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Award-winning current affairs documentary series investigating major issues at home and abroad

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428 Folgen
  • Folge vom 27.01.2015
    Where Have All the Nurses Gone?
    Where have all the nurses gone? File on 4 looks at the reasons for the nursing shortage in the NHS in England and the cost of plugging the gaps at a time of peak demand. A decision four years ago to cut training places to save money is still haunting the health service. There's no shortage of people wanting to be nurses but the NHS is badly understaffed. Recruitment in countries like Spain, Portugal and Italy has quadrupled in the last year as NHS trusts fail to find enough domestic nurses. But with thousands of European nurses encouraged to come here with incentives like relocation bonuses and free accommodation, why are hospitals still breaking guidelines on the level of acceptable vacancies? And how much has that contributed to the winter crisis in Accident and Emergency Units across the country? Hospitals aren't the only area of concern. Professional bodies like the RCN say there has been a reduction in the number of experienced senior nurses working in the community. Has the recent focus on increasing nurses on hospital wards meant other areas have suffered? And what impact will that have on the Government's long term plan to solve our hospital crisis by caring for more patients at home? Reporter: Jane Deith Producer: Gemma Newby.
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  • Folge vom 20.01.2015
    Benefit Sanctions
    Benefit sanctions are supposed to be part of a system helping people back to work. But critics say they penalise the vulnerable and are among the reasons for the growing use of food banks. So how fair is the Government's system of withholding state payments for those who don't comply with welfare rules? Allan Urry hears from whistleblowers who allege some JobCentrePlus staff are setting claimants up to fail in order to meet internal performance targets. Why did a recovering amputee lose his benefits because he didn't answer the phone?Reporter: Allan Urry Producer: Nicola Dowling.
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  • Folge vom 13.01.2015
    Prison Violence
    With serious assaults at a record high, File on 4 investigates the growing tension within Britain's prisons.In the first of a new series, BBC Home Affairs correspondent Danny Shaw meets recently released prisoners and families of those inside to hear about their safety fears.And he talks to the Prison Officers Association about their concerns for the frontline members who they say are facing unprecedented levels of pressure and danger in a "chaotic" system.The Howard League for Penal Reform has used Ministry of Justice figures to calculate that around 40% of prison officer jobs have been cut - leaving inmates spending longer locked in their cells and less time preparing for their release.Lawyers and campaigners tell File on 4 that overcrowding and gang activity are adding to a "toxic mix" of problems leading to instability and tension.Twenty five years after the prison system was shaken by a series of riots centring on Strangeways in Manchester, is a new crisis starting to unfold?Reporter: Danny Shaw Producer: Sally Chesworth.
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  • Folge vom 18.11.2014
    Continuing Healthcare: The Secret Fund
    Is demand for long term nursing about to tip NHS finances over the edge?Under the system of "Continuing Healthcare" people with complex medical needs can claim the costs of nursing and medical help to keep them out of hospital. But the system has become mired in controversy with many people claiming they've been denied funding to which they are entitled.Now there's a deluge of backdated claims against Clinical Commissioning Groups. File on 4 finds the backlog is creating long delays in new assessments of patients.And it hears claims the assessments themselves are a postcode lottery, with the chances of being deemed eligible varying wildly between GP commissioning groups.The programme also hears evidence of NHS commissioners and councils fighting each other not to take responsibility for patients.Patients and their families are going to the health ombudsman in their hundreds.18 clinical commissioning groups are already going to end the year in the red, with some threatened with being put in special measures over their finances. Now they owe millions of pounds in backdated claims, plus interest.Is this creating an incentive to squeeze spending on continuing care? GP commissioners are about to be asked to put £1.9 billion into the pot for new joined-up health and social care services. Do they have the money, or the will, to buy into joined-up care?Reporter: Jane Deith Producer: Nicola Dowling.
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