25/11/2012

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:01:26. > :01:35.And in the South East: Are MPs putting political popularity over

:01:36. > :01:36.

:01:36. > :39:09.Apology for the loss of subtitles for 2253 seconds

:39:09. > :39:14.proper patient care when it comes Hello, and Natalie Graham and this

:39:14. > :39:18.is the Sunday Politics in the south-east. Coming up, our new

:39:18. > :39:22.squatting laws which led to a Sussex MP being pelted by

:39:22. > :39:27.protesters a distraction by the real problem of housing shortages

:39:27. > :39:30.in the region? Joining me in the studio is the Labour leader of

:39:30. > :39:36.Hastings Borough Council Jeremy Birch, and Professor of journalism

:39:36. > :39:41.at Kent University, Tim Luckhurst. Jeremy and the rest of Hastings had

:39:42. > :39:45.been celebrating news that the town's pier is going to get �11.4

:39:45. > :39:51.million of Heritage Lottery funding so it can be restored. The 140

:39:51. > :39:55.year-old pier has hosted Jimi Hendrix and Rolling Stones gigs in

:39:55. > :39:59.the past. Then it burned down, the plan is it for its to return to the

:39:59. > :40:06.glories of its past. A lot of economic hopes in breast --

:40:06. > :40:11.Hastings rest of the plan, is it dangerous to rest so much on one

:40:11. > :40:15.structure? This is a conservation and heritage project, but it is

:40:15. > :40:18.also a regeneration project. You can revive that part of the

:40:18. > :40:22.seafront with a new pier, then businesses will look at the other

:40:22. > :40:26.sections of the area. We want to draw visitors from our old town

:40:26. > :40:30.which is great further along into further part of Hastings. It is not

:40:30. > :40:34.the only show in town, there are any -- there are plenty of other

:40:34. > :40:44.things going on in Hastings. The pier, and iconic structure, it

:40:44. > :40:44.

:40:44. > :40:49.would make a big difference to the town. Piers art... It is iconic me

:40:49. > :40:55.because Pink Floyd played there in 1968, it was the last time that Syd

:40:55. > :41:02.Barrett played with them. It is not just iconic, a real part of rock

:41:02. > :41:05.legend. The services at two Sussex

:41:06. > :41:09.hospitals are going to be streamlined. The changes at the

:41:09. > :41:16.Conquest in hating and the DGH in Eastbourne were overlay --

:41:16. > :41:21.overwhelmingly voted through on Friday, despite strong protests led

:41:21. > :41:27.by local MPs. Similar plant in Kent have also led the vocal opposition.

:41:27. > :41:30.Have these protests flown in the face with evidence suggesting week

:41:30. > :41:34.bickering surges -- services is good for patients?

:41:34. > :41:38.It is an issue that brings people in the south-east out to march

:41:38. > :41:43.through the streets. They want major health services like accident

:41:43. > :41:48.and emergency consultant led maternity, orthopaedics and surgery

:41:48. > :41:55.available in their town. Their MPs have been marching with them,

:41:55. > :41:58.saying local services can mean saving local votes. Not everyone

:41:58. > :42:01.thinks these politicians are fighting for the best interests of

:42:02. > :42:05.their constituents. If you campaign for having all your services and

:42:05. > :42:10.not consolidating special services, the evidence shows that patients

:42:10. > :42:13.are not going to get the best- quality care. We simply cannot

:42:13. > :42:16.replicate high quality care in every hospital. There is a long

:42:16. > :42:21.history of politicians campaigning for the local health services, but

:42:21. > :42:26.we need to get Blom that. We need amateur response from politics -- a

:42:26. > :42:30.we need to get beyond that. We need a mature response from politicians,

:42:30. > :42:34.to say what are safe and sustainable services, not to be

:42:34. > :42:39.sentimental about Lord Coe -- local services. Think strategically, what

:42:39. > :42:43.is the best possible set of services for my constituents?

:42:43. > :42:47.number of local district hospitals in England has decreased by 85% in

:42:47. > :42:54.the last 50 years. That is because medical advances have meant a clear

:42:54. > :42:59.trend towards fewer, larger hospitals with special care units

:42:59. > :43:03.particularly in emergency care. Experts argue that centralising

:43:03. > :43:08.services saves money and lives. Evidence on the NHS in London

:43:08. > :43:12.suggests that out-of-hours emergency surgery can be unsafe if

:43:12. > :43:17.hospitals struggle to get adequate senior staff. It said centralising

:43:17. > :43:21.services would mean at least 500 fewer deaths per year. Stroke care

:43:21. > :43:26.in the capital has been centralised into eight highly specialised units.

