06/04/2017 Points West

Welcome to BBC Points West with Alex Lovell and David Garmston.

Our main story tonight: The death of a mentally ill

She was able to walk out of hospital unchallenged by anybody -

today professionals say improvements have been made.

It's never possible to say it will never happen again. The service has

been set up to identify woman with a particularly high risk to prevent

future occurrences. The official report says it wasn't

clear who was in charge of her care. Satisfaction or your money back -

Bristol City players give the fans And whistle while you work -

a factory siren in Stroud goes off And hundreds of volunteers help a

team change one family's life forever.

And whistle while you work - a factory siren in Stroud goes off

Charlotte Bevan walked out of a maternity hospital in Bristol

in just leggings and slippers on a freezing night carrying

They were not stopped and were later found dead.

Today a review into the tragedy exposed mistakes made

And it said professionals found it difficult to identify risks

because the patient was middle-class and articulate.

The review made lots of points about Charlotte's case -

It said the current practice does not identify a lead

clinician across services, meaning there was confusion

about exactly who should be helping to monitor Charlotte's mental health

It said there wasn't definitive evidence about the safe use

of medication, meaning Charlotte could have carried on taking

the medication that stabilised her mental condition.

And it said mental health services generally for mothers and children

were widely acknowledged to be inconsistent across the country.

Charlotte Bevan's walk out of her maternity ward was captured

Wearing a gown and slippers and with her four-day-old baby

wrapped in a blanket, the 30-year-old first-time

mum made her way out into a cold December evening.

Charlotte had attempted suicide before, after hearing

During her pregnancy she'd stopped taking the medication that

controlled her schizophrenia, believing it could harm her baby.

In fact the review found there was no definitive

answer about the safe use of medication in this case.

What we will always do with patient is

have an in-depth conversation to say

your mental health needs need to be the priority

because there is more risk to your

transferred to your baby in the womb.

Their bodies were found later after a search by police,

the findings of today's review into her care followed closely

This was a particularly difficult case to manage as

long-term mental ill-health and

Education in schools and a general increased

awareness of all mental health issues

will go some way to preventing what happened

It also highlighted confusion

about who was responsible for monitoring

saying some professionals assumed the Mental Health Care Coordinator

was the lead professional, while others assumed

it was the Mother and Baby Unit doctor, and still others the GP.

Charlotte had been gone for almost 40 minutes before

At her inquest a coroner said there had been a series of failings

in not recognising the symptoms of her relapse into psychosis.

Today's review called for clearer rules about who was in charge

for monitoring the mental health of patients like Charlotte,

to stop anything similar ever happening again.

Well, we've been told that changes have already been made to help

mums-to-be who are suffering from severe psychiatric disorders.

Within the last month a new service has been launched

Our health correspondent Matthew Hill reports.

With a history of self-harm and psychosis, Charlotte Bevan

was always going to be at far greater risk to herself

Yet she was able to easily let herself out of St Michaels Hospital.

The serious case review said staff acted quickly to try and find her.

