:00:20. > :00:24.Hello and welcome to the One Show with Alex Jones. And as Chris has
:00:24. > :00:30.lost his voice, we have the voice of the West End, Broadway, the
:00:30. > :00:33.world. And you are supposed to be rehearsing. Tonight's guest has
:00:34. > :00:43.famously played a Saints and sinners but started his career as a
:00:44. > :00:48.
:00:48. > :00:53.bit of a chancer. I have work to do. I am sorry, I don't have it with me.
:00:53. > :01:03.I can have it tonight, at the pub on the corner. You are a right
:01:03. > :01:07.
:01:07. > :01:12.That was Coronation Street. confidence! Cigarette dangling out
:01:12. > :01:17.of the mouth. The accent. He was not a stretch for me because I was
:01:18. > :01:23.brought up in the north. Is that where you are from? Salford. I was
:01:23. > :01:31.born in Yorkshire, across the Pennines, and ended up in Salford.
:01:31. > :01:35.There is a theatre named after you in Salford. Yes, there is.Do you
:01:35. > :01:41.ever go back? I went back for my mum's funeral a couple of years ago
:01:41. > :01:44.but have not been back since. That theatre is delightful, and I worked
:01:45. > :01:48.with the young people when I went there and had the naming ceremony.
:01:48. > :01:54.I did a bit of a masterclass with the acting students, because it is
:01:54. > :01:59.attached to a college. That was exhilarating. We will be finding
:01:59. > :02:02.out about Iron Man 3 in a few moments. If any of us get on well
:02:02. > :02:08.this weekend, we would hope to have an out-of-hours service we could
:02:08. > :02:13.rely on. Three Lucy reports that there is concern among doctors that
:02:13. > :02:19.the system in England is struggling as new reforms their dim.
:02:19. > :02:25.When Linda's seven-week-old son had a violent fiction, she called her
:02:25. > :02:32.out of hours service, run by commercial provider Harmony.
:02:32. > :02:37.phoned Harmony on Saturday, at noon. We spoke to a call handler, who
:02:37. > :02:42.classified the call as urgent and told us we would get a call back
:02:42. > :02:48.within 20 minutes. Shortly after 20 minutes, the doctor phoned me back.
:02:48. > :02:52.It was a conversation that lasted for one minute. He gave me an
:02:52. > :02:58.appointment 3.5 hours later and hung up the phone. Your focus was
:02:58. > :03:02.on his appointment of 3.5 hours away. What happened next? I sat in
:03:02. > :03:10.the waiting room and noticed I could not see his chest move. There
:03:10. > :03:19.was an off-duty paediatric nurse their, and they took him from me
:03:19. > :03:26.and we went to the resuscitation area. And then they said, cardiac
:03:26. > :03:30.arrest. Her son died of bronchial pneumonia, a serious condition but
:03:30. > :03:33.easily treatable with the correct antibiotics if caught in time. The
:03:33. > :03:36.coroner has stated it was not possible to say whether
:03:36. > :03:40.intervention at an earlier stage on that day would have changed the
:03:40. > :03:44.tragic outcome, but the coroner's report found that the child had
:03:44. > :03:48.been incorrectly assessed during a phone call, and if the right
:03:48. > :03:53.questions had been asked, if he would have seen a doctor sooner and
:03:53. > :03:57.not been given a routine appointment. There are 82 providers
:03:57. > :04:02.of out-of-hours care in England. Some, like Harmony, our commercial
:04:02. > :04:05.companies, seeking to make a profit, and the recent sale of the company
:04:05. > :04:09.for �48 million, with the involvement of a private equity
:04:09. > :04:13.group certainly suggests there is money to be made. But the previous
:04:13. > :04:19.system, where GPs hired locums to provide cover, was patchy and
:04:19. > :04:22.heavily criticised as well. Every company providing health care must
:04:22. > :04:25.follow national guidelines set up by the Care Quality Commission.
:04:25. > :04:32.This should mean that everyone accessing the service is guaranteed
:04:32. > :04:37.the same level of care, no matter who is providing it. This doctor
:04:37. > :04:41.has worked in out-of-hours care since 1995 and believes the service
:04:41. > :04:45.is inconsistent, depending on who provides it. He resigned from his
:04:45. > :04:53.role as Harmony's lead clinician for North Central London six weeks
:04:53. > :04:56.after taking the job. Very early on, I soon became aware that the
:04:56. > :04:59.provision of the service was quite different from what I was used to.
