NHS change needed, says Cameron

David CameronMr Cameron will say he wants public service modernisation to be a “legacy” of his government

Prime Minister David Cameron will set out his determination to modernise Britain’s public services during 2011, in a key speech later.

Mr Cameron will say he wants reform to be a legacy of his government, despite planned spending cuts of £81bn.

He will tell an audience in London that it is a “personal and political” priority for him to improve services.

However, his speech comes as NHS reform plans for England face increasing criticism from medical groups.

Ministers will publish a health bill this week that will pave the way for GP consortiums to take over management of the NHS from primary care trusts.

But the Royal College of GPs and the British Medical Association say the upheaval is unnecessary as the same results could have been achieved by a small change in the current structure.

At the same time, the heads of six health unions, including the BMA, have warned in the Times of their “extreme concerns” about greater commercial competition between the NHS and private companies.

However, in his speech, Mr Cameron will praise news that 140 GP groups have come forward to take on the new commissioning powers ahead of their introduction across England in 2013.

The prime minister will dismiss suggestions that public spending cuts will mean a deterioration in services, but he will say that urgency is a must, arguing Britain can be one of the “great success stories of the new decade”.

“I’ve experienced first-hand how dedicated, how professional, how compassionate our best public servants are.”

David Cameron Prime Minister

Mr Cameron will say that even after the cuts are complete, public spending will still take up 41% of national income – the same level as in 2006.

And he will say that at £5,000 per pupil, spending on education will be the same as in Germany and more than in France; London will have as many police officers as New York; and health spending will match the European average.

“It’s just not true to say that the spending taps are being turned off,” Mr Cameron will argue.

He will also try to shake off claims by Labour that his reform agenda is driven by the wish to save money and an ideological desire to reduce the size of the state.

“My passion about this is both personal and political,” he will say.

“Personal because I’ve experienced first-hand how dedicated, how professional, how compassionate our best public servants are.

“The doctors who cared for my eldest son, the maternity nurses who welcomed my youngest daughter into the world, the teachers who are currently inspiring my children, all of them have touched my life, and the life of my family, in an extraordinary way and I want to do right by them.

“And this is a political passion – and priority – of mine too.”

He will say that the coalition government has a better chance of implementing successful reform because it has “tried really hard to learn the lessons of the past” and will avoid repeating the mistakes of previous administrations.

“These reforms aren’t about theory or ideology – they are about people’s lives. Your lives, the lives of the people you and I care most about – our children, our families and our friends. We should not put this off any longer.”

Meanwhile, changes to parental leave to give both mothers and fathers more flexibility are going to be considered, Deputy Prime Minister Nick Clegg is to announce later in a separate speech.

Describing the current system as “Edwardian”, Mr Clegg will say the coalition will introduce in April measures drawn up by the Labour government to allow fathers to take up any remaining unpaid maternity leave if mothers go back to work early, up to a maximum of six months.

Additional reforms could be introduced in 2015, he will say.

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Man sets himself on fire in Cairo

Protesters in Tunis, Tunisia (14 Jan 2011)A self-immolation in Tunisia led to weeks of protests and the fall of the government
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A man has set himself on fire outside the parliament building in the Egyptian capital, Cairo.

Witnesses said the man had poured fuel over his clothing before setting himself alight.

The flames were put out by a police officer and the man was taken to hospital – his condition is not known.

The action echoes that of a 26-year-old Tunisian whose self-immolation sparked a wave of protest in the country that brought down the government.

The man in Cairo has been identified as a 49-year-old restaurant owner from the city of Ismailia, east of the capital.

Reuters cited a witness as saying he had suffered burns to his hands and face.

His motives were not immediately clear but a source in the interior ministry told Reuters he was protesting about his poor living standards.

The BBC’s Jon Leyne in Cairo says that following the Tunisian unrest, the incident will be ringing alarm bells in the Egyptian government.

Mohamed Bouazizi set fire to himself in the Tunisian town of Sidi Bouzid in mid-December, after police prevented him from selling vegetables without a permit. He died in early January.

