:00:07. > :00:09.From inadequate to good in 18 months -
:00:10. > :00:10.how Addenbrooke's Hospital turned its fortunes around.
:00:11. > :00:13.Brexit fears - as big employers from this region
:00:14. > :00:16.tell MPs they can't survive without workers from the EU.
:00:17. > :00:19.High tech in the Far East - the motorsport industry
:00:20. > :00:30.in Northamptonshire looks to China to grow.
:00:31. > :00:35.It's been described as a "remarkable turnaround".
:00:36. > :00:37.18 months ago, Addenbrooke's Hospital in Cambridge was
:00:38. > :00:41.Today, the Care Quality Commission, after a new inspection,
:00:42. > :00:53.Back in September 2015, the hospital was rated "inadequate" for...
:00:54. > :00:54.Poor management, staff shortages,
:00:55. > :01:00.Today, that rating was upgraded to "good".
:01:01. > :01:12.But warnings also to improve childrens' services,
:01:13. > :01:14.and cut the number of cancelled operations.
:01:15. > :01:21.18 months ago, the diagnosis of Addenbrooke's was poor.
:01:22. > :01:25.Patients, we were told, were being put at risk
:01:26. > :01:28.by precariously low numbers of staff and inspectors even went as far
:01:29. > :01:31.as saying bosses had lost their grip on the basics.
:01:32. > :01:33.18 months on, and it has all changed.
:01:34. > :01:38.Being placed in special measures was, say staff, a wake-up call.
:01:39. > :01:40.A hospital once described by regulators as inadequate
:01:41. > :01:46.Today, there is a relief and a recognition of the toll
:01:47. > :01:49.the past year has taken on both staff and patients.
:01:50. > :01:52.Addenbrooke's has a very special place in
:01:53. > :01:57.They rely on it. That was never doubted.
:01:58. > :02:04.We worked hard to talk to everybody - patients, carers,
:02:05. > :02:07.other groups outside the hospital - to reassure them.
:02:08. > :02:09.With staffing levels on the rise, the care provided,
:02:10. > :02:14.Earlier criticism over finances and staffing led to the abrupt
:02:15. > :02:17.departure of this man, Chief Executive Keith McNeill.
:02:18. > :02:22.But a change in management brought about a change in fortunes.
:02:23. > :02:24.We saw a remarkable turnaround in the culture and management
:02:25. > :02:33.I think the problem was really that they had forgotten
:02:34. > :02:35.that they were a District General Hospital,
:02:36. > :02:36.serving the people of Cambridge.
:02:37. > :02:39.Addenbrooke's was and remains one of the world's most
:02:40. > :02:42.renowned hospitals, so when it fell from grace back in 2015,
:02:43. > :02:53.Not least the 900,000 patients it sees every year.
:02:54. > :02:56.Huge improvements have been made, but its Achilles heel remains its
:02:57. > :02:59.chronic shortage of beds and how it responds to rising patient numbers.
:03:00. > :03:01.There is only so much that the hospital can do.
:03:02. > :03:04.If it can identify where blockages are and show it's trying to
:03:05. > :03:13.get patients discharged as safely and as soon
:03:14. > :03:15.as possible, taking action, there is nothing much
:03:16. > :03:18.They cannot control the amount of patients coming in the
:03:19. > :03:21.And it is patients like 82-year-old Keith that depend
:03:22. > :03:26.It has been a month since he was admitted with an aneurysm.
:03:27. > :03:28.I don't expect a 4-star hotel.
:03:29. > :03:31.Everything has been more than satisfactory.
:03:32. > :03:35.But, no, I wouldn't be here without the NHS.
:03:36. > :03:50.Well, a new Chief Executive joined Addenbrooke's just after
:03:51. > :03:54.I asked Roland Sinker how he'd turn things around.
