07/02/2013 Look East - East


07/02/2013

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Hello and welcome to Look East. In the programme tonight: The NHS in

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crisis. Two hospitals under the microscope for high death rates,

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two more for multi-million-pound financial incompetence. As the

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National Health Service faces critics on all sides, we ask what

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In other news: Tens of millions of pounds for new flood defences.

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Ipswich, Clacton and Great Yarmouth will benefit. And the cold

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conditions continue, but will we get any more snow? The full

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A First tonight, a day dominated by huge questions about - and for -

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the NHS, and over the most basic of subjects. Are too many people dying

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in some of our hospitals? And are millions of pounds of your money

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being wasted? We'll come to the finances later, but first high

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death rates at two of our hospitals. A reminder: the Government acted in

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the wake of the Staffordshire scandal. It highlighted five

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hospitals where the mortality rates are ringing alarm bells. First,

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Colchester. In the 12 months to June 2012, Colchester treated just

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over 51,000 patients. The NHS calculates that in that period

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1,851 might have been expected to die. In fact it was more than 2,100,

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16% more. Next, Basildon, 1,698 were expected to die. In reality,

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more than 1,900, 14% more than expected. We've had reporters at

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both hospitals. First, Gareth George at Colchester.

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Mac Ryu the letter of apology from the trust that runs Colchester

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hospital. It's a sorry for what happened to his father. 93-year-old

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war veteran Robert was admitted last year. His son found him

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hanging out of bed, a tube ripped out of his leg. I just couldn't

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believe my eyes. I just stood there. I tried to move him myself, and the

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nurse looked at me and said, he has been there for about an hour. Award

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did not take care of my father as much as he was entitled to.

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Meanwhile, at the hospital, work is under way on a �25 million

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radiotherapy centre. But the trust faces an investigation into what

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the NHS described as higher-than- expected patient deaths. We asked

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the chief executive here for an interview. He declined, but the

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trust has issued a media statement. It says, we will continue our

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relentless focus on improving the quality of care and reducing

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unexpected deaths. The NHS says a rapid response team will be walking

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the wards of the hospital, including the Essex County Hospital

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near Colchester can centre, where locals were surprised an

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investigation is under way. Do know anyone who has been there?

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Yes, I had a friend in there, and they found out -- came out quite

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pleased with how they had been treated. I found them perfectly all

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right. I think visitors should be allowed into, relatives all day

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long, and help care for their own people if they can. Tonight, the

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Royal College of Nursing suggested job cuts had contributed to death

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rates, a claim dismissed by the Next to Basildon Hospital. We'll

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hear from the chief executive in a moment. But first, Kevin Burch has

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been gauging opinion in the town. If you look at what has happened

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here in recent years, certain phrases keep cropping up to

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describe the hospital. Crisis-hit, beleaguered, failing. Unjust,

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perhaps, to those trying to make things better, but understandable

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given what has gone on in the past. In 2009, worry surfaced over-

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mortality rates. There are calls for resignations. The Care Quality

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Commission called for improvements in the way young children were

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cared for after a 10-year-old girl died and a baby was given an

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overdose. Campaigners say they keep hearing reassurances from officials

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here, but all that has happened is that sticking plasters have been

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put to the problems which run deeper.

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The criticism has done little to inspire confidence among patients,

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although judging by this snapshot of opinion, there are many who have

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nothing but praise. I have lived here for 37 years, and never had a

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bit of problem with them. If there is an investigation, hopefully it

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will bring to light what is wrong and it can be put right. They got

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me in intensive care, no problem. There was a problem and this sort

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of it. The investigation, they all believe, will see the depth of any

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problems laid bare. It is a hope shared by politicians, too.

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These figures are concerning. Patient safety is of paramount

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importance. But having met the new management, I believe they will

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continue the improvement taking place. Critics argue that the

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problems taking place should have been tackled a long time ago. This

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investigation is a chance to expose the scale of any failings here,

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warts and all, once and for all. Kevin Birch, BBC Look East,

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Basildon. Earlier this afternoon I spoke to

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Clare Panniker, the chief executive of Basildon and Thurrock University

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Hospitals. And I started by putting it to her that this is an issue of

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life and death. In just one year more than 200 people died that

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weren't expected to. Rather than getting hung up in terms of the

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numbers, what is important for me and the border is to focus on how

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we improve, the quality of care at that patients receive here, so that

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we can be sure and they can be sure that they will come to no harm when

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they are at our hospital, and they receive high quality care delivered

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by a skilled professionals in a timely and effective and efficient

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way. What do you think is going wrong that causes these figures?

