12/04/2013 The One Show

Hello and welcome to the One Show with Alex Jones. And as Chris has

lost his voice, we have the voice of the West End, Broadway, the

world. And you are supposed to be rehearsing. Tonight's guest has

famously played a Saints and sinners but started his career as a

bit of a chancer. I have work to do. I am sorry, I don't have it with me.

I can have it tonight, at the pub on the corner. You are a right

That was Coronation Street. confidence! Cigarette dangling out

of the mouth. The accent. He was not a stretch for me because I was

brought up in the north. Is that where you are from? Salford. I was

born in Yorkshire, across the Pennines, and ended up in Salford.

There is a theatre named after you in Salford. Yes, there is.Do you

ever go back? I went back for my mum's funeral a couple of years ago

but have not been back since. That theatre is delightful, and I worked

with the young people when I went there and had the naming ceremony.

I did a bit of a masterclass with the acting students, because it is

attached to a college. That was exhilarating. We will be finding

out about Iron Man 3 in a few moments. If any of us get on well

this weekend, we would hope to have an out-of-hours service we could

rely on. Three Lucy reports that there is concern among doctors that

the system in England is struggling as new reforms their dim.

When Linda's seven-week-old son had a violent fiction, she called her

out of hours service, run by commercial provider Harmony.

phoned Harmony on Saturday, at noon. We spoke to a call handler, who

classified the call as urgent and told us we would get a call back

within 20 minutes. Shortly after 20 minutes, the doctor phoned me back.

It was a conversation that lasted for one minute. He gave me an

appointment 3.5 hours later and hung up the phone. Your focus was

on his appointment of 3.5 hours away. What happened next? I sat in

the waiting room and noticed I could not see his chest move. There

was an off-duty paediatric nurse their, and they took him from me

and we went to the resuscitation area. And then they said, cardiac

arrest. Her son died of bronchial pneumonia, a serious condition but

easily treatable with the correct antibiotics if caught in time. The

coroner has stated it was not possible to say whether

intervention at an earlier stage on that day would have changed the

tragic outcome, but the coroner's report found that the child had

been incorrectly assessed during a phone call, and if the right

questions had been asked, if he would have seen a doctor sooner and

not been given a routine appointment. There are 82 providers

of out-of-hours care in England. Some, like Harmony, our commercial

companies, seeking to make a profit, and the recent sale of the company

for �48 million, with the involvement of a private equity

group certainly suggests there is money to be made. But the previous

system, where GPs hired locums to provide cover, was patchy and

heavily criticised as well. Every company providing health care must

follow national guidelines set up by the Care Quality Commission.

This should mean that everyone accessing the service is guaranteed

the same level of care, no matter who is providing it. This doctor

has worked in out-of-hours care since 1995 and believes the service

is inconsistent, depending on who provides it. He resigned from his

role as Harmony's lead clinician for North Central London six weeks

after taking the job. Very early on, I soon became aware that the

provision of the service was quite different from what I was used to.

I was astonished by the number of patient complains that came, even

in the short time when I was clinical lead. They were genuine

complaints about doctors not coming to visit, all kind of things.

People noticed a real change Run Harmony came into town. There is a

school of thought that GPs brought this on themselves by not wanting

to work the extra hours. To some extent, they have. Many GPs are now

thinking, we need to take this back into our own hands. Harmony say

that their services are staff at the right level with the right

number of qualified GPs, most of whom are local practitioners. They

say they handle complaints in the same way as other parts of the NHS.

In the case of the child who died, the inquest found no evidence that

Harmony's staffing or training levels were factors and that the

clinician concern was a long- standing local GP who had worked

for the previous out-of-hours provider and was on the local NHS

performers list. The British Medical Association is critical of

commercial companies out of hours provision. It says profit motive

could lead to costs being driven dangerously low, but it

acknowledges that out-of-hours care is always difficult. You often see

patients who have never met before. You start from scratch when it

comes to their clinical condition, so you have to be more careful

about how to provide advice to them and treatment. But we need to see

more GPs. The best way to do that is to invest properly so that more

local GPs can be on hand to provide services to local patients.

