22/05/2013 The One Show


22/05/2013

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have spent a day inside a 11 call centre and we'll take your questions

:00:13.:00:19.

direct to the very top. Also Anita is live from an A&E department to

:00:19.:00:29.
:00:29.:00:38.

see how they're coping with Matt Baker. And Alex Jones. See if

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you can guess who one of tonight's guest is from the way she describes

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herself. She says she is a stand-up, available for nice, easy Joyceovers

:00:49.:00:55.

and sit-down radio and telly work, author, actress and big-head.

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

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always like that. Thank you very much. Gorgeous you look. I love the

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boots. They're very old and I managed to stick the glitter back

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

:01:17.:01:21.

fine. You'll sit down for a whole hour. What a treat. What a lovely

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job you two have. We are very lucky. We don't move. We sit all the time.

:01:26.:01:30.

You do also class yourself as a grumpy old woman. Proud to be

:01:30.:01:36.

grumpy. Have you been today?I'm fine today, because I've taken my

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HRT, so I'm passive today. I'm fine. I recommend it to any old bag over

:01:41.:01:50.

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

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it's given me a bigger bust and you need an army of middle-aged women

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chuckling down the street with big boobs jiggling around. What fun.

:01:58.:02:04.

have remarkable energy this evening. I've had an afternoon nap. You are

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in good company, because our other guest is certainly jolly. She

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describes herself as writer, presenter, wife, mum, cat owner and

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internationally acclaimed exotic dancer. Intriguing and slightly

:02:17.:02:21.

misleading. Does she work with a snake? We don't know, because she

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hasn't turned up. We need to add late to that. She's in traffic.It's

:02:26.:02:30.

the lovely Fern Britain and we'll -- Fern Britton and we'll meet the

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world famous photographer who started life as that. Look at this

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little Beatle baby. It's Mary McCartney. Look at her. She is she

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is in the green room. Also, we are giving the National Health Service a

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health check. Anita is live at one of the biggest units in the UK.

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have an audience of NHS workers from nurses to pharmacists and midwives

:02:55.:02:59.

and I think everyone in between. Lovely to have you all with us.

:02:59.:03:04.

Yeah. We'll be posing your questions to one of the top men at the NHS.

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First, we are kicking off with the controversial new national health

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phone line, 111, which has hardly been out of the headlines since it

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was launched. We know it's worrying quite a few of you. Jenny Kleeman

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has been behind the scenes to meet the people manning the phones. I

:03:25.:03:29.

want to ask you a series of questions. We can organise a

:03:29.:03:34.

district nurse. This is what modern non-emergency healthcare looks like.

:03:34.:03:42.

I'm at this call centre in Dorset. There is a man on the phone. He's

:03:42.:03:51.

84. Apparently they rang 999 this morning. What has happened?

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patient wants to know where the call-back is from a district nurse.

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They are waiting for a nurse to call. They're waiting to see when

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the nurse will be around to them. I'm trying to find out. Here, staff

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are on the front line, handling the calls of local people dialling 111.

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Heard of it? It launched in England to a blaze of negative publicity

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this year when a number of services couldn't cope with the volume of

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calls. This centre was one of them. I've been an emergency care nurse

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for 25 years, so I try not to panic, but clearly I was very concerned

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that we weren't providing the sort of service that I would like for

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myself, or indeed my relatives. was intended to replace the

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out-of-hours GP service and NHS Direct by using one number that

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could transfer you to the service you need 24/7. When we first went

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live it was a huge challenge for the staff, because on some weekends we

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saw 70% increase on predicted activity. We realised we needed to

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move into recruitment fast. At its worst, callers were waiting up to 20

:05:07.:05:10.

minutes, when in fact they should be answered within 60 seconds. At this

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call centre, run by the Ambulance Service, there's one paramedic and

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one nurse assisting every six call advisers, who have all had at least

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ten weeks' training. How many calls do you take a day? 30 to 40.How

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long do you think you spent on each? It varies. Some calls can be three

:05:29.:05:33.

minutes, four minutes. Some may be 20 minutes. It all depends on the

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call. What sort of people call you? We might get a 14-year-old calling

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because they've got severe period pains. We might get an 85-year-old

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lady who has called because she has dropped her walking stick and he

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needs someone to pop around to get up on a chair. We do take our time

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with those patients, because although they might be loeBle, there

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may be other -- lonely, there may be other reasons. It's better than

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ringing 999 when they are clogging up a line that can be used for

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life-saving purposes. Yes.Talking to the call handlers here, I'm

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really surprised to learn about what they used to do before they came

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here. One of them used to be a Butition, one of them ran a pub and

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-- Butition and one of them ran a pub. It seems that people skills are

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more important than medical experience. The 111 service is split

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into 44 areas. It is run by a combination of public and private

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providers. Some have face faced criticism for not employing enough

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doctors and nurses. A call is through, a patient needs care in the

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:06:50.:06:50.

home. Paramedic Dave is dispatched in a car, not an ambulance van, as

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

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now, might perhaps be missing those days when they have the same person

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looking after them. I think now people do expect the fact that they

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understand that their own GPs do need time away and actually that the

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same level of service that is provided is suitable. I would like

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to take your blood pressure and temperature. They had dialled 999,

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but were advised to ring 111 instead. I have thought 111 you hear

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things that they take a long time and I was trying to hold him up and

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I needed someone to come quickly. You were surprised? No, because they

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had a bit of trouble. It was really slow and it wasn't working. But it

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was working. For me, it was. Back at the centre, they've clocked up more

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than 1,000 calls. Over 100 of which were deemed an emergency and the

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rest handled by staff here. I've spent five hours seeing these people

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work. The calls range from everything from toothache to

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concussion, but while the service seems to have 111 under control,

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seven sites are yet to go live and 11 others are put on hold until

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managers are certain they can cope. The aim was to have consistent

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non-emergency call-out service, but we are definitely not there yet.

