21/04/2013

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:01:20. > :01:30.game responsibility for our well-being. We ask if local

:01:30. > :01:30.

:01:30. > :36:02.Apology for the loss of subtitles for 2071 seconds

:36:02. > :36:04.government can really improve our good health! As councils regain

:36:04. > :36:14.responsibility for looking after us, we'll ask if local government can

:36:14. > :36:17.

:36:17. > :36:21.really improve our habits. It will only work well enough if it is the

:36:21. > :36:24.first in a number of steps. joining us this week and looking

:36:24. > :36:31.very well, the Labour MP for Bolton West, Julie Hilling, and Ben

:36:31. > :36:35.Wallace, the Conservative MP for Wyre and Preston North. Welcome to

:36:36. > :36:40.both of you. We start in Cumbria, where the Conservative police

:36:40. > :36:50.Commissioner apologised unreservedly this week following revelations over

:36:50. > :36:52.

:36:52. > :36:55.his expenses. The story began when a local newspaper, published details.

:36:55. > :37:00.He repaid the money after the report was published but his office raised

:37:00. > :37:05.concerns with the police. Police staff members and another person

:37:05. > :37:09.were held on suspicion of data protection offences and misconduct

:37:09. > :37:13.in public office. The police and crime panel, which oversees the

:37:13. > :37:18.commissioner, has given him a list of questions to answer. It is a

:37:18. > :37:22.press conference on Friday where he admitted to two mistakes, failing to

:37:22. > :37:29.test the cost of the ship driven car before the bill arrived and failing

:37:30. > :37:39.to submit his expenses on time. apologise unreservedly to the people

:37:39. > :37:49.of Cumbria for the embarrassment that causes and for a situation --

:37:49. > :37:53.this situation. He got the bill, he painted, he has apologised. We know

:37:53. > :37:57.that expenses are toxic for any politician. It does feel, though,

:37:57. > :38:02.with the next bit of the story, that maybe people will be trying to use a

:38:02. > :38:06.sledgehammer to crack a nut. But do you feel that he has done anything

:38:06. > :38:11.wrong now that requires further investigation, or as far as you're

:38:11. > :38:14.concerned, is this case closed? feels that he has learned his

:38:15. > :38:19.lesson, that he needs to make sure like all of us that our expenses are

:38:19. > :38:24.up there, at their for people to see. Hopefully he has learned from

:38:24. > :38:29.that and we will not have a repeat. It feels, as far as he's concerned,

:38:29. > :38:33.that it should be case closed. he do not feel, then, as the Labour

:38:33. > :38:37.Party does officially, that the Home Secretary needs to get involved in

:38:38. > :38:43.this? My understanding of that is that some of that is around the

:38:43. > :38:50.further action that has been taken, rather than specifically about him.

:38:50. > :38:54.Then, is this really a matter for arrest? On the police investigation,

:38:54. > :38:58.which is not about the police commissioner. Let's be clear. He is

:38:58. > :39:01.not under investigation for a crime. It is other people. I do not

:39:01. > :39:07.know the details of the investigation. I would be surprised

:39:07. > :39:17.if anyone else does. We have to wait until that has played its course. As

:39:17. > :39:22.we that a game when we know the details. What is true is that

:39:22. > :39:27.expenses are toxic subject. Anyone would have been able to find out

:39:27. > :39:29.about these storage of hired cars or chauffeur cars through a simple

:39:29. > :39:35.Freedom of information request which is the law and gives you that

:39:35. > :39:39.permission. We should not lose sight that... I do not think anyone has

:39:39. > :39:43.accused the police commissioner of covering up, of breaking the law,

:39:43. > :39:49.and therefore we need to see the full detail and what will come out.

:39:49. > :39:52.What is sure is that expenses... me pick you up on this. What is

:39:52. > :39:56.lightly strange here, as you say, is that this information could have

:39:56. > :40:02.come out anyway. It was meant to be made public. So what has happened is

:40:02. > :40:05.that some officials have seen this, we know that there was a mistake

:40:05. > :40:08.here, that is why he has apologised for it, they have made public

:40:08. > :40:14.something which would become public anyway, and yet they have been

:40:14. > :40:20.arrested for it. I think some people would say that is a bit odd. We do

:40:20. > :40:25.not know who these people were who got the information. We do not know

:40:25. > :40:29.how they got it. Did they break into his office, hack is computer, sell

:40:29. > :40:35.the information to a newspaper? Did they seek to profit from information

:40:35. > :40:41.that was going to be published? not heavy-handed in your view?

