:00:00. > :00:15.The super CEO Clare Panniker is the first to be in charge of three
:00:16. > :00:22.hospital trusts. Clearly managing the complex businesses with a
:00:23. > :00:26.turnover of nearly ?900 million does require significant management but
:00:27. > :00:31.this is not about paying people three times the amount they were
:00:32. > :00:37.paid before. An inquest hears how the uncle of lottery winner Michael
:00:38. > :00:41.Carol was caught shooting his wife. After this Paralympic and wet
:00:42. > :00:46.herself won a train because the disabled toilet was out of order,
:00:47. > :00:52.you told us disabled facilities are not good enough. And I will be
:00:53. > :00:54.exploring one of Cambridge's hidden treasures. Very little has changed
:00:55. > :01:04.in this Victorian house. It's been confirmed today three
:01:05. > :01:08.hospital trusts in Essex are under Clare Panniker is the first person
:01:09. > :01:12.in the country to run three It's a dramatic move to redesign
:01:13. > :01:18.healthcare in Essex. Clare Panniker already runs
:01:19. > :01:22.the trusts in Basildon and Thurrock, Mid Essex, which includes
:01:23. > :01:24.Broomfield Hospital, In a moment, we'll hear
:01:25. > :01:30.about the pressures on the health but first Katherine Nash
:01:31. > :01:45.reports on Clare Panniker's Clare Panniker is used to taking on
:01:46. > :01:50.a challenge. Over the past five years, she has taken over the
:01:51. > :01:56.running of not one but two failing hospitals. Basildon was in special
:01:57. > :02:01.messages when she became the boss. Two years later she was rated as
:02:02. > :02:07.good. Last year she took on another hospital Broomfield in Chelmsford.
:02:08. > :02:13.Health inspectors said it's A was inadequate and services were unsafe
:02:14. > :02:17.but in its latest report, it was told health care was good. News of
:02:18. > :02:23.Clare Panniker's appointment at Southend comes as no surprise. She
:02:24. > :02:27.has been heading up a success regime exploring how all three hospitals
:02:28. > :02:32.can work more efficiently together. We know health and care in Essex has
:02:33. > :02:38.to change. There will be concerns, it is a big job being responsible
:02:39. > :02:44.for three hospitals. The most important thing is this presents an
:02:45. > :02:48.opportunity to look at whether services can be improved through
:02:49. > :02:54.that combined leadership. It comes as NHS services in Essex like
:02:55. > :02:58.elsewhere in the region are being reorganised. What is happening
:02:59. > :03:03.generally around the country is increasing the organisations working
:03:04. > :03:06.more closely together, they recognise the impact on one health
:03:07. > :03:11.organisation, whether that be a hospital or community group has an
:03:12. > :03:16.impact on others in that area. It makes sense to collaborate and work
:03:17. > :03:21.together to try and get the best for patients. A bit like a super had
:03:22. > :03:28.brought in to help failing schools to panic is the country's first
:03:29. > :03:32.chief executive to head up three NHS trusts. It is a big job as all three
:03:33. > :03:37.hospitals are struggling with costs and demand.
