18/07/2013

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:00:15. > :00:19.More drama in the NHS, as politicians clash over who's to

:00:19. > :00:29.blame for failing hospitals. Paediatrician and CBeebies doctor

:00:29. > :00:31.

:00:31. > :00:35.Ranj Singh gives us his diagnosis. No recent government has a clean

:00:35. > :00:38.bill of health when it comes to interfering with the NHS. It is time

:00:38. > :00:41.to put patients before politics. With public health U-turns on

:00:41. > :00:49.tobacco and alcohol, The Economist's Anne McElvoy asks whether the nanny

:00:49. > :00:54.state always knows best. They have been squabbling like toddlers at the

:00:54. > :00:57.dispatch 's, but it is not about the policy. All that any mum wants to

:00:57. > :01:00.say is, it is his fault. And with the sport of athletics on

:01:00. > :01:07.life support following yet more drug-taking, Uri Geller talks about

:01:07. > :01:10.the power of reputation. reputation is being a mind-reader,

:01:10. > :01:14.but there is much more to it than meets the eye.

:01:14. > :01:24.Shall we turn off the life support machine and go on holiday? Matron, I

:01:24. > :01:30.Evenin' all. Welcome to This Week. And thank the Lord - Patten - for

:01:30. > :01:35.his merciful ways. We come to the final show of the series. I suspect,

:01:35. > :01:39.dear viewer, this is as much a relief to you as it is to us. But at

:01:39. > :01:43.least we get paid, even if it is only a pittance, the small change

:01:43. > :01:46.left down the sofa by the latest BBC executive to trouser a massive pay

:01:46. > :01:49.off. But you deserve more, a princely sum, for having to sit

:01:49. > :01:54.through the usual self-serving drivel from the worst shirts in

:01:54. > :01:58.showbusiness. But I digress. It's often said, mostly by us when we

:01:58. > :02:01.can't think of anything else to say, that the problem with today's

:02:01. > :02:04.politicians is they don't actually believe in anything. Remember the

:02:04. > :02:07.good old days, we drone, when Labour believed in representing the

:02:07. > :02:11.interests of the plebs while the Tories looked after the maters and

:02:11. > :02:13.paters of the thick poshos on Made in Chelsea, and the Lib Dems

:02:13. > :02:19.believed in representing the interests of dope-smoking stoners

:02:19. > :02:22.with a kinky interest in proportional representation? But

:02:22. > :02:24.this week there stepped forward a politician who does believe in

:02:24. > :02:26.something, faith-based Work and Pensions Secretary, Iain Duncan

:02:27. > :02:30.Smith, who, when challenged to provide evidence to show his

:02:30. > :02:37.benefits cap would work, dismissed the need for anything so grubby and

:02:37. > :02:40.empirical. "I have a belief I am right," he exclaimed. Of course, he

:02:40. > :02:45.couldn't actually prove it was working but no-one could disprove it

:02:45. > :02:51.wasn't either, which sort of puts the benefit cap on a par with God.

:02:51. > :02:55.Or the Loch Ness monster. Or both. Speaking of those who make it up as

:02:55. > :02:59.they go along, I'm joined on the sofa tonight by two mini heat waves.

:02:59. > :03:02.Think of them as the hot flush and hot lips of late night political

:03:02. > :03:12.chat. I speak, of course, of #manontheleft Alan "AJ" Johnson, and

:03:12. > :03:16.

:03:16. > :03:24.#sadmanonatrain Michael "Choo Choo" Portillo.

:03:24. > :03:29.Michael, your moment of the week. Molly the dog has woken up to hear

:03:29. > :03:33.it. I bumped into a field marshal, a former chief of the defence staff,

:03:33. > :03:38.who agrees with me that we do not need an independent nuclear

:03:38. > :03:41.deterrent. He asked me how we get politicians off the hook. It

:03:41. > :03:45.occurred to me this week that the way is what the Liberal Democrats

:03:45. > :03:49.are proposing. The Liberal Democrats, like all politicians,

:03:49. > :03:54.will not go the whole hog and say, let's get rid of nuclear weapons.

:03:54. > :03:58.But they are saying, let's save half the cost and only have nuclear

:03:58. > :04:03.weapons deployed at sea for half the time, when we think the threat is

:04:03. > :04:11.rising. And I think, over a period of time, this would get the

:04:11. > :04:14.politicians of the hook. They would save half the cost. I am glad the

:04:14. > :04:19.field marshal agrees with you, unlike the secretaries of State for

:04:20. > :04:27.defence who do not agree with you. Among secretaries of state, I am in

:04:27. > :04:34.a minority. Among Field marshals, I am not sure. Field marshals do not

:04:34. > :04:41.have the deterrent. It is the Navy. Well spotted. The acquittal of

:04:41. > :04:43.George Zimmerman. In the United States. Here is a young black kid

:04:43. > :04:49.walking back from a store, completely innocent, gets attacked

:04:50. > :04:54.by a guy with a gun, virtually every June anti-. He has nothing. It takes

:04:54. > :04:58.the police 44 days to charge him, because they say that self

:04:58. > :05:02.protection law did not allow them to prosecute, and then he is acquitted

