04/10/2016 Victoria Derbyshire


04/10/2016

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Hello, it's Tuesday, it's 9am, I'm Victoria Derbyshire,

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On the programme today, the hidden trauma of being

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It is not something you talk about openly. Why did you not want to tell

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people? I did not feel normal, as though my body was not capable of

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giving birth. I felt ashamed. Of what happened to me. And what I am

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living with on a daily basis. It's a taboo subject

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which isn't often talked If it's happened to you,

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do get in touch. Also on the programme,

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opting out of European human rights to protect our troops

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from what the Government says One MP says the move is overdue.

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The attempt by human rights law to armed conflict presented a

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misunderstanding of what we were asking and then -- our men and women

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to do. And, a 300% rise in the number

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of pupils temporarily excluded Head teachers say it's

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because they're better We'll get reaction from parents

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of excluded children, Throughout the programme we'll bring

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you the latest breaking news, sport and interviews,

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and do get in touch today, particularly if you've

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experienced a birthing injury. And if you text, you will be charged

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at the standard network rate. Hopefully we will talk to you on the

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programme later. That's what the Health Secretary

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Jeremy Hunt will promise for the NHS in England today,

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so that it no longer relies He's expected to say that an extra

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?100 million will be set aside to pay for the increase

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in medical-school places. And all doctors trained by the NHS

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will have to work for the health Our political guru Norman Smith

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is in Birmingham at Phil Olsen. Jeremy Hunt has been at

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loggerheads with junior doctors for months now. Some better news for the

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medical community today, with plans to make us self-sufficient in

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doctors. In other words, there will be enough British doctors to start

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-- staff British hospitals, he says, but not until 2025, ten years away.

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He wants to bump up the number of students training to be doctors by

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more than a quarter, pumping in an extra ?100 million, so that in time

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we will not have to have locums or pay agency doctors, because, his

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take is, it is costing the NHS and a lot of money, something like 3

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billion goes on paying for foreign agency staff. So part of it is about

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saving cash. Part of it is simply responding to the fact that with an

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ageing population we are going to need more doctors. This morning the

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Prime Minister said she wanted to ensure that there were enough

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doctors to meet the demand we are likely to face in the future.

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Extra money for the training of doctors, we want to see more British

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doctors in the NHS, the NHS is having to ensure that the scam

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coming from overseas to ensure we have the numbers we need, and there

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are people in the UK Hamburg -- who may want to train but cannot. It is

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right that we are doing this, it will mean that we can see more

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British doctors in the NHS. There is another reason why we need

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to train more doctors. There are not enough doctors to go around in the

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world. The World Health Organisation says there is a 2 million shortage

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of doctors around the world. There is the issue that to make up the

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shortfall we tend to recruit from developing countries, and that has a

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significant impact on the sort of health provision they can divide. It

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is not just about trying to ensure we have enough, it is trying to

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ensure we do not drain developing countries of the sort of few medical

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staff they have. More from Norman later.

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Joanna is in the BBC Newsroom with a summary

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This programme has been given exclusive access to a new project

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which aims to cut the number of women severely injured

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It's the first time doctors and midwives have worked together

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They've come up with a number of techniques to help prevent

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injuries, including serious tears, that can lead to

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The project will be trialled in more than a dozen hospitals from January.

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Stay with us for our special report on the scheme and the stories

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of some of the women affected in just a couple of minutes' time.

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The British Armed Forces are to be given more

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protection from legal claims, with the Government saying it

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will opt out of parts of the European Convention

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on Human Rights during future conflicts.

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The Defence Secretary Michael Fallon says that the move will

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save millions of pounds on legal fees.

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UK soldiers fighting overseas are subject to international law,

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including the European Convention on Human Rights.

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And cases brought against British troops by foreign detainees

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or the relatives of people injured or killed can be heard in UK courts,

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to the frustration of many senior military figures and politicians.

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Since 2004, the Ministry of Defence has spent over

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?100 million on investigations, inquiries and compensation

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relating to the conduct of British troops in Iraq.

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The Government says false claims by people who say

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their European Convention rights have been breached have driven

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much of the litigation, causing considerable distress

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to serving and former members of the armed forces.

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The first part of rebuilding relationships in the country

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between the military and their political masters,

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I think the sort of attempt to apply European human-rights law to armed

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conflict represented a fundamental misunderstanding of what we were

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In their 2015 election manifesto, the Conservatives said

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they would act on the issue, and today ministers have pledged

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to exempt the UK from two clauses of the European

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This would apply to future conflicts, and the Defence

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Secretary Michael Fallon said the change would enable

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troops to confidently take decisions on the battlefield.

