:00:00. > :00:00.Good evening and welcome to the late Look North.
:00:00. > :00:08.Tonight - we hear from a woman told she's too overweight for surgery
:00:09. > :00:13.as cash-strapped health authorities delay routine operations.
:00:14. > :00:16.Brodsworth Hall mounts a war on moths as Doncaster's history
:00:17. > :00:23.And a fine day to come tomorrow with a cracking
:00:24. > :00:26.forecast for the weekend. I'll be back later in the programme
:00:27. > :00:34.with all the details on how long the warmth is going to last.
:00:35. > :00:38.A woman from North Yorkshire has spoken of her despair
:00:39. > :00:41.after being told she can't have a hip operation
:00:42. > :00:47.It comes at a time when the NHS in parts of Yorkshire is facing
:00:48. > :00:54.a multi-million pound hole in its finances.
:00:55. > :00:57.In a moment we'll have analysis from Dr Richard Vautrey from the BMA
:00:58. > :00:59.but first this report from our Health
:01:00. > :01:07.Living on a farm means Louise Baines is relatively active.
:01:08. > :01:10.It also means she is in near constant pain.
:01:11. > :01:13.The 40-year-old has arthritis in her hip and has been told
:01:14. > :01:16.by a private consultant that it needs replacing, but rules
:01:17. > :01:19.introduced by the local NHS in Scarborough and Ryedale mean that
:01:20. > :01:23.patients classified as obese face delays of six months before they'll
:01:24. > :01:26.be referred for surgery so they can try to lose weight.
:01:27. > :01:30.I feel like I've just been passed over to one side, I'm just...
:01:31. > :01:33.I'm not worth repairing, really. I should be enjoying life at 40,
:01:34. > :01:37.enjoying my family and I can't do that with the pain that I'm in.
:01:38. > :01:43.An NHS group in North Yorkshire has said it could refuse
:01:44. > :01:48.Similar policies for routine hip and knee operations hit
:01:49. > :01:51.the headlines when they were adopted elsewhere in North Yorkshire.
:01:52. > :01:54.CCGs say introducing criteria around patients who are overweight
:01:55. > :01:57.or smokers is clinically driven, better for patients and not
:01:58. > :02:01.a blanket policy, but it has been criticised by some including
:02:02. > :02:04.the Royal College of Surgeons as an unfair way to save money
:02:05. > :02:11.There are four clinical commissioning groups
:02:12. > :02:14.in North Yorkshire and all of them have been forecasting
:02:15. > :02:17.an end of year deficit, ranging from just over half a million
:02:18. > :02:21.at Hamilton Richmondshire and Whitby to more than ?28 million
:02:22. > :02:28.A body that has been placed in special measures by NHS England.
:02:29. > :02:31.You could say they are lousy managers, you could say
:02:32. > :02:35.they are poor clinicians but they're not, and they have got
:02:36. > :02:39.a long-standing problem with finance in North Yorkshire.
:02:40. > :02:41.There's population movements taking place but I guess underlying
:02:42. > :02:44.it is some questioning about the formula by which money
:02:45. > :02:47.is distributed because some are doing quite well
:02:48. > :02:51.but North Yorkshire is doing quite badly.
:02:52. > :02:54.There is definitely more and more rationing coming in,
:02:55. > :02:58.we've seen rationing of drugs, so not just surgery,
:02:59. > :03:02.and of course this often hits people who have got social and economic
:03:03. > :03:04.deprivation even more, so you could say the policy
:03:05. > :03:11.NHS England says it is aware of the deficits being forecast
:03:12. > :03:14.by the clinical commissioning groups in North Yorkshire and it is
:03:15. > :03:17.working with them to find long-term solutions.
:03:18. > :03:20.The changes around surgery are just one small part of much wider plans
:03:21. > :03:23.being developed by the CCGs to improve their finances,
:03:24. > :03:27.but the challenges still remain, with populations that are ageing
:03:28. > :03:33.Louise is now taking part in a weight loss programme but fears
:03:34. > :03:42.she'll still need an operation when her six-month wait is up.
