05/09/2011

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:00:09. > :00:15.Getting the right prescription for our health service - controversial

:00:15. > :00:19.plans to overhaul the NHS. Good evening. We'll be talking

:00:19. > :00:20.through the details of what the reforms will mean for us all in a

:00:20. > :00:22.moment. Also tonight...

:00:22. > :00:26.Tracking the scent - an investigation is launched after

:00:26. > :00:33.hunting hounds follow a fox on to a mainline railway.

:00:33. > :00:37.A safe harbour - the new hostels offering care, therapy and support.

:00:37. > :00:47.Look to the skies and remember - the RAF tribute to honour those who

:00:47. > :00:53.risked their lives. It was the their role that was key to

:00:53. > :00:56.everything that happened thereafter, the liberation of Wester Europe.

:00:56. > :00:59.South West MPs will have their say on the controversial Health and

:00:59. > :01:02.Social Care Bill when it returns to Parliament tomorrow for further

:01:02. > :01:05.debate. The reforms are seen as a crucial part of the government's

:01:05. > :01:07.vision to modernise the NHS. Changes have been made from the

:01:07. > :01:11.original version as a result of demands from the Liberal Democrats

:01:11. > :01:16.and the medical profession. The key points are... Primary care trusts

:01:16. > :01:20.will go. Doctors and nurses will commission care. There will be more

:01:20. > :01:22.private sector involvement in the NHS. In a moment, will be

:01:22. > :01:32.discussing these proposals with Conservative MP for South West

:01:32. > :01:37.Devon, Gary Streeter. But first, this report from Simon Alexander.

:01:37. > :01:41.The Health Bill will see the biggest shake-up of the NHS in a

:01:41. > :01:45.generation, a move that will affect the way health services are

:01:45. > :01:52.delivered in the south-west. It will see an end to primary care

:01:52. > :01:56.trusts, which decide where NHS money is spent. It will go to GPs,

:01:56. > :02:01.medical staff and nurses. It will encourage more involvement from the

:02:01. > :02:08.private sector and charities, which is proving controversial. For some,

:02:08. > :02:13.a bitter pill to swallow. This is unnecessary and hugely costly at a

:02:13. > :02:16.time when health care professionals are doing their best to maintain

:02:16. > :02:21.quality services faced with the most difficult but did they have

:02:21. > :02:26.ever had. I think the Government should go back to the drawing board.

:02:26. > :02:32.The changes are purely cosmetic. key part is offering patients a

:02:32. > :02:36.chance -- a choice between a Test and private care. Some doctors

:02:36. > :02:43.worried they will be first in line for criticism. Others are

:02:43. > :02:48.supporting change. We are in support of change for a clinical

:02:48. > :02:52.commissioning, putting clinicians in the driving seat of what local

:02:52. > :02:58.services look like. We are in favour of those reforms but we have

:02:58. > :03:02.reservations. Last week, Andrew George, who has tabled 40

:03:02. > :03:06.amendments alone, said he believes bringing in competition between

:03:06. > :03:10.providers will not work and the changes are too drastic. These

:03:10. > :03:17.feelings are echoed by the BMA and some unions, one of which described

:03:17. > :03:20.the Bill as nothing short of catastrophic. The NHS is being

:03:20. > :03:24.opened up to private sector competition and we will see the

:03:24. > :03:29.whole NHS fragmented. Department of Health says it will

:03:29. > :03:37.never privatise the NHS. However, some MPs and health organisations

:03:37. > :03:43.have been lobbying for a rethink over their health bill ahead of

:03:43. > :03:49.tomorrow's Debate. Joining us now is Gary Streeter.

