19/01/2016 BBC Wales Today


19/01/2016

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Thank you. That's all from the BBC's News at Six. Goodbye from me.

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Welcome to Wales Today. Our top stories:

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Every hospital emergency department is "on the edge" and too many

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The warning from the head of the Royal College

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Every emergency department is on the edge.

:00:20.:00:24.

We are ever so close to any patient becoming really poorly

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within our department and that could have a knock on effect

:00:27.:00:29.

We're in Port Talbot tonight as steelworkers gather to discuss

:00:30.:00:33.

where next for the industry in Wales.

:00:34.:00:42.

The letter to David Bowie written by a Cardiff doctor who thanked him

:00:43.:00:45.

for helping him talk to people about death.

:00:46.:00:50.

And 37 players are named in the Six Nations squad.

:00:51.:00:55.

Scarlets scrum-half Aled Davies the only uncapped player.

:00:56.:01:01.

Every hospital emergency department in Wales is "on the edge" and too

:01:02.:01:21.

many patients spend too long, some more than 24 hours, in A

:01:22.:01:25.

That's the warning from the head of the Royal College

:01:26.:01:28.

of Emergency Medicine here who says staff shortages and excessive

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workloads could put patients at risk.

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But the Welsh Government insists the problems here aren't unique

:01:36.:01:38.

Latest statistics show some improvement in A waiting times

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Our health correspondent Owain Clarke reports.

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It is first thing in the morning but the emergency department here at the

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University Hospital of Wales in Cardiff is already full. Inside,

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that is one empty bed. It is kept free in case of a life-threatening

:02:05.:02:09.

emergency. Last week we saw a lot of ice and patients came in with falls

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and fractures. It is a difficult time for the elderly who do tend to

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get more infections at this time of year. The Department on the

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hospitals are more busy Vostok to ease the logjam, staff from around

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the hospital have come to discuss how many beds can be freed up. Even

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in a hospital of this size if they can find to stay handful of bed this

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morning it can mean the difference between chaos and calm in A They

:02:39.:02:44.

say the effort is led to fewer ambulances queueing outside.

:02:45.:02:48.

According to one of Wales is the big emergency doctors who works on the

:02:49.:02:51.

other side of the country Wrexham, he shortage of hospital beds and

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emergency doctors means to many patients in Wales spent too long in

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emergency units. None of the emergency department in Wales has

:03:01.:03:03.

the required number of consultants that we think is a minimum from the

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Royal College. In Wrexham, we are for consultants short. We had six

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compared to the minimum number of ten. Every emergency department is

:03:17.:03:21.

on the edge. We are ever so close to any patients becoming really put

:03:22.:03:23.

elite within our department and that could have a knock-on effect in

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having disastrous outcomes. It is a concern that hasn't gone unnoticed

:03:29.:03:32.

in Cardiff Bay. Whether Minister make a statement on claims by the

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head of the royal college of emergency medicine in Wales that no

:03:37.:03:39.

casual 2-mac department in Wales has had enough consultants to meet the

:03:40.:03:46.

minimum staffing levels. There is a UK wide shortage. The First Minister

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explained earlier this afternoon, the number of A consultants in

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Wales has increased by more than 50% over the most recent five-year

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period and increased in everyone of those five years.

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The latest figures showed the proportion of patients who had to

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wait more than 12 hours in urgent care unit has gone down since last

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winter. Despite the milder weather there was no improvement on the four

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hour target. Arguably, the pressures are being felt mostly at Morriston

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Hospital in Swansea with just 58% of patients spending less than four

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hours in this department. Much worse than last December. The minor

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injuries unit in Singleton and Neath Port Talbot and the A service they

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have in London they take the less serious cases surveys don't come

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here. When you look at our patience here, a higher percentage of them

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are complicated patients. A typical emergency department might be 70%

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minor injuries, 30% major and we are almost the other way. The health

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board said it is taking steps to ease as of 2-mac logjams. -- A

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logjams. We've measured the length of stay in the over 80s as Singleton

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and it has dropped from 20 days to seven days. That is fantastic news.

