Episode 5 Postcode Lottery


Episode 5

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Transcript


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Did you know that where you live dictates what you get?

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Even one side of the street can be completely different to another

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because every part of our lives is affected by a line on a map

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and a few letters and numbers.

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Well, I'm here to get you a better deal

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and to reveal what is really going on in the postcode lottery.

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'And in today's programme,

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'we reveal the startling story of the homecare postcode lottery.'

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She said, "I don't think you fulfil the criteria for care any more

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"and we're cutting it out."

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'We lift the lid on the adoption postcode lottery.'

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I'd actually contacted one of the authorities and was really put off.

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'And caught in a trap.

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'The real truth about the speed camera postcode lottery.'

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Well, I have heard that sometimes speed cameras

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are not actually plugged in.

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It's a bluff, isn't it? People see it and think,

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"There's a speed camera," and slow down.

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And it's...it's not working at all.

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Are you going to be a winner in the postcode lottery?

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Well, I'm here to help you get the right number.

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Hello. My Postcode Lottery team and I have been roaming the country

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to find you the most ridiculous and inexplicable decisions

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taken about our lives based purely on where we live.

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And today we're going to be bringing you news stories from BH11, Poole in Dorset,

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to LL15, Clocaenog in North Wales.

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'But first, a postcode lottery story that drives us all to distraction.'

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Speed cameras.

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Probably the source of more heated argument and discussions

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than football, religion and politics put together.

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Love or hate them, but ignore them at your peril.

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And in the postcode lottery of life, guess what?

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I'm about to put fuel on the fire by telling you all is not fair

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when it comes to cars and speeding.

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We're off to Poole in Dorset

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and the capital of Wales to see what a difference a place makes.

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Speed cameras have been dividing public opinion ever since

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they were first introduced onto our roads in 1992.

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Whilst most of us see them as a necessary safety measure,

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there are those of us who believe they are just a cheap and easy way to make money.

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Pointing to the fact that they rake in a staggering £100 million a year.

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But is it true that whether or not you're nicked by one of these

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little flashers is a postcode lottery?

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Well, the bare statistics seem to indicate that it is!

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And by way of illustration,

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let me tell you the story of two yellow boxes.

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One in Poole in Dorset and the other in a busy suburb of Cardiff.

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They are the hit and the miss of the speed camera world.

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First, the hit.

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Next time you're pootling around Poole in Dorset, beware,

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because Poole is home to a speed camera

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that's now a bit of a celebrity.

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That's because it's one of the most lucrative cameras in the UK,

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pulling in an unbelievable £1.3 million a year, all on its own.

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That's almost four grand a day.

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No wonder so many people describe this camera

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on Holes Bay Road as a cash cow.

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But do the locals give it the green light?

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Speed cameras are a waste of time.

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If people are going to speed, they're going to speed,

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no matter what's there.

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I see a speed camera coming up, I slow down.

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As soon as I'm past it, I speed back up. Simple as that.

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I think speed cameras save lives

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and if people do something wrong, they should be punished for it.

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As I'm a lorry driver, it's my livelihood.

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I think they cause more problems than what they're worth.

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Well, you may well think that. And I couldn't possibly comment.

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So, let's head 130 miles west, under the national speed limit,

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of course, to the capital of Wales.

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In Cardiff, there's a camera that has become celebrated

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for a very different reason.

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It is, officially, the camera at the bottom of the ticket table.

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This speed camera on Rhiwbina Hill was dubbed the most useless

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speed camera in Britain by none other than the Daily Mail

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after it was revealed

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that only one person was nicked speeding through it

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during the whole of last year.

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But hold your horses a minute.

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Surely the Daily Mail has got this the wrong way round?

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If the whole point of a speed camera is to act as a deterrent

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and stop drivers speeding, then, surely,

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this humble little Cardiff camera has been doing an incredible job

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and must be the most successful speed cam in the UK.

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But don't just take my word for it,

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let's ask the one fella undeterred enough to get nicked by it.

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I drive that way every day.

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And I suppose one day, not concentrating, and, yes,

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I was doing 34, 35 and I got done there.

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I am very unlucky, aren't I? But, you know, it's fair enough.

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There's a speed limit there, it's there for a reason.

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Wasn't concentrating, missed it and, yep, I got done.

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So, it was a fair cop, guv,

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and there's no postcode lottery when it comes to speed cameras.

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You're either caught speeding, or you're not.

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And it seems that far more people

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speed in Poole than they do in Cardiff.

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End of any so-called postcode lottery.

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In fact, end of story, really.

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Or is it?

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Because the people of Cardiff have another theory

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why the camera in Rhiwbina

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only caught that one absent-minded speedster.

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They reckon that most of the time it doesn't work.

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I have heard that sometimes speed cameras are not actually plugged in.

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Not in use.

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So...maybe that should be looked into.

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Could be not on and it's just a bluff, isn't it?

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It could be that, you know, it's just there, people see it,

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and think, "Oh, yes, there's a speed camera," and slow down.

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And it's...it's not working at all.

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'And it's not just Cardiff

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'where the urban myth of the fake speed camera exists.

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'But is there any mileage in this conspiracy theory?

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'Well, actually, there is.