His action was followed by weeks of increasingly violent protests across Tunisia over unemployment, corruption and high food prices which resulted in the resignation of President Zine al-Abidine Ben Ali last week.

Many in Egypt have voiced the same grievances as the Tunisians.

An Egyptian Facebook group has called for street protests on 25 January, which the organisers are calling a “day of revolution against torture, poverty, corruption and unemployment”.

But despite popular support for the Tunisian demonstrations, there have so far been no similar large-scale protests in Egypt, says our correspondent.

The overwhelming mood of the country is despair and not anger, he adds, as illustrated by the country’s very high suicide rate.

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Couples to share maternity leave

Nick CleggNick Clegg says the current parental leave system is “Edwardian”

The Deputy Prime Minister will this morning outline plans to allow couples to share maternity leave.

The change in April allows fathers to take up any remaining unpaid leave if their partners go back to work early.

Nick Clegg will denounce the current arrangements as “Edwardian”.

He will also say the government will consult on a “proper” system of shared parental leave to be introduced in 2015.

In the speech Mr Clegg will say it is vital that reforms to parental leave help not only the rich, but also ordinary working families in what he calls “Alarm Clock Britain”.

“Too many of these parents feel trapped by the current rigid rules,” he will say. The current systems which allow men two weeks of paternity leave “patronise women and marginalise men” he will claim.

The government wants couples to be able to take leave in a number of chunks rather than a single block, or parents taking time off together rather than one after the other.

The change allowing men to use unpaid leave not used by their partners was originally proposed by the previous Labour government. It will come in later this year.

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Ambulance patient transfer delays

Ambulance staff with a patientAmbulances spent more than 80,000 hours queuing outside hospitals in two years
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Ambulances spent more than 80,000 hours waiting to transfer patients to hospitals in two years, claim the Welsh Liberal Democrats.

Turn-around times when handing patients to hospital staff should take no longer than 20 minutes, under targets.

The Lib Dems claimed the figures they obtained showed thousands of hours of emergency ambulance cover were lost.

The Welsh Assembly Government said most patients were treated and transferred in an appropriate time.

Between January 2009 and October 2010, turn-around times beyond the 20-minute allowance amounted to more than 80,400 hours – or 3,350 days.

Waits totalled 15,909 hours at the Royal Gwent Hospital in Newport. while Morriston Hospital in Swansea was second with 11,926 hours, ahead of Cardiff’s University Hospital of Wales with 9,986 hours.

“Unfortunately there will be occasions when there is delay in handing over the patient to hospital staff.”

Welsh Assembly Government

The figures from the Welsh Ambulance Service NHS Trust also include three hospitals in England.

The service calculates that the cost of a “lost unit hour” is £76, meaning the long turn-around times cost an estimated £6.1m.

Welsh Lib Dem health spokeswoman Veronica German said the figures, obtained through a freedom of information request, were “absolutely shocking”.

“This proves that there is systemic failure in the way the Welsh NHS handles emergency situations,” she said.

“Month after month, we see that Welsh patients have to wait an unacceptable amount of time for ambulances to respond to emergency call-outs and now we see that ambulances have to wait an unacceptable amount of time to transfer patients and get back on the road to respond to emergency calls.”

Ambulance staff were working hard in difficult circumstances to improve the service, Mrs German said.

“But it is clear that ambulances cannot attend calls if they are queuing outside hospitals,” she added.

An assembly government spokesman said emergency departments were under “constant pressure”.

“We must remember that the ambulance service receives more than 25,000 emergency calls every month, the majority of which result in an ambulance taking the patient to an emergency department,” he said.

“Unfortunately there will be occasions when there is delay in handing over the patient to hospital staff.”

He added: “A significant amount of work has been done to reduce the level of delays and we are working with health boards and the Welsh Ambulance Service Trust to secure the further progress required.

“All patients are dealt with in order of their clinical priority, with the majority of patients being seen, treated, transferred or discharged in an appropriate time.”

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Cuba: US rule changes ‘limited’

People wait for transport along a highway in San Cristobal, Cuba on 4 January 2011Cuba is still off-limits for American tourists
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Moves by US President Barack Obama to ease restrictions on US citizens travelling to Cuba are positive but not enough, the Havana government has said.

