20/07/2017 Victoria Derbyshire

Hello, it's Thursday, it's 9 o'clock, I'm Victoria Derbyshire,

Calls to resign for the newly elected leader of kensington

and Chelsea council at her first cabinet meeting.

Survivors of the Grenfell Tower tragedy heckled and booed

Elizabeth Campbell as she was trying to address the chamber.

After the news and sport we'll talk live to the deputy leader

of Kensington and Chelsea Borough Council.

Too many mental health patients are being locked up in hospitals

where they are trying to get better in a system that has "Outdated care"

- this is just one of the finding of a report that also says that some

of the care providers leave people feeling "helpless and powerless".

Also on the programme - Vicky Balch - who had part

of her leg amputated after the Alton Tower rollercoaster

She gave her first interview after the accident to us -

and she's back today to talk about the trauma that

changed her life and to raise funds for medical research into trauma.

Hello, welcome to the programme, we're live until 11 this morning.

Later, we'll tell you the nine risk factors for dementia,

and there's been a rise in sexual offences committed on trains.

We'll be trying to find out how common it is to be sexually

If it has happened to you, tell us what you did - how you reacted.

Use the hashtag VictoriaLIVE, and if you text, you will be charged

The lewder of Chelsea council has been heckled by residents of

Grenfell Tower at the first full meeting since the fire. Elizabeth

Campbell was total to resign as she admitted the council needed to

change if it was to regain the trust of community. At least 80 people

were killed in the fire last monthment our reporter was at the

meeting, and witnessed the angry scenes.

Tensions were always going to be high here with hundreds protesting

And inside, it got off to a difficult start.

With jeering from Grenfell Tower

residents towards Elizabeth Campbell, elected as

I am deeply sorry for the grief and trauma that you are suffering.

..that we did not do more to help you when

The agenda was then scrapped, giving residents

One by one they gave their accounts, but

So, madam, please, step down and resign.

Behind these memories, hundreds of people have

As others continued calling on the Council for care and support,

more and more residents watched tensely from

After around four hours the meeting was abruptly closed

Until then, there is clearly a lot of work to be done.

Annita is in the BBC Newsroom with a summary

One in three cases of dementia could be prevented if more people

looked after the health of their brain better

throughout their lives, according to new research.

An international study published in the Lancet

lists key risk factors - including lack of education,

hearing loss, smoking and social isolation.

Our medical correspondent Fergus Walsh reports.

Now there is another reason to stay active.

Keeping fit can reduce your risk of getting dementia

as well as protect against heart disease and cancer.

Keeping the mind active throughout life builds what the study calls

cognitive reserve, strengthening the brain so that it

can function in later life despite damage.

The main risk for dementia is old-age.

But the Lancet study says that 35% of all cases could potentially be

prevented if nine other factors were addressed.

They are - lack of education, hearing loss, smoking,

depression, social isolation, physical

inactivity, high blood pressure, obesity and diabetes.

Throughout your adult life, having an enriched

environment where you can socialise and exercise and do cognitively

stimulating things, that all does it.

Do not smoke, try not to be obese, try to be active.

Alzheimer's accounts for about two thirds of dementia cases.

There is still no drug that can slow the progress.

The Alzheimer's Society says dementia

is set to be the 21st-century's biggest killer.

We all need to be aware of the risks and start making

The number of reported sexual offences on trains in the UK has

more than doubled in the last five years.

5Live found almost 1,500 offences were reported to police in the year

That compares with 650 reports five years ago.

The rise is thought to be down to more people reporting offences.

Two years ago the British Transport Police launched an awareness

campaign to encourage more people to come forward if they'd

been sexually abused on public transport.

Concerns have been raised about the number of adult mental

health patients locked in rehabilitation wards in England.

The Care Quality Commission has said it's surprising

that there are around 3,500 beds in locked wards.

NHS England said big steps had been made in improving mental health care

with higher funding, but the health regulator said it

believed a "significant number" of patients had the capacity to live

Isis petting that there are quite a high proportion of people in these

services could and should be moved to be back closer them and be cared

for in residential settings that are much more, provide much more

independence. David Davis and Michel Barnier will

set out today what progress has been made in the latest round of talks

which are about to end. Over the past four days officials have been

discussed citizens' rights and any financial settlement involved in

Heavy machinery will be brought in today to start work on the main

road into a Cornish village which has been badly

Much of the road into Coverack was washed away during stormy

Villagers have been clearing out properties

Everywhere you seem to look in Coverack, there are workers

It is all about trying to bring some sort of normality back

The downpours of Tuesday having an impact which will be felt

Its location at the bottom of steep hills meant it was in the path

This is what has been left of the main road.

Some of it ripped up by nature, other parts taken up as council

staff work out how much damage has been done

But the promise is, they will not leave until the job is done.

They've committed that they will stay here until people have got

Obviously, in terms of making a perfect surface that might take

a little while, but they are committed to as quickly as possible

get people access into their property and over that road.

Well, I do not think we will be cooking anything

Insurance assessors are visiting some but others, like this couple,

they will have to foot the repair bill themselves,

It is the start of the busiest six weeks of the tourist season

but the weather has dealt this village a major blow.

Hamish Marshall, BBC News, Coverack, in Cornwall.

TSB has become the first bank in Europe to adopt retina scans to ass

Serb your money. It is one of a number of methods for customers to

access their accounts. How safe are they? Our technology correspondent

Our technology correspondent reports.

From September, your eyes could be your password

We will show you how to scan your iris.

TSB customers will need an advanced Samsung smartphone

to try out the advanced iris scanning technology.

If you want to log onto your bank account you just need glance

Because it is looking at 266 different characteristics

..It will not work if somebody else takes a look.

It takes less than a second to get in.

And there is nothing more convenient than looking at the screen

You don't have to do anything special.

We all know about the complexities of

getting into your online accounts, remembering all sorts of passwords,

fiddling about with little devices like this.

So could metrics, which depend on something unique about you,

Facial recognition and retina scanning are used at passport

control in various countries, and fingerprint scanning

on smartphones has taken off as a means

of paying for anything from a coffee to a bus ticket.

Privacy, and the security of the technology, whether it can be

If we get that right and put the right processes in place,

I think the convenience that biometrics offers will create

German hackers claimed they fooled Samsung's iris scanner

But the phone maker and TSB insist it is very

unlikely that anybody would have both phone and the photo needed

A US judge has halted an auction of personal items from the singer

Madonna after she said they were stolen and violated her privacy.

The items - including underwear, a chequebook, hairbrush and photos -

One of the most anticipated items was a break-up letter from the late

rapper Tupac Shakur, written to Madonna

A full hearing has been set for September.

That's a summary of the latest BBC News - more at 9.30.

Ccess your money. It is one of a number of methods for customers to

access their accounts. How safe are they? Our technology correspondent

reports. We will have more on that layer on

the programme. I am getting messages from you ant your experiences of

being sexually assaulted on public transport. Obviously, some of these

e-mails are talking in detail about what happened. I know it is school

holidays for lots of children already, some to break up I I

understand that, but when I read some of those message, they are

going to contain some detail that you may not want children to hear,

so to let you know in advance. Now some sport. The golf is under way at

Royal Birkdale, it has been rotten weather for the first ones out.

and with a shot that went out of bounds.

But it will clear throughout the day, and it's even

Such is the unique combination of the Open and the British summer...

Mark O'Meara hit that first tee shot.

He was the 1998 champion at Royal Birkdale, but started today

Top of the leaderboard understandably congested

Ian Poulter leads. He started very well. He is two under after four.

Danny Willett is one behind with Alex Noren. A couple of other

British players getting towards the top. They are trying to effect

themselves as enough as they can in the early stage, they are the early

started. Henrik Stenson goes out before ten. Padraig Harrington won

the collar rest jug the last time it was staged at Royal Birkdale. Then

Justin Rose's group after that. 6-0 winner of Scotland in the

European Championship. The player to get it, Jodie Taylor, she sealed her

hat-trick, scoring England's fourth shortly after half-time. We should

name check the other scorers. With the last touch of the new the

new Barcelona striker Toni Duggan. Scotland take on Portugal while

England play Spain. Mark Samson say they will get better. A lot of

people are aware we have an opportunity to win this with the

quality, it is looking difficult. We will make sure we get the right

talk, it is a bit of information, to build up, these players, a belief,

one thing I am proud of was when I watched them walk on to the field.