But now, extra safeguards have been

We have doing some work on awards and have changed the mechanism of

families and mothers exiting the ward, so rather than pressing a

button to get out they now need a member of staff to buzz them out of

the ward area. The day before she gave birth,

Charlotte told her midwife she wanted to go to a secure

psychiatric unit for But there wasn't a bed available

for Charlotte and she didn t But now funding has been agreed

for another four-bedded unit in the South-West -

where exactly has yet to be decided. At the time Charlotte and her baby

died, there was also no specialist psychiatric team to help mums to be

like her living in the community, Can you tell me about how you are

feeling at the moment? This is a training session

to demonstrate the type of support a new mental health service can give

mothers in crisis. Bristol, South Gloucestershire

and North Somerset have managed to get ?1.2 million of government

funding for a team. This is looking at mothers in their

home environment, so looking at interventions like massage to aim to

promote that. The serious case review

also raises questions about whether the professionals have

enough time to share information about patients like Charlotte

while they are working under increasing pressure

and with limited resources. With a growing childbirth

rate in Bristol, demands So it seems that professionals

will have to come up with better ways of knowing who is in charge

of a patient s care, so that women like Charlotte don't

slip through the net. Joining us now is the chair

of the Bristol Safeguarding Just to wind the clock back a bit,

this lady had come off her medication so she could breast-feed

her child, according to the report, and yet no one seemed to be on high

alert to watch for anything strange or making sure she couldn't leave

the hospital. You're right, this case has profound sadness across art

community. Charlotte was receiving a lot of care from mental health

services. She suffered from an enduring and serious mental health

problems and it's quite a complicated point about her

medication because she hadn't been given advice to withdraw from

medication. It's not my area of expertise in terms of medication but

I understand there is no conclusive evidence either way, she had made

choices but not necessarily shared those choices with the people

working with her. But wouldn't it have been sensible to have a special

watch so if she behaved unusually she could be stopped? There was a

great deal of effort from the workers with, and one of the reason

there was an number of workers all working with interests at heart, I

think the child protection issue got lost within this and as you heard,

there was some confusion as to who was the lead worker. There was lots

happening but it had to be better coordinated. The report said there

was perhaps too much concern about the mum's requirements and not

enough about the baby. With an adult there is normally a different

approach, they have more control over what happens to them, where

child protection comes in the framework is tighter and that wasn't

happening. The report also says she was middle-class and articular and

that made things more difficult. How so? Workers described Charlotte, she

was a very intelligent woman who could stand her ground and had clear

views about what she wanted to happen, and that's difficult for any

worker. It was helpful that her family could say that is how they

found her to be. The result was that the professionals backed off because

they thought this person knows what she's talking about, even though she

demanded a home water birth although they lived in a small third-floor

flat. There was only a certain extent to which people can be forced

to do something and people were trying to work with to get that

engagement. It's natural if someone knows what they're talking about and

makes arguments, you tend to back off. To be fair, the workers didn't

just back off and leave it, they kept trying but it was difficult.

Thank you for explaining. Well, this story raises

many difficult issues. If you'd like details

of organisations which offer advice and support, go online

to bbc.co.uk/actionline or Thanks for being with us

on this Thursday evening. Stay tuned, there's lots more

still to come, including... Whistle you to work,

the famous hooter that And we taught 16 Celsius in some

spots today. We will nudge those values higher up the scale over the

weekend. Details at the end of the programme.

A lack of on-site support and poor police interaction exacerbated

a situation in which a young man was stabbed to death,

Robert Cox was killed by another resident

in their supported accommodation back in 2013 in Bristol.

Today a jury said he had been unlawfully killed and that a delay

in the diagnosis and treatment of his killer had not helped.

Sue Cox has spent years trying to get answers

He had mental health problems and ended up in this supported

accommodation in Egerton Road, Bristol.

On the night he died he'd gone swimming with his stepsister,

niece and nephew, his dad and the two children

and when he was left at 7:30 that evening,

That evening was the 9th August 2013.

Robert Cox was stabbed to death by another resident, Derek Hancock.

Hancock had a history of paranoia, delusional behaviour

and making false allegations of sexual harassment.

On the night, Derek Hancock phoned police, making false allegations

The police came and spoke to Hancock, but after they'd gone,

His third and final call became the subject of an investigation

Call handler Susan Akerman does say police "will deal with it".

But Derek Hancock goes on: "I will take the law

into my own hands because the law is not doing anything."

"Well, that's entirely up to you Derek, OK?"

She doesn't say don't do that, which I would think a call handler

would be saying to anybody, mental health patient

I understand the police watchdog agreed, but didn t think

Ms Akerman's actions contributed to Robert Cox's death.

But the watchdog did say she may have gone on to give them false

and misleading information, which she denied.

Ms Akerman didn't want to do an interview but has told

the coroner here she'd had no training about mental

health and she didn't know Hancock had such problems.

Speaking about that call, she said he hadn't given

the impression he was going to go on to do what he did,

and that she took three or four calls a day from people

Police say they're committed to learning lessons.

But Sue Cox has had to fight for answers.

A serious case review was critical about the agencies involved.

But she forced an independent investigation which found the case

review wasn't sufficiently in-depth or inquisitive or...

"The process floundered, and it's not surprising"

It makes you question whether there are other cases

where the same questions, the same evidence, the same

problems are arising with serious case reviews.

The Bristol Adult Safeguarding Board has apologised

The group which ran Egerton Road said it's carried out risk

assessments and that Robert's death couldn't have been predicted.

But for Sue and her family, the battle isn't over.