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Fern Britton has now arrived. sorry. She ran in. You've got tea.

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Just in time, because you've called 111 before. I did. It started in

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April. I had to phone 111 for family and it took forever for the phone to

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answer. Then when I got through, they were very sweet and helpful,

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but having gone through the exipT, she said, "I think you better go to

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A&E." We went and then we got there and they went, "You could have gone

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to the one nearest to you." Then in A&E they are in crisis. We are going

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to discuss this this evening. Jenny, are you surprised that they only

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have ten weeks' training? I could do it. I know everything about medical

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stuff, because I'm a terrible internet hyperconnediac. You've done

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a lot of research? So much. I'm quite hearty, apart from I have

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mental wobbles. Are you rarely without pain? I'm a bit of a

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physician. I've had bad backs and hips, but I've sorted that. I'm a

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big one for trying things. It's pilates. If anyone says to me

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they've got a back, I ask them if they've done it and if they say no,

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I say, "I don't want to hear about it." They need three months of it.

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You are right. You've got a point. You can put that to Dr Mark Porter.

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I'll not waste his time going on. There is extra pressure on A&E

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units, who are struggling with the huge rise in admissions. Senior

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doctors confirmed this, saying they are experiencing toxic overcrowding

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and that staff are suffering from what they call institutional

:10:10.:10:16.

exhaustion. Anita is at Birmingham's Hartlands Hospital. How busy is

:10:16.:10:22.

casualty this evening? I have to say, when we got here earlier it was

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abnormally quiet, but within the last hour more people are starting

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to come in. How long have you been here? About 45 minutes.Why are you

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here? I had a bump on my head at the weekend. How did you do it?Drunken

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dancing went wrong The symptoms have carried on so I was advised to come

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back. How advised you?They told me to come back, buzz I have phoned NHS

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Direct and seen a doctor and they advised to come here. Did you think

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this morning that you should phone your GP and see your local doctor

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first? That's what I've done. I phoned them and they told me to see

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a doctor. I've seen the doctor and the doctor told me to come here.

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This is it, this is your only option. Best of luck. Thank you.

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

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and I banged my arm and my son decided I needed it checked. It's

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probably the right place to be. This ae and E here in Birmingham sees

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about 120,000 admissions a year and -- this A&E here in Birmingham sees

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about 120 admissions a year. Sarah is here now. How much people have

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you seen? Many.How busy can it get We have had 109 on Monday. What

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sorts of things do you see? Everything really from road traffic

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accidents. We see heart attacks and strokes. Absolutely everything.

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Across the country and England there is a rise in admissions in A&E by

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250,000. Adrian is a clinical lead here. How is that reflected here in

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Birmingham? We see around 350 patients and to put that in context,

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over the last ten years the numbers of patients coming here have

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increased by 40,000 a year. That seems like a lot. How are you coping

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with that? It's difficult. We find ourselves under greater pressure

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over the winter period and the last winter it's been the most difficult

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we have faced over last ten years. We know that you have very

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hard-working staff. Are you overworked? I worry about the stress

:12:30.:12:34.

for the staff. They are used to pressure, but the kind they've been

:12:34.:12:44.
:12:44.:12:45.

facing and the workload over the last six months has been

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unprecedented. Why is this happening? There's a combination. We

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have an older and ageing population and we have more chronic illness in

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the community. I think there is also a degree of confusion with regard

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how to access emergency healthcare. The difficulty we have is from the

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pressure point of view, it's decreasing the number of doctors and

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nurses who want to work and that causes further problems. How many

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patients are waiting here tonight will be seen within four hours?

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We'll see all and prioritise them. We are concerned with safety first.

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We'll hopefully see everybody within fours hours, but safety will come

:13:11.:13:15.

first. Thank you. We are here throughout the show, so do catch up

:13:15.:13:25.
:13:25.:13:38.

with me later on. As he was saying When people are older, they become

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more dependent. When they fall over, they call for help and end up in

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casualty often. There is an expectation also. About one-third

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of people going to accident departments are going for problems

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that can be sorted elsewhere. Sometimes it is something as simple

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as athlete's foot, which they could manage themselves. People are

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confused about the change in hours. They do not know who to telephone.

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It is not the GPs, who do I call? I know, I will go down to the local

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A&E unit and they will look after me. Would it make sense to have GPs

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opened at the weekend and in the evening? There is a recession.

:14:26.:14:31.

People are scared about losing jobs. They will not take time off. You

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have to plan being ill. In two weeks' time! We operate up to 8pm

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on a Monday and also to 630 in the evening. We try to have a walk-in

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centre. Many of the departments will have GPs who are there.

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You have been through the age of being the family doctor when you

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work every hour. It was a lovely system we had more

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than ten years ago, but you did your normal working week and an

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extra 40 hours on top of the working week, often working through

:15:07.:15:13.

the night, we have regulations for drivers, on a bad night, you might

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sleep for an hour and then you are working again and you... We have

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moved on from those days. We will have to make the system worked. It

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is not going back to 48 hour shifts without sleep. If you have fully

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trained doctors and flat the market, and you could run services almost

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24 hours. -- flood the market. Look at midwives. They are trained all

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the time, there is no money to employed them. It is down to money.

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If you got the trained doctors working... The Health Secretary is

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going to address these issues. What is he expected to say?