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'And, what is more, it really IS a postcode lottery.

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'Last year, the consumer group Which? asked all 43 police forces in England and Wales

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'how many of their fixed speed cameras were operational at any given time.

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'And the gobsmacking answer was...

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'that less than half of all speed cameras are actually working.

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'Just 44.7%, to be precise.

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'The rest are either broken, out of film or simply switched off.

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'But that catch-all figure hides the real postcode lottery

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'that whether or not you get nicked by a speed camera

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'really does have more to do with where you live than how you drive.

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'Because these non-operational cameras

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'are not spread equally across all the forces.

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'So, if you're an unrepentant little boy racer hoping to dodge

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'three points and a statutory 60 quid fine,

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'then listen carefully now.

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'You might want to avoid lead-footing it through

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'West Mercia, Cumbria or Sussex because 100% of their speed cameras

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'are fully operational, 100% of the time.

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'Though you could consider chancing your arm around London,

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'Leicestershire or Gwent,

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'where there's a 50-50 chance

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'of any camera you flash by flashing you back.

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'But if you really want a home run in the speed cam postcode lottery,

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'try any one of these three places -

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'Derbyshire,

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'where only 12% of their 117 speed cameras are ever operational,

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'Thames Valley,

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'where only 12% of their 238 cameras are fully functional,

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'or Staffordshire,

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'where only one in 10 of its 263 speed cameras is ever working.

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'Finally, the Cardiff conspirators could well have been right,

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'because although they wouldn't reveal which camera did and didn't work,

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'South Wales Police admitted that only 40% of their 97 speed cameras

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'were fully functioning flashers.

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'So, if you find yourself gambling with the Rhiwbina Hill speed camera,

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'you might strike it lucky.

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'Just don't ask that guy who did get nicked for his lottery numbers.'

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It's been called the epidemic of the 21st century.

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And it's a disease that terrifies all of us.

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Alzheimer's.

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There are currently three quarters of a million people in the UK

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suffering from dementia and that figure is set to double,

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maybe even triple in the next 25 years.

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'Early diagnosis of Alzheimer's is vital

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'as there are a range of treatments that at the very least

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'can help slow down the disease's progress.

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'But we discovered that access to this vital early diagnosis

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'varies frighteningly from health authority to health authority.

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'And that an Alzheimer's sufferer's immediate

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'and future treatment could be seriously affected

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'just by their postcode.

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'We're off to north-west England

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'to tell you about this alarming postcode lottery.'

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THEY SING HAPPY BIRTHDAY

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'And a happy birthday it is to Heather Roberts.

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'Bright and fun-loving at first sight, Heather, 57,

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'is the last person you would think has been affected by Alzheimer's.

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'But a few years ago, she started to notice some memory loss.'

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'I was working as a teacher at the time at college,

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'professional,

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'very confident, used to going out on my own, sorting things,'

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'out there and doing it.'

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The crunch came one day

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when I turned up at work expecting to give a lecture to a load of 18-year-olds,

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only to find that I'd got the wrong time, the wrong day,

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the wrong place, and everything else was wrong.

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'And I couldn't understand it.

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'And it was then when I started to pursue this a little bit further,'

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because of course I've had family connections -

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I've had a grandmother that was senile,

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which we now know is dementia.

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And my dad had vascular dementia.

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Which is caused by a series of mini-strokes.

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So I knew what I was looking at.

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And as time went on, I became more convinced that this is why

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I was struggling with numbers, I didn't know where I was,

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I kept getting lost.

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Memories would trick me and play me up.

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And I was generally confused.

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That wasn't me at all, I'm not normally like that.

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Why has it suddenly started?

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'At this point, Heather consulted her GP about her fears

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'and was referred to a neurologist for assessment.

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'It was the start of a long three-year battle

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'to get a clear diagnosis for her condition,

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'during which time Heather became a victim of the Alzheimer's diagnosis postcode lottery.

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'In March last year, Tesco, the Alzheimer's Society

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'and Alzheimer's Scotland produced Mapping The Dementia Gap,

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'a report that highlighted the postcode lottery

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'in the critical early diagnosis of dementia.

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'Using established statistics and Government population estimates,

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'the report disclosed that the highest performing health authority

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'for diagnosis of dementia was Belfast

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'where 69% of sufferers had a medical diagnosis

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'for their condition.

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'At the bottom of this postcode lottery was Dorset

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'where only 26% of people believed to be suffering from dementia

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'had been medically diagnosed

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'and are therefore getting access to the treatments they require.

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'Almost slap bang in the middle of this postcode lottery

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'lay Heather's health authority.

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'Whilst Heather and her husband Dave

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'have requested we don't name their health authority,

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'they are keen for us to tell the story of their own three-year battle

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'to get Heather a clear diagnosis.'

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'I went to see a neurologist'

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and the neurologist was, well,

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you know, a bit dismissive of it.

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"Well, you know, it can't be dementia, you're far too young, and far too bright."

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OK, well, what is it, if it isn't dementia, what is it?

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"Well, I don't know."

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They faffed backwards and forwards, and time went on.

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He did start me off on some very extensive tests that were done

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from the specialised Memory Department

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but these tests can only be done once every 12 months

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and you need three, apparently, to be able to show

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any indication of what's wrong,

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so, you know, I was looking at the long haul here.

