10/04/2014 The View


10/04/2014

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Tonight: Pomp and ceremony, white tie and tails, and toasts to the

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Queen. What does Sinn Fein hope to gain from its participation in the

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state visit of President Higgins to London?

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He's paid official of the British government essentially. What is

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stopping him going into Westminster. The Secretary of State tells us

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there's no need to intervene in the political stand-off here and

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condemns a former Tory Party chairman for his views on Martin

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McGuinness. I recognise that Lord Tebbit himself

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has suffered very grievously at the hands of terrorists but nothing can

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justify calling on people to commit murder.

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Plus live from London we talk to the Health Minister, Edwin Poots, about

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managing continuing crises in the health service. With plenty to say

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on all of that I'm joined by commentators Cathy Gormley-Heenan

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and Newton Emerson. And you can, of course, join the debate on Twitter -

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that's @BBCtheview. President Michael D Higgins' state

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visit to the UK is coming to a close in London tonight. The Queen and the

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President hosted a Northern Ireland-themed reception at Windsor

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earlier this evening and now the Royal Albert Hall is packed for an

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event celebrating Ireland's musical heritage. Among the guests at both

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were MLAs and Executive Ministers from all parties as well as

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Secretary of State, Theresa Villiers. When she came into our

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Westminster studio earlier, I began by asking for her verdict on

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Presidential visit. I think it has been a success. It

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has been a great opportunity to celebrate the transformation in the

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relationship between the UK and Ireland. Relations have never been

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better and stronger and this was also a great chance to celebrate the

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contribution that Irish men and women have made an life in Britain

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over many centuries. The think it has helped to

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recalibrate the relationship? I think it reaffirms the strong

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partnership on all sorts of matters. I work closely with counterparts in

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Dublin and Northern Ireland on mutual interest but there is also a

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focus on boosting our economies. We are huge markets for each other and

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this -- face the same challenges. Were you personally surprised at my

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McGuinness' decision to attend and toast the Queen?

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I certainly hoped that the Sinn Fein decision would be that the Deputy

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First Minister would do that so when the decision came out I wasn't

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hugely surprised. I welcomed that step forward by Sinn Fein.

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There are clearly some victims that are very unhappy that the Deputy

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First Minister was on the guest list. Can you understand that?

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I can understand the concerns felt by victims who have suffered at

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I can understand the concerns felt hands of terrorists but I believe

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that the Deputy First Minister's presence at Windsor was another

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example of reconciliation. There have been many difficult decisions

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to deliver the political settlement but it has provided tremendous

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benefits to Northern Ireland even though many of the decisions have

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been difficult. But reconciliation is crucial in terms of maintaining

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political stability and underpinning the success of the peace process.

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Were you surprised by the comments of Lord Tebbit, a member of the

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Conservative Party and Tory grandees. He is quoted as saying

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there is always the possibility that a member of the Real IRA will be

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there is always the possibility that outraged that her meeting the Queen

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that he will be shot in the back and we can but hope. Sinn Fein has said

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the comments are outrageous, do you agree?

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I'm afraid I do. I recognise that Lord Tebbit has suffered very

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grievously at the hands of terrorists but nothing can justify

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calling on someone to be murdered. Should he be sanctioned?

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Lord Tebbit as an individual who speaks his mind. It is not for me to

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see what sanctions should or should not be applied but I want to make

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clear that I think those comments were unacceptable. It is still a

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matter of great sadness and regret that the rates are maids against

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elected representatives in Northern Ireland saw it as highly dangerous

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for Lord Tebbit is to make those comments.

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What would you say are the implications of this visit for

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political relations on these islands? It seems the relationship

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between Dublin and London is excellent and Dublin and Belfast is

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very good but the working relationship between the parties in

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Northern Ireland leaves a lot to be desired in the eyes of many people

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on a series of important issues. Should the two governments not be

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offering to step in and break the deadlock on thing is like flags,

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parades and the past? The two governments work closely

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together on these issues and we will continue to engage closely with all

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the Northern Ireland political parties on flags, parades and past

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the Northern Ireland political but also on matters like national

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reform and the National Crime Agency.