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What we need to be doing in the organisation and the hospital is

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making sure that we manage the care about are acutely unwell patients

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and emergency care patients coming into the hospital so that they get

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reviewed by consultants early in their admission, within 12 hours.

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They get daily reviewed thereafter by a consultant, and they are cared

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for by the right number of highly trained nursing staff on the wards.

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Are you saying that has not been happening? I am saying that the

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whole of the NHS is moving to a much more consultants delivered

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service, that the presence of consultants in the hospital seven

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days a week and into the evenings is something which the whole NHS

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has been trying to implement over the last few years. But we are

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talking about your hospital. Yours is one of five that is being

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pinpointed as needing an investigation. We are speeding up

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our efforts to have the consultants here for extended periods of the

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day and at the weekends to make sure that we have senior decision-

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making, senior responsible clinicians, in the hospital. What

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you know about the investigation and the form it is going to take?

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know very little about it. We only learned of the investigation

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yesterday. We understand that other clinical professionals will be

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pulled in to help with the work. But the emphasis of the review is

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to ensure that the trusts have the right support in place in order to

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limit the changes that need to be made. You haven't been in position

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that long. You have had to deal with a very for -- poor CTC report.

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You have an uphill battle to restore faith in this hospital.

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is a challenge, but already I can see signs of improvement in the

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hospital. I can see evidence that the staff are really up for change

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and want to make a difference, and want to improve the quality of care,

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so I feel very motivated and optimistic that we can deliver the

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care at Basildon Hospital that the And finally, just a word about the

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rest of our hospitals. According to the league tables, death rates

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across the board are normal. Apart from two hospitals, where the rates

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are actually quite a bit lower than average. They are the James Paget

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in Gorleston and Addenbrooke's in Cambridge. Later in the programme,

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more on the NHS - this time the financial scandal at Hinchingbrooke

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and Peterborough Hospitals. A Four major flood protection schemes

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for the region have been given the green light. They're to get a share

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of extra funding announced today by the Government and designed to

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protect homes and businesses. Today's funding is for flood

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defence schemes, which will bring the greatest benefit to homes and

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people. Four areas stand to gain from almost �75 million of cash.

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One of the area's most susceptible to flooding is here, around the

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industry's and 4,000 homes of Great Yarmouth. Today it has received

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almost �29 million which will go towards a fund to repair and

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replace part of the flood wall. A 2007, this area suffered a huge

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tidal wave. The defences held, but being low-lying and surrounded by

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water, it is particularly at risk. Another area at risk is in Ipswich.

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Work of a tidal barrier across the river is expected to start next

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June, protecting tens of thousands of acres of development land as

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well as 1,500 home us. It is important for Ipswich because it

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protects the sad -- town centre. We have been fighting very hard to

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protect this money. We have got it back, Government's list after some

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incredibly hard work. Funding for Clacton will be spent on coastal

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erosion measures which will prevent some 19,000 properties from

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flooding along the Clacton coastline. Austin King's Lynn, the

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flood gates at fishing fleet key will be prepared -- repaired,

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protecting thousands of homes. The schemes are being supported with

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partnership funding for businesses and local councils.

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The disgraced former leader of Essex County Council has been

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giving evidence in a legal action against Essex Police. Lord

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Hanningfield told the court about being arrested at his home just

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days after he was released from a prison sentence for fiddling his

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parliamentary expenses. He claims he was on the verge of a nervous

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breakdown and the arrest was unlawful. The police were

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investigating his council expenses, but no charges were brought.