:05:02. > :05:07.of murder and of manslaughter as well. America has not just got its

:05:07. > :05:13.first lack resident in Obama, but its first black Attorney General,

:05:13. > :05:17.and there are many who feel it is still back in the 1950s, when that

:05:17. > :05:23.kind of thing could happen. I would have thought the reaction would be

:05:23. > :05:32.much worse. So would I. We grew up looking at black-and-white film of

:05:32. > :05:39.all kinds of things happening. just that. But Rodney King provoked

:05:39. > :05:43.several days of riots. It is great that has not happened, but it is

:05:43. > :05:46.still in competence of or how they could reach that decision. It is

:05:46. > :05:50.amazing. Now, what's the closest thing we

:05:50. > :05:53.have to a national religion? Other than women's football. The NHS, of

:05:53. > :05:56.course. Politically, it's been untouchable, impossible to

:05:56. > :05:59.criticise. Has that all changed this week? Labour and Tory front benches

:05:59. > :06:04.lashed out, following a report into failing hospitals this week, trying

:06:04. > :06:07.to blame each other. But is it not the role of a candid friend to be

:06:07. > :06:17.critical? And what do the medical profession think? We turned to NHS

:06:17. > :06:39.

:06:39. > :06:43.doctor and CBeebies presenter Ranj the opening ceremony of the

:06:43. > :06:48.Olympics. The National Health Service was celebrated as a national

:06:48. > :06:55.treasure. There were scenes of children jumping on beds with nurses

:06:55. > :06:59.dancing around them, almost like a scene from my TV show. One year on,

:06:59. > :07:03.the rose tinted picture of the NHS is shattered. This week the

:07:03. > :07:07.government announced it was placing 11 hospital trust is into special

:07:07. > :07:13.measures because of major failings, such as staffing problems, poor care

:07:13. > :07:19.and weak leadership. As a doctor who worked in one of those trusts, I

:07:19. > :07:22.must say I am not surprised. Despite high levels of dedication and

:07:22. > :07:26.determination, staff are overstretched, some too exhausted

:07:26. > :07:32.and too scared to speak up. Others have fallen into the comfort of

:07:32. > :07:36.complacency. More and more money is sucked up by managers, bureaucracy

:07:36. > :07:41.and consultants, and leaders appear complacent, or even careless. This

:07:41. > :07:46.is not limited to a small number of hospitals. It is happening up and

:07:46. > :07:49.down the country. Watching political parties clash over who is to blame

:07:49. > :07:54.for failing hospitals is a depressing sight, but politicians

:07:54. > :07:57.have never been able to leave the NHS alone. Labour brought in endless

:07:57. > :08:03.targets which meant some hospitals rushed patients through to meet

:08:03. > :08:08.them. And they set up the Care Quality Commission, which in itself

:08:08. > :08:10.seems unfit for purpose. Despite promising no more top-down

:08:10. > :08:18.reorganisation of the NHS, the current government is doing just

:08:18. > :08:22.that. That is the diagnosis, but what would I prescribe? Changes to

:08:22. > :08:26.the NHS do need to be made but they should be dictated by the needs of

:08:26. > :08:32.patients, not politicians. Anyone who has worked in the NHS will know

:08:32. > :08:35.there is a great deal of wastage and efficiencies can be made. It drives

:08:35. > :08:40.me mad to see nurses filling in endless reports and forms and not

:08:40. > :08:45.having time to do their job. It is not about nurses being too clever to

:08:45. > :08:49.care, but about not having enough time. We also need to think about

:08:49. > :08:53.our expectations and what the NHS can provide. That might involve a

:08:53. > :08:56.radical revision of how we meet those needs. In children's care, my

:08:56. > :09:03.specialism, the future is likely to involve the development of better

:09:03. > :09:07.specialist units that -- supporting fewer improved satellite sites, and

:09:07. > :09:10.better integration into primary care. We are going to have to learn

:09:10. > :09:15.to live with less, including politicians, and they will have to

:09:15. > :09:20.be brave enough to back the streamlining of services, even if it

:09:20. > :09:25.involves closures within their constituencies. I love and respect

:09:25. > :09:28.our NHS. We all want it to be like the picture portrayed in the Olympic

:09:28. > :09:33.opening ceremony, but we are going to have to be honest about the bad

:09:33. > :09:37.it's as well as the good. Until we acknowledge the floors, we cannot

:09:37. > :09:41.make the improvements that are necessary. But one thing is for

:09:41. > :09:44.sure, if we carry on as we are, there is a very real risk that the

:09:44. > :09:48.NHS will burn out. And from the View Tube garden

:09:48. > :09:56.overlooking the Olympic Park to our own little garden of Eden in the

:09:56. > :10:02.heart of Westminster, Dr Ranj joins us now. You worked at the Medway

:10:02. > :10:06.Foundation Trust. Yes.You said you are not surprised it is being put

:10:06. > :10:11.into special measures. Why are doctors, clinicians and bureaucrats

:10:11. > :10:15.working there, why are they scared to speak out? I would not say I am