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Peter Robinson said if parties here are not competent to make decisions

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on things like welfare reform, perhaps that authorities should be

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given back to you to make those decisions and Westminster. Surely

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the same thing applies to things like flags, parades and the past. If

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they are not competent to meet decisions about such big issues, you

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are to do more than just encourage them, maybe you are to make the

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decisions for them. We can't just rewrites the

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devolution settlement. We respect the devolution settlement and would

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only seek to amend out if there was broad cross-party and cross communal

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support. I do not see that support for adaptations or changes to the

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devolution settlement. For an agreement to stick on flags, parades

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and the past, it needs to come from Northern Irish political leadership.

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They have fixed more difficult problems in the past, I think they

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are capable of fixing this problem. They have expressed to me their

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commitments to doing this. There has been another significant

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development. How do you respond to the claim that well Sinn Fein were

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negotiating the Belfast Agreement, a senior

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guns from Florida? These are matters that need to be

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investigated. I haven't got comments on that at the moment but it is very

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important that we continue to investigate claims that have been

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made. The claim has also been made that

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the British and American governments sought to play down the issue before

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it came to court in Florida. Does that surprise you?

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Matters relating to the previous government are for them to answer

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to. It is not for this government to take responsibility for the actions

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of the previous government. No, but you have been critical of

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the previous administration. Unionists have said the

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the previous administration. government hasty to accept

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Republicans at their words no matter what. Do you share those concerns?

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There are concerns about the way the previous government operated and

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where appropriate they need to be investigated but it is really for

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the people involved at the time to justify their actions.

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But do you accept that there are serious questions that need to be

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answered? Yes, I do.

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What is your prognosis as we move forward to the elections? People

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feel there will be no serious business done in the run-up to the

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elections in May. Do you think that is probably right?

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I certainly hope it is not right. The conversations I have been having

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I certainly hope it is not right. recently makes me believe that they

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are going to carry on working. The First Minister in particular was

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clear that he thought the meeting is on flags, parades and past should

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continue over the election period. And it is important to continue to

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try and make progress on things like the National Crime Agency. I was

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discussing this with the SDLP recently. The reality is the current

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situation means that people in Northern Ireland don't have the same

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protection from organised crime that people in Great Britain do. That's

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it problem and we need to keep a focus on these issues even during

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Thanks very much for joining us. Thank you.

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As this week's Irish Presidential visit draws to an end, the big

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headline remains the Deputy First Minister Martin McGuinness'

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attendance at the state banquet in Windsor Castle and his participation

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in the loyal toast to the Queen. He said being there was the right thing

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to do but why? Was it an unapologetic act of bridge-building

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or a more calculated political move? Stephen Walker has had his ear to

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the ground. This was about marking new times. It

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changed relationship after years of conflict. But, reading the papers,

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you could be forgiven for thinking this was all about Martin

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McGuinness. Once seen as an enemy of the state, now a guest of the state.

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During his time as an MP, he often came here but he never sat on the

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green benches of the House of Commons or uttered the author of

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allegiance. However this week he was at the heart of the British

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establishment. Although he has met the Queen before, the the former IRA

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commander dining at Windsor Castle was always going to create

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headlines. So what are we got to meet all this week? Is it simply

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another lying in the unfolding story of the peace process will it have

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wider repercussions? In Sinn Fein's eyes, England 2014 is a different

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place to Ireland in 2011. Back then, they snubbed the head of state but

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now they are rubbing shoulders with them.

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They think things through, they are serious politicians and it

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They think things through, they are have given this a lot of thought.

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They know they made a terrible error when the Queen came to Northern

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Ireland because they shunned the visit and they have learned a lot

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from that. They have learned that you don't diss the Queen.

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How Sinn Fein learned lessons from the past?