They felt like they want to be here. This is stage for them. The pressure

is great for us, the more pressure the better we we are form.

Also in football, Celtic are through to the third qualifying

round of the Champions League, so only have two more teams to get

They completed a 6-0 aggregate win over Northern Ireland champions

Linfield, thanks to a 4-0 second leg victory at Celtic Park last night,

Chelsea have agreed a fee of around 60 million pounds with real

The Spain international is on his way to London for a medical.

Morata was being linked with Manchester United

for most of the summer, before they beat Chelsea

to the signing of Romelu Lukaku, leaving the way clear

The striker still has to agree personal terms.

Chris Froome, I don't think we can appreciate how many times he has won

this competition and also his achievement. He has two big mountain

days. He said he wanted more of a cushion

between him and his rivals, and he used the first of two big

mountain days in the Alps to do it. That all after a shoulder injury

ended Germany's Marcel Kittel's hopes of winning the sprinters'

Green Jersey. Froome finished third on Stage 17

to extend his overall lead. He's now 27 seconds ahead of both

Colombia's Rigoberto Uran, and the French rider Romain Bardet,

with four stages to go. I'll be back with more

just after half past. Do get in touch with us

throughout the morning - use the hashtag Victoria LIVE

and If you text, you will be charged In the next hour we will talk about

ways in which you can help yourself to prevent dementia.

Things like completing your secondary school education can help

you getting dementia in later life. But we will have more on that.

The new leader of Kensington and Chelsea council has been heckled

by furious residents of Grenfell Tower,

at the authority's first full meeting since the fire.

At least eighty people died in the disaster last month.

The council has been accused of being slow to react -and indeed

has accepted that and apologised for 'not doing more to help

At last night's meeting the newly-elected leader

Elizabeth Campbell tried to directly address the residents.

Elizabeth Campbell, would you like to address the chamber? I would

normally address a speech to you. However, tonight I would like to ask

if I could speak directly to the victims, survivors and community

groups... We invited the new leader

of the council on to the programme today, we will in a moment speak

to the new deputy leader. This time yesterday

we were broadcasting our prog from North Kensington and spoke

to survivors and families to see how they were getting on five

weeks after the fire. My children, I'm concerned

for their well-being, Tell me a bit more about how

your kids are doing. My wife and I are trying to keep

them as occupied as we can. Erm, but my son is aware

of the situation, in terms Erm, he's continuously

asking for home, asking And, erm, as the father

and the husband, erm, it's scary when I don't

know what's happening. Well, it hasn't been easy

because the boy keeps having, after the traumatic incident,

he keeps waking up. I want to go to my room,

where he was comfortable. And being autistic and ADHD,

it's not easy for him. But everything around

could be better. Well, I would say it's

getting worse because if, after six weeks or that,

we are still in the hotel, unsure of our future,

we don't know where we are going, we don't know where

we are coming from. And a small cubicle in the hotel

room, day in, day out... It could be better, if things

were taken more seriously. Because it looks like it's charity

organisations that has If the Government has done

what they are supposed to do by now, A colleague of mine said to me

the first day, he said, And I looked and I thought,

actually, yeah, she is alive. Bu what I didn't realise -

and what most people don't realise - yes, they're alive,

but that's not it. I can't blame the nation thinking,

well, these people are getting They haven't got a penny of your

money yet, I can assure you that, We can speak to Councillor Kim

Taylor Smith, the newly elected Deputy Leader of Kensington

and Chelsea Council. Good morning to you. We are grateful

for your time, but do you know why we can't seem to get an interview

with the new leader? We operate as a team. Elizabeth has spent the last

40 days working very hard and she's got other things to do today, so

she's asked me to come along instead. OK. You were appointed last

night, effectively. Will you consider your resignation, as some

survivors and residents want you to? Know, actions speak louder than

words and I have stepped up to this task and it is a challenge. We have

a lot of people, who you have just been speaking to who are in hotels

in a desperate situation that we are trying to find accommodation within

North Kensington. We are one of the smallest borrowers in London and

that is a challenge. Yesterday, which was lost in last night's

meeting, we managed to acquire a block of 31 flats and housing which

means we have added 99 units to the stock and we are making those

available. Those will come on stream by the end of the week and we are

trying to get people out of the hotels. But we have to run at their

pace. This is an incredibly sensitive things. We have made 300

housing offers and we have had 17 acceptances, which is a reflection

why we have to run at the pace of the residents. Some people don't

want to be in South Kensington, understandably. We have commissioned

a team of people to look at acquiring individual units in South

Kensington of the housing market in order to deliver this as quickly as

possible. We are using our reserves to do it and that is our priority,

my priority. I have taken on this job specifically the Grenfell Tower

and the regeneration of Grenfell Tower and to deal with this problem.

What about Elizabeth Campbell, is she considering her resignation as

some survivors and residents want? Again, similar to me, I obviously

know Elizabeth, I am a relatively new council, I was Elizabeth's

deputy in family services and she has tremendous capability and has

demonstrated tremendous bravery. Bravery? Taking this job on and the

mantle of being leader of the council in this environment. Last

night's meeting was no different to any other. That was brave? Yes, for

anybody to take on the role of leader of the Council, yes. I am

happy to support her, as is the rest of the team in order to make change.

Sushi is not considering resigning either? No. So many of the people

you are supposed to represent say they don't trust you. It is

completely understandable. It is a wider point. I know from the first

AI was on the West sorry Westway. People were being told to take off

their badges. It wasn't Kensington and Chelsea people, it was people

from the NHS. There is a lot of anger towards authority and that is

understandable. A lot of questions need to be answered. I don't think

it is appropriate. We have a council election in May next year and if we

don't deliver, clearly, we will be voted out. They feel you have failed

to deliver and that is why they don't trust you and why there were

calls for yours and your boss' resignation last night? I

understand, but we have two win that trust and actions speak louder than

words. In your new role, what is the first thing you will do today in

order to begin to try to rebuild the trust with the community? Yesterday

was completing on the acquisition of a building and the 31 units and

ensuring it was done quickly. And today will be making sure it is

delivered into the pipeline that is being made available to get people

out of hotels. My priority is to get people out of the hotels, it is

desperate for them and they have been living there for a month. It

has to be done and it has to be done very sensibly. The shortage of

immediate housing is my immediate priority. Long-term priority, in

ensuring we have social and affordable housing delivered. That

is part of our support. That is the second priority at the moment. I

have already done a scoping of the projects we have and the properties

we have, through in assessments, as to how they can be delivered and

changed back into social housing. He will have heard last night from

Elizabeth she has given a commitment to 400 properties over five years.

We oppositely hope to do that. Over five years? Yes, we are a small

borough. But you are a rich borough? Yes we are, and that helps in

sorting this problem out. This is what we are doing and we have called

for support externally, both from a working point of view. We only had

16 care workers, before the Grenfell fire we only had 100 in care, but

now we have more than double that in hotels. The scale of this is the

support. But recognising the change is the way to deal with this. That

is the best memorial for these poor people, sorry, the best memorial for

the victims of Grunfeld fire, not only a national change in the way

projects are being delivered, because there is 180 buildings that

have this cladding on. They all went through the same process we did.

There is fundamentally wrong and that will come out of the enquiry.

And as far as Kensington and Chelsea is concerned, there will be a change

in terms of the way we deliver social housing. Because we have made

mistakes, I will not sit here and say we haven't, but the important

thing is to change. Do you feel like you can speak for the dead? Well...

I am asking because you said the think the best memorial for the

people who died would be to change the way we approach social housing?

That is the personal view for me, the motivation to step up and take

this role. After the time I have spent in North Kensington, along

with everyone else, the best thing to do for me, that is the best thing

to do for me. If we look at the tower itself, it is a building which

is a stark reminder for the people having to live around that. What

happens with that as a site is something the community will have to

decide on. Not me. Do you feel you can speak for the survivors? Sorry?