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Any better becomes available will be filled straightaway. What is clear

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is that the pressure is on here and in emergency units across the

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country. With the temperatures dropping, it could get worse.

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Owain, winter's been much milder than last year's yet the performance

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Milder may but it is quite chilly here tonight. Temperatures dipping

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below freezing. Generally, you are right, it has been milder than

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previous years. That usually fewer accidents. When the frosted arrive

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just last Friday 461 patients came through the doors, that is about 100

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more than usual. When the lizard called snap that does have an

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effect. -- when there is a cold snap up through has been prevalent. The

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type of flu has been different. It has been affecting younger people.

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Demand has begun to surge since the New Year, the last government says

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Winter plans are coping, are bearing up. When we talk about pressures on

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A, we talk about the people arriving, how long they wait. But

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equally important is how quickly the health service can get people out of

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the hospitals and free up beds. For that to work you need care in

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hospital to work with care outside hospital. If they can crack the nut,

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until that happened A's will always be busy.

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A woman found dead in Usk last week died from

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"ligature pressure to the neck", an inquest has heard.

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The body of Georgina Symonds was found in a workshop

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Local property developer Peter Morgan is charged

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with her murder and has been remanded in custody.

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Norovirus has been confirmed on three wards at

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Detectives have renewed appeals over the mysterious death of a Welsh

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15-year-old Peter Watts left his home in Colwyn Bay

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in January 1976, after leaving a note for his parents saying

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he was going to help a friend with homework.

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He was found in Euston Road in London the following morning

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A mass meeting of steel workers is taking place in Port Talbot

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tonight following yesterday's announcement of 1,000 job losses

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at Tata Steel across the UK, the majority of them in South Wales.

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Our business correspondent Brian Meechan is there.

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What is happening there? You can see behind me the very clear

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message from the community Steelworkers union must save our

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steel. What they have done is bring together people from across these

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sites, particularly in Port Talbot, the shop stewards, to talk about

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what happens next ultimately we the trade union leadership. I am here

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with Martin Waters, one of the trade unions involved. What was the mood

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like? It is very emotional, to be honest. As you can understand people

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have mortgages and they don't know where these jobs are going from. It

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is emotional moment. Some of the questions you will be asked is what

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can actually be done? Yes. Members have broken all records and we

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can't... What else can we do? This is out of our hands and it is the

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dumping of the Chinese steel. Other than that, we're breaking all

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records of the plant and we can't see how we can improve much more.

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You frustrated with the politicians or the company or weight you see the

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blame lie in? To be fair to Tata they have come in and built a new

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furnace and everything. They back the workforce here. We see that it

:09:35.:09:40.

is the politicians. It is taking a long time to.

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Thank you. There will be more discussion on that, what has been

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called the level playing field people want to see here when it

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looks as China and the rest of Europe.

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The Welsh Government will ask the Chancellor George Osborne

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to give Port Talbot enterprise zone status so that tax breaks can be

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It comes as the fallout continues over the loss of 750

:10:10.:10:13.

There were further clashes in the House of Commons over

:10:14.:10:17.

the level of protection given to the industry and more details

:10:18.:10:19.

Here's our political editor, Nick Servini.

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The morning after one of the bleakest days for Port Talbot

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Nothing can change yesterday's events.

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What has been occupying minds today is the action

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needed to prevent it happening again.

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In the meantime, the accusations at Westminster continued

:10:36.:10:38.

to fly as the UK Government insisted it had done all it could.

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Can he at least appreciate how angry families

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of steelworkers in South Wales are this morning knowing that

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when the bankers bonuses were threatened he

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immediately shot across to Brussels with an army of lawyers

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He will jump into a helicopter for a Tory fundraiser but it has

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taken him four months to lift a finger to save steelworkers jobs.

