:00:19. > :00:29.Hello. Tonight, the Government defends a controversial care plan
:00:29. > :00:35.
:00:35. > :00:40.for the dying. I'm live at St Helena hospice in Colchester.
:00:40. > :00:46.deny someone food and drink when they are able to take it is
:00:46. > :00:49.completely unacceptable. Also tonight, should we stay or go? The
:00:49. > :00:53.region's love-hate relationship with the European Union. The mother
:00:53. > :00:58.of a man from Suffolk missing in Thailand pleads for him to get in
:00:58. > :01:08.touch. And from the lowlands to the Highlands, the teenage skier who
:01:08. > :01:16.
:01:16. > :01:24.F St Helena's a hospice in Colchester has been here since 1985
:01:24. > :01:29.and treats 2000 patients a year. It was in a hospice like this in
:01:29. > :01:33.Liverpool that the Liverpool Care Pathway started. It cost about �6
:01:33. > :01:37.million a year to run a hospice like this. We're going to be
:01:37. > :01:43.talking to various people about what the Liverpool Care Pathway
:01:43. > :01:53.this. Kim, you have been looking at it. Yes, and more people are going
:01:53. > :01:58.on the part with. At its root is compassion. But the big question is
:01:58. > :02:02.how it is working on the crowd in our hospitals. It has developed in
:02:02. > :02:06.Liverpool in the hospice movement there, designed to give the best
:02:06. > :02:10.possible care to the dying, allowing doctors in some cases to
:02:10. > :02:14.withdraw treatment. 10,000 people have been put on the pathway in
:02:14. > :02:19.this region in the past three years and almost half of the hospital
:02:19. > :02:27.trusts have been encouraged to promote it. But delivering highly
:02:27. > :02:31.specialised round the clock care is a huge challenge in often
:02:31. > :02:37.overstretched NHS hospitals. This is about trying to help relatives
:02:37. > :02:41.understand that all treatment has been tried but that we now
:02:41. > :02:45.recognise that a patient has hour was, possibly days to live.
:02:45. > :02:48.Involving families and loved ones every step of the way his key and
:02:49. > :02:53.in some cases, it doesn't seem to be happening. The government has
:02:53. > :03:03.set up in independent review about how the pathway is being applied in
:03:03. > :03:09.
:03:09. > :03:11.our hospitals. Tim, we have had a phenomenal response.
:03:11. > :03:15.Elizabeth Edwards says her mum passed away last Thursday after
:03:15. > :03:17.being put on the LCP. "I do not feel I was fully informed of what
:03:17. > :03:20.feel I was fully informed of what it was. I had to look on the
:03:20. > :03:22.internet which quite frankly terrified me - we were not given
:03:22. > :03:25.any literature at all." Sharon O'Mahony's step-father, diagnosed
:03:25. > :03:28.with brain tumours, was put on the pathway. "It was the most traumatic
:03:28. > :03:31.experience of our lives with little communication from the nurses in
:03:31. > :03:34.the beginning." She describes it as "just plain cruel." Christine
:03:34. > :03:38.Erskine, from Brightlingsea, says her 96-year-old mother was on the
:03:38. > :03:41.pathway in her care home in the last days of her life. "I could not
:03:41. > :03:44.have wished a more peaceful death for my mother. The Liverpool Care
:03:44. > :03:48.Pathway gives the most painless and dignified way of dying and I
:03:48. > :03:50.commmend it to all." Andy Spokes says his father was put on the
:03:50. > :03:54.pathway after it became clear further attempts to delay the
:03:54. > :03:58.inevitable were only causing him pain and distress. "He was treated
:03:58. > :04:04.with dignity and no little love by the nursing staff. My father's last
:04:04. > :04:07.days were dignified, relaxed and pain free." Ann Leigh says she
:04:07. > :04:10.believes the pathway to be humane, and if implemented correctly, a
:04:10. > :04:13.blessing for all concerned. "My only reservation is whether the NHS
:04:13. > :04:18.is a sufficiently caring organisation to be capable of using
:04:18. > :04:28.the programme as intended." Her fear is that it "provides some kind
:04:28. > :04:31.
