0:00:02 > 0:00:04From the Highlands of Scotland
0:00:04 > 0:00:06to the coast of Cornwall,
0:00:06 > 0:00:10the Great British countryside is spectacular.
0:00:11 > 0:00:15But we work and play in it at our peril.
0:00:17 > 0:00:18And when things go wrong,
0:00:18 > 0:00:22the emergency services race to the rescue.
0:00:22 > 0:00:25This chap is having a heart attack. We need to get him in quickly.
0:00:25 > 0:00:26SIRENS BLARE
0:00:26 > 0:00:29We've got a cow on the road.
0:00:29 > 0:00:32Countryside policing at its finest here.
0:00:32 > 0:00:34Going hundreds of miles against the clock...
0:00:36 > 0:00:38..battling the elements
0:00:38 > 0:00:40and braving the waves.
0:00:40 > 0:00:42HE GROANS
0:00:42 > 0:00:47From fields and forests, to cliffs and country roads,
0:00:47 > 0:00:51we'll be right at the heart of the action,
0:00:51 > 0:00:53with police fighting crime...
0:00:53 > 0:00:55I'm not arguing it, I'm reporting you for it.
0:00:57 > 0:00:59..paramedics saving lives...
0:00:59 > 0:01:00BABY CRIES
0:01:00 > 0:01:03..and lifeguards patrolling the seas.
0:01:04 > 0:01:07We're there as the emergency services pull together
0:01:07 > 0:01:11to pick up, patch up and protect the public.
0:01:12 > 0:01:15This is Countryside 999.
0:01:34 > 0:01:38Coming up, the Cornwall Air Ambulance speeds to an 11-year-old
0:01:38 > 0:01:40motorbiker who's come a-cropper.
0:01:40 > 0:01:43What I don't want you to be is have to be the bravest man
0:01:43 > 0:01:45in the world and tell me it's not hurting when it really is.
0:01:47 > 0:01:49In the Welsh countryside,
0:01:49 > 0:01:52cops sniff out drugs on a rural road.
0:01:52 > 0:01:56Strong smell of cannabis in this car, so I'm going to search you all.
0:01:56 > 0:01:57Yeah, that's fine. Yeah.
0:01:57 > 0:01:58Who's got...
0:01:58 > 0:02:01Before you go any further, who's got it?
0:02:01 > 0:02:03And in South-West Scotland,
0:02:03 > 0:02:07paramedics race to a woman who's collapsed at her GP's.
0:02:07 > 0:02:08Is it Mrs Scott?
0:02:08 > 0:02:10Mrs Scott, have you got any pain there at the moment?
0:02:19 > 0:02:22Cornwall, an outdoor-lover's paradise.
0:02:24 > 0:02:27In summer, locals are joined by tourists and thrill-seekers
0:02:27 > 0:02:29hooked on adventure.
0:02:29 > 0:02:32And the population rises from 500,000
0:02:32 > 0:02:34to nearly five million.
0:02:36 > 0:02:39But where there's adventure, there's accidents.
0:02:41 > 0:02:44There's only one A&E unit in Cornwall.
0:02:44 > 0:02:48So, getting urgent medical care in this massive area can be tough.
0:02:51 > 0:02:54Up for the challenge are the Cornwall Air Ambulance Crew,
0:02:54 > 0:02:56based at Newquay Airport.
0:02:58 > 0:03:02They've been providing front-line emergency care for over 26 years.
0:03:05 > 0:03:08Crucial to the team are highly trained paramedics,
0:03:08 > 0:03:09on call every day of the year.
0:03:14 > 0:03:17On duty this morning is Paul Symonds,
0:03:17 > 0:03:20ready and able to fly on average four missions in one day.
0:03:22 > 0:03:24Working with him is paramedic Ben Mayhew.
0:03:24 > 0:03:28He knows that travelling as the crow flies is often the best way
0:03:28 > 0:03:31to reach scattered communities in this vast area.
0:03:33 > 0:03:34A call's come in.
0:03:36 > 0:03:40A kid's had a motorbike accident in a field near the village of Fraddam.
0:03:40 > 0:03:42It's 25 miles away.
0:03:44 > 0:03:47A long journey by road but just 12 minutes by air.
0:03:59 > 0:04:01A road ambulance crew is already on the scene.
0:04:13 > 0:04:15The crew will be there any minute.
0:04:15 > 0:04:17Time to sort out pain relief.
0:04:26 > 0:04:31Now Pilot John Taylor must negotiate electricity cables before landing.
0:04:32 > 0:04:36Descending to land.
0:04:53 > 0:04:56The team pull together to guide the Helimed away
0:04:56 > 0:04:58from the high voltage wires.
0:05:26 > 0:05:27A safe landing for the Helimed.
0:05:27 > 0:05:30But not for the young motocross rider.
0:05:30 > 0:05:3311-year-old Lee lost control of his bike.
0:05:33 > 0:05:37He flew off and landed on a nasty piece of rusty metal.
0:05:37 > 0:05:41- This is Lee.- Hello, Lee. How are you doing, buddy, all right?
0:05:41 > 0:05:43- How are you?- 11 years old.
0:05:56 > 0:05:59Lee's mum and the ambulance crew are with him.
0:05:59 > 0:06:02He's got a deep, open wound above the knee.
