22/05/2013

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:00:13. > :00:19.have spent a day inside a 11 call centre and we'll take your questions

:00:19. > :00:29.direct to the very top. Also Anita is live from an A&E department to

:00:29. > :00:38.

:00:38. > :00:41.see how they're coping with Matt Baker. And Alex Jones. See if

:00:41. > :00:49.you can guess who one of tonight's guest is from the way she describes

:00:49. > :00:55.herself. She says she is a stand-up, available for nice, easy Joyceovers

:00:55. > :01:01.and sit-down radio and telly work, author, actress and big-head.

:01:01. > :01:07.welcome, Jenny Eclair. It's me. How lovely to be sitting down. Weigh

:01:07. > :01:12.always like that. Thank you very much. Gorgeous you look. I love the

:01:12. > :01:17.boots. They're very old and I managed to stick the glitter back

:01:17. > :01:21.on, but they're serving me well. As long as I don't have to walk, I'm

:01:21. > :01:26.fine. You'll sit down for a whole hour. What a treat. What a lovely

:01:26. > :01:30.job you two have. We are very lucky. We don't move. We sit all the time.

:01:30. > :01:36.You do also class yourself as a grumpy old woman. Proud to be

:01:36. > :01:41.grumpy. Have you been today?I'm fine today, because I've taken my

:01:41. > :01:50.HRT, so I'm passive today. I'm fine. I recommend it to any old bag over

:01:50. > :01:53.50, I really do. I think it should be mandatory. It makes me jolly and

:01:53. > :01:58.it's given me a bigger bust and you need an army of middle-aged women

:01:58. > :02:04.chuckling down the street with big boobs jiggling around. What fun.

:02:04. > :02:07.have remarkable energy this evening. I've had an afternoon nap. You are

:02:07. > :02:13.in good company, because our other guest is certainly jolly. She

:02:13. > :02:17.describes herself as writer, presenter, wife, mum, cat owner and

:02:17. > :02:21.internationally acclaimed exotic dancer. Intriguing and slightly

:02:21. > :02:26.misleading. Does she work with a snake? We don't know, because she

:02:26. > :02:30.hasn't turned up. We need to add late to that. She's in traffic.It's

:02:31. > :02:35.the lovely Fern Britain and we'll -- Fern Britton and we'll meet the

:02:35. > :02:39.world famous photographer who started life as that. Look at this

:02:39. > :02:45.little Beatle baby. It's Mary McCartney. Look at her. She is she

:02:45. > :02:51.is in the green room. Also, we are giving the National Health Service a

:02:51. > :02:55.health check. Anita is live at one of the biggest units in the UK.

:02:55. > :02:59.have an audience of NHS workers from nurses to pharmacists and midwives

:02:59. > :03:04.and I think everyone in between. Lovely to have you all with us.

:03:04. > :03:08.Yeah. We'll be posing your questions to one of the top men at the NHS.

:03:08. > :03:11.First, we are kicking off with the controversial new national health

:03:11. > :03:15.phone line, 111, which has hardly been out of the headlines since it

:03:15. > :03:25.was launched. We know it's worrying quite a few of you. Jenny Kleeman

:03:25. > :03:29.has been behind the scenes to meet the people manning the phones. I

:03:29. > :03:34.want to ask you a series of questions. We can organise a

:03:34. > :03:42.district nurse. This is what modern non-emergency healthcare looks like.

:03:42. > :03:51.I'm at this call centre in Dorset. There is a man on the phone. He's

:03:51. > :03:56.84. Apparently they rang 999 this morning. What has happened?

:03:56. > :04:00.patient wants to know where the call-back is from a district nurse.

:04:00. > :04:05.They are waiting for a nurse to call. They're waiting to see when

:04:05. > :04:10.the nurse will be around to them. I'm trying to find out. Here, staff

:04:10. > :04:15.are on the front line, handling the calls of local people dialling 111.

:04:15. > :04:18.Heard of it? It launched in England to a blaze of negative publicity

:04:18. > :04:23.this year when a number of services couldn't cope with the volume of

:04:23. > :04:27.calls. This centre was one of them. I've been an emergency care nurse

:04:27. > :04:33.for 25 years, so I try not to panic, but clearly I was very concerned

:04:33. > :04:39.that we weren't providing the sort of service that I would like for

:04:39. > :04:43.myself, or indeed my relatives. was intended to replace the

:04:43. > :04:49.out-of-hours GP service and NHS Direct by using one number that

:04:49. > :04:55.could transfer you to the service you need 24/7. When we first went

:04:55. > :05:01.live it was a huge challenge for the staff, because on some weekends we

:05:01. > :05:06.saw 70% increase on predicted activity. We realised we needed to

:05:07. > :05:10.move into recruitment fast. At its worst, callers were waiting up to 20

:05:10. > :05:15.minutes, when in fact they should be answered within 60 seconds. At this

:05:15. > :05:19.call centre, run by the Ambulance Service, there's one paramedic and

:05:19. > :05:24.one nurse assisting every six call advisers, who have all had at least

:05:24. > :05:29.ten weeks' training. How many calls do you take a day? 30 to 40.How

:05:29. > :05:33.long do you think you spent on each? It varies. Some calls can be three

:05:33. > :05:38.minutes, four minutes. Some may be 20 minutes. It all depends on the

:05:38. > :05:42.call. What sort of people call you? We might get a 14-year-old calling

:05:42. > :05:45.because they've got severe period pains. We might get an 85-year-old

:05:45. > :05:50.lady who has called because she has dropped her walking stick and he

:05:50. > :05:53.needs someone to pop around to get up on a chair. We do take our time

:05:53. > :05:57.with those patients, because although they might be loeBle, there

:05:57. > :06:01.may be other -- lonely, there may be other reasons. It's better than

:06:01. > :06:07.ringing 999 when they are clogging up a line that can be used for

:06:07. > :06:10.life-saving purposes. Yes.Talking to the call handlers here, I'm

:06:10. > :06:18.really surprised to learn about what they used to do before they came

:06:18. > :06:22.here. One of them used to be a Butition, one of them ran a pub and

:06:22. > :06:27.-- Butition and one of them ran a pub. It seems that people skills are

:06:27. > :06:31.more important than medical experience. The 111 service is split

:06:31. > :06:35.into 44 areas. It is run by a combination of public and private

:06:35. > :06:40.providers. Some have face faced criticism for not employing enough

:06:40. > :06:50.doctors and nurses. A call is through, a patient needs care in the

:06:50. > :06:50.

