19/01/2017 Channel Islands News


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The majority of the trained nurses that I have lost have been through


licences expiring and we have lost some very experienced nurses.


Jersey's deteriorating water quality could be affecting beaches,


And support for people with autism in Guernsey enters a new era.


And we are in the grip of some pretty cold weather at the moment.


Fine and dry tomorrow but more frost is possible. All the details later


in the programme. National staff shortages


and restrictions on working in Guernsey are being blamed


for problems recruiting 25% of roles in the States-run


facilities are currently vacant. Privately run homes are finding it


equally tough to get It takes 42 members of staff to look


after the 39 residents here. Making sure they get the care


and support they need. But also to make sure


it feels like home. And recently it took a year to fill


just three nursing vacancies. And there's one hurdle


that's making it harder. The majority of the trained nurses


that I have lost have been through licences expiring and we have lost


some very experienced nurses. We have a working party and it has been


working closely with housing and putting out issues across, so


hopefully they will recognise that we need to keep our experienced


staff. And Sylvia's been


helping with that today. An experienced nurse,


who's now doing a Masters But as it stands will have


to leave in another three. Of course I would like to stay. I


really like my work and I really like the home. I don't know if it is


because I came from the island and it is very calm and people here are


very friendly. I would like, but it depends on the housing. This


restrictive housing licences would perhaps provide a potential remedy


but with an ageing population and inevitable need for more staff,


those running care homes like this one say this problem isn't going to


go away on its own. The decision on how


to pay for Jersey's The plan is to borrow


up to ?400 million. But States Members have voted to put


off the debate until the plans are looked at more closely,


as Luxmy Gopal explains. A vision of Jersey's future hospital


- just under ?500 million needed Where that money will come


from is still undecided. The debate on whether to borrow up


to ?400 million was delayed from yesterday due to a question


in the States of whether The States aren't allowed to borrow


more than they collect in tax - so had to stop to check


whether they collect enough to be allowed the amount of borrowing


needed for the hospital. But, while that issue threw a cat


among the pigeons yesterday, now there's a new delay -


to allow scrutiny politicians This is a ?400 million


borrowing to be paid back These things need to be


looked at so carefully. That's the role of scrutiny, to make


sure this is well researched, this is based on sound evidence


and it does take time. States Members agreed to more time,


despite previous reluctance by the Treasury Minister,


who feared what interest rates It s difficult to tell,


markets can move in both directions, but if they moved against us


we could see up to ?6 million or more of additional costs


in funding the hospital as a result But that's a gamble the States


are taking, to spend more time on hospital funding,


which would involve the biggest debt The father of a new born baby


who died in Guernsey claims his partner was wrongly given


drugs to induce labour Three women who, at the time,


worked in the Princess Elizabeth Hospital maternity ward


face misconduct charges. Today the father of the baby


who died in 2014 gave He said the couple planned


as natural a birth as possible - but labour-inducing drugs were given


without his partner's agreement, and without


the approval of a consultant. The practice of midwives acting


on their own initiative has been described as part of a culture known


as "The Guernsey Way." Jersey environmentalists warn


deteriorating water quality Save Our Shoreline says


unless action's taken, marine life will disappear


and tourism will suffer. The Environment Department has asked


advisers from the UK to review A clear blue sky and clear blue


water - it's an image Jersey has built a reputation on,


but some are worried Because the water quality has


deteriorated, it's affecting Even the texture of the sand


is different because the species We don't want a green mass,


we want our golden beaches back. The campaign group has


sent its report to the government review panel that's looking


at water quality. "The Panel and their advisor


will raise any issues "with the Department that


are relevant to nitrates during The debate about the impact


of sea lettuce isn't new, but we're still no closer


to agreeing what causes it. Jersey's Environment Department has


asked UK advisers to review They'll also be talking


to Jersey Water who regularly We check our water daily,


on a daily basis. We take thousands of tests a year


to make sure that the water that not only the water that we're taking


into our reservoirs is of good quality but also the water we're


supplying our customers With another summer to look forward


to, it's hoped our beaches The Battle of Flowers


in Jersey may drop Mr Battle While Miss Battle is usually local,


and wins her crown, Mr Battle tends to be a celebrity who's paid


?8-12,000 to come to the island. But festival organisers


believe the money could Support for people with autism


in Guernsey has entered a new era. The Guernsey Autism Project, or GAP,


has launched today - as a central information hub


for the island. It's the culmination


of a long term project, that'll see the charitable sector


work more closely with Building friendships


at the Amazing Club. It's just one of the services


