Browse content similar to 04/01/2017. Check below for episodes and series from the same categories and more!
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us, you can keep up to date throughout the night with the BBC | :00:00. | :00:00. | |
In Look East tonight. Full after a festive influx. | :00:00. | :00:07. | |
Hospitals in our region at crisis point again. | :00:08. | :00:09. | |
Doctors warn about the dormant illness with no symptoms. | :00:10. | :00:21. | |
and temperatures dropping overnight, bringing a sharp frost. I will have | :00:22. | :00:24. | |
all the River details. Winter pressures are pushing our | :00:25. | :00:29. | |
hospitals to crisis point. Tonight the Lister, | :00:30. | :00:32. | |
Milton Keynes Hospital, Kettering General and Peterborough | :00:33. | :00:33. | |
are all on "black alert", meaning they are operating | :00:34. | :00:35. | |
at full capacity. And Northampton General has more | :00:36. | :00:42. | |
acute patients tonight than at Stuart Ratcliffe reports | :00:43. | :00:44. | |
on what is causing the surge and The NHS in this region | :00:45. | :00:48. | |
is feeling the pressure. We visited three hospitals today, | :00:49. | :00:58. | |
starting in Northampton, where every year for the last | :00:59. | :01:00. | |
decade, its A department | :01:01. | :01:02. | |
has seen an increase We have shades of black | :01:03. | :01:04. | |
almost now, like most In reality, what does it mean | :01:05. | :01:13. | |
if a hospital is on black alert? It means we stop a lot of things | :01:14. | :01:17. | |
that we would normally do and focus all of our attention | :01:18. | :01:20. | |
on the urgent care situation. We might be stopping | :01:21. | :01:23. | |
some routine operations But we are really spending | :01:24. | :01:25. | |
every degree of effort, discretionary effort, particularly, | :01:26. | :01:28. | |
on sorting this situation out. One particular pressure point this | :01:29. | :01:34. | |
year has been the number of patients problems which could have been | :01:35. | :01:37. | |
avoided had the patients sought help from their GP | :01:38. | :01:41. | |
before infection set in. We had a very large number of people | :01:42. | :01:43. | |
who required some mechanical support on ventilation, | :01:44. | :01:46. | |
which is a technique we can use now. But that got to the point | :01:47. | :01:49. | |
where we had to bring in more ventilators, we had to hire them in. | :01:50. | :01:53. | |
We did that and it was great. People had to change | :01:54. | :01:57. | |
what they were doing, in terms of teams supporting and caring | :01:58. | :02:01. | |
for the very sick people. They did a fabulous job, | :02:02. | :02:03. | |
but it was a lot of hard work. At Addenbrooke's in Cambridge, | :02:04. | :02:07. | |
the hospital is not only it is also now trying to cope | :02:08. | :02:10. | |
with an outbreak of flu. There are ten ward | :02:11. | :02:15. | |
areas currently closed because of patients | :02:16. | :02:17. | |
admitted with flu. We are putting restrictions on the | :02:18. | :02:19. | |
number of visitors to the hospital, in order to reduce | :02:20. | :02:21. | |
the risk Of people bringing flu into the hospital | :02:22. | :02:23. | |
and transmitting that to both Over in Peterborough, | :02:24. | :02:26. | |
the hospital is also struggling. It has gone beyond black alert, | :02:27. | :02:33. | |
operating at 107% capacity. The more patients you have, | :02:34. | :02:35. | |
the more difficult it becomes for us all to give the degree of care | :02:36. | :02:38. | |
and attention that we want for each individual patient. | :02:39. | :02:41. | |
So, it is certainly not a position any of us | :02:42. | :02:48. | |
would like to be in. But we and our system | :02:49. | :02:51. | |
partners are working as hard as we can, to try | :02:52. | :02:53. | |
and get the number down and to try and increase the flow | :02:54. | :02:55. | |
through the hospital and, therefore, reducing the pressure | :02:56. | :02:58. | |
on our emergency department. Our ambulance services | :02:59. | :03:00. | |
are also under pressure. Both the East of England and South | :03:01. | :03:02. | |
Central seeing a surge in demand. The largest increase has been | :03:03. | :03:05. | |
in the East Midlands. Over the Christmas | :03:06. | :03:09. | |
and New Year period, the number of red calls, that is, | :03:10. | :03:11. | |
potentially life-threatening calls, doubled and, in the first | :03:12. | :03:15. | |
six hours of 2017, the ambulance service received | :03:16. | :03:17. | |
1,153 emergency calls. What ambulance trusts | :03:18. | :03:24. | |
and hospitals fear now is a sharp drop in temperature, | :03:25. | :03:26. | |
which would undoubtedly bring Earlier, I spoke to Dr Adrian Boyle, | :03:27. | :03:28. | |
from the College of Emergency Medicine and a consultant | :03:29. | :03:40. | |
at A at Addenbrooke's, and asked why winter pressures this | :03:41. | :03:41. | |