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But the Government's former attorney-general is not convinced

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the change will make a big difference.

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It's a perfectly sensible move, if it's used sparingly

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It will certainly, I think, help a little.

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But I don't think one should expect that somehow, by doing this,

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all claims against British military personnel are going to evaporate,

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because I'm afraid that won't happen.

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Ministers insist UK troops will still be subject to other

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articles of the convention, including a prohibition on torture,

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as well as UK law and the Geneva conventions.

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Russia has rebuffed the latest attempt at the UN to impose

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a new ceasefire to end the fighting in the Syrian city of Aleppo.

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The United States broke off discussions with Moscow last night,

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saying everyone's patience had run out.

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The US Presidential candidate Donald Trump has responded

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to the publication of tax documents in the New York Times.

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The paper said he'd declared business losses of more

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than $900 million in 1995, which may have enabled him

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to legally avoid paying tax for nearly 18 years.

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Mr Trump told a rally in Colorado that as a businessman he has

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a responsibility to pay as little tax as legally possible.

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Police on the Greek island of Kos searching for Ben Needham say

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they've now got permission to knock down part of a farmhouse close to

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A specialist team has begun a ninth day of excavations.

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The building is a modern extension built since his disappearance,

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and they want to dig underneath to make sure Ben

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The number of pupils excluded from schools in some parts

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of England has risen by more than 300% in three years.

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Persistent disruptive behaviour accounted for the lion's share,

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while more than 8,000 pupils were excluded for drug

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and alcohol offences, and more than 2,000 related

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The biggest increases were seen in Middlesbrough,

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Some councils said the increase reflected a greater willingness

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Police in Japan are investigating if a serial killer has poisoned dozens

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of patients in a hospital in Yokohama. Two patients died after

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detergent was injected into their intravenous drips. They are now

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investigating more than 40 other deaths at the hospital, which may

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also be suspicious. That's a summary of the latest BBC

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News, more at 9:30am. We will look at injuries during

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childbirth in the next the minutes. Megan says, I had a normal delivery

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with an episiotomy four weeks ago. Congratulations. The midwife could

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not stop the bleeding, so a doctor finished the job, this took two

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hours of stitching. Within five days the stitches had dissolved and the

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wind was gaping. I am so worried I will never be able to walk or swim

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without pain or risk of infection again. Rachel says, I suffered a

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fourth degree tear, the worst you can have, when giving birth to my

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son last year. No family history of issues. A natural water birth in a

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birthing centre. I had to have a cut but I believe I tour because of the

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use of forceps, and my son having a larger than average head. I had to

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have a spinal block and two hours of surgery to repair the tower, which

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was not ideal, after having my baby. My husband was left alone with him,

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thinking I would be gone for half an hour, worried about what had

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happened. Thankfully, all went well, our baby best Fred Pring it leak,

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and I have been lucky not to have any incontinence, pain or any

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ongoing issues so far. The midwife discussed the potential for me to be

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doubly incontinent and suffer ongoing pain. I was so scared that I

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would wearing nappies at the age of 33. More on that in the next few

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minutes, do get in touch. And if you text, you will be charged

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at the standard network rate. So, has the boxer Tyson Fury

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retired or hasn't he? He sent some pretty

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extraordinary tweets yesterday? He has been quite vocal on social

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media in the last few days, he initially said that boxing is the

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saddest thing he has ever taken part in and he announced his retirement

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via Twitter, only to reverse the decision just three hours later. It

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is hard to say what is going on with him. People close to him seem to be

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worried, Billy Joe Saunders, somebody who has known him a long

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time, says he is at the lowest he has ever seen him, and adds that if

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boxing is taken away from him, his life is over. To give you some

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background, he has just pulled out of his rematch with Wladimir

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Klitschko for a second time, he says he was suffering with mental health

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issues. This is the latest in a long line of controversies from him, who

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also faces an anti-doping hearing next month for an alleged drugs

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violation. An interesting proposal from Fifa

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president Gianni Infantino, he's looking to expand the World Cup

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to 48 teams. He said when he was going for

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election that he wants to do it, but now it is even more teams than he

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had suggested previously. He wants to develop football around the

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world, he is proposing that 48 teams should be included will stop instead

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of the 32 currently. What makes this interesting, 16 of them would be

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eliminated before the group stages have even started, in a knockout

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round. You could have teams and fans travelling across the globe to

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represent their countries in the biggest football event in the world,

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playing one match, and then going home. It is a possibility at this

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stage. A final decision will be made in January.