:40:41. > :40:45.not know. It could be heavy-handed. There are many examples of arrests

:40:45. > :40:52.that are unnecessary, but let's wait until the investigation is complete.

:40:52. > :40:57.Is part of the wider problem that we have inexperienced politicians in

:40:57. > :41:01.high roles? This is a new policy and all these new commissioners are

:41:01. > :41:06.going to have to learn that in this world, the world that MPs live in

:41:06. > :41:11.now everyday, and journalists as well, is a world of transparency. So

:41:11. > :41:17.we need to make sure they master that before we start getting to the

:41:17. > :41:20.bottom things, to make sure we all know what is going on.

:41:20. > :41:23.Meanwhile, Cumbria Police have condemned an internet group set up

:41:23. > :41:28.to name and shame paedophiles, called Communities Against

:41:28. > :41:30.Paedophiles in the South Lakes. They want the law changed so that parents

:41:30. > :41:34.get automatic notification if a registered sex offender lives

:41:34. > :41:39.nearby, but police and local politicians said they are actually

:41:39. > :41:45.making children more vulnerable. Our reporter went to their first public

:41:45. > :41:51.meeting, in Barrow. They say they are vigilant, not

:41:51. > :41:55.vigilantes. Communities Against Paedophiles meet in a Barrow pub.

:41:55. > :42:01.They are hiding in plain sight all the time. It has proved it with

:42:01. > :42:04.Jimmy Savile and all the celebrities and everything. If everybody, every

:42:05. > :42:12.area, had a group like ours, they could not go anywhere, could they?

:42:12. > :42:17.We take it out of the paper and put it on to our page and the faces are

:42:17. > :42:20.there and everybody knows who they are. CAPS claim thousands of

:42:20. > :42:25.supporters on the internet. They have published the whereabouts of

:42:25. > :42:28.paedophiles. But the information is not official. Nonetheless, members

:42:28. > :42:33.at the meeting in Barrow were convinced they are fighting the good

:42:33. > :42:40.fight. Wood the problem is that the information is not out there. The

:42:40. > :42:47.whole idea is that we make the information available to people.

:42:47. > :42:52.There are 11 streets around my area where there is a paedophile who has

:42:52. > :42:57.been sent to jail. The police are worried, too. They said some people

:42:57. > :43:00.have already been approached as a result of CAPS. They say some

:43:00. > :43:06.offenders may be driven underground as a result of it, making them even

:43:06. > :43:14.more difficult to monitor. The town MP agrees. I would strongly caution

:43:14. > :43:16.them against going ahead with any course of action that the police say

:43:16. > :43:22.could put our children at greater risk.

:43:22. > :43:25.Cases such as Sarah Payne, murdered by paedophile Roy Whiting, are still

:43:25. > :43:32.fresh in the public consciousness. It led to Sarah's Law, which gives

:43:32. > :43:36.parents a limited information on the whereabouts of paedophiles.

:43:36. > :43:41.America they have far more disclosure. There have been a lot of

:43:41. > :43:47.the gelati attacks and actually, people have been murdered. We are

:43:47. > :43:52.not a violent group. We will not accept any violence whatsoever. We

:43:52. > :43:56.do not accept swearing on our page. Whilst there may have been just 20

:43:56. > :43:59.people at the public meeting, CAPS have proud to carry on until the law

:43:59. > :44:05.is changed. Julie, do you agree with this

:44:05. > :44:08.group? No, I think the sorts of groups are extremely dangerous. One

:44:08. > :44:13.of the biggest issue is, of course, is that paedophiles currently have

:44:13. > :44:15.to be on the sex offenders register. What this may well do is drive

:44:15. > :44:20.people underground, and then we would actually lose sight of where

:44:20. > :44:27.they may be. It also encourages other behaviour. This saying they

:44:27. > :44:33.are not vigilantes but we saw before witchhunts of people being accused

:44:33. > :44:40.of paedophilia. -- this group are saying. We saw a paediatrician

:44:40. > :44:46.attacked because people thought she was a paedophile, for example.

:44:46. > :44:50.the reason though that people are doing it that they do not feel safe,

:44:50. > :44:53.that the current system is not good enough? I understand why they have

:44:53. > :44:58.that fear but under the current system you do have the right to

:44:58. > :45:02.request information, if you are worried about person in your life

:45:02. > :45:06.you have a right to request information about their background.