:10:15. > :10:19.an expert on why they are, and I am not a politician but I do work in

:10:19. > :10:24.the coal face, and I am one of the people who has been involved and

:10:24. > :10:29.affected by everything that is going on with the NHS. Why are they scared

:10:29. > :10:34.to speak out? The biggest fear is that no one is listening. Not just

:10:34. > :10:38.that no one is listening, but that they will be suppressed. We are

:10:38. > :10:42.listening now, but is it too late? Is there still enough that we can

:10:42. > :10:46.do? To be honest, people need to listen, but there is listening and

:10:46. > :10:51.then there is acting on what people are saying. If you have pressure

:10:52. > :10:56.coming from the top, from various organisations, it is very difficult

:10:56. > :11:03.to get your voice heard. You say the problems are more widespread than

:11:03. > :11:06.even after the Bruce Keogh report. That looked at 14 trusts and

:11:06. > :11:09.highlighted several deficiencies and recommended improvements, but every

:11:09. > :11:14.hospital around the country has scope to improve to some extent.

:11:14. > :11:19.These are not problems that are unique to those 14 trusts is. The

:11:19. > :11:22.difficulty is that they are full of April that are working their hardest

:11:22. > :11:27.to make it work. There is a very small proportion that could do

:11:27. > :11:33.better, I agree, but the vast majority are doing the best they

:11:33. > :11:38.can. It is not their fault. As a former health secretary, why does it

:11:38. > :11:41.take a report like this to bring these terrible failures to light?

:11:41. > :11:48.Why don't ministers, civil servants, special advisers, why

:11:48. > :11:52.don't they know already? Because you set up independent regulators to be

:11:52. > :11:55.separate from government and to go in and do the job that ministers and

:11:55. > :12:05.civil servants cannot do properly. Previous regulators did not do it

:12:05. > :12:06.

:12:06. > :12:08.very well. What Bruce Keogh has got, they sent a team in of not just

:12:08. > :12:15.clinicians but also patient representatives and GPs and nurses

:12:15. > :12:19.and others, a team of 12 to 14, and they looked to see not just a

:12:19. > :12:24.technical appraisal, but a cultural appraisal. They spoke a lot to

:12:24. > :12:29.patients and staff. That was not the traditional way of doing

:12:29. > :12:32.inspections. We are grasping for a way of getting better regulation.

:12:32. > :12:38.When you were health secretary, did you have no idea that these things

:12:38. > :12:41.could be happening in certain hospitals? I did, because the Health

:12:41. > :12:45.Care Commision, the predecessor of the Care Quality Commission, were

:12:45. > :12:55.telling us. They went into Stafford and gave us the report. They went

:12:55. > :12:59.into Maidstone. Those reports then come to you, but we need to have an

:12:59. > :13:05.independent regulator. The word independent is very meaningful. The

:13:05. > :13:10.other thing that you point out is a separate issue where politicians

:13:10. > :13:14.and, I think, clinicians, have to be brave enough to say the whole way

:13:14. > :13:21.that the NHS is configured, which is a hospital based service, has to

:13:21. > :13:28.change. But they are two separate issues. Let me put two things to you

:13:28. > :13:32.for discussion. The way the NHS is configured, the organisational roots

:13:32. > :13:39.go back to the 1940s. No Secretary of State for health can control what

:13:39. > :13:45.is going on in it. It is too centralised and too vast for one

:13:45. > :13:53.politician. Nigel Lawson once said the NHS was a religion. Is that the

:13:53. > :13:58.reason we don't get the service we deserve? Yes, on the second point.

:13:58. > :14:08.It has become a religion and it has become immune to reform and on that

:14:08. > :14:12.first point, it is the classic nationalised industry, it is far too

:14:12. > :14:19.big and it be then at -- it benefits the people employed rather than the

:14:19. > :14:23.people who service should be delivered to. To say that it is

:14:23. > :14:26.because people are under pressure, in some of these cases it is

:14:26. > :14:32.perfectly clear that there was absolute neglect and neglect by the

:14:32. > :14:36.people whose job it was to look after people directly but there must

:14:36. > :14:41.be neglect by every consultant who walks the wards and sees people

:14:41. > :14:47.lying in their own urine. Dying of thirst. And he did not think about

:14:47. > :14:56.that. I don't think it is honest to say that we have asked nurses to

:14:56. > :15:01.fill out too many forms. It takes being on the shopfloor to understand

:15:01. > :15:04.the intricacies of the NHS and there are a vast to people doing an

:15:04. > :15:11.amazing job and those who get highlighted by the tiniest

:15:11. > :15:17.proportion and we should address that but if we are honest, you say

:15:17. > :15:22.the NHS is immune to reform. If so, stop trying to reform it. Every

:15:22. > :15:28.government comes in and there is another reorganisation which is not

:15:28. > :15:32.always based on evidence or welcome and it takes time to recover.