The Cuban authorities said the measures kept the decades-old embargo intact and did not signal any major changes in US policy towards the island.

On Friday, Mr Obama issued an executive order loosening some rules on travel and sending remittances to Cuba.

He said he believed the new rules would support Cuban civil society.

On Sunday, the Cuban authorities gave their first official reaction to Mr Obama’s announcement.

“Although the measures are positive… they have a very limited reach and do not change US policy against Cuba,” a foreign ministry statement said.

The changes, the statement said, were an expression of the failed policy of the US towards Cuba.

“These measures confirm that there is no will to change the policy of blockade and destabilisation against Cuba,” the authorities said, referring to the US trade embargo.

“If there exists a real interest in widening and facilitating contacts between our peoples, the United States should lift the blockade and eliminate the restrictions that make Cuba the only country in the world to which North Americans cannot travel.”

Announcing the changes on Friday, the White House said they were aimed at developing “people-to-people” contacts through more academic, cultural and religious exchanges.

The modified rules will, among other things:

Allow religious organisations to sponsor religious travel to Cuba under a general licenceAllow accredited institutions of higher education to sponsor travel to CubaAllow any US person to send remittances (up to $500 per quarter) to non-family members in Cuba to support private economic activityAllow remittances to be sent to religious institutions in Cuba in support of religious activitiesAllow US airports to apply to provide services to licensed charters.

In April 2009, President Obama ordered curbs on remittances and travel by Cuban-Americans visiting family members on the island to be relaxed, and there has been a rapid expansion of cultural and artistic exchanges.

The latest changes do not require congressional approval, but the US Congress would have to authorise the ending of the embargo.

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Italy’s PM denies paying for sex

"Ruby" at a party in Genoa, 11/11“Ruby” apparently attended parties held by Silvio Berlusconi
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Italian PM Silvio Berlusconi has denied allegations he paid to have sex with a 17-year-old nightclub dancer, Karima El Mahroug, at private parties.

He said on Italian television on Sunday he had been in a steady relationship since separating from his wife.

Prosecutors are investigating allegations of under-age prostitution and abuse of power.

Mr Berlusconi is suspected of abusing his power to have Ms El Mahroug freed from a police cell.

In a video message to supporters shown on Italian television on Sunday, he said: “It’s absurd to even think that I would pay to have sex with a woman. It’s something that has never happened even once in my life. I would consider it degrading.

“Since I separated – though I’d never wanted to say it to avoid exposing her to the media – I have had a stable relationship of affection with a person, who was obviously often with me at those evenings and would certainly never have allowed, at or after dinner, those absurd things some newspapers have conjured up.”

Mr Berlusconi also said magistrates had acted “illegally” and “unacceptably”.

Lawyers for the 74-year-old prime minister have previously dismissed the claims as “absurd and groundless”, saying they had already been refuted by all witnesses and people directly involved.

Mr Berlusconi has previously admitted calling the police on Ms El Mahroug’s behalf, but says he did nothing wrong and acted out of pity.

The dancer, whose stage name is Ruby, was being questioned over theft allegations when Mr Berlusconi called the police on her behalf.

Italian newspaper Corriere della Sera reported that prosecutors would investigate whether Mr Berlusconi had made the call in order to hide his use of under-age prostitutes.

The dancer, now 18 years old, told newspapers she was paid 7,000 euros (£5,900; $9,400) after she attended a party held by Mr Berlusconi last year.

She has denied having sex with him.

Paying for sex with a prostitute under the age of 18 is an offence in Italy.

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PM: RBS bonuses not ‘done deal’

Prime Minister David Cameron says talks are continuing between the Treasury and banks over proposed bonuses.

Mr Cameron told BBC Radio 4’s Today programme that reports Stephen Hester, chief executive of Royal Bank of Scotland, was in line for a £2.5m bonus “are almost certainly wrong”.

“Detailed discussions” were on-going with the major clearing banks, he said.