:45:06. > :45:12.And that is good enough for you? think it is always a law that we

:45:12. > :45:16.have two keep looking at. Is it working, do we need to develop it

:45:16. > :45:19.further? But in terms of giving everybody access and saying, that is

:45:19. > :45:25.a paedophile that lives there, I can that takes us down a road that is

:45:25. > :45:31.very dangerous. What do you think? Does the law needs tightening up?

:45:31. > :45:36.is quite easy to say I think we should lock up paedophiles for

:45:36. > :45:46.longer. But we know that paedophiles are incredibly devious. This when

:45:46. > :45:46.

:45:46. > :45:53.they are in prison and are released, you get a letter saying that

:45:53. > :46:00.so-and-so is coming to your conduct is -- constituency to live. They

:46:00. > :46:04.will tell you that a person has chosen to serve full-time rather

:46:04. > :46:08.than come out early to minimise the controls put on them. So we know

:46:08. > :46:11.they are devious. The priorities protecting children and it is our

:46:11. > :46:17.job, the police, to monitor these people. Anything that makes it

:46:17. > :46:21.harder to monitor will actually make it more dangerous for people.

:46:21. > :46:25.you think this makes it worse? Wood death is should be listened to,

:46:25. > :46:33.which is these guys are so devious, you stop putting their names outside

:46:33. > :46:39.every door and they will run away and you will have no idea. -- these

:46:39. > :46:43.guys should be listened to. Every division that has the names will not

:46:43. > :46:48.be able to keep tabs and that is when real danger happens. We need to

:46:48. > :46:52.make sure it is always reviewed. I encourage my colleagues to go to

:46:52. > :46:58.their local police protection unit. You must make sure we do not

:46:58. > :47:01.threaten the real ability of monitoring these people.

:47:01. > :47:05.It must have been a difficult month for any overweight councillors who

:47:05. > :47:10.enjoy smoking out there. Because responsibility for public health has

:47:10. > :47:13.moved from the NHS to local government after almost 40 years.

:47:13. > :47:18.That'll cancel is already looking into minimum pricing for alcohol.

:47:18. > :47:22.Our reporter has been to the town to find out if councils really can

:47:22. > :47:29.change our habits. -- Blackpool Council.

:47:29. > :47:37.It was under the Victorians that councils first got to grip with the

:47:37. > :47:41.nation's public health. It is a deadly disease... Over the decades,

:47:41. > :47:46.there have been high profile campaigns. During the 1980s, HIV and

:47:46. > :47:50.heroin were hitting the headlines. Fast forward and fast food and

:47:50. > :47:53.obesity is on the agenda. After nearly 40 years of educating

:47:53. > :47:59.society, the NHS is now handing over public health act to local

:47:59. > :48:04.government. This is about the people of Blackpool. We have big robins

:48:04. > :48:13.here, no question. That Paul is one of the most deprived areas in the

:48:13. > :48:19.country. For housing, problems with alcohol and poor eating have its

:48:19. > :48:22.mean it has one of the lowest life expectancies in the country. I think

:48:22. > :48:27.it is a really positive step forward. It does mean we are going

:48:27. > :48:32.to integrate debtor, public health, with all the other functions of the

:48:32. > :48:36.council, for example, in housing, in the anti-poverty strategy. There are

:48:36. > :48:40.wide powers here that we already have to do things. The best way of

:48:40. > :48:47.doing that is for everybody to work together as one big team. That is

:48:47. > :48:51.what we will do for more in the future. There are major plans to

:48:51. > :48:58.turn around ill health and bad habits on the resort. But how much

:48:58. > :49:03.power does the director of public members and other members of the

:49:03. > :49:11.council to positively improve the health of the population through the

:49:11. > :49:14.decision that may make -- that they make. I also want to look at the

:49:14. > :49:20.number of fast-food outlets around schools, for example. These are

:49:20. > :49:24.things we can look at now in terms of public health.

:49:24. > :49:30.Andrew Southern has been addicted to drink and drugs for over 20 years.

:49:30. > :49:39.He is now clean and feels new will work. I have had problems with

:49:39. > :49:43.housing, help through my drug problem and alcohol problem, and

:49:43. > :49:48.benefits. I have been sent here, there and everywhere in the past.

