:01:15. > :01:21.every three of us will be head diet because more of us are living
:01:21. > :01:31.longer. Dementia is the latest age-related health timebomb but who
:01:31. > :01:31.
:01:31. > :40:26.Apology for the loss of subtitles for 2334 seconds
:40:26. > :40:31.Today, to town hall tightens who together can boast almost 70 years
:40:31. > :40:39.of public service between them. The Labour leader of Sandwell Council,
:40:39. > :40:49.one of the tougher jobs and local government, who has been kept as a
:40:49. > :40:51.
:40:51. > :40:59.local MP. And the former leader of a city council who was doing deals
:40:59. > :41:06.with the Tories long before that idea caught on. A glimmer of hope at
:41:06. > :41:11.last for Coventry City football club courtesy of their order. The crisis
:41:11. > :41:17.told club have been told they can play rent-free at the stadium while
:41:17. > :41:21.in administration. The question we are asking is whether or not they
:41:21. > :41:27.will call afforded to really should be in the business of subsidising a
:41:27. > :41:37.football club and the expense of hard-pressed council taxpayers. --
:41:37. > :41:37.
:41:37. > :41:47.council tax payers. Budgets are under acute pressure, is this a fair
:41:47. > :41:48.
:41:48. > :41:53.use of public money? The feelgood factor of West Bromwich in the
:41:53. > :41:58.Premier league, the interest and potential income that can come to
:41:58. > :42:05.the local authority for that. I can understand why the city council are
:42:05. > :42:09.potentially trying to keep the local football team going. It is difficult
:42:09. > :42:15.because local authorities are experiencing massive cut is. I do
:42:15. > :42:21.understand where they're coming from. You have experience of this,
:42:21. > :42:31.you gave Warwickshire County Cricket club alone for their stadium and now
:42:31. > :42:38.they want alone -- a holiday on the repayments? There was no Deal
:42:38. > :42:44.option. Edgbaston had to be redeveloped. The alternative was no
:42:44. > :42:50.test cricket at Edgbaston. That would have been a terrible blow to
:42:51. > :42:56.the pride of Birmingham. And the push to the city helping
:42:56. > :43:03.Warwickshire, the impact it has on the local economy we have seen over
:43:03. > :43:11.the past few weeks. We've had sell-out crowds. Unfortunately I
:43:11. > :43:18.could not be there last Saturday. It does show the importance of sport
:43:18. > :43:23.that it has not only on the local economy but on the feelgood factor.
:43:23. > :43:26.Clubs like yours in the Premier league are awash with money,
:43:26. > :43:33.shouldn't the feed some of that money further down within the game
:43:33. > :43:38.to clubs like Coventry rather than dipping into the public purse?
:43:38. > :43:46.think that's right. The astronomical amounts of public money that are
:43:46. > :43:56.footing around in the Premier league are quite obscene. We need to do
:43:56. > :43:57.
:43:57. > :44:03.something about grassroots football. Of course. BBC Coventry is
:44:03. > :44:07.the place to go for the latest on the sky blues. Now dealing with
:44:07. > :44:12.dementia is a growing problem and it is getting worse as our population
:44:12. > :44:18.ages. It will afflict one in every three of us. We'll have more on this
:44:19. > :44:27.later. The number of unemployed people may be fractionally down
:44:27. > :44:32.across the country by the Midlands it is up again. Even for those
:44:32. > :44:42.Midlanders who are in work, the total pay package is shrinking. He
:44:42. > :44:45.has political correspondence. Four years ago as the ravages of the
:44:45. > :44:54.recession bit many lost their jobs when this company went into
:44:54. > :44:59.recession. Some of the employees set up their own engineering business.
:44:59. > :45:06.When we all worked there we were pretty confident we would continue
:45:06. > :45:16.and end our careers there. Some are still looking for jobs in a tough
:45:16. > :45:24.
