0:01:26 > 0:01:31In the east, the Mental Health Trust looking to the future
0:01:31 > 0:01:41following a series of critical reports. And the Chancellor's
0:01:41 > 0:01:41
0:01:41 > 0:32:18Apology for the loss of subtitles for 1837 seconds
0:32:18 > 0:32:24More pain for our motorists as the Chancellor refuses to cut fuel duty.
0:32:24 > 0:32:30But first, let us introduce her guests for this week. We have
0:32:30 > 0:32:37Andrea Leadsom he is a Conservative MP for South Northamptonshire and
0:32:37 > 0:32:41bottlers are up for Labour. Andrea Leadsom, let us begin with
0:32:41 > 0:32:46you on the Budget. A quick word on the so-called granny tax. The
0:32:46 > 0:32:51pensioners' allowance is being frozen. It has had a pretty bad
0:32:51 > 0:32:59reception in the press, ba pensioners affair target?
0:32:59 > 0:33:05Pensioners are not actually a target as he put it. We are trying
0:33:05 > 0:33:09to simplify tax regime which has seen very complicated form filling.
0:33:09 > 0:33:15What the government is trying to do is bring allowances in line with
0:33:15 > 0:33:18each other. We are freezing any age-related allowances so that they
0:33:18 > 0:33:26come into line with each other in preparation for are significantly
0:33:26 > 0:33:31better a single tear -- Single Tear pensions. Does a more incomes will
0:33:31 > 0:33:36not be affected at all. The fact is, a lot of pensioners are affected by
0:33:36 > 0:33:39this and I think it is a triple insult. Not only are they taking
0:33:39 > 0:33:47away at pensioners' allowance which they have had far 100 years
0:33:47 > 0:33:50together tax cut for the richest people in society, they try to do
0:33:50 > 0:33:55it in a way where they presented as simplification, hoping that the
0:33:55 > 0:33:59pensioners will not notice. They then say they will get a five
0:33:59 > 0:34:06pounds increase a week. That is just for this year to cover
0:34:06 > 0:34:11inflation. Will it be known for are the millionaire's Budget, or her a
0:34:11 > 0:34:15Budget for millions? One thing is for sure, it will not be known as
0:34:15 > 0:34:20the Budget for motorists. There was a new face turning the
0:34:20 > 0:34:28Chancellor on the steps of 11 Downing Street for this Budget.
0:34:28 > 0:34:35Chloe Smith is now economic Secretary. It was met -- it was
0:34:36 > 0:34:40left to her to defend the decision not to cut the rates. Fuel is up to
0:34:40 > 0:34:5010p cheaper had at -- would it have been had we stuck with the previous
0:34:50 > 0:34:51
0:34:51 > 0:34:54government's actions. This has been done against the backdrop of some
0:34:54 > 0:35:00incredibly difficult economic circumstances which mean it is not
0:35:00 > 0:35:03possible to spend on everything. This was a Budget to help the
0:35:03 > 0:35:10squeezed middle. They were more generous restrictions on child
0:35:11 > 0:35:15benefit. It was also a Budget for business, lower corporation tax, a
0:35:15 > 0:35:20cut in red tape. These measures, which are very pro-
0:35:20 > 0:35:24business, will see thriving businesses in East of England more
0:35:24 > 0:35:28so than before. Governments do not create jobs, businesses creates
0:35:28 > 0:35:32jobs, and small businesses constitute 90 per cent of the
0:35:32 > 0:35:37workforce in the hall of England and Wales and we have more up in
0:35:37 > 0:35:41our fair share of small and medium- sized businesses. Helping
0:35:41 > 0:35:45businesses is one thing, but if we cannot sell anything because of the
0:35:45 > 0:35:48recession and we will not prosper. The fact is we are in serious
0:35:48 > 0:35:55economic trouble, the deficit last month was twice what it wasn't the
0:35:55 > 0:35:58same month last year. We have 80 per cent of the cut still to come,
0:35:58 > 0:36:08which will cost more unemployment and drive us into recession, even
0:36:08 > 0:36:10
0:36:10 > 0:36:15depressions. Two of her backbenchers had success.
0:36:15 > 0:36:19We will now or receive itemised tax bills. The big disappointment was
0:36:19 > 0:36:24fuel, and many Conservative MPs are warning that they will keep on
0:36:24 > 0:36:30fighting for a lower tax. Let us discuss those points,
0:36:30 > 0:36:35starting with fuel. Near record prices, how would Labour fund
0:36:35 > 0:36:40removing the 3p fuel duty. The money has to come from somewhere or.
0:36:40 > 0:36:45Well crisis sometimes gallop up or fall flat. When the oil price was
0:36:45 > 0:36:49galloping away before, we did not bring in tax increases, we deferred
0:36:50 > 0:36:53them. I filled up this week and it was three pence a litre more it and
0:36:53 > 0:36:56last week and now we will all have three pence more work than in
0:36:56 > 0:36:59August. Have we not already had a deferral?