:43:26. > :43:30.It is estimated that will mean an extra 400 lives are saved each year.

:43:30. > :43:37.That is where plans were put forward in East Sussex to

:43:37. > :43:41.concentrate emergency and high risk orthopaedic and General surgery at

:43:42. > :43:45.the Conquest and strokes services at the District Cama Hospital. The

:43:45. > :43:49.medical director in charge of these plans says just 15 people each day

:43:49. > :43:55.would have to travel further for their car -- care. Less than 1% of

:43:55. > :44:01.patients. Fundamentally it is about insuring that the depth of

:44:01. > :44:04.experience in vibrant specialist units are able to provide that high

:44:04. > :44:12.quality service. In order to provide those services seven-days-

:44:12. > :44:18.a-week, we need staff to provide that. Providing that staff, so

:44:18. > :44:23.duplicating that staff, on two sites, is not clinically

:44:23. > :44:27.sustainable and is also not find it is sustainable. I think very simply,

:44:27. > :44:34.-- financially sustainable. I think very simply, we are securing the

:44:34. > :44:39.future of both our acute hospitals for the patients. Four years ago,

:44:39. > :44:45.plans to centralise consultant led births in Hastings, leaving an only

:44:45. > :44:49.need her -- only a midwifery unit in he Eastbourne, were defeated by

:44:49. > :44:52.campaigners. But in Kent, similar calls did not succeed. There were

:44:52. > :44:57.concerns about mothers in Labour travelling further to the new unit

:44:57. > :45:00.in Pembrey, but one year on, the hospital says outcome and patient

:45:00. > :45:06.satisfaction have improved. Now maternity services in East Kent

:45:06. > :45:10.have been centralised as well. Over in Brighton, the Royal says its --

:45:10. > :45:14.the Royal Sussex County Hospital is specialised trauma centres serving

:45:14. > :45:18.the whole of the south-east. If you are in the back of an ambulance,

:45:18. > :45:23.you go past on the most hospital but what you get at the end of it

:45:23. > :45:27.is a much better all-round quality of care. So what you get is a much

:45:27. > :45:32.greater chance of you recovering fully from it. There has been a lot

:45:32. > :45:38.of Alliance from the hospital as a building, as a place where a lot of

:45:38. > :45:40.services is deliverance. A model is changing and needs to change,

:45:40. > :45:44.because there are a lot of people sitting in a hospital bed to could

:45:44. > :45:50.be treated elsewhere. Concentrating services is helping the NHS make

:45:50. > :45:55.budget cuts of �20 million by 2014. But drawn up campaigns to save

:45:55. > :46:00.local hospitals can be an expensive process. Petitions are launched,

:46:00. > :46:03.judicial reviews, appeals are made. Ultimately that is taxpayers' money

:46:03. > :46:08.being spent by the local NHS trust that does not want to lose

:46:08. > :46:11.particular services, and it can go on for years. A huge amount of

:46:11. > :46:16.money is spent on these appeals. Ultimately the same decision is

:46:16. > :46:22.made. Campaign marches make a great photo opportunity but are our MPs

:46:22. > :46:28.but of political popularity eggheads -- putting political

:46:28. > :46:33.popularity ahead of communicating the constituents the case became

:46:33. > :46:37.she -- the case for change? Joining us from Eastbourne is the town's

:46:37. > :46:41.Liberal Democrat MP Stephen Lloyd, who has been a vociferous campaign

:46:41. > :46:47.in favour of maintaining existing services at his local hospital. It

:46:47. > :46:49.sounds as though these changes are in the best interests of your

:46:49. > :46:53.constituents say you would be serving the better if you are

:46:53. > :46:57.supporting the hospitals. There are so many things I disagree with that

:46:57. > :47:01.report that they do not know where to start. Let me keep -- keep it

:47:01. > :47:05.straight forward, that is the road between DGH and Conquest. That is

:47:05. > :47:13.one of the worst roads in the south coast. In the last six years, we

:47:13. > :47:20.have had 70 fatalities, 4000 accidents, 700 desperately...

:47:20. > :47:25.You there, we have rehearsed these arguments very many times. There is

:47:25. > :47:30.a new road being built. In that report, 1% of patients are affected.

:47:30. > :47:34.The overwhelming support is for the changes because the inconvenience

:47:34. > :47:38.is outweighed for the better care they will receive in Hastings.

