05/01/2017 Look East

The super CEO Clare Panniker is the first to be in charge of three

hospital trusts. Clearly managing the complex businesses with a

turnover of nearly ?900 million does require significant management but

this is not about paying people three times the amount they were

paid before. An inquest hears how the uncle of lottery winner Michael

Carol was caught shooting his wife. After this Paralympic and wet

herself won a train because the disabled toilet was out of order,

you told us disabled facilities are not good enough. And I will be

exploring one of Cambridge's hidden treasures. Very little has changed

in this Victorian house. It's been confirmed today three

hospital trusts in Essex are under Clare Panniker is the first person

in the country to run three It's a dramatic move to redesign

healthcare in Essex. Clare Panniker already runs

the trusts in Basildon and Thurrock, Mid Essex, which includes

Broomfield Hospital, In a moment, we'll hear

about the pressures on the health but first Katherine Nash

reports on Clare Panniker's Clare Panniker is used to taking on

a challenge. Over the past five years, she has taken over the

running of not one but two failing hospitals. Basildon was in special

messages when she became the boss. Two years later she was rated as

good. Last year she took on another hospital Broomfield in Chelmsford.

Health inspectors said it's A was inadequate and services were unsafe

but in its latest report, it was told health care was good. News of

Clare Panniker's appointment at Southend comes as no surprise. She

has been heading up a success regime exploring how all three hospitals

can work more efficiently together. We know health and care in Essex has

to change. There will be concerns, it is a big job being responsible

for three hospitals. The most important thing is this presents an

opportunity to look at whether services can be improved through

that combined leadership. It comes as NHS services in Essex like

elsewhere in the region are being reorganised. What is happening

generally around the country is increasing the organisations working

more closely together, they recognise the impact on one health

organisation, whether that be a hospital or community group has an

impact on others in that area. It makes sense to collaborate and work

together to try and get the best for patients. A bit like a super had

brought in to help failing schools to panic is the country's first

chief executive to head up three NHS trusts. It is a big job as all three

hospitals are struggling with costs and demand.

