:00:11. > :00:17.A coroner has said that the North Cumbria Hospitals Trust showed
:00:18. > :00:20."shambolic implementation" of policy and a "total absence of leadership"
:00:21. > :00:21.following the deaths of two patients, after neglect
:00:22. > :00:26.Michael Parke from Cockermouth died at the West Cumberland Hospital in
:00:27. > :00:34.December 2012 and Amanda Coulthard from Penrith died in the Cumberland
:00:35. > :00:37.Both suffered pneumonia after feeding tubes were inserted
:00:38. > :00:41.into their lungs instead of their stomachs.
:00:42. > :00:43.Megan Paterson was at Cockermouth Coroners court for us today.
:00:44. > :00:53.Earlier I asked her what happened to these patients.
:00:54. > :00:59.Well, Michael Park and Amanda Coulthard died after what should
:01:00. > :01:03.have been very simple medical procedures went wrong and mistakes
:01:04. > :01:07.were not detected. In the most simple form, nasogastric tubes are a
:01:08. > :01:11.type of feeding tube, said in through a patient's knows, taking
:01:12. > :01:15.nutrients to their stomach. In both these cases, the tubes were put in
:01:16. > :01:19.the wrong place and instead went to the patient's lungs. Both Michael
:01:20. > :01:23.and Amanda contracted pneumonia and later died.
:01:24. > :01:27.So, what safeguards did the trust have in place?
:01:28. > :01:28.According to the coroner, the safeguards which were in place were
:01:29. > :01:31.not strong enough. In 2005, there not strong enough. In 2005, there
:01:32. > :01:36.was a death in Carlisle related to was a death in Carlisle related to
:01:37. > :01:39.feeding tubes. In 2011, the NHS issued further guidance for trusts,
:01:40. > :01:43.and here in Cumbria, the trust was supposed to be in fermenting
:01:44. > :01:47.changes, introducing further staff training and making things safer.
:01:48. > :01:51.They failed to do that quickly enough. In the weeks leading up to
:01:52. > :01:54.Michael Park's death, several e-mails were exchanged calling for
:01:55. > :01:59.greater training, but it never happened. And Michael Park's case,
:02:00. > :02:02.his doctor failed to realise the tube had been placed into Michael's
:02:03. > :02:06.long, despite looking at x-ray which showed that was clearly the case.
:02:07. > :02:10.The coroner said directors and managers at the trust were so
:02:11. > :02:12.distracted by the potential merger and acquisition by Northumbria
:02:13. > :02:18.health care trust that day-to-day governance fell by the wayside. He
:02:19. > :02:22.said they were asleep at the wheel. The coroner said Michael died as a
:02:23. > :02:25.result of systemic neglect. So had no improvements being made by
:02:26. > :02:27.the time and a coal-fired died three years later?
:02:28. > :02:32.The coroner today said improvements had been made, policy had been
:02:33. > :02:38.changed, and staff were starting to operate under the new policy.
:02:39. > :02:41.Unfortunately, in Amanda Coulthard's case, staff treating her did not
:02:42. > :02:45.argument that properly. Today, the trust which runs the hospital said
:02:46. > :02:48.it would not comment directly on the findings of the inquest, and
:02:49. > :02:52.instead, it issued this statement. I am deeply sorry about these
:02:53. > :02:55.events, and they wish to extend my deepest sympathies to the families
:02:56. > :03:02.and friends of Michael Bach and Amanda Coulthard. The trust fully
:03:03. > :03:03.takes on the inclusion is of HM senior coroner Roberts. Patient
:03:04. > :03:07.safety remains of paramount importance to the trust, and we
:03:08. > :03:13.expect high standards of patient care at all times. These were not
:03:14. > :03:18.met for Michael or Amanda. We sincerely apologise for this.
:03:19. > :03:23.And the coroner today paid tribute several times to the families of
:03:24. > :03:26.Michael Park and Amanda Coulthard, saying they have conducted
:03:27. > :03:28.themselves with utmost dignity throughout a process which has no
:03:29. > :03:29.doubt been difficult. Thank you very much.
:03:30. > :03:32.A shot was fired by a man who tried to rob a Post Office
:03:33. > :03:35.Police said they were called to Hylton Road just
:03:36. > :03:39.Two men - one carrying a firearm - demanded money from
:03:40. > :03:43.The shot was fired when he refused to hand over any cash.