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'The postcode lottery that Heather unwittingly found herself trapped in

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'revolved around the fact that there is no unified code of practice

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'when it comes to diagnosing dementia in the UK.

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'Every local health authority, every NHS surgery,

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'every GP is left to their own devices.

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'And whether or not they allocated the necessary funding and resources

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'to achieve successful early diagnosis is entirely at their discretion.

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'Heather was certainly a victim of this postcode lottery

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'when she and her husband Dave

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'were forced to wait three years for a diagnosis.'

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'Our journey to diagnosis was...

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'..long and arduous, is the best way to describe it.'

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It IS a postcode lottery

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because you're at the mercy of the attitude of individuals within the system, whether they will...

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listen to you, whether they've had experience of people like you

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before or not, and recognise what's in front of them.

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'Time went on and I just didn't get any better.'

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And my GP was very supportive, he was very good,

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but the neurologist was really a waste of space.

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Complete and utter waste of space.

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And as for being able to see a psychogeriatrician,

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you weren't allowed to see them. Which I thought was a bit odd.

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Surely, if you're looking at the possibility of dementia,

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you should see somebody who specialises in it.

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No, you're not allowed to see them until you've got some sort of result.

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'Not only was Heather denied access to a specialist psychogeriatrician,

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'but throughout her struggle,

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'she was wrongly being prescribed drugs for depression.'

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'The neurologist kept saying,

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'"Well, no, you're still far too young and far too bright,"

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'and you know, "Have an antidepressant."

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'No. "Well, try this antidepressant." No.'

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I don't want antidepressants, I'm not depressed.

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'"Oh, well try this one."

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'He got really quite insistent and I think...

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'I think we had seven in total and none of them did me any good,

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'of course, they made me feel dreadful.'

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Heather and Dave kept requesting an appointment

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with a psychogeriatrician.

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After three years, that persistence finally paid off.

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'Eventually, I did get an appointment to see the psychogeriatrician.'

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I did the third load of tests

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and when I went back to see the psychogeriatrician,

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it was like somebody had flipped a switch.

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"Oh yes," he said, "there's a significant deterioration.

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"I think it's probably Alzheimer's.

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"Here's the drugs, we'll see you again in six months."

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Heather's Alzheimer's diagnosis

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didn't signal an end to her active life. Quite the opposite, in fact.

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Now that she was on the correct medication,

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her life was transformed.

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Amazingly, within a couple of months, I'd started to pick up again

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and I found that life was not quite normal,

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but I can still play a game of tennis.

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-Did you win the first point?

-Don't ask me.

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I can't score any more because I'm just hopeless at it.

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I lose the ability to be able to score,

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so I let somebody else do that.

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The diagnosis also took all of the uncertainty away from their lives.

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Heather and Dave can plan clearly for the future

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and can now enjoy the present.

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With me and my husband, we've changed our lives around completely.

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He's taken redundancy and early retirement

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and we spend our days doing the things that are important to us.

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That was the flats we visited where that old guy lived

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and that was the kitchen.

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I vaguely remember that.

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We're trying to get some travelling while I'm still well enough,

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see a bit of the world.

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You have to think that I have been given a terminal diagnosis

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but we just don't know when at the moment, so time is of essence.

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Use the time now, use it properly.

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But after three wasted years chasing a proper diagnosis,

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are Heather and Dave bitter about the Alzheimer's postcode lottery?

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I don't think we're bitter.

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I think disappointed,

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that a disease that's going to affect one in three people

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in this country is so poorly recognised and so poorly dealt with.

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I feel sad for those people who're trapped,

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feeling afraid, confused about what's happening to them

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and why nobody is taking any real notice.

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Family, friends, professionals,

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it must be a very, very lonely place for them to be.

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You need to know, so if you've got a problem,

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keep pursuing it, keep pushing.

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Eventually somebody will give you some help somewhere.

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Don't be afraid to ask.

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Don't be afraid to tell them what your fears are,

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because somebody should listen somewhere.

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Every day this week, we've brought you a bite-size list

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of postcode lottery fame and shame,

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you know, winners and losers.

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And our next short is just the ticket to drive you mad.

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The parking meter has just celebrated its 75th anniversary,

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but I don't think many people join the party for that one.

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A recent survey revealed

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an on-street parking prices postcode lottery in our big cities.

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And here, in reverse order,

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are the top five costliest cities to feed the meter.

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At five, there's a tie between Manchester and Stoke.

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Both of them charging £2.20 per hour

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for you to park on their city streets.

0:18:410:18:43

At three, it's Glasgow, where every hour will set you back £2.40.

0:18:440:18:49

At number two, it's Leeds,

0:18:510:18:53

where you'll be rinsed to the tune of £2.60 per hour.

0:18:530:18:57

But the runaway winner

0:18:570:18:58

and by far the most expensive place to park in the UK,

0:18:580:19:02

is the place where the streets could easily afford to be paved with gold.

0:19:020:19:07

Westminster, London,

0:19:070:19:09

where every hour will knock you back a whopping £4.40.

0:19:090:19:14

Quid's in.

0:19:140:19:15

Here's a personal question for you.