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We want to successful financial services industry

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because hundreds of thousands of people

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But we also want a successful manufacturing and steel industry.

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There was an altogether gentler tone at the Assembly as ministers

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confirmed that they had asked the Chancellor to make

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They also gave more details of the task force

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meeting in Cardiff tomorrow, along the lines of one setup

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after major losses were announced at the

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Murco oil refinery in Pembrokeshire in 2014.

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Nevertheless, at the Assembly, as in the Commons, there

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were still questions for the government about why more

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First Minister, problems in the steel industry have been

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Redcar and Scunthorpe were perhaps warning signals

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to us that our steelworkers would be next.

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Why did the minister wait until the job losses had been

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announced before writing to the Chancellor of the Exchequer

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to pursue the issue of an enterprise zone?

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I have to say to you we were not aware of what the scale

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of the announcement would be until the end

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of last week when we had a conversation with Tata.

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She is right to say we knew there were

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challenges for the steel industry but in terms of the scale of the job

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losses, we weren't aware of that until the end of last week.

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The job losses have thrown the problems of the steel industry

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Now, what the political parties will all agree on are the measures

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needed to soften the blow particularly for the younger workers

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What will be far more divisive is to try and create the conditions

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for the long-term survival of the industry in Wales.

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The question will be, can they set aside their

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differences for the good of the industry?

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At the heart of this will be how to deal with the cheap

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Chinese steel which is flooding the market and pushing prices down.

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It is difficult to determine whether it is legitimate prices

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I agree with you that it could be done faster but actually a lot

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of it, from the UK perspective, is because our own government is not

:13:15.:13:17.

being fastidious in applying and pursuing these things as fast

:13:18.:13:19.

There are other countries in Europe doing it much

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It was described today as part of Wales's heritage,

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all efforts will now be made for the Port Talbot steelworks

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to become part of Wales's future as well.

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Let's talk to our economics correspondent, Sara Dickins.

:13:36.:13:40.

Let's pick up on what we keep on hearing about this unfair playing

:13:41.:13:47.

field that Steelworkers face in trying to save their industry. There

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are three areas where they feel the unions and the management feel, they

:13:54.:13:56.

are not on a level playing field. They started business rates. This is

:13:57.:14:01.

straight in the UK at ten times what steel producers in Europe stand to

:14:02.:14:07.

get. Why is that? When we value a property in the UK for industrial

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purposes we look at them as Sheena the as well, the value of that. Tata

:14:11.:14:16.

plays ?26 million a year for business rates for Llanwern and Port

:14:17.:14:21.

Talbot. If the machine element is taken as that would save them 8

:14:22.:14:26.

million. Electricity prices. We are paying twice as much as in Europe.

:14:27.:14:33.

That is because a large proportion of the weight of the carbon

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emissions policy, have been paid by the big energy users. They want that

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changed. There has been some action but the many is not in the bank.

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Finally, didn't feel the governments are doing enough to help them win

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projects, big projects like the steel for Hinkley point. Thank you

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very much. Much more to come

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before seven o'clock. 37 players are named

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in the Six Nations squad. Scarlets scrum-half Aled Davies

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the only uncapped player. And there is change on the way

:15:00.:15:04.

but tonight will be the coldest night of the winter

:15:05.:15:08.

so far for some of us. A doctor specialising in end-of-life

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care has written a letter to David Bowie thanking him

:15:18.:15:20.

for helping him talk Dr Mark Taubert, who's a palliative

:15:21.:15:23.

care consultant at Velindre Hospital in Cardiff, says it prompted

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a "weighty" discussion His letter, published

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on the British Medical Journal's website was then re-Tweeted

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by Bowie's son, Duncan Jones. David Bowie's shock death last week

:15:38.:15:41.

from cancer coincided with the release of his last album,

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Black Star, currently number one in the charts on both

:16:01.:16:04.

sides of the Atlantic. Recorded knowing his demise

:16:05.:16:08.