:45:24. > :45:33.jobs market. 9.4% of the workforce are here. The overall size of the
:45:33. > :45:41.paper kit is going down. In 2007 wages here in the West Midlands
:45:41. > :45:46.portal 55 8p but last year it had fallen by 9.7%. We are worried about
:45:46. > :45:53.the effect economic stagnation is having across the country
:45:53. > :45:57.particularly in the West Midlands. It is here that there have in
:45:57. > :46:06.significant drops in the value of people's the packets over the last
:46:06. > :46:15.five years. There are plans to redevelop this site for a business
:46:15. > :46:20.park which could see much needed jobs created in what is one of the
:46:20. > :46:30.country's jobs like spots. We have seen what is going on in the rest of
:46:30. > :46:31.
:46:31. > :46:37.the country, we are going the other way here. What has gone wrong?
:46:37. > :46:41.of the problems we have is a skills shortage. There are actually 12,000
:46:41. > :46:49.vacancies in the backmen media to work. They are skilled jobs. --
:46:49. > :46:54.Birmingham media. One of the things we need to tackle is the low level
:46:54. > :47:00.of skills that we have. When I was a boy, when you were a boy,
:47:00. > :47:07.unemployment was not heard of. You could go from one job to another.
:47:07. > :47:10.Skills were not an important issue. Now that is. We have to be doing
:47:10. > :47:16.everything we can to make sure that our children leave school with as
:47:16. > :47:24.many skills as possible. We need to be investing when people are work to
:47:24. > :47:30.improve their skills. Thinking of areas of long-term structural
:47:30. > :47:37.unemployment, isn't it an approach to local authorities, the level of
:47:37. > :47:41.skills that have come through person they not to the job. The bottom line
:47:41. > :47:49.here is that we've seen a very heavy focus on young people and employment
:47:49. > :47:53.towards university, getting people into university. I think that even
:47:53. > :47:57.the previously poor government missed a trick in terms of those
:47:57. > :48:03.vocational qualifications. They needed to happen to get our young
:48:03. > :48:10.people, particularly, back into work. 2.5 million people are
:48:10. > :48:13.unemployed in this country, almost 1 million of those young people. It is
:48:13. > :48:20.local authorities that are making the difference in terms of
:48:20. > :48:26.apprenticeships. There is a big push on apprenticeships, we have seen a
:48:26. > :48:32.change in numbers over the last five years. That's right. There are
:48:32. > :48:41.discrepancies within that though. The stat that I saw this morning
:48:41. > :48:47.show that there are no apprenticeships in one media that
:48:47. > :48:56.has a very high level of unemployment. There are some real
:48:56. > :49:04.issues. That is a real worry. There is some disconnect. There are parts
:49:04. > :49:07.of the region where jobs are taking off, like south-east Staffordshire.
:49:07. > :49:14.The top-down policy from the Department of work and pensions,
:49:14. > :49:19.there is no understanding, also this time if you think back to the last
:49:19. > :49:24.Labour government, employment actually was up there with the rest
:49:24. > :49:29.of the economy. The key to all of this says, yes, we can pick these
:49:29. > :49:37.things in place but it ignores and economy remained stagnant we will
:49:37. > :49:42.not see the jobs created. One of the things we saw was that wages are
:49:42. > :49:52.shrinking. Are we seeing it is better to have a job even when wages
:49:52. > :50:00.
:50:00. > :50:06.are squeezed than to not have a job altogether? Absolutely.Now it will
:50:06. > :50:10.afflict one in every three of us. There will be 20,000 more people
:50:10. > :50:17.affected in just eight years time, dementia is one of those age-related
:50:17. > :50:27.timebombs. As more of us live longer the services become increasing
:50:27. > :50:34.victims of their own success. would go and see her and she would
:50:34. > :50:38.shouting on the ward. She was never like that. This 89 you dementia.
:50:38. > :50:45.Last year it reached the point where her daughter felt she would be
:50:45. > :50:48.better looked after he had at this care home. I know she is not going
:50:48. > :50:56.to get any better than she has a cheese energy of a good race and she
:50:56. > :51:06.is really well look after. -- not going to get any better than she has
:51:06. > :51:08.
:51:08. > :51:16.but she is in a really good race. -- good place. The government will not
:51:16. > :51:26.pay for her cheer on her twilight years. She on her own property so it
:51:26. > :51:30.