0:19:240:19:26

I'll try and keep it as clean as possible.

0:19:260:19:28

Have you ever been out in the town centre,

0:19:280:19:30

need a lav and can't find one?

0:19:300:19:33

Well you're not alone, because up and down the country,

0:19:330:19:36

is becoming increasingly difficult to spend a penny.

0:19:360:19:38

Finding a public convenience

0:19:380:19:40

is rarer than finding an honest politician in Parliament.

0:19:400:19:45

I am busting.

0:19:450:19:46

In the past 10 years, 40% of our public toilets have been closed

0:19:490:19:53

and there are now fewer functioning rest rooms in our towns and villages

0:19:530:19:57

than at any time since the Victorian era.

0:19:570:20:00

This has led to a cross-country postcode lottery of convenience inconvenience.

0:20:000:20:05

For instance, in Edinburgh, 50% of public toilets are being shut.

0:20:060:20:11

In Manchester city centre,

0:20:110:20:13

where once there were 18 glistening public loos, now there is just one.

0:20:130:20:18

And in Shrewsbury, every single public loo has gone down the pan.

0:20:180:20:24

These councils are just taking the urinals.

0:20:240:20:26

Well, the fightback against the system has already started

0:20:270:20:31

and we're travelling to Llansannan in North Wales

0:20:310:20:34

to learn a sanitary lesson for us all.

0:20:340:20:36

MALE VOICE CHOIR SINGS

0:20:360:20:39

The beautiful North Wales village of Llansannan.

0:20:470:20:50

It's got a lovely pub, a quaint village post office

0:20:500:20:54

and an ancient and historic church.

0:20:540:20:57

It used to have a public convenience as well,

0:20:570:21:00

but that became a victim of the postcode lottery and vandals.

0:21:000:21:04

These toilets at one stage were the most vandalised toilets

0:21:040:21:08

in the whole of the County of Conwy.

0:21:080:21:11

It was costing the local authority a lot of money to tidy them up

0:21:110:21:14

and put washbasins back on the wall and stuff like that.

0:21:140:21:17

And in these penny-pinching times,

0:21:170:21:19

the local council were faced with a tough decision.

0:21:190:21:22

Could they still afford to splash out

0:21:220:21:25

on the upkeep of Llansannan's public convenience?

0:21:250:21:28

The running costs for public toilets

0:21:280:21:31

is absolutely enormous

0:21:310:21:32

and for Llansannan,

0:21:320:21:34

the rates and the running costs

0:21:340:21:36

would be many, many thousands.

0:21:360:21:38

We quickly found out, as councillors,

0:21:390:21:42

that the funding was not available and we had to look at the reality

0:21:420:21:46

of the situation and the reality was closures.

0:21:460:21:50

The consequences for the villagers young and old

0:21:500:21:53

were immediate and severe.

0:21:530:21:56

In the church especially, we have visiting vicars who are retired.

0:21:560:22:00

It was a terrible thing when they wanted to run to the toilet

0:22:000:22:02

and they had to go behind the church.

0:22:020:22:04

It is a huge problem for all kinds of people.

0:22:040:22:07

Tourists, visitors, workers, whatever.

0:22:070:22:10

But the inconvenienced folk of Llansannan

0:22:130:22:15

weren't going to take the loss of them loo sitting down.

0:22:150:22:19

They formed a crack toilet brigade of volunteers

0:22:190:22:22

who banded together to resurrect their local lav.

0:22:220:22:25

Found many volunteers through lots of the work.

0:22:290:22:32

One man, a retired builder, he took over charge

0:22:320:22:36

of overseeing that the toilets were brought up to a standard.

0:22:360:22:40

What was encouraging was everybody was prepared to help.

0:22:400:22:45

Mr Jones did the painting and tiling inside.

0:22:450:22:47

We all pitched in, it was lots of hard work but it was worth it.

0:22:470:22:51

Jackie at the Red Lion is invaluable with the cleaning.

0:22:510:22:54

It's a dirty job but somebody had to do it.

0:22:540:22:58

And so, what was once a bashed up bog, is now a five-star convenience.

0:22:580:23:04

Almost a home from home.

0:23:040:23:06

A complete toilet makeover

0:23:060:23:08

and the locals are quite rightly flushed with their success.

0:23:080:23:13

Well, yes we are quite proud, really.

0:23:130:23:16

Not that we stand in front every day and beam at people passing by.

0:23:160:23:20

We've had someone leave a note in the ladies toilet,

0:23:200:23:23

"What beautiful toilets, thank you," and signed.

0:23:230:23:25

And once again, loyal customers are also pouring back in.

0:23:250:23:29

I was in dire need and I came to visit the toilets

0:23:290:23:34

and it's a pleasure to use them, I have to say.

0:23:340:23:36

It makes our lives a lot more comfortable and pleasant.

0:23:360:23:39

I use them quite regularly and it is nice to go in.

0:23:390:23:43

Lovely, aren't they? Really lovely.

0:23:430:23:46

The local council are also mightily relieved

0:23:460:23:49

that the toilet is now open again.

0:23:490:23:51

It is being used by youngsters, people a little bit older,

0:23:510:23:55

people who are coming into Llansannan and people who live in Llansannan.