was imminent, the themes of death, dying and looking back on one's life

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loom large in his last While we shouldn't limit

:16:12.:16:15.

ourselves to those people For palliative specialists,

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Dr Mark Taubert, a lifelong Bowie fan, his death enabled

:16:20.:16:26.

him to spark up conversations about the topic

:16:27.:16:27.

with his students, and more It flowed into some

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of the conversations I had In fact I think I've discussed it

:16:31.:16:35.

with about seven or eight patients It has a very strong

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link and I felt it I felt moved to write

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a letter or a blog to him Thank you for allowing people

:16:54.:16:58.

to speak more easily about dying. At the beginning of this week I had

:16:59.:17:05.

a discussion with a hospital patient We discussed your

:17:06.:17:09.

death and your music and it got us talking about numerous

:17:10.:17:12.

weighty subjects that are not always straightforward to discuss with

:17:13.:17:15.

someone facing their own demise. The blog written on the site

:17:16.:17:18.

of the British Medical Journal It was even re-tweeted

:17:19.:17:21.

by David Bowie's family. It went on Twitter and then

:17:22.:17:25.

Marie Curie re-tweeted it and it David Bowie's son, Duncan,

:17:26.:17:28.

must have seen it and For one of Mark's patients,

:17:29.:17:34.

discussing David Bowie's life, death and music helped to

:17:35.:17:42.

have a very difficult conversation. We got talking about

:17:43.:17:45.

what our favourite songs were and what we

:17:46.:17:48.

associated them with. She talked about some

:17:49.:17:51.

of his life and then she talked about her own life and her own death

:17:52.:17:55.

and how she envisaged it. David Bowie in the way

:17:56.:18:00.

became our conduit for that. Many people who I talk to as part

:18:01.:18:03.

of my job think death predominately happens in hospitals,

:18:04.:18:17.

in very clinical settings. A lot of people would wish

:18:18.:18:19.

they could be at home and it is often

:18:20.:18:22.

about who is with you as well. If this can get

:18:23.:18:25.

the conversation about good death and dying further forward

:18:26.:18:26.

than it has in the past, this has been taboo subject

:18:27.:18:31.

in the past, if it can do that then I have achieved a small

:18:32.:18:35.

bit of something. Fire crews in North Wales

:18:36.:18:41.

will be working alongside the Welsh Ambulance Service to offer

:18:42.:18:43.

emergency medical assistance The pilot scheme sees firefighters

:18:44.:18:46.

trained in resuscitation techniques being sent to provide help in areas

:18:47.:18:52.

where they are likely to arrive The Fire Service says this builds

:18:53.:18:55.

on work it already does. We certainly deal with making

:18:56.:19:01.

sure that we get medical intervention and support in place

:19:02.:19:05.

as soon as possible at fires It is going to be slightly different

:19:06.:19:08.

for our crews who are actually responding because they are

:19:09.:19:15.

responding, instead of as a crew of five, it will be a crew of two

:19:16.:19:18.

and they're not turning up So it's new for us but it's

:19:19.:19:21.

an extension of our skills A big day for rugby fans.

:19:22.:19:25.

Here's Tomos with tonight's sport. With the start of the Six Nations

:19:26.:19:31.

just a fortnight and a half away, the Wales coach Warren Gatland has

:19:32.:19:34.

named 37 players in his squad. Cardiff Blues wing, Tom James,

:19:35.:19:38.

has been re-called six years Aled Davies from the Scarlets

:19:39.:19:41.

is the only uncapped Wales start their campaign

:19:42.:19:46.

against last year's winners, The coaching team back

:19:47.:19:49.

to announce a 37 man squad, slightly larger than usual due

:19:50.:19:58.

to a number of injured But the likes of captain

:19:59.:20:01.

