20/11/2013

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:00:21. > :00:33.What a start! Welcome to your intergalactic midweek the one Show

:00:34. > :00:37.with Matt Smith. That makes me Tom Baker. If you ever wondered what the

:00:38. > :00:41.theme tune would sound like if the Radiophonic Workshop got their hands

:00:42. > :00:45.on it, now you know. They are the boffins who brought the original

:00:46. > :00:50.Doctor Who theme tune and they will perform a special version in the

:00:51. > :00:54.studio a little bit later. Here to enjoy it with us are two actors who

:00:55. > :00:59.played pivotal roles in the drama surrounding the 50th anniversary, it

:01:00. > :01:07.is the mysterious Dark Doctor, John Hurt, and Jenna Coleman. Welcome.

:01:08. > :01:15.John, are you enjoying all of this fuss? It is a lot more than I

:01:16. > :01:25.thought. I did not know everybody was called Whovians. I am living and

:01:26. > :01:29.learning. I had no idea it was going to be as big as this. I thought it

:01:30. > :01:34.had a cult status, I did not realise it had gone mainstream to the degree

:01:35. > :01:37.it has. 84 different countries, all simultaneous. They are going to see

:01:38. > :01:45.it in their pyjamas industry earlier. UK minute of it -- you came

:01:46. > :01:52.in at the perfect time. Yes, that might have been a bit cunning. We

:01:53. > :01:54.will dig deeper. And you have a new Doctor in the form of Peter

:01:55. > :02:02.Capaldi. Had you shown him around the TARDIS? Yes, he has arrived, he

:02:03. > :02:10.has regenerated, he is in the building. You have acted with him,

:02:11. > :02:17.is it strange? Totally surreal. He arrives in the costume and we carry

:02:18. > :02:22.on. To use the unfaithful? Totally. But what it really feels like is

:02:23. > :02:29.incredibly sad and then you do a scene with the new Doctor and it

:02:30. > :02:35.feels totally different. They are separate. That is how I justify it.

:02:36. > :02:44.Is he good? Of course he is. I don't want to say too much, but he has

:02:45. > :02:52.arrived. In another first, Gyles Brandredth is actually live from the

:02:53. > :02:56.TARDIS. Are you there? I am here, live in the TARDIS, and it is

:02:57. > :03:02.awesome. Tonight I am going to meet the man Doctor Who fans called the

:03:03. > :03:08.great Mosque, Steven Moffat, the creator of Sherlock and the chief

:03:09. > :03:12.scriptwriter for Doctor Who. What questions I going to ask him? Ideas

:03:13. > :03:19.will be gratefully received. I need to go. He has just put the kettle

:03:20. > :03:26.on. Water line that is, am live from the TARDIS. If you have a question

:03:27. > :03:36.for Steven Moffat, e-mail them in by 7:15pm. It is not all Doctor Who

:03:37. > :03:45.tonight. Adam Hills, the world's funniest Australian. Very nice to

:03:46. > :03:48.see you. First, if you are a driver who thinks the combination of bus

:03:49. > :03:52.lanes and traffic cameras might be there to do more than just speed up

:03:53. > :03:56.the traffic, this film might confirm your suspicions. We report from the

:03:57. > :04:06.city that generates more fine than any other. In 2012, over 980,000

:04:07. > :04:13.people were fined by local authorities for entering them. The

:04:14. > :04:17.bus lane. Across Britain, some councils have taken over bus lane

:04:18. > :04:25.enforcement from the police. Here in Glasgow, 153,000 drivers were issued

:04:26. > :04:31.with fines last year. Who is crossing the line? The motorist or

:04:32. > :04:36.the local authority? Some Glasgow motorists are calling for a little

:04:37. > :04:39.common sense to be applied. Gordon was fined twice whilst trying to

:04:40. > :04:48.park here. He appealed the second time and was victorious. You can see

:04:49. > :04:52.the parking spaces, and there is a bus lane between them, you need to

:04:53. > :04:56.cross it in order to get a parking space. That is essentially what I

:04:57. > :04:59.did and I was fined for that. I appealed to the Council and they

:05:00. > :05:07.rejected it, because they said I should have accessed the parking

:05:08. > :05:12.space from two lanes away. It seems dangerous. It also seems

:05:13. > :05:22.impossible. Unless you drive Chitty Chitty Bang Bang. The signing can be

:05:23. > :05:25.an issue. Dave was fined when driving four times across the same

:05:26. > :05:32.road before he realised it was a 24-hour bus lane. If they had a sign

:05:33. > :05:35.saying it was 24 hours, or any time, I would not have gone into it. In

:05:36. > :05:43.your mind, it definitely wasn't clear. It is not clear enough.