0:06:05 > 0:06:07You're a brave chap, well done, good man. You all right?
0:06:07 > 0:06:09You are a super brave man, aren't you?
0:06:09 > 0:06:11Pain relief wise, literally...?
0:06:11 > 0:06:13Calpol. We haven't got any Oramorph on board.
0:06:13 > 0:06:15No, that's great, OK. All right.
0:06:15 > 0:06:18The gash is right down to the bone.
0:06:18 > 0:06:22Considering Lee's only had paracetamol and gas and air,
0:06:22 > 0:06:24he's being a real trouper.
0:06:24 > 0:06:28But Paul's worried Lee's leg pain is masking more serious injuries.
0:06:28 > 0:06:30Listen, Lee, you all right there, buddy?
0:06:30 > 0:06:33Yeah, that's it. Look, I'll come this side of you.
0:06:33 > 0:06:36This is going to be probably quite sore when we move you about.
0:06:36 > 0:06:39What I don't want you to be is have to be the bravest man
0:06:39 > 0:06:42in the world and tell me it's not hurting when it really is,
0:06:42 > 0:06:45all right, cos all I want you to do is be nice and happy,
0:06:45 > 0:06:48and nice and comfy, if you can possibly do that, all right?
0:06:48 > 0:06:51So be honest, if it's really sore, tell me,
0:06:51 > 0:06:53and I can really help you with that,
0:06:53 > 0:06:56and we'll try and get some painkillers for you,
0:06:56 > 0:06:57and make things a little bit better
0:06:57 > 0:06:59than they are at the moment. Is that all right?
0:07:01 > 0:07:04Later, Paul and Ben prepare Lee for uplift.
0:07:04 > 0:07:06He's actually broken the visor of his helmet.
0:07:06 > 0:07:10So, because of that mechanism, we're going to immobilise him.
0:07:19 > 0:07:23Also covering vast distances are the Dyfed-Powys Police.
0:07:24 > 0:07:26At over 4,000 square miles,
0:07:26 > 0:07:30theirs is the largest police territory in England and Wales.
0:07:30 > 0:07:32And it's breathtaking.
0:07:35 > 0:07:38With rolling mountain ranges, remote rural communities,
0:07:38 > 0:07:42and over 350 miles of rugged coastline.
0:07:45 > 0:07:47A massive area.
0:07:47 > 0:07:49But a small force to protect it,
0:07:49 > 0:07:53with just one police officer per four square miles.
0:07:56 > 0:07:59The Brecon Beacons National Park is a draw for tourists.
0:07:59 > 0:08:01Every year, the local population
0:08:01 > 0:08:04is joined by over four million visitors.
0:08:04 > 0:08:08Helping to keep them all safe is PC John Whiles.
0:08:08 > 0:08:12He's based in the town of Brecon and has been for 11 years.
0:08:14 > 0:08:16Brecon's a lovely place,
0:08:16 > 0:08:18with the Brecon Beacons, quite a nice place to work, really.
0:08:18 > 0:08:20I like the freedom, really.
0:08:20 > 0:08:24You come in, you grab a car, you go where you want.
0:08:24 > 0:08:28As long as you're putting the work in, you're left alone, basically.
0:08:31 > 0:08:36What I like about road policing, it's more a proactive role,
0:08:36 > 0:08:37so you're out there looking for work.
0:08:37 > 0:08:41Instead of reacting to calls, like the beat do,
0:08:41 > 0:08:46we go out there and hunt, look for travelling criminals
0:08:46 > 0:08:48and traffic offences, basically.
0:08:51 > 0:08:55John normally works alone, policing the roads in an unmarked car.
0:08:56 > 0:08:59First up, he's on the hunt for dangerous drivers.
0:08:59 > 0:09:03It's morning rush hour on the A470
0:09:03 > 0:09:06so he's got his eyes on a very tight S-bend.
0:09:07 > 0:09:09The white lines are there for a reason.
0:09:09 > 0:09:12You've got a little S-bend, little chicane.
0:09:12 > 0:09:14You got a bend on the corner there,
0:09:14 > 0:09:16and you've got a car park opposite.
0:09:16 > 0:09:19That's the reason for the double white lines
0:09:19 > 0:09:22but some people tend to ignore them.
0:09:25 > 0:09:29If they clip the white lines, or straddle them, I don't stop them.
0:09:29 > 0:09:32I only actually stop them when they go four wheels
0:09:32 > 0:09:33into the opposite lane.
0:09:33 > 0:09:36You're not allowed to cross double white lines at all.
0:09:37 > 0:09:40The saying is, "More paint, more danger."
0:09:40 > 0:09:42Nice one - I'll remember that.
0:09:43 > 0:09:46Today, the motorists are behaving.
0:09:46 > 0:09:49Yes, very good, very good.
0:09:49 > 0:09:51So John moves on.
0:09:57 > 0:10:01Sometimes, I'll check vehicles...
0:10:01 > 0:10:02at random.
0:10:02 > 0:10:05Just drive along and see what comes around!
0:10:09 > 0:10:11Ah, they're in a hurry.
0:10:11 > 0:10:15Then, a red car flashes past and catches his eye.
0:10:20 > 0:10:22Good spotting.
0:10:24 > 0:10:26Right, he's tucking something
0:10:26 > 0:10:28in his back, he is, the one at the back.
