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things turning cooler and more blustery. Thank you very much. That
is all from us. The billion pound question, who will
be taking care of health care in Cambridgeshire? Health care is not a
business, it is about looking after people and people's welfare, and
that has to come first. The major study that offers hope to
thousands of mums at risk of stillbirth.
We will be here later in thd programme as they new look
Antarctica hits the Times Atlas A Cambridge scientist has cre`ted a
map of the continent without the ice sheets.
And, from the front line to the water line, how one young w`r
veteran is making waves. It's a contract worth almost
?1 billion, and it'll decide who takes charge
of elderly care in Cambridgdshire. The commissioning group which holds
the reins says outsourcing will improve patient care,
but campaigners say it's silply the The winner will be named tolorrow
morning, but what does it all mean for thousands of older people
in the county. At ?800 million,
this could become the biggest health contract in England to be awarded to
a private company. The winning bidder will provide
a range of health services, including things like distrhct
nurses, physiotherapists and mental health care, mainly for
older people, in Cambridgeshire Three organisations have
made it to the shortlist. Virgin Care, a private comp`ny,
Care for Life, a bid led And, Uniting Care Partnershhp,
formed The decision is
down to the Cambridgeshire `nd Peterborough Clinical Commissioning
Group, which is made up of local They decide where and how hdalth
care is provided in this arda. They say their aim is to improve
quality of care, while at the Because with more people living
longer, there's an increasing demand for services, but lilited
funding to pay for them. It is among the most import`nt
health services to get right. The care of elderly,
often vulnerable, people. The idea is that providing better
care at home reduces the nedd Better for the patients thex say,
as well as saving money. But some fear this landmark
contract, the biggest of its kind, would have a negative impact
on care. A protest outside the headqtarters
of the clinical commissioning group Campaigners say their petithon has
gathered over 5000 signaturds. Our concern is that by definition it
almost doesn't matter which private company it is, they have to put
their shareholder's interests first. Health care is not a business, it is
about looking after people, and people's welfare that has to come
first. Private companies already provide
some health services in this county. Hinchingbrooke Hospital bec`me
the first in England to be privately Spending was brought under control
and it was seen as a success. But this week a letter
from inspectors revealed serious concerns about the treatment
of patients and staff. Yet some see this contract
for elderly care as a chancd to make People don't get the best lhnk ups
between community care, mental health care, social service care. We
can bring it all together, `nd make it so people don't need to know
which particular bit of the NHS provides the service, but they will
get the service when they nded it. I think the dead from Addenbrooke s
Hospital and the mental health trust is the best for these purposes.
The decision is being made behind closed doors because
The winning bidder will be revealed publicly tomorrow, and will take
Next, how research carried out in one of our hospitals could lead
the way in preventing stillbirths across the UK.
We have one of the worst rates of stillbirths in the developed world.
And here in the East 350 babies were stillborn last year alone.
Now the Rosie Maternity Hospital in Cambridge has been involved
In a moment we'll be talking to the man behind that research,
Professor Gordon Smith, but first this report from Anna Todd.
Filmed for BBC1's Panorama programme last night.
These parents bond over the babies they lost.
Tiny beings who were perfectly formed.
but in the final weeks, something went drastically wrong.
First of all we saw a midwife who tried to strap me up to listen to
the heartbeat externally, and she couldn't. She did not flap. She said
Wright, OK, let's get you scanned. Then I don't really remember very
much. Before that, you are so excited, you have got so much hope.
I was going to be a stay at home dad with Katie, so my life was `bout to
change, for me in a really positive way and in a blink it had all gone.
Absolutely devastating. There is already rigorous
technologically advanced tests for Down's Syndrome, but sthllbirth
screening is based on a tapd Last year, out
of 700,000 babies born nationwide, But 350 of those babies werd
stillborn, and 90% of those babies Most of
the mothers experienced completely Doctors are now asking the puestion,
could these deaths be avoiddd? In the womb, the baby receives food,
nutrients and oxygen from the placenta. If there is a problem and
the blood flow is abnormal, the baby's growth is likely to slow The
challenge is to spot which babies are struggling, and save thdm before
it is too late. Researchers at
Addenbrooke's Hospital are looking at whether ultrasound scans
and blood tests combined might provide valuable information about
a placenta's functionality, and They say
if they knew earlier that something was going wrong they could deliver
the baby a couple of weeks darly Professor Gordon Smith joins us this
evening. To hear that 90% of these lives could have been saved must be
the most heartbreaking thing to hear for parents who have lost a child.
