:00:00. > :00:00.In the programme tonight: a remarkable turnaround
:00:07. > :00:14.as Addenbrooke's Hospital moves out of special measures.
:00:15. > :00:16.We saw a remarkable turnaround any culture and management within the
:00:17. > :00:17.hospital. As the government's plans become
:00:18. > :00:20.clearer, our big employers discuss From the East to the Far East -
:00:21. > :00:24.how Northamptonshire's Motorsport Valley is building hi-tech
:00:25. > :00:34.links with China. And at the wrong end
:00:35. > :00:36.of a giant killing. What next for Ipswich Town
:00:37. > :00:48.as they crash out of the FA Cup? It's been described
:00:49. > :00:52.as a "remarkable turnaround". 18 months ago, Addenbrooke's
:00:53. > :00:55.Hospital in Cambridge was suddenly placed in special measures,
:00:56. > :00:58.inspectors rating Today, the Care Quality Commission,
:00:59. > :01:03.after a new inspection, Back in September 2015,
:01:04. > :01:10.the hospital was criticised for poor management staff shortages
:01:11. > :01:15.and long delays for outpatients. An interim report eight months later
:01:16. > :01:18.showed some progress, with the hospital rated
:01:19. > :01:21.as 'requiring improvement'. Today, that rating
:01:22. > :01:24.was upgraded to "good". There was praise for reduced
:01:25. > :01:27.outpatient waiting times, less reliance on agency nurses,
:01:28. > :01:31.and improvements within management, but warnings also
:01:32. > :01:35.to improve childrens' services and cut the number of
:01:36. > :01:37.cancelled operations. 18 months ago, the diagnosis
:01:38. > :01:44.of Addenbrooke's was poor. Patients, we were told,
:01:45. > :01:46.were being put at risk by precariously low numbers of staff
:01:47. > :01:50.and inspectors even went as far as saying bosses had
:01:51. > :01:54.lost their grip on the basics. Being placed in special measures
:01:55. > :02:01.was, say staff, a wake-up call. A hospital once described by
:02:02. > :02:05.regulators as inadequate is now in Today there is a relief
:02:06. > :02:09.and a recognition of the toll the past year has taken
:02:10. > :02:14.on both staff and patients. Addenbrooke's has a very
:02:15. > :02:16.special place in We worked hard to talk
:02:17. > :02:24.to everybody, patients, carers, other groups at the hospital
:02:25. > :02:28.to reassure them. With staffing levels
:02:29. > :02:30.on the rise, the care provided, Earlier criticism over finances
:02:31. > :02:37.and staffing led to the abrupt departure of this man,
:02:38. > :02:41.Chief Executive Keith McNeill. But a change in management brought
:02:42. > :02:45.about a change in fortunes. We saw a remarkable turnaround
:02:46. > :02:49.in the culture and management I think the problem was really
:02:50. > :02:54.that they had forgotten that they were a District General
:02:55. > :02:58.Hospital, serving people Addenbrooke's was and remains
:02:59. > :03:02.one of the world's most renowned hospitals, so when it fell
:03:03. > :03:07.from grace back in 2015, it took Not least the 500,000
:03:08. > :03:16.patients it sees every year. Huge improvements had been made,
:03:17. > :03:21.but it's Achilles heel remains its chronic shortage of beds and how it
:03:22. > :03:24.responds to rising patient numbers. There is only so much
:03:25. > :03:26.that the hospital can do. If it can identify where blockages
:03:27. > :03:29.are and try and get patients discharged
:03:30. > :03:30.as safely and as soon as possible, there is nothing
:03:31. > :03:33.much more that they can do. They cannot control the amount
:03:34. > :03:35.of patients coming in the And it is patients like 82-year-old
:03:36. > :03:39.Keith that depend on It has been a month since
:03:40. > :03:44.he was admitted with an aneurysm. Everything has been
:03:45. > :03:57.more than satisfactory. So how did they turn things
:03:58. > :04:11.around at Addenbrooke's? Well, a new Chief Executive joined
:04:12. > :04:14.the hospital just after that I've been speaking to Roland Sinker,
:04:15. > :04:20.and began by asking what the 'good' The outcome of today's's
:04:21. > :04:28.report is a huge boost to morale in the organisation because
:04:29. > :04:31.it shows that when we put our shoulder to the wheel,
:04:32. > :04:34.we can deliver really tremendous You can see exactly
:04:35. > :04:39.the same in terms of our financial performance
:04:40. > :04:41.which is also improving in a very The areas that I have been
