Browse content similar to 23/06/2013. Check below for episodes and series from the same categories and more!
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comes under fire and higher prices for higher education. But is it ever | :01:20. | :01:30. | |
:01:30. | :01:30. | ||
Apology for the loss of subtitles for 2113 seconds | :01:30. | :36:44. | |
finances under the spotlight. High prices for higher education, but | :36:44. | :36:54. | |
:36:54. | :36:58. | ||
who's really counting the cost? And joining us on the programme we have | :36:58. | :37:06. | |
the Shadow Health Secretary and the MP for Bury North. We have had the | :37:07. | :37:10. | |
care quality commission this week and the problems with Morecambe Bay | :37:10. | :37:14. | |
health trust. we need full transparency in the NHS and we are | :37:14. | :37:20. | |
calling on Jeremy Hunt to implement all of the recommendations of the | :37:20. | :37:27. | |
report. Into the Stafford Hospital scandal. What are your concerns? | :37:27. | :37:31. | |
must never lose sight of the fact that at the heart of this is an | :37:31. | :37:38. | |
enormous personal tragedy for the families involved and let down by | :37:38. | :37:44. | |
our NHS. What we want to see out of this is a new culture of openness | :37:44. | :37:52. | |
and transparency, that must be accepted right across our NHS. | :37:52. | :38:02. | |
:38:02. | :38:03. | ||
continuing fallout from the alleged cover-up of an internal report into | :38:03. | :38:07. | |
handling of the quality care commission 's hospital, particularly | :38:07. | :38:17. | |
:38:17. | :38:33. | ||
whether we can now trust the commission to oversee improvements | :38:33. | :38:39. | |
at the trust. An organisation in turmoil, the | :38:39. | :38:45. | |
public confused and politicians angry. As we saw, a culture within | :38:45. | :38:51. | |
the NHS has been allowed to develop within which secrecy has been picked | :38:51. | :39:01. | |
:39:01. | :39:01. | ||
ahead of patient safety and care. Joshua died eight days after he was | :39:01. | :39:06. | |
born. His father has been fighting to expose the truth about the | :39:06. | :39:12. | |
hospital. I recognised they were feelings. I did not realise the | :39:12. | :39:16. | |
extent. I felt physically ill when I read about the cover-up. | :39:16. | :39:22. | |
families have been struggling to be heard, that is now felt to be | :39:23. | :39:25. | |
because the care quality commission had self-interested its primary | :39:25. | :39:34. | |
concern. There is a moral crisis of accountability. There are people | :39:34. | :39:37. | |
prepared to take high salaries but they will not take responsibility | :39:37. | :39:41. | |
when things go wrong. the names of those accused of trying to delete | :39:41. | :39:46. | |
the internal critical review were originally redacted from the | :39:46. | :39:53. | |
report, but then revealed after mounting pressure. They are very | :39:53. | :39:56. | |
serious allegations and they should have serious consequences if they | :39:56. | :40:01. | |
are proven to be right. I will back the sea QC to the Hilton trying to | :40:01. | :40:11. | |
:40:11. | :40:16. | ||
make sure that justice is done. -- quality care commission. Even though | :40:16. | :40:21. | |
there is new leadership, the feelings that have been outlined | :40:21. | :40:29. | |
here are such that we cannot consider the regulator fit for | :40:29. | :40:36. | |
purpose -- feelings. The Health Secretary has turned down a visit to | :40:36. | :40:46. | |
:40:46. | :40:48. | ||
the hospital. We are joined by the head of health | :40:48. | :40:54. | |
policy at Manchester business School. | :40:54. | :40:59. | |
Labour created the care quality commission. Why did it go so badly | :40:59. | :41:09. | |
:41:09. | :41:14. | ||
wrong? I think that for the people of barrel, -- Barrow, it is the | :41:14. | :41:19. | |
hospital that went wrong as well as the Quality Care Commission. It is | :41:19. | :41:23. | |
too dreadful episode they together. The Quality Care Commission do some | :41:23. | :41:27. | |
very good work across the country, but I am appalled and saddened at | :41:27. | :41:36. | |
what has happened here. It is inexcusable and appropriate action | :41:36. | :41:41. | |
should be taken against those involved. But it was labour that | :41:41. | :41:45. | |
created it. They created the regulatory system. But it didn't | :41:45. | :41:53. | |