:47:38. > :47:43.is 15 patients per day which is 5000 per year. That is 5000 people

:47:43. > :47:47.travelling from Eastbourne and the surrounding area to the Conquest of

:47:47. > :47:52.a rotten wrote in serious emergency cases. We are talking about

:47:52. > :47:57.clinicians, I have got over 95% of consultants at DGH saying it would

:47:57. > :48:02.be the wrong move to move orthopaedics to the Conquest, and

:48:02. > :48:06.Rousham or surgery. Why do they think that, when the Royal College

:48:06. > :48:10.of Physicians, the NHS Federation, the King's Fund, the national

:48:10. > :48:17.clinical advisory team, all feel this is the right thing to do for

:48:17. > :48:23.patients? Even on the report to talk about, the consultant they set

:48:23. > :48:27.down here was not a role consultant, he was from London. -- a rural

:48:27. > :48:33.consultant. When you have got that percentage of DGH senior clinicians

:48:33. > :48:38.saying a strongly as they do that they disagree, I have got a list.

:48:38. > :48:44.Why do they disagree? Could it be they just do not like change?

:48:44. > :48:50.when you have got that sort of percentage, it was 99%. I think for

:48:50. > :48:56.was only -- I think there was only one DGH consultant who agreed. At

:48:56. > :49:01.the board meeting a couple of days ago, it is -- it was news, our

:49:01. > :49:06.local GP commissioning body did not agree with sending orthopaedics and

:49:06. > :49:09.general surgery to be Conquest. I have to tell you clearly, part of

:49:10. > :49:14.the four tests that the government says Amy reconfiguration plans have

:49:14. > :49:19.to agree with says that GP commissioning body has to support

:49:19. > :49:25.it. You have not explained to me why... Mr Lloyd, you have not

:49:25. > :49:30.explained to me why... I am not a commission. If I had spent lord

:49:30. > :49:36.knows how many years as an NHS consultant, I would be able to give

:49:36. > :49:40.you clinical advice. When you have got that many clinical conditions...

:49:40. > :49:43.There are fewer deaths in high- volume hospitals, patients spent

:49:44. > :49:48.less time in hospital, they will get better care, senior doctors

:49:48. > :49:54.seven days a week. At the moment stroke services in your local

:49:54. > :49:58.hospital are not making local standards. This is good for your

:49:58. > :50:03.constituents. On the stroke, that is a fair point. Our campaign has

:50:03. > :50:08.never been against any specialised groupings per say. It is on

:50:08. > :50:13.specifics. Gemmell surgery. The chief executive, I saw in the paper

:50:13. > :50:17.last week, was talking about 15 people per day, but his 5000 people

:50:17. > :50:21.in the year. The roads in Eastbourne are falling and that

:50:21. > :50:25.road is not going to be done a miraculously in the next year, it

:50:25. > :50:29.is going to be done in the next few years. At the minute it is a

:50:29. > :50:35.desperately unsafe road. I have too many senior police she --

:50:35. > :50:39.commissions across the Place St this will be unsafe and this will

:50:39. > :50:43.downgrade the hospital. And when I hear that from serious people, I

:50:43. > :50:48.fight the corner and that is it what we are doing in Eastbourne and

:50:48. > :50:53.the surrounding area. Thank you for joining us.

:50:53. > :50:59.Jeremy Birch, this affects people you represent in Hastings. What is

:50:59. > :51:05.your view on the changes? The plan is that strokes centres would be

:51:05. > :51:07.centred in Eastbourne, orthopaedics and general surgery in Hastings. I

:51:08. > :51:11.think a hospital trust has to reassure people. It has got to say,

:51:11. > :51:15.it strikes services are in Eastbourne and people believe that

:51:15. > :51:21.strikes services time is of the effort -- essence, in the time it

:51:22. > :51:29.will take, patience to go from Hastings or other pasts of East

:51:29. > :51:33.Sussex into Easebourne, that safety will not be compromised, they will

:51:33. > :51:37.be treated in good time. There is overwhelming medical evidence that

:51:38. > :51:44.people who travel to East poor will get much better care. He was not

:51:44. > :51:48.reassured? I understand the position in London where people

:51:48. > :51:51.have been revived better because of having a centre of excellence. East

:51:52. > :51:59.Sussex is not London. You do not have another hospital just down the

:51:59. > :52:04.road, you have 70 miles in between these two hospitals. The trust has

:52:04. > :52:09.to reassure us in Hastings were stripped and the diseases are a

:52:09. > :52:13.bigger issue because of diet and deprivation, you have got to

:52:13. > :52:17.reassure us that time will not affect us. This is an interesting

:52:17. > :52:21.one for politicians. They will lose votes if they do not oppose the

:52:21. > :52:26.changes. I think that is probably right. Let's face it, local

:52:26. > :52:30.politicians have been fighting ever since the Second World War II

:52:31. > :52:40.maintain the 195 -- 9225 model health service for the General

:52:41. > :52:41.

