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-Welsh Accident & Emergency units -are under pressure. | 0:00:00 | 0:00:04 | |
-There is constant criticism from -patients waiting to be treated. | 0:00:05 | 0:00:09 | |
-15 hours in the hospital. | 0:00:10 | 0:00:13 | |
-The best part of 12 hours -in the cubicle. | 0:00:13 | 0:00:17 | |
-The Red Cross has described -the situation in the NHS... | 0:00:18 | 0:00:22 | |
-..as a humanitarian crisis. | 0:00:23 | 0:00:25 | |
-We hear from one doctor who says -the situation in Wales is pitiful. | 0:00:25 | 0:00:29 | |
-There is such a lack of funding -in Wales compared to England. | 0:00:30 | 0:00:35 | |
-I told someone, -"I feel like I'm working in Africa." | 0:00:35 | 0:00:38 | |
-Does it fill you with fear... | 0:00:39 | 0:00:41 | |
-..when you hear a doctor -speaking in those terms? | 0:00:41 | 0:00:44 | |
-I recognise it's a difficult job -on the frontline. | 0:00:44 | 0:00:48 | |
-There's huge pressure on people. | 0:00:48 | 0:00:51 | |
-Every Welsh health board refused our -request to film in their hospitals. | 0:00:52 | 0:00:58 | |
-Tonight, we join families -calling on emergency departments... | 0:01:00 | 0:01:05 | |
-..to get better soon. | 0:01:05 | 0:01:07 | |
-Three and a half, almost four hours. | 0:01:08 | 0:01:11 | |
-We haven't seen a doctor yet. -We'll be waiting a while. | 0:01:11 | 0:01:15 | |
-St George's Hospital, London. | 0:01:21 | 0:01:23 | |
-This is one of Britain's -busiest A&E departments. | 0:01:23 | 0:01:27 | |
-It's just after 7.00am -on a Sunday morning. | 0:01:27 | 0:01:30 | |
-Dr Rhys Beynon -has just started his shift. | 0:01:31 | 0:01:34 | |
-It's busy, Rhys. | 0:01:34 | 0:01:35 | |
-It's busy, Rhys. - -Mmm! | 0:01:35 | 0:01:37 | |
-It's a normal day in A&E. -This actually isn't really busy. | 0:01:38 | 0:01:43 | |
-Within minutes, a patient -is rushed in after a car accident. | 0:01:43 | 0:01:49 | |
-Neck injury, high speed. | 0:01:49 | 0:01:51 | |
-Dr Rhys Beynon is responsible for -directing care for all patients... | 0:01:54 | 0:01:58 | |
-..over the next eight hours. | 0:01:59 | 0:02:01 | |
-It's a bit like having an orchestra -and I'm the conductor. | 0:02:02 | 0:02:06 | |
-I'm making sure that everything's -working as one department. | 0:02:07 | 0:02:11 | |
-Let me have a look at her throat -once we have a line in. | 0:02:11 | 0:02:15 | |
-Rhys, originally from -the Vale of Glamorgan... | 0:02:15 | 0:02:18 | |
-..has been in St George's -since 2012. | 0:02:18 | 0:02:21 | |
-He previously worked in Cardiff. | 0:02:21 | 0:02:23 | |
-He can see a difference in care -between England and Wales. | 0:02:24 | 0:02:27 | |
-We don't keep people in ambulances, -we get them in. | 0:02:28 | 0:02:32 | |
-It's more of a problem in Wales. | 0:02:32 | 0:02:34 | |
-The trolley waits in London are -a lot less than they were in Wales. | 0:02:35 | 0:02:40 | |
-To meet Government targets, -95% of patients arriving at A&E... | 0:02:41 | 0:02:47 | |
-..should be seen within four hours. | 0:02:47 | 0:02:50 | |
-In January, only 85% of patients -were seen within the target time... | 0:02:50 | 0:02:55 | |