:03:38. > :03:44.This afternoon I spoke to Clare Panniker and asked whether this was
:03:45. > :03:51.all about saving money. No. Obviously that is part of our plan,
:03:52. > :03:54.to try and get the whole health economy back into financial balance
:03:55. > :03:59.because we know we cannot afford to spend the money we are currently
:04:00. > :04:03.spending, but what we have been working on for quite some time is
:04:04. > :04:08.how we work together as three hospitals to provide a better
:04:09. > :04:13.quality of service to the patients. You will know being a Chief
:04:14. > :04:19.Executive of two hospitals how big a job that is. How feasible is it to
:04:20. > :04:23.do that across three sites? Each of the three will have a managing
:04:24. > :04:31.director who will have a team that will be responsible for the running
:04:32. > :04:35.of the hospital. BA and E, the waiting lists the financial
:04:36. > :04:40.performance of each of the sites. It is not about one person doing
:04:41. > :04:44.everything, it is about having a team both locally and across the
:04:45. > :04:49.three hospitals that will enable us to put everyone in the same
:04:50. > :04:55.direction. I am assuming you will not get three salaries for doing
:04:56. > :04:59.three jobs. No, that would be inappropriate. We are trying to
:05:00. > :05:07.ensure we contain management costs so we not spending more on expensive
:05:08. > :05:14.people. You have been recognised as doing a good job at Basildon,
:05:15. > :05:19.turning it around in short time, but the finances are still in a very
:05:20. > :05:23.tricky state. Is this a decision you have to make, are you spend the
:05:24. > :05:29.money and get a good rating or balance the books and rest not
:05:30. > :05:33.getting a good rating? We have to balance the quality of care, the
:05:34. > :05:39.workforce issues, the money, it is all about juggling trying to get the
:05:40. > :05:44.optimal results with the resources you have got. Money is a real issue,
:05:45. > :05:50.but this is about saying how we can reduce duplication, use our scarce
:05:51. > :05:55.specialist off better but maintaining good local access for
:05:56. > :05:59.patients. You can understand why patients might be concerned. How can
:06:00. > :06:04.you reassured them that they will get a better service as a result of
:06:05. > :06:10.this when you are needing to save ?100 million just in this financial
:06:11. > :06:13.year? We need to have an honest conversation and we have begun to do
:06:14. > :06:18.that about the types of difficult choices we might have to make, but
:06:19. > :06:23.we know providing small services on three sites when we have in adequate
:06:24. > :06:28.workforce numbers means patients are not getting the best deal today. We
:06:29. > :06:33.want to get the benefits without getting locked up in two years of
:06:34. > :06:39.bureaucratic process. This is not a merger? We have a joint working
:06:40. > :06:43.board that has representation from the non-executives and executives
:06:44. > :06:44.and we have agreed how we will work differently but it is not a formal
:06:45. > :06:46.merger. The health service across the region
:06:47. > :06:49.continues to struggle It's felt across the board
:06:50. > :06:52.from GP surgeries Robby West looks at a service
:06:53. > :07:08.struggling to cope. This morning, eight ambulances were
:07:09. > :07:18.queueing outside Colchester accident and emergency. Part of sister Emma
:07:19. > :07:23.Carter's job is to find beds for the new arrivals. She does this while
:07:24. > :07:27.checking on patients. Lynn was rushed in after having an
:07:28. > :07:31.anaphylactic action. I felt so bad because as I came of the ambulance,
:07:32. > :07:38.there were queues of people waiting to go in hospital. I just really did
:07:39. > :07:47.feel awful because I could hear people crying. With anaphylactic
:07:48. > :07:54.reaction you could die. The staff have seen how busy it has been. It
:07:55. > :07:59.has been extremely busy, definitely the busiest in the five years I have
:08:00. > :08:02.worked here. The Chief Executive the whole care system needs to work
:08:03. > :08:11.closely together or he fears the worst. We have just about got
:08:12. > :08:18.through without any major safety or quality issues. Unless we do that
:08:19. > :08:22.and we do it urgently, what we look forward to I think would really
:08:23. > :08:27.worry me in terms of our ability to manage. All of the hospitals in the
:08:28. > :08:31.least experienced high levels of demand over Christmas. Most haven't
:08:32. > :08:42.returned to normal. Others are feeling the pressure. In north, the
:08:43. > :08:46.NHS nonemergency phone advice Centre received 27,000 calls over
:08:47. > :08:50.Christmas. There does not appear to be any sign of it letting up and
:08:51. > :08:58.they went to pressure has carried on. We would have expected them to
:08:59. > :09:03.ease. GPs are also struggling. This morning, Doctor Simon Rutland has
:09:04. > :09:06.had contact with 40 patients. The pressures that colleagues are
:09:07. > :09:12.fleecing are enormous so we need to change what we do. We are changing
:09:13. > :09:18.what we do but we need to make sure politicians listen. We need help now
:09:19. > :09:23.not promises. Back at Colchester Hospital, more patients are rising
:09:24. > :09:25.in need of medical help. With a cold winter forecast, the current
:09:26. > :09:28.pressure shows no sign of ending. A man has died in a house
:09:29. > :09:31.fire in Norwich. Emergency services were called
:09:32. > :09:35.to Penn Grove at quarter to two this morning to find the building on fire
:09:36. > :09:39.and the man trapped inside. He was treated by paramedics
:09:40. > :09:43.at the scene but later died. It took more than twenty
:09:44. > :09:48.firefighters to control the blaze. His death is being
:09:49. > :09:50.treated as unexplained. An inquest has heard how
:09:51. > :10:04.a husband was caught on CCTV Stephen Muncaster killed his wife
:10:05. > :10:08.Allison at their home His body was found in the garden
:10:09. > :10:11.of the property with Today a coroner concluded
:10:12. > :10:25.Mrs Muncaster was unlawfully killed. Alison Mitchell's cousins leave
:10:26. > :10:30.today with some sense of closure knowing she was unlawfully killed.
