Tue, 14 Mar 2017 21:30 Y Byd ar Bedwar


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Tue, 14 Mar 2017 21:30

Doctoriaid a chleifion sy'n rhoi darlun cignoeth o'r straen ar y gwasanaeth mewn unedau achosion brys. The programme speaks to doctors and patients on the front line of Wales' A...


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Transcript


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-Welsh Accident & Emergency units

-are under pressure.

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-There is constant criticism from

-patients waiting to be treated.

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-15 hours in the hospital.

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-The best part of 12 hours

-in the cubicle.

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-The Red Cross has described

-the situation in the NHS...

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-..as a humanitarian crisis.

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-We hear from one doctor who says

-the situation in Wales is pitiful.

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-There is such a lack of funding

-in Wales compared to England.

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-I told someone,

-"I feel like I'm working in Africa."

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-Does it fill you with fear...

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-..when you hear a doctor

-speaking in those terms?

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-I recognise it's a difficult job

-on the frontline.

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-There's huge pressure on people.

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-Every Welsh health board refused our

-request to film in their hospitals.

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-Tonight, we join families

-calling on emergency departments...

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-..to get better soon.

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-Three and a half, almost four hours.

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-We haven't seen a doctor yet.

-We'll be waiting a while.

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-St George's Hospital, London.

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-This is one of Britain's

-busiest A&E departments.

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-It's just after 7.00am

-on a Sunday morning.

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-Dr Rhys Beynon

-has just started his shift.

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-It's busy, Rhys.

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-It's busy, Rhys.

-

-Mmm!

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-It's a normal day in A&E.

-This actually isn't really busy.

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-Within minutes, a patient

-is rushed in after a car accident.

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-Neck injury, high speed.

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-Dr Rhys Beynon is responsible for

-directing care for all patients...

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-..over the next eight hours.

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-It's a bit like having an orchestra

-and I'm the conductor.

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-I'm making sure that everything's

-working as one department.

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-Let me have a look at her throat

-once we have a line in.

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-Rhys, originally from

-the Vale of Glamorgan...

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-..has been in St George's

-since 2012.

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-He previously worked in Cardiff.

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-He can see a difference in care

-between England and Wales.

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-We don't keep people in ambulances,

-we get them in.

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-It's more of a problem in Wales.

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-The trolley waits in London are

-a lot less than they were in Wales.

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-To meet Government targets,

-95% of patients arriving at A&E...

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-..should be seen within four hours.

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-In January, only 85% of patients

-were seen within the target time...

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-..in England.

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-Very rarely do we have anyone

-in A&E for more than 12 hours.

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-That's one of our targets.

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-In Wales, there are constant

-complaints about waiting times.

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-Just before Christmas, Magi Buck

-received a late-night phone call...

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-..summoning her

-to Morriston Hospital.

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-Her 92-year-old mother

-was seriously ill.

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-Mam was one of the sweetest, most

-tender people you could ever meet.

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-She'd had dementia

-since she was 90 years old.

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-She'd become very hesitant.

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-She kept thinking that people

-were in the house at night...

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-..taking drugs,

-she was worried about everything.

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-Magi drove from Cardiff

-to the hospital near Swansea.

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-When she arrived

-at the A&E department...

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-..there was no sign of her mother.

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-When we arrived,

-Mam was still in the ambulance.

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-We went in to A&E to ask

-if Menna Thomas had arrived.

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-There was no sign of her there.

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-They said, "Would you go out

-and check the ambulances.

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-"Knock on the door and see

-if she's in one of the ambulances."

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-Mam was in the last one we checked.

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-She never found out how long her

-mother had been in the ambulance.

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-Another two hours passed before

-her mother was taken into A&E.

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-She looked angry and worried.

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-It's hard to describe, really.

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-Someone with that condition

-can't tell you how they feel...

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-..or what's hurting them.

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-Her suffering wasn't over.

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-She was moved back

-to the ambulance again...

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-..before being transferred

-to a trolley for 24 hours.

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-Magi praises the standard of

-medical care her mother received...

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-..but the delay left a bitter taste.

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-For someone who was so weak

-and confused...

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-..it's hard when you're taken out

-of familiar surroundings.

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-To go from an ambulance to a ward,

-back to an ambulance...

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-..and back to a different place,

-then being moved to another ward...

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-..only for someone to decide

-you can go home again...

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-..it was bound to have

-a negative effect on her.

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-On February 1, 2017,

-Menna Thomas passed away.

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-She was 92 years old.

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-In response to what happened

-to Menna Thomas...

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-..a spokesperson for Abertawe Bro

-Morgannwg University Health Board...

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-..said that in some instances...

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-..patients return to the ambulance

-after being assessed.