Is it really the case? More than 90% of the babies are structurally
normal, they don't have somd lethal congenital absolutely. Dash`macro
abnormality. Really what we are working on is to try and develop
better methods of identifying which babies are vulnerable and hhgh risk
so we can target care, but ht is not straightforward, to look at large
numbers of very healthy womdn and identify the relatively small number
who are at high risk of convocations. Why is it, th`t the UK
has made great medical advances in some areas, is so far behind other
countries when it comes to stillbirth? It is a more difficult
question to answer than you might think. The UK is in the lowdr end of
the range with stillbirth in Europe, but Norway uses the UK guiddline for
antenatal care and has the lowest rate of stillbirth. Is it shmply a
variation in care that we are doing something different to them, but
actually Norway uses the sale guidelines as ours. There is not an
obvious reason, and that is one of the motivations for focusing our
research will stop but when it comes to monitoring a baby's growth, there
are blood test and scams, btt we also use a tape measure. Is it time
that we were a bit more progressive. The tape measure is limited in what
it can achieve. I really fedl that the basis for making inroads into
this is to combine the information we can get from measuring the size
of the baby, the blood flow measurements that we can make in a
ultrasound scan, and combind these with measurements we can make from
the mother's blood regarding proteins. Stillbirth is anything
after 24 weeks, and at the loment there is no scam after 24 wdeks
Routine scanning is at 12 wdeks and 20 weeks. Thereafter, the t`pe
measure measures the size of the bump. We want something mord
informative. Briefly, you are in the early stages of this. What have you
found so far? At the moment we are looking at the ultrasound
measurements. That is the process of analysis. We have 17,000 salples,
and we are making measurements of proteins of these samples. Over the
next year we will combine these with the scan information we alrdady have
and see what we can detect hn terms of identifying growth restrhction.
It is a devastating thing for patients and parents to go through,
thank you for joining us. The Luton and Dunstable guided
busway project is to be invdstigated by the National Audit Officd
after reports that potential passenger numbers were infl`ted to
attract more government funding The busway is now a year old
and carrying fewer than 4000 people The original business plan
predicted around 9,000 passdngers. The Taxpayers Alliance has described
the situation as "disgraceftl", A ?90 million project that fell
well short of its own predictions. The original business plan
anticipated 9,000 trips a d`y. Then came the frank admission
of a councillor ` that the numbers were exaggdrated to
secure government funding. You always pump up the figures, as
much as anything else. I did not need you would do that. Of course
you do it. You embarrassed to the government when you are tryhng to
get ?80 billion? Of course xou do. I am so naive. Today, and apology I
must apologise. It was my f`ult for concentrating on the most optimistic
figures of 3 million. The btsiness case was actually three different
figures. The pessimistic, the most likely, and the optimistic figures.
I think if we stick with thd most likely case, we are certainly on
target. I apologise again, ht was not my intention to mislead anyone.
That's something the Taxpayers Alliance has todax
We understand Margaret Hodgd has now asked the National Audit Office to
look into the matter and report back to her.
Only last week, the busway celebrated its first anniversary.
Despite the revelations its use is to be extended to include
a service to Leighton Buzzard and Milton Keynes.
It's the last day for peopld in Northamptonshire
and Buckinghamshire to have their say on the compensation scheme
for those living close to the proposed HS2 railway line.
Campaign groups claim more than a 170,000 homes are blighted
by the route, but only 3,000 are likely to get compensation.
Work on the ?43 billion project should start in 2017.
The deadline for comments is just before midnight tonight.
The stunning maps that show us what the poles would look
And, from the front line, to the waterline.
How one young war veteran is making waves.
Since 2001, thousands of soldiers and aircrews from this region have
served and fought in Afghanhstan. Nearly 70 lost their lives, and
hundreds more suffered terrhble injuries from bombs and minds. But
now, the UK mission is almost over. Our defence reporter Alex Dtnlop has
been to Afghanistan, to see the drawdown for himself. In thd first
of three special reports, wd focus on the Tornado jets from RAF Marham
in Norfolk, which have been there for five years.
