Browse content similar to 04/10/2016. Check below for episodes and series from the same categories and more!
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Hello, it's Tuesday, it's 9am, I'm Victoria Derbyshire, | :00:07. | :00:08. | |
On the programme today, the hidden trauma of being | :00:09. | :00:12. | |
It is not something you talk about openly. Why did you not want to tell | :00:13. | :00:27. | |
people? I did not feel normal, as though my body was not capable of | :00:28. | :00:32. | |
giving birth. I felt ashamed. Of what happened to me. And what I am | :00:33. | :00:36. | |
living with on a daily basis. It's a taboo subject | :00:37. | :00:38. | |
which isn't often talked If it's happened to you, | :00:39. | :00:40. | |
do get in touch. Also on the programme, | :00:41. | :00:44. | |
opting out of European human rights to protect our troops | :00:45. | :00:46. | |
from what the Government says One MP says the move is overdue. | :00:47. | :01:05. | |
The attempt by human rights law to armed conflict presented a | :01:06. | :01:06. | |
misunderstanding of what we were asking and then -- our men and women | :01:07. | :01:10. | |
to do. And, a 300% rise in the number | :01:11. | :01:12. | |
of pupils temporarily excluded Head teachers say it's | :01:13. | :01:15. | |
because they're better We'll get reaction from parents | :01:16. | :01:18. | |
of excluded children, Throughout the programme we'll bring | :01:19. | :01:21. | |
you the latest breaking news, sport and interviews, | :01:22. | :01:34. | |
and do get in touch today, particularly if you've | :01:35. | :01:36. | |
experienced a birthing injury. And if you text, you will be charged | :01:37. | :01:43. | |
at the standard network rate. Hopefully we will talk to you on the | :01:44. | :01:52. | |
programme later. That's what the Health Secretary | :01:53. | :01:55. | |
Jeremy Hunt will promise for the NHS in England today, | :01:56. | :02:00. | |
so that it no longer relies He's expected to say that an extra | :02:01. | :02:02. | |
?100 million will be set aside to pay for the increase | :02:03. | :02:07. | |
in medical-school places. And all doctors trained by the NHS | :02:08. | :02:09. | |
will have to work for the health Our political guru Norman Smith | :02:10. | :02:13. | |
is in Birmingham at Phil Olsen. Jeremy Hunt has been at | :02:14. | :02:30. | |
loggerheads with junior doctors for months now. Some better news for the | :02:31. | :02:35. | |
medical community today, with plans to make us self-sufficient in | :02:36. | :02:40. | |
doctors. In other words, there will be enough British doctors to start | :02:41. | :02:47. | |
-- staff British hospitals, he says, but not until 2025, ten years away. | :02:48. | :02:51. | |
He wants to bump up the number of students training to be doctors by | :02:52. | :02:57. | |
more than a quarter, pumping in an extra ?100 million, so that in time | :02:58. | :03:01. | |
we will not have to have locums or pay agency doctors, because, his | :03:02. | :03:08. | |
take is, it is costing the NHS and a lot of money, something like 3 | :03:09. | :03:13. | |
billion goes on paying for foreign agency staff. So part of it is about | :03:14. | :03:18. | |
saving cash. Part of it is simply responding to the fact that with an | :03:19. | :03:21. | |
ageing population we are going to need more doctors. This morning the | :03:22. | :03:25. | |
Prime Minister said she wanted to ensure that there were enough | :03:26. | :03:30. | |
doctors to meet the demand we are likely to face in the future. | :03:31. | :03:35. | |
Extra money for the training of doctors, we want to see more British | :03:36. | :03:41. | |
doctors in the NHS, the NHS is having to ensure that the scam | :03:42. | :03:46. | |
coming from overseas to ensure we have the numbers we need, and there | :03:47. | :03:52. | |
are people in the UK Hamburg -- who may want to train but cannot. It is | :03:53. | :03:57. | |
right that we are doing this, it will mean that we can see more | :03:58. | :03:58. | |
British doctors in the NHS. There is another reason why we need | :03:59. | :04:07. | |
to train more doctors. There are not enough doctors to go around in the | :04:08. | :04:12. | |
world. The World Health Organisation says there is a 2 million shortage | :04:13. | :04:16. | |
of doctors around the world. There is the issue that to make up the | :04:17. | :04:20. | |
shortfall we tend to recruit from developing countries, and that has a | :04:21. | :04:25. | |
significant impact on the sort of health provision they can divide. It | :04:26. | :04:31. | |
is not just about trying to ensure we have enough, it is trying to | :04:32. | :04:34. | |
ensure we do not drain developing countries of the sort of few medical | :04:35. | :04:42. | |
staff they have. More from Norman later. | :04:43. | :04:43. | |
Joanna is in the BBC Newsroom with a summary | :04:44. | :04:46. | |
This programme has been given exclusive access to a new project | :04:47. | :04:50. | |
which aims to cut the number of women severely injured | :04:51. | :04:52. | |
It's the first time doctors and midwives have worked together | :04:53. | :04:56. | |
They've come up with a number of techniques to help prevent | :04:57. | :05:00. | |
injuries, including serious tears, that can lead to | :05:01. | :05:02. | |
The project will be trialled in more than a dozen hospitals from January. | :05:03. | :05:07. | |
Stay with us for our special report on the scheme and the stories | :05:08. | :05:15. | |
of some of the women affected in just a couple of minutes' time. | :05:16. | :05:18. | |
The British Armed Forces are to be given more | :05:19. | :05:20. | |
protection from legal claims, with the Government saying it | :05:21. | :05:23. | |
will opt out of parts of the European Convention | :05:24. | :05:25. | |
on Human Rights during future conflicts. | :05:26. | :05:26. | |
The Defence Secretary Michael Fallon says that the move will | :05:27. | :05:29. | |
save millions of pounds on legal fees. | :05:30. | :05:34. | |
UK soldiers fighting overseas are subject to international law, | :05:35. | :05:37. | |
including the European Convention on Human Rights. | :05:38. | :05:40. | |
And cases brought against British troops by foreign detainees | :05:41. | :05:43. | |
or the relatives of people injured or killed can be heard in UK courts, | :05:44. | :05:48. | |
to the frustration of many senior military figures and politicians. | :05:49. | :05:54. | |
Since 2004, the Ministry of Defence has spent over | :05:55. | :05:56. | |
?100 million on investigations, inquiries and compensation | :05:57. | :06:00. | |
relating to the conduct of British troops in Iraq. | :06:01. | :06:03. | |
The Government says false claims by people who say | :06:04. | :06:06. | |
their European Convention rights have been breached have driven | :06:07. | :06:09. | |
much of the litigation, causing considerable distress | :06:10. | :06:12. | |
to serving and former members of the armed forces. | :06:13. | :06:16. | |
The first part of rebuilding relationships in the country | :06:17. | :06:22. | |
between the military and their political masters, | :06:23. | :06:29. | |
I think the sort of attempt to apply European human-rights law to armed | :06:30. | :06:32. | |
conflict represented a fundamental misunderstanding of what we were | :06:33. | :06:35. | |
In their 2015 election manifesto, the Conservatives said | :06:36. | :06:39. | |
they would act on the issue, and today ministers have pledged | :06:40. | :06:42. | |
to exempt the UK from two clauses of the European | :06:43. | :06:45. | |
This would apply to future conflicts, and the Defence | :06:46. | :06:51. | |
Secretary Michael Fallon said the change would enable | :06:52. | :06:53. | |
troops to confidently take decisions on the battlefield. | :06:54. | :06:56. | |
But the Government's former attorney-general is not convinced | :06:57. | :06:59. | |
the change will make a big difference. | :07:00. | :07:02. | |
It's a perfectly sensible move, if it's used sparingly | :07:03. | :07:06. | |
It will certainly, I think, help a little. | :07:07. | :07:11. | |
But I don't think one should expect that somehow, by doing this, | :07:12. | :07:15. | |
all claims against British military personnel are going to evaporate, | :07:16. | :07:19. | |
because I'm afraid that won't happen. | :07:20. | :07:22. | |
Ministers insist UK troops will still be subject to other | :07:23. | :07:24. | |
articles of the convention, including a prohibition on torture, | :07:25. | :07:28. | |
as well as UK law and the Geneva conventions. | :07:29. | :07:34. | |
Russia has rebuffed the latest attempt at the UN to impose | :07:35. | :07:37. | |
a new ceasefire to end the fighting in the Syrian city of Aleppo. | :07:38. | :07:41. | |
The United States broke off discussions with Moscow last night, | :07:42. | :07:44. | |
saying everyone's patience had run out. | :07:45. | :07:48. | |
The US Presidential candidate Donald Trump has responded | :07:49. | :07:50. | |
to the publication of tax documents in the New York Times. | :07:51. | :07:54. | |
The paper said he'd declared business losses of more | :07:55. | :07:56. | |
than $900 million in 1995, which may have enabled him | :07:57. | :08:00. | |
to legally avoid paying tax for nearly 18 years. | :08:01. | :08:04. | |
Mr Trump told a rally in Colorado that as a businessman he has | :08:05. | :08:07. | |
a responsibility to pay as little tax as legally possible. | :08:08. | :08:16. | |
Police on the Greek island of Kos searching for Ben Needham say | :08:17. | :08:19. | |
they've now got permission to knock down part of a farmhouse close to | :08:20. | :08:22. | |
A specialist team has begun a ninth day of excavations. | :08:23. | :08:26. | |
The building is a modern extension built since his disappearance, | :08:27. | :08:28. | |
and they want to dig underneath to make sure Ben | :08:29. | :08:31. | |
The number of pupils excluded from schools in some parts | :08:32. | :08:36. | |
of England has risen by more than 300% in three years. | :08:37. | :08:39. | |
Persistent disruptive behaviour accounted for the lion's share, | :08:40. | :08:42. | |
while more than 8,000 pupils were excluded for drug | :08:43. | :08:44. | |
and alcohol offences, and more than 2,000 related | :08:45. | :08:48. | |
The biggest increases were seen in Middlesbrough, | :08:49. | :08:51. | |
Some councils said the increase reflected a greater willingness | :08:52. | :08:56. | |
Police in Japan are investigating if a serial killer has poisoned dozens | :08:57. | :09:12. | |
of patients in a hospital in Yokohama. Two patients died after | :09:13. | :09:17. | |
detergent was injected into their intravenous drips. They are now | :09:18. | :09:21. | |
investigating more than 40 other deaths at the hospital, which may | :09:22. | :09:22. | |
also be suspicious. That's a summary of the latest BBC | :09:23. | :09:24. | |
News, more at 9:30am. We will look at injuries during | :09:25. | :09:34. | |
childbirth in the next the minutes. Megan says, I had a normal delivery | :09:35. | :09:40. | |
with an episiotomy four weeks ago. Congratulations. The midwife could | :09:41. | :09:44. | |
not stop the bleeding, so a doctor finished the job, this took two | :09:45. | :09:48. | |
hours of stitching. Within five days the stitches had dissolved and the | :09:49. | :09:52. | |
wind was gaping. I am so worried I will never be able to walk or swim | :09:53. | :09:56. | |
without pain or risk of infection again. Rachel says, I suffered a | :09:57. | :10:01. | |
fourth degree tear, the worst you can have, when giving birth to my | :10:02. | :10:06. | |
son last year. No family history of issues. A natural water birth in a | :10:07. | :10:13. | |
birthing centre. I had to have a cut but I believe I tour because of the | :10:14. | :10:16. | |
use of forceps, and my son having a larger than average head. I had to | :10:17. | :10:21. | |
have a spinal block and two hours of surgery to repair the tower, which | :10:22. | :10:26. | |
was not ideal, after having my baby. My husband was left alone with him, | :10:27. | :10:30. | |
thinking I would be gone for half an hour, worried about what had | :10:31. | :10:34. | |
happened. Thankfully, all went well, our baby best Fred Pring it leak, | :10:35. | :10:39. | |
and I have been lucky not to have any incontinence, pain or any | :10:40. | :10:43. | |
ongoing issues so far. The midwife discussed the potential for me to be | :10:44. | :10:47. | |
doubly incontinent and suffer ongoing pain. I was so scared that I | :10:48. | :10:53. | |
would wearing nappies at the age of 33. More on that in the next few | :10:54. | :10:56. | |
minutes, do get in touch. And if you text, you will be charged | :10:57. | :10:59. | |
at the standard network rate. So, has the boxer Tyson Fury | :11:00. | :11:03. | |
retired or hasn't he? He sent some pretty | :11:04. | :11:09. | |
extraordinary tweets yesterday? He has been quite vocal on social | :11:10. | :11:20. | |
media in the last few days, he initially said that boxing is the | :11:21. | :11:23. | |
saddest thing he has ever taken part in and he announced his retirement | :11:24. | :11:28. | |
via Twitter, only to reverse the decision just three hours later. It | :11:29. | :11:34. | |
is hard to say what is going on with him. People close to him seem to be | :11:35. | :11:39. | |
worried, Billy Joe Saunders, somebody who has known him a long | :11:40. | :11:43. | |
time, says he is at the lowest he has ever seen him, and adds that if | :11:44. | :11:47. | |
boxing is taken away from him, his life is over. To give you some | :11:48. | :11:53. | |
background, he has just pulled out of his rematch with Wladimir | :11:54. | :11:56. | |
Klitschko for a second time, he says he was suffering with mental health | :11:57. | :12:02. | |
issues. This is the latest in a long line of controversies from him, who | :12:03. | :12:06. | |
also faces an anti-doping hearing next month for an alleged drugs | :12:07. | :12:07. | |
violation. An interesting proposal from Fifa | :12:08. | :12:09. | |
president Gianni Infantino, he's looking to expand the World Cup | :12:10. | :12:10. | |
to 48 teams. He said when he was going for | :12:11. | :12:20. | |
election that he wants to do it, but now it is even more teams than he | :12:21. | :12:25. | |
had suggested previously. He wants to develop football around the | :12:26. | :12:28. | |
world, he is proposing that 48 teams should be included will stop instead | :12:29. | :12:35. | |
of the 32 currently. What makes this interesting, 16 of them would be | :12:36. | :12:39. | |
eliminated before the group stages have even started, in a knockout | :12:40. | :12:43. | |
round. You could have teams and fans travelling across the globe to | :12:44. | :12:46. | |
represent their countries in the biggest football event in the world, | :12:47. | :12:50. | |
playing one match, and then going home. It is a possibility at this | :12:51. | :12:55. | |
stage. A final decision will be made in January. | :12:56. | :12:56. | |
And it's a big day for the future of tennis star | :12:57. | :12:59. | |
She will find out today if her doping ban will be overturned by the | :13:00. | :13:09. | |
Court of Arbitration for Sport. She tested positive for the banned | :13:10. | :13:13. | |
substance Melburnians in March. She said she has been taking for health | :13:14. | :13:18. | |
reasons since 2006 and was not using it to improve her performance. The | :13:19. | :13:22. | |
International Tennis Federation band have two years, which she appealed. | :13:23. | :13:28. | |
We expect a decision at 2pm. Before that, I will have the headlines, at | :13:29. | :13:30. | |
9:30am. The first film we're about to bring | :13:31. | :13:32. | |
you this morning is on a subject that isn't often talked about, | :13:33. | :13:35. | |
never mind at this time of day. We're going to give some frank | :13:36. | :13:38. | |
details and talk openly about injuries that women can get | :13:39. | :13:41. | |
during childbirth, so if you'd rather not watch, or you've got | :13:42. | :13:44. | |
children in the room, you may want to turn away | :13:45. | :13:46. | |
for the next 15 minutes or so. Childbirth can be a daunting | :13:47. | :13:50. | |
