05/05/2016

:00:13. > :00:16.How close does a doctor need to be when a baby is born?

:00:17. > :00:19.Thousands of women give birth under the care of a midwife either at home

:00:20. > :00:22.or in special unit - but when things go wrong, is that

:00:23. > :00:27.We hear from one woman whose baby tragically died.

:00:28. > :00:29.It was only last half an hour of my labour

:00:30. > :00:30.that it was realised that

:00:31. > :00:34.And it was just like a disaster from there

:00:35. > :00:42.Another truce in the ravaged Syrian city of Aleppo -

:00:43. > :00:44.and a let-up in the intense bombing raids.

:00:45. > :00:46.We hear from residents who've been living through

:00:47. > :00:51.And the timeshare club that members say isn't what they bought into -

:00:52. > :00:53.they want compensation and are going to court.

:00:54. > :01:05.The company who sold them dispute the claims.

:01:06. > :01:12.How easy do you find it to get an appointment with your GP?

:01:13. > :01:16.Would you like to go to the surgery at the weekend or be happy to talk

:01:17. > :01:21.A little later this morning, we'll be hearing from GPs

:01:22. > :01:23.who try to see their patients in different ways.

:01:24. > :01:25.We want to hear from you about your experience.

:01:26. > :01:28.We'll be talking to four GPs just after 10.

:01:29. > :01:31.Do get in touch on all the stories we're talking about this morning -

:01:32. > :01:36.And if you text, you will be charged at the standard network rate.

:01:37. > :01:39.Our top story today is that a group of senior medics has

:01:40. > :01:42.called on both sides in the long-running junior doctors'

:01:43. > :01:45.dispute to agree to fresh talks in an attempt to avoid a further

:01:46. > :01:53.The Academy of Medical Royal Colleges, which represents doctors

:01:54. > :01:57.on training and education, says both sides should agree

:01:58. > :02:05.A series of strikes by junior doctors in England affecting routine

:02:06. > :02:08.care was followed last week by two walkouts on all forms

:02:09. > :02:11.That was unprecedented in the history of the NHS, although with

:02:12. > :02:14.consultants and other staff covering the gaps,

:02:15. > :02:19.hospitals reported no problems with essential services.

:02:20. > :02:21.This weekend, junior doctor representatives are meeting to

:02:22. > :02:27.Now leaders of the medical profession are

:02:28. > :02:30.calling for a five-day pause to allow talks during which

:02:31. > :02:32.the government would temporarily suspend work on introducing

:02:33. > :02:45.the new contract, and the BMA would not plan further action.

:02:46. > :02:48.We're calling for a focused brief five-day pause where it gives both

:02:49. > :02:50.sides the opportunity to participate with no ifs,

:02:51. > :02:52.buts, maybes to resolve the remaining issues.

:02:53. > :02:54.Because they tell us they are 95% in agreement,

:02:55. > :03:00.so surely it must be possible to finally close this gap

:03:01. > :03:02.for the benefit of the NHS junior doctors and patients.

:03:03. > :03:05.The British Medical Association said it would agree to the proposal

:03:06. > :03:07.and temporarily suspend industrial action to allow talks with

:03:08. > :03:14.a mutually agreed facilitator, as long as the government did

:03:15. > :03:18.The Department of Health, though, said it was too late to change the

:03:19. > :03:21.process of bringing in contracts, which was well under way.

:03:22. > :03:31.I will be speaking to the DMA just about implementation

:03:32. > :03:33.I will be speaking to the DMA just after ten. Do let us know your

:03:34. > :03:34.thoughts. Annita McVeigh's in the BBC

:03:35. > :03:36.Newsroom with a summary Syrian city of Aleppo

:03:37. > :03:51.following violent clashes between government and rebel forces

:03:52. > :03:54.this week which have Diplomatic pressure

:03:55. > :03:56.from the United States and Russia led to a 48-hour

:03:57. > :03:58.truce being declared. Those in Aleppo in recent weeks may

:03:59. > :04:05.well have asked, "Truce, what truce? " The pause infighting agreed back

:04:06. > :04:08.in February did not include Syria's This video, uploaded to social

:04:09. > :04:13.media, is said to show how bad it has become,

:04:14. > :04:15.though the BBC has not independently verified

:04:16. > :04:16.the Aleppo is divided, parts of it

:04:17. > :04:22.controlled by armed rebels who oppose the Syrian President Bashar

:04:23. > :04:24.al-Assad, parts of it controlled by In the past week

:04:25. > :04:35.fighting between the two sides has been at its most

:04:36. > :04:42.intense for a year. Life for people

:04:43. > :04:47.in Access to basic and essential

:04:48. > :04:52.services such as water and People are living under

:04:53. > :04:55.daily threat and terror. But then on Wednesday

:04:56. > :04:57.in Syrian television

:04:58. > :04:59.reported that the Syrian army has agreed to extend the

:05:00. > :05:04.ceasefire to include Aleppo for 48 The deal was done after pressure

:05:05. > :05:08.from the US and Russia, which have influence on opposing

:05:09. > :05:10.sides in the conflict. America backs the rebels,

:05:11. > :05:12.while Russia supports All those with influence,

:05:13. > :05:20.particularly Russia and Iran, must press the regime to meet

:05:21. > :05:24.its commitment and obligations. For our part, the United States will

:05:25. > :05:28.continue pressing for opposition to We will work with our Russian

:05:29. > :05:33.counterparts to try to restore a real and lasting cessation

:05:34. > :05:35.of hostilities in Aleppo and elsewhere in Syria,

:05:36. > :05:37.and to facilitate a political The only way in which this

:05:38. > :05:40.war will finally end. The truce does not include

:05:41. > :05:48.the so-called Islamic State, nor the Al-Qaeda

:05:49. > :05:50.linked al-Nusra Front. Aleppo was Syria's industrial

:05:51. > :05:53.and financial centre, hard to believe when you look

:05:54. > :05:57.at the state of the city now. And it is thought that at least 5000

:05:58. > :05:59.of the refugees at the border with Jordan

:06:00. > :06:01.have fled from Aleppo. They, as much as anyone,

:06:02. > :06:03.will be watching, waiting, to see if this

:06:04. > :06:13.latest truce will hold. And we'll be speaking to people

:06:14. > :06:16.in Aleppo about what life is like in the city later

:06:17. > :06:18.on in the programme. Here - the polls have opened

:06:19. > :06:21.for local, regional and some parliamentary elections

:06:22. > :06:23.across the UK, on what's been The elections are for

:06:24. > :06:26.the Scottish Parliament, National Assembly of Wales,

:06:27. > :06:34.Northern Ireland Assembly New mayors will be elected

:06:35. > :06:37.in London, Bristol, Liverpool and Salford,

:06:38. > :06:39.and there are parliamentary by-elections in Ogmore

:06:40. > :06:40.and Sheffield Brightside. Police and crime commissioners

:06:41. > :06:56.are also being elected We are getting reports of problems

:06:57. > :06:59.with polling stations in north London, Barnett specifically.

:07:00. > :07:00.Some polling stations apparently do not

:07:01. > :07:08.have the colour -- correct list of people at the eligible to vote. --

:07:09. > :07:15.people eligible to vote. A state of emergency has been

:07:16. > :07:18.declared in the Canadian province of Alberta because of a raging

:07:19. > :07:20.wildfire which threatens 88,000 people -

:07:21. > :07:23.the entire population of Fort McMurray -

:07:24. > :07:25.was ordered to evacuate yesterday. Now it's feared large parts

:07:26. > :07:27.of the city could be The fire, driven on by fierce winds,

:07:28. > :07:32.has already gutted 1,600 buildings, while oil companies operating

:07:33. > :07:34.in the area have been Some people took refuge

:07:35. > :07:37.in the nearby town of Anzac, but now an evacuation has

:07:38. > :07:39.been ordered there too. Investigators have yet to establish

:07:40. > :07:42.what caused the blaze. Our reporter James Cook sent this

:07:43. > :07:44.update from just outside the city. Well, perhaps just over ten miles

:07:45. > :07:47.outside the city of Fort McMurray, and this is where as you can see

:07:48. > :07:50.the emergency services are staging Now we have seen

:07:51. > :08:00.various firefighting vehicles, we have seen

:08:01. > :08:02.tankers with fuel to refuel the vehicles that

:08:03. > :08:03.are working in there, and we have also

:08:04. > :08:06.seen buses going on as well. This is a junction

:08:07. > :08:08.and straight down that But if you take a turn

:08:09. > :08:16.along towards the right-hand side here what you will

:08:17. > :08:22.see is another turn, we cannot see right-hand side here what you will

:08:23. > :08:25.see is another town, we cannot see it from here, but a turn called

:08:26. > :08:28.Anzac, and that community now is They have moved away both

:08:29. > :08:32.to the north of Fort McMurray and here to

:08:33. > :08:35.the south and east and they are threatening

:08:36. > :08:37.town of Anzac and the neighbouring communities.

:08:38. > :08:39.A woman from West Yorkshire has been describing how a string

:08:40. > :08:48.of hospital failings led to her son being stillborn.

:08:49. > :08:50.Sam Reid's son Theo died at a midwife-led unit

:08:51. > :08:53.After taking legal action the NHS Trust responsible admitted

:08:54. > :08:55.liability, apologised and settled out of court.

:08:56. > :08:59.Sam Reid has told the BBC how she feels the care she received led

:09:00. > :09:02.It was only last half an hour of my labour

:09:03. > :09:04.that it was realised that

:09:05. > :09:09.And it was just like a disaster from there

:09:10. > :09:14.It was so traumatic that the last half an hour of what happened,

:09:15. > :09:19.when he came out, everything, resuscitating him, I feel that my

:09:20. > :09:29.care wasn't right and I actually feel that that's the reason he died.

:09:30. > :09:33.And we'll bring you more of that interview in a few minutes' time -

:09:34. > :09:36.Britain's newest daily newspaper "The New Day" is closing down, just

:09:37. > :09:40.Publisher Trinity Mirror said that circulation for the title

:09:41. > :09:47.was well below expectations, despite supportive reviews and

:09:48. > :09:51.There were hopes that the paper would sell about 200,000

:09:52. > :09:54.copies a day, but sales are reported to be about 40,000.

:09:55. > :10:11.At least 31 people have been injured after an Etihad Airways flight ran

:10:12. > :10:14.in to severe turbulence as it prepared to land in the Indonesian

:10:15. > :10:18.Nine passengers and crew were taken to hospital while the others

:10:19. > :10:21.The United Arab Emirates' national airline said that cabin luggage bins

:10:22. > :10:24.At least 31 people have been injured after an Etihad Airways flight ran

:10:25. > :10:27.The United Arab Emirates' national airline said that cabin luggage bins

:10:28. > :10:30.At least 31 people have been injured after an Etihad Airways flight ran

:10:31. > :10:33.The United Arab Emirates' national airline said that cabin luggage bins

:10:34. > :10:35.were damaged while passengers said oxygen masks were released

:10:36. > :10:39.The mother of Fusilier Lee Rigby - the soldier murdered by two Muslim

:10:40. > :10:42.extremists near his barracks in South London three years ago -

:10:43. > :10:45.has told the BBC how she suffers constant pain over his killing.

:10:46. > :10:47.In an exclusive interview, Lyn Rigby said she would never

:10:48. > :10:49.forgive his murderers, and would never be

:10:50. > :10:52.At least 31 people have been injured after an Etihad Airways flight ran

:10:53. > :10:55.She's set up a foundation in honour of her son, to help bereaved

:10:56. > :10:57.families of those who served in the armed forces.

:10:58. > :11:01.Tell us about Lee, tell us about your son, what sort

:11:02. > :11:04.of a young boy was he, what sort of a young man was

:11:05. > :11:08.Always cheeky, tried overstepping the mark a few times.

:11:09. > :11:10.When he joined the Army, he just completely

:11:11. > :11:14.I think they turned the boy into a man.

:11:15. > :11:16.Lee was killed almost three years ago on May the

:11:17. > :11:19.Tell us about that day, how did you find out?

:11:20. > :11:22.I received a phone call from Sarah, my daughter, asking

:11:23. > :11:24.if I had heard about a soldier being murdered in Woolwich.

:11:25. > :11:34.I started panicking then, because Lee always used to phone me

:11:35. > :11:36.if any tragedy happened, you know, just to put

:11:37. > :11:42.my mind at rest that he was safe and well.

:11:43. > :11:53.So I think something hit then, this could be the, as I walked into

:11:54. > :11:59.So I think something hit then, this could be Lee, as I walked into

:12:00. > :12:03.the canteen, obviously the news was on in the canteen, and I saw

:12:04. > :12:06.Them draggin him in the road by his leg.

:12:07. > :12:16.I recognised the build, the hoodie, the boots, he

:12:17. > :12:44.I was trying to reassure the girls that he was probably a week training

:12:45. > :12:51.with cadets, like he used to do. I then went up to bed,

:12:52. > :12:54.this was just before two, and as I got into the bedroom

:12:55. > :12:57.the knock on the door... As for the men who

:12:58. > :12:59.murdered him, Lyn says I could never forgive

:13:00. > :13:02.them and move on, It is always there,

:13:03. > :13:12.it is there constantly, from the minute you open your eyes,

:13:13. > :13:15.to the minute you close, you know, it is a constant

:13:16. > :13:17.heartache all the time. You have got to be there

:13:18. > :13:19.for the children. At the end of the day

:13:20. > :13:21.they've already lost And they don't want

:13:22. > :13:25.to lose their mum, So you have to try and carry

:13:26. > :13:29.on for their sake. Now if you have a spare 70 million

:13:30. > :13:32.dollars lying around, why not put this top

:13:33. > :13:34.of your shopping list? This gigantic rough diamond

:13:35. > :13:37.was mined in Botswana late last year It's 1190 carats and is roughly

:13:38. > :13:41.the size of a tennis ball. Once it's cut and polished it

:13:42. > :13:58.could be the largest top That is what you call a sparkler!

:13:59. > :14:05.I am trying to work out what on earth you would use it for.