0:10:38 > 0:10:41Right, boys, how's it going? Strong smell of cannabis in this car,
0:10:41 > 0:10:43and you've just shoved something down your back.
0:10:43 > 0:10:45When I stopped the car, you were like this,
0:10:45 > 0:10:48seat belt off, and it's stinking of cannabis.
0:10:48 > 0:10:50So, I'm going to search you all.
0:10:50 > 0:10:52- Yeah.- Who's got...
0:10:52 > 0:10:57- Before we go any further, who's got it?- No-one, I ain't got no cannabis, mate.
0:10:57 > 0:11:01- There's a cannabis smell in here, boys.- No, we haven't got no cannabis.
0:11:01 > 0:11:05- Can I put my teeth in?- Yeah, course you can. All out, please.
0:11:05 > 0:11:08Can you come out here where I can see you? Come round here.
0:11:08 > 0:11:12It reeks of dope. But PC John needs hard evidence.
0:11:12 > 0:11:15A smell of cannabis. Can you tip your pockets out for me?
0:11:25 > 0:11:28I can smell it in the car, see. Quite a strong smell of cannabis, like.
0:11:28 > 0:11:32Yeah, it was half a joint I had and I was smoking it here.
0:11:32 > 0:11:35And I just threw it, the roach ended up about here.
0:11:35 > 0:11:36No, no.
0:11:36 > 0:11:37Two seconds.
0:11:37 > 0:11:41Two seconds. Keep here.
0:11:41 > 0:11:42Right, do me a favour,
0:11:42 > 0:11:44keep your hands up here where I can see them, right?
0:11:48 > 0:11:49Right, turn your pockets out for me,
0:11:49 > 0:11:52please, buddy. Keep your hands where I can see them.
0:11:52 > 0:11:55The woman's come clean. But John wants to find the drugs.
0:11:55 > 0:11:57You'll do these silly things like smoke drugs?
0:12:04 > 0:12:08Then John finds a grinder, a gadget used to grind marijuana leaves.
0:12:14 > 0:12:16Have you been in trouble with cannabis before? You have?
0:12:16 > 0:12:20- When?- Over 13, 14 years ago.
0:12:20 > 0:12:22Give me a sec, then.
0:12:22 > 0:12:26He's smelt the dope, and he's found a grinder.
0:12:26 > 0:12:30But without more evidence, PC John is powerless. For now.
0:12:44 > 0:12:47Honest to God, I just throwed it out there.
0:12:47 > 0:12:49Later, John's instincts tell him
0:12:49 > 0:12:51there's more to this case than a dodgy smell.
0:13:04 > 0:13:06Earlier in Cornwall,
0:13:06 > 0:13:08the Air Ambulance raced to a field in Fraddam.
0:13:10 > 0:13:1411-year-old Lee came off his motorbike and gashed his leg.
0:13:14 > 0:13:17And he could have more serious injuries.
0:13:17 > 0:13:19Hello, Lee, how you doing, buddy, all right?
0:13:20 > 0:13:22Lee's wound is right down to the bone,
0:13:22 > 0:13:25so Paul asks Lee to grade his pain.
0:13:25 > 0:13:27So how do you feel at the moment, buddy?
0:13:27 > 0:13:33- Erm... About two-ish pain.- OK.
0:13:33 > 0:13:35Do you want anything more for the pain?
0:13:35 > 0:13:37Can we make you any more comfortable, do you think?
0:13:38 > 0:13:41No, not really.
0:13:41 > 0:13:44- You're going to brave it out at the moment?- Do you want some more gas?
0:13:44 > 0:13:49We had some giggles with the gas just now, so that was working well.
0:13:49 > 0:13:52Lee's mum, Yvonne, was with him in minutes.
0:13:52 > 0:13:56He's been very brave, he... He don't seem too bad.
0:13:56 > 0:14:02The gash in his leg's a bit bad but apart from that, he seems OK.
0:14:04 > 0:14:07The only visible injury is a leg wound.
0:14:07 > 0:14:10But the pain from that could be masking more serious injuries.
0:14:10 > 0:14:13So, you can wiggle your fingers, can you?
0:14:13 > 0:14:16Do you mind me lifting your top up there?
0:14:16 > 0:14:18You've had a wash today, that's the main thing.
0:14:18 > 0:14:22- No.- No?!- Tell us that now! - Take a deep breath in.
0:14:24 > 0:14:26Does that hurt at all?
0:14:26 > 0:14:28No?
0:14:30 > 0:14:32He's come off his bike at around 20mph,
0:14:32 > 0:14:35gone forward and left the bike.
0:14:35 > 0:14:38He's actually broken the visor of his helmet.
0:14:38 > 0:14:40Because of that mechanism,
0:14:40 > 0:14:44we're going to treat it quite conservatively, and immobilise him.
0:14:44 > 0:14:47A broken helmet could mean a neck and spine injury.
0:14:47 > 0:14:50Paul and Ben can't take any chances.
0:14:50 > 0:14:52You haven't got any necklace on, or anything like that?
0:14:52 > 0:14:53- No, I don't wear it.- No?
0:14:53 > 0:14:57Lee, what I need to do is get in and around your neck, all right?
