19/01/2017 Spotlight


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An increase in some of the most serious crimes.


Reports of rape, violence and burglary in Devon


Packed out and leaving proud - we have the highlights and hopes


of Argyle following last night's FA Cup replay match against Liverpool.


And how to ease the pressures on the NHS.


Later in the programme, a special debate on the future


Could increasing demand for new technology like electric


cars breathe new life into an age-old Cornish industry?


Lithium is in many of the gadgets we use every day and there are hopes


of finding significant reserves here in the south-west.


This morning, the largest programme ever to explore beneath the surface


At the moment, much of the lithium comes from South America,


But most mining expertise since the Industrial Revolution has


Experts are not expecting a gold-rush, but given


the desire for electric cars, lithium is the mineral


Here's our business correspondent, Neil Gallacher.


This is what many old Cornish mines are full of - water.


The conventional challenge is how to get rid of it.


It has been known for decades that the water in many Cornish mines


Until recently, there was only a limited market for it.


But in today's world, we were all reliant on portable


mobile devices, if not electric vehicles, lithium is suddenly much


A major new business deal has been reached. A new company is launching


what is claimed to be the largest exploration programme in Cornish


history. It aims to sink boreholes like we've seen in recent years


thanks to the boom in metals prices. They hope to spend ?5 million on


this and get to commercial production in about five years. That


coincides with the dramatic change in growth in electric cars which is


the main consumer of this product. A electric cars starting at a low


base, but dramatic growth, particularly after 2020 and going


into 2025 went to Volkswagen have said 25% of their fleet will be


electric. That's when the market matures. It's not far-fetched and


it's certainly not something we would expect to see production


immediately, but it's a lot quicker to get something like this into


production than you would a hard rock mine where you're having to


build infrastructure. A note of caution. Most of the mining schemes


that have been announced over the last 15 years haven't come to


fruition, or not yet. Here there is a double layer of uncertainty. Not


only do they need to persuade investors there's enough lithium


below the granite in Cornwall, they also have to persuade them there's


cost-effective way of getting it out of of the water.


There's been a rise in the overall number of crimes recorded in Devon


New figures do show significant falls in murder and robbery


Police say new types of offences such as those committed online have


also contributed to the increase, but senior officers are keen


to stress crime rates here are still low.


Our home affairs correspondent Simon Hall reports.


There have been increases in a series of crimes


Sexual offences, violence, burglary, possession of weapons


Extra security has been introduced in this beauty salon,


after it suffered persistent criminal damage and anti-social


There owner believes increases in crime are down


Lack of police on the streets, one of those sort of things


that we'll want to have, we all expect to have


We don't have that any more, we don't get a police car very often.


Recorded crime rose by 6% in Devon and Cornwall last


Rape, violence without injury, burglary, weapon possession


and vehicle offences all increased, but there were significant falls


in murder and manslaughter, robbery, drug trafficking


We know we've had rises in crime, but we're still one of the safest


Some of those rises are down to new offences


in technology and some of them are historic sex offenders,


which we now have risen because of the enquiry is going on.


Devon and police -- Devon and Cornwall police say the chances of


becoming a victim are still low. Crime has increased


across England and Wales, according to today's figures,


reversing a falling trend. It is believed much of that


could be due to online offences and historic cases,


and that could mean more increases in recording crime


in the coming months. 50 firefighters tackled a blaze


which closed a major road The fire began in industrial


units in Winterbourne One side of the main A35 road


was closed for nearly six hours. 73 properties were left


without electricity until power Home Park was packed last night,


just over 17,000 filled the stadium. Now, they may not have got


the result they all dreamed of, but as Andy Birkett reports,


the Pilgrims' performance in their FA Cup replay


against Premier League giants These Plymouth Argyle fans can all


say, I was there, in years to come. After the draw at Anfield,


expectations were high. He might not have been so happy


when Liverpool took the lead The stubborn resistance was broken -


would it open the floodgates? Sheer dogged by 15,000


Plymouth Argyle fans, a good save. Tiny margins can make


a huge difference. Jake Jarvis probably won't ever come


closer than this without scoring. Plymouth Argyle's hopes dashed


by the width of a post. One of the best games


I had seen us lose. I thought we'd get


hammered, to be honest. One lapse of concentration


on the corner, it was so unlucky, This may only be the third round of


the FA Cup. But Jurgen Klopp was presented with his first trophy as


Liverpool manager. After the first game he asked how far Plymouth was.