:05:44. > :05:46.People would get caught very easily. I am from Edinburgh, where every

:05:47. > :05:52.single time has got signs on it. It says it is a bus lane but no times.

:05:53. > :05:57.That is the reason I thought it was legal to go into it. There is a car

:05:58. > :06:05.that has just gone into the bus lane, potentially he will get

:06:06. > :06:12.fined. 44,000 drivers have been smeared on this stretch of road in

:06:13. > :06:16.the last 18 months. Motorist associations are very concerned with

:06:17. > :06:21.the enormity of these figures. What would you suggest the council does?

:06:22. > :06:26.The council needs to listen to the motorists who are using the streets

:06:27. > :06:31.of Glasgow, and secondly, do a review of the locations, such as

:06:32. > :06:40.Glassford Street, where we have real causes for concern. Glasgow tops the

:06:41. > :06:48.league table for bus fines in Britain. It brought the Council for

:06:49. > :06:51.million pounds last year. Are you the bus lane find capital of

:06:52. > :06:57.Britain? It is not an accolade we want. We are at the moment but we

:06:58. > :07:03.would hope to drop down that table as quickly as possible. You are on

:07:04. > :07:09.course for less than last year but it is still a significant amount,

:07:10. > :07:13.isn't it? Yes, it is unfortunate but there is evidence that driver

:07:14. > :07:17.behaviour is changing and people are responding. Each one of these

:07:18. > :07:24.infringements is caught on camera, and the team that process them will

:07:25. > :07:28.view the footage before a fine is issued. If they can see that people

:07:29. > :07:36.have legitimately been trying to enter a parking space, without

:07:37. > :07:41.driving in a bus lane, an infringement notice will not be

:07:42. > :07:45.issued. How can you justify the figure in Glasgow being so much

:07:46. > :07:51.higher than any other city in Britain? I don't think I can give a

:07:52. > :07:55.definite explanation. The council has no interest in fining drivers,

:07:56. > :07:59.and the message from Glasgow is do not cross the line and you will

:08:00. > :08:06.avoid the find. Glasgow City Council also said two thirds rely on public

:08:07. > :08:11.transport, so bus lanes are important to improve journey times.

:08:12. > :08:16.They also claim the money that they raise is reinvested in public

:08:17. > :08:23.transport across the city. With our roads easier than ever and with

:08:24. > :08:30.three councils in Scotland and 60 in England and Wales running bustling

:08:31. > :08:39.schemes, avoiding the fine might be a difficult road to navigate. -- bus

:08:40. > :08:44.lane schemes. You know everything about the bus lanes, don't you? I

:08:45. > :08:48.do. Most people avoid them at that is not the idea. We will move on.

:08:49. > :08:54.This Saturday sees a special anniversary episode, the return of

:08:55. > :09:05.everybody's favourite Time Lord, this time, in triplicate. Three

:09:06. > :09:06.Doctors at once. It will be a special event. This is an exclusive

:09:07. > :09:29.clip. Hello? Somebody there? It is

:09:30. > :09:51.nothing. It is Billie Piper! What a garden

:09:52. > :09:58.shed. Can you tell us any more? Good God, no! Wait and see, it is not

:09:59. > :10:03.very long. When the BBC show this on Saturday, it is 50 years to the day

:10:04. > :10:09.since the first episode of Doctor Who went out. Where will you be

:10:10. > :10:17.watching it? We will be together. We will be watching it at the BFI. With

:10:18. > :10:22.our 3-D goggles on. Ira member watching it when William Hartnell

:10:23. > :10:27.was in it. The scenery used to shake. -- I remember. It was the

:10:28. > :10:32.cheapest show ever made. This is a little bit better. We heard that

:10:33. > :10:35.this really stretched due as an actor. Is it right that this is one

:10:36. > :10:40.of the hardest roles you have played? It is really difficult

:10:41. > :10:46.stuff. I take my hat off to David Tennant and Matt Smith. Why? It is

:10:47. > :10:54.full of what you could call scientific staff, it is very

:10:55. > :11:00.difficult to learn. -- scientific staff. They have it down to a

:11:01. > :11:05.science. Did you find that quite daunting? There is a lot of baggage.