:51:30. > :51:38.will not come cheap. This is a breakdown of her costs. To cover the
:51:38. > :51:45.costs, the family home had to be sold. On its own, that money will on
:51:45. > :51:50.last for just over four years. It is estimated there are just over 8000
:51:50. > :51:56.people suffering from dementia in our region but by 2021 that number
:51:56. > :52:03.is tipped to rise to 11,000. Across the West Midlands it's not there
:52:03. > :52:11.will be a rise of more than one quarter. -- it is thought there will
:52:11. > :52:16.be arise. The huge challenge is the lack of funding that we are facing
:52:16. > :52:26.for the help and social care and home were going to be meeting those
:52:26. > :52:30.increased care needs. Practising the quick step at this Danks class,
:52:30. > :52:33.these pensioners are all in good health but the chances are that one
:52:33. > :52:42.in three of them will develop dementia at some point in the
:52:42. > :52:47.future. Who do they think should pay for their care? We scrimped and
:52:47. > :52:53.skate to buying our own house, why should we have two sell it? I think
:52:53. > :53:00.the state should pay. Medical and nutritional advances mean we are
:53:00. > :53:07.living longer the question now is who should pay for it. We are joined
:53:07. > :53:14.today from Nottingham by the head of the Admiral nursing service
:53:14. > :53:21.supported by dementia UK. Just as Macmillan nurses look after cancer
:53:21. > :53:30.sufferers your nurses specialise in the care of dementia patients. Isn't
:53:30. > :53:37.dementia seen as a Cinderella condition compared with cancer.
:53:37. > :53:41.is very much the poor relative in terms of funding for research,
:53:41. > :53:47.access to services. You mentioned Macmillan nurses, there is almost an
:53:47. > :53:52.expect Titian now that if you get a diagnosis of cancer you will have
:53:52. > :54:02.access to a Macmillan nurse but that is far from reality for equal with
:54:02. > :54:02.
:54:02. > :54:10.dementia. The point of the report was very much who pays but is it
:54:10. > :54:14.just tough for people like the lady featured who had to sell her house
:54:14. > :54:20.and have her savings eroded will stop it has been suggested that
:54:20. > :54:27.�75,000 should be the maximum that people are required to pay, where do
:54:27. > :54:32.you stand on that? I think that these people have paid into the
:54:32. > :54:39.National Health Service, the National health system, national
:54:39. > :54:42.insurance contributions, they have worked hard and paid their taxes.
:54:42. > :54:48.And the time when the deed care and services the most they cannot get
:54:48. > :54:56.them. Most people only require such help and care towards the end of
:54:56. > :55:02.their life. Dave probably enjoyed good health this far so really happy
:55:02. > :55:11.had any just rewards from their contributions? -- they have bubbly
:55:11. > :55:17.enjoyed good health this far. difficulty is the burden has to be
:55:17. > :55:25.spread including to the people themselves. I agree that finances
:55:25. > :55:28.are not infinite but it just seems very subjective that people with
:55:28. > :55:38.dementia and older people should actually be the people who suffer
:55:38. > :55:43.under such cuts. You are on the Birmingham community care NHS trusts
:55:43. > :55:47.all you can see how it is cumulative that everybody is working hard to
:55:47. > :55:55.make people live longer but it adds to the squeeze even on ring fenced
:55:55. > :56:02.health budgets never mind local authority wise. People are living
:56:02. > :56:07.longer. It affect three times more women as it does men, prime hourly
:56:07. > :56:13.because men do not live so long. If it is a medical lead case it's like
:56:14. > :56:20.after by the NHS. If it is social care it is for local government.
:56:21. > :56:29.Local government cannot intervene if somebody has assets over 22 thousand
:56:29. > :56:36.pounds. That means it falls on the individual or their family to pay.
:56:36. > :56:46.You have speeds of this as a mental health nurse but also as someone
:56:46. > :56:50.curbing the local authority expenditure. I have worked with
:56:50. > :56:54.people in these charities for a number of years and it is appalling
:56:54. > :57:01.that people who need care have two or their family through the trauma
:57:01. > :57:05.of potentially selling their home. I understand the government have
:57:05. > :57:09.raised the threshold of what people can keep in the pockets but the lady
:57:09. > :57:14.in the film referred to the fact that she and her husband had worked
:57:14. > :57:20.all their lives to buy their home. They've contributed to the system.