:04:59. > :05:04.I was astonished by the number of patient complains that came, even
:05:04. > :05:08.in the short time when I was clinical lead. They were genuine
:05:08. > :05:12.complaints about doctors not coming to visit, all kind of things.
:05:12. > :05:17.People noticed a real change Run Harmony came into town. There is a
:05:17. > :05:22.school of thought that GPs brought this on themselves by not wanting
:05:22. > :05:27.to work the extra hours. To some extent, they have. Many GPs are now
:05:27. > :05:30.thinking, we need to take this back into our own hands. Harmony say
:05:30. > :05:34.that their services are staff at the right level with the right
:05:34. > :05:40.number of qualified GPs, most of whom are local practitioners. They
:05:40. > :05:45.say they handle complaints in the same way as other parts of the NHS.
:05:45. > :05:49.In the case of the child who died, the inquest found no evidence that
:05:49. > :05:52.Harmony's staffing or training levels were factors and that the
:05:52. > :05:55.clinician concern was a long- standing local GP who had worked
:05:55. > :06:00.for the previous out-of-hours provider and was on the local NHS
:06:00. > :06:04.performers list. The British Medical Association is critical of
:06:04. > :06:08.commercial companies out of hours provision. It says profit motive
:06:08. > :06:12.could lead to costs being driven dangerously low, but it
:06:12. > :06:16.acknowledges that out-of-hours care is always difficult. You often see
:06:16. > :06:19.patients who have never met before. You start from scratch when it
:06:19. > :06:24.comes to their clinical condition, so you have to be more careful
:06:24. > :06:28.about how to provide advice to them and treatment. But we need to see
:06:28. > :06:33.more GPs. The best way to do that is to invest properly so that more
:06:33. > :06:36.local GPs can be on hand to provide services to local patients.
:06:36. > :06:41.Medicine is not a perfect science. There will always be mistakes and
:06:41. > :06:46.errors, but if lessons are learned, the risk is that mistakes are
:06:46. > :06:50.repeated again. Unfortunately, we are unable to predict when we will
:06:50. > :06:53.be ill. Health care is a 24-seven business and we need to know that
:06:53. > :07:00.out-of-hours services are able to deliver the level of care we have
:07:00. > :07:04.come to expect. Dr Sarah Jarvis is here. There seems to be confusion.
:07:04. > :07:09.If you have a child who falls ill over the weekend, what is the best
:07:09. > :07:13.course of action? It is difficult because the 111 system is coming in
:07:13. > :07:16.in parts of the country but it will not be everywhere. Then it will
:07:16. > :07:20.come into Scotland by April of next year, and Wales and Northern
:07:20. > :07:27.Ireland are thinking about it. The best thing is to ring your GP's
:07:27. > :07:31.surgery and their answer phone should tell you who to ring. So, is
:07:31. > :07:36.the out of service service better than the old system that is working
:07:36. > :07:40.outside of England? Up in theory, it is great because they will not
:07:40. > :07:43.just refer you to a GP but will also tell you if you need to see an
:07:43. > :07:48.out-of-hours pharmacy. According to some of my patients, they have been
:07:48. > :07:52.directed to an -- to a community nurse, and that has been useful.
:07:52. > :07:57.But I am conscious that there have been problems. It is great in
:07:57. > :08:02.theory but we need to iron out the problems. What is your experience
:08:02. > :08:06.of commercial companies providing out-of-hours service? I am worried
:08:06. > :08:10.that when money comes into the equation, profit can be a major
:08:10. > :08:14.motive. One issue is whether they use doctors who speak good English.