:11:06. > :11:13.The role of the companion is very different in that sense. For me, for

:11:14. > :11:16.the Doctor, it is him knowing all the scientific jargon, speaking as

:11:17. > :11:22.if he is talking about walking down to the shops. Two different for the

:11:23. > :11:31.role of the companion. But I had a couple of lines like that, and it

:11:32. > :11:35.down -- takes ages. You can get it down but it goes out very quickly.

:11:36. > :11:44.At the end of the clip we saw the return of Billie Piper. David

:11:45. > :11:51.Tennant is also back. How was it to act with these past members? Was it

:11:52. > :11:55.overwhelming? It was great, it was nice to have a gang of us, and loads

:11:56. > :12:03.of a spare over a period of time. Normally it is people coming in and

:12:04. > :12:07.out. You did not get too promiscuous? I had one scene where I

:12:08. > :12:14.had to work with the three Doctors. All three of them moved their heads

:12:15. > :12:21.at once. The sight of them, it was a bit weird. This is the thing, I

:12:22. > :12:31.cannot work out if you are a Doctor. I am, but they are all the same man.

:12:32. > :12:34.It is rather more important. There was a lot of speculation at the end

:12:35. > :12:41.of the last episode, because you turned around. It was like, he is

:12:42. > :12:49.going to be the next Doctor. Were you tempted? That was never mooted

:12:50. > :12:57.as an idea. Economic have 13. You will know this. So Matt Smith is

:12:58. > :13:04.number 11. Yes. Peter is number 12, then what happens? Steven Moffat is

:13:05. > :13:09.a very clever person and he will sign up so there is another 50

:13:10. > :13:14.years. You could have that question. Hold that thought. We see

:13:15. > :13:21.David Tennant, Billie Piper, these different people, there is also the

:13:22. > :13:29.Zygons, who make an appearance. Back in the 1970s. This is what they look

:13:30. > :13:40.like. Quite grumpy, and here they are today. He looks quite friendly.

:13:41. > :13:42.He is not friendly. They are not the only villains from the 70s, we have

:13:43. > :14:03.some Cybermen. The Radiophonic Workshop are in

:14:04. > :14:06.their element. If you want to know more about the history of John's

:14:07. > :14:18.factor, press the red atom straight after the show for a look at the

:14:19. > :14:22.critical sowed, this card. As the winter starts to bite, it was

:14:23. > :14:28.snowing today in Northumberland, north Wales and North Yorkshire, and

:14:29. > :14:33.the medical director of the NHS in England has admitted that many A

:14:34. > :14:38.units are struggling to cope. In a moment he will tell as his plans to

:14:39. > :14:46.reduce waiting times. But first, Justin Rowlatt has spent 12 hours at

:14:47. > :14:50.a hospital in Nottinghamshire. It is almost midnight at Queen 's medical

:14:51. > :14:56.centre, part of Nottingham University Hospital NHS trust. It is

:14:57. > :15:00.one of the busiest A in Britain. This man has just come in, he has

:15:01. > :15:06.been in a head-on collision, at 45mph, broken his leg, with possibly

:15:07. > :15:10.internal injuries as well. I will be here until two o'clock in the

:15:11. > :15:14.morning. During that time, the doctors and nurses expects to have

:15:15. > :15:19.about 300 people through the door. Over the next 3-5 years, Bruce Keogh

:15:20. > :15:23.wants certain A units to become more focused on dealing with major

:15:24. > :15:36.traumas like strokes and heart attacks. This hospital will be one

:15:37. > :15:40.of them. Tonight, I am following the work of the lead consultant, who has

:15:41. > :15:49.been dealing with the man injured in the car crash. We had to make sure

:15:50. > :15:57.his airway, breathing, circulation, consciousness, were OK. He has got

:15:58. > :16:04.an obvious fracture to his right femur. Show he has broken his leg?