experience for most expectant mothers, but for some it can | :13:51. | :13:53. | |
lead to life-changing Often, women don't | :13:54. | :13:57. | |
share their experiences. They may find their symptoms | :13:58. | :14:02. | |
embarrassing, or think what they're going through is normal | :14:03. | :14:05. | |
after giving birth. It's a topic some in the medical | :14:06. | :14:08. | |
profession say has been We've spoken to women have been let | :14:09. | :14:10. | |
down by poor diagnoses, patchy treatment and an unwillingness | :14:11. | :14:16. | |
to talk about the issue. In some cases it's prevented them | :14:17. | :14:20. | |
from getting the help they needed And if you're expecting right now, | :14:21. | :14:23. | |
it's worth pointing out severe tears Only about 6% of women | :14:24. | :14:29. | |
are affected by them. But when they do happen, | :14:30. | :14:35. | |
they can be devastating. Doctors and midwives are now working | :14:36. | :14:38. | |
together to see if they can reduce the number of these injuries, | :14:39. | :14:41. | |
and this programme has been given Experts agree birth injuries need | :14:42. | :14:44. | |
to be recognised for the huge physical impact they can | :14:45. | :14:50. | |
have on women's lives. Another warning that this report | :14:51. | :14:53. | |
by Jean Mackenzie contains some details and pictures which you may | :14:54. | :14:56. | |
find distressing and may not want Basically, I tore from the vagina, | :14:57. | :15:00. | |
where the baby comes out, straight First of all I started having | :15:01. | :15:09. | |
problems with my bladder and it was a constant need to go | :15:10. | :15:15. | |
to the toilet. 85% of women suffer some | :15:16. | :15:18. | |
degree of perineal tear I didn't consider it to be | :15:19. | :15:23. | |
a traumatic experience because my baby was | :15:24. | :15:33. | |
born at the end of it. But actually, when you do think | :15:34. | :15:36. | |
about it, it was really traumatic. The advice I was getting was this | :15:37. | :15:40. | |
will get better and you will heal and that wasn't what | :15:41. | :15:43. | |
was happening to me. In some cases, tearing can lead | :15:44. | :15:47. | |
to long-term complications. It can lead to | :15:48. | :15:54. | |
relationship break-ups. Quite often they may leave their job | :15:55. | :15:56. | |
because they're so embarrassed. These conditions affect | :15:57. | :16:04. | |
more women than we know. Injuries are sometimes missed | :16:05. | :16:07. | |
and often women suffer in silence. It's not something that | :16:08. | :16:10. | |
you talk about openly. Was it because my body wasn't | :16:11. | :16:13. | |
capable of giving birth? Of what happened to me | :16:14. | :16:21. | |
and what I'm living Six years since Debbie gave birth | :16:22. | :16:29. | |
to her son Kaiden and she's lost count of how many hospital | :16:30. | :16:58. | |
appointments she's had. I tore, basically, | :16:59. | :17:00. | |
from front to back. You know, there's a small area | :17:01. | :17:02. | |
between your back passage and your vagina and that | :17:03. | :17:04. | |
was quite badly torn, So, yeah, I went for emergency | :17:05. | :17:06. | |
surgery to try to repair that, but when we got to emergency | :17:07. | :17:12. | |
surgery, it seemed it Surgeons repaired the tear, | :17:13. | :17:14. | |
but Debbie was left with a small hole between the wall | :17:15. | :17:19. | |
of her vagina and her bowel. I was passing wind uncontrollably | :17:20. | :17:23. | |
through the vagina and every the time I went to the toilet | :17:24. | :17:27. | |
there would be faeces I was constantly in the bath, | :17:28. | :17:30. | |
constantly washing, causing A number of attempts | :17:31. | :17:36. | |
were made to repair it, but none successful, | :17:37. | :17:42. | |
so Debbie was fitted I have two consider | :17:43. | :17:44. | |
it wherever I go. If I leave the house I need | :17:45. | :17:53. | |
to take spare clothes. I have to scan the place | :17:54. | :17:55. | |
for the nearest toilet. For example, I was shopping in Asda, | :17:56. | :17:58. | |
standing in the queue and I just went and the bag came apart | :17:59. | :18:03. | |
from the side and I could feel it leaking and I could smell it, | :18:04. | :18:08. | |
so you know, I kind of had to run and drag Kaiden kicking | :18:09. | :18:13. | |
and screaming behind me because he didn't really understand | :18:14. | :18:15. | |
what the urgency was. And that's happened when I have | :18:16. | :18:19. | |
took him to school, it happened So, yeah, it affects everything | :18:20. | :18:22. | |
you're doing really. What was it like dealing with this | :18:23. | :18:29. | |
injury whilst raising a newborn baby It's overwhelming as it is, | :18:30. | :18:32. | |
and then when you've also got a stoma back to look after, | :18:33. | :18:38. | |
you're changing stoma bags in between nappies and bottles, | :18:39. | :18:42. | |
yeah, it was exhausting. Debbie's tear was classed | :18:43. | :18:44. | |
as a fourth degree tear, Not all tears will lead | :18:45. | :18:52. | |
to complications. In this perineal model, | :18:53. | :18:58. | |
you can see the vagina When the vaginal skin is torn, | :18:59. | :19:00. | |
it is called a first degree tear. When the underlying muscles | :19:01. | :19:09. | |
are torn, it is called And when the anal sphincter muscles | :19:10. | :19:11. | |
are torn, it's called And when the skin lining the back | :19:12. | :19:16. | |
passage is torn, it is called I suffered a third degree perineal | :19:17. | :19:22. | |
tear when I gave birth. I have a degree of bowel | :19:23. | :19:32. | |
incontinence. I don't have any sensation in my | :19:33. | :19:39. | |
bladder and I have nerve damage, I remember doing my first walk | :19:40. | :19:42. | |
with the pram and I was able to walk for ten minutes and I remember | :19:43. | :19:53. | |
sitting down on the curb for ten minutes and I remember | :19:54. | :20:03. | |
sitting down on the kerb and saying to my mum, | :20:04. | :20:06. | |
I can't actually walk any further, And she just said, that's fine, | :20:07. | :20:08. | |
we'll turn round and we'll walk and we'll go back home, | :20:09. | :20:14. | |
but that's a really clear memory for me because it was about four | :20:15. | :20:18. | |
weeks out then and I thought, I should be able to walk for 20 | :20:19. | :20:21. | |
minutes with the pram. Over the next three months | :20:22. | :20:25. | |
Jenny's symptoms got worse. Because the tear had | :20:26. | :20:29. | |
damaged her nerves, she now has no I have to wear a pad all the time | :20:30. | :20:31. | |
and it's the... It's the psychological distress | :20:32. | :20:42. | |
of constantly feeling It distresses me every | :20:43. | :20:46. | |
time I go the toilet. It's a daily dread of just having | :20:47. | :20:52. | |
basic bodily functions, which over time really starts | :20:53. | :20:59. | |
to take its toll on your coping strategies really | :21:00. | :21:02. | |
and your mental health. It's obviously really difficult | :21:03. | :21:08. | |
in an intimate relationship to deal Recent research found the amount | :21:09. | :21:11. | |
of women suffering serious third and fourth degree tears had tripled | :21:12. | :21:19. | |
over the last decade from 2% to 6%. Women are becoming heavier, | :21:20. | :21:26. | |
babies are becoming heavier and women are delaying their first | :21:27. | :21:32. | |
pregnancy until they are much older. These are all risk factors that | :21:33. | :21:36. | |
actually increase the rate of tears. Diagnosing these injuries | :21:37. | :21:42. | |
quickly and repairing them It can make the difference | :21:43. | :21:44. | |
between developing a complication So the beginning of the tear | :21:45. | :21:49. | |
so you want to go a centimetre Make sure that you go as deep | :21:50. | :22:05. | |
as possible because if you don't go deep, you might end up with air, | :22:06. | :22:10. | |
a pocket and that can Adelaide is a specialist | :22:11. | :22:13. | |
midwife and concerned that mistakes were being made, | :22:14. | :22:18. | |
she set up this course to teach How do you think training | :22:19. | :22:21. | |
is at the moment for midwives? It's quite patchy, | :22:22. | :22:27. | |
so it's not standardised. If ten women are going | :22:28. | :22:31. | |
to have a baby and eight of them or nine of them are likely | :22:32. | :22:34. | |
to have a trauma, then we need to have mandatory | :22:35. | :22:37. | |
training across the board. How do you feel when you have | :22:38. | :22:39. | |
to repair these injuries? You've got another woman waiting | :22:40. | :22:42. | |
for a bed and you do Do you feel that there needs to be | :22:43. | :22:47. | |
more training for this? Yeah, I wouldn't say | :22:48. | :22:59. | |
the training is very good. You have to pay for | :23:00. | :23:02. | |
courses like this. Within the trust we have a mandatory | :23:03. | :23:04. | |
study day, where suturing It's not something that's | :23:05. | :23:06. | |
taught very well by you're How does that make | :23:07. | :23:11. | |
you feel when you're I'll be afraid of making | :23:12. | :23:13. | |
a mistake, or getting a bad Can you see I'm holding this | :23:14. | :23:22. | |
so I can have tension How important is it to get | :23:23. | :23:27. | |
this right for women? I can't emphasise enough | :23:28. | :23:31. | |
because if we don't get this right, it means it's affecting women's | :23:32. | :23:35. | |
general way of living. For example, if they are | :23:36. | :23:40. | |
in excruciating pain, that might lead to | :23:41. | :23:45. | |
relationship breakdown. You might want to shorten that | :23:46. | :23:48. | |
a bit so it's not too... These injuries affect | :23:49. | :23:57. | |
more women than we know Either they are too embarrassed | :23:58. | :23:59. | |
to seek help or they're unsure their symptoms are a normal | :24:00. | :24:06. | |
consequence of giving birth. And too often when they do | :24:07. | :24:09. | |
seek help, the concerns I was being told that this | :24:10. | :24:13. | |
was normal after a baby. I was told at one point, | :24:14. | :24:26. | |
there's more to you They were the exact words, | :24:27. | :24:29. | |
that it was all in my head. What did you think when you were | :24:30. | :24:37. | |
hearing these things and you knew You start to think, well, | :24:38. | :24:40. | |
is it all in my head? You walk out of the appointment | :24:41. | :24:45. | |
and you try and wish it away and do try and pretend it's not them, | :24:46. | :24:53. | |
and other sleep you wake up the next I just think, were my going to go | :24:54. | :24:57. | |
to get help for this The stoma bag takes up | :24:58. | :25:02. | |
a lot of my time and he's If he needs my attention, | :25:03. | :25:23. | |
I was in the toilet or the shower and he has lashed out and hit out, | :25:24. | :25:29. | |
so we do have therapy sessions It's not that mummy doesn't | :25:30. | :25:32. | |
love him, sometimes my attention has For both women their injuries | :25:33. | :25:37. | |
have been life changing. Debbie is still dealing | :25:38. | :25:43. | |
with depression. My confidence is very low. | :25:44. | :25:46. | |
I used to be quite out there. I'd be the first one you heard | :25:47. | :25:51. | |
walking through the door. I wouldn't say it's changed my | :25:52. | :25:58. | |
personality completely, my personality is still there, | :25:59. | :26:00. | |
but confidence... When I think confidence, | :26:01. | :26:03. | |
you need confidence to do your job. The reality of it is | :26:04. | :26:09. | |
I don't do my job properly Confidence is putting on some | :26:10. | :26:12. | |
clothes and walking out Debbie's relationship with Kaiden's | :26:13. | :26:18. | |
father ended a year after his birth. For Jenny, who was a single mum, | :26:19. | :26:28. | |
postnatal depression hit hard and her son now lives | :26:29. | :26:30. | |
with his father. I didn't feel I had anything left | :26:31. | :26:40. | |
in me to love or to mother. I just felt so devastated | :26:41. | :26:43. | |
by what had happened to me. The trauma of it all wrapped up | :26:44. | :26:47. | |
in a parcel was just overwhelming. And I felt so angry that | :26:48. | :26:59. | |
it'd happened to me and that I couldn't mother | :27:00. | :27:01. | |
in the way that I wanted to and be the person that I was | :27:02. | :27:04. | |
before I had Thomas. It had changed my sense of self | :27:05. | :27:06. | |
and it had just shot With such devastating consequences, | :27:07. | :27:11. | |
the question now being asked is can anything be done to stop these | :27:12. | :27:18. | |
injuries from happening? For the last couple of years a team | :27:19. | :27:22. | |
here at Croydon Hospital has been working to try and reduce the number | :27:23. | :27:27. | |
of these injuries and I'm here to find out what they've | :27:28. | :27:30. | |
learned so far. Communication with the woman | :27:31. | :27:34. | |
is vitally important so that she doesn't push | :27:35. | :27:37. | |
as the baby's head comes out, but actually pants to prevent | :27:38. | :27:40. | |
the head from popping out. Can you just demonstrate to me this | :27:41. | :27:44. | |
new technique that you've developed. So the technique essentially | :27:45. | :27:48. | |
consists of placing three fingers firmly on the perineum, | :27:49. | :27:51. | |
then the thumb and the forefinger Then as the baby's head comes out, | :27:52. | :27:54. | |
the other hand is used to prevent the head from coming | :27:55. | :28:02. | |
out with great force. You continue to support the perineum | :28:03. | :28:06. | |
as the shoulders come out because tears can also | :28:07. | :28:09. | |
occur as the shoulders So what difference have you seen | :28:10. | :28:10. | |
since you've been doing this There has been a reduction in severe | :28:11. | :28:21. | |
third and fourth degree When you do the manual | :28:22. | :28:26. | |
perineum protection, you are actually preventing | :28:27. | :28:30. | |
the weakest point of This is one of a number | :28:31. | :28:32. | |
of new techniques which doctors and They will be piloted in 60 | :28:33. | :28:37. | |
hospitals from January. For now though, everyone agrees | :28:38. | :28:48. | |
there must be more awareness Women need to be told more | :28:49. | :28:50. | |
about what can go wrong during birth It is something that we need to talk | :28:51. | :28:54. | |
to women about in I think it's a subject that's not | :28:55. | :29:00. | |
broached very frequently. Definitely, they need | :29:01. | :29:12. | |
to have the option and understand Women need to understand | :29:13. | :29:17. | |
that there can be consequences They need to be less | :29:18. | :29:25. | |
embarrassed to talk about this and as health care professionals, | :29:26. | :29:32. | |
we need to be less embarrassed and it's really hard to think that | :29:33. | :29:35. | |
if I would've just had a bit more knowledge about birth, | :29:36. | :29:49. | |
perhaps been given a bit more control, how different | :29:50. | :29:51. | |
things could have been. There is more on the website. It is | :29:52. | :30:08. | |
the fourth most read right now. That film by Jean MacKenzie | :30:09. | :30:14. | |
and as she said the kind of birth tears featured in that report | :30:15. | :30:18. | |
are rare - about 6% of women are affected - | :30:19. | :30:20. | |
but when it does happen This text says, I was severely torn, | :30:21. | :30:33. | |
it has ruined my marriage. This tweet says, I had a fourth degree | :30:34. | :30:39. | |
tear nine weeks ago. I am very lucky that I have recovered, but I can't | :30:40. | :30:42. | |
have a natural birth again. On Facebook, I had my baby in May, I | :30:43. | :30:48. | |
tour really badly, it has ruined the first few months for me, that I am | :30:49. | :30:53. | |
trying to make the most of it. My hospital appointment is on Thursday, | :30:54. | :30:57. | |
five months after the baby was born. Who knows when they will finally | :30:58. | :31:03. | |
sorted. This text, I had a normal birth, but relatively long Labour of | :31:04. | :31:08. | |
36 hours, I tour so badly I severed an artery and lost almost two and | :31:09. | :31:13. | |
half litres of blood. I was not given a transfusion and therefore | :31:14. | :31:18. | |
