16/01/2017

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:00:00. > :00:00.Kier Starmer as well. Join me now on BBC Two. That's Newsnight with Evan.

:00:00. > :00:11.The headlines tonight: A funding crisis in the health service.

:00:12. > :00:14.Now a Lincolnshire MP says patients should be charged

:00:15. > :00:29.We could look at paying to see your GP. We could look at paying for your

:00:30. > :00:32.accommodation in hospitals. Fears people could be forced

:00:33. > :00:34.to leave their homes because of damage caused

:00:35. > :00:36.by Friday's tidal surge. I don't think we've

:00:37. > :00:38.got long at all now. If we have another bad day,

:00:39. > :00:40.we will have to go. A very quiet week

:00:41. > :00:42.to come weather-wise. Join me for that updated

:00:43. > :00:53.week-ahead forecast. The MP for Gainsborough,

:00:54. > :00:57.Sir Edward Leigh, says some patients in our area are falling victim

:00:58. > :01:02.to an NHS postcode lottery. He says the government should

:01:03. > :01:04.consider charging patients His comments come as some health

:01:05. > :01:11.managers across Lincolnshire and East Yorkshire admit they're

:01:12. > :01:13.having to restrict access to some procedures to ensure the NHS gets

:01:14. > :01:19.good value for money. Our health correspondent,

:01:20. > :01:22.Vicky Johnson, has the story. It's called the National Health

:01:23. > :01:25.Service but there are growing concerns that access can depend

:01:26. > :01:30.on where you live. We do have a postcode lottery

:01:31. > :01:34.and we should fight our corner in places like Hull and Lincolnshire

:01:35. > :01:37.and say we deserve just as good Bradley Marshall, from Bridlington,

:01:38. > :01:42.has benefited from this He's one of less than 1,000 patients

:01:43. > :01:49.who've had their proton therapy treatment in the US funded

:01:50. > :01:54.by the NHS. The funding is vital

:01:55. > :01:57.for children everywhere. Without it, they are

:01:58. > :02:00.left with nothing. Bradley's treatment for a spinal

:02:01. > :02:04.tumour cost more than ?100,000. But now even run-of-the-mill

:02:05. > :02:07.procedures have to be agreed Clinical Commissioning Groups,

:02:08. > :02:14.or CCGs, control health budgets. In the East Riding some procedures

:02:15. > :02:16.are already restricted, Patients are required to lose weight

:02:17. > :02:22.and give up smoking before getting operations like hip

:02:23. > :02:25.and knee replacements. Cosmetic surgery and sterilisation

:02:26. > :02:31.reversal operations are not now routinely commissioned

:02:32. > :02:34.and are instead considered It is a National Service

:02:35. > :02:39.with local variation based Demographically populations

:02:40. > :02:48.vary significantly. It is important we commission

:02:49. > :02:51.and respond to the needs of that Ten thousand more patients

:02:52. > :02:56.are admitted to hospital every day, compared to ten years ago,

:02:57. > :02:59.and this is coming at Some believe it's time to talk again

:03:00. > :03:07.about how we fund this. We could look at paying to go

:03:08. > :03:10.and see your GP and then it We could look at paying

:03:11. > :03:16.for your accommodation in hospitals and a suggestion we should talk

:03:17. > :03:18.about how we are getting more There's little doubt that the NHS

:03:19. > :03:22.is straining under the weight of our growing demands,

:03:23. > :03:25.but the debate of how best to support this much cherished

:03:26. > :03:30.institution goes on. Earlier, I spoke to the Hull

:03:31. > :03:35.East MP, Karl Turner, and asked him if he agreed

:03:36. > :03:42.with Sir Edward Leigh on charging. This is the same old Tory story -

:03:43. > :03:49.the private good and public bad. They always undermine our NHS

:03:50. > :03:52.and underfund it in order to justify its eventual

:03:53. > :03:56.privatisation, which is what But this government put more money

:03:57. > :04:00.into the NHS than Labour were planning to do,

:04:01. > :04:03.had you won the election. The NHS would be harder

:04:04. > :04:06.up than it is now. Simon Stevens disagrees with that,

:04:07. > :04:10.the guy in charge of the NHS. I think this is probably

:04:11. > :04:12.a deflection from the Tories because they don't want to talk

:04:13. > :04:14.about what's really happening in the NHS, they don't

:04:15. > :04:17.want to talk about the fact that British Red Cross are describing it

:04:18. > :04:20.as a humanitarian crisis. A two-year-old child is suspended

:04:21. > :04:26.between two plastic chairs for four hours because there is no bed

:04:27. > :04:30.for that little boy. I just want to keep

:04:31. > :04:32.on the point of charging. Do you agree with charging people

:04:33. > :04:35.if they don't turn up for a GP I don't agree with charging

:04:36. > :04:40.in the NHS for any reason, So I can make an appointment,

:04:41. > :04:45.not turn up at my doctor Sir Edward Leigh might be able

:04:46. > :04:50.to afford to pay for a GP appointment and the Secretary

:04:51. > :04:52.of State for Health can I think he's flogged

:04:53. > :04:56.a business in the last couple of days for ?15 million,

:04:57. > :05:00.so billionaires can afford it, but people in my constituency

:05:01. > :05:03.probably very often can't afford to pay for GP appointments on top

:05:04. > :05:11.of what they've already paid in tax. "I would rather pay an extra