:52:41. > :52:46.Hospital in every community. It is a lovely idea of people like it but

:52:46. > :52:53.people are better treated by centralist services. When the you

:52:53. > :52:57.think we will hear MPs, only one in the Commons has come out in favour

:52:57. > :53:03.of centralisation. Do you think we will see a change in MPs' views on

:53:03. > :53:07.a hospitalisation? I think they will go on speaking on behalf of

:53:07. > :53:09.their constitution -- constituents but they should not because it is

:53:09. > :53:13.in the interests of their constituents for centralised

:53:13. > :53:22.services. There have MP Mike Weatherley was

:53:22. > :53:27.pelted with missiles buyer group of protesters when he arrived to us

:53:27. > :53:31.make a speech about changes to the law about squatting. Is this focus

:53:31. > :53:35.on squatters distracting attention from the real problem of

:53:35. > :53:41.homelessness and housing shortages in the south-east? Mike Weatherley,

:53:41. > :53:46.the Member for Hove, joins us from Westminster. Have you recovered?

:53:46. > :53:52.Yes. I think the protest was much more violent battle introduction

:53:52. > :53:57.suggested. I was not injured but to a 5 ft of staff were, one still has

:53:57. > :54:02.printed -- two of my female staff were, one still has the bruises.

:54:02. > :54:08.You want to go further with this legislation so you are prepared for

:54:08. > :54:12.more pelted with missiles? I hope not. This is an attack on democracy.

:54:12. > :54:17.I was invited by the university to have a forthright debate, but what

:54:17. > :54:22.I did not want to was to be hijacked by a bunch of thugs or

:54:22. > :54:25.anarchists, some of which work into extremely violent, and all their

:54:25. > :54:30.intentions were work to make sure the arguments were not heard. We

:54:30. > :54:34.had very good arguments as to why a homelessness and empty properties

:54:34. > :54:42.need to be highlighted by its otters need to be criminalised.

:54:42. > :54:46.have taken on an organised group of squatters, we have a tradition of

:54:46. > :54:50.squatters in this area, is that not distracting from the issue of

:54:50. > :54:53.homelessness? We need to separate homelessness and squatters.

:54:53. > :55:00.Homeless people are vulnerable people that need to be looked after.

:55:00. > :55:07.Any compassionate society or need to look after their horrible people,

:55:07. > :55:10.these often people with mental health problems. Squatters tend to

:55:10. > :55:17.be wet sadly, they have I phones and mummy and daddy in detached

:55:17. > :55:21.houses in Berkshire. They are not homeless people. You are getting --

:55:21. > :55:27.you are saying there is a distinction, but the charity crisis

:55:27. > :55:31.says 40% of people who are rough sleepers rely on squatting. The

:55:31. > :55:37.empty properties are available. That is entirely wrong. I had a

:55:37. > :55:43.meeting with the CEO of Crisis, and that 40% includes homeless people

:55:43. > :55:53.who call into a doorway and leave the next day. We are talking about

:55:53. > :55:54.

:55:54. > :55:59.people who go into a property, then print out a notice from a website

:56:00. > :56:03.saying they cannot be moved. So why was the Law Society, the Criminal

:56:03. > :56:07.Bar and the Metropolitan Police all against this new law because they

:56:07. > :56:12.said the existing dress passing laws were adequate? The existing

:56:12. > :56:15.laws were inadequate. A lady died in my constituency and her daughter

:56:15. > :56:20.and son were going through the probate process. What they were

:56:20. > :56:25.doing that, trying to sell the property, squatters moved in. It

:56:25. > :56:28.took them 13 years -- 13 weeks and �10,000 to kick out squatters. They

:56:28. > :56:31.were not highlighting homeless issues or empty property issues,

:56:31. > :56:39.they just wanted somewhere to live for free as long as they could.

:56:39. > :56:45.That is what we had to stop. Luckhurst, is this a sledgehammer

:56:45. > :56:49.to crack and not? Mike's case there, you would have sympathy with that,

:56:49. > :56:55.but a lot of other people can get caught up in this. Festival, I

:56:55. > :56:59.would like to say it is astonishing -- a first of all, I think it is

:56:59. > :57:07.astonishing that someone could be literally stoned at university and

:57:07. > :57:11.that his terrible. Abolishing the rights for squatting is a criminal

:57:11. > :57:16.no-brainer, it is not a policy from one side or another one side or

:57:16. > :57:20.another. It is about saying if you own a house, people cannot steal it

:57:20. > :57:23.from you simply buy it occupied it. All of us would support that.