:15:32. > :15:36.Sometimes it is a good idea and we need to change things to make them

:15:36. > :15:40.better but the problem is we only are just getting to the point where

:15:40. > :15:47.we are starting to get to grips with things and someone comes in and

:15:47. > :15:51.changes it. Let me explain, firstly that we continue the model of a

:15:51. > :15:55.single National Health Service and what is wrong is the national part,

:15:55. > :16:01.we are trying to manage an organisation of 1 million people and

:16:01. > :16:04.not only is that unwieldy but it means we have a lack of local

:16:04. > :16:08.sensitivity and a lack of competition, in the sense of some

:16:08. > :16:12.people doing things better than one place than in others. Therefore,

:16:12. > :16:18.people have the urge to catch up. And the great prejudice against

:16:18. > :16:22.using the private sector which has existed over the decades, and I am

:16:22. > :16:28.afraid that I think the deterioration of the National Health

:16:28. > :16:33.Service and its reputation is actually important to bringing about

:16:33. > :16:38.something quite different in the future, something better. You talk

:16:38. > :16:43.about streamlining and centralising services. You could argue that it is

:16:43. > :16:48.always far too centralised? Nobody at the centre can control it? The

:16:48. > :16:55.Danish have a system like ours, funded by taxation, free at the

:16:55. > :16:59.point of use and does not matter what your wealth is, you get care.

:16:59. > :17:06.But it is locally controlled? And the people who run that locally are

:17:06. > :17:12.held to account by their local community. Yes, but we need to

:17:12. > :17:15.realise that their society and environment is different. We can put

:17:15. > :17:20.other countries and learn from them and that is a good idea but we need

:17:20. > :17:25.to put things into context and one of those points was that you said no

:17:25. > :17:30.politician can control the NHS so then stop using it as a pawn. It has

:17:30. > :17:33.come the piggy in the middle and the people at the heart of the NHS,

:17:33. > :17:40.working and striving and trying to make things work, they are being

:17:40. > :17:43.danced around. But is because of any hospital goes belly up or it is

:17:43. > :17:49.discovered that hundreds are dying, it should not be the Secretary of

:17:49. > :17:55.State in London, who has never been to that hospital... The media will

:17:55. > :18:03.hold them accountable? If it deadpan falls on the floor, it echoes around

:18:03. > :18:07.the country. Rudolf Klein, the great historian, said we have been through

:18:07. > :18:13.control and we are going back to locally driven watchwords of the

:18:13. > :18:15.Primary Care Trusts and they have been thrown up into the air and I

:18:15. > :18:20.don't understand Michael 's reference to the nationalised

:18:20. > :18:23.industry. The problems of the NHS are nothing to do with it being

:18:24. > :18:29.publicly owned, they are to do with, in a sense, producer capture was

:18:29. > :18:33.right, they always had a system for balancing books, it was called the

:18:33. > :18:37.waiting list. They stopped operating in November because it was the end

:18:37. > :18:43.of the financial year. Once those waiting lists were driven down, they

:18:43. > :18:47.had to sort out finances and you will remember not just Patricia

:18:47. > :18:51.Hewitt getting trotted out, it is not as if we went through our time

:18:51. > :18:56.in office and we were keen not to upset the workforce - that had to

:18:56. > :19:00.happen to put the NHS on a more stable footing. The problem is the

:19:00. > :19:07.concentration on quality and if you could concentrate on quality,

:19:07. > :19:12.locally driven, yes, and get on with it, I think that has been one of the

:19:12. > :19:18.major problems. We will let you former Health Secretary have the

:19:18. > :19:27.final word. Using my telepathic powers... I know what you're

:19:27. > :19:33.thinking. I hear the words... Blue. None. Hangover in the morning. But I

:19:33. > :19:38.also have a strange, tinkling sensation. Waiting in the wings, a

:19:38. > :19:43.mystery to all of us, the one and only Uri Geller. He will talk about

:19:43. > :19:51.the power of reputation. For those of you who don't have any reputation

:19:51. > :19:56.to lose, get ready to be ignored on social media. The anticipation is

:19:56. > :20:00.rising and temperatures rise, the press corps sufferers. Camp outside

:20:00. > :20:05.a London hospital, waiting for the arrival of an overdue royal baby.

:20:05. > :20:13.Even Her Majesty brokers silence, she just wanted to arrive so she can

:20:13. > :20:22.go off on her holidays. We said the Economist's Anne McElvoy to do a

:20:22. > :20:30.spot of preparation. This is a round-up of the political week.

:20:30. > :20:35.the brakes on. I have been jittery this week, like Mr Fleet Street,

:20:35. > :20:42.waiting for the arrival of a certain baby. Even the Queen has been

:20:42. > :20:47.expecting... I am going on holidays! My brood are safely locked up in the

:20:47. > :20:53.education system so I borrowed Agnes and Joseph to remind me of the joys

:20:53. > :20:59.of childcare. I might even put myself forward as a Mary Poppins to

:20:59. > :21:04.the new Prince or Princess. I am sure she could use my experience in

:21:04. > :21:07.dealing with the little ones. Like some of our Parliament dreams, they

:21:07. > :21:17.have resorted to squabbling and throwing temper tantrums. Come on,

:21:17. > :21:31.