:05:12. > :05:17.penny or two on my income But the reality is this -

:05:18. > :05:26.people already pay for the NHS in their National Insurance

:05:27. > :05:28.and taxes. What the government haven't done

:05:29. > :05:32.is funded it quite enough. They are desperate to undermine

:05:33. > :05:35.the NHS in order to eventually They will not get away

:05:36. > :05:40.with it because the public won't allow them to do that,

:05:41. > :05:43.but they'd love to do that. What about someone who's

:05:44. > :05:48.having bariatric surgery or a hip replacement -

:05:49. > :05:51.should they lose some weight first to help the NHS and help themselves

:05:52. > :05:55.and help the after-care? The clinicians are the ones who have

:05:56. > :05:59.to decide whether it's safe to operate on somebody who is obese

:06:00. > :06:05.and whether it's safe to do so. Final question - your

:06:06. > :06:09.message to Edward Leigh I think he can afford to pay

:06:10. > :06:14.for private treatment in the NHS but people in my constituency can't

:06:15. > :06:17.and they shouldn't have to anyway because they've already paid

:06:18. > :06:19.for it in their taxes. Mr Turner, thank

:06:20. > :06:21.you very much indeed. People living in a village

:06:22. > :06:36.on the East Yorkshire coast say Bird flu has been concerned in

:06:37. > :06:42.Lincolnshire. A protection zone has been put in around Farmborough.

:06:43. > :06:44.Officials say there is a very low risk to humans.

:06:45. > :06:46.People living in a village on the East Yorkshire coast say

:06:47. > :06:49.they may have to leave their homes because last week's tidal surge has

:06:50. > :06:54.Some residents in Skipsea say the storm's taken up to four feet

:06:55. > :06:57.East Riding of Yorkshire Council say it has engineers

:06:58. > :07:03.Our environment correspondent, Paul Murphy, reports.

:07:04. > :07:08.Residents have spent this morning fixing fences and clearing debris.

:07:09. > :07:11.Friday's tidal surge saw waves breaking over

:07:12. > :07:15.the end of their gardens and showering their homes with rocks

:07:16. > :07:21.I was stood at the window watching it and it came right up, right over,

:07:22. > :07:27.broke that man's fence next door and a few more further on.

:07:28. > :07:29.And you've told me that stones from the waves

:07:30. > :07:32.There was little stones, they were hitting my window.

:07:33. > :07:34.I thought my window was going to come through.

:07:35. > :07:38.This was the scene on Friday as huge waves carved big chunks out

:07:39. > :07:45.This is already the fastest eroding coastline in Europe.

:07:46. > :07:48.Residents here talk about the nine-metre rule -

:07:49. > :07:52.the distance between their homes and the cliff edge.

:07:53. > :07:55.Once it is breached, it's their understanding

:07:56. > :07:59.that the local authority will ask them to leave their homes.

:08:00. > :08:02.It's pretty clear that Friday night's tidal surge has brought

:08:03. > :08:10.Mandy believes this is probably her last winter living

:08:11. > :08:16.She lost more than a metre of her garden in just two

:08:17. > :08:22.If we have another bad day, we'll have to go.

:08:23. > :08:26.Because we haven't even got nine metres at the moment now.

:08:27. > :08:29.We're having to take the conservatory down so that we've

:08:30. > :08:40.A resident here for 25 years, she says no one appears to be

:08:41. > :08:43.concerned about defending this coast from the sea.

:08:44. > :08:46.There is money available and I know there is,

:08:47. > :08:53.I mean, if they can spend 400 million on the palace,

:08:54. > :08:59.if she's going to let her land go, she's going to have no land to rule.

:09:00. > :09:03.But we want our house protected with a sea defence.

:09:04. > :09:06.Surveyors have spent the day assessing precisely how

:09:07. > :09:11.But it's clear that some of those living here may need to think

:09:12. > :09:15.carefully about whether it is safe to continue living life

:09:16. > :09:20.Paul Murphy, BBC Look North, Skipsea.

:09:21. > :09:23.Northern Gas networks says it's still looking into why thousands

:09:24. > :09:27.of people were left without gas in Withernsea over the weekend.

:09:28. > :09:30.The gas went off at around 6pm on Saturday and stayed off

:09:31. > :09:39.A ?2 million entertainment venue in Skegness is being demolished just

:09:40. > :09:44.Grand Central, which included a nightclub, bar and office space,

:09:45. > :09:48.was built in 2011 but shut its doors last year.

:09:49. > :09:51.It'll be replaced by a new complex which will include a tenpin bowling

:09:52. > :10:02.A quiet week to come across all parts of East

:10:03. > :10:05.Mostly dry, cloudy, very light winds.

:10:06. > :10:08.This is the chart for Thursday but higher pressure will dominate

:10:09. > :10:12.throughout the week and into next weekend.

:10:13. > :10:18.Bit of drizzle in places at the moment with the exception

:10:19. > :10:22.Clearer skies may well lead to a touch of ground frost elsewhere.

:10:23. > :10:24.No problems with temperatures coming in at 3 or 4 Celsius.

:10:25. > :10:27.For tomorrow, then, the best chance of any brightness again

:10:28. > :10:33.It should stay largely dry, just a small chance of catching

:10:34. > :10:38.We will see top temperatures around 6 Celsius.

:10:39. > :11:05.Wednesday through to Friday, dry, quite cloudy, bit

:11:06. > :11:06.perhaps a little milder. If you like the mild weather,