13/08/2013

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:00:19. > :00:26.A bleak future the staff at the James Paget Hospital as managers say

:00:26. > :00:36.it needs to save 600 jobs. Robbie Grabarz gets ready to go for

:00:36. > :00:39.

:00:39. > :00:47.gold in the high jump. And introducing the Brainy Dogs. How

:00:47. > :00:51.Faith is helping Vicky with her brain injury.

:00:51. > :00:54.First tonight, the hospital which admits it might not be able to

:00:54. > :00:56.survive unless it cuts 600 jobs or makes radical changes to the way it

:00:56. > :00:59.operates. The warning comes in a new report

:00:59. > :01:04.from the James Paget Hospital in Gorleston. And its language couldn't

:01:04. > :01:07.be clearer. Financially the trust faces a "perfect storm". With

:01:07. > :01:10.hundreds of jobs likely to go and remaining staff seeing their

:01:10. > :01:18.conditions change. Medically, it admits its reputation was damaged by

:01:18. > :01:20.critical inspection reports. The loss of confidence meant GPs

:01:20. > :01:23.referred fewer patients, Some services could be lost, adds the

:01:23. > :01:27.report, with patients travelling to the Norfolk and Norwich Hospital

:01:27. > :01:31.instead. And perhaps the starkest sentence of all: "Given the

:01:31. > :01:41.challenges we face, we are at risk of not being clinically viable as a

:01:41. > :01:44.stand-alone district general hospital." In a moment we'll speak

:01:44. > :01:49.to local MP and Health Minister Norman Lamb, but first Richard

:01:49. > :01:57.Daniel reports from the James Paget. It is a hospital that risks becoming

:01:57. > :02:03.unviable. So says the new five-year plan for the hospital. The report

:02:03. > :02:08.warns that by 2018 up to 600 jobs could go as the trust tries to find

:02:08. > :02:16.�20 million of savings a year. All at a time when the hospital is

:02:16. > :02:21.dealing with a rapidly ageing population and one of the highest

:02:22. > :02:28.incidences of dementia in the country. A&E admissions are expected

:02:28. > :02:32.to rise by over 11%. Some services may be provided 27 miles away at the

:02:32. > :02:38.Norfolk and Norwich. We have already have some services we share with

:02:38. > :02:46.them. Cardiology for example, visiting

:02:46. > :02:52.clinicians. Our patients already travel to the Norfolk and Norwich

:02:52. > :02:59.for them. Dermatology, haematology, fertility

:02:59. > :03:02.and maternity services could change. We intend to streamline our

:03:02. > :03:08.management structure so that we can rainvest in the front line. Can you

:03:08. > :03:14.give an absolute assurance that there will be no job losses when it

:03:14. > :03:21.comes to nursing and consultancy staff? Absolutely. We are not

:03:21. > :03:28.looking at front-line services at all.

:03:28. > :03:32.Unison says the number of matrons is to be cut. Services like pathology

:03:32. > :03:39.have already gone. We are very concerned about the increasing

:03:39. > :03:41.fragmentation of services. Users of the hospital worry about the future.

:03:41. > :03:51.Sharing the right staff would be good but it needs to be very

:03:51. > :03:55.carefully managed. Inevitably there will be casualties. People have to

:03:55. > :04:01.suffer for it, haven't they? Cutbacks or the time. They are not

:04:01. > :04:05.going to be able to do the operations or anything. I think the

:04:05. > :04:11.job losses is dreadful and I don't know how they will cope.

:04:11. > :04:15.The hospital insists it is investing in the future. A&E will be expanded

:04:15. > :04:24.and there is to be a new day centre but the radical changes needed to

:04:24. > :04:27.survive mean that tough changes will need to be made over five years.

:04:27. > :04:33.Let's speak to Norman Lamb, the MP for North Norfolk and also the

:04:33. > :04:37.Health Minister. They don't seem to know what they asked saying because

:04:37. > :04:47.in the report they say there is a working assumption we will need to

:04:47. > :04:47.

:04:47. > :04:51.reduce headcount by about 600 yet they are denying that today. I am

:04:51. > :04:56.slightly confused. I have spoken to the chief executive today, who

:04:56. > :05:02.confirms that if they were to do nothing, not radically redesign

:05:02. > :05:07.services to meet the needs of this ageing population, they would be

:05:07. > :05:10.looking at that level of reduction in jobs. By doing the changes, they

:05:10. > :05:16.can avoid that. In your interview the chief executive made the point

:05:16. > :05:22.that they are not looking at any cuts to front-line staff at all.