Do you feel you can speak up for the survivors? I don't believe that is

my role, my role is to do with the solutions and the provision of

housing. I have taken on this as deputy leader, that is what I am

doing, not for speaking up for the survivors. It is representing and

trying to find solutions for the survivors, but I do believe that is

something I should be doing. Elizabeth Campbell, your leader,

said again last night, she was deeply sorry that the council

couldn't do more to help people when they needed it most. I 100% agree

with her. They still need help and for some people, it is getting

worse, as we reported yesterday, as time goes on, it is getting worse

for them. They still not getting the they need.

We are getting assistance from out of borough, to help to enable us to

do that, we will obviously work our hardest to try and deal with this. I

don't understand why it is taking this time though. You knew on day

two, the council was failing, I appreciate you weren't in that role,

but everybody could see that the council hadn't stepped up and we are

five weeks on. I was a backbencher when this happened and I am trying

to avoid going back and blaming people in the past, that is all part

of the inquiry, we have an inquiry, and a criminal inquiry going on here

and I will leave that for them. All I am trying to do is to look forward

and to find solution, for these people, because they are in

desperate need and you can see that from the meeting last night. Last

night's meeting again, we have responded, we will have more council

meetings, we have increased the number of meetings to eight. It is

not something we are running away and hiding. We will make the

meetings open, inviting people to speak, so far as issue of governance

and scrutiny, we have doubled the number of scrutineers and we will

reveal how the processes work, to ensure something like this doesn't

happen again. OK. Thank you very much for your

time this morning. Thank you. Kim Taylor Smith who is the

newly-elected deputy leader of Kensington and Chelsea Council.

There is concern over mental health care, it is not bad, we are here

later hearing from one trust that has been described as outstanding.

Also we'll be hearing from Vicky Balch,

who had part of her leg amputated in the horrific Alton

She says the trauma changed her life in an instant and two years on wants

more research funding into trauma which is one of the biggest causes

Here's Annita in the BBC Newsroom with a summary of todays news.

The new leader of Kensington and Chelsea Council has been heckled

by furious residents of Grenfell Tower,

at the authority's first full meeting since the fire.

Elizabeth Campbell was told to resign, as she admitted

that the council needed to change fundamentally, if it was to regain

I am deeply sorry for the grief and trauma that you are suffering.

..that we did not do more to help you when you needed it the most.

One in three cases of dementia could be prevented if more people

looked after the health of their brain better

throughout their lives, according to new research.

An international study published in the Lancet

lists key risk factors - including lack of education,

hearing loss, smoking and social isolation.

Our medical correspondent Fergus Walsh reports.

The number of reported sexual offences on trains in the UK

has more than doubled in the last five years.

Figures obtained by BBC Radio 5Live found almost 1,500 offences

were reported to police in the year up to March this year.

That compares with 650 reports five years ago.

The rise is thought to be down to more people reporting offences.

Two years ago the British Transport Police launched an awareness

campaign to encourage more people to come forward if they'd

been sexually abused on public transport.

Concerns have been raised about the number of adult mental

health patients locked in rehabilitation wards in England.

The Care Quality Commission has said it's surprising

that there are around 3,500 beds in locked wards.

NHS England said big steps had been made in improving mental health care

with higher funding, but the health regulator said it

believed a "significant number" of patients had the capacity to live

A US judge has halted an auction of personal items from the singer

Madonna after she said they were stolen and violated her privacy.

The items - including underwear, a chequebook, hairbrush and photos -

One of the most anticipated items was a break-up letter from the late

rapper Tupac Shakur, written to Madonna

A full hearing has been set for September.

That's a summary of the latest BBC News - more at 10.00.

Ian Poulter is the early leader on day one of the Open after a strong

start at Royal Birkdale. He is two-under par thanks to the birdie

at the fourth. One shot ahead of Alfie Plant. Plenty of big guns tee

Plenty of big guns tee off in the next hour.

England coach Mark Sampson claims his team will get better,

even after opening their European Championship campaign with a 6-0

Jodie Taylor scoring a first major tournament hattrick

Chelsea agreed a fee for Morata. He needs to agree personal terms before

joining them. Chris Froome has tightened his grip on that the yell

low Jersey with two teenage stages to go. His overall lead 27 seconds

after two days in the Alps which continue today with the crucial

summit finish. More after ten. People with mental health problems

in England are being left feeling "helpless and powerless" in a system

that in some cases is In a far reaching report

by the Care Quality Commission the body which monitors

and regulates services, Inspectors found a mental health

sector which is at a crossroads, with some services responding

positively to new challenges but with others risking people left

feeling helpless and "powerless". Inspectors were also concerned

about the number of patients being locked in rehabilitation units

as they are trying to recover and as more and more people

are trying to access mental health care concern is growing that people

risk receiving care that is not good Let's talk to BBC health

reporter Smitha Mundasad about the impact of this report

and the CQC's findings. Ow Jersey with two teenage stages to

go. His overall lead 27 seconds after two days in the Alps which

continue today with the crucial summit finish. More after ten.

Fill us in on more detail. It's a big report This is the first time

they have looked in detail at all specialist mental Health Services in

England. They say there are some seens for optimism, for example the

vast majority of wards, staff were treating patients with care and

compassion, with dignity and respect, but some real causes of

concern, one at the top of the list was as you mentioned, there were

3500 locked rehabilitation beds across the country, they say it is

50 years since asylum type places have been moved to be established,

yet they were surprised to find this, they say it isn't a model fit

for the 21st century. Their key concern if it is rehabilitation

these patients should be having, surely they should be moving towards

home, but instead they found that people were waiting hundreds of days

on average 341 days in these facilities the and almost they were

become being the patients' home. They want people back in to the

community. There are other main concern was safety. They found in

over a ird this of Thuses they needed to be improvements in safety,

and in one in 20 they were deemed inadequate. That means there might

be immediate concerns for patient safety. One example they gave is old

build, where there might be blind spots in corridors so they couldn't

monitor patient, say they were at risk of self-harm, they were worried

about a lack in nursing staff and putting all that together, they said

they did have some concerns about safety in particular.

Let's talk to Dr Caroline Hacker, head of policy

at the Care Quality Commission, Alice Mitchell, who has a number

of mental health issues but has not been able to access the help

she needs, Professor Joy Duxbury from the University

of Central Lancashire specialising in mental health restraint,

and Evri Anagnostara, a mental health nurse and member of

the Mental Health Nurses Association.

Build, where there might be blind spots in corridors so they couldn't

monitor patient, say they were at risk of self-harm, they were worried

about a lack in nursing staff and putting all that together, they said

they did have some concerns about safety in particular.

Thank you. Tell us about the good practise you have seen. So, in

services where we have seen good practise, we find services that are

very much focussed on the patient and trying to support the patient to

recover. We found challenges across. Sorry, if you are not focussing on

the patient what are mental health professionals doing? One of the

challenges we have highlighted in third report, is services that have

an outdated model of care. We found some patients that were

locked in rehabilitation wards. They weren't being treated by staff who

had the right skill set to enable these patients to have the therapy

they needed. We were concerned many patients could have been treated in

a less restrictive environment and closer to their home.

It is lack of training? Absolutely, so what we found was that it is a

system that is under pressure. As you said, more people are accessing

services, there are an issue with waiting times, we found that

buildings were not always fit for purpose, so we have staff that is in

our report we found were caring and compassionate but were operating

under difficult services. You admitted yourself to hospital as

I understand it because you were having suicidingle thoughts and you

say you left hospital feeling worse than when you went in. How is that

possible? I took myself in as a last resort. Everything I had don in my

first recovery didn't work third time. I thought I'm in a different

head space, in the place to look for support to get myself better. I went

in and I was sitting in the waiting room for 23 hours, no-one knew I was

there, let alone what my case was, I could have walk out and jumped done

air bus and no-one would have known. So you were trying to access help

and, even though you were in the right place it was not forthcoming I

said I can't trust myself to be alone, I feel like I could end it

any way and no-one batted an eyelid. Do you mean that? No-one? There are

some brilliant... Medics as we know I was shoved into a it waiting room.

