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And now the news for the East Midlands, I'm Dominic Heale. First | :00:00. | :00:18. | |
tonight a massive shake up of the NHS in Leicester as it confronts a | :00:19. | :00:22. | |
funding crisis. We're being told, without radical changes, thd money | :00:23. | :00:25. | |
will run out, services will have to be cut and even patient safdty could | :00:26. | :00:33. | |
be compromised. Doing nothing, NHS bosses say, would lead to htndreds | :00:34. | :00:37. | |
of millions of pounds of debt in just a few years. It's likely to | :00:38. | :00:41. | |
mean fewer beds in our big hospitals. Our health correspondent | :00:42. | :00:46. | |
Rob Sissons reports. Without action we are told the financial problems | :00:47. | :00:50. | |
will simply get worse. Up to eight five million overspend in fhve | :00:51. | :01:11. | |
years. `` a ?400 million ovdrspend. One of the problems is the `geing | :01:12. | :01:14. | |
population. The number of over 5s set to increase by 12% in that time | :01:15. | :01:18. | |
in this region. The hospitals will have to go from three to two. | :01:19. | :01:21. | |
Intensive care, complex surgery and the maternity unit at the gdneral | :01:22. | :01:25. | |
could all be transferred to two other hospitals in Leicester. The | :01:26. | :01:27. | |
boss of Leicester's hospitals says to acute sites are no longer viable. | :01:28. | :01:36. | |
We will be in serious trouble in a few years' time. Firstly, wd will | :01:37. | :01:40. | |
not be able to sustain clinhcally the services we have at the moment, | :01:41. | :01:43. | |
particularly the way they are arranged around the city. Wd will | :01:44. | :01:46. | |
not have enough money to sustain them, we get piecemeal cuts. We want | :01:47. | :01:56. | |
to avoid that at all costs. In future we will see more pathents | :01:57. | :01:59. | |
like Ann, she says the NHS lust spend money smarter but also provide | :02:00. | :02:02. | |
specialist facilities for p`tients with dementia. I was in a w`rd with | :02:03. | :02:18. | |
four patients who had dementia, it is a nightmare being in a w`rd with | :02:19. | :02:22. | |
them. They scream all night long. This leading GP in the city says | :02:23. | :02:26. | |
without brave and bold decisions, Leicestershire's NHS system will | :02:27. | :02:28. | |
collapse. The whole system hs struggling. Patients cannot get | :02:29. | :02:34. | |
appointments with GPs quite often. A departments are busy, hospital | :02:35. | :02:38. | |
wards are full. We have to look at the different way to providd | :02:39. | :02:44. | |
services. The big idea is to shift more help away from hospitals and | :02:45. | :02:47. | |
closer to the homes of patidnts in the community. Saying it is one | :02:48. | :02:50. | |
thing, delivering it will bd quite another. So, is moving servhces into | :02:51. | :02:59. | |
the community the way the NHS has to go? I put the question to Bdccy | :03:00. | :03:03. | |
Ashton from the King's Fund, an independent thinktank which carries | :03:04. | :03:06. | |
out research into the health service. I think we need to look at | :03:07. | :03:17. | |
very different models of how a service is delivered to pathents. It | :03:18. | :03:25. | |
makes sense to do that. There is not necessarily evidence it is luch | :03:26. | :03:28. | |
cheaper to provide care for people in their own homes but it is | :03:29. | :03:32. | |
certainly better for them and their families. Quietly as they are a | :03:33. | :03:40. | |
financial crisis facing the NHS `` why is there? There has been flat | :03:41. | :03:53. | |
funding. That is since 2010 and yet and is going up, partly due to an | :03:54. | :03:57. | |
increase in population, partly the costs of medical technology and the | :03:58. | :04:03. | |
cost of clear, while demand is rising we need up to 6% extra a year | :04:04. | :04:11. | |
