And in time those incumbents

:23:37.:23:40.

should be checked in that way. Are you confident the Government will go

:23:41.:23:45.

ahead and implement that in full? I'm confident that the spirit is

:23:46.:23:48.

willing. We have to make sure that the flesh doesn't weaken.

:23:49.:23:52.

Thank you very much indeed. Get with the programme, and get on with it.

:23:53.:23:55.

That was David Cameron's instruction when he made his displeasure clear

:23:56.:23:59.

last year after the Church of England had rejected the ordination

:24:00.:24:03.

of women bishops. This week new legislation thrashed out between

:24:04.:24:05.

different groupings in the church will be debated at the synod, if the

:24:06.:24:11.

synod approves it, it will be the first step towards the concecration

:24:12.:24:15.

of women bishops as early as next year. Opposition to the reform is

:24:16.:24:31.

crumbling by the day. The synod began with a rousing hymn

:24:32.:24:35.

of praise to Jesus, and prayers for the unity of the church in line with

:24:36.:24:40.

the usual practice. In this bastion of tradition. But even here, immured

:24:41.:24:52.

in Westminster, a modern world has intervened, no longer can the church

:24:53.:24:56.

afford to insulate itself against a fast-moving technological society,

:24:57.:25:01.

which prizes equality so highly, and finds discrimination hard to

:25:02.:25:06.

understand. Women have served as Anglican priests for almost 20

:25:07.:25:10.

years, and now make up almost a third of the Clergy. Priests such as

:25:11.:25:14.

Rosie Harper have become increasingly impatient as successive

:25:15.:25:18.

attempts to create women bishops have ended in failure. Well I think

:25:19.:25:22.

the way the world, the country in particular, the whole world reacted

:25:23.:25:26.

to the "no" vote in November was a real wake-up call. People are only

:25:27.:25:29.

just beginning to realise in the Church of England how ridiculous we

:25:30.:25:33.

look from the outside. And we had such a precious place in our

:25:34.:25:37.

society, being the conscience for the country, people would refer to

:25:38.:25:40.

the church, see what we believed and that would be a touchstone. Because

:25:41.:25:44.

of that vote amongst other things this has been reversed in recent

:25:45.:25:48.

years, so that the country in many ways thinks they have deeper and

:25:49.:25:51.

higher ethical values than the church. In November last year lay

:25:52.:25:55.

members of the synod blocked the legislation by a narrow margin,

:25:56.:26:00.

arguing that it did too little to he can cement traditionalists from

:26:01.:26:05.

serving under bishops. If anyone has a Bible. After the tears of last

:26:06.:26:10.

November, there is a lighter mood this week. Or even an iPad would be

:26:11.:26:16.

wonderful! New proposals for women bishops have generated a sense of

:26:17.:26:21.

expectation, even excitement. After years of bitter debate, the Church

:26:22.:26:25.

of England seems this week to be genuinely on the brink of an

:26:26.:26:29.

historic decision, to accept women bishops. Despite being offered

:26:30.:26:34.

rather less than before, low church evangelicals and High Church

:26:35.:26:38.

Catholics seem to be ready to bow to the inevitable. The reason, apart

:26:39.:26:41.

from the continuing damage to the church done by the debate, and the

:26:42.:26:45.

increasing bewilderment of the world outside, it seems to come down to a

:26:46.:26:49.

relatively simple plan. The appointment of an independent

:26:50.:26:54.

arbitrator or ombudsman. The latest proposals have been simplified and

:26:55.:26:58.

if passed would lead to the legislative process being speeded

:26:59.:27:02.

up. Leading to a final vote on women bishops next July. This time

:27:03.:27:06.

concessions to traditionalists would not be written into the law. But

:27:07.:27:12.

critically they would be backed by an ombudsman-style independent

:27:13.:27:17.

reviewer. For traditionalists on the Catholic wing of the church, such as

:27:18.:27:21.

David Holding, Jesus's choice only of men as apostles means that women

:27:22.:27:26.

are simply incapable of being priests. Still less bishops. But

:27:27.:27:31.