:14:06. > :14:10.We will be talking a bit more in a few minutes about the story in the

:14:11. > :14:14.news, Sam's story. We'll would be asking, does a doctor need to be on

:14:15. > :14:19.hand when a woman is giving birth? We will hear from Sam, whose baby

:14:20. > :14:26.tragically died after a series of blunders at the midwife- led unit

:14:27. > :14:29.will where she gave -- where she gave birth. We will try to weave

:14:30. > :14:35.some of your comments into our discussion shortly, if you get in

:14:36. > :14:40.touch, remember our hashtag. Now, sport. A disappointing end for

:14:41. > :14:51.Manchester City in Europe. They lost to Real Madrid last night.

:14:52. > :14:58.They went behind after 20 minutes, when Gareth bail's shot

:14:59. > :15:03.deflected off Fernando. City struggled to get into the game,

:15:04. > :15:06.but they came close when they hit the post in the first

:15:07. > :15:25.half. They went through to We were unlucky because it was a

:15:26. > :15:33.cross and a deflection. The ball went in the top corner.

:15:34. > :15:40.Both teams, we were similar in the first leg.

:15:41. > :15:43.Liverpool's manager believes the support of the fans at Anfield is

:15:44. > :15:45.something he can't buy. They will try to harness it as they reach

:15:46. > :15:59.a European final of their own. They will have to come from behind

:16:00. > :16:06.because of their 1-0 aggregate score last week.

:16:07. > :16:13.passion, our readiness, together with the atmosphere of Anfield,

:16:14. > :16:19.that's what I'm looking for. Despite finishing on the podium two

:16:20. > :16:28.races ago, a Red Bull driver has been replaced by an

:16:29. > :16:29.18-year-old. He was the youngest driver in the sport

:16:30. > :16:34.when he made his debut at the age of 17. Rebel have now swap the two

:16:35. > :16:46.Zara Tindall will be looking to claim her place in Rio

:16:47. > :16:48.at the Badminton Horse Trials which start today.

:16:49. > :16:50.Tindall, who was the BBC Sports Personality of the Year back

:16:51. > :16:53.in 2006, will ride High Kingdom, who took her to team

:16:54. > :16:58.The horse is still to qualify for Rio, having missed almost

:16:59. > :17:05.Bolton's Amir Khan is back in the boxing ring this weekend

:17:06. > :17:11.He'll be the heavy underdog as he moves up two weight classes

:17:12. > :17:12.to face big-punching Mexican Saul Alvarez

:17:13. > :17:19.He's made a special documentary with the BBC ahead of the fight.

:17:20. > :17:34.This is my other baby here. So I've got this, it

:17:35. > :17:42.is the Z06 corvette, zero to 60 in a ridiculous speed. He's not allowed

:17:43. > :17:45.to drive it, he is too young. It is a beautiful car, it is a limited

:17:46. > :17:47.edition one and the colour is nice as well.

:17:48. > :17:49.And you can watch that BBC Three documentary through the iPlayer -

:17:50. > :17:53.That's it for now, see you at 10:30am.

:17:54. > :18:19.It should have been one of the most joyous days of Sam Reid's life,

:18:20. > :18:22.but instead a series of blunders at Pontefract Hospital ended in

:18:23. > :18:26.Her son Theo was stillborn at the midwife led unit

:18:27. > :18:29.They are stand alone units, which can be miles

:18:30. > :18:33.They are led by midwives and don't have the medical facilities

:18:34. > :18:35.and doctors that are available on a labour ward.

:18:36. > :18:38.Some feel that the midwife-led approach is better for women

:18:39. > :18:40.in labour and others that doctors should always be

:18:41. > :18:43.In Sam Reid's case Mid Yorkshire NHS Trust has admitted responsibility

:18:44. > :18:46.and offered to settle the case out of court.

:18:47. > :18:52.It was only the last half an hour of my

:18:53. > :18:54.labour that it was realised something was going wrong.

:18:55. > :18:57.And it was just like a disaster from there

:18:58. > :19:04.It was so traumatic that the last half an hour what happened,

:19:05. > :19:06.when he came out, everything, resuscitating him, I felt that my

:19:07. > :19:11.I actually feel that that is the reason he died.

:19:12. > :19:19.Various, loads of things that went wrong.

:19:20. > :19:22.My notes, everything, they weren't right, I

:19:23. > :19:25.was given the wrong drugs at the wrong time...

:19:26. > :19:29.They never, ever monitored me through my neighbour.

:19:30. > :19:31.They never, ever monitored me through my labour.

:19:32. > :19:36.All the little things like that now are adding up, so that's

:19:37. > :19:41.I had a midwife at the side of me telling me

:19:42. > :19:44.it was all going to be all right, and when the paramedics said we have

:19:45. > :19:48.got a heartbeat I sort of had hope then, and then I just did not want

:19:49. > :19:55.It was the paramedic who said to me, sorry, your son has died.

:19:56. > :20:05.It was just from then that it was like it had hit me.

:20:06. > :20:14.I went into natural labour, everything was going

:20:15. > :20:17.normal, as it should, you take the car seat

:20:18. > :20:20.to the hospital with you, thinking you are going to come home

:20:21. > :20:36.We had been told so many times that should not have happened that day.

:20:37. > :20:43.But we didn't know any of it at that point.

:20:44. > :20:46.And even after he had been born we didn't know that they

:20:47. > :20:49.had done the things they did, or hadn't done the things they were

:20:50. > :20:51.supposed to, we never knew any of that until after.

:20:52. > :20:54.And now we are realising that it was such a

:20:55. > :21:04.Sam Reid talking about Herrick spirits at the devastating loss of

:21:05. > :21:06.her son. We've had a statement

:21:07. > :21:08.from Gill Pownall, the Head of Nursing and Midwifery,

:21:09. > :21:10.at The Mid Yorkshire Hospitals She says: "We have met

:21:11. > :21:14.with Mrs Reid and her family We cannot comment on actions taken

:21:15. > :21:18.in regards to staff, We also cannot comment further due

:21:19. > :21:21.to the ongoing litigation case Viewers in Yorkshire can see more

:21:22. > :21:29.on this story tonight on BBC One at 6:30pm on BBC Look North

:21:30. > :21:32.and everywhere else a little Let's talk a bit more about people's

:21:33. > :21:38.experiences of midwife-led units and how they compare to your more

:21:39. > :21:51.traditional hospital maternity unit. Suzanne Munro, a clinical negligence

:21:52. > :21:59.specialist represented Sam Reid in that case. Sarah Gregson is a

:22:00. > :22:05.consultant midwife at Maidstone birth centre. Marian Reece lives in

:22:06. > :22:09.London and had her baby on a midwife led unit. Richard Stanton's baby

:22:10. > :22:14.girl Kate died in March 2009 just hours after being born in a midwife

:22:15. > :22:19.led unit. Thank you for joining us. Sarah Gregson, first I want to come

:22:20. > :22:23.to you because you are a consultant midwife at a birth centre. Just

:22:24. > :22:27.explain first of all for people not familiar with the various set-ups

:22:28. > :22:32.what a midwife led Centre is and what it can mean in terms of how far

:22:33. > :22:38.away potentially medical experts are if difficulties are encountered and

:22:39. > :22:44.one is needed. OK, yes. As you say, I'm a consultant midwife in Kent and

:22:45. > :22:49.I work across the whole trust, I work in the hospital and in the

:22:50. > :22:53.birth centre as well. Are two types of birth centres, one type of birth

:22:54. > :22:57.centre is attached to the main labour ward in the hospital and the

:22:58. > :23:04.other type is a freestanding birth centre. These can be varying

:23:05. > :23:12.distances from the hospital, ours is about 14 miles. Let's bring in

:23:13. > :23:17.Richard because we heard Sam talk about the loss of 30, and I'm so

:23:18. > :23:20.sorry to say that you also lost your baby after giving birth in a

:23:21. > :23:25.midwife-led unit. Tell us what happened when you went to the unit,

:23:26. > :23:31.your wife had gone into labour and there had been no problems up until

:23:32. > :23:38.that moment? No, none at all. First of all, can I just say, having heard

:23:39. > :23:41.Sam's story how sorry I am to hear again another story that has

:23:42. > :23:45.devastated a family and the lives of that family, so my heart goes out to

:23:46. > :23:51.Sam and her part in for the loss of PO. We lost our daughter Kate on the

:23:52. > :24:01.1st of March 2009 six hours after she was born. -- Theo. My wife had a

:24:02. > :24:06.normal labour, as normal as it could be, but in the last two weeks of her

:24:07. > :24:08.labour their work application is reducing foetal movement, multiple

:24:09. > :24:13.episodes of reducing foetal movement and each was only looked at in

:24:14. > :24:17.isolation so they holistic care was not looked at as an overall picture.

:24:18. > :24:21.She was botched to deliver at a midwife-led unit in our hometown of

:24:22. > :24:25.Ludlow in South Rock show, some 28 miles from the nearest tertiary

:24:26. > :24:31.hospital at the time, royal shoes brief, a journey time of about 40

:24:32. > :24:36.minutes -- Royal Shrewsbury. She went into labour on Saturday and

:24:37. > :24:41.laboured through the night and at 10:03am on Sunday morning she gave

:24:42. > :24:45.birth to our beautiful they beat daughter Kate. Immediately it was

:24:46. > :24:50.recognisable there were issues with Kate, she was born cold, pale and

:24:51. > :24:56.floppy and she didn't respond. She didn't have much suck reflex, if

:24:57. > :25:00.indeed any at all. The midwife on duty didn't recognise the symptoms

:25:01. > :25:01.because I don't think midwives are trained...

:25:02. > :25:05.BROADCAST INTERRUPTED BY INTERFERENCE.

:25:06. > :25:11.STUDIO: Unfortunately the connection to Richard has frozen, we will try

:25:12. > :25:16.to fix that. Let's read you a statement because we've had a

:25:17. > :25:17.statement from Shrewsbury and Telford Hospital NHS Trust.

:25:18. > :25:20.The chief executive Simon Wright says -

:25:21. > :25:23."Nothing can make up for the loss of Kate but I sincerely hope

:25:24. > :25:26.that the improvements we have made and continue to make and the lessons

:25:27. > :25:28.we have learned and continue to learn will ensure that these

:25:29. > :25:31.tragic events are not repeated, but instead go to inform

:25:32. > :25:37.and shape our maternity care both now and in the future."

:25:38. > :25:42.Suzanne Munroe, you are the solicitor for Sam who we heard from

:25:43. > :25:49.earlier. We have just heard from Richard in his case the closest

:25:50. > :25:55.hospital was 28 miles away. How much of a factor is that in cases that

:25:56. > :26:00.you have been involved with? The distance to the nearest medical help

:26:01. > :26:05.if there is an issue? There certainly is an issue about

:26:06. > :26:12.distance because my concern as a lawyer is the fact that there are

:26:13. > :26:19.minutes often between a baby being brain-damaged, or tragically the

:26:20. > :26:24.baby dying. In a hospital setting where the emergency care, for want

:26:25. > :26:26.of a better term, is immediately accessible. You can basically pushed

:26:27. > :26:32.through the doors and get to the doctors. Those situations can be

:26:33. > :26:37.dealt with and things can still go wrong even if that happens but if a

:26:38. > :26:42.midwife has got to make a decision to call an ambulance, to drive down

:26:43. > :26:47.the motorway or the dual carriageway, or wherever to the

:26:48. > :26:52.nearest hospital, that is a big issue and I'm seeing it more and

:26:53. > :26:59.more in cases we are looking at. How many cases have you been

:27:00. > :27:04.involved with? Over the years? Yes. In stillbirth cases I would imagine

:27:05. > :27:10.over the last 15 or 20 years, myself, I've probably done about 25

:27:11. > :27:16.or 30 of those cases and as a team we are probably handling about 20

:27:17. > :27:22.cases or more at the moment. I'm not seeing less of them. There are more,

:27:23. > :27:29.if anything. Sarah, what do you say to the point Suzanne was making

:27:30. > :27:33.about if there is an issue and the midwife facilities are on the site

:27:34. > :27:36.of the hospital you can just pushed through a door to get instant

:27:37. > :27:42.medical help from a doctor. With these midwife-led units it's not

:27:43. > :27:47.always possible. OK, what I'd like to say first of

:27:48. > :27:50.all, the two cases we've heard this morning sound really harrowing and

:27:51. > :27:57.really terrible and my heart really goes out to the parents concerned

:27:58. > :28:00.and their babies. I can't comment on the individual cases because that

:28:01. > :28:17.would not be appropriate for me to do so. But I think the person who

:28:18. > :28:20.spoke second... Sorry, who was it? Richard who lost his daughter and

:28:21. > :28:25.the nearest hospital was 28 miles away.

:28:26. > :28:31.Yes, to come back to what Richard said, he said something about baby's

:28:32. > :28:35.movements and the history of the baby not moving well for a period of

:28:36. > :28:38.time. The whole thing about midwifery led units is the business

:28:39. > :28:43.of making sure that the right women are there. Clearly somebody who has

:28:44. > :28:49.a history of the baby not moving before birth, that would be

:28:50. > :28:54.absolutely a case where that mother should be in hospital and not in a

:28:55. > :29:00.midwifery led centre. Sorry to interrupt, but how quickly

:29:01. > :29:04.can things change in childbirth and become unpredictable?