:04:31. > :04:34.of false legitimacy to wilful neglect." We will be talking to the
:04:34. > :04:37.people here later in the programme. Earlier, I spoke to the Care
:04:37. > :04:40.Minister and North Norfolk MP Norman Lamb. I started by asking
:04:40. > :04:47.him if it was acceptable for patients to be put on the Liverpool
:04:47. > :04:51.Care Pathway without anyone being told. It is completely wrong. The
:04:51. > :04:56.guidelines, right at the very start, in the opening paragraphs, talk
:04:56. > :05:00.about the family and the patient being central to this, the
:05:00. > :05:05.discussion, the consultation, the involvement the family is central
:05:05. > :05:10.to care at the end of life and the pathway reflects that. If it is not
:05:10. > :05:14.being applied properly, we have an unacceptable situation and if that
:05:14. > :05:20.becomes synonymous for some people with the Liverpool Care Pathway, it
:05:20. > :05:24.has got to be addressed. One person who got in touch with us, if it is
:05:24. > :05:29.such a good idea, why do you have to offer an incentive for hospitals
:05:29. > :05:34.to do it? Well, again, this is something that concerned me greatly
:05:34. > :05:39.when I was told that payments were being made to the hospitals. My
:05:39. > :05:45.view is that if payments are made to hospitals that end up with
:05:45. > :05:50.people getting better hair -- care, a more dignified death, then that
:05:50. > :05:55.is good. Evade payment was made to ensure training for the people
:05:55. > :05:59.involved, that would surely be a good thing. But if they are
:05:59. > :06:04.payments being made just two at extra people to the care pathway
:06:04. > :06:07.irrespective of whether it is being applied properly, and whether
:06:08. > :06:12.patients are being consulted properly, with the food and drink
:06:12. > :06:16.is being denied been properly, then that would be wholly wrong. This is
:06:16. > :06:20.one of the things we are looking at in the independent review. But I
:06:20. > :06:26.have said, in the meantime, permits should only ever be made if we can
:06:26. > :06:30.demonstrably showed that it is improving patient care. There is an
:06:30. > :06:34.element in some of the callers that we have had of conspiracy theory,
:06:34. > :06:39.that actually what you are trying to do by in committing this is that
:06:40. > :06:45.people who might live for a month live for a couple of days and it
:06:45. > :06:50.saves the NHS money. Well, how horrifying would that be. Of the
:06:50. > :06:55.sleep, I would utterly reject any approach that would save money in
:06:55. > :07:01.such circumstances, wholly wrong. This has got to be the only about
:07:01. > :07:06.giving the best possible experience to the family at an of the slee
:07:06. > :07:11.incredibly traumatic and difficult time. We both know people who have
:07:11. > :07:17.been put on the care path and haven't wanted it and they have
:07:17. > :07:22.lived not for a couple of dates but formally announced. So, somebody is
:07:22. > :07:28.getting it very wrong. That will worry people. This is. This is the
:07:28. > :07:32.failure of diagnosis. It is not an exact science park we can't always
:07:32. > :07:37.be right but my understanding is it is usually possible for skilled
:07:37. > :07:42.clinicians to make a good judge but about when death is imminent. I
:07:42. > :07:49.think it has become, in some respects silliness with things like
:07:49. > :07:53.denying food and liquids. For me, and incidentally, the care pathway
:07:53. > :07:58.makes it very clear that you should sustain food and drink for as long
:07:58. > :08:02.as possible. But to deny someone food and drink when they are able
:08:02. > :08:07.to take it is just completely unacceptable. The thing for this
:08:07. > :08:12.whole issue has uncovered is that standards still in many places are
:08:12. > :08:19.not acceptable and they need to be addressed. If somebody who is very
:08:19. > :08:23.old or very frail is watching this, and this whole conversation sense a
:08:23. > :08:28.shiver down their spines, what would you say to them? What I would
:08:28. > :08:34.say to them is that my absolute determination is that anyone going
:08:34. > :08:38.into hospital in circumstances where their life may be nearing its
:08:38. > :08:44.end must feel absolute confidence that the care that they kit will be
:08:44. > :08:50.exemplary. And you would want to keep them alive? Of course.