Father Holding is now ready to compromise. I think it is inevitable

:27:32.:27:35.

it can go through, I don't think we can carry on holding this back, it

:27:36.:27:39.

doesn't do us good we waste a lot of time and energy. It is very

:27:40.:27:43.

important that we do move forward. I have always said we want to move

:27:44.:27:46.

forward together. I haven't seen that possibility in the past. I see

:27:47.:27:50.

it now. That is why this is quite exciting. Others who voted against

:27:51.:27:54.

women bishops last November are also changing their minds. We helped to

:27:55.:27:58.

defeat it because we believed that it was putting at risk some

:27:59.:28:03.

absolutely essential elements in the tradition. And we needed to make

:28:04.:28:06.

sure that those people would still be with us, would be able to go on

:28:07.:28:11.

serving Jesus in that way. I believe that this legislation may be able to

:28:12.:28:15.

do that. Even the cleric leading conservative

:28:16.:28:21.

evangelicals in synod is ready to accept the inevitable. The church is

:28:22.:28:26.

on the brink of women bishops and I personally think that is contrary to

:28:27.:28:29.

what the Bible advises for church order, but it is not an essential

:28:30.:28:34.

issue and therefore it is one that we can learn to live with each other

:28:35.:28:38.

on. Provided everybody sticks to their side of the bargain. A final

:28:39.:28:45.

vote next July and confirmation by Anglican diocese could see women

:28:46.:28:50.

sitting among the bishops by 2015. Little did the church know that the

:28:51.:28:53.

sol illusion lay in turning to a new figure in the process, the

:28:54.:29:04.

arbitrator. CBS's 60-Minutes Programme has broadcast from inside

:29:05.:29:09.

Guantanamo Bay, where 164 men suspected of being as terrorists

:29:10.:29:14.

have been kept indefinitely without charge. In the film which shows the

:29:15.:29:19.

tension inside the prison, you can hear the voice of a British prisoner

:29:20.:29:25.

shouting out. He was identified as Shak Amr, his lawyer is with us. How

:29:26.:29:30.

significant is the new footage? It is significant, it is very rare for

:29:31.:29:36.

film crews to get access to Guantanamo Bay, it gives youen sight

:29:37.:29:39.

into what life is like inside the prison. If we look at it here, we

:29:40.:29:45.

see guards walking up and down the corridor in camp 5, prisoners are

:29:46.:29:50.

held in single cells, others in isolation. Here we have more insight

:29:51.:29:56.

into life in a cell. And you can see someone going about day-to-day

:29:57.:30:00.

business. And a group of prisoners reaching the point where they go for

:30:01.:30:03.

prayers. Again we see the guards going up and down with the

:30:04.:30:08.

protective massingks on, which -- masks on, because we are told the

:30:09.:30:11.

prisoners will sometimes throw things at them. What about this

:30:12.:30:16.

British resident? We are dealing with Shaka Amr, a British resident

:30:17.:30:21.

and Saudi national. This is his Department of Defence US file. And

:30:22.:30:26.

basically this file alleges that the detainee is a member of Al-Qaeda,

:30:27.:30:29.

tied to the European support network. It is important to say that

:30:30.:30:33.

he denies this and he has never been tried for it. Let's have a look at

:30:34.:30:38.

what he was saying now. Even you leave us to die in peace. Or even

:30:39.:30:45.

tell the world the truth. Open up the place. Let the world come and

:30:46.:30:50.

visit. Please Colonel, act with us like a human being. Not like slaves.

:30:51.:30:58.

You cannot walk not even half a metre without being chained. Is that

:30:59.:31:03.

a human being? That's a treatment of an animal! Thank you very much, I'm

:31:04.:31:10.

joined by the lawyer of the prisoner. You have been in there

:31:11.:31:13.

many times, what did you make of what you could see there? I have to

:31:14.:31:17.

say I have been there 30 times, I have spent almost a year down there,

:31:18.:31:20.

that is the first time I have ever seen someone with those masks on. I

:31:21.:31:25.

see the soldiers every time. This was all set up for CBS. They took

:31:26.:31:30.

them to one block on camp 5 and they tried to structure it in the words

:31:31.:31:36.

of Colonel Bogden, the guy in charge, to show that every single

:31:37.:31:40.

prisoner there is an evil Al-Qaeda person trying to kill everybody, it

:31:41.:31:45.

is total nonsense. But your own client there has been this series of

:31:46.:31:50.

letters and the UK Government and the US President asking for his

:31:51.:31:53.

return to the UK. What has happened to that? I think the most important

:31:54.:31:56.

thing we need to recognise is for all the allegations that people have

:31:57.:32:01.

made, Shaka has been cleared for release for six years now. And he's

:32:02.:32:05.

still sitting there. What we have to ask ourselves and what Shakar asks

:32:06.:32:11.

themself every day, if I'm cleared where -- himself every day, if I'm

:32:12.:32:17.

cleared why am I here. I sent a letter tonight to William Hague

:32:18.:32:20.

because he had written a personal letter about everything the

:32:21.:32:24.