:06:50. > :06:54.home. Paramedic Dave is dispatched in a car, not an ambulance van, as

:06:54. > :06:57.it's not an emergency. Older people, like the man we're on our way to see

:06:57. > :07:03.now, might perhaps be missing those days when they have the same person

:07:03. > :07:06.looking after them. I think now people do expect the fact that they

:07:06. > :07:16.understand that their own GPs do need time away and actually that the

:07:16. > :07:18.

:07:18. > :07:22.same level of service that is provided is suitable. I would like

:07:22. > :07:28.to take your blood pressure and temperature. They had dialled 999,

:07:28. > :07:32.but were advised to ring 111 instead. I have thought 111 you hear

:07:32. > :07:38.things that they take a long time and I was trying to hold him up and

:07:38. > :07:43.I needed someone to come quickly. You were surprised? No, because they

:07:43. > :07:49.had a bit of trouble. It was really slow and it wasn't working. But it

:07:49. > :07:53.was working. For me, it was. Back at the centre, they've clocked up more

:07:53. > :07:58.than 1,000 calls. Over 100 of which were deemed an emergency and the

:07:58. > :08:02.rest handled by staff here. I've spent five hours seeing these people

:08:02. > :08:06.work. The calls range from everything from toothache to

:08:06. > :08:10.concussion, but while the service seems to have 111 under control,

:08:10. > :08:15.seven sites are yet to go live and 11 others are put on hold until

:08:15. > :08:20.managers are certain they can cope. The aim was to have consistent

:08:20. > :08:26.non-emergency call-out service, but we are definitely not there yet.

:08:26. > :08:31.Fern Britton has now arrived. sorry. She ran in. You've got tea.

:08:31. > :08:39.Just in time, because you've called 111 before. I did. It started in

:08:39. > :08:44.April. I had to phone 111 for family and it took forever for the phone to

:08:44. > :08:48.answer. Then when I got through, they were very sweet and helpful,

:08:48. > :08:53.but having gone through the exipT, she said, "I think you better go to

:08:53. > :08:59.A&E." We went and then we got there and they went, "You could have gone

:08:59. > :09:03.to the one nearest to you." Then in A&E they are in crisis. We are going

:09:03. > :09:07.to discuss this this evening. Jenny, are you surprised that they only

:09:07. > :09:11.have ten weeks' training? I could do it. I know everything about medical

:09:11. > :09:18.stuff, because I'm a terrible internet hyperconnediac. You've done

:09:18. > :09:24.a lot of research? So much. I'm quite hearty, apart from I have

:09:24. > :09:29.mental wobbles. Are you rarely without pain? I'm a bit of a

:09:29. > :09:36.physician. I've had bad backs and hips, but I've sorted that. I'm a

:09:36. > :09:40.big one for trying things. It's pilates. If anyone says to me

:09:40. > :09:44.they've got a back, I ask them if they've done it and if they say no,

:09:44. > :09:51.I say, "I don't want to hear about it." They need three months of it.

:09:51. > :09:59.You are right. You've got a point. You can put that to Dr Mark Porter.

:09:59. > :10:03.I'll not waste his time going on. There is extra pressure on A&E

:10:03. > :10:07.units, who are struggling with the huge rise in admissions. Senior

:10:07. > :10:10.doctors confirmed this, saying they are experiencing toxic overcrowding

:10:10. > :10:16.and that staff are suffering from what they call institutional

:10:16. > :10:22.exhaustion. Anita is at Birmingham's Hartlands Hospital. How busy is

:10:22. > :10:26.casualty this evening? I have to say, when we got here earlier it was

:10:26. > :10:29.abnormally quiet, but within the last hour more people are starting

:10:30. > :10:36.to come in. How long have you been here? About 45 minutes.Why are you

:10:36. > :10:41.here? I had a bump on my head at the weekend. How did you do it?Drunken

:10:41. > :10:47.dancing went wrong The symptoms have carried on so I was advised to come

:10:47. > :10:51.back. How advised you?They told me to come back, buzz I have phoned NHS

:10:51. > :10:54.Direct and seen a doctor and they advised to come here. Did you think

:10:54. > :10:58.this morning that you should phone your GP and see your local doctor

:10:58. > :11:01.first? That's what I've done. I phoned them and they told me to see

:11:01. > :11:06.a doctor. I've seen the doctor and the doctor told me to come here.

:11:06. > :11:12.This is it, this is your only option. Best of luck. Thank you.

:11:12. > :11:18.We'll catch up with you later. Joe, why are you here? I got hit by a car

:11:18. > :11:24.and I banged my arm and my son decided I needed it checked. It's

:11:24. > :11:32.probably the right place to be. This ae and E here in Birmingham sees

:11:33. > :11:38.about 120,000 admissions a year and -- this A&E here in Birmingham sees

:11:38. > :11:44.about 120 admissions a year. Sarah is here now. How much people have

:11:44. > :11:47.you seen? Many.How busy can it get We have had 109 on Monday. What

:11:47. > :11:53.sorts of things do you see? Everything really from road traffic

:11:53. > :11:58.accidents. We see heart attacks and strokes. Absolutely everything.

:11:58. > :12:03.Across the country and England there is a rise in admissions in A&E by

:12:03. > :12:08.250,000. Adrian is a clinical lead here. How is that reflected here in

:12:08. > :12:11.Birmingham? We see around 350 patients and to put that in context,

:12:11. > :12:15.over the last ten years the numbers of patients coming here have

:12:15. > :12:20.increased by 40,000 a year. That seems like a lot. How are you coping

:12:20. > :12:24.with that? It's difficult. We find ourselves under greater pressure

:12:24. > :12:27.over the winter period and the last winter it's been the most difficult

:12:27. > :12:30.we have faced over last ten years. We know that you have very

:12:30. > :12:34.hard-working staff. Are you overworked? I worry about the stress

:12:34. > :12:44.for the staff. They are used to pressure, but the kind they've been

:12:44. > :12:45.

:12:45. > :12:46.facing and the workload over the last six months has been

:12:46. > :12:47.unprecedented. Why is this happening? There's a combination. We

:12:47. > :12:49.have an older and ageing population and we have more chronic illness in

:12:49. > :12:52.the community. I think there is also a degree of confusion with regard

:12:52. > :12:55.how to access emergency healthcare. The difficulty we have is from the

:12:55. > :13:00.pressure point of view, it's decreasing the number of doctors and

:13:00. > :13:03.nurses who want to work and that causes further problems. How many

:13:03. > :13:08.patients are waiting here tonight will be seen within four hours?