:05:22. > :05:27.They need to make it very clear what they plan to do. In essence, they

:05:27. > :05:35.are doing the right thing in setting out a sort of strategic plan for

:05:35. > :05:40.five years to make sure, guarantee the hospital's long-term future, and

:05:40. > :05:46.the fact is that we are all having to look at significantly redesigning

:05:46. > :05:52.the way health services are provided because we have people living

:05:52. > :05:57.longer. The figures they put out in their report is that in their local

:05:57. > :06:00.area the number of people over 85 will increase by 75% by 2030. We

:06:00. > :06:07.need to be much better at keeping people out of hospital, maintaining

:06:07. > :06:13.their health much better than we do at the moment. It says, giving the

:06:13. > :06:16.challenges we face we are at risk of not being clinically viable. Do we

:06:16. > :06:26.have to say that now some smaller hospitals will end up being

:06:26. > :06:27.

:06:28. > :06:32.glorified health centres? No, and I have talked to the chief executive

:06:32. > :06:39.about this. Their absolute plan is to maintain all of the core

:06:39. > :06:43.services, work collaboratively with the Norfolk and Norwich, and I have

:06:43. > :06:46.had a personal family experience of where it is critically important to

:06:46. > :06:51.get your loved one to the right place for sometimes complex

:06:51. > :06:56.surgery. You do not want to be going, if you have a stroke or

:06:56. > :07:00.serious heart attack, to somewhere that is not properly equipped to

:07:00. > :07:04.deal with that. You want to get your loved one to the best possible

:07:04. > :07:09.place. It makes absolute sense to work collaboratively with the

:07:09. > :07:15.Norfolk and Norwich but also work much more closely in an integrated

:07:15. > :07:19.way with GPs, care services. We have a horribly fragmented system at the

:07:19. > :07:25.moment and if we join up services in a much more offensive way we can

:07:25. > :07:28.keep people healthy and reduce cost to the system. The main message at

:07:28. > :07:32.the national level is that the government is maintaining,

:07:32. > :07:39.protecting funding for the health service to cope with these difficult

:07:39. > :07:42.changes we need to make. The Director of Emergency Operations

:07:42. > :07:46.at The East of England Ambulance Trust has resigned. Neil Storey has

:07:46. > :07:50.been with the trust for 14 years. Unions had been calling for him to

:07:50. > :07:54.step down after criticism over poor response times.

:07:54. > :07:59.People who live in a village in Norfolk are celebrating after the

:07:59. > :08:03.local council stepped in to save their pub. The Crown at refund was

:08:03. > :08:08.about to be sold off for housing but a new law means that local people

:08:08. > :08:14.have a chance to buy it first. Today the Pubs Minister released a list of

:08:14. > :08:24.100 pubs across the country being given similar protection. They

:08:24. > :08:25.

:08:25. > :08:28.include 14 in one part of Essex. Locals in Reepham are getting

:08:28. > :08:35.together to stop the crown from being converted to housing. Now they

:08:35. > :08:38.have more time to save it. It will ensure that people know that

:08:38. > :08:43.everybody in Reepham is behind the Crown and the people running it.

:08:43. > :08:48.There is a great feeling that if the pub when it would be a great loss to

:08:48. > :08:53.Reepham. Assets of community value mean that the pub can't be sold on

:08:53. > :09:00.without the local people being told, it gives powers greater power

:09:00. > :09:06.to refuse planning rights and it means there can be a six-month bid

:09:06. > :09:16.to buy the pub. In a statement, the owners of the Crown, Punch taverns,

:09:16. > :09:28.

:09:28. > :09:32.says, we agree that pubs are wasn't, we would have walked away.

:09:32. > :09:37.We were drinking here for 30 years as customers and we took it on to

:09:37. > :09:43.keep it open. Many others believe they are viable as well. A quarter

:09:43. > :09:53.of the first 100 pubs are in Suffolk, Norfolk and Essex. 14 pubs

:09:53. > :09:57.

:09:57. > :10:00.or in the till spurred district. -- alone are in.

:10:00. > :10:07.It is not only saying they are wonderful old timber structures but

:10:07. > :10:14.also that they are asset to the town as a business and a business that

:10:14. > :10:22.brings others into our community. The Crown at Reepham has been given

:10:22. > :10:26.a retrieved but residents now need to find around �300,000 to buy it.

