Transcripts For BBCNEWS Victoria Derbyshire 20240714

Would you fancy eating food like this during a hospital stay . Celebrity chef prue leith has been called in by the govt to improve the food thats served to patients. It seems to me so obvious that if youre in a hospital you need to be fed healthily food is medicine. But its notjust about health, its about pleasure. I mean, why not take the opportunity of lunch or supper to give patients, who are not having a joyous time in hospital, no ones there voluntarily, a bit of pleasure in their lives . You know, to put a smile on their face. The boss of one of the biggest suppliers of hospital food will tell us why he thinks frozen food is safer and better for patients. And could a daily pill save your life . New Research Suggests the so called poly pill, containing four medicines could cut heart attacks and strokes by a third. Hello, welcome to the programme. Were live until 11 this morning. Do get in touch on all the stories were talking about use the hashtag victorialive. If youre emailing and are happy for us to contact you and maybe want to take part in the programme, please include your phone number in your message. If you text, youll be charged at the Standard Network rate. First, Julian Worricker has the news. Good has the news. Morning. , good morning, chloe. Global leaders have expressed alarm at the Record Number of wildfires in brazils amazon rainforest. French president Emmanuel Macron tweeted our house is burning and described the situation as an International Crisis. The brazilian president , Jair Bolsonaro, says the country does not have the resources to tackle the fires. Great british bake offjudge, prue leith, will advise the government on how to improve the quality of food served at nhs hospitals in england. The review aims to set new standards for the 140 million meals served every year. It follows the deaths of six people due to an outbreak of listeria inked linked to pre packaged sandwiches and salads in some hospitals. What and salads in some hospitals. We want this review actually what we want this review to do is actually look at where these best practices are happening. We need to learn from those. We want to actually understand where the gaps in the system are so we can help people eat a healthier diet in hospital, so that they can get their path to recovery is much quicker and that we can keep our vital hospital staff healthy and well by giving them access to great food as well. And chloe will be discussing the state of hospital food, and what can be done to improve it, with a panel of guests ataround 10 20am. A daily pill, containing four medicines, can cut the number of heart attacks and strokes by a third in developing countries, new Research Suggests. The polypill contains blood thinning aspirin, a cholesterol lowering statin and two drugs to lower Blood Pressure and it costs just pennies a day. A five year study was carried out in villages in iran. Coronary Heart Disease and stroke are the top two causes of death worldwide, killing more than 15 Million People a year. Thames Valley Police force will hold a one minute silence at 11am to remember pc Andrew Harper. The 28 year old was killed in the line of duty last week after responding to reports of a burglary in berkshire. A 20 year old man has since appeared in court charged with his murder. Women working on shows at the Edinburgh Festival fringe have reported facing Sexual Harassment on a daily basis while out promoting their performances, this programme has been told. Some reported being groped, while others said lewd comments had left them feeling vulnerable. The actors union equity said it was receiving reports of more and more incidents each year. Police scotland said it had not received any reports of harassment. And you can see our report into this issue just after this bulletin. Google has shut down 210 channels on youtube, which it said were part of a coordinated attempt to post material about the ongoing protests in hong kong. The internet giant has linked the move to similar action by twitter and facebook earlier this week, but stopped short of explicitly accusing china of a state backed misinformation campaign. Bury Football Club has until the end of today to avoid being expelled from the english football league. The efl wants proof the shakers can pay off creditors and have the funding to make it through the league one season. They have yet to play a first team match this season after their first six fixtures were suspended. That is your news, back to chloe. Thank you, julian. Its meant to be a celebration of art and culture, but female performers at the Edinburgh Fringe have told this programme they are experiencing Sexual Harassment on a daily basis while out promoting their shows. Numerous women have told this programme about their experiences, which include Sexual Assault while handing out flyers on edinburghs royal mile. The union for actors equity says this year theyve received a Record Number of complaints from their members who are at the fringe. Chris hemmings has this exclusive report. The Edinburgh Fringe is the largest Arts Festival in the world. Every year, the population of the city more than doubles, as tourists flock to see one of the nearly 4000 different shows. About three million tickets are sold across the month of the festival, with theatre, comedy, music, cabaretand much, much more on offer. Visitors to the fringe are often lured here by big names, but theres also many hundreds of smaller productions who dont have the big budgets for a marketing campaign. Instead, the traditional way for them to spread the word about their performance is to come here the royal mile. Successfulflyering can have a huge impact on ticket sales. But now, some women are speaking out against the harassment theyve experienced from men whilst theyre out promoting their show. Lizzie experienced Sexual Assault whilst flying at last years fringe. This year shes back to promote a show shes performing in and is reluctant to go out on the mile for fear it will happen again. The Sexual Harassment would vary from just men making comments about my appearance, to them invading my personal space while taking a flyer so that their grope could go unnoticed. One day, i was flyering around a venue bar and three men who were twice, if not three times my age, harassed me and cornered me and said they would only buy a ticket or take a flyer in exchang for my phone number. So, i felt incredibly uncomfortable and vulnerable throughout my whole experience there. And then things took a turn for the worse where one day i was around the venue and just a bit distracted and a man who was coming towards me pretended to brush something off my thigh and then moved his hand quite forcefully up my skirt. So, before you came back this year, you sent a tweet out. Yeah. Why did you do that . I hadnt heard anyone else have an experience like mine and ifelt for a long time that my experience wasjust my problem. So, i