His aims were bonus pools to be lower, taxes paid to be higher and lending to small businesses to be higher.

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Risks of cyber war ‘over-hyped’

Solar flare, APA huge solar flare could give rise to a global cyber shock, warns the report
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The vast majority of hi-tech attacks described as acts of cyber war do not deserve the name, says a report.

The Organisation for Economic Cooperation and Development study is part of a series considering incidents that could cause global disruption.

While pandemics and financial instability could cause problems, cyber attacks are unlikely to, it says.

Instead, trouble caused by cyber attacks is likely to be localised and short-lived.

However, it warns that governments need to plan for how it could mitigate the effects of both accidental and deliberate events.

Attempts to quantify the potential damage that hi-tech attacks could cause and develop appropriate responses are not helped by the hyperbolic language used to describe these incidents, said the OECD report.

“We don’t help ourselves using ‘cyberwar’ to describe espionage or hacktivist blockading or defacing of websites, as recently seen in reaction to WikiLeaks,” said Professor Peter Sommer, visiting professor at LSE who co-wrote the report with Dr Ian Brown of the Oxford Internet Institute.

“Nor is it helpful to group trivially avoidable incidents like routine viruses and frauds with determined attempts to disrupt critical national infrastructure,” added Prof Sommer.

The report acknowledged the risk of a catastrophic cyber incident, such as a solar flare that could knock out satellites, base stations and net hardware, but said that the vast majority of incidents seen today were almost trivial in comparison as they did not last long and only hit a few people or organisations.

Attempts to decide how to deal with the wide variety of potential attacks and attackers were being hampered because words used to describe incidents meant different things to different groups.

For instance, it said, an “attack” could mean phishing e-mails trying to steal passwords, a virus outbreak or a concerted stealthy attempt to break into a computer system.

“Rolling all these activities into a single statistic leads to grossly misleading conclusions,” said the report. “There is even greater confusion in the ways in which losses are estimated.”

The report also played down the risk of a conflict between nation states being played out over the net.

“It is unlikely that there will ever be a true cyberwar,” said the report, most likely because no aggressor would stick to one class of weaponry. Also, it said, existing defences and the unpredictable effects of such an attack could limit its effectiveness.

However, it noted, that even if a cyberwar is unlikely to ever happen, there was no doubt that the weapons used in such a theatre of war were becoming ubiquitous and would likely be used in the future alongside conventional weapons as “force multipliers”.

Under the heading of cyber weapons the report included viruses, worms, trojans, distributed-denial-of-service using botnets and unauthorised access to computers ie hacking.

Finally, it said, while the net may be a vector for attack it might also help in the event of a large-scale event.

“If appropriate contingency plans are in place, information systems can support the management of other systemic risks,” it said.

“They can provide alternate means of delivering essential services and disseminate the latest news and advice on catastrophic events, reassuring citizens and hence dampening the potential for social discontent and unrest.”

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Queensland launches flood inquiry

The foot of a volunteer in mud in the city of Rockhampton on 16 January 2011The flood waters have left swathes of mud and debris behind them

Queensland Premier Anna Bligh has announced an inquiry into flooding that has devastated swathes of the Australian state.

Ms Bligh said that the inquiry would look at issues including the operation of dams and would serve as an investment in the state’s future.

Treasurer Wayne Swan has warned the floods could be the costliest natural disaster in Australia’s history.

Further south, the state of Victoria is also braced for floods.

Water has already swamped some of the state’s northern towns and is threatening 1,400 homes in 43 others. Some 3,500 people have left their homes so far.

Announcing the A$15m ($14.8m, £9.3m) Commission of Inquiry, Premier Anna Bligh said the time had come to “forensically examine” the chain of events.

“I see this as an investment in our future safety, an investment in being better prepared for an event like this in the future,” she said.

Volunteers move debris from houses in Fairfield, Brisbane, on 16 January 2011In Brisbane, thousands of volunteers have been taking part in the clean-up

“I also think we owe it to those people who have lost loved ones and those who have lost their lives to honour their memory by learning the lessons of this flood.”