:29:05. > :29:10.I would say that in the vast majority of cases we should be able

:29:11. > :29:15.to pick up if there is a problem happening in the labour and do

:29:16. > :29:20.something about it. The absolute key to the safety of midwifery led units

:29:21. > :29:26.is this business of what we call risk assessing which essentially

:29:27. > :29:29.starts from the beginning of the pregnancy to make sure somebody is

:29:30. > :29:34.low risk and suitable for a midwifery led unit birth. That

:29:35. > :29:38.process should not stop there, it should go on through the pregnancy,

:29:39. > :29:41.at each visit things should be checked to see if they are normal

:29:42. > :29:45.and right through the pregnancy and then it goes on when a summary is

:29:46. > :29:54.admitted to a midwifery led unit, check if everything is normal and

:29:55. > :29:59.throughout the Labour itself. It is important to emphasise this business

:30:00. > :30:08.of risk assessment is absolutely key to midwifery led units. I'd like to

:30:09. > :30:15.just say about safety as well, because up until 2011 there had been

:30:16. > :30:19.midwifery-led units for many years but up until 2011 there wasn't

:30:20. > :30:25.really good research around the safety of such units. And in 2011

:30:26. > :30:31.there was something that changed all of that. That was a really good

:30:32. > :30:36.piece of research called the Birthplace Study looking at 64,500

:30:37. > :30:40.women who were all low risk and have their babies at different birth

:30:41. > :30:48.settings including freestanding midwifery-led units. They actually

:30:49. > :30:54.found that perinatal mortality rates were the same but there were clear

:30:55. > :30:58.benefits for low risk women, and I emphasise again low risk women, so

:30:59. > :31:03.not people who have complications. But for those women delivering in a

:31:04. > :31:10.freestanding midwifery-led unit there is far less intervention and

:31:11. > :31:14.that actually makes them safer for low risk women. I want to bring in

:31:15. > :31:17.Marion because you are in the studio with your gorgeous boy Eli who you

:31:18. > :31:19.had 11 months ago in a midwife-led unit. You had a good experience,

:31:20. > :31:30.didn't you? I did. Hopefully, I can use a birth

:31:31. > :31:40.centre again. It was really good and the carer was great. I had a -- I

:31:41. > :31:45.had a water birth. A normal, natural birth. Everything went well and the

:31:46. > :31:48.midwives were just amazing. Did you have concerns about what would

:31:49. > :31:53.happen if things went wrong and how far away doctors might be?

:31:54. > :31:57.Thankfully, I was in a birth centre attached to the hospital. That was

:31:58. > :32:08.important, because Eli, being my first birth, I didn't want to be far

:32:09. > :32:13.from hospital. For the second one, because I know every birth is

:32:14. > :32:18.different, I probably would be fine using a stand-alone midwifery led

:32:19. > :32:23.birthing unit. For the first one, I wanted to be close to a hospital.

:32:24. > :32:26.Sarah was talking about the importance of risk assessment to

:32:27. > :32:32.make sure that the right women are sent to these midwife units. What do

:32:33. > :32:37.you say to that? Is that a fair enough point to make? It is a fair

:32:38. > :32:42.enough point, but what we see, and what I have seen for a long time,

:32:43. > :32:46.and it doesn't change, in our experience, mistakes are made in

:32:47. > :32:52.terms of risk assessment. Is that what it comes down to? Just to be

:32:53. > :32:58.clear, the wrong people are going, not necessarily that any birth is

:32:59. > :33:03.unpredictable? I think it is both. I think it is important to assess risk

:33:04. > :33:08.and get it correct, but mistakes are made, and women are assessed as low

:33:09. > :33:13.risk as in Sam's case, so we see that. Also, birth is unpredictable.

:33:14. > :33:21.The majority of work that I do is children who are brain injured, and

:33:22. > :33:25.you have got a maximum of ten minutes before you see a problem if

:33:26. > :33:29.the oxygen supply as been cut off completely. You're talking about

:33:30. > :33:34.potentially damaging brain injury, and ten minutes is not very long. I

:33:35. > :33:38.read out the statement from the trust involved in Richard's case,

:33:39. > :33:43.saying that they had learned lessons and they continue to learn. In your

:33:44. > :33:52.experience, our lessons learned from every mistake is mac I think some

:33:53. > :33:59.are, but were denied -- midwives -- from every mistake is mac I think

:34:00. > :34:02.some are, but if you have a midwife who has two women in labour, and

:34:03. > :34:07.they get into difficulties, which one do they go with?

:34:08. > :34:09.Thank you for joining us. Unfortunately, we've lost Richard

:34:10. > :34:17.during the conversation, but it was good to hear the perspective of all

:34:18. > :34:26.of you. Thank you to Richard if you can see us talking.

:34:27. > :34:31.A viewer says, hope you can see this, all my love and best wishes.

:34:32. > :34:35.My heart goes out to you all. Do keep getting in touch with

:34:36. > :34:35.everything we are talking about today.

:34:36. > :34:38.Coming up: Would you mind seeing

:34:39. > :34:40.your GP on Skype? We'll hera from family doctors

:34:41. > :34:43.who are investigating new ways And we talk to a number of people

:34:44. > :34:47.who say they're victims of a timeshare offer that wasn't

:34:48. > :34:54.all it was cracked up to be. Here's Annita McVeigh

:34:55. > :34:56.in the BBC Newsroom A group of senior medics has called

:34:57. > :35:12.on both sides in the long-running junior doctors dispute to agree

:35:13. > :35:14.to fresh talks in an attempt to avoid a further

:35:15. > :35:16.escalation in the crisis. The Academy of Medical Royal

:35:17. > :35:18.Colleges, which represents doctors on training and education,

:35:19. > :35:21.says both sides should agree The BMA says it's prepared to agree,

:35:22. > :35:24.but the government said it was too late to suspend

:35:25. > :35:26.the contract imposition. A woman from West Yorkshire has been

:35:27. > :35:29.telling this programme about a string of hospital failings

:35:30. > :35:32.before her son was stillborn. Sam Reid's son Theo died

:35:33. > :35:35.at a midwife-led unit After taking legal action the NHS

:35:36. > :35:38.Trust responsible admitted liability, apologised and settled

:35:39. > :35:41.out of court. Sam Reid has told the BBC how

:35:42. > :35:45.she feels the care she received led Here - the polls have opened

:35:46. > :35:49.for local, regional and some parliamentary elections

:35:50. > :35:51.across the UK, on what's been The elections are for

:35:52. > :35:53.the Scottish Parliament, National Assembly of Wales,

:35:54. > :35:55.Northern Ireland Assembly New mayors will be elected

:35:56. > :36:00.in London, Bristol, Liverpool and Salford,

:36:01. > :36:02.and there are parliamentary by-elections in Ogmore

:36:03. > :36:05.and Sheffield Brightside. Police and crime commissioners

:36:06. > :36:07.are also being elected Barnet Council in north London has

:36:08. > :36:14.apologised this morning for problems It says a number of people

:36:15. > :36:18.who didn't have their polling cards It advises people who were turned

:36:19. > :36:24.away to return later. Diplomatic pressure

:36:25. > :36:27.from the United States and Russia has led to the embattled city

:36:28. > :36:30.of Aleppo being included The agreement came into force a few

:36:31. > :36:37.hours ago, and there's already been Syrian state television confirmed

:36:38. > :36:41.the army had announced A state of emergency has been

:36:42. > :36:50.declared in the Canadian province of Alberta because of a raging

:36:51. > :36:52.wildfire which threatens 88,000 people -

:36:53. > :36:55.the entire population of Fort McMurray -

:36:56. > :36:59.was ordered to evacuate yesterday. Now it's feared large parts

:37:00. > :37:01.of the city could be The fire, driven on by fierce winds,

:37:02. > :37:11.has already gutted 1600 buildings, while oil companies operating

:37:12. > :37:13.in the area have been Some people took refuge

:37:14. > :37:16.in the nearby town of Anzac, but now an evacuation has

:37:17. > :37:18.been ordered there too. Investigators have yet to establish

:37:19. > :37:27.what caused the blaze. Britain's newest daily newspaper

:37:28. > :37:29."The New Day" is closing down, just Publisher Trinity Mirror said that

:37:30. > :37:33.circulation for the title was well below expectations,

:37:34. > :37:35.despite supportive reviews and There were hopes that the paper

:37:36. > :37:39.would sell about 200,000 copies a day, but sales

:37:40. > :37:41.are reported to be about 40,000. At least 31 people have been injured

:37:42. > :37:49.after an Etihad Airways flight ran in to severe turbulence as it

:37:50. > :37:53.prepared to land in the Indonesian Nine passengers and crew were taken

:37:54. > :37:59.to hospital while the others The United Arab Emirates' national

:38:00. > :38:04.airline said that cabin luggage bins were damaged while passengers said

:38:05. > :38:06.oxygen masks were released That's a summary of the latest BBC

:38:07. > :38:14.News - more at 10:00am. Here's some sport now with Hugh,

:38:15. > :38:26.and a disappointing end Good morning. Bad news if you are a

:38:27. > :38:30.Manchester City fan today. They were 90 minutes away from a first

:38:31. > :38:35.Champions League final, but they didn't create much, beating 1-0 by

:38:36. > :38:39.Real Madrid in Spain. Manuel Pellegrini said he had no regrets

:38:40. > :38:48.about their approach. City fans may beg to differ. That deflected shot

:38:49. > :38:54.from Gareth bail meant a golfer Fernando.

:38:55. > :39:05.Juergen clop believes the support at Anfield tonight could make the

:39:06. > :39:09.difference. Rebel have replaced one of their

:39:10. > :39:13.drivers with an 18-year-old. They have replaced him, they say, so he

:39:14. > :39:19.can regain his form. Zara Tindall is hoping to book her

:39:20. > :39:24.place at the Rio Olympics. The Olympic silver medallist will look

:39:25. > :39:27.for an individual spot. That is all the sport for now. Back

:39:28. > :39:33.to you, Joanna. Have you ever been tempted

:39:34. > :39:36.by the idea of a timeshare? Thousands of us own them and enjoy

:39:37. > :39:39.great holidays but a group of over 400 timeshare owners are claiming

:39:40. > :39:42.they were sold a dud, The group are fighting

:39:43. > :39:45.for compensation in a landmark legal case that could lead

:39:46. > :39:47.to thousands of claims. They argue that the company

:39:48. > :39:50.they bought into - RCI Europe - didn't always deliver on the promise

:39:51. > :39:55.of easy exchange of a week bought RCI Europe says it will prove

:39:56. > :39:59.the dispute is unfounded and they have always made clear

:40:00. > :40:01.that members may not get Let's speak now to Jonathan Price,

:40:02. > :40:12.a time share owner taking part in the class action

:40:13. > :40:14.and Paul Gardner Bougaard, chief executive of Resort

:40:15. > :40:15.Development Organisation, which represents

:40:16. > :40:33.timeshare companies. Jonathan, tell us, you are taking

:40:34. > :40:39.part in this class action - why? I bought my first time she in 1984,

:40:40. > :40:44.four ?7,800, a lot of money in those days. I bought into it for two

:40:45. > :40:48.reasons. First, the promise of endless holidays. They had a

:40:49. > :40:53.fabulous, glossy brochure showing pictures of all the places in the

:40:54. > :40:57.world. The promise was, what, that you would have a week in one

:40:58. > :41:03.environment but you could change it every year from where you wanted to

:41:04. > :41:07.go? RCI is the exchange system, it is the club for time-share owners.

:41:08. > :41:13.You deposit your week in their bank and then you can withdraw someone

:41:14. > :41:18.else's week. That is the idea. They said, if you buy this time-share in

:41:19. > :41:23.London now, you can exchange it for all of these wonderful places in the

:41:24. > :41:27.brochure. How did it work out? It didn't work out very well. We

:41:28. > :41:34.discovered fairly quickly, my wife and I, that we couldn't get the

:41:35. > :41:38.places we wanted to go to. We made application after application for

:41:39. > :41:45.places that we really wanted to go to that had attracted us in the

:41:46. > :41:50.first place. It dawned on us after a few years that we had to change our

:41:51. > :41:53.strategy, because it was very frustrating constantly asking to go

:41:54. > :41:58.to places and being told there wasn't any availability. Instead of

:41:59. > :42:03.doing that, we turn things around, and I used to bring RCI and say,

:42:04. > :42:08.where do you have available? And then I would choose. But that was

:42:09. > :42:14.not the promise in the first post. You have had it for a long time - 32

:42:15. > :42:19.years. Yes. Why has it taken so long to complain? As an individual, you

:42:20. > :42:25.don't feel there is much you can do. I have complained that there is not

:42:26. > :42:28.much action you can take until someone talked about starting this

:42:29. > :42:34.class action, which enabled us to get together. Paul, I know you are

:42:35. > :42:41.not speaking about this particular case, but how many owners do the

:42:42. > :42:52.exchange? There are about 1.2 million time-share owners in Europe,

:42:53. > :42:59.about... You have to understand a lot of our members, owners will

:43:00. > :43:03.exchange within the group or go to the exchange companies. It is a

:43:04. > :43:06.fairly complex system, and the exchange will depend on the value of

:43:07. > :43:12.the time-share being deposited, the time of year someone wants to go. As

:43:13. > :43:16.Mr Price said, it depends on what is available at a particular time. It

:43:17. > :43:20.is quite complex. In their statement of case, RCI say that they have

:43:21. > :43:25.always made clear that not all members will achieve the exchanges

:43:26. > :43:31.they desire. It is inherent in any exchange system that that is the

:43:32. > :43:35.case. That's correct. I have been a time-share owner in the past and we

:43:36. > :43:47.have used exchange. Sometimes it works, sometimes it hasn't. If I do

:43:48. > :43:53.it last-minute, I can get the exchange I want, where we are going

:43:54. > :44:06.to Thailand next month and that was easy to get hold of. The vast

:44:07. > :44:10.majority... RCI in Europe has several loans, most of whom are

:44:11. > :44:14.satisfied. In terms of the proportion of cases that they say

:44:15. > :44:19.are involved, they say it is a tiny fraction. I can't find the figure

:44:20. > :44:32.right now. They say it is a tiny fraction of 1%. In terms of the

:44:33. > :44:35.number of the whole pool. Going back to RCI, and they say they are

:44:36. > :44:39.robustly defending this case. They say the case is founded on a

:44:40. > :44:45.fundamental misunderstanding of how the system works and that the

:44:46. > :44:53.claimants are claiming that RCI skims off time-shares. They say they

:44:54. > :44:56.don't. That would mean that they took the prime properties out of the

:44:57. > :45:00.pool and rented them out to make money. They say they absolutely

:45:01. > :45:04.don't do that. Have you ever come across that happening, Paul? I

:45:05. > :45:09.haven't. The court will need to decide on that. Not to my knowledge.

:45:10. > :45:13.It is a case that's going to court. We will keep across what happens.

:45:14. > :45:16.Thank you both for coming in and joining us.