tweeted outjust seeing if anyone else had experienced it and was willing to or comfortable talking about it. And what did you find . I was really overwhelmed by the amount of response ive had from women who had experiences similar or worse to mine. So many women had messaged me, saying that theyd been in situations that made them feel uncomfortable. But its that classic sort of fringe, are you flirting with me . Are you actually going to buy a ticket . Or do i have to put up with this conversation because my show isnt selling . So, you came back this year to be part of a show, and a big element of the fringe is flyering for your own show. Yeah. So youve had to do that. How has that made you feel . I have been quite nervous and a bit apprehensive. Ive been altering my behaviour, not really putting an effort into my appearance and things like that, just trying to avoid any form of harassment again. Some of the women who reached out to lizzie were still at the fringe and agreed to speak about their experiences. Im flyering on my own and there was one incident where a drunk man tried to get under the umbrella i was holding and give me a hug, and i sort of politely pushed him off, but as he was walking away, he gave me a cheeky pinch on the butt, which was unwelcome, but i sort of laughed it off. I have stopped saying the name of my show as ive been flying flyering cos i dont want to say love bites, 10pm because ive gotten a lot ofjust creepy men come up to me and say, oh, youre giving the love bites . 0r. Yeah, just, just. Inappropriate comments like that, yeah, make me feel quite vulnerable. Im here doing smoke, which is a show that deals with themes of bdsm, consent and the kind of grey lines around that. When we were deciding how to market this show as we flyered, we decided early on that i wouldnt be going out in the kind of short skirt party outfit that i wear in the play because we didnt want the unwanted attention that i have received at the fringe and similar events before. Which is a real shame, because it means that i am going out perfectly comfortably going out flyering like this, but this is not an accurate representation of the play or the character at all. Because of the sexual nature of the show, men still feel the right to come up to me. Ive had a lot of arm stroking, holding on to me, telling me how attractive the poster is, that oh, this will definitely go up on that wall. Others had already gone home, but were keen for their experiences to be shared too. I was out flyingering a couple of weeks ago and these four guys in their 20s, they came up to me and started mimicking what i was saying. Then just before they left, one of them tried to shove a flyer down my top. I then just couldnt face going out flyering on the mile again after that, i just couldnt face it. So, i was out flying this week, and a man stopped me on the street and started staring at me. And when i asked him if he wanted a flyer, he said, no, ijust want to stare at you. It made me feel really awkward. This was my first show and i didnt appreciate how important reviews are. This one reviewer would come up to me while i was flying every Day Police Scotland have confirmed theres an enhanced Police Presence in the city centre for the entire month of the fringe, with two of these mobile police stations and an increase in high visibility patrols. They have, however, had zero reports of this kind of harassment. Maureen beattie is president of the actors union equity. She says theyve had more reports than ever this year about Sexual Harassment at the fringe. What happens when you come to somewhere like edinburgh and the festival and the fringe and youve got streets full of people, theres a slight level of hysteria, i would suggest, which is fabulous and its one of the reasons why the festival is so great, but it also seems to release this kind of underbelly of bad behaviour which is in our industry, anyway, but it really comes out when the barriers between the performer and the person who is making that performance is out in the street, flyering, theyre doing theirjob, theyre working. Were getting more and more reports of that, so its a funny mixture, the balance of. Were delighted that people are now coming forward, but we would rather it was a whirlwind that wasnt happening, so were just trying to deal with it. But weve got to get the people who behave badly to stop that bad behaviour. It is completely and utterly u na cce pta ble. You know, we are not literally up for grabs. We are a workforce and you must respect us. We need to encourage people to come and talk to us and bring their stories to us, because if you dont do that, if we do not hear these stories directly brought to equity, there is nothing we can do because we cannot work on anecdote. We know its happening, but we need the evidence. These small things like somebodys grabbing yourours ha ha ha, isnt that funny . Is a horrible thing to happen to you. So if anything happens to you that youre worried about, phone the police. Tell them and they will help you. Joining us now from edinburgh is georgina thomas. Her show not quite is about the trials and tribulations of two women struggling to crack the job market. She often goes out on to the streets of edinburgh handing out fliers for her show. And joining me in the studio is rosie hilal. She is an actor and on the Womens Committee of the actors union equity. And also with us is ava vidal shes performed at the fringe, mock the week and numerous comedy clubs. Thank you all forjoining us. Georgina, i want to start with you because you are in edinburgh and performing at the fringe. What have your experiences been this year . 0verall your experiences been this year . Overall a much more positive experience this year but as in every day, youre always going to get some sort of unwanted, unsolicited comment that is unrelated to your show and professionally what you are doing. Everyday . Yes. Some examples . Throwaway comments of people talking about your appearance rather than just asking about your show, whether that commenting or somebody sort of shoving a camera in yourface and taking a picture. I was asking you when we watch the film if you were surprised by this, ava if you are surprised by this, ava if you are surprised and you said not at all . Not at all. When you are a comedy performer or doing a smaller show on the fringe, you are so dependent, there is so much competition out there is so much competition out there so you are so dependent on your audience and going out to meet them. So you are kind of held to ransom sometimes when you are on the royal mile flyering. You need people in that show, nobody likes performing to four people. They can really go overboard and you can feel like, you have to laugh along with their stupid jokes, especially if you are a comedian, they tell you their jokes. You are a comedian, they tell you theirjokes. What is happened to you . Im a little bit different, i think my appearance in edinburgh, its not a very