:01:15. > :01:20.Millions of pounds in debt, short of staff and other investigations
:01:20. > :01:30.for poor standards of care. What can be done to turn around the
:01:30. > :01:30.
:01:30. > :40:22.Apology for the loss of subtitles for 2332 seconds
:40:22. > :40:26.- is a warm welcome to your local part of the show. We're talking
:40:26. > :40:35.about the state of the NHS this week and the serious problems and
:40:35. > :40:42.our hospitals. The political party that seems to have no problems
:40:42. > :40:46.finding members. I have been to meet UK's newest recruits. The
:40:46. > :40:53.Government has admitted their problems in the North East economy
:40:53. > :41:03.as unemployment went up again. The government seems to think there are
:41:03. > :41:06.
:41:06. > :41:09.particular problems, is that affair commit? Unemployment is higher now
:41:09. > :41:19.than at the last election but the biggest worry is the young people
:41:19. > :41:20.
:41:20. > :41:28.who have been out of employment for a long time. Is there a particular
:41:29. > :41:34.problem in the North East? Since 2012, it is down year-on-year but
:41:34. > :41:41.is there a particular problem in the North East? We have the highest
:41:41. > :41:44.rates in the hall of the country so that has to be of concern. And we
:41:44. > :41:52.are not making progress and until we get growth back into the economy
:41:52. > :42:02.we will not see jobs created. there a danger here? There is talk
:42:02. > :42:08.of recovery but is there a danger the North's could be left behind?
:42:08. > :42:11.Your correspondent, when these results came out on Wednesday,
:42:11. > :42:19.there was the news that youth unemployment had fallen,
:42:19. > :42:22.particularly given by the growth of apprenticeship schemes. Over all,
:42:22. > :42:27.the figures are relatively flat and perhaps the most interesting
:42:27. > :42:33.feature of this difficult economic time has been that we have not seen
:42:33. > :42:37.it enormous increases in unemployment and over all across
:42:37. > :42:46.the country, we saw the highest level of employee that we have ever
:42:46. > :42:50.seen. People unemployed for a long time it is doing a lot of damage.
:42:50. > :42:57.The longer people unemployed, before the recovery and the harder
:42:57. > :43:00.to find work. That has always been true. We have particular problems
:43:00. > :43:04.in the North East because if we have an economy that is more
:43:04. > :43:10.dependent on the public sector and has a smaller private sector than
:43:10. > :43:20.any other part of the country. issue has to be addressed. Good
:43:20. > :43:22.
:43:23. > :43:32.jobs are being created and they are coming through Nissan and a catchy.
:43:33. > :43:33.
:43:33. > :43:38.-- Hitachi. Our top story this week is the NHS and queuing and concerns
:43:38. > :43:47.about the out-of-hours service. All the signs of a health service under
:43:47. > :43:52.pressure but it is in Cumbria that problems appear to be most acute.
:43:52. > :44:02.He an inquiry into high death rates at hospitals in Carlisle is
:44:02. > :44:05.
:44:05. > :44:11.expected to report soon., and I was utterly shocked. Not being fed, no
:44:11. > :44:19.water, using the wrong plasters on her and ripping her skin. After the
:44:19. > :44:24.week of this, she died pretty quickly. She was 94 when she went
:44:24. > :44:30.into the Cumberland Infirmary for a routine procedure. The coroner
:44:30. > :44:35.questioned some of the treatment she received. This is the NHS,
:44:35. > :44:41.something we believe will look after us. She would have been
:44:41. > :44:46.better off not in hospital. She is not alone in her concerns about
:44:46. > :44:50.level of care. Inspectors visited the hospital in March and herb
:44:50. > :45:00.similar worries from other patients with hospital staff raising their
:45:00. > :45:06.
:45:06. > :45:10.own issues. Patients were in wet One simple way to improve care
:45:10. > :45:17.would be to fill those vacancies but there is a man going problem
:45:17. > :45:24.with recruitment. 102 new nurses have been employed since September
:45:24. > :45:27.but there are still 55 vacancies at the trust. Looking at some of the
:45:28. > :45:33.text in the staff survey looking at the more numbers and who would
:45:33. > :45:39.recommend it as a place to work or receive care, it is an indication
:45:39. > :45:48.of how low the morale is. If I was coming from the outside looking to
:45:48. > :45:51.apply for a job there, that would have a serious impact on me.