0:14:57 > 0:15:00But it's probably easier if I cut right across your top
0:15:00 > 0:15:03and get the whole thing off, is that all right? Good man. All right, then.
0:15:03 > 0:15:05So, you pop your arm out, nice and straight.
0:15:05 > 0:15:09- You getting cold?- You feeling cold? - Yeah.- I'll get you another blanket.
0:15:10 > 0:15:14Right, Lee, this collar unfortunately is not designed for
0:15:14 > 0:15:19comfort. The whole idea is to keep you nice and straight and in line.
0:15:19 > 0:15:23What I'm going to do is pass this collar up behind your head,
0:15:23 > 0:15:25OK? And this pings round.
0:15:25 > 0:15:28- Have you seen these on the telly? Do you watch Casualty?- Yeah.
0:15:28 > 0:15:32- My cousin does.- Pop your arms across your chest, that's it.
0:15:32 > 0:15:34Put that one up as well, keep you nice and warm.
0:15:34 > 0:15:39Like I say, this isn't going to be comfortable, but it just helps us,
0:15:39 > 0:15:42- all right?- Keep your head nice and still.
0:15:42 > 0:15:44You keep looking straight up in the air, all right?
0:15:44 > 0:15:46Lee's badly hurt,
0:15:46 > 0:15:50and in a remote field 20 miles from the nearest A&E.
0:15:50 > 0:15:52He needs urgent hospital care.
0:15:54 > 0:15:57But, first, he'll have to get to the Helimed.
0:15:59 > 0:16:01- OK?- OK?- Yeah.
0:16:01 > 0:16:03- If I let you do those together.- OK.
0:16:03 > 0:16:06Lee, can you just take a nice deep breath in for me?
0:16:06 > 0:16:10The team make the transfer over bumpy ground as smooth as possible.
0:16:14 > 0:16:18This tough lad is coping on paracetamol, and gas and air.
0:16:18 > 0:16:19Ready, set and lift.
0:16:19 > 0:16:21Lovely job.
0:16:29 > 0:16:32All right? So, tell me, how's your leg feeling?
0:16:32 > 0:16:34Less painful, I guess.
0:16:34 > 0:16:36Less painful, that's a good thing, isn't it?
0:16:36 > 0:16:38- That's really uncomfortable. - Yeah.
0:16:38 > 0:16:41With Mum by his side, Lee takes off.
0:16:41 > 0:16:43His journey to hospital will take
0:16:43 > 0:16:47a fraction of the time it would have by road ambulance.
0:16:47 > 0:16:50He's got a five-inch laceration just above the knee,
0:16:50 > 0:16:52full thickness down to the bone.
0:16:52 > 0:16:56Cos he's 11 and cos of the state of his injury, then,
0:16:56 > 0:16:58as you can see, the lane we're going out of,
0:16:58 > 0:17:02it wouldn't have been very comfortable getting him out of here
0:17:02 > 0:17:05very quickly and very easily to the appropriate hospital, really.
0:17:07 > 0:17:11I think the people of Cornwall have a great affinity with
0:17:11 > 0:17:13the Cornwall Air Ambulance.
0:17:13 > 0:17:16I think a lot of people have had experiences of it,
0:17:16 > 0:17:19whether it be first-hand, or through family members,
0:17:19 > 0:17:23and I think they get it. I think they see the benefit
0:17:23 > 0:17:25the Air Ambulance brings to the county.
0:17:36 > 0:17:40Coming up, Lee has to be a brave soldier in hospital.
0:17:40 > 0:17:42Right, squeeze my hand.
0:17:42 > 0:17:43HE GROANS IN PAIN
0:17:43 > 0:17:44Relax.
0:17:45 > 0:17:48PC John sniffs out some serious crime.
0:17:48 > 0:17:50When you say disqualified, do we know why?
0:17:50 > 0:17:54'Yes, it's giving us dangerous driving and no insurance.'
0:17:56 > 0:17:58But first, it's a blue light case
0:17:58 > 0:18:00for rural paramedics in Dumfriesshire.
0:18:01 > 0:18:03- Do you remember what happened?- No...
0:18:03 > 0:18:05Sort of?
0:18:17 > 0:18:21Across Scotland, the Ambulance Service looks after
0:18:21 > 0:18:23a population of over five million.
0:18:23 > 0:18:28150,000 of them in the rural region of Dumfries and Galloway.
0:18:28 > 0:18:33But all these people are scattered over a vast area.
0:18:33 > 0:18:36So, with over 16,000 emergency incidents to attend
0:18:36 > 0:18:39every year, the paramedics have many miles to cover.
0:18:42 > 0:18:44From countryside collisions...
0:18:47 > 0:18:49..to an accident at the seaside.
0:18:49 > 0:18:51I'm Caroline. What happened?
0:18:52 > 0:18:54They go the distance to pick up the sick...
0:18:54 > 0:18:58So, this one, did the pain stay just in your chest or did it go...?
0:18:58 > 0:18:59..and patch up the wounded.
0:18:59 > 0:19:03He's got a problem with a dislocation to his right knee.
0:19:06 > 0:19:07Today it's the turn of
0:19:07 > 0:19:11veteran paramedics Paul Votier and Malky McNeish.
0:19:11 > 0:19:15The Lockerbie pair have clocked up 31 years between them on the job.
0:19:17 > 0:19:20A 999 call has just come in.