Sam Warburton and Scarlets full-back, Liam Williams,

:20:02.:20:05.

are on their way back to fitness as another Six Nations

:20:06.:20:08.

campaign gets underway. I think we're in a good

:20:09.:20:12.

place at the moment. We've got some players who have

:20:13.:20:14.

come back from injury, we've still got one

:20:15.:20:17.

or two players that have picked up injuries

:20:18.:20:19.

during the World Cup but I think 31 of that squad were

:20:20.:20:21.

involved in the World Cup As well as the comfort

:20:22.:20:24.

of consistency It has been six years

:20:25.:20:28.

since the Blues wing I've been pretty impressed with Tom

:20:29.:20:34.

over the Christmas period. It was disappointing to lose him

:20:35.:20:41.

in the Rugby World Cup. He was selected for our

:20:42.:20:44.

regional squad and I think he adds a bit

:20:45.:20:46.

of an by factor and I think in particular, against the Scarlets,

:20:47.:20:50.

he created opportunities Among the forwards,

:20:51.:20:53.

Josh Turnbull makes a return Lock, Alun Wyn Jones,

:20:54.:20:59.

after re-signing his national dual contract with Ospreys,

:21:00.:21:05.

features in a powerful contingent of forwards with four

:21:06.:21:07.

British Lions in the back row. Along with the older heads,

:21:08.:21:10.

Gatland has chosen one Aled Davies picked in light

:21:11.:21:14.

of the injured Rhys Webb It is going to be

:21:15.:21:20.

a pretty steep learning curve for him in the first few weeks

:21:21.:21:25.

in terms of getting up to speed with what we are doing and learning

:21:26.:21:29.

structures and patterns. He's been close to the squad

:21:30.:21:31.

in the past and it is a great Also in the backs, Rhys Priestland

:21:32.:21:34.

is included despite the initial announcement that he was to step

:21:35.:21:40.

back from international rugby. Jonathan Davies and Hallam Amos make

:21:41.:21:42.

a welcome return from injury. On a beautiful day here

:21:43.:21:47.

at the Vale Hotel, the Six Nations They will be hoping for a swift

:21:48.:21:50.

return to key injured players as they aim for a perfect

:21:51.:21:58.

start of the 2016 campaign with a win against the holders,

:21:59.:22:01.

Ireland in Dublin on the 7th of Let's talk to a man who knows

:22:02.:22:04.

all about winning Grand Slams Very good evening to you. Some

:22:05.:22:16.

players picked on form but this was all about continuity for Warren

:22:17.:22:21.

Gatland. It is a settled team it is tried and tested. If you look at the

:22:22.:22:24.

team, the squad, it is a very young squad. Most of them and in their

:22:25.:22:30.

20s. Edward Jenkins and Paul James will add to the average age

:22:31.:22:34.

increase! It is a squad they know what they will get out of. How about

:22:35.:22:41.

Aled Davies. What will he expect when he joins with the Wales squad?

:22:42.:22:45.

He is going to be on the laundry committee because everybody gets a

:22:46.:22:48.

job in the Wales squad and the laundry has two either worst! You

:22:49.:22:54.

have to get it washed. He will expect an intensity he is not used

:22:55.:22:58.

to. Playing with and training with the best players in Wales. He'll

:22:59.:23:03.

also expect everything done for him. It is an unbelievable setup, very

:23:04.:23:06.

professional and he will not train as hard as he will be the Welsh

:23:07.:23:11.

team. What about the tournament? How do you rate Wales's chancers? Good.

:23:12.:23:17.

Wales and Ireland will go in as favourites. Rightly so. They have

:23:18.:23:20.

got the confidence and the settled squad is. They are teams you know

:23:21.:23:25.

what you will get out of stop you have to be careful of France and

:23:26.:23:30.

England, dark horses with new philosophies, new coaches, new

:23:31.:23:33.

players. Wales are in a very good position. We will talk again over

:23:34.:23:39.

the next few weeks. More from Tom on Radio Wales spores from seven

:23:40.:23:40.

tonight. Wales have confirmed two friendlies

:23:41.:23:41.

for March both against sides that They'll play Northern Ireland

:23:42.:23:45.

at the Cardiff City Stadium on Thursday March the 24th,

:23:46.:23:48.

before then travelling to Kiev Swansea City's new head coach,

:23:49.:23:51.