:03:44. > :03:46.Officers believe the men left in a silver Vauxhall Vectra
:03:47. > :03:52.No-one was hurt but police have stepped up patrols in the area.
:03:53. > :03:56.The inquest into the deaths of the British tourists killed
:03:57. > :04:00.in a terrorist attack in Tunisia has heard the police delayed
:04:01. > :04:05.66-year-old Lisa Burbidge, from Gateshead, was among those
:04:06. > :04:12.killed in Sousse in 2015. Peter Harris reports.
:04:13. > :04:15.Described as beautiful, a woman of dignity and style,
:04:16. > :04:19.Lisa Burbidge was among 30 British victims of a lone gunman.
:04:20. > :04:23.A widow and mother of two and with four grand children,
:04:24. > :04:27.she'd been on holiday at the resort of Port El Kantaoui near Sousse
:04:28. > :04:32.when the attack began on a beach and at a hotel.
:04:33. > :04:35.Today, families of the dead were at London's Royal Courts
:04:36. > :04:38.of Justice, where the circumstances leading up to the deaths of each
:04:39. > :04:45.of the victims will be examined over the course of the hearing.
:04:46. > :04:49.And on day one, a startling claim - that Tunisian law enforcement units
:04:50. > :04:53.deliberately delayed their arrival and that a local investigation
:04:54. > :05:03.criticised some police for wasting time.
:05:04. > :05:08.The court heard an account of how one beach guard opened fire, but was
:05:09. > :05:13.hit by a grenade thrown by the attacker. A member of the public who
:05:14. > :05:14.picked up the gun then found he was unable to work it.
:05:15. > :05:17.One aspect that will emerge are the claims of some families that
:05:18. > :05:18.travel companies had assured their relatives
:05:19. > :05:20.Sousse was safe despite previous terrorist attacks.
:05:21. > :05:26.The inquests are likely to last seven weeks.
:05:27. > :05:31.Hundreds of people gathered in York today to release balloons
:05:32. > :05:35.to celebrate what would have been the eighth birthday of Katie Rough.
:05:36. > :05:39.Katie died after being found with serious injuries last week,
:05:40. > :05:44.and a 15-year-old girl has been charged with her murder.
:05:45. > :05:50.The event followed a Facebook appeal to celebrate Katie's life,
:05:51. > :05:52.and it took place near the school she attended in the Woodthorpe
:05:53. > :05:56.Her family wanted balloons of every colour of the rainbow to represent
:05:57. > :05:58.the "exuberance" of Katie, and the hundreds who turned
:05:59. > :06:02.up celebrated her life with a respectful silence.
:06:03. > :06:09.Members of an anti-fracking group in North Yorkshire have set up
:06:10. > :06:12.a protest camp close to the site where permission has been given
:06:13. > :06:16.The camp is on private land but has attracted well
:06:17. > :06:20.over 1,000 visitors, as our Business Correspondent
:06:21. > :06:34.They call it a protection camp, but they call themselves protect doors.
:06:35. > :06:38.What they want to do is try to prevent fracking in this part of
:06:39. > :06:41.North Yorkshire. After exactly a month here, they claim is that the
:06:42. > :06:46.camp has been welcomed locally and further afield, with 1300 visitors
:06:47. > :06:50.coming to hear their message. We always knew that a camp would
:06:51. > :06:54.have some opposition. It is a scary thing to suddenly find a new
:06:55. > :06:57.community and your doorstep. But we're hoping that the people who
:06:58. > :07:01.still might have concerns will come and visit us, see that we are normal
:07:02. > :07:06.people, and we just want the same things as them, and we are the To Be
:07:07. > :07:10.Missed Camp, because we're here protect.
:07:11. > :07:14.Hello. Nice to meet you. Thank you very
:07:15. > :07:18.much. What have we got here? Locals have donated clothes and food
:07:19. > :07:25.to the camp. Sue even cooked Christmas lunch. I just felt that I
:07:26. > :07:28.couldn't in all conscious sit at home with my family in a lovely warm
:07:29. > :07:33.house, having Christmas dinner without at least giving them a
:07:34. > :07:35.semblance of Christmas celebration. However, there is undoubtedly a
:07:36. > :07:39.degree of local goodwill towards this campus so-called protectors.
:07:40. > :07:42.But are there any local dissenting voices?
:07:43. > :07:48.Non-, Albion in a nonscientific way, Non-, Albion in a nonscientific way,
:07:49. > :07:51.that I could find. Of course, in the villages around, there will be
:07:52. > :07:55.people who object to the camp, but its inhabitants say it is here to
:07:56. > :08:01.stay. Their best bet is that test fracking could start in September.