This afternoon I spoke to Clare Panniker and asked whether this was

all about saving money. No. Obviously that is part of our plan,

to try and get the whole health economy back into financial balance

because we know we cannot afford to spend the money we are currently

spending, but what we have been working on for quite some time is

how we work together as three hospitals to provide a better

quality of service to the patients. You will know being a Chief

Executive of two hospitals how big a job that is. How feasible is it to

do that across three sites? Each of the three will have a managing

director who will have a team that will be responsible for the running

of the hospital. BA and E, the waiting lists the financial

performance of each of the sites. It is not about one person doing

everything, it is about having a team both locally and across the

three hospitals that will enable us to put everyone in the same

direction. I am assuming you will not get three salaries for doing

three jobs. No, that would be inappropriate. We are trying to

ensure we contain management costs so we not spending more on expensive

people. You have been recognised as doing a good job at Basildon,

turning it around in short time, but the finances are still in a very

tricky state. Is this a decision you have to make, are you spend the

money and get a good rating or balance the books and rest not

getting a good rating? We have to balance the quality of care, the

workforce issues, the money, it is all about juggling trying to get the

optimal results with the resources you have got. Money is a real issue,

but this is about saying how we can reduce duplication, use our scarce

specialist off better but maintaining good local access for

patients. You can understand why patients might be concerned. How can

you reassured them that they will get a better service as a result of

this when you are needing to save ?100 million just in this financial

year? We need to have an honest conversation and we have begun to do

that about the types of difficult choices we might have to make, but

we know providing small services on three sites when we have in adequate

workforce numbers means patients are not getting the best deal today. We

want to get the benefits without getting locked up in two years of

bureaucratic process. This is not a merger? We have a joint working

board that has representation from the non-executives and executives

and we have agreed how we will work differently but it is not a formal

merger. The health service across the region

continues to struggle It's felt across the board

from GP surgeries Robby West looks at a service

struggling to cope. This morning, eight ambulances were

queueing outside Colchester accident and emergency. Part of sister Emma

Carter's job is to find beds for the new arrivals. She does this while

checking on patients. Lynn was rushed in after having an

anaphylactic action. I felt so bad because as I came of the ambulance,

there were queues of people waiting to go in hospital. I just really did

feel awful because I could hear people crying. With anaphylactic

reaction you could die. The staff have seen how busy it has been. It

has been extremely busy, definitely the busiest in the five years I have

worked here. The Chief Executive the whole care system needs to work

closely together or he fears the worst. We have just about got

through without any major safety or quality issues. Unless we do that

and we do it urgently, what we look forward to I think would really

worry me in terms of our ability to manage. All of the hospitals in the

least experienced high levels of demand over Christmas. Most haven't

returned to normal. Others are feeling the pressure. In north, the

NHS nonemergency phone advice Centre received 27,000 calls over

Christmas. There does not appear to be any sign of it letting up and

they went to pressure has carried on. We would have expected them to

ease. GPs are also struggling. This morning, Doctor Simon Rutland has

had contact with 40 patients. The pressures that colleagues are

fleecing are enormous so we need to change what we do. We are changing

what we do but we need to make sure politicians listen. We need help now

not promises. Back at Colchester Hospital, more patients are rising

in need of medical help. With a cold winter forecast, the current

pressure shows no sign of ending. A man has died in a house

fire in Norwich. Emergency services were called

to Penn Grove at quarter to two this morning to find the building on fire

and the man trapped inside. He was treated by paramedics

at the scene but later died. It took more than twenty

firefighters to control the blaze. His death is being

treated as unexplained. An inquest has heard how

a husband was caught on CCTV Stephen Muncaster killed his wife

Allison at their home His body was found in the garden

of the property with Today a coroner concluded

Mrs Muncaster was unlawfully killed. Alison Mitchell's cousins leave

today with some sense of closure knowing she was unlawfully killed.

Last July, neighbours heard gunshots at the home where she lived with her

husband. A tent covers the spot where his body was found. Anderson

was found dead inside the house. At the inquest, Detective Constable

Jeremy Cooke said said CCTV cameras had recorded the last moments. Just

before midnight, both appeared to be very upset. Later, Stephen is seen

retrieving his shotgun. A minute later he entered the sitting room

and aimed it at his wife. Alison tried to run but was shot in the

head. It is thought he then left the house before turning the gun on

himself. There was no audio on the recording so we don't know why the

couple appeared upset shortly before the shooting. What we do know is

that Stephen had placed the shot gun under a bed earlier that day so

there was every indication that this may well have been a predator --

premeditated killing. We can conclusively say he killed Alison.

He has got a firearms shotgun licence and that was within the

house and it was recovered by Stephen prior to the incident taking

place. Stephen was the uncle of Michael Carol. He was at his side

when he picked up his lottery cheque in 2002. Mr Carol was then living

with him. He was said to be very close to the couple. After a short

inquest, the coroner concluded that Alison had been unlawfully killed

and extended her sympathies. The inquest into Stephen's death is

expected to take place later this year.

Still to come tonight: Alex will be here with news of a milder weekend.

And I doubt you'll ever have seen a home like this.

I will be exploring the hidden treasures inside this terraced house

in Cambridge, preserved since late Victorian times.

On Tuesday, we featured the story of paralympian Anne Wafula Strike.

Anne is a wheelchair user and was on a train

But the disabled toilet was out of order and she had to wet herself.