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In 2011, the majority of people in the Republic thought they were on

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the wrong side. He called it wrong. It had no opportunity to call it

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wrong in 2014 if they were to have a political future in the Republic,

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not that everything would be taken through the prism of Sinn Fein's

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attitude to royalty. But the public, to misquote David Cameron's

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words in Europe, they do not want to see Sinn Fein for banging on about

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Northern Ireland. Was the decision to come to Windsor

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Castle motivated by opinion in the Republic?

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He has made a journey, unlike other Sinn Fein figures and figures on the

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other side. But also he would be looking at the electoral Paul's and

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the public views. He would want to get onside with public opinion on

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that. Martin McGuinness says his decision

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to attend the banquet has nothing to do with electoral politics.

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Absolutely not. It is an attempt to articulate to people how serious we

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in Sinn Fein take resolution and reconciliation.

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Reconciliation is the next big stage of the peace process which requires

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to be embraced by all of us. In recent years, history has taught

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us that events once seen any vaginal -- once seen unimaginable are now

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possible. So what is next? Remember what they would not do at the

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beginning is my they have a way of doing what suits and having the just

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a -- justification for it. Martin McGuinness serves the Queen, he is a

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paid official of the British Government, essentially. He toasts

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the Queen in white tie and tails, what stops him going into

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Westminster? Sinn Fein MPs were in the Palace of Westminster listening

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to President Higgins. The parties said they had no plans to take their

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seats. I was a strong advocate of taking seats in Leicester house and

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storm aunt. I am not an advocate of taking seats in Westminster. Because

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that is not the next big step. The next big step in our process is to

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get people to recognise that this is not just a peace process. This is a

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change process, also. Tomorrow the first state visit by an Irish

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president to the UK comes to an end. Rich in symbolism, loaded

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president to the UK comes to an end. history, it brings to a close five

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days that word decades in the making.

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Stephen Walker reporting from London.

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After allegations of inadequate care in the Belfast and Northern Health

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Trusts and claims of unacceptable pressures on front line A staff,

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what can be done to resuscitate our health service? We'll hear from the

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Health Minister, Edwin Poots, in a moment. First, here's a reminder of

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some of the pressing issues. In October the BBC reveals the

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College of emergency medicine report that described the EDS is being

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non-sustainable and there were breached waiting time targets, too

:16:29.:16:32.

few senior staff and a major incident was called in January. Then

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use that waiting times have possibly contributed in the deaths of five

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patients. I have no doubt that contributed in the deaths of five

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revelations have dented the reputation of the health service and

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cause distress the patients and relatives who have been affected.

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There are hundreds of people here who have not been attended to. I saw

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elderly people left on trolleys for 78 hours. I wish our politicians and

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media would be more mature or in how they assess things. Three hours

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after an emergency plan was initiated, things were back to

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normal. The health Minister Edwin Poots has ordered a review of

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services at the Royal Victoria Hospital. I support Edwin and

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recognise the difficult task. We are trying to turn the crisis around by

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ensuring people are listing. The delegates acknowledged this was

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progress but some of them said there had been another talking and there

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is now time action. Health Minister Edwin Poots joins me

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from the Westminster studio after attending the musical extravaganza

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at the Royal Albert Hall. We will speak about the presidential visit

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later, but I want to start with the challenges you face in health. A

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survey of staff at the Royal quotes a member of staff saying she felt

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like running away because of intense pressure. Have you felt like that? I

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have no intention of running away. The pressure is intense. We have a

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job to do. It is a matter for us to get on with the job and deal with

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blooms that come our way. And ensure we do our best to deliver good

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quality health care. Are you on top of that brief? We have made massive

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strides in terms of health care in the past three years. In that

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period, I have had to make savings of ?419 million. At the same time we

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have improved cancer care and the outcomes of cardiac arrest and the

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outcomes the strokes, introduced new drugs, shorten the time scale for

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waiting for biological drugs for people with arthritis. We are

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building a children's hospital and got is that through the executive.