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They're defending his action for damages, claiming they had

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reasonable grounds for arresting Charges have been dropped against a

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man who filmed himself wandering around the headquarters of Norfolk

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County Council. Tom Smith, who lives in Trafalgar Street, had been

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due to appear before magistrates. The episode raised questions about

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A Catholic priest from Norfolk who was arrested as part of an

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investigation into child sex abuse has stepped down. The Reverend Tony

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McSweeney was held by the police working on Operation Fernbridge. He

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was later released on police bail. Father Tony McSweeney has been a

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priest for almost 28 years. Today the diocese of East Anglia

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confirmed in a statement that he has voluntarily withdrawn for all

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active ministry. The statement goes on: This is a neutral act that

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makes no judgment of guilt or innocence. Father McSweeney was

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arrested yesterday as part of an operation investigating claims of

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sexual abuse in south London 30 years ago. The 66-year-old priest

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was also a director at a high school in Norwich. He has now

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resigned that post, and the school Father McSweeney is currently on

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Southend Airport has gained another route. From May, easyJet will fly

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to Edinburgh six days a week. It brings the airline's total number

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of routes at Southend to 15. The airport is expanding under the

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With less than a day to go to the deadline, a disused defence base in

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Norfolk has only attracted one bid on an internet auction site. RAF

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Neatishead is up for sale on eBay with a starting price of �2.5

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million. The bid was placed on Monday. Bidding ends early tomorrow

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afternoon. The identity of the sole A former stately home once billed

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as one of the most popular wedding venues in East Anglia is back on

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the market for around �2 million. In 2009, parts of Bylaugh Hall near

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Dereham were repossessed by the banks, leaving a number of couples

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denied their dream weddings. This stunning stately home in 19,000

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acres, now in disrepair, partly demolished and for sale. This is

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the library. It is on the South West side of the house, and has

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wonderful views over the valley. We think that a buyer might want to

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run it as a wedding venue, letting rooms. Someone might want to turn

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it into a boutique hotel. Somebody might want to turn it back into a

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stately home. The family won the estate as the result of a card game

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in 1796. It was home to a bomber support group in the Second World

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War. Derelict for 50 years, it was bought in 2000 by Stephen Vince.

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Parts of the estate were repossessed in 2009. Wedding

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couples lost their deposits. Debts run into millions of pounds.

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Stephen been some blamed the credit crunch and the banks, but he did

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preserve parts of the building, which are already falling into

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disrepair. As you can see, the previous owners

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spend a small fortune trying to restore the house, but a lot more

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money is needed to finish it off. A health spa and white room was

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started but never finished. A roof was never replaced. It could have a

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future, and that is why I am saying that people who want to buy it

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should have a very clear vision, but more importantly, have very

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deep pockets. The hall, with its additional property, sounds

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relatively cheap, but its council taxpayers �40,000, and the repair

:15:48.:15:58.
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bill is expected to run into Back now to the NHS and a damning

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report from a group of MPs. They were looking at Hinchingbrooke, an

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NHS hospital run by a private company. And, 24 miles down the

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road, the new Peterborough Hospital. The MPs say there had been a

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complete lack of strategic oversight. The sums didn't add up.

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And as a result, the future of both hospitals is in doubt. In a moment,

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what the region's health authority made of the report, and we'll hear

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from the local MP. But first, this report from our political

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correspondent Andrew Sinclair. It was all so different six years

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ago. There was great excitement in Peterborough as, after 14 years of

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waiting, work was finally beginning on a brand new hospital, a private

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company paying for it it all and leasing it back to the NHS. If we

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want new health care facilities in Peterborough, and I am passionate

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we do, the only way to do that is PFI. There were warnings at the

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time about the cost of the deal, and they were proved right. The

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hospital trust has run up a deficit of �45 million, and MPs are

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outraged. Back in December, the Public Accounts Committee called in

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NHS managers to try to find out what had gone wrong. The chair

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didn't mince her words. Nobody has been held to account. It almost

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seems to me I can issue negligence here. And I have never felt that on

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another NHS report. In its report published today, her committee

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questions the decision to build a new hospital just 24 miles away

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from the one at Hinchinbrook, in a part of the region with an over-

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provision of acute health care. The trust failed to recognise the

:17:43.:17:53.
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strain that would be put on trust The management at Peterborough

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hospital has since changed, so no apologies from here, just a

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recognition of the trouble the hospital is now we in. The reality

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is that we will be paying, as a country, for this fabulous facility

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for the next 30 years. The Government is under contract. The

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Secretary of State has said that this hospital will not close. So

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the question is, how do we make the best use of it? MPs are also

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unhappy about Hinchingbrooke. It has so far not achieved the savings

:18:28.:18:34.

expected. This private bid, it is said, was also not properly

:18:34.:18:39.

assessed. At the end of the day, the buck stops with the strategic

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health authority. They wanted to push ahead with this experiment.