Anne's story provoked a big reaction from you

on the subject of disabled facilities on trains

In a moment, we'll hear some of your comments, but first

He had a stroke nine years ago and that is why Mick now uses a

wheelchair. His partner is Elaine and together they often travelled by

train from the home in Suffolk. They often find toilet facilities out of

order. On occasions Mick has had to use a bottle. We have to ask if we

can use the disabled toilet even though we know it is out of order

just for privacy. They are out of order for a reason, usually covered

in European, but we still have to do it because it's the only place you

can go in private. I'm anxious. It's embarrassing. On Tuesday we brought

you the story of Anne Wafula Strike who found the disabled toilet out of

order and on a long train journey was forced to wet herself. I knew as

a human being I needed that facility, I needed to use the

toilet. It scared me. A similar thing happened to Alan White. He was

travelling from London Liverpool Street on a Greater Anglia train to

Witton. Alan is not disabled but found two toilet out of order. In a

panic, he was also forced to wet himself. I do hope that other people

who have found themselves in a similar situation will come forward,

because the more people that do, hopefully Abellio will stand up and

take notice and do something about these toilets. Greater Anglia have

apologised to Alan and in a statement today, the companies said

they would like to reassure all customers that on an average day,

only a small percentage of toilets are out of order. For some, like

they learn who lives near Cambridge, there is only one option, not to use

the trains at all. She has a daughter who needs to be changed on

a regular basis and that can mean using the floor of a toilet. We tend

not to use the train much now that she is older than a standard baby

changing area. We just, there is nowhere for anyone bigger than a

baby to change. Sadly for disabled people trying to use the trains,

toilets are just one issue, there are others, broken lives, grumpy

staff. That aside, can it really be right that people like Nick cannot

find a toilet to use in this day and age.

So it seems clear that Anne Wafula Strike's experience

We had an email from Rosie Barber from Stowmarket in Suffolk.

She's a wheelchair user and travels to London on the train five

Rosie says, "It is not unsual to find the wheelchair accessible

Rosie also says train companies simply

stressful and potentially embarrassing the lack

of a disabled toilet can to be to their customers.

Gillian Wilkinson-Brown emailed from Great Bentley near Colchester.

Gillian is also a wheelchair user and says there are design issues

She says they are very "public and have passengers seated nearby."

And on Facebook, Nicole Karimi say, "This isn't just about trains.

It's about time our shopping malls, big stores and public buildings

think about the facilities they provide so that

all citizens are treated equally with respect and dignity."

We always love to hear from you and don't forget that

you can contact us via email, twitter or facebook.

All this week, our correspondents are looking at what 2017 has

the changes ahead for local government

There they signed the devolution deal and this May, they'll

Devolution is going to have a big impact on how

Our political reporter Tom Barton has the details.

We are all used to elections for Parliament, for councils and more

recently for police commissioners, but this may, in Cambridgeshire fair

will be an election that has never been held before. At the moment in

most parts of the country, there are two tiers of local government.

District councils look after issues like housing and waste collection

while bigger county councils are responsible for social care and most

roads. But in Cambridgeshire, a new devolution deal will see the

introduction of a third tier of local government. An elected mayor.

People say it is a new layer of government but some faces bureaucrat

in Whitehall has been making these decisions. -- faceless. It will be a

local voice now. That will be making decisions about some big issues.

They will have the power to spend millions on building new homes. They

will get control over the local training budget. And they will have

power and money for new transport projects. What do the people who

will elect the new mayor think? We have enough people in all the local

councils so why can't they manage it between them? I liked the idea.

Especially if he knows Cambridge well, it can be good for us. What we

are doing is adding a layer of cost without providing a full democratic

freedom. The mayor will work with a combined authority made up of all

the council leaders in Cambridgeshire and Peterborough. It

met before Christmas to start laying the groundwork for the election.

Local business also has a voice and their representative sees the new

mayor as a vitally important figure. This is the spokesperson for

Cambridgeshire and Peterborough. It gives us access to a global audience

and therefore one person. We have seen how the Mayor of London is

represented. We see a similar model here. All eyes are now focused on

the election when Cambridgeshire will join the likes of Manchester

and Sheffield as one of just half a dozen areas with a new devolved

mayor. Let's talk about this

with our political So Peterborough and Cambridgeshire

gearing up for devolution - what's going on in other parts

of the region? Varies little happening in other

parts of the region. In some parts there are not even talking about

devolution. Northamptonshire and Essex briefly flirted with the idea.