:13:08. > :13:11.We'll see all and prioritise them. We are concerned with safety first.

:13:11. > :13:15.We'll hopefully see everybody within fours hours, but safety will come

:13:15. > :13:25.first. Thank you. We are here throughout the show, so do catch up

:13:25. > :13:38.

:13:38. > :13:43.with me later on. As he was saying When people are older, they become

:13:43. > :13:48.more dependent. When they fall over, they call for help and end up in

:13:48. > :13:53.casualty often. There is an expectation also. About one-third

:13:53. > :13:58.of people going to accident departments are going for problems

:13:58. > :14:04.that can be sorted elsewhere. Sometimes it is something as simple

:14:04. > :14:09.as athlete's foot, which they could manage themselves. People are

:14:09. > :14:15.confused about the change in hours. They do not know who to telephone.

:14:15. > :14:20.It is not the GPs, who do I call? I know, I will go down to the local

:14:20. > :14:26.A&E unit and they will look after me. Would it make sense to have GPs

:14:26. > :14:31.opened at the weekend and in the evening? There is a recession.

:14:31. > :14:38.People are scared about losing jobs. They will not take time off. You

:14:38. > :14:46.have to plan being ill. In two weeks' time! We operate up to 8pm

:14:46. > :14:51.on a Monday and also to 630 in the evening. We try to have a walk-in

:14:51. > :14:55.centre. Many of the departments will have GPs who are there.

:14:55. > :14:59.You have been through the age of being the family doctor when you

:14:59. > :15:03.work every hour. It was a lovely system we had more

:15:03. > :15:07.than ten years ago, but you did your normal working week and an

:15:07. > :15:13.extra 40 hours on top of the working week, often working through

:15:13. > :15:19.the night, we have regulations for drivers, on a bad night, you might

:15:19. > :15:24.sleep for an hour and then you are working again and you... We have

:15:24. > :15:30.moved on from those days. We will have to make the system worked. It

:15:30. > :15:37.is not going back to 48 hour shifts without sleep. If you have fully

:15:37. > :15:44.trained doctors and flat the market, and you could run services almost

:15:44. > :15:49.24 hours. -- flood the market. Look at midwives. They are trained all

:15:49. > :15:54.the time, there is no money to employed them. It is down to money.

:15:54. > :15:59.If you got the trained doctors working... The Health Secretary is

:15:59. > :16:06.going to address these issues. What is he expected to say?

:16:06. > :16:13.It looks like he will be looking at the GP area. The rumour is he will

:16:13. > :16:16.appoint a Chief Inspector. I worry it will be more paperwork. We spend

:16:16. > :16:20.an not have time ticking boxes. We spend a lot of time looking at a

:16:20. > :16:26.computer rather than the patient. There are rumours he will go back

:16:26. > :16:30.to the old system, something close to the system where there is GP

:16:30. > :16:37.responsibility for after-hours. In some parts, it is run by private

:16:37. > :16:47.companies, where I am it is GPs. I am not sure how it will work. Why

:16:47. > :16:48.

:16:48. > :16:52.worry about ending up within -- with a patchwork. If you had

:16:52. > :16:58.surgeries at weekends, for people who are employed and do not take

:16:58. > :17:02.time off, what if they pay �20? should be free at the point of

:17:02. > :17:06.service. It is ridiculous to take half the day after have a blood

:17:06. > :17:11.pressure test that the computer says you need so I can tick the box

:17:11. > :17:19.and when you are not well you cannot get in. That needs to be

:17:19. > :17:24.addressed. We cannot pick arm... There are different tentacles.

:17:24. > :17:30.We will be talking more about this. Soon, we will hear from Sir Bruce

:17:30. > :17:35.Keogh, the medical director, on how he sees the future of the NHS.

:17:35. > :17:42.We want to know if you have your own ideas on how health services

:17:42. > :17:48.can be improved. We are going to print out your

:17:48. > :17:55.ideas and take them directly to the office of Sir Bruce Keogh. If you

:17:55. > :18:00.live in Scotland, Wales, Northern Ireland, are there lessons from

:18:00. > :18:06.York Health Service the English system could take on board? -- from

:18:06. > :18:16.your service. We will see you later. As if you do

:18:16. > :18:17.

:18:17. > :18:22.not have enough to do! That always happens. I have this problem...

:18:22. > :18:27.Fern Britton has written a novel set in Cornwall. She writes about

:18:27. > :18:37.sandy beaches and fishing boats. But there is a blot on the

:18:37. > :18:37.

:18:37. > :18:43.landscape. There are too many of them. They

:18:43. > :18:51.are all over the place. They look ugly. People say they do not make

:18:51. > :18:56.sense. They are confusing. This area has been signed and he invaded

:18:56. > :19:01.by street signs. They are everywhere. The good news is that

:19:01. > :19:08.the people who live here in Cornwall have had enough. They are

:19:08. > :19:15.taking them down. I am joining those charged with removing the

:19:15. > :19:25.clutter. This is crazy. There is no entry. But you have an extra No

:19:25. > :19:29.

:19:29. > :19:33.Entry sign in the bushes. It is absolutely ludicrous. When next?

:19:33. > :19:42.They could use this as a witty signed for somebody selling cream

:19:42. > :19:47.tea. That is another sign Don. The parish lies within an area of

:19:47. > :19:51.outstanding natural beauty, and has 3500 people. It has almost 900

:19:51. > :19:56.street signs. It has been called the place in Britain with most road

:19:56. > :20:03.signs. Councillors and residents lob beat the council to reduce the

:20:03. > :20:08.signs. We are in a conservation area and it has an impact. There

:20:08. > :20:14.are too many and drivers do not take any notice. By taking some a

:20:14. > :20:21.way, drivers might be more careful. It is about making villagers better

:20:21. > :20:27.for the people rather than cars. Peter is responsible for the

:20:27. > :20:35.maintenance of signs in Cornwall. We are at a crossroads and there

:20:35. > :20:40.are so many signs. They are often repeated. How did it get so bad?