:16:05. > :16:08.Most likely. Demand is already high here, and with winter approaching,

:16:09. > :16:12.it is going to get even higher. Numbers coming to this A have

:16:13. > :16:15.increased every year for the last three years. Does it worry you

:16:16. > :16:23.seeing these ever-increasing numbers coming in? Of this leak increases

:16:24. > :16:31.the workload, but we need to make sure -- obviously -- that we can

:16:32. > :16:39.cover it with teamwork. A huge extra effort is needed? Yes. Every night

:16:40. > :16:46.there are 15 nurses and two doctors on duty in this A Charlotte is

:16:47. > :16:52.one of the staff nurses. Every day has its ups and downs but it has

:16:53. > :16:56.been reasonable so far today. To my eyes, it is pretty calm at the

:16:57. > :17:00.moment. This is pretty calm this area can be pretty full of patients

:17:01. > :17:06.as well. Down the corridor, in the waiting room is a man who has had a

:17:07. > :17:12.clash of heads playing football. One of the guys had a look at it and

:17:13. > :17:16.said, we probably need to get it sorted out, but it was just after

:17:17. > :17:20.nine o'clock, and the walk-in centre shuts at nine o'clock. He said, you

:17:21. > :17:23.might need a couple of stitches. Minor injuries make up a large

:17:24. > :17:28.percentage of the workload, it is the area which gets busiest the

:17:29. > :17:35.quickest. How are things going today? The Department is slightly

:17:36. > :17:38.busy but we are on top of it at the moment. I am working at the moment

:17:39. > :17:44.in the initial assessment unit. On average, fewer than 10% of A

:17:45. > :17:49.patients here could have been dealt with by other NHS services. Based on

:17:50. > :17:53.the numbers here today, that is about 50 people. The national figure

:17:54. > :18:02.for England is much higher, it is one in four. Have you been sick? Any

:18:03. > :18:11.problems with your vision? It is now time for Phil to get treatment for

:18:12. > :18:19.his eye. Does this just dissolve? Acts like a scab, essentially. You

:18:20. > :18:24.need to keep it clear for five days. Fielded the right thing in coming to

:18:25. > :18:27.A, but a lot of people don't. They come to places like this when they

:18:28. > :18:34.should be guide to see their GP, which piles on the pressure. We have

:18:35. > :18:40.seen roughly 400 patients. Even though this is actually only

:18:41. > :18:46.designed for 350. Yes, but regularly we have more than 400 patients, and

:18:47. > :18:52.at weekends, it can be 550. So, the numbers are going up year-on-year -

:18:53. > :18:55.presumably there comes a point at which the hospital will not be able

:18:56. > :19:01.to deal with it. Obviously there are some patients which can be dealt in

:19:02. > :19:06.primary care. It is a lot to do with education also. We have got a lot in

:19:07. > :19:11.place at the moment. And that is exactly what this hospital is

:19:12. > :19:17.telling patients when it is right to come here and when it is not. So,

:19:18. > :19:33.Phil, how was that, no stitches and Ahern no, just glue. You got in here

:19:34. > :19:38.really good. Bruce Keogh's plans to ease congestion in the NHS are wide

:19:39. > :19:41.ranging, but hospitals like this say that if the proposals for A units

:19:42. > :19:46.are going to work, patience also have to play their part. They must

:19:47. > :19:51.only going to A when they really need to. Justin Rowlatt joins us

:19:52. > :19:56.now, along with Bruce Keogh, the medical director of the NHS. So, 12

:19:57. > :20:04.hours you were there, in general, what were your impressions? I was

:20:05. > :20:07.expecting it to be quite noisy. It is a stereotype, I was expecting

:20:08. > :20:11.people to be screaming and shouting, and people running through, heart

:20:12. > :20:17.attacks happening and stuff like that. Actually it was very calm. The

:20:18. > :20:21.patients were calm but the doctors and nurses were very calm as well. I

