24/02/2014

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:00:18. > :00:23.she's the victim of a politically motivate the smear campaign. It is

:00:24. > :00:32.not the case that my work, when I was at NCCL was influenced or

:00:33. > :00:38.colluding or apologising for paedophilia, it is an unfair

:00:39. > :00:43.inference and a smear. And this: A year I was diagnosed with diabetes,

:00:44. > :00:48.linked to poor diet and being overweight. He's the head of the

:00:49. > :00:52.NHS, what hope is there for the rest of us. David Nicolson is here to

:00:53. > :00:55.talk to us about whether the service can cope with an explosion of

:00:56. > :01:00.long-term conditions. What is wrong with a butcher advertising where

:01:01. > :01:09.meat comes from? This foot critic quite likes it. -- this food critic

:01:10. > :01:17.quite likes it. The accusations are explosive that

:01:18. > :01:20.in the 1970s and 1980s senior Labour Party figures were involved with an

:01:21. > :01:25.organisation that supported paedophilia. The Daily Mail's

:01:26. > :01:28.campaign has been noisy and aggressive, and until tonight

:01:29. > :01:32.unanswered. The question is, how could the deputy leader of the

:01:33. > :01:37.Labour Party, her husband and another senior Labour Party official

:01:38. > :01:40.have any dealings with an organisation involved in the sexual

:01:41. > :01:44.exploitation of children. How did the pressure OK group they worked

:01:45. > :01:52.with at the time ally with a campaign to reduce the age of

:01:53. > :01:56.consent to ten. Over recent days the Daily Mail has splashed its front

:01:57. > :02:00.pages with allegations about the Labour Deputy Leader, her husband,

:02:01. > :02:06.and the former Labour Health Secretary, Patricia Hewitt. All

:02:07. > :02:12.three worked for the National Council for Civil Liberties in the

:02:13. > :02:18.1970s and 1980s. The human council now known as Liberty, was closely

:02:19. > :02:24.linked to the peeped yale Information Exchange -- paedophiles

:02:25. > :02:33.Information Exchange. It is argued it tried to lower the age of consent

:02:34. > :02:40.to ten. Mrs Harman was a leader there in 1978. Her name appears on

:02:41. > :02:47.papers to the Home Office, that pictures of naked children should

:02:48. > :02:52.not be disproved only if it was proved that the children had been

:02:53. > :03:00.harmed. Harriet Harman is a person of huge dignity and integrity, I

:03:01. > :03:04.have known her for 20 years, I don't listen to these allegations, I know

:03:05. > :03:07.she is on the right side of all these issues, that is clear. After

:03:08. > :03:15.days of demands from the Daily Mail and other newspapers for Hewitt,

:03:16. > :03:20.Dromy and Harman to provide answers, the Labour Deputy Leader has decided

:03:21. > :03:22.to break her silence. We spoke exclusively to Harriet Harman

:03:23. > :03:26.earlier this evening. Harriet Harman, are you speaking out now

:03:27. > :03:30.because the Daily Mail has made it impossible for you to keep quiet?

:03:31. > :03:34.Yes, that is the case. I mean they have made these allegations before

:03:35. > :03:39.and they are so outlandish and so far from the truth that in the past

:03:40. > :03:45.I have thought, don't dignify them with a response. People won't

:03:46. > :03:49.believe them, they will just go away. I thought the same this time.

:03:50. > :03:54.They have put it on their front page three times, they are whipping up

:03:55. > :03:58.such an ugly insinuation that I felt it was really important to respond

:03:59. > :04:02.to them. But you were the legal officer for several years at the

:04:03. > :04:07.national Aum for civil liberties, which was affiliated to the

:04:08. > :04:10.Paedophile Information Exchange, were you aware of the affiliation?

:04:11. > :04:18.It was an organisation that had something like 6,000 members and

:04:19. > :04:24.1,000 affiliates, and anybody could join by paying a fee. When I was

:04:25. > :04:27.there as legal officer there was nothing, far from it, that I put

:04:28. > :04:32.forward that supported sexual abuse of children. But why was it

:04:33. > :04:36.acceptable, even to have an affiliation, they didn't try to hide

:04:37. > :04:40.what they were, the heightle of the group was The Paedophile Information

:04:41. > :04:45.Exchange, why was it OK for them to have any link with the group you

:04:46. > :04:48.worked with? NCCL was an organisation where any organisation

:04:49. > :04:54.could pay their affiliation and join it. And that's the way it was. It

:04:55. > :04:59.didn't have an expulsions policy. Any individual who wanted to pay

:05:00. > :05:04.their money to join NCCL could, and any organisation could join and

:05:05. > :05:10.affiliate to it. And affiliation is an official link, and when you were

:05:11. > :05:13.the legal officer at the National Council for Civil Liberties, did you

:05:14. > :05:16.do anything to suggest that link should be broken, did you do

:05:17. > :05:20.anything to try to push them away from your organisation? They had

:05:21. > :05:27.already been pushed away. They will still members until 1983? They had

:05:28. > :05:32.been pushed away in 1976, the policy was set by the broad membership of

:05:33. > :05:35.NCCL at their annual general meetings. In terms of that

:05:36. > :05:40.affiliation, did you have anxiety about that at the time? Well the

:05:41. > :05:44.anxiety and controversy had happened before I was there. But did you not

:05:45. > :05:47.have anxiety about the continuing affiliation while you were there,

:05:48. > :05:50.you were there for four years, you were there with one of your close

:05:51. > :05:56.friends and husband. Did you none of you discuss anxieties about having

:05:57. > :06:00.them as a group linked, however distantly to the work that you were

:06:01. > :06:04.trying to do? But they were not linked to the work that we were

:06:05. > :06:07.doing. You see at the time when you were the legal officer there, you

:06:08. > :06:12.wrote in a briefing paper to MPs, and we have it here, prosecutions in

:06:13. > :06:15.relation to child protection and photography should only proceed if

:06:16. > :06:19.you can prove that children were actually harmed, now making that

:06:20. > :06:26.argument while the National Council was linked to the Paedophile

:06:27. > :06:31.Information Exchange, can you see why people might raise an eyebrow

:06:32. > :06:35.about that argument being made while there was an official link to an

:06:36. > :06:39.overt group of paedophiles. If you look at the briefing paper it

