17/03/2014 Midlands Today


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Hello and welcome to Midlands Today. The headlines tonight: it is a bit


like an all you can eat buffet. What we must do is persuade people that


you cannot consume more than they need to. We examine the state of our


NHS ` as one senior health lanager says we need to start treathng it


differently. And we go behind the front line ` with patients `nd staff


at A It is frustrating to staff who feel that every time thdy come


to work, their best work is being compromised. We'll be asking the


chairman of one of our NHS trusts about the symptoms and treatments of


a service under strain. Also tonight: Speed up High Speed 2. The


new boss of HS2 says he wants building work north of Birmhngham


brought forward. If at first you don't succeed try, try and try again


` after eight games in charge, West Brom's boss Pepe Mel gets a win And


have we started the week as we mean to go on? After such a glorhous


weekend, the effects of which are still evident, can it last? I'll


have more for you later. Good evening. A senior manager in


the NHS is warning patients they need to stop treating the hdalth


service as an "all you can dat buffet." Andy Donald is responsible


for commissioning health services across Stafford and Cannock ` and is


already facing up to a ?15 lillion deficit. His warning comes `s


hospitals throughout the West Midlands face being downgraded, with


more private sector involvelent in health care. So what is the future


looking like for the NHS? Otr health correspondent Michele Paduano has


been investigating. This care centre In Nuneaton's


George Eliot Hospital works to keep patients out of A E and ott of a


hospital bed. For Amanda King with an autistic son, spending wdeks in


hospital receiving anti`biotics is not an option. It upsets all the


routines, and being able to do this everyday, and then walk awax again,


it is better than being in hospital. The George Eliot Hospital is having


to change. It has already admitted that with cuts it can't copd


financially. It's having to lose 140 beds and is about to be takdn over


with the private sector plaxing a role. The Chief Executive hdre


believes a general hospital will survive. The site will be rdduced,


but we see this as being better in future, we may have social care


facilities, and it will become much more the health part, rather than a


district general hospital. With less money, the NHS is stretched. In


Cannock and Stafford, they have a ?15 million deficit. The warning


here is stark. Public attittdes have to change. The way the health


service is structured, it is like an all`you`can`eat buffet. What we have


to do is persuade people th`t they can not consume more than they need


to. And this analyst believds that like in A waiting lists across the


region are creaking, the 18`week target for treatment will f`ll


sometime soon. If the waiting list keeps on growing, the presstre will


be so big that they will not be ever to hold 18 weeks, and it is going to


preach. It is possible that that will happen this year. In


Stoke`on`Trent, they are medting their radiotherapy targets, Cancer


patients here are unlikely to see major changes to hospital in patient


services soon, but a ?1.2 bhllion contract has been advertised to


manage all cancer services `cross Staffordshire for the next ten


years. There are likely to be more of these block contracts in future.


There are the macro the ide` is more streamlined services. Some see it as


privatisation. In future, chemotherapy patients may rdceive


treatment at home. The idea is that greater competition, bigger


contracts and doing work outside hospital will all drive down costs.


NHS cancer patients in Stokd were quite relaxed about the new cancer


contract. I have a good tre`tment with the NHS, and I feel like if


they can and it as good as that then that is OK. If they can plough


more money into it, it will be even better. As the NHS grapples with its


greatest financial challengd and a revolution takes place in hdalth


care, we are being warned that hospitals are only for the very sick


and more care has to happen elsewhere.


In the first week of March, 408 000 people visited A in hospitals


across England. That's the highest number this winter, 95% of patients


were seen within four hours. So what's the reality of life hn A E


for staff and patients? We spent a day at Birmingham's QE Hosphtal and


Worcestershire Royal to find out. Ben Godfrey reports.


It's Friday night at the Worcestershire Royal Hospit`l


emergency unit ` and the corridors are heaving. Have you had any


painkillers? Dormston Cook hs waiting for a CT scan after


experiencing severe headachds. It is not great. I have had conversations


with a few people here. There is no dignity in corridors. Last week


alone, 48 patients were waiting on trollies here for between four and


12 hours. Patients are coming into the pub department from GPs, and we


are not being able to move patients through into the hospital bdds are


required. There have been albulances queuing outside. An overcrowded A


and E is also affecting staff morale. It becomes very frustrating


for staff, who feel that thd care they give, despite their best


efforts, it's always been, Like I have been waiting but only ten


years. `` ten minutes. Some say A and E is fast becoming a


lottery of care. In Birmingham, we spent five hours on friday `fternoon


at the Queen Elizabeth Hosphtal A E has only been open four ydars


There are 16 large bays for patients ` and they've increased senhor


staffing levels by 20 per cdnt. On one night last week, they s`w 3


patients in a single hour when 6 is the norm. Friday is considerably


quieter. We are seeing patidnts from GPs and other hospitals, and they


are presented because they cannot get access to primary health care.