diverse place. People have stereotypes as well. Im like six feet tall and i know smaller female comedians who have come up to me and say, did that guy do that to you . But ive seen what they do to other women. With me, they do to other women. With me, they tend to be aggressive, like they tend to be aggressive, like they want to just punch me. Really, they want to just punch me. Really, they say that to you . As opposed to harassing me, if im not laughing along, if its a smaller woman they will properly try hugging them, cuddling them, grabbing them. They wont do that to me so it will turn aggressive pretty quickly. Rosie, what is your experience . At the fringe, ive done it twice. I was lucky enough to be in a group and there were guys in the group sol was kind of protected from that or maybe i was too young to notice it andl maybe i was too young to notice it and i took it as normality. But now, since working in the industry a while, ive had bad stuff happened to me in the theatre world and the film world so much more conscious of these things. I would say that its sort of a bit of both. Initially, there is a sort of attempt to flirt, say inappropriate things and if you are not ok with it, it turns aggressive very quickly. That has happened to you . Aggressive very quickly. That has happened to you . Yes, it happened to me. I dont take these things easily but then quickly im in a dangerous situation, because i am quite small and, yeah, they are usually bigger than me. But its. We are really happy at equity that people are coming forward now that i dont think edinburgh has suddenly become this awful place this year. I think its always been, like, that way because. Society is pretty sexist. Interesting you say that, i performed at the Edinburgh Festival asa performed at the Edinburgh Festival as a teenager many years ago. I got the sense even when i was there for the sense even when i was there for the two weeks, anything goes, its really exciting, everyone is bubbly and its almost like no rules apply. Exactly. You asked me if i was surprised this is happening. Im surprised this is happening. Im surprised we are having this conversation because its been happening for years. I first went up in 2003. You have to understand, there is a lot of Alcohol Consumption all day long. People doing other substances as well. Then you have to think, there are so many late show is on, late night comedy shows, so you have comedians that have to go between venues that are very late time and sometimes people will not be there, they might have a daytime show so you might have to cross from the gilded balloon to the underbelly and that is a fair walk in the dark and you will be going past a lot of rowdy drunken people. Georgina, is this a problem that is just for women . Do men get harassed . Is it down to gender, down to race . I think thats a really good question. I can only speak from the female perspective with that. I think across the board, i think it comes from sort of stemming a respectful performance and what theyre doing at the festival. It comes from a lack of accountability, when people are walking down the royal mile, i suppose it is sort of like they feel they can just think they can just say what they are thinking without, without there being any consequences, in that respect. Let me read you some m essa g es respect. Let me read you some messages but michael says on twitter, when i first started going to the fringe about 15 years ago it was with school and one of my 16 year old female friends was groped by a well known now deceased celebrity on the royal mile itself as to its revolting bust of diane on twitter makes a good point. For yea rs, on twitter makes a good point. For years, ive seen sixth form students flyering the royal mile in suspenders, but there by their teachers but byways it is inappropriate and putting them mattress. Should it put them at risk, by the way they address . M shouldnt, they should be able to wear what they want. Like the lady said in the clip at the beginning, if she wants to sell her show in a certain way and tell people what its about, they should have the ability to do that. I dont see why someone is out with a group of their own pupils they cant just fly in peace. I dont like that almost. I know its not quite victim blaming, its being truthful about the situation but we really do need to put the blame squarely on where it belongs and it is with these people bothering people. We did talk about diversity as well. There is a race problem. Its a very white festival, very white. I remember when problem. Its a very white festival, very white. I rememberwhen i came back down to london after one year and saw another black person, i was like, oh that is depressing, why is it so white . White, very middle class, very expensive to do. I have a friend, a chinese woman, and she was really, harassed. Yeah. And openly gay men as well, the younger ones, have been harassed on the royal mile. Older men try and pick them up as well and we need to mention that. There is a strange lad culture going on in edinburgh. On one hand, it is getting more diverse now thank goodness, and you have all these culturally open, you have lots of European Companies and lots of people who are open minded doing the actual art. Then you have people who go there to have a great time because its amazing, but then they just get drunk all day long, see 15 shows, by the end, all the respect has gone, all humanity has gone and there is a massive lad culture there. You are all nodding and sharing your experiences, saying its gone on for years. Why is it Police Scotland had said there had been no reports of harassment . Why isnt it being reported . Been no reports of harassment . Why isnt it being reported . If you are up isnt it being reported . If you are up there doing a show every day, that sometimes more than a shallow day, you have to put flyers out for those shows, you have to sleep, you have probably been out late yourself is to be wants to file Police Reports at that time . Sorry, you dont want to be publicly, oh, there isa dont want to be publicly, oh, there is a humourless comedian, she is upset because a man came up to her in the royal mile. You have all those same pressures but its cover that you would have outside, and its concentrated for that month. And you are only there for a month so when you report something to the police, it can take weeks or months for it to be sorted out. There is an efficiency lacking. I think there is a consciousness that is lacking, most people dont know Sexual Harassment is a crime. They think it isjust part of life harassment is a crime. They think it is just part of life that you have to deal with and get on with. Equity over the last couple of years, since the Harvey Weinstein scandal, we have upped the consciousness among equity members its a crime, as soon as it happens report it to a union. If it is physical or overtly Sexual Harassment, even verbal, go to the police, report it. People dont