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And a new MRI scanner. These are hugely positive things, a

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demonstration of moving forward. The health service problems are often

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because we are victims of our own success with people living longer.

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People have complex conditions and many will turn up at hospital

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requiring a lot of staff time and we have to find the best way of dealing

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with that. That is not a Northern Ireland problem alone, it is felt

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across the UK and Europe. You say you have made significant strides"

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examples. But it seems like, on a daily basis, we wake up and turn on

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the radio and hear about the latest crisis to hit the health service.

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This week you drafted in the expertise of Sir Liam Donaldson to

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help you out and help you to to get an overview of what needs to be

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done. One way of reading that is being as are out of control and you

:20:26.:20:30.

need the big hitter to bail you out. Another way of reading it is a

:20:31.:20:34.

demonstration of how serious we are of delivering high quality health

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care. The fact the media reports on this is because we are open and

:20:43.:20:45.

transparent about it. Many things have happened over the course of

:20:46.:20:50.

health care that have not been reported. All of the material

:20:51.:20:57.

produced about Northern trust for example over the course of the past

:20:58.:21:02.

few weeks has been because we identified there had been failings

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and we told the public the failings happened. It gives

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and we told the public the failings for the media to scrutinise that,

:21:10.:21:14.

which is fair enough. Because we are open and transparent, there is the

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opportunity for people to look at these things. The spotlight is

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almost always cast on negative aspects, as opposed to the positive

:21:24.:21:28.

things happening. I am sure that is welcomed by members of the public

:21:29.:21:34.

and media, the openness. I want to stay with Professor Sir Liam

:21:35.:21:37.

Donaldson. A way of reading that is to suggest you need him because this

:21:38.:21:42.

will give the operational overview for you, because you do not have

:21:43.:21:46.

confidence in your own senior officials, is that right? It is

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not. We have three pillars. First of all we having gauged the regulator,

:21:53.:21:58.

-- engaged. They will bring in key all we having gauged the regulator,

:21:59.:22:03.

specialists. They will look at how things are performing within the

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emergency departments and across hospitals and give advice as to how

:22:08.:22:14.

they see they can be improved. We are engaging this draft through the

:22:15.:22:18.

College of urgency medicine, which will meet in 60 days to see what

:22:19.:22:22.

progress has been made and to ensure the progress will be made. We

:22:23.:22:28.

brought in Sir Liam Donaldson who has specific expertise, recognised

:22:29.:22:33.

worldwide. Those three pillars should give us the strength to move

:22:34.:22:37.

forward and continue to improve health care. And to ensure we have

:22:38.:22:41.

better outcomes next winter, when we hit more peaks. One of the experts

:22:42.:22:48.

from England who came to the emergency medicine summit was

:22:49.:22:52.

reported as saying, we have a crisis in emergency medicine. You accept

:22:53.:22:55.

reported as saying, we have a crisis that? He indicates there is a crisis

:22:56.:23:00.

across the United Kingdom and indicates that in some of the trust

:23:01.:23:07.

areas. They are only able to .16% of the required trainee doctors, less

:23:08.:23:11.

than we have in Northern Ireland. I recognise we have a in getting the

:23:12.:23:15.

appropriate number of doctors which has led to circumstances where we

:23:16.:23:22.

have had to reduce hours as a consequence of not having clinicians

:23:23.:23:27.

available. There are major issues. There have been doctors lost to

:23:28.:23:30.