feinted whenever I needed to get up. My milk did not come in for over a | :31:19. | :31:23. | |
week as my body was in shock and I could not have intercourse for over | :31:24. | :31:29. | |
18 months. This e-mail, I have had four children I have suffered | :31:30. | :31:32. | |
terrible back and pelvic pain ever since I had my last little boy, who | :31:33. | :31:37. | |
is now two. I go back and forward to the doctors but I am just prescribed | :31:38. | :31:41. | |
painkillers. I have a pain before going to the loo, which feels I am | :31:42. | :31:46. | |
giving birth again, I don't feel I am getting enough help. We'll talk | :31:47. | :31:47. | |
more about this. After 10am, we'll be talking | :31:48. | :31:49. | |
to an obstetrician and a midwife about what can be done to reduce | :31:50. | :31:52. | |
the number of injuries. Hopefully, we will talk to some of | :31:53. | :31:58. | |
you before the end of the programme. A flagship Government programme | :31:59. | :32:04. | |
to support offenders when they leave jail has been | :32:05. | :32:10. | |
heavily criticised by inspectors. We'll be speaking to a woman | :32:11. | :32:13. | |
whose son was killed A 300% rise in the number | :32:14. | :32:15. | |
of pupils excluded from some We'll get reaction from parents of | :32:16. | :32:19. | |
excluded children and from teachers. Joanna is in the BBC Newsroom | :32:20. | :32:30. | |
with a summary of today's news. Jeremy Hunt were outline plans so | :32:31. | :32:44. | |
that the NHS in England no longer relies on overseas doctors. People | :32:45. | :32:47. | |
tell the party conference it will be achieved through new funding to | :32:48. | :32:54. | |
train an extra 1500. As a year. The doctors union says it falls far | :32:55. | :32:57. | |
short of what is required. The Prime Minister has told the BBC that extra | :32:58. | :33:01. | |
dish boxes are vital to the future of the NHS. | :33:02. | :33:09. | |
We want to see more British doctors in the NHS, we want to Mitchell that | :33:10. | :33:15. | |
doctors can come overseas to ensure we have the numbers we need, and | :33:16. | :33:20. | |
there are people in the UK who may want to train but who cannot because | :33:21. | :33:24. | |
of the limits there have been on the numbers. It is right that we are | :33:25. | :33:28. | |
doing this, it will mean we will see more British doctors in the NHS. | :33:29. | :33:30. | |
This programme has been given exclusive access to a new project | :33:31. | :33:33. | |
which aims to cut the number of women severely injured | :33:34. | :33:35. | |
It's the first time doctors and midwives have | :33:36. | :33:38. | |
worked together to improve care in this area. | :33:39. | :33:40. | |
They've come up with a number of techniques to help prevent | :33:41. | :33:43. | |
injuries, including serious tears, that can lead | :33:44. | :33:45. | |
The project will be trialled in more than a dozen hospitals from January. | :33:46. | :33:51. | |
The Government is to unveil a legal measure it says will protect UK | :33:52. | :33:54. | |
The change in policy, to be announced at the Conservative | :33:55. | :33:59. | |
conference, would mean parts of the European Convention | :34:00. | :34:01. | |
on Human Rights could be suspended during future conflicts. | :34:02. | :34:05. | |
The Defence Secretary Michael Fallon said the legal system | :34:06. | :34:07. | |
The most powerful hurricane in the Caribbean for almost ten | :34:08. | :34:14. | |
years will reach Haiti in the next few hours. | :34:15. | :34:20. | |
Hurricane Matthew is sweeping north through the region. Up to 40 inches | :34:21. | :34:26. | |
of rain could fall. There is a warning of life-threatening | :34:27. | :34:29. | |
flashlights as well as in the neighbouring Dominican Republic. | :34:30. | :34:35. | |
That's a summary of the latest BBC News, more at 10am. | :34:36. | :34:38. | |
Friends of Tyson Fury have expressed concern for his mental | :34:39. | :34:41. | |
health after appearing to announce his retirement | :34:42. | :34:43. | |
via social media, only to reverse the decision three hours later. | :34:44. | :34:45. | |
World middleweight champion Billy Joe Saunders says | :34:46. | :34:47. | |
Fury's life will be over if boxing is taken away from him. | :34:48. | :34:50. | |
Fury has recently pulled out of his rematch with Wladimir Klitschko | :34:51. | :34:54. | |
for a second time, and faces an anti-doping hearing next month | :34:55. | :34:56. | |
Fifa President Gianni Infantino says he would like to see the World Cup | :34:57. | :35:03. | |
expanded to 48 teams, up from the current 32. | :35:04. | :35:06. | |
A final decision is likely in January. | :35:07. | :35:13. | |
Five-times grand-slam champion Maria Sharapova will find out this | :35:14. | :35:15. | |
afternoon if the Court of Arbitration for Sport | :35:16. | :35:17. | |
have upheld her appeal against a two-year ban for doping. | :35:18. | :35:21. | |
And Hull forward Danny Houghton last night won rugby league's | :35:22. | :35:24. | |
Man of Steel award, for the season's best player. | :35:25. | :35:27. | |
Houghton, whose last-minute tackle helped clinch the Challenge Cup | :35:28. | :35:30. | |
final for Hull against Warrington, beat his club captain | :35:31. | :35:33. | |
Thank you for sending your comments about the injuries you have | :35:34. | :35:49. | |
experienced during childbirth. It is a gritty subject, but quite a lot of | :35:50. | :35:53. | |
you are really pleased we are talking about it. This says, such an | :35:54. | :35:59. | |
important subject because it has a huge impact on women's lives, and | :36:00. | :36:05. | |
this e-mail, thank you for covering this, hearing people who have gone | :36:06. | :36:07. | |
through the same thing as me make me feel less alone. I suffered a fourth | :36:08. | :36:11. | |
degree tear after a natural birth and I have a temporary colostomy as | :36:12. | :36:16. | |
a result. Keep them coming in. We will talk more after 10am. | :36:17. | :36:19. | |
A Government programme to support offenders leaving jail after a few | :36:20. | :36:22. | |
Inspectors say it's failing to find jobs for former inmates | :36:23. | :36:25. | |
In one case, a registered sex offender disappeared | :36:26. | :36:31. | |
after being released without anywhere to live. | :36:32. | :36:35. | |
A Radio 4 documentary this evening will report on concerns that | :36:36. | :36:38. | |
a system to make us all safer could actually be putting | :36:39. | :36:41. | |
Melanie Abbott is the reporter with File On 4. | :36:42. | :36:48. | |
First of all, Melanie, just run us through the changes that | :36:49. | :36:51. | |
There's a new national probation service for mainly | :36:52. | :36:59. | |
The medium and low-risk are dealt with by what are called | :37:00. | :37:05. | |
new community rehabilitation companies covering 21 areas | :37:06. | :37:07. | |
of England and Wales, run by private providers. | :37:08. | :37:14. | |
The private sector was supposed to bring in lots of new innovative | :37:15. | :37:26. | |
ideas like mentors for newly-released prisoners. | :37:27. | :37:34. | |
It says the sides are failing to communicate properly. | :37:35. | :37:40. | |
Today's report finds a lot of what was promised | :37:41. | :37:43. | |
And past reports have criticised services for women offenders. | :37:44. | :37:47. | |
And found some of these companies are too busy managing the changes | :37:48. | :37:50. | |
to get down to the nitty gritty work of working with offenders. | :37:51. | :37:53. | |
So what have you uncovered during the course of | :37:54. | :37:55. | |
We've spoken to probation officers who have described the system | :37:56. | :38:00. | |
as being ripped apart, with the two sides | :38:01. | :38:02. | |
They reported problems assessing the level of risk of offenders | :38:03. | :38:07. | |
and with transferring people between the national service | :38:08. | :38:16. | |
and the private companies if the level of risk changes. | :38:17. | :38:18. | |
Most of the cases, around 70%, were supposed to go to the community | :38:19. | :38:21. | |
rehabilitation companies, with the rest dealt | :38:22. | :38:22. | |
But the probation union NAPO claims it is more like 50/50. | :38:23. | :38:26. | |
So they say the national service is overloaded with | :38:27. | :38:28. | |
We've looked at a couple of cases where offenders have gone | :38:29. | :38:41. | |
on to commit serious crimes like murder, and it's been found | :38:42. | :38:46. | |
risk assessments haven't been completed fully and staff handling | :38:47. | :38:49. | |
People can hear mortar night on BBC Radio 4 at 8pm. | :38:50. | :39:01. | |
We can speak now to Nadine and Richard Marshall. | :39:02. | :39:03. | |
Their 18-year-old son Conner was killed last year by a man | :39:04. | :39:06. | |
And the first you knew was when two police officers knocked | :39:07. | :39:16. | |
Yes, it was the Sunday of my birthday. He had been out overnight | :39:17. | :39:28. | |
and was due to come home that morning for Sunday lunch. The door | :39:29. | :39:36. | |
went, I was expecting Conner, and it was police officers, unfortunately. | :39:37. | :39:38. | |
That is when the nightmare started. When you saw him at the hospital, | :39:39. | :39:42. | |
tell our audience how he was. He was unrecognisable. It was not | :39:43. | :39:57. | |
Conner that we knew. His head was in a case. He was so badly beaten, his | :39:58. | :40:05. | |
eye socket had been broken, there work train marks on his face, his | :40:06. | :40:11. | |
body was covered in marks where he had been beaten, his spleen had been | :40:12. | :40:18. | |
split, but we did not know the intensity of the internal injuries | :40:19. | :40:22. | |
for a few hours. Then they brought him past us, we did not know who it | :40:23. | :40:26. | |
was. His face was so swollen and bloody. That is the image that I am | :40:27. | :40:35. | |
left with. You have given us permission to show our audience some | :40:36. | :40:38. | |
of those images. I should let people know they are distressing. If people | :40:39. | :40:46. | |
want to look away, they can do. I don't know how you cope with this. | :40:47. | :40:53. | |
You bring a child into the world, you get them through primary school, | :40:54. | :40:57. | |
you get them to adult would, and something like this happens. We are | :40:58. | :41:09. | |
just living day by day. Staying together as a family. Try to get | :41:10. | :41:13. | |
through it day by day. What did you subsequently find out | :41:14. | :41:15. | |
about David Braddon, Conner's killer, and his | :41:16. | :41:17. | |
previous criminal history? We were told at the sentence trial | :41:18. | :41:30. | |
that there had been incidents, but we were not told how many or what | :41:31. | :41:33. | |
they were for. Then it was two months after the sentencing, in | :41:34. | :41:39. | |
August, we had a letter from the probation services, which is a | :41:40. | :41:46. | |
generic letter, it gets sent out, introducing our probation officer, | :41:47. | :41:50. | |
who would be almost like a liaison officer, and there was just one | :41:51. | :41:55. | |
sentence at the bottom that said that because the offender was being | :41:56. | :42:03. | |
managed by probation services, a serious case review would have to | :42:04. | :42:06. | |
take place. That was the first we knew about it. As you learned more, | :42:07. | :42:12. | |
what did you understand by supervision, in what way was he | :42:13. | :42:17. | |
meant to be managed? He was supposedly being managed under two | :42:18. | :42:21. | |
separate community orders, which meant there were various criteria | :42:22. | :42:24. | |
that he would have had to have fulfilled, he would have had to have | :42:25. | :42:28. | |
gone to so many alcohol and drugs sessions, met with his offender | :42:29. | :42:36. | |
manager, and complied with a curfew, which he did, but he missed lots of | :42:37. | :42:44. | |
appointments, and they were not chased up. The action was not | :42:45. | :42:48. | |
implemented that was supposed to be prevented if payments were missed. | :42:49. | :42:56. | |
What did you learn about his previous criminal history? We | :42:57. | :43:03. | |
learned a lot, but only from having the full report. You had to push for | :43:04. | :43:11. | |
that. Incredibly hard. We know now that he had previous history for | :43:12. | :43:17. | |
drug-taking, alcohol abuse, domestic violence, animal cruelty. He had | :43:18. | :43:26. | |
already had a conviction for assault against a police officer. There was | :43:27. | :43:30. | |
a long line of escalating violence and drug-taking that went back. He | :43:31. | :43:39. | |
was 27, he was not 15 or 16. He was known to the services, and families | :43:40. | :43:45. | |
were involved with the social service aspect of it as well. | :43:46. | :43:51. | |
He was being monitored by staff at the new community rehabilitation | :43:52. | :43:54. | |
We approached the Wales CRC for a statement. | :43:55. | :44:01. | |
They said, "Conner's death was not predictable or preventable." | :44:02. | :44:03. | |
It makes my blood boil. It is the sentence that we keep being told, it | :44:04. | :44:18. | |
is almost like a standard procedure, they have to say that, but with the | :44:19. | :44:24. | |
report that we have, the evidence is there that the procedures were not | :44:25. | :44:29. | |
followed, and there was an awful lot of missed opportunities to rein him | :44:30. | :44:38. | |
in and implement the breach conditions and they were never | :44:39. | :44:39. | |
taken. They also said, "After thoroughly | :44:40. | :44:40. | |
reviewing the case, we have strengthened our partnership working | :44:41. | :44:43. | |
between offender managers and intervention providers, | :44:44. | :44:44. | |
ensuring enhanced joint working between agencies to support | :44:45. | :44:49. | |
consistent risk management." That is not even in English, but I | :44:50. | :45:04. | |
know what they are saying. That is no consolation to you whatsoever? | :45:05. | :45:09. | |
None whatsoever, it has taken the murder of Conner for them to | :45:10. | :45:12. | |
recognise that there are genuine faults, and that the system is not | :45:13. | :45:18. | |
fit for purpose. Unfortunately for us, we are the people that have | :45:19. | :45:21. | |
highlighted it, but we are not the only people. There are several SFOs | :45:22. | :45:29. | |
that are generated, that will tell us there are a lot of problems not | :45:30. | :45:32. | |
being dealt with appropriately, action is not being implement it. | :45:33. | :45:38. | |
So it could happen again? It will happen again which is completely | :45:39. | :45:45. | |
unacceptable. They're not fit for purpose. As was mentioned the | :45:46. | :45:52. | |
risking categories are haphazard. The structure of the staff is | :45:53. | :45:58. | |
inconsistent. It is down to staff sort of training. The implementation | :45:59. | :46:02. | |
of paperwork isn't chased up. There is just, it is an overworked system | :46:03. | :46:09. | |
which is just crashing and it is pitiful that we've had to go to the | :46:10. | :46:14. | |
length that we have and we will have to continue to go to the length that | :46:15. | :46:19. | |
we have to try and bring some accountability and answers. Can I | :46:20. | :46:23. | |
thank you both very much for coming on the programme and telling us | :46:24. | :46:25. | |
about your son and what happened. Thank you very much, I really | :46:26. | :46:27. | |
appreciate it. Justice Minister Sam Gyimah says, | :46:28. | :46:32. | |
"We are carrying out a comprehensive review of the probation service | :46:33. | :46:37. | |
to improve outcomes There is more on that story | :46:38. | :46:39. | |
on BBC Radio 4 at 8pm this evening. It's a taboo subject | :46:40. | :46:45. | |
which isn't often talked about, We'll be looking into the hidden | :46:46. | :46:54. | |
trauma of being injured Some comments from you. Thank you | :46:55. | :47:05. | |
very much for these. Carey says, "Such an important subject on your | :47:06. | :47:09. | |
programme today. Not enough information, help, support for women | :47:10. | :47:13. | |