even know that is an option. I think clearly the young performers there havent even thought about that. Do you think that is true, georgina . com pletely you think that is true, georgina . completely agree. I think you are in any other professional environment within an office, you were to report that to your line manager for some it goes without saying. Whereas, i feel its a different kind of. Different kind of environment in edinburgh. Iagree, you different kind of environment in edinburgh. I agree, you are exhausted. You are burning yourself out for three weeks. But yes, it needs to be reported more. out for three weeks. But yes, it needs to be reported more. I think it would be great if equity scotland, the police in edinburgh and maybe the Fringe Society got together and actually tried to come up together and actually tried to come up witha together and actually tried to come up with a really quick strategy on how you can come how the police can intervene at the right time, be there at the right point, safe words or more people stationed at certain cowgate, where its always really rowdy and certain crux points, who are trained to deal with Sexual Harassment. Let me read you this that just came harassment. Let me read you this thatjust came in from magda. I work asa thatjust came in from magda. I work as a cleaner at the fringe. Its not just performers who put up with his behaviour from just performers who put up with his behaviourfrom men, especially in toilets but nobody cares. Thank you all so much for coming in. Really grateful to you and thank you to georgina for coming into our studio from scotland. Still to come. A british man whos been given months to live says hes stuck in oman and cant return to the uk for vital treatment because the authorities there confiscated and then lost his passport. Well hear from him shortly. And our house is burning president macron says the Record Number of fires in the amazon rainforest is an International Crisis. Feeling hungry . Any of this take your fancy . Those are just some examples of meals patients at nhs hospitals in england have been served. Now bake Offjudge Prue leith is going to advise a government review into hospital food following the deaths of six people. They had contracted listeria from pre packaged sandwiches and salads either purchased on site or given out by hospital staff. The review which is launched by the department of health and social care will examine whether more chefs can be brought into hospitals, as well as using less frozen food and sourcing local Fresh Produce where possible. Heres prue leith talking this morning about why shes got involved. I spent most of my working career and thats sort of 50 years, worrying about public food. I just think the whole world should eat well and have access to healthy food and so on. So, its sort of natural. Over the years ive campaigned quite often with different organisations about hospital food because it seems to me so obvious that if youre in a hospital you need to be fed healthily food is medicine. But its notjust about health, its about pleasure. I mean, why not take the opportunity of lunch or supper to give patients, who are not having a joyous time in hospital, no ones there voluntarily, a bit of pleasure in their lives . You know, to put a smile on their face. We can speak now to paul freeston, chief executive of the frozen food company apetito, who supplies hundreds of nhs hospitals. Ben reynolds from the charity sustain, which runs the campaign for better hospital food. And phil davies, head of estate and facilities at the robertjones and agnes hunt orthopaedic nhs hospital. They have an internal team of caterers and produce food on site. Thank you all forjoining us. Paul, your company is one of the main food providers for the nhs and it is a lwa ys providers for the nhs and it is always frozen food, isnt it, that you provide . Is that a cost decision . Foodies natures way of keeping food fresh without any preservatives and retaining quality in food. It is sustainable because it reduces wastage. For us, being frozen is about quality and improving hospitalfood. Frozen is about quality and improving hospital food. It frozen is about quality and improving hospitalfood. It is in no way a retrograde step. What is the cost of one meal to a hospital . Broadly speaking from us, a meal including a desert, depending on the meal would be about to pounce for us to deliver it into a hospital for them to reheat. I am sure you will admit some of the pictures we saw of hospital food wasnt great. It is sometimes a bit bland and doesnt necessarily look great. If youre not feeling well in hospital, you need good food to pep you up. Absolutely. What i will be very clear about is im incredibly proud of the quality of food we produce. Its of the quality of food we produce. Its to an amazingly High Standard and im incredibly proud of our team that produced it. We produce great, sustainable, nutritious, high quality food and a massive range of 900 different products for all sorts of needs of patients. Patients with swallowing difficulties, those who need healthy, normal diets, those with malnutrition who need energy dense diets and we are serving many acute hospitals with different cultural needs and different allergen requirements. So its a huge range of things we do in a complex business. Ben i want to bring you in, what do you make a frozen food being served in hospitals . It has a place but i think what we have seen over the la st think what we have seen over the last few years is the kind of default. Many hospitals that dont have the facilities to do anything other than frozen food. I think what we need to do, and im encouraged by this review. Other a bit cynical, we have seen different reviews in the la st have seen different reviews in the last ten or 15 years that have looked into improving hospital food and nothing has really happened. We have a patients everyday providing picture is a fairly disgusting food. I think what we need is, we support the shift towards more cooking on site, which gives those hospitals the power and control to be sourcing locally, to be cooking from fresh, to be cooking for the varied patients needs. There might be a place for some frozen food within that, but certainly not to the extent we have seen over the last ten or15 extent we have seen over the last ten or 15 years. Phil davies, extent we have seen over the last ten or15 years. Phil davies, you talk about fresh food, you have a tea m talk about fresh food, you have a team of caterers on site at your albeit small hospital, where you are using press meat Fresh Produce and cooking for patients . Yes, we do. We ta ke cooking for patients . Yes, we do. We take absolute advantage of the circumstances that we have where we are. As you say, we are a relatively small hospital. We have a higher element of elective work. So our patients can come through our pre op departments and we can find out if they have any dietary needs and those who