She said that the commission, which will deliver an interim report in August and full findings in a year, would assess warning systems, government planning and the emergency response.

One of the deputy commissioners will be a dam expert. Questions have been raised as to why water levels in the Wivenhoe dam – west of Brisbane – were not reduced in preparation for the flooding.

On Monday the toll from the flooding rose again to 20, after the body of a man was found in the Lockyer Valley area and a flood-related death was confirmed in Ipswich. Ten more people are still missing.

Flash floods hit the Lockyer valley area west of Brisbane on 10 January, before flood waters moved to Brisbane, Australia’s third-largest city.

Dozens of suburbs were submerged and residents are continuing to clean up swathes of mud and debris.

Treasurer Wayne Swan has warned of a severe financial impact.

“It looks like this is possibly going to be, in economic terms, the largest natural disaster in our history,” he said.

“This is very big. It’s not just something which is going to occupy our time for the next few months. It will be a question of years as we go through the rebuilding.”

The floods have been blamed on the La Nina weather pattern in the Pacific.

Rivers have also burst their banks across parts of the state of Victoria. The town of Horsham, 300km (187 miles) northwest of Melbourne, was expecting its worst flooding in 200 years.

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Record labels change singles rule

Universal and Sony Music are to release singles the same day they’re played on the radio for the first time.

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Bruno Mars hitmakers top UK chart

Bruno MarsMars’ Grenade – written and produced by The Smeezingtons – went to number one on Sunday

The trio behind Bruno Mars’ Just The Way You Are and Cee Lo Green’s Forget You were the most successful songwriters in the UK chart in 2010, research by Music Week magazine shows.

The Smeezingtons – Mars, Ari Levine and Philip Lawrence – also co-wrote the singer’s current number one Grenade.

Duo Stargate, who co-wrote hits for Katy Perry and Rihanna, were second.

Will.i.am was third on the chart, which was based on writers’ shares of the UK’s 100 best-selling singles of 2010.

As well as number ones Forget You, Just The Way You Are and Nothin’ On You, by rapper B.o.B, The Smeezingtons were behind songs including number three hit Billionaire by Travie McCoy.

New York-based Norwegians Mikkel Eriksen and Tor Erik Hermansen, who make up Stargate, wrote hits including number ones Firework, by Katy Perry, as well as Rihanna’s What’s My Name and Only Girl (In The World).

Will.i.am enjoyed success with songs written for his band, Black Eyed Peas, as well as Cheryl Cole hit 3 Words, on which he featured as a guest vocalist, and Usher chart-topper OMG.

US rock band Journey were at number four following the resurgence of their 1981 song Don’t Stop Believin’, made popular again by its appearance in US high school TV show Glee.

Biffy Clyro songwriter Simon Neil – whose song Many of Horror was covered by X Factor winner Matt Cardle under the name When We Collide – was at number five.

In Sunday’s top 40 singles chart, Mars’ Grenade blasted Rihanna’s What’s My Name – this week’s number three – off the top spot in its first week of release.

TOP FIVE SINGLES1. Grenade – Bruno Mars2. Do It Like A Dude – Jessie J3. What’s My Name – Rihanna ft Drake4. Lights On – Katy B featuring Ms Dynamite5. When We Collide – Matt Cardle

Source: Official Charts Company

BBC Sound of 2011 winner Jessie J’s Do It like A Dude climbed three places to two.

The cast of TV series Glee – a new series of which began on E4 last week – had the highest new entry in the chart, at 25 with a cover of Telephone, by Lady Gaga and Beyonce.

The Glee cast also scored a second new entry, at 35, with their cover of Empire State of Mind by Jay-Z and Alesha Keys.

Kanye West and Jay-Z collaboration H.A.M was a new entry at 30.

In the album chart, Rihanna held on to number one with Loud, while Plan B album The Defamation of Strickland Banks remained at number two.

Cee Lo Green’s The Lady Killer climbed one to three, Rumer’s Seasons Of My Soul rose two to four and Mumford and Sons stayed at number five.

Stand Still, the debut collection from Emma’s Imagination – winner of Sky One talent show Must Be The Music – was the highest new entry at 14, followed by British Sea Power’s Valhalla Dancehall, at 22.