Last like he got his answer. Injury West Country style. -- in true West


Country style. This cut Brian has left Argyle of the best part of ?1


million better off and the fans are understandably proud of their team.


A medical professor in the south-west has told BBC


Spotlight that the demands now being placed on emergency


Jonathan Pinkney of the Peninsula School of Medicine says pressures


have been "mounting year on year" with "dramatically rising


His comments come after some of our hospitals declared a high


state of alert at the beginning of the year.


But the strains are being felt across the system.


Today, it emerged Dorset Healthcare -


which runs services in the community - is trying to fill more than 100


It's now launching an advertising campaign in London.


BBC Radio Cornwall and Devon have today had their own health debates,


and in a moment, Justin will be putting some of the huge challenges


revealed in our special week of coverage here on BBC Spotlight


to key decision-makers as we look at what the future might hold.


But to begin the debate, Simon Clemison has been discovering


that some of the problems are not entirely new.


Frictions at this point and that point, it shortages, more facilities


will be needed before criticism will die down. One of the chief sources


of our troubles in Britain is the increasing demand made upon hospital


facilities by the aged six. The words of Nye Bevan in 1949, one year


after he launched the NHS. Britain still has what is in one sense


something to celebrate, and ever longer life, but the age of people


can put pressure on hospitals, especially if patients can't move


because of a shortage of care at home. The wards get busy and


operations get cancelled. The lights at A are always on for the next


agent. The challenge of the more elderly population is only one part


of the picture. When a stroke strikes, the damage spreads in the


brain. The sooner you get help for a stroke, the less the damage.


Treatment is advancing all the time, treatment which costs and which can


fill up hospitals. When the government first announced their


plans, doctors refused to go operate. They argued the plans were


modified. While there is always a decision for wider society to be


made about how much tax should be sent on the NHS, people say is not


all was about money. Patients are likely to see a series of junior


doctors in training. One interesting model of care is the greater


involvement of GPs here in the hospital. GPs have the appropriate


skill set, they are correctly trained, they have knowledge of the


patients. Use of GPs is probably one way it's possible to reduce the


likelihood of hospital admission. In their early years many babies are


born to the child welfare clinic. Soon the baby 's first cradled in


its arms will turn 70. Surveys find many have nothing but praise for the


health service and they care it offers, but the strain, evident on


day one, is back again this winter, leading for some to call for a break


in the traditional political dividing lines of the past. Most of


the shortcomings are not the result of the intrinsic effects of the


service itself, but because of the overwhelming volume of need that the


service itself has revealed. Well, this week, we've highlighted


some of the pressures facing But how can those pressures be eased


and what will a future Joining us tonight to discuss those


and more are Sarah Wollaton, the MP for Totnes, who's a former GP


and chairman of the Claire Wright is an independent


councillor in East Devon Kathy Byrne is chief


executive of the Royal And Angela Pedder is chief executive


of the Success Regime, set up to turn around the finances


of the NHS in North, We also made repeated requests


for a Government minister, Thank you for joining us. Let me


start by saying to you, Sarah, that the letters NHS seem to have the


word crisis permanently attached to them. How would you sum up the


current state of the health service? Whereas winter pressures are nothing


new, what's now changed are those pressures are year-round and become


particularly severe in the winter. I would agree that the current


pressures are unsustainable and my view is we need to look at this


across both health and social care together, but it's not just about


funding, it's about workforce and greater efforts on prevention. We


need to have a whole system response rather than looking at this


separately. We'll talk through some of those points this evening. Where


do you think the key pinch points are and where could they be eased to


ease the pressure of the whole of the health service? In some respects


I think the health service is still responding in the way it might have


responded back in the time of Nye Bevan. We are still waiting for


things to happen before we step in rather than trying to prevent and


promote better health care and keep people at home for as long as they


can possibly be there. We are in fact still waiting for them to


become ill and then trying to fix them once they become ill. How do


you change that? There have been long held campaigns to try to


encourage people to look after themselves. When you're in red


alert, or black alert, and you are asking people not to come to A,


what should people do instead? How can people look after themselves


more and not present themselves at hospital as the first port of call?