:10:26. > :10:30.Brandon Lewis is the MP for great Yarmouth and the minister

:10:30. > :10:39.responsible for government policy on pubs. Earlier he told me why it was

:10:39. > :10:46.important to save them. Pubs pay a hugely important role in

:10:46. > :10:50.communities, they are worth around �100,000 to local economy. Pubs are

:10:50. > :10:54.responsible for around a million jobs in the country. It is a

:10:54. > :11:03.phenomenal British institution and industry, one worth celebrating and

:11:03. > :11:07.making sure it has a history in the past and a history in the future.

:11:07. > :11:16.Pubs are being sold off in quite a fast rate. Isn't that a sign that

:11:16. > :11:21.they are not viable? We also have pubs opening as well. Our lifestyles

:11:21. > :11:23.are changing, different kinds of pubs are being successful. It is up

:11:23. > :11:29.against a clear commercial challenge, entertainment at home

:11:29. > :11:34.that we did not have a decade ago. Pubs are in the competitive

:11:34. > :11:38.environment. Good pubs offer good value for money, good service and

:11:38. > :11:43.entertainment and they are doing very well. As consumers, residents,

:11:43. > :11:49.we need to use those pubs if we value them. Then we can keep them

:11:49. > :11:53.and see them continuing to be successful. This government believes

:11:53. > :12:03.in market forces. Aren't you trying to adjust the market and preserve

:12:03. > :12:06.

:12:06. > :12:14.something in aspic? It is an important balance. The assets are

:12:14. > :12:18.chance to see, these are important to our community. It gives the

:12:18. > :12:22.community a pause to see whether they have a say in that pub or not.

:12:22. > :12:29.Communities have made pubs very successful but it is a commercial

:12:29. > :12:35.environment. Pubs have do offer a good product and we as consumers

:12:35. > :12:41.need to make sure we go and use them. What reaction have you had

:12:41. > :12:45.from the big pub chains? industry seems to be very positive

:12:45. > :12:51.about what the government is doing, we have had no negative reaction.

:12:51. > :12:55.That is a sign of the majority of the industry. This measure just

:12:56. > :13:02.gives communities that pause for thought to say, this is an asset we

:13:02. > :13:04.think is worth protecting. Even for successful pubs that get listed, it

:13:04. > :13:13.is important because it is a statement about how much they value

:13:13. > :13:17.the pub. Thank you very much. A company director has been charged

:13:17. > :13:27.with arson after a fire which wrecked a bathroom and kitchen

:13:27. > :13:34.

:13:34. > :13:39.centre in Norfolk. Justin Hindry who lives in Drayton was released on

:13:39. > :13:48.bail and will be back in court next month. A passer-by raised the alarm.

:13:48. > :13:51.Still to come, how Faith and Hope are helping a charity in Suffolk.

:13:51. > :13:56.And helping to beat ash dieback disease with the help of a computer

:13:56. > :13:59.game. Silicon Fen, the cluster of

:13:59. > :14:06.high-tech companies around Cambridge, has had many success

:14:06. > :14:16.stories, companies now worth liens. This week we are looking at

:14:16. > :14:17.

:14:17. > :14:27.businesses making their money from exporting is. A software and

:14:27. > :14:33.computing company have gadgets used the whole world over.

:14:33. > :14:40.Heard of CS are? The chances are something you own have something of

:14:40. > :14:48.their technology in them. Their chips or in 60% of the world's point

:14:48. > :14:55.and shoot cameras. -- their chips are in. Their software connects

:14:55. > :15:00.different devices together. It is a global industry. We develop

:15:00. > :15:09.a lot of the gadgetry and innovation in the latest gadgets, but our

:15:09. > :15:14.customer base is broad spread from the US, Europe and Asia. They are

:15:14. > :15:23.the first company to develop software that connects one speaker

:15:23. > :15:28.to another. Wireless audio in stereo. Started by nine people not

:15:28. > :15:36.much more than a decade ago, it now employs more than 2000 worldwide.

:15:36. > :15:46.Last year it sold its mobile phone section to Samsung for �200 million.

:15:46. > :15:51.

:15:51. > :15:56.CS are is now worth around �1 billion. -- CSR. The heart of our

:15:56. > :16:02.business, voice and music, is still here. It is a core of excellent in

:16:02. > :16:05.our product develop men. -- excellence. The chips developed and

:16:05. > :16:12.tested here in merged in a year or two in the next generation of

:16:12. > :16:19.devices. One of the frontiers we are attacking is wireless

:16:19. > :16:27.communication, the new standard of Bluetooth. This enables a whole host

:16:27. > :16:35.of applications not available in the past. When you have not taken your

:16:35. > :16:43.medication you can get a reminder. Another Silicon Fen success story,

:16:43. > :16:46.Cambridge witnessed -- wizardry used in gadgets across the world.