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And it's a big day for the future of tennis star

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She will find out today if her doping ban will be overturned by the

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Court of Arbitration for Sport. She tested positive for the banned

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substance Melburnians in March. She said she has been taking for health

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reasons since 2006 and was not using it to improve her performance. The

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International Tennis Federation band have two years, which she appealed.

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We expect a decision at 2pm. Before that, I will have the headlines, at

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9:30am. The first film we're about to bring

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you this morning is on a subject that isn't often talked about,

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never mind at this time of day. We're going to give some frank

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details and talk openly about injuries that women can get

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during childbirth, so if you'd rather not watch, or you've got

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children in the room, you may want to turn away

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for the next 15 minutes or so. Childbirth can be a daunting

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experience for most expectant mothers, but for some it can

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lead to life-changing Often, women don't

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share their experiences. They may find their symptoms

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embarrassing, or think what they're going through is normal

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after giving birth. It's a topic some in the medical

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profession say has been We've spoken to women have been let

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down by poor diagnoses, patchy treatment and an unwillingness

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to talk about the issue. In some cases it's prevented them

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from getting the help they needed And if you're expecting right now,

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it's worth pointing out severe tears Only about 6% of women

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are affected by them. But when they do happen,

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they can be devastating. Doctors and midwives are now working

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together to see if they can reduce the number of these injuries,

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and this programme has been given Experts agree birth injuries need

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to be recognised for the huge physical impact they can

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have on women's lives. Another warning that this report

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by Jean Mackenzie contains some details and pictures which you may

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find distressing and may not want Basically, I tore from the vagina,

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where the baby comes out, straight First of all I started having

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problems with my bladder and it was a constant need to go

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to the toilet. 85% of women suffer some

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degree of perineal tear I didn't consider it to be

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a traumatic experience because my baby was

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born at the end of it. But actually, when you do think

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about it, it was really traumatic. The advice I was getting was this

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will get better and you will heal and that wasn't what

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was happening to me. In some cases, tearing can lead

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to long-term complications. It can lead to

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relationship break-ups. Quite often they may leave their job

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because they're so embarrassed. These conditions affect

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more women than we know. Injuries are sometimes missed

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and often women suffer in silence. It's not something that

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you talk about openly. Was it because my body wasn't

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capable of giving birth? Of what happened to me

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and what I'm living Six years since Debbie gave birth

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to her son Kaiden and she's lost count of how many hospital

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appointments she's had. I tore, basically,

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from front to back. You know, there's a small area

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between your back passage and your vagina and that

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was quite badly torn, So, yeah, I went for emergency

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surgery to try to repair that, but when we got to emergency

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surgery, it seemed it Surgeons repaired the tear,

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but Debbie was left with a small hole between the wall

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of her vagina and her bowel. I was passing wind uncontrollably

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through the vagina and every the time I went to the toilet

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there would be faeces I was constantly in the bath,

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constantly washing, causing A number of attempts

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were made to repair it, but none successful,

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so Debbie was fitted I have two consider

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it wherever I go. If I leave the house I need

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to take spare clothes. I have to scan the place

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for the nearest toilet. For example, I was shopping in Asda,

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standing in the queue and I just went and the bag came apart

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from the side and I could feel it leaking and I could smell it,

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so you know, I kind of had to run and drag Kaiden kicking

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and screaming behind me because he didn't really understand

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what the urgency was. And that's happened when I have

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took him to school, it happened So, yeah, it affects everything

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you're doing really. What was it like dealing with this

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injury whilst raising a newborn baby It's overwhelming as it is,

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and then when you've also got a stoma back to look after,

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you're changing stoma bags in between nappies and bottles,

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yeah, it was exhausting. Debbie's tear was classed

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as a fourth degree tear, Not all tears will lead

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to complications. In this perineal model,

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you can see the vagina When the vaginal skin is torn,

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it is called a first degree tear. When the underlying muscles

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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

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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,

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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

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in an intimate relationship to deal Recent research found the amount

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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

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midwife and concerned that mistakes were being made,

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she set up this course to teach How do you think training

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is at the moment for midwives? It's quite patchy,

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so it's not standardised. If ten women are going

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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

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the training is very good. You have to pay for

:23:00.:23:02.

courses like this. Within the trust we have a mandatory

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study day, where suturing It's not something that's

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taught very well by you're How does that make

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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.

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