provided for youngsters Once a week, they meet


at the Youth Commission to enjoy Now, anyone who wants


to learn more about autism, and support groups like this can


access a wealth of information From today the Guernsey


Autism Project, or GAP, The problem with the situation


we have at the moment is a lot of people with autism are not


actually eligible for existing services,


therefore they're not known. We know there are gaps in provision,


we know there are people out there whose needs are not being met,


but we don't know how many Some national studies suggest


as many as one in 50 people It's hoped this new initiative


could lead to more specific figures for Guernsey,


as people who drop in will be given the opportunity to provide


information anonymously to help There are no prevalent studies


in Guernsey on autism, so if we could actually


have a Guernsey prevalence study I'm not sure how we could ever have


that funded, but in terms of perhaps trying to collate a bit of local


data ourselves, then that could go GAP has already listed a wealth


of information online, and talks are ongoing with Health


and Social Care to provide help for adults who suspect they may be


autistic themselves. It may be for those people who think


that they might meet that autism spectrum condition but are unsure,


and we are acutely aware that there are lots of


unknown people out there. For the first time in Guernsey's


history, the cards are on the table Whether it's information, support,


or just a friendly face, the Guernsey Autism Project


is now the one-stop-shop. Roisin Gauson, BBC Channel


Islands News, Guernsey. Guernsey's Heather Watson was


knocked out of the Australian Open by American qualifier Jennifer Brady


2-6, 7-6, 10-8. The British number two was on course


to win in straight sets, but lost five match points before


being defeated in a deciding We've had a fairly dry week


of weather, but so much colder. I resisted the woolly hat,


because my ears stick out. I have got a Willie hat. I am going


to need it. It is pretty cold. -- Woolley. Lovely sunshine. Sunrise at


St Helier Yacht cloud is to morning. It is going to be a cold night to


come. Not just in mind but even on the coast a part possible frost. A


cold tri- gate tomorrow. Early frost but again plenty of sunshine. The


setup has been the same always with this area of high pressure. It


begins to move and this is for the weekend. A bit more high cloud. High


pressure still tomorrow. As we move through the day and Saturday, the


wind changes direction, a bit more southerly and that might bring more


cloud. Still a lot of dry weather and still pretty cold. Temperatures


already tumbling and by the end of the night most of us will see


temperatures close to freezing, possibly even a couple of degrees


below freezing for Jersey. Tomorrow is another lovely day. Almost


unbroken sunshine. A bit of patchy cloud but most of us good clean dry


air but it is not very warm tomorrow. Just four or five Celsius


will be the maximum. Times of high water... For a work surfers there


are some waves around, a few more by the end of the day particularly


along the northern shores of Guernsey, two or three feet. Coastal


waters, easterly winds, forced three to four and generally fair with good


visibility. Here is how the dogs for the weekend. Temperatures not much


different so you will still need to keep yourself one. -- still dry and


still cold. The king called for the weekend but


that full read/write. That is the latest news. Back at around 8pm and


10:30pm. Good night. overwhelming volume of need that the


service itself has revealed. Well, this week, we've highlighted


some of the pressures facing But how can those pressures be eased


and what will a future Joining us tonight to discuss those


and more are Sarah Wollaton, the MP for Totnes, who's a former GP


and chairman of the Claire Wright is an independent


councillor in East Devon Kathy Byrne is chief


executive of the Royal And Angela Pedder is chief executive


of the Success Regime, set up to turn around the finances


of the NHS in North, We also made repeated requests


for a Government minister, Thank you for joining us. Let me


start by saying to you, Sarah, that the letters NHS seem to have the


word crisis permanently attached to them. How would you sum up the


current state of the health service? Whereas winter pressures are nothing


new, what's now changed are those pressures are year-round and become


particularly severe in the winter. I would agree that the current


pressures are unsustainable and my view is we need to look at this


across both health and social care together, but it's not just about


funding, it's about workforce and greater efforts on prevention. We


need to have a whole system response rather than looking at this


separately. We'll talk through some of those points this evening. Where


do you think the key pinch points are and where could they be eased to


ease the pressure of the whole of the health service? In some respects


I think the health service is still responding in the way it might have


responded back in the time of Nye Bevan. We are still waiting for


things to happen before we step in rather than trying to prevent and


promote better health care and keep people at home for as long as they


can possibly be there. We are in fact still waiting for them to


become ill and then trying to fix them once they become ill. How do


you change that? There have been long held campaigns to try to


encourage people to look after themselves. When you're in red


alert, or black alert, and you are asking people not to come to A,


what should people do instead? How can people look after themselves


more and not present themselves at hospital as the first port of call?