:06:40. > :06:44.welcomes the Protection of Children Bill, which for the first time would

:06:45. > :06:48.introduce a criminal law that said photography of children which would

:06:49. > :06:53.be used for pornography, which was sexually Ayew Bewsive of -- sexually

:06:54. > :06:56.abusive of children was for the first time be a criminal offence. We

:06:57. > :07:00.also argued that we wanted it to have clear definitions. Was the

:07:01. > :07:04.affiliation between the two groups a mistake? There wasn't an affiliation

:07:05. > :07:08.between the two groups. You are making it sound like there was a

:07:09. > :07:13.mutuality. There wasn't. Technically there was an affiliation, they paid

:07:14. > :07:17.their membership to the NCCL, they were part of the wider group, was

:07:18. > :07:22.that a mistake? They paid their money to NCCL and at the time, NCCL

:07:23. > :07:26.takes money from any organisation which was a lawful organisation and

:07:27. > :07:31.any individual. Was it a mistake to have that affiliation? I think what

:07:32. > :07:37.was right was to actually dispel them from the conference and make

:07:38. > :07:42.sure that their views were never taken forward by NCCL, that is what

:07:43. > :07:49.the big clash was. It is a very simple question, yes or no, was it a

:07:50. > :07:53.mistake to allow an overt group, publicly campaigning for paedophiles

:07:54. > :07:59.to be affiliated, which is the term they used, to the National Council

:08:00. > :08:04.for Civil Liberties, when you were legal officer? On the basis that it

:08:05. > :08:10.has created some how a sense that NCCL's work was therefore tainted by

:08:11. > :08:15.them, yes, obviously, that is a very unfortunate inference to have. But

:08:16. > :08:27.it is not the case that my work when I was at NCCL was influenced by PI,

:08:28. > :08:32.or was colluding or involved in paedophilia and it is a smear. Why

:08:33. > :08:35.won't you say whether or not it was a mistake, to have affiliation, you

:08:36. > :08:38.could have sent back the membership fees or thrown them out? It was not

:08:39. > :08:43.the sort of organisation which actually people applied to. And were

:08:44. > :08:50.then vetted, you know, are you able to give your donation? More than

:08:51. > :08:53.1,000 organisations, you know had all sorts of different things. This

:08:54. > :08:57.was a group you were well aware with, why won't you with the benefit

:08:58. > :09:03.of decades of hindsight just say yes it was a mistake for there to be any

:09:04. > :09:08.affiliation? They were challenged and pushed aside from their views

:09:09. > :09:14.having influence. Your implication is that some how by giving money

:09:15. > :09:19.NCCL was influenced, it wasn't. I don't know what they gave, ?10 a

:09:20. > :09:25.year, I don't know. But the policy was set by NCCL Annual General

:09:26. > :09:29.Meeting. You were happy your employer for four years took

:09:30. > :09:32.membership money from a group that was overtly campaigning for the

:09:33. > :09:36.rights of paedophiles, that wasn't a mistake, that is what you were

:09:37. > :09:42.saying? I was content with the fact in the knowledge that nothing that I

:09:43. > :09:46.did supported paedophilia in any way, shape or form. But you are

:09:47. > :09:50.happy for the National Council of civil liberties to have taken money

:09:51. > :09:54.from a paedophile group. I wasn't happy that the group existed. They

:09:55. > :10:00.shouldn't have existed. They were obviously you know a front for very

:10:01. > :10:04.bad people who I think many of them were then prosecuted. Is this the

:10:05. > :10:07.beginning of another big battle between the Labour Party and the

:10:08. > :10:13.Daily Mail, your party leader already has had a huge battle with

:10:14. > :10:18.them? This is not battle I'm seeking, this is the Daily Mail

:10:19. > :10:23.aggressively trying to completely reshape the facts of a situation 30

:10:24. > :10:27.years ago. It is ironic that they are accusing me of supporting

:10:28. > :10:33.indecency in relation to children, when they themselves are not above

:10:34. > :10:41.producing photographs of very young girls, titivating photographs in

:10:42. > :10:45.bikinis, I stand by what I was doing at NCCL, and I stand by what I have

:10:46. > :10:48.done all the way through. Are you accusing the Daily Mail of printing

:10:49. > :10:53.indecent images, it sounds very much like you are making that accusation?

:10:54. > :10:57.If there is anybody who has over the years supported indecency, it is

:10:58. > :11:03.much more the Daily Mail than it is me. That is the frank truth of it.

:11:04. > :11:07.Laura joins us now, has this explanation made things better or

:11:08. > :11:11.worse? Well, I think it is certainly not made the problem go away, not

:11:12. > :11:15.least because as you heard time and again we asked Harriet Harman

:11:16. > :11:19.whether it was a mistake to have this affiliation, however close or

:11:20. > :11:22.distant with the Paedophile Information Exchange, she refused to

:11:23. > :11:24.say it. Those people who have been following this story closely, not

:11:25. > :11:29.least the Daily Mail, frankly, will be really wound up by that. At the

:11:30. > :11:33.end of the interslew she hit back -- interview, she hit back at the

:11:34. > :11:36.newspaper accusing them of printing the things that they themselves

:11:37. > :11:44.might consider indecent. That will be frankly like a red rag to a bull.

:11:45. > :11:51.You have the front page? Still the Daily Mail have "still they won't

:11:52. > :11:55.say sorry". Given the vociferousness of the campaigned why the it might

:11:56. > :11:59.be wrapped up is not likely. What sort of state was she in? She had

:12:00. > :12:02.clearly thought about how she was going to present her case. You see

:12:03. > :12:06.they have gone back over the evidence, the document, some of them

:12:07. > :12:09.the Mail has published. She's clearly very familiar with them, but

:12:10. > :12:15.the Daily Mail has told us tonight as far as they are concerned today's

:12:16. > :12:20.statements from Miss Harman they have described it have been full of

:12:21. > :12:24.peasantry and obfuscation, they say it is the paper's job to ask

:12:25. > :12:27.controversial questions. There is a sense of exasperation, some of the

:12:28. > :12:32.allegations have been made before. Miss Harman has never spoken out

:12:33. > :12:37.publicly like this, in a sense she's at the end of her tether. I don't