0:19:20 > 0:19:22A patient's collapsed in a doctor's surgery.
0:19:27 > 0:19:29Hello there. Mrs Scott?
0:19:29 > 0:19:31Hello, Mrs Scott.
0:19:32 > 0:19:34Agnes came in with chest pains,
0:19:34 > 0:19:37but suddenly lost consciousness in the consultation room.
0:19:44 > 0:19:47Agnes is on oxygen while she comes round.
0:19:47 > 0:19:49Paul checks she's fully conscious.
0:19:51 > 0:19:53- Is it Mrs Scott?- Yes.
0:19:53 > 0:19:56- Mrs Scott, have you got any pain at the moment?- No.
0:19:56 > 0:19:58- No? OK. Do you know where you are at the moment?- Yeah.
0:19:58 > 0:20:01- Can you tell me?- Lockerbie Surgery.
0:20:01 > 0:20:05- And do you remember what happened? - No...- Sort of?
0:20:05 > 0:20:08Agnes has an existing heart problem.
0:20:08 > 0:20:12So when she woke at three in the morning with a burning pain
0:20:12 > 0:20:14in her chest, she knew she needed a doctor.
0:20:17 > 0:20:22Before she collapsed, Agnes had been given something for the pain.
0:20:22 > 0:20:25Do you remember the doctor giving you the GTN spray under the tongue?
0:20:25 > 0:20:27Yes.
0:20:27 > 0:20:33- Do you remember much after that? - Yes, aye, kind of.- Kind of.
0:20:33 > 0:20:35Just going to take you through to Dumfries, OK?
0:20:35 > 0:20:38Get the doctors to check you out there.
0:20:40 > 0:20:44- You wasn't expecting this this morning, no?- No, no.
0:20:44 > 0:20:48Paul is confident Agnes won't need to be stretchered to the ambulance.
0:20:49 > 0:20:52We're just going to sit you up, nice and easy.
0:20:52 > 0:20:55Bring your arms across your chest, I'll help you sit up.
0:20:57 > 0:21:01Just rest there for a moment, just rest against me, how are you feeling?
0:21:01 > 0:21:03Just a wee bit sicky.
0:21:03 > 0:21:04Sicky, OK. No pain, no?
0:21:04 > 0:21:08If you dig your heels in for us, we'll give you a hand to stand up.
0:21:08 > 0:21:11And I'll put the chair in behind you and get you sat down.
0:21:11 > 0:21:13Ready? One, two, three.
0:21:15 > 0:21:17Have a wee seat there, that's it.
0:21:18 > 0:21:22- How do you feel there?- OK.- OK.
0:21:23 > 0:21:25Thanks very much.
0:21:25 > 0:21:27- Have you spoken to Dumfries?- Yes.
0:21:27 > 0:21:29Fantastic.
0:21:29 > 0:21:33Agnes now faces a 13-mile journey on country roads to hospital.
0:21:33 > 0:21:37Paul will keep a close eye on her all the way.
0:21:38 > 0:21:40I know I've asked this question before, Agnes.
0:21:40 > 0:21:43- You had chest pain before the doctor gave you the spray?- Yeah.
0:21:43 > 0:21:45What's the last thing you remember?
0:21:45 > 0:21:51I started to go all woozy, next thing they had me on the floor.
0:21:51 > 0:21:56- Then you came round on the floor. Pain free?- Yes.
0:21:56 > 0:21:59No pain. Everything's good, Agnes, all right?
0:21:59 > 0:22:03Paul and Malky take Agnes to Dumfries and Galloway Royal Infirmary
0:22:03 > 0:22:05where she'll be checked out by the specialists.
0:22:14 > 0:22:16Later in the programme,
0:22:16 > 0:22:19Paul and Malky blue light to a man
0:22:19 > 0:22:21who's taken a turn after eating ice cream.
0:22:22 > 0:22:24Keep nice and still for me, OK?
0:22:34 > 0:22:39Back in the Brecon Beacons, PC John Whiles is on road patrol,
0:22:39 > 0:22:43which often means covering hundreds of miles on his own.
0:22:47 > 0:22:51Earlier, he nabbed a car reeking of cannabis.
0:22:51 > 0:22:53Before we go any further, who's got it?
0:22:53 > 0:22:55No-one, haven't got any cannabis, mate.
0:22:55 > 0:22:56There's a cannabis smell in here.
0:22:56 > 0:22:58When I stopped the car,
0:22:58 > 0:23:01as soon as I opened the door, I could smell a strong smell
0:23:01 > 0:23:03of cannabis coming from inside the car.
0:23:03 > 0:23:05The lady's admitted having a joint.
0:23:05 > 0:23:07However, because I can't find the joint,
0:23:07 > 0:23:10I've got no evidence really.
0:23:10 > 0:23:13So the fact she said she had the joint, it's historical, really.
0:23:13 > 0:23:16I can't really find the joint, so I can't do anything about it.
0:23:16 > 0:23:22He's searched the car and the three people on board and found no drugs.
0:23:22 > 0:23:23But John's instincts tell him
0:23:23 > 0:23:25there's more to this than meets the eye.
0:23:25 > 0:23:28He radios for a vehicle check.
0:23:28 > 0:23:30Can I have a code one vehicle check, please?