:16:46. > :16:55.We continue our series tomorrow with a look at the firm in Cambridgeshire

:16:55. > :16:59.that makes machines that can print on anything from eggs to drink cans.

:17:00. > :17:03.Fantastic what they can come up with. Scientists in Norwich hope a

:17:03. > :17:09.new game on Facebook can help them crack the science find the tree

:17:09. > :17:17.disease at Taibach. The more people who play the game, the more likely

:17:17. > :17:27.they are to find a strain of the tree that can resist the disease.

:17:27. > :17:29.

:17:29. > :17:31.Ash dieback has lain dormant since the winter but it is about to

:17:31. > :17:37.release its deadly spores again. This would in Norfolk is the first

:17:37. > :17:43.place that ash dieback was found in the wild. Experts predict that

:17:43. > :17:49.within 20 years 95% of these trees will have died. That is an idea that

:17:49. > :17:56.is upsetting and Edwards. She has roamed this woodland for 20 years

:17:56. > :18:00.and can spot signs of the disease wherever we go.

:18:00. > :18:10.You can see these leaves are dried and dead on the tree, the branch

:18:10. > :18:16.completely dead wood. Right up to the top the tree has died. Ann is

:18:16. > :18:21.also a research scientist studying ash dieback. She found the fungus on

:18:21. > :18:24.infected leaves. It lay dormant over winter and now it is growing and

:18:24. > :18:34.soon unimaginable amounts of spores will be released into the

:18:34. > :18:43.atmosphere. Devastating. A lot of the ash were already far -- showing

:18:43. > :18:46.signs of the disease. The goal is to find a strain of ash tree that can

:18:46. > :18:50.tolerate the fungus. For seven months teams have been working on a

:18:50. > :18:59.way to get a bit closer to that and today they have released this on

:18:59. > :19:05.Facebook, a game named after the Latin for ash. This is a small

:19:05. > :19:10.segment of DNA from the ash tree. The top one is your target and the

:19:10. > :19:17.idea is to get these ones along the rows to match up as closely as

:19:17. > :19:22.possible. Why create a game rather than a computer system? Computers

:19:22. > :19:30.can only be trained to make random guesses whereas humans can make

:19:30. > :19:33.educated ones. That is where you come in. We need good catalogues of

:19:33. > :19:37.genetic variants so it would be great if people could play the game

:19:37. > :19:45.and help us to find the raw materials with which we could find

:19:45. > :19:49.out why ash trees might be resistant to a disease. They are hoping

:19:49. > :19:55.thousands of people will play the game, every go adding more to their

:19:55. > :20:03.knowledge of what makes a tree a potential survivor. It is a long

:20:04. > :20:08.game and this is just one small and vital part of it.

:20:08. > :20:11.It has been a frustrating year for Robbie Grabarz, he won a bronze

:20:11. > :20:17.medal at 2012 but since then the high jumper from Saint Neots has

:20:17. > :20:21.been unable to produce his best. The signs are that his form is coming

:20:21. > :20:26.back. He sailed through qualifying in Moscow and has booked his place

:20:26. > :20:30.in the final of the world Championships.

:20:30. > :20:37.Having had not such a great run in I felt like I have taken the pressure

:20:37. > :20:47.of myself but training went well so I do put pressure on myself. Bronze

:20:47. > :20:48.

:20:48. > :20:51.at the London Olympics. Since then it has been a struggle. An early

:20:51. > :20:58.start in Moscow, he was keen to ease himself into the competition. 2.17

:20:58. > :21:08.metres, a struggle. He upped his game. Four perfectly rinses, 2.29

:21:08. > :21:09.

:21:09. > :21:11.metres, joint first position to qualify for Thursday's final.

:21:12. > :21:18.Competition -- qualification is really cut-throat and in the final

:21:18. > :21:23.you can enjoy it more. There are not 80,000 people shouting my name here

:21:23. > :21:26.so it might be easier to contain my excitement. It has been an

:21:26. > :21:36.up-and-down year for the 25-year-old but perhaps he is peaking at the

:21:36. > :21:40.right time. I would love to get a medal but the standard is very high.