-..in England. | 0:02:55 | 0:02:57 | |
-Very rarely do we have anyone -in A&E for more than 12 hours. | 0:02:58 | 0:03:03 | |
-That's one of our targets. | 0:03:03 | 0:03:06 | |
-In Wales, there are constant -complaints about waiting times. | 0:03:09 | 0:03:13 | |
-Just before Christmas, Magi Buck -received a late-night phone call... | 0:03:14 | 0:03:19 | |
-..summoning her -to Morriston Hospital. | 0:03:19 | 0:03:22 | |
-Her 92-year-old mother -was seriously ill. | 0:03:23 | 0:03:26 | |
-Mam was one of the sweetest, most -tender people you could ever meet. | 0:03:26 | 0:03:31 | |
-She'd had dementia -since she was 90 years old. | 0:03:31 | 0:03:35 | |
-She'd become very hesitant. | 0:03:36 | 0:03:39 | |
-She kept thinking that people -were in the house at night... | 0:03:39 | 0:03:43 | |
-..taking drugs, -she was worried about everything. | 0:03:43 | 0:03:47 | |
-Magi drove from Cardiff -to the hospital near Swansea. | 0:03:49 | 0:03:53 | |
-When she arrived -at the A&E department... | 0:03:53 | 0:03:56 | |
-..there was no sign of her mother. | 0:03:57 | 0:03:59 | |
-When we arrived, -Mam was still in the ambulance. | 0:03:59 | 0:04:02 | |
-We went in to A&E to ask -if Menna Thomas had arrived. | 0:04:03 | 0:04:06 | |
-There was no sign of her there. | 0:04:07 | 0:04:08 | |
-They said, "Would you go out -and check the ambulances. | 0:04:09 | 0:04:12 | |
-"Knock on the door and see -if she's in one of the ambulances." | 0:04:12 | 0:04:16 | |
-Mam was in the last one we checked. | 0:04:16 | 0:04:19 | |
-She never found out how long her -mother had been in the ambulance. | 0:04:21 | 0:04:25 | |
-Another two hours passed before -her mother was taken into A&E. | 0:04:26 | 0:04:30 | |
-She looked angry and worried. | 0:04:32 | 0:04:36 | |
-It's hard to describe, really. | 0:04:41 | 0:04:43 | |
-Someone with that condition -can't tell you how they feel... | 0:04:43 | 0:04:49 | |
-..or what's hurting them. | 0:04:49 | 0:04:52 | |
-Her suffering wasn't over. | 0:04:52 | 0:04:55 | |
-She was moved back -to the ambulance again... | 0:04:55 | 0:04:58 | |
-..before being transferred -to a trolley for 24 hours. | 0:04:58 | 0:05:02 | |
-Magi praises the standard of -medical care her mother received... | 0:05:02 | 0:05:06 | |
-..but the delay left a bitter taste. | 0:05:07 | 0:05:09 | |
-For someone who was so weak -and confused... | 0:05:09 | 0:05:12 | |
-..it's hard when you're taken out -of familiar surroundings. | 0:05:13 | 0:05:17 | |
-To go from an ambulance to a ward, -back to an ambulance... | 0:05:17 | 0:05:21 | |
-..and back to a different place, -then being moved to another ward... | 0:05:21 | 0:05:27 | |
-..only for someone to decide -you can go home again... | 0:05:27 | 0:05:31 | |
-..it was bound to have -a negative effect on her. | 0:05:31 | 0:05:35 | |
-On February 1, 2017, -Menna Thomas passed away. | 0:05:36 | 0:05:40 | |
-She was 92 years old. | 0:05:40 | 0:05:42 | |
-In response to what happened -to Menna Thomas... | 0:05:44 | 0:05:47 | |
-..a spokesperson for Abertawe Bro -Morgannwg University Health Board... | 0:05:48 | 0:05:52 | |
-..said that in some instances... | 0:05:52 | 0:05:54 | |