year are so bad. This situation has been | :03:42. | :03:46. | |
building for a long time. We simply do not have enough beds | :03:47. | :03:49. | |
and we are seeing real problems within social care, | :03:50. | :03:52. | |
which means that outr Part of the reason for that is | :03:53. | :03:56. | |
that we just cannot get people The advice to patients can be | :03:57. | :04:01. | |
confusing, because you sometimes get told to stay away | :04:02. | :04:05. | |
from A, but when you phone 101, you are often instructed | :04:06. | :04:08. | |
to go to A Do patients receive | :04:09. | :04:10. | |
a clear enough picture? These diversionary strategies, such | :04:11. | :04:11. | |
as do not go to A, do not work. This is not really about people | :04:12. | :04:15. | |
who should or should not be going to A, | :04:16. | :04:22. | |
but is actually about people There is a big | :04:23. | :04:24. | |
difference between that. WHat about the longer term? | :04:25. | :04:28. | |
In 12 months' time, we do not want to be back | :04:29. | :04:30. | |
in this situation again. Is it just a question of resources, | :04:31. | :04:33. | |
to build more wards? The UK just does not have | :04:34. | :04:36. | |
enough hospital beds. We actually have the least | :04:37. | :04:38. | |
number of beds, per head of population, than any country | :04:39. | :04:40. | |
in Europe, except Sweden. And in Sweden, social | :04:41. | :04:46. | |
care is much better. We need more hospital beds | :04:47. | :04:48. | |
and we also need better social care, so that we can use our | :04:49. | :04:52. | |
expensive hospital beds sensibly. How can that happen? | :04:53. | :04:56. | |
We keep hearing that the health services are having to make big | :04:57. | :04:58. | |
efficiences all the time. You cannot really make | :04:59. | :05:01. | |
us more efficient. We have had all the fat trimmed | :05:02. | :05:02. | |
and now we are at the stage A 38-year-old man is being held | :05:03. | :05:06. | |
by police in Cambridgeshire in connection with a fatal collision | :05:07. | :05:12. | |
which left two men dead. The incident happened | :05:13. | :05:15. | |
in Yaxley near The men, who have not been | :05:16. | :05:17. | |
formally identified, The victims are believed | :05:18. | :05:19. | |
to be in their late Officers searching for the driver | :05:20. | :05:23. | |
of an abandoned BMW arrested a man It has been revealed that a level | :05:24. | :05:27. | |
crossing in Bedfordshire where a driver died yesterday | :05:28. | :05:36. | |
was due to be replaced The man's car was hit by a train | :05:37. | :05:38. | |
close to Lidlington, near Marston Moretaine, | :05:39. | :05:41. | |
at around ten o'clock British Transport Police | :05:42. | :05:43. | |
are investigating. Network Rail say a consultation has | :05:44. | :05:45. | |
already started to find a suitable The line is due to be upgraded, | :05:46. | :05:48. | |
as part of plans to improve east-west rail links | :05:49. | :05:52. | |
between Bedford and Cambridge. A leading supporter of the Leave | :05:53. | :05:58. | |
campaign in last year's EU referendum has told | :05:59. | :06:00. | |
Look East he is worried Peter Bone, the MP for | :06:01. | :06:02. | |
Wellingborough, says members of the establishment are hoping | :06:03. | :06:05. | |
to delay the process indefinitely. He says he will be pushing | :06:06. | :06:08. | |
the Prime Minister to proceed We know there are certain people | :06:09. | :06:10. | |
in Parliament who have made it clear that they don't accept the result | :06:11. | :06:21. | |
and they want to play the long game. The longer before the exit | :06:22. | :06:24. | |
from the EU, there's more chance of some event occurring | :06:25. | :06:27. | |
which would stop it. Doctors in Peterborough | :06:28. | :06:34. | |
say they are seeing a growing number of patients | :06:35. | :06:36. | |
with "sleeping tuberculosis". Unlike active TB, | :06:37. | :06:38. | |
there are no symptoms But health chiefs are keen | :06:39. | :06:40. | |
to ensure the bug does not develop - or "wake up". | :06:41. | :06:44. | |
Mousumi Bakshi reports. It is an airborne infection | :06:45. | :06:52. | |
that affects the lungs. Tuberculosis was a big | :06:53. | :06:54. | |
killer in this country Fast-forward to the 21st century | :06:55. | :06:56. | |
and so-called sleeping tuberculosis As long as we pick it up | :06:57. | :07:03. | |
early, it shouldn't cause At this clinic in Peterborough, | :07:04. | :07:09. | |
patients deemed to be at risk from the latent infection | :07:10. | :07:12. | |
are being invited in for screening. There is a lot of different groups | :07:13. | :07:15. | |
coming to Peterborough, so obviously, as their doctors, | :07:16. | :07:17. | |
we really want to protect them and we also want to protect our | :07:18. | :07:20. | |
other patients, as well. So, I think, finding a disease | :07:21. | :07:23. | |