:12:38. > :12:40.think this is the end of the row. The new Government in Ukraine is,

:12:41. > :12:47.according to the Russian Foreign Ministry, nothing more than an armed

:12:48. > :12:50.mutiny, hell hath no fury than a superpower scorned, and Moscow is

:12:51. > :12:54.warning of the dangers it sees to the many ethnic Russians living in

:12:55. > :12:59.the Ukraine. It is the sort of language used to justify military

:13:00. > :13:04.intervention in other parts of the Soviet Union. Russia was using words

:13:05. > :13:07.like "terrorist" and "dictator" to describe the new Government in

:13:08. > :13:12.Ukraine. Our reporter Gabriel Gatehouse is still in Kiev and sent

:13:13. > :13:18.this dispatch. The streets still wear the scars of

:13:19. > :13:22.last week's violence. Many are still trying to digest the sheer enormity

:13:23. > :13:26.of it. But the new authorities are now trying to understand exactly

:13:27. > :13:42.what happened, who the shooters were, and who gave the orders? On

:13:43. > :13:49.Thursday morning, this street turned into a deadly firing range. Some of

:13:50. > :13:54.the shooting was coming from the protestors, who had suddenly charged

:13:55. > :13:57.on police lines. But most of the gunfire came from the police

:13:58. > :14:04.themselves. And they were using snipers. So these originated from

:14:05. > :14:09.the top of the bank and then the second high advantage point was

:14:10. > :14:16.here? The round one, yeah. In Kiev today British forensic experts were

:14:17. > :14:21.collecting evidence. And this was high velocity round. Would that mean

:14:22. > :14:26.a sniper rifle or an AK? I think this is sniper because the position

:14:27. > :14:31.over there, near the metal lampost, the bullet holes are very, very

:14:32. > :14:36.close together. They asked us to conceal their identities, their

:14:37. > :14:40.work, they said, was politically sensitive. There is one particular

:14:41. > :14:44.clean shot up here which lines up with the balcony over here. Using

:14:45. > :14:49.the bullet scars as their guide, they are trying to work out exactly

:14:50. > :14:55.where the snipers' were positioned. If you look through here and you

:14:56. > :14:59.just see a direct line of sight with the balcony of the bank building

:15:00. > :15:09.over there. That is amazing how you can work that all out. It was a

:15:10. > :15:13.bloodbath really, wasn't it. Today the new Ukrainian Interior Minister

:15:14. > :15:16.issued a warrant for arrest of Viktor Yanukovych, the former

:15:17. > :15:22.President, on charges of mass murder. Whatever the British

:15:23. > :15:29.investigators find here could be used in a future prosecution. We are

:15:30. > :15:32.looking at the sniper positions and who would be responsible for the

:15:33. > :15:36.deaths of the people in that area. The investigators say there were at

:15:37. > :15:40.least four sniper position, one at ground level, here at this

:15:41. > :15:44.barricade. And then another three in the tall buildings behind it over

:15:45. > :15:49.there. And the snipers were shooting directly down this road, in the

:15:50. > :15:57.direction of the hotel where they were staying and the square beyond.

:15:58. > :16:06.In the past 24 hours new footage has emerged showing police marksmen at

:16:07. > :16:15.that barricade on Thursday. Most are armed with Kalashnikov Assault

:16:16. > :16:21.Rifles. But some are clearly carrying sniper rifles. A Ukrainian

:16:22. > :16:24.MP today said he had uncovered documents that proved that the

:16:25. > :16:27.security operation that ended in so many deaths last week had been

:16:28. > :16:36.authorised at the very highest levels. TRANSLATION: There are

:16:37. > :16:39.documents with details of the whole security operation, I have made some

:16:40. > :16:42.of these papers public today. They contain the exact names and

:16:43. > :16:49.locations of the snipers and the names of those in charge. Kiev is

:16:50. > :16:54.now a city where law and order rests in the hands of loosely organised

:16:55. > :16:59.vigilante groups, calling themselves Self- Defence of Midan, they do more

:17:00. > :17:02.than man barricades, they guard Government buildings saying they

:17:03. > :17:06.want to ensure an orderly handover of the state. We are closely

:17:07. > :17:11.co-operating with the state guards. For instance in the presidential

:17:12. > :17:15.administration it is state guards who control the building from

:17:16. > :17:18.inside. We are controlling the whole perameter, nobody is capable of

:17:19. > :17:26.entering the building without our permission. If you control the

:17:27. > :17:35.buildings, who controls you? I think it is a good question. No-one? There

:17:36. > :17:41.is a Council of People who are with us. That's one thing. Who are those

:17:42. > :17:50.people? Those people are heads of units. At night these heads of units

:17:51. > :17:55.roam the streets of the city, groups of menacing-looking men with body

:17:56. > :17:58.armour brandishing clubs. Last night we saw a man being dragged off by

:17:59. > :18:04.one of these groups, destination unknown. The police have virtually

:18:05. > :18:07.disappeared. The hunt is now on for Viktor Yanukovych. At his oppulent

:18:08. > :18:13.compound on the edge of Kiev, the only sign of him was on his

:18:14. > :18:17.personalised liquor bottles. Ordinary Ukrainians flock there in

:18:18. > :18:21.their thousands, an eye-popping weekend outing. This was his

:18:22. > :18:26.floating bang the questioning hall. There was also a zoo, complete with

:18:27. > :18:31.Ostrich and other possibly edible birds. The duck house, that ultimate

:18:32. > :18:36.symbol of corruption, was much in evidence. Where does the money come

:18:37. > :18:43.from? Of course from our money, from our taxes. And my relatives and

:18:44. > :18:49.friends said that they like to joke th every teacher who wants such a

:18:50. > :18:51.building in Ukraine. They say it is one of the world's wonders.

:18:52. > :19:02.TRANSLATION: Ukraine's leaders face an

:19:03. > :19:05.argumentative electorate. Politicians are called to explain

:19:06. > :19:10.themselves directly to the people. It is a very difficult task but I'm

:19:11. > :19:12.more than sure we want very much and we have control of the people. You

:19:13. > :19:20.don't control them? The people control us, because they move the

:19:21. > :19:24.Government away and the new Government will be bad they will

:19:25. > :19:30.move us. But much more badly, because the people died for that.