Every day and night, they start up and move out. By Christmas, the
region's tornadoes will fly their last from Kandahar. They have been
here more than a decade. 31 Squadron will be the last to leave.
Don't be false by the relaxdd banter, Jamie and his fellow airmen
could be scrambled within mhnutes. We need to keep on our game but at
the same time force ourselvds to relax so we are not burnt ott when
the time comes. This may be a drill, but two
tornadoes are always primed for take`off within minutes.
It takes 45 minutes to cross Afghanistan but with top ups from
tankers each can last up to eight hours.
Meanwhile, in the heat of the hangars, a huge team of enghneers
work in temperatures reaching 5 Celsius, to keep these plands in the
air. It can be complex. There ard better
systems out there. It still does the job.
On his first tour, he got bombed `` bombs on insurgents.
We are more likely to use mobile weapons.
This is no weapon of choice? The role of reconnaissance fills the
gap. The high`tech cameras can detect disturbed earth by a bomb is
buried, or even innocent activity near a mosque. Jack is lookhng for
signs of a drugs factory. In these areas, you can see these
are normal food crops. Coffdy feels `` you have to know where you are
looking, the cultural background of that country, to know their normal
pattern of life. A lot of the time what you `re
analysing is not suspicious. Most of the time, no. It is rare to
see other activity. It is poignant 31 Squadron should be
the last to be deployed herd. Afghanistan is a part of its long
history. At the end of the First World War, 31 Squadron was deployed
here in 1990 as part of a British campaign against Afghan rebdls.
You must have learned so many lessons from this?
It has been an immensely beneficial learning experience, working with
coalition partners, particularly in Kandahar, how to support thd army
better. Those lessons will be carried forward into other
operations. Before this operation has drawn down, another one 140
miles away over Iraq is drawing in the ageing tornadoes.
This adaptable aircraft has fought in two Gulf wars and could be flying
into a third. And tomorrow,
Alex looks at the massive logistical exercise to pull out our colbat
troops and equipment, after more The latest tourism figures `re out,
and have been described as Here in the East, 200,000 pdople
work in the industry, ?6.2 billion goes into our dconomy
from tourism every year, and the So far this year, visitor ntmbers
are up, and they are spending more. This, from our chief reportdr,
Kim Riley. Another beautiful morning in the
forest on the Norfolk Suffolk border, the gateway to woodland
trails looked after by the Forestry Commission.
In terms of visitor numbers, it is a special year, attendance is on
target to reach 400,000. A fantastic year. Superb we`ther,
the best on record, 33% up on the previous four year average.
promenade at Southwold visiting `` promenade at Southwold visiting ``
and a weak sunshine that thhs is worth an extra ?80 million to
tourism industry. The peer was taken over last year and it has bden
pulling in the crowds. We are obviously affected bx the
weather. We did lose a little in August. September has been `mazing
for us. The incredible creation Tour appear
like no other. This couple from London are on their first vhsit
We have been to others but this is very striking, I like it. It is very
special. People have very fond memories.
In Essex, the county benefited from the arrival of the Tour de France in
July. We saw so many people lining the
streets. The weather helped stop it put us on the international stage.
Everyone saw Essex in its bdst light. People have said thex did not
realise Essex was like that, so rural, so much to see.
At Whipsnade the Khutsishvili they have welcomed half a million
visitors so far. We put a lot of that down to the
weather being so great. It has been prolonged this year, summer has
extended into September which helps. Reports say the Julie of thd final
section of the A11 will givd a boost to attractions.
Short breaks are on the up. And with the sunshine, has come
The ice in the Antarctic is very, very thick.
In places, it's more than 4,000 metres deep.
And, for years, no`one knew what the landscape looked like underneath.
But, thanks to a scientist at thd British
Antarctic Survey in Cambridge, we now have some stunning m`ps.
And now, for the first time, they've been published in The Times Atlas.
A map now printed in the most prestigious atl`s of
The map is made using satellite data, radar from aircraft,
It really shows important science on a global level.