:21:31. > :21:38.they will be born into a tide of restorative. People on welfare, not

:21:38. > :21:42.in work, apart from those who are exempt, such as the disabled, they

:21:42. > :21:45.should not be earning more than average earnings after tax, which is

:21:45. > :21:50.fair to the taxpayers. The thinking is pretty clear, stop those on

:21:50. > :21:52.benefits you do not seem to be able to stop having children, from

:21:52. > :21:56.claiming too much. But that puts Labour in a difficult position. They

:21:57. > :22:00.are in favour of a benefits cap, just not the one on offer. The

:22:00. > :22:04.benefit cap is good idea in principle but the one today has

:22:04. > :22:08.proven such a shambles in practice so we have learned that there are

:22:08. > :22:16.4000 families, about 10%, with large hammers of children who will not

:22:16. > :22:26.come under this when introduced. Hang on, Liam Byrne actually thinks

:22:26. > :22:28.

:22:28. > :22:32.that it is to lose. And some Lib Dems say, that is not very... It is

:22:32. > :22:36.about the worst kind of politics and chasing popular is that the expense

:22:37. > :22:42.of children's world being is not something I care for. She is a nice

:22:42. > :22:48.lady! Well, Joseph, you might like that Lady butter attitude is not

:22:48. > :22:52.very popular. So, she is also thinking about the next election and

:22:52. > :22:56.the need to separate the Lib Dems from those nasty Tories. The

:22:56. > :22:59.Conservatives are determined to keep welfare cuts at the heart of their

:22:59. > :23:09.pitch for election. It might be brittle but it is probably quite

:23:09. > :23:13.

:23:13. > :23:23.effective. -- brittle. -- brutal. It is important to keep the little ones

:23:23. > :23:23.

:23:23. > :23:29.cool, otherwise they can get grumpy. Delightful child! But there have

:23:29. > :23:34.been noises at the dispatch box over something rather serious - report

:23:34. > :23:40.into failures at some NHS hospitals. The Tories say... It is all his

:23:40. > :23:44.fault! And the Labour Party say... It is all his fault! This has been a

:23:44. > :23:50.decisive week by the way the NHS plays into politics. The shift that

:23:50. > :23:54.matters is that the health service is no longer beyond criticism. If

:23:54. > :23:59.the NHS is considered labourers crowning achievement, today is no

:23:59. > :24:03.darkest moment. As a Labour government is exposed as caring more

:24:03. > :24:09.about its own reputation and our most vulnerable citizens in the NHS.

:24:10. > :24:16.You should not play politics with people 's lives with the NHS, on

:24:16. > :24:19.which all people depend. As a well-known childcare guru, I find

:24:19. > :24:25.the hardest thing is to get children to give away their choice, even when

:24:25. > :24:29.they are finished playing with them. I bet Liberal Democrat children do

:24:29. > :24:35.not get to play with heavy weaponry. They have been back on their hobby

:24:35. > :24:40.horse, asking us to reconsider the nuclear deterrent. It is time to

:24:40. > :24:43.move on from the Cold War, to adapt our deterrents to the 21st century

:24:43. > :24:51.in a way that does not copy my 's national security. The only thing

:24:51. > :24:54.that has changed is that the fights between Tories and Lib Dems seem to

:24:54. > :25:01.have eased. It is a longer unthinkable to think that we could

:25:01. > :25:07.have another Cornish and after the next election. Our prime minister

:25:07. > :25:11.does not like the nanny state much. What do you reckon? Did he not like

:25:11. > :25:15.his nanny when he was little? And the prices of cigarette packaging

:25:15. > :25:25.stays the same. But it's about politics, which give Labour the

:25:25. > :25:25.

:25:26. > :25:30.chance to take Mr Lynton Crosby. Ed Miliband 's narrative is of rich,

:25:30. > :25:37.cynical conservatives. Has he ever had any conversation with Lynton

:25:37. > :25:46.Crosby about cigarette packaging? has never lobbied me on anything but

:25:46. > :25:52.if he wants a scandal, why doesn't he faced the fact that the trade

:25:52. > :25:57.unions by his Cabinet and his leadership. He is the Prime Minister

:25:57. > :26:02.for Benson and hedge funds Santino is at! But the Tories are off with a

:26:02. > :26:08.spring in their step for summer, even stop moaning. Ed Miliband might

:26:08. > :26:11.relish the royal baby as a distraction from his modest poll

:26:11. > :26:21.ratings amid doubts of whether we can envisage him up on the steps of

:26:21. > :26:22.

:26:22. > :26:28.number ten. But you learn to love them in the end! Joseph? ! The Mary

:26:28. > :26:32.Poppins of the programme. Brandon Jones, welcome back. The Tories,

:26:32. > :26:38.very surprising that the stage, going off to the recess with a

:26:38. > :26:43.spring in their step, the economy is improving from a low base. Do they

:26:43. > :26:49.believe they might win the next election? Yes, I think so. We have

:26:49. > :26:55.had the whole service, the economy, going well, advocate either has gone

:26:55. > :27:03.home. The economy going better. The Prime Minister is doing better at

:27:03. > :27:06.questions. I have mentioned this before but as I see it, there are

:27:06. > :27:09.these firm rules and politics and when the public decides of the

:27:09. > :27:15.leader of the opposition is not prime ministerial behaviour, that

:27:15. > :27:20.person does not win. Neil Kinnock, Michael Howard. Iain Duncan Smith.