:04:42. > :04:47.particularly focused on have been listening to our patients,
:04:48. > :04:52.listening to our staff, improving the relationships between the board
:04:53. > :04:56.and our front-line provision of care, taking very hard
:04:57. > :04:58.about governance, how we run the hospital,
:04:59. > :05:01.and thinking about where the Although all services
:05:02. > :05:04.are now rated as good, there are still some
:05:05. > :05:08.concerns about the environment for children
:05:09. > :05:09.in the emergency department,
:05:10. > :05:12.ensuring children safety. Specifically in relation
:05:13. > :05:17.to children, there are two points. The first relates to the amount
:05:18. > :05:21.of physical capacity, bays, beds, trolleys that we have
:05:22. > :05:25.in the emergency department, so we can give really timely care
:05:26. > :05:28.to children who come into the emergency department,
:05:29. > :05:31.having had a nasty fall, having some sort of breathing problems,
:05:32. > :05:35.may be very acute asthma. The second issue relates
:05:36. > :05:38.to the number of beds that Most importantly,
:05:39. > :05:42.how many beds we have across the health and care economy,
:05:43. > :05:45.across the county, so that's children who do need to be admitted
:05:46. > :05:49.into hospital have got timely access to a bed if that's
:05:50. > :05:52.is what is needed. Looking at maternity services,
:05:53. > :05:56.a lot of improvement, but still the report says quite a lot
:05:57. > :06:00.of divergences and risk scenarios. In terms of maternity, we're working
:06:01. > :06:06.very closely with our partner hospitals across the region, to work
:06:07. > :06:10.out exactly how much capacity we need, how many beds,
:06:11. > :06:14.how many midwives, to provide the care to mums who are coming
:06:15. > :06:16.into hospital The headline is that
:06:17. > :06:21.hospital is full, How much of that is within your
:06:22. > :06:30.capacity to change? How much is down to
:06:31. > :06:35.councils and social care? We're working very closely with our
:06:36. > :06:39.colleagues in general practice, community services and social care,
:06:40. > :06:43.and the particular focus is on emergency pathway through
:06:44. > :06:46.the hospital, so this is finding ways to avoid people becoming
:06:47. > :06:50.unwell in the first place, so our colleagues in mental health
:06:51. > :06:54.providers who provide community services, they do
:06:55. > :06:57.very good work reaching Within the hospital,
:06:58. > :07:02.making sure we are bringing all our resources to bear to bring the best
:07:03. > :07:06.possible care for patients, sold consultants in respiratory,
:07:07. > :07:10.that anything is needed as soon We are particularly working
:07:11. > :07:21.with colleagues in social care and commenity services outside
:07:22. > :07:24.the hospital so that when a hot patient is ready to leave,
:07:25. > :07:27.we are able to get them back into their own setting
:07:28. > :07:29.as fast as possible. Throughout this whole process,
:07:30. > :07:32.the staff here have been universally What do you want to
:07:33. > :07:35.say to them today? the past year, a huge thank
:07:36. > :07:38.you to everybody for the very hard Our continued work on what
:07:39. > :07:48.we call organisational development, transformational,
:07:49. > :07:52.continuous improvement, which is really about putting doctors,
:07:53. > :07:55.managers and nurses in command of their services and enabling
:07:56. > :08:08.them to be in control. Yesterday, Theresa May
:08:09. > :08:13.outlined her approach It's a process which could
:08:14. > :08:19.have a big impact on jobs and growth In a moment, the view
:08:20. > :08:23.from Westminster, but first our political reporter Tom Barton has
:08:24. > :08:37.been gauging the response were more than six months after
:08:38. > :08:44.Britain voted for Brexit, the Prime Minister gave us a clear picture of
:08:45. > :08:49.what the likely mean. I propose that it cannot mean membership of the
:08:50. > :08:54.single market. In a room packed with business leaders, those words where
:08:55. > :09:01.one of the hot topics of conversation. I thought the speech
:09:02. > :09:07.was good, it was needed. We been waiting for it. Vague and
:09:08. > :09:11.disappointing. Not unexpected. I thought she was very good. I thought
:09:12. > :09:16.the speech was articulate and well informed. A very coherent speech.