:10:31. > :10:34.Last July, neighbours heard gunshots at the home where she lived with her
:10:35. > :10:42.husband. A tent covers the spot where his body was found. Anderson
:10:43. > :10:46.was found dead inside the house. At the inquest, Detective Constable
:10:47. > :10:51.Jeremy Cooke said said CCTV cameras had recorded the last moments. Just
:10:52. > :10:56.before midnight, both appeared to be very upset. Later, Stephen is seen
:10:57. > :11:01.retrieving his shotgun. A minute later he entered the sitting room
:11:02. > :11:06.and aimed it at his wife. Alison tried to run but was shot in the
:11:07. > :11:11.head. It is thought he then left the house before turning the gun on
:11:12. > :11:15.himself. There was no audio on the recording so we don't know why the
:11:16. > :11:19.couple appeared upset shortly before the shooting. What we do know is
:11:20. > :11:23.that Stephen had placed the shot gun under a bed earlier that day so
:11:24. > :11:31.there was every indication that this may well have been a predator --
:11:32. > :11:37.premeditated killing. We can conclusively say he killed Alison.
:11:38. > :11:41.He has got a firearms shotgun licence and that was within the
:11:42. > :11:45.house and it was recovered by Stephen prior to the incident taking
:11:46. > :11:52.place. Stephen was the uncle of Michael Carol. He was at his side
:11:53. > :11:59.when he picked up his lottery cheque in 2002. Mr Carol was then living
:12:00. > :12:05.with him. He was said to be very close to the couple. After a short
:12:06. > :12:09.inquest, the coroner concluded that Alison had been unlawfully killed
:12:10. > :12:13.and extended her sympathies. The inquest into Stephen's death is
:12:14. > :12:21.expected to take place later this year.
:12:22. > :12:25.Still to come tonight: Alex will be here with news of a milder weekend.
:12:26. > :12:34.And I doubt you'll ever have seen a home like this.
:12:35. > :12:40.I will be exploring the hidden treasures inside this terraced house
:12:41. > :12:42.in Cambridge, preserved since late Victorian times.
:12:43. > :12:46.On Tuesday, we featured the story of paralympian Anne Wafula Strike.
:12:47. > :12:50.Anne is a wheelchair user and was on a train
:12:51. > :12:56.But the disabled toilet was out of order and she had to wet herself.