-..patients return to the ambulance -after being assessed. | 0:05:55 | 0:05:58 | |
-According to the spokesperson... | 0:05:58 | 0:06:01 | |
-..this happens when patients -with complex problems... | 0:06:01 | 0:06:04 | |
-..put emergency departments -under pressure. | 0:06:04 | 0:06:07 | |
-The Board wanted to apologise -to patients... | 0:06:09 | 0:06:13 | |
-..who've had to wait -in A&E departments. | 0:06:13 | 0:06:16 | |
-They say that winter is a busy time -for hospitals throughout Britain. | 0:06:16 | 0:06:21 | |
-Menna Thomas -isn't the only family member... | 0:06:24 | 0:06:27 | |
-..to have had a bad experience -in an A&E department. | 0:06:27 | 0:06:31 | |
-Her granddaughter, Gwenllian Hill, -has a long list of grievances... | 0:06:31 | 0:06:36 | |
-..about the Heath Hospital -in Cardiff. | 0:06:36 | 0:06:39 | |
-Hiya. | 0:06:41 | 0:06:42 | |
-Hiya. - -Come in. | 0:06:42 | 0:06:44 | |
-It's like a warzone. | 0:06:44 | 0:06:46 | |
-I dread to think about myself -or my family going to A&E. | 0:06:47 | 0:06:53 | |
-I don't think they're coping. -It's a dangerous place. | 0:06:53 | 0:06:57 | |
-Gwenllian -has an autoimmune disease... | 0:06:57 | 0:07:01 | |
-..which causes -serious breathing difficulties. | 0:07:01 | 0:07:05 | |
-She attends A&E regularly. | 0:07:05 | 0:07:07 | |
-In August last year, -she had her worst experience there. | 0:07:08 | 0:07:12 | |
-I've waited more than 20 hours -to be seen before now. | 0:07:12 | 0:07:16 | |
-Then I was eventually admitted -to the ward. | 0:07:17 | 0:07:20 | |
-Even when I've been on a trolley, -I've been there for two days before. | 0:07:20 | 0:07:26 | |
-It's not comfortable, -it's not ideal. | 0:07:26 | 0:07:30 | |
-It's cold. | 0:07:30 | 0:07:31 | |
-It's just a nightmare. | 0:07:33 | 0:07:35 | |
-According to the Cardiff and Vale -University Health Board... | 0:07:36 | 0:07:40 | |
-..some patients wait longer -during the winter. | 0:07:41 | 0:07:44 | |
-The Heath has the best performing -A&E department in Wales. | 0:07:44 | 0:07:48 | |
-Theatr Brycheiniog in Brecon. | 0:07:50 | 0:07:53 | |
-Colwyn Bay actor James Lusted... | 0:07:53 | 0:07:56 | |
-..is rehearsing his latest show. | 0:07:56 | 0:07:59 | |
-Biting the babies in their cots. | 0:07:59 | 0:08:01 | |
-On January 4, -he waited for 15 hours... | 0:08:02 | 0:08:06 | |
-..in Glan Clwyd's A&E department -in Bodelwyddan... | 0:08:06 | 0:08:09 | |
-..when his wife had complained -of pain in her side. | 0:08:10 | 0:08:13 | |
-We were in A&E -and we were in a small cubicle. | 0:08:13 | 0:08:17 | |
-I'd say, usually... | 0:08:17 | 0:08:20 | |
-..only three people were meant -to be in this blinkin' cubicle. | 0:08:20 | 0:08:25 | |
-There were seven or eight of us -in there. | 0:08:28 | 0:08:31 | |
-We didn't move from the cubicle -for about 12 hours. | 0:08:31 | 0:08:35 | |
-Chloe Lusted didn't find out -what had caused the pain... | 0:08:38 | 0:08:42 | |
-..since there was some confusion -when she was transferred for a scan. | 0:08:42 | 0:08:46 | |
-They returned home -without an answer. | 0:08:46 | 0:08:49 | |