depending on the calculations you use, you can see why there hs a gap | :04:12. | :04:21. | |
developing. Between three and 6 at two keep up with public expdctation | :04:22. | :04:25. | |
and the land, roughly in th`t area. Thank you. Legal proceedings have | :04:26. | :04:29. | |
begun to get a group of travellers removed from a busy car park. Around | :04:30. | :04:33. | |
20 caravans moved onto the Park And Ride site at Pride Park in Derby | :04:34. | :04:37. | |
over the weekend. The City Council says it's served them with `n order | :04:38. | :04:40. | |
to leave. And the authority says it's been told by the travellers | :04:41. | :04:44. | |
that they intend to go withhn the next few days. A union says it's | :04:45. | :04:47. | |
shocked by proposed cuts whhch would see over 100 firefighters lose their | :04:48. | :04:50. | |
jobs. The Leicestershire Fire and Rescue Service has to save over ?7 | :04:51. | :04:54. | |
million over the next five xears. Fire chiefs say lives won't be put | :04:55. | :05:01. | |
at risk. Quentin Rayner reports Firefighters training this lorning | :05:02. | :05:04. | |
but if the cuts go through their numbers could be reduced by up to | :05:05. | :05:09. | |
one quarter. Our members ard in shock at the moment. We are | :05:10. | :05:15. | |
terrified. Terrified for our own safety and for the safety of the | :05:16. | :05:21. | |
public. The implications of what has been suggested is so signifhcant. Is | :05:22. | :05:28. | |
it your opinion lives will be put at risk by these proposed cuts? Without | :05:29. | :05:32. | |
a doubt. Firefighters lives will be put at risk and the public's lives | :05:33. | :05:42. | |
will be put at risk. Three local regions will all lose a fird engine | :05:43. | :05:46. | |
and manning of pumps will bd reduced from five to four. The servhce will | :05:47. | :05:55. | |
not be the same but people will not be put in extra danger, says the | :05:56. | :05:58. | |
fire chief. It does ensure we are able to meet the risk. Will lives be | :05:59. | :06:06. | |
put at risk? We do not think so The proposals that are put forw`rd we | :06:07. | :06:09. | |
believe we can still maintahn adequate resources against the risk | :06:10. | :06:12. | |
in particular areas. We do not believe that is the case. It is | :06:13. | :06:19. | |
hoped people in Leicestershhre will agree to a small rise in cotncil tax | :06:20. | :06:24. | |
to reduce the need for cuts in the service. If they do not, thd cuts | :06:25. | :06:27. | |
will come into effect next @pril. That's your news. So, it's goodbye | :06:28. | :06:31. | |
from me, but with your weather now, here's Anna Church. After the dry | :06:32. | :06:44. | |
weather we have had recentlx it is all change. Some heavy showdrs on | :06:45. | :06:49. | |
the way. Cloud has been increasing through the day to day from the | :06:50. | :06:56. | |
south`west. Fairly light and patchy rain tonight itself with thd minimum | :06:57. | :07:04. | |
temperature of 12 Celsius. Some cloudy skies with outbreaks of rain | :07:05. | :07:10. | |
through the morning on Frid`y. The risk of heavy showers and some rain | :07:11. | :07:15. | |
and thunder. The rainfall m`y lead to some localised flooding. Top | :07:16. | :07:22. | |
temperature around 16 Celsits. On Saturday there will be a good deal | :07:23. | :07:27. | |
of dry weather around. Also a scattering of showers is possible. | :07:28. | :07:30. | |
In a few moments we the outlook, hopefully by Sunday | :07:31. | :07:35. | |
most of us will be dry. Alex has more detail now. | :07:36. | :07:44. | |
If you have a barometer wowily have seen the pre low pressure moving in. | :07:45. | :07:50. | |
There will be some sunny spells tomorrow but more downpours. | :07:51. | :07:56. | |
There is a greater risk of seeing thunder and lightening. Here is the | :07:57. | :08:02. | |
low pressure. Most of the showers have been | :08:03. | :08:03. |