:49:48. > :49:51.But I think more now that they are starting to deal with my problem is

:49:51. > :49:54.a bit better. The Government has provided ring-fenced budgets but

:49:55. > :50:03.public health is not immune from the need to make savings amongst

:50:03. > :50:08.cash-strapped councils. You have to remember that local councils are

:50:08. > :50:14.extremely cash restrained. This is a welcome step in the opposite

:50:14. > :50:17.direction, towards greater localism, but it will only work well if it is

:50:17. > :50:23.the first of a number of steps and we see greater integration of health

:50:23. > :50:27.and social care. In Blackpool, 25 members of NHS staff now work for

:50:27. > :50:32.the Council, promoting healthy living and lifestyle choices. This

:50:32. > :50:36.is a radical shake-up of the NHS and local government. My whole career

:50:36. > :50:45.has been working within the NHS so it has been more of a cultural

:50:45. > :50:49.change. I am learning how to work more in a political environment. So

:50:49. > :50:55.I suppose that is where it will be the biggest change for us at the end

:50:55. > :50:58.of the day. Public health is at the heart of the political agenda. Local

:50:58. > :51:04.councils will no doubt feel the pressure in getting the treatment

:51:04. > :51:08.right. We are joined by the former director of public health for the

:51:08. > :51:12.North West. Why does this matter, what is the big significance of

:51:12. > :51:15.moving from the NHS to local government? It matters because in

:51:15. > :51:20.one sense a lot of the things that need to be done to protect and

:51:20. > :51:25.improve health are outside of the health service. Historically, they

:51:25. > :51:28.were things to do with housing, recreation, employment and so on.

:51:28. > :51:33.The public health departments, when they were in local authorities

:51:33. > :51:38.before 1974, were often very big. The Liverpool one had over 6000

:51:38. > :51:42.staff. Health visitors, social workers, environmental health

:51:42. > :51:46.officers, inspectors, all sorts. I have campaigned for this for my

:51:46. > :51:51.entire 35 years in public health but I now have mixed feelings because

:51:51. > :51:56.the paradoxes that a lot of the things that used to be under the

:51:57. > :51:59.direct control of local government are no longer. Will be new directors

:51:59. > :52:04.of Public health have the independence to do this job

:52:04. > :52:07.properly? This is a big worry. The reason why I have not gone into the

:52:07. > :52:12.county council in Cumbria which I should have done was because of the

:52:12. > :52:15.lack of support for my position there. Lancashire has a similar

:52:15. > :52:21.problem. The North West as a whole, we have probably the strongest

:52:21. > :52:25.public health function in the country, and you have people like

:52:25. > :52:32.the person in Blackpool, who has the support of the council. The Wirral

:52:32. > :52:36.is a good example. But we have several which are not, and out of

:52:36. > :52:39.the 140 local authorities nationally, there are about 30 which

:52:39. > :52:49.appear to be as it stripping or intent on as it stripping the public

:52:49. > :52:53.health resource. Julie, are you confident, having heard what John

:52:53. > :52:57.has said about the position in your part of the world? I do think it

:52:57. > :53:02.depends very much on your local authority. I know in Bolton they

:53:02. > :53:04.already had a joint appointment between the local authority and the

:53:04. > :53:07.VCT and the Director of Public health, so that has moved across

:53:07. > :53:12.beautifully into the local authority, staff have transferred

:53:12. > :53:15.across and because there has been a long established partnership between

:53:15. > :53:22.the local authority and health, it is likely to carry on working very

:53:22. > :53:25.well. There have been all sorts of things over the last few years, so I

:53:25. > :53:29.am feeling very positive in my patch about it but I do think there are

:53:29. > :53:32.difficulties, and there was a concern, of course, as well, it was

:53:32. > :53:38.the budget is confirmed for two years, but already it is being said

:53:38. > :53:41.that there will be a 5% cut on that budget in future years, so that will

:53:41. > :53:48.constrain our ability... And what about your part of the world? Will

:53:48. > :53:52.it improve things? I think everyone has agreed that joining together,

:53:52. > :53:57.trying to make sure that we tackle health and inequality and all the

:53:57. > :54:02.problems people face by not just working any treatment area but also

:54:02. > :54:06.public health, housing, is a good thing. Like all major policy shifts,

:54:06. > :54:11.it has to be something we continue to monitor. We cannot just say, we

:54:11. > :54:14.have done it, off we go, we can let the good ones go and the bad ones

:54:14. > :54:17.will be back here trying to fix the problem in three or four years

:54:17. > :54:27.time. So we need to monitor the ring-fencing, monitor the councils

:54:27. > :54:27.