:09:17. > :09:20.Cambridge is one of the few part of our region to have voted against
:09:21. > :09:26.Brexit. Almost three out of every four people here said they wanted to
:09:27. > :09:31.remain in the European Union. Part of the reason is that the science
:09:32. > :09:36.and technology industries which are so important in this economy lie
:09:37. > :09:41.heavily on highly skilled workers coming here from elsewhere in the
:09:42. > :09:47.EU. I'm not sure we learned anything yesterday. For Andrew Lansley,
:09:48. > :09:53.questions still remain for those Cambridge businesses. The speech
:09:54. > :09:56.didn't tell is all we need to know in order to see if it's good to be a
:09:57. > :10:02.success. What is this new immigration system? Is it going to
:10:03. > :10:04.be just the old one? With the same difficulties tried to bring people
:10:05. > :10:11.from abroad big Spears at the moment? For those who have worked
:10:12. > :10:14.with some of Cambridge byes biggest companies there was a sense that the
:10:15. > :10:19.Prime Minister has been listening. People here are used to
:10:20. > :10:25.collaborating right across Europe and across the world in developing
:10:26. > :10:32.new science. I hope the message that she got across, which I think she
:10:33. > :10:38.did, is that we aren't turning our backs on you, we are not walking
:10:39. > :10:42.away. As the Prime Minister pussy final preparations in place,
:10:43. > :10:44.businesses in Cambridge and around the region but be watching closely
:10:45. > :10:47.to see what it means for them. Well, while Cambridge absorbed
:10:48. > :10:49.Theresa May's speech at breakfast, some of our bigger employers
:10:50. > :10:52.were making a direct appeal They want guarantees
:10:53. > :10:56.they'll still be able to employ migrant workers
:10:57. > :10:58.from the European Union They told MPs that, without that,
:10:59. > :11:17.the farms and care homes in the east Whether it is harvesting crops,
:11:18. > :11:21.picking fruit are working in our care homes, the region has always
:11:22. > :11:27.been reliant on overseas workers. This is why employers are worried.
:11:28. > :11:33.Today, some of them laid out the case. The director of a company from
:11:34. > :11:39.Ely which employs 2500 seasonal workers across the fence. We would
:11:40. > :11:43.not be able to operate without access to the European Union. The
:11:44. > :11:50.owner of the chain of fruit farms in Southwark. No restrictions on
:11:51. > :11:58.employing people to pick up crops have meant that we have grown 500%.
:11:59. > :12:04.The boss of a Cambridge care firm. Eastern European markets... We have
:12:05. > :12:08.struggled in terms of recruitment. Their message to MPs is that the
:12:09. > :12:12.future supply of migrant labour is at risk because of Brexit. Every
:12:13. > :12:16.movement is replaced by visas are complicated paperwork, it will put
:12:17. > :12:20.up costs and could discourage staff. There are signs that EU workers no
:12:21. > :12:28.longer want to work here. Applications to work for this
:12:29. > :12:33.company have halved this year. Baulk they don't feel welcome. Most people
:12:34. > :12:39.who have set up homes here send money back, but many of them are
:12:40. > :12:43.worried about the future for their family are so if there are other
:12:44. > :12:48.opportunities to go elsewhere where it is more welcoming than they are
:12:49. > :12:53.now looking at that. There was still be people coming from the European
:12:54. > :12:57.Union when we leave the EU. The Prime Minister spoke again today
:12:58. > :13:00.about the importance of migrant labour poster Brexit. She also was
:13:01. > :13:04.the guarantee the right of the EU migrants living here. These are all
:13:05. > :13:11.things which need to be negotiated. Now, there is uncertainty and the
:13:12. > :13:13.message from the regions employers is to please and that uncertainty as
:13:14. > :13:15.soon as possible. Unemployment in the UK
:13:16. > :13:18.has continued to fall, but this region seems to be missing
:13:19. > :13:21.out on the jobs boom. Figures out today show the East
:13:22. > :13:24.was one of only two English regions to register an increase
:13:25. > :13:28.in the last quarter. More now from our business