:45:17. > :45:18.Coming up - how the virtual world could help sufferers

:45:19. > :45:28.It's a great story. Stay with us for that.

:45:29. > :45:32.Britain's newest daily newspaper - The New Day - is to close just nine

:45:33. > :45:36.The editor - Alison Philips - said they had tried everything,

:45:37. > :45:38.but had failed to make the newspaper financially viable.

:45:39. > :45:41.New Day was the first new national paper since the i began in 2010.

:45:42. > :45:43.Our correspondent Jane-Frances Kelly has been following the story.

:45:44. > :45:45.Jane you've been out this morning getting reaction -

:45:46. > :45:54.I went into the centre of London to talk to people to see if they knew

:45:55. > :46:00.about the closure and to show them the paper and say, have you read it?

:46:01. > :46:05.What did you think about it? Sadly, most people hadn't even heard about

:46:06. > :46:10.it, which indicates the problem. Have you seen this newspaper? Never.

:46:11. > :46:18.Would you have bought it if you had seen it? Probably not. I wonder if

:46:19. > :46:24.you have ever bought it or seen it? I have never heard of it. It was

:46:25. > :46:29.launched two months ago and is closing down. I have never heard of

:46:30. > :46:36.it, and I work in advertising. That is quite surprising. It appears to

:46:37. > :46:40.be very low profile. Yes, I haven't seen it. It is being handed out at

:46:41. > :46:50.stations? No, you have to pay for it. Oh... I wasn't aware of it, will

:46:51. > :46:59.you? Where do they sell it? I guess, in newsagents. It is 50p. It seems

:47:00. > :47:02.reasonable, and it seems like a few pages. It is a lot for 50p. I wasn't

:47:03. > :47:11.aware. As you can tell most people were not

:47:12. > :47:17.aware of it and had not read it. I think the problem is it didn't have

:47:18. > :47:20.a website, and more people are adjusting views online and it didn't

:47:21. > :47:26.seem to have a unique selling point, many critics said it was a hot

:47:27. > :47:28.porch, with papers like the Metro which have been successful people

:47:29. > :47:30.would pick it up when going to work or coming back.

:47:31. > :47:32.Thank you, Jane Frances-Kelly. Another truce of sorts was declared

:47:33. > :47:35.again in the Syrian town of Aleppo yesterday,

:47:36. > :47:40.but however many times we hear the word ceasefire, the violence

:47:41. > :47:42.in the war torn country seems Explosions have been heard

:47:43. > :47:46.across the city and the regime is blaming rebels for violating

:47:47. > :47:48.the deal with This morning, we're going to be live

:47:49. > :47:52.in Syria hearing from those living Ala Tchalabi's mum,

:47:53. > :47:58.dad and sister live in the government-held

:47:59. > :48:00.part of Aleppo. at the Institute

:48:01. > :48:04.of Language Studies. family have been killed

:48:05. > :48:09.by government bombing. Also joining us from Aleppo

:48:10. > :48:12.is Wissam Zarkau, an English teacher at Aleppo's Institute of Language

:48:13. > :48:18.Studies. He lives in the rebel-held

:48:19. > :48:20.area of Aleppo. And Declan Walsh, journalist

:48:21. > :48:32.for the New York Times who has Thank you for joining us. Mohammed

:48:33. > :48:36.you are living with your family in the rebel held area of Aleppo. Tell

:48:37. > :48:43.us what life is like they're on a daily basis for you. Heller,

:48:44. > :48:51.everybody. It is extremely painful to let you know Aleppo is burning,

:48:52. > :48:57.to tell you serious is bleeding. That is what Bashar Al-Assad wanted,

:48:58. > :49:06.to kill civilians everywhere, in every terrain of Syria, especially

:49:07. > :49:12.in the free city of Aleppo. They are going to see a mother weeping over

:49:13. > :49:21.her own children. Weeping over their families, the carcasses of innocent

:49:22. > :49:27.children, people who have seen nothing in their life but this kind

:49:28. > :49:33.of killing, who see nothing murdering and displacement. That is

:49:34. > :49:40.what Bashar Al-Assad wanted to do for the Syrian people. I want to

:49:41. > :49:46.bring in Wissam who lives in the same part of Aleppo as you. Wissam

:49:47. > :49:54.what is your experience of life there? Similar. My family is OK

:49:55. > :49:59.because they had to run away to Turkey and they are living there and

:50:00. > :50:03.I'm glad they are safe but I prefer to stay here. I was abroad but I

:50:04. > :50:10.came back. Why do you prefer to stay there? Because they need people who

:50:11. > :50:17.can teach, they need doctors, people need engineers, we need everyone who

:50:18. > :50:22.can help. It wouldn't be OK to run away in such circumstances, because

:50:23. > :50:28.it is very dangerous for everyone, doctors, teachers, all the people,

:50:29. > :50:33.so people run away but I could stay and I'm here, this is the idea.

:50:34. > :50:38.There was the ceasefire, which obviously came to an end. It is

:50:39. > :50:43.supposed to be back in force again. What has it been like in recent days

:50:44. > :50:50.and months? Today it's better, no bombing, but

:50:51. > :50:55.only for 48 hours, and they have to accept it because they are having

:50:56. > :50:59.some battles somewhere else, that's why. When they are not fighting,

:51:00. > :51:10.Free Syrian Army would-be bombing us. Either they are fighting with

:51:11. > :51:17.the Russian regime, or they are bombing us. I understand why you

:51:18. > :51:22.want to stay because you want to teach but are you concerned for your

:51:23. > :51:30.safety? It's OK, even if we have to die, this would come everywhere, in

:51:31. > :51:36.Turkey, in Europe. You are with me in the studio, but you have family

:51:37. > :51:40.living in the government-held part of Aleppo, what communication do you

:51:41. > :51:44.have with them and what is life like for them? Communication is difficult

:51:45. > :51:47.because they have a lack of electricity and Internet but we use

:51:48. > :51:52.mobile messaging to keep in touch daily. I spoke to them in the last

:51:53. > :51:57.two days. The last 12 days have been very difficult, they described it as

:51:58. > :52:03.constant bombardment and shelling, like rain, they said. They try to

:52:04. > :52:07.stay at home as much as possible. Obviously they have to get out and

:52:08. > :52:11.about sometimes. This is their daily life now, this is their reality.

:52:12. > :52:19.They feel they are living on hope, they are also resilient, as are most

:52:20. > :52:23.people in Aleppo. They feel they have been let down by international

:52:24. > :52:28.community. How do you feel knowing that people

:52:29. > :52:32.who you love so much are in that environment where they are at such

:52:33. > :52:35.great risk? It's very difficult, obviously

:52:36. > :52:39.because part of me wants to be with them. You were asking the gentleman

:52:40. > :52:44.what he wants to go back, because this is home, this is where we were

:52:45. > :52:46.brought up and I need to see my family. I obviously have other

:52:47. > :52:50.responsibilities because I have a kid here so I can't go back and they

:52:51. > :52:55.can't come out. It's very difficult, they are stuck, it is like a prison.

:52:56. > :53:01.But at the same time life has to go on. It has been five years and we

:53:02. > :53:05.have to go on with our lives, but it is scarring everybody, whether

:53:06. > :53:11.physically or mentally, everyone involved. Let's bring in Declan

:53:12. > :53:17.Walsh, the New York Times journalist. What was it like in

:53:18. > :53:21.Aleppo? On the outskirts of the city it has unfortunately got those

:53:22. > :53:24.iconic images of Syria where you have devastated suburbs, people

:53:25. > :53:28.living in very bad conditions, the surprising thing when you get into

:53:29. > :53:32.the centre of the city, the government-controlled aside, I

:53:33. > :53:36.wasn't able to go to the rebel side, as you speak indicated, there is a

:53:37. > :53:41.semblance of normal life going on, there is a lot of traffic, shops are

:53:42. > :53:45.open, people are going to schools and universities, but in the

:53:46. > :53:48.background there is this constant, every couple of hours, and sometimes

:53:49. > :53:54.more frequently, explosions going off, some of it is the sound of

:53:55. > :53:58.Russian warplanes dropping bombs on the rebel side and sometimes it is

:53:59. > :54:03.rebel artillery coming into the government side and dropping in

:54:04. > :54:06.civilian neighbourhoods indiscriminately as far as one can

:54:07. > :54:11.make out. Sometimes when people step outside their front door to go about

:54:12. > :54:17.their daily business they know they are taking a risk and that can

:54:18. > :54:21.result in death. Wissam, you were nodding through a lot of that, what

:54:22. > :54:28.Declan said about normal life going on but there is this drop their all

:54:29. > :54:39.the time as well. Yes, we're getting used to it, what is happening.

:54:40. > :54:46.Schools stopped for about two weeks, but people get used to it, life gets

:54:47. > :54:51.back to normal after the attacks. People try and clean the Ashes and

:54:52. > :54:55.whatever and come back to life. Do you really remember life before it

:54:56. > :55:02.being like this, and can you imagine what life might be like for you in

:55:03. > :55:11.the future. ? I guess it would be excellent

:55:12. > :55:17.without Bashar Al-Assad. Now we can do what we want, we can criticise

:55:18. > :55:21.the people in control of our areas. This is something new, this freedom

:55:22. > :55:30.is something new. Life could be wonderful when the war ends, when

:55:31. > :55:34.the revolution succeeds. How would you feel being away from it? Would

:55:35. > :55:38.you want to go back? My sister was here for a while and

:55:39. > :55:44.went back a few months ago. Why did she do that? She couldn't be

:55:45. > :55:48.away from her mum for so long. It's that feeling of wanting to see

:55:49. > :55:52.them, of course I'd like to go back and help but as an individual I will

:55:53. > :55:57.probably add nothing and probably become another casualty if I go

:55:58. > :56:01.back. It is very frustrating because I can see that on an individual

:56:02. > :56:11.level people sympathise, people want to help out and reach out if they

:56:12. > :56:14.can, but collectively, as a country, or as different nations there is

:56:15. > :56:18.very little being done. I'm constantly frustrated, that maybe I

:56:19. > :56:21.should do something but the reality is there is nothing I can do and we

:56:22. > :56:26.can only do it collectively and governments should do something on

:56:27. > :56:38.our behalf, that is what we hope. Thank you for joining us. We have

:56:39. > :56:42.some comments about maternity services in maternity led units

:56:43. > :56:47.after Sam told us about her experiences in a maternity led unit

:56:48. > :56:51.which led to the tragic death of her baby.

:56:52. > :56:53.Hen - Would it not be prudent to have a doctor

:56:54. > :56:59.Kenneth tweeted - childbirth: are some of these

:57:00. > :57:01.problems exacerbated by closing too many local hospitals serving

:57:02. > :57:15.We have a text from an anonymous person.

:57:16. > :57:18.It's a fine balance to achieve the ideal birthing environment.

:57:19. > :57:20.I have had two premature births, and am grateful for the doctors

:57:21. > :57:30.A tweet from Nicola - my daughter was delivered immediately.

:57:31. > :57:32.Grateful for amazing a neonatal intensive care unit team

:57:33. > :57:35.who took amazing care of her when she needed it.

:57:36. > :57:40.I had the perfect pregnancy, ideal for a midwife unit, it was traumatic

:57:41. > :57:46.and could have gone so wrong without doctors. Thank you for your

:57:47. > :57:47.comments, keep on getting in touch about that and everything else we

:57:48. > :57:49.are talking about. Let's get the latest weather

:57:50. > :57:59.update - with Phil Avery. Good morning, lots of bright

:58:00. > :58:03.weather, you are not alone in Derbyshire, the skies have been blue

:58:04. > :58:07.in many areas. Further north through the central swathe of Scotland it is

:58:08. > :58:10.a mixture of sunny spells and a fair amount of cloud. In between those

:58:11. > :58:15.two regimes we have a weather front of the Borders area in the southern

:58:16. > :58:19.part of Scotland producing a bit of rain, not much more than that, but

:58:20. > :58:22.what I should say is south of the weather front the pollen levels are

:58:23. > :58:27.quite high, so there is a price to pay for the sunshine, and that's

:58:28. > :58:31.only half the story on that one, I will come back to that in a second.

:58:32. > :58:35.A different regime across the North Western corner of Scotland, showers

:58:36. > :58:38.rattling along on a rather noticeable south-westerly wind. But

:58:39. > :58:44.the greater part of the country enjoying fine and dry weather and

:58:45. > :58:47.temperature is responding as a consequence. It is cool issued

:58:48. > :58:50.across the far north-west of Scotland but further south and in

:58:51. > :58:55.inland areas it will be well into the teens if not 20 degrees but this

:58:56. > :58:58.is the other half of the payoff, the UV levels will be high, this is the

:58:59. > :59:01.first time I've said this the season, so don't be caught out,

:59:02. > :59:05.there is a good deal of strength in the sun this time of year. Into the

:59:06. > :59:09.first part of Friday cool -ish start for some but we still have our old

:59:10. > :59:13.friend the weather front to the east side of Scotland, so low cloud and

:59:14. > :59:17.the odd bit of rain here. It is brighter but with a risk of showers

:59:18. > :59:20.further west in Scotland and through Northern Ireland and much of England

:59:21. > :59:24.and Wales hazy sunshine but that will not stop you burning. It will

:59:25. > :59:28.not stop the temperatures either, up into the mid-teens and low 20s,

:59:29. > :59:31.importing much of the warmth if you see it from the western

:59:32. > :59:35.Mediterranean around the flank of the low pressure and into the

:59:36. > :59:38.British Isles. But come Saturday there will be a supply of moisture

:59:39. > :59:42.as well that will work its way primarily but not exclusively up the

:59:43. > :59:45.western side and following behind the persistent rain we may have a

:59:46. > :59:48.rumble of thunder and a flash of lightning as heavy showers

:59:49. > :59:52.developing the northern parts of the Midlands, and North Wales too.