:54:27. > :54:31.that are not playing ball. It has only been ring-fenced for two years.

:54:31. > :54:36.Ring-fences often get out for a few. Governments do not like ring-fencing

:54:36. > :54:40.things for very long and local authorities do not like it. The

:54:40. > :54:45.Government often says it will do it for two years and then review it. So

:54:45. > :54:48.in two years' time hopefully I and my colleagues will write to the

:54:48. > :54:54.Secretary of State for health and say, do not remove the ring-fence.

:54:54. > :54:57.Where there are problems, people like Professor Ashton knows

:54:58. > :55:02.absolutely this area back to front. We need his guidance as to where it

:55:02. > :55:05.is going wrong on the front line, so if it is not working well in that

:55:05. > :55:11.they should, I can go and speak to the chief executive and councillors

:55:11. > :55:15.and get things fixed. What should the priorities be? We need to make

:55:15. > :55:18.sure that the local director of public health has the mandate to

:55:18. > :55:23.speak out on public health issues. This was something which existed

:55:23. > :55:28.from the 1840s right through to 1974. The annual Public health

:55:28. > :55:30.report of the medical officer of health in those days was

:55:30. > :55:35.independent, like the auditors reporting local government,

:55:35. > :55:37.presented to the annual general meeting, a full council with the

:55:38. > :55:42.media there for transparency. My concern, and I have had this in

:55:43. > :55:46.Cumbria, we do not do that. These reports need to be corporate so that

:55:46. > :55:50.other people can have an input. This is worrying because we need is

:55:50. > :55:53.holding up a mirror to the situation. In the Victorian people,

:55:53. > :55:57.people could only be sacked with the approval of the Secretary of State.

:55:57. > :56:01.You could not be sacked for saying things which were uncomfortable,

:56:01. > :56:05.only for being an alcoholic or incompetent, but I am worried about

:56:05. > :56:08.that freedom of speech. I think it is very important that we get that

:56:08. > :56:12.secured. The other thing is that actually although we are talking

:56:12. > :56:15.about public health going back to local government, it will be in

:56:15. > :56:19.three places now. The director of public health will be appointed

:56:19. > :56:29.jointly with public health England, big chunks of public health will

:56:29. > :56:32.

:56:32. > :56:37.remain with Public Health England... I am very proud of my GPs

:56:37. > :56:41.being linked up with that organisation. They have made things

:56:41. > :56:46.with schools and district councils. We have got to carry on with that

:56:46. > :56:50.agenda as well. Thank you very much indeed. Time now for a round-up of

:56:50. > :56:52.the rest of the week's muse. Now here is 60 Seconds.

:56:52. > :56:55.A UKIP candidate in next month's Lancashire county council elections

:56:55. > :57:01.was forced to step down after sending offensive tweets about the

:57:01. > :57:05.party and the death of Margaret Thatcher. Ken Ball was due to

:57:05. > :57:09.contest Pendle. Tributes were paid this week to Anne

:57:09. > :57:15.Williams, who lost her battle with cancer. Anne had campaigned for the

:57:15. > :57:21.truth after her son Kevin died at Hillsborough. That woman gave so

:57:21. > :57:22.much of her life to trying to just get the truth and justice for her

:57:22. > :57:25.son. A half-a-million-pound arts project

:57:25. > :57:29.in Wirral to celebrate last year's Olympics has finally been cancelled.

:57:29. > :57:31.A column of steam was to rise out of Birkenhead dock but the artist

:57:31. > :57:34.couldn't make it work. The Health Minister accused Labour

:57:34. > :57:42.of scaremongering, saying there were no plans to close A&E at Lancaster

:57:42. > :57:45.Royal Infirmary. At no point in time have there ever been plans to close

:57:45. > :57:48.Lancashire Royal Infirmary. And sand yachting is to return to

:57:48. > :57:58.the Fylde coast. A 10-year ban imposed when a woman was killed has

:57:58. > :58:05.

:58:05. > :58:14.been temporarily lifted under strict Williams. How much do you think she

:58:14. > :58:17.changed attitudes on Hillsborough? Immensely. She would not take no for

:58:17. > :58:23.an answer and she kept on and kept on. She did not do it for months,

:58:23. > :58:28.but years. She got there. She has not entirely, no one has finished it

:58:28. > :58:34.yet, but she got justice for the victims. Well done and a sad loss.

:58:34. > :58:38.And you are campaigning on dangerous dogs at the moment. Yes, after the