It took me nine hours to get seen by anyone, then I got five minutes face

time, then I was put in another waiting room. Then I was transferred

without any explanation or reason why. I was there, overnight, just in

a waiting room, no-one telling me anything. Luckily I had my friend

with me, otherwise I wouldn't have made it through. It was exhausting,

and, shattering, and, heartbreaking, the fact I could be treated so

badly, there was people coming in with physical illnesses that were

being seen straightaway and I was there for 23 hours and saw nothing.

The result I got in the end was I could have goen to my doctor and got

the same thing within ten minutes. Let me bring in Joy. You have

specialised in the area of mental health restraint. It is one of the

things in the report today that shows there are big variations in

how frequently staff use physical restraint to cope with challenging

behaviour, tell us a bit about the data you have collected from round

the country on how much restraint is being used. Yes, good morning. Well,

largely we have collected data largely in the north-west of

England. We have completed a large project, and with have seen third

variation as Mind reported back in 2000, when they found a Sinn Fein

can't variation in the use of physical restraint. Part of the

problem is to do with the reporting of restraint in the UK, we have

great difficulty in, I think both defining and collating the correct

information so we have the right statistics in front of us.

OK. And what do you think about the report today, which says it is still

being used too much, in some area of the country. I would agree with

that, it is most definitely still a significant issue for us, we have

made huge progress, I think in the UK in trying to minimise the use of

restrictive interventions, namely things like restraint and physical

restraint and there is lots of directives for people to follow and

guidelines and tool kits but at the end of the day we are under

resourced as you mentioned, there are problems with some of the

environments that staff are in, there is high ratio of staff

sickness at times and there is a particular issue with difficult

problems with leadership, in some of these organisations. OK. Hello.

Morning to you. At least 6700 mental health nurses have been cut since

the Conservatives came into power in 2010. Mrs May did promise by 2020

there will be 10,000 more staff working in mental health treatment

in England. How much of an impact has that reduction had on treating

patients well? I think as a mental health nurse we are very worried

that we have more or less a 20% reduction in mental health nurses in

the last seven year, or so. It is 12%. 12% actually. 12%, and we have

an increasing population that access services. So, yes, there is, we have

serious concern about the loss of bursary, the increasing stress, the

lack of research in terms of mental health nursing access, it is true

that the mental health nurses are spread thinly across services, and

of course, due the nature of our business, in terms of taking time to

care, listen, understand the problems that patients are coming

to, to us with, the relationship bidding, it takes a lot of time, and

unfortunately, with lack of resource, we don't have as much time

as we would like to. If the government delivers on this

promise of 10,000 extra staff, would it make a difference if it is

possible to recruit those staff in time? It would make a slight

difference, but we need about 40,000 extra nurses to help with current

circumstances and caseloads. So any increase will be welcomed by us.

However, we are concerned that probably this is not going to

happen, with the change in the education system. I am wondering

what is the real plan in terms of, where will these 10,000 nurses come

from? OK, let me bring Alice back in. From your experience as a

patient and the lack of care he received on the occasion you

described earlier, what is the one thing you would say the politicians,

to mental health professionals about what is needed? I understand they

are strained and there is a lack of resources because there are so many

different issues they need to focus on. But mental health patients and

improving services should be at the top of the list. We're not talking

about education, we are talking about saving lives. Would you agree

with that? The NHS five-year forward view recognises a lot of the

challenges we found on our inspection programme and have a plan

in place where all system partners must come together to address the

concerns we found. Doesn't mean it is going to happen. For a number of

years we have been saying we will put mental health in this country on

a par with physical health. A lot of people have yet to see it in

practice consistently across the country? This is the first reports

of where we have a baseline of what the specialist mental health service

is like across the country. We have uncovered some great practice and

some innovative work being done. We have found some outstanding,

world-class services, in east London, for example. It is important

we don't lose sight of that, but you are right, there is too much

variation and that is not good enough. Thank you very much all of

you and we will be hearing from some of the people who work at the mental

health trust that has been rated as outstanding just after 10am as this

report outlines the compassionate and caring staff, but we know there

is more to do and that is why we are undertaking one of the widespread

mental have programmes in Europe, with an inspection regime and ?1

billion worth of more investment for mental health by 2020. Thank you for

your e-mails about the situation at Grenfell. The Kensington and Chelsea

Borough Council new appointments. This e-mail says, it is time to get

real with the Grenfell situation. No council could cope with such a

disaster. Central government should be in control. This could have been

any council in the UK with tower blocks. They are nearly all built

the same. There are no suitable properties for Grenfell residents

and that is why they were offered elsewhere. This constant sniping at

Kensington Council is making me angry. Ruth says, we have just

switched Ueberroth, Victoria, you have become sensationalist, is it

right to challenge anyone who says he speaks for the dead. Another

e-mail says, people need new homes, and all of the survivors are going

through the spectrum of pain and anger and no assistance, with all

their psychological scars, will help. Thank you for those, please

keep them coming. This innocuous-looking advert

offering support to women going through the menopause

is banned by Facebook - but why? We'll be speaking to the group

who placed the advert and hear Facebook's reasons for taking it

down - that's in about Vicky Balch - who was rescued

from the Alton Towers roller-coaster crash -

tells this programme that the trauma She's helping a campaign to raise

money for research into trauma, which is when you have any kind

of serious physical injury, right the way through from a fall to a car

crash or being stabbed or shot. Trauma kills 46 people

every day in the UK, according to the Transform Trauma

campaign, making it one of the biggest causes of death

and disability in the UK, but less than 1% of medical research

funding is spent in this area. The campaign is being run

by Barts Charity, which supports a number of hospitals in London,

including Royal London, We'll speak to Vicky

again in a moment. We first spoke to her in her first

ever interview back in 2015, a few months after the accident,

an accident which led The carriage in which she was

strapped crashed into a stationary She was sitting alongside her friend

Dan and described what happened. You might find some of the details

upsetting, and if there are children around on school holidays you may

not want them to listen. I remember it going into my knees

and it hurt. The pain, it was indescribable, it hurt so much. As I

am talking about it, I can still feel how it did feel, just as if it

just crashed into my legs. It was horrible, so the first time it did

impact, I was conscious. We did it a second time, and I cannot tell you

how many times we impacted on it, because I fainted. It was Dan who

was screaming my name to try and wake me up to see if I was OK. I

never thought I would walk again. Did you look down at your jeans?

Yes, they were ripped and there was just blood pouring out of this knee

and I could see it dripping the entire time. It was horrible. I

could see tissue in front of me, I don't know whose it was, but it was

horrible. I could see it ripped and I could see how far it went into my

knee and it went far. It was scary. As well as Vicky, we can talk

to Professor Karim Brohi, a consultant trauma surgeon

at the Royal London Hospital and director of the Centre

of Trauma Sciences at Barts And we can also talk

to Ben Clarke, who is a medic. He helped Vicky off

the roller-coaster and visited her The your recovery and rehab? Getting

there. Give the audience a bit of insight into what has happened over

the last 18 months? It has been full on rehabilitation, a lot of

appointments and it is getting through that at the moment, really.

Mentally? How do you feel? I am OK, I went through a rough patch

recently, but I am getting better now. I remember from back then, you

are saying, I am OK, OK. That is what you do? I was OK, I thought I

was OK and then things change and it gets to you in different ways. The

more you do, the more you learn how it does affect my life. How does it

affect your life now? Everything, really. I know I can still do pretty

much everything I used to, I have just got to do it in different ways.