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-According to the spokesperson...

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-..this happens when patients

-with complex problems...

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-..put emergency departments

-under pressure.

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-The Board wanted to apologise

-to patients...

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-..who've had to wait

-in A&E departments.

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-They say that winter is a busy time

-for hospitals throughout Britain.

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-Menna Thomas

-isn't the only family member...

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-..to have had a bad experience

-in an A&E department.

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-Her granddaughter, Gwenllian Hill,

-has a long list of grievances...

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-..about the Heath Hospital

-in Cardiff.

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-Hiya.

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-Hiya.

-

-Come in.

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-It's like a warzone.

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-I dread to think about myself

-or my family going to A&E.

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-I don't think they're coping.

-It's a dangerous place.

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-Gwenllian

-has an autoimmune disease...

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-..which causes

-serious breathing difficulties.

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-She attends A&E regularly.

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-In August last year,

-she had her worst experience there.

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-I've waited more than 20 hours

-to be seen before now.

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-Then I was eventually admitted

-to the ward.

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-Even when I've been on a trolley,

-I've been there for two days before.

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-It's not comfortable,

-it's not ideal.

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-It's cold.

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-It's just a nightmare.

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-According to the Cardiff and Vale

-University Health Board...

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-..some patients wait longer

-during the winter.

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-The Heath has the best performing

-A&E department in Wales.

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-Theatr Brycheiniog in Brecon.

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-Colwyn Bay actor James Lusted...

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-..is rehearsing his latest show.

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-Biting the babies in their cots.

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-On January 4,

-he waited for 15 hours...

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-..in Glan Clwyd's A&E department

-in Bodelwyddan...

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-..when his wife had complained

-of pain in her side.

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-We were in A&E

-and we were in a small cubicle.

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-I'd say, usually...

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-..only three people were meant

-to be in this blinkin' cubicle.

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-There were seven or eight of us

-in there.

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-We didn't move from the cubicle

-for about 12 hours.

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-Chloe Lusted didn't find out

-what had caused the pain...

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-..since there was some confusion

-when she was transferred for a scan.

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-They returned home

-without an answer.

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-We were there for 15 hours.

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-We still don't know

-what's wrong with Chloe...

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-..why she was in pain -

-she's had it again since then.

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-We're almost two months

-down the line.

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-Is it acceptable? I don't think so.

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-Betsi Cadwaladr Health Board

-apologised to Chloe Lusted...

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-..for the delays in Glan Clwyd's

-A&E department during her visit.

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-A spokesperson said that

-every patient at the department...

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-..is assessed on arrival.

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-Treatments depend

-on clinical priorities.

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-James Lusted says that the

-department was packed that night.

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-The pressure on the staff

-was evident.

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-I could see that the nurses were

-stressed, they were under pressure.

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-They weren't falling out...

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-..but sometimes, you could see

-the temperature rising.

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-"Why haven't you done this?

-Why haven't you done that?"

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-It's lunchtime in St George's.

-It's busy in the A&E department.

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-Because of the pressure...

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-..Dr Rhys Beynon

-struggles to find time to eat.

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-I have to eat,

-otherwise I can't think straight.

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-Usually, I try to eat a sandwich

-when I'm on the move.

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-On the move,

-he has an emergency call.

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-A patient's had a heart attack

-while running.

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-The paramedics and hospital staff

-do everything they can...

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-..but he can't be saved.

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-He's been in cardiac arrest

-for an hour and a half.

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-Time of death is twelve o'clock

-on the dot.

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-Rhys Beynon has worked as a doctor

-for over 15 years.

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-Cases like this still affect him.

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-When it's unexpected...

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-..he was a young, fit man...

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-..and now he's not with us anymore.

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-That reality, it never

-gets easier to deal with it.

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-Not at all.

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-Difficult?

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-Difficult?

-

-Yes, it is difficult.

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-Can you stop filming?

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-In Part 2, doctors give us a view

-of the frontline in Welsh hospitals.

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-We've heard about trollies

-in corridors...

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-..ambulances queuing up

-outside A&E departments.

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-Is that a regular event?

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-Yes, but where can you put them?

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-They either stay in the ambulance

-or you put them in a corridor.

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-We see first hand the effects of

-delays at under pressure hospitals.

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-.

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-Subtitles

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-Subtitles

-

-Subtitles

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-It's 2.00pm on a Sunday afternoon.

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-St George's Hospital's

-A&E department is packed.

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-Consultant doctor Rhys Beynon

-is hard at work.

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-We have 71 patients

-in the department.

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-That's quite a lot at this time.

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-We expect it to get busier

-this afternoon.

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-Hiya, sorry.

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-He's called away to treat a baby.

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-Has he had sticky eyes, I believe.