:27:20. > :27:25.But the second rule is, you do not increase their share of the vote

:27:25. > :27:31.went in office. And David Cameron only got 37% and he needs more for

:27:31. > :27:34.the majority. He needs 40%. And he was off that last time and it would

:27:35. > :27:38.be extraordinary if they could put on three percentage points. Some

:27:38. > :27:44.Tories believe they could win the outright majority but I do not think

:27:44. > :27:48.they can explain how that could happen. Rand, good news for Mr Clegg

:27:48. > :27:58.and the Lib Dems that Mr Cameron and the Tories have spring in their

:27:58. > :27:59.

:27:59. > :28:04.step? I think so, but the big? whether or not the UK economy

:28:04. > :28:09.recovery can mean the Lib Dems recover? If things are getting

:28:09. > :28:15.better for the coalition, particularly on the economic front,

:28:15. > :28:19.the Tories, the danger is, they get the credit? That is true but the Lib

:28:20. > :28:25.Dems are in good heart and they feel that the year has gone well and the

:28:25. > :28:29.East the by-election was the turning point. And they have slightly more

:28:29. > :28:32.focused messages than before. The big decision for them is whether or

:28:32. > :28:36.not they continue with this idea that they need to differentiate all

:28:36. > :28:42.the time and say, the Tories are the nasty party and we are the nice

:28:42. > :28:47.ones. Or if, in the run-up to the general election, actually carry on

:28:47. > :28:54.saying, this is what the coalition can do in the times of national

:28:54. > :28:59.crisis. And getting a balance right is truly difficult. This is the

:28:59. > :29:03.point in the political cycle, halfway between elections, when the

:29:03. > :29:07.government of the day is meant to be in the doldrums and the opposition

:29:07. > :29:13.is meant to be unrealistically ahead in opinion polls. What has gone

:29:13. > :29:20.wrong? The coalition must be wishing they had for years as a fixed

:29:20. > :29:23.parliament! Because a lot can happen. But Michael spoke about

:29:23. > :29:28.those general rules and is another general rule that only once in the

:29:28. > :29:33.last 80 years as a party one an election the first time after

:29:33. > :29:38.losing. After five years out of office. That is a very big task. The

:29:38. > :29:41.reason I am encouraged, and I do agree, Cameron has got a spring in

:29:41. > :29:48.his step and Clegg, I thought he would go before the next general

:29:48. > :29:54.election. He is looking less likely. And he has this Zen like transfer

:29:54. > :30:00.all of this stuff is going on around him. But the thing about Ed Miliband

:30:00. > :30:05.is, do not underestimate his speech about levy payers. What he has done

:30:05. > :30:08.in reaction to what was happening at Falkirk is huge stuff. Provided it

:30:08. > :30:15.is carried through and we talk about clause four, but this is even

:30:15. > :30:20.bigger. If this comes off, it shows a level of leadership that I think

:30:20. > :30:25.will perhaps not put him in that position that Neil Kinnock and the

:30:25. > :30:32.others were in. If Labour struggled to get too far ahead in the polls

:30:32. > :30:36.when the economy was in the tag, what happens if the worst is over

:30:36. > :30:44.and things are improving? labour, and the issue has always

:30:44. > :30:50.been the NHS, but they are even on the back foot on that. They are

:30:50. > :30:55.still ahead on that. But that first part of the Parliament... We got the

:30:55. > :31:00.lowest, second lowest votes... It is a long way to come back and we were

:31:00. > :31:05.sitting ducks in the economy. To be blamed for that. I would not take

:31:05. > :31:09.that as anything provided but it is all to play for and the IMF said

:31:09. > :31:13.that we are very long way from a sustainable recovery. No one says

:31:13. > :31:19.this is a recovery of the time we have known before. Lynton Crosby,

:31:19. > :31:25.Michael, is he a problem for Mr Cameron or is he the reason that the

:31:25. > :31:32.Tory message is more focused and sharper and much more resonating?

:31:32. > :31:38.think of. He is probably less of a problem than he is because of

:31:38. > :31:43.success. The focus is being successful. And they are hurling

:31:43. > :31:50.overboard policies that were upsetting the grassroots. Getting

:31:50. > :31:55.rid of the barnacles on the boat? I think it is a problem. But Lynton

:31:55. > :32:05.Crosby has a consultancy that has Philip Morris, the tobacco company.

:32:05. > :32:10.But for the moment the damage that does to the Tory party, at this

:32:10. > :32:15.stage, cannot be prepared -- compared with any benefits. Are the

:32:15. > :32:19.Lib Dems comfortable with Lynton Crosby? They will be very

:32:19. > :32:28.comfortable if he becomes a problem for the Conservative Party. I am

:32:28. > :32:35.sure that Michael is right. It is not difficult to understand that the

:32:35. > :32:42.man in charge might be privy to the party and it is like Bill Clinton,

:32:42. > :32:45.these denials. Why not just come clean? Yes, of course we have

:32:45. > :32:50.discussed this and I know he has paid for one side of the argument so

:32:50. > :32:54.I don't let that influence by judgement. It would be much better.

