17/03/2014 Midlands Today


17/03/2014

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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for commissioning health services across Stafford and Cannock ` and is

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

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hospitals throughout the West Midlands face being downgraded, with

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

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

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been investigating. This care centre In Nuneaton's

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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manage all cancer services `cross Staffordshire for the next ten

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

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

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privatisation. In future, chemotherapy patients may rdceive

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

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

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

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

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

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

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greatest financial challengd and a revolution takes place in hdalth

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

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and more care has to happen elsewhere.

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

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

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

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

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Worcestershire Royal to find out. Ben Godfrey reports.

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

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

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painkillers? Dormston Cook hs waiting for a CT scan after

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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highlight the financial pressure and the increasing number of people

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

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

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pressure of resources, and loney getting tighter and tighter.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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problems. Coming up later in the programme. A

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revolution in infection detdction ` using high powered computers and DNA

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

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

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

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

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

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be completed by 2030 instead of 2033. Our transport correspondent

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

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

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behind this idea? This was published earlier today. It

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

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

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

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High Speed 2 network. It is geographically centred round

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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today. Wellesbourne airfield in South Warwickshire could close, to

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

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airfield would go and the popular weekend outdoor market which

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attracts hundreds of people from across the region would havd to

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

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

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

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

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

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

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

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

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

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lot people it is absolutely devastating thing

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

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help You can get really close and CB

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

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

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

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airfield. Sport now, and relief and

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

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

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

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

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

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

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

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

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

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

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Roland Lamah scored for Swansea after just two minutes and they

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

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Sessegnon's equaliser. And five minutes from time Xoussouf

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

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

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

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

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

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

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about Peter Crouch despite ht touching Peter Odemwingie on the way

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

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win was completed with a brdakaway goal from Odemwingie.

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

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

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

:18:11.:18:18.

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

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

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

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

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

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

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

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pressure has been dispelled with consecutive home wins. Likewise

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

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

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

:18:59.:19:01.

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

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

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

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

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

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

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

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

:19:22.:19:24.

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

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That leaves both of them in mid`table.

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

:19:42.:19:46.

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

:19:47.:19:49.

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

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the future of the NHS and in particular revolutionary new ways

:19:53.:19:55.

for doctors and hospitals to track and tackle potentially deadly

:19:56.:19:57.

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

:19:58.:20:01.

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

:20:02.:20:06.

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

:20:07.:20:09.

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

:20:10.:20:14.

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

:20:15.:20:19.

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

:20:20.:20:23.

special atmospheric conditions, special growth media, or yot may

:20:24.:20:28.

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

:20:29.:20:33.

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

:20:34.:20:36.

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

:20:37.:20:40.

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

:20:41.:20:43.

of computer power and ever hmproving DNA analysis using machines like

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

:20:47.:20:50.

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

:20:51.:20:55.

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

:20:56.:20:58.

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

:20:59.:21:02.

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

:21:03.:21:06.

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

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

:21:10.:21:12.

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

:21:13.:21:16.

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

:21:17.:21:20.

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

:21:21.:21:25.

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

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

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

:21:32.:21:40.

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

:21:41.:21:42.

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

:21:43.:21:50.

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

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

:21:58.:22:01.

years thanks to this research this approach could become routine.

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

:22:04.:22:10.

Thousands of primary school children will get their first taste of

:22:11.:22:14.

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

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

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

:22:21.:22:22.

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

:22:23.:22:25.

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

:22:26.:22:26.

Rana. Insults Imp inspired by

:22:27.:22:42.

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

:22:43.:22:46.

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

:22:47.:22:51.

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

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

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

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

:23:10.:23:16.

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

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

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

:23:26.:23:34.

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

:23:35.:23:40.

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

:23:41.:23:46.

has been organised by the Shakespeare Birthplace Trust. So far

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

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

:24:06.:24:09.

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

:24:10.:24:14.

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

:24:15.:24:21.

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

:24:22.:24:30.

officially celebrate the 450th birth anniversary of Shakespeare next

:24:31.:24:35.

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

:24:36.:24:41.

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

:24:42.:24:43.

will continue. We have had a whole week without

:24:44.:24:49.

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

:24:50.:25:02.

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

:25:03.:25:07.

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

:25:08.:25:12.

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

:25:13.:25:16.

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

:25:17.:25:21.

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

:25:22.:25:26.

that remains constant is thhs nagging westerly wind which is due

:25:27.:25:31.

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

:25:32.:25:34.

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

:25:35.:25:38.

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

:25:39.:25:43.

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

:25:44.:25:48.

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

:25:49.:25:54.

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

:25:55.:25:58.

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

:25:59.:26:01.

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

:26:02.:26:09.

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

:26:10.:26:18.

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

:26:19.:26:22.

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

:26:23.:26:29.

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

:26:30.:26:34.

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

:26:35.:26:40.

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

:26:41.:26:44.

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

:26:45.:26:57.

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

:26:58.:27:00.

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

:27:01.:27:04.

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

:27:05.:27:07.

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

:27:08.:27:11.

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

:27:12.:27:14.

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

:27:15.:27:18.

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

:27:19.:27:20.

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