:03:49. > :03:56.Can you tell us why these reforms are needed? Basically, we have a

:03:56. > :04:01.model for the NHS which is 60 years old. It has been fantastic over

:04:01. > :04:05.much of that time but with many of us living longer, and the cost of

:04:05. > :04:11.treatment spiralling, we cannot go into the future with this model. It

:04:11. > :04:16.needs a fresh lick and a generational change to make sure we

:04:16. > :04:21.have an NHS we are proud of it. It will still be free at the point of

:04:21. > :04:27.use. If we do not amended we fear it will not withstand the pressure

:04:27. > :04:31.-- pressures I have just described. Are there going to be shorter

:04:31. > :04:37.waiting times and is there going to be a high quality of care? Will the

:04:37. > :04:41.reforms deliver this to be quit -- patient? We think it is a good idea

:04:41. > :04:46.for clinicians to decide what to commission in any particular area

:04:46. > :04:54.and also, what we have found in every sector, is that competition

:04:54. > :04:58.is a good thing. It drives down costs and eradicates waste. I

:04:58. > :05:03.believe that this will lead to an NHS we can be proud of. It will be

:05:03. > :05:08.free at the point of use and do not forget, the government is committed

:05:08. > :05:13.to increasing its budget, year on year, after inflation, for the

:05:13. > :05:18.whole of the parliament. Our GPs still on board? Some are saying

:05:18. > :05:24.they are confused and if they are, the patients will be. The patient

:05:24. > :05:29.should be helped through this process that by GPs. Not everyone

:05:29. > :05:34.is on board. No one ever likes change of this magnitude but I am

:05:34. > :05:39.satisfied there if we do not change the NHS, it will not be able to

:05:39. > :05:42.survive into the future. It is not that we do not supported, it is

:05:42. > :05:45.because we love it and we are committed to it and that is why we

:05:45. > :05:48.are bringing about these changes. The police have promised an

:05:48. > :05:52.investigation after hounds from a Somerset hunt followed a fox on to

:05:52. > :05:55.the mainline railway. The BBC has been handed film of the incident

:05:55. > :05:59.taken by anti hunt protesters. They say it could have caused a serious

:05:59. > :06:02.accident - a view backed by the train drivers' union, ASLEF. The

:06:02. > :06:12.Countryside Alliance say it was an isolated case but it too has

:06:12. > :06:14.

:06:14. > :06:21.promised an investigation. The main line from Exeter to

:06:22. > :06:26.Waterloo in London, suddenly it has an unwanted travellers. The fox is

:06:26. > :06:32.running to escape hounds from a hand in Somerset which appear on

:06:32. > :06:36.the track to less than two minutes later. The incident was filmed by a

:06:36. > :06:41.member of the International Fund for Animal Welfare, an anti hunt

:06:41. > :06:49.with. He has asked not to be identified. I have seen a lot of

:06:49. > :06:52.things over the years. This was irresponsible. This is a mainline

:06:52. > :07:00.railway. I do not know what would have happened if they had hit the

:07:00. > :07:07.Heinz. Trains pass this spot at Clacton at more than 80 mph. It

:07:07. > :07:10.would take the driver a mild to stop in an emergency. On Saturday,

:07:10. > :07:14.these towns spend around two minutes on the track. It is clear

:07:14. > :07:20.that when hunt members see what is going on, they try to get the

:07:20. > :07:22.stalks back. The person taking the film is angry enough to make a 999

:07:23. > :07:29.cough. Even and Somerset police have confirmed they are

:07:29. > :07:33.investigating. They have asked the hunt liaison officer to ask if what

:07:33. > :07:38.happened here amounted to illegal hunting. As for dogs on the track,

:07:38. > :07:43.that is a matter for British Transport Police. As no people

:07:43. > :07:46.walked onto railway property, no offence was committed. This

:07:46. > :07:52.afternoon, a Countryside Alliance, which represents Homs, insisted

:07:52. > :07:56.there hunters were not acting illegally. It said it would

:07:56. > :08:00.investigate what happened. We need to investigate why the hounds went

:08:00. > :08:04.on. They were there for less than two minutes and had acted

:08:04. > :08:07.professionally in common them off as quickly as they could. A we

:08:07. > :08:13.showed the footage to an official from the train drivers' union,

:08:13. > :08:19.ASLEF. He was dismayed. It is shocking, really, the amount of

:08:19. > :08:23.dogs on the line. It is considerable. There are around a

:08:23. > :08:27.dozen on their at one point, consider what threat to a train.

:08:27. > :08:33.Network Rail, which is responsible for safety on the railways, has

:08:33. > :08:35.asked to see the footage. A motorcyclist believed to be in

:08:35. > :08:38.his seventies has died after a collision in Paignton this morning.