:12:57. > :12:59.Anne's story provoked a big reaction from you
:13:00. > :13:01.on the subject of disabled facilities on trains
:13:02. > :13:05.In a moment, we'll hear some of your comments, but first
:13:06. > :13:19.He had a stroke nine years ago and that is why Mick now uses a
:13:20. > :13:26.wheelchair. His partner is Elaine and together they often travelled by
:13:27. > :13:32.train from the home in Suffolk. They often find toilet facilities out of
:13:33. > :13:36.order. On occasions Mick has had to use a bottle. We have to ask if we
:13:37. > :13:42.can use the disabled toilet even though we know it is out of order
:13:43. > :13:47.just for privacy. They are out of order for a reason, usually covered
:13:48. > :13:53.in European, but we still have to do it because it's the only place you
:13:54. > :14:01.can go in private. I'm anxious. It's embarrassing. On Tuesday we brought
:14:02. > :14:05.you the story of Anne Wafula Strike who found the disabled toilet out of
:14:06. > :14:12.order and on a long train journey was forced to wet herself. I knew as
:14:13. > :14:18.a human being I needed that facility, I needed to use the
:14:19. > :14:22.toilet. It scared me. A similar thing happened to Alan White. He was
:14:23. > :14:28.travelling from London Liverpool Street on a Greater Anglia train to
:14:29. > :14:33.Witton. Alan is not disabled but found two toilet out of order. In a
:14:34. > :14:38.panic, he was also forced to wet himself. I do hope that other people
:14:39. > :14:45.who have found themselves in a similar situation will come forward,
:14:46. > :14:50.because the more people that do, hopefully Abellio will stand up and
:14:51. > :14:55.take notice and do something about these toilets. Greater Anglia have
:14:56. > :14:58.apologised to Alan and in a statement today, the companies said
:14:59. > :15:03.they would like to reassure all customers that on an average day,
:15:04. > :15:08.only a small percentage of toilets are out of order. For some, like
:15:09. > :15:13.they learn who lives near Cambridge, there is only one option, not to use
:15:14. > :15:18.the trains at all. She has a daughter who needs to be changed on
:15:19. > :15:23.a regular basis and that can mean using the floor of a toilet. We tend
:15:24. > :15:34.not to use the train much now that she is older than a standard baby
:15:35. > :15:38.changing area. We just, there is nowhere for anyone bigger than a
:15:39. > :15:44.baby to change. Sadly for disabled people trying to use the trains,
:15:45. > :15:50.toilets are just one issue, there are others, broken lives, grumpy
:15:51. > :15:54.staff. That aside, can it really be right that people like Nick cannot
:15:55. > :15:55.find a toilet to use in this day and age.
:15:56. > :15:58.So it seems clear that Anne Wafula Strike's experience
:15:59. > :16:02.We had an email from Rosie Barber from Stowmarket in Suffolk.
:16:03. > :16:04.She's a wheelchair user and travels to London on the train five
:16:05. > :16:09.Rosie says, "It is not unsual to find the wheelchair accessible
:16:10. > :16:14.Rosie also says train companies simply
:16:15. > :16:18.stressful and potentially embarrassing the lack
:16:19. > :16:21.of a disabled toilet can to be to their customers.
:16:22. > :16:24.Gillian Wilkinson-Brown emailed from Great Bentley near Colchester.
:16:25. > :16:26.Gillian is also a wheelchair user and says there are design issues
:16:27. > :16:32.She says they are very "public and have passengers seated nearby."
:16:33. > :16:35.And on Facebook, Nicole Karimi say, "This isn't just about trains.
:16:36. > :16:39.It's about time our shopping malls, big stores and public buildings
:16:40. > :16:42.think about the facilities they provide so that
:16:43. > :16:46.all citizens are treated equally with respect and dignity."
:16:47. > :16:49.We always love to hear from you and don't forget that
:16:50. > :16:51.you can contact us via email, twitter or facebook.
:16:52. > :16:59.All this week, our correspondents are looking at what 2017 has
:17:00. > :17:04.the changes ahead for local government
:17:05. > :17:07.There they signed the devolution deal and this May, they'll
:17:08. > :17:11.Devolution is going to have a big impact on how
:17:12. > :17:21.Our political reporter Tom Barton has the details.
:17:22. > :17:29.We are all used to elections for Parliament, for councils and more
:17:30. > :17:34.recently for police commissioners, but this may, in Cambridgeshire fair
:17:35. > :17:39.will be an election that has never been held before. At the moment in
:17:40. > :17:43.most parts of the country, there are two tiers of local government.
:17:44. > :17:48.District councils look after issues like housing and waste collection
:17:49. > :17:54.while bigger county councils are responsible for social care and most
:17:55. > :17:59.roads. But in Cambridgeshire, a new devolution deal will see the
:18:00. > :18:05.introduction of a third tier of local government. An elected mayor.