suffering from birth injuries." Terrence said, "I had a tear three | :47:14. | :47:18. | |
whilst giving birth to my daughter. I had no painkillers or any | :47:19. | :47:23. | |
medicine. She arrived quickly with her leg around her neck and I would | :47:24. | :47:28. | |
have given my life to get her." Thank you. | :47:29. | :47:30. | |
The number of pupils excluded from some schools in England has | :47:31. | :47:33. | |
risen by more than 300% in three years. | :47:34. | :47:36. | |
In total, over the last year there were about 5,800 permanent | :47:37. | :47:40. | |
exclusions at schools in England and around 302,980 fixed term | :47:41. | :47:42. | |
In some places like Barnsley and Middlesborough the figures | :47:43. | :47:49. | |
for temporary exclusions have jumped by over 300% in three years. | :47:50. | :47:54. | |
Headteachers say it shows a greater willingness | :47:55. | :47:56. | |
Over the same period, the number of permanent and temporary | :47:57. | :48:05. | |
exclusions in Scottish and Welsh schools has fallen. | :48:06. | :48:09. | |
We can talk now to Zoe Salt, whose ten year-old autistic son Joe | :48:10. | :48:14. | |
has been excluded from school nine times. | :48:15. | :48:16. | |
Alison Ryan from the Association of Teachers | :48:17. | :48:19. | |
and Lecturers and Julian Lee who is the Head Teacher | :48:20. | :48:22. | |
of Hawkswood Group, a pupil referral unit that helps children stay | :48:23. | :48:24. | |
Hello. Hello Joe, how are you? Hi. Thank you for coming on your | :48:25. | :48:42. | |
programme. Zoe, thank you for talking to us. Tell us when Joe was | :48:43. | :48:46. | |
first excluded? He was four-and-a-half when he was first | :48:47. | :48:49. | |
excluded and I think it was within the first two weeks that he started | :48:50. | :48:55. | |
school he was excluded on a temporary basis sort of for | :48:56. | :48:58. | |
afternoons to start with. What was the reason? Behaviour because he | :48:59. | :49:03. | |
wasn't, we used to have statements at that time, they've changed now, | :49:04. | :49:08. | |
but he wasn't statemented yet and they didn't have the staff to cope | :49:09. | :49:14. | |
with his behaviour. His behaviour was down to his autism, he couldn't | :49:15. | :49:19. | |
cope with the classroom environment. So yeah, he was excluded for | :49:20. | :49:22. | |
afternoons and I think for three days and then a week and then, you | :49:23. | :49:26. | |
know, it was just on and off really for quite a long time and then the | :49:27. | :49:31. | |
permanent exclusion came when he was five. Five, gosh, still so young. | :49:32. | :49:36. | |
Yeah. Joe, can I ask you, what was it like being excluded? I was really | :49:37. | :49:44. | |
sad and lonely. Was it? Yeah. So over a period of years, you've | :49:45. | :49:50. | |
tried to either home school or get into another school. Tell us what | :49:51. | :49:54. | |
impact it has on a family's life when a child is excluded? Well, it | :49:55. | :49:59. | |
nearly destroyed our family in all honestly, it was horrific. I home | :50:00. | :50:04. | |
schooled for a few months. We went to a different school and to be | :50:05. | :50:08. | |
fair, he was only excluded once at that school. So he managed to finish | :50:09. | :50:14. | |
his infant years in a mainstream school, but then it was decided for | :50:15. | :50:19. | |
the health of our family, the mental health of our family that he was | :50:20. | :50:22. | |
best to go into a specialist school where we knew he wasn't going to get | :50:23. | :50:27. | |
sent home and we weren't going to get a phone call after 15 minutes to | :50:28. | :50:32. | |
say, "Can you come and get him?" Could you have initiated that | :50:33. | :50:36. | |
earlier? Possibly, but the problem with Joe and children much like him, | :50:37. | :50:40. | |
is that Joe doesn't really need to be in a specialist school for his | :50:41. | :50:44. | |
academic progress. In fact, he is going to be moved back into | :50:45. | :50:48. | |
mainstream now because his academic progress is far too good for where | :50:49. | :50:55. | |
he's at. So yes, we could have done it earlier, but there was no need | :50:56. | :50:59. | |
for us to do it atle. When you said his academic side is good. So it is | :51:00. | :51:03. | |
the behaviour side that needs the extra support or the help? It is | :51:04. | :51:07. | |
emotional and social development. OK. That he has problems with. It's | :51:08. | :51:15. | |
not bad behaviour. It is autism. It's sensory processing disorder. | :51:16. | :51:20. | |
Yes. And that's, but from other parents point of view whose kids are | :51:21. | :51:23. | |
in the same class as Joe, it is bad behaviour? Of course. Of course, | :51:24. | :51:27. | |
because there isn't enough education around to let people know. A lot of | :51:28. | :51:31. | |
people are only familiar with one type of autism, the non verbal nice | :51:32. | :51:36. | |
type of autism, but Joe isn't that nice quiet type of autistic child. | :51:37. | :51:40. | |
Alison, what do you make of figures, this rise in both temporary and | :51:41. | :51:47. | |
permanent exclusions? I think in some ways, they're shocking figure | :51:48. | :51:51. | |
ins a way, but at the same time they are generally exclusions have gone | :51:52. | :51:54. | |
down over a longer period of time, but they're beginning to turn back | :51:55. | :52:00. | |
up. But I think picking up on what Zoe said about, you know, what | :52:01. | :52:04. | |
behaviour looks like. Behaviour is often telling us something, whatever | :52:05. | :52:09. | |
kind of behaviour it is and often like SEN, we don't have the | :52:10. | :52:12. | |
resources in schools, aren't as much as they should be, special | :52:13. | :52:15. | |
educational needs to really to have staff understand what is happening, | :52:16. | :52:19. | |
to understand how to meet them, we have teacher shortages, you know, | :52:20. | :52:23. | |
and children and young people with special educational needs that are, | :52:24. | :52:27. | |
you know, not fully met are far more likely to be excluded, up to seven | :52:28. | :52:32. | |
times more likely than children without SEN. I accept those figures, | :52:33. | :52:37. | |
but it is not just children with special educational needs who are | :52:38. | :52:40. | |
being excluded. What are the other reasons? Well, there are a range of | :52:41. | :52:45. | |
reasons, but we have to look at also children in lower income households. | :52:46. | :52:50. | |
In poverty, up to four times more likely, those on free school meals | :52:51. | :52:55. | |
are four times more likely to be ex-included and when we know there | :52:56. | :52:59. | |
is 3.9 million children in poverty in the UK, that's 500,000 more in | :53:00. | :53:04. | |
2010, you can the challenges that schools are fasing especially when | :53:05. | :53:07. | |
we have teacher shortages, we have cuts to local services that really | :53:08. | :53:11. | |
the support that's there for children and young people isn't what | :53:12. | :53:14. | |
it should be and my members in school would be, you know, they | :53:15. | :53:19. | |
want, you know, teachers are in the profession to make a difference to | :53:20. | :53:23. | |
work with children and young people. They share the frustration of | :53:24. | :53:27. | |
families, of young people and it is a tragedy when children get | :53:28. | :53:30. | |
permanently excluded. There is no doubt about that. What impact can it | :53:31. | :53:35. | |
have on a child who is permanently excluded from a mainstream school? | :53:36. | :53:42. | |
It can be catastrophic. Children who are permanently excluded from | :53:43. | :53:46. | |
mainstream schools or special schools, suffer a history thereafter | :53:47. | :53:51. | |
of educational failure. It is often the case that these youngsters will | :53:52. | :53:57. | |
go on failing in education, continue to fail at post 16 once they have | :53:58. | :54:02. | |
left school and then become a significant burden on society when | :54:03. | :54:07. | |
perhaps some of them enter the Criminal Justice System or indeed | :54:08. | :54:11. | |
simply don't become members of a constructive society. I mean that's | :54:12. | :54:16. | |
the worst case scenario for some permanently excluded youngsters who | :54:17. | :54:22. | |
move back into mainstream schools. The chances are then improved | :54:23. | :54:25. | |
significantly. So when you take children out of mainstream because | :54:26. | :54:28. | |
they are on the verge of being excluded and you try and work with | :54:29. | :54:32. | |
them, intervene early, what is it you're doing with them? What is it | :54:33. | :54:36. | |
that you're doing in your institutions? We focus on teaching | :54:37. | :54:39. | |
and learning first and fore most. Because it is smaller class, is that | :54:40. | :54:44. | |
the difference? Smaller class. Focus on teaching and learning and make | :54:45. | :54:48. | |
sure there is a strong focus on nurturing particularly for | :54:49. | :54:50. | |
youngsters that is from the ages of four to 11. We nurture groups of | :54:51. | :54:55. | |
these young people. Also to focus on their therapeutic needs. So we have | :54:56. | :55:00. | |
a very... What does that mean? Give me an example. We employ therapists | :55:01. | :55:05. | |
from our local clinic. We don't get that allocation of staffing without | :55:06. | :55:09. | |
having to pay for it. We have to pay for it ourselves. But we do it | :55:10. | :55:14. | |
because we think it is necessary. In your experience, is there always an | :55:15. | :55:20. | |
explanation? Yes, always. About why a child, it is either a medical | :55:21. | :55:26. | |
condition? Always. It never exists in a vacuum, you see people behaving | :55:27. | :55:30. | |
on the street, there is a reason behind it. You see children behaving | :55:31. | :55:33. | |
badly in classrooms, it is because there is a reason behind it. It is | :55:34. | :55:36. | |
our job to understand what that behaviour means. And then do | :55:37. | :55:41. | |
something about giving the young person, the child, an opportunity to | :55:42. | :55:44. | |
correct their behaviour and learn new ways of behaving. Do you accept | :55:45. | :55:48. | |
this Zoe and Alison, that if you're in a state school with a class of 30 | :55:49. | :55:53. | |
or 31, whatever it maybe, from the teacher's point of view, even with a | :55:54. | :55:56. | |
Teaching Assistant, you will never be able to give the child who is | :55:57. | :56:00. | |
playing up for whatever reason, the kind of support and attention that | :56:01. | :56:04. | |
they might need or can it be done? Well, we know, where schools have | :56:05. | :56:08. | |
done it and rather like in Julian's case, it is often about good | :56:09. | :56:12. | |
partnerships between schools, between schools that have their own | :56:13. | :56:16. | |
special units or alternative provision on site. There is an | :56:17. | :56:20. | |
element of sharing. Potentially, you know, we have to protect all the | :56:21. | :56:24. | |
children, that includes the child mainly involved, but it also | :56:25. | :56:27. | |
includes the other pupil and we have to protect staff. So that has to be | :56:28. | :56:31. | |
important. It is about safeguarding to an extent. Having said all that, | :56:32. | :56:36. | |
we know that we can sometimes reach needs a lot more than we possibly do | :56:37. | :56:39. | |
now if we have good collaboration on the ground. We have proper funding | :56:40. | :56:43. | |
for the kind of support that Julian mentioned and that we kind of and we | :56:44. | :56:46. | |
also have the team around the child so it is social services, | :56:47. | :56:51. | |
healthcare, all getting together to reach particularly the more complex | :56:52. | :56:55. | |
needs. It is really vital. Thank you very much, Zoe. Thank you, | :56:56. | :57:00. | |
Joe. Thank you for coming on. Thank you for your time. | :57:01. | :57:03. | |
"Every child should be able to learn without disruption, | :57:04. | :57:07. | |
that's why we've given head teachers more powers to tackle | :57:08. | :57:09. | |
Permanent exclusion is still very rare and should only be | :57:10. | :57:12. | |
We're going to talk to our Asian Network reporter who's been | :57:13. | :57:25. | |
hearing from people given away as children to other | :57:26. | :57:27. | |
Tell us what is happening with Hurricane Matthew, Darren. I want to | :57:28. | :57:42. | |
take you into the Caribbean first of all. This is Hurricane Matthew. It | :57:43. | :57:50. | |
is a major hurricane this. It is moving northwards towards Haiti | :57:51. | :57:53. | |
right now. Moving over the warm waters and it is about to strike | :57:54. | :57:59. | |
Haiti. A serious situation is developing across the country right | :58:00. | :58:05. | |
now. We've got around the centre of the hurricane winds of around | :58:06. | :58:09. | |
145mph. There could be as much as a meter of rain. Add to that, a | :58:10. | :58:14. | |
significant storm surge. Dangerous seas as well. So coastal flooding. | :58:15. | :58:18. | |
Now I can understand why some residents don't want to leave their | :58:19. | :58:22. | |
home because they are worried about things getting stolen, but there may | :58:23. | :58:26. | |
not be anything to steal once this one has swept through. Now, where is | :58:27. | :58:30. | |
it going? It is heading northwards and leaving Haiti, it will be | :58:31. | :58:33. | |
striking eastern parts of Cuba tonight. Then up towards the Bahamas | :58:34. | :58:40. | |
and possibly by Thursday or Friday very close to Florida this. Is where | :58:41. | :58:44. | |
we have got more unsrnity. It is a big story this and we will keep an | :58:45. | :58:48. | |
eye on this over the next few days. Here at home, all we have to worry | :58:49. | :58:51. | |
about is, the amount of cloud that we've got across the UK. There is | :58:52. | :58:55. | |
more of it out to the west, but it is thin, high cloud. The breeze is | :58:56. | :59:01. | |
picking up through today, but there is still sunshine around. Not quite | :59:02. | :59:06. | |
the wall to wall sunshine that many of us had yesterday, not windy for | :59:07. | :59:09. | |
Northern Ireland and western parts of Scotland and the low cloud, the | :59:10. | :59:14. | |
misty weather across the Grampians and the eastern Pennines and east | :59:15. | :59:18. | |
Wales is lifting. So some good spells of sunshine as we head | :59:19. | :59:20. | |
through late morning and into the afternoon as well. Temperatures | :59:21. | :59:23. | |
similar to yesterday, 17 Celsius. Could be allittle bit higher as it | :59:24. | :59:26. | |
was yesterday awe cross the South East of England. As we head into | :59:27. | :59:30. | |
this evening, a fine end to the day and overnight, shouldn't get too | :59:31. | :59:33. | |
cold really because there will be that fairly brisk breeze blowing and | :59:34. | :59:36. | |
there will be more cloud around as well. I think we have seen the | :59:37. | :59:39. | |
coldest nights earlier on in the week. These are the temperatures in | :59:40. | :59:44. | |
the towns and cities. In the countryside, we're looking at the | :59:45. | :59:48. | |
mid to high single figures. Big battle taking place between weather | :59:49. | :59:52. | |
fronts trying to push in from the Atlantic and a big blocking area of | :59:53. | :59:55. | |
high pressure across Scandinavia. That's shaping our weather. | :59:56. | :59:59. | |
Influencing our weather. There will be a bit more cloud around on | :00:00. | :00:04. | |
Wednesday, but another dry day. Some sunshine across the South East and | :00:05. | :00:08. | |
across East Anglia too. Those temperatures lower and turning | :00:09. | :00:11. | |
cooler I think over the next few days with some more cloud. | :00:12. | :00:19. | |
Hello it's Tuesday, it's 10am, I'm Victoria Derbyshire, | :00:20. | :00:21. | |
This morning, the hidden trauma of being injured during childbirth. | :00:22. | :00:26. | |
It's not something that you talk about openly. | :00:27. | :00:27. | |
Was it because my body wasn't capable of giving birth? | :00:28. | :00:34. | |