0:23:550:24:00

This is a massive success

0:24:000:24:03

and it's very much the first of its type in Conwy.

0:24:030:24:07

And a final grave warning to anyone foolish enough

0:24:080:24:11

to think of coming to the village

0:24:110:24:13

with any unclean thoughts towards the toilet.

0:24:130:24:15

Should any be so stupid as to put any graffiti on there,

0:24:150:24:20

I think they would be hanged in public in this square in Llansannan.

0:24:200:24:24

Anyone passing through

0:24:240:24:26

desiring to use the convenience for the right purpose

0:24:260:24:30

will be welcomed with open arms and an open public toilets.

0:24:300:24:34

If your local public convenience looks like it's going down the pan,

0:24:340:24:39

why don't you take a leaf out of Llansannan loo roll

0:24:390:24:42

and contact your local council,

0:24:420:24:44

because you too might be flushed with success

0:24:440:24:47

if you can overturn the decision.

0:24:470:24:49

Trust me, I did not write these lines and I'm not happy.

0:24:490:24:53

Get my agent on the phone.

0:24:530:24:55

As a nation, one of the biggest challenges we face

0:25:030:25:06

is how to look after a growing ageing population

0:25:060:25:09

with care and dignity. It's the Government's policy

0:25:090:25:12

to let the elderly live in their own homes for as long as possible.

0:25:120:25:15

And it's the local authority's responsibility to make this happen

0:25:150:25:19

with a range of homecare services. But, as the story of Mick Crompton,

0:25:190:25:23

a 73-year-old disabled man living on his own reveals,

0:25:230:25:27

whether or not you get those homecare services

0:25:270:25:30

is a postcode lottery nightmare.

0:25:300:25:32

We're travelling to Sutton in Surrey to bring you Mick's story.

0:25:320:25:37

First thing you're aware of every morning when you get up is pain.

0:25:370:25:41

It's very hard to move.

0:25:410:25:43

It's osteoporosis and osteoarthritis,

0:25:430:25:46

and unfortunately it's centred round the hip joint.

0:25:460:25:51

People don't realise the impact, being disabled,

0:25:520:25:56

there's so many ramifications.

0:25:560:25:59

Even simple things what you take for granted, they're not there.

0:25:590:26:04

When people have things like this, they tend to think "Why me?"

0:26:040:26:11

I think the short answer to that is because we're here.

0:26:110:26:15

If we weren't here, we couldn't suffer on this earth, you know.

0:26:150:26:18

Mick's limited mobility and low income mean that even simple tasks

0:26:190:26:23

like washing his clothes are a major undertaking.

0:26:230:26:27

Basic living, keeping clean, shopping, eating

0:26:270:26:31

take up all of his time and energy.

0:26:310:26:34

But things weren't always so difficult for Mick.

0:26:340:26:37

Until the spring of 2010, Mick's local council, Sutton Borough,

0:26:370:26:41

provided him with homecare.

0:26:410:26:43

With his homecare needs classified as substantial,

0:26:430:26:49

Mick was given one and a half hours of home support each week.

0:26:490:26:53

It was all incremental, the care.

0:26:540:26:56

Monday, Wednesday and Friday, and you know, it was a routine.

0:26:560:27:02

The home help allowed Mick some quality of life, but his condition

0:27:020:27:06

was continuing to deteriorate, so he asked Sutton Borough council

0:27:060:27:10

to review his case to see if he might be able

0:27:100:27:13

to get a bit more help.

0:27:130:27:15

But, like a modern day Oliver Twist, when Mick asked for more,

0:27:150:27:20

he was in for a nasty surprise.

0:27:200:27:21

I shouldn't have said nothing.

0:27:210:27:25

She said, "I don't think you fulfil the criteria for care anymore,

0:27:250:27:30

"and we're cutting it out." And they gave me a fortnight.

0:27:300:27:34

So that was it. I was just cast adrift.

0:27:340:27:37

All of Mick's homecare was withdrawn by Sutton Borough Council,

0:27:370:27:42

but he's not alone in being a victim

0:27:420:27:44

of a national homecare postcode lottery.

0:27:440:27:48

In England, when assessing someone's homecare needs,

0:27:480:27:51

all councils use the Department for Health's guidelines.

0:27:510:27:54

There are four categories that qualify for help, from critical,

0:27:540:27:58

for those needing most support,

0:27:580:28:01

through to substantial, moderate and low. If a council assesses someone

0:28:010:28:05

as critical, they have to offer homecare.

0:28:050:28:08

But if someone is assessed as being substantial, moderate or low,

0:28:080:28:12

it is entirely up to that council what help they offer.

0:28:120:28:16

So, yes, you've guessed it.

0:28:160:28:18

It's led to a postcode lottery that sees only one council,

0:28:180:28:22

Sunderland, offering help in all four categories.

0:28:220:28:25

Every other council picks and chooses which category

0:28:250:28:28

they will support, or, in the case of Sutton,

0:28:280:28:31

they even make up new ones.

0:28:310:28:33

When Mick asked Sutton to review his case, they reassessed him as

0:28:340:28:39

low moderate, a category that not only doesn't qualify for home help

0:28:390:28:43

in Sutton, but doesn't appear to exist in any other English council.