work. What we are seeing is that the regulatory system is in need of | :41:53. | :41:59. | |
review and change and it is quite the case that the people of Barrow | :41:59. | :42:03. | |
have been let down and that is why we really need to make sure that the | :42:03. | :42:11. | |
recommendations that were in the report into Mid Staffordshire, | :42:11. | :42:18. | |
particularly in relation to transparency, need to be followed. | :42:18. | :42:28. | |
:42:28. | :42:28. | ||
Why'd you set up an inspector regime which consists of inspectors who | :42:28. | :42:33. | |
were generalists rather than specialists? The new regime needs to | :42:33. | :42:35. | |
look at the holder talented of the health and social care system rather | :42:35. | :42:43. | |
than having different regimes for different parts. But you can still | :42:43. | :42:48. | |
have specialists. I absolutely understand that. I do not understand | :42:48. | :42:52. | |
why we have ended up with the situation that we have in Barrow. It | :42:52. | :42:58. | |
is inexcusable and hopefully we will have the proper transparency that | :42:58. | :43:03. | |
people who work in the NHS as well as patients who use the NHS deserve. | :43:03. | :43:06. | |
Is it because the government was putting the hospital under pressure | :43:06. | :43:10. | |
to become a foundation trust and the Quality Care Commission, which to | :43:10. | :43:14. | |
some extent answers to the government, wanted to not give it | :43:14. | :43:16. | |
any bad marks because that would have made it more difficult to | :43:16. | :43:22. | |
become a trust? to be fair, there is no evidence that there was any kind | :43:22. | :43:26. | |
of instruction from government that that is the case. but they would not | :43:26. | :43:33. | |
be a direct instruction, but indirectly was that an issue? | :43:33. | :43:37. | |
not think so. We need to have a thorough and quick review into the | :43:37. | :43:40. | |
feelings of the Quality Care Commission. The real story should | :43:40. | :43:43. | |
not be about the Quality Care Commission and the report, that has | :43:43. | :43:46. | |
become the story. Quite frankly it is shocking and pollen that they | :43:46. | :43:52. | |
have tried to delete and cover up what they have found. The real story | :43:53. | :43:57. | |
should be what happened at Barrow and what we will do to put that | :43:58. | :44:04. | |
right. What lessons should we draw from this? Directory main lessons. | :44:04. | :44:09. | |
First, for those staff and organisations like Quality Care | :44:09. | :44:11. | |
Commission who identify pure practice and wrongdoing, they need | :44:11. | :44:20. | |
to have resilience in terms of putting their case. Eventually they | :44:20. | :44:28. | |
were heard. But it has taken us far too long. But we should not need | :44:28. | :44:34. | |
whistleblowers. Absolutely right. Your practice was identified years | :44:34. | :44:44. | |
:44:44. | :44:46. | ||
ago. -- bad practice. I think there are two more lessons actually. One | :44:46. | :44:50. | |
is that I think that the NHS at senior levels needs to draw from a | :44:50. | :44:54. | |
much broader pool of talent in taking on these very different jobs. | :44:55. | :44:59. | |
If you would at who takes on these very senior positions across the NHS | :44:59. | :45:04. | |
there is too much of a club culture. You therefore have a narrow lens and | :45:04. | :45:08. | |
two narrower range of expertise and that is why you get mistake after | :45:08. | :45:15. | |
mistake. Is it a job for the organisation? The third lesson is | :45:15. | :45:20. | |
that this is the third reorganisation in ten years, and | :45:20. | :45:23. | |
that is partly the responsibility of politicians who, when they come into | :45:23. | :45:31. | |
power, cannot resist restructuring the NHS and because it is a complex | :45:31. | :45:38. | |
job these organisations take a while to become competent. My message to | :45:38. | :45:41. | |
politicians is, think twice before restructuring you may have more | :45:41. | :45:48. | |
blood on your hands. but they cannot help it, they cannot resist it. | :45:48. | :45:53. | |
cannot resist it, but they should. It is not a train set. What is your | :45:53. | :46:00. | |
view in terms of reorganisation, and NHS reorganisation in general. The | :46:00. | :46:04. | |
professor is saying that there is too much of it, it is too | :46:04. | :46:10. | |