Medicine is not a perfect science. There will always be mistakes and

errors, but if lessons are learned, the risk is that mistakes are

repeated again. Unfortunately, we are unable to predict when we will

be ill. Health care is a 24-seven business and we need to know that

out-of-hours services are able to deliver the level of care we have

come to expect. Dr Sarah Jarvis is here. There seems to be confusion.

If you have a child who falls ill over the weekend, what is the best

course of action? It is difficult because the 111 system is coming in

in parts of the country but it will not be everywhere. Then it will

come into Scotland by April of next year, and Wales and Northern

Ireland are thinking about it. The best thing is to ring your GP's

surgery and their answer phone should tell you who to ring. So, is

the out of service service better than the old system that is working

outside of England? Up in theory, it is great because they will not

just refer you to a GP but will also tell you if you need to see an

out-of-hours pharmacy. According to some of my patients, they have been

directed to an -- to a community nurse, and that has been useful.

But I am conscious that there have been problems. It is great in

theory but we need to iron out the problems. What is your experience

of commercial companies providing out-of-hours service? I am worried

that when money comes into the equation, profit can be a major

motive. One issue is whether they use doctors who speak good English.

It has been a big concern. That is a basic thing, that you have to be

able to communicate. Of the General Medical Council can control very

carefully the English of anyone who comes to the UK as a doctor from

outside Europe, but at the moment they cannot control doctors from

inside Europe. From 1st April, there is some good news that there

is a national performers list. To be a GP out of hours, you have to

speak good English. The Government have said they want to beef up the

regulations, which will need a change to the Medical Act. Is the

problem that GPs do not want to do the out-of-hours service? It is

difficult. I have been a GP for 22 years and when I started, I did all

of my own out-of-hours. I would work all day and overnight looking

after my own parents comp -- patients. Half of the work that I

do today, I did not do 20 years ago, the preventive work, keeping people

well. I am sure you will agree that it is important. Vital.We cannot

work all day and all night and be safe on the next day, so it is a

difficult balance. Your brother is a doctor. He is retired now. My

father was a G P. Interestingly, my father came from Zanzibar, of

Indian parents. He came to the UK when he was 14. He went to school

in London, Dulwich College, Guy's Hospital Medical School. By the

time he was a GP in the suburb of Salford, his English was splendid,

and his patients adored him. I remember him getting into a car

that they do not make any more. A proper doctor's car. I would not be

able to see over the steering wheel. I am on my rounds, he would say.

Sometimes I would go with him. He was a family doctor and they loved

him. That is the key, a doctor who can communicate with every patient.

Things are getting better. There are some animals that love being in

the limelight, like these meerkats. And this red squirrel. Mervat out

of the papers. Going topless. Since it was first spotted 80 years ago,

there is one creature that has probably never been seen. Do not

say that! If it is ever spotted, there is one man who is determined

to be there. Imagine giving up everything, your

job, your girlfriend, selling your house and setting off on a wild

dream to find the Loch Ness monster. That is what I did 22 years ago. I

know what you might be thinking, but to me was a dream come true.

And it is still a dream come true. When I first set off, I made a

video diary for the BBC which was called desperately seeking Nessie.

There is something in there, something unexplained, a question

unanswered. It is my job, from now on, indefinitely, to try and answer

that question. I had been working in the rat race for about 10 years,

and Loch Ness was somewhere that I have always spent time coming from

holiday, trying to find Nessie. I thought, that is what I want to be

doing, that is where I want to be. The most impressive thing that I

have seen myself was just a torpedo, streaking through the water. All

that you could see was a white line and a spray of water. Just for less

than 10 seconds, five seconds, probably. I thought, next time I

see that, I will film it. Graham still waiting for that next time. -

- I am still waiting. So it is quite a slow job. I paid my council

tax for being down here. I do not have luxuries like electricity, or

running water. But I have the best view in Europe, I think. People say,

you must get lonely. I wish I had time to get lonely. The only actual

income that I have are the little Nessie models that I make. And now

I have started making driftwood boats. I will never have enough

money to retire, but I do not know how you retire from a lifestyle so

sedate as this one. This amount of time, sitting here contemplating a

large body of water like this, it is a kind of meditation in itself.