have real specific dietary needs, we contact them in advance and we can work on a menu specifically for them. Weve got a great team of chefs, but it doesntjust stop weve got a great team of chefs, but it doesnt just stop there. Its the environment in its entirety. The patient is walking into a clean hospital. Our great estates team look after the environment, so they go into somewhere where they feel the place is being looked after. We have come top of the country for patient food, which we are incredibly proud of. The cleaners have come top of the country. The nurses and doctors, they also come very highly rated, top two this year. So tell me. What is the class. When the patient is in a good place. There is a slight delay on the line, my apologies. Paul told us for a frozen meal in a hospital, about £2 for a patient. Is yours more expensive in what you are doing . The entire cost of the meal is roughly around £4, £4 50. That includes all the labour, the £2 wont include that figure. £2 is probably an average figure for the amount of money that is spent on food. I just amount of money that is spent on food. Ijust want amount of money that is spent on food. I just want to pick up with paul, forgive me if you well, lots of m essa g es paul, forgive me if you well, lots of messages coming in and i want to read them to you and get a responsible step james read them to you and get a responsible stepjames elles, i spent nine days in hospital this year and the food was terrible forced at the north Devon Hospital in barnstable last year, the food was really good because it was prepared on the premises. At this are the hospital they used an outside company to save money which is the reason the food is disgusting and this is not an exaggeration. Anybody who has been in hospital recently knows you often have to, i visited a friend recently, you queue up, it is a bit like school dinners, it can be sloppy and mushy, that is what one person has said. Food is critically bad for vegetarians and ethnic diets. Mine was warmed up in a container with a plastic cover, everything was mushy and tasted the same. Its not good, is it . Everything was mushy and tasted the same. Its not good, is it . Look, you have to start with good quality food, supplied, prepared in the hospital and then there is the whole process of getting it to the patient and, you know. Whatever the food, if it is cold or presented in an unappetising way on the plate, then it will not be eaten and it will be unappetising. I would stick by the view that our food is excellent. The food we supply hospitals is excellent. We have won two queens awards for enterprise in the last three years and we even won an award from sustain for being the top caterer ever using sustainable fish. Ben, speak to paul. What you have to appreciate with the food once it reaches the hospital is that if youve got that on site team, theyve got the flexibility to cook when the patients need that food, when the staff need that food, when visitors need that food, which might be at different times in the night, different scales, different needs. Certainly what paul says in terms of sustainability, they have done great stuff on fish. Because of the scales they are buying at they could probably do better on some issues around sustainability. But where you have kitchens on site they will be able to source more locally, produce on smaller scales. Lets ta ke produce on smaller scales. Lets take for example patients with swallowing difficulties. We produce around 70 different products for patients with swallowing difficulties. I challenge you that any hospital at the local level could produce food to the quality that we produce for those patients with critical needs. I will tell you this, andi with critical needs. I will tell you this, and i can tell you this from personal experience, i have seen it save peoples lives. Again, we won a queens award for enterprise for innovation for those products, they are fantastic, and im incredibly proud of them and proud of the team that produces them. Our food is superb and it is safe. Then . I dont dispute there is a place for frozen food, certainly wouldnt dispute issues around safety and quality. I think we have just got to bear in mind that if you have a team in house that has those skills, but has that control and has been valued to actually have those skills on site to produce food, they are going to have a bit more control in order to produce the right sizes at the right times in order for the patients needs. There definitely is a place for frozen food but i think as we have seen from many of the best examples around the country, having that control on site as being the default should be the way that we are heading and we are really encouraged that the review of the government has announced has put that front and centre and that gives us confidence compared to the last 1015 us confidence compared to the last 10 15 years of reviews that havent respected that. I am delighted there isa respected that. I am delighted there is a review and, to be honest, as long as the review focuses on the fa cts long as the review focuses on the facts rather than the prejudices, i am confident that we will come out as part of the solution rather than pa rt as part of the solution rather than part of the problem, because i know how good what we do is. I have 600 people. They are passionate too. They are caring too. 83 of them have over 20 Years Service with our country. Our chefs are just as passionate as any other chef about the food they produce and the work they do. And i think they do a fantasticjob. They do. And i think they do a fantastic job. Before we wrap up, we dont have a lot of time. Fantastic job. Before we wrap up, we dont have a lot of time. What control do they have over the food once it has left the premises . Well, obviously i dont have control of that but its the same stuff as phil would have or whatever serving it up ata would have or whatever serving it up at a local level, so provided, whether it is locally. Is itjust heated on the wards . It is heated and served on the wards and the recent. That is not a chef that does that, is it . A catering member of staff would read heated on the ward and provided that has done well, the whole is because you are reheating at close to the patient, the hospital kitchen can be a mile away from award. It doesnt really matter if it is Gordon Ramsay cooking it in the kitchen, its not going to be as good as youd like it to be when it finally reaches the patient. Phil, very briefly, do you feel what you are doing at your hospital is scalable to a large hospital, as we heard from paul . Elements of it are scalable. A lot of trusts have been in contact with us to find out how we do what we do, and as paul said, there is a place for chilled food, frozen food because of the number of meals that have to be delivered in such a short period of time. We are very proud of the way we do what we do and we believe that four hospitals our size and to