What is so radically different, can you give me an example? Is just

everyday, I put my leg on, and I have to take it off, and it is more

annoying than anything because if I haven't got my crutches with me, it

is taking my leg on and off and it gets a bit annoying. Tell us why

this campaign is important to you? Obviously I have been through trauma

myself and I know people who have been through trauma. So the amount

of care I have received and other people, it could have gone

completely different and the amount of research funding goes towards

trauma, considering it is the biggest killer and the biggest cause

of disability, I think it is actually quite ridiculous. It is

such a big thing, but nobody knows anything about it. What it's trauma,

how would you describe it, professor? It is often misconstrued,

as Vicky has said. But essentially it is being injured and then the

consequences of those injuries which encapsulates both physical and

mental consequences for most victims. This figure of less than 1%

of research going into trauma is an astonishingly tiny amount, why is

that? It is hard to fathom, but I think primarily the awareness isn't

there that being hit by a car, being a cyclist who comes off your

bicycle, being a kid who is run over in the street, being stabbed and

shot, the same things in terms of your body. Only considered in that

round, if you like, does it become such a big killer and a big problem

and many people don't equate that. If it is not the public thinking

that, it is not the politicians thinking that? What do you want the

money specifically for? Essentially, it is to make people survive, make

more people survive their injuries and make them survive better. To

save their legs, when they can be saved. Save more legs for people to

make them better in terms of the problems they face, to understand

the problems they face in terms of their mental problems afterwards and

physical rehabilitation. And to generally primed the whole of the

awareness campaign, so this isn't just a short-term thing but

something that will proceed into the future. Ben, good morning. Thank you

for coming on the programme. Your role in Vicky's recovery was

phenomenal, what do you recall about that day when you helped her of the

roller coasters? It is a very unique job. I have never seen anything like

it, and I doubt I will see anything like it again. But it is my job, my

job is to problem solve, deal with patients, deal with situations as

quickly as I can in order to help these patients. It is just my job,

the job of everybody who was there. I understand. Tell us what your job

involved on that day? When I arrived, it was very, very clear we

needed to get up to the patients. Obviously, high above the ground,

get them away as quickly as we could. But the problem being, access

was high up, very, very confined space and a structure we have never

dealt with before, no one has had to put people out of a roller-coaster.

So technically very challenging, using all the equipment the Fire

Service had, using all the people we had, all the teams we have. So very,

very technically difficult job. Took a lot of time, but we pulled

together, we improvised, we managed to get these people out and keep

them all alive. Vicky, describe how important Ben has been to you? He

has been amazing. Even just being on the rider and he shouldn't have been

without the safety harnesses. He was told, amongst others, they shouldn't

have got up there, but they did to save our lives and do the best they

could. I remember having him in front of me shouting instructions

down and telling people underneath what he was doing. It was having

that support and knowing he is still supporting me two years on means an

awful lot. He doesn't have to do that, but he still does. I am not

sure people realise, Ben, NHS professionals go beyond their job in

the kind of friendships and the support you have given to Vicky

since. Why have you done that? Throughout the whole NHS, staff

always go above and beyond. You know, the NHS almost runs on the

goodwill of its staff and all over the country, there are people like

me who do follow patients and keep in touch with families and support

people. It is quite common for people to look out for people this

far after an incident. The other thing you have been talking about is

education and research. A doctor told me while I was a trainee, if

you don't go and see all of your patients afterwards, six hours after

an operation, 12 hours, a month, a week after, you will learn if you

are doing the right things. By keeping in contact with Vicky and

numerous other patients, I am learning what I can do differently,

what I can do better next time. You know, Vicky has come up to me in the

past and said, do you remember I was doing this, why did that happen? I

could say to her, this is what we were doing and maybe next time I

should have explained to you, and that is understood. They get the

opportunity to ask questions and then I will think about it and do it

differently next time. Thank you very much to all of you. Very nice

to see you again. Good luck with the campaign.

Cut back your tomb at work or pay more, that is what faces parents

this summer. Are you worrieded about your situation through the school

holidays? We will talk about it later. Now the weather. It is an

improving Dr Foi many, we have heavy bursts of rain, through parts of

northern and eastern Scotland. A drown pour to come, and that remain

-- remain in the far north of Scotland. Suppy spells elsewhere but

a temperatures down on cent day, into tonight, we will see the rain

linger in northern Scotland, there will be some showers across Wales,

the south-west, but then this lurking behind me, something more

sinister as we head into Friday. Not a desperately chilly start. Cool

through the countryside in Scotland, but as we go through Friday, the

wetter weather across the west will be affecting Northern Ireland, Wales

and south-west England, bursts of heavy rain, strong to gale force

wends. Away from that across the rest of England and Scotland, only

one or two isolated showers. Temperatures maybe a bit higher than

they are today. A quick peak into the weekend and we will see that low

pressure system. On Saturday it looks cloudy with longer spells of

rain but sunshine and showers to the south of that, some of the showers

on the heavy side. Enjoy your day. Hello, it's Thursday, it's 10

o'clock, I'm Victoria Derbyshire. Calls to resign for the newly

elected leader of kensington and chelsea council at her

first cabinet meeting. Survivors of the Grenfell Tower

tragedy heckled and booed Elizabeth Campbell as she was trying

to address the chamber. Her deputy tells this programme

a change in approach is needed We believe that working together,

and changing, recognising that change is the way to deal with this.

That for me is the pest memorial for these poor people, sorry, I glies

the word poor, best memorial for the victims. Do you feel like you can

speak for the dead? You know, how... I am simply asking because you said

you think the best memorial for the people who died would be to change

the way we approach social housing etc? That is a personal view, for

me, that is what has given me the motivation to step up and take this

motivation to step up and take this role on.

How lifestyle changes could ward off dementia -

new research says one in three cases could be prevented.

We'll speak to a scientist behind the report.

And an auction of several of Madonna's personal items has been

halted after the pop star said her privacy was violated.

The objects include the singer's underwear, chequebook and this

break-up letter from the late rapper Tupac

Here's Annita in the BBC Newsroom with a summary of todays news.

Thank you. Good morning. The new leader of Kensington an Chelsea

council has been heckled by furious residents of Grenfell Tower at the

first full meeting sips the fire. Elizabeth Campbell was told to

resign as she admitted that the council needed to change

fundamentally if it was to regain the trust of the community. . No

ifs, no but, no excuses. Go. I am deeply sorry for the grief and

trauma you are suffering. I am deeply sorry... That we did not do

more to help you when you needed it the most.

One in three cases of dementia could be prevented if more people

looked after the health of their brain better

throughout their lives, according to new research.

An international study published in the Lancet

lists key risk factors - including lack of education,

The number of reported sexual offences on trains in the UK

has more than doubled in the last five years.

Figures obtained by BBC Radio 5Live found almost 1,500 offences

were reported to police in the year up to March this year.

That compares with 650 reports five years ago.

The rise is thought to be down to more people reporting offences.

Two years ago the British Transport Police launched an awareness

campaign to encourage more people to come forward if they'd

been sexually abused on public transport.

Crimes reported to police in England and Wales have increased by 10%

Reported violence was the biggest increase - up by 18% -

followed by robbery on 16% and sex offences on 14%.

Car crime and burglary were also up.

Concerns have been raised about the number of adult mental

health patients locked in rehabilitation wards in England.

The Care Quality Commission has said it's surprising

that there are around 3,500 beds in locked wards.

NHS England said big steps had been made in improving mental health care

with higher funding, but the health regulator said it

believed a "significant number" of patients had the capacity to live

A US judge has halted an auction of personal items from the singer

Madonna after she said they were stolen and violated her privacy.

The items - including underwear, a chequebook, hairbrush and photos -

One of the most anticipated items was a break-up letter from the late

rapper Tupac Shakur, written to Madonna

A full hearing has been set for September.

That's a summary of the latest BBC News - more at 10.30.

I wanted to tank you for raising this subject, and not letting anyone

get away with giving you flannel answer, I have depression and

anxiety and after ten years I have finally found the correct medication

and a brilliant GP to help. This subject needs hammering on the

telly, never let go until things changed. Thank you for your support.

More messages on mental health experiences. I will read them in the

next hour. Now the sport. The rain has moved away,

but it's still a pretty tricky first day at the 146th Open at Royal

Birkdale. Two Englishmen are

currently leading. So let's go to Karthi Gnanasegaram

who's at the course for us. How are they getting on? Yes, two

Englishman the top of the leader board. It is still windy as you can

tell from my hair, but it is not as wet as it was first thing this

morning and it was a previous open champion from Birkdale who has the

honour of starting things off here at the 146th Open Championship, but

because of the conditionings at the time, didn't go particularly well

for him on that first hole. He had a triple bogey eight on the first hole

you could tell how difficult it was going to be, rain and wind at that

point. Things did improve though, and Ian Poulter was one of those,

the Englishman who has had a lot of injury and out of form problems this

year, but coming back in to form and he has two birdies to start in the

second and fourth holes but then he ended up in a bunker on the seventh

hole. He is still at the top of the leaderboard, and he is a long side

an English amateur by the name of Alfie Plant. He is 25 and qualified

as a European amateur champion. He is having a great first hole. He

birdied that which putted him at the top the leaderboard. Things changing

as the conditions go through the day, they will brighten up and get

less windy. Those later will have fun with that. In a few minutes we

have Tommy Fleetwood, playing here at Birkdale, a club where he used to

wander on and try and hit a few balls when he was a youngster, just

sneaking on to the course, but we can hear a bit of this hole. Alfie

Plant on the green, I wonder if that is him doing well. Let us look at

the leaderboard which has the names like Darren Clark on there, a

champion of the open from 2011, also Padraig Harrington, 2007 and 2008 he

won the open, back-to-back and in 2008 it was at berk day. That is the

situation at the moment. Moment. Tommy Fleetwood teeing off in the

next couple of minutes. We will keep you updated.