:08:14. > :08:19.It has been a big concern. That is a basic thing, that you have to be
:08:20. > :08:23.able to communicate. Of the General Medical Council can control very
:08:23. > :08:26.carefully the English of anyone who comes to the UK as a doctor from
:08:27. > :08:31.outside Europe, but at the moment they cannot control doctors from
:08:31. > :08:35.inside Europe. From 1st April, there is some good news that there
:08:35. > :08:41.is a national performers list. To be a GP out of hours, you have to
:08:41. > :08:45.speak good English. The Government have said they want to beef up the
:08:45. > :08:50.regulations, which will need a change to the Medical Act. Is the
:08:50. > :08:55.problem that GPs do not want to do the out-of-hours service? It is
:08:55. > :08:58.difficult. I have been a GP for 22 years and when I started, I did all
:08:58. > :09:03.of my own out-of-hours. I would work all day and overnight looking
:09:03. > :09:08.after my own parents comp -- patients. Half of the work that I
:09:08. > :09:15.do today, I did not do 20 years ago, the preventive work, keeping people
:09:15. > :09:19.well. I am sure you will agree that it is important. Vital.We cannot
:09:19. > :09:25.work all day and all night and be safe on the next day, so it is a
:09:25. > :09:32.difficult balance. Your brother is a doctor. He is retired now. My
:09:32. > :09:37.father was a G P. Interestingly, my father came from Zanzibar, of
:09:38. > :09:42.Indian parents. He came to the UK when he was 14. He went to school
:09:42. > :09:49.in London, Dulwich College, Guy's Hospital Medical School. By the
:09:49. > :09:54.time he was a GP in the suburb of Salford, his English was splendid,
:09:54. > :10:01.and his patients adored him. I remember him getting into a car
:10:01. > :10:06.that they do not make any more. A proper doctor's car. I would not be
:10:06. > :10:10.able to see over the steering wheel. I am on my rounds, he would say.
:10:10. > :10:15.Sometimes I would go with him. He was a family doctor and they loved
:10:15. > :10:20.him. That is the key, a doctor who can communicate with every patient.
:10:20. > :10:27.Things are getting better. There are some animals that love being in
:10:27. > :10:34.the limelight, like these meerkats. And this red squirrel. Mervat out
:10:34. > :10:39.of the papers. Going topless. Since it was first spotted 80 years ago,
:10:39. > :10:43.there is one creature that has probably never been seen. Do not
:10:43. > :10:49.say that! If it is ever spotted, there is one man who is determined
:10:49. > :10:53.to be there. Imagine giving up everything, your
:10:53. > :11:00.job, your girlfriend, selling your house and setting off on a wild
:11:01. > :11:05.dream to find the Loch Ness monster. That is what I did 22 years ago. I
:11:05. > :11:12.know what you might be thinking, but to me was a dream come true.
:11:12. > :11:16.And it is still a dream come true. When I first set off, I made a
:11:16. > :11:20.video diary for the BBC which was called desperately seeking Nessie.
:11:20. > :11:30.There is something in there, something unexplained, a question
:11:30. > :11:36.unanswered. It is my job, from now on, indefinitely, to try and answer
:11:36. > :11:40.that question. I had been working in the rat race for about 10 years,
:11:40. > :11:46.and Loch Ness was somewhere that I have always spent time coming from
:11:46. > :11:52.holiday, trying to find Nessie. I thought, that is what I want to be
:11:53. > :11:57.doing, that is where I want to be. The most impressive thing that I
:11:57. > :12:02.have seen myself was just a torpedo, streaking through the water. All
:12:03. > :12:07.that you could see was a white line and a spray of water. Just for less
:12:08. > :12:14.than 10 seconds, five seconds, probably. I thought, next time I
:12:14. > :12:21.see that, I will film it. Graham still waiting for that next time. -
:12:21. > :12:27.- I am still waiting. So it is quite a slow job. I paid my council
:12:27. > :12:37.tax for being down here. I do not have luxuries like electricity, or
:12:37. > :12:41.running water. But I have the best view in Europe, I think. People say,
:12:41. > :12:47.you must get lonely. I wish I had time to get lonely. The only actual
:12:47. > :12:51.income that I have are the little Nessie models that I make. And now
:12:51. > :12:55.I have started making driftwood boats. I will never have enough
:12:55. > :13:04.money to retire, but I do not know how you retire from a lifestyle so
:13:04. > :13:13.sedate as this one. This amount of time, sitting here contemplating a
:13:13. > :13:21.large body of water like this, it is a kind of meditation in itself.