0:23:31 > 0:23:34'Red Fiat Punto, with one driver insured on.'
0:23:39 > 0:23:45The driver is uninsured, which means a 300 quid fine and six points.
0:23:45 > 0:23:48- My insurance is on her name, see? - Right.
0:23:59 > 0:24:01And his day goes from bad to worse.
0:24:01 > 0:24:05His friend lets slip he doesn't even have a full driving licence.
0:24:19 > 0:24:21Right, one thing at a time, right?
0:24:22 > 0:24:24A provisional licence holder must be accompanied by
0:24:24 > 0:24:28a full licence holder. But no-one in this car is legal.
0:24:28 > 0:24:31So, it looks like it's the end of the road.
0:24:49 > 0:24:51RADIO BEEPS
0:24:51 > 0:24:55From one zero, can I arrange recovery, please, section 165?
0:24:58 > 0:25:01The recovery truck's on its way.
0:25:01 > 0:25:05But just when he though it couldn't get any worse, it does.
0:25:05 > 0:25:08'Not having any insurance is one thing. We've got 24 previous
0:25:08 > 0:25:11'and also disqualified driving
0:25:11 > 0:25:14'for taking a motor vehicle without consent, 2008.'
0:25:14 > 0:25:17Yeah, that's received. When you say disqualified, do we know why?
0:25:17 > 0:25:22'Yes. It's giving us dangerous driving and no insurance.'
0:25:22 > 0:25:24RADIO BEEPS
0:25:24 > 0:25:26Yeah, that's received.
0:25:26 > 0:25:29So, you've not got a provisional. You've been disqualified,
0:25:29 > 0:25:31- you had a licence. - Yeah, I have got a provisional.
0:25:31 > 0:25:34The driver's already been disqualified.
0:25:34 > 0:25:37It's time to feel the force of the law.
0:25:38 > 0:25:41John reveals the hefty list of penalties he'll face.
0:25:42 > 0:25:46You're talking £300 fixed penalty for the no insurance,
0:25:46 > 0:25:49plus driving without a licence.
0:25:49 > 0:25:50How much for that?
0:25:50 > 0:25:52Might as well cut my arm and leg off!
0:25:54 > 0:25:57It's turned into a catalogue of offences.
0:25:57 > 0:26:02Basically, what's happened, he's driving on a provisional licence,
0:26:02 > 0:26:04they've got no insurance on the vehicle,
0:26:04 > 0:26:07so the vehicle's now been seized under section 165 of the Road Traffic Act.
0:26:07 > 0:26:11And all occupants have been searched for cannabis and no cannabis found.
0:26:11 > 0:26:13There was a grinder found, small bit of dust in it.
0:26:13 > 0:26:17I'm not going to arrest somebody for a bit of dust. So that's it, really.
0:26:17 > 0:26:20So wait for recovery to come now. Job done.
0:26:23 > 0:26:26I am at the moment on a back road, which takes us towards the valleys.
0:26:28 > 0:26:29I've just phoned recovery now
0:26:29 > 0:26:33because it's quite a rural location and quite difficult to find.
0:26:34 > 0:26:36The recovery truck can't find them.
0:26:36 > 0:26:40No wonder - they're deep in the countryside on an unnamed road.
0:26:40 > 0:26:43But John's local knowledge saves the day.
0:26:43 > 0:26:45Hello, it's PC Whiles.
0:26:45 > 0:26:47Just so you know, if you go towards Talybont...
0:26:49 > 0:26:52The driver's been reported for summons cos he's driving
0:26:52 > 0:26:55without insurance and other than according to the licence,
0:26:55 > 0:26:58so that's quite serious. He'll have to attend court.
0:27:11 > 0:27:16To get the car back, they'll need to pay over 100 quid within 14 days.
0:27:16 > 0:27:20Not to mention providing valid insurance and a valid licence.
0:27:22 > 0:27:24So, if you sign both those.
0:27:26 > 0:27:27And here comes the pick-up.
0:27:29 > 0:27:32Stranded in the back of beyond,
0:27:32 > 0:27:34John gives them a lift to the nearest village.
0:27:35 > 0:27:38But they'll have to make their own way from there,
0:27:38 > 0:27:40and not behind the wheel.
0:27:43 > 0:27:45Later in the programme,
0:27:45 > 0:27:48PC John catches a red light jumper red-handed.
0:27:48 > 0:27:51You actually came flying through there at quite a fair speed, really.
0:27:51 > 0:27:53Well, I don't speed all the time.
0:27:53 > 0:27:55I'm late for this flipping golf thing now.
0:28:02 > 0:28:06From crimes on country roads to a nasty fall on farmland...
0:28:08 > 0:28:10..the Cornwall Air Ambulance has had an urgent call out
0:28:10 > 0:28:12to a field near the village of Fraddam.
0:28:15 > 0:28:1911-year-old Lee flew off his motorbike and landed on rusty metal.
0:28:19 > 0:28:23This is going to be probably quite sore when we move you about
0:28:23 > 0:28:26and what I don't want you to be is have to be the bravest man
0:28:26 > 0:28:28in the world and tell me it's not hurting when it really is.
0:28:28 > 0:28:31The only injury you could see was a nasty, open wound on his leg.
0:28:31 > 0:28:34It was right through to the bone.