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It looks like he will be looking at the GP area. The rumour is he will

:16:06.:16:13.

appoint a Chief Inspector. I worry it will be more paperwork. We spend

:16:13.:16:16.

an not have time ticking boxes. We spend a lot of time looking at a

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computer rather than the patient. There are rumours he will go back

:16:20.:16:26.

to the old system, something close to the system where there is GP

:16:26.:16:30.

responsibility for after-hours. In some parts, it is run by private

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companies, where I am it is GPs. I am not sure how it will work. Why

:16:37.:16:47.
:16:47.:16:48.

worry about ending up within -- with a patchwork. If you had

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surgeries at weekends, for people who are employed and do not take

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time off, what if they pay �20? should be free at the point of

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service. It is ridiculous to take half the day after have a blood

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pressure test that the computer says you need so I can tick the box

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and when you are not well you cannot get in. That needs to be

:17:11.:17:19.

addressed. We cannot pick arm... There are different tentacles.

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We will be talking more about this. Soon, we will hear from Sir Bruce

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Keogh, the medical director, on how he sees the future of the NHS.

:17:30.:17:35.

We want to know if you have your own ideas on how health services

:17:35.:17:42.

can be improved. We are going to print out your

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ideas and take them directly to the office of Sir Bruce Keogh. If you

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live in Scotland, Wales, Northern Ireland, are there lessons from

:17:55.:18:00.

York Health Service the English system could take on board? -- from

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your service. We will see you later. As if you do

:18:06.:18:16.
:18:16.:18:17.

not have enough to do! That always happens. I have this problem...

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Fern Britton has written a novel set in Cornwall. She writes about

:18:22.:18:27.

sandy beaches and fishing boats. But there is a blot on the

:18:27.:18:37.
:18:37.:18:37.

landscape. There are too many of them. They

:18:37.:18:43.

are all over the place. They look ugly. People say they do not make

:18:43.:18:51.

sense. They are confusing. This area has been signed and he invaded

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by street signs. They are everywhere. The good news is that

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the people who live here in Cornwall have had enough. They are

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taking them down. I am joining those charged with removing the

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clutter. This is crazy. There is no entry. But you have an extra No

:19:15.:19:25.
:19:25.:19:29.

Entry sign in the bushes. It is absolutely ludicrous. When next?

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They could use this as a witty signed for somebody selling cream

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tea. That is another sign Don. The parish lies within an area of

:19:42.:19:47.

outstanding natural beauty, and has 3500 people. It has almost 900

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street signs. It has been called the place in Britain with most road

:19:51.:19:56.

signs. Councillors and residents lob beat the council to reduce the

:19:56.:20:03.

signs. We are in a conservation area and it has an impact. There

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are too many and drivers do not take any notice. By taking some a

:20:08.:20:14.

way, drivers might be more careful. It is about making villagers better

:20:14.:20:21.

for the people rather than cars. Peter is responsible for the

:20:21.:20:27.

maintenance of signs in Cornwall. We are at a crossroads and there

:20:27.:20:35.

are so many signs. They are often repeated. How did it get so bad?

:20:35.:20:40.

When you put new signs in, you do not step back and asked if you need

:20:40.:20:45.

it. What has been missing is we have a request for a signed and we

:20:45.:20:55.

do not think too much about the overall impact. Are you allowed to

:20:55.:21:05.

do that? We might get rid of that. They are there for a purpose.

:21:05.:21:13.

you done landscape gardening? That was a fantastic job. Mr Smith from

:21:13.:21:16.

the Campaign to Protect Rural England wants a reduction of signs

:21:16.:21:20.

across the UK. If there are communities who think their town

:21:21.:21:27.

has been overrun by a street signs, is there anything they can do?

:21:27.:21:31.

could do a survey and work out how many signs there are in which St

:21:31.:21:35.

and which Street is the worst. Perhaps signs do not make sense

:21:36.:21:41.

because something has changed. They can work with their council to

:21:41.:21:50.

prioritise taking the signs down. It has been hard work taking down

:21:50.:21:55.

the road signs. By the end of the week, almost 200 will have been

:21:55.:22:04.

removed. I can declare this corner at least officially rid of clutter.

:22:04.:22:09.

That sign is an eyesore. Can you bring the grinder over here? There

:22:09.:22:16.

is one left. Brilliant. We found this sign in

:22:16.:22:26.
:22:26.:22:29.

Essex. The Secret Bunker! It is brilliant.

:22:29.:22:34.

Your book is set in Cornwall. It is called Holiday Home. It is your

:22:34.:22:44.

third. A extraordinary.Was it harder? The first, I was excited.

:22:44.:22:49.

The second one I was encouraged by the success of the third -- of the

:22:49.:22:54.

first, and by the third, I thought I have to do this again! Amazingly,

:22:54.:22:59.

it has done all right. There are two sisters. How would you describe

:23:00.:23:08.

it? I am interested in family dynamics. Families are bonkers.

:23:08.:23:13.

Some families, you think they really are bonkers. And others you

:23:13.:23:18.

think, they must think we are mad. Two sisters have fought all of

:23:18.:23:25.

their lives. They have husbands and children. As children to their

:23:26.:23:29.

parents, they go down every year to their parents' home in Cornwall.

:23:29.:23:35.

The parents have to entertain them and they are difficult. It is that

:23:35.:23:41.

dynamic. An old boyfriend they knew when they were teenagers comes back.

:23:41.:23:46.

And the parents, who look as if they are normal, have the biggest

:23:46.:23:52.

surprise of all. Is it autobiographical? Everybody says

:23:52.:23:57.

that. I think the sisters army. One looks as if she is good, the other

:23:57.:24:07.
:24:07.:24:09.

tough. And so it is that. You asked if it was your third because you do

:24:09.:24:16.

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

:24:16.:24:24.

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

:24:24.:24:34.
:24:34.:24:34.

it. I have written three novels. Life, Death And Vanilla Slices.

:24:34.:24:42.