-Is that right?

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-How many days has he had that for?

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-Since he was born?

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-OK.

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-The baby had a cold.

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-Less serious cases like this add to

-the pressure on our A&E departments.

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-Part of my job is treating people

-who need treatment.

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-If that means you come to A&E,

-that's what has to happen.

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-It puts us under more pressure.

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-St George's Hospital

-has missed the Government targets...

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-..of treating 95% of patients

-within four hours.

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-This A&E department's average

-was 87% in January.

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-Since December,

-the pressure has increased.

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-We're between 85% and 90%.

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-Compared to figures in Wales,

-that's quite good...

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-..but for us, it's not good.

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-We wanted to see

-doctors at work in Wales too...

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-..but every health board refused us

-permission to film in A&E.

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-It's 8.00am and I'm on my way

-to Merthyr Tydfil...

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-..to meet a doctor coming off

-a night-shift in an A&E department.

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-Dr Dai Samuel

-agreed to meet me in his home.

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-He's willing

-to share his experiences...

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-..of working in a busy

-A&E department in Wales.

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-He considers comparing the service

-in Wales with England as unfair.

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-I wouldn't say

-there's a crisis in Wales...

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-..but the problems we have

-are a little different.

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-We're dealing

-with different social problems.

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-I don't accept that Wales

-is performing worse than England.

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-The Welsh and Westminster

-governments believe...

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-..targets should inspire

-health boards to perform better.

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-For Dai Samuel,

-that's not always true.

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-The four-hour target creates

-more problems than it solves.

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-All people think about,

-especially during busy periods...

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-.."Oh, we'll go over four hours.

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-"Let's get them into the hospital.

-Let's get them into a ward."

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-That might not be beneficial

-for the patient.

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-It might be better

-to wait five hours...

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-..and then make a decision -

-do they need to be in hospital?

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-In August, Celyn Kenny

-moved to Wales to work...

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-..after a period working

-in the Royal Shrewsbury Hospital.

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-Her first day back in Wales

-was an eye-opener for her.

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-I had a shock when I returned.

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-In England, there's an emphasis

-on electronic data.

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-Patient observations

-are all kept on a computer.

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-We use paper in Wales.

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-I told someone,

-"I feel like I'm working in Africa."

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-The sad thing is

-I was only over the border in Wales.

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-There is such a lack of funding

-in Wales compared to England.

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-The Welsh Government's budget

-for Health, Sport and Welfare...

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-..is over 7bn.

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-An additional 240m has been

-earmarked for the health service...

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-..for the next financial year.

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-I don't think the Welsh

-health service is inferior...

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-..but the financial situation

-isn't the best.

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-It's obvious where money

-has been invested in England...

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-..compared to Wales.

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-Dr Kenny now works in a ward

-caring for new-born babies.

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-She's spent periods working in A&E.

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-By now, she's opted out

-of working in emergency department.

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-It can be horrific.

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-It can be lonely.

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-It can also be dangerous for you.

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-Many times I've told myself...

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-.."Right,

-I need to take a step back."

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-Not only have I've been tired,

-I've been in a vulnerable state.

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-I've been worried about things

-instead of sorting out problems.

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-You're under so much pressure.

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-In December 2016, Morriston

-Hospital's A&E department...

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-..had the worst

-waiting time figures in Wales.

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-Back then, 59.9% of patients

-were treated within four hours.

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-The Welsh Government's target

-is 95%.

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-We asked Abertawe Bro Morgannwg

-University Health Board...

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-..for permission to film

-in Morriston but they refused...

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-..along with every other

-health board.

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-We decided to chronicle patient

-experiences in A&E on our phones.

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-In Morriston one afternoon,

-we met a woman who'd been waiting...

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-..more than four hours

-with her 81-year-old mother.

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-She fell in the house

-and had done something to her foot.

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-She had X-rays

-about three hours ago.

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-We're still waiting for the doctor.

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-Another man,

-who didn't want to be recognised...

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-..said he'd been waiting there

-all night...

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-..with his daughter

-who'd been seriously injured.

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-We've been here since about

-ten, eleven o'clock last night.

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-Three, four hours before she saw

-someone who just came long...

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-..and spent less than a minute.

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-She hasn't seen a doctor today.

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-In January,

-in Glan Clwyd Hospital...

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-..66% of patients

-were seen within four hours.

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-There,

-we met Mair Edwards and her son...

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-..who'd been waiting for an X-ray

-for four hours.

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-They were told that the waiting

-time was longer than that.

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-Six hours. We're hoping

-to be seen within the next hour.

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-We've been looking around the room.

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-In a way,

-we're fortunate to have the service.

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-She was worried her son had

-broken ribs during a rugby match.