:20:22. > :20:26.was very impressed, I have to say. What really came out was just how

:20:27. > :20:30.many people are going to A That unit is designed for 350 people, and

:20:31. > :20:38.they are regularly getting 550, even 600. But just on the front line,

:20:39. > :20:42.only two doctors? But then they bring in other experts from the rest

:20:43. > :20:45.of the hospital. The guy who had broken his leg, they got an

:20:46. > :20:51.orthopaedic surgeon in from upstairs will stop things look quite calm

:20:52. > :20:57.there are, as you say, but what are the issues which are affecting the

:20:58. > :21:02.NHS across the UK? In terms of A, the big issue is this increase in

:21:03. > :21:07.demand, with more people seeming to be going to A, partly because they

:21:08. > :21:11.find it difficult to see their GP, partly because they telephone 111,

:21:12. > :21:16.and they have a list of questions, and in the end, they say, if you are

:21:17. > :21:21.in any doubt, go to A There is also a cultural change. Our parents

:21:22. > :21:26.and grandparents sat and suffered, so people are more likely to go than

:21:27. > :21:32.they used to be. The NHS reckons a quarter of people in A should not

:21:33. > :21:36.be there. I have used these walk-in centres white a lot for my children

:21:37. > :21:41.in the early hours of the morning, but they have closed now, why is

:21:42. > :21:45.that? A small handful have closed. We are looking into that. One thing

:21:46. > :21:52.which is quite new to us is that they do help to keep people out of

:21:53. > :21:56.A And we have put a vision in place for the way we think we can

:21:57. > :21:59.deal with the growing pressure on A over the coming years. Firstly,

:22:00. > :22:12.we want to provide a much closer service to people. Unless we can put

:22:13. > :22:17.a better offer to people, outside A, they will continue to go

:22:18. > :22:21.there. So, we are asking GPs to take the much closer role in looking

:22:22. > :22:26.after elderly and frail people at home and to provide better urgent

:22:27. > :22:30.services. We are going to beef up the 111 service. It got off to a bit

:22:31. > :22:42.of a rocky start. Haitians have told us they would like to be able to

:22:43. > :22:46.talk to a clinician -- agents -- and secondly, if needs be, they would

:22:47. > :22:49.like that person to make an appointment for them to see their GP

:22:50. > :22:55.or their specialist next day. The next thing we are doing is... It is

:22:56. > :22:59.sometimes hard to get an appointment with a GP, because they are so

:23:00. > :23:03.busy, but this will make them even busier? No, I think there are

:23:04. > :23:07.different ways that this can be delivered. We are not necessarily

:23:08. > :23:10.talking about GPs specifically, because we are talking about the

:23:11. > :23:17.services offered within the GP facility, which may include nurses

:23:18. > :23:22.or physiotherapists and lots of other people who can deal with some

:23:23. > :23:26.of the more simple problems. The other issue is the difficulty you

:23:27. > :23:31.have in recruiting doctors to work in A, with 50% of training places

:23:32. > :23:37.vacant? Since I have been medical director, we have increased the

:23:38. > :23:40.number of A consultants over 300, we have doubled the number of

:23:41. > :23:45.trainees. The recruitment was down for a couple of years, it has

:23:46. > :23:49.climbed up this year, so I think that looks very positive. But it

:23:50. > :23:55.does take a long time to train an A two. Even if we recruit well

:23:56. > :24:00.this year, it will be some years before we see the benefits. That is

:24:01. > :24:03.why we need to engage other people, such as other consultants in the

:24:04. > :24:09.hospitals and nurses and paramedics, utilising them more. Of the 999

:24:10. > :24:15.calls which are made, 50% of those can be dealt with at the scene, in

:24:16. > :24:18.people's homes. We have got paramedics were fantastically

:24:19. > :24:22.skilled and talented, and for much of their lives, we use them just to

:24:23. > :24:27.transport patients from one place to another, whereas, when we are really

:24:28. > :24:31.in desperate trouble, that's a really bad accident, we trust them

:24:32. > :24:37.with our lives, so we must use them better. We will be asking our

:24:38. > :24:41.audience whether they think A has got to, worse, or stayed the same