That is the latest. This is about my book! Hold on. The East is not a

:24:42.:24:52.

comedy. It is dark and horrible.-- this is not. The first time you

:24:52.:24:56.

write a book, it is a bit like climbing a mountain. You are

:24:56.:25:06.
:25:06.:25:07.

excited. By the third, you know how hard it is. His it is really hard.

:25:07.:25:17.
:25:17.:25:18.

I am writing the 4th one now. you sorted out the plot? It is

:25:18.:25:27.

about a blonde comedian who wears glasses...! Know, it is not.

:25:27.:25:36.

your husband read it? Of course not. His favourite book is the world

:25:36.:25:42.

history of salt. He has read that three times. And confessions of a

:25:42.:25:52.
:25:52.:25:52.

bacon juror. There is no room For him to read my books. -- curer.

:25:52.:26:02.
:26:02.:26:04.

you feel pressure to make your books sexy? I do not. I do not

:26:04.:26:10.

think it would sit well with me. There is sex, it is not graphic. It

:26:10.:26:20.
:26:20.:26:21.

is not even polite. It is average marital... Nothing! It is doing you

:26:21.:26:31.
:26:31.:26:34.

good. You are enjoying life. We have not seen you since Strictly.

:26:34.:26:44.
:26:44.:26:49.

It is fantastic. Here is that?! do a lot a cycling. That is my new

:26:49.:26:58.

racing bike. I am just about to go on a journey from Estonia to Russia.

:26:58.:27:06.

That was a very cold day! I think the journey is almost 500

:27:06.:27:15.

kilometres. It is for a brilliant charity. The genesis Research Trust.

:27:15.:27:23.

From Estonia, to Russia? I am trying to get my Russian visa,

:27:23.:27:33.
:27:33.:27:34.

which is hard. Maybe you will not get it and you will not have to go!

:27:34.:27:40.

We wish you all the best. Holiday Home is out now. Number four in the

:27:40.:27:44.

bestseller chart. Judy Garland was one of the undisputed Hollywood

:27:44.:27:50.

greats. She had her share of tragedy. This is Gyles Brandreth on

:27:50.:28:00.

how her final years in Britain proved a sad end.

:28:00.:28:05.

Life in Judy Garland, the child star, had changed dramatically by

:28:05.:28:10.

1968. Aged 46, she was in debt, underweight and desperate to

:28:10.:28:16.

relaunch her career. She decided to move to the place she felt people

:28:16.:28:20.

understood her best. Having spent her life in Hollywood, she accepted

:28:20.:28:26.

an invitation to come to London to perform at the Talk of the town at

:28:26.:28:31.

the London Hippodrome. She had a long association with London. Her

:28:31.:28:38.

international fan club was established here. How do you enjoy

:28:38.:28:46.

working in this country? I enjoy it very much. I like making films here.

:28:46.:28:53.

This is the King's Road, Chelsea, a part of town. She loved it in

:28:53.:29:00.

London, she loved the people, even the weather. But 30 years of

:29:00.:29:04.

performing had taken their toll. This woman worked with the producer

:29:04.:29:14.
:29:14.:29:23.

Judy. Everybody who walked on the stage that night went wow. When it

:29:23.:29:29.

came to Judy's shows the wow factor was missing. There were tremendous

:29:29.:29:34.

amounts of evenings when she turned up very late, I mean one or two

:29:34.:29:39.

hours. They threw bread rolls. Absolutely. It was a really

:29:39.:29:43.

difficult few weeks and there were some nights when she didn't go on at

:29:43.:29:48.

all. There wasn't just drama in her public life. Some weeks earlier she

:29:48.:29:53.

had got together with US nightclub managing Mickey Deans at a Christmas

:29:53.:29:56.

party. By the end of that evening they had decided to get married. Now

:29:57.:30:02.

London would be the venue for her fifth wedding. She was married here

:30:02.:30:06.

at Chelsea Register Office and the reception took place along the way

:30:06.:30:12.

in pick lilly. Albert Finney, Betty Davies, they were all on the

:30:12.:30:22.
:30:22.:30:26.

invitation lift, but none came. The journalist Clive had been invited to

:30:26.:30:32.

the wedding. What happened? whole of London and its wife were

:30:32.:30:38.

invited and none of them showed. The only celebrity who was there was

:30:38.:30:44.

Jonny Rae. This footage shows with a handful of guests and her health

:30:44.:30:49.

deteriorating, the wedding was a sad affair. When I arrived there were

:30:49.:30:55.

all the waiters standing with the cloths over their arms and bottles

:30:55.:31:02.

of undrunk champagne. Hardly any guests. My one abiding memory is at

:31:02.:31:07.

one point she went to the peen an know, just the two of them. There

:31:07.:31:16.

was no-one there and Jonny started playing Until The Clouds Rolled By

:31:16.:31:20.

and I thought, well, you've heard garland singing. It chokes me now

:31:21.:31:25.

when I think about it. Once the season was over, Judy was out of

:31:25.:31:31.

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

:31:31.:31:39.

she and Mickey moved here to a small mews house in Chelsea. What sort of

:31:39.:31:43.

life was she leading in the flat? Very quiet life. People forget that

:31:43.:31:48.

this is a night owl, so she would be very much sleeping during the day.

:31:48.:31:51.

She had friends who would come around and they used to call it

:31:51.:31:56.

babysitting Judy. She wanted company. She wanted security.

:31:56.:32:01.

Something she had craved for such a long time. On the night of 21st

:32:01.:32:05.

June, just three months after they'd married, neighbours reported an

:32:05.:32:09.

argument between the pair. She was seen shouting in street, before

:32:09.:32:12.

locking herself in the bathroom. The following morning she was found

:32:12.:32:20.

dead. Like her final marriage, he death was record recorded at Chelsea

:32:20.:32:27.