varying degrees, larger and smaller, there is a lot they can learn from what we have done and we are very happy to invite people to site, because i think the nhs is happy to learn from each other right now. Absolutely. Thank you all so much, very gratefulfor now. Absolutely. Thank you all so much, very grateful for your time this morning. A british man whos been given months to live says hes stuck in oman and cant return to the uk for vital treatment because the authorities there confiscated and then lost his passport. David hughes is suffering from end stage Liver Disease and needs to come back to the uk for a transplant, but says the British Embassy has so fair failed to help repatriate him. He went out to oman to work, but after he was a passenger in a car accident in 2017, police confiscated his passport. Despite numerous attempts by david to contact the embassy, it was only after this programme got involved that the Foreign Office provided some assistance. David is currently in hospital in oman, but running out of time and money. Ive been talking to him from his hospital bed, and to his daughter maddie offord. He told us what happened after he handed in his passport. Well, i thought it was just going to be a formality. Ok, theyve taken my passport. Maybe they just took it until they found the driver, you know . And i went back and ijust got the ru na round. Its still under process, still under process. So, i then, as time went by, it was about a month or two months, because this was injuly, i think, july in 2017. I said, well, i cant get anywhere. So i called the embassy. The British Embassy . Yeah, the British Embassy, the consulate emergency department, and i said, id like to come and see somebody urgently. And the woman asked me, you know, whats it concerning . And i touched on the subject. And she said, well, youre going to have to have a phone interview first, which will then be evaluated and then well see. So i said, well, cant we do that now . She said, yeah, i can do that now. So, the so called interview was, ok, say what happened. Ive explained basically what ive just said, what happened in the accident, theyve got my passport. And they wont tell me anything. They wont give me it back. And she said. I said, im looking for support from the British Embassy to find out whats going on. You know . What did they say . She said, no, we cant do that, all we can do is give you a list of lawyers and thats it. She said, we cannot get involved in local authority issues. David, your daughter maddie is here with us in the studio. I want to bring her in. I know that you want to speak to her as well. Maddie, it must be so hard for you not only to see your dad in another country terminally ill in a hospital bed but to hear his treatment, this is over two years now that hes not had his passport and hes stuck in oman desperately wanting to come home to receive treatment here. What has it been like for you and your family during that time . It is stressful, upsetting, obviously, because even if he was in england and he was ill it would be a stressful situation. But its even worse that hes in a situation where he cant get the help he needs because its expensive and its not money that anyone has to hand. Hes stuck, hes got no choice. He hasnt chosen to be in that situation. He hasnt chosen to remain in the country. Hes been trapped, essentially, in the country for something he didnt do wrong. It wasnt his choice and it just feels really unfair. You were telling me that its costing money for your dad to be in hospital. Now youve had to borrow money . Yeah, ive had to borrow some money to help get him on his way, to get him in the door in hospital. That was just to even let them see him because theyve helped so much but it was getting to the point where they needed money to be able to help him. David, we have had a comment from the Foreign Office saying that we are offering advice and support to a british man who has been hospitalised in oman and we are in contact with his family. Our staff have visited him in hospital and are in contact with the medical staff, and the British Ambassador has raised his case with the omani authorities. Tell us about that visit that you had, was it at the weekend, from a member of British Embassy staff . Yeah. The only reason why there was any form of contact was post the victoria derbyshires assistance and support who then contacted the press office at the Foreign Office. But, david, the good news is, isnt it, that the statement says the British Ambassador has raised this case with the omani authorities . Does that give you some faith that things are starting to move . Well, this is only a few days ago. So, you know, things move a few days ago. So, you know, things m ove very a few days ago. So, you know, things move very slowly here. But one would hope that, you know, it is the British Ambassador speaking to his opposite at the Foreign Affairs ministry, and i am sure they have a Good Relationship and they will look into it. However, what i keep telling people is, it doesnt matter how illogical this situation is, theyve let it go on and on and on, and now its over two years. Theyve let it go on and on and on, and now its over two years. And i write that your dads visa has now expired . Yes. Does that mean he is more likely to be able to get his passport back and get home . At the moment, no, because every day that the visa is out of date you get a fine and for two years his visa has been out of date so he has a fine for every of those years, which visa has run out through no fault of his own, his passport was taken away from him, therefore he couldnt renew his visa. So, this situation is. The fine should be void, essentially, because he hasnt imposed that on himself. He has no choice in the matter. He didnt deliberately not renew his visa, which is also a huge stress and worry, because if that isnt lifted, or if no one can do anything to help that situation, then he is still stuck in the country even if they did give him back his passport. So, another stress, essentially. David, go ahead. They could give my passport back tomorrow but that wouldnt do any good because my name will be blocked at the airport for nonpayment of the fine. Listen, i know you guys havent seen each other face to face for quite a while. Maddy, is there anything you wa nt to while. Maddy, is there anything you want to say to your dad . Id just like him to be able to come home and be ok. Essentially. Yeah. Sorry. David, do you want to say anything to maddie . No. David, thank you so much for speaking to us. Im sorry that youre emotional right now but eve ryo ne that youre emotional right now but everyone watching will completely understand why, thank you for sharing your story with us. understand why, thank you for sharing your story with us. I would like to stress again, because the hospital, and particularly the doctor and his team, you know, he has gone beyond, absolutely beyond everything to keep me alive. David, thank you