Of what happened to me and what I'm living with on a daily basis. | :00:35. | :00:45. | |
We will talk to a midwife and a gynaecologist to see what can be | :00:46. | :00:59. | |
done. Opting out of European Human rights | :01:00. | :01:01. | |
to protect our troops from what the government says | :01:02. | :01:04. | |
are "vexatious" legal cases. Senior Army officer | :01:05. | :01:06. | |
General Lord Dannatt Because we ask soldiers to do | :01:07. | :01:08. | |
very difficult things in dangerous circumstances, | :01:09. | :01:11. | |
you can't apply civilian law that might otherwise be | :01:12. | :01:18. | |
applicable in a small town outside a bar on the | :01:19. | :01:20. | |
Thursday evening. Children given away | :01:21. | :01:22. | |
to other family members. We'll talk to our Asian Network | :01:23. | :01:32. | |
reporter who's been hearing The Health Secretary Jeremy Hunt | :01:33. | :01:35. | |
will outline plans today so the NHS in England no longer relies | :01:36. | :01:48. | |
on overseas doctors. He'll tell the Conservative Party | :01:49. | :01:52. | |
conference in Birmingham this will be achieved through new funding | :01:53. | :01:56. | |
to train an extra But the doctors' union | :01:57. | :01:58. | |
the British Medical Association says it falls far short | :01:59. | :02:04. | |
of what's required. The Prime Minister has told the BBC | :02:05. | :02:05. | |
that extra British doctors are vital Extra money going into the training | :02:06. | :02:17. | |
of doctors, and there is a good reason, we want to see more British | :02:18. | :02:22. | |
doctors, the NHS is having to ensure that doctors can come in from | :02:23. | :02:27. | |
overseas to ensure we have the numbers we need, and there are | :02:28. | :02:30. | |
people here who may want to train as doctors who are not able to, because | :02:31. | :02:34. | |
of the limits there have been. It is right that we are doing this, it | :02:35. | :02:38. | |
will mean we will see more British doctors in the NHS. | :02:39. | :02:39. | |
This programme has been given exclusive access to a new project | :02:40. | :02:42. | |
which aims to cut the number of women severely injured | :02:43. | :02:45. | |
It's the first time doctors and midwives have worked together | :02:46. | :02:48. | |
They've come up with a number of techniques to help prevent | :02:49. | :02:52. | |
injuries, including serious tears, that can lead to | :02:53. | :02:54. | |
The project will be trialled in more than a dozen hospitals from January. | :02:55. | :03:00. | |
The Government is to unveil a legal measure it says will protect UK | :03:01. | :03:03. | |
The change in policy, to be announced at the Conservative | :03:04. | :03:11. | |
conference, would mean parts of the European Convention | :03:12. | :03:13. | |
on Human Rights could be suspended during future conflicts. | :03:14. | :03:15. | |
The Defence Secretary Michael Fallon said the legal system | :03:16. | :03:17. | |
The most powerful hurricane in the Caribbean for almost ten | :03:18. | :03:21. | |
years will reach Haiti in the next few hours. | :03:22. | :03:23. | |
Hurricane Matthew is sweeping north through the region. | :03:24. | :03:26. | |
Up to 40 inches of rain could fall in Haiti. | :03:27. | :03:28. | |
There's a warning of life-threatening flash floods there, | :03:29. | :03:30. | |
as well as in neighbouring Dominican Republic. | :03:31. | :03:39. | |
Police on the Greek island of Kos searching for Ben Needham say | :03:40. | :03:42. | |
they've now got permission to knock down part of a farmhouse | :03:43. | :03:44. | |
near where the little boy disappeared 25 years ago. | :03:45. | :03:46. | |
A specialist team has begun a ninth day of excavations. | :03:47. | :03:49. | |
The building is a modern extension built since his disappearance, | :03:50. | :03:51. | |
and they want to dig underneath to make sure Ben | :03:52. | :03:53. | |
The number of pupils excluded from schools in some parts | :03:54. | :03:57. | |
of England has risen by more than 300% in three years. | :03:58. | :04:00. | |
Persistent disruptive behaviour accounted for the lion's share, | :04:01. | :04:03. | |
while more than 8,000 pupils were excluded for drug and alcohol | :04:04. | :04:06. | |
offences and more than 2,000 related to sexual misconduct. | :04:07. | :04:10. | |
The biggest increases were seen in Middlesbrough, | :04:11. | :04:12. | |
Some councils said the increase reflected a greater willingness | :04:13. | :04:16. | |
The pound hit a 31-year low against the dollar in early trading | :04:17. | :04:25. | |
on the currency markets, while the Ftse share index rose | :04:26. | :04:28. | |
The moves come amid renewed speculation and concern | :04:29. | :04:31. | |
about the economy and Brexit plans, as more details are revealed | :04:32. | :04:34. | |
at the Conservative conference about the timetable | :04:35. | :04:36. | |
Police in Japan are investigating whether a serial killer may have | :04:37. | :04:42. | |
poisoned dozens of elderly patients at a hospital in | :04:43. | :04:46. | |
So far they have confirmed that two patients have died after | :04:47. | :04:50. | |
detergent was injected into their intravenous drips. | :04:51. | :04:53. | |
They are now investigating more than 40 other deaths at the hospital | :04:54. | :04:57. | |
which they think may also be suspicious. | :04:58. | :05:02. | |
That's a summary of the latest BBC News, more at 10:30am. | :05:03. | :05:10. | |
Thank you for your comments on childbirth and some of the traumatic | :05:11. | :05:16. | |
experiences you have had. Joanna says, I had my first baby nine weeks | :05:17. | :05:20. | |
ago, I had a third degree tear. Dooming antenatal classes it easy to | :05:21. | :05:25. | |
Ms and tears were barely mentioned. There is a Tabuk about talking about | :05:26. | :05:30. | |
them, that has to change, we need to talk more about massage and regular | :05:31. | :05:34. | |
pelvic floor exercises is prevention. I have healed well and I | :05:35. | :05:38. | |
had great midwives and physiotherapists helping me after | :05:39. | :05:43. | |
the birth. There is an excellent NHS app to remind women to do their | :05:44. | :05:45. | |
pelvic floor exercises. Do get in touch with us | :05:46. | :05:47. | |
throughout the morning. Stoke City defender Glen Johnson | :05:48. | :05:49. | |
was celebrating his shock recall to the England squad less than 48 | :05:50. | :05:57. | |
hours ago, now he's out. The 32-year-old is injured and has | :05:58. | :06:01. | |
been replaced in Gareth Southgate's squad for the qualifiers | :06:02. | :06:05. | |
against Malta and Slovenia by Burnley's uncapped defender | :06:06. | :06:08. | |
Michael Keane. He's never far from the headlines, | :06:09. | :06:12. | |
world heavyweight Yesterday on social media | :06:13. | :06:15. | |
he announced his retirement, saying that boxing was the saddest | :06:16. | :06:20. | |
thing he'd ever taken part in, only to reverse that decision | :06:21. | :06:23. | |
just three hours later. People close to him seem | :06:24. | :06:25. | |
to be quite worried, fellow world champion | :06:26. | :06:28. | |
Billy Joe Saunders says Fury And another British world champion, | :06:29. | :06:33. | |
Ricky Hatton, feels Fury needs help. He can beat whoever in the boxing | :06:34. | :06:50. | |
ring, he has proved to be the best in the heavyweight division, but | :06:51. | :06:58. | |
depression, you cannot do it on your own, you need help. It is one of the | :06:59. | :07:09. | |
-- despite the macho image, go and speak someone, I am not coping very | :07:10. | :07:18. | |
well, I need help. The Fifa president has proposed that | :07:19. | :07:22. | |
48 teams should compete in the World Cup. 16 of them would compete in a | :07:23. | :07:25. | |
knockout round before the group stages Thomas and they could exit | :07:26. | :07:29. | |
the tournament after one match. Fifa will debate it later this month. A | :07:30. | :07:33. | |
decision will be made in January. Maria Sharapova, a five-times | :07:34. | :07:41. | |
Grand Slam winner, will find out today if her doping | :07:42. | :07:43. | |
ban will be overturned by the Court The Russian tested positive | :07:44. | :07:46. | |
for the banned substance She said she'd been taking | :07:47. | :07:49. | |
it for health problems since 2006 and wasn't using it | :07:50. | :07:54. | |
to improve her performance. The International Tennis Federation | :07:55. | :07:56. | |
banned her for two years, Andy Murray is playing his first | :07:57. | :07:58. | |
match in the China Open in Beijing. The world number two is taking | :07:59. | :08:14. | |
on Italy's Andreas Seppi and has won the first set 6-2 but he's been | :08:15. | :08:17. | |
broken at the start of the second. Hull forward Danny Houghton last | :08:18. | :08:26. | |
night won rugby league's Man of Steel award, | :08:27. | :08:28. | |
for the season's best player. Houghton, whose last-minute tackle | :08:29. | :08:30. | |
helped clinch the Challenge Cup final for Hull against Warrington, | :08:31. | :08:33. | |
beat his club captain Rickie Fowler looks like a | :08:34. | :08:49. | |
gooseberry in this picture, in the middle of all of the kissing in the | :08:50. | :08:54. | |
American Ryder Cup team, the only single man. But in other pictures he | :08:55. | :08:59. | |
is drowning himself in Champagne, so I am sure he is not that bothered. | :09:00. | :09:01. | |
Throughout the programme we've been talking about | :09:02. | :09:03. | |
It's a taboo subject which isn't often discussed at this time of day | :09:04. | :09:11. | |
But it is an important one, and one that affects many of you. | :09:12. | :09:15. | |
Up to 85% of women have some sort of tear during their first vaginal | :09:16. | :09:19. | |
birth, though the most-severe tears only affect around 6% of women. | :09:20. | :09:25. | |
Often women don't share their experiences, they may | :09:26. | :09:27. | |
find their symptoms embarrassing, or think what they're | :09:28. | :09:29. | |
going through is normal after giving birth. | :09:30. | :09:31. | |
Doctors and midwives are now working together to see if they can reduce | :09:32. | :09:34. | |
Experts agree they need to be recognised for the huge physical | :09:35. | :09:38. | |
impact they can have on women's lives. | :09:39. | :09:41. | |
This report by Jean Mackenzie contains some details and pictures | :09:42. | :09:44. | |
Six years since Debbie gave birth to her son Kaiden and she's lost | :09:45. | :10:01. | |
count of how many hospital appointments she's had. | :10:02. | :10:03. | |
There's a small area between your back passage | :10:04. | :10:05. | |
and your vagina and that was quite badly torn, all the way through. | :10:06. | :10:12. | |
I went for emergency surgery to try and repair that, but when I got | :10:13. | :10:15. | |
to the emergency surgery, it seems it had cut into my bowel. | :10:16. | :10:20. | |
Surgeons tried to repair that, but Debbie was left incontinent | :10:21. | :10:23. | |
and had to be fitted with a colostomy bag. | :10:24. | :10:28. | |
Everything changes, I have to consider it I go. | :10:29. | :10:31. | |
If I leave the house, I need to take spare clothes, | :10:32. | :10:34. | |
I have to scan the place for the nearest toilet. | :10:35. | :10:36. | |
For example, I was shopping in Asda, standing in the queue and I just | :10:37. | :10:42. | |
went and the bag came apart from the sides and I | :10:43. | :10:46. | |
The number of women who suffered a serious tear tripled over the last | :10:47. | :10:50. | |
Not all will develop complications, but possible symptoms including | :10:51. | :10:58. | |
These injuries affect more women than we know, because many | :10:59. | :11:04. | |
Either they are too embarrassed to seek help or they are unsure | :11:05. | :11:15. | |
whether their symptoms are a normal consequence of giving birth. | :11:16. | :11:17. | |
Diagnosing these injuries quickly and repairing them | :11:18. | :11:21. | |
It can make the difference between developing a complication | :11:22. | :11:25. | |
How do you think training is at the moment for midwives? | :11:26. | :11:30. | |
If ten women are going to have a baby and eight or nine | :11:31. | :11:37. | |
of them are likely to have a trauma, then we need to have mandatory | :11:38. | :11:40. | |
The stoma bag takes up a lot of my time. | :11:41. | :11:53. | |
If he needs my attention and I'm in the toilet or the shower, | :11:54. | :12:00. | |
Doctors and midwives are now working together to try | :12:01. | :12:05. | |
They've developed a number of techniques which appeared | :12:06. | :12:10. | |
As the baby's head comes out, the other hand is used to prevent | :12:11. | :12:17. | |
the head from coming out with great force. | :12:18. | :12:20. | |
These will be piloted in 16 hospitals from January. | :12:21. | :12:23. | |
But for now, the aim is to raise awareness of these injuries | :12:24. | :12:27. | |
so women know what to expect and when to seek help. | :12:28. | :12:31. | |
Women need to understand that there can be consequences | :12:32. | :12:35. | |
after a vagina delivery, that help is available. | :12:36. | :12:39. | |
They need to be less embarrassed to talk about this and as health | :12:40. | :12:42. | |
care officials we need to be less embarrassed about | :12:43. | :12:45. | |
Let's talk to Carol Sunnucks, who suffered a serious tear eight | :12:46. | :12:53. | |
years ago that was missed and that has led to major complications, | :12:54. | :12:57. | |
Dr Alison Wright, vice-president of the Royal College | :12:58. | :13:00. | |
of Gynaecologists, and Sara Webb, who's a perineal midwife. | :13:01. | :13:10. | |
And Donna has got in touch with us, she is in Sheffield and is due to | :13:11. | :13:15. | |
give birth to her second child any day now, is that right? Yes. | :13:16. | :13:22. | |
Possibly even today! Possibly, hopefully! My gosh! | :13:23. | :13:30. | |
You had a third degree tear three days ago, so how are you feeling | :13:31. | :13:35. | |
about the prospect of giving birth again? To be honest, it is always | :13:36. | :13:44. | |
niggling in the back of your head, and quite often comes to the fore, | :13:45. | :13:47. | |
and that is all you can think about, will it happen again? What impact is | :13:48. | :13:53. | |
having that there having new? I have not had any lasting effects, it | :13:54. | :13:59. | |
ruined the first couple of months with my daughter, though. The first | :14:00. | :14:07. | |
few weeks of not being able to do anything, to sit up, hold her, go | :14:08. | :14:11. | |
for walks. They took so long to be able to drive much longer than | :14:12. | :14:15. | |
friends who have had Caesarean sections and things like that. It | :14:16. | :14:17. | |
damages your confidence. You suffered a third-degree tear, | :14:18. | :14:23. | |
which is one of the more-serious tears, but it was missed | :14:24. | :14:26. | |
at the time. It was missed eight years ago. We | :14:27. | :14:37. | |
had to go for an assisted delivery. It was getting to the point, so they | :14:38. | :14:45. | |
decided for an assisted delivery. My son was born, but I was never | :14:46. | :14:50. | |
examined the way in woman should be examined after giving birth, and | :14:51. | :14:59. | |
they missed the tear. You had got home from hospital, what effect | :15:00. | :15:04. | |
wasn't happening on due -- what effect was happening on new? I'm a | :15:05. | :15:09. | |
late to the girl in the film, the first walk with a pram. I didn't get | :15:10. | :15:16. | |
my son home until he was three weeks old, it was a big thing for me. | :15:17. | :15:21. | |
Taking him out, I was maybe five minutes away from home, and my | :15:22. | :15:28. | |
bowels just moved. I missed myself. That happened every day, sometimes | :15:29. | :15:33. | |
two or three times a day. I could not go anywhere. | :15:34. | :15:38. | |
So stressful. And for the first year of my son being born I was bowel | :15:39. | :15:52. | |
inContinent. So they transferred me from maternity to a surgeon who put | :15:53. | :15:57. | |
me through numerous amounts of tests to find out what was wrong and they | :15:58. | :16:02. | |
then discovered a year after my son was born, a year later, it was a | :16:03. | :16:06. | |