:57:20. > :57:26.What we need is a real debate about how we be for social care. I've got
:57:26. > :57:31.to take another �20 million out of my social care budget over the next
:57:31. > :57:37.three years because of the cuts were facing in local government. It is a
:57:37. > :57:41.disgrace and needs addressing. I know money is tight but it has to be
:57:41. > :57:50.indicative of a society where we want to support and look after all
:57:50. > :57:55.people. It is such a hot potato that really nobody wants to grasp it but
:57:55. > :58:01.we do have to grasp the problem because it is a growing issue as fat
:58:02. > :58:10.as the population is concerned. -- as far as the population is
:58:10. > :58:15.concerned. Thinking of those patients who suffer dementia but
:58:15. > :58:19.also develop physical conditions which require treatment in hospital,
:58:19. > :58:29.there are real issues to make sure they get suitable cave in hospital,
:58:29. > :58:38.isn't that right? People with the men share use all services. Many of
:58:38. > :58:42.them have home or better conditions. -- people with dementia. Some
:58:42. > :58:48.studies show admissions into acute hospitals, people with dementia had
:58:48. > :58:58.up to seven Cornwall or conditions in some cases. -- home or bit
:58:58. > :59:05.
:59:05. > :59:11.conditions. -- co-morbid. We worked in a holistic way and many of our
:59:11. > :59:17.nurses have additional training and develop their knowledge and skills
:59:17. > :59:24.then end of life care for example. One of the things the government are
:59:24. > :59:33.doing, David Cameron is calling for guidance on dementia. Changes will
:59:33. > :59:37.come in by 2013, do you think it will make a difference? We are
:59:37. > :59:42.ensuring not only have we got trained staff at what we must
:59:42. > :59:52.remember is that a great deal of their takes place in people's
:59:52. > :59:55.
:59:55. > :00:00.corms, not just in hospitals. -- the homes of people. I am seeing nurses
:00:00. > :00:08.being made redundant in this country and in my time in the NHS that has
:00:08. > :00:18.never happened before. Time now for our regular 62nd round up in the
:00:18. > :00:25.
:00:25. > :00:33.Midlands. -- 60 second round up wildflower meadows are being treated
:00:33. > :00:39.because you cannot cut the budget and the gas. Ricky Tomlinson was one
:00:39. > :00:48.of the Shrewsbury 24 jailed over a strike in the 70s. He wants the
:00:48. > :00:56.government to hand over the keys files. There has been an embargo on
:00:56. > :01:00.them that they will not look at these is now until 2021. Deaths at
:01:00. > :01:05.Stafford Hospital are being investigated, they are suggestions
:01:05. > :01:10.of criminal neglect. Network rail says the West Coast mainline is too
:01:10. > :01:20.busy and law-abiding threats have nothing to fear from GCHQ says
:01:20. > :01:22.
:01:22. > :01:30.William Hague in the row over the US spying programme. Nothing to fear?
:01:30. > :01:35.Do you have nothing to fear from the CIA rooting through your e-mails?
:01:35. > :01:41.be fair there needs to be a balance. We are under threat from terrorism
:01:41. > :01:49.and other issues. The assurances we are getting at the moment are not
:01:49. > :01:59.really good. Now you are liberal, your party stood against slippers
:01:59. > :02:05.
:02:05. > :02:15.charter at Westminster. -- snoopers charter absolutely. We are called
:02:15. > :02:15.
:02:15. > :02:18.this has stopped several dozen terrorist incidents. I know as fun
:02:18. > :02:28.as the court case that caught everybody's imagination in
:02:28. > :02:38.Birmingham with ordered last week anything that has input forward
:02:38. > :02:38.
:02:38. > :02:44.would not have stopped it. I am not seeing I am against what William
:02:44. > :02:51.Hague is seeing. But what has been said at the moment by the government
:02:51. > :02:58.does not seem to be reassuring people. People are worried that
:02:58. > :03:03.there personal details and bank accounts can be got into. Thank you