Registry Office. Her body had succumbed to prescription drugs

:32:27.:32:33.

abuse. Her funeral was paid for by Frank Sinatra, who said Judy will

:32:33.:32:38.

have a mystic survival in New York. She was the greatest, he said. It's

:32:38.:32:43.

such a sad story. How fascinating to get all that interview and the place

:32:44.:32:50.

where she lived. So sad. You know the actress, Tracey Bennett she had

:32:50.:32:54.

a one-woman show called Under the Rainbow, but if she brings it out

:32:54.:33:00.

again, everyone has to see it. Extraordinary. She is totally Judy.

:33:00.:33:06.

You trained as an actress, Jenny? Yes. How did you go from that to

:33:06.:33:13.

being a punk poet? I wasn't a very good actress. I'm of limited

:33:13.:33:18.

talents. I've made the most of what I've got. I've pushed it. I was at

:33:18.:33:23.

drama school. Did you go to drama school? But to learn how to be a

:33:23.:33:29.

stage manager. I can run the theatre no problem. Or this studio. I cannot

:33:29.:33:33.

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

:33:33.:33:37.

the acting world? You know, I've got to an age I'm fearless and what to

:33:37.:33:45.

do everything. I don't want cycle. You don't. We could do a show?Shall

:33:45.:33:50.

we, Private Lives? That means dancing. It means once of us is a --

:33:50.:33:57.

one of us is a man. Jenny, you are on tour with Eclairious. Hilarious

:33:57.:34:04.

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

:34:04.:34:10.

extraordinary picture. I did a gig in my home town of Lytham St Anne's

:34:10.:34:13.

and my mother phoned me and said, "I'm concerned about this gig. I

:34:14.:34:19.

don't think you'll get anybody there." Good support there. "There

:34:19.:34:23.

are no posters of you in town." I got up there and all those Posters

:34:23.:34:29.

all over town, she just didn't recognise me! I don't look anything

:34:29.:34:34.

like that. Is it the surname she struggles with? It was a name that

:34:34.:34:40.

was made up? I made it up when I was 17. It's a well-documented story

:34:40.:34:44.

that I'm not sure if it's true any more. You know you tell it over and

:34:44.:34:48.

over again and you think half way through it's an absolute lie. What

:34:48.:34:54.

are you talking about? The fabled account is that I was pretending to

:34:54.:35:01.

be French in a Blackpool nightclub and I said I was Jenny Eclair and

:35:01.:35:06.

they said eclair like in the cake and I said yes. Mysterious. I didn't

:35:06.:35:10.

French at school. I did German. There you go. It sounds exotic,

:35:10.:35:16.

though. You were the first woman to win the Perrier Award in last

:35:16.:35:22.

century. There were very few women doing it. It was much easier.

:35:22.:35:27.

put yourself down. How has the act changed from then to Eclairious?

:35:27.:35:33.

Well, I sit down more now. It's warmer. I don't think I'm so

:35:33.:35:38.

desperate. There was a time early on in my career where I used to come on

:35:38.:35:43.

screaming basically. I had to play some rough gigs. Everyone who was

:35:43.:35:47.

around at the same time will say the same. The reason why comedy is so

:35:47.:35:51.

much better now is that there are different platforms for people to

:35:51.:35:55.

experiment with, so it doesn't have to be such a narrow band of stuff.

:35:55.:35:58.

You can have all kinds of different kinds and that's so much healthier,

:35:58.:36:02.

so I was performing in front of people that were horrible really.

:36:02.:36:09.

They were the kind of people you wouldn't want to get into a lift

:36:09.:36:15.

with. You were considered edgy.I was. And she swears, it's a woman

:36:15.:36:20.

who swears. I know. You've got three top grumps of the week this week.

:36:20.:36:26.

Give us one. We have made up a little list. This is the first one.

:36:26.:36:34.

If I didn't - oh, stop now. I can't be doing with people who aren't

:36:34.:36:37.

supportive of equal marriage. I'm not married myself. I'm not

:36:37.:36:41.

interested in it all, but I cannot bear the idea of these dreadful

:36:41.:36:44.

people saying that gay people can't get married. I can't stand it. It's

:36:44.:36:51.

not going to effect your life in my way whatsoever. Shut up. Yes. We

:36:51.:36:57.

don't live in that society. Cameron is wet. No, this is not right. I

:36:57.:37:03.

agree. If you're not going along with it. I wonder what Fern's

:37:03.:37:10.

husband will think of your last one. I think it's hilarious how mad for

:37:10.:37:17.

bread we've got. It's Eclairious.It makes me mad how much money we are

:37:17.:37:21.

now being persuaded to sprened on a loaf. The more middle class you are

:37:21.:37:25.

the more peasant your bread. People are getting off on the fact there

:37:25.:37:28.

are bits of stone and grit and hoR hoof in it and all this. And it's

:37:28.:37:38.

from the land. Sour dough has been cooking for thousands of years.

:37:38.:37:42.

you dropped it on your foot you would be ringing up 111. Everyone

:37:42.:37:47.

wanted the softer and whiter bread and that was refined and it was the

:37:47.:37:56.

best. Yes. What about your partner, because he collects model

:37:56.:38:00.

battleships? I don't mind that. He's allowed. He doesn't have much

:38:00.:38:06.

pleasure in life. We have got him a little present. It's HMS Belfast.

:38:06.:38:13.

would absolutely love that. It's as dull as anything to me. He will be

:38:13.:38:20.

excited about it. Feast your eyes on that. He can spend eyes on it. You

:38:20.:38:24.

can see Jenny around the country in the next few weeks. Next stop, we

:38:24.:38:29.

believe, is the Isle of Wight and then Inverness. That's on Sunday.

:38:29.:38:33.