:08:38. > :08:41.Police say it's the eighth such motor cycle death in Devon and

:08:41. > :08:44.Cornwall this year. It happened in Broadsands just after 9 o'clock.

:08:44. > :08:47.The road was closed for more than six hours.

:08:47. > :08:50.Business leaders say plans for a major rail scheme linking the

:08:50. > :08:54.region with Heathrow could ease the damage caused by the closure of

:08:54. > :08:57.Plymouth Airport. Air Southwest has pulled out of Plymouth because of

:08:57. > :09:00.falling passenger numbers. The Government is drawing up plans for

:09:00. > :09:04.a transport hub at Heathrow with a direct link to the Great Western

:09:04. > :09:08.line. Devon and Cornwall Business Council says it could cut journey

:09:08. > :09:11.times by up to an hour. A family from north Devon have

:09:11. > :09:14.described the moment a car crashed into the side of their farm house

:09:14. > :09:17.as "like a bomb going off". Caroline Thorne from Ashreigney

:09:17. > :09:21.said the whole house shook with the impact after the vehicle flew over

:09:21. > :09:24.the garden wall like a rocket. An elderly woman was flown to hospital

:09:24. > :09:32.by the Devon air ambulance following the incident yesterday

:09:32. > :09:37.afternoon. It came down a straight piece of

:09:37. > :09:41.road, called the corner of my drive, which made it airborne, and came

:09:41. > :09:45.straight over the garden wall at high speed just like a rocket,

:09:45. > :09:55.straight into the chimney breast on the gable end, and into my living

:09:55. > :09:55.

:09:55. > :09:58.room. An appeal to raise millions of

:09:58. > :10:01.pounds for a children's hospice in Cornwall has reached its target.

:10:01. > :10:04.With the help of BBC Radio Cornwall listeners, the Precious Lives

:10:04. > :10:06.appeal has raised �5 million in just under four years. The building,

:10:06. > :10:09.called Little Harbour, at Porthpean near St Austell, has now been

:10:09. > :10:12.handed over to the Children's Hospice South West charity by the

:10:12. > :10:17.builders. David George joined some of the families who will use the

:10:17. > :10:22.building for a look around. Less than two years ago this was a

:10:22. > :10:27.feast donated by a local farmer. Now, Little Harbour is a reality

:10:27. > :10:35.and just a few weeks away from providing care for terminally ill

:10:35. > :10:39.children and their families. The building has bedrooms and other

:10:39. > :10:46.facilities, like this Jacuzzi, for six children, who will come to stay

:10:46. > :10:55.with their families, saving them a long trip to Barnstaple. It is

:10:55. > :11:00.fantastic. Because we have got used to things, you do not feel anywhere

:11:00. > :11:05.will live up to expectations, but it does. We have been going to

:11:05. > :11:10.Barnstaple for 10 years. Each trip takes two ours. It is a trek on the

:11:10. > :11:13.roads in summer. Now it is just half an hour. Today, the families

:11:13. > :11:18.were told that through coffee mornings, but sales, sponsored

:11:18. > :11:27.events and God knows what else, the Precious Lives appeal had reached

:11:27. > :11:33.its target. It was run from the beginning of 2008 and here we are

:11:33. > :11:38.in 2011, in one of the worst economic crisis the world has ever

:11:38. > :11:42.seen, and what does that say about people's generosity and the regard

:11:42. > :11:47.that they hold children who will not live to adults had? The fund-

:11:47. > :11:56.raising does not stop. They will need more than �1 million per year

:11:56. > :12:03.to run Chase -- Little Harbour. get a small amount of minding --

:12:03. > :12:07.funding when the Open but we need it to keep going. The building

:12:07. > :12:11.includes a watchtower, to give a view over St Austell Bay. The

:12:11. > :12:15.building will be ready from December. In the meantime there

:12:15. > :12:18.will be open days so that the people who have raised so much

:12:19. > :12:25.money in such a relatively short time can see watch their generosity

:12:25. > :12:29.has paid for. If you've just joined us, hello,

:12:29. > :12:39.welcome to the programme. Still to come... Who's got the best silage

:12:39. > :12:42.