:45:51. > :45:57.Trust says it is focusing on recruitment but not solely on
:45:57. > :46:02.nursing staff. I am very concerned about morale and we are already
:46:02. > :46:11.working on this and it is not just about nursing numbers but how we
:46:11. > :46:17.are supported on the wards. Some of the problems here are experienced
:46:17. > :46:24.elsewhere like long waits at A and D and Hospital for bugs. The trust
:46:24. > :46:30.you also has money worries. The trust this year and needs to save
:46:30. > :46:37.�16.8 million and on top of that, it has �7.7 million of debt and has
:46:37. > :46:42.been recognised as a crust put at risk because of its PFI agreements.
:46:42. > :46:49.The Cumberland Infirmary was the first PFI hospital and the country
:46:49. > :46:53.and it's estimated running costs are now 10 times the original sum.
:46:53. > :47:00.Let's not be deluded ourselves and blame the problems on the PFI
:47:00. > :47:07.scheme because that has Backley not true. Public funding will pay for a
:47:07. > :47:11.�90 million redevelopment at the West Cumbria Hospital. Both
:47:11. > :47:19.measures should go some way to improving care but in isolation, it
:47:19. > :47:25.will not let pressure on the and the staff. It is estimated that by
:47:25. > :47:35.2033, 38% of the population here will be over 60 so demand is only
:47:35. > :47:36.
:47:36. > :47:43.going to grow. We need to provide care closer to home. That is why
:47:43. > :47:52.funding is so essential. In the future, Alex is hoping people like
:47:52. > :47:59.her mum can have more confidence in Cumbria's hospitals close up they
:47:59. > :48:08.Carlile MP met the Minister this week.
:48:08. > :48:11.The important thing was to get across the fact that I want to see
:48:11. > :48:15.the targets are met and they want to make sure the date is next full
:48:15. > :48:20.sup why has there been no involvement from the Department of
:48:20. > :48:23.Health before? There is ongoing involvement and the reason I got
:48:24. > :48:29.involved with in the light of the recent reports which makes for
:48:29. > :48:36.uncomfortable reading. I want to reassure the Minister that I think
:48:36. > :48:41.the right thing for Cumbria as for Northumbria to take over. Part of
:48:41. > :48:48.the problem as financial and they have to make a lot of savings.
:48:48. > :48:53.there not more the government could do? That is something we will have
:48:53. > :49:00.to discuss. What efficiency savings can be made and what resources are
:49:00. > :49:04.available. You talk about efficiency savings but the staff
:49:04. > :49:13.here will say they cannot make any more efficiencies, they are already
:49:13. > :49:18.stretched. You s, but if you only have one management, there will
:49:18. > :49:25.undoubtedly be some savings there. There are also systems and
:49:25. > :49:28.processes that can be Brotton to improve care and make savings.
:49:28. > :49:35.Northumbria will have to discuss what the Department of Health what
:49:35. > :49:41.sort of funding they will need. NHS is under pressure all over the
:49:41. > :49:50.region not least at accident and emergency departments. Thousands
:49:50. > :49:54.waiting for ambulances and the fiasco of the 101 number. What we
:49:54. > :49:57.are not doing is arguing over the overall level of expenditure
:49:57. > :50:05.because that is the one the are apart from overseas development
:50:06. > :50:13.that has been completely protected. The question is how we run and that
:50:13. > :50:19.minister the National Health Service. 15 years ago, when my
:50:19. > :50:25.daughter was taken ill I phone the GP. We did not cornea accident and
:50:25. > :50:33.emergency, but these days, that would not happen. The out-of-hours
:50:33. > :50:39.services from GPs are not the same as what they wear. The last
:50:39. > :50:48.government managed to produce a situation where we had an
:50:48. > :50:53.undermining of the out-of-hours services as well as adding to costs.
:50:53. > :51:03.If lead put that specific example to Bridget Phillips. To blame
:51:03. > :51:07.something that happened in 2004 is nonsense. We have seen an increase
:51:07. > :51:13.in older patients who are not getting the care they need because
:51:13. > :51:19.of massive cuts to social care. There is not the right support
:51:19. > :51:23.we're to get them home. David Cameron said there would be no more
:51:23. > :51:26.top-down the organisation is and what has resulted is chaos and
:51:26. > :51:32.confusion and the biggest reorganisation in its history. He
:51:32. > :51:35.also said that waiting times would not increase but may have more than
:51:35. > :51:45.double it's the number of patients waiting more than 24 hours in the
:51:45. > :51:47.