:03:55. > :03:57.The areas that I have been particularly focused on have
:03:58. > :04:00.been listening to our patients, listening to our staff, improving
:04:01. > :04:10.the relationships between the board and our front-line provision of
:04:11. > :04:12.care, thinking very hard about governance, how
:04:13. > :04:15.we run the hospital, and thinking about where the
:04:16. > :04:18.Although all services are now rated as good,
:04:19. > :04:19.there are still some concerns about the
:04:20. > :04:20.environment for children in the
:04:21. > :04:22.emergency department, ensuring children safety.
:04:23. > :04:27.Specifically in relation to children, there are two points.
:04:28. > :04:30.The first relates to the amount of physical capacity - bays,
:04:31. > :04:34.beds, trolleys - that we have in the emergency department,
:04:35. > :04:38.so we can give really timely care to children who
:04:39. > :04:42.come into the emergency department, having had a nasty fall, having some
:04:43. > :04:44.sort of breathing problems, maybe very acute asthma.
:04:45. > :04:47.The second issue relates to the number of beds
:04:48. > :04:52.Most importantly, how many beds we have
:04:53. > :04:57.across the health and care economy, across the county.
:04:58. > :05:05.The headline is that hospital is full,
:05:06. > :05:07.A is full, black alert, sort of thing.
:05:08. > :05:09.How much of that is within your capacity to change?
:05:10. > :05:13.How much is down to councils and social care?
:05:14. > :05:16.We're working very closely with our colleagues in general practice,
:05:17. > :05:22.Within the hospital, making sure we are bringing all our
:05:23. > :05:26.resources to bear to bring the best possible care for patients, sold
:05:27. > :05:28.consultants in respiratory, that anything is needed as soon
:05:29. > :05:38.We are particularly working with colleagues in social
:05:39. > :05:47.care and community services outside the hospital so that when a hot
:05:48. > :05:50.-- when a patient is ready to leave, we are able to get them back
:05:51. > :05:52.into their own setting as fast as possible.
:05:53. > :05:55.Throughout this whole process, the staff here have been universally
:05:56. > :05:59.You are good now, how do you get to outstanding?
:06:00. > :06:02.Which is really about putting doctors,
:06:03. > :06:06.their services and enabling them to be in control.
:06:07. > :06:08.The organisations have got that cracked.
:06:09. > :06:10.Some of the region's biggest employers went to Westminster today
:06:11. > :06:12.to ask for guarantees on migrant labour after Brexit.
:06:13. > :06:15.They say many businesses including farming and home care will struggle
:06:16. > :06:18.to survive if foreign workers aren't allowed to come here.
:06:19. > :06:24.Whether it is harvesting crops, picking fruit are working in our
:06:25. > :06:29.care homes, the region has always been reliant on overseas workers.
:06:30. > :06:33.This is why many employers are worried.
:06:34. > :06:37.Today, some of them laid out the case in Parliament.
:06:38. > :06:39.The director of a company from Ely, which employs 2500 seasonal
:06:40. > :06:45.We would not be able to operate without
:06:46. > :06:55.We employ 55% of those coming from Eastern European markets.
:06:56. > :07:03.We have struggled in terms of recruitment.
:07:04. > :07:05.Their message to MPs is that the future
:07:06. > :07:08.supply of migrant labour is at risk because of Brexit.
:07:09. > :07:10.If free movement is replaced by visas or
:07:11. > :07:11.complicated paperwork, it will put up costs
:07:12. > :07:29.There are signs that EU workers no longer want to work here already.
:07:30. > :07:35.Applications to work have halved this year.
:07:36. > :07:37.There was still be people coming from the European
:07:38. > :07:41.The Prime Minister spoke again today about the importance of migrant
:07:42. > :07:45.She also was the guarantee the right of the EU
:07:46. > :07:48.These are all things which need to be negotiated.
:07:49. > :07:50.For now, there is uncertainty and the message from the region's
:07:51. > :07:52.employers is to please end that uncertainty
:07:53. > :07:57.While many businesses consider their future
:07:58. > :07:59.with or without Europe - in Northamptonshire,
:08:00. > :08:02.The motorsport industry employs 20,000 people in the county,
:08:03. > :08:05.and is worth ?2 billion to the local economy.