:18:06. > :18:13.People say it is a new layer of government but some faces bureaucrat
:18:14. > :18:20.in Whitehall has been making these decisions. -- faceless. It will be a
:18:21. > :18:24.local voice now. That will be making decisions about some big issues.
:18:25. > :18:28.They will have the power to spend millions on building new homes. They
:18:29. > :18:35.will get control over the local training budget. And they will have
:18:36. > :18:40.power and money for new transport projects. What do the people who
:18:41. > :18:46.will elect the new mayor think? We have enough people in all the local
:18:47. > :18:50.councils so why can't they manage it between them? I liked the idea.
:18:51. > :18:56.Especially if he knows Cambridge well, it can be good for us. What we
:18:57. > :19:01.are doing is adding a layer of cost without providing a full democratic
:19:02. > :19:05.freedom. The mayor will work with a combined authority made up of all
:19:06. > :19:09.the council leaders in Cambridgeshire and Peterborough. It
:19:10. > :19:15.met before Christmas to start laying the groundwork for the election.
:19:16. > :19:19.Local business also has a voice and their representative sees the new
:19:20. > :19:23.mayor as a vitally important figure. This is the spokesperson for
:19:24. > :19:30.Cambridgeshire and Peterborough. It gives us access to a global audience
:19:31. > :19:36.and therefore one person. We have seen how the Mayor of London is
:19:37. > :19:40.represented. We see a similar model here. All eyes are now focused on
:19:41. > :19:45.the election when Cambridgeshire will join the likes of Manchester
:19:46. > :19:46.and Sheffield as one of just half a dozen areas with a new devolved
:19:47. > :19:49.mayor. Let's talk about this
:19:50. > :19:50.with our political So Peterborough and Cambridgeshire
:19:51. > :19:53.gearing up for devolution - what's going on in other parts
:19:54. > :20:05.of the region? Varies little happening in other
:20:06. > :20:11.parts of the region. In some parts there are not even talking about
:20:12. > :20:16.devolution. Northamptonshire and Essex briefly flirted with the idea.
:20:17. > :20:23.They could not find out who else they could go in with. The only
:20:24. > :20:30.other place where do stood a chance of success was Norfolk and Suffolk.
:20:31. > :20:34.What has happened is Suffolk and two authorities in Norfolk have formed a
:20:35. > :20:37.coalition of the winning and they are starting talks with the
:20:38. > :20:43.government but they are at an early stage and it is not clear how
:20:44. > :20:51.Suffolk and two bits of Norfolk could work as devolution. This was
:20:52. > :20:57.supposed to be the government's big idea. Yes, and all of last year,
:20:58. > :21:02.they have always said devolution is the way forward. This is the way
:21:03. > :21:07.local authorities receive their money for infrastructure, housing.
:21:08. > :21:12.The money wants to -- government wants to give money to regions. We
:21:13. > :21:19.have seen the lion's share of government grants go to areas that
:21:20. > :21:24.has devolution at our expense. Cambridgeshire will get a lot more
:21:25. > :21:31.money probably at the expense of the rest of the region. We have some
:21:32. > :21:35.important local elections coming up. County council elections in May.
:21:36. > :21:41.Four years ago, you will remember Ukip came from nowhere to do really
:21:42. > :21:46.well on councils like Essex, Cambridgeshire and Norfolk. How will
:21:47. > :21:52.they do this time? Will be Lib Dems keep fighting back? What will happen
:21:53. > :21:54.to the Labour Party? All sorts of parties have all sorts of things to
:21:55. > :21:55.prove this year. A terraced house in Cambridge
:21:56. > :21:57.preserved like a time capsule since Victorian Times
:21:58. > :22:00.is to receive more than ?600,000 was owned by David Parr,
:22:01. > :22:05.whose day job was to decorate he painted his own house
:22:06. > :22:09.in similar styles. Now it's been given a grant
:22:10. > :22:29.so it can be restored Outside is 21st-century Cambridge.