Australia. I have been in correspondence with two reason may

:23:31.:23:34.

about these issues and the ability to bring in doctors from other

:23:35.:23:42.

countries -- Theresa May. To ensure we can engage as many as possible

:23:43.:23:45.

and not to allow European Union we can engage as many as possible

:23:46.:23:48.

rules to block that. I do not think any rules should stump the safety of

:23:49.:23:53.

people who are living in the United Kingdom. Forgive me for saying, it

:23:54.:23:59.

sounds like you have changed your tune. You talk about the importance

:24:00.:24:03.

of transparency. You have talked about reviews and the three pillars

:24:04.:24:09.

approach you have introduced. Earlier this year, not many weeks

:24:10.:24:14.

ago, you still argued there was not a major problem at the Royal, what

:24:15.:24:18.

has changed your mind? You blamed the media for overemphasising that

:24:19.:24:24.

incident on the floor of the assembly. I do not think I'm ever

:24:25.:24:30.

said there was no problem in the Royal Victoria Hospital. I knowledge

:24:31.:24:35.

there were problems and it was hugely difficult. You said it was

:24:36.:24:41.

there were problems and it was nonevent. On the particular evening

:24:42.:24:45.

we had many people coming in, technicians, and they resolved the

:24:46.:24:49.

problem within three hours, which was a good piece of work carried

:24:50.:24:55.

out. We have ongoing problems in the Royal Victoria Hospital emergency

:24:56.:24:59.

department. It was planned the new hospital would be open more quickly.

:25:00.:25:04.

It ran into difficulties, because of the building work. We should be

:25:05.:25:10.

moving into that facility, which would ease things if that was the

:25:11.:25:15.

case. We have problems. I would be the first to identify that. It is

:25:16.:25:22.

clear difficult decisions have to be taken and you have said that on the

:25:23.:25:26.

record. Are you prepared to make hard choices and to consider things

:25:27.:25:28.

that people might find unpalatable, things that might be politically

:25:29.:25:37.

difficult to deliver? I am prepared to make difficult decisions and I

:25:38.:25:42.

have from the outset. Some decisions I would be prepared to make would

:25:43.:25:48.

have two receive executive support and consequently they are not

:25:49.:25:53.

decisions I can take alone. In terms of taking difficult decisions, that

:25:54.:25:58.

is something all of us, all of the politicians, all five parties, need

:25:59.:26:03.

to step up to the mark. We need to indicate to people that if we make a

:26:04.:26:07.

difficult decision, if it is unpalatable at the time, it is for

:26:08.:26:12.

the greater good and to explain why. It remains to be seen whether the

:26:13.:26:16.

executive are prepared to make those decisions. Are you prepared to raise

:26:17.:26:23.

the possibility of reintroducing prescription charges, charging

:26:24.:26:26.

the possibility of reintroducing people for domiciliary care, because

:26:27.:26:29.

it is the only part of the UK we do not pay for it, levying a charge for

:26:30.:26:36.

attending emergency departments? I already have raised with the First

:26:37.:26:42.

Minister and Deputy First Minister the reintroduction of prescription

:26:43.:26:47.

charges. The truth is many of us who receive free prescriptions can

:26:48.:26:50.

afford them. At the same time there are many people who require drugs

:26:51.:26:56.

and specialist drugs and we can not afford to buy them. I would like it

:26:57.:27:03.

that we follow a socialist line and those who can afford to pay would be

:27:04.:27:08.

paying for prescriptions and those who really need the benefit of free

:27:09.:27:11.

prescriptions to buy expensive drugs would receive the benefit and others

:27:12.:27:14.

seem resistant to that idea. We look would receive the benefit and others

:27:15.:27:21.

at domiciliary care. We spend almost one quarter of a billion each year

:27:22.:27:26.

on that. If we were anywhere else in the United Kingdom, we would recoup

:27:27.:27:30.

40 million because there would be a charge, the same as with nursing

:27:31.:27:35.

homes but that is not the case in Northern Ireland. People benefit

:27:36.:27:40.

from free domiciliary care will stop I cannot let you go without asking

:27:41.:27:45.

you about the Windsor Castle reception. You were there and many

:27:46.:27:51.

colleagues. Including representatives of Sinn Fein. How

:27:52.:27:57.

was it? It was fascinating. I deliberately stayed close to the end

:27:58.:28:02.

of the queue and watched as Sinn Fein MPs and ministers queued up for

:28:03.:28:06.