so much, take care of yourself. And of course we will continue to follow your story. Thank you so much. Thank you very much. Bye, dad. David hughes and his daughter maddie speaking to us about being stuck in oman. Our house is burning. Thats a tweet from the french president , Emmanuel Macron, about the Record Number of fires raging in the amazon rainforest in brazil. The president has called it an International Crisis that needs to be on the top of the agenda at the g7 summit he is hosting over the weekend adding that the amazon produces 20 of the worlds oxygen. But the brazilian president , bolsanaro, has hit back accusing the french president of using a brazilian domestic issue for personal political gain. Joining me now from madagascar is Erika Berenguer a brazilian ecologist who spent many years living in the amazon. And here in the studio with me is daniela montalto, senior forests campaigner at greenpeace uk and our bbc brazil reporter nathalia passarinho. Thank you forjoining us. Nathalia explain whatjair thank you forjoining us. Nathalia explain what Jair Bolsonaro is saying about these wildfires, and hes blaming slightly bizarre groups for them, isnt he . Hes blaming slightly bizarre groups for them, isnt he . Yes, initially the government tried to minimise the fires and blame them on the weather, the dry season. Then president Jair Bolsonaro suggested that Environmental Ngos could be behind this major increase in retaliation for the fact that the government had reduced funds to environmental organisations. Then finally yesterday after Broad National and international repercussion, he had a meeting with eight of his ministers to discuss a task force to battle the fire in the amazon, which could probably include the army and the measures will be announced today. But what environmentalists and politicians from different Political Parties are saying is that this is a very late response to a very serious problem. Daniela, give us a sense of how serious the situation is now compared to other years because there are often wildfires in the amazon. What is happening now is a tragedy really, it is devastating, we are in a Climate Emergency and every single hector that burns and is added and we keep losing builds on this emergency. The fires are much worse than last year since Jair Bolsonaro took power, so since january the 1st until august the 20th the fires increased by 145 compared to the year before. And sadly, this is very much related to the weakening of the protections, of environmental protections and policy in brazil. It isJair Bolsonaros attacks on the amazon that are really encouraging and allowing, basically, those who are clearing the forests and setting fires to do that pretty much with impunity. Erika, iwant that pretty much with impunity. Erika, i want to bring you in, that pretty much with impunity. Erika, iwant to bring you in, give usa erika, iwant to bring you in, give us a sense of how important this is and how damaging it is when we are hearing about the whole Climate Emergency we werejust hearing about the whole Climate Emergency we were just hearing about . The amazon, not only for brazilians like myself, but for the whole world, it is important and the reason is the amazon store is so much carbon that is equivalent to 100 years of fossil fuel emissions from the us. Thats how much carbon of the Amazon Stores but the moment we deforest and burn it all of that carbon is going into the atmosphere and then of course contributing to the Climate Crisis we currently face. So, what can be done, erika . What needs to be done right now to stop this . The situation needs to decrease. Previous research has shown that when deforestation decreases the amount of fires also decreased because the fires are the end point to deforestation, first they chop the forest, let it dry, during the dry season and then you set that area on fire because in the ashes, there is no vegetation, you can plant pasture. What can be done right now is to increase environmental law enforcement. But thats not what the current government has done in the past eight months, unfortunately. It has been weakening its own environmental agencies. So, its quite a worrying trend, especially when the dry season is going to last until the end of the year in the amazon. Do you think there is a lack of political will to tackle this issue . We are lacking that political will in brazil, Jair Bolsonaro is doing exactly the opposite. He is encouraging those who clear forests to keep doing so. There are global consequences, of course, climate change, the loss of biodiversity has no boundaries. However, whatJair Bolsonaro is doing, he is criticising anyone that brings this problem up, or that points to what is actually happening, what his government is doing. The attack is not only on the amazon as such, but also on people, and Indigenous Peoples are also suffering the immediate consequences of the loss of the rainforest. What is also important is to flag this happens to expand the planting of agricultural crops like soya, the expansion of cattle ranching. Companies that are also driving the demand for such products need to take responsibility for what they source as well. And of course, in terms of trade deals and what is being discussed, no governments should be. Much more needs to be done . Needs to be moving forward on advancing trade deals that are not bringing into consideration what needs to be happening on the ground, which is for the protection of the amazon and other rainforests in the region. Thank you all so much for your time. Every year, more than 15 Million People are killed by Heart Disease and strokes. Theyre the top two causes of death world wide. But a pill, costing just pennies a day, could cut that figure by a third. The polypill contains blood thinning aspirin, a cholesterol lowering statin, and two drugs to lower Blood Pressure. Joining us now is professor tom marshall who was one of the scientists who carried out the polypill research. Hejoins me from birmingham. And with me here in the studio is professor Metin Avkiran have i said your name correctly . That is correct. He is an associate medical director at the british heart foundation. First of all, just explain the significance of having a pill like this which is cheap. It is likely to be very significant in low and middle Income Countries where the Health Service is not as readily accessible and as advanced as it is in the Northern Hemisphere particularly and in western europe. What they have done in this particular study is taking medicines drugs that we know already are effective, in fact they are drugs we use already in the United Kingdom already. These are drugs of patents, so they are relatively cheap, they are produced as generic drugs, so what these particular investigators have done is to take single doses of each of the classes of drugs that youve mentioned, combined them in one single pill and given them to people where the main risk factor that they considered was