:03:43. > :03:45.Joining me now in the studio is Dr Richard Vautrey -
:03:46. > :03:47.a Leeds GP and vice chair of the British Medical
:03:48. > :04:02.How concerned are you by the cash-strapped local NHS in North
:04:03. > :04:07.Yorkshire? It's very concerning and affecting more and more patients.
:04:08. > :04:11.Unacceptably so. We are supposed to have a National Health Service and
:04:12. > :04:16.what is happening is we have postcode rationing impacting on
:04:17. > :04:20.patients unfairly. CCG say it is better for the patient and for
:04:21. > :04:25.finances to put this rationing in place on people who need to lose
:04:26. > :04:28.weight and stop smoking. There may be some benefits for people being
:04:29. > :04:34.fitted to be able to do well after surgery but this is just an excuse.
:04:35. > :04:37.There are other areas in the country doing exactly the same. The only
:04:38. > :04:42.reason they are doing this is because of the funding situation.
:04:43. > :04:47.What needs to happen? There needs to be more money or a change in the way
:04:48. > :04:51.things happen? This issue affects many parts of the country and
:04:52. > :04:55.ultimately, as a nation, it's because we're not funding the NHS
:04:56. > :04:58.enough. We need to invest more in the NHS and social care to solve
:04:59. > :05:03.this problem. Thank you. A coroner has strongly criticised
:05:04. > :05:05.the standards of care Albert Pooley, along
:05:06. > :05:11.with James Metcalfe and Harry Kilvington
:05:12. > :05:14.died at Sowerby House The coroner said management
:05:15. > :05:20.at the home was inadequate, but the residents' deaths were not
:05:21. > :05:22.brought about by gross neglect and concluded
:05:23. > :05:25.they died of natural causes. The owners of the home
:05:26. > :05:27.say a new management Mr Pooley's family said they hoped
:05:28. > :05:39.lessons had been learnt. We are pleased the coroner
:05:40. > :05:41.has acknowledged that the standard of care afforded
:05:42. > :05:43.to Albert while he was a resident at
:05:44. > :05:46.Sowerby House was below the standard We support the ongoing
:05:47. > :05:49.work identified by the CQC to bring about
:05:50. > :05:52.the required improvements to prevent similar circumstances arising
:05:53. > :05:54.for families in future. The latest phase of regeneration
:05:55. > :05:57.at Park Hills flats in Sheffield With the development
:05:58. > :06:01.now in its tenth year, the second stage will see
:06:02. > :06:06.the creation of a further 200 residential properties within
:06:07. > :06:09.the Grade II listed buildings. Residents and businesses
:06:10. > :06:11.have the chance to see the plans before a detailed planning
:06:12. > :06:14.application is submitted. Castleford Tigers are top
:06:15. > :06:16.of the Super League table tonight They beat the defending
:06:17. > :06:24.champions 27-10. The first try came from Webster
:06:25. > :06:28.in the 23rd minute. Gale sealed the win with a goal
:06:29. > :06:31.at the start of the second half. The Tigers have lost only one
:06:32. > :06:35.match so far this season. English Heritage is mounting
:06:36. > :06:39.a campaign to try and stop the destruction of the contents
:06:40. > :06:41.of our historic Brodsworth Hall near
:06:42. > :06:46.Doncaster is one of them. The most common culprit
:06:47. > :06:49.is the case-bearing clothes moth, which is incredibly destructive
:06:50. > :06:55.and hard to exterminate. Hundreds of years of Doncaster's
:06:56. > :07:03.history, nibbled, gnawed and ruined. Moths, the clothes moths,
:07:04. > :07:06.to be exact, are on the increase English Heritage says it has seen
:07:07. > :07:11.the numbers of the species double at its sites over
:07:12. > :07:14.the past five years. It is becoming a real problem.
:07:15. > :07:16.And we're not talking balls either. Moths don't seem to be
:07:17. > :07:19.affected by the traditional They've been chewing
:07:20. > :07:24.through our stately homes. Obviously Brodsworth Hall has
:07:25. > :07:27.an amazing amount of stuff, great stuff, but how much
:07:28. > :07:30.damage can moths do to it? They can do a phenomenal
:07:31. > :07:33.amount of damage. It's the larvae stage of the clothes
:07:34. > :07:36.moth that does the damage. Here, we have got a Blue Peter flag.