-We were there for 15 hours. | 0:08:49 | 0:08:51 | |
-We still don't know -what's wrong with Chloe... | 0:08:52 | 0:08:55 | |
-..why she was in pain - -she's had it again since then. | 0:08:55 | 0:08:58 | |
-We're almost two months -down the line. | 0:08:59 | 0:09:01 | |
-Is it acceptable? I don't think so. | 0:09:01 | 0:09:04 | |
-Betsi Cadwaladr Health Board -apologised to Chloe Lusted... | 0:09:04 | 0:09:08 | |
-..for the delays in Glan Clwyd's -A&E department during her visit. | 0:09:08 | 0:09:12 | |
-A spokesperson said that -every patient at the department... | 0:09:12 | 0:09:16 | |
-..is assessed on arrival. | 0:09:16 | 0:09:18 | |
-Treatments depend -on clinical priorities. | 0:09:18 | 0:09:21 | |
-James Lusted says that the -department was packed that night. | 0:09:23 | 0:09:27 | |
-The pressure on the staff -was evident. | 0:09:29 | 0:09:32 | |
-I could see that the nurses were -stressed, they were under pressure. | 0:09:33 | 0:09:39 | |
-They weren't falling out... | 0:09:42 | 0:09:44 | |
-..but sometimes, you could see -the temperature rising. | 0:09:44 | 0:09:48 | |
-"Why haven't you done this? -Why haven't you done that?" | 0:09:48 | 0:09:52 | |
-It's lunchtime in St George's. -It's busy in the A&E department. | 0:09:54 | 0:09:58 | |
-Because of the pressure... | 0:09:59 | 0:10:01 | |
-..Dr Rhys Beynon -struggles to find time to eat. | 0:10:01 | 0:10:04 | |
-I have to eat, -otherwise I can't think straight. | 0:10:04 | 0:10:08 | |
-Usually, I try to eat a sandwich -when I'm on the move. | 0:10:09 | 0:10:13 | |
-On the move, -he has an emergency call. | 0:10:15 | 0:10:17 | |
-A patient's had a heart attack -while running. | 0:10:19 | 0:10:23 | |
-The paramedics and hospital staff -do everything they can... | 0:10:23 | 0:10:28 | |
-..but he can't be saved. | 0:10:28 | 0:10:30 | |
-He's been in cardiac arrest -for an hour and a half. | 0:10:33 | 0:10:36 | |
-Time of death is twelve o'clock -on the dot. | 0:10:36 | 0:10:39 | |
-Rhys Beynon has worked as a doctor -for over 15 years. | 0:10:39 | 0:10:44 | |
-Cases like this still affect him. | 0:10:44 | 0:10:47 | |
-When it's unexpected... | 0:10:47 | 0:10:51 | |
-..he was a young, fit man... | 0:10:51 | 0:10:54 | |
-..and now he's not with us anymore. | 0:10:56 | 0:10:59 | |
-That reality, it never -gets easier to deal with it. | 0:10:59 | 0:11:04 | |
-Not at all. | 0:11:04 | 0:11:06 | |
-Difficult? | 0:11:06 | 0:11:08 | |
-Difficult? - -Yes, it is difficult. | 0:11:08 | 0:11:09 | |
-Can you stop filming? | 0:11:11 | 0:11:13 | |
-In Part 2, doctors give us a view -of the frontline in Welsh hospitals. | 0:11:15 | 0:11:20 | |
-We've heard about trollies -in corridors... | 0:11:21 | 0:11:24 | |
-..ambulances queuing up -outside A&E departments. | 0:11:24 | 0:11:28 | |
-Is that a regular event? | 0:11:28 | 0:11:30 | |
-Yes, but where can you put them? | 0:11:30 | 0:11:33 | |
-They either stay in the ambulance -or you put them in a corridor. | 0:11:33 | 0:11:38 | |
-We see first hand the effects of -delays at under pressure hospitals. | 0:11:40 | 0:11:45 | |
-. | 0:11:46 | 0:11:46 | |
-Subtitles | 0:11:51 | 0:11:51 | |