Government had done. And Shakar wanted to thank William Hague, and

:32:25.:32:28.

wanted to ask him why is he still there. As Richard was saying he has

:32:29.:32:32.

been described as an Al-Qaeda affiliate? Well he's not. You know,

:32:33.:32:37.

I was down there the other day and I said what I have often said which is

:32:38.:32:41.

put up or shut up. And he has been cleared, he isn't an Al-Qaeda

:32:42.:32:45.

affiliate, he never hadding? To do with Al-Qaeda. How was he cleared?

:32:46.:32:52.

He was cleared by Bush and Obama, it is not like it is one person, all

:32:53.:32:57.

six of the major American secret agencies, the CIA, the FBI, everyone

:32:58.:33:02.

else has got together and said this guy is not a threat to anyone. Why

:33:03.:33:06.

isn't he coming home? Oh please, would you tell me. I will tell you

:33:07.:33:12.

why I think t this is what Shakar says, I can't talk about the

:33:13.:33:15.

classified evidence I have seen. I have to be clear about that. What

:33:16.:33:20.

seems clear, as much as I don't doubt for one second the bona fides

:33:21.:33:26.

of David Cameron and William Hague, I think they are being stabbed in

:33:27.:33:31.

the back by the British Intelligence Services. Shakar has given a

:33:32.:33:36.

three-day statement about British complicity in torture, the only way

:33:37.:33:39.

that becomes a criminal case against certain people is if he comes back

:33:40.:33:43.

to Britain and is a proper witness. If he's shipped to Saudi Arabia he

:33:44.:33:48.

can never be a witness and the case ends. I'm afraid there has been a

:33:49.:33:52.

lot of secret stuff going on behind people's backs and I wish people

:33:53.:33:56.

would stop it and just be up front. Do you think that films like this

:33:57.:34:06.

actually have any impact on the Obama Government? Do you know I

:34:07.:34:10.

don't really care. What this did was for the first time Shakar's daughter

:34:11.:34:17.

who hasn't seen him for 12 years, and his son, who has never seen his

:34:18.:34:24.

father, he was born on Valentine's Day in 2 O2, 2 -- 20 O2, the day he

:34:25.:34:34.

was put into detention. They heard their dad, and they were thrilled. I

:34:35.:34:38.

just hope those kids get to see their dad. While politicians and

:34:39.:34:41.

business leaders argue about the health of the economy, one sector

:34:42.:34:45.

enjoys rude good health, the art market. A work by a British artist,

:34:46.:34:51.

Francis Bacon, has set a new record of ?90 million at auction. And Tate

:34:52.:34:56.

Britain is about to unveil a ?40 million refit. At the centre of it

:34:57.:35:05.

all is the great Tate Panjandrum. Has he turned art anything something

:35:06.:35:12.

that will rival art, or has it exerted unfair influence.

:35:13.:35:19.

We went on a tour of his gaff. It is all a kind of alchemy, in these lean

:35:20.:35:27.

times, ?45 million conjured out of thin air, to splash on a grand

:35:28.:35:34.

refurbishment of the original Tate Gallery. Shimmering into view is the

:35:35.:35:39.

sourcer himself, Sir Nicholas Serota. This is a money that has

:35:40.:35:43.

been committed to making sure that we really show British art at its

:35:44.:35:49.

best. We're world leaders, historically and I would argue in

:35:50.:35:54.

the modern era in terms of what our artists have produced. We want to

:35:55.:35:58.

show it in the best possible way. In the case of Tate Britain it is a ?45

:35:59.:36:03.

million scheme, ?42 million of that has come from Trust, Foundations and

:36:04.:36:08.

individuals, only ?3 million from the lottery. There are recent

:36:09.:36:12.

figures that suggest per head of population that people in London and

:36:13.:36:16.

the south-east are spoilt compared to others? I think that the great

:36:17.:36:22.

thing about an institution like the Tate is it doesn't simply serve

:36:23.:36:26.

London but the whole country. We have more loans going out to ROEJal

:36:27.:36:32.

museum -- regional museums now than any time in the past. We work with

:36:33.:36:36.

partners in museums and galleries across the country. A restaurant is

:36:37.:36:42.

reopening, boasting this enchanted Muriel by Rex Whistler, a neglected

:36:43.:36:48.