:07:37. > :07:39.The Tennyson family that built Brodsworth Hall were very
:07:40. > :07:42.involved in yachting. We think this is one
:07:43. > :07:44.of their yachting flags. You can see the damage that
:07:45. > :07:49.they've done, absolutely. It's been in store, probably left
:07:50. > :07:52.in a cupboard for many years And it's when you get close up
:07:53. > :07:58.you can really see the damage they do and what they leave behind.
:07:59. > :08:01.I hope you've had your tea. English Heritage manages the moth
:08:02. > :08:04.problem because it has a really good programme of housekeeping and we do
:08:05. > :08:07.the monitoring so we know what insect pests are active
:08:08. > :08:10.at our sites, but with this huge increase in numbers over
:08:11. > :08:14.the past few years, the threat is becoming bigger,
:08:15. > :08:16.and we want to understand how They're so worried about moths
:08:17. > :08:23.here they want to find out how much of a problem it is for us at home,
:08:24. > :08:26.so if you come to an they'll give a free
:08:27. > :08:31.clothes moth trap. A bit of cardboard you can
:08:32. > :08:33.assemble like this. There's a bit of pheromone
:08:34. > :08:37.inside that attracts the male moth and then
:08:38. > :08:40.they meet a sticky end. The idea being that over a couple
:08:41. > :08:43.of months they count the moths they collect from the trap,
:08:44. > :08:46.but that data onto the website, then English Heritage will collect
:08:47. > :08:50.that information together, and try to work out why we're seeing
:08:51. > :08:55.such an increase in moth numbers. They're on top of it at Brodsworth
:08:56. > :08:59.Hall and the tips for us as home, if you've not got special
:09:00. > :09:01.Ghostbusters style vacuum cleaner, keep your house tidy.
:09:02. > :09:10.You've been warned. Keep clean, the moral of that story.
:09:11. > :09:15.That's the latest news. Now time for a look at the weather
:09:16. > :09:23.with Keeley Donovan. All this talk of gorgeous weather
:09:24. > :09:32.but I've been frozen today! Put cardigan on!
:09:33. > :09:36.Temperature is a little above average for today and on the
:09:37. > :09:42.weekend, even you will find them more like June or July's. But at
:09:43. > :09:48.night and first thing in the morning, it will feel quite chilly.
:09:49. > :09:59.Tomorrow not looking too bad. Over the weekend, much drier air
:10:00. > :10:03.coming from the south so along with the warmth, it will also have not
:10:04. > :10:09.much cloud and plenty of sunshine. Not much cloud at night means
:10:10. > :10:14.temperatures will rapidly drop away. Out there at the moment,
:10:15. > :10:19.temperatures falling. More cloud over western parts and temperatures
:10:20. > :10:24.lowest in the east. Like last night, they could drop down to lower than
:10:25. > :10:32.this down to low single digits, around two or three degrees. Touch
:10:33. > :10:36.of frost is possible. West- east split. Cloud across the Pennines
:10:37. > :10:40.should split and break. We should get some dry weather and decent
:10:41. > :10:56.spells of sunshine. A bit of patchy cloud. Temperatures getting up to
:10:57. > :11:01.the made teams -- mid-teens. Plenty of sunshine and across the weekend,
:11:02. > :11:08.south Yorkshire might get up to 21 degrees. Cooler on Monday.
:11:09. > :11:16.Hello. There was some warm sunshine around today, but it's set to get
:11:17. > :11:19.even warmer this weekend. 18 Celsius in London this afternoon. This was
:11:20. > :11:24.the scene in Chiswick, much quieter than it was on Sunday for the boat
:11:25. > :11:27.race. Under the cloud for example here in Cumbria, temperatures
:11:28. > :11:31.struggled to make double figures. Through the night we're going to
:11:32. > :11:33.hang onto a lot of cloud across north-west England, North Wales,
:11:34. > :11:36.Northern Ireland and western Scotland, where there will be a bit
:11:37. > :11:37.of drizzle on the