0:28:430:28:48

Mick contacted Douglas Joy, a disability rights lawyer,

0:28:500:28:53

to help fight his case.

0:28:530:28:56

When Douglas looked into Mick's case, he decided the council's

0:28:570:29:02

actions merited the attention of the local government ombudsman.

0:29:020:29:06

The ombudsman asked the council to reconsider their decision.

0:29:060:29:10

Douglas also contacted the council,

0:29:100:29:13

and we asked him to visit Mick with an update.

0:29:130:29:15

-Michael, very nice to meet you, finally.

-Likewise, genuinely.

0:29:150:29:19

After such a long time.

0:29:190:29:22

Right.

0:29:220:29:23

So, from the tone of the ombudsman's letter to Sutton,

0:29:230:29:26

which I've seen, I think it's quite encouraging

0:29:260:29:30

because they've invited Sutton to change their actions

0:29:300:29:33

-and to actually support you.

-It's putting them on the spot.

0:29:330:29:36

Very much so, and they've actually invited them, they've said,

0:29:360:29:40

if you change your actions now and reinstate care,

0:29:400:29:44

we will stop investigating.

0:29:440:29:46

As well as revealing that the council had made up

0:29:460:29:49

that "low moderate" category into which Mick was reassigned,

0:29:490:29:53

Douglas made another discovery.

0:29:530:29:56

In correspondence from the local authority,

0:29:560:29:59

they have acknowledged that someone

0:29:590:30:03

conducted an assessment upon Mr Crompton

0:30:030:30:06

that wasn't appropriately qualified.

0:30:060:30:09

They have acknowledged that themselves.

0:30:090:30:12

Following that revelation, the Postcode Lottery team decided

0:30:120:30:16

to bring in Sandra Knox, an independent and fully qualified

0:30:160:30:20

social worker, to carry out another assessment of Mick's needs.

0:30:200:30:24

Mr Crompton, I'm Sandra Knox, I'm an independent social worker.

0:30:240:30:28

-Good morning.

-Good morning.

0:30:280:30:30

I've been a social worker for 23 years.

0:30:300:30:33

-My God, so you've some experience then?

-Just a little bit, Mick.

0:30:330:30:38

What did you do before you retired?

0:30:380:30:40

Everything.

0:30:400:30:41

Been a miner, a soldier, I write poetry.

0:30:410:30:46

-I won't let you read it though.

-Why not?

-Bit risque, some of it.

0:30:460:30:50

OK, then, I won't read it.

0:30:500:30:52

What is your normal day? You get up in the morning...

0:30:540:30:58

how d'you manage to wash and dress and shave and do your hair?

0:30:580:31:03

I have a strip-wash in a bucket for basic hygiene.

0:31:030:31:09

I'm clean. No, I'm a very, you know, I'm a very clean animal, I am.

0:31:110:31:16

So then, you have your breakfast?

0:31:180:31:20

-I only eat one meal a day?

-Do you?

0:31:200:31:22

Cos I can't run it off me. Yeah, I'm not obsessed with food.

0:31:220:31:26

How many visitors do you get in a week?

0:31:260:31:28

Well, on an average week, I would say one visitor.

0:31:300:31:38

What we need to establish is you're not managing.

0:31:400:31:44

-No, I'm not.

-Right.

-You know, I'm not a whinger, Mandy,

0:31:440:31:48

and I'm not somebody who'll want to get something that I don't need.

0:31:480:31:56

I do everything by the book.

0:31:560:31:57

Because of his mobility and because of his illness,

0:31:590:32:02

he experiences a lot of pain.

0:32:020:32:05

I believe he does need some support. It'd be imperative to have

0:32:050:32:08

somebody to help him clean.

0:32:080:32:11

It would be imperative for him to have someone to help him

0:32:110:32:15

get fresh food in the house.

0:32:150:32:17

I think local authorities are looking at resources

0:32:190:32:23

rather than the duty of care.

0:32:230:32:25

And that can't be right.

0:32:250:32:28

It is a postcode lottery.

0:32:280:32:30

It means, wherever you live, you'll either get the best,

0:32:300:32:33

the worst or most mediocre service.

0:32:330:32:36

Social services have an agenda to cut money and councils,

0:32:360:32:40

every council's cash-strapped.

0:32:400:32:42

Um...so, people like me just have to get on the best way you can.

0:32:420:32:47

They just abandon you, that's it.

0:32:470:32:50

Not quite. Thanks to Douglas, Sandra and the Postcode Lottery team,

0:32:500:32:54

Sutton Borough Council have decided to overturn their decision

0:32:540:32:58

to withdraw homecare help for Mick.

0:32:580:32:59

And when we contacted Sutton Council,

0:32:590:33:02

they asked to read out a written statement.

0:33:020:33:05

Sutton Council is sorry that Mr Crompton has been

0:33:050:33:07

living in poor conditions, and we can't undo what has happened.

0:33:070:33:11

As soon as we learnt of the situation,

0:33:110:33:13

we meet every effort to visit and assess him.

0:33:130:33:16

Once Mr Crompton allowed us into his flat, things got better quickly.