-Subtitles - -Subtitles | 0:11:51 | 0:11:53 | |
-It's 2.00pm on a Sunday afternoon. | 0:11:57 | 0:11:59 | |
-St George's Hospital's -A&E department is packed. | 0:11:59 | 0:12:04 | |
-Consultant doctor Rhys Beynon -is hard at work. | 0:12:04 | 0:12:07 | |
-We have 71 patients -in the department. | 0:12:09 | 0:12:12 | |
-That's quite a lot at this time. | 0:12:14 | 0:12:16 | |
-We expect it to get busier -this afternoon. | 0:12:17 | 0:12:20 | |
-Hiya, sorry. | 0:12:21 | 0:12:23 | |
-He's called away to treat a baby. | 0:12:23 | 0:12:26 | |
-Has he had sticky eyes, I believe. -Is that right? | 0:12:28 | 0:12:31 | |
-How many days has he had that for? | 0:12:31 | 0:12:34 | |
-Since he was born? | 0:12:34 | 0:12:36 | |
-OK. | 0:12:37 | 0:12:38 | |
-The baby had a cold. | 0:12:38 | 0:12:40 | |
-Less serious cases like this add to -the pressure on our A&E departments. | 0:12:40 | 0:12:46 | |
-Part of my job is treating people -who need treatment. | 0:12:48 | 0:12:51 | |
-If that means you come to A&E, -that's what has to happen. | 0:12:51 | 0:12:55 | |
-It puts us under more pressure. | 0:12:55 | 0:12:58 | |
-St George's Hospital -has missed the Government targets... | 0:12:58 | 0:13:02 | |
-..of treating 95% of patients -within four hours. | 0:13:02 | 0:13:06 | |
-This A&E department's average -was 87% in January. | 0:13:06 | 0:13:10 | |
-Since December, -the pressure has increased. | 0:13:12 | 0:13:15 | |
-We're between 85% and 90%. | 0:13:15 | 0:13:18 | |
-Compared to figures in Wales, -that's quite good... | 0:13:18 | 0:13:23 | |
-..but for us, it's not good. | 0:13:23 | 0:13:26 | |
-We wanted to see -doctors at work in Wales too... | 0:13:30 | 0:13:34 | |
-..but every health board refused us -permission to film in A&E. | 0:13:34 | 0:13:39 | |
-It's 8.00am and I'm on my way -to Merthyr Tydfil... | 0:13:40 | 0:13:44 | |
-..to meet a doctor coming off -a night-shift in an A&E department. | 0:13:44 | 0:13:49 | |
-Dr Dai Samuel -agreed to meet me in his home. | 0:13:49 | 0:13:52 | |
-He's willing -to share his experiences... | 0:13:53 | 0:13:55 | |
-..of working in a busy -A&E department in Wales. | 0:13:55 | 0:13:58 | |
-He considers comparing the service -in Wales with England as unfair. | 0:13:58 | 0:14:03 | |
-I wouldn't say -there's a crisis in Wales... | 0:14:07 | 0:14:10 | |
-..but the problems we have -are a little different. | 0:14:10 | 0:14:14 | |
-We're dealing -with different social problems. | 0:14:14 | 0:14:17 | |
-I don't accept that Wales -is performing worse than England. | 0:14:18 | 0:14:23 | |
-The Welsh and Westminster -governments believe... | 0:14:23 | 0:14:27 | |
-..targets should inspire -health boards to perform better. | 0:14:27 | 0:14:30 | |
-For Dai Samuel, -that's not always true. | 0:14:31 | 0:14:33 | |
-The four-hour target creates -more problems than it solves. | 0:14:34 | 0:14:39 | |
-All people think about, -especially during busy periods... | 0:14:40 | 0:14:44 | |
-.."Oh, we'll go over four hours. | 0:14:44 | 0:14:46 | |
-"Let's get them into the hospital. -Let's get them into a ward." | 0:14:46 | 0:14:51 | |
-That might not be beneficial -for the patient. | 0:14:51 | 0:14:54 | |