:59:53. > :59:55.Saturday into Sunday we will push the area of persistent rain away

:59:56. > :00:00.from the north-western quarter, the mainland of Scotland, noticed the

:00:01. > :00:03.isobars, quite breezy and it's a bit on shore so north of the Humber

:00:04. > :00:07.along the eastern shore so there could be low cloud, disappointing

:00:08. > :00:11.fare there. What will make the headlines is those temperatures

:00:12. > :00:12.across the greater part of England, Wales and southern Scotland are set

:00:13. > :00:21.to soar. Welcome to the programme

:00:22. > :00:44.if you've just joined us. Could people suffering from paranoia

:00:45. > :00:49.be held by virtual therapy? We investigate a radical new therapy.

:00:50. > :00:52.Would you see your GP on a Saturday? We are talking to doctors who are

:00:53. > :01:07.trying out new ways of seeing their patients.

:01:08. > :01:14.Here's Annita in the BBC Newsroom with a summary of today's news.

:01:15. > :01:19.The Department of Health says it is too late to suspend the imposition

:01:20. > :01:26.of new junior doctor contract in anger. It comes after an attempt to

:01:27. > :01:32.break the deadlock by the Academy of Royal colleges, which has asked for

:01:33. > :01:35.a five-day pause in order to enable talks to resume.

:01:36. > :01:37.A series of strikes by junior doctors in England affecting

:01:38. > :01:40.routine care was followed last week by two walk-outs on all forms

:01:41. > :01:44.That was unprecedented in the history of the NHS

:01:45. > :01:47.but with consultants and other staff covering the gaps hospitals reported

:01:48. > :01:55.This weekend junior doctor representatives are meeting

:01:56. > :01:58.Now leaders of the medical profession are calling

:01:59. > :02:02.for a five-day pause to allow talks during which the government

:02:03. > :02:04.would temporarily suspend work on introducing the new contract,

:02:05. > :02:08.and the BMA would not plan further action.

:02:09. > :02:12.We are calling for a focused, brief, five-day pause where it gives both

:02:13. > :02:16.sides an opportunity to participate with no ifs, buts, or maybes,

:02:17. > :02:22.Because they tell us that they are 95% in agreement.

:02:23. > :02:26.So surely it must be possible to finally close this gap

:02:27. > :02:30.for the benefit of the NHS junior doctors and patients.

:02:31. > :02:34.The British Medical Association said it would agree to the proposal

:02:35. > :02:37.and temporarily suspend industrial action to allow talks

:02:38. > :02:40.with a mutually agreed facilitator as long as the government did

:02:41. > :02:46.The Department of Health, though, said it was too late to change

:02:47. > :02:49.the process of bringing in contracts which was well underway.

:02:50. > :02:51.But the door was open for talks about implementation

:02:52. > :03:02.There's a new partial ceasefire in place in the embattled

:03:03. > :03:04.Syrian city of Aleppo following violent clashes

:03:05. > :03:06.between government and rebel forces this week which have

:03:07. > :03:09.Diplomatic pressure from the United States and Russia

:03:10. > :03:19.led to a 48-hour truce being declared.

:03:20. > :03:27.BT has announced it will spend ?6 billion on rolling out superfast

:03:28. > :03:36.fibre and 4G mobile connections. The company which took over EE in

:03:37. > :03:39.January, says it's profits have risen to just over ?3 billion.

:03:40. > :03:41.Here, the polls have opened for local, regional and some

:03:42. > :03:43.parliamentary elections across the UK, on what's been

:03:44. > :03:53.The Prime Minister and the Labour leader cast their votes in the May

:03:54. > :03:54.oral election this morning. The elections are for

:03:55. > :03:56.the Scottish Parliament, National Assembly of Wales,

:03:57. > :03:58.Northern Ireland Assembly and a 124 New mayors will be elected

:03:59. > :04:01.in London, Bristol, Liverpool and Salford,

:04:02. > :04:03.and there are parliamentary by-elections in Ogmore

:04:04. > :04:04.and Sheffield Brightside. Police and crime commissioners

:04:05. > :04:06.are also being elected Barnet Council in North London has

:04:07. > :04:11.apologised after problems with its voter registration lists

:04:12. > :04:15.led to people without polling cards being unable to cast

:04:16. > :04:18.their votes this morning. The council says it's sent out

:04:19. > :04:21.updated lists and is advising people to bring their polling card

:04:22. > :04:24.with them to vote. It says those who were turned away

:04:25. > :04:27.from polling stations this morning A state of emergency has been

:04:28. > :04:34.declared in the Canadian province of Alberta because of a raging

:04:35. > :04:37.wildfire which threatens 88,000 people, the entire population

:04:38. > :04:43.of Fort McMurray, was ordered Now it's feared large parts

:04:44. > :04:48.of the area could be The fire, driven on by fierce winds,

:04:49. > :04:52.has already gutted more At least 31 people have been injured

:04:53. > :04:56.after an Etihad Airways flight ran in to severe turbulence as it

:04:57. > :04:59.prepared to land in the Indonesian Nine passengers and crew were taken

:05:00. > :05:05.to hospital while the others The United Arab Emirates' national

:05:06. > :05:12.airline said that cabin luggage bins were damaged while passengers said

:05:13. > :05:14.oxygen masks were released Britain's newest daily newspaper

:05:15. > :05:21."The New Day" is closing down, just Publisher Trinity Mirror said that

:05:22. > :05:26.circulation for the title was well below expectations,

:05:27. > :05:28.despite supportive reviews and There were hopes that the paper

:05:29. > :05:35.would sell about 200,000 copies a day, but sales

:05:36. > :05:38.are reported to be about 40,000. That's a summary of the latest BBC

:05:39. > :06:04.News, more at 10.30. Take a look at this... When you

:06:05. > :06:08.think of virtual reality... Actually, we will talk about that

:06:09. > :06:10.later, and how it is helping people get over paranoia. Do stay with us

:06:11. > :06:15.for that. Now, sport. Well this weekend is a pivotal

:06:16. > :06:18.one for Amir Khan - a fourth high profile defeat

:06:19. > :06:21.could mean the end for those glitzy Facing the highly-fancied

:06:22. > :06:28.Mexican Saul Alvarez but in the build up he's been

:06:29. > :06:32.in relaxed mood, spending time with the BBC for 'the Rise of Khan' -

:06:33. > :06:35.made by our very own Alex South... Alex, we'll be talking

:06:36. > :06:38.to you in just in sec about the making of it,

:06:39. > :06:50.but first let's have As soon as I moved to San Francisco,

:06:51. > :06:56.I got this apartment. When my wife came, she said, I want to be in a

:06:57. > :07:01.nice place and make it more formally, so she redecorated

:07:02. > :07:11.everything for me. Have you cleaned up? It is always clean. This is it.

:07:12. > :07:15.The dietary needs looked after - all the fruit. That's right. That is my

:07:16. > :07:24.diet. Take what you want. BBC Sport video journalist

:07:25. > :07:32.Alex South is with me. I was expecting something more

:07:33. > :07:35.glamorous. What was it like spending time with him and his family?

:07:36. > :07:40.Hopefully, it's a glimpse into what it takes to become a champion. As

:07:41. > :07:45.you could see there, it is not the most luxurious flat. He stays there

:07:46. > :07:53.with his and brother, and he eat and sleep 's boxing. He sacrifices, goes

:07:54. > :08:00.away from his family. He plays volleyball to try and strengthen his

:08:01. > :08:03.legs at 7:30am. He then goes for a sleep in a special chamber at 11am

:08:04. > :08:07.to get his muscled back in order, and then he goes back to the gym for

:08:08. > :08:11.sparring in the afternoon before eating the right foods and going to

:08:12. > :08:15.bed again. It is an incredible insight into what it takes to become

:08:16. > :08:20.the best. He is hoping to do that this weekend. You really chart a

:08:21. > :08:26.journey with him. Most people will remember him coming to the forger in

:08:27. > :08:30.the Olympics in 2004. What is the difference now? He's 29, but how has

:08:31. > :08:34.he changed as a person? The big difference is that he has had a

:08:35. > :08:38.family. There is a clip in the programme where he is speaking to

:08:39. > :08:43.Gary Richardson in 2004 at the Olympics, and he looks so young. You

:08:44. > :08:47.forget, he was just 17 years old. No one thought he could get to the

:08:48. > :08:52.Olympics, let alone get a silver medal. He has had a bumpy ride -

:08:53. > :08:56.brushes with the law, he admits to being a bit flash when he was

:08:57. > :09:02.younger, fast cars and expensive watches. But there is a side that a

:09:03. > :09:05.lot of people don't know about. When the teller ban -- Caliban murdered

:09:06. > :09:10.schoolchildren in pleasure while, he went out to see the families that

:09:11. > :09:14.had been affected. He also helped the recent victims of the floods in

:09:15. > :09:18.Carlisle. It is the sort of stuff you don't really hear about him.

:09:19. > :09:24.Family has changed him, and for the better. He has grown as a person. He

:09:25. > :09:28.is 29 years old and he has been doing this since he was eight years

:09:29. > :09:33.old. He works incredibly hard that his craft. Whether it will be enough

:09:34. > :09:40.for him to win at the weekend, that is another matter. He is going up

:09:41. > :09:49.not one but two waits. It is a hell of an effort. Thank you for joining

:09:50. > :09:53.us. You can watch the documentary on the iPlayer. We will be talking

:09:54. > :09:56.about Formula 1 at half past ten. See you then.

:09:57. > :09:58.The Department of Health says it's too late to suspend the imposition

:09:59. > :10:01.of new junior doctors contracts in England after an attempt

:10:02. > :10:03.to break the deadlock by a group of senior medics.

:10:04. > :10:05.This morning, the Academy of Royal Colleges called

:10:06. > :10:08.for a five-day pause in the process of imposing new contracts,

:10:09. > :10:10.and a simultaneous suspension of the threat of further industrial

:10:11. > :10:13.action, to enable talks between the British Medical Association

:10:14. > :10:24.and the Department of Health to resume.

:10:25. > :10:30.Our health editor is here. This proposal on the table, the BMA say

:10:31. > :10:35.yes, but the Department of Health say no.

:10:36. > :10:39.The BMA say they will go along with this. The key point was to get both

:10:40. > :10:44.sides around the table without having to completely give up on

:10:45. > :10:47.their lines in the sand. For the Government, it's going ahead with

:10:48. > :10:50.imposing the new contract. It feels it is a fair contract and needs to

:10:51. > :10:57.be worked on before being introduced in August. The BMA don't want to

:10:58. > :11:01.have any talks with a Government that is hell-bent on continuing to

:11:02. > :11:05.impose the process. They thought was, if users bent that for five

:11:06. > :11:09.days, the Government suspends further work on the contract, the

:11:10. > :11:12.BMA suspends further talk of industrial action, you could get

:11:13. > :11:15.round the table. The BMA says that they could do that but the

:11:16. > :11:22.Government says they cannot suspend the work but they are prepared to

:11:23. > :11:28.talk about a range of other issues. Why will the Government not suspend

:11:29. > :11:33.its work for five days? The Royal colleges are backed in the

:11:34. > :11:37.suggestion that they think it is possible. They talked until

:11:38. > :11:44.Fairbrother e-commerce concessions were made. They alleged -- the

:11:45. > :11:51.Government alleged that the BMA would not continue to talk. I think

:11:52. > :11:55.they will be under a bit of pressure to explain why they are not prepared

:11:56. > :12:00.to engage at this stage with the BMA, sets to have a meeting on

:12:01. > :12:03.Saturday about escalating strike action further.

:12:04. > :12:07.How much pressure is there on the Department of Health? Might they

:12:08. > :12:11.change their stance on this? It will be interesting to see. Today

:12:12. > :12:15.we haven't had a comment yet from Downing Street. They will be

:12:16. > :12:19.briefing journalists shortly. I think they feel this is a public

:12:20. > :12:24.sector dispute. They feel they have made a lot of concessions to a

:12:25. > :12:28.public sector union, and to sort of suddenly go back on that and back

:12:29. > :12:35.into talks sends a confusing message. They think this is a fair

:12:36. > :12:38.contract to be pursued. The entire medical establishment are saying,

:12:39. > :12:40.look, this is worth doing. With that, it is a little bit difficult

:12:41. > :12:44.to resist. Let's talk now to Johann Malawana,

:12:45. > :12:52.who's the chair of the BMA's Thank you for joining us. The

:12:53. > :12:56.Department of Health says these talks have been going on for a long

:12:57. > :13:00.time, two years, what is the point of another five days? The main

:13:01. > :13:05.question to ask is that this is an opportunity to avoid what has been

:13:06. > :13:11.an extremely damaging episode in the NHS. I think every doctor in the NHS

:13:12. > :13:15.and the BMA feels that this is something no doctor would want to

:13:16. > :13:23.do. We feel the Government has pushed us into this. The fact that

:13:24. > :13:29.80% and more of doctors took action says a lot about what the medical

:13:30. > :13:34.profession think. As Hugh said, you have all the medical colleges, the

:13:35. > :13:38.NHS Confederation, everyone saying there needs to be a rethink.

:13:39. > :13:42.Realistically, has anything really changed? If neither side is ready to

:13:43. > :13:47.come from eyes and everything that is being said doesn't indicate that

:13:48. > :13:51.there is really much room for further negotiation, is five days

:13:52. > :13:55.really going to make a difference when the Government's position is

:13:56. > :13:59.that there have been concessions, you were almost there, the

:14:00. > :14:03.difference is now boiled down to quite a small area, and they say it

:14:04. > :14:09.was actually the BMA who walked away from talks at that point. Let's be

:14:10. > :14:13.clear, it is an arbitrary timetable. Come August, whatever happens, the

:14:14. > :14:17.NHS will carry on. There will be doctors working. The idea that we

:14:18. > :14:26.have an absolute deadline that cannot in any way be deviated from

:14:27. > :14:31.is a manifestation of the Government's problem. A deadline can

:14:32. > :14:37.focus minds. But if we're not talking, there nothing else to do

:14:38. > :14:40.when you are in our position. If you are a junior doctor in the front

:14:41. > :14:47.line and you're having a contract imposed on you and you have no

:14:48. > :14:52.ability to affect that, and they have all said it, thousands of

:14:53. > :14:55.doctors have said that this contract is not appropriate or save, and yet

:14:56. > :14:59.the Government continues to impose it.