:51:47. > :51:52.last year. What is Labour's solution? Roll back to 2010?
:51:52. > :51:56.Treasury were seeking to massage the figures. We what money put into
:51:56. > :52:02.social care to make sure that people were getting the right help
:52:02. > :52:08.they need. Older patients are often having to wait a great deal of time
:52:08. > :52:13.and it is dead distressing. I have seen many troubling cases like this.
:52:13. > :52:20.There simply is not enough money going in to the NHS and to social
:52:20. > :52:24.care and that is what is putting the pressure on? There would be
:52:24. > :52:30.more credibility at the Shadow Chancellor gave in the indication
:52:30. > :52:35.he would supply more money, which he has not. It comes back to a
:52:35. > :52:38.number of individual issues. We saw how it could be to do with
:52:39. > :52:48.management of the hospitals and historic issues like paying for PFI
:52:48. > :52:56.contracts. This was not a great time to start to shake things up.
:52:56. > :53:00.You through it all the pieces into the year. The additional problem to
:53:00. > :53:06.deal West is the ageing population and the demands on the NHS are
:53:06. > :53:13.constantly growing. It is not enough for things to stay the same.
:53:13. > :53:17.We have to find improvements and efficiencies. We have to be careful.
:53:17. > :53:22.The 101 service was a pioneer in the North East that works very well
:53:22. > :53:29.there. There may be problems elsewhere but we should not
:53:29. > :53:36.undermine the service which will make people feel less confident.
:53:36. > :53:44.The other aspect is BPs I and other hospitals affected by this. It is
:53:44. > :53:49.like paying for the hospital on a credit cards. The biggest concerns
:53:50. > :53:55.at accident and emergency waiting times... What PFI and estate?
:53:55. > :54:01.at know enough. As was said in the peace, there are lessons to be
:54:01. > :54:09.learned but at the moment, the most pressing issue is the Andy waiting
:54:09. > :54:15.times. Government Ministers have been looking for scapegoats. First
:54:15. > :54:23.the GPs and their immigrants and now the patients. We wore have to
:54:23. > :54:28.wrap that up. We haven't got time! And other big story this week, an
:54:28. > :54:38.announcement by Jeremy Hunt about children's hearts or jury. Once
:54:38. > :54:42.
:54:42. > :54:46.again, the future of heart surgery units in the North East.
:54:46. > :54:54.Tyneside Labour MPs have criticised the decision to suspend a review
:54:54. > :55:04.into children's heart surgery which has so caller cost �6 million. Nick
:55:04. > :55:14.Brown says young patients were not being per it first.
:55:14. > :55:15.
:55:15. > :55:19.I really do feel rather than clinical judgment. Flat defences in
:55:19. > :55:26.Morpeth have been at inspected. Deputy Prime Minister Nick Clegg
:55:27. > :55:32.was in the region on Friday. It planned to get passenger trains
:55:32. > :55:38.running once again has moved a step closer after a tumble on council
:55:38. > :55:47.met with Network Rail to discuss options. Passenger trains here were
:55:47. > :55:51.axed in the 1960s. Their opinion poll rating may have
:55:51. > :55:58.dipped since the local elections but there is no doubt UKIP are on a
:55:58. > :56:03.that of our role. They became the official opposition in South
:56:03. > :56:06.Tyneside after three independent councillors joined the party. Their
:56:07. > :56:11.most notable achievement is recruiting new members, some of
:56:11. > :56:19.whom have never joined a political party before.
:56:19. > :56:24.Tradition means a lot in North the Archer. Richmond and surrounding
:56:24. > :56:28.villages have have Conservative MPs for 100 years. Not everyone is
:56:28. > :56:35.convinced you should stick with what you know. There is a growing
:56:36. > :56:45.force here that wants to shake things up. It wants to change its
:56:46. > :56:46.
:56:46. > :56:52.politics. Here are three of the revolutionaries. Until April, one
:56:52. > :57:00.was a Conservative councillor, one that once represented Labour, and
:57:00. > :57:05.UKIP is the first party this woman has joined. Why sign up? It is down
:57:05. > :57:09.to the fact the what to give us our referendum and the chance to speak
:57:09. > :57:15.on the EU. It would not just the reaction to the established parties
:57:16. > :57:21.but because I thought I may have something to say. Working with the
:57:21. > :57:29.public, I saw that UKIP fitted with the people of this country
:57:29. > :57:34.particularly where ILF. They just understand. It is common sense.