It is the contemplative side of being a monster hunter. I recently

got into the Guinness Book of Records for the longest continuous

Loch Ness monster vigil. Fair enough. World champion at sitting

on a beach and seeing nothing. This isn't just about hunting for a

monster, but about having a dream and following it. It does not

matter if people say you're mad. If you do not go for it, one day you

might say, well, I wish I had done that when I had the chance.

22 years later, I am still in my utter Utopia sitting here. So get

out and follow your dreams. That is all I am trying to encourage people

to do. My ashes will be scattered in this day in front of the van.

And I am very content with that turn up exhibition at an ID only one

that saw it, when he was sitting next to the bonfire. When he was

talking, I saw it. Do you think it could be in existence? Not really.

It would have to be something billions of years old. I think it's

just a seal. You are playing the Mandarin in Iron Man 3. I'm so

excited about this. I am a nerd, when it comes to the Marvel

universe. What drew you to it? Mr Marvel. He talked me through the

script, which is remarkable. I was given the script, and it was taken

from me when I had read it. Great secrecy. You are not allowed to die

bilge anything. My name was on every page. Knowing I was going to be

working with Robert and Gwyneth, honestly, it now runs like AV 12

engine. It is so smooth, so sophisticated. It is witty, they

have evolved their own style. A measure of their confidence is how

they welcomed a new boy to the set. They were so welcoming. They were

not too hands-on. He let me do my own thing, let me take my own risks.

Not with the dialogue, I am very hot on seeing what is on the page and

saying that. But taking some risks with tone, levels of anger. It's

very exciting. So many things drew me to it. Let's see that level of

anger. Your character takes on Iron Man and pepper pots. Let's see how

President, only two lessons remain. I intend to finish this before

Christmas morning. Properly sinister. How does he get his

powers? He is pretty bright, actually. He is more of a

manipulative, intellectual terrorist. He goes for threatening

the culture of the energy, -- enemy, that which the enemy holds dear. He

cynically attacked them and brings them down. Other guys do the dirty

work like blowing up buildings. But I just use them. But he has extra

help? The rings? Yes, I found as an actor, they empowered me. And I've

got more! When you put them on, did you feel empowered? Yes, I did. It's

amazing what these rings do. They are very cheap, but they can do a

lot. They bring that out in you? couldn't get them off. Glamour is an

ancient word, it comes from witches and witchcraft. When they are

preparing for a ceremony, they say they are putting on their glamour.

You have empowered yourself or your magic spells. Sorry to interrupt,

but I loved the fact that you were working with Robert Downey Jr.

delightful. Both of you got your big breaks from the same director, Sir

Richard Attenborough? Indeed, he has Charlie Chaplin and myself as

Gandhi. There is a photograph of Charlie Chaplin meeting the real

Gandhi. Charlie is leaning forward, gazing earnestly at him. The caption

said, Gandhi had no idea who Charlie Chaplin was. Didn't you take a

picture on set so you could send it? Yes, Dickie is a bit poorly at the

moment, bless him. We sent a lovely picture to him. Robert Downey Jr has

a huge heart, a lovely man. I am glad to hear that. That comes

across, I think. Very human.I know that you love spicy food. You are

going to enjoy this next bit. It sounds like the best job ever, taste

testing viewers favourite chilli con carne recipes. But choosing the

winner brought Jay Rayner out in a sweat. If you are looking for

comforting, warming food with a bit of a cake, you would struggle to

find anything better. Look at it. No wonder the cattle

drivers of the wild West loved this fiery stew of chilli peppers, meat

and beans. We asked viewers of The One Show to rustle up the best

home-made chilli. Meet the finalists, Jeff from Leicester,

Debbie from Cheshire and Chris from Solihull. They need to impress me

and Chef Angela Gray. What are you looking for from today's winning

chilli con carne? It's got to be about being able to taste the

flavour of the meat and the spices. Clever layering of flavour and full

on. What about the heat itself?I like to put a couple of chilies in,

some dry and some fresh. They each have their own flavours. Technical

designer Chris is a bit of a chilli connoisseur. He's using beer. South

American beer going in your chilli? It goes well, it's got a sweetness

to it. Some onions chopped into the source, he also here raise some and

puts the juices into the pot. gives depth of the flavour, it takes

out the tartness of the onion. are a detailed man? Yes.There is no

mince, he dices beef and adds jalapeno peppers. You have a work

chilli championship? We have challenges, we make them over the

weekend and bring them in. And has someone chosen the winner? It's me!