:12:42. > :12:46.in Dorset? I've been investigating. No competition!

:12:46. > :12:49.A great end to the country show season and a great start to the

:12:49. > :12:51.rugby season for the Exeter Chiefs. We will have all the weekend's

:12:51. > :12:56.sport. They risked life and limb in during

:12:56. > :13:00.the war ended the day, there's little to remember them. Soon, the

:13:00. > :13:02.many air men who flew from local air bases to protect our naval

:13:02. > :13:05.stations will have a fitting memorial. The airfield at Exeter

:13:05. > :13:15.played a vital role during the Second World War and today, a

:13:15. > :13:19.

:13:19. > :13:24.tribute to it and the pilots who flew from there is taking shape.

:13:24. > :13:27.A Spitfire, common in the skies above Exeter in the Second World

:13:27. > :13:31.War. The fighters protected naval bases like Portland and took on

:13:31. > :13:36.Emily -- enemy bombers targeting cities like Plymouth and Exeter in

:13:36. > :13:40.the Blitz. MN from countries like Poland, Czechoslovakia and New

:13:40. > :13:47.Zealand flew from RAF Exeter, particularly during the Battle of

:13:47. > :13:56.Britain. 22 men were killed in a period of weeks. Eight of them

:13:56. > :14:03.within fault -- four days. There is very little to recognise RAF

:14:03. > :14:07.Exeter's contribution. That could soon change. This is a mould for a

:14:07. > :14:14.larger-than-life bronze statue of a Battle of Britain fighter pilot,

:14:14. > :14:19.that could soon be standing tall outside Exeter airport. This shows

:14:19. > :14:24.what the finished cast should look like. He is holding his hand aloft,

:14:24. > :14:28.he has just got out of his plane, and he is waiting for his friends

:14:28. > :14:33.and the rest of the flight to come home, shielding his eyes from the

:14:33. > :14:37.sun. He is looking into the sky into the distance and wondering how

:14:37. > :14:44.many will come back, and if some of them will come back, all the

:14:44. > :14:49.thoughts that go through your head, and how can you describe it.

:14:49. > :14:53.memorial project has been running since 2007, with an estimated cost

:14:53. > :14:59.of �50,000. More money and donations are needed for the

:14:59. > :15:06.statue's plinth, but those involved say Exeter airport should soon have

:15:06. > :15:10.a symbol of its historical legacy. The country show season finished on

:15:10. > :15:13.a high this weekend as the record- breaking crowd turned out to enjoy

:15:13. > :15:18.everything the Dorset countryside has to offer. About 57,000 people

:15:18. > :15:26.passed through the gate at the showground in Dorchester. I was one

:15:26. > :15:29.of them. Touch the countryside, taste the

:15:29. > :15:39.countryside, smell the countryside. Welcome to the Dorset County Show

:15:39. > :15:46.2011. Poultry was the theme next -- this year. Think of a chicken...

:15:46. > :15:51.There are dozens of varieties. They are quite individual. They are very

:15:51. > :16:00.individual. We have a 50 different breeds. It seems to be the in thing,

:16:00. > :16:06.to pick up your own eggs in the morning. There is nothing better.

:16:06. > :16:14.There were a record number of trade stands this year. Do you think you

:16:14. > :16:19.will be investing in a came? I was just enjoying them. In one sense, a

:16:19. > :16:23.county show is about uniting the town with the country. Sometimes it

:16:23. > :16:28.may take to the air... And then there is the more down-to-earth

:16:28. > :16:35.business have to do the animals. Can you see a good blow? It takes

:16:35. > :16:42.years of training. You are winding me up! How does it feel to be the

:16:42. > :16:52.signage champion of Dorset? It is a nice surprise. We did put a bit of

:16:52. > :16:53.

:16:53. > :16:57.effort into it be sure. competition! We have improved year

:16:57. > :17:01.on year, and this has been back -- on the back of other good shows.