:19:31. > :19:37.This time people say they can't just go back to business as usual. We

:19:38. > :19:42.have already paid too high a price. Gabriel Gatehouse joins us now from

:19:43. > :19:52.Kiev. What's the feeling there about these noises being made. Menacing

:19:53. > :19:56.noises being made in Moscow. Ukrainians are strangers to menacing

:19:57. > :20:01.noises in Moscow, they have heard them over gas wars and other

:20:02. > :20:11.incidences, for those who fear a Russian invasion is now, they hear

:20:12. > :20:15.Mr Medeyev talking about armed mutineers and passport issuing, they

:20:16. > :20:19.are worried. For those who say it will be all right, they look at the

:20:20. > :20:24.fact that statement was made by Mr Medeyev and not Putin. Having backed

:20:25. > :20:28.from Yanukovych so heavily and Putin was heavily involved in the

:20:29. > :20:32.negotiations, that led to that abortive deal that saw Yanukovych

:20:33. > :20:35.almost save his skin by offering fresh elections by December. They

:20:36. > :20:39.have to speak out. It is a matter of pride. But I think also they will be

:20:40. > :20:45.looking at the same picture that you are seeing behind you there, Jeremy.

:20:46. > :20:48.That is an almost empty square. There is almost zero chance that

:20:49. > :20:53.Viktor Yanukovych can come back from this. So they will look forward and

:20:54. > :20:58.think how do we work with whoever it is to come. They will probably hope

:20:59. > :21:03.it will involve Eugenia Tymoshenko in some form or another. Now to

:21:04. > :21:08.National Health Service. In public opinion terms the NHS has come to

:21:09. > :21:13.occupy a status that the Church of England could only dream of even in

:21:14. > :21:17.its hey day. The chief executive of the National Health Service in

:21:18. > :21:20.England, Sir David Nicolson, is retiring next month. He leaves

:21:21. > :21:23.behind an organisation that has just been through yet another

:21:24. > :21:29.reorganisation, yet that is still on track for a predicted shortage of

:21:30. > :21:31.tens of billions of pounds a year in the future. With more and more

:21:32. > :21:39.people in need of long-term treatment. We invited him to

:21:40. > :21:43.reflect. I have been the chief executive of the NHS for eight

:21:44. > :21:49.years, I think it is the best job in the world. REPORTER: Can we ask some

:21:50. > :21:54.questions? But like many jobs you can pay a price in relation to your

:21:55. > :22:00.lifestyle. A year ago I was diagnosed with diabetes, linked to a

:22:01. > :22:04.poor diet and being overweight. In the next few weeks I will stop being

:22:05. > :22:08.the chief executive of NHS England and will be just a patient. One of

:22:09. > :22:14.the 15 million people in this country who suffer from long-term

:22:15. > :22:20.conditions. The NHS has come a long way. We have cut waiting times to

:22:21. > :22:23.some of the shortest in the world, stack -- tackled the scourge of

:22:24. > :22:27.hospital infections and saved thousands of lives by improving

:22:28. > :22:31.heart and cancer services. As a direct result of that success, we

:22:32. > :22:36.now have more and more people living to an old age, which at least one

:22:37. > :22:42.long-term condition. The NHS spends a staggering ?1. Five million an

:22:43. > :22:45.hour for services on diabetes, for people like me. Is that money spent

:22:46. > :22:50.in the best possible way? No it isn't. We spend far too much of it

:22:51. > :22:59.on the complication of diabetes, the amputation, the heart failure, the

:23:00. > :23:03.strokes, We need to spend more on prevention. Andrea has diabetes and

:23:04. > :23:07.has been in and out of hospital for years. Daily living, you are rushing

:23:08. > :23:13.about, I have children, dropping them here, there and everywhere, I

:23:14. > :23:17.don't always eat when I should eat. So obviously that has an affect on

:23:18. > :23:22.my diabetes. I would like to be helped at home more so, that I don't

:23:23. > :23:28.have to come into hospital as much. If there was, I did have a community

:23:29. > :23:32.nurse, but it brokedown. So I ended up coming back to hospital. But

:23:33. > :23:39.something like that would be great for people with diabetes. It is not

:23:40. > :23:42.just Andrea who thinks this, future of the NHS must be about the shift

:23:43. > :23:46.of services, out of hospital and closer to people's homes. So in this

:23:47. > :23:50.part of Birmingham we have already been able to reduce the number of

:23:51. > :23:54.hospital beds by 300 and make sure the money we were using for that

:23:55. > :24:00.care is delivered in the community nearer to where the patients are.

:24:01. > :24:05.These ideas aren't radical. But implementing them across the NHS is.

:24:06. > :24:09.As part of this, the NHS needs to continue to embrace technology, to

:24:10. > :24:16.give patients control over their treatment. One of the ways in which

:24:17. > :24:21.I can take control of my own health and healthcare is by the use of

:24:22. > :24:25.simple technology. I can text my GP information about myself, he can

:24:26. > :24:32.analyse it and send me back useful and helpful advice. This saves me

:24:33. > :24:36.time, and takes pressure off my GP. If we want an NHS that works in the

:24:37. > :24:41.future, we need to give patients more control, we need to give

:24:42. > :24:47.communities like these more control over the NHS. We also need to have

:24:48. > :24:50.the ambition to make radical change, to make the kinds of changes that

:24:51. > :24:55.will improve services for our patients and their outcomes.

:24:56. > :24:59.Sir David Nicolson is here now. In your judgment, with your long

:25:00. > :25:03.experience coming up to retirement, do you think the NHS can continue

:25:04. > :25:07.like this, funded by taxation and free at the point of need? I think

:25:08. > :25:12.this is a really important point. If you look at my colleagues across

:25:13. > :25:16.Europe and the developed world, all healthcare systems are having the

:25:17. > :25:20.kind of challenges that I described in the film. And there are different

:25:21. > :25:25.ways of dealing with them. Some countries are going down the road of

:25:26. > :25:30.significantly reducing the amount, the pay for their staff. So 15-20%

:25:31. > :25:35.reductions in pay for doctors and nurse, places like Ireland. There

:25:36. > :25:38.are some other places like Greece, Portugal and Spain, who are looking

:25:39. > :25:43.at reducing the offer patients. That is not the way we want to do it at

:25:44. > :25:48.the NHS, we are completely committed to the universally free at the point

:25:49. > :25:54.of use point. It is difficult to do that. You think it can continue as

:25:55. > :25:59.it is? It absolutely can. Despite the looming ?30 billion deficit? If

:26:00. > :26:02.we tackle the issues. That is around giving patients more control, but

:26:03. > :26:06.also being radical about the way we reorganise our health service as

:26:07. > :26:11.providing much more services in the community and reducing the size of

:26:12. > :26:16.our hospitals. So fewer hospitals? They have to be reduced in size.