destabilising. We now have a settled position in the NHS. We have a | :46:10. | :46:14. | |
settled system and I do not think that anyone is suggesting that there | :46:14. | :46:20. | |
should be any giant reorganisation of the NHS. That is because it is | :46:20. | :46:27. | |
happening at the moment. It has happened and we have a settled NHS. | :46:27. | :46:33. | |
What this does demonstrate is that these incidents at Barrow happened | :46:33. | :46:38. | |
in 2008 when the last government had been in power for 11 years. This | :46:38. | :46:43. | |
demonstrates once and for all that it is not just about money. What | :46:43. | :46:46. | |
ever anybody thinks, there were billions of money being poured into | :46:47. | :46:53. | |
the NHS. Do you think it is the government 's fault? What I am | :46:53. | :46:57. | |
saying is that it is not just about the amount of money that goes into | :46:57. | :47:02. | |
the NHS that determines the outcome. And in any system people can was | :47:02. | :47:08. | |
make mistakes, regardless of the amount of money being put into the | :47:08. | :47:14. | |
system. You can still have mistakes made. Human error can take place. | :47:14. | :47:19. | |
Would you agree with that, professor? I would turn extent. At | :47:19. | :47:26. | |
the heart of the trouble with the NHS is the organisational culture | :47:27. | :47:30. | |
and claim it. It is a culture of bullying and intimidation and an | :47:30. | :47:36. | |
over focus on the part of both political parties around targets and | :47:36. | :47:42. | |
performance overriding care and compassion. We cannot expect staff | :47:42. | :47:46. | |
to provide care and compassion are they themselves are being believed | :47:46. | :47:51. | |
and intimidated. How to be overcome that? we need to implement | :47:51. | :47:54. | |
everything that has been recommended in the report into everything that | :47:54. | :47:59. | |
we do for the future of the NHS, and particularly that duty of | :47:59. | :48:06. | |
transparency. We need to get a pride back into working with the NHS | :48:06. | :48:10. | |
because there are thousands of really good doctors and nurses and | :48:10. | :48:13. | |
sometimes we forget that actually the NHS performs a incredibly well | :48:13. | :48:20. | |
in comparison with other international health care systems on | :48:20. | :48:23. | |
safety and care. Thank you very much. | :48:24. | :48:28. | |
There is an unusual mixture of relief and stress on our university | :48:28. | :48:31. | |
campuses at the moment. Students relieved exams are over, staff | :48:31. | :48:36. | |
worrying about business. Salford University is cutting courses and | :48:37. | :48:46. | |
:48:47. | :48:48. | ||
the University of Bolton is making staff redundant. | :48:48. | :48:52. | |
Attracting students as a University challenge. These are Salford | :48:52. | :48:55. | |
students at the sharp end of broadcasting. The university has | :48:55. | :49:00. | |
spent �13 million at this facility at media city. Meanwhile, the | :49:00. | :49:06. | |
language department has been closed and several courses have been | :49:06. | :49:09. | |
scrapped. This is the Vice Chancellor, overall student numbers | :49:09. | :49:19. | |
:49:19. | :49:24. | ||
are down, so is this and you -- is this a new dimension? many | :49:24. | :49:27. | |
universities have had to discontinue languages because there are not | :49:27. | :49:30. | |
sufficient students who want to study them. We are College of arts | :49:30. | :49:34. | |
and technology, we are focused on that. Although languages are | :49:34. | :49:41. | |
important to us they do not damage our concept as the University. | :49:41. | :49:45. | |
students have also got tough decisions to make about the future. | :49:45. | :49:51. | |
Whether to go to university, and which one. I'm thinking of taking | :49:51. | :49:55. | |
economic 's with politics. It is important because for what I want to | :49:55. | :50:00. | |
do I want to go into politics. Everybody I have spoken to who has | :50:01. | :50:04. | |
not gone to university has regretted it. Everyone who has says it is the | :50:04. | :50:09. | |
best three years of their life. people still excited about | :50:09. | :50:15. | |
university? After tuition fees, people are still considering what | :50:15. | :50:20. | |
they are doing. It does not affect me, by the time I have to pay it | :50:20. | :50:24. | |