the opportunity to meet Her Majesty The Queen. I thought to myself,

:28:07.:28:08.

the opportunity to meet Her Majesty was the 30 years of the troubles

:28:09.:28:14.

about? The bloodshed and mayhem and violence, if that is what it has

:28:15.:28:19.

come to? The truth is, was any anger achieved through 30 years of

:28:20.:28:24.

violence that would not have been achieved by democracy? I think the

:28:25.:28:28.

answer to that is that nothing was achieved as a result of the

:28:29.:28:32.

troubles. Sinn Fein have come a long way in recognising that. You were

:28:33.:28:37.

glad to see them there and it helps to bring the process forward? It is

:28:38.:28:42.

the right thing to do. It was the wrong thing to do, to engage in

:28:43.:28:45.

murder and terrorism. It would be good for them to properly

:28:46.:28:53.

acknowledge that. Thank you very much indeed. Let us talk about that

:28:54.:29:09.

presidential visit. I thought that I did not agree with

:29:10.:29:18.

this theory that they are going to send a message to the Southern

:29:19.:29:22.

Electric. It is just not plausible to me. It couldn't have possibly

:29:23.:29:29.

done him any damage if he hadn't have attended.

:29:30.:29:34.

So he is playing to the northern Galilee?

:29:35.:29:39.

Yes, no one would remember if he had been to a banquet. The only

:29:40.:29:45.

plausible reason for him to do this is to send a message to the Unionist

:29:46.:29:50.

community. Playing to northern Unionists?

:29:51.:29:59.

Possibly. This was a form of elastic band leadership were you strive to

:30:00.:30:02.

stretch your own constituents a little bit, creating some tension

:30:03.:30:08.

that there will be debate internally but not stretching it to finality

:30:09.:30:17.

dislocate yourself from your own constituency. They were out of step

:30:18.:30:33.

with the Queens visit to Ireland in 2011 and they wanted to change that.

:30:34.:30:38.

Were you surprised that the London papers in particular seemed to be

:30:39.:30:41.

infatuated with Martin McGuinness' visit. You would've thought it was a

:30:42.:30:46.

state visit visit. You would've thought it was a

:30:47.:30:53.

rather than President Higgins. What struck me was how backward it

:30:54.:31:12.

seemed from a peace process basis. It seems they are still stuck in a

:31:13.:31:17.

1980s mindset that we have moved on from. The kind of thing where you

:31:18.:31:24.

routinely heard about shifting terrorists. -- shooting terrorists.

:31:25.:31:37.

I do think more than anything that this visit and Martin McGuinness'

:31:38.:31:40.

but as a patient in this this visit and Martin McGuinness'

:31:41.:31:46.

to be taken at face value. It is another step in the peace process.

:31:47.:31:53.

The symbolism of handshakes has been recorded since 1984. That engagement

:31:54.:32:00.

between Gerry Adams and Ken Maginnis in America of all places was the

:32:01.:32:07.

first part of a very long choreographed process in which

:32:08.:32:11.

handshakes and meetings and all of these firsts have been critically

:32:12.:32:14.

important to raise confidence and that sense of moving on for people.

:32:15.:32:28.

or manifesto for the health system. or manifesto for the health system.

:32:29.:32:36.

Pity the man to fix it? The buck stops with him but I do

:32:37.:32:41.

think he needs more understanding. He is managing a programme that is

:32:42.:32:48.

15 years in the making. It is clinically and economically the

:32:49.:32:50.

right thing to do to concentrate services on large hospitals. He has

:32:51.:32:56.

been prepared to put constituency interests aside. I think he is

:32:57.:33:01.

dealing with management problems that that that level of minister

:33:02.:33:10.

shouldn't have to deal with. A good performance by him?

:33:11.:33:17.

I think so. We need to look into social care however.

:33:18.:33:21.

That's it from The View for this week. Join me for Sunday Politics at

:33:22.:33:25.

the later time of 3:05pm on BBC One.

:33:26.:33:35.

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