They could not find out who else they could go in with. The only

other place where do stood a chance of success was Norfolk and Suffolk.

What has happened is Suffolk and two authorities in Norfolk have formed a

coalition of the winning and they are starting talks with the

government but they are at an early stage and it is not clear how

Suffolk and two bits of Norfolk could work as devolution. This was

supposed to be the government's big idea. Yes, and all of last year,

they have always said devolution is the way forward. This is the way

local authorities receive their money for infrastructure, housing.

The money wants to -- government wants to give money to regions. We

have seen the lion's share of government grants go to areas that

has devolution at our expense. Cambridgeshire will get a lot more

money probably at the expense of the rest of the region. We have some

important local elections coming up. County council elections in May.

Four years ago, you will remember Ukip came from nowhere to do really

well on councils like Essex, Cambridgeshire and Norfolk. How will

they do this time? Will be Lib Dems keep fighting back? What will happen

to the Labour Party? All sorts of parties have all sorts of things to

prove this year. A terraced house in Cambridge

preserved like a time capsule since Victorian Times

is to receive more than ?600,000 was owned by David Parr,

whose day job was to decorate he painted his own house

in similar styles. Now it's been given a grant

so it can be restored Outside is 21st-century Cambridge.

But inside it is still very much the 1890s. This house has been in the

family unchanged for well over a century, but until recently, few

people knew what treasures were hit in the time the front door. Let me

show you into the drawing-room. It is painted by David Parr. If we look

over here, you can see the walls which are all hand-painted and which

he painted in 1912 and it took him two years. The ceiling which he

painted by the early in 1903, but he really did try and cover all

surfaces. David Parr made his living decorating grand buildings like

stately homes and churches, but he also spent more than 40 years

painting his own house in a similar style. If you needed to spend a

penny here, even in 1893, there was no reason to go outside because

David installed this toilet. The property is now owned by a trust and

has been awarded ?625,000 by the Heritage lottery fund so it can be

renovated and open to the public. There are issues here, there are

stamp coming through, paint peeling and we wanted to stop that happening

so that we can protect for future generations. We will only take six

people around on any given tour and we will have to limit the numbers

who come to the house each year, because part of our job is to

conserve the house as well as opening it up to the public. It will

be two years before this house is fully restored. Visitors will then

be able to get a glimpse into a world long gone.

I had no idea about that. A revolutionary toilet as well. It was

very chilly today. But thankfully getting older. But another cold

night tonight. Look at the temperatures from last night. Down

to -5 and a lot of places, 80 degrees below freezing. Similar

temperatures tonight. Some fantastic photographs taken in Hertfordshire

this morning. Look at this windscreen. Also, a rainbow because

there were some coastal showers and this shows the coastline of Norfolk.

Thank you for those. We start the night dry, maybe the chance of a

coastal shower but most places will stay dry. Temperatures dropping

away. Mist and fog and some freezing fog patches, particularly affecting

the western half of the region. That could be quite a hazard and ice on

untreated surfaces. But you can see across the coastline and further

east, temperatures staying a degree or so above freezing. A cold start

tomorrow. Changes are on the way. High-pressure being pushed away by

this weather system from the West. That will bring us rain, but for us

in the least, the bulk of the day will be dry. The biggest thing will

be the freezing fog which may well linger through the morning and then

a period of brightness, sunshine and then the cloud will push in from the

West has that weather front edges closer. It will be a cold day.

Temperatures between four and six Celsius. The wind switching round to

a south-westerly direction, pushing in the milder air. By the end of the

day they see spots are patchy rain across northern and western

counties, gradually trekking eastwards. It will push in quite a

bit of milder air for the weekend but also a lot of cloud. We have

another cold night tonight and then it will be milder for Friday night.

Rain clears on Saturday, temperatures will be milder but a

lot of mist and murk around. Milder by day and not quite so sharp, no

frost expected overnight for Saturday and Sunday and a milder

start for next week. It means children can wear fewer coats. See

you tomorrow. Goodbye.