-It might be better -to wait five hours... | 0:14:54 | 0:14:57 | |
-..and then make a decision - -do they need to be in hospital? | 0:14:57 | 0:15:00 | |
-In August, Celyn Kenny -moved to Wales to work... | 0:15:04 | 0:15:07 | |
-..after a period working -in the Royal Shrewsbury Hospital. | 0:15:08 | 0:15:11 | |
-Her first day back in Wales -was an eye-opener for her. | 0:15:12 | 0:15:15 | |
-I had a shock when I returned. | 0:15:17 | 0:15:20 | |
-In England, there's an emphasis -on electronic data. | 0:15:20 | 0:15:24 | |
-Patient observations -are all kept on a computer. | 0:15:24 | 0:15:29 | |
-We use paper in Wales. | 0:15:29 | 0:15:31 | |
-I told someone, -"I feel like I'm working in Africa." | 0:15:31 | 0:15:35 | |
-The sad thing is -I was only over the border in Wales. | 0:15:35 | 0:15:40 | |
-There is such a lack of funding -in Wales compared to England. | 0:15:40 | 0:15:46 | |
-The Welsh Government's budget -for Health, Sport and Welfare... | 0:15:46 | 0:15:51 | |
-..is over 7bn. | 0:15:51 | 0:15:53 | |
-An additional 240m has been -earmarked for the health service... | 0:15:53 | 0:15:57 | |
-..for the next financial year. | 0:15:57 | 0:16:00 | |
-I don't think the Welsh -health service is inferior... | 0:16:00 | 0:16:06 | |
-..but the financial situation -isn't the best. | 0:16:06 | 0:16:10 | |
-It's obvious where money -has been invested in England... | 0:16:10 | 0:16:14 | |
-..compared to Wales. | 0:16:14 | 0:16:15 | |
-Dr Kenny now works in a ward -caring for new-born babies. | 0:16:16 | 0:16:22 | |
-She's spent periods working in A&E. | 0:16:22 | 0:16:24 | |
-By now, she's opted out -of working in emergency department. | 0:16:25 | 0:16:29 | |
-It can be horrific. | 0:16:30 | 0:16:33 | |
-It can be lonely. | 0:16:33 | 0:16:35 | |
-It can also be dangerous for you. | 0:16:36 | 0:16:38 | |
-Many times I've told myself... | 0:16:38 | 0:16:41 | |
-.."Right, -I need to take a step back." | 0:16:41 | 0:16:43 | |
-Not only have I've been tired, -I've been in a vulnerable state. | 0:16:44 | 0:16:48 | |
-I've been worried about things -instead of sorting out problems. | 0:16:48 | 0:16:53 | |
-You're under so much pressure. | 0:16:53 | 0:16:55 | |
-In December 2016, Morriston -Hospital's A&E department... | 0:16:55 | 0:17:00 | |
-..had the worst -waiting time figures in Wales. | 0:17:01 | 0:17:04 | |
-Back then, 59.9% of patients -were treated within four hours. | 0:17:04 | 0:17:10 | |
-The Welsh Government's target -is 95%. | 0:17:10 | 0:17:14 | |
-We asked Abertawe Bro Morgannwg -University Health Board... | 0:17:14 | 0:17:18 | |
-..for permission to film -in Morriston but they refused... | 0:17:18 | 0:17:21 | |
-..along with every other -health board. | 0:17:21 | 0:17:24 | |
-We decided to chronicle patient -experiences in A&E on our phones. | 0:17:24 | 0:17:30 | |
-In Morriston one afternoon, -we met a woman who'd been waiting... | 0:17:31 | 0:17:35 | |
-..more than four hours -with her 81-year-old mother. | 0:17:35 | 0:17:39 | |
-She fell in the house -and had done something to her foot. | 0:17:40 | 0:17:45 | |
-She had X-rays -about three hours ago. | 0:17:45 | 0:17:48 | |