:08:50. > :08:55.Absolutely. Some of the reporting has been pretty exaggerated and I
:08:55. > :09:01.find, to be honest, deeply hurtful but I would want anything other
:09:01. > :09:05.than that. My only interest and motivation is to ensure that people
:09:05. > :09:12.get the best possible care in the most dignified way at the end of
:09:12. > :09:17.their life. Thank you. I'll be talking to the people who run the
:09:17. > :09:21.care here at this hospice later in the programme but for now, back to
:09:21. > :09:24.Carol in the studio. Hello. In or out. Today, the Prime
:09:24. > :09:27.Minister promised a referendum on our membership of the European
:09:27. > :09:32.Union. And nowhere will the issue be more hotly debated than here in
:09:32. > :09:38.the East. Here's our political correspondent Andrew Sinclair.
:09:38. > :09:48.Europe has never been a particularly sexy subject. But
:09:48. > :09:51.perhaps more than any other region it plays a large part in our lives.
:09:51. > :09:54.60% of our trade is with the EU. That's way above the national
:09:54. > :09:57.average. In the last five years, we've received around �400 million
:09:57. > :10:00.in grants although it's worth remembering that we pay more to
:10:00. > :10:02.Brussels than we get back. And, of course, we've been affected both
:10:02. > :10:05.positively and negatively by immigration. 120,000 people have
:10:05. > :10:12.come to live here from Europe in the last ten years. That's why this
:10:12. > :10:18.debate is so important. Hundreds of organisations have received grants
:10:18. > :10:22.from the EU, like this garage in Cambridge. It teaches car mechanics
:10:22. > :10:27.to young disabled people. It got �12,000 from the European Social
:10:27. > :10:31.Fund. The EU funding helped us get the product of the ground. Without
:10:31. > :10:36.that funding, we would not have been able to test the ground to
:10:36. > :10:39.find out whether or not that sort of project would have worked.
:10:39. > :10:45.Yarmouth has received millions of pounds from Brussels. The town
:10:45. > :10:50.looks much better. It also has a new harbour. Europe has been very
:10:50. > :10:54.important in regenerating the town. If you went back 15 years ago, the
:10:54. > :11:00.seafront was looking very sorry. We had a port that did not have a
:11:00. > :11:09.deep-water facility. Now, we have got a transformed seafront. Farmers
:11:09. > :11:14.in the east would struggle without their Cap payments. And migrants to
:11:14. > :11:18.the Fens have provided a hard- working and willing labour force
:11:18. > :11:22.will but go to Peterborough and you may hear a different story. At this
:11:22. > :11:27.grammar-school, none of the pupils have English as their first
:11:28. > :11:36.language. The areas we are seeing migration to are oversubscribed all
:11:36. > :11:40.ready and we are working incredibly hard to build places. The is local
:11:40. > :11:42.businessman complained that the you red tape and the working time
:11:43. > :11:50.directive. It is a difficult situation when you have somebody
:11:50. > :11:56.who wants to work and you are told they can only work so many hours.
:11:56. > :11:59.This company is also frustrated with the bureaucracy.