We believe there is more work to be done to prevent future deaths.

A coroner's today said that the death of an airline

co-pilot from Marlborough was not due to poisoning by

43-year-old Richard Westgate died believing he'd become seriously ill

His family claimed he suffered from the condition before

The air industry says there's no threat to passengers or crew.

Police say they're extremely concerned for a missing

Emily Henslowe from Highworth was last seen leaving

for Warneford school this morning but she never arrived.

Officers along with search and rescue crews and the helicopter

People living in Minchinhampton in Gloucestershire

have today joined the search for a missing 71-year-old woman.

Hazel Denham was last seen walking her dog

Police officers and several rescue organisations worked

with the public to search the area, from the Common

Her family say her disappearance is out of character.

I hope we can bring you good news on both of those stories.

A family in Bristol got to see just how the BBC's DIY SOS team have

With the help of hundreds of volunteers the Pollard home

in Hartcliffe was converted so 24-year-old Ryan, who has

Today they put the heart into Hartcliffe.

Hundreds lined Ryan's route to his new front door.

Each of them has given - materials, time, expertise.

Each wanting to build a home and rebuild a family.

night, they sleep at their house but now it will all change, he'll be

It's addictive, what we've done, you go away,

you're absolutely exhausted but there's something,

the drive to come back because of why we're doing it.

To give something to somebody that we know

and somebody said to me, has it been rewarding?

I don't think I've ever done anything as rewarding in my

Ryan starting getting headaches at the age of 19.

They were signs of a much bigger problem.

For five long years he's been cared for at a centre in Gloucester.

And living away from loved ones has taken its toll - on everyone.

We can't spoil the programme and show you inside,

but here's what Ryan's parents made of it all.

He said open your eyes and the first thing

we saw was Rachel's fireplace that she wanted

and all the skylights and cushions and everything

and these new colour schemes and new flooring,

All of these people have been in our house doing work

for us and every one, I thank every single

rallying together, what it's done,

I can't believe how many people were there.

And I looked around, the street was in tears,

tears of love and joy and this is what it's about.

It's about getting a family back together again

Again the team have proved the saying true that many

And one family will enjoy the results of it -

Wonderful job. I'm looking forward to seeing inside but I know a lot of

the volunteers are exhausted, so thank you for all that. And talking

of human kindness... More than ?50,000 has been raised

for a musician from Somerset who's Fellow musicians from across

the West rallied round to try and help trombone player

Stephen Sykes find So far unable to find a match,

they're now trying to raise ?90,000 Hundreds of parents

in South Gloucestershire are expected at a public meeting

tonight to protest against Schools in the area have

historically been some of The figures suggest

the worst-hit school, King's Oak Academy in Kingswood,

will lose over a million pounds Bristol City's defeat away

to Preston earlier this week has proved more costly to the players

than just the loss. Today the squad announced they'll

refund the ticket price for every fan who travelled to see the team

lose 5-0 on Tuesday. Let's do the maths -

312 made the trip, at an average cost of ?20 per ticket,

that's a bill of more And Magnusson can't cut it out,

a chance to make it 4-0. No offside and their defence

crumbling in the second half. McGeady deep into the six yard box,

it's a chance to make it five. This is now getting humiliating

and not what you need when you're Four goals conceded in 21

second-half minutes, described as a capitulation by City

head coach Lee Johnson. So the players have decided

to do something about it. Our performance wasn't good enough

so the players have come together and the club and decided the players

will refund those 312 fans for their tickets,

which obviously they deserve. But what those fans really

wanted was some points from the game but the gesture

is still appreciated. I'm gracious of the whole fact

that they are willing to acknowledge that they were responsible

for an utterly dismal I can't dress it up as much

as I want to because I always like to find the positive out

of anything but Tuesday night, that first 20 minutes of the second

half was utterly dismal. The manner of the defeat once

again raised questions I think when you have a bad loss

like that, naturally there's going to be media speculation given

the position we're in, but it's positive now,

of course everybody wants to know what went wrong and a lot went wrong

but we have to move forward. And that involves repaying

the fans - not financially but with a much-needed win

here against Wolves on Saturday. I think we were both there. ?20

each? Definitely! A very expensive cab.

Now, you might remember the sound of factory whistles and hooters

sounding every day to signal clocking on and clocking off times.