That needs bums on seats. Back to health. With so many issues

:38:34.:38:40.

affecting the NHS at the moment, how do you get any real answers? We went

:38:40.:38:45.

to the man in charge and Justin has given NHS England's top dog a

:38:45.:38:53.

grilling on your behalf. Sir Bruce Keogh has the grand title of Direct

:38:53.:38:59.

Director of NHS England. He manages a budget of around �95 billion. He's

:38:59.:39:02.

responsible for patient safety and he sets the ambition for clinical

:39:02.:39:07.

staff within the service. We thought he was the ideal person to quiz

:39:07.:39:11.

about the future of the NHS, but I'm not going to be asking the

:39:11.:39:16.

questions, you are. People who work across the NHS and patients and

:39:16.:39:21.

their relatives have told us what to ask him. Bruce, a lot of people who

:39:21.:39:26.

work in the NHS and people who are patients are anxious about the

:39:26.:39:30.

changes the NHS is undergoing. have got a question from a nurse

:39:30.:39:34.

Elaine Khan. I'm a nurse, looking after older people in hospital.

:39:34.:39:38.

There aren't enough staff on elderly care wards compared to others. Why

:39:38.:39:43.

not? One of the things that we are trying to do to make sure that that

:39:43.:39:49.

doesn't happen is we are asking each and every hospital to check twice a

:39:49.:39:52.

year that there are the appropriate number of people on each of the

:39:52.:39:57.

wards in that organisation. Bruce, would you be happy to put an elderly

:39:57.:40:03.

relative in an NHS hospital? Yes, I would. In fact, I have. I have an

:40:03.:40:07.

elderly relative, who has been in an NHS hospital with serious dementia

:40:07.:40:10.

and I have to say I was really impressed with the ways he's been

:40:10.:40:13.

looked after and I would also say that nobody knew that he was a

:40:13.:40:17.

relative of mine. I was going to ask you. Have you got health insurance?

:40:17.:40:22.

No, I haven't. Would you use it?I think it would be quite wrong for me

:40:22.:40:29.

as medical director to have medical insurance. Great question. I would

:40:29.:40:39.

like to ask you a question raised by a breast cancer patient. She is

:40:39.:40:44.

called Andrula. I've had breast cancer and I can't believe that

:40:44.:40:48.

England's survival rates are less than the rest of Europe. How will it

:40:48.:40:53.

change? We have extending the age range of the screening programme,

:40:53.:40:56.

which will encompass over 400,000 more women and we are going to focus

:40:56.:41:02.

on women who we believe are of a particularly high risk. Listen to

:41:02.:41:07.

this, because this is from Philip Charlesworth and his hospital went

:41:07.:41:11.

into hospital with breathing difficulties, but was placed on the

:41:11.:41:15.

Liverpool care pathway, which has been interrupted as an effort to

:41:15.:41:20.

deny care to terminally ill patients to ensure they die quickly.

:41:20.:41:24.

father was on the pathway. I would like to know whether you think they

:41:24.:41:28.

should be suspended while the review is taking place and if not, why not?

:41:28.:41:35.

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

:41:35.:41:41.

accusations about the Liverpool care pathway that somehow or other

:41:41.:41:46.

treatment is necessarily withheld or people aren't fed or watered

:41:46.:41:51.

properly. This is simply not true. What the clinicians are trying to do

:41:51.:41:57.

is to make people's last few days as comfortable as possible. My reading

:41:57.:42:05.

of the Liverpool care pathway is that the doctors have the

:42:06.:42:12.

discretion, along with the family to treat patients as both would seem

:42:12.:42:18.

appropriate and compassionate and honest. Bruce, another issue that

:42:18.:42:23.

has been brought to our attention is the amount of time that ambulances

:42:23.:42:28.

are outside A&E departments. That concerned Andy Proctor. I can wait

:42:28.:42:32.

at hospital for three hours queuing. What are you going to do to fix

:42:32.:42:40.

this? Three to four-hour wait. It isn't acceptable, is it? Surely if

:42:40.:42:44.

demand is going up you need to invest in departments in hospitals?

:42:44.:42:48.

That's a matter for the boards of the hospitals to determine. It's not

:42:48.:42:52.

always quite as simple as just putting more people on the front

:42:52.:42:56.

door. All our surveys show that about 25% of patients in our

:42:56.:42:59.

hospitals today don't need to be there. And that with better care at

:42:59.:43:03.

home we can get the patients out of hospital much quicker. I want to ask

:43:03.:43:07.

you a little more about the strain that A&E departments are under at

:43:07.:43:12.

the moment. Here's a question from a junior doctor. I struggle to see how

:43:12.:43:15.

cuts and savings can possibly balance with the increasing

:43:15.:43:21.

expectation that the public have of the NHS and A&E. There's often an

:43:21.:43:26.

assumption that better care must cost more. Yet, much of the evidence

:43:26.:43:34.

shows that the opposite is true, that better care costs less. You do

:43:34.:43:37.

a good operation on someone. There are fewer complications. They spend

:43:37.:43:47.
:43:47.:43:56.

less time on the intensive care unit Does better care costs less? It can

:43:56.:44:00.

do, but you have to spend more money to make sure you get that

:44:00.:44:07.

level of care. If you deal with one problem, they get to be older and

:44:07.:44:10.

develop new problems. That is part of the problem we have at the

:44:10.:44:17.

moment. You cannot keep people well for ever. We have many messages on

:44:17.:44:24.

the subject. We have not had solutions to the crisis. Natalie

:44:24.:44:30.

wrote to say there was this gesture and we charge people who are drunk

:44:30.:44:34.

and disorderly. What do you do with smokers, people who have injuries

:44:34.:44:41.

skiing. Another says there is a minor ailment scheme in Scotland.

:44:41.:44:46.