:11:59. > :12:02.Tory Eurosceptic MPs, and we have a lot of them in the East, are
:12:02. > :12:06.delighted with the promise of a referendum. A watershed speech,
:12:06. > :12:07.says the Essex MP Bernard Jenkin. At long last the people are being
:12:07. > :12:11.At long last the people are being trusted to have their say, says
:12:11. > :12:14.Peterborough's Stewart Jackson. But Stuart Agnew for UKIP said the
:12:14. > :12:17.referendum should be held now, not in five years time, while Labour's
:12:17. > :12:23.Euro MP for the East Richard Howitt says the uncertainty is saying to
:12:23. > :12:30.investors, "Don't come to East Anglia". This speech was a game
:12:30. > :12:33.changer - Europe is once again an Still to come in tonight's
:12:33. > :12:37.programme, we'll have more from Stewart on the Liverpool Care
:12:37. > :12:41.Pathway and your comments. And on the slopes to success, the 13-year-
:12:41. > :12:51.old who's been picked for Team GB. That's after more news from where
:12:51. > :12:52.
:12:52. > :12:55.The mother of a man from Suffolk who went missing in Thailand has
:12:55. > :12:58.spoken for the first time. Tom Armstrong who lives in Kelsale was
:12:58. > :13:02.expected home from Bangkok just before Christmas but he never got
:13:02. > :13:12.on the plane. His mother Helen says she's prepared to fly to Thailand
:13:12. > :13:16.
:13:16. > :13:23.Their earliest flight changed I could get was 8th January. It will
:13:23. > :13:33.arrive at some time... Tom Armstrong's mother reads his
:13:33. > :13:36.
:13:36. > :13:40.last e-mail. The 22-year-old never got the flight. I just felt sick. I
:13:40. > :13:45.just do not think he is in the UK. We went backwards and forwards to
:13:45. > :13:53.the train station. He did not come. I just felt devastated because I
:13:53. > :13:59.did not know what had happened. Armstrong had been on a diving
:13:59. > :14:04.course. He should have been a home over Christmas. He said he had run
:14:04. > :14:10.into trouble, but never said what that trouble was. Money has been
:14:10. > :14:20.taken out of his account. They do think something may have happened
:14:20. > :14:23.
:14:23. > :14:27.to him? I cannot think about that. Sorry. I am just focusing on the
:14:28. > :14:34.fact that if something is amiss with him, if he is not in a good
:14:34. > :14:40.place, he cannot make his way home. For now, she is counting on the
:14:40. > :14:44.internet. She has set up a Facebook page in the hope that he was see it
:14:44. > :14:50.and get in touch. We are a strong family and we will stick together.
:14:50. > :14:55.We just want him to come home. Whatever has happened, we will sort
:14:55. > :14:59.it out. It has emerged that a former
:14:59. > :15:04.student from a school in Norfolk was among those killed in the
:15:04. > :15:08.Algeria of hostage crisis. Sebastian John went to the Norwich
:15:08. > :15:15.School from 1997. His wife has described him as a fantastic
:15:15. > :15:18.husband, father, son and brother. A country fair where a woman was
:15:18. > :15:21.trampled to death by a runaway horse will not be held this year.
:15:22. > :15:24.The Nowton Park Fair in Bury St Edmunds started in 1990, but in
:15:24. > :15:27.2011 local grandmother Carole Bullett was killed. The Health and
:15:27. > :15:29.Safety Executive says it will prosecute the local council over
:15:29. > :15:34.the accident. Unemployment among women in the
:15:34. > :15:43.region is rising rapidly while among men, it is falling. Figures
:15:43. > :15:45.out today show female unemployment has set 100,000, a 30% increase on
:15:45. > :15:54.one year ago. Our business correspondent is here.
:15:54. > :16:00.What is going on? Let's have a look at the picture
:16:00. > :16:07.last year. Unemployment in the region it stood at 190,000. Most of
:16:07. > :16:16.those work men. Today, unemployment is 207,000, but women make-up
:16:16. > :16:21.nearly half of that number. Why is that?