:57:34. > :57:41.While many of the views sound conservative, they have no
:57:41. > :57:47.enthusiasm for David Cameron. are Orcadia politicians with no
:57:47. > :57:53.real experience of life. How on earth can the understand the
:57:53. > :57:58.problems. You have to relate to people to understand what is going
:57:58. > :58:04.on with their lives and then improve things. A enough of tea and
:58:04. > :58:10.sympathy, time for tough love. If you thought UKIP, you will get the
:58:10. > :58:20.opposite of what you want. Labour will get into power as you will not
:58:20. > :58:25.getting referendum. If they all thought UKIP, that will be great.
:58:25. > :58:29.UK it is not a protest vote any more and that is just a get-out for
:58:29. > :58:39.the Conservatives and Labour and the Liberals to say it is a wasted
:58:39. > :58:41.
:58:41. > :58:44.vote. Five years ago, maybe, but not now. A is irrelevant whether we
:58:44. > :58:53.will get a Prime Minister or a government. We believe it is right
:58:53. > :58:59.and that is as far as we need to just that by it. Where we have at
:58:59. > :59:04.the moment, I'll be with them for a long time. I have put too much time
:59:04. > :59:08.and effort into wanting to make this work. I was married to the
:59:09. > :59:18.wrong man in the Conservative Party and I have met the right party for
:59:18. > :59:27.me. David Cameron once dismissed UKIP as a bunch of fruitcakes but
:59:27. > :59:33.these three are convinced something is stirring.
:59:33. > :59:42.These people should be looking to the Conservatives? Athalia on your
:59:42. > :59:51.party's part? UKIP is pooling from all parties and he will find as
:59:51. > :59:57.many people who used to vote Labour. It is not surprising that in the
:59:57. > :00:06.map turn you get people that are worried and look to other parties.
:00:06. > :00:14.It has happened before or and happened in the 1980s. These things
:00:14. > :00:22.happen. Their perception, the Mrs Sally disagree with policies but it
:00:23. > :00:30.is that their party is dominated by people from Eton. They are have not
:00:30. > :00:34.met Eric Pickles's! There is a mixture. David Cameron surrounds
:00:34. > :00:39.himself with public school boys. That is a perception you have to
:00:39. > :00:44.address. People will ask themselves, who do they what to run the
:00:44. > :00:52.country? Do we what the Labour Party or the Conservatives who are
:00:52. > :00:58.getting us out of this mess. Ed Miliband or her David Cameron. The
:00:58. > :01:03.vast majority of people looking at UKIP will make a different decision.
:01:03. > :01:11.This is a rejection of mainstream politics and that this solution.
:01:11. > :01:15.They are looking for a mother home. They are of particular concern to
:01:15. > :01:19.the Conservatives but we take nothing for granted. It is a
:01:19. > :01:24.challenge for politicians and all mainstream parties to listen to
:01:24. > :01:32.people's legitimate concerns. It is the Tories who are facing the
:01:32. > :01:37.biggest challenge. I knew getting this level of membership inquiries?
:01:37. > :01:42.We have seen a big increase in membership since 2010. What is
:01:42. > :01:47.important is that the what to be treated as a serious party, their
:01:47. > :01:54.policies deserve scrutiny. The what to cut maternity leave and scrap
:01:54. > :01:59.paternity leave altogether. Decriminalisation of prostitution.
:01:59. > :02:03.If the lot to be as serious party, they deserve the same scrutiny as
:02:03. > :02:08.any other party but come the general election, it will be asked
:02:08. > :02:13.great fight between Labour and the Tory East. This may not cause
:02:13. > :02:22.billion hate any sleepless nights but in the marginals, this could
:02:22. > :02:27.crucify you? UKIP are most well known for wanting the referendum on
:02:27. > :02:33.the European Union and the only way they will get that is if David
:02:33. > :02:40.Cameron becomes the next Prime Minister. Voting for or any others,
:02:40. > :02:45.you will not get that. To you short-circuit this and offer a
:02:45. > :02:50.referendum? David Cameron is offering four years of uncertainty.
:02:50. > :02:54.We don't think this is the right time to have a debate about Europe.