0:33:160:33:20

Some very positive steps have been agreed with Mr Crompton

0:33:200:33:24

to improve the way he's living.

0:33:240:33:25

Those positive steps include reinstating Mick's home help,

0:33:250:33:30

offering him additional hours of support,

0:33:300:33:33

and clearing, cleaning, repairing, and refurbishing his flat.

0:33:330:33:37

Meanwhile, the council refute

0:33:370:33:39

that Mick's situation was caused by cuts.

0:33:390:33:43

The assessment that removed Mr Crompton's entitlement to social care services

0:33:430:33:47

had nothing to do with budget cuts.

0:33:470:33:50

We are all very pleased with the progress now being made,

0:33:500:33:54

and this means a lot to me.

0:33:540:33:56

Helping people like Mr Crompton is what makes my job worthwhile.

0:33:560:34:00

It's a real triumph for people power and common sense

0:34:000:34:04

in the fight against the postcode lotteries.

0:34:040:34:07

Time for another example from the postcode lottery list of fame and shame.

0:34:130:34:17

This time, it's the winners and losers in the funeral game.

0:34:170:34:21

As the old saying goes, nothing is certain but death and taxes.

0:34:210:34:25

But, whilst we all have to pay out to Her Majesty's Revenue and Customs,

0:34:250:34:29

how many of us can actually afford to die?

0:34:290:34:33

Because, according to a recent survey of funeral homes across the UK,

0:34:330:34:38

the price we pay for our final farewell

0:34:380:34:41

is a right old postcode lottery.

0:34:410:34:44

Based on a quote for a standard funeral with cremation, and one limousine,

0:34:440:34:48

here's what you can expect to pay when you pop it according to your postcode.

0:34:480:34:52

In reverse order, the most expensive places in Britain

0:34:520:34:56

to shuffle off this mortal coil are...

0:34:560:34:59

At number three, Bournemouth.

0:34:590:35:01

Where an all-in funeral, cremation, and limousine by the seaside

0:35:010:35:06

will set you back £3,635.

0:35:060:35:10

At number two, it's Harrow, on the outskirts of London,

0:35:100:35:13

with charges totalling £3,814.

0:35:130:35:16

And in at number one, we're heading north of the border to Glasgow,

0:35:170:35:21

where a basic funeral can set you back £4,199.

0:35:210:35:28

An awful lot of wonga for a do you'll never get to enjoy yourself.

0:35:280:35:33

And the cheapest towns to pop it are, in reverse order...

0:35:330:35:38

At number three, Ipswich in East Anglia,

0:35:380:35:40

where your funeral, cremation, and limousine package

0:35:400:35:43

will send you off at a not unreasonable £2,104.

0:35:430:35:49

At number two, Stoke-on-Trent in the Potteries,

0:35:490:35:52

where they'll pot you and plot to you for just £2,029.

0:35:520:35:57

But at number one, and the cheapest place to get a funeral in the UK,

0:35:570:36:03

is the South Wales valleys town of Merthyr Tydfil,

0:36:030:36:06

where they'll see you off in style, for a very reasonable £1,959.

0:36:060:36:12

Now, isn't that just typical? The postcode lottery -

0:36:120:36:15

it will still get you even when you're gone.

0:36:150:36:18

Here's some figures that surprised and shocked me

0:36:260:36:29

when I first heard them.

0:36:290:36:30

In 2010, the number of children in care across the UK

0:36:300:36:34

rose by 9% to over 65,000.

0:36:340:36:37

Now, whilst the main preference is to put these kids back with their parents,

0:36:370:36:41

some will go into foster care, some will go into council care,

0:36:410:36:45

and others will be put up for permanent adoption.

0:36:450:36:47

But here is what shocked me even more,

0:36:470:36:51

in 2010, just 60 children under the age of one were adopted.

0:36:510:36:56

And that's because, when it comes to something as vitally important as a child's future,

0:36:560:37:01

there's a postcode lottery to mess it all up.

0:37:010:37:04

At the end of last year, the Government published a league table

0:37:040:37:08

showing adoption rates in authorities across England.

0:37:080:37:12

In the high achievers bracket,

0:37:120:37:14

Hartlepool managed to successfully place 95% of the children

0:37:140:37:18

put up for adoption in their authority within 12 months.

0:37:180:37:22

In the same time period, South Tyneside had a 96% success rate,

0:37:220:37:27

and top of the tree was York, which managed a perfect 100%.

0:37:270:37:32

At the other end of the scale, within 12 months,

0:37:320:37:35

Brent managed to place just 52% of their children.

0:37:350:37:40

Nottinghamshire placed 55%,

0:37:400:37:42

but at the very bottom of the pile,

0:37:420:37:45

Hackney placed just 43%.

0:37:450:37:47

So, why is there such a postcode lottery

0:37:480:37:51

when it comes to adoption rates?

0:37:510:37:52

According to the Government,

0:37:520:37:54

it is because local authorities are too slow, too bureaucratic,

0:37:540:37:59

and too politically correct.

0:37:590:38:01

We travel to Harrow to meet a couple who found themselves

0:38:010:38:04

caught in the adoption postcode lottery.

0:38:040:38:06

And to learn more about a possible solution to this postcode problem.