:16:21. > :16:25.Public sector cuts are one of the reasons. Most people who work in
:16:25. > :16:31.public services are women. The retail industry is also having a
:16:31. > :16:36.tough time. Again, most people who work in shops are female. It could
:16:36. > :16:41.also be that changes to the benefit system are having an effect. Single
:16:41. > :16:47.mothers are having to make a choice. Previously, they would be supported
:16:47. > :16:53.by child care support and the tax credit. Those are being removed and
:16:54. > :16:58.they are now having to register as unemployed.
:16:58. > :17:02.I should add that there have been periods when it male unemployment
:17:02. > :17:07.has risen faster than female unemployment.
:17:07. > :17:11.Thank you. The government has defended the fight did has not
:17:11. > :17:17.included I unique reef off the Norfolk coast in a list of
:17:17. > :17:23.specially protected areas. The 20 mile long chalk reef near Cromer is
:17:23. > :17:33.the longest in Europe. But it is not being included in the network
:17:33. > :17:33.
:17:33. > :17:37.of Marine Conservation Zone is currently under consultation.
:17:37. > :17:47.The A12 in Essex was blocked this morning after a lorry carrying 20
:17:47. > :17:51.
:17:51. > :17:55.tons of rubbish overturned. It tabard before the morning rush-hour.
:17:55. > :18:00.The lorry overturned this morning after colliding with a Ford Focus
:18:00. > :18:07.that had pulled over because it clutch had gone. The lorry driver
:18:07. > :18:11.went into the back of it. If you come round here, you can see that
:18:11. > :18:14.the lorry has shed its load on to the carriageway. Look at that. 20
:18:14. > :18:17.tons of rubbish. Strewn across the A12. It now looks more like a
:18:17. > :18:25.rubbish tip. Workmen here trying to clear that rubbish. It is going to
:18:25. > :18:33.take at least a couple of hours. In the end, it took a lot longer. The
:18:33. > :18:43.road was shut for 12 hours. Fortunately, traffic was able to be
:18:43. > :18:44.
:18:44. > :18:48.diverted. The lorry-driver was lucky according to police.
:18:48. > :18:50.driver of the lorry was trapped in his cab after it overturned. He was
:18:50. > :18:58.released by firefighters and taken to hospital in Chelmsford. We know
:18:58. > :19:01.that he is OK. He has been back down here to survey the wreckage.
:19:01. > :19:11.It could have been far worse. Thankfully, that lorry did not
:19:11. > :19:23.
:19:23. > :19:27.cross the carriageway. Getting the When it comes to producing
:19:27. > :19:32.outstanding athletes, this region it is a match for any. Team East
:19:32. > :19:37.came away from the London Olympics with 14 medals. But when it comes
:19:37. > :19:47.to scheme, our record is patchy to say the least. Not enough snow,
:19:47. > :19:49.
:19:49. > :19:52.usually, and not enough hills. That could be about to change.
:19:52. > :20:02.She started skiing at the age of six on holiday in France. Today,
:20:02. > :20:03.
:20:03. > :20:06.Alex Lillywhite is a member of Team GB. And she is fast. Alex has
:20:06. > :20:10.always had the talent but in the last 12 months, a lot has changed.
:20:10. > :20:19.Technique and movement. There is a few things, a few bad habits that I
:20:19. > :20:22.had. I have been working on them. Year 9 French at her school.
:20:22. > :20:32.Already a schools' champion, Alex has just been selected for Team GB
:20:32. > :20:35.and flies out to Andorra next week. I think she is remarkable. She is
:20:35. > :20:40.incredibly consistent and reliable. Her times have progressively got
:20:40. > :20:44.better. I think she is a force to be reckoned with.
:20:45. > :20:50.I would like to be in the Winter Olympics one day, but we will see.
:20:50. > :20:54.Can you see her going? Yes, I can. I'm booking my flight to South
:20:54. > :20:59.Korea in 2018. Yes, I think she will be there.