:26:17. > :26:21.Whether or not they are fewer. Individual hospitals reduced in

:26:22. > :26:26.size? Absolutely. But nobody likes to have their hospital shut down or

:26:27. > :26:29.reduced in size do they? That is why it is often very difficult for

:26:30. > :26:33.people to do that. That is why it is controversial. But it is absolutely

:26:34. > :26:38.vital. Doesn't it follow from that then that politicians are quite the

:26:39. > :26:41.worst people to make these sort of judgments? Well it is one of the

:26:42. > :26:45.reasons we have been through the whole range of reforms we have had.

:26:46. > :26:54.To give an organisation a responsibility for looking beyond

:26:55. > :26:59.the electoral cycle. That is NHS England. Is the Secretary of State

:27:00. > :27:03.responsible in that process? All the politicians I have worked with over

:27:04. > :27:09.the years, and no political party has a monopoly on good ideas about

:27:10. > :27:11.the NHS. Working with the current Secretary of State, when faced with

:27:12. > :27:16.a difficult decision he's prepared to take it. And take it beyond the

:27:17. > :27:19.political cycle? That I think is the issue for us going forward. There is

:27:20. > :27:24.no doubt, if you want to make change in the NHS you need to think three,

:27:25. > :27:29.five, seven years out, and the tyranny of the electoral cycle

:27:30. > :27:32.stands. And the Secretary of State is prepared to do that? To make the

:27:33. > :27:38.difficult decisions and has done on every occasion. But the system works

:27:39. > :27:42.against you. If you think about it the ical cycle goes it is 18 months

:27:43. > :27:47.before a general election, therefore we cannot make change. Then around

:27:48. > :27:51.the Hustings, politicians go around and promise things to their local

:27:52. > :27:55.populations that things will not change. And then you have a period

:27:56. > :27:58.afterwards where people say, we made these promises, we can't make change

:27:59. > :28:01.happen. Then you have a year inbetween those two things where you

:28:02. > :28:06.can make change. That is no way to run a health service. That is why, I

:28:07. > :28:09.think, we need NHS England. It is also not what happened, of course.

:28:10. > :28:13.After the last election, this coalition came in and made all sorts

:28:14. > :28:17.of changes that they hadn't talked about? Not about the delivery of

:28:18. > :28:22.healthcare. It was about the reform to the NHS system as a whole. Be

:28:23. > :28:25.honest now, after all the changes you have been through in the NHS,

:28:26. > :28:33.when this Government came in and suddenly announced a lot more

:28:34. > :28:36.changes, what did you think? My immediate response was I have been

:28:37. > :28:41.through a lot of these structural changes before. They seldom deliver

:28:42. > :28:44.what people expect and they create a lot of issues around people taking

:28:45. > :28:47.their eye off the ball. So what I had to do, and part of my

:28:48. > :28:51.responsibility is to help the Government come to a sensible set of

:28:52. > :28:58.conclusions that were implementable. Were you dismayed? I did say that it

:28:59. > :29:01.was a very large set of changes. I did think that we would spend more

:29:02. > :29:05.time than we needed to looking at ourselves rather than thinking about

:29:06. > :29:10.services and the way we need to change. It was unhelpful really? It

:29:11. > :29:14.has done a whole series I think of very helpful things. It has brought

:29:15. > :29:16.in general practitioners and clinicians into planning and

:29:17. > :29:22.organising services in a way we never would have done before. It

:29:23. > :29:26.saved us for this parliament ?5. 5 billion to invest in frontline

:29:27. > :29:31.services, and it has created an organisation, NHS England, capable

:29:32. > :29:36.of looking beyond the cycle. But hard choices are going to have to be

:29:37. > :29:39.made? You raised the question there of long-term conditions, and you

:29:40. > :29:45.mentioned your own case of diabetes, you say it was a consequence of bad

:29:46. > :29:50.eating and stress and other things. If people choose to eat badly, if

:29:51. > :29:53.they choose to smoke, if they choose not to exercise, there is going to

:29:54. > :29:58.come a point, isn't there, when people are going to say it is not

:29:59. > :30:01.the tax-payers' responsibility, you have personal freedom but you must

:30:02. > :30:05.live with the consequences? There are millions of people who want to

:30:06. > :30:10.change and do something about it. We as an NHS need to help and support

:30:11. > :30:15.them. You presumably didn't realise what the consequences of your

:30:16. > :30:19.lifestyle were? I did realise the consequences of diabetes, but like

:30:20. > :30:23.plane people there were a whole set of reasons why I decided I would

:30:24. > :30:26.carry on the way I did. What I learned through patient education,

:30:27. > :30:29.through the technology available, to the support of GPs, that it is

:30:30. > :30:36.possible to change your lifestyle and that is what I have done. It is

:30:37. > :30:41.too late? It is not too late for me. I can already, in the year that I

:30:42. > :30:45.have been diagnosed I have stablised by blood sugar. Most of my signs now

:30:46. > :30:49.are in the right place and so I can continue to work on it, and I won't

:30:50. > :30:55.develop those complication described in the film. Was that stress linked

:30:56. > :31:01.to the Mid Staffordshire problems? Clearly the issues around Mid

:31:02. > :31:06.Staffordshire were traumatic for the NHS as a whole. And still are. And

:31:07. > :31:11.you? Of course, I was chief executive of the NHS from 2006, I

:31:12. > :31:15.worked in the West Midlands for a while. I saw some of the

:31:16. > :31:19.consequences of that up front. It is what will be written on your

:31:20. > :31:24.tombstone, of course, isn't it? In the circumstances we find ourselves

:31:25. > :31:26.in, I think people make their own judgments about people's

:31:27. > :31:31.contributions, but if you think about what the NHS has delivered

:31:32. > :31:37.over the last seven or eight years it is absolutely remarkable the

:31:38. > :31:40.improvements in access, the attack on healthcare associated infection,

:31:41. > :31:46.you know, tens of thousands of lives that we have saved through cancer

:31:47. > :31:51.and coronary heart disease. Undoubted lie there are issues --

:31:52. > :31:56.undoubtedly there are issues, and we need to learn from them. One of the

:31:57. > :32:00.great thing about the Francis Report is it gives us the opportunity to

:32:01. > :32:04.learn. One of the things I learned is that openness and transparency

:32:05. > :32:07.and not being defensive, all of those things, being open to people

:32:08. > :32:12.who want to raise issueses is a really important part of renewing

:32:13. > :32:19.the NHS. And you obviously thought about resigning at one point?