:17:01. > :17:05.People will come back next year and bring their friends. The county

:17:05. > :17:13.shows seem to exist in an economic micro-climate. The weather was not

:17:13. > :17:23.too bad either. It rained before and after, but for

:17:23. > :17:29.those two days, it was beautiful. Time for a look at the sport. Is

:17:29. > :17:33.there some good news? What a start to the season for

:17:33. > :17:37.Exeter Chiefs. They became the second side in three years to win a

:17:37. > :17:41.Premiership match away at the mighty Leicester Tigers. They took

:17:41. > :17:51.the match 30-28. Brent Pilnick has more on that now famous win and the

:17:51. > :17:52.

:17:52. > :17:59.rest of the rugby. Exeter jail had not when it script

:17:59. > :18:08.as they crossed the line after less than a minute. They are not known

:18:08. > :18:18.as Leicester Tigers for nothing, as they took the lead. Many would have

:18:18. > :18:22.thought that would spend -- be the end, but they got the ball grounded.

:18:22. > :18:29.Leicester Tigers refused to lie down. They were within two points

:18:29. > :18:34.of Exeter and George Ford had a last the second drop-goal attempt.

:18:34. > :18:39.It drifted just wide, to the delight of Exeter's players.

:18:39. > :18:47.Meanwhile, Plymouth Albion fans may have to like it they were going to

:18:47. > :18:51.fall head over heels are with James loved. He marked his debut with

:18:51. > :18:55.impressive scoring. There was disappointment for the Cornish

:18:55. > :18:58.Pirates as they threw away a lead at half-time to draw at Moseley.

:18:59. > :19:05.It's a relief that our rugby sides did OK, because things weren't too

:19:05. > :19:12.bright on the football front again. Only Torquay United emerged

:19:12. > :19:15.victorious this weekend. Exeter City and Plymouth both lost away.

:19:15. > :19:18.Earlier, former Torquay and Argyle player, Chris Hargreaves, joined me

:19:18. > :19:25.to dissect the action. I asked him what, if anything, was going wrong

:19:25. > :19:34.for Exeter City. Not a great deal. We lost two good players, we are

:19:34. > :19:39.5th from bottom, but it is not a worry. This goal was a bit of a

:19:39. > :19:45.comedy goal. Exeter had some chances, this being the best one. A

:19:45. > :19:50.good save, if that goes in it is a different game. In the last minute

:19:50. > :19:58.of the game, Exeter were pushing for a goal. It was a good finish.

:19:58. > :20:04.At this stage of the season I am not worried. If we can't sandwich

:20:05. > :20:09.some brightness between the poor results, they did well, Torquay!

:20:09. > :20:18.The one bright moment in the weekend. There was a disallowed

:20:18. > :20:27.goal. It was borderline offside. That was a great way to attack a

:20:27. > :20:37.corner. But steady been nerves. -- ate great weight to steady the

:20:37. > :20:38.

:20:38. > :20:48.nerves. Exeter were in the right place at the right time. Great

:20:48. > :20:50.

:20:50. > :20:56.finish from Eunan O'Kane. He is a good player. Let's go to Plymouth

:20:56. > :21:04.Argyle. The situation is dire. cannot get worse, they are propping

:21:04. > :21:13.up the Football League. It is awful. It was not easy. The players did

:21:13. > :21:21.not train on Friday and you can tell. The keeper flaps a little bit.

:21:21. > :21:30.You have to credit Plymouth players before fighting back. They kept

:21:30. > :21:35.going. They have a good finish and I am sure the manager will be

:21:35. > :21:41.pleased. It must be unsettling for the players, given that some of

:21:41. > :21:46.them were going to strike on Friday. How can I get out of this? Only two

:21:46. > :21:49.ways, wins on the pitch or money off it. Ideally, both.

:21:49. > :21:52.Cricket, and tickets have gone on sale for Somerset's CB40 cup final

:21:52. > :21:55.against Surrey. Yesterday, without three key players including Marcus

:21:55. > :21:59.Trescothick, they beat Durham in the semi-finals. Incredibly, they

:21:59. > :22:03.have now made it to all of the last five domestic finals in one-day

:22:03. > :22:08.cricket, an incredible record. Hopefully this time they can go on

:22:08. > :22:11.and win the trophy. Devon event rider, Mary King,

:22:11. > :22:14.finished third at the Burghley Horse Trials at the weekend on her

:22:14. > :22:17.home-bred mare, King's Temptress. The 50 year-old from Salcombe Regis

:22:17. > :22:25.was ranked world number one in the HSBC rankings, but she's just been

:22:25. > :22:28.overtaken by Dorset rider, William Fox-Pitt, who won Burghley. There's

:22:28. > :22:34.one more competition left in the series for her to try to regain the

:22:34. > :22:37.top spot. That's all the sport for now.