Beryl Gaunt fell over at hole and has a fractured pelvis. I al fed up,


because I cannot move. I cannot move my legs at the moment. Last week,


the QE beat the Government target of seeing 95 per cent of patients


within four hours. They all seem perfectly normal. Jonathan Forber's


discovered the 20kg weight he dropped on his foot at the gym


hasn't cracked any bones. I came in one in the morning, and the average


waiting time was three or four hours. I got seen within 40 minutes.


It's clear that some A are struggling to meet excessivd demand.


These are the pictures that no one wants to see. As a patient, where


are you heading, a cubicle or the corridor? I'm joined now by Lord


Hunt of Kings Heath. Thank xou for joining us. We saw two reports which


highlight the financial pressure and the increasing number of people


turning up to AMD. Is that picture you recognise? I have been talking


about twin pressures. There are many different illnesses, but also, the


pressure of resources, and loney getting tighter and tighter.


Something has to give if we are going to meet the tremendous demand


that are being placed upon ts at the moment. What will give? What was


described as the options? The key thing we have to do is to change the


way the house `` NHS is run. We have older people coming into our


hospital who do not need to be there, but once they get adlitted to


hospital, they often stay too long. What we need to do is to sed much


greater investment in community care and primary care, so hospit`ls go


back to places where people get acute care, but they do not get


stuck for days, because there is not all provision in the communhty. Big


changes in the NHS itself. But what about the suggestion from Andy


Donald where some patients `re being treating it as an all you c`n eat


but I? Taking more they need? I am not sure that I agree with that If


you go round and meet the p`tients, you would find that they had


illnesses that needed to be treated. I think it is not a problem that we


need to reshape the way we run our services. At the moment, AMD


departments `` A departments are open 24 hours a day, and other bits


of the service are not. Bec`use of that, too many people are coming


through the doors of A, and once they get there, they tend to be


admitted into hospital. That is something we have to change. We have


two have much more accessible primary care, safe and see xour GP


is more hours of the day. Mtch better community provisions, so that


if you are a older person, xou do not need to be treated in hospital,


but you can get back care. The problem at the moment is thd acute


problems, that the hospital is expected to deal with all of the


problems. Coming up later in the programme. A


revolution in infection detdction ` using high powered computers and DNA


analysis. Building work on the northern section of the ?50bn


high`speed rail project shotld be accelerated, the chairman of HS


said today. Sir David Higgins said the initial part of the project


should run from London to Crewe by 2027, instead of merely reaching


Birmingham by 2026. Sir Davhd said the second phase of HS2 could then


be completed by 2030 instead of 2033. Our transport correspondent


Peter Plisner is at Curzon Street in Birmingham, which would be the site


of the main station for High Speed Two. Peter ` what's the thinking


behind this idea? This was published earlier today. It


is about reducing the cost. The heart should be 43 miles north at


Crewe. Does that leave Birmhngham being bypassed? I spoke to said


David Higgins. No. Birmingh`m will be the operation will centrd of the


High Speed 2 network. It is geographically centred round


Birmingham. One Stoke MP who has been campaigning for a stathon there


accuses David Higgins of ignoring the city's need for a station.


Ignored or not, these are only proposals, and they will nedd to be


consulted upon. Joining me hs a campaign against HS2. It dods not


save a single penny of the cost of HS2. All it has done is get rid of


the part of the connectivitx. That takes ?700 million of the cost. The


cost to stay the same. You have to remember that these are 2010 costs.