0:36:59 > 0:37:03Yes that we need to defend again because oil prices are going up
0:37:03 > 0:37:09faster. Where will the money come from to defer the petrol duty
0:37:10 > 0:37:13increase? Do not give a tax cut to the richest people in society, 5p
0:37:13 > 0:37:18in the pound is a huge tax cuts and could have been used to keep petrol
0:37:18 > 0:37:23prices down. Many of you Conservative colleagues are
0:37:23 > 0:37:32surprised, even angry? The last government built in their fuel duty
0:37:32 > 0:37:37escalator, which means that Oliver Budget forecasts have to be pieced
0:37:37 > 0:37:41-- have to be based on that those taking place. The price of fuel a
0:37:41 > 0:37:45litre by a this August already had been 10p less than you would have
0:37:45 > 0:37:50been under Labour's plans. The government has a lot to keep the
0:37:50 > 0:37:53price of fuel down, but it always comes back to the fact that we have
0:37:53 > 0:37:58a massive Budget deficit left to us at last government and we have to
0:37:58 > 0:38:03get the money back somewhere. If we simply do fairer again, then that
0:38:03 > 0:38:07is effectively a tax cut. You are happy for this rise to go ahead and
0:38:07 > 0:38:13all this? Happy is not a word I would use, but I can see, from an
0:38:13 > 0:38:19economic point the... When Labour left office, we had to tax receipts
0:38:19 > 0:38:23going like that... We have to bring it back. Was that a Budget for
0:38:23 > 0:38:30business? A cut in corporation tax to 20 per cent, as signal that
0:38:31 > 0:38:34words 20 per cent, Britain is open for business? That is a reasonable
0:38:35 > 0:38:39measure. Kelvin Hopkins put his point on it, business will not do
0:38:39 > 0:38:44well on this people can buy what they are making. The problem is
0:38:44 > 0:38:50that people's money that they have an air pocket is going down, and
0:38:50 > 0:38:58one measure will be particularly disastrous for the area that I come
0:38:58 > 0:39:02from and that is their idea of bringing in -- bringing in regional
0:39:02 > 0:39:06differences in public sector pay. This will not only be unfair on
0:39:06 > 0:39:11nurses and teachers and police, having their pay cut, but it will
0:39:11 > 0:39:15mean there is less money in the local economy for people to spend.
0:39:15 > 0:39:21Andrea Leadsom, D believe it is a Budget for growth? People say that
0:39:21 > 0:39:29there is nothing to stimulate demand. There is nothing to cut
0:39:29 > 0:39:36business rates. By it is completely ludicrous. We have cut corporation
0:39:36 > 0:39:40tax by 2%. One of the biggest companies in the world have
0:39:40 > 0:39:44immediately responded by saying there will create 1,000 new jobs in
0:39:44 > 0:39:48the world. Those were patent measures which were devised by
0:39:48 > 0:39:52Labour and implemented by the Tories. This Budget is absolutely a
0:39:52 > 0:39:56Budget for growth. What we have to do is recognise that it is the
0:39:56 > 0:40:01private sector and it is proper jobs that create good public
0:40:01 > 0:40:06services, it is not the other way round. This talk of how we have to
0:40:06 > 0:40:11shelter higher-paid public sector workers against poorer paid private
0:40:11 > 0:40:16sector workers is just nonsense. Be warmly get well for everyone if we
0:40:16 > 0:40:20keep our economy growing. A now too disturbing reports on one
0:40:20 > 0:40:24of her mental health trusts. Cambridge and Peterborough NHS
0:40:24 > 0:40:29Health Trust have been heavily criticised after a number of
0:40:29 > 0:40:35inspections. Allegations included concerns over the reporting of
0:40:35 > 0:40:40deaths, lack of staff and failure to provide areas to keep staff say.
0:40:40 > 0:40:46It appears to retain the corner, but why has it taken so long to
0:40:46 > 0:40:50make the changes? We take our mental health for
0:40:50 > 0:40:56granted. We also take it for granted that when her health is not
0:40:56 > 0:41:02so good we will get the treatment that we need. I sa how patients
0:41:02 > 0:41:07were treated. I was not happy with the way the nurses were responding.
0:41:07 > 0:41:10They spend far too much time in office and they did not try to
0:41:10 > 0:41:16establish friendly relationships with patients to help them with
0:41:16 > 0:41:20their problems. As a result, the patients were left to help each
0:41:20 > 0:41:25other and this is really difficult when you are talking about people
0:41:25 > 0:41:30with really severe illnesses. Care Quality Commission assesses
0:41:30 > 0:41:40hospitals run by the Cambridge and Peterborough NHS Health Trust.