:20:40. > :20:45.When you put new signs in, you do not step back and asked if you need

:20:45. > :20:55.it. What has been missing is we have a request for a signed and we

:20:55. > :21:05.do not think too much about the overall impact. Are you allowed to

:21:05. > :21:13.do that? We might get rid of that. They are there for a purpose.

:21:13. > :21:16.you done landscape gardening? That was a fantastic job. Mr Smith from

:21:16. > :21:20.the Campaign to Protect Rural England wants a reduction of signs

:21:21. > :21:27.across the UK. If there are communities who think their town

:21:27. > :21:31.has been overrun by a street signs, is there anything they can do?

:21:31. > :21:35.could do a survey and work out how many signs there are in which St

:21:36. > :21:41.and which Street is the worst. Perhaps signs do not make sense

:21:41. > :21:50.because something has changed. They can work with their council to

:21:50. > :21:55.prioritise taking the signs down. It has been hard work taking down

:21:55. > :22:04.the road signs. By the end of the week, almost 200 will have been

:22:04. > :22:09.removed. I can declare this corner at least officially rid of clutter.

:22:09. > :22:16.That sign is an eyesore. Can you bring the grinder over here? There

:22:16. > :22:26.is one left. Brilliant. We found this sign in

:22:26. > :22:29.

:22:29. > :22:34.Essex. The Secret Bunker! It is brilliant.

:22:34. > :22:44.Your book is set in Cornwall. It is called Holiday Home. It is your

:22:44. > :22:49.third. A extraordinary.Was it harder? The first, I was excited.

:22:49. > :22:54.The second one I was encouraged by the success of the third -- of the

:22:54. > :22:59.first, and by the third, I thought I have to do this again! Amazingly,

:23:00. > :23:08.it has done all right. There are two sisters. How would you describe

:23:08. > :23:13.it? I am interested in family dynamics. Families are bonkers.

:23:13. > :23:18.Some families, you think they really are bonkers. And others you

:23:18. > :23:25.think, they must think we are mad. Two sisters have fought all of

:23:26. > :23:29.their lives. They have husbands and children. As children to their

:23:29. > :23:35.parents, they go down every year to their parents' home in Cornwall.

:23:35. > :23:41.The parents have to entertain them and they are difficult. It is that

:23:41. > :23:46.dynamic. An old boyfriend they knew when they were teenagers comes back.

:23:46. > :23:52.And the parents, who look as if they are normal, have the biggest

:23:52. > :23:57.surprise of all. Is it autobiographical? Everybody says

:23:57. > :24:07.that. I think the sisters army. One looks as if she is good, the other

:24:07. > :24:09.

:24:09. > :24:16.tough. And so it is that. You asked if it was your third because you do

:24:16. > :24:24.not think you can handle a four. am so competitive. I asked, is the

:24:24. > :24:34.short third?! I am also been you, so it is all right. You do not look

:24:34. > :24:34.

:24:34. > :24:42.it. I have written three novels. Life, Death And Vanilla Slices.

:24:42. > :24:52.That is the latest. This is about my book! Hold on. The East is not a

:24:52. > :24:56.comedy. It is dark and horrible.-- this is not. The first time you

:24:56. > :25:06.write a book, it is a bit like climbing a mountain. You are

:25:06. > :25:07.

:25:07. > :25:17.excited. By the third, you know how hard it is. His it is really hard.

:25:17. > :25:18.

:25:18. > :25:27.I am writing the 4th one now. you sorted out the plot? It is

:25:27. > :25:36.about a blonde comedian who wears glasses...! Know, it is not.

:25:36. > :25:42.your husband read it? Of course not. His favourite book is the world

:25:42. > :25:52.history of salt. He has read that three times. And confessions of a

:25:52. > :25:52.

:25:52. > :26:02.bacon juror. There is no room For him to read my books. -- curer.

:26:02. > :26:04.

:26:04. > :26:10.you feel pressure to make your books sexy? I do not. I do not

:26:10. > :26:20.think it would sit well with me. There is sex, it is not graphic. It

:26:20. > :26:21.

:26:21. > :26:31.is not even polite. It is average marital... Nothing! It is doing you

:26:31. > :26:34.

:26:34. > :26:44.good. You are enjoying life. We have not seen you since Strictly.

:26:44. > :26:49.

:26:49. > :26:58.It is fantastic. Here is that?! do a lot a cycling. That is my new

:26:58. > :27:06.racing bike. I am just about to go on a journey from Estonia to Russia.

:27:06. > :27:15.That was a very cold day! I think the journey is almost 500

:27:15. > :27:23.kilometres. It is for a brilliant charity. The genesis Research Trust.

:27:23. > :27:33.From Estonia, to Russia? I am trying to get my Russian visa,

:27:33. > :27:34.

:27:34. > :27:40.which is hard. Maybe you will not get it and you will not have to go!

:27:40. > :27:44.We wish you all the best. Holiday Home is out now. Number four in the

:27:44. > :27:50.bestseller chart. Judy Garland was one of the undisputed Hollywood

:27:50. > :28:00.greats. She had her share of tragedy. This is Gyles Brandreth on

:28:00. > :28:05.how her final years in Britain proved a sad end.

:28:05. > :28:10.Life in Judy Garland, the child star, had changed dramatically by

:28:10. > :28:16.1968. Aged 46, she was in debt, underweight and desperate to

:28:16. > :28:20.relaunch her career. She decided to move to the place she felt people

:28:20. > :28:26.understood her best. Having spent her life in Hollywood, she accepted

:28:26. > :28:31.an invitation to come to London to perform at the Talk of the town at

:28:31. > :28:38.the London Hippodrome. She had a long association with London. Her

:28:38. > :28:46.international fan club was established here. How do you enjoy

:28:46. > :28:53.working in this country? I enjoy it very much. I like making films here.

:28:53. > :29:00.This is the King's Road, Chelsea, a part of town. She loved it in

:29:00. > :29:04.London, she loved the people, even the weather. But 30 years of

:29:04. > :29:14.performing had taken their toll. This woman worked with the producer

:29:14. > :29:23.