like latent TB early and treating it helps protect both the patients, | :07:24. | :07:26. | |
but also the rest of The vaccine for TB was phased out | :07:27. | :07:28. | |
a decade ago, but rising levels of migration from high-risk | :07:29. | :07:33. | |
countries has seen health bosses in Cambridgeshire introduce a pilot | :07:34. | :07:36. | |
screening programme. We have got about 12 practices | :07:37. | :07:41. | |
involved across Peterborough and the pilot has been | :07:42. | :07:43. | |
running since May. We have had a fantastic | :07:44. | :07:45. | |
response from our GP teams. They have screened over 250 people | :07:46. | :07:47. | |
and we have now got 30 people in treatment for the latent form | :07:48. | :07:50. | |
of the disease that, otherwise, would not have known | :07:51. | :07:53. | |
that they had it. One of 60 programmes in the country, | :07:54. | :07:59. | |
it has sent in the highest number Data from the region's clinical | :08:00. | :08:03. | |
commissioning groups show that between 2013 and 2015, there were, | :08:04. | :08:06. | |
on average, 26 cases of TB detected in Milton Keynes, | :08:07. | :08:09. | |
42 across Northamptonshire, 63 in Luton, and 85 | :08:10. | :08:15. | |
in Cambridgeshire - the highest number in this | :08:16. | :08:17. | |
part of the region. It is estimated that a third | :08:18. | :08:24. | |
of the world's population is infected with latent | :08:25. | :08:26. | |
TB and one in ten goes A century ago, TB was a big | :08:27. | :08:29. | |
problem in this country, but improved housing and sanitation | :08:30. | :08:33. | |
has seen a stark drop in figures. Scientists in this Cambridge | :08:34. | :08:36. | |
laboratory have sequenced the TB genome, looking at drug-resistant | :08:37. | :08:44. | |
bugs, in order to find In the United Kingdom, | :08:45. | :08:46. | |
the rates of tuberculous have declined over the last few years | :08:47. | :08:54. | |
and, I think, last year, there were about 6,000 cases, | :08:55. | :08:56. | |
which was down from about But tuberculosis has never | :08:57. | :08:59. | |
disappeared from the UK and is unlikely to do | :09:00. | :09:03. | |
so in the foreseeable future. While latent TB is not contagious, | :09:04. | :09:05. | |
doctors are urging people who have settled in this country in the past | :09:06. | :09:08. | |
five years to be tested, in order to help eradicate this | :09:09. | :09:12. | |
once-widespread illness. A writer from Cambridge has won | :09:13. | :09:23. | |
a major award for his first novel. Francis Spufford is best-known | :09:24. | :09:26. | |
for reference books But his latest publication, | :09:27. | :09:28. | |
Golden Hill, is his And it has won the Costa Book Award | :09:29. | :09:31. | |
for a debut novel. He told us it had taken him | :09:32. | :09:35. | |
years to finally pluck up I always thought I had | :09:36. | :09:38. | |
an appointment with fiction, Cowardice held be back for years | :09:39. | :09:45. | |
and years and years. It is only now, in my fifties, | :09:46. | :09:49. | |
that I felt that I would not make a total fool of | :09:50. | :09:52. | |
myself if I did it. And that is the late | :09:53. | :09:58. | |
news from Look East. We are back with news updates | :09:59. | :10:00. | |
during BBC Breakfast tomorrow morning from 6.30am, | :10:01. | :10:02. | |
but from me and the team here, goodnight and I will leave | :10:03. | :10:05. | |
you with the weather from Alex. Hello. | :10:06. | :10:08. | |
A cold night is expected for tonight, with clear skies | :10:09. | :10:09. | |
expected across much of the region. There have been one of two showers | :10:10. | :10:12. | |
over northern areas, but they will fade away | :10:13. | :10:14. | |
and we will be left with really Temperatures down to minus 2-3 | :10:15. | :10:17. | |
Celsius in many places and perhaps We start the day | :10:18. | :10:21. | |
tomorrow on a cold note. But high pressure is building across | :10:22. | :10:24. | |
the British Isles through the day. Certainly, a frosty | :10:25. | :10:27. | |
start for all of us. Possibly, one of two showers first | :10:28. | :10:29. | |
thing across northern parts, but it is looking essentially | :10:30. | :10:32. | |
like a dry day, with some long spells | :10:33. | :10:34. | |
of wintry sunshine. We have still got a northerly | :10:35. | :10:35. | |
breeze, but a lighter breeze But for some of us, temperatures not | :10:36. | :10:38. | |
getting much above 3-4 Celsius, despite the sunshine. | :10:39. | :10:43. | |
So, certainly a cold feel to things. The national weather coming up, | :10:44. | :10:46. | |
but here is the outlook. Rain pushing in on Friday. | :10:47. | :10:48. | |
We are expecting wet weather later on Friday. | :10:49. | :10:50. | |
A milder air mass coming in for the weekend, so looking | :10:51. | :10:52. | |
milder, with a lot of cloud around. two and turning milder into the | :10:53. | :11:03. | |
weekend. | :11:04. | :11:07. |