third degree tear I had. So 13 months after having my son I had to | :16:07. | :16:10. | |
go in and have repair surgery. Goodness me. Sarah, why does no one | :16:11. | :16:17. | |
talk about this? I think it is just one of those hidden taboos that | :16:18. | :16:20. | |
happened through years and ages. I can understand why we don't talk | :16:21. | :16:24. | |
about it. It is not a very sexy topic to want to talk about, but it | :16:25. | :16:27. | |
is something that's just been hidden away and it takes a lot to get | :16:28. | :16:32. | |
people and I feel very honoured and proud that you've got the guts and | :16:33. | :16:35. | |
the people in the video and even your show for putting this out there | :16:36. | :16:42. | |
and letting people expose the real things that can happen from | :16:43. | :16:46. | |
childbirth. We have to change that and we need to give information more | :16:47. | :16:51. | |
information. We can't scare women to death. We have to be careful about | :16:52. | :16:56. | |
how we inform women otherwise it would panic everyone, but there are | :16:57. | :17:01. | |
ways of making women know that stitches will happen and also aware | :17:02. | :17:05. | |
of when they are postnatal, informing them about what is normal | :17:06. | :17:08. | |
and what's not. Most of the women I see in clinic don't have any | :17:09. | :17:12. | |
information given to them, they don't know if it feels normal or not | :17:13. | :17:18. | |
because they don't seek advice. Dr Wright, I think I was saying you | :17:19. | :17:23. | |
were the head, you are the Vice-President, you maybe the head, | :17:24. | :17:26. | |
is your profession taking this seriously enough? Yeah, absolutely. | :17:27. | :17:30. | |
We're really concerned about the rate. The rate of tears appears for | :17:31. | :17:34. | |
increasing and significantly increasing and because this can have | :17:35. | :17:38. | |
such dramatic impact on a woman's quality of life, we're really | :17:39. | :17:43. | |
concerned. I was saying to Carol earlier, credit to her and other | :17:44. | :17:45. | |
women on your show for coming forward because it is really | :17:46. | :17:48. | |
difficult to talk about, but we are really committed. We at the Royal | :17:49. | :17:57. | |
Royal College of Obstetricians and gynaecologists and this is a unique | :17:58. | :18:02. | |
project with the two colleges are coming together, and we have got | :18:03. | :18:07. | |
women's representatives and Carol agreed to join that as well, we need | :18:08. | :18:11. | |
to hear from women about how we can best promote this subject. When you | :18:12. | :18:15. | |
have your antenatal class, it has to be talked about because it certainly | :18:16. | :18:18. | |
wasn't when I was having children and when it happens, the profession | :18:19. | :18:22. | |
has to take it seriously and help that individual. At the Birmingham | :18:23. | :18:27. | |
Women's Hospital and with help from the University of Birmingham I put a | :18:28. | :18:32. | |
survey out across the country. I have over 1500 midwives who want | :18:33. | :18:38. | |
more knowledge and training about perineal trauma. I have surveyed | :18:39. | :18:42. | |
because what happens when you discharge from hospital is we lose | :18:43. | :18:45. | |
the women. They go out to the community, they are cared for by the | :18:46. | :18:48. | |
midwives and the GPs. I have got a survey, which was assisted by the | :18:49. | :18:52. | |
University of Birmingham that actually shows over 200 GPs want | :18:53. | :18:56. | |
training and information and that is where I come in and that's where the | :18:57. | :19:01. | |
Birmingham Women's Hospital come in to do future research into providing | :19:02. | :19:05. | |
that so the services can improve. We need to improve this part of | :19:06. | :19:09. | |
postnatal care. I'm determined that we will improve it. Working with the | :19:10. | :19:17. | |
Royal College of Ob and Gynae is the way we will do that. We were talking | :19:18. | :19:21. | |
about guidelines and protocols and I know there will be new guidelines | :19:22. | :19:27. | |
and protocols, there were guidelines and protocols when I had my son. | :19:28. | :19:30. | |
What should have happened when a doctor decides to carry out a | :19:31. | :19:38. | |
particular, whether it be a necessary differry, forceps, they | :19:39. | :19:42. | |
must follow through. You wouldn't send someone to A with chest and | :19:43. | :19:46. | |
then say, "We're not going to do anything." Mothers need to be looked | :19:47. | :19:51. | |
after. If the mother isn't looked after, that baby is going to suffer | :19:52. | :19:56. | |
and so will fathers and the rest and it has totally changed my life | :19:57. | :20:02. | |
completely and my son, I feel, has missed out on so much. I can't get | :20:03. | :20:07. | |
up in the morning and say to my son, "Let's go swimming." I can't did | :20:08. | :20:14. | |
that because I have got to take 12 Imodium the night before to make | :20:15. | :20:17. | |
sure there won't be an accident in the swimming pool. | :20:18. | :20:25. | |
Katie e-mails, "A great piece being dealt with sympathetically: I | :20:26. | :20:29. | |
suffered a big tear. The surgery was successful. I think that's important | :20:30. | :20:33. | |
to share as well. It can be OK. The worst part was going for a six-week | :20:34. | :20:38. | |
check-up when everything needed examining again." Louise said, "I | :20:39. | :20:43. | |
had a massive tear and needed internal and external stitches, but | :20:44. | :20:50. | |
I had to wait for a doctor. It was the most painful and horrific | :20:51. | :20:55. | |
experience needing many injections of local anaesthetic, I screamed the | :20:56. | :20:59. | |
place down. It was more painful than giving birth." Another viewer says, | :21:00. | :21:03. | |
"I was badly torn. Was left on the bed for four to five hours until | :21:04. | :21:09. | |
someone came to sew me up. I was unable to go to the loo and I had to | :21:10. | :21:17. | |
wee on the bed. I'm still difficult to have intercourse. Qthsz The key | :21:18. | :21:24. | |
is talking about this anti-nately and I know some people are anxious | :21:25. | :21:29. | |
about talking about it because they don't want to scare women. Women | :21:30. | :21:34. | |
prefer to know. You need to know what you could be facing. Yes, | :21:35. | :21:40. | |
definitely. Donna... Go on. Support afterwards. I think that's very | :21:41. | :21:43. | |
important to have the emotional support. It is not just the physical | :21:44. | :21:48. | |
support for your body to be able to realise and go through and | :21:49. | :21:51. | |
understand what's happened to you and possibly why and in my case, I | :21:52. | :21:54. | |
didn't know why and I still don't know why. But just to be able to | :21:55. | :22:00. | |
have that support that you can talk to somebody and it is very often it | :22:01. | :22:03. | |
is not the case, it is not available. I want to wish you all | :22:04. | :22:07. | |
the best. Good luck with the next birth. Will you let us know what | :22:08. | :22:15. | |
happens and how you get on? Do you know what you're having? No, a | :22:16. | :22:20. | |
surprise. Can you surprise us lot when it has happened. Cheers, Donna, | :22:21. | :22:23. | |
all the best, lots of love. Thank you very much for coming on the | :22:24. | :22:24. | |
programme. Thank you. Thank you. A legal measure to protect UK troops | :22:25. | :22:32. | |
from "vexatious" legal claims will be announced | :22:33. | :22:35. | |
by the government today. It would mean parts | :22:36. | :22:36. | |
of the European Convention on Human Rights could be suspended | :22:37. | :22:38. | |
during future conflicts. The Ministry of Defence said it had | :22:39. | :22:43. | |
spent over ?100 million on Iraq-related investigations, | :22:44. | :22:46. | |
inquiries and compensation since 2004 and another 600 | :22:47. | :22:52. | |
complaints are being investigated over alleged war | :22:53. | :22:54. | |
crimes in Afghanistan. They range from ill-treatment | :22:55. | :22:56. | |
during detention to assault One of the cases being investigated | :22:57. | :22:57. | |
is reported to include that of a Taliban bomb-maker | :22:58. | :23:05. | |
who claims his arrest On this programme on Monday we're | :23:06. | :23:07. | |
looking at the issue in detail. Conservative MP Johnny Mercer, | :23:08. | :23:12. | |
a former Army captain who served in Helmand province and has | :23:13. | :23:15. | |
campaigned on the issue, Because we ask soldiers to do very | :23:16. | :23:27. | |
difficult things in dangerous circumstances you cannot apply | :23:28. | :23:30. | |
civilian law that might otherwise be applicable in a small town outside a | :23:31. | :23:34. | |
bar on a Thursday evening. There are different pressures. I'm just so | :23:35. | :23:38. | |
pleased that we now appear to have got the message across. The Prime | :23:39. | :23:41. | |
Minister and the Secretary of State for Defence appear for the, the | :23:42. | :23:44. | |
opiniony seems to have dropped, that this is not correct behaviour. This | :23:45. | :23:49. | |
is not conducive to high morale amongst the military. It is not | :23:50. | :23:51. | |
conclusive to military effectiveness. | :23:52. | :23:54. | |
We can speak to Jonny Mercer, conservative MP, and former | :23:55. | :23:57. | |
Army captain who served in Helmand province. | :23:58. | :24:02. | |
Major Judith Webb served in the British army | :24:03. | :24:04. | |
for nineteen years and was the first woman to command an all-male | :24:05. | :24:07. | |
field force squadron in the British Army. | :24:08. | :24:14. | |
And in Lincoln, Major Andrew Sayers, who served in the army for 26 years. | :24:15. | :24:18. | |
He also works with former veterans who face legal claims. | :24:19. | :24:19. | |
What do you think? It is a fantastic first step. Nothing personified the | :24:20. | :24:25. | |
gap between politicians and those who serve in this country at the | :24:26. | :24:29. | |
moment and trying to apply European Human Rights law on operations. It | :24:30. | :24:33. | |
demonstrated a fundamental misunderstanding of what we're | :24:34. | :24:35. | |
asking our people to do. In what way? The scenarios that are involved | :24:36. | :24:39. | |
in combat operations, you know, we are governed by the law of armed | :24:40. | :24:45. | |
conflict. We are governed by the Geneva convention, this idea there | :24:46. | :24:48. | |
is some breakdown is a myth. You cannot go around that country six or | :24:49. | :24:51. | |
seven years later asking if anyone has got a problem with the military | :24:52. | :24:55. | |
to come forward and make a claim and you will be supported by UK | :24:56. | :24:59. | |
taxpayers and it will ruin these soldiers' lives, we are the only | :25:00. | :25:01. | |
country in the world that has done this. The French der gated it when | :25:02. | :25:05. | |
it came in. It was a mistake when it came in and I'm pleased the Prime | :25:06. | :25:08. | |
Minister has taken this step today. You have been talking to various | :25:09. | :25:11. | |
people for a film that you're making for us. Tell us more. It has been | :25:12. | :25:15. | |
extremely moving. In this country we're good often as ministers and | :25:16. | :25:18. | |
Government talking about what we put into this, what we put into veterans | :25:19. | :25:22. | |
care, looking after people, actually we need to look at this differently | :25:23. | :25:27. | |
and ask them what it is like going through the system, using veterans | :25:28. | :25:31. | |
care, what is it like being subject to investigation for so long. Two | :25:32. | :25:34. | |
soldiers have spoken bravely to me on tape and I think we can see a | :25:35. | :25:39. | |
clip of one of them now. That day after, I mean, I went through hell. | :25:40. | :25:45. | |
I couldn't sleep of a night. I was crying. I was sick. You know, I was, | :25:46. | :25:54. | |
I drank so much, man. I drank a lot. I mean, and most days I didn't want | :25:55. | :26:01. | |
to wake up and I use to be gutted when my eyes would waken, why | :26:02. | :26:05. | |
couldn't I just fall asleep and not wake up? I shouldn't have had to | :26:06. | :26:09. | |
feel that way. I shouldn't have had to come down that road and at night | :26:10. | :26:15. | |
I tried to take my own life. I remember being in hospital and them | :26:16. | :26:23. | |
saying to me, you're not well. I was like I'm OK. They said, "You're not. | :26:24. | :26:31. | |
" No one knew how to deal with me. The place that I went to that time | :26:32. | :26:35. | |
was worse than any war I ever fought. Very, very upsetting. Tell | :26:36. | :26:41. | |
us more about that case. Well, it is interesting. This was in the | :26:42. | :26:45. | |
aftermath of the Iraq war and I think we've heard a lot particularly | :26:46. | :26:49. | |
recently about the case os that enveloped our men and women in that | :26:50. | :26:52. | |
process and this particular individual has been caught up in | :26:53. | :26:55. | |
this investigation where someone drowned and you can see, you know, | :26:56. | :27:00. | |
he is devastated by it. And like everyone else, you know, we | :27:01. | :27:03. | |
understand that's somebody's son or daughter, we must investigate why | :27:04. | :27:08. | |
that happened. But the idea that we continue that process for the rest | :27:09. | :27:13. | |
of people's lives because some sort of spurious evidence has come | :27:14. | :27:15. | |
forward. I think it is not acceptable and I'm really pleased | :27:16. | :27:18. | |
that we're starting, this is the start, of correcting that process. | :27:19. | :27:24. | |
OK, let's bring in Major Judith Webb. How do you react to this? I | :27:25. | :27:29. | |
mean, he said it allment unfortunately, I wasn't able to hear | :27:30. | :27:34. | |
that interview just then, but I totally support the fact that, and | :27:35. | :27:39. | |
it is not about money, but the fact that British soldiers must feel that | :27:40. | :27:43. | |
they are protected and can carry out their job without fear of being | :27:44. | :27:47. | |
sued. Our soldiers are incredibly well trained and of course, they | :27:48. | :27:52. | |
have to comply with the Geneva convention and any abuse of that | :27:53. | :27:56. | |
must, of course, be investigated, but the idea that years afterwards, | :27:57. | :28:00. | |
you know, soldiers have to live with the fact that something can possibly | :28:01. | :28:05. | |
come out of the woodwork and there are grasping lawyers I'm afraid who | :28:06. | :28:09. | |
are making money on this. And I think it is a very sensible | :28:10. | :28:14. | |
decision. Major Andrew says, you served in the | :28:15. | :28:20. | |
Army for 26 years and you worked with former vets who face claims. | :28:21. | :28:25. | |
Can you give us examples of the kind of things they're facing? They are | :28:26. | :28:31. | |
facing endless hounding. What are they alleged to have done? If you | :28:32. | :28:37. | |
take the example that Johnny Mercer referred to, you have soldiers who | :28:38. | :28:41. | |
were investigated for the Iraq drowning incident and they were | :28:42. | :28:46. | |
cleared and exonerated. They then a few years later had to go through an | :28:47. | :28:50. | |
investigation again and again and as recently as six years they were | :28:51. | :28:54. | |
fully exonerated and now they are facing further allegations where | :28:55. | :28:59. | |
they may face murder or manslaughter charges in the UK civil court and | :29:00. | :29:03. | |
the fact you can never clear yourself and prove your innocence, | :29:04. | :29:08. | |
if you are a member of the forces, is totally unsatisfactory. Mr | :29:09. | :29:11. | |
Fallon's decision to make this statement and the Prime Minister is | :29:12. | :29:16. | |
to be applauded, but where it fails is it doesn't deal with the here and | :29:17. | :29:23. | |
now, the soldiers who are facing inquiries for their conduct from 40 | :29:24. | :29:25. | |
years ago, but they have been cleared many times already. | :29:26. | :29:32. | |
Judith Webb, you said Johnny Mercer said, look, there is the Geneva | :29:33. | :29:35. | |