:32:54. > :33:01.Isn't one of the problems when looking at the coalition at the

:33:01. > :33:06.moment, it is Cameron and the Tories that everybody is talking about? The

:33:06. > :33:11.way it has been covered, not covered as a coalition, it is covered

:33:11. > :33:15.overwhelmingly as Conservative lead? There is an article in the new

:33:15. > :33:19.statesman about that. Cameron has always been a very good performer.

:33:19. > :33:25.He did not seem to have a good machine around him in the early

:33:25. > :33:28.years and part of that was deciding that he did not need all of these

:33:28. > :33:32.levers at Downing Street, and he criticised Tony Blair for having too

:33:32. > :33:36.many special advisers. He soon learned that if you have not got

:33:36. > :33:45.those leaders at the centre, nothing will happen. They have smartened up

:33:45. > :33:52.but it is a long way. And I would be more worried, in a sense, if we were

:33:52. > :33:56.picking too early. He might have peaked too soon? ! The BBC does not

:33:56. > :34:01.forget that this coalition government has not faced the

:34:01. > :34:05.opposition, from the BBC, but Margaret Thatcher did. That is

:34:05. > :34:10.because the BBC does not have the right to attack a government that

:34:10. > :34:14.got 60% of the vote and things like the schools reforms and the National

:34:14. > :34:18.Health Service reforms, welfare reforms, they have been allied

:34:18. > :34:22.through by the media, largely represented in the BBC, in a way

:34:22. > :34:28.that they would not have been if they had been Thatcher reforms.

:34:28. > :34:31.Minority or majority Conservative government. That is partly true but

:34:31. > :34:35.obviously it is very much in the interest of the Lib Dems to pipe up

:34:35. > :34:40.as much as they can about their priorities and things like taking

:34:40. > :34:45.the poorest out of income tax, but, surprisingly, does resonate on the

:34:45. > :34:49.doorsteps and it is very important that they get that policy. In

:34:49. > :34:52.Eastleigh, they proved they got the credit for that and in their next

:34:52. > :34:56.manifesto, they want to make that more ambitious, everyone earning

:34:56. > :35:03.minimum wage is out of income tax. That is clearly identifiable. And

:35:03. > :35:13.you can own that in the future. On a scale of 1-10, ten being most

:35:13. > :35:15.

:35:15. > :35:19.likely, what is the chance of Nick and Dave returning? After 2015? As

:35:19. > :35:26.Allen has said, quite rightly, there is a very long way to go but I think

:35:26. > :35:29.it is quite likely. About seven or eight. But I think it is very

:35:29. > :35:37.dangerous. If, going into the election, there is too much of the

:35:37. > :35:40.stuff about bloodlines and there is some pre-negotiation. The electorate

:35:40. > :35:46.will not like that. They must go but down. They have to stand down on

:35:46. > :35:50.that. I would not have put the number as high as that but I am in

:35:50. > :35:55.no doubt that the number is rising. More likely than Conservative

:35:55. > :36:05.victory. If she is right, we will never mention that again! If she is

:36:05. > :36:10.

:36:10. > :36:16.wrong... You will be ridiculed! Like all BBC programmes, we spend our

:36:16. > :36:20.budget on focus groups. Alan Johnson is universally admired as a man from

:36:20. > :36:23.humble beginnings who rose to several great offices of state whose

:36:23. > :36:28.dignity, intellect, sheer likeability puts other politicians

:36:28. > :36:32.to shame. And Michael is the funny guy with the strange accent always

:36:32. > :36:37.talking to himself on a train. Does it matter what people think of us

:36:37. > :36:47.and what can we do to change people's perception. We have no

:36:47. > :36:57.

:36:57. > :37:02.idea. Attitude of the world 's fastest men drug tested positive,

:37:02. > :37:07.causing a shadow to fall over the anniversary of the London politics.

:37:07. > :37:12.This year 's outstanding ride by Chris Froome has forced him to

:37:12. > :37:16.confront the reputation of his sport has for breaking the rules. I can

:37:16. > :37:20.understand why people are asking this, given the history of the sport

:37:20. > :37:24.and they have been let down so many times before. I am also one of those

:37:24. > :37:29.people that has been let down, I also believed in people who have

:37:29. > :37:33.turned out to be cheats and liars. But I can assure you, I am not.

:37:33. > :37:37.Stuart Broad challenged crickets repetition as gentleman 's game.

:37:37. > :37:43.refused to leave his wicket after clearly being caught out. Unlike JK

:37:43. > :37:51.rolling, who has been caught out concealing her identity. And she was

:37:51. > :37:55.a true author of this book. Using an alias. How powerful can reputation

:37:55. > :38:00.be and how hard can it be to shake? Lynton Crosby's reputation certainly

:38:00. > :38:09.seems to be growing at Westminster and as the old saying goes, there is

:38:09. > :38:16.no cigarette smoke without fire. Uri Geller joins us. How much does your

:38:16. > :38:24.reputation matter? I created my repetition and I moulded it and I

:38:24. > :38:29.twisted it. Consciously? Absolutely, out of necessity. The

:38:29. > :38:35.best thing that could have happened to me was controversy. So, my

:38:35. > :38:40.reputation is shrouded with controversy. And that is great. As

:38:40. > :38:45.long as they talk about me and mention my name, Oscar Wilde said,

:38:45. > :38:48.there is only one thing worse than being talked about and that is not

:38:48. > :38:58.being talked about. Yes, but repetition is absolutely important.