:13:29. > :13:33.correspondent Richard Bond. Susie until recently the region's
:13:34. > :13:35.jobs market appeared As the graph shows the unemployment
:13:36. > :13:41.total went into a steady decline after reaching 213,000
:13:42. > :13:45.five years ago. But having touched 112,000
:13:46. > :13:49.in the spring of last year Today's figures showed it
:13:50. > :13:56.at 145,000, a jump of 22,000 A question I put to the woman
:13:57. > :14:03.in charge of job centres across Cambridgeshire,
:14:04. > :14:17.Suffolk and Norfolk. We have seen no increase in job
:14:18. > :14:22.losses across east Anglia, so it is a bit of a mystery. One of the
:14:23. > :14:27.influences may be that universal credit has been rolled out in Great
:14:28. > :14:30.Yarmouth and it is part of a national pilot. This is where our
:14:31. > :14:35.customers, our job-seekers would remain with us whilst they are
:14:36. > :14:41.employed, so that we are helping them to get long-term sustainable
:14:42. > :14:46.employment or perhaps a pay increase, ditched makes them free of
:14:47. > :14:57.benefit. Those customers would be included in the unemployment figures
:14:58. > :15:03.that you are quoting. This is. As pointed out a likely influence on
:15:04. > :15:07.the numbers. We seen a state pension age increased from 60 to 65 and a
:15:08. > :15:12.basis in the sex, this is the effect of women staying in the labour
:15:13. > :15:15.market and not retiring early. It is an effect on women looking for work
:15:16. > :15:21.when our older and increasing the number of work hours to our
:15:22. > :15:24.unemployed. We're told we should be too much into these figures as it
:15:25. > :15:25.will become clear over the next few months with these righties asked to
:15:26. > :15:26.Spain. Andrew Sinclair is
:15:27. > :15:28.at Westminster now. Andrew, plenty for employers
:15:29. > :15:38.to think about today. The right in unemployment is
:15:39. > :15:42.something which they are quizzically concerned about but not losing sleep
:15:43. > :15:47.over. The big concern and the big thing they are talking about is
:15:48. > :15:54.Brexit. In one word that sums it up is uncertainty. How long I be going
:15:55. > :16:00.to have to live with is uncertainty? The answer is sometime, possibly a
:16:01. > :16:05.couple of years. People in the Government say they understand the
:16:06. > :16:09.need to give clarity, and they had their way we'd have migrant workers
:16:10. > :16:16.after Brexit, David guarantee the rights of EU migrants were living
:16:17. > :16:20.here. This is a negotiation with 27 other countries plus the European
:16:21. > :16:24.Commission, this will take time. We don't know what they will ask for in
:16:25. > :16:28.return. Any company which has anything to do with the European
:16:29. > :16:32.Union is going to have to learn to cope with this uncertainty and be
:16:33. > :16:36.patient for some time to come. How can we reduce our reliance on
:16:37. > :16:43.migrant workers? ... That is something which the select committee
:16:44. > :16:47.which was talking to employers was asked today. Why not employ more
:16:48. > :16:54.British ones? The answer is to do with low wages to do with the care
:16:55. > :16:59.sector and the farming sector where profits are lowest wages are low.
:17:00. > :17:04.One big reason given today is that in our region, we do have a very low
:17:05. > :17:08.unemployment rate and all the employers have said it is hard
:17:09. > :17:14.finding English people who are prepared to take jobs in the care
:17:15. > :17:20.sector and in the farming sector. We were told that some companies run a
:17:21. > :17:24.scheme with employment agencies to recruit workers and they got 12
:17:25. > :17:27.people, just employing too. Eventually the local Jobcentre said
:17:28. > :17:30.can you stop wasting their time running schemes like this.
:17:31. > :17:32.The Chief Constable of Cambridgeshire Police
:17:33. > :17:35.says his force has received over 50 complaints alleging child sexual
:17:36. > :17:39.abuse linked to football clubs dating back to the 1980s.
:17:40. > :17:41.Alec Wood says the complaints are linked to a number
:17:42. > :17:49.of individuals at both professional and lower level clubs in the county.