You can follow that on the radio. The coverage has just begin.

Mark Sampson claims his England team can get better even

after their biggest win at a major tournament.

Their 6-0 win over Scotland in their opening match

of the women's European Championship also included the first hattrick

sealed when she scored England's fourth shortly after half time.

Also goals from Ellen white, Jordan Nobbs.

And with the last touch of the match from the new Barcelona

Scotland take on Portugal next, whilst England play Spain on Sunday.

A lot of people are aware we have an opportunity to win this Championship

with quality we have got. We will do what we do, manage it in house, make

sure we get the right talk. These players are confident players, I am

proud of when I watched them walk on the feed, they felt like they

deserved to be here, they want to be here, this is the stage for them.

The pressure is great. The more pressure the better we perform.

That is all the sport for now. Reported and recorded sexual

offences on trains have more than doubled over

the past five years. Figures obtained by BBC

5Live Investigates from the British Transport Police showed

a total of 1,448 offences Scotland and Wales in

the year up to this March. That's on trains and

the London Underground. The rise is thought to be down

to more people reporting offences, but if you spend a lot of time

on trains or the tube - then you might be surprised

at how low they sound. Anecdotally, people say it

happens all the time. So are people still

reluctant to come forward? Let's talk now to Jessica Brady,

who was sexually assaulted Her attacker was eventually

given a prison sentence. She has waived her right

to anonymity to talk to us today. Rachel Krys is from

the charity End Violence. Thank you for coming on the

programme. Jessica, good morning. Good morning. Tell our audience what

happened to you on the Tube in March 2015. OK, I was travelling back

quite late on the evening, and I sat across from a gentleman who got on

at bat ham tube station, he came up behind me and put his hand on my

bottom. I thought it was an accident at first, then got off the train,

and he pursued me through the tunnel to the escalator and was saying

things like you have a beautiful face, I like it and put his hand on

my bottom. At that point I needed to get out the station, so I ran up the

escalator, to which I saw he was right behind me, following me, and

then, wedged myself into the queue inside and he put his hand on my

bottom. Wedged himself behind me. Was chatting up me saying thing I

don't really remember until we departed ways at the exit of the

tube station. What did you think about what he was

doing? Well, to be honest I wasn't sure what has happened. I didn't

know whether it was like an accident, whether I had sort of

dreamed the whole thing, it was a strange experience because I had

never experienced anything like that before, but obviously I was pretty

terrified because I thought this is so out of my comfort zone. I haven't

really been in London that long, and then I was like no, I've made the

wrong decision, I need to go back home, but that was the instant

reaction, know knowing what happened. When you had time to

reflect? Well, it was only after I went home and spoke to my mum,

because it was late at night. Half 12 in the morning by that point, I

said exactly what had happened and she said you need to phone the

police, that is sexual assault. I was like, all right. OK. I phoned my

mum, sorry phoned British Transport Police, and they were really really

quick to sort of get the ball rolling and get this guy caught. So

yes. He was indeed caught. We will come back to the conviction in a

moment. I want to bring in Rachel. This is a rise over five year, some

people say the figures are still too low what is your view? It is a rise

but have seen a lot of campaigns by British Transport Police and TFL in

London to try and encourage reporting, and we know that when

women do report and the police deal with it well, you can see an

increase in conviction, but it is the tip of the iceberg, we have

heard all day today, women talking about their experiences and you

know, you and I know if you travel round in London or anywhere in the

UK, there are predatory men, doing this, and we have to, there has to

be more than just encouraging women to report, we have to as a society

decide that this is not a way we want to treat women when they going

to work or out with their friend, we should be free to move about as

enough as anyone else, this is stopping us. I have a number of

messages from people who it has happened to. This is going to go

into detail so I am letting you know you may not want children to listen

to this. This is from Lynn who says a young woman in my team at work

travels to work by bus, a young man travelled on the same bus for part

of the kurn Egyptian started to make conversation, my colleague felt

uncomfort. Finally he sat next to her and masturbated inside his

trousers, we reported this to the local police station, we were told

it was not an offence. I would like to know whether this information was

correct because I was as I mazed by what we were told. -- amazed. It was

It was a disturbing e pence and we want to see the police treating

these reports seriously. That means the police officers need to be

trained in what sexual assault and harassment is and it means that when

women go forward they need to be treated well, they need to be given

more help, they also need to be given more support, they might need

counselling after that, what we do know is people don't intervene, we

spoke to some women last year, we did a piece of research, only 11%

said any bystander intervene when they were being sexually harassed.

That could be because it is sometimes it is done discreetly on a

packed train and as Jessica stated, you are not really sure what you is

going on. That is the problem. We with are told this has to be

expected and in a way you should suck it up as a woman. No-one says

that, not any more. This is the message women and girls still hear?

Who says that? Who says that? I think society says it. When

perpetrators get away with this again and again, nobody intervenes,

it is saying the perpetrators that it is OK and they keep getting away

with it. Transport for London did use their CCTV to look out for

harassment. Some predatory men were using the transport system to hunt

women and they would get on and off trains until they found a woman they

wanted to assault. When you train operatives to spot back, they can

intervene more quickly and send staff around. The other concern is

where you are seeing fewer staff on platforms and in stations. It sends

the message that women are on their own. Jessica, what was your

perpetrator's punishment? He got six months. He was charged on three

separate occasions he assaulted me. It was six months in total. He got

seven years on the sex offenders register and he has to carry a

registered Oyster card with him at all times. Six months in jail? Yes.

How did you feel about that? It was the best I could have hoped for, he

got what he deserved and it set a precedent. Well worth contacting

British Transport Police. Thank you both for speaking to others and

Jessica for waving your anonymity to speak to others.

Still to come, we will be looking at ways you can prevent getting

dementia. It is not stuff like doing crosswords from an early age.

This programme has learned that Facebook has banned an advert

from the group Menopause Support for a workshop to help women

The site blocked this paid-for ad for the workshop offering advice

on how to deal with symptoms of the menopause, including loss

of libido, flagging it as going against its advertising

rules on adult, sexually suggestive or explicit content.

When the group questioned the ban, Facebook said.

"We don't allow adverts that promote libido-enhancing

We can speak to Diane Danzebrink from Menopause Support who placed

the Facebook advert and says she's been left completely baffled.

And Luc Delany used to work for Facebook and Google who can tell

us a bit about what the thinking behind the ban might have been.

It was a paid for Facebook advertisements, they review it

before it goes live. Tell us a bit more about it? It was an advert I

put up on the menopause support page and Facebook prompted me to boost it

three or four times. On Sunday, I thought I would. I think they do

that to make money. Absolutely, essentially it is a workshop for

women and men, if they want to come into it as well, talking about

menopause, the symptoms, how individual symptoms can be, what the

choices are for dealing with those symptoms, if you want to do anything

about it. About lifestyle, well-being except. It included the

phrase loss of libido. And that was what they reviewed. They said you

cannot do this because? They gave me the opportunity to appeal, so I

appealed it. That was on Sunday evening. Then on Wednesday lunchtime

I got a reply to say not going ahead because it has the word libido in

it. Just because it had the word libido in it? Yes. Even though you

weren't promoting a libido enhancing product, which is against their

guidelines? Know, and Luke might be able to tell us, but it looked to me

as though somebody had gone into the original ad and read it because it

was from a person. It was from a man called Christopher. A human being!

