File on 4 Investigates

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NHS Procurement Sep 27, 2011

Show notes

The Department of Health wants to slash £1.2 billion off the bill for hospital supplies -- everything from bandages and rubber gloves to operating tables and medical equipment.

The planned savings form part of the £20 billion in NHS efficiency savings the Government has pledged to make by 2014.

There's plenty of scope for savings. A recent survey found one Hospital Trust bought 177 different types of surgical gloves. Across the NHS, hospitals buy more than 1,700 different kinds of canula. Rationalising this medical shopping list could free-up £500 million a year for investment in patient care, the National Audit Office estimates.

But can the increasingly complex NHS procurement system in England deliver the major savings the Government wants to see?

Critics say Foundation Hospital Trusts increasingly make their own buying decisions, with little or no national co-ordination. Inside hospitals, managers tasked with purchasing millions of pounds worth of equipment often lack the authority or the support of their superiors to drive through savings. Meanwhile new private sector companies are moving in to take over the purchase and supply of NHS equipment.

Will the Government's plans for a more devolved health service help or hinder the drive to save taxpayers' money. Jenny Cuffe investigates.

Producer: Andy Denwood.

Cyber Spies Sep 20, 2011

Show notes

The criminal exploitation of the internet poses one of the biggest threats to UK national security. As organised crime gangs and terrorists use it to communicate and plan their activities, the police and security agencies are turning to hacking to conduct surveillance and gather intelligence.

In the first of a new series, File on 4 looks at the covert techniques being used to get beyond the firewall of a suspect's PC. But are the tactics legal? One leading expert says the rules governing interception are inconsistent and on occasions, misinterpreted by the police.

Reporter Stephen Grey also examines the way British companies are helping to proliferate this hi-tech snooping to countries with questionable human rights and which use it to monitor political opponents and dissidents.

And, with the Ministry of Defence developing its defences against sophisticated international attacks how vulnerable is the UK to "cyber warfare". Why did a Chinese state telecommunications company briefly 'hijack' most of the world's internet traffic one day last year? Producer: David Lewis Reporter: Stephen Grey.

Kick Starting Recovery? Aug 09, 2011

Show notes

The Government's strategy to boost local enterprise in England began poorly. The Director of the CBI criticised it as 'a shambles' and Business Secretary Vince Cable admitted it was 'Maoist and chaotic'.

Now 36 Local Enterprise Partnerships (LEPs) have been established with the aim of supporting economic growth and innovation and encouraging a network of Enterprise Zones. But some experts remain sceptical. They claim that the policy has failed to put business interests first and that in some parts of the country it has been hijacked by local politicians. Others complain that areas of deprivation have been overlooked in favour of more affluent neighbours. There is also concern that the strategy is not implementing the government's policy of localism.

Can LEPs deliver the economic fruits they promise? Or will some just fizzle out, as one insider fears? Gerry Northam reports.

Producer: Ian Muir-Cochrane Editor: David Ross.

Exiles in Fear Aug 02, 2011

Show notes

The UK is the largest bilateral donor to Rwanda, giving around Â£83m a year. President Paul Kagame is praised by the British government for bringing stability and economic growth to a country torn apart by the genocide in 1994. But recently it was revealed that two opponents of the Rwandan regime living in London had been warned by police they were in danger of being assassinated by their own government. Other Rwandans living in the UK have been threatened too. The Rwandan High Commission say the allegations are baseless.

Robert Mugabe's Zimbabwe also receives substantial amounts of British aid but via charities and other non-governmental organisations. However, an exile who had attended opposition Movement for Democratic Change meetings in the UK has been revealed as a former torturer. Although he's rejected his past, its alleged the man was until recently on the pay-roll of Zimbabwe's notorious Central Intelligence Organisation - leaving the ex patriot Zimbabwean community scared and in disarray.

Jenny Cuffe asks whether in the light of such claims the British government should question its aid policy.