We need to step back and look at the system as a whole rather than


looking at it only when it is in strife. If we take ourselves out of


the crisis situation and stand back and look at the monumental resources


that we apply to the health service and the social care system as a


whole and say to ourselves, are we really putting our resources in the


right place? Are we really saying to the community, do it all yourself?


Or are we saying we think we've got our resources a little bit wrongly


aligned with the need and now is the time for us to say should we spend


it all acute care or should we redesigned the system so we are


helping people to promote better health for themselves? Which is


where the sustainability and transformation plan comes in. A lot


of viewers tonight and this week have been asking if there's so much


pressure on acute hospitals, what sense does it make as part of the


SDP you're currently considering in closing community hospitals? Because


all the evidence in Devon shows every day there are 600 people in a


hospital bed that don't need to be there. It's back to service point


about the integration between health and social care. The only option


available at the moment, if a GP has a frail old person that needs


additional support, some nursing, the only option for most people is


they refer people into A If you could intervene early, if you've got


a plan, you could wrap services around that individual for sometimes


a short period of time and maintain that person at home. That's the


shift we have to be able to deliver, to offer people a different set of


choices. People tell us they want to be at home if they can be. People


are also very concerned there won't be local hospitals if the


sustainability plans go ahead. Lots of people from North Devon are


worried about the pressure on services elsewhere. If you no longer


have A and other services at the North Devon District Hospital. What


sense does it make to close some of these hospitals if we know there are


already pressures on the acute hospitals? There are no plans or


proposals at North Devon. We have a review of acute services across all


of Devon. A and maternity could go. We are reviewing services across


Devon, but there are no proposals. We do have problems in terms of


ensuring we can continue to deliver the standard of all acute services


for stroke, maternity, paediatrics, neonatal. Standards have gone up.


There is so much more we can do for people and we have to be sure those


services are safe and sustainable and because we don't have problems


in terms of staffing at St Mary's, that services don't fall over.


Recently in North Durston, somebody left and overnight we didn't have a


service. We had to put something in at short notice. We have a


responsibility to look forward and plan and say how our services


sustainable? If the service isn't available at short notice, it could


become unsafe quickly. We will talk more in detail throughout the


evening. Claire Wright. Can you explain the logic which many viewers


are struggling to understand of proposals to close community beds


when we know there is so much pressure elsewhere in the health


service? It doesn't seem very logical at all. The thing that no


one has yet mentioned is government underfunding. Devon can to counsel,


I'm a counsellor, and social care has had huge budget cuts over the


past few years. Angela talked about 600 people being in hospital beds


every day that shouldn't be there. If social care was adequately


funded, a lot of those patients could get back home will stop but it


isn't. If there was proper funding for social care, we wouldn't


necessarily need the community hospitals? If their work a package


is in place for people to be cared for at home or other environments


within the community? No, I think community hospitals are absolutely


vital. If you look at the occupancy rates set out in an audit from 2015,


the occupancy rates are really high, around 85%. Local people really


value them. Community hospitals are absolutely vital in alleviating the


pressure from acute hospitals. I don't think we can do without them.


Let's go back to the beginning of the process. People frustrated they


can't get an appointment with their GP so they rocked up at A The


Prime Minister has said this week GPs need to do more to alleviate


that pressure and their operating hours need to be extended. What's


the feeling from GPs? Dual practice is under enormous pressure. The


workforce pressure is very severe. When I think back 20 years ago,


there would have been many applications for every vacancy in


general practice. There are parts of Devon where people can't recruit or


get any applications for those places. This is not just about GPs.


It's about specialist nursing staff and also physiotherapists. Many


professionals across the whole team. What did you think of the idea of


having more GPs in emergency departments so they can filter out


and deal with some of the patient's? In some places that does help when


you can have triage at the front door of the carriage of the


Department and direct people to co-located casualties departments.