:13:22. > :13:26.It is the contemplative side of being a monster hunter. I recently
:13:26. > :13:31.got into the Guinness Book of Records for the longest continuous
:13:31. > :13:38.Loch Ness monster vigil. Fair enough. World champion at sitting
:13:38. > :13:42.on a beach and seeing nothing. This isn't just about hunting for a
:13:42. > :13:46.monster, but about having a dream and following it. It does not
:13:46. > :13:53.matter if people say you're mad. If you do not go for it, one day you
:13:53. > :13:59.might say, well, I wish I had done that when I had the chance.
:13:59. > :14:02.22 years later, I am still in my utter Utopia sitting here. So get
:14:02. > :14:11.out and follow your dreams. That is all I am trying to encourage people
:14:11. > :14:21.to do. My ashes will be scattered in this day in front of the van.
:14:21. > :14:29.
:14:30. > :14:36.And I am very content with that turn up exhibition at an ID only one
:14:36. > :14:45.that saw it, when he was sitting next to the bonfire. When he was
:14:45. > :14:55.talking, I saw it. Do you think it could be in existence? Not really.
:14:55. > :14:59.
:14:59. > :15:04.It would have to be something billions of years old. I think it's
:15:05. > :15:11.just a seal. You are playing the Mandarin in Iron Man 3. I'm so
:15:11. > :15:18.excited about this. I am a nerd, when it comes to the Marvel
:15:18. > :15:22.universe. What drew you to it? Mr Marvel. He talked me through the
:15:22. > :15:27.script, which is remarkable. I was given the script, and it was taken
:15:27. > :15:32.from me when I had read it. Great secrecy. You are not allowed to die
:15:32. > :15:39.bilge anything. My name was on every page. Knowing I was going to be
:15:39. > :15:44.working with Robert and Gwyneth, honestly, it now runs like AV 12
:15:44. > :15:49.engine. It is so smooth, so sophisticated. It is witty, they
:15:49. > :15:56.have evolved their own style. A measure of their confidence is how
:15:56. > :16:01.they welcomed a new boy to the set. They were so welcoming. They were
:16:01. > :16:06.not too hands-on. He let me do my own thing, let me take my own risks.
:16:06. > :16:11.Not with the dialogue, I am very hot on seeing what is on the page and
:16:11. > :16:15.saying that. But taking some risks with tone, levels of anger. It's
:16:15. > :16:22.very exciting. So many things drew me to it. Let's see that level of
:16:22. > :16:32.anger. Your character takes on Iron Man and pepper pots. Let's see how
:16:32. > :16:52.
:16:52. > :17:01.President, only two lessons remain. I intend to finish this before
:17:01. > :17:08.Christmas morning. Properly sinister. How does he get his
:17:08. > :17:12.powers? He is pretty bright, actually. He is more of a
:17:12. > :17:21.manipulative, intellectual terrorist. He goes for threatening
:17:21. > :17:25.the culture of the energy, -- enemy, that which the enemy holds dear. He
:17:25. > :17:29.cynically attacked them and brings them down. Other guys do the dirty
:17:29. > :17:38.work like blowing up buildings. But I just use them. But he has extra
:17:38. > :17:48.help? The rings? Yes, I found as an actor, they empowered me. And I've
:17:48. > :17:50.
:17:50. > :17:54.got more! When you put them on, did you feel empowered? Yes, I did. It's
:17:54. > :18:04.amazing what these rings do. They are very cheap, but they can do a
:18:04. > :18:07.
:18:07. > :18:11.lot. They bring that out in you? couldn't get them off. Glamour is an
:18:11. > :18:15.ancient word, it comes from witches and witchcraft. When they are
:18:15. > :18:20.preparing for a ceremony, they say they are putting on their glamour.
:18:20. > :18:24.You have empowered yourself or your magic spells. Sorry to interrupt,
:18:24. > :18:31.but I loved the fact that you were working with Robert Downey Jr.
