:00:16. > :00:23.Looking after the elderly at home, a radical new approach in Holland is
:00:24. > :00:29.being trialled in Suffolk. Cloudier for tomorrow. All the details later.
:00:30. > :00:35.First tonight: The general election campaign gets into gear as the House
:00:36. > :00:38.of Commons decides we will go to the polls on June 8th.
:00:39. > :00:41.MPs from this region say they're ready for the fight,
:00:42. > :00:46.not just on Brexit, but on a range of other issues.
:00:47. > :00:48.Let's go straight to Westminster and our political
:00:49. > :01:02.It is interesting here tonight. The people who work here have just
:01:03. > :01:08.handed over their futures to the voters and even though many have
:01:09. > :01:15.quite large majorities, many are quite apprehensive because they know
:01:16. > :01:21.that, in elections, they can be uncertain and in seven weeks' time
:01:22. > :01:25.they could be out of a job. 13 MPs voted against calling a general
:01:26. > :01:31.election and one was the Norwich Labour MP Clive Lewis. His Lib Dem
:01:32. > :01:36.opponents have seized on this saying he is running scared of the voters.
:01:37. > :01:40.He says he just believes Prime ministers should not be allowed to
:01:41. > :01:45.call elections when they want. Another bit of news is that we are
:01:46. > :01:51.still waiting to hear if Douglas still waiting to hear if Douglas
:01:52. > :01:55.Castle will stand. There is speculation he will not and he said
:01:56. > :02:04.he would issue a statement in the next few days -- Douglas Carswell.
:02:05. > :02:10.In reality, the campaigning is already getting underway and expects
:02:11. > :02:15.to -- expect big name really is -- big names to our region. The general
:02:16. > :02:22.consensus is Brexit will dominate but there are other important issues
:02:23. > :02:30.which will be fighting to be heard. This is Beccles. A Conservative
:02:31. > :02:36.majority of 2408, the most marginal seat in our region. What do voters
:02:37. > :02:44.think this election is all about? Brexit and whether we should come
:02:45. > :02:51.out. It has to be followed through. Unemployment and health care. The
:02:52. > :02:56.NHS. Getting rid of the bedroom tax. At Westminster, the world media
:02:57. > :03:03.watched as MPs voted for a snap election. There are other issues as
:03:04. > :03:09.well. We need better infrastructure and more investment in schools and
:03:10. > :03:17.make it deciding place to set up business. Dot-macro by triggering
:03:18. > :03:20.Article 50. In Parliament today that the Prime Minister was keen to talk
:03:21. > :03:26.about Brexit but most of the questions were about the economy and
:03:27. > :03:31.school funding. Opposition MPs say elections are rare and they cannot
:03:32. > :03:36.just be about one issue. Some people will want to make this solely about
:03:37. > :03:44.Brexit but for a lot of people it is about -- chance to have their say.
:03:45. > :03:48.The state of the NHS and care services for elderly people and
:03:49. > :03:51.disabled people. The system is close to tipping point and everyone
:03:52. > :03:58.outside government knows that. We are seeing a rise in violent crime
:03:59. > :04:06.and public concern in soft law and order. For us in the east, grammar
:04:07. > :04:09.schools could also be a big issue as Norfolk and Suffolk are rumoured to
:04:10. > :04:13.be among the first places to get them. Whilst those behind Berry 's
:04:14. > :04:18.campaigns to improve road and rail links will looking for guarantees
:04:19. > :04:23.they are still available. But it will be down to voters to say what
:04:24. > :04:26.they think is really important in this snap election.
:04:27. > :04:29.And Andrew will be following the election campaign for us
:04:30. > :04:33.Next tonight, a new way of looking after patients at home is to be
:04:34. > :04:35.tried out in Suffolk based on a system already
:04:36. > :04:41.The care is given by qualified nurses with the emphasis on spending
:04:42. > :04:47.The Dutch say it helps people stay out of hospital,
:04:48. > :04:55.Vikki Irwin has been to see how the Buurtzorg project works.
:04:56. > :04:58.In this city, Nanda Janssen cycles to see her patient.
:04:59. > :05:04.She's a nurse from Buurtzorg with 20 years experience.
:05:05. > :05:07.Today, she is providing personal care and checking up
:05:08. > :05:10.on the well-being of a woman with complex health issues
:05:11. > :05:21.She comes here to shower me and we talk also.
:05:22. > :05:28.It's not just home care, but also nursing care that she provides.
:05:29. > :05:34.Three months ago, she had a serious back operation and needs help
:05:35. > :05:37.learning to move again and to get dressed.
:05:38. > :05:39.As a former nurse herself, she knows the value of having
:05:40. > :05:47.They help me to not go back into hospital.
:05:48. > :05:52.They help me not have depression, they help me for my day
:05:53. > :05:56.because when you sit here and you have nothing to do
:05:57. > :06:02.and you sit here for 24 hours then your day is very long.