:57:23. > :57:26.Homelessness is an entirely separate issue. We have to look

:57:26. > :57:31.after the homeless and be a compassionate society. We have laws

:57:32. > :57:34.in place to do that. We have laws in place which place obligations

:57:34. > :57:39.upon local authorities to house people who are homeless and we

:57:39. > :57:44.should encourage people to seek their help and not squat. Isn't the

:57:44. > :57:47.problem of squatters quite small compared to the people that need a

:57:47. > :57:50.home and empty properties that should be used? There is a big

:57:50. > :57:55.issue here and I wish that Mike Weatherby would be a bit more

:57:55. > :57:59.upbeat about the challenges we have got about the on homelessness. The

:57:59. > :58:04.government is looking at abolishing housing benefit for under 25. Where

:58:04. > :58:11.others people going to go? At the moment they have made it the case

:58:11. > :58:15.that anyone up to the age of 35, you are not entitled to a flat, you

:58:15. > :58:19.are entitled to a single room. There is no question, everyone

:58:19. > :58:23.believes that homelessness will go up and you'll get a witless young

:58:23. > :58:32.people who will turn to squatting. But he will get young people who

:58:32. > :58:36.have no roots. Let's give the last word to market -- Mike Weatherley.

:58:36. > :58:44.We should do much -- mortar but enter properties back into use, and

:58:44. > :58:48.absolutely, the government has put a lot of money into homeless

:58:48. > :58:51.initiatives. The break must be made between homeless people and

:58:51. > :58:56.squatters. Squatters are trying to get something from nothing whereas

:58:56. > :59:01.aromas people need to be looked after, absolutely. -- homeless

:59:01. > :59:11.people. Now let's have a look at the round-

:59:11. > :59:12.

:59:12. > :59:17.up of the 60 seconds political week. The mayor of London Boris Johnson

:59:17. > :59:21.told business leaders that building a new forum way hub airport in the

:59:21. > :59:24.Thames estuary was the only way for the UK to compete on the world

:59:24. > :59:30.stage. But the boss of budget airline Ryanair dismissed the

:59:30. > :59:40.scheme as. It seemed, stupid, hare- brained. Sally burka, the wife of

:59:40. > :59:41.

:59:41. > :59:43.the Collins -- Commons Speaker, suspended her but account. She

:59:43. > :59:46.caused controversy. A Christian counsellor in Brighton is

:59:46. > :59:50.consulting lawyers of the losing and its appeal against expulsion

:59:50. > :59:56.from the Green group. He was suspended in September after voting

:59:56. > :00:02.against plans to lift the ban on same-sex marriage. And while the

:00:02. > :00:08.south-east MEP Nigel for Russia might be no fan of the colleagues

:00:08. > :00:15.in his European Parliament, the fan -- it is mutual. We are paying a

:00:15. > :00:21.salary to Nigel Farage, that is the biggest waste of money.

:00:21. > :00:27.I think he took out quite well. Let's talk about Twitter. You are

:00:27. > :00:33.on their a lot, and so are you, we are all the publishers, and Sally

:00:33. > :00:38.because it was caught out, she is not the anyone. She was very silly

:00:38. > :00:41.but she has also advertised an important issue, people who use

:00:41. > :00:45.Twitter and other social networking sites need to realise they are

:00:45. > :00:48.publishing, that there are laws governing what they can publish,

:00:48. > :00:51.published -- journalists have known about them for hundreds of years.

:00:51. > :00:55.The rest of the population now need to understand that if they publish

:00:55. > :01:00.something they have to take responsibility for their actions.

:01:00. > :01:05.You are a former journalist, so you are probably quite careful with

:01:05. > :01:11.what you put on Twitter. I think she was a twit! You have to be

:01:11. > :01:15.careful, there are restrictions on all mediums and you have to

:01:15. > :01:19.apologise. If you make mistakes. What did you think of the

:01:19. > :01:24.comeuppance of Nigel Farage? There is a great line -- it is a lot --

:01:24. > :01:29.great line but there is a lot of money that can be saved in the

:01:29. > :01:34.European Union which is a lot more that Nigel Farage is paid per.

:01:34. > :01:38.big problems are still there for David Cameron and the other parties.

:01:39. > :01:41.The only thing I do not agree with Nigel Farage on his that I do not