:29:23. > :29:29.Judy. Everybody who walked on the stage that night went wow. When it

:29:29. > :29:34.came to Judy's shows the wow factor was missing. There were tremendous

:29:34. > :29:39.amounts of evenings when she turned up very late, I mean one or two

:29:39. > :29:43.hours. They threw bread rolls. Absolutely. It was a really

:29:43. > :29:48.difficult few weeks and there were some nights when she didn't go on at

:29:48. > :29:53.all. There wasn't just drama in her public life. Some weeks earlier she

:29:53. > :29:56.had got together with US nightclub managing Mickey Deans at a Christmas

:29:57. > :30:02.party. By the end of that evening they had decided to get married. Now

:30:02. > :30:06.London would be the venue for her fifth wedding. She was married here

:30:06. > :30:12.at Chelsea Register Office and the reception took place along the way

:30:12. > :30:22.in pick lilly. Albert Finney, Betty Davies, they were all on the

:30:22. > :30:26.

:30:26. > :30:32.invitation lift, but none came. The journalist Clive had been invited to

:30:32. > :30:38.the wedding. What happened? whole of London and its wife were

:30:38. > :30:44.invited and none of them showed. The only celebrity who was there was

:30:44. > :30:49.Jonny Rae. This footage shows with a handful of guests and her health

:30:49. > :30:55.deteriorating, the wedding was a sad affair. When I arrived there were

:30:55. > :31:02.all the waiters standing with the cloths over their arms and bottles

:31:02. > :31:07.of undrunk champagne. Hardly any guests. My one abiding memory is at

:31:07. > :31:16.one point she went to the peen an know, just the two of them. There

:31:16. > :31:20.was no-one there and Jonny started playing Until The Clouds Rolled By

:31:21. > :31:25.and I thought, well, you've heard garland singing. It chokes me now

:31:25. > :31:31.when I think about it. Once the season was over, Judy was out of

:31:31. > :31:39.work. She had spent most of her life living in glamorous hotels, but now

:31:39. > :31:43.she and Mickey moved here to a small mews house in Chelsea. What sort of

:31:43. > :31:48.life was she leading in the flat? Very quiet life. People forget that

:31:48. > :31:51.this is a night owl, so she would be very much sleeping during the day.

:31:51. > :31:56.She had friends who would come around and they used to call it

:31:56. > :32:01.babysitting Judy. She wanted company. She wanted security.

:32:01. > :32:05.Something she had craved for such a long time. On the night of 21st

:32:05. > :32:09.June, just three months after they'd married, neighbours reported an

:32:09. > :32:12.argument between the pair. She was seen shouting in street, before

:32:12. > :32:20.locking herself in the bathroom. The following morning she was found

:32:20. > :32:27.dead. Like her final marriage, he death was record recorded at Chelsea

:32:27. > :32:33.Registry Office. Her body had succumbed to prescription drugs

:32:33. > :32:38.abuse. Her funeral was paid for by Frank Sinatra, who said Judy will

:32:38. > :32:43.have a mystic survival in New York. She was the greatest, he said. It's

:32:44. > :32:50.such a sad story. How fascinating to get all that interview and the place

:32:50. > :32:54.where she lived. So sad. You know the actress, Tracey Bennett she had

:32:54. > :33:00.a one-woman show called Under the Rainbow, but if she brings it out

:33:00. > :33:06.again, everyone has to see it. Extraordinary. She is totally Judy.

:33:06. > :33:13.You trained as an actress, Jenny? Yes. How did you go from that to

:33:13. > :33:18.being a punk poet? I wasn't a very good actress. I'm of limited

:33:18. > :33:23.talents. I've made the most of what I've got. I've pushed it. I was at

:33:23. > :33:29.drama school. Did you go to drama school? But to learn how to be a

:33:29. > :33:33.stage manager. I can run the theatre no problem. Or this studio. I cannot

:33:33. > :33:37.run the studio. To be fair, you do fancy having a little dabble with

:33:37. > :33:45.the acting world? You know, I've got to an age I'm fearless and what to

:33:45. > :33:50.do everything. I don't want cycle. You don't. We could do a show?Shall

:33:50. > :33:57.we, Private Lives? That means dancing. It means once of us is a --

:33:57. > :34:04.one of us is a man. Jenny, you are on tour with Eclairious. Hilarious

:34:04. > :34:10.title! It didn't take me long. There I am, I'm so airbrushed. That's an

:34:10. > :34:13.extraordinary picture. I did a gig in my home town of Lytham St Anne's

:34:14. > :34:19.and my mother phoned me and said, "I'm concerned about this gig. I

:34:19. > :34:23.don't think you'll get anybody there." Good support there. "There

:34:23. > :34:29.are no posters of you in town." I got up there and all those Posters

:34:29. > :34:34.all over town, she just didn't recognise me! I don't look anything

:34:34. > :34:40.like that. Is it the surname she struggles with? It was a name that

:34:40. > :34:44.was made up? I made it up when I was 17. It's a well-documented story

:34:44. > :34:48.that I'm not sure if it's true any more. You know you tell it over and

:34:48. > :34:54.over again and you think half way through it's an absolute lie. What

:34:54. > :35:01.are you talking about? The fabled account is that I was pretending to

:35:01. > :35:06.be French in a Blackpool nightclub and I said I was Jenny Eclair and

:35:06. > :35:10.they said eclair like in the cake and I said yes. Mysterious. I didn't

:35:10. > :35:16.French at school. I did German. There you go. It sounds exotic,

:35:16. > :35:22.though. You were the first woman to win the Perrier Award in last

:35:22. > :35:27.century. There were very few women doing it. It was much easier.

:35:27. > :35:33.put yourself down. How has the act changed from then to Eclairious?

:35:33. > :35:38.Well, I sit down more now. It's warmer. I don't think I'm so

:35:38. > :35:43.desperate. There was a time early on in my career where I used to come on

:35:43. > :35:47.screaming basically. I had to play some rough gigs. Everyone who was

:35:47. > :35:51.around at the same time will say the same. The reason why comedy is so

:35:51. > :35:55.much better now is that there are different platforms for people to

:35:55. > :35:58.experiment with, so it doesn't have to be such a narrow band of stuff.

:35:58. > :36:02.You can have all kinds of different kinds and that's so much healthier,

:36:02. > :36:09.so I was performing in front of people that were horrible really.

:36:09. > :36:15.They were the kind of people you wouldn't want to get into a lift

:36:15. > :36:20.with. You were considered edgy.I was. And she swears, it's a woman

:36:20. > :36:26.who swears. I know. You've got three top grumps of the week this week.

:36:26. > :36:34.Give us one. We have made up a little list. This is the first one.