:20:59. > :21:04.It is early days of course. Alex Lillywhite is only 13. 2018 is some
:21:04. > :21:09.way off. There's plenty of time for other things to get in the way. But
:21:09. > :21:13.if starting early counts for anything, she has that. According
:21:13. > :21:23.to her mum, Alex is also fearless and in skiing, that is worth having
:21:23. > :21:28.
:21:28. > :21:35.Good for her. And now back to Stewart White at St Helena Hospice
:21:35. > :21:41.in Colchester. Thank you. What we are going to do
:21:41. > :21:47.now, we are keen not to frighten anybody this evening. We are going
:21:47. > :21:53.to talk policy with Rosy Stamp, the chief Executive, and Stella
:21:53. > :22:03.Fletcher. Reduce the pathway here, but we are
:22:03. > :22:12.
:22:12. > :22:16.very clear in communication with families. -- we use. And we
:22:16. > :22:21.communicate all the time. Communication is at the core of all
:22:21. > :22:27.good care. That is an essential part of our services here. It is
:22:27. > :22:34.making sure that everybody is on board. And everybody is aware what
:22:34. > :22:39.is happening. And why it is happening. As the patient's needs
:22:39. > :22:44.change, or clinical staff must talk to the family and make sure they
:22:44. > :22:51.have got choice and their choice is taken into account. And always
:22:51. > :22:58.listened to. And always listened to. I did not want anybody to be
:22:58. > :23:02.frightened by hearing this. Should they be? No. The Liverpool Care
:23:02. > :23:12.Pathway is about providing individual player to answer their
:23:12. > :23:18.individual needs. There will be a lot of concern about this and
:23:18. > :23:23.rightly so. But at least people are talking. Yes, we are very pleased
:23:23. > :23:28.about that. Hospices are always trying to help people talk about
:23:28. > :23:33.death. We are not very good about that in society. We are not
:23:33. > :23:43.familiar with the process of death. The pathway is about supporting a
:23:43. > :23:46.
:23:46. > :23:51.natural process which is unfamiliar to most of us. And there is a full
:23:51. > :24:01.amount of dignity? Most definitely. Dignity is key to looking after any
:24:01. > :24:02.
:24:02. > :24:12.patient. Thank you for having us Good evening. Stadium cold for the
:24:12. > :24:14.
:24:14. > :24:24.next few days across the region. -- staying cold. Where there have been
:24:24. > :24:28.
:24:28. > :24:33.at snow flurries, we are also see - - see him more creeping across.
:24:33. > :24:39.Temperatures dropping to-two or minus three. But where there are
:24:39. > :24:45.breaks in the cloud, it could get down to minus six. Berry cold
:24:45. > :24:50.through tomorrow. Perhaps an isolated snow flurry. -- the very
:24:50. > :24:59.cold. We could see some brighter weather in the western part of the
:24:59. > :25:03.region. Very cold indeed. We have still got an easterly wind. Were
:25:03. > :25:08.they have got clear skies, that will allow temperatures at to
:25:08. > :25:15.plummet to tomorrow night. We could be looking at around -10 or at -12
:25:15. > :25:20.tomorrow night. Then it changes are on their way. This is our pleasure
:25:20. > :25:30.map for Friday. We have a weather front pushing him from the West
:25:30. > :25:35.bringing milder air. Still quite a bit of doubt as to how much is slow
:25:35. > :25:43.we will get. But there is the potential for some. -- how much
:25:43. > :25:49.snow. This weather front should have gone by Friday. Temperatures
:25:49. > :25:55.are recovering by the weekend. A spell of heavy rain on Saturday
:25:55. > :26:02.night. Quite a shift in temperatures. But that will raise
:26:02. > :26:07.problems for us because we will have that snow melting, a sudden
:26:07. > :26:16.thaw and potential for a heavy rain on Saturday. So that could mean a
:26:16. > :26:22.localised flooding. Certainly not as cold as we have seen in recent
:26:22. > :26:32.night. Thank you. I want to read one of