:22:37. > :22:42.Around 30 hot air balloons took part in this weekend's West Country

:22:42. > :22:52.Balloon Fiesta in Tavistock. Teams from around the country were there,

:22:52. > :22:53.

:22:53. > :22:58.although at times difficult weather made taking off a challenge.

:22:58. > :23:03.Where else could you get such great in use while enjoying some

:23:03. > :23:06.champagne? Visitors were given a chance to go up in a balloon and

:23:06. > :23:10.enjoy the countryside. If you have never been up in a balloon, you

:23:10. > :23:17.will wonder how they steer. To a certain extent they are relying on

:23:17. > :23:22.the wind, but the pilots still have good control. Just over the top of

:23:22. > :23:28.the trees, it is the best thing. Enthusiasts agree, balloonists have

:23:28. > :23:34.travelled from far and wide to enjoy the festival. We fly over the

:23:34. > :23:38.moor and little villages and meat really nice people. Ballooning may

:23:38. > :23:43.seem like a sport out of reach too many people, but the organisers

:23:43. > :23:47.disagree. We have a conscious decision to make the event as

:23:47. > :23:52.approachable as possible. People can find out more. We are trying to

:23:52. > :23:55.build a new level of enthusiasm. This festival has been running

:23:55. > :24:05.since 1992 and like previous years, they are hoping to raise thousands

:24:05. > :24:15.of pounds for charity. Beautiful! I believe we are in for

:24:15. > :24:18.If you like rain, it is all right. Wet and windy weather to come later

:24:18. > :24:23.on tonight and first thing tomorrow morning. The week ahead does not

:24:23. > :24:29.look promising. It is cool, windy and unsettled with further rain as

:24:29. > :24:38.well as the winds. The strongest wind is likely between 6 and 10

:24:38. > :24:43.o'clock tomorrow morning. A weather front is appearing now, coming in

:24:43. > :24:47.from the south-west of Ireland. That has got heavy rain made in in.

:24:47. > :24:53.There will be outbreaks of rain from midnight, through to midday

:24:53. > :24:56.tomorrow, before it moves out of the way. Notice how trip --

:24:56. > :25:03.tightly-packed the isobars are. That is where the wind will be,

:25:03. > :25:07.around the middle of the day, particularly strong in the Channel.

:25:07. > :25:12.By the time we get to when state has quietened down, but we still

:25:12. > :25:16.have a brisk west or north-westerly breeze. Showers and sunshine before

:25:16. > :25:24.wet weather on Thursday. This is the picture for the last few hours

:25:24. > :25:28.over the south-west. Rain appearing over Ireland and Wales. Some of the

:25:28. > :25:32.rain is sinking southwards later today. We had some sunshine. This

:25:32. > :25:38.was Plymouth Sound for the America's Cup. These catamarans

:25:38. > :25:43.have been training today. There were some gusty winds and this

:25:43. > :25:48.catamaran came a cropper. It capsized, but the team got rid of

:25:48. > :25:56.right and eventually it managed to sail away. These yachts can do in

:25:56. > :26:04.the order of 30 knots or so. These Sharon's will tend to fade away

:26:04. > :26:07.this evening. The more persistent rain returns. It was thinks of

:26:07. > :26:12.words. By the morning, all of us will have some rain. Notice also

:26:12. > :26:19.the strength of when. It could be at gale-force at times on the

:26:19. > :26:26.headlands. Tomorrow morning, a fairly wet start. The rain is

:26:26. > :26:33.moving and by afternoon, dry conditions. Some showers following

:26:33. > :26:41.behind. A blustery south-west wind are veering westerly, not as strong

:26:41. > :26:51.as the morning. We should see some sunshine once and then me and --

:26:51. > :27:24.