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They were the ones who proved the PFI build up. They should be held

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to account. The Department of Health promised the findings of

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this report would be swept under the carpet. The financial viability

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of both hospitals is now being questioned. The taxpayer has lost

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millions of pounds. But no one seemed prepared to accept

:19:07.:19:09.

responsibility. Andrew MacPherson is the Director

:19:09.:19:11.

of Customer Service Strategy for the Strategic Health Authority.

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Earlier this afternoon I put it to him that the authority appears to

:19:14.:19:22.

be washing its hands of any responsibility.

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It is not a question of washing our hands. We will continue to work

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with the legal regulator and the trust itself to ensure it has a

:19:31.:19:37.

sustainable future. In the report, it says: The status of Peter Bryan

:19:37.:19:41.

Stamford as a foundation trust did not justify the strategic health

:19:41.:19:44.

authority, your organisation, abdicating their responsibilities

:19:44.:19:51.

in the areas we have been talking about. This is in the report.

:19:51.:19:58.

chief executive made it quite clear that the legal entity responsible

:19:58.:20:02.

for governing that hospital is indeed Monitor, and while that is

:20:02.:20:10.

not an abdication on our part, it is a legal clarity. A complete lack

:20:10.:20:15.

a strategic oversight resulted in separate decisions being taken to

:20:15.:20:21.

build a new PFI hospital in Peterborough. Strategic. Comes

:20:21.:20:26.

right to your door again. At the end of the day, we refute that

:20:26.:20:31.

particular statement. It was a collective series of events with

:20:31.:20:34.

different bodies working with the trust, that arrived at that

:20:34.:20:41.

position. If somebody came to with a similar PFI request to build a

:20:41.:20:44.

hospital somewhere in the region similar to the one for Peterborough,

:20:44.:20:51.

what would you do now? I think the process would be not dissimilar in

:20:51.:20:55.

many respects. The appropriate business case would be evaluated,

:20:55.:20:58.

an examination of whether there was a demand, whether the market was

:20:59.:21:03.

there, whether indeed it was sustainable, and whether, most

:21:03.:21:06.

important, patient and the community needed that kind of

:21:06.:21:12.

facility in whatever area it was dedicated -- designated to be.

:21:12.:21:15.

you would look at the financial sustainability of it? Father there

:21:15.:21:21.

was a need for it? Why didn't you do that in Peterborough? Of that

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examination was an integral part of the business case. But it has been

:21:26.:21:29.

shown that the financial arrangements were very hard to live

:21:29.:21:37.

with. �1 million a week, they are losing. Certainly the situation

:21:37.:21:41.

subsequently, subsequent to the decision been taken, did indeed

:21:41.:21:47.

deteriorate. And it has ended with a hospital in deep debt. As I say,

:21:47.:21:51.

time has moved on, and certainly the hospital is extremely

:21:51.:21:58.

challenged, as the report has made quite clear. We are working hard

:21:58.:22:04.

with stakeholders and the community to rectify that problem.

:22:04.:22:14.
:22:14.:22:16.

A Mr Macpherson, thank you. Stewart Jackson is the local MP. He is in

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Peterborough now. What do you make of that? It doesn't stack up. It

:22:25.:22:28.

was clear at the committee meeting in September that no one was

:22:28.:22:36.

willing to be honest and say, we are culpable. William MacKay, paid

:22:36.:22:42.

�2 million a year as chief executive of the Trust, took his

:22:42.:22:47.

eye off the ball. It is a catalogue of errors. The word catastrophic

:22:47.:22:52.

has been used in terms of the deal for taxpayers. And unfortunately,

:22:52.:22:55.

tax payers and my constituents are going to have to live with these

:22:55.:23:00.

mistakes for the foreseeable future. The Government is chipping in to

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help them meet this �50 million per year that they are in trouble over.