We need to step back and look at the system as a whole rather than


looking at it only when it is in strife. If we take ourselves out of


the crisis situation and stand back and look at the monumental resources


that we apply to the health service and the social care system as a


whole and say to ourselves, are we really putting our resources in the


right place? Are we really saying to the community, do it all yourself?


Or are we saying we think we've got our resources a little bit wrongly


aligned with the need and now is the time for us to say should we spend


it all acute care or should we redesigned the system so we are


helping people to promote better health for themselves? Which is


where the sustainability and transformation plan comes in. A lot


of viewers tonight and this week have been asking if there's so much


pressure on acute hospitals, what sense does it make as part of the


SDP you're currently considering in closing community hospitals? Because


all the evidence in Devon shows every day there are 600 people in a


hospital bed that don't need to be there. It's back to service point


about the integration between health and social care. The only option


available at the moment, if a GP has a frail old person that needs


additional support, some nursing, the only option for most people is


they refer people into A If you could intervene early, if you've got


a plan, you could wrap services around that individual for sometimes


a short period of time and maintain that person at home. That's the


shift we have to be able to deliver, to offer people a different set of


choices. People tell us they want to be at home if they can be. People


are also very concerned there won't be local hospitals if the


sustainability plans go ahead. Lots of people from North Devon are


worried about the pressure on services elsewhere. If you no longer


have A and other services at the North Devon District Hospital. What


sense does it make to close some of these hospitals if we know there are


already pressures on the acute hospitals? There are no plans or


proposals at North Devon. We have a review of acute services across all


of Devon. A and maternity could go. We are reviewing services across


Devon, but there are no proposals. We do have problems in terms of


ensuring we can continue to deliver the standard of all acute services


for stroke, maternity, paediatrics, neonatal. Standards have gone up.


There is so much more we can do for people and we have to be sure those


services are safe and sustainable and because we don't have problems


in terms of staffing at St Mary's, that services don't fall over.


Recently in North Durston, somebody left and overnight we didn't have a


service. We had to put something in at short notice. We have a


responsibility to look forward and plan and say how our services


sustainable? If the service isn't available at short notice, it could


become unsafe quickly. We will talk more in detail throughout the


evening. Claire Wright. Can you explain the logic which many viewers


are struggling to understand of proposals to close community beds


when we know there is so much pressure elsewhere in the health


service? It doesn't seem very logical at all. The thing that no


one has yet mentioned is government underfunding. Devon can to counsel,


I'm a counsellor, and social care has had huge budget cuts over the


past few years. Angela talked about 600 people being in hospital beds


every day that shouldn't be there. If social care was adequately


funded, a lot of those patients could get back home will stop but it


isn't. If there was proper funding for social care, we wouldn't


necessarily need the community hospitals? If their work a package


is in place for people to be cared for at home or other environments


within the community? No, I think community hospitals are absolutely


vital. If you look at the occupancy rates set out in an audit from 2015,


the occupancy rates are really high, around 85%. Local people really


value them. Community hospitals are absolutely vital in alleviating the


pressure from acute hospitals. I don't think we can do without them.


Let's go back to the beginning of the process. People frustrated they


can't get an appointment with their GP so they rocked up at A The


Prime Minister has said this week GPs need to do more to alleviate


that pressure and their operating hours need to be extended. What's


the feeling from GPs? Dual practice is under enormous pressure. The


workforce pressure is very severe. When I think back 20 years ago,


there would have been many applications for every vacancy in


general practice. There are parts of Devon where people can't recruit or


get any applications for those places. This is not just about GPs.


It's about specialist nursing staff and also physiotherapists. Many


professionals across the whole team. What did you think of the idea of


having more GPs in emergency departments so they can filter out


and deal with some of the patient's? In some places that does help when


you can have triage at the front door of the carriage of the


Department and direct people to co-located casualties departments.