back I will be earning enough money to be all right. Liverpool | :50:24. | :50:31. | |
University as part of the Russell group, which represents the top 24 | :50:31. | :50:35. | |
leading research universities in the UK. New halls of residence and | :50:35. | :50:41. | |
science labs are being built as part of major investment. You'll mag | :50:41. | :50:47. | |
International students are really important to a university like ours. | :50:47. | :50:52. | |
There has been major investment abroad, whether University in China | :50:52. | :50:56. | |
catering for 10,000 students, many of which will come to Liverpool for | :50:56. | :51:00. | |
part of their degree. we have had major increases in the areas where | :51:00. | :51:10. | |
:51:10. | :51:15. | ||
we have not previously been able to recruit. Other universities in the | :51:15. | :51:21. | |
north-west are also going global. The University of Central Lancashire | :51:21. | :51:26. | |
has links with India and is looking for further expansion. But there has | :51:26. | :51:30. | |
been criticism of this. This is risky investment and we are | :51:30. | :51:40. | |
:51:40. | :51:50. | ||
concerned that this is a knee jerk reaction. These students at | :51:50. | :51:52. | |
Liverpool University have just finished their second year and are | :51:52. | :51:59. | |
looking for summer jobs. With an average debt of around 30 thousand | :51:59. | :52:04. | |
pounds looming, is it worth it? not do very many hours in | :52:04. | :52:08. | |
university, I do not get very much contact time. But you have to put a | :52:09. | :52:14. | |
lot of work in yourself. I recommend going, you get your qualifications. | :52:14. | :52:18. | |
But you learn to go up and you become who you are going to be. | :52:18. | :52:23. | |
People always forget about the fun element. Universities still insist | :52:24. | :52:26. | |
they are the best form of career investment, but in challenging | :52:26. | :52:33. | |
times, universities are dealing with a degree of uncertainty. | :52:34. | :52:40. | |
When university fees were increased we were told that �9,000 would be a | :52:40. | :52:48. | |
rather unusual fee. It has turned out to be the norm. if British | :52:49. | :52:52. | |
universities, and our universities here in the north-west, our great | :52:52. | :52:57. | |
success stories, we must not lose sight of the fact that these | :52:57. | :53:04. | |
universities are sent surely independent, autonomous | :53:04. | :53:08. | |
institutions. It is up to them what level of fees they charge. As we | :53:08. | :53:11. | |
have seen, there are some enormous success stories at Manchester and | :53:11. | :53:20. | |
Liverpool. We have seen individual students do benefit from a | :53:20. | :53:24. | |
university education. But are you not concerned about the students who | :53:24. | :53:29. | |
may be put off going because of those high fees? we have seen no | :53:29. | :53:36. | |
evidence of that. Falling student numbers. the latest figures show | :53:36. | :53:42. | |
that the 2013 figures are up on the 2012 figures. but they are not up as | :53:42. | :53:47. | |
much in comparison with the drop the previous year. I remember when | :53:47. | :53:53. | |
students were introduced and people said that it would be the end of | :53:54. | :53:57. | |
universities. That did not happen and it will not happen now. Our | :53:57. | :54:01. | |
universities are thriving and there are thousands of students every year | :54:01. | :54:05. | |
who want to go and attend university. Would you drop the cap | :54:05. | :54:11. | |
completely? Personally I would. I do not see any likelihood of that | :54:11. | :54:17. | |
happening. That is my own personal view, I do not think it will happen | :54:17. | :54:23. | |
any day soon. What is the problem with, for example, Salford deciding | :54:23. | :54:29. | |
to drop its language courses? What we are seeing is students have | :54:29. | :54:32. | |
carefully considered how they want to spend that amount of money and | :54:32. | :54:37. | |
they have decided that that is not value for money. I am personally | :54:37. | :54:42. | |
saddened that Salford 's decision, not least because I graduated from | :54:42. | :54:47. | |
Salford University and have some fond memories of my time there. But | :54:47. | :54:50. | |
the real issue here is that this is the other side of the coin of the | :54:50. | :54:55. | |