:15:00. > :15:07.The BMA 's meeting on Saturday. What will be on the table?

:15:08. > :15:13.The next meeting of the junior doctors committee will... There is

:15:14. > :15:18.no further strike action planned as things stand? There is the full

:15:19. > :15:21.range of options that has been outlined extensively in the media.

:15:22. > :15:27.The fact is that doctors don't want to take any form of action, even the

:15:28. > :15:36.first form of action, emergency care only, that was something that hadn't

:15:37. > :15:40.happened in many years. The strike we saw recently was the first time

:15:41. > :15:44.it had happened in the NHS. Would you look to escalate? You have

:15:45. > :15:48.crossed those lines, will another line we crossed with future action?

:15:49. > :15:51.Will there be another strike if there is no compromise? If the

:15:52. > :15:55.government continues down this course of action there are very few

:15:56. > :16:01.options left to doctors because we are seeing Day in and day out

:16:02. > :16:05.reports of doctors leaving the NHS. Just focusing on what you think is

:16:06. > :16:09.likely to be the next step, would it be an escalation of the action?

:16:10. > :16:13.If the Government pursues this course of action. Which it says it

:16:14. > :16:18.will. Then there are very few options the

:16:19. > :16:21.junior doctors have to make. Unfortunately, I'm not going to

:16:22. > :16:26.pre-and that because we have a democratic process in place to try

:16:27. > :16:30.and work out what the next stages. But, and we have taken soundings

:16:31. > :16:37.across the profession and across the entire membership, the fact is that

:16:38. > :16:40.is a decision for Saturday. If the Government say they are unwilling to

:16:41. > :16:46.even talk to us, everyone can see that when you have 22 Royal colleges

:16:47. > :16:50.and faculties, the NHS Confederation, all of the political

:16:51. > :16:53.parties saying to the government you need to sit round the table and talk

:16:54. > :16:57.to the doctors there has got to be something done about that. I will

:16:58. > :16:58.read you a statement from a spokesperson from the Department of

:16:59. > :17:01.Health. the introduction of new contracts

:17:02. > :17:04.after we agreed to suspend imposition last November,

:17:05. > :17:07.because they went back on their word "It is now too late to change

:17:08. > :17:11.the process of bringing in contracts which is well under way

:17:12. > :17:13.throughout the country. However, the door remains open

:17:14. > :17:15.to talk about implementation and many other non-contractual

:17:16. > :17:18.issues of concern to junior doctors - so if this intervention helps

:17:19. > :17:28.those talks to go ahead, What about that? That says a lot

:17:29. > :17:31.about the Government position, the fact is their own equalities impact

:17:32. > :17:36.assessment says this is a discriminatory contract. If they say

:17:37. > :17:40.they will still talk about it. Talk about all the issues not to do

:17:41. > :17:43.with the contract when the contract itself is the dispute and what is

:17:44. > :17:49.discriminatory against more than half the population of our medics,

:17:50. > :17:53.that is almost ridiculous. And talking about something better

:17:54. > :17:57.than nothing, though, just opening the dialogue again.

:17:58. > :18:00.We are always happy to talk, the problem is the government Mac

:18:01. > :18:05.refuses to engage. Sounds like you say you are both

:18:06. > :18:08.happy to talk. The Government is putting up

:18:09. > :18:11.qualified statements we are not happy to talk about this issue but

:18:12. > :18:15.we will talk about anything as long as it is not this issue. That is a

:18:16. > :18:19.really odd way about running the health service, because right now we

:18:20. > :18:27.are seeing the health service Razzak a stack -- as a catastrophe waiting

:18:28. > :18:34.to happen. Very quickly, because the area of disagreement focuses on

:18:35. > :18:38.Saturday pay, doesn't it? Not as simple as that, the Government

:18:39. > :18:42.claims that but I wrote to the Secretary of State... On the areas

:18:43. > :18:46.of disagreement then, would the BMA compromise?

:18:47. > :18:50.There is such a range of issues that we need to work out how this

:18:51. > :18:55.contract actually works. The main issue is, can you enact a contract

:18:56. > :18:57.that is fundamentally going to unsafe on doctors' working practices

:18:58. > :19:01.and unfair on a significant proportion of the community where

:19:02. > :19:06.effective leaders discriminatory. Sounds like the BMA is not willing

:19:07. > :19:10.to compromise will stop we were always willing to compromise and we

:19:11. > :19:14.went through an entire negotiation process in a truncated time because

:19:15. > :19:17.the Government wanted that time period.

:19:18. > :19:21.We were always trying to work out solutions. We were effectively given

:19:22. > :19:25.three weeks to do three years' work and the Government walked away from

:19:26. > :19:28.those negotiations in February and decided to impose a contract. The

:19:29. > :19:32.Government can claim that we are the ones that are not talking to them

:19:33. > :19:36.but we have always said that we are happy to talk, from the 11th of

:19:37. > :19:40.February we said to the Secretary of State we are happy to talk, why do

:19:41. > :19:43.we carry on the discussions? Basically say we walked away, we

:19:44. > :19:45.didn't, we were there and ready to talk to them and they refused to do

:19:46. > :19:52.so. Thank you for joining us. More revelations surrounding the

:19:53. > :19:56.death of Prince. Now we are told that his team sought help from a

:19:57. > :19:57.doctor who treats painkiller addiction just before he was found

:19:58. > :20:00.dead. Over 500,000 people in the UK

:20:01. > :20:02.are affected by severe paranoia Now scientists think that virtual

:20:03. > :20:06.reality could help treat VR technology, as it is known,

:20:07. > :20:13.is most commonly used for playing games but could exposing patients

:20:14. > :20:16.who suffer from paranoia to situations that would normally

:20:17. > :20:19.frighten them in a virtual way A small research project

:20:20. > :20:22.by scientists at Oxford University Our health reporter Fergus Walsh has

:20:23. > :20:32.been to try out the technology. I'm putting on the virtual

:20:33. > :20:34.reality headset. Just tighten up

:20:35. > :20:37.the controls. And it's transformed me onto a Tube

:20:38. > :20:49.platform, I think it is I'm standing on the Tube platform

:20:50. > :20:54.now, and I can walk up If I walk too far I'll be by the end

:20:55. > :21:02.of the entrance to the tunnel, but, let's wait

:21:03. > :21:07.for the Tube train to arrive. OK, the doors have opened,

:21:08. > :21:11.and I am going to step in, And it's a pretty busy

:21:12. > :21:17.Tube train, there is paranoia, took part in this study

:21:18. > :21:26.and they suffer persecutory Feelings that people are going

:21:27. > :21:35.to harm them, do something to them, and many of them hear voices,

:21:36. > :21:42.and they were encouraged to set This sort of scenario

:21:43. > :21:46.in reality would be And it worked most

:21:47. > :21:53.successfully when they defences and go toe to toe with

:21:54. > :21:56.people. There is a chap here

:21:57. > :22:02.in a blue T-shirt. You would not really

:22:03. > :22:03.do this on a normal Tube train,

:22:04. > :22:06.but you can go right up And with the participants they found

:22:07. > :22:10.that when they could address those fears and go up

:22:11. > :22:12.to people, and realise that the avatars were not

:22:13. > :22:15.going to harm them, that it actually translated and transferred

:22:16. > :22:25.injury almost and helped them reduce actually translated

:22:26. > :22:26.and transferred into real life Let's talk now to Professor Daniel

:22:27. > :22:37.Freeman who lead the research Thank you for joining us. When did

:22:38. > :22:40.the penny dropped that this technology could be used in this

:22:41. > :22:43.way? Good morning, Virtual reality is

:22:44. > :22:52.something we have been using for a number of years, firstly simply to

:22:53. > :22:58.assess paranoia, because sometimes when people fear somebody will harm

:22:59. > :23:04.them, it can be genuine paranoia, or not. We use virtual reality to

:23:05. > :23:07.assess people and also ensure it is safe to use. We've used it for a

:23:08. > :23:13.number of years but it has really taken on life over the last year or

:23:14. > :23:17.two, especially with the are taking off and all the headsets coming out

:23:18. > :23:22.and reaching people's homes. We've used it in this Medical Research

:23:23. > :23:24.Council study for the first time to treat paranoia. When you said you

:23:25. > :23:30.needed to check out whether it was safe to use in this way what were

:23:31. > :23:36.the concerns about it? In the past there have been concerns about

:23:37. > :23:40.virtual reality making people have cyber sickness, that was the term

:23:41. > :23:43.used. But also the low concerns that people who had excessive mistrust

:23:44. > :23:47.would become mistrustful about the agreement but we haven't found that

:23:48. > :23:50.and we have found people appreciated the chance to try the new

:23:51. > :23:55.technology. In the patients that it helped was it an instant fix? It was

:23:56. > :23:59.half an hour, that is all we use, this is an early stage study, we

:24:00. > :24:05.need to do more time with Villar and more clinical trials but just half

:24:06. > :24:11.an hour of going into social situations -- VR. They were fearful

:24:12. > :24:15.of what might happen but they learned to tolerate the anxiety and

:24:16. > :24:19.relearn they are safe around other people and the paranoia began to

:24:20. > :24:24.melt away. So the benefits were remarkably quick. We need to do more

:24:25. > :24:27.studies of this. But it is looking very promising and the benefits

:24:28. > :24:31.transferred to the real-world. Later on people went to their real local

:24:32. > :24:35.shop and were much less distressed. It's interesting that it does

:24:36. > :24:39.transferred to the world when this is something that is being done

:24:40. > :24:46.obviously in a very closed situation where somebody could still say it's

:24:47. > :24:49.fine, I guess it works well in the virtual world but why in the real

:24:50. > :24:54.world wouldn't I feel about the threat that I have? That is one of

:24:55. > :24:57.the great things about virtual reality, consciously we know it is

:24:58. > :25:02.not real but our minds and bodies act as if it is the real world, so

:25:03. > :25:06.despite everyone knowing that it's not real they can relearn safety.

:25:07. > :25:10.This is great because it means people who are particularly worried

:25:11. > :25:13.about entering social situations, you may find it too difficult to

:25:14. > :25:17.start doing that in the real world, can go into virtual reconstructions,

:25:18. > :25:21.do very simple virtual reconstructions with few people in

:25:22. > :25:25.them and we can build up and it leads to real benefits, despite them

:25:26. > :25:29.knowing it is not real. Are there any other applications for

:25:30. > :25:34.this? Are their obvious other ways it could be used?

:25:35. > :25:39.Yes, VI has a long history of being used to treat fear of heights. --

:25:40. > :25:43.VR. With a fear of heights you get people used to standing in front of

:25:44. > :25:46.real heights and it doesn't matter if you use real heights, or virtual

:25:47. > :25:51.heights the effects are the same and that's an example of how the are

:25:52. > :25:56.tricks the mind to believe it is the real-world -- VR. You go into the

:25:57. > :26:04.computer world with the headset and it feels like you are there. Until

:26:05. > :26:12.you have a go with the are -- VR you don't realise how immersive and

:26:13. > :26:17.realistic it can be. That could be used in another context such as

:26:18. > :26:22.flying or any thing. Does it have to be an ongoing treatment? In the

:26:23. > :26:27.study of virtual reality it was a one-off assessment and it was just

:26:28. > :26:31.over a day, so we just wanted to see the effects so we don't have the

:26:32. > :26:35.data on that but in treating phobias, fears of spiders, the data

:26:36. > :26:39.suggests these fears persist so you probably need a few hours and

:26:40. > :26:48.ideally need to integrate it to incorporate real-life situations and

:26:49. > :26:53.not just in VR. If you combine the two effectively you can see real

:26:54. > :26:57.change. Obviously you work with people who have real fears. For the

:26:58. > :27:00.lucky few who may not have any real fear of anything, how would you

:27:01. > :27:05.explain what it is like for someone who has a crippling fear of

:27:06. > :27:10.something, whatever it is? I think we must remember anxiety is

:27:11. > :27:15.one of the most basic emotions, it is a warning system about danger.

:27:16. > :27:17.It's an important emotion and we should have it because their RL

:27:18. > :27:21.threats out there in the world but of course it is a warning system

:27:22. > :27:25.which means when we have anxiety it feels horrible, most of us have

:27:26. > :27:28.probably had some experience is feeling anxious, and imagine that

:27:29. > :27:32.being magnified in also such situations where you used to be able

:27:33. > :27:35.to cope with them but now you get those horrible feelings when

:27:36. > :27:39.surrounded by other people, it feels horrible, the people who took part

:27:40. > :27:42.in our study were very courageous, went into the situations that make

:27:43. > :27:46.them feel anxious initially but they stayed in their and they relearn

:27:47. > :27:50.their safety and developed a new-found confidence from this.

:27:51. > :27:55.It boils down to facing up to your fears?

:27:56. > :27:58.Partly. Even more what we do is in courage people to drop all of their

:27:59. > :28:03.defences, so when we feel threatened, typically what we do is

:28:04. > :28:07.avoid other people, so we try to get people not to do that and we take

:28:08. > :28:10.the most difficult steps and find out. Of course, this is the right

:28:11. > :28:13.thing to do when the fears are unfounded.

:28:14. > :28:15.Thank you for joining us. , interesting to talk to you,

:28:16. > :28:18.Professor David Freeman. Still to come

:28:19. > :28:30.would you see your GP at the weekend or be happy to talk

:28:31. > :28:33.to them on Skype? We'll talk to a group of GPs

:28:34. > :28:43.about how they treat their patients More revelations surrounding the

:28:44. > :28:49.death of Prince, we here that his team spoke to a doctor specialising

:28:50. > :28:54.in addiction to painkilling drugs. It is important to get back to talks

:28:55. > :28:57.in the dispute that has seen NHS disrupted by industrial action. A

:28:58. > :29:01.group of senior medics, the Academy of Medical Royal Colleges has called

:29:02. > :29:04.on both sides to agree to a pause in the dispute and to fresh

:29:05. > :29:08.negotiations. The Government says it is too late to suspend the

:29:09. > :29:13.imposition of a new contract. There is a new partial ceasefire in

:29:14. > :29:16.place in the embattled city of Aleppo in Syria following violent

:29:17. > :29:20.clashes between government and rebel forces this week leaving us instead.