One of the criticisms about the government responds on Friday was


that if you're asking GPs to man: OK did accident and emergency, and man


conventional out of our services as well as services on a Saturday and


Sunday in their own surgeries, there isn't the workforce to go round in


many parts of the country. GPs would love to be editor of a staggered


working week to provide that care, but there simply isn't the workforce


to do all three. What we found on the health committee when we looked


at this in detail was we are in danger of undermining existing out


of hours providers if we stretch it too far. We have to make sure these


responses are appropriate to the area. As a form of rule GP, I know


that if you federate very brutal practices, what can happen is people


travel to other more inconvenient local -- location. It's not one size


fits all. We'll explore more of the issues on Facebook after 7pm. I want


to bring in some of the ideas we saw proposed earlier, the idea of GPs in


accident and emergency. Is that something you would consider in the


Royal Cornwall and what difference could that make? I must say I agree


with what Sarah has said in relation to how far can we stretch already


pressured resources. I would go back to saying, as I said earlier, if


people were more appropriately cared for in their homes, why would we


take GPs, general practitioners, and put them in an Acute Hospital to see


a patient when they arrive? Wouldn't it make more sense to support the


GPs and the primary care and the wider community services to assist


people to stay at home and provide alternatives. When people,


particularly elderly fragile people, when they come near an Acute


Hospital, they tend to be admitted because of their own circumstances


not being good at home, or there isn't the support for them. They


come into the Acute Hospital and then it's very difficult for them to


get out again. Sometimes we de-condition them to the point where


they become no longer able to look after themselves and we make them


dependent. There couldn't be anything sillier than that. And more


damaging to individuals. We have literally only just scratched the


surface in the 11 minutes we've just had, but we will continue the


discussion on Facebook later. Later I hope we can explore some of your


ideas for solutions and how the NHS may look in the future. Thank you


very much indeed for that. Keep your comments coming. Thank you for


questions and comments we've had. We'll continue the debate later in


the evening. Yes, thank you for your comments and


questions about the NHS. And remember that debate


will continue in just a few minutes You don't need to have


a Facebook account to watch. You can find it at


facebook.com/bbcspotlight. In the meantime, David, how was it


looking on the weather? Cold is the main story for both tonight and


tomorrow. Some low temperatures. A widespread overnight frost.


Temperatures now just two or three degrees above freezing for most of


the south-west. Frost is already forming and it will be very frosty


tomorrow morning. Some lovely sunshine, but definitely feeling


pretty cold. An area of high pressure which moves around a bit


more through the weekend. It opens the door to allow more clout to come


through. Clear skies at the moment and that will last until the end of


tomorrow. As we move through Friday and into Saturday, we start to see


changes in the wind direction. It becomes more southerly. By the start


of the weekend, there's a lot more cloud, particularly for the more


western parts of Cornwall, where there may also be showers on


Saturday. The frost is already starting to form. Some pretty cold


weather across the whole of southern parts of England. It's been cold but


fine. Let me show you what it's been like looking across Plymouth Sound.


This is Jenny Cliff. Jeff has been Kacaniklic is of the setting sun.


It's been glorious stop -- Jeff has been catching a glimpse of the


setting sun. Temperatures have struggled because of the cold air.


Even though we've had the sunshine, it's been pretty chilly. The frost


is starting to form overnight and by the end of the night we are looking


at low temperatures. -3 minus four. For tomorrow, pretty much the same


sort of day as today. Maybe a bit more cloud floating along the south


coast, just spoiling the sunshine. But for all of us it will be a cold,


fine, dry day with a top temperature of between four and eight Celsius.


For many of us, you will need to wrap up warm. There is more breeze


out the West. A cold wind. You will need to be wrapped up warm. The


times of high water... And the surf...


More of a wave along the north coast. The waves generally clean. An


easterly wind tomorrow. Occasionally five through the English Channel and


through the Isles of Scilly. Fair with good visibility. You've been


taking pictures and some lovely shots this afternoon. This is the


famous bridge across the River Tame R. Some frost in Devon. And some


glorious sunrises and sunsets over the last couple of days. On Saturday


and Sunday, a bit more cloud around. Still dry, but note the


temperatures. Still a cold story as well. Have a good evening. Back to


you. That's all from Spotlight


here on BBC One, but our health debate will continue in just a few


minutes on our Facebook page. You don't need to have


a Facebook account to watch. You can find it at


facebook.com/bbcspotlight. I hope you'll join us there at 7pm.


Have a good evening. See you tomorrow.


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