:21:40. > :21:45.Since I won a medal somebody seems to have pressed the fast forward

:21:45. > :21:52.button. I have managed to slow it down now and I feel like I am

:21:52. > :22:02.getting back on my feet. It has been a bit of a whirlwind. Bronze in

:22:02. > :22:06.

:22:06. > :22:14.London, going for gold in Moscow. Within the last half an hour, Andrew

:22:14. > :22:21.Osagie has failed to wind a medal. He came in fifth. Disappointment

:22:21. > :22:25.showed on his face. News now of the charity claiming a

:22:25. > :22:30.worldwide first using dogs to help people with brain injuries. The

:22:30. > :22:35.project based in Suffolk has just been given a quarter of �1 million

:22:35. > :22:40.from the lottery. They call themselves Brainy Dogs. They are

:22:40. > :22:49.great team. Vicky Stobart, who has water on the brain, out with her

:22:49. > :22:56.trusty companion Faith. Faith came from the Felixstowe Blue

:22:56. > :23:05.Cross rescue centre. She was trained by inmates from a local prison. She

:23:05. > :23:12.has been by Vicki's side for nine months. Since I got her I stayed

:23:12. > :23:15.inside -- I am going out rather than staying inside. My occupational

:23:15. > :23:23.therapist mentioned the scheme and I got her and now we go everywhere

:23:23. > :23:29.together. She is very perceptive about what might happen to you.

:23:29. > :23:33.Yes, she is picking up if I am going to have a seizure and indicating

:23:33. > :23:42.that five or ten minutes beforehand so I can get somewhere flat and

:23:42. > :23:47.safe. We give each other the love. At the Ipswich headquarters of it --

:23:47. > :23:57.of Headway, another Brainy Dog gives help to this woman, knocked over 20

:23:57. > :23:57.

:23:57. > :24:01.years ago. The thing that really changes is personality. People lose

:24:01. > :24:08.their friends and family members, leaving that person isolated and

:24:08. > :24:15.lonely. But dogs don't judge so it means somebody has somebody to love

:24:15. > :24:20.who will love them back. The grant of �266,000 will see ten dogs

:24:20. > :24:28.trained every year for the next ten years. Johnny is a former lorry

:24:28. > :24:38.driver injured in a road accident 20 years ago. This Brainy Dog is Hope.

:24:38. > :24:49.

:24:49. > :24:59.Like Faith, the name says it all. Hello. Conditions were perfect last

:24:59. > :25:00.

:25:00. > :25:10.night for watching the meatier shower -- meteor shower. Around this

:25:10. > :25:13.

:25:13. > :25:19.time of year the skies lit up by meteors, commonly known as shooting

:25:19. > :25:29.stars. With clear skies expected tonight you may be able to see more.

:25:29. > :25:33.

:25:33. > :25:36.If you capture it on film, please moment, we did have it first thing

:25:36. > :25:42.this morning. Increasing amounts of cloud have produced some showers. In

:25:42. > :25:46.some parts of the region we are just starting to see the cloud rate and

:25:46. > :25:51.seeing some sunshine. Still the risk of showers over the next few hours.

:25:51. > :25:59.They will track south eastwards, clearing away. After midnight the

:25:59. > :26:04.skies are expected to clear. It will be chilly once again. These are the

:26:04. > :26:07.typical values we could expect but in the extremes we could get down to

:26:08. > :26:13.six or seven Celsius. The risk of one or two isolated mist and fog

:26:13. > :26:17.patches. That is around dawn. We have a light westerly or

:26:17. > :26:26.north-westerly wind. A bright start to the day that we have a net

:26:26. > :26:32.approaching weather front. -- but we have an approaching. That will drag

:26:32. > :26:35.in some humid and muggy air. Expect sunshine tomorrow morning,

:26:35. > :26:40.increasing cloud, but essentially it looks like it will stay dry.

:26:40. > :26:47.Slightly warmer, temperatures climbing a couple of degrees beyond

:26:47. > :26:52.what they got to today. Highs around 22 or 23. The south-westerly wind

:26:52. > :26:56.will continue to freshen, bringing warm, humid air. Tomorrow night will

:26:56. > :27:01.be completely contrasting to tonight. No chance of seeing

:27:01. > :27:09.shooting stars. It will be quite muggy, temperatures around the

:27:09. > :27:19.teens. You can see this weather front moving away for tomorrow

:27:19. > :27:21.

:27:21. > :27:26.night. We clear our patchy rain away, some brightness, perhaps some