:17:50. > :18:00.We've had in excess of 50 people reporting allegations to us. Some of
:18:01. > :18:03.that is within the county,, summer is outside the county. We are
:18:04. > :18:08.working closely with the formal association and the NSP CC by some
:18:09. > :18:14.reports have come through them. We tackling all of those allegations
:18:15. > :18:18.any serious way. We're listening to the people who are talking to us and
:18:19. > :18:20.we are investigating. There will be offenders who will eventually be put
:18:21. > :18:22.to justice. The Peterborough-based travel
:18:23. > :18:23.company Thomas Cook is bringing thousands of British holiday-makers
:18:24. > :18:25.home from Gambia because of a worsening
:18:26. > :18:27.political crisis there. The Foreign Office is advising
:18:28. > :18:29.people to avoid all but essential Thomas Cook said it was implementing
:18:30. > :18:33.contingency plans to bring home its UK customers over
:18:34. > :18:37.the next 48 hours. The Bedford sprinter Nigel Levine
:18:38. > :18:40.is "conscious and stable" According to reports,
:18:41. > :18:45.Levine and team-mate James Ellington British Athletics staff
:18:46. > :18:49.are with the athletes and liaising with hospital
:18:50. > :18:52.doctors over treatment. Levine, who's 27, is
:18:53. > :18:55.a 400-metre runner who won Still to come tonight:
:18:56. > :19:07.After a freezing night for most of the region last night, will you
:19:08. > :19:10.need your scraper in the morning? And injury time heartbreak
:19:11. > :19:15.for Ipswich as they crash We've heard a lot today about our
:19:16. > :19:24.relationships with Europe, but in Northamptonshire they're working
:19:25. > :19:26.hard to develop business with China, and it's in a field
:19:27. > :19:30.in which the county is world famous. Motorsport employs twenty one
:19:31. > :19:33.thousand people there, and is worth two billion lbs
:19:34. > :19:54.to the local economy. They are one of a growing number of
:19:55. > :19:57.businesses now located in Northamptonshire's motorsport
:19:58. > :20:01.Valley. There's an atmosphere in the industry here that makes it easier
:20:02. > :20:06.for customers to visit. We find many customers who come to visit has also
:20:07. > :20:11.visit other people on the park and surrounding area. Silverstone is the
:20:12. > :20:15.obvious heart of motorsport Valley. Across the Vantage, there are 1000
:20:16. > :20:22.businesses directly associated with the industry. An hour from here,
:20:23. > :20:27.there are a further 3000. It is no wonder that this whole area is now
:20:28. > :20:31.attracting international interest. It is this interest which has
:20:32. > :20:36.prompted this economic lecturer at the University of the Hampton to be
:20:37. > :20:42.asked by his home province in China do act as a motorsport trade
:20:43. > :20:46.ambassador. I have no doubt that we will bring in enormous interest from
:20:47. > :20:52.the Chinese investors and the Government as well. They are looking
:20:53. > :20:59.for to invest in the UK and as a result of them doing that, I have no
:21:00. > :21:05.doubt that that will bring in high and engineering jobs. A conference
:21:06. > :21:10.support motorsport is already being organised. This development is a
:21:11. > :21:14.welcome one. Britain has always been an outgoing nation that has done
:21:15. > :21:18.international trade, we should promote that and do as much as
:21:19. > :21:22.possible. Any new Chinese partnership is a way off, but that
:21:23. > :21:26.the world's largest economy is taking an age of seen by many as
:21:27. > :21:29.Brexit is hugely encouraging. The managing director
:21:30. > :21:33.of Ipswich Town, Ian Milne, has asked fans to stand by manager
:21:34. > :21:35.Mick McCarthy. Last night they were knocked out
:21:36. > :21:38.of the FA Cup in injury time by non league Lincoln City,
:21:39. > :21:50.in front of millions National League leaders have been
:21:51. > :21:56.detained 59 places. The glory of the FA Cup for the link and city, I in
:21:57. > :22:06.for Ipswich town. The manner of the defeat is brutal and as clinical as
:22:07. > :22:12.it gets. Lincoln city I threw? They have knocked out... ! Baguette
:22:13. > :22:16.McCarthy 's face. He has been vilified before but this is a new
:22:17. > :22:21.ball game. Live on national television. It's legend Terry
:22:22. > :22:24.Butcher, scathing. They should be happy and .in the way they played
:22:25. > :22:31.over these two games. Insipid. I'm embarrassed. If I could pick over
:22:32. > :22:38.the carcass, that was just an utter disgrace. FA guys are like that,
:22:39. > :22:42.that's why he you are here. You want to see these upsets use got one
:22:43. > :22:47.tonight. It's great for TV but not great for the club. What next for
:22:48. > :22:52.its whetstone? This morning towers were quick to vent their anger on
:22:53. > :22:59.BBC radio Suffolk. The embarrassment, I don't think that
:23:00. > :23:02.covers it. I most certainly won't be renewing my season ticket. I thought
:23:03. > :23:09.he was doing his best with the squad available. The line-up last night
:23:10. > :23:14.was embarrassing. That will be getting sacked in the morning.