And late Hawaiian ukulele player Israel Kamakawiwo’ole’s album Somewhere Over The Rainbow went straight in at 28.

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Cameron: Coulson’s doing good job

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Prime Minister David Cameron has defended his communications chief Andy Coulson, saying he was doing “a very good job”.

Mr Coulson has faced pressure after revelations about phone hacking by News of the World journalists while he was editor of the newspaper.

Mr Cameron was asked on BBC Radio 4’s Today programme if it was true that Mr Coulson had offered his resignation.

He declined to answer, saying he did not “go into private conservations”.

Mr Cameron said Mr Coulson had resigned as News of the World editor when he found out about the “bad things” that had happened, and added that he did not think Mr Coulson should be punished twice.

He had given the former editor “a second chance” when he had appointed him, adding that Mr Coulson had done a “very good job” for the government and for the country.

“He’s extremely embarrassed by the endless publicity and speculation about what happened many years ago when he was editor of the News of the World,” he said.

Mr Cameron said he did not think he had “received a single complaint” about Mr Coulson’s communications team during the years he had worked for him.

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Mauritanian jailed over slavery

Map
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A Mauritanian woman has been sentenced to six months’ imprisonment for keeping two children in slave-like conditions.

The mothers of the two girls, aged 10 and 14, were also found guilty of negligence and participating in their exploitation for monetary gain.

They each received suspended sentences of six months.

Correspondents say they are rare convictions in a country where slavery persists in some parts despite repeated attempts to abolish it.

The lawyer for the imprisoned woman, Oumoulmoumnine mint Bakar Vall, said she would appeal against the sentence, saying the girls were treated the same as Vall’s own daughters and “didn’t do much apart from a bit of housecleaning”, reported AFP news agency.

Vall was convicted at the court in the capital Nouakchott despite the girls themselves denying they were treated as slaves.

The case, which has been closely followed in Mauritania, has also led to the jailing of several anti-slavery activists for aggression against the police.

They were arrested last month after protesting outside the police station where Vall and the two children were being questioned.

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BP shares rise after Rosneft deal

BP logoBP announced its joint venture with Rosneft after the UK market closed on Friday
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Shares in BP have risen 2% after the oil giant announced a joint venture with Russian energy firm Rosneft late on Friday.

The firms will exchange expertise in exploring Russia’s Arctic shelf. Rosneft will take a stake in BP, while BP will hold a 9.5% stake in Rosneft.

Separately, BP has been awarded its first exploration permits in Australia.

The Australian government said BP had agreed to “integrate lessons learned from the Deepwater Horizon incident”.

BP’s deal with Rosneft is the UK oil company’s first new venture signed since the Deepwater Horizon spill last year, which is set to cost it at least $40bn (£25bn).

Rosneft is Russia’s biggest oil company and is 75%-owned by the Russian government.

BP chief executive Bob Dudley has called the deal “historic”, saying it would “meet the world’s demand for energy”.

But it has drawn criticism from environmental campaigners who say the company has learnt nothing from the Gulf of Mexico disaster.

And Labour leader Ed Miliband also voiced concerns, saying that companies should not focus solely on “digging and digging deeper and deeper for oil” but to find alternative forms of energy.

Meanwhile, the Australian government warned that BP would have to demonstrate higher safety standards than it did in the Gulf of Mexico before it will be allowed to drill offshore.

BP won four permits to explore for oil and gas in the Ceduna Sub Basin, off the coast of South Australia. The company expects drilling to start in 2013 or 2014.

“The permits awarded to BP follow an extensive assessment and due diligence process that examined the technical and financial competence of BP to undertake the proposed work programme in accordance with the stringent requirements of Australian legislation,” Resources and Energy Minister Martin Ferguson said in a statement.

“Additional conditions have also been attached to these permits, emphasising the need for oil field best practice behaviour by the operator,” he added.

“This reinforces BP’s undertaking, given as part of the assessment process, to fully integrate lessons learned from the Deepwater Horizon incident into its systems and processes.”

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