:29:21. > :29:24.Diplomatic pressure from the United States and Russia led to a 48-hour

:29:25. > :29:29.truce being declared. The telecoms company BT has

:29:30. > :29:33.announced it will spend ?6 billion on rolling out superfast fibre and

:29:34. > :29:39.4G mobile connections over the next three years. The company which took

:29:40. > :29:42.over the mobile phone and broadband company EE in January says its

:29:43. > :29:47.annual pre-tax profits have risen 15% to just over ?3 billion.

:29:48. > :29:51.The polls have opened for local, regional and some Parliamentary

:29:52. > :29:54.elections across the UK on what has been called super Thursday. The

:29:55. > :29:58.Prime Minister and labour leader cast their votes in the London

:29:59. > :30:02.mayoral election this morning. Elsewhere elections are being held

:30:03. > :30:05.for the Scottish Parliament, National Assembly of Wales, Northern

:30:06. > :30:09.Ireland Assembly and 124 councils in England. New mayors will be elected

:30:10. > :30:15.in Bristol, Liverpool and Salford and our Parliamentary by-elections

:30:16. > :30:18.in Ogmore and Sheffield Brightside. Meanwhile Police and Crime

:30:19. > :30:22.Commissioner is our being elected in England and Wales.

:30:23. > :30:25.Barnet council in north London, meanwhile, has apologised after

:30:26. > :30:27.problems with its voter registration lists led to be bought without

:30:28. > :30:32.polling cards being unable to cast their votes this morning. The

:30:33. > :30:35.council says it has sent out updated lists and is advising people to

:30:36. > :30:39.bring their polling card with them to vote. It says those turned away

:30:40. > :30:43.from police tastings this morning should return and try again later.

:30:44. > :30:46.State of Emergency has been declared in the Canadian province of Alberta

:30:47. > :30:51.because of a raging wildfire which threatens to destroy most of the

:30:52. > :30:55.city. 88,000 people, the entire population of Fort McMurray, was

:30:56. > :30:59.ordered to evacuate yesterday. Now it is feared large parts of the area

:31:00. > :31:03.could be lost to the flames. The fire, driven on by fierce winds has

:31:04. > :31:06.already gutted more than 1000 buildings.

:31:07. > :31:08.At least 31 people have been injured after an Etihad Airways flight run

:31:09. > :31:11.into severe At least 31 people have been injured

:31:12. > :31:14.after an Etihad Airways flightran in to severe turbulence as it

:31:15. > :31:17.prepared to land in the Indonesian Nine passengers and crew were taken

:31:18. > :31:21.to hospital while the others The United Arab Emirates' national

:31:22. > :31:24.airline said that cabin luggage bins were damaged while passengers said

:31:25. > :31:45.oxygen masks were released Join me for BBC newsroom live out

:31:46. > :31:51.the 11am. Now, sport. We have some pretty unusual news from Formula 1

:31:52. > :32:01.today. Not usual for a team to change a driver mid-season. It has

:32:02. > :32:17.happened,... He was born in 1997, the son of Joss

:32:18. > :32:32.first Ave -- kerb. In the overall standings, he finished 12th juror in

:32:33. > :32:39.his first season. -- Verstappen let's speak to Jenny.

:32:40. > :32:46.Imagine getting a call from your boss saying, we are demoting you. He

:32:47. > :32:51.has been demoted while Verstappen has a promotion. I don't know how

:32:52. > :32:55.you come back from that. You have been at 18, think you have done

:32:56. > :33:00.really well, been promoted into the full team, and then you're back

:33:01. > :33:03.where you began. You are watching this young star rise through the

:33:04. > :33:11.ranks to take your place. That must hurt. Why are they doing this? It is

:33:12. > :33:14.unusual, isn't it? Red Bull have a track record of

:33:15. > :33:20.being exceptionally harsh with their young drivers. They have a driver

:33:21. > :33:25.programme, and we have seen drivers come in and leave within two years

:33:26. > :33:30.of having started what seemed to be a great career in Formula 1. It is

:33:31. > :33:34.not out of character for Red Bull, but after four braces, it is

:33:35. > :33:41.strange, and a lot of people are reading a lot into this. He had a

:33:42. > :33:45.terrible race in Russia, his home race, and he crashed into the back

:33:46. > :33:52.of Sebastien vet all, a man who used to drive for Red Bull, so not the

:33:53. > :33:57.best political thing to do. One race before that he was on the podium, so

:33:58. > :34:01.to go from here wrote to zero to quickly and be told that you're out

:34:02. > :34:05.of your seat and you have to make way for Verstappen is very painful,

:34:06. > :34:09.and lots of people are saying, why is this happening and why now? I

:34:10. > :34:15.suspect they could not do it before the Russian Grand Prix, given that

:34:16. > :34:20.he is Russian driver, however, Verstappen is hot property. Who

:34:21. > :34:24.knows who was sniffing around to try to get him to sign on the dotted

:34:25. > :34:28.line, and I think it is a way of guarding Verstappen for the future.

:34:29. > :34:30.Thank you for joining us this morning. I will be back with more

:34:31. > :34:34.sport throughout the day. For the first time, a human embryo

:34:35. > :34:38.has been kept alive past the point when it would normally implant

:34:39. > :34:40.in the womb. That's 13 days - right up

:34:41. > :34:43.to the current legal limit on growing and studying human

:34:44. > :34:46.embryos outside the body. The experiments were deliberately

:34:47. > :34:51.ended to stay within the law. Some researchers say extending

:34:52. > :34:53.the international limit may help scientists learn more

:34:54. > :34:56.about the reasons some women suffer We can speak now to professor

:34:57. > :35:00.Jonathon Montgomery, from the Nuffield Council

:35:01. > :35:11.on Bio-ethics, who are meeting Thank you very much for joining us.

:35:12. > :35:18.What is your view of this? How much of a step forward is it? The 14 day

:35:19. > :35:24.rule dates back to 1984, and it hasn't been thought to be needed to

:35:25. > :35:27.review it since then. Suddenly, the scientists have identified something

:35:28. > :35:33.that we might as a society want to know. We should think about whether

:35:34. > :35:39.it is knowledge worth having on whether it offends against our

:35:40. > :35:42.susceptibility is. The independent Government body that exists to

:35:43. > :35:47.explore the social, moral and legal issues around advances in science,

:35:48. > :35:51.the Nuffield trust, at this I did it is time to take stock of the reasons

:35:52. > :35:56.for the rule. It has an open mind and will want to know what people

:35:57. > :36:05.think. It will last the question, should we accept this? What will be

:36:06. > :36:10.weighed up in deciding this? Is it about it being information worth

:36:11. > :36:14.having? We know that all embryo research, all research currently

:36:15. > :36:23.carried out, is of concern to some people in society, and it would be

:36:24. > :36:26.wrong if the law went to far-away. It is also important to understand

:36:27. > :36:31.the causes of miscarriage, to understand how we might help

:36:32. > :36:37.treatments being developed to help with infertility. If it is the case

:36:38. > :36:39.that, looking longer at how embryos developed could help us understand

:36:40. > :36:43.those things, then many people might think that is information worth

:36:44. > :36:47.having. It is not worth having at any price, and we would need to

:36:48. > :36:51.explore the reasons why people think there should be limits. Why was the

:36:52. > :36:56.14 day limit arrived that in the first place? There are a range of

:36:57. > :37:06.reasons why people gave for supporting it in 1984. Two of those

:37:07. > :37:11.relate to whether an embryo is a genetically unique individual. 14

:37:12. > :37:13.days was thought to be the last point at which natural trimming

:37:14. > :37:19.might occur. It is thought that there might be two embryos, to

:37:20. > :37:24.people if you like, to be created in the future. It was also thought that

:37:25. > :37:30.14 days was also the first possible for point at which the embryo might

:37:31. > :37:36.have any feeling. It is the point at which some think will be primitive

:37:37. > :37:41.streak develops. It is part of the nervous system. We could be pretty

:37:42. > :37:46.confident at the time that no embryo would feel any pain. Those were the

:37:47. > :37:49.reasons given for drawing a compromise between the need for

:37:50. > :37:53.scientific knowledge and the importance of respecting human life.

:37:54. > :37:56.Those questions might look different with our modern biological

:37:57. > :38:00.knowledge, and that is what we would like to discuss. How far with the

:38:01. > :38:02.boundaries have to be pushed potentially in order to get the

:38:03. > :38:09.knowledge the scientists are talking about being possible, looking at

:38:10. > :38:13.miscarriages and why they happen? Babies can be Miss carried at any

:38:14. > :38:17.point in pregnancy, so presumably, if that information were to be

:38:18. > :38:26.gleaned, it wouldn't just be a case of allowing the embryos to continue

:38:27. > :38:29.for a few more days. The first question is, what could we learn

:38:30. > :38:34.from a small extension and is that worth having? Even if we were to

:38:35. > :38:42.extend the time limit slightly, we would still have very strict

:38:43. > :38:44.regulation in place. The approval on the Human Fertilisation and

:38:45. > :38:48.Embryology Authority, which needs to look at the purpose of any research,

:38:49. > :38:53.the researcher has to be appropriate, the place has to be

:38:54. > :38:58.licensed, so we would still be keeping in place those important

:38:59. > :39:02.questions about how valuable the knowledge might be. The first step

:39:03. > :39:06.is asking whether or not at a few extra days would give us any extra

:39:07. > :39:11.knowledge that is what having. We have new papers published yesterday

:39:12. > :39:20.in the journal Nature that suggested as possible that the knowledge might

:39:21. > :39:28.be worth having. What the Nuffield trust wants to do is to see there is

:39:29. > :39:31.a case for saying that the 14 days is a line that is artificial.

:39:32. > :39:35.Possibly, the knowledge is something that the public might think was one

:39:36. > :39:39.pursuing, but we would need here from the public before recommending

:39:40. > :39:45.a change in the law. OK. Thank you very much for joining us.

:39:46. > :39:47.Do you find it difficult to get an appointment with your GP?

:39:48. > :39:50.Or that the slot that you're given with them just isn't enough time?

:39:51. > :39:53.Would you prefer a weekend appointment or be happy to talk

:39:54. > :39:57.A report by the health think-tank the King's Fund suggests

:39:58. > :39:59.the workload of GPs in England has increased dramatically over

:40:00. > :40:05.They looked at 30 million patient contacts from 177 practices

:40:06. > :40:08.between 2010/11 and 2014/15 and found that

:40:09. > :40:13.the number of GP consultations increased by more than 15%

:40:14. > :40:16.with a rise in both face-to-face and steep increase

:40:17. > :40:22.At the same time, the number of GPs grew by almost 5%.

:40:23. > :40:25.There were 35,000 GPs in 2010 and almost 37,000 in 2014.

:40:26. > :40:36.And funding levels dipped from 8.3% of the overall NHS budget to 7.9%.

:40:37. > :40:39.Let's hear from some GPs with experience of different general

:40:40. > :40:48.Dr Sirfraz Hussain joins us from Manchester Medical Practice,

:40:49. > :40:51.where they use innovative ways to consult with patients.

:40:52. > :40:53.Dr Gaurav Gupta is a GP who's experienced working

:40:54. > :40:57.Dr Susy Connell who works in an inner-city practice in Reading.

:40:58. > :41:00.And Dr Bhaskar Bora is a GP in Greenhithe.

:41:01. > :41:11.He can share his experience of working in a more rural location.

:41:12. > :41:19.Thank you for joining us. Doctor Connell, describing typical day for

:41:20. > :41:23.us. A typical day, I don't think most patients realise the length of

:41:24. > :41:28.the appointment, the average is ten minutes. They know the start time.

:41:29. > :41:31.They know that invariably they get called in late, and that is because

:41:32. > :41:36.people have more than one problem to talk about, and often the problems

:41:37. > :41:40.are complicated. Patients are becoming increasingly elderly and

:41:41. > :41:44.they have increasing number 's health problems to be dealt with at

:41:45. > :41:49.one time. Can you ever stick to minutes? How long do some

:41:50. > :41:53.appointments run? They can run to double that, and it's very

:41:54. > :41:58.difficult. I don't think people realise they have such a short time

:41:59. > :42:01.with their GP. What do you do if you're watching the clock is back at

:42:02. > :42:07.tenants, are you tempted to say, sorry, timer. If the patient says,

:42:08. > :42:11.there are a number of things I want to talk to you by, one of the things

:42:12. > :42:18.we can do is say, we only have a short time, what is the most

:42:19. > :42:21.important thing today? If you attempt to start at the top of the

:42:22. > :42:26.list and work through, you will never get through it. Are you able

:42:27. > :42:29.to manage the ten minutes doing it that way? There are ways of doing

:42:30. > :42:37.it, but you constantly feel like you're just not giving people enough

:42:38. > :42:40.time. Doctor Gupta, your practice tried

:42:41. > :42:54.out seven-day working, how did that go? Patients can get attention any

:42:55. > :42:58.time using the art of our service. We tried to do something by having

:42:59. > :43:10.local GP appointments over the weekend. In the first instance, it

:43:11. > :43:15.was found not to be effective. More recently, at the end of 2015, we

:43:16. > :43:19.tried again, only on Saturdays, but again it had to be stopped because

:43:20. > :43:28.there was a lack of GPs available to do those shifts. What about it being

:43:29. > :43:32.user-friendly for patients? Is there a demand from patients that you came

:43:33. > :43:37.across? There was a study last year that looked at 80,000 patients, and

:43:38. > :43:43.we found that demand for Sunday appointments was less than 1%. This

:43:44. > :43:45.is a typical situation that we are finding in pilots across the

:43:46. > :43:51.country, that a lot of them have been stopped because either a lack

:43:52. > :43:54.of demand or a lack of GP workforce. Lack of demand - is that because

:43:55. > :44:02.patients aren't aware it is being offered? Or that they simply don't

:44:03. > :44:05.want it? It is difficult to say. It was put out in the newspapers, there

:44:06. > :44:16.were posters in surgeries, leaflets were done. Demand was variable. On

:44:17. > :44:20.Sunday, people don't want to come and see their GP for routine things.