:38:58. > :38:59.

:38:59. > :39:04.But when I read about JK, that is a great PR move. Think about that, it

:39:04. > :39:11.has been done 1 million times before. Full page in the Sunday

:39:11. > :39:17.Times! Exactly. In a superficial level, your reputation, which people

:39:17. > :39:24.will always remember as the man who then spins. But according to a new

:39:24. > :39:32.documentary, there is a lot more than that? That is true. Over 40

:39:32. > :39:37.years, I have read minds, stopped Big Ben. It was rather quirky and

:39:37. > :39:45.bizarre and unusual. I was never in the taken seriously. But, parallel

:39:45. > :39:49.to that, to that show business lifestyle and the entertainer, I did

:39:49. > :39:59.quite amazing things for many different intelligence agencies

:39:59. > :40:04.around the world. Including the CIA? Absolutely, an arm of the CIA

:40:04. > :40:09.got me out of Israel in 1972, to test my abilities and skills and

:40:09. > :40:16.might are normal powers to see whether they could be used for their

:40:16. > :40:21.purposes. How long did you do that? For a long time. And what amazed me

:40:21. > :40:31.in this documentary by the revelations that I did not even know

:40:31. > :40:33.

:40:33. > :40:36.about. The director, he is an Oscar winner, and I told him how I did it

:40:36. > :40:41.but he must have used his reputation, adding the Oscar, his

:40:41. > :40:48.charisma, his charm and personality, to get the information, to extract

:40:49. > :40:52.the information from these people. Here is a man with a reputation for

:40:52. > :40:57.ending spoons and being an intriguing character and doing

:40:57. > :41:02.things we cannot explain, and doing it with great style and energy, and

:41:02. > :41:10.it turns out that he has been working for the CIA? What does that

:41:10. > :41:17.do? What it will do, it will enhance the feeling or triggered the belief

:41:17. > :41:24.system in people that, hey, maybe Uri Geller does possess certain

:41:24. > :41:30.powers. Otherwise the CIA would not be bothering? Look at his answer

:41:30. > :41:35.about JK rolling, it is publicity! This is amazing. There is an entire

:41:35. > :41:41.reputation on top of the previous one. We are not heart of this border

:41:41. > :41:46.city! Alan, do you worry about your repetition? No, I did whenever I was

:41:46. > :41:49.a minister, it is difficult not to, you read about it every day.

:41:50. > :41:56.your reputation decides the repetition of the government so if

:41:56. > :42:00.you make a big problem, then... Allen has done a reputational clue,

:42:00. > :42:08.adding a book that reveals an entire side that most of us did not know

:42:08. > :42:12.about. I think, in a way, we are all added. What are these doing for your

:42:12. > :42:19.repetition? Making people think about me as a broadcaster, which is

:42:19. > :42:24.true. Which is what you want? It is what you are? It is nice when I meet

:42:24. > :42:30.people in the street and they say, you are the man who did the trains,

:42:30. > :42:36.not the man... That is what you wanted to do and it is hard to shake

:42:36. > :42:40.off any reputation as a Conservative minister? ! It takes a while. And

:42:40. > :42:47.one dissolves into the other. But I do believe that what really

:42:47. > :42:52.overpowers your reputation is your deep personality. If you are a nice

:42:53. > :43:02.person and charming, and you smile. And you are open to everyone and you

:43:03. > :43:04.

:43:04. > :43:13.sign autographed, that is all you need. So what is he going to do?He

:43:13. > :43:21.has got it. We are going to put your reputation on the line here. Kate's

:43:21. > :43:30.baby, boy or girl? I knew you would ask me. My wife is in the green

:43:30. > :43:40.room. Ask her. She is great at that. What do you think, Michael? Boyet.A

:43:40. > :43:43.

:43:43. > :43:46.boy. When is the documentary? This Sunday after Top Gear on BBC Two.

:43:47. > :43:52.That is your lot for tonight and for the summer because this was our

:43:52. > :43:55.final show of the series. Alan's Private Jet is ready to whisk him

:43:55. > :44:00.off. Michael's faithful manservant is ready to whisk him off to a

:44:00. > :44:05.pleasure Beach. The rest of us will be getting match fit for the next

:44:05. > :44:08.series, because sadly for everyone involved, we return in September, in

:44:08. > :44:13.time for the Lib Dem party conference. It does not get better

:44:13. > :44:19.than that dash the Lib Dem party conference, in Glasgow. Who needs

:44:19. > :44:23.the French Riviera. Tonight, we will leave you with a sticky and

:44:23. > :44:27.frustrated press pack waiting for Kate to deliver the good news story