-We're still waiting for the doctor. | 0:17:48 | 0:17:50 | |
-Another man, -who didn't want to be recognised... | 0:17:51 | 0:17:54 | |
-..said he'd been waiting there -all night... | 0:17:54 | 0:17:57 | |
-..with his daughter -who'd been seriously injured. | 0:17:57 | 0:18:00 | |
-We've been here since about -ten, eleven o'clock last night. | 0:18:00 | 0:18:05 | |
-Three, four hours before she saw -someone who just came long... | 0:18:05 | 0:18:10 | |
-..and spent less than a minute. | 0:18:10 | 0:18:12 | |
-She hasn't seen a doctor today. | 0:18:13 | 0:18:15 | |
-In January, -in Glan Clwyd Hospital... | 0:18:18 | 0:18:21 | |
-..66% of patients -were seen within four hours. | 0:18:21 | 0:18:24 | |
-There, -we met Mair Edwards and her son... | 0:18:25 | 0:18:27 | |
-..who'd been waiting for an X-ray -for four hours. | 0:18:28 | 0:18:31 | |
-They were told that the waiting -time was longer than that. | 0:18:31 | 0:18:36 | |
-Six hours. We're hoping -to be seen within the next hour. | 0:18:36 | 0:18:40 | |
-We've been looking around the room. | 0:18:40 | 0:18:42 | |
-In a way, -we're fortunate to have the service. | 0:18:43 | 0:18:45 | |
-She was worried her son had -broken ribs during a rugby match. | 0:18:47 | 0:18:51 | |
-Two hours later, -they were both waiting. | 0:18:52 | 0:18:56 | |
-Since we last spoke, -we haven't moved. | 0:18:57 | 0:19:01 | |
-I can't see many doctors around. | 0:19:02 | 0:19:04 | |
-I don't know if they're busy -with the ambulances outside. | 0:19:04 | 0:19:08 | |
-By 3.00am, they'd been waiting there -for six hours. | 0:19:17 | 0:19:21 | |
-The mother was told the best place -for her son was home. | 0:19:21 | 0:19:26 | |
-He hasn't had an X-ray yet. | 0:19:28 | 0:19:30 | |
-If he needs an X-ray, -we might be here for hours. | 0:19:30 | 0:19:35 | |
-The sensible thing to do is -to go home and come back tomorrow. | 0:19:35 | 0:19:39 | |
-In Scotland in December, -93% of people were treated... | 0:19:39 | 0:19:44 | |
-..within four hours -in A&E departments. | 0:19:44 | 0:19:47 | |
-Wales performed worse -than Scotland and England. | 0:19:47 | 0:19:51 | |
-I asked the Welsh Government -what steps were being taken. | 0:19:51 | 0:19:55 | |
-Why is Wales lagging behind? | 0:19:55 | 0:19:57 | |
-We've seen different reasons -for this. | 0:19:57 | 0:20:00 | |
-Our population is poorer, sicker -and older compared to England. | 0:20:00 | 0:20:05 | |
-We have a different model, -they have more walk-in centres. | 0:20:05 | 0:20:09 | |
-For me, it's recognising that -we're in a comparable situation. | 0:20:10 | 0:20:14 | |
-Our challenge is -how do we get ahead of that? | 0:20:14 | 0:20:17 | |
-How do we do something about -the numbers of sick older people... | 0:20:18 | 0:20:21 | |
-..that come into -our A&E departments? | 0:20:21 | 0:20:24 | |
-How do we keep more -of those people at home? | 0:20:24 | 0:20:27 | |
-How do we provide -a good experience of care? | 0:20:27 | 0:20:30 | |
-We've spoken to a junior doctor who -moved from a hospital in England? | 0:20:30 | 0:20:35 | |
-She says the service -is under-resourced. | 0:20:36 | 0:20:39 | |