:24:42. > :24:46.over the last five years, so what would your answer be? I would say it

:24:47. > :24:50.has got much better, it has become a victim of its own success, meaning

:24:51. > :24:55.more people are going to it. The aim of the vision which colleagues and

:24:56. > :24:59.myself have put out to the NHS for public debate over the last week has

:25:00. > :25:06.been to see if we can provide a better offer outside so that we

:25:07. > :25:13.improve the NHS as a whole. So, we want to know what you think in your

:25:14. > :25:15.own experience of A This is our One Show vote. Here is the

:25:16. > :25:36.question... Text messages will be charged at

:25:37. > :25:44.your standard message rate. You can also vote online. The vote chick

:25:45. > :25:52.will close in just 20 minutes' time, and then we will reveal the votes

:25:53. > :25:56.later in the show. We will be speaking to Australian funnyman Adam

:25:57. > :26:00.Hills in a moment, after a new take on the north-south divide. It

:26:01. > :26:07.involves a very special dolphin with a white beak, which, as Miranda has

:26:08. > :26:10.discovered, is on the move. Off the coast of Lyme Regis in Dorset, there

:26:11. > :26:19.has been a surprising discovery. Until recently, they were only found

:26:20. > :26:23.in our northern seas, because the white-beaked dolphins like really

:26:24. > :26:28.cold water. But that has all changed, because they have been

:26:29. > :26:33.spotted just down there. When the Marine life team here discovered

:26:34. > :26:37.white-beaked dolphins in Lyme Bay, it was an amazing find. It has

:26:38. > :26:45.turned out to be the most southerly population in Europe. Lyme Bay is

:26:46. > :26:49.unique in all sorts of ways. It has always been a very good fishing

:26:50. > :26:52.area. That is an important reason. The key factor for white-beaked

:26:53. > :26:59.dolphins is that the sea temperatures needs to be quite cool.

:27:00. > :27:04.Anything more than 18 centigrade, they are very unlikely to be here.

:27:05. > :27:07.They much prefer 13-14d. There is a lot we do not yet know about them,

:27:08. > :27:12.which is why we are doing this research. It has been tricky to

:27:13. > :27:15.calculate their numbers, largely because up until now they have only

:27:16. > :27:20.relied on visual sightings. But this year, for the first time, the team

:27:21. > :27:26.have a new gadget, an underwater microphone which can detect old

:27:27. > :27:31.friends from about a kilometre away. Can you talk me through what is

:27:32. > :27:36.happening? You are looking at the click detected on the main screen,

:27:37. > :27:41.which is picking up on any sounds in the ocean. At the moment this is

:27:42. > :27:45.just background noise. If we pick up a porpoise or a dolphin, it will put

:27:46. > :27:51.a red triangle on there, and then we can rush out and try and spot it.

:27:52. > :27:53.Normally, a red triangle indicates a harbour porpoise, but the higher

:27:54. > :27:57.frequency calls of the white-beaked dolphins give the same results, so

:27:58. > :28:01.now we just have to wait to see if a red triangle appears, and hope it is

:28:02. > :28:05.a dolphin. But I am not holding my breath. I have tried on several

:28:06. > :28:09.occasions to see white-beaked dolphins in the UK. So far I have

:28:10. > :28:15.had zero success. If I actually see them today, it will be a real first.

:28:16. > :28:21.I will be very, very excited. For six long hours, there is neither

:28:22. > :28:27.side nor sound of a dolphin, but just as we are about to give up, we

:28:28. > :28:36.have a reading. We have got a red triangle! Fantastic. But is it

:28:37. > :28:44.dolphins? Not only have we got white-beaked dolphins, but they are

:28:45. > :28:49.right by the boat. We have got three riding on the bowel. It is

:28:50. > :28:54.incredible. I have never seen them in the wild before. They are so

:28:55. > :28:57.white, so clear to see. It is just such a brilliant moment. Most

:28:58. > :29:04.white-beaked dolphins have a distinctive white nose. As our

:29:05. > :29:14.underwater footage shows, they have an obvious white or grey patch on

:29:15. > :29:16.their side. They seem very playful. There has been a lot of jumping,

:29:17. > 0:22:27playing around. There