:18:31. > :18:35.delightful. Both of you got your big breaks from the same director, Sir
:18:35. > :18:41.Richard Attenborough? Indeed, he has Charlie Chaplin and myself as
:18:41. > :18:45.Gandhi. There is a photograph of Charlie Chaplin meeting the real
:18:45. > :18:54.Gandhi. Charlie is leaning forward, gazing earnestly at him. The caption
:18:54. > :18:59.said, Gandhi had no idea who Charlie Chaplin was. Didn't you take a
:18:59. > :19:04.picture on set so you could send it? Yes, Dickie is a bit poorly at the
:19:04. > :19:09.moment, bless him. We sent a lovely picture to him. Robert Downey Jr has
:19:10. > :19:16.a huge heart, a lovely man. I am glad to hear that. That comes
:19:16. > :19:22.across, I think. Very human.I know that you love spicy food. You are
:19:22. > :19:28.going to enjoy this next bit. It sounds like the best job ever, taste
:19:28. > :19:34.testing viewers favourite chilli con carne recipes. But choosing the
:19:34. > :19:37.winner brought Jay Rayner out in a sweat. If you are looking for
:19:37. > :19:40.comforting, warming food with a bit of a cake, you would struggle to
:19:40. > :19:45.find anything better. Look at it. No wonder the cattle
:19:45. > :19:49.drivers of the wild West loved this fiery stew of chilli peppers, meat
:19:49. > :19:52.and beans. We asked viewers of The One Show to rustle up the best
:19:52. > :20:00.home-made chilli. Meet the finalists, Jeff from Leicester,
:20:00. > :20:04.Debbie from Cheshire and Chris from Solihull. They need to impress me
:20:04. > :20:07.and Chef Angela Gray. What are you looking for from today's winning
:20:07. > :20:11.chilli con carne? It's got to be about being able to taste the
:20:11. > :20:18.flavour of the meat and the spices. Clever layering of flavour and full
:20:18. > :20:28.on. What about the heat itself?I like to put a couple of chilies in,
:20:28. > :20:29.
:20:29. > :20:37.some dry and some fresh. They each have their own flavours. Technical
:20:37. > :20:43.designer Chris is a bit of a chilli connoisseur. He's using beer. South
:20:43. > :20:51.American beer going in your chilli? It goes well, it's got a sweetness
:20:51. > :20:55.to it. Some onions chopped into the source, he also here raise some and
:20:55. > :21:04.puts the juices into the pot. gives depth of the flavour, it takes
:21:04. > :21:11.out the tartness of the onion. are a detailed man? Yes.There is no
:21:11. > :21:15.mince, he dices beef and adds jalapeno peppers. You have a work
:21:15. > :21:25.chilli championship? We have challenges, we make them over the
:21:25. > :21:30.weekend and bring them in. And has someone chosen the winner? It's me!
:21:30. > :21:37.Next it is Debbie, the chilli has been created for someone who she
:21:37. > :21:43.calls a fussy eater. With no onions allowed for her husband, she has a
:21:43. > :21:53.long list of ingredients. Balsamic vinegar, mango and chilli chutney,
:21:53. > :21:54.
:21:54. > :21:59.dipping sauce, chilli and paprika and smoked chilli jelly. Emptying
:21:59. > :22:03.the store cupboard and seeing what works? Absolutely right. Lots of
:22:03. > :22:07.garlic and mushrooms are added, and the mix goes on to the harbour for
:22:07. > :22:11.an hour and a half. Jeff is a private hospital manager. He takes
:22:11. > :22:19.his cooking very seriously. He believes the secret of a good chilli
:22:19. > :22:25.is a lot of patience. Five hour cook. Five hour chilli? I think it
:22:25. > :22:28.is necessary. I'm trying to develop a real depth of flavour, it is very
:22:28. > :22:35.savoury and meaty, as opposed to being very hot and fiery.