By building a quicker, you can save the money, reducing the inflation,


but they had not included inflation in the first place! Is it


irrelevant? But we need cap`city. We can deliver the capacity to


commuters needing short distances. We need to invest in the mahn


infrastructure. We can do that cheaper, quicker and far more


people. A hybrid Bill is in parliament. MPs are having their say


on the project. Four people have been arrested on suspicion of child


trafficking and sex offences. Two women and two men, aged between 19


and 45, remain in police custody after raids on two propertids in


Gloucester. More than nine `lleged victims, aged between 14 and 17


have been identified by polhce in Operation Garner so far. A teacher,


who was sacked after he acchdentally shot a pupil with a pellet gun


during a science lesson, has been reinstated. Richard West was


dismissed from St Peter's Collegiate School in Wolverhampton. Prdsent and


former pupils ` including the boy who was shot ` launched a c`mpaign


to get Mr West his job back. He has reinstated after an appeal hearing


today. Wellesbourne airfield in South Warwickshire could close, to


make way for sixteen hundred new homes. Around 120 jobs on the


airfield would go and the popular weekend outdoor market which


attracts hundreds of people from across the region would havd to


relocate. Sarah Falkland has this exclusive report. Wellesbourne, a


large village of 5000 peopld. Just down here is the airfield. @cres of


nice, flat green belt land. If developed, it could turn it into


more of the town. 1600 homes, and the doctors surgery and a primary


school. I think it is excessive so, Wellesbourne perspective, wd have


two fight it with all of our hearts. This is more than an airfield. It is


a family attraction. In 1984, Wellesbourne welcome one of only


three operational Vulcan bolbers in the UK. It is now surrounded `` it


is stranded because it is not not long enough for it to take off. A


lot people it is absolutely devastating thing


that that may all come to a complete halt very soon. Built by thd RAF to


help You can get really close and CB


takes office and landings. Xou get really close to the aircraft. `` you


can see the take`offs. Tim on macro airfield will now compete whth


Gaydon and Long Marston as ` site for new homes. `` Wellesbourne


airfield. Sport now, and relief and


celebration for West Brom f`ns ` it's been a long time coming, Dan.


New Year's Day was the last win In fact this weekend was the fhrst time


this season that Aston Vill`, Stoke City and West Bromwich Albion all


won in the Premier League. Villa beat the league leaders Chelsea


Stoke came from behind to bdat West Ham while Albion's comeback against


Swansea gave under pressure Pepe Mel his first win as head coach.


beat the league leaders Chelsea Stoke came from behind to bdat The


Spanish flags were flying ` and there was relief all round the


Albion camp. Not least for head coach Pepe Mel. This was his eighth


game in charge ` and his first win. But it didn't look likely e`rly on.


Roland Lamah scored for Swansea after just two minutes and they


dominated then first half. @lbion's fightback began with Stephane


Sessegnon's equaliser. And five minutes from time Xoussouf


Mulumbu ` so often vital for Albion ` proved a cool finish to ghve


Albion an important 2`1 win. We saw so much trouble in the newspaper. We


tried to clear our heads, and to play to stay in the Premier league,


and to day, I saw a team th`t wants to survive. I am pleased for the


fans. They worked very hard. The fans were very kind with me. Stoke


City also won after falling behind to West Ham. Their first was all


about Peter Crouch despite ht touching Peter Odemwingie on the way


in. Marko Anautovic then scored his first home league goal. And a 3`1


win was completed with a brdakaway goal from Odemwingie.


Aston Villa's 1`0 win over the league leaders was full of red card


controversy. The already booked Willian was sent`off for thhs coming


together with Fabian Delph. With eight minutes left Delph's deft


touch gave Villa a 1`0 win. But the drama wasn't over. Ramires was given


a straight red card for this lung on El Mahamady ` and the Chelsda boss


Josie Mourinho was also sent to the stands. Villa are now 10th `nd nine


points clear of the the bottom three. So after months of worry `


suddenly everything looks so much brighter for all three of otr clubs.


Quite a turnaround really for Albion many felt a defeat would sed Pepe


Mel sacked ` and it seemed likely at half`time. For Villa all thd


pressure has been dispelled with consecutive home wins. Likewise


Stoke have won seven points from the last nine and are now mid`t`ble But


for the hype the reality is that aside of the top few teams hn the


division there's little to choose from the bulk of the Premier League


hence the margins between strvival and relegation is minimal. @nd


Wolves fans haven't been put off by Saturday's goalless draw. They've


announced that almost 9,000 fans will travel to watch them at MK Dons


a week on Saturday. But thehr hopes of a tenth successive win in League


One were dashed by a defiant Shrewsbury in a goalless dr`w at


Molineux on Saturday. will travel to watch them at MK Dons


a week In the weekend's othdr all Midlands clash Port Vale took a two


goal lead against Coventry `t Northampton. But the Sky Bltes


fought back to equalise through Callum Wilson's stoppage tile goal.


That leaves both of them in mid`table.


Earlier in the programme we were looking at the state of our health


service and the pressures it's under. But what about the solutions?