:23:15. > :23:20.Whether that is the case, I can't do anything about that. You're
:23:21. > :23:24.determined to fight on? Of course. I don't like serving that kind of
:23:25. > :23:31.football for the fans, that is to add my four years plus. Enforce the
:23:32. > :23:36.that's just it at the moment. We'll see what happens. Managed DirectX
:23:37. > :23:40.e-mail to the BBC that no one took any pleasure from the performance,
:23:41. > :23:42.but urged fans to get the hang McCarthy and the team. How they
:23:43. > :23:55.respond this weekend in the league will be crucial.
:23:56. > :24:05.A dry day after day. When a way to the north and west has brought a lot
:24:06. > :24:07.of clothes, particularly to Cambridge and parts of
:24:08. > :24:11.Northamptonshire the best of the sunshine today will be down in
:24:12. > :24:16.Essex, quite if you pictures sent in by the weather watchers of the
:24:17. > :24:24.sunrise this morning. We also had a picture of a... Through this layer
:24:25. > :24:28.cloud, formed a little bit of ice which help the cloud disappear in
:24:29. > :24:31.the shape of a whole. For this evening and tonight, a mixture
:24:32. > :24:35.between that cloud in the north and west and clear spells farther south
:24:36. > :24:42.and east. Etihad in the south east where we see the heat releasing
:24:43. > :24:47.ending atmosphere, nothing to N. The cloud will trap the heat N, so for
:24:48. > :24:54.Celsius for places like Peterborough, -4-mac for places like
:24:55. > :24:59.Essex. A sharp frost in south and eastern parts. Tomorrow, similar day
:25:00. > :25:03.to day, cloudy skies in the north-west, brightness farther south
:25:04. > :25:06.and east. A little bit of mist and drizzle across the fence and
:25:07. > :25:12.northern parts of Cambridge. High-temperature is around four five
:25:13. > :25:18.Celsius. Tomorrow, not a lot to change. Into Friday morning, some
:25:19. > :25:23.mist and fog in northern and western areas. Best of any clear spells
:25:24. > :25:27.farther south, that cloud generally drifting further south and east as
:25:28. > :25:37.we go through into Friday morning. Cloudy enter the night. That'll mean
:25:38. > :25:41.tempered is not as close, but -1, -2-mac, you can see this area high
:25:42. > :25:45.pressure is still with us at the end of week. That will bring in largely
:25:46. > :25:52.dry conditions but the remnants of that brand will run south and will
:25:53. > :25:56.see a lot of cloud and further south, it will look like a murky day
:25:57. > :26:01.across northern parts of the region and cloudy than the last few days in
:26:02. > :26:08.the south. Temperatures will be around six Celsius, if you spot near
:26:09. > :26:12.the coast near seven Celsius. Not much to say about the weekend other
:26:13. > :26:18.than rather cloudy sky, the better the sunshine probably around...
:26:19. > :26:19.Milder on Friday night then some very sharp frost in the early part
:26:20. > :26:21.of next week. That is the news and weather from
:26:22. > :26:55.Look can at least. Goodbye. Hello. I hope you're well.
:26:56. > :26:58.I really do. Because if you're not, then chances
:26:59. > :27:03.are the NHS won't be able to