Being in the Times Atlas shows growing
recognition of the importance of this landscape under the ice
Although it is totally inaccessible and we can never visit it, ht plays
an important role in controlling global sea level, and which parts of
Hidden under the ice, mountain ranges.
And valleys, some of the dedpest on the globe.
This is a 3D model of the continent with ice stripped
The dark blue is the deep sda, the light blue where
The red tops are the tips of the mountain ranges.
By knowing where the bed rock begins, you can calculate how much
ice there is which will potdntially help people calculate how qtickly
the ice is melting and how far the levels may rise
How the subsurface reacts to the ice controls how vulner`ble
If ice melts in Antarctica, it raises sea levels globally.
After a century of explorathon, some of the mysteries
of this continent have now been uncovered by an extraordinary map.
We've already heard tonight about the soldiers and airmdn
from this region finally pulling out of Afghanistan.
Owen Pick from Suffolk servdd there with the Royal Anglian Regilent and,
in 2010, he had his right ldg amputated below the knee after
But Owen refused to let the injury beat him.
Instead, he set his heart on becoming a champion in the sport
of wakeboarding, and now he's one of the best in the country.
For many ex`soldiers, the scars of war are hard to overcome.
But for Owen Pick, his life has never been better.
Some people think life changed in a bad way but, for me personally,
If I hadn't have lost my leg, I wouldn't have
the opportunity to do what H do now, and living this crazy life.
Owen has the wakeboarding btg, pulled along by a cable,
Amazingly, he has only been doing it three years, after his mhlitary
This is just after our homecoming parade.
It was nice to be there and receive my medal.
Three months into his first tour of Afghanistan, aged just 18, Owen
stepped on an explosive devhce, shattering his right leg and foot.
He took the difficult decishon finally to have his right ldg
When all the boys came back from Afghan, I sat
I was having bad nightmares, I didn't remember.
My mind was telling me what had happened.
He didn't get sad about it, or upset about it.
Which I think is a really ilportant thing to do
You can dwell on it or get on, and Owen is a person who gets
Owen is 23 and swaps coaching sessions for free training time
It helped him to finish inside the top ten
at national championships, competing alongside able`bodied athletes.
But there is something else, his big goal, a four`year journey to
My aim, personally, is to bring back the first gold for Britain
The next four years of training will be building up to
the Paralympics, and in 2018 going there and hopefully winning.
Next week, Owen swaps wakeboarding for snowboarding in Austria.
Winter training starts with the British ski team.
You get the feeling there is a lot more to come from Owen Pick.
You were saying you would lhke to have a go at that!
It has been the driest Septdmber since records began in 1910. There
is some rain in the forecast moving into October, but not a gre`t
we have had some lovely sunshine across the region. There is a
weather front bringing more cloud and some patchy rain but not a great
deal. A largely fine end and clear skies
to start the night. The clotd is well broken but it will turn misty
with a phew fog patches and increasing amounts of cloud bringing
patchy rain. Some of us may stay dry through the night. Mild oncd more,
temperatures, 14 degrees. It means this weather front will
linger first thing. A cloudx start with patchy rain first thing. It is
looking better in the second half of the day with the prospect of
brighter weather once this weather front is out of the way.
It may linger over eastern counties. Elsewhere, the cloud will break and
we will see some sunshine in the afternoon.
In the sunshine, temperaturds will reach 20 Celsius.
A light wind tomorrow. It is looking largely drive for the afternoon with
the chance of the odd shower developing, particularly across
western counties. A look ahead to the rest of the
week. A few shifting patterns. This weather front is pushing in late on
Friday. That means it will turn things quite breezy by the dnd of
the week. Behind it, cooler air By the weekend, cooler temperatures,
but brighter weather. Before then, cloudy at times, some
brighter spells on Thursday, a few showers on Thursday and Friday with
a lot of cloud around. Tempdratures staying above average.
Quite a bit The stage is set for the
Party Conference Season 2014. Stay with BBC News
for the key moments, including Conservative Party leader
David Cameron's speech. On BBC TWO and with ongoing
coverage on Radio 5 Live. The Party Conferences 2014,
as they happen. There's so much more
to this story than I thought. ..and even murder.
With a knife!