The government and senior medical figures want consultants to be more hands on in hospitals at weekends and at night. It follows evidence patients are less likely to receive prompt treatment and more likely to die if they are admitted to hospital on a Saturday or Sunday. A recent survey of hospital chief executives showed they had significant doubts their hospitals were as safe at weekends as during the week.Jane Deith examines cases which raise concerns about out of hours care in hospitals. Is there enough senior medical support for junior doctors and how effective is the on-call system where consultants are available to give advice over the phone from home?While departments such as accident and emergency, intensive care and obstetrics, already have consultants working in hospitals during the weekend, some medical colleges believe the time has come for 24 hour, seven days a week consultant cover on the wards. Jane visits hospitals trying to achieve this and hears the challenges they face.The programme also investigates what this increased consultant presence might cost the NHS and whether there will be enough senior doctors available to make it happen. The College of Emergency Medicine, for example, says accident and emergency departments are facing a recruitment crisis and it does not expect to see the required number of consultants until 2030. Producer: Paul Grant.
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File on 4 Investigates Folgen
News-making original journalism documentary series, investigating stories at home and abroad.
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515 Folgen
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Folge vom 22.01.2013Hospitals - Open All Hours?
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Folge vom 15.01.2013Illicit Arms TradeThe recent conviction of an arms broker from Yorkshire has raised serious concerns about the murky world of the international weapons trade. Gary Hyde was sentenced to seven years imprisonment for one of the largest illegal arms deals ever uncovered: 80,000 guns and 32 million rounds of ammunition shipped from China to Nigeria - enough to equip a small army. But no-one knows where they ended up. Britain has strict regulations governing the sale and export of firearms, so how did he manage it? Where have the guns gone? File on 4 investigates the British arms dealers brokering weapons for some of the world's most dangerous regimes. Some have done work for the Ministry of Defence. One was even a firearms advisor to the Home Office. Allan Urry asks what this means for the UK's licensing and arms export regimes, claimed to be among the best in the world. Producer: Gail Champion.
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Folge vom 20.11.2012Highways AgencyFed up with road works? Stuck in a queue of traffic? The Government is promising big improvements for drivers who use motorways and major roads. It's looking for ways to increase private sector involvement and to boost investment. So what future for the body that currently manages the network in England? With the CBI calling for it to be scrapped, and with criticism from local authorities and motoring organisations, Allan Urry road asks whether it's the end of the road for the Highways Agency? Producer: Ian Muir-Cochrane.
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Folge vom 13.11.2012The Zombie EffectIt's estimated there are up to 150,000 so called zombie companies in the UK. They are often defined as businesses which are only able to pay off the interest on their debts and have little prospect of growing without restructuring or an injection of cash. The BBC's Chief Economics correspondent, Hugh Pym, examines businesses caught in this situation and looks at what effect they are having on the UK economy. He hears from business experts who say these companies are partly responsible for the poor levels of growth. They say banks have huge amounts of capital tied up in businesses which are currently going nowhere and that means they have less money available to invest in more dynamic operations which have the ability to grow and create jobs. They say the banks are also unwilling to lend because they need to build up reserves to absorb losses if these businesses eventually fail. Private equity investors such as Jon Moulton say in some cases the companies should be allowed to fail in order to let new businesses come through. But Hugh speaks to the head of a major bank's restructuring unit which is responsible for managing companies in distress who argues these companies can be nursed back to health and it is better to keep them alive and save jobs. This decision often involves what is known as forbearance by the banks - where they ease or modify the terms of the loan to give a company breathing space. This is happening not only in business, but in the mortgage market too where billions of pounds of loans have been converted from repayment to interest only.Some economists warn many of these debts will never be repaid and this means the banks aren't admitting to the true level of losses they are facing. Even the governor of the Bank of England is now warning of the dangers of forbearance and says banks should ensure they have enough funds to be able to draw a line under their losses. Presenter: Hugh Pym Producer: Paul Grant.