0:28:34 > 0:28:37But the team had to treat him for potential neck and spine injuries
0:28:37 > 0:28:39and get him to hospital quickly.
0:28:41 > 0:28:43He may be feeling pain in his leg and not telling us
0:28:43 > 0:28:46about some pain that he may have had in his neck.
0:28:46 > 0:28:48Because of the speed that he was travelling
0:28:48 > 0:28:50and his helmet was damaged,
0:28:50 > 0:28:53we immobilised his spine just in case.
0:28:55 > 0:28:57Now in Truro, Lee and mum Yvonne
0:28:57 > 0:29:00have been safely delivered to hospital.
0:29:00 > 0:29:02And it's good news.
0:29:02 > 0:29:04Lee doesn't have a spinal injury.
0:29:05 > 0:29:07I was just riding back to the house,
0:29:07 > 0:29:13I hit this massive metal thing and flipped over and cut my leg.
0:29:14 > 0:29:19He was going out with his dad and his two brothers
0:29:19 > 0:29:24on the motorbikes into the top field and fell off on his way home.
0:29:24 > 0:29:25Bit of a shock.
0:29:27 > 0:29:31Consultant Dr Mark Jadav comes to check on Lee's injury.
0:29:31 > 0:29:32How are you feeling, Lee?
0:29:32 > 0:29:34OK.
0:29:34 > 0:29:37Lee, what I'd like to do is have a proper look at this, OK?
0:29:37 > 0:29:40And what I'm going to do is give you some gas, all right?
0:29:40 > 0:29:44They've told me he's got to get it cleaned out and checked
0:29:44 > 0:29:47to make sure there's no further damage underneath.
0:29:48 > 0:29:49It hurts.
0:29:50 > 0:29:54The doctors need to examine the wound thoroughly and stitch it up.
0:29:54 > 0:29:58Lee AND his mum will need guts to get through this.
0:29:59 > 0:30:02- Are you likely to faint? - What, at the wound,
0:30:02 > 0:30:03- of just...?- Anything.
0:30:03 > 0:30:05- I've seen it.- Seen it all before. - I've seen all that
0:30:05 > 0:30:08- today, at the minute. - That's fine, that's absolutely fine.
0:30:10 > 0:30:14Lee needs a local anaesthetic injected near his wound.
0:30:14 > 0:30:15All right?
0:30:16 > 0:30:19Just going to pop a little bit of local anaesthetic in there, OK?
0:30:19 > 0:30:22It feels a bit stingy, like a bee sting, all right?
0:30:22 > 0:30:24You're doing really well.
0:30:24 > 0:30:27- BOY GROANS - It's all right - squeeze, squeeze, squeeze!
0:30:27 > 0:30:30- Relax.- That's it. - Nice big, slow, deep breaths.
0:30:30 > 0:30:32Keep holding my hand. Squeeze.
0:30:32 > 0:30:34- It's all right. - It's OK, just breathe.
0:30:34 > 0:30:36Just breathe.
0:30:36 > 0:30:38- Breathe. Big breaths. - It's all right, it's all right.
0:30:38 > 0:30:42When the local anaesthetic kicks in, the doctors can stitch him up.
0:30:42 > 0:30:43Keep hold of me.
0:30:43 > 0:30:46It's all right, you're doing all right, just relax.
0:30:46 > 0:30:48Big breaths.
0:30:48 > 0:30:51That's it, well done. Big, deep breaths.
0:30:51 > 0:30:53- Breathe, breathe.- OK.
0:30:53 > 0:30:54Just relax.
0:30:54 > 0:30:57The gas and air and anaesthetic take effect,
0:30:57 > 0:31:00allowing the medical team to repair the damage.
0:31:03 > 0:31:05Can't be squeamish in this job, can you?
0:31:05 > 0:31:07No! CHUCKLING
0:31:14 > 0:31:17I think he may be off the motorcycle for a few weeks,
0:31:17 > 0:31:19but he's had that all stitched up now.
0:31:19 > 0:31:24There's no tear to the muscle at all, so that's really good for him.
0:31:24 > 0:31:26It means he'll certainly be back up and on his feet much sooner.
0:31:26 > 0:31:29The worry with that injury for him today was that
0:31:29 > 0:31:33he had other injuries besides the cut on his leg.
0:31:33 > 0:31:36So when he got here, we did a trauma assessment,
0:31:36 > 0:31:38and the great news was that there was
0:31:38 > 0:31:40absolutely nothing else going on with him.
0:31:40 > 0:31:42It was simply a skin wound, torn through the
0:31:42 > 0:31:45skin and the fatty tissue below it.
0:31:45 > 0:31:47So thankfully, he'll be on his way very soon.
0:31:52 > 0:31:54Lee gets the all-clear,
0:31:54 > 0:31:56and it's not long before he's back on his feet.
0:31:56 > 0:31:59But will Mum let him back on his bike?
0:31:59 > 0:32:01I'd say...
0:32:01 > 0:32:04at least 25 years?
0:32:04 > 0:32:06No! About four weeks!
0:32:06 > 0:32:09- About...- Or a month.- Well, we'll wait and just see how the leg heals.
0:32:12 > 0:32:15It's been a team effort to help the junior daredevil,
0:32:15 > 0:32:19but it's all second nature to the countryside emergency services.