:36:34. > :36:37.If I didn't - oh, stop now. I can't be doing with people who aren't

:36:37. > :36:41.supportive of equal marriage. I'm not married myself. I'm not

:36:41. > :36:44.interested in it all, but I cannot bear the idea of these dreadful

:36:44. > :36:51.people saying that gay people can't get married. I can't stand it. It's

:36:51. > :36:57.not going to effect your life in my way whatsoever. Shut up. Yes. We

:36:57. > :37:03.don't live in that society. Cameron is wet. No, this is not right. I

:37:03. > :37:10.agree. If you're not going along with it. I wonder what Fern's

:37:10. > :37:17.husband will think of your last one. I think it's hilarious how mad for

:37:17. > :37:21.bread we've got. It's Eclairious.It makes me mad how much money we are

:37:21. > :37:25.now being persuaded to sprened on a loaf. The more middle class you are

:37:25. > :37:28.the more peasant your bread. People are getting off on the fact there

:37:28. > :37:38.are bits of stone and grit and hoR hoof in it and all this. And it's

:37:38. > :37:42.from the land. Sour dough has been cooking for thousands of years.

:37:42. > :37:47.you dropped it on your foot you would be ringing up 111. Everyone

:37:47. > :37:56.wanted the softer and whiter bread and that was refined and it was the

:37:56. > :38:00.best. Yes. What about your partner, because he collects model

:38:00. > :38:06.battleships? I don't mind that. He's allowed. He doesn't have much

:38:06. > :38:13.pleasure in life. We have got him a little present. It's HMS Belfast.

:38:13. > :38:20.would absolutely love that. It's as dull as anything to me. He will be

:38:20. > :38:24.excited about it. Feast your eyes on that. He can spend eyes on it. You

:38:24. > :38:29.can see Jenny around the country in the next few weeks. Next stop, we

:38:29. > :38:33.believe, is the Isle of Wight and then Inverness. That's on Sunday.

:38:34. > :38:40.That needs bums on seats. Back to health. With so many issues

:38:40. > :38:45.affecting the NHS at the moment, how do you get any real answers? We went

:38:45. > :38:53.to the man in charge and Justin has given NHS England's top dog a

:38:53. > :38:59.grilling on your behalf. Sir Bruce Keogh has the grand title of Direct

:38:59. > :39:02.Director of NHS England. He manages a budget of around �95 billion. He's

:39:02. > :39:07.responsible for patient safety and he sets the ambition for clinical

:39:07. > :39:11.staff within the service. We thought he was the ideal person to quiz

:39:11. > :39:16.about the future of the NHS, but I'm not going to be asking the

:39:16. > :39:21.questions, you are. People who work across the NHS and patients and

:39:21. > :39:26.their relatives have told us what to ask him. Bruce, a lot of people who

:39:26. > :39:30.work in the NHS and people who are patients are anxious about the

:39:30. > :39:34.changes the NHS is undergoing. have got a question from a nurse

:39:34. > :39:38.Elaine Khan. I'm a nurse, looking after older people in hospital.

:39:38. > :39:43.There aren't enough staff on elderly care wards compared to others. Why

:39:43. > :39:49.not? One of the things that we are trying to do to make sure that that

:39:49. > :39:52.doesn't happen is we are asking each and every hospital to check twice a

:39:52. > :39:57.year that there are the appropriate number of people on each of the

:39:57. > :40:03.wards in that organisation. Bruce, would you be happy to put an elderly

:40:03. > :40:07.relative in an NHS hospital? Yes, I would. In fact, I have. I have an

:40:07. > :40:10.elderly relative, who has been in an NHS hospital with serious dementia

:40:10. > :40:13.and I have to say I was really impressed with the ways he's been

:40:13. > :40:17.looked after and I would also say that nobody knew that he was a

:40:17. > :40:22.relative of mine. I was going to ask you. Have you got health insurance?

:40:22. > :40:29.No, I haven't. Would you use it?I think it would be quite wrong for me

:40:29. > :40:39.as medical director to have medical insurance. Great question. I would

:40:39. > :40:44.like to ask you a question raised by a breast cancer patient. She is

:40:44. > :40:48.called Andrula. I've had breast cancer and I can't believe that

:40:48. > :40:53.England's survival rates are less than the rest of Europe. How will it

:40:53. > :40:56.change? We have extending the age range of the screening programme,

:40:56. > :41:02.which will encompass over 400,000 more women and we are going to focus

:41:02. > :41:07.on women who we believe are of a particularly high risk. Listen to

:41:07. > :41:11.this, because this is from Philip Charlesworth and his hospital went

:41:11. > :41:15.into hospital with breathing difficulties, but was placed on the

:41:15. > :41:20.Liverpool care pathway, which has been interrupted as an effort to

:41:20. > :41:24.deny care to terminally ill patients to ensure they die quickly.

:41:24. > :41:28.father was on the pathway. I would like to know whether you think they

:41:28. > :41:35.should be suspended while the review is taking place and if not, why not?

:41:35. > :41:41.Would I would say to Philip is no. There have been a lot of unfair

:41:41. > :41:46.accusations about the Liverpool care pathway that somehow or other

:41:46. > :41:51.treatment is necessarily withheld or people aren't fed or watered

:41:51. > :41:57.properly. This is simply not true. What the clinicians are trying to do

:41:57. > :42:05.is to make people's last few days as comfortable as possible. My reading

:42:06. > :42:12.of the Liverpool care pathway is that the doctors have the

:42:12. > :42:18.discretion, along with the family to treat patients as both would seem

:42:18. > :42:23.appropriate and compassionate and honest. Bruce, another issue that

:42:23. > :42:28.has been brought to our attention is the amount of time that ambulances

:42:28. > :42:32.are outside A&E departments. That concerned Andy Proctor. I can wait

:42:32. > :42:40.at hospital for three hours queuing. What are you going to do to fix

:42:40. > :42:44.this? Three to four-hour wait. It isn't acceptable, is it? Surely if

:42:44. > :42:48.demand is going up you need to invest in departments in hospitals?