:32:20. > :32:22.Clearly. When I... Do you think it would have been better if you had?

:32:23. > :32:29.When I think about it, there were two reasons I decided not to resign.

:32:30. > :32:32.The first one was I started on the road of trying to improve the

:32:33. > :32:38.quality of care, making quality much more the organising principle of the

:32:39. > :32:42.NHS and I want to see that through. When the Francis Report came out we

:32:43. > :32:47.were right in the middle of the biggest set of reforms the NHS had

:32:48. > :32:51.ever seen. I said at the time there were so large you could see them

:32:52. > :32:55.from space. I thought it would be irresponsible to walk away at that

:32:56. > :33:00.particular time. You have been in the NHS how many years? 36 years. 36

:33:01. > :33:06.years in the NHS, if you come back in 36 years time, or anyone looks at

:33:07. > :33:10.the NHS in 36 years time. Will it be an organisation we can recognise

:33:11. > :33:15.from today's template? I think the basic principle of being universally

:33:16. > :33:21.available free he it point of use will be the way we will see it. It

:33:22. > :33:25.is the way of the future, with genetics and the knowledge we will

:33:26. > :33:29.have about risk factors for the future. Having a system which shares

:33:30. > :33:32.risk across a whole population is much more likely to be successful

:33:33. > :33:37.than one based on private health insurance. Thank you very much

:33:38. > :33:42.ir-David. -- Sir David. Aberdonians were

:33:43. > :33:47.treated to not one but two cabinet meetings in their area. What joy

:33:48. > :33:51.joy! In their public appearances the Prime Minister argued that the oil

:33:52. > :33:54.industry was better governed by a big country rather than a small one

:33:55. > :33:58.and the Scottish First Minister said the opposite. It reflects their

:33:59. > :34:02.claims on Scottish independence. David Cameron's visit to the land of

:34:03. > :34:07.some of his ancestors was a publicity stunt. Emily Maitlis

:34:08. > :34:15.watched it. # On the road again

:34:16. > :34:17.# Just can't get to get on the road again

:34:18. > :34:23.I'm in the car park and the First Minister hasn't arrived.

:34:24. > :34:26.They blamed the traffic for the embarrassingly late arrival of

:34:27. > :34:31.Scotland's First Minister for his interview. Who can say they weren't

:34:32. > :34:35.right, the Aberdeen traffic can be terrible on any day of the week and

:34:36. > :34:40.today was no ordinary day. Rush hour happens on the road and out at sea,

:34:41. > :34:44.the pilot ships earlier this morning were ferrying supplies to the oil

:34:45. > :34:47.rig, oblivious to the efforts politicians of all persuasions were

:34:48. > :34:51.putting into deciding their industry's future back on dry line.

:34:52. > :34:57.This morning Aberdeen is bracing itself for not one cabinet meeting

:34:58. > :35:02.but two. Lucky old it! This truly unremarkable spot marks the halfway

:35:03. > :35:06.point of a curious convergence, three miles to my left Alex

:35:07. > :35:10.Salmond's cabinet meeting, three miles to my right David Cameron's

:35:11. > :35:14.cabinet is meeting. The two will never meet though one road joins the

:35:15. > :35:17.two. You might call it coincidence were it not for the publication

:35:18. > :35:23.today of an independent report into future of oil and gas in Scotland. A

:35:24. > :35:29.future each side claim will be rowsier with them. Alex Salmond has

:35:30. > :35:33.claimed North Sea oil could be worth ?300,000 a person if Scotland were

:35:34. > :35:36.independent. It accuses the Westminster Government of bluff,

:35:37. > :35:39.bluster and bullying in coming here and telling the Scots what to think.

:35:40. > :35:43.There is a difference between delivering message on high or

:35:44. > :35:47.sending his Chancellor or Foreign Secretary up to Scotland to tell us

:35:48. > :35:50.what to do. There is a difference between jetting into Scotland and

:35:51. > :35:53.jetting out than having a real democratic debate about the future

:35:54. > :35:58.of the country. But Westminster says that's too optimistic and an

:35:59. > :36:06.undeterred David Cameron began his day aboard an oil rig, supporting

:36:07. > :36:10.the British Government's commitment to extraction of oil. We have got

:36:11. > :36:13.behind this industry and will continue to stay behind this

:36:14. > :36:18.industry to get the maximum benefit out of it. The maximum benefit for

:36:19. > :36:23.all the UK, including Scotland. So we went off in search of more broad

:36:24. > :36:27.shoulders and found them on Danny Alexander, possibly the only member

:36:28. > :36:34.of the cabinet to have come south from his constituency in Inverness.

:36:35. > :36:38.He was visiting Trans Ocean, it trains people all over the world who

:36:39. > :36:44.what to expect deep below the sea. Your cabinet has been accused of

:36:45. > :36:54.bluff, bluster and bullying, of flying in here on "Scare Force One".

:36:55. > :36:58.If you go west you can hear from the master of bluff, Mr Salihamidzic.

:36:59. > :37:03.David Cameron has put himself centre stage in the debate, it delights

:37:04. > :37:08.Alex Salmond. Could he be doing more harm than good? Isn't the problem

:37:09. > :37:12.that David Cameron is a southern softie and Englishman and an

:37:13. > :37:17.Eatonian and not helping your cause at all? He may be all of those

:37:18. > :37:21.things, the most important thing is he doesn't have a vote. He's not

:37:22. > :37:26.someone who will cast a vote on the 18th of December, for independence.