Revolving Doors Jul 26, 2011

Show notes

Each year scores of senior civil servants and ex-government ministers quit Whitehall for higher-paid posts in business. Companies in the fields of defence, health, energy and transport are particularly keen to recruit experienced politicians, policy makers and managers with close links to the wheels of power and procurement. This is the so-called "revolving door" between government and the world of commerce and industry. In recent years a free flow of talent both ways has been encouraged in the name of both efficiency and better communication between Whitehall and the wider world. But Government orders for goods and services are worth billions of £'s every year, and critics say the system is vulnerable to abuse and conflict of interest. For 'File on 4' Julian O'Halloran examines the effectiveness of the independent committee whose job it is to police the divide and protect the public interest. Producer: Andy Denwood.

An Emergency Crisis? Jul 19, 2011

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Why are ambulances queuing up to unload patients needing treatment at hospital Accident and Emergency Departments? Some senior A and E medics say there are too few beds and not enough staff in a front line service struggling to cope. Cash strapped NHS Trusts are closing casualty units, or replacing them with lower grade Urgent Care Centres but what's been the impact on patients? Allan Urry asks whether A and E is on life support, at a time when the NHS is trying to make £20 billions savings without compromising patient care. Presenter: Allan Urry Producer: Samantha Fenwick.

Open Borders? Jul 12, 2011

Show notes

The Border Agency is charged with preventing drugs, weapons and would-be illegal immigrants from getting to the UK. But three years after being created, the Agency has been accused by MPs of failing to enforce immigration rules. Faced with cuts to its budget and the loss of around one-fifth of its staff over the next four years, the Agency is looking to new technology to improve its effectiveness. But with delays to the e-borders project and problems with existing computer systems, Morland Sanders investigates whether the strategy will work.

Business As Usual? Jul 05, 2011

Show notes

In the wake of the financial disaster, policy makers and regulators around the world pledged to make banking safer and more transparent. But the reality, many experts claim, is proving very different. For this edition of File on 4, Michael Robinson investigates some of the apparently straightforward financial products banks now offer and uncovers disturbing complexity. One product, called Exchange Traded Funds, appears to offer private individuals and pension funds a cheap and simple way to invest - in anything from the top 100 companies on the British stock exchange, to obscure companies in emerging economies or even to baskets of commodities. Beneath this apparent simplicity, the programme discovers that many EFTs hide a forest of financial engineering designed to increase the profits of the banks which provide them. But at what risk? Another product, so-called "Naked Credit Default Swaps" may have an obscure name but they were at the heart of the financial crisis and are still one of the most widespread instruments used by banks. They are now accused by some of exacerbating Europe's sovereign debt problems. A leading British financial academic likens them to taking out insurance on someone else's life. There is then an obvious incentive, he tells the programme, to push the person who's life you have insured under a bus. On both sides of the Atlantic, regulators hoped to reduce the risks of this massive market. But, as the programme discovers, there's widespread doubt among financial professionals that they've succeeded. Producer: Sally Chesworth.

Elderly Care Jun 28, 2011

Show notes

Over the last month Britain's biggest provider of care homes for the elderly, Southern Cross, has been beset by financial woes. But across the country an even deeper crisis is unfolding as local authorities implement massive budget cuts.

This week File on 4 investigates how cutbacks are leaving elderly people with insufficient care, and councils with a major financial headache.

The programme also hears from small care home providers who say they are being forced out of business because the fees local authorities now pay them are too low.

And with the report from a Government commission due in a few days, the programme asks whether the gap in funding for the care of elderly people can be closed..

Reporter: Fran Abrams Producer: Gail Champion.

A Living Death Jun 21, 2011

Show notes

A review into the care of patients in vegetative or low awareness states has been launched by the Royal College of Physicians. There are thought to be as many as 5000 such people in the UK. The working party will look at concerns that assessment and diagnosis of patients is not consistent across the country and will ask whether the cost of long term care is affordable to the NHS. Ann Alexander examines calls for a reform of the process to end the life of such patients where their families believe their loved one would no longer wish to be alive. The programme reveals how some hospitals appear unaware of the law and hears how the process can be lengthy and costly, putting families under further strain. Producer: Paul Grant.

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