0:41:40 > 0:41:41
0:41:41 > 0:41:44Their report at beginning of 2011 confirmed her experiences. The
0:41:44 > 0:41:47reports of 2011 and 2012 have scratched below the surface. They
0:41:47 > 0:41:54have highlighted stories of demoralised staff ignoring
0:41:54 > 0:41:59patients', patience and Secure Unit simply going missing, and the
0:41:59 > 0:42:03bedrooms and bathrooms simply not being fit for purpose.
0:42:03 > 0:42:08This centre in Peterborough also had serious failings. Between the
0:42:08 > 0:42:11two hospitals, issues were highlighted including have
0:42:11 > 0:42:18insufficient safety areas for patients who were likely to sell
0:42:18 > 0:42:25palms and a lack of individual care plans for patients. -- likely to
0:42:25 > 0:42:29self-harm. There are still problems which are the same things that her
0:42:29 > 0:42:33happening time and time again. It is highly disappointing ended
0:42:33 > 0:42:40cleaves everybody feeling disillusioned, not only myself, but
0:42:40 > 0:42:44also the families. They claim that they should have and could have
0:42:44 > 0:42:48done better. No one comes into mental health because they want to
0:42:48 > 0:42:53do a bad job. We want to do the best for our patients but sometimes
0:42:53 > 0:42:59that gets lost along away and I think we did lose their weight
0:42:59 > 0:43:07temporarily. They are back on track now and I believe that we can do a
0:43:07 > 0:43:11good job. Has it taken too long? some the us, yes. In environment
0:43:11 > 0:43:18and clear -- and care planning we should have been able to resolve
0:43:18 > 0:43:24those much quicker than we did. has just got brighter. This week,
0:43:24 > 0:43:34the latest report shows a clean bill of health at one hospital, not
0:43:34 > 0:43:34
0:43:34 > 0:43:39quite so at the other. They are still showing consistent concerns
0:43:39 > 0:43:44about how a patient's right to dignity a upheld and maintained.
0:43:44 > 0:43:47reflection, we could have gone back earlier. We did not, but we were
0:43:47 > 0:43:51getting reassurance from the trust that the actions were being
0:43:51 > 0:43:57delivered against. Both hospitals will now be kept on a tight rein
0:43:57 > 0:44:03and can expect more regular tech -- regular checks. For some, the
0:44:03 > 0:44:07damage is done. I had quite a lot more problems because it was so
0:44:07 > 0:44:11stressful on the word. I felt very misunderstood. His is an
0:44:11 > 0:44:16environment he would be happy for one of their family members to the
0:44:16 > 0:44:21end? Yes, I wait. I think a lot more of our staff will be able to
0:44:21 > 0:44:31say that now than they could have done three or four months ago.
0:44:31 > 0:44:35
0:44:35 > 0:44:41Joining us, is the chief executive of Scene, -- Hussain, a charity
0:44:41 > 0:44:46looking at this conditions of psychiatric patients. It is
0:44:46 > 0:44:49extremely difficult to balance the individual rights of a patient with
0:44:49 > 0:44:57compliance to standards and safety. When you hear of people absconding
0:44:57 > 0:45:02from poor words, and when you talk about patient dignity and there are
0:45:02 > 0:45:06still some things lacking in that then you get concerned. We have to
0:45:06 > 0:45:09a plot that the trust has been quite honest. I have been
0:45:09 > 0:45:14extraordinarily pleased with them saying this and that things have to
0:45:14 > 0:45:20be improved. What about the role of the Care Quality Commission, have
0:45:20 > 0:45:24befallen them on the job? They have had a very difficult task, they
0:45:24 > 0:45:28took over from the Mental Health Act Commission and have tried hard.
0:45:28 > 0:45:33The difficulty is that we ever the goal, like any inspection, they
0:45:33 > 0:45:36just take snapshot of the place at the time and that does not
0:45:37 > 0:45:43necessarily capture the more refined failures and shortcomings
0:45:43 > 0:45:47to meet to patients's meets. Are you satisfied that there was this
0:45:47 > 0:45:5412 month gap between the first damning report and the next? No, I
0:45:54 > 0:45:58am not, but I think that Marjorie Wallace is right to say that the
0:45:58 > 0:46:02Care Quality Commission have had a serious job to do. I am quite sure
0:46:02 > 0:46:07that they will have learnt lessons from this. It is about limited
0:46:07 > 0:46:11resources and being able to follow up on various different things.