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-Two hours later,

-they were both waiting.

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-Since we last spoke,

-we haven't moved.

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-I can't see many doctors around.

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-I don't know if they're busy

-with the ambulances outside.

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-By 3.00am, they'd been waiting there

-for six hours.

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-The mother was told the best place

-for her son was home.

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-He hasn't had an X-ray yet.

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-If he needs an X-ray,

-we might be here for hours.

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-The sensible thing to do is

-to go home and come back tomorrow.

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-In Scotland in December,

-93% of people were treated...

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-..within four hours

-in A&E departments.

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-Wales performed worse

-than Scotland and England.

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-I asked the Welsh Government

-what steps were being taken.

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-Why is Wales lagging behind?

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-We've seen different reasons

-for this.

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-Our population is poorer, sicker

-and older compared to England.

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-We have a different model,

-they have more walk-in centres.

0:20:050:20:09

-For me, it's recognising that

-we're in a comparable situation.

0:20:100:20:14

-Our challenge is

-how do we get ahead of that?

0:20:140:20:17

-How do we do something about

-the numbers of sick older people...

0:20:180:20:21

-..that come into

-our A&E departments?

0:20:210:20:24

-How do we keep more

-of those people at home?

0:20:240:20:27

-How do we provide

-a good experience of care?

0:20:270:20:30

-We've spoken to a junior doctor who

-moved from a hospital in England?

0:20:300:20:35

-She says the service

-is under-resourced.

0:20:360:20:39

-She claimed

-it was like working in Africa.

0:20:390:20:43

-Does it worry you

-to hear her speaking like that?

0:20:430:20:46

-To try to compare this

-to a Third World health system...

0:20:460:20:51

-..really doesn't do any justice

-to the high quality healthcare...

0:20:510:20:55

-..we receive in this country.

0:20:550:20:57

-I've visited Uganda and I've seen

-the reality of what takes place...

0:20:580:21:02

-..in those countries with an

-under-developed healthcare system.

0:21:020:21:07

-It's nothing like the NHS.

0:21:070:21:09

-Over the winter, the pressure on A&E

-departments have hit the headlines.

0:21:090:21:15

-According to one doctor

-working in A&E...

0:21:150:21:18

-..the headlines don't always

-tell the full story.

0:21:180:21:22

-We hear about trollies in corridors,

-ambulances queuing outside.

0:21:220:21:28

-Is this a common occurrence?

0:21:280:21:31

-Yes, but it's completely natural

-for it to happen.

0:21:310:21:35

-If there are 200 beds in the

-hospital and they're all taken...

0:21:350:21:41

-..and 20 ambulances turn up

-at a hospital with only 10 beds...

0:21:410:21:46

-..where are you going to put them?

0:21:460:21:48

-You keep them in the ambulance

-or you put them in the corridor.

0:21:480:21:52

-It's not the best course of action

-but they need to go somewhere.

0:21:530:21:57

-According to one Welsh doctor...

0:21:580:22:01

-..the public should think

-before heading to A&E...

0:22:010:22:05

-..to avoid scenes like this.

0:22:060:22:09

-I really think that the reason

-any A&E struggles...

0:22:100:22:13

-..and you can see it

-in front of you...

0:22:140:22:16

-..no staff, no resources.

0:22:160:22:19

-People turn up to A&E

-when they don't need to be there.

0:22:190:22:23

-I don't think people have been

-educated properly about A&Es.

0:22:230:22:28

-In London,

-Rhys Beynon's shift is over.

0:22:280:22:32

-His roots are in Wales but the state

-of the NHS in Wales right now...

0:22:320:22:38

-..doesn't entice him

-to return home to work.

0:22:380:22:41

-It makes me sad.

-I have family back in Wales.

0:22:440:22:47

-If I knew that my father had to sit

-in an ambulance for eight hours...

0:22:470:22:53

-..before he could

-get into an A&E department...

0:22:530:22:57

-..that would break my heart.

0:22:580:23:00

-Next week, Welsh language

-education in Llangennech.

0:23:020:23:06

-The community rebelling over

-the language of the local school.

0:23:060:23:11

-I don't feel safe

-in this community anymore.

0:23:110:23:15

-If I could move house, I would.

0:23:150:23:18

-Is Carmarthenshire's language policy

-dividing communities?

0:23:180:23:22

-Y Byd Ar Bedwar,

-next Tuesday night on S4C.

0:23:230:23:27

-S4C Subtitles by Adnod Cyf.

0:23:420:23:44

-.

0:23:440:23:44

Doctoriaid a chleifion sy'n rhoi darlun cignoeth o'r straen ar y gwasanaeth mewn unedau achosion brys. The programme speaks to doctors and patients on the front line of Wales' A&E crisis.