:44:21. > :44:24.Before we go to the other GPs, I want to bring in the voice of the

:44:25. > :44:28.Department of Health. A spokesperson said, with an ageing population, we

:44:29. > :44:32.know GPs are seeing more patients with complex health conditions than

:44:33. > :44:36.ever before. That is why we are taking action to double the growth

:44:37. > :44:41.rate in GPs through new incentives for training, recruitment, retention

:44:42. > :44:45.and return to practice. We are committing an ex ?2.4 billion to

:44:46. > :44:49.general practice and that will help reduce pressure on GPs and retain a

:44:50. > :44:53.healthy workforce well into the future. Talking about other ways of

:44:54. > :44:57.trying to reduce the pressure on trying to deal with patient demand,

:44:58. > :45:10.let's go to Doctor Hussein. You are an inner-city GP, tell us what you

:45:11. > :45:15.have done to deal with workloads? I started doing Skype consultations

:45:16. > :45:20.about three years ago. The pressure for GPs is the big issue. The other

:45:21. > :45:25.issue that we mustn't forget is patients and how we can best serve

:45:26. > :45:30.them. Having them come to the surgery is not necessarily the best

:45:31. > :45:37.way to serve them. Video consultations is one solution, but

:45:38. > :45:41.it is not efficient in itself in terms of time. The new way of

:45:42. > :45:48.thinking is that you can combine what a patient wants with the

:45:49. > :45:52.opportunity to -- to connect with the GP using the computer

:45:53. > :45:56.technologies. For example, the NHS is so far behind, if you had to go

:45:57. > :46:02.to our bank ten years ago, you had to go to the branch, were now you do

:46:03. > :46:06.it on your phone. While back, you had to go to supermarkets to buy

:46:07. > :46:11.groceries, but you can now do it on your phone and they will deliver.

:46:12. > :46:15.hear what you are saying but when you are talking to a GP, for a lot

:46:16. > :46:19.of people isn't it about having face to face contact and if it is

:46:20. > :46:24.something they are quite sensitive about they want that direct

:46:25. > :46:29.communication with someone. I don't disagree with that at all. What I'm

:46:30. > :46:32.saying is that it depends on what the patient is wanting. When you see

:46:33. > :46:36.them the first time the second time maybe for results and the third time

:46:37. > :46:38.maybe to discuss how they got on with the treatment you prescribed

:46:39. > :46:43.command the fourth time that it worked or it didn't work our what we

:46:44. > :46:49.do from here so it each consultation has a different aspect -- or that it

:46:50. > :46:53.worked. Not every time requires a person to be in the surgery. The NHS

:46:54. > :46:57.is so far behind in terms of how we use technology, it is patients

:46:58. > :47:01.themselves that are far more advanced than we are. If you look at

:47:02. > :47:08.things like the banking system which is absolutely has to have such

:47:09. > :47:11.security around it for what it entails you don't have to go into a

:47:12. > :47:17.branch anymore to do a lot of things. I want to know what Susy

:47:18. > :47:20.Connell and Gareth Gupta have to say about the NHS being too far behind

:47:21. > :47:26.in terms of technology -- Gorokhov Gupta. I've never been given the

:47:27. > :47:30.opportunity to use it but I would be willing to give it a try. You sell a

:47:31. > :47:34.lot of your patients are elderly, do you think they would embrace it?

:47:35. > :47:38.They wouldn't be able to, even if you refer patients to websites to

:47:39. > :47:42.give them information about the conditions of the elderly just,

:47:43. > :47:46.because they weren't educated in doing that, because they have not

:47:47. > :47:51.been educated from the start in doing that, generally they find that

:47:52. > :47:56.very difficult. Gareth Gupta, do you find that everybody that comes in

:47:57. > :48:00.really does need to see a GP? That is a point and we can look at

:48:01. > :48:03.different ways of doing things but as you have seen in The King's Fund

:48:04. > :48:06.report the crisis is much more severe than we are talking about and

:48:07. > :48:10.doing a few consultations by Skype and a few telephone consultations

:48:11. > :48:17.will not solve the problem. You have seen the consultation rates, they

:48:18. > :48:21.are unsustainable. We can definitely use technology better. My experience

:48:22. > :48:27.of elderly people using technology is not the same as yours because

:48:28. > :48:31.lots of our patients take on technology even very well even if

:48:32. > :48:33.they are elderly patients. We can use it but realistically speaking

:48:34. > :48:38.this needs a bigger solution than just using technology and these bits

:48:39. > :48:43.and pieces. It is a great testament to the hard work of GPs and their

:48:44. > :48:49.staff that in spite of all of these pressures patient satisfaction is

:48:50. > :48:57.85% and we have seen what kind of pressures we are dealing with today.

:48:58. > :49:03.Let's bring in Doctor Bhaskar Bora, you work in a row area, what are the

:49:04. > :49:07.issues there? Good morning, yes, I work in a role area and in fact I

:49:08. > :49:13.have enjoyed working in a role area because we become part of the

:49:14. > :49:18.community. I feel that we take pride in the traditional family- Doctor

:49:19. > :49:24.model. While it is important to make sure that we provide access in terms

:49:25. > :49:27.of e-consultations and telephone consultations, lots of patients like

:49:28. > :49:34.to have the face-to-face appointment. We know each member of

:49:35. > :49:39.the family. And in fact, I feel that having talked a lot about access

:49:40. > :49:44.which is important, we seem to have lost the continuity of care. That is

:49:45. > :49:49.something which I think in a rural practice we try and maintain as much

:49:50. > :49:55.as we can. Is that something that you lose?

:49:56. > :49:59.That connection with your patients? Not at all. If you are a GP and you

:50:00. > :50:03.have stayed in that patch for a long time you get to know your patients

:50:04. > :50:07.and see them grow up, I've seen their kids grow up, I've seen my

:50:08. > :50:12.elderly patients go through hospital admissions and come out. And because

:50:13. > :50:18.you have that connection with them, when you speak to them on the phone,

:50:19. > :50:22.or by Skype, video consultation, you still retain that connection. The

:50:23. > :50:29.family - Doctor relationship is the core of anything we do. And it's

:50:30. > :50:35.important that we allow and give it enough space and time. Ten minutes

:50:36. > :50:38.is not enough. Our surgery is piloting 15 minute consultations to

:50:39. > :50:42.see if we can improve the quality of our consultations so that we get

:50:43. > :50:45.more done and that person does not need to come back unnecessarily. And

:50:46. > :50:48.if they need to come back, be they physically need to come back? To

:50:49. > :50:52.discuss results do they need to sit in front of me for me to tell them

:50:53. > :50:58.that their vitamin de levels are low? Can that not be dealt with in

:50:59. > :51:01.another way? Can that be dealt with by another professional? We have

:51:02. > :51:06.piloted using the pharmacist and the pharmacist will ring and discuss

:51:07. > :51:10.medications and how to use them and give lots of advice around health

:51:11. > :51:21.care and better management of medicines and how to improve their

:51:22. > :51:24.efficacy. You are agreeing as you are

:51:25. > :51:27.listening, Susy Connell? You do not need a patient in front

:51:28. > :51:31.of you to tell them their results are normal and even if they are not

:51:32. > :51:34.normal you don't need them in front of you to explain what the

:51:35. > :51:37.management is. I think you need a patient in front of you if you need

:51:38. > :51:43.to examine them. Do the patients always know that?

:51:44. > :51:47.No, I don't think they do. It has been a model, such as my colleague

:51:48. > :51:51.was describing, that has been available for a long time and to try

:51:52. > :51:54.and change this model will take a while but it is going to have to

:51:55. > :51:58.change because the way we are doing things is not sustainable. There are

:51:59. > :52:02.not enough of us for the increasing number of people to come and see us,

:52:03. > :52:06.the increasing consultations that we want, and the increasing nature of

:52:07. > :52:11.the complicated and of what people have. There is always the issue as

:52:12. > :52:16.well, not of people going to see a GP too much, but people who don't

:52:17. > :52:20.want to bother the GP and hear a conversation like this and think I

:52:21. > :52:23.can never get another moment and would go and leave it until the last

:52:24. > :52:30.minute and then there is a major health issue. There are very few

:52:31. > :52:34.absolute emergencies. Even if you're diagnosed with cancer and you see

:52:35. > :52:39.your GP who thinks you have cancer is still a two-week wait before you

:52:40. > :52:45.are seen in a hospital. Illnesses have natural histories and actually

:52:46. > :52:48.a lot of what we deal with is very short-term and will resolve by

:52:49. > :52:54.itself. There is a lot of worry out there. I think that we should

:52:55. > :52:59.refrain from portraying patients as the problem. We are living in a

:53:00. > :53:04.society which fortunately has managed to have a higher life

:53:05. > :53:08.expectancy and people are getting older. But that is a good thing.

:53:09. > :53:13.What we really need to do is move away from doing what the politicians

:53:14. > :53:17.want and to do what the patients need. That is the need of the hour.

:53:18. > :53:23.What we really need to be doing is increased the funding and

:53:24. > :53:28.stabilising the core services, cut bureaucracy on GPs by getting rid of

:53:29. > :53:32.CQC and appraisals and we need to have a moratorium on any new

:53:33. > :53:38.projects for the next few years to stabilise and make sure the NHS is

:53:39. > :53:42.sustainable. As medicine is growing we are doing more and more complex

:53:43. > :53:47.work. Things that used to happen in the hospital a few years ago are

:53:48. > :53:51.happening in GP practices. Patients don't need to see different GPs for

:53:52. > :53:56.the same problem at different times, that can lead to delays in diagnosis

:53:57. > :54:01.and frustration for the patient. I think the patients are definitely on

:54:02. > :54:04.our side and saying that the patients are using the service

:54:05. > :54:10.inappropriately is somehow missing the point. I absolutely agree. We

:54:11. > :54:15.are almost out of time but I want to read the comments from some viewers.

:54:16. > :54:19.Skype GP would be great because if you are ill without leaving your

:54:20. > :54:22.home you can get advice on Skype. Roy says it's nearly impossible to

:54:23. > :54:26.see the same doctor twice as pre-booked appointments are not

:54:27. > :54:29.allowed. Anonymous text: the computer cannot diagnose you, I have

:54:30. > :54:33.to book a telephone or Skype consultation and this can be a week

:54:34. > :54:36.and if you need one-to-one it is another week so it takes two to

:54:37. > :54:40.three weeks to see a GP. Thank you for joining us.

:54:41. > :54:43.In his final weeks, the music star Prince hid any signs

:54:44. > :54:46.But it's been revealed that a leading addiction specialist

:54:47. > :54:50.was requested by the singer's team just a day before he died.

:54:51. > :54:55.Joining me now is our entertainment correspondent, Sinead Garvan.

:54:56. > :55:05.What has emerged, Sinead? A man named Doctor Howard Kornfeld, a

:55:06. > :55:10.leading addiction specialist America who runs a huge clinic in

:55:11. > :55:13.California, was called up the day before Prince died and it is his

:55:14. > :55:15.lawyer actually who has talked in America and we have a clip of him

:55:16. > :55:17.coming up. Dr Kornfeld was contacted

:55:18. > :55:20.by representatives of Prince on the Dr Kornfeld is a national expert

:55:21. > :55:27.on addiction treatment and pain He is board certified in emergency

:55:28. > :55:36.medicine, pain management He was contacted because

:55:37. > :55:39.he is a nationally He set in motion a plan to deal

:55:40. > :55:47.with what he felt was Prince to a doctor in

:55:48. > :55:56.Minnesota. On Thursday morning, he contacted

:55:57. > :55:59.a trusted colleague of his. That Minnesota doctor

:56:00. > :56:03.cleared his schedule for Thursday morning to

:56:04. > :56:09.provide privacy to Prince. Prince did not show up

:56:10. > :56:25.for that appointment He died two weeks ago, is it any

:56:26. > :56:28.clearer what the cause of death was? No, the autopsy took place the next

:56:29. > :56:33.day and they said at the time it would take weeks and weeks so we

:56:34. > :56:39.still don't know. The police in minister to have called in national

:56:40. > :56:42.forces, the drug enforcement agency, to help with this because

:56:43. > :56:45.painkillers were found on him but we don't know how he got them and

:56:46. > :56:51.whether they lead to anything. He made those comments, people are

:56:52. > :56:57.pouring over everything in his last days, those comments to an audience,

:56:58. > :57:00.don't cry for me just yet. Yes, I think we just have to sit and wait

:57:01. > :57:04.for this one. These are interesting developers, the fact the addiction

:57:05. > :57:08.specialist was called in the day before and as you heard in that

:57:09. > :57:12.clip, life-saving mission. This doctor didn't actually go, his son

:57:13. > :57:17.went to see Prince who works at the clinic with him but isn't a doctor

:57:18. > :57:22.and he was the one who found Prince's body along with their

:57:23. > :57:26.staff. You may remember the 911 call who was a guy called Andrew

:57:27. > :57:33.Kornfeld, Doctor Howard Kornfeld's son who made the call. Very sad.

:57:34. > :57:37.Thank you, Sinead. Thank you for getting in touch today. You've been

:57:38. > :57:42.getting in touch about midwife-led maternity care, an anonymous text

:57:43. > :57:46.said: there is a massive inconsistency with midwife care, my

:57:47. > :57:51.son was born in January and never saw the same midwife during my care.

:57:52. > :57:54.Twice I saw a GP because there was not a midwife available. I think all

:57:55. > :57:57.first-time mothers should be classified as high risk as they have

:57:58. > :58:02.never been through this experience before so you don't know how their

:58:03. > :58:09.body will respond. The postmortem examination was inconclusive, we

:58:10. > :58:13.will always wonder why he died. On Facebook and I think everybody has a

:58:14. > :58:15.responsibility, staff shortages with existing staff working with

:58:16. > :58:19.outbreaks and spreading themselves thinly while the clients are adamant

:58:20. > :58:24.they want a certain type of birth so for the professionals it means being

:58:25. > :58:25.extremely clear on parameters for low risk women. Thank you for all of

:58:26. > :58:32.your commits today. We are not here tomorrow, instead

:58:33. > :58:33.there will