:42:48. > :42:52.That's a matter for the boards of the hospitals to determine. It's not

:42:52. > :42:56.always quite as simple as just putting more people on the front

:42:56. > :42:59.door. All our surveys show that about 25% of patients in our

:42:59. > :43:03.hospitals today don't need to be there. And that with better care at

:43:03. > :43:07.home we can get the patients out of hospital much quicker. I want to ask

:43:07. > :43:12.you a little more about the strain that A&E departments are under at

:43:12. > :43:15.the moment. Here's a question from a junior doctor. I struggle to see how

:43:15. > :43:21.cuts and savings can possibly balance with the increasing

:43:21. > :43:26.expectation that the public have of the NHS and A&E. There's often an

:43:26. > :43:34.assumption that better care must cost more. Yet, much of the evidence

:43:34. > :43:37.shows that the opposite is true, that better care costs less. You do

:43:37. > :43:47.a good operation on someone. There are fewer complications. They spend

:43:47. > :43:56.

:43:56. > :44:00.less time on the intensive care unit Does better care costs less? It can

:44:00. > :44:07.do, but you have to spend more money to make sure you get that

:44:07. > :44:10.level of care. If you deal with one problem, they get to be older and

:44:10. > :44:17.develop new problems. That is part of the problem we have at the

:44:17. > :44:24.moment. You cannot keep people well for ever. We have many messages on

:44:24. > :44:30.the subject. We have not had solutions to the crisis. Natalie

:44:30. > :44:34.wrote to say there was this gesture and we charge people who are drunk

:44:34. > :44:41.and disorderly. What do you do with smokers, people who have injuries

:44:41. > :44:46.skiing. Another says there is a minor ailment scheme in Scotland.

:44:46. > :44:50.People can go to the chemist. There are similar schemes in the UK. A

:44:51. > :45:00.midwife says the IT system should be changed so she can spend more

:45:01. > :45:01.

:45:01. > :45:05.time with her patients. One person lived in the Middle East where the

:45:05. > :45:11.surgery would open till 10pm. That worked brilliantly. More people

:45:11. > :45:16.getting in the evening. We will leave it there but we will have

:45:16. > :45:21.time hopefully for some more later. We will be sending suggestions

:45:21. > :45:28.directly to Sir Bruce Keogh. A lot of people are nodding, the

:45:28. > :45:31.NHS workers. What do you think of the idea, civil servants in the

:45:31. > :45:37.Department of Health, they should work within the NHS for one month

:45:37. > :45:40.every year? They need to spend time on the ground. They need to see

:45:40. > :45:45.challenges faced by staff to deliver care under difficult

:45:45. > :45:50.circumstances. They need to see challenges faced by patients and

:45:50. > :46:00.they should make policies based on what is actually going on at the

:46:00. > :46:01.

:46:01. > :46:05.grassroots level. Basically see it? Be a make decisions at remote sites.

:46:05. > :46:09.We will be meeting Mary McCartney, who has followed in her mother's

:46:09. > :46:13.footsteps by becoming a photographer of. Before that, the

:46:13. > :46:16.story of another master of the camera who captured some of the

:46:16. > :46:21.most poignant images in wartime Britain.

:46:21. > :46:25.I am in Kent to find out about John Topham. A London policeman in the

:46:25. > :46:30.Thirties who broke the rules while on the beat, taking pictures of

:46:30. > :46:36.ordinary people doing ordinary things. When social issues were

:46:36. > :46:42.being ignored, John Topham with a concealed camera, secretly captured

:46:42. > :46:49.everyday life in the East End. There he photographed Mary Smith,

:46:49. > :46:54.his first published picture. She woke Limehouse doctors -- dockers

:46:54. > :46:58.by shooting peas at their windows. He sold the picture for �5 to the

:46:58. > :47:03.Daily Mirror and that encouraged him to leave the force and set up

:47:03. > :47:08.as a freelance. His daughter remembers a remarkable man. He was

:47:08. > :47:14.a large man who had a soft side. It came out in the fact that some of

:47:14. > :47:21.the pictures he took up showed his understanding of human life. He did

:47:21. > :47:31.not like to take ordinary pictures. Just posed. He liked people to do

:47:31. > :47:31.

:47:31. > :47:36.something. He brought to notice what life was about. His camera

:47:36. > :47:40.occasionally exposed life at the other end of the social scale. He

:47:40. > :47:45.alone persuaded Winston Churchill to pose for this picture, showing

:47:45. > :47:49.him the bandaged hand after a cigar accident. Winston Churchill did not

:47:49. > :47:55.allow publication until after his death, because he thought it was

:47:55. > :48:04.not a fitting image for a wartime Prime Minister. Alan Smith is

:48:04. > :48:10.curating an exhibition of his pictures. The scrapbooks are

:48:10. > :48:15.incredible. How would you describe his work? Most photographers want

:48:15. > :48:22.the big shot, the big car crash, the big vitality. John was happy to

:48:22. > :48:27.do things he saw around him. -- vitality. That picture records the

:48:27. > :48:37.misery of a grandmother and six children in a hop pickers heart.

:48:37. > :48:38.

:48:38. > :48:41.John recorded it as it was. -- hut. Questions were asked in Parliament,

:48:41. > :48:47.was this why we fought the Second World War, for children to be

:48:47. > :48:52.brought up like this? Without doubt, the most memorable image is the

:48:52. > :48:56.picture of the children in the trench. These children were

:48:56. > :49:00.pictured sheltering after the Battle of Britain raged in the

:49:00. > :49:06.skies of Kent. They took the picture and produced a leaflet that

:49:06. > :49:12.was distributed in America and helps to bring the Americans in on

:49:12. > :49:17.this side of the Allies. East End a Terry was one of the children. We

:49:17. > :49:22.tracked him down and brought him back to the hop fields of Kent.

:49:22. > :49:27.came down here and it was like a holiday. I lived in the east end.

:49:27. > :49:33.If you live in the East End, and you see houses. But you come here,

:49:33. > :49:39.and there were green fields, trees. It was wonderful. Do you remember

:49:39. > :49:46.the picture being taken? It stands out in my mind. There was a sound.

:49:46. > :49:50.I heard aeroplanes before. But it was a droning sound. My sister took

:49:50. > :49:57.my hand and led me off. I asked where we were going and she said to

:49:57. > :50:02.the trench. Somebody said look up there. I had not realised it would

:50:02. > :50:11.be so well known. I have a granddaughter. My youngest. She

:50:11. > :50:15.said they went to the War Museum. And she said I turned round to the

:50:15. > :50:22.person I was with and said, that is my grandad. She said I don't think

:50:22. > :50:27.he believed be. It was certainly his finest hour. His appetite for

:50:27. > :50:35.the real never waned. After a spell in the RAF, his work took him to

:50:35. > :50:39.Kent where he worked until his death, leaving thousands of images.