Next it is Debbie, the chilli has been created for someone who she

calls a fussy eater. With no onions allowed for her husband, she has a

long list of ingredients. Balsamic vinegar, mango and chilli chutney,

dipping sauce, chilli and paprika and smoked chilli jelly. Emptying

the store cupboard and seeing what works? Absolutely right. Lots of

garlic and mushrooms are added, and the mix goes on to the harbour for

an hour and a half. Jeff is a private hospital manager. He takes

his cooking very seriously. He believes the secret of a good chilli

is a lot of patience. Five hour cook. Five hour chilli? I think it

is necessary. I'm trying to develop a real depth of flavour, it is very

savoury and meaty, as opposed to being very hot and fiery.

includes both mince and chunks of beef. He adds a slug of red wine and

a special ingredient at the end. is 100% cacao. The stuff that

chocolate is made from. It is very bitter. Do you shave it?I grate it

and it acts as a natural thickener. Well, the heat has certainly been

turned up in the kitchen. Time is up on The One Show challenge. Onto the

best bit, the tasting. Starting with Chris's chilli with beer. It is

mild, it is not one that makes you sweat. No, but it is nicely balanced

and rounded. I like the pinto beans. I would be happy with that on a

Saturday night. Next, the store cupboard chilli from Debbie. It is

not kicking you in the jaw. I'm getting a lot of mango. It is like

chilli con carne by way of Bangalore. Onto the meat feast from

Jeff. You really do sense something that has been cooked together into a

single dish. It benefits from the five hours. Good texture, good

flavour, nice layering. Also, that fiery at the end. Well, that had the

biggest kick, but which one will be crowned the nation's favourite? The

winner of The One Show Chile coup Goth is... -- chilli cook off. Jeff!

We agreed that it was the clear winner because of the rich flavours

Jeff is here with his winning chilli. Congratulations! That looks

delicious. What inspired the recipe? Originally it was my mother's

stewing steak recipe, with onions, celery, beef stock. I developed it.

To make it into chilli, I would use that as a stock base, adding

chilies, tomatoes, herbs and spices and developed it over time. We are

pretty privileged, because he has not given any of this to anybody

else to taste before. No, I have only ever cooked it for myself

before. Have we all got one? We have already tried it. The secret

ingredient, is it cacao? It is 100% cacao, 100% chocolate. When I first

made it, I added cocoa powder, it made it very grainy and ruined it. I

thought of what I could use instead, so I used that and it melts into the

source, it makes it thicker. It does not blow your head off, but there is

a little kick at the end. Do you like it? Yes. Where did you get the

idea of the chocolate? I have seen Thomasina Miers, she was talking

about the relationship between chilli and chocolate. I thought, how

do I take it to another level? I remembered that and we tried it and

it worked. Are they from the same geographical area? That's

interesting. I am going to have chilli con carne when I go home. I

will not look at myself. I buy it from our local village shop,

Chadlington Foods. They make their own chilli. They are going to love

you tonight explanation mark he won't be paying for it. Other

to shape The One Show Chile challenge award. I'm actually

be on my desk at work. We said before that your father came from

Zanzibar. Your grandfather was known as King clove. E have the monopoly

of spices on that coast. Do you know your spices? In an amateur way.We

thought we would find out, we are going to show you some plants. Have

a look at this one. Can you guess what spice that is? If you smell it,

it might help. It's not that man? plant, it is an octopus! Smell that.

Cloves? Star anise. We don't have time, I'm afraid. You can have the

chilli to take away. Iron Man 3 is in cinemas from the 25th of April.

Before we go, we have been looking for your amazing or unusual pet

stories. But we are not working for heroics, quite the opposite. If you

have a pet that is disobedient, unusual looking or has just done

something stupid, and this is mine, we want to hear from you. Send your

photographs and stories to the usual address. A big thank you to Michael