convention, troops have to follow that, of course, I wonder if this | :29:36. | :29:38. | |
announcement today sends out the message to troops that pretty much | :29:39. | :29:41. | |
on the battlefield you can do what you need to do? Of course, it | :29:42. | :29:48. | |
doesn't. Of course, it doesn't. No, I mean, sorry, are you talking to | :29:49. | :29:53. | |
me. Yes, go ahead, and then I will ask Andrew? No, our soldiers are | :29:54. | :29:59. | |
incredibly well trained and it is enforced on them always during their | :30:00. | :30:03. | |
training about the need to comply with the Geneva convention and if | :30:04. | :30:07. | |
they abuse that, of course, they get the full force of the law, but they | :30:08. | :30:12. | |
do, our soldiers are very well trained and they're face with on | :30:13. | :30:16. | |
occasion life and death, split second decision that is they have to | :30:17. | :30:19. | |
make and I'm in the saying that any life is worth less than any other | :30:20. | :30:23. | |
life, you know, our soldiers lives are worth more than others, but our | :30:24. | :30:27. | |
soldiers have to feel that they can do their job and that they will be | :30:28. | :30:28. | |
protected. What do you want Michael Fallon to | :30:29. | :30:36. | |
do regarding the cases that are still ongoing? Would there have | :30:37. | :30:41. | |
already been ample investigations and evidence to show there was no | :30:42. | :30:45. | |
justification, they should be stopped. If he does feel that there | :30:46. | :30:52. | |
is a case to answer, soldiers must face the full rigour of the law. But | :30:53. | :30:57. | |
they are not being given support by the Ministry of Defence. They often | :30:58. | :31:03. | |
left without appropriate legal advice, or they have to finance it | :31:04. | :31:07. | |
themselves. This is quite wrong. They should get the backing of the | :31:08. | :31:11. | |
Government and the Ministry of Defence, which is sadly not the case | :31:12. | :31:20. | |
at the moment. Thank you. We look forward to your film next week. We | :31:21. | :31:27. | |
will bring that full report to you on Monday. | :31:28. | :31:29. | |
With the news, here's Joanna in the BBC Newsroom. | :31:30. | :31:32. | |
The Health Secretary Jeremy Hunt will outline plans today so the NHS | :31:33. | :31:34. | |
in England no longer relies on overseas doctors. | :31:35. | :31:36. | |
He'll tell the Conservative Party conference in Birmingham this | :31:37. | :31:38. | |
will be achieved through new funding to train an extra | :31:39. | :31:41. | |
But the doctors' union the British Medical Association | :31:42. | :31:44. | |
says it falls far short of what's required. | :31:45. | :31:47. | |
The Prime Minister has told the BBC that extra British doctors are vital | :31:48. | :31:50. | |
Extra money going into the training of doctors, | :31:51. | :31:56. | |
The NHS is having to ensure that doctors can come in from overseas | :31:57. | :32:03. | |
to ensure we have the numbers we need, and there are people | :32:04. | :32:07. | |
here who may want to train as doctors who are not | :32:08. | :32:11. | |
able to, because of the limits there have been. | :32:12. | :32:14. | |
It is right that we are doing this, it will mean we will see more | :32:15. | :32:18. | |
This programme has been given exclusive access to a new project | :32:19. | :32:23. | |
which aims to cut the number of women severely injured | :32:24. | :32:25. | |
It's the first time doctors and midwives have worked together | :32:26. | :32:30. | |
They've come up with a number of techniques to help prevent | :32:31. | :32:34. | |
injuries, including serious tears, that can lead to | :32:35. | :32:37. | |
The project will be trialled in more than a dozen hospitals from January. | :32:38. | :32:44. | |
The Government is to unveil new measures it says will protect UK | :32:45. | :32:47. | |
The change in policy, to be announced at the Conservative | :32:48. | :32:51. | |
conference, would mean parts of the European Convention | :32:52. | :32:53. | |
on Human Rights could be suspended during future conflicts. | :32:54. | :32:57. | |
The Defence Secretary Michael Fallon said the legal system | :32:58. | :32:59. | |
The most-powerful hurricane in the Caribbean for almost ten | :33:00. | :33:04. | |
years will reach Haiti in the next few hours. | :33:05. | :33:07. | |
Hurricane Matthew is sweeping north through the region. | :33:08. | :33:10. | |
Up to 40 inches of rain could fall in Haiti. | :33:11. | :33:14. | |
There's a warning of life-threatening flash floods there, | :33:15. | :33:18. | |
as well as in neighbouring Dominican Republic. | :33:19. | :33:23. | |
Residents are being advised to do everything to protect lives. | :33:24. | :33:29. | |
Ched Evans has arrived in court to face a retrial on an accusation of | :33:30. | :33:34. | |
rape. The former Manchester city and Sheffield United striker is accused | :33:35. | :33:38. | |
of raping a woman in 2011. He has pleaded not guilty. | :33:39. | :33:40. | |
That's a summary of the latest news, join me for BBC | :33:41. | :33:43. | |
Stoke City defender Glen Johnson was celebrating his shock recall | :33:44. | :33:50. | |
to the England squad less than 48 hours ago, now he's out. | :33:51. | :33:54. | |
The 32-year-old is injured and has been replaced in Gareth Southgate's | :33:55. | :33:56. | |
squad for the qualifiers against Malta and Slovenia | :33:57. | :33:59. | |
by Burnley's uncapped defender Michael Keane. | :34:00. | :34:03. | |
Fifa president Gianni Infantino says he would like to see the World Cup | :34:04. | :34:07. | |
expanded to 48 teams, up from the current 32. | :34:08. | :34:11. | |
A final decision is likely in January. | :34:12. | :34:14. | |
Andy Murray is on court in the first round of the China Open in Beijing, | :34:15. | :34:18. | |
World number two Murray took the first set 6-2, | :34:19. | :34:29. | |
And Hull forward Danny Houghton last night won rugby | :34:30. | :34:33. | |
league's Man of Steel award for the season's best player. | :34:34. | :34:35. | |
Houghton, whose last-minute tackle helped clinch the Challenge Cup | :34:36. | :34:37. | |
final for Hull against Warrington, beat his club captain | :34:38. | :34:40. | |
That is all be sport now, more across the BBC News channel through | :34:41. | :34:49. | |
the day. Next, we're going to talk to people | :34:50. | :34:55. | |
who found out their parents were in fact their aunt and uncle | :34:56. | :34:57. | |
and the people they thought were relatives were in | :34:58. | :35:00. | |
fact their parents. It's the subject of an Asian Network | :35:01. | :35:02. | |
documentary tonight. A few years ago, I adopted my | :35:03. | :35:04. | |
brother's son when he became I first found out about Raffio | :35:05. | :35:07. | |
when he was ten months old. Prior to this, I didn't know | :35:08. | :35:11. | |
I had a nephew. It was my brother called me and said | :35:12. | :35:13. | |
he was struggling and he needed somebody within the family | :35:14. | :35:19. | |
to look after his son. And instinctively, I think way | :35:20. | :35:23. | |
before meeting him, I had already decided this | :35:24. | :35:26. | |
was something I would like to do. I don't think he fully understands | :35:27. | :35:32. | |
that I'm not his biological mum, although I have often said to him | :35:33. | :35:35. | |
that I didn't give birth to you, so it caused questions, | :35:36. | :35:41. | |
"Where was I born?" Because to me, that's | :35:42. | :35:44. | |
really where he was born. So I'm hoping he does understand, | :35:45. | :35:49. | |
to an extent, he still quite young. We have a life-story book, which we | :35:50. | :35:57. | |
go through, which simplifies Some Asian families who do do | :35:58. | :36:08. | |
interfamily adoption choose to keep So I'm interested to find out | :36:09. | :36:12. | |
the impact this has on those children when the truth | :36:13. | :36:17. | |
finally comes out. There are no actual figures | :36:18. | :36:24. | |
for how often it happens, because very few go | :36:25. | :36:26. | |
through the formal adoption process. Asian Network presenter Suzi Mann | :36:27. | :36:29. | |
adopted her brother's son. Kam Kumar was given to her aunt | :36:30. | :36:33. | |
and uncle who were unable to conceive as a gift | :36:34. | :36:36. | |
at just four days old. She found out she was | :36:37. | :36:39. | |
adopted at the age of six. Her younger brother was also given | :36:40. | :36:42. | |
to the same family members Huma Shah, was given away | :36:43. | :36:45. | |
to her aunt by her father when she was five months old, | :36:46. | :36:50. | |
as her aunt had struggled to have She found out the truth at the age | :36:51. | :36:53. | |
of 17, when her biological mother paid a visit to the UK | :36:54. | :36:58. | |
and revealed what had happened. Tell us about your son, your nephew, | :36:59. | :37:16. | |
how do you describe him? I call him my son, he addresses me as mummy. I | :37:17. | :37:23. | |
officially adopted him in 2013. I met him when he was ten months old, | :37:24. | :37:28. | |
he moved at 18 months, and since then, great relationship, lovely | :37:29. | :37:32. | |
bond. It is the best decision of my life. She went through a legal | :37:33. | :37:38. | |
adoption process. Absolutely. I opted for adoption as opposed to | :37:39. | :37:44. | |
becoming a kinship carers or special guardianship order, which is another | :37:45. | :37:47. | |
option, to share parental response ability. I just wanted to offer him | :37:48. | :37:54. | |
security and stability, which is most important. You have got a | :37:55. | :38:04. | |
lifestyle book. A life story book. Most people will know that when you | :38:05. | :38:07. | |
do go through a formal adoption, you are encouraged to speak to children | :38:08. | :38:13. | |
about their background, their heritage,... And their biological | :38:14. | :38:18. | |
parents. So they have a sense of belonging and it is normal. The book | :38:19. | :38:25. | |
is very simple, it explains where he has been and how he has two | :38:26. | :38:32. | |
families, one is his birth parents and his adoptive family, and he is | :38:33. | :38:38. | |
loved by both very much. What about your own experiences? Tellers about | :38:39. | :38:41. | |
the moment when you found out your parents were your aunt and uncle. I | :38:42. | :38:46. | |
was 17, it was my summer good mum's birthday, and my biological mother | :38:47. | :38:54. | |
came from Kenyon. She took me away in a room very quietly and told me | :38:55. | :38:59. | |
what had happened. I just remember feeling quite numb. I shed a tear | :39:00. | :39:07. | |
with her, because she was crying. I think that was a release at the | :39:08. | :39:12. | |
time. It sounds like an oxen moron, saying you are numb but you cried. | :39:13. | :39:15. | |
That was just my emotions taken over. How I felt at that point, it | :39:16. | :39:25. | |
was quite a lot to digester. I just run the looking outside my window | :39:26. | :39:30. | |
and thinking, I have real brothers and sisters. That gave me such a | :39:31. | :39:34. | |
comfort in knowing that. I was the only child. How do you feel about | :39:35. | :39:40. | |
it? How do you feel about what happened? Might of rendering, I have | :39:41. | :39:46. | |
no qualms about, I had everything I wanted. But when I was 17, because I | :39:47. | :39:55. | |
was sworn to secrecy, not to say anything, that was the hardest part, | :39:56. | :39:58. | |
because I did not get closure in knowing answers to questions. Sworn | :39:59. | :40:05. | |
to secrecy because? She was not supposed to tell me, I suppose. My | :40:06. | :40:13. | |
biological mum did not want a scene or anything of that sort. Did it | :40:14. | :40:17. | |
change how you felt towards your parents? Not at all. They have done | :40:18. | :40:24. | |
everything a parent would do. For me, it was just a closure in | :40:25. | :40:28. | |
knowing, why was it me, what happened? It was difficult, because | :40:29. | :40:33. | |
I could not tell anybody that I had already known. From that | :40:34. | :40:37. | |
perspective, things did prove inside. The impact of that was quite | :40:38. | :40:44. | |
distressing, because I just got quite sick, just because I dissolved | :40:45. | :40:48. | |
that information and blocked it inside of me. That is what happened. | :40:49. | :40:57. | |
What about you, given to your aunt when you were four days old, why did | :40:58. | :41:03. | |
your mum do this? Might adoptive mum could not have kids. She had four | :41:04. | :41:07. | |
miscarriages. My biological parents, at the age of four days, it was like | :41:08. | :41:15. | |
a press happening at their house, might adoptive dad's aren't | :41:16. | :41:18. | |
approached my mum to ask if they could hand me over. Both my parents | :41:19. | :41:27. | |
discussed it, and for them it was a positive thing, because they were so | :41:28. | :41:30. | |
close to them anyway, it was a close-knit family, it was not much | :41:31. | :41:38. | |
of a difference of where we were. For your payments it was a selfless | :41:39. | :41:44. | |
act? Definitely. Respect for them both, how they did that, they | :41:45. | :41:48. | |
selflessly handed me over to them. They were giving a gift, rather | :41:49. | :41:55. | |
than, there you are. It was upsetting for my mum, but at the | :41:56. | :41:57. | |
same time she was happy that she could get her sister a child. In our | :41:58. | :42:04. | |
family, it was more of a positive. Could you imagine it? I could not, | :42:05. | :42:10. | |
but if it was for my sibling, I would do the same, because we are so | :42:11. | :42:15. | |
close. It is family, so if it makes the other person happy, why not? It | :42:16. | :42:21. | |
is your child, you have given birth! With might adoptive mum she brought | :42:22. | :42:24. | |
us all up the same. My sisters were no different from me or my Jungle | :42:25. | :42:30. | |
Brothers, we were brought up together anyway, two close families. | :42:31. | :42:41. | |
Two different houses. -- young brothers. There is a lot of | :42:42. | :42:47. | |
information -- emotion involved. The difference between their situations | :42:48. | :42:53. | |
is there was a closeness of family, whereas after your adoption there | :42:54. | :43:02. | |
was distance, there was no communication with biological and | :43:03. | :43:04. | |
adoptive parents. Maybe that was their way of dealing with it. | :43:05. | :43:10. | |
Absolutely. I got no closure in knowing that, so expectations had | :43:11. | :43:15. | |
increased on my part when I turned 18. The certain times of the year | :43:16. | :43:20. | |
when you expect a phone call, nothing, so my question was, why | :43:21. | :43:26. | |
tell me when there was no follow-up? Why did your mum tell you? I don't | :43:27. | :43:31. | |
know. I still have not addressed that situation. How I have coped is | :43:32. | :43:37. | |
knowing I have a great family, a great network of support, and | :43:38. | :43:41. | |
whatever it is, whatever has happened has happened, and I just | :43:42. | :43:48. | |
have to move on. Can you do that? Absolutely. I have healed in my own | :43:49. | :43:54. | |
way. What is it that you are damaged from? The telling of the truth? The | :43:55. | :43:58. | |
fact it was not your biological parents who brought you up? The | :43:59. | :44:06. | |
giving away? I had the expectation that the families would be brought | :44:07. | :44:09. | |
closer, but it went the opposite way. I paid a trip to Kenya in 2012, | :44:10. | :44:18. | |
to get some answers, some closure. I travelled alone. I got nothing. That | :44:19. | :44:26. | |
was a bit distressing. After that, I put it behind me. I moved on. Having | :44:27. | :44:33. | |
said that, there are still events to unfold in my life, I feel it may | :44:34. | :44:36. | |
come back again, and these feelings may be reignited as and when I | :44:37. | :44:40. | |
perhaps get married or have my child. But it is yet to be | :44:41. | :44:47. | |
discovered. It is not uncommon, especially in the Asian community, | :44:48. | :44:52. | |
where you are brought up all looked after by your extended family. Maybe | :44:53. | :44:57. | |