0:38:060:38:11

Harrow residents Jane and Clive

0:38:120:38:14

had tried for several years to start a family of their own,

0:38:140:38:18

before deciding to explore adoption.

0:38:180:38:20

But, like many would-be adopters,

0:38:200:38:23

they were put off at the first hurdle.

0:38:230:38:25

I thought about adopting,

0:38:250:38:27

and I had actually contacted one of the local authorities,

0:38:270:38:30

but I was really put off,

0:38:300:38:32

they almost made me think that unless I could take three children with severe difficulties,

0:38:320:38:39

learning difficulties, or disabilities,

0:38:390:38:41

that, actually, I should just go away.

0:38:410:38:44

So, it wasn't made to be a really viable option.

0:38:440:38:47

And then, actually, time went on, and we had our oldest son,

0:38:470:38:50

and then, you know, fostering seemed to be,

0:38:500:38:54

that came up as the next thing to do, really.

0:38:540:38:57

Having finally managed to start a family of their own,

0:38:570:39:00

Jane and Clive looked into fostering.

0:39:000:39:03

Unlike adoption, they found the criteria was much simpler,

0:39:030:39:06

and they have successfully fostered for five years,

0:39:060:39:09

before taking in a baby girl in 2005.

0:39:090:39:12

After a year, the authorities in Harrow

0:39:120:39:15

decided the baby girl should be adopted along with her brother,

0:39:150:39:19

who was with a foster family nearby.

0:39:190:39:22

With their experience as foster parents,

0:39:220:39:25

Jane and Clive thought themselves perfectly placed

0:39:250:39:28

to offer the girl and her brother a permanent, loving home.

0:39:280:39:31

But they soon found themselves facing the bureaucratic hurdles

0:39:310:39:35

of the adoption postcode lottery.

0:39:350:39:38

Over the summer in 2006,

0:39:380:39:39

we just came to realise that we actually needed to apply,

0:39:390:39:43

it would be the right thing to do.

0:39:430:39:45

So, we put a formal application in in July 2006 to adopt both of them.

0:39:450:39:50

Initially, the council weren't prepared to look at our application,

0:39:500:39:54

because we hadn't been assessed,

0:39:540:39:56

that would obviously delay the procedure for the children,

0:39:560:40:00

so they wanted to follow through those avenues they already had.

0:40:000:40:03

That was really hard for us, because, obviously,

0:40:030:40:07

it took us a long time to decide that we would do that.

0:40:070:40:10

Having reached a dead end,

0:40:100:40:12

Jane and Clive suddenly found their fate reversed,

0:40:120:40:16

when Harrow brought in Coram,

0:40:160:40:19

a children's charity with over 250 years of experience,

0:40:190:40:21

to help sort out their underperforming adoption department.

0:40:210:40:25

Coram immediately set about clearing a backlog of older children

0:40:250:40:30

awaiting adoption in Harrow.

0:40:300:40:32

Once this was cleared,

0:40:320:40:33

they then began to work with the babies that were coming into the care system.

0:40:330:40:38

And whilst the courts decided a baby's future,

0:40:380:40:40

Coram placed it with a foster family who could then go on to adopt it,

0:40:400:40:44

if the court didn't feel the child could return to its birth parents.

0:40:440:40:48

As a result of this new policy,

0:40:480:40:50

Jane and Clive's decision to adopt their foster child suddenly fitted the bill.

0:40:500:40:55

Harrow straightaway handed our assessment procedure over to Coram,

0:40:580:41:03

to do it from beginning to end, really.

0:41:030:41:06

And straightaway, they were just so efficient, brilliant,

0:41:060:41:09

they assigned a social worker to us.

0:41:090:41:11

She came to see us and came regularly for the next few months,

0:41:110:41:14

just helping with homework, and telling us what to do,

0:41:140:41:17

and guiding us through the procedure.

0:41:170:41:19

You know, really holding our hands, wasn't she?

0:41:190:41:22

Certainly, all the way through.

0:41:220:41:23

Actually, without that, if we'd have been left to our own devices,

0:41:230:41:27

-it probably wouldn't have gone very smoothly at all.

-Definitely not.

0:41:270:41:30

But she came to the panel with us, came to court with us.

0:41:300:41:34

-She did everything with us.

-She was brilliant.

0:41:340:41:37

Even after the adoption had gone through,

0:41:370:41:40

she was still there for the children,

0:41:400:41:43

she came to see us to see how they were settling in.

0:41:430:41:47

This kind of partnership could work across the whole country

0:41:490:41:52

to make it a quicker and fairer system for everybody.

0:41:520:41:56

And to give more happy endings to this particular children's story.

0:41:560:42:00

Crikey, hasn't it been a week of tears and triumphs?

0:42:060:42:10

But sadly, that's the end of this series of Postcode Lottery.

0:42:100:42:14

We know though, that we have only just scraped the surface

0:42:140:42:17

as far as postcode lottery scandals are concerned.

0:42:170:42:20

If there's one thing I think we've all learned from this series,

0:42:200:42:23

it's - don't let them get you down.

0:42:230:42:25

We can buck the bureaucrats, and beat the postcode lottery.

0:42:250:42:30

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0:42:530:42:57

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