British artist of the 20th century. The Ta Tereks and Nicholas Serota

:36:49.:36:53.

have been accused of having too much power over the careers of more

:36:54.:37:00.

recent artists. I think I would be really niave that I didn't recognise

:37:01.:37:06.

that if the Tate buys work by a young artist makes a difference. The

:37:07.:37:10.

market however has a way of absorbing that and any artist's

:37:11.:37:15.

price has to be sustained by a very great deal more than simply a

:37:16.:37:20.

purchase by the gallery. Do you ever walk around Tate Modern and pass a

:37:21.:37:24.

particular work and shudder and think, "what were we doing"? I think

:37:25.:37:30.

the great thing about having the responsibility for buying

:37:31.:37:34.

contemporary art is that you have an opportunity to make a judgment,

:37:35.:37:38.

present it to the public, last year we presented a major exhibition at

:37:39.:37:45.

Tate Modern of Damien Hirst, it had more visitors than any show we have

:37:46.:37:50.

done since we opened that building in 2000. It got some flack too? The

:37:51.:37:57.

Tatte -- Tate has a responsibility to show the work of leading British

:37:58.:38:02.

artists whose work is highly regarded internationally. The Tate

:38:03.:38:06.

has always been controversial, I hope it will remain so. Ladies and

:38:07.:38:14.

gentlemen the magnificent Tryptic of Lucian Freud by Francis Bacon. A

:38:15.:38:20.

painting by Francis Bacon of his friend, Lucian Freud fetched ?90

:38:21.:38:30.

million in the UK this month. It won't be in the UK but in an

:38:31.:38:37.

oligarch's front room. They live in Britain too and sometimes they lend

:38:38.:38:41.

works to the Tate or the National Gallery or other institutions. I

:38:42.:38:45.

don't think you should assume that the work, since it was bought by a

:38:46.:38:50.

private collector that it won't be available for the public to see.

:38:51.:38:54.

However historically once it goes into a private collection it does

:38:55.:38:58.

disappear for a period. How is the Turner Prize doing, the great Robert

:38:59.:39:04.

Hughes, admittedly a decade ago described it as soggy and flaccid.

:39:05.:39:08.

How is it now? Showing it outside London as we have begun to do

:39:09.:39:17.

outevery two years. It is in Derry in 2013, I'm pretty confident that

:39:18.:39:22.

some of those people who are winning the Turner Prize in this decade will

:39:23.:39:26.

be as well known as those who won it in the previous decades. Look at

:39:27.:39:30.

Steve McQueen, an artist who won the Turner Prize ten years ago,

:39:31.:39:37.

unregarded at that point. Now probably going to be receiving

:39:38.:39:43.

Oscars for his major feature film. Grayson Perry in his Reith lecture

:39:44.:39:51.

recently outed you as a fan of Sir iff Richard, and who isn't?

:39:52.:39:57.

# She's just a devil woman # She's gonna get you Grayson has

:39:58.:40:06.

his own view on the world, and he undoubtedly found some things in my

:40:07.:40:09.

bedroom. What was he doing in your bedroom, you don't have to tell me,

:40:10.:40:17.

that's true? Grayson came to really enjoyable party that we often give

:40:18.:40:22.

at Christmas. He had a SNOOP around, and he found a few things and I

:40:23.:40:36.

think he enjoyed himself. Are you a fan of Sir cliff? I'm fan you will

:40:37.:40:41.

of a music, I collect memorabilia of all kinds. Today the President of

:40:42.:40:48.

the Philippines criticised local Governmental officials for his

:40:49.:40:53.

country not being prepared for the devastation wrought by supertyphoon.

:40:54.:40:59.

The mayor of the worst-hit city pointed the finger straight back at

:41:00.:41:02.

the President. While the blame game went on, the effort to get aid to

:41:03.:41:07.

the thousands left striken stutters on. We have been across the island

:41:08.:41:20.

of Lette. The poor and the weak bore the brunt, their flimsy houses were

:41:21.:41:25.

flashed to pieces in -- smashed to pieces in the howling wind, and

:41:26.:41:32.

swept away in the flood. This is Tacloban, it suffered more than

:41:33.:41:35.

anywhere else. They barely even notice the bodies now. Joalen has

:41:36.:41:48.

been searching for her son, she accepts she's now looking for a

:41:49.:41:55.

corpse. TRANSLATION: We saw the warnings on TV, she says. But the

:41:56.:42:00.

sky was clear, there was no wind. We couldn't have expected this. She

:42:01.:42:11.

explains how she fled to the Town Hall as the waters rose, she texted

:42:12.:42:15.

her son to come, but he was trapped by the wind and waves. They shut the

:42:16.:42:21.

doors of the hall, she says, she was screaming, my son was swept away.