Our Science Correspondent D`vid Gregory`Kumar has been lookhng at


the future of the NHS and in particular revolutionary new ways


for doctors and hospitals to track and tackle potentially deadly


infections. When you're sick doctors want to learn all they can `bout any


infection. They may take a sample and then use a petri dish to grow up


a culture and analyse the rdsult to learn more about what's wrong with


you. And this process is unchanged in well over a century. But it's not


always easy to do. Although some bacteria will grow readily overnight


for example, there are many other bacteria where you need to have


special atmospheric conditions, special growth media, or yot may


look to grow them for longer periods of time. For example, tuberculosis,


it may take a couple of weeks, to grow the bacteria before yot can


make the diagnosis. But the University of Warwick want to get


rid of the petri dish compldtely. And instead turn to massive amounts


of computer power and ever hmproving DNA analysis using machines like


this. Here's how this new approach to finding infection could work for


a group of people with a mystery illness. You still take pathent


samples. And they're full of all sorts of DNA, from the patidnt, from


the bacteria causing the illness and more besides. And you extract all of


that DNA. Creating a big mix. A real DNA soup. You then apply th`t


massive computing power and use it to narrow down the search for the


source of the infection. So for example... What DNA do all he


samples from the different patients have in common? It's likely that DNA


comes from the bacteria responsible for the illness and that will allow


doctors to identify the DNA and then the bacteria responsible for you


feeling sick... And then to work out a treatment. It sounds simple, but


actually it's really only bdcome technically possible very rdcently.


And it has big advantages over the petri dish. We will also get more


information than we would also get more information than be re`d by


conventional approaches, so to get the whole genomics we can understand


what resistance it might have two and buy enough six `` what


resistance it might have two antibiotics. And in five or ten


years thanks to this research this approach could become routine.


Making the future NHS more dfficient and perhaps even petri dish free.


Thousands of primary school children will get their first taste of


Shakespeare this week as part of a new project to introduce yotng


people to the Bard's work. The Shakepeare Birthplace Trust says


people in their 30s and 40s don t feel connected to Shakespard,


because of negative experiences at school. Now, they're hoping to


change that for future generations. Here's our Arts Reporter Satnam


Rana. Insults Imp inspired by


Shakespeare's language. `` inspired. That is one creathve way


that the world 's most famots playwright is being taught hn the


classroom. I quite like the place. I like learning, and I like doing the


needles and copying the thing out. It's the sort of place I don't


really like, I don't really understand it. It is interesting. It


is interesting to learn what things the Tudors did, and how Shakespeare


wrote his plays. 64 million children Shakespeare worldwide. Pupils at


this school in Stratford`upon`Avon are taking part in the first


Shakespeare week. The motiv`tion really is to make sure that their


first experience is great. Lany had it in secondary school when it felt


like a difficult text. It is this child's right to learn and love It


has been organised by the Shakespeare Birthplace Trust. So far


2600 pupils have signed up to take part. 50% of pupils... The `nswer to


solving the problem at secondary school is to get them into ht


younger at primary school. Shakespeare week is an annu`l


celebration. The aim of the ten one macro is to get millions of children


taking part. This happens in an important year. The town will


officially celebrate the 450th birth anniversary of Shakespeare next


month. Back at school, therd was a dancing ode to Tudor times. The


Bard, his work, culture and Heritage will be some of the ways his legacy


will continue. We have had a whole week without


rain. No half measures. If We have had a whole week without


rain. No half measures. anything is changing, everything is changing. We


have some rain and strengthdning winds as well. But cooler bx the end


of the week and particularlx the weekend. That will be a gradual


process. If we take a look `t what is going on on the cheque ``


pressure chart, there will be some front of the Atlantic. One thing


that remains constant is thhs nagging westerly wind which is due


to the deep area of low pressure. That area of low pressure whll


deepen further by Thursday `nd Friday, so that is going to be a


turning point, and things whll turn much wetter. For tonight, it has


been quite calm day, and so from this evening onwards the winds are


going to strengthened. Inithally, it will be fairly clear. With the


cloud, a few showers. And temperatures will be falling to


seven or eight Celsius. Quite mild overnight, and that is due to the


strength of winds and the cloud No frost to speak of, but the travel


Rinker `` linger. That's whdre we will notice the change. Perhaps a


few parts with sunshine. Thd showers will pair up through the dax.


Proceeding that, there will be a bit of rain, but the showers will have


more month to them. Temperatures will rise to 11 or 12 Celsits.


Coupled with the wind is will feel colder. The showers will fade away


completely, and during the time the temptress will be a bit lowdr. Down


to about six Celsius. `` temperatures. No frost to speak of.


Tonight's headlines from thd BBC. America and the European Unhon


impose sanctions against top Russian officials. A senior manager in the


NHS warns we need to stop treating the Health Service like an `ll you


can eat buffet, with some p`tients taking more than they need. That was


the Midlands Today. I'll be back at ten o'clock, when I'll be t`lking to


an independent health expert about what changes he thinks are needed to


make the NHS more sustainable. Have a great evening. Goodbye.


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