:50:39. > :50:45.The fact we are talking about him 20 years after his death would

:50:45. > :50:55.please him enormously. That was an amazing picture of the

:50:55. > :50:58.

:50:58. > :51:05.children. Mary McCartney is here. Your exhibition is at the Lowry in

:51:06. > :51:13.Salford. It is called Developing. It is a combination of my work.

:51:13. > :51:23.There is a room of radical women, celebrity, and well-known female

:51:23. > :51:30.

:51:30. > :51:37.subjects. It is radical. It is in Manchester. I will send you one. I

:51:37. > :51:41.love Instagram. There is that. And there is a theatre in a Lowry. And

:51:41. > :51:51.because of my backstage performance pictures with the Royal Ballet,

:51:51. > :51:52.

:51:52. > :52:00.there is that. And developing, my career, my interest. This is

:52:00. > :52:05.fantastic. Did Helen Mirren choose the pose? That is one of my

:52:05. > :52:15.favourites. I was thrown in at the deep end. It was my first

:52:15. > :52:17.

:52:17. > :52:24.professional photography sued. -- shoot. It was for a charity. You do

:52:24. > :52:29.not see her looking like that of done. That is her necklace and that

:52:29. > :52:36.is her blouse. I like the way the fingers are touching the pulse. And

:52:36. > :52:46.the tattoo, which I wish I had asked about. I did not know she had

:52:46. > :52:46.

:52:46. > :52:50.a tattoo. She looks beautiful. long ago was that? 20 years ago.

:52:50. > :52:56.It is hard to say how much you have learned in that time. How do you

:52:56. > :53:00.manage to get the character a cross? What I have learned his

:53:00. > :53:04.different techniques for different people and to assess the situation.

:53:05. > :53:09.Meet someone, see how comfortable they are. Some people want to be

:53:09. > :53:15.directed and some people will perform for me. I have a bag of

:53:15. > :53:24.tricks. You have Gwyneth Paltrow, dressed as Madonna. Was that your

:53:24. > :53:28.idea? This is part of why I like being a photographer. The adventure

:53:28. > :53:33.of the situation. I got a phone call saying can you come to the

:53:33. > :53:38.hotel room. Madonna was being inducted into the Hall of fame.

:53:38. > :53:47.Gwyneth Paltrow was doing a video message to say congratulations

:53:47. > :53:53.dressed as her. I went down there. They were already set up. Your

:53:53. > :54:01.sister is in there. Stella is there, she was heavily pregnant. She was

:54:01. > :54:10.hiding. That was one evening on holiday. She is wearing bowling

:54:10. > :54:17.socks. You can buy them in the vending machine. We thought it

:54:17. > :54:25.would be fun to do a mock shoot like a paparazzi. The Stella into

:54:25. > :54:29.photography? -- is she into photography? We are. Because my

:54:29. > :54:34.mother was a photographer we grew up taking pictures. We had

:54:34. > :54:39.photography books in my house. your father? They met through

:54:39. > :54:44.photography. She was here on assignment. It is a big part of

:54:44. > :54:50.family life and I am influenced by her. She had a candid, relaxed

:54:50. > :55:00.approach. Has being the daughter of well-known people been a help or a

:55:00. > :55:01.

:55:01. > :55:05.hindrance? It has been both. Recently, help I realised is not

:55:05. > :55:09.being Mary McCartney, it is certain people I meet will instantly relax

:55:09. > :55:15.with me for a photograph because they feel they can trust be more.

:55:15. > :55:21.They do not think I am going to take a picture that will exploit. I

:55:21. > :55:29.thought of that recently as being a benefit. We looked at them. They

:55:29. > :55:34.are incredible. Ballet dancers are fascinating. I love them. They were

:55:34. > :55:41.so open. They are still friends. It was getting the trust from them. It

:55:41. > :55:46.was a dream project. Thanks for your time. The exhibition is at the

:55:46. > :55:52.Lowry in Salford. Anita Rani is at Hartlands Hospital

:55:52. > :55:56.in Birmingham. Other patients we saw, have they been seen, is it

:55:56. > :56:04.less busy? One of them is being seen now. I

:56:04. > :56:09.have moved into the minor injuries department. How is she doing?

:56:09. > :56:19.think she will be fine. She has a minor head injury and a few

:56:19. > :56:20.

:56:20. > :56:27.symptoms of concussion. Good news. You are wearing your slippers. Why?

:56:27. > :56:33.Head injury, I am confused! It is good news. She has concussion. Did

:56:33. > :56:37.she need to be here today? Is she had an appointment with her GP,

:56:37. > :56:41.most GPs would have examined her and said she was fine. Very few

:56:41. > :56:48.people with head injuries have to come to hospital with those

:56:48. > :56:55.symptoms. They might have saved her a trip. Good news. Since we have

:56:55. > :57:00.been a, we have seen almost 30 people register. -- since we have

:57:00. > :57:07.been here. It is very busy. We are with sister Sarah. You are changing

:57:07. > :57:12.shifts. How long was yours? 12 and a half hours. You are working

:57:12. > :57:19.through the night. Does it get busy? The it is different during

:57:19. > :57:23.the night. People are rushing. They feel anxious because it is night

:57:23. > :57:30.time and they do not know what to do. The cover is slightly different

:57:30. > :57:40.overnight. We have fewer doctors around. You had 109 patients on

:57:40. > :57:45.Monday. It is getting busier. What would make your life easier? More

:57:45. > :57:50.to see patients and exit routes, more beds and more people attending

:57:50. > :57:56.GPs' surgeries. The same thing. We seem to be able to manage the

:57:56. > :58:03.patients, but it is moving them on to a place where they need care.

:58:03. > :58:09.Enjoy your evening. Good luck for your shift. That is it from us.

:58:09. > :58:15.Dr Mark Porter is back with suggestions. One said keep calm and

:58:15. > :58:20.privatise the lot. Jo-Ann said we have to buy food at home, why not

:58:20. > :58:24.charge for it in hospital? Another said about appointments in the

:58:24. > :58:27.evening. Why is no one talking about the increase in population?

:58:27. > :58:34.Because it does not explain the number of people we are seeing.

:58:34. > :58:40.Another asks why 10 doctors cannot work at a motor in a practice, so

:58:40. > :58:46.they work evenings and weekends. have this picture. She would like

:58:46. > :58:49.to thank everybody after her spinal operation. We will print out the