:06:03. > :06:05.If her patients lived in Suffolk they would be looked after by less
:06:06. > :06:09.qualified and cheaper care workers instead of more expensive
:06:10. > :06:17.The visits would last minutes instead of an hour and if any
:06:18. > :06:18.medical care is needed, extra nursing visits
:06:19. > :06:24.The other difference is the way that Buurtzorg is managed.
:06:25. > :06:30.Within another organisation you go to your manager and say,
:06:31. > :06:40.The model here in Holland started out with just four nurses.
:06:41. > :06:46.It can boast about its higher satisfaction levels for nurses
:06:47. > :06:50.and for patients, does but does it stack up financially?
:06:51. > :06:54.Valuation consultants Ernst Young found it was much more
:06:55. > :06:57.expensive to set up the model in the short-term, but people got
:06:58. > :07:01.better quicker and emergency admissions into hospital
:07:02. > :07:14.The overall cost of providing care was also 30% lower.
:07:15. > :07:19.We could see Buurtzorg-style nurses in Suffolk within months.
:07:20. > :07:23.The 12-month trial in West Suffolk will cost half a million pounds.
:07:24. > :07:25.It's being funded by the NHS and the council.
:07:26. > :07:31.Dr Simon Arthur is a GP in Newmarket and part of the West Suffolk CCG
:07:32. > :07:36.I asked him what the Dutch model could offer.
:07:37. > :07:42.The scales fell from my eyes when I saw it.
:07:43. > :07:45.It really helps patients become more able to become better.
:07:46. > :07:48.Therefore, they are able to look after themselves after a small
:07:49. > :07:52.amount of care compared to what they would normally get.
:07:53. > :07:54.So, although it's expensive care when it goes in,
:07:55. > :07:57.it's for a shorter period of time to get you able again
:07:58. > :08:02.And is this because the people giving the care
:08:03. > :08:11.So, they're giving nursing care and they're giving
:08:12. > :08:16.the high-level diagnostics, the intelligence they've learnt
:08:17. > :08:23.Whereas a carer, who is absolutely wonderful although on the lowest pay
:08:24. > :08:27.scale is given 15 minutes to come and give you a cup of tea, can do no
:08:28. > :08:30.more than that and they haven't been trained or given the opportunity
:08:31. > :08:35.This way, I'm hoping we can train up the carers so we can build up these
:08:36. > :08:38.skills and give them a career pathway that is absolutely what most
:08:39. > :08:50.The trial that we have funding for is half a million.
:08:51. > :08:54.Whether it's money that is going to cost or not I don't know
:08:55. > :08:58.In a nursing home it might cost 50 grand a year or ?1,000
:08:59. > :09:02.So, by just saving one person there you've got a tenth
:09:03. > :09:05.of the budget for the whole of Buurtzorg the whole of the year.
:09:06. > :09:08.Are you confident that in this trial, this pilot,
:09:09. > :09:13.that you're going to be able to see those financial benefits
:09:14. > :09:23.I go by my gut feelings rather than everything in the book.
:09:24. > :09:29.I'm hoping we can prove in that short period of time that it's also
:09:30. > :09:32.financially viable for the health service and the country.
:09:33. > :09:39.Finally tonight, American stealth fighters have been deployed outside
:09:40. > :09:44.the United States for the first time at RAF Lakenheath in Suffolk.
:09:45. > :09:49.Over the next three weeks, the F35s will be flying alongside
:09:50. > :09:54.The Americans say it's part of an increased deterrent as Russia
:09:55. > :10:05.That's all from me, coming up now the weather
:10:06. > :10:09.with Alex, but from the rest of the late team, goodnight.
:10:10. > :10:20.Good evening. We have recorded some low temperatures and they could be
:10:21. > :10:25.the risk of frost. But as the night goes on more cloud will come in from
:10:26. > :10:29.the north so temperatures will recover by tomorrow. High pressure
:10:30. > :10:38.is keeping things fairly settled. This weather front will increase --
:10:39. > :10:43.introduce more cloud. Largely dry although the thickest of the cloud
:10:44. > :10:47.might produce light rain or drizzle. Quite a lot of dry weather with some
:10:48. > :10:50.brighter spells are not bad temperatures. A light wind from the
:10:51. > :11:03.south-west. Here's the outlook: going into the weekend as well. A
:11:04. > :11:09.similar story across the UK. Thomas matter has that story.
:11:10. > :11:15.Good evening, before we get to the forecast, I want to show you a map
:11:16. > :11:21.which depicts how dry it has been during the course of April. Brown is
:11:22. > :11:26.below average rainfall, blue is above average. You can see how Brown
:11:27. > :11:33.the map is. Some areas in the south, some counties have only seen a few
:11:34. > :11:34.percent so far in April. Not necessarily a good thing at all.