:22:30. > :22:36.But inside it is still very much the 1890s. This house has been in the
:22:37. > :22:39.family unchanged for well over a century, but until recently, few
:22:40. > :22:46.people knew what treasures were hit in the time the front door. Let me
:22:47. > :22:53.show you into the drawing-room. It is painted by David Parr. If we look
:22:54. > :22:58.over here, you can see the walls which are all hand-painted and which
:22:59. > :23:04.he painted in 1912 and it took him two years. The ceiling which he
:23:05. > :23:10.painted by the early in 1903, but he really did try and cover all
:23:11. > :23:14.surfaces. David Parr made his living decorating grand buildings like
:23:15. > :23:18.stately homes and churches, but he also spent more than 40 years
:23:19. > :23:25.painting his own house in a similar style. If you needed to spend a
:23:26. > :23:30.penny here, even in 1893, there was no reason to go outside because
:23:31. > :23:37.David installed this toilet. The property is now owned by a trust and
:23:38. > :23:41.has been awarded ?625,000 by the Heritage lottery fund so it can be
:23:42. > :23:47.renovated and open to the public. There are issues here, there are
:23:48. > :23:51.stamp coming through, paint peeling and we wanted to stop that happening
:23:52. > :23:57.so that we can protect for future generations. We will only take six
:23:58. > :24:02.people around on any given tour and we will have to limit the numbers
:24:03. > :24:07.who come to the house each year, because part of our job is to
:24:08. > :24:13.conserve the house as well as opening it up to the public. It will
:24:14. > :24:18.be two years before this house is fully restored. Visitors will then
:24:19. > :24:23.be able to get a glimpse into a world long gone.
:24:24. > :24:35.I had no idea about that. A revolutionary toilet as well. It was
:24:36. > :24:39.very chilly today. But thankfully getting older. But another cold
:24:40. > :24:45.night tonight. Look at the temperatures from last night. Down
:24:46. > :24:55.to -5 and a lot of places, 80 degrees below freezing. Similar
:24:56. > :25:00.temperatures tonight. Some fantastic photographs taken in Hertfordshire
:25:01. > :25:04.this morning. Look at this windscreen. Also, a rainbow because
:25:05. > :25:11.there were some coastal showers and this shows the coastline of Norfolk.
:25:12. > :25:16.Thank you for those. We start the night dry, maybe the chance of a
:25:17. > :25:24.coastal shower but most places will stay dry. Temperatures dropping
:25:25. > :25:28.away. Mist and fog and some freezing fog patches, particularly affecting
:25:29. > :25:35.the western half of the region. That could be quite a hazard and ice on
:25:36. > :25:40.untreated surfaces. But you can see across the coastline and further
:25:41. > :25:47.east, temperatures staying a degree or so above freezing. A cold start
:25:48. > :25:50.tomorrow. Changes are on the way. High-pressure being pushed away by
:25:51. > :25:56.this weather system from the West. That will bring us rain, but for us
:25:57. > :26:01.in the least, the bulk of the day will be dry. The biggest thing will
:26:02. > :26:07.be the freezing fog which may well linger through the morning and then
:26:08. > :26:10.a period of brightness, sunshine and then the cloud will push in from the
:26:11. > :26:17.West has that weather front edges closer. It will be a cold day.
:26:18. > :26:24.Temperatures between four and six Celsius. The wind switching round to
:26:25. > :26:30.a south-westerly direction, pushing in the milder air. By the end of the
:26:31. > :26:34.day they see spots are patchy rain across northern and western
:26:35. > :26:38.counties, gradually trekking eastwards. It will push in quite a
:26:39. > :26:43.bit of milder air for the weekend but also a lot of cloud. We have
:26:44. > :26:49.another cold night tonight and then it will be milder for Friday night.
:26:50. > :26:54.Rain clears on Saturday, temperatures will be milder but a
:26:55. > :27:00.lot of mist and murk around. Milder by day and not quite so sharp, no
:27:01. > :27:05.frost expected overnight for Saturday and Sunday and a milder
:27:06. > :27:10.start for next week. It means children can wear fewer coats. See
:27:11. > :27:12.you tomorrow. Goodbye.