People can go to the chemist. There are similar schemes in the UK. A

:44:46.:44:50.

midwife says the IT system should be changed so she can spend more

:44:51.:45:00.
:45:01.:45:01.

time with her patients. One person lived in the Middle East where the

:45:01.:45:05.

surgery would open till 10pm. That worked brilliantly. More people

:45:05.:45:11.

getting in the evening. We will leave it there but we will have

:45:11.:45:16.

time hopefully for some more later. We will be sending suggestions

:45:16.:45:21.

directly to Sir Bruce Keogh. A lot of people are nodding, the

:45:21.:45:28.

NHS workers. What do you think of the idea, civil servants in the

:45:28.:45:31.

Department of Health, they should work within the NHS for one month

:45:31.:45:37.

every year? They need to spend time on the ground. They need to see

:45:37.:45:40.

challenges faced by staff to deliver care under difficult

:45:40.:45:45.

circumstances. They need to see challenges faced by patients and

:45:45.:45:50.

they should make policies based on what is actually going on at the

:45:50.:46:00.
:46:00.:46:01.

grassroots level. Basically see it? Be a make decisions at remote sites.

:46:01.:46:05.

We will be meeting Mary McCartney, who has followed in her mother's

:46:05.:46:09.

footsteps by becoming a photographer of. Before that, the

:46:09.:46:13.

story of another master of the camera who captured some of the

:46:13.:46:16.

most poignant images in wartime Britain.

:46:16.:46:21.

I am in Kent to find out about John Topham. A London policeman in the

:46:21.:46:25.

Thirties who broke the rules while on the beat, taking pictures of

:46:25.:46:30.

ordinary people doing ordinary things. When social issues were

:46:30.:46:36.

being ignored, John Topham with a concealed camera, secretly captured

:46:36.:46:42.

everyday life in the East End. There he photographed Mary Smith,

:46:42.:46:49.

his first published picture. She woke Limehouse doctors -- dockers

:46:49.:46:54.

by shooting peas at their windows. He sold the picture for �5 to the

:46:54.:46:58.

Daily Mirror and that encouraged him to leave the force and set up

:46:58.:47:03.

as a freelance. His daughter remembers a remarkable man. He was

:47:03.:47:08.

a large man who had a soft side. It came out in the fact that some of

:47:08.:47:14.

the pictures he took up showed his understanding of human life. He did

:47:14.:47:21.

not like to take ordinary pictures. Just posed. He liked people to do

:47:21.:47:31.
:47:31.:47:31.

something. He brought to notice what life was about. His camera

:47:31.:47:36.

occasionally exposed life at the other end of the social scale. He

:47:36.:47:40.

alone persuaded Winston Churchill to pose for this picture, showing

:47:40.:47:45.

him the bandaged hand after a cigar accident. Winston Churchill did not

:47:45.:47:49.

allow publication until after his death, because he thought it was

:47:49.:47:55.

not a fitting image for a wartime Prime Minister. Alan Smith is

:47:55.:48:04.

curating an exhibition of his pictures. The scrapbooks are

:48:04.:48:10.

incredible. How would you describe his work? Most photographers want

:48:10.:48:15.

the big shot, the big car crash, the big vitality. John was happy to

:48:15.:48:22.

do things he saw around him. -- vitality. That picture records the

:48:22.:48:27.

misery of a grandmother and six children in a hop pickers heart.

:48:27.:48:37.
:48:37.:48:38.

John recorded it as it was. -- hut. Questions were asked in Parliament,

:48:38.:48:41.

was this why we fought the Second World War, for children to be

:48:41.:48:47.

brought up like this? Without doubt, the most memorable image is the

:48:47.:48:52.

picture of the children in the trench. These children were

:48:52.:48:56.

pictured sheltering after the Battle of Britain raged in the

:48:56.:49:00.

skies of Kent. They took the picture and produced a leaflet that

:49:00.:49:06.

was distributed in America and helps to bring the Americans in on

:49:06.:49:12.

this side of the Allies. East End a Terry was one of the children. We

:49:12.:49:17.

tracked him down and brought him back to the hop fields of Kent.

:49:17.:49:22.

came down here and it was like a holiday. I lived in the east end.

:49:22.:49:27.

If you live in the East End, and you see houses. But you come here,

:49:27.:49:33.

and there were green fields, trees. It was wonderful. Do you remember

:49:33.:49:39.

the picture being taken? It stands out in my mind. There was a sound.

:49:39.:49:46.

I heard aeroplanes before. But it was a droning sound. My sister took

:49:46.:49:50.

my hand and led me off. I asked where we were going and she said to

:49:50.:49:57.

the trench. Somebody said look up there. I had not realised it would

:49:57.:50:02.

be so well known. I have a granddaughter. My youngest. She

:50:02.:50:11.

said they went to the War Museum. And she said I turned round to the

:50:11.:50:15.

person I was with and said, that is my grandad. She said I don't think

:50:15.:50:22.

he believed be. It was certainly his finest hour. His appetite for

:50:22.:50:27.

the real never waned. After a spell in the RAF, his work took him to

:50:27.:50:35.

Kent where he worked until his death, leaving thousands of images.

:50:35.:50:39.

The fact we are talking about him 20 years after his death would

:50:39.:50:45.

please him enormously. That was an amazing picture of the

:50:45.:50:55.
:50:55.:50:58.

children. Mary McCartney is here. Your exhibition is at the Lowry in

:50:58.:51:05.

Salford. It is called Developing. It is a combination of my work.

:51:06.:51:13.