0:46:11 > 0:46:18Recently we have seen the problem of inadequate care for elderly in
0:46:18 > 0:46:24our hospitals and the C T C had to be on top of that. -- Care Quality
0:46:24 > 0:46:29Commission. But it has been held up to be inefficient. I am not making
0:46:29 > 0:46:36excuses, but I can understand that that might have been the case and
0:46:36 > 0:46:39there Commission might have learned from this. They report a you recall
0:46:39 > 0:46:47refused to declare the trust compliant, but they were not
0:46:47 > 0:46:51regarded as enforcement issues. fiercely that is not good, and I do
0:46:51 > 0:46:59not know the details. But the Care Quality Commission are going round
0:46:59 > 0:47:04the country and by Labour -- finding quite a lot of issues. It
0:47:05 > 0:47:08is any area where people need a lot of care. Sometimes the staff and
0:47:08 > 0:47:13those establishments are very stretched. My local hospital were
0:47:13 > 0:47:19found wanting and then I discovered that they had 64 unfilled posts,
0:47:19 > 0:47:25that was because they had to reduce their her public -- their Budget by
0:47:25 > 0:47:31�20 million. What Should a patient affected by mental health expect
0:47:31 > 0:47:34from care? They should expect the best, should they not? Of course,
0:47:35 > 0:47:39but it is very hard for the nurses to balance these different demands
0:47:39 > 0:47:44and they have been under resourced for her their different -- for a
0:47:44 > 0:47:48very long time. Be area we are talking about here is not half as
0:47:48 > 0:47:55bad in some ways as the reports we have found around the country, of
0:47:55 > 0:47:59the awards are considered uninhabitable and unfit. We have
0:48:00 > 0:48:04stories of patients with nothing to do, no structured activity and not
0:48:04 > 0:48:08even able to quiet and have friends here in the gardens. It is a lot to
0:48:08 > 0:48:13make up on and a lot of neglect over the years that we now have to
0:48:13 > 0:48:20make up on. Andrea Leadsom, I can see you are nodding. Is this an
0:48:20 > 0:48:27issue close to a heart? It really is. I had been involved with a
0:48:28 > 0:48:31Parent Infant psychotherapist the talent -- charity. Mental health
0:48:31 > 0:48:35can be a key determinant of the whole future all mental health of
0:48:35 > 0:48:39the baby. A mother who cannot bond because she is postnatally
0:48:39 > 0:48:45depressed or has a psychotic episode around the birth of her
0:48:45 > 0:48:49child, her own maternal health has about impact on the long-term
0:48:49 > 0:48:53mental health of the baby. We do not enough at the moment to address
0:48:53 > 0:48:57those problems. If you do not address the problem early then it
0:48:57 > 0:49:02becomes a problem for society later on trying to deal with the
0:49:02 > 0:49:12consequences. And now for our poll likely -- No
0:49:12 > 0:49:13
0:49:13 > 0:49:23If our weekly political wind up. It has been a busy week for the
0:49:23 > 0:49:29Royal Family. 0, not that one, the Queen unveiled her diamond jubilee
0:49:29 > 0:49:32window commissioned by one of RMT's. Her Majesty will be the first
0:49:32 > 0:49:42sovereign to have her Royal Arms in that Lendl since the time of King
0:49:42 > 0:49:43
0:49:43 > 0:49:50Henry VII. Her Majesty also tend fair to the title of Sir on the
0:49:51 > 0:49:57voice of Colchester. The Duchess of Cambridge delighted credits in
0:49:57 > 0:50:05Ipswich, but the prime minister but is there to Airth with plans to
0:50:06 > 0:50:15finally up great the A 14. Are the only way is Essex.
0:50:16 > 0:50:17
0:50:17 > 0:50:24So much for finishing on a high 0. -- a high note.
0:50:24 > 0:50:30What about the future of the A 14 team at when we started building
0:50:30 > 0:50:35motorways in this country we should have had stalls -- should have had
0:50:35 > 0:50:41to tolls. The ball not take kindly to pain at all they use the road,
0:50:41 > 0:50:46even if there is an extra lane provided. Why is the infrastructure
0:50:46 > 0:50:56so bad in this country?? It is a small land mass and it is very
0:50:56 > 0:51:00Heley and curvy. I certainly think it is so worth considering a of
0:51:00 > 0:51:08road tolls for a certain capacity. It would be reasonable to say that
0:51:08 > 0:51:14they extra lane, if that is pup funded privately, would be...
0:51:14 > 0:51:22have a high-speed rail link in your constituency. A I have not, but
0:51:22 > 0:51:26that is the plan. My view is that it does not make economic sense in
0:51:26 > 0:51:33this country and it does not have good value for money. D accept
0:51:33 > 0:51:36that? In the eastern region, some of the priority has to be our roads.
0:51:36 > 0:51:42End our region, we could do with some more roads up there and I do
0:51:42 > 0:51:47not think we should have all the money in the big schemes. There are
0:51:47 > 0:51:52under resourced parts of the country in terms of transport.