:37:27. > :37:30.Is he better out of this argument? As Prime Minister of the UK he's the

:37:31. > :37:33.right to have a view and set it out to people. Then it was time to leave

:37:34. > :37:39.the politicians and the simulators and head down to the beach. This is

:37:40. > :37:44.Sunset Boulevard, OK in Aberdeen. And even here I seem to see warnings

:37:45. > :37:48.of the political log-jam that has opened up over this city. Alex

:37:49. > :37:53.Salmond is a formidable politician, even his enemies recognise his

:37:54. > :37:58.force, but a pattern has been emerging over recent weeks from the

:37:59. > :38:03.London end, a change in tempo and willingness to play the game. It is

:38:04. > :38:11.supposed to put Westminster back into the driving seat over the

:38:12. > :38:16.referendum debate. You can't help thinking that they are having fun

:38:17. > :38:20.with this with Alex Salmond, with the currency ruled out and the

:38:21. > :38:23.difficulty of joining a euro that brought a smile to their face probe

:38:24. > :38:27.Blairex and now the whole future of oil and gas they are suggesting

:38:28. > :38:36.could be under threat in an independent Scotland that went off

:38:37. > :38:41.on its own. The interesting thing will be to see how Scotland's First

:38:42. > :38:47.Minister reacts, he has hit back at the no-currency union and saying

:38:48. > :38:51.Scotland can go it along, calling it sterlingisation. Westminster has

:38:52. > :38:55.started to call him "the man without a plan", but underestimate him at

:38:56. > :39:04.your peril. Alex Salmond is never without a plan for very long. John

:39:05. > :39:09.Cleese once wondered if God didn't want us to eat animals then why did

:39:10. > :39:13.he make them out of meat? Very funny say vegetarians who consider meat

:39:14. > :39:19.akin to murder. Now a number of sensitive souls in the market town

:39:20. > :39:23.of Sudbury, on the borders of Essex, have apparently forced a butcher to

:39:24. > :39:26.take down displays that remind them precisely what meat is. They are not

:39:27. > :39:31.necessarily vegetarians but they provide an indication of how very

:39:32. > :39:34.far, even people in mainly rural areas are from what were once

:39:35. > :39:38.organic businesses of every day life. We report, I should warn you,

:39:39. > :39:48.if you are a fan of Bambi you better look away now. Some wherein a quiet

:39:49. > :39:54.market town in Suffolk what to some people is a scene of horror. JBS

:39:55. > :40:00.Butchers has been selling game here for years, from entire carcasses of

:40:01. > :40:06.venison, to partridges, to furry rabbits shot in the local fields. It

:40:07. > :40:09.is this fancy window display that seriously roughlies feathers. It

:40:10. > :40:13.takes the staff here an hour to create this every morning, just not

:40:14. > :40:18.this morning. A fiery local campaign has forced the dead animals out of

:40:19. > :40:24.the shop window and into the fridge in the back room. "I too have been

:40:25. > :40:32.disgusted at the multiple display of multi lated carcasses" wrote one man

:40:33. > :40:36.to the local paper. The assistant manager says he has been fielding

:40:37. > :40:40.calls of support from across Europe. We had a phone call from a couple

:40:41. > :40:56.who live in France and they read it on their website and they were fully

:40:57. > :41:02.behind us. So that was night. We had a gentleman in Lancashire ring us

:41:03. > :41:07.asking us to send a hare to him. It is a bit of an eye-opener, tiring

:41:08. > :41:13.but nice. These are wild rabbits? Yeah. These were all running around

:41:14. > :41:19.in one of your fields somewhere. Like Watership Down? That is what I

:41:20. > :41:26.should put on it! There are plenty in the trade who say this is not a

:41:27. > :41:31.one-off, and in today's world he of shrink-wrapped ready meals we have

:41:32. > :41:36.gone soft. At the local pub our rabbits are skinned, diced and

:41:37. > :41:40.fried, the owner said every chef on his books used to be able to do

:41:41. > :41:46.this, now it is a specialist skill. A lot of customers will want you to

:41:47. > :41:50.take any semblance of the meat having ever been alive away from it

:41:51. > :41:54.before it goes on to their plate. For you is that something that has

:41:55. > :41:58.changed over time, have we become more squeamish as a nation?

:41:59. > :42:02.Absolutely, without a shadow of a doubt. We don't have to know where

:42:03. > :42:06.anything comes from. It is just there for us in the supermarket.

:42:07. > :42:10.Excuse me, have you got a second? From the BBC, we want someone to try

:42:11. > :42:15.our rabbit. After an hour this afternoon though, we couldn't find a

:42:16. > :42:19.single person who would speak out against the butchers. It is part of

:42:20. > :42:24.life. They have to learn that is where rabbit stew comes from,

:42:25. > :42:28.rabbit, Peter Rabbit, who gets shot if he eats mummy's cabbages in the

:42:29. > :42:31.garden. Yeah. I don't have a problem, it is important people know

:42:32. > :42:36.where the food comes from, rather than thinking it appears vacuum

:42:37. > :42:40.packed in supermarkets. It might not be to everyone's taste, but in this

:42:41. > :42:45.market square the idea of knowing and seeing exactly what you eat

:42:46. > :42:52.isn't putting anyone off. I would eat that every day. Superb. Now to

:42:53. > :42:59.discuss this rapidly vanishing story I'm joined by the Sunday Telegraph

:43:00. > :43:03.food critic Zoe Williams and Jay Rayner, who has written a book all

:43:04. > :43:07.about food security. What will we make of what was the initial premise

:43:08. > :43:11.of going there the butchers who had to remove their display? I'm

:43:12. > :43:15.surprised that men making their living wielding sharp knives put up

:43:16. > :43:19.with it. I'm surprised they took them down. Meat comes from animal,

:43:20. > :43:23.I'm looking at this and thinking pork scratchings, that is the kind

:43:24. > :43:29.of chap I am. We need to know meat comes from animals and that is it.