:08:06. > :08:09.So how can that be boosted by high tech links to the Far East?
:08:10. > :08:19.Stuart Ratcliffe has been finding out.
:08:20. > :08:22.This company manufactures for the motorsport industry.
:08:23. > :08:24.They are one of a growing number of businesses now located in
:08:25. > :08:25.Northamptonshire's motorsport Valley.
:08:26. > :08:28.There's an atmosphere in the industry here that makes it
:08:29. > :08:32.We find many customers who come to visit has also
:08:33. > :08:34.visit other people on the park and surrounding area.
:08:35. > :08:43.Silverstone is the obvious heart of motorsport Valley.
:08:44. > :08:46.Across Northamptonshire, there are 1000 businesses
:08:47. > :08:47.directly associated with the industry.
:08:48. > :08:49.An hour from here, there are a further 3000.
:08:50. > :08:52.It is no wonder that this whole area is now
:08:53. > :09:04.It is this interest which has prompted this economics lecturer at
:09:05. > :09:08.the University of Northampton to be asked by his home province in China
:09:09. > :09:09.do act as a motorsport trade ambassador.
:09:10. > :09:12.I have no doubt that we will bring in enormous interest from
:09:13. > :09:22.the Chinese investors and the Government as well.
:09:23. > :09:25.They are looking for not only to invest in the UK but as a
:09:26. > :09:28.result of them doing that, I have no doubt that that will bring
:09:29. > :09:37.A conference supporting motorsport Valley is already being
:09:38. > :09:42.Britain has always been an outgoing nation that has done
:09:43. > :09:43.international trade, we should promote
:09:44. > :09:49.Any new Chinese partnership is a way off, but that
:09:50. > :09:58.the world's second largest economy is taking
:09:59. > :10:00.the world's second largest economy is taking interest
:10:01. > :10:03.The Bedford sprinter Nigel Levine is "conscious and stable"
:10:04. > :10:06.According to reports, Levine and team-mate were
:10:07. > :10:08.injured yesterday in Tenerife, riding on motorbikes
:10:09. > :10:11.when they were involved in a crash with an oncoming vehicle.
:10:12. > :10:12.British Athletics staff are with the athletes
:10:13. > :10:14.and liaising with hospital doctors over treatment.
:10:15. > :10:16.That's it from me - I'll leave you with
:10:17. > :10:20.Well, rather cloudy skies across the region this evening.
:10:21. > :10:24.We could see just one or two spots of drizzle further north and west,
:10:25. > :10:27.And that's where the coldest temperatures will be as we
:10:28. > :10:31.About minus two Celsius for a low tonight.
:10:32. > :10:36.But staying just above across northern parts of the area.
:10:37. > :10:41.But Thursday, misty and murky conditions staying with us
:10:42. > :10:44.Best of the sunshine further south and east.
:10:45. > :10:46.Temperatures around average for this time of year -
:10:47. > :10:49.But that mist already returning into Thursday evening.
:10:50. > :10:51.A misty, murky day on Friday as well.
:10:52. > :10:56.Your national forecast is up next, I will leave you with the outlook.
:10:57. > :10:58.That shows dry weather into Saturday, but the return
:10:59. > :11:04.of some sharp frost by Saturday night.
:11:05. > :11:12.the next few days, more sunshine on the way.
:11:13. > :11:19.Despite high-pressure sitting across the country so only slow changes in
:11:20. > :11:25.the weather, we have had a variety of different weathers, for example
:11:26. > :11:28.this beautiful sunset in Southampton which was shared by a Weather
:11:29. > :11:32.Watcher, but grey and misty in Derby thanks to an awful lot of cloud
:11:33. > :11:35.around and very little deviation by day or night from the rather grey
:11:36. > :11:39.routine. That is because we have a weather
:11:40. > :11:42.front, albeit very weak and very little wind to move the cloud and
:11:43. > :11:43.the mist