debate we had a couple of years ago about tuition fees. A lot of focus | :54:55. | :54:59. | |
was on the trebling of tuition fees and I voted against that measure | :54:59. | :55:02. | |
because I feared that particularly for young people in a constituency | :55:02. | :55:08. | |
like the one that I represent, that would be a major block for them | :55:08. | :55:12. | |
pursuing a future in higher education. But the other side of | :55:12. | :55:17. | |
that, and not really many people picked up on it at the time, was | :55:17. | :55:24. | |
that the government was also cutting its sectoral -- central grants. That | :55:24. | :55:28. | |
means that some of the small universities are now struggling in | :55:28. | :55:34. | |
the free marketplace. but Salford University as the example says they | :55:34. | :55:37. | |
will concentrate on what they are particularly good at, and languages | :55:37. | :55:44. | |
is not our focus. Really they will focus on what brings in the students | :55:44. | :55:48. | |
and the fees, that is part of the problem with the marketplace in | :55:48. | :55:53. | |
higher education. What I would like to see as opportunities for young | :55:53. | :55:56. | |
people from Greater Manchester in the north-west who may not have the | :55:56. | :55:59. | |
opportunity to go and study foreign and white, but will have the | :55:59. | :56:05. | |
opportunity to take a degree course on their doorstep and Greater | :56:05. | :56:12. | |
Manchester. -- go and study far and wide. We are seeing that the best | :56:12. | :56:19. | |
will thrive. It will be up to each university to offer the best package | :56:19. | :56:23. | |
that they can, and those that do offer the best package, they are the | :56:23. | :56:28. | |
ones that will survive and thrive. It is time for the rest of the week | :56:28. | :56:36. | |
's news in 60 seconds. Nigel Evans has been rearrested over | :56:36. | :56:41. | |
new allegations of indecent assault. The Conservative MP and Commons | :56:41. | :56:45. | |
Deputy Speaker denies the allegations. | :56:45. | :56:49. | |
The Manchester -based co-operative bank is selling shares for the first | :56:49. | :56:58. | |
time in 140 years. The UK 's largest mutual has other financial -- a | :56:58. | :57:04. | |
financial black hole to fill. This school cost �25 million but the | :57:04. | :57:09. | |
council says it is not attracting enough pupils to be viable. | :57:09. | :57:15. | |
Pensioner power on parade in Blackpool to protest against | :57:15. | :57:19. | |
dwindling incomes and attacks to universal benefits. | :57:20. | :57:28. | |
And it was less of a loving and more of a case of mistaken identity. | :57:28. | :57:33. | |
President Obama repeatedly called the Chancellor Geoffrey, confusing | :57:33. | :57:39. | |
him with his favourite 80s soul singer. | :57:40. | :57:45. | |
It is an easy mistake to make. Andrew, we have the comprehensive | :57:45. | :57:48. | |
spending review coming up and news this week that there are further | :57:48. | :57:55. | |
cuts coming our way. How'd you feel about that? I am really concerned | :57:55. | :58:03. | |
about that. My local constituency councils have been at the forefront | :58:03. | :58:08. | |
of the cuts that have already been pushed the way. I am not sure that | :58:08. | :58:13. | |
those two councils, are another of other councils, will be able to cope | :58:13. | :58:19. | |
with another 10% of cuts. everyone has to tighten their belts? | :58:19. | :58:25. | |
absolutely. As a country we have got to start living within our means. | :58:25. | :58:28. | |
The government have already gone a long way towards balancing the books | :58:28. | :58:32. | |
but there is further to do. As we will hear this week from the | :58:32. | :58:36. | |
Chancellor, we will hear the measures that will have to be taken | :58:36. | :58:40. | |
if we are to start once more to live within our means and balance the | :58:40. | :58:47. | |
books. Which means more cuts. has to be done fairly and the | :58:47. | :58:50. | |
problem is when you look at the evidence, the cuts have so far | :58:50. | :58:54. | |
really targeted the Northern Metropolitan councils | :58:54. | :58:58. | |
disproportionately. I want to make sure that this does not do the | :58:58. | :59:04. | |
same. Because the Northern councils are more aligned on public money? | :59:04. | :59:09. |