One of the criticisms about the government responds on Friday was


that if you're asking GPs to man: OK did accident and emergency, and man


conventional out of our services as well as services on a Saturday and


Sunday in their own surgeries, there isn't the workforce to go round in


many parts of the country. GPs would love to be editor of a staggered


working week to provide that care, but there simply isn't the workforce


to do all three. What we found on the health committee when we looked


at this in detail was we are in danger of undermining existing out


of hours providers if we stretch it too far. We have to make sure these


responses are appropriate to the area. As a form of rule GP, I know


that if you federate very brutal practices, what can happen is people


travel to other more inconvenient local -- location. It's not one size


fits all. We'll explore more of the issues on Facebook after 7pm. I want


to bring in some of the ideas we saw proposed earlier, the idea of GPs in


accident and emergency. Is that something you would consider in the


Royal Cornwall and what difference could that make? I must say I agree


with what Sarah has said in relation to how far can we stretch already


pressured resources. I would go back to saying, as I said earlier, if


people were more appropriately cared for in their homes, why would we


take GPs, general practitioners, and put them in an Acute Hospital to see


a patient when they arrive? Wouldn't it make more sense to support the


GPs and the primary care and the wider community services to assist


people to stay at home and provide alternatives. When people,


particularly elderly fragile people, when they come near an Acute


Hospital, they tend to be admitted because of their own circumstances


not being good at home, or there isn't the support for them. They


come into the Acute Hospital and then it's very difficult for them to


get out again. Sometimes we de-condition them to the point where


they become no longer able to look after themselves and we make them


dependent. There couldn't be anything sillier than that. And more


damaging to individuals. We have literally only just scratched the


surface in the 11 minutes we've just had, but we will continue the


discussion on Facebook later. Later I hope we can explore some of your


ideas for solutions and how the NHS may look in the future. Thank you


very much indeed for that. Keep your comments coming. Thank you for


questions and comments we've had. We'll continue the debate later in


the evening. Yes, thank you for your comments and


questions about the NHS. And remember that debate


will continue in just a few minutes You don't need to have


a Facebook account to watch. You can find it at


facebook.com/bbcspotlight. In the meantime, David, how was it


looking on the weather? Cold is the main story for both tonight and


tomorrow. Some low temperatures. A widespread overnight frost.


Temperatures now just two or three degrees above freezing for most of


the south-west. Frost is already forming and it will be very frosty


tomorrow morning. Some lovely sunshine, but definitely feeling


pretty cold. An area of high pressure which moves around a bit


more through the weekend. It opens the door to allow more clout to come


through. Clear skies at the moment and that will last until the end of


tomorrow. As we move through Friday and into Saturday, we start to see


changes in the wind direction. It becomes more southerly. By the start


of the weekend, there's a lot more cloud, particularly for the more


western parts of Cornwall, where there may also be showers on


Saturday. The frost is already starting to form. Some pretty cold


weather across the whole of southern parts of England. It's been cold but


fine. Let me show you what it's been like looking across Plymouth Sound.


This is Jenny Cliff. Jeff has been Kacaniklic is of the setting sun.


It's been glorious stop -- Jeff has been catching a glimpse of the


setting sun. Temperatures have struggled because of the cold air.


Even though we've had the sunshine, it's been pretty chilly. The frost


is starting to form overnight and by the end of the night we are looking


at low temperatures. -3 minus four. For tomorrow, pretty much the same


sort of day as today. Maybe a bit more cloud floating along the south


coast, just spoiling the sunshine. But for all of us it will be a cold,


fine, dry day with a top temperature of between four and eight Celsius.


For many of us, you will need to wrap up warm. There is more breeze


out the West. A cold wind. You will need to be wrapped up warm. The


times of high water... And the surf...


More of a wave along the north coast. The waves generally clean. An


easterly wind tomorrow. Occasionally five through the English Channel and


through the Isles of Scilly. Fair with good visibility. You've been


taking pictures and some lovely shots this afternoon. This is the


famous bridge across the River Tame R. Some frost in Devon. And some


glorious sunrises and sunsets over the last couple of days. On Saturday


and Sunday, a bit more cloud around. Still dry, but note the


temperatures. Still a cold story as well. Have a good evening. Back to


you. That's all from Spotlight


here on BBC One, but our health debate will continue in just a few


minutes on our Facebook page. You don't need to have


a Facebook account to watch. You can find it at


facebook.com/bbcspotlight. I hope you'll join us there at 7pm.


Have a good evening. See you tomorrow.


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