not necessarily an official adoption takes place, but when I was seven, | :44:58. | :45:03. | |
and of the story is my parents sent me off to India to live with my | :45:04. | :45:07. | |
grandparents, and they explained that the childcare was too | :45:08. | :45:11. | |
expensive, they could not afford for two children, they needed to make a | :45:12. | :45:14. | |
living. We accepted it. There are so many of these cases that took place | :45:15. | :45:21. | |
especially in the 70s and 80s. I am not sure if it still exists now, but | :45:22. | :45:23. | |
it seemed to be fairly normal. A tweet from a viewer, "I am in the | :45:24. | :45:39. | |
process of adopting my 15 dwrerld niece." | :45:40. | :45:41. | |
Suzi's documentary, Passing the Baby is on the BBC Asian Network today | :45:42. | :45:44. | |
Thank you very much. Nice to meet you. Thank you. | :45:45. | :45:55. | |
"Even now there are moments when I shake my head | :45:56. | :45:57. | |
at the madness of it all - going from the factory floor | :45:58. | :46:00. | |
and playing Sunday morning pub football with my mates, | :46:01. | :46:03. | |
to scoring for my country against the World Cup | :46:04. | :46:05. | |
Those are the e words of Leicester City's star | :46:06. | :46:19. | |
striker Jamie Vardy who has that classic rags to riches story. | :46:20. | :46:22. | |
It's all told in his autobiography called From Nowhere, | :46:23. | :46:24. | |
My Story and he's been speaking to Sally Nugent. | :46:25. | :46:26. | |
How did you feel about writing a book at this point? | :46:27. | :46:29. | |
Was it because of the success of the last season or did you feel | :46:30. | :46:32. | |
like you had more of a story to tell? | :46:33. | :46:34. | |
I think it was definitely more of a story to tell. | :46:35. | :46:37. | |
A lot has happened over the years so I think I might | :46:38. | :46:40. | |
as well let everyone know about it. | :46:41. | :46:41. | |
Things have changed so much for you over the last ten years. | :46:42. | :46:53. | |
All I ever wanted to do was play football. | :46:54. | :46:58. | |
Obviously back then with my mates. That's all I really enjoyed doing. | :46:59. | :47:02. | |
So straight away that is what I really wanted to do. | :47:03. | :47:05. | |
I was playing for a local team called York County to start | :47:06. | :47:10. | |
with and then I got picked up by Sheffield Wednesday, | :47:11. | :47:12. | |
stayed there for a number of years and then unfortunately that's | :47:13. | :47:15. | |
They actually said you were too small to continue to | :47:16. | :47:19. | |
I didn't know what to do with myself. | :47:20. | :47:28. | |
I had been there that long in my life that you just think | :47:29. | :47:31. | |
that's what's going to happen for you, you were going to be | :47:32. | :47:34. | |
You kind of went off the rails for a while, didn't you? | :47:35. | :47:39. | |
It were definitely a massive impact on my life because that's all I ever | :47:40. | :47:42. | |
You were working in a factory, weren't you? | :47:43. | :47:45. | |
What was that time in your life like? | :47:46. | :47:48. | |
A few of the lads who worked at the same place I played football | :47:49. | :47:51. | |
It was like we were still altogether. | :47:52. | :47:57. | |
As soon as we had a break we had a kick about in the car park | :47:58. | :48:01. | |
It was enjoyable but I got to the stage where I decided to pack | :48:02. | :48:06. | |
it in and concentrate on football for a year and luckily I think it | :48:07. | :48:09. | |
were only three days I were out of work before I got signed up | :48:10. | :48:12. | |
What happened, how did that come about? | :48:13. | :48:15. | |
I got a phone call off my agent asking me how much I know | :48:16. | :48:18. | |
about Fleetwood Town, to which my reply was nothing. | :48:19. | :48:21. | |
And he just said, "I think you need to do a bit of research | :48:22. | :48:25. | |
because we're going to meet them tonight," and we went | :48:26. | :48:27. | |
And looking back over the last year or so, | :48:28. | :48:33. | |
at the start of last season, did you ever dream it | :48:34. | :48:36. | |
would end the way it did with Leicester as champions? | :48:37. | :48:41. | |
No, not at all, we were just taking every single game as they came. | :48:42. | :48:45. | |
The new boss came in and he set us targets, he wanted 40 points, | :48:46. | :48:47. | |
So as soon as we got to the 40 points that's when we carried | :48:48. | :48:53. | |
on stepping it up and again and setting another target. | :48:54. | :48:57. | |
What was that night like in this house with everybody | :48:58. | :49:00. | |
Well, I say that, it wasn't good while Tottenham were 2-0 up. | :49:01. | :49:08. | |
Then Chelsea got a goal back and everyone started | :49:09. | :49:17. | |
to get a bit livelier again and the second one went | :49:18. | :49:24. | |
I'm surprised the kids stayed asleep. | :49:25. | :49:28. | |
Can you ever just go with your friends and sit in the pub | :49:29. | :49:33. | |
I probably could but obviously there would be a lot of people | :49:34. | :49:37. | |
coming over and asking for pictures and wanting signatures. | :49:38. | :49:39. | |
So it's easier to just remove yourself from the equation | :49:40. | :49:42. | |
Being at home with the family and at the end of the day I get | :49:43. | :49:50. | |
to chill here and do things with the kids here. | :49:51. | :49:52. | |
If it's getting in from training and the kids want me to get | :49:53. | :49:56. | |
on the trampoline with them then so be it. | :49:57. | :49:58. | |
I'm the one that's got to bounce them high. | :49:59. | :50:00. | |
Or if they want a game of football in the back garden even though I've | :50:01. | :50:04. | |
been training all morning then that's what I'll do with them. | :50:05. | :50:06. | |
Jamie Vardy's autobiography is called From Nowhere, My Story. | :50:07. | :50:10. | |
Doctors could have to pay back the cost of their training | :50:11. | :50:13. | |
if they leave the NHS too quickly, under plans to end | :50:14. | :50:15. | |
About a quarter of the medical workforce is trained outside the UK, | :50:16. | :50:19. | |
but the impact of Brexit and a global shortage of doctors | :50:20. | :50:22. | |
could make it harder to recruit so many in the future. | :50:23. | :50:25. | |
England's Health Secretary Jeremy Hunt will announce today that junior | :50:26. | :50:27. | |
doctors will be tied to the NHS for four years after qualifying. | :50:28. | :50:30. | |
If they want to work abroad, they'll have to repay | :50:31. | :50:32. | |
the Government's contribution to the cost of medical | :50:33. | :50:34. | |
school if they move abroad or into private practice. | :50:35. | :50:36. | |
Training a doctor costs the taxpayer ?220,000. | :50:37. | :50:40. | |
Let's talk to Aislinn Macklin is a junior doctor and a member | :50:41. | :50:43. | |
Hello to you. Hello. Good morning, how are you? I'm very well, thank | :50:44. | :50:50. | |
you. What do you think of this plan that doctors would have to pay some | :50:51. | :50:55. | |
of the costs back if they move abroad within four years after | :50:56. | :50:58. | |
qualifying? Well, I think it all tie ins with much of what we see with | :50:59. | :51:06. | |
Jeremy Hunt which I think is a very misleading and misrepresentation and | :51:07. | :51:10. | |
a rhetoric around doctors not being committed to the NHS. What we have | :51:11. | :51:15. | |
seen with the Secretary of State over the last year and with all of | :51:16. | :51:20. | |
his policies actually, he has created an NHS that is drastically | :51:21. | :51:23. | |
under staffed, drastically under funded. He has imposed a contract on | :51:24. | :51:30. | |
us that the entire profession and many of his own advisors have | :51:31. | :51:34. | |
rejected and he has created these kind of very difficult conditions in | :51:35. | :51:39. | |
the NHS and he is now creating in rhetoric where he is questioning our | :51:40. | :51:44. | |
loyalty to... Can I ask you about the principle. I understand what | :51:45. | :51:48. | |
you're saying about his rhetoric. The actual plan if you go abroad or | :51:49. | :51:53. | |
go into private practise within four years of qualifying, do you agree | :51:54. | :51:56. | |
with the principle that you should pay back some of the costs? I think | :51:57. | :52:00. | |
it is important to highlight that medical school fees for us ourselves | :52:01. | :52:07. | |
will be now ?60,000, ?80,000 and you're starting on a basic salary of | :52:08. | :52:13. | |
?22,000. We are also taxpayers. The NHS is one of the most well | :52:14. | :52:20. | |
respected and rightly well invested institutions and Britain should be | :52:21. | :52:23. | |
very proud of it and doctors are very proud to work in the NHS, but | :52:24. | :52:28. | |
it needs, it does need to have the appropriate investment. It does need | :52:29. | :52:31. | |
the appropriate resources and I just think this rhetoric of holding us to | :52:32. | :52:36. | |
ransom, to an institution that we are very, very dedicated to, I think | :52:37. | :52:41. | |
is a very dangerous and quite a divisive rhetoric and it shows a | :52:42. | :52:45. | |
lack of respect for what doctors, what the service that they provide | :52:46. | :52:49. | |
every day in the NHS is actually doing. We work far and above the | :52:50. | :52:56. | |
hours that we should. We are working in increasingly difficult situations | :52:57. | :52:59. | |
where hospitals are closed and beds are being closed and operations are | :53:00. | :53:03. | |
being cancelled and it is the doctors goodwill and their 100% | :53:04. | :53:07. | |
commitment to the NHS that is keeping it going at the moment. So I | :53:08. | :53:10. | |
think the Secretary of State needs to take some of the responsibility | :53:11. | :53:14. | |
of that burden rather than transferring it and projecting it on | :53:15. | :53:18. | |
to doctors and claim that they are not committed to the NHS. I think he | :53:19. | :53:23. | |
would need to look at what the policies that he has driven through, | :53:24. | :53:27. | |
what this contract will do. So I want you to be clear, is it a | :53:28. | :53:35. | |
sensible proposal? What to have, well, all doctors do. All doctors | :53:36. | :53:39. | |
will. The vast majority of doctors stay in the NHS. What I don't think | :53:40. | :53:45. | |
it captures is the fact that when you go abroad and you bring back | :53:46. | :53:51. | |
experience to the NHS, I myself have worked in the States and people | :53:52. | :53:56. | |
bring back a lot of excellent experience and knowledge when they | :53:57. | :54:02. | |
return from. So I think it is a renlg I had policy and I think it is | :54:03. | :54:07. | |
again to deflect the responsibility about what is happening in the NHS | :54:08. | :54:11. | |
away from the Secretary of State and to try and put that on doctors. | :54:12. | :54:15. | |
Thank you very much. Thank you for talking to us. | :54:16. | :54:22. | |
Thank you very much. We have been overwhelmed actually by | :54:23. | :54:27. | |
experiences that you shared of injuries you have sustained during | :54:28. | :54:29. | |
childbirth. It sounds extraordinary saying that. Injuries sustained | :54:30. | :54:34. | |
during childbirth, but they really have affected your lives. So many of | :54:35. | :54:38. | |
you getting in touch to say it is hardly ever talked about. Up to 85% | :54:39. | :54:43. | |
of women have some sort of tear during their first natural birth, | :54:44. | :54:46. | |
but the most severe tears affect around 6% of women. So it is | :54:47. | :54:49. | |
important to keep that prospective there. | :54:50. | :54:53. | |
You can read more about it on our programme page. Let's talk to Rachel | :54:54. | :54:58. | |
who got in touch with us. Rachel Cartwright who is in Essex who had a | :54:59. | :55:03. | |
fourth degree tear. Hi Rachel? Hi Victoria. How are you? I'm very | :55:04. | :55:08. | |
well, thank you. Tell our audience about what happened to you and what | :55:09. | :55:10. | |
you think about the fact that we're discussing it today? Yes. I had a | :55:11. | :55:15. | |
four degree tear after the birth of my son. I had a fantastic labour. | :55:16. | :55:21. | |
Very kind of low intervention in a birth centre that was just | :55:22. | :55:27. | |
fantastic. I had a water labour. But then towards the end it was kind of | :55:28. | :55:33. | |
appearing as if my son was not going to be coming without any | :55:34. | :55:36. | |
intervention, I would have looked him birthed in the pool, in the | :55:37. | :55:43. | |
water, but I wasn't able to. After forceps and a cut, my son was born, | :55:44. | :55:49. | |
healthy and happy, fine, he was a big baby nine pounds, one ounce and | :55:50. | :55:54. | |
he had a larger head than average so I was told and after his birth I | :55:55. | :55:59. | |
found out that I had the most severe tear that you could, a fourth degree | :56:00. | :56:04. | |
tear which is tearing into your rectum as well and I needed to two | :56:05. | :56:11. | |
hours of surgery. I had to have a spinal block. I had to go off and | :56:12. | :56:17. | |
have two hours of surgery leaving my husband with our son which was very | :56:18. | :56:22. | |
daunting for him and not ideal for myself want to go stay with him and | :56:23. | :56:27. | |
breastfeed straightaway and do the skin to skin contact, all the thing | :56:28. | :56:31. | |
that you're encouraged to do. It wasn't ideal, but at the time I was | :56:32. | :56:35. | |
very much focussed on his health and as long as I came out of surgery, | :56:36. | :56:38. | |
you know, kind of healthy and alive and well, then that was the priority | :56:39. | :56:43. | |
at the time. It is since then that you start to reflect and realise | :56:44. | :56:47. | |
just how severe and life changing it can be. | :56:48. | :56:51. | |
Well, but in your scenario, it sounds like the medical | :56:52. | :56:53. | |
professionals did what they're supposed to do? Yes. They were | :56:54. | :56:58. | |
super. Apart from a delay because it was busy so I had to wait for an | :56:59. | :57:02. | |
hour before I could go into surgery because they didn't have the | :57:03. | :57:07. | |
anesthetist at the time, but the surgeon I can only really thank | :57:08. | :57:11. | |
because he was fantastic at doing his job. Amazing because I haven't | :57:12. | :57:18. | |
had any long-term so far repercussions, there could be later | :57:19. | :57:21. | |
on in life. Everything weakens as you age, but at the moment I'm | :57:22. | :57:27. | |
really thankful because I don't have the double incontinence whiches was | :57:28. | :57:31. | |
talked through by midwives about that being the potential, about | :57:32. | :57:35. | |
pain, about problems with infa Massey. There is a range of issues | :57:36. | :57:39. | |
that women have to face when they've had severe tears and I'm really one | :57:40. | :57:44. | |
of the lucky ones. And that's just, I think, down to, the skill of the | :57:45. | :57:48. | |
surgeon, but a lot down to luck because I think it is the luck of | :57:49. | :57:52. | |
the draw. But no one talks about it, do they? I never read about this, I | :57:53. | :57:56. | |
have never seen it on TV. I was on the radio for 16 years and we never | :57:57. | :57:59. | |
discussed this en, do you know what I mean? It was talked about in a two | :58:00. | :58:03. | |
minute slot in our NCT classes, you might have a tear and you might need | :58:04. | :58:08. | |
a cut, but nothing so severe and until you actually have a baby and | :58:09. | :58:11. | |
it happens to you, and you talk to other women, and you realise that | :58:12. | :58:16. | |
yes, it is more common than you realise, but it is very rare, I | :58:17. | :58:21. | |
don't want to scare other mums to be, it is very rare. Rachel, I could | :58:22. | :58:25. | |
talk to you all day. Thank you so much. Thank you for coming on the | :58:26. | :58:28. | |
programme. I really appreciate it. Cheers. | :58:29. | :58:31. | |
On the programme tomorrow we'll bring you an interview | :58:32. | :58:33. | |
with Anne Darwin, a mum of two who helped her husband | :58:34. | :58:34. |