:42:22.:42:31.

Right out to sea. People head back to the island of Lette to check on

:42:32.:42:38.

homes or search for loved ones. Apprehensive about what they will

:42:39.:42:49.

find. The boat docks in this town. It avoided the flood, but not the

:42:50.:42:56.

200 mile an hour winds. They say that 90% of all the buildings here

:42:57.:43:07.

were damaged or destroyed. At the Town Hall they are busy trying to

:43:08.:43:10.

put a sticking plaster on a gaping wound. There is no power and almost

:43:11.:43:16.

no water in the town. Their own buildings are badly damaged. As they

:43:17.:43:21.

struggle to move aid supplies around rain pours down through the roof.

:43:22.:43:27.

The big towns like this are starting to get supplies, mostly flown in by

:43:28.:43:34.

the Americans. Slowly more police and more soldiers are being

:43:35.:43:40.

deployed. It is rumours and fear, when it gets dark and you have no

:43:41.:43:46.

roof, probably a few doors a few window, open or blown out. I think

:43:47.:43:53.

it is not unnatural to feel a sense of dread, a sense of fear, but it

:43:54.:44:02.

is, I don't know, I wanted to use the word "normal" I don't know what

:44:03.:44:07.

that means. The new normal, right across the

:44:08.:44:12.

road from the Town Hall. They haven't had so much as a sheet of

:44:13.:44:16.

plastic to reveal these hellish conditions. We follow the trail of

:44:17.:44:25.

devastation across the island. The scale of it never loses the power to

:44:26.:44:37.

shock. The men with the shovels are from Manila, it is a rare sign of a

:44:38.:44:41.

nationally directed aid effort, and people complain it has been largely

:44:42.:44:46.

absent. What happened here has touched off a national debate. One

:44:47.:44:50.

newspaper said the Government had been so ineffective they would

:44:51.:44:55.

rather than American general or a UN official take charge. The sheer

:44:56.:44:58.

scale of the calamity always meant there would be severe difficulties

:44:59.:45:01.

in getting aid to where it was needed. But we have met people who

:45:02.:45:04.

have seen only a trickle of foreign aid, or no aid at all, and they are

:45:05.:45:12.

starting to get desperate. Spilled rice carpets the ground outside a

:45:13.:45:16.

ransacked warehouse, eight people died in the scramble. The police let

:45:17.:45:22.

them in, they knew they had nothing else to eat. What's left is rotting

:45:23.:45:30.

in the damp. The hungry family salvages a few scraps. Officials say

:45:31.:45:38.

blocked roads stopped aid getting through. But the traffic is moving

:45:39.:45:44.

right past this man's family. They have received nothing since their

:45:45.:45:50.

homes were destroyed. Now they are forced to live under the bridge. And

:45:51.:45:56.

their pig is the only thing of value they have left. Please help us. We

:45:57.:46:09.

really need shelter and we cannot recover as soon as possible because

:46:10.:46:12.

of what has happened. Even if we have money we can't buy because the

:46:13.:46:26.

supplies were already insufficient. Throughout all this there has been

:46:27.:46:30.

very little disorder, people face the calamity with no small measure

:46:31.:46:45.

of grace. They endured with dignity. A queue for food, literally a smile

:46:46.:46:59.

long. There was no anger. With empty stomachs people are patient and

:47:00.:47:06.

irrepressibly cheerful. It will be a much longer wait before their lives

:47:07.:47:14.

are back to normal. That's just about all for tonight. The death of

:47:15.:47:20.

the writer Doris Lessing was announced at the weekend at the age

:47:21.:47:24.

of 94. She's best remembered for winning the Nobel Prize for

:47:25.:47:28.

Literature back in 2007, the same day she won it I met her in her

:47:29.:47:33.

North London home and asked her what it was that turned her into a

:47:34.:47:39.

writer. I think what writers need, as children, is some way or another

:47:40.:47:44.

to have a very stressed childhood, that they become people who always

:47:45.:47:50.

watch face, watch hands, movements, body language,

:47:51.:47:52.

Investigating the NHS's treatment of patients with brain injuries. A look at the ex-bank boss filmed allegedly buying drugs. Are women bishops on the way? Cameras in Guantanamo. Tate Britain reopens. The aftermath of the Philippines typhoon. With Kirsty Wark.