:23:03.:23:08.

They can't go on doing that. Will Peter Brooke Hospital have to Danns

:23:08.:23:18.
:23:18.:23:20.

del? -- downsize? I think there are going to have to be tough decisions

:23:20.:23:25.

taken about services and how the PFI contract is working. But

:23:25.:23:31.

ultimately, my priority as the local MP is that we retain an

:23:31.:23:35.

enhanced service there. I have had an undertaking from the Secretary

:23:35.:23:38.

of State himself that there is no question that a hospital will be

:23:38.:23:45.

closed. Given our local health care economy, it is an issue for the

:23:45.:23:50.

Department of Health to sort out this mess with the Private Finance

:23:50.:23:53.

Initiative which we inherited from the previous government. You say

:23:53.:23:58.

enhanced. Surely this is a hospital losing money already. If it does

:23:58.:24:03.

more, it will lose more money. of the issues is the fact that

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there was no strategic thinking about how different district

:24:10.:24:12.

general hospitals could compete in a relatively small health care

:24:12.:24:17.

economy. That doesn't mean Peterborough hasn't got centres of

:24:17.:24:24.

excellence, brilliant staff and the affections of local people. I think

:24:25.:24:27.

obviously the financial problems are paramount, but it is a viable

:24:27.:24:32.

health care facility. If we can work towards sharing facilities

:24:32.:24:37.

with other hospitals, working with commissioners like local GPs, etc,

:24:37.:24:41.

there is a way forward, but ultimately, they will have to be

:24:42.:24:46.

some top-level decisions to sort this mess out by the Treasury.

:24:46.:24:56.
:24:56.:24:57.

Mr Jackson, thank you for being The wintry feeling our weather

:24:57.:25:00.

continues. It will be cold enough tonight for a frost and the risk of

:25:00.:25:05.

icy patches on untreated surfaces. You can see a couple of things

:25:05.:25:09.

going on. We still have this north- westerly wind, not quite as strong

:25:09.:25:15.

but bringing with it the chance of some wintry showers. We have also

:25:15.:25:18.

had this weather front pushing in from the West. It has weakened as

:25:18.:25:24.

it has done so. It has brought little bits of patchy rain. We

:25:24.:25:28.

might just see a little more of that across parts of Essex and into

:25:28.:25:33.

the south of the region. Elsewhere it does look largely drive. Some of

:25:33.:25:37.

these wintry showers could well affect parts of Norfolk.

:25:37.:25:41.

Temperatures quite widely below freezing. A little more cloud in

:25:41.:25:46.

the east. Certainly in the countryside it is quite possible we

:25:46.:25:51.

could get a couple of degrees below freezing. These are the values for

:25:51.:25:54.

towns and cities. This is the pressure pattern for

:25:54.:25:59.

tomorrow. We have a weather front strung across us. The East might

:25:59.:26:03.

see some bright whether to start with, but then patchy rain will

:26:03.:26:10.

push its way through, and they could be a wintry flavour to this.

:26:10.:26:14.

Another very cold day on the way. Tempered as tomorrow, three or four

:26:14.:26:23.

Celsius. -- temperatures tomorrow. Into the afternoon and evening, as

:26:23.:26:26.

the temperatures fall away, little flurries of snow, but they

:26:26.:26:32.

shouldn't really amount to very much. Interesting weather is

:26:32.:26:37.

looking like Sunday. A weather front putsches in from the Atlantic,

:26:37.:26:41.

and that has the potential to produce some snow, but there is

:26:41.:26:45.

still a lot of uncertainty over the details, so stay tuned to the

:26:45.:26:51.

forecast. Certainly we are still establishing the details for that.

:26:51.:26:56.

For the next couple of days, it is looking like it will stay cold and

:26:56.:27:01.

mainly dry for Saturday. Much of Sunday does look dry, but later in

:27:01.:27:05.

the day, the potential for some of that rain to turn to sleet and snow,

:27:05.:27:10.

meaning quite a wintry start to next week. Still cold into the

:27:10.:27:20.
:27:20.:27:21.

middle of next week, and an Thank you very much. Susie

:27:21.:27:26.

apologises for coughing. apologises for coughing.

:27:26.:27:29.

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