Can the NHS afford to run and replace its ageing hospitals? Many hospitals are crumbling and have huge backlogs of required maintenance work. It affects patients - sometimes life-saving operations are being cancelled due to lack of capacity - or practical problems such as leaks or faulty air conditioning.Money from capital budgets has been used to plug gaps in day to day spending - meaning an ever growing black hole of building work is backing up. So where to get the money?The Government is adopting plans which would encourage NHS trusts to sell off spare land and try to get money for new buildings from the commercial sector. But private finance initiatives are no longer an option. Trust deficits make borrowing difficult and hospital leaders say its difficult to get access to the money they need - like wading through treacle, one says - because of perverse rules and regulations. So how should we pay for much needed life support for our hospitals?Reporter: Lesley Curwen
Producer: Rob Cave
Editor: Gail Champion.
Politik
File on 4 Investigates Folgen
News-making original journalism documentary series, investigating stories at home and abroad.
Folgen von File on 4 Investigates
514 Folgen
-
Folge vom 20.02.2018On the Critical List? Britain's Ageing Hospitals
-
Folge vom 13.02.2018Dying on the StreetsThe homeless being denied end of life care.File on 4 hears the stories of the terminally ill left to die in hostels and on the street.An estimated 4751 people will sleep rough tonight in England. Many are seriously, even terminally ill. If you're living on the streets, who will care for you when the end comes?File on 4 hears from homeless people living with life threatening illness, who can't find a regular bed for the night, let alone a place where their medical needs can be met.A bed in a nursing home or hospice is usually not available to them. Hostels are left to do their best for the dying. But they say they aren't trained or equipped to give people a dignified death. We speak to those battling to get homeless people basic medical care. And hear how when services fail, people are left to die on the street.Reporter: Jane Deith Producer: Emma Forde Editor: Gail Champion.
-
Folge vom 06.02.2018Potters Bar, Ukraine's stolen billions and the Eurovision connectionUK companies are being used to launder dirty money as new transparency rules are flouted. One, registered in a Hertfordshire commuter town, helped the circle of Ukraine's disgraced ex-president profit from last year's Eurovision Song Contest, a File on 4 investigation has found.Billions of pounds of dirty money is alleged to have passed through opaque UK companies in recent years, over 100 of them registered at the same Potters Bar address. Tim Whewell follows the trail of one company linked to the regime of former Ukrainian president Viktor Yanukovych, who fled the country for Russia four years ago after anti-corruption protests in Kiev's Maidan square.Can new transparency requirements for British firms help find the people really behind the company?Presenter: Tim Whewell Producer: Simon Maybin Editor: Gail Champion.
-
Folge vom 30.01.2018A Deadly PrescriptionThere were a record 3,744 drug related deaths in England and Wales last year. While many were linked to street drugs such as heroin, a growing number also involve prescription medicines such as benzodiazepines and Fentanyl. Fentanyl addiction has swept across North America where the drug and other synthetic opioids have been blamed for thousands of deaths. It hit the headlines here when it was linked to a spike in fatalities in certain parts of the UK after being mixed with heroin. Allan Urry travels to Stockton on Tees where ten deaths have been linked to Fentanyl and its derivatives. He meets users and their families and the medical professionals and police dealing with the problem. But while Fentanyl is currently in the spotlight, it is tranquilisers and other sedatives often used by heroin users to dull withdrawal symptoms which are contributing to many more deaths. Nowhere is the problem more acute than in Scotland where benzodiazepines contributed to nearly half of all drug deaths. Many of the pills known as "street valium" or "blues" are made in back street laboratories run by organised crime gangs. Users gamble with their lives as the ingredients and strength of the tablets are often unknown. But File on 4 has discovered that organised crime gangs have also become involved in diverting significant numbers of highly addictive medicines from the legitimate supply chain onto the black market. Regulators say there is an extensive network of criminality involving businesses such as wholesale dealers and registered pharmacies. Some in the pharmaceutical industry such as drug manufacturers are repeating calls for supply chain regulation to be reviewed to ensure medicines reach their intended target.Reporter: Allan Urry Producer: Paul Grant Editor: Gail Champion.