What is going on here? There are human beings at Facebook. The

regulation of advertising, particularly around medical products

is sensitive. There is a practice around self-regulation around

advertising that applies to all media, not just online but

television and print. There are set government regulation around medical

products, medical devices and medical services. If you want to

promote anything that is a licensed medical product or service, you have

to apply to Facebook. But that isn't what we are talking about here. No,

it is a workshop. But it is on the spectrum and they have gone with

caution. This is clearly a well-intentioned, positive

promotion, there are as many quacks and we have all had a history of

e-mails offering us libido enhancing products and so they simply come

down on the side of caution. Maybe overcautious in this instance, but

that is the thinking behind it. We tried to contact Facebook and asked

for an interview, but we haven't heard back. If Diane at a loss of

sex life, would it still had been a red flag? It depends, maybe case by

case, but typically anything to do with sexual issues, medical issues,

they will err on the side of caution. You can have your page, you

can say what you like. But when it comes to paid content, regulation

kicks in. You'd have to ask, would this ad also be allowed on broadcast

media and print media because the same standards apply. Do you accept

that, Diane? I accept Luke's explanation, and I know what you're

saying about advertising and pages, but if I go on to Facebook and they

put on libido enhancing, I get up all sorts of pages, posts and ads.

Do you get ads? Are, pages and pose. But pages promoting products. The

other thing about the advertising is, Facebook tell us the advertising

is very specific, so you choose your criteria and the thing that it has

brought up for me, exactly what connotation are Facebook putting on

the word libido? Because I think it is a wider question. We can guess.

They don't want to go there. Exactly, it is a word in the English

language, it is a medical term, essentially. So that is a wider

question. Are we saying that we cannot talk about that within

advertising at all, because this is not a product. It is about trying

to... The thing is, Victoria, I speak to women all the time and you

will have spoken to them on this programme where loss of libido in

menopause is really, really emotional for women. We're not just

talking about women in their 40s and 50s. If you suffer from POI, it can

affect to... Just explain POI? Premature ovarian insufficiency,

which can affect women in their lives. You're talking about women in

their teens, 20s and 30s and there is an emotional impact on the woman

and her partner. What started off as me being, you are not going to let

me put my menopause add up, has opened a wider issue. Understood,

thank you for telling us about it. This e-mail is about being sexually

assaulted on public transport, a report out today investigates,

having done various Freedom of information requests, which shows

the number of sexual assaults reported and recorded in the last

five years has risen. This from Martin who says, our daughter was

sexually assaulted on a train to London. She found her mum, who then

phoned the transport police and provided a description of the

perpetrator before the train arrived. The police claimed they

didn't see him at the station but would look at the CCTV footage. She

never heard from the police again. Why would women report, given the

circumstances. Martin, you may have had the successful outcome for

Jessica Brady, who was on earlier. She reported it and they found the

perpetrator and he was convicted. Six months jail sentence and has to

carry... Will be on the sex offenders register for seven years.

So today we've been given a clear picture of the state of mental

As we discussed earlier - the Care Quality Commission says

there are several areas of concern and that 40% of services

need to be improved in relation to patient safety.

But the report says there were also many examples of excellent care,

and that's what we're going to talk about now.

Of the 54 NHS trusts and more than 200 independent specialist

services that were looked a, 9% of them were rated outstanding.

We're joined by three of them right now.

Ruth Fitzjohn is the chairwoman of the together Trust -

which provides mental health services in Gloucestershire -

their areas of excellence were crisis services and adult ward

provision Maria Slater is the general manager of Child and

Adolescent Mental Health Services at Manchester University Hospitals -

they were rated outstanding for specialist children and young

people's mental health services, and finally in Plymouth we have

Professor Steve Waite - chief executive of

They were rated outstanding for inpatient adult care

and for people with learning disabilities or autism.

Welcome to all of you. Thank you for coming on the programme. Steve, tell

us about good practice in your area? It is a privilege to work with some

excellent colleagues, looking at how we staff the unit, how we listen to

people using our surfaces and how we impart our staff to take forward an

individual stay as good and supportive as possible. Tell us in a

bit more detail, let's be specific about what you are doing that is so

brilliant. We have spent ?3 million upgrading our inpatient unit. The

community and disability services, we spent a lot of time to people

using their services to put in place, adequate staffing, making

sure we have support for continuing professional development and also

how we actively recruit people with the right values and the right

support to deliver those services. Ruth, what are you doing that is

outstanding? All good services in the NHS start with the right culture

and the right values. I would think you could go to any of our

colleagues and they would be able to describe to you the trust values

which, together form the culture. As the previous chapter was saying, we

listen to people all the time, we pay great attention to our experts

by experience, whether they are service users, carers of people in

the community. We invest in professional development in a

significant way. We try to be curious as trusts if someone is

doing grace a mouse, we will have that and incorporate it into our

services. We are involved in the south of England, the mental health

safety collaborative. We try and believe our services are set in the

context of our communities. There is not a lot of point bringing in

people at the right time, working with them in the community services

or inpatients and services and then send them into a queue that rejects

them. We invest a huge amount of time and effort in Gloucestershire

and Herefordshire, working with businesses so they receive people

back in a helpful way when they have been ill. Trying to change the

mindset of people in our communities because it really does take a

village to raise a child and it does take a village to receive someone

back and help them recover. Let me bring in Maria Slater, specifically,

what is it you do in Manchester that has been rated outstanding? In

particular, our services being responsive was outstanding rating

because we have worked hard to integrate with children's services,

reaching out to those vulnerable groups, and youth justice. We know

about mental illness and I cannot access traditional services. We are

out there reaching in communities we know it is a challenge to access

mental health for that population. What are they doing? How does that

mean teenager will access mental Health Services? They will by a long

side say the jus youth justice worker, so with their allocated

worker and the Mac-17 nurse will be with them, outreaching, if the youth

justice worker is worried about them they can headache sure they would

get an assessment to access the specialist service previously they

wouldn't want to have engaged with. It is a more friendly face of CAMHS.

Thank you very much. Congratulations.

Three examples of trust and mental Health Services that have been rated

outstand being the Care Quality Commission.

With the News here's Annita in the BBC Newsroom.

The new leader of Kensington and Chelsea Council has been heckled

by furious residents of Grenfell Tower,

at the authority's first full meeting since the fire.

Elizabeth Campbell was told to resign, as she admitted

that the council needed to change fundamentally, if it was to regain

The best #34e78 wall would not only be a national change, because

clearly we now see that there is 180 of these buildings that have this

cladding on, they went through the same process, so there is something

fundamentally wrong, and that should be a big focus of change, that will

come out of the inquiry, and then as far as Kensington and Chelsea is

concerned it will be a change in terms of the way we deliver social

housing. We have made mistake, I am not going to say we haven't. The

important thing is to change. One in three cases of dementia

could be prevented if more people looked after the health

of their brain better throughout their lives,

according to new research. An international study

published in the Lancet lists key risk factors -

including lack of education, hearing loss, smoking

and social isolation. Crimes reported to police in England

and Wales have increased by 10% Reported violence was the biggest

increase up by 18%, followed by robbery on 16 % and sex

offences on 14%. The number of reported sexual

offences on trains in the UK has more than doubled

in the last five years. Figures obtained by BBC Radio 5Live

found almost 1,500 offences were reported to police in the year

up to March this year. That compares with 650

reports five years ago. The rise is thought to be down

to more people reporting offences. Two years ago the British Transport

Police launched an awareness campaign to encourage more people

to come forward if they'd been sexually abused

on public transport. A US judge has halted an auction

of personal items from the singer Madonna after she said they were

stolen and violated her privacy. The items - including underwear,

a chequebook, hairbrush and photos - One of the most anticipated items

was a break-up letter from the late rapper Tupac Shakur,

written to Madonna A full hearing has been

set for September. That's a summary of the latest

news, join me for BBC English golfers have responded on

day one. So far Ian Poulter is doing ever so well. He has another birdie,

he is down to two-under par and Justin Rose and Alfie Plant as well,

one of those who are-under par. In fact three of the eight golfers are

English-under par are English so far on day one of the open.

Mark Sampson claims his England team can get better even

after their biggest win at a major tournament.

Their 6-0 win over Scotland in their opening match

of the women's European Championship also included the first hattrick

Arsenal striker Jodie Taylor got it...