-She claimed -it was like working in Africa. | 0:20:39 | 0:20:43 | |
-Does it worry you -to hear her speaking like that? | 0:20:43 | 0:20:46 | |
-To try to compare this -to a Third World health system... | 0:20:46 | 0:20:51 | |
-..really doesn't do any justice -to the high quality healthcare... | 0:20:51 | 0:20:55 | |
-..we receive in this country. | 0:20:55 | 0:20:57 | |
-I've visited Uganda and I've seen -the reality of what takes place... | 0:20:58 | 0:21:02 | |
-..in those countries with an -under-developed healthcare system. | 0:21:02 | 0:21:07 | |
-It's nothing like the NHS. | 0:21:07 | 0:21:09 | |
-Over the winter, the pressure on A&E -departments have hit the headlines. | 0:21:09 | 0:21:15 | |
-According to one doctor -working in A&E... | 0:21:15 | 0:21:18 | |
-..the headlines don't always -tell the full story. | 0:21:18 | 0:21:22 | |
-We hear about trollies in corridors, -ambulances queuing outside. | 0:21:22 | 0:21:28 | |
-Is this a common occurrence? | 0:21:28 | 0:21:31 | |
-Yes, but it's completely natural -for it to happen. | 0:21:31 | 0:21:35 | |
-If there are 200 beds in the -hospital and they're all taken... | 0:21:35 | 0:21:41 | |
-..and 20 ambulances turn up -at a hospital with only 10 beds... | 0:21:41 | 0:21:46 | |
-..where are you going to put them? | 0:21:46 | 0:21:48 | |
-You keep them in the ambulance -or you put them in the corridor. | 0:21:48 | 0:21:52 | |
-It's not the best course of action -but they need to go somewhere. | 0:21:53 | 0:21:57 | |
-According to one Welsh doctor... | 0:21:58 | 0:22:01 | |
-..the public should think -before heading to A&E... | 0:22:01 | 0:22:05 | |
-..to avoid scenes like this. | 0:22:06 | 0:22:09 | |
-I really think that the reason -any A&E struggles... | 0:22:10 | 0:22:13 | |
-..and you can see it -in front of you... | 0:22:14 | 0:22:16 | |
-..no staff, no resources. | 0:22:16 | 0:22:19 | |
-People turn up to A&E -when they don't need to be there. | 0:22:19 | 0:22:23 | |
-I don't think people have been -educated properly about A&Es. | 0:22:23 | 0:22:28 | |
-In London, -Rhys Beynon's shift is over. | 0:22:28 | 0:22:32 | |
-His roots are in Wales but the state -of the NHS in Wales right now... | 0:22:32 | 0:22:38 | |
-..doesn't entice him -to return home to work. | 0:22:38 | 0:22:41 | |
-It makes me sad. -I have family back in Wales. | 0:22:44 | 0:22:47 | |
-If I knew that my father had to sit -in an ambulance for eight hours... | 0:22:47 | 0:22:53 | |
-..before he could -get into an A&E department... | 0:22:53 | 0:22:57 | |
-..that would break my heart. | 0:22:58 | 0:23:00 | |
-Next week, Welsh language -education in Llangennech. | 0:23:02 | 0:23:06 | |
-The community rebelling over -the language of the local school. | 0:23:06 | 0:23:11 | |
-I don't feel safe -in this community anymore. | 0:23:11 | 0:23:15 | |
-If I could move house, I would. | 0:23:15 | 0:23:18 | |
-Is Carmarthenshire's language policy -dividing communities? | 0:23:18 | 0:23:22 | |
-Y Byd Ar Bedwar, -next Tuesday night on S4C. | 0:23:23 | 0:23:27 | |
-S4C Subtitles by Adnod Cyf. | 0:23:42 | 0:23:44 | |
-. | 0:23:44 | 0:23:44 |