:08:02. > :08:07.Eight long months, then, to garner more support and deflate criticism,
:08:08. > :08:08.plotting a way to thwart the perceived enemy.
:08:09. > :08:10.Well, Third Energy - the company planning to frack
:08:11. > :08:12.at Kirby Misperton - said that it hopes those who object
:08:13. > :08:17.to its plans respect its rights, and those of Ryedale residents,
:08:18. > :08:22.to go about their business lawfully and peacefully.
:08:23. > :08:25.That's it from me this evening, time now to take a look
:08:26. > :08:28.at the weather for the week ahead with Paul Mooney.
:08:29. > :08:36.Definitely much less bitter this morning?
:08:37. > :08:41.Yes, altogether more quiet this week. This time last week I promised
:08:42. > :08:45.you snow, ice, gales, the lot. This week, things are much quieter. High
:08:46. > :08:49.pressure dominates, meaning things will stay fairly settled, lots of
:08:50. > :08:53.cloud around, and patchy rain for a time as well. But we will have frost
:08:54. > :08:58.free nights, and a milder feel generally. Cloud around tonight, and
:08:59. > :09:03.some outbreaks of rain, especially in the West and north. Fairly light
:09:04. > :09:07.drizzly rain which it shouldn't cause any problems, and the further
:09:08. > :09:10.south and east you are, the more dry you will stay. It will stay cloudy
:09:11. > :09:17.everywhere, and the cloud and southern breeze. The temperature
:09:18. > :09:20.dropping much below five Celsius. Cloudy start tomorrow, some patchy
:09:21. > :09:24.rain around, especially through the morning. The rain becomes more
:09:25. > :09:29.intermittent and patchy through the day but stays mostly cloudy.
:09:30. > :09:34.Temperatures will climb up to 9-10 Celsius in the southerly breeze, so
:09:35. > :09:38.much milder than it has been. A lot of low cloud sitting down on the
:09:39. > :09:42.hills, so poor visibility and higher ground. Into tomorrow evening and
:09:43. > :09:45.overnight, we keep the cloud. Still a fuse box of rain here and there,
:09:46. > :09:50.but generally drying up through the night. A mild night, temperatures no
:09:51. > :09:56.lower than six or seven as we head into Wednesday morning. Wednesday
:09:57. > :10:00.starts off grey, cloudy, Misty in places, but with a better chance of
:10:01. > :10:03.cloud breaking. We will start the season sunny intervals breaking
:10:04. > :10:07.through, generally brighter skies through the middle of the working
:10:08. > :10:12.week. Similar temperatures again, highs of around ten on Wednesday
:10:13. > :10:17.afternoon. High-pressure in charge, as I said. This weather front just
:10:18. > :10:20.sinks away to the south, allowing the cloud to break midweek, and the
:10:21. > :10:24.high really becomes established over the top of us as we had through the
:10:25. > :10:28.second half of the week. Nothing changes a great deal. Light winds as
:10:29. > :10:34.well, and things stay fairly quiet. For Thursday, mostly dry, generally
:10:35. > :10:40.cloudy skies, a a few breaks appearing here and there.
:10:41. > :10:43.Temperatures up to 8-9 C on Thursday afternoon. Friday, perhaps a bit
:10:44. > :10:50.cooler. The cloud more broken overnight. Allowing temperatures to
:10:51. > :10:53.climb up to 6-7 for most of us on Friday afternoon. Staying fine and
:10:54. > :10:58.dry as we had through the working week. Into next weekend, we will
:10:59. > :11:00.keep you updated on your BBC local radio station. I will leave you with
:11:01. > :11:05.a summary. perhaps a little milder. If you like
:11:06. > :11:09.the mild weather, you'll have to head elsewhere in the country. Find
:11:10. > :11:13.out more in the national weather forecast. Our weather is going
:11:14. > :11:18.against normal expectations this week. In Highland Scotland some snow
:11:19. > :11:22.to be seen on the hills. Temperatures as high as 12 Celsius
:11:23. > :11:25.today. Over the next few days the coldest air is in the far south-east
:11:26. > :11:31.of England where there is sunshine to be had. Four or five Celsius in
:11:32. > :11:33.Kent. Differences remain over the next few days and here is why. I
:11:34. > :11:34.pressure