Francesco Guidolin, has met with staff at the club

:23:52.:24:01.

after watching his new side beat Guidolin was watching

:24:02.:24:04.

from the stands but he'll be in the dugout for the game

:24:05.:24:09.

against Everton on Sunday. Ashley Williams go the only goal

:24:10.:24:12.

of the game. There were a few nervy moments

:24:13.:24:14.

and the Italian was certainly The Road Cycling season

:24:15.:24:18.

got underway overnight with the Tour Down

:24:19.:24:25.

Under in Adelaide. Welsh cyclists, Geraint Thomas

:24:26.:24:27.

and Luke Rowe finished the day safely after leading out

:24:28.:24:29.

Team Sky sprinter Ben Swift. The first stage was won

:24:30.:24:33.

by Australian, Caleb Ewan. Temperatures in the

:24:34.:24:38.

upper 20s Down Under. No chance of that here,

:24:39.:24:39.

Derek has our weather forecast. Turning milder with some rain

:24:40.:24:46.

but at the moment the weather is quiet and settled

:24:47.:24:52.

thanks to high pressure. South Wales enjoyed the best

:24:53.:24:54.

of the blue sky and sunshine today. This picture taken by

:24:55.:24:57.

Jacky Williams on Garth Mountain. The sky is clear with

:24:58.:25:00.

a widespread frost. Cloud in the north

:25:01.:25:06.

will tend to clear. A few mist and freezing fog

:25:07.:25:08.

patches forming as well, And for some of us tonight

:25:09.:25:12.

will be the coldest night Temperatures in parts of Powys

:25:13.:25:16.

and Monmouthshire dropping as low So here's the picture

:25:17.:25:20.

for eight in the morning. A few mist and freezing fog patches

:25:21.:25:28.

as well so watch out for those Otherwise a fine, clear

:25:29.:25:37.

and crisp start to the day. Most of the freezing fog will lift

:25:38.:25:41.

but one or two spots may stay Temperatures in the Heads

:25:42.:25:50.

of the Valleys only rising to one Slightly less cold on the coast

:25:51.:25:55.

with a light to moderate breeze. Tomorrow night dry with

:25:56.:26:00.

another widespread frost. Overnight cloud will increase

:26:01.:26:06.

with a little rain in the west later Temperatures falling as low

:26:07.:26:10.

as minus three but above freezing On Thursday the coldest air

:26:11.:26:15.

will be over the North Sea. This milder air over

:26:16.:26:30.

Ireland is heading our way. Followed by dry and brighter

:26:31.:26:35.

weather in the afternoon. Into the weekend, Saturday

:26:36.:26:44.

the best day. So the cold spell coming to an end

:26:45.:26:50.

later this week but most of Wales frosty tonight with a few freezing

:26:51.:26:56.

fog patches and sunshine tomorrow. It is coming up to seven o'clock,

:26:57.:27:09.

the headlines. Leading doctor has told this programme that all

:27:10.:27:12.

hospital emergency departments in Wales are on the edge because of

:27:13.:27:16.

staffing problems and too many patients spending too long in A

:27:17.:27:21.

The Welsh Government says plans to cope with winter pressures are

:27:22.:27:25.

working. Tonight at the headlines, a meeting of Steelworkers is taking

:27:26.:27:28.

place now import Alberts following yesterday's announcement of a

:27:29.:27:32.

thousand job losses across the UK. It asks for swim meet for the first

:27:33.:27:39.

time tomorrow and we will have the latest in tomorrow's programme. -- a

:27:40.:27:40.

task force. That's Wales Today, thank

:27:41.:27:40.

you for watching. From all of us on the

:27:41.:27:42.

programme, good evening.

:27:43.:27:44.

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