actually being middle aged and older, 50 75 yea rs being middle aged and older, 50 75 years old, cardiovascular disease, or some forms of cardiovascular disease that arise from the process called artery sclerosis, furring up of arteries. These drugs are all known to be effective in preventing the consequences of artery sclerosis such as heart attacks and strokes, and they have combined them in a pill and given them this name. wa nt to pill and given them this name. want to speak to tom marshall, one of the scientists who carried out this research. This does sound like for people in poorer parts of the world to be a significant development, the research you have done. That is quite a nice summary that was given to you just there. The Real Advantage of this approach is its simplicity, so that in developing or middle Income Countries you can simply offer to people above a certain age threshold who are at high risk simply because of their age of cardiovascular diseases, this is simple intervention, and that is what we did, we offered it to people largely on the basis of their age and excluded very few people. That is the Real Advantage of this. As was already pointed out, all of the interventions, all of the drugs separately, we already have evidence that shows that they work so in that respect it wasnt novel but the strategy of using this on top of life style strategy of using this on top of lifestyle advice is a novel approach to preventing cardiovascular disease. Is there a danger that you send out the wrong message that actually being healthy, eating well and doing exercise can be avoided because you can just take a pill . That is commonly said but i dont think thats the case. What we did in this study was one group of people were offered lifestyle advice, they were given some information about lifestyle, diet, physical activity and smoking, and the other group were given the same life style the other group were given the same lifestyle advice and the polypill and this seemed to have additional effects on top of that. But also, people assume that if you take a pill then you will give up on doing life style pill then you will give up on doing lifestyle changes. But the opposite could well be the case because, in fa ct, could well be the case because, in fact, the kind of people who are interested enough to take a pill to prevent ill health are also the same sort of people who probably take ca re of sort of people who probably take care of their lifestyle in other ways as well. Would you agree with that . I would, and if i may ways as well. Would you agree with that . Iwould, and ifi may make ways as well. Would you agree with that . I would, and ifi may make one slightly broader point, i think a significant message here is the importance of knowing your risk. These drugs address risk. High cholesterol is known to be a risk for cardiovascular disease. High Blood Pressure is known to be a risk for cardiovascular disease. And these conditions can be silent killers. Most people wouldnt know that they have high cholesterol or high Blood Pressure. So i think the important thing here, in addition to potentially combining multiple pills in one pill in certain populations, i think the important thing is knowing your numbers, knowing your risk and addressing that risk through a combination of lifestyle and drugs. Thank you for coming in at explaining back to us and i thank you also for your time today. Thank you. In the next few moments, the thames Valley Police Training Centre in oxfordshire and other forces around the country will fall silent to mark the death of pc Andrew Harper. Pc harper died whilst responding to a crime last friday in berkshire. He was 28 and had got married only a few weeks ago. Chief constable John Campbell of the thames Valley Police theres going to be speaking in the next few minutes. Im not sure if he has begun speaking. We are seeing pictures of pc harper and his fiancee, he got married in the middle ofjuly. You will remember there has been such an outpouring of emotion. Many people seen on social media this week talking about their appreciation for not only pc harper and the Police Forces in berkshire but also across the country. You will see people are starting to gather there at the thames Valley Police headquarters. We expect the chief constable to say a few words ahead of that minutes silence. It is not just taking ahead of that minutes silence. It is notjust taking place here, it is also going to be taking place at forces all across the uk. On social media there has been huge outpourings of emotion. People saying that children have turned up with cakes at police stations, people leaving messages and balloons and books of condolence, saying, not just thank you to pc Andrew Harper for his work, but also to Police Forces across the country for protecting them. Lets listen to the chief constable. Good morning, everybody, my name isJohn Campbell, the chief constable of thames Valley Police, welcome on this sad day to a Police Training centre here at sta nsted. We Police Training centre here at stansted. We are joined Police Training centre here at stansted. We arejoined by Police Training centre here at stansted. We are joined by the family of andrew, pc Andrew Harper for this remembrance. We are also joined by colleagues from the fire and Ambulance Service whose staff we re and Ambulance Service whose staff were involved and supported us in responding to andrews death. Im joined also by helen, who is our force chaplain. In a moment we will have an minutes silence and we will be signifying the start of that minutes silence with a Police Whistle. A Police Whistle has been Long Associated with sacrifice and was used as the method of ordering young men over the top during the first world war. It is also traditionally associated with Police Officers in the past calling for help from their colleagues. This is not a memorial service. There will bea time not a memorial service. There will be a time for words and memories in the days and weeks and years to come. This is a time for gathering, a time to pause and a time to reflect. We gather here one week from the tragic death of pc Andrew Harper, our dearly loved and respected colleague, friend and proud police officer. Son, brother and husband. We are here to offer our respects and to acknowledge his passing. We are now in a different place and things feel very different. We remember andrew for how life was richer for knowing him. We give thanks for all that he gave, his enthusiasm, his care for others, his commitment to policing. This Police Family to which he belonged will never forget him. And we pray, especially for his family and close friends, for whom andrews death as left such emptiness will stop may we with them know a healing touch, peace in our confusion and light in our dark times through the love we share with one another. So, in this moment, let us still our busy hearts and minds, as we remember our colleague and friend andrew in silence now. Whistle