:22:35. > :22:42.includes both mince and chunks of beef. He adds a slug of red wine and
:22:42. > :22:51.a special ingredient at the end. is 100% cacao. The stuff that
:22:51. > :22:56.chocolate is made from. It is very bitter. Do you shave it?I grate it
:22:56. > :23:03.and it acts as a natural thickener. Well, the heat has certainly been
:23:03. > :23:08.turned up in the kitchen. Time is up on The One Show challenge. Onto the
:23:08. > :23:12.best bit, the tasting. Starting with Chris's chilli with beer. It is
:23:12. > :23:18.mild, it is not one that makes you sweat. No, but it is nicely balanced
:23:18. > :23:28.and rounded. I like the pinto beans. I would be happy with that on a
:23:28. > :23:32.Saturday night. Next, the store cupboard chilli from Debbie. It is
:23:32. > :23:36.not kicking you in the jaw. I'm getting a lot of mango. It is like
:23:36. > :23:40.chilli con carne by way of Bangalore. Onto the meat feast from
:23:40. > :23:45.Jeff. You really do sense something that has been cooked together into a
:23:45. > :23:51.single dish. It benefits from the five hours. Good texture, good
:23:51. > :23:55.flavour, nice layering. Also, that fiery at the end. Well, that had the
:23:55. > :24:05.biggest kick, but which one will be crowned the nation's favourite? The
:24:05. > :24:08.
:24:08. > :24:11.winner of The One Show Chile coup Goth is... -- chilli cook off. Jeff!
:24:11. > :24:21.We agreed that it was the clear winner because of the rich flavours
:24:21. > :24:25.
:24:25. > :24:35.Jeff is here with his winning chilli. Congratulations! That looks
:24:35. > :24:43.delicious. What inspired the recipe? Originally it was my mother's
:24:43. > :24:48.stewing steak recipe, with onions, celery, beef stock. I developed it.
:24:48. > :24:53.To make it into chilli, I would use that as a stock base, adding
:24:53. > :24:56.chilies, tomatoes, herbs and spices and developed it over time. We are
:24:56. > :25:01.pretty privileged, because he has not given any of this to anybody
:25:01. > :25:10.else to taste before. No, I have only ever cooked it for myself
:25:10. > :25:20.before. Have we all got one? We have already tried it. The secret
:25:20. > :25:22.
:25:22. > :25:27.ingredient, is it cacao? It is 100% cacao, 100% chocolate. When I first
:25:27. > :25:32.made it, I added cocoa powder, it made it very grainy and ruined it. I
:25:32. > :25:37.thought of what I could use instead, so I used that and it melts into the
:25:37. > :25:45.source, it makes it thicker. It does not blow your head off, but there is
:25:45. > :25:49.a little kick at the end. Do you like it? Yes. Where did you get the
:25:49. > :25:53.idea of the chocolate? I have seen Thomasina Miers, she was talking
:25:53. > :25:57.about the relationship between chilli and chocolate. I thought, how
:25:57. > :26:02.do I take it to another level? I remembered that and we tried it and
:26:02. > :26:08.it worked. Are they from the same geographical area? That's
:26:08. > :26:14.interesting. I am going to have chilli con carne when I go home. I
:26:14. > :26:21.will not look at myself. I buy it from our local village shop,
:26:21. > :26:26.Chadlington Foods. They make their own chilli. They are going to love
:26:26. > :26:36.you tonight explanation mark he won't be paying for it. Other
:26:36. > :26:45.
:26:45. > :26:55.to shape The One Show Chile challenge award. I'm actually
:26:55. > :26:58.
:26:58. > :27:07.be on my desk at work. We said before that your father came from
:27:07. > :27:17.Zanzibar. Your grandfather was known as King clove. E have the monopoly
:27:17. > :27:18.
:27:18. > :27:21.of spices on that coast. Do you know your spices? In an amateur way.We
:27:21. > :27:31.thought we would find out, we are going to show you some plants. Have
:27:31. > :27:33.
:27:33. > :27:43.a look at this one. Can you guess what spice that is? If you smell it,
:27:43. > :28:03.
:28:03. > :28:13.it might help. It's not that man? plant, it is an octopus! Smell that.
:28:13. > :28:16.
:28:16. > :28:24.Cloves? Star anise. We don't have time, I'm afraid. You can have the
:28:24. > :28:28.chilli to take away. Iron Man 3 is in cinemas from the 25th of April.
:28:28. > :28:32.Before we go, we have been looking for your amazing or unusual pet
:28:32. > :28:36.stories. But we are not working for heroics, quite the opposite. If you
:28:36. > :28:40.have a pet that is disobedient, unusual looking or has just done
:28:40. > :28:45.something stupid, and this is mine, we want to hear from you. Send your
:28:45. > :28:50.photographs and stories to the usual address. A big thank you to Michael