Chelsea have agreed a fee of around 60 million pounds with real

The Spain international is on his way to London for a medical.

That's all the sport from me for now.

Let us look at that research into dementia. Where one in three cases

could be Superintendented if more of us looked after her brain health

throughout our live, that is according to a report out today

supported by the Alzheimer's Society. This report lists nine key

risk factors including lack of education, hearing loss, smoking,

that would be an oven one and physical inaccusety. The report

combines the work of 24 international experts and it says

lifestyle factors play a major role in increasing or reducing risk. Here

are the nine potentially modifiable factors, we can all do something

about it that contribute to the risk of dementia.

With me now is Dr Claudia Cooper, reader in old age psychiatry

at the Faculty of Brain Sciences at University College London -

who was one of the authors on this report.

And we can also speak to Lorraine Brown.

She was diagnosed with early onset dementia at 61.

Since her diagnosis she has been working with the Alzheimer's Society

raising awareness. Thank you for coming on the

programme. I will start with you Claudia, if I may. Because some of

the things that film are obvious, smoking, obesity, others less so.

Getting hearing problems sorted and finish your secondary school

education which we have to do by law any way. How have you reached the

nine? We looked at the best evidence available and did a new synthesis of

the evidence. We were interested in the hearing loss, that is one of the

new findings to come out of that. It is going to be interesting to go on,

and look at how we might be able to reduce the risk of dementia through

for example hearing aids and measures to support people who

experience hearing loss. The education, comes out of the studies

that have been done thus far, and most of the studies have looked at

secondary education but it is probably part of something broader

around how good for our brains it is, when we are able to engage in

mentally and socially stimulating activity. Doing things that interest

us, and looking after our physical and mental health, help us to grow

resilient brains basically, which are more able to withstand, or to

delay the impact of dementia pathology when it happens. What is

the link then between hearing problems, loss and potentially the

increase risk to dementia? Well, we don't know for certain, but we

certainly have. So ideas about that. Certainly when you have even mild

hearing loss, in mid and later life, it probably makes it more

channelling for you to engage in all the socially stimulating and other

activities that you have enjoyed up to that point, so people tell us

about perhaps avoiding social occasions where there are lots of

people. It might have a direct effect on your likelihood of getting

dementia, and it might put you at risk of some of the other things

such as depression and social isolation, some of the risk factors

will be linked. More raining hello. Thank you for talking to us. Tell

our audience how it was that you were diagnosed. I was diagnosed. I

my test consisted of MRI brain scan, cognitive testing and lumbar

punctures. What, how did you react when you received that diagnosis.

The conclusion came through years later -- three years later by a

neurologist in Medway hospital. When I was, when I shown my brain scans,

another testing they have done, it was very very devastating to take n

and in fact, I went on to have a second opinion. And how do you, tell

us how you manage to live with this now? Before I go on about that,

it's, I've just heard a theory and with the words likely and maybe. But

dementia is a disease of the brain, and no-one xeepts. If my peer

support group, we have school teacher, lawyers, really affluent

people, so I do not believe actually it has anything to do with your

education, or social skills, it can happen to anybody, whatever age you

are. Claudia Cooper? Yes it can happen to anybody. Absolutely right.

And it happens to lots of us are going to get dementia as get older,

what we are saying is for any individual risk and some people have

a high individual risk, there are things we can do to increase our

decrease that risk, you can do everything right and still get

dementia and you do everything wrong a not get it. It is not absolute. We

are looking at what makes thing more likely, if you have hearing loss you

are twice as likely, you are still more likely not to get it than get

it. It increasing the risk. Do some of these risk factors make sense to

you Lorraine, like obesity. Yes vascular dementia, the unhealthy

lifestyle, you are overeating, smoking, drinking. It leads to heart

attacks and strokes, I agree with that one, but there are over 200

types of dementias and it affects people, affects people in all sorts

of way, and no people are alike. I have Alzheimer's, early on set

Alzheimer's, but then, even then, you put me next to another woman,

same age, with the condition, we are totally different. Yes. Different

kind of difficulties we experience. What do you do to keep physically

and mentally active, Lorraine? I must say, without Alzheimer's

society, providing different group, I am a chair to Dementia Action

Alliance all these groups that the Alzheimer's Society provide, I

wouldn't be the person I am today. That is very stimulating and I am

still able to use the skills, before the diagnosis of dementia. So for

those who, for those who really worry about getting dementia, what

would you say to them? If you are concerned in any way, you need to go

and see your GP. Then just explain your difficulties. In my case it was

totally different. It was my work colleagues and managers noticed I

wasn't performing in my usual self at my workplace, and they, my

manager sent me to KMPT occupational health consultant, and she then

referred me to Queen's square in London because she believed there

was something other than stress that I was, I believed I was

experiencing. Thank you very much Lorraine. We

appreciate it. Thank you. Lorraine Brown and Claudia Cooper. Thank you

for your time. An auction of several of Madonna's

personal items has been halted after the pop star

said her privacy was violated. The objects include the singer's

underwear, chequebook and this break-up letter from

the late rapper Tupac. Two reports out today suggest that

parents are facing the choice of rising child care costs

or reducing their work in order to look after their children

during the summer holidays. Earlier this week we talked

about how some parents are struggling to feed children

in the school holidays, and according to work

by the Family and Childcare Trust and the New Economics Foundation,

care is another issue making There are now calls

for the Governments in England, Wales and Scotland to do more

to help parents. So how much does holiday

childcare cost us on average? Let's talk to Ellen Broome

from the Family and Childcare Trust, And Duncan McCann, who is the father

of three boys, who is having to juggle things around. Me and my

partner have chosen to go part-time since children were born so we can

be more active in their upbringing, but we are all so lucky to have both

sets of grandparents close by. What we have in the summer is a complex

patchwork of parents, grandparents, friends and also taking advantage of

some of these paying childcare provision as well. How much do you

have to fork out for childcare? We try to keep it out to a minium. We

send them to a few camps and activities, but these are generally

with people we know where we help out in some way, getting reduced

rates so we keep it low. I wouldn't spend as much as the ?122 average, I

would be a bit under that, but I consider myself lucky we don't have

to rely on it. If me and by partner did work full time, being in Hackney

in London, we would be spending over that to get both of our kids looked

after for the week. Ellen, it is expensive, we are asking strangers

to look after our most precious things? We should never do childcare

on the cheap, we want our children to be looked after by well-educated

professionals in a safe environment. However, we need to have parents

staying in work and these high childcare costs and a drop in

available places means parents are facing a tricky summer and some

might have to stay in work or reduce their hours, which affects their

family income. But it is only for a short period of time? , But it is

across the year, the childcare costs, and the six weeks of holidays

will throw of the most carefully managed family budgets. The

government can do a lot of childcare support available through Universal

Credit or tax credits cannot be used to pay for holiday childcare,

because registration requirements are different. We are calling on the

government to look at that again. So parents can use the support already

available for them in the school summer holidays. This e-mail from

Jane. People have had a family, they are their responsibility. They know

schools have holidays, it is not something that just happens. Then in

big capitals, it is not up to the government to pay for childcare.

What do you say to that? Childcare is an important infrastructure as

roads and rail. We want parents to be a reliable workforce, children to

access opportunities so their social mobility is boosted across their

lifetime. Childcare is crucial. It is crucial. Absolutely, the

government has recognised how crucial it is to us as a society and

the economy. They have invested lots over the last few years in childcare

for younger children, however, children of school age need more

priority and we need more action in terms of what we can support parents

with four school-age children. Where are you from originally? Sweden.

They have more childcare available at more affordable prices, so it is

less of a struggle. But you pay higher taxes? Childcare is being

recognised as part of a modern infrastructure with parents needing

to go to work to pay for mortgages and rent and make ends meet, we need

to make sure the government is supporting those parents so they

have choices in how they look after their families. Duncan, would you

pay higher taxes to have more affordable childcare? I would be

amenable to that. There are other ways of achieving that because when

we looked at what nurseries to send our children to in Hackney, it was

important to be actively engaged in those nurseries. The positive side

of that, is not only that we become more actively engaged in our

children's development, but it makes good quality more affordable. So you