:43:30. > :43:35.What do you make of it? By sheer coincidence I interviewed these guys

:43:36. > :43:38.a few months ago they are in Tim Yeo's constituency, and I asked them

:43:39. > :43:42.what they think, and they were only interested in rabbit. They said

:43:43. > :43:50.there was a weird divide, you get people from Molford buying game that

:43:51. > :43:54.cost a lot of money, and people from Sudbury buying anything to chuck in

:43:55. > :43:57.a soup, they never see or refer to each other. There is a complete

:43:58. > :44:03.class divide in the butcher. And that is what's going on. If most of

:44:04. > :44:09.the animal is to be eaten, hasn't that always been the case? Sure, but

:44:10. > :44:15.what you find is there is an offence taken which is just then privilege.

:44:16. > :44:19.The act of taking offence gives you a stronger voice than the act of not

:44:20. > :44:21.taking offence. If you are not taking offence you are not saying

:44:22. > :44:28.anything at all. There is an argument that we have sanatised meat

:44:29. > :44:32.because we buy it in supermarkets under cellophane. There is a lot to

:44:33. > :44:36.be said for buying your meat from local butchers, particularly if they

:44:37. > :44:40.show you the whole animal first and you can point to it and say you want

:44:41. > :44:44.that pig cheek. I think there is so much class cross-current going on.

:44:45. > :44:46.We talk about going to the proper butcher and supporting your local

:44:47. > :44:50.shop, you are really talking about people with money and time. The

:44:51. > :44:55.reason meat has been sanatised, you know life has been. If you had this

:44:56. > :45:05.in a supermarket, it feels funny doesn't it? It really smells! It is

:45:06. > :45:09.the. The rabbits smell! It had a long journey from Suffolk. If you

:45:10. > :45:14.had it in a supermarket it wouldn't sell. Where as a packet of sasauges

:45:15. > :45:17.that could be the same stuff but different shape would sell? What you

:45:18. > :45:22.are talking about then is expertise and time. I wouldn't have time to

:45:23. > :45:27.turn that into a sausage. I don't know about you. If people who have a

:45:28. > :45:31.relatively you know, if people who do cook from scratch wouldn't have

:45:32. > :45:35.time, nobody would. That is not the point about the story, the issue is

:45:36. > :45:42.people not seeing animals as animals. So it is going to take very

:45:43. > :45:46.skilled butchers to turn it into pig cheeks and crispy pigs ears, which

:45:47. > :45:50.are lovely. The point is looking your dinner in the face. I went to

:45:51. > :45:54.work in an abattoir to see what it is about and see the animals killed.

:45:55. > :45:58.I felt as a meat eater it was what we have to do. We have to face up to

:45:59. > :46:01.the realities. It is an ugly business. The thing about

:46:02. > :46:05.squeamishness, there is a purpose, if you look at it and it makes you

:46:06. > :46:08.feel circumstance you are identifying with the pig. There is a

:46:09. > :46:13.human purpose and beauty in thinking yourself in the position of the dead

:46:14. > :46:18.animal. Did you feel sick in the abattoir? No I didn't. I'm not a

:46:19. > :46:21.sentimental man. But I suppose I knew what to expect. It was

:46:22. > :46:26.startling, particularly when a pig is not the same as a sheep or the

:46:27. > :46:30.same as a beef animal. Species changes everything, scale changes

:46:31. > :46:34.everything. Not in taste either. I know that bit, that is why I have a

:46:35. > :46:39.job. It was quite striking, and it is startling when they are removing

:46:40. > :46:43.them and putting them on spikes and that, I'm not sure everybody could

:46:44. > :46:49.do it. I think people need to engage in the process. If they can't engage

:46:50. > :46:52.in that, and on this I have a lot in common with the vegan movement. If

:46:53. > :46:55.you can't accept what it is you are doing you have to think about why

:46:56. > :46:58.you are doing it, whether you are prepared to eat it? That is fair

:46:59. > :47:02.enough. The whole process of eating meat, if you were actually to be

:47:03. > :47:05.confronted with the reality of it, that you are breeding things for

:47:06. > :47:08.your own pleasure, which you then cause enormous Payne, you can't

:47:09. > :47:15.confront the truth of it. Everybody looks away at some level. I don't

:47:16. > :47:19.know if it is about pleasure than need? Of course it is not, come off

:47:20. > :47:24.it. What would you not eat? There is nothing I won't eat. Nothing? To be

:47:25. > :47:27.honest I'm not fan of rabbit, only because I don't like the taste of

:47:28. > :47:34.it. You would eat anything else? I wouldn't eat a dog! That's the

:47:35. > :47:41.thing. Zoe has a line in the sand. It is the same thing we are subject

:47:42. > :47:45.to cultural issues. Would you eat a dog? No because I live in Britain

:47:46. > :47:53.and it doesn't culturally eat dogs. Would you eat any kind of carnivore?

:47:54. > :47:56.A pig is a carnivore and eat lots of them, it is your cultural

:47:57. > :48:03.relationship with lots of animals. Would you eat a horse? I have, not a

:48:04. > :48:13.whole one. That is disappointing? It is a bit. You probably have this

:48:14. > :48:20.week, have you had a burger? Yes! Sorry! Where is this going? Same

:48:21. > :48:23.place the story in Sudbury. There are interesting arguments about how

:48:24. > :48:26.we get our meat and how we engage with that process and our

:48:27. > :48:32.willingness to go to the high street butcher even if you are short on

:48:33. > :48:35.time. Thank you both very much. That as all tonight, they say all

:48:36. > :48:40.political careers end in fail arcs some start that way too. Footage

:48:41. > :48:44.unearthed from the BBC archives shows the House of Commons speaker,

:48:45. > :48:49.John Bercow, in 1975, competing less than successfully in the BBC

:48:50. > :48:56.children's programme, Crackerjack. Crackerjack. Crackerjack! Let's meet

:48:57. > :49:00.the lads, they have broomstick handles, they have to get the rings

:49:01. > :49:04.on to the handle, as many as possible at one time and put them on

:49:05. > :49:10.the posts at the end here. Let's meet the lads, John, Philip,

:49:11. > :49:16.Nicholas and Kishok. Not using your hands wry to get as many on as

:49:17. > :49:20.possible. Look at this. You must work in a curtain shop. Your prize

:49:21. > :49:41.is a Crackerjack Tuesday promises to be a day of

:49:42. > :49:44.sunshine and showers across the British Isles, breezy throughout, as

:49:45. > :49:45.a rough rule of thumb, the