There is a room of radical women, celebrity, and well-known female

:51:13.:51:23.
:51:23.:51:30.

subjects. It is radical. It is in Manchester. I will send you one. I

:51:30.:51:37.

love Instagram. There is that. And there is a theatre in a Lowry. And

:51:37.:51:41.

because of my backstage performance pictures with the Royal Ballet,

:51:41.:51:51.
:51:51.:51:52.

there is that. And developing, my career, my interest. This is

:51:52.:52:00.

fantastic. Did Helen Mirren choose the pose? That is one of my

:52:00.:52:05.

favourites. I was thrown in at the deep end. It was my first

:52:05.:52:15.
:52:15.:52:17.

professional photography sued. -- shoot. It was for a charity. You do

:52:17.:52:24.

not see her looking like that of done. That is her necklace and that

:52:24.:52:29.

is her blouse. I like the way the fingers are touching the pulse. And

:52:29.:52:36.

the tattoo, which I wish I had asked about. I did not know she had

:52:36.:52:46.
:52:46.:52:46.

a tattoo. She looks beautiful. long ago was that? 20 years ago.

:52:46.:52:50.

It is hard to say how much you have learned in that time. How do you

:52:50.:52:56.

manage to get the character a cross? What I have learned his

:52:56.:53:00.

different techniques for different people and to assess the situation.

:53:00.:53:04.

Meet someone, see how comfortable they are. Some people want to be

:53:05.:53:09.

directed and some people will perform for me. I have a bag of

:53:09.:53:15.

tricks. You have Gwyneth Paltrow, dressed as Madonna. Was that your

:53:15.:53:24.

idea? This is part of why I like being a photographer. The adventure

:53:24.:53:28.

of the situation. I got a phone call saying can you come to the

:53:28.:53:33.

hotel room. Madonna was being inducted into the Hall of fame.

:53:33.:53:38.

Gwyneth Paltrow was doing a video message to say congratulations

:53:38.:53:47.

dressed as her. I went down there. They were already set up. Your

:53:47.:53:53.

sister is in there. Stella is there, she was heavily pregnant. She was

:53:53.:54:01.

hiding. That was one evening on holiday. She is wearing bowling

:54:01.:54:10.

socks. You can buy them in the vending machine. We thought it

:54:10.:54:17.

would be fun to do a mock shoot like a paparazzi. The Stella into

:54:17.:54:25.

photography? -- is she into photography? We are. Because my

:54:25.:54:29.

mother was a photographer we grew up taking pictures. We had

:54:29.:54:34.

photography books in my house. your father? They met through

:54:34.:54:39.

photography. She was here on assignment. It is a big part of

:54:39.:54:44.

family life and I am influenced by her. She had a candid, relaxed

:54:44.:54:50.

approach. Has being the daughter of well-known people been a help or a

:54:50.:55:00.
:55:00.:55:01.

hindrance? It has been both. Recently, help I realised is not

:55:01.:55:05.

being Mary McCartney, it is certain people I meet will instantly relax

:55:05.:55:09.

with me for a photograph because they feel they can trust be more.

:55:09.:55:15.

They do not think I am going to take a picture that will exploit. I

:55:15.:55:21.

thought of that recently as being a benefit. We looked at them. They

:55:21.:55:29.

are incredible. Ballet dancers are fascinating. I love them. They were

:55:29.:55:34.

so open. They are still friends. It was getting the trust from them. It

:55:34.:55:41.

was a dream project. Thanks for your time. The exhibition is at the

:55:41.:55:46.

Lowry in Salford. Anita Rani is at Hartlands Hospital

:55:46.:55:52.

in Birmingham. Other patients we saw, have they been seen, is it

:55:52.:55:56.

less busy? One of them is being seen now. I

:55:56.:56:04.

have moved into the minor injuries department. How is she doing?

:56:04.:56:09.

think she will be fine. She has a minor head injury and a few

:56:09.:56:19.
:56:19.:56:20.

symptoms of concussion. Good news. You are wearing your slippers. Why?

:56:20.:56:27.

Head injury, I am confused! It is good news. She has concussion. Did

:56:27.:56:33.

she need to be here today? Is she had an appointment with her GP,

:56:33.:56:37.

most GPs would have examined her and said she was fine. Very few

:56:37.:56:41.

people with head injuries have to come to hospital with those

:56:41.:56:48.

symptoms. They might have saved her a trip. Good news. Since we have

:56:48.:56:55.

been a, we have seen almost 30 people register. -- since we have

:56:55.:57:00.

been here. It is very busy. We are with sister Sarah. You are changing

:57:00.:57:07.

shifts. How long was yours? 12 and a half hours. You are working

:57:07.:57:12.

through the night. Does it get busy? The it is different during

:57:12.:57:19.

the night. People are rushing. They feel anxious because it is night

:57:19.:57:23.

time and they do not know what to do. The cover is slightly different

:57:23.:57:30.

overnight. We have fewer doctors around. You had 109 patients on

:57:30.:57:40.

Monday. It is getting busier. What would make your life easier? More

:57:40.:57:45.

to see patients and exit routes, more beds and more people attending

:57:45.:57:50.

GPs' surgeries. The same thing. We seem to be able to manage the

:57:50.:57:56.

patients, but it is moving them on to a place where they need care.

:57:56.:58:03.

Enjoy your evening. Good luck for your shift. That is it from us.

:58:03.:58:09.

Dr Mark Porter is back with suggestions. One said keep calm and

:58:09.:58:15.

privatise the lot. Jo-Ann said we have to buy food at home, why not

:58:15.:58:20.

charge for it in hospital? Another said about appointments in the

:58:20.:58:24.

evening. Why is no one talking about the increase in population?

:58:24.:58:27.

Because it does not explain the number of people we are seeing.

:58:27.:58:34.

Another asks why 10 doctors cannot work at a motor in a practice, so

:58:34.:58:40.

they work evenings and weekends. have this picture. She would like

:58:40.:58:46.

to thank everybody after her spinal operation. We will print out the

:58:46.:58:49.

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