Well, today the sound of the Holloway Brothers factory

whistle in Stroud returned 40 years after it fell the silent.

It was all down to our colleagues at BBC Gloucestershire.

The Holloway's whistle blows again and sounded by Fay,

who as a schoolgirl would help her dad, whose job

I used to come down and he'd let me blow the hooter at 5pm,

then I'd stand outside the door watching all the workers go home.

Some of them just said they remember me as a little girl stood there.

It took a bit of testing to revive the whistle.

Compressed air at the Nailsworth repair caf , then a huge steam rig

But today it was a traditional steam traction engine that literally

It was a vital warning for Sheila and Margaret in the 1950s.

We used to have to run from Stroud, from the post office right

through to Brickwell, up stairs to check in, and that

whistle was blowing while we were running through stroke.

Holloway's came to Stroud in 1849 and at its peak

It was the first to use steam to manufacture clothes.

George Holloway was a pioneer - the only person with a statue

in Stroud and one of the first British employers to properly

Benefits like the friendly society, which paid a pension and sick pay, I

think they paid tuppence a week into a fund and that gave them the

security. They got up lump sum when they retired.

And now his whistle is sounding again, all the brainchild of Radio

Gloucestershire's Mark Cummings, but it seems this could be the start

of a whistle and hooter revival across the country.

Really iconic Gloucester aircraft company, Whittle and the Jet,

they have the hooter and the museum team are working that up

Lister Petter in Dursley, a world-famous company,

we have that, I use it on my show, between the person who has it,

we could get that working again and in Northern United Colliery

near Cinderford, that could be worked up.

It may have just been a humble whistle but today this was the sound

of nostalgia for many whose working lives were ruled by

Our going home whistle will be sending soon.

Now as you know, polling cards are now dropping on doormats

for the election of the West's first elected mayor.

If you're wondering what it's all about

you might want to come along to our debate.

Bristolians already have a Lord Mayor and an elected mayor, now a

third mayor is under way. On May the 4th, voters here in Bath and North

East Somerset, South Gloucestershire and Bristol go to the polls for a

new role called the Metro Mayor. They will have powers over housing

and transport as well as ?30 million a year to spend on infrastructure.

If you would like to attend the debate on the 19th of April board

but the question, let us know... I'm looking forward to that. Let's

go up to Ian, who is on the roof. I mentioned yesterday forecast health

warning about the amount of cloud, and with good reason although the

net result most will be happy with, tomorrow brings the same situation

in terms of forecast, struggling with this balance but it looks like

a fine day, in many respects replicating today. High pressure

dominates and will continue to do so through the weekend and it will be

this fine balance between cloud cover which may look quite

extensive, but in reality might be fairly thin or nonexistent, so it

will be quite a difficult once through the next 12, 24 hours, but

as we head into the weekend cloud will become less of an issue. The

night after amount of clear sky, some invasion of cloud cover as the

night wears on and so temperatures will very. They could get low enough

in Somerset to give a touch of frost, unlike the elsewhere, then

tomorrow similar to today, some areas of cloud but either side of

that a good deal of sunshine and with light winds there will be very

little change, no chance of rain. Temperatures tomorrow will be on a

path to today, we saw 16 Celsius in parts of Wiltshire and should match

that tomorrow. The pollen count will be high, the UV levels are getting

high as well because the amount of ozone is reaching a minimal amount.

As we go through the weekend, we will have less cloud with a

southerly continental flow, Saturday and Sunday should see a good deal of

sunshine, temperatures will climb at least into the high teens on

Saturday. We could get 20 Celsius on Sunday.

That looks nice. Today was nice, it was trying to be warm. I think we

are getting away with it. Enough weather. We will see you

again tomorrow. Thank you for watching.

Stacey and Chris are preparing for marriage by spending

a few days living alone with their in-laws to be,

and asking them all kinds of questions.

Did you get a kiss on the first date? No.

What does their in-laws' marriage tell them about each other's

I expect you'll want to become a schoolmaster, sir.

That's what most of the gentlemen does that get sent down

for indecent behaviour. Evelyn Waugh's classic novel.

Have you ever been in love, Mr Pennyfeather? No, not yet.

The fire escape is very dangerous and never to be used.

I've got spit on them now, haven't I?