0:32:40 > 0:32:43Back in Dumfries and Galloway, it's all about teamwork
0:32:43 > 0:32:45for Lockerbie paramedics Paul and Malky.
0:32:48 > 0:32:52They've helped Agnes, who'd collapsed in her doctor's surgery.
0:32:53 > 0:32:55One, two, three...
0:32:57 > 0:32:59We've got your seat there, that's it.
0:33:01 > 0:33:02Now they're on another call,
0:33:02 > 0:33:05this time further away from their base in Lockerbie.
0:33:05 > 0:33:09They're off to Eaglesfield, a village ten miles to the south.
0:33:10 > 0:33:12SIREN SOUNDS
0:33:12 > 0:33:15An older man is complaining of severe chest pain -
0:33:15 > 0:33:18one of the most common reasons for ambulance call-outs in this area.
0:33:23 > 0:33:27Unusually, the man's symptoms were triggered by eating ice cream.
0:33:27 > 0:33:30SIREN SOUNDS
0:33:30 > 0:33:33This is a chest pain - 69-year-old male with a chest pain.
0:33:33 > 0:33:37The patient's wife called 999 when he became ill.
0:33:38 > 0:33:41You talk to me - what's going on?
0:33:41 > 0:33:43What's happened to you?
0:33:45 > 0:33:47- How do you feel at the moment? - I'm all right.
0:33:47 > 0:33:49Any pain there at all at the moment?
0:33:55 > 0:33:56Yep...
0:33:56 > 0:33:58Was he?
0:34:05 > 0:34:08- What's your first name, sorry?- Alan.
0:34:08 > 0:34:10- Is it OK if I call you Alan?- Aye.
0:34:10 > 0:34:12Alan, can you take this top off?
0:34:12 > 0:34:14- Or just lift it up for me?- Aye.
0:34:15 > 0:34:18Paul needs to find out what has triggered Alan's episode.
0:34:20 > 0:34:23If it's an underlying heart problem, it should show up on an EGC,
0:34:23 > 0:34:26which measures electrical activity in the heart.
0:34:26 > 0:34:28So was you just sitting down eating this ice cream, Alan,
0:34:28 > 0:34:32or was you walking about when the pain came? Just sitting?
0:34:36 > 0:34:39Didn't wolf it down, did he(?) Did he take his time or wolf it?
0:34:39 > 0:34:40No!
0:34:46 > 0:34:48These first ones go on your wrists and your ankles,
0:34:48 > 0:34:51these sticky pads, and then we'll put six across your chest, OK?
0:34:55 > 0:34:58- And you're pain-free at the moment, Alan?- Oh, fine, thanks.
0:34:58 > 0:35:01What was you doing today, then, what work was you doing?
0:35:07 > 0:35:09Just the ice cream?
0:35:11 > 0:35:15We'll just do this, Alan, make sure things are OK and have a chat
0:35:15 > 0:35:16and see what you want to do, OK?
0:35:20 > 0:35:23Keep nice and still for me, Alan, OK?
0:35:25 > 0:35:28That looks tickety-boo.
0:35:29 > 0:35:32It's fine.
0:35:32 > 0:35:36Blood pressure's fine, pulse is fine, ECG is fine.
0:35:36 > 0:35:40All the results are normal, so Paul agrees Alan can stay at home
0:35:40 > 0:35:44and avoid the 42-mile round trip to the nearest hospital.
0:35:44 > 0:35:46But he'll have to check in with his GP,
0:35:46 > 0:35:48and maybe stay off the sweet stuff.
0:35:48 > 0:35:52That's all OK, Alan, that's all clear, OK?
0:35:52 > 0:35:57You don't suffer with ulcers or gastric problems at all, do you?
0:35:57 > 0:35:58Do you normally get upset tummies?
0:36:05 > 0:36:08In Dumfries and Galloway, nearly a third of the population
0:36:08 > 0:36:10are over 60.
0:36:10 > 0:36:13Heart disease is one of the leading causes of death,
0:36:13 > 0:36:16so reaching patients with chest pain quickly is critical.
0:36:19 > 0:36:21It can take up to 40 minutes
0:36:21 > 0:36:25for an ambulance to get a patient to hospital in this rural area.
0:36:25 > 0:36:27Very different from Paul's old manor.
0:36:27 > 0:36:30The travelling time in London, or any city, to a hospital
0:36:30 > 0:36:34could be less than five minutes, less than ten minutes.
0:36:34 > 0:36:36In the countryside, you're looking at sometimes
0:36:36 > 0:36:39up to 30- or 40-minute journey times.
0:36:39 > 0:36:42But for Paul it's a small price to pay for leaving the city behind.
0:36:42 > 0:36:44Such a more happy person,
0:36:44 > 0:36:47relaxed person than I used to be in London, so...
0:36:58 > 0:37:01Rural Britain makes for a stunning workplace -
0:37:01 > 0:37:05compensation for the challenges it gives the emergency services.
0:37:07 > 0:37:11On his patch in the Brecon Beacons, PC John Whiles knows
0:37:11 > 0:37:14the rural roads like the back of his hand.
0:37:14 > 0:37:17And he's got a nose for sniffing out crime.
0:37:17 > 0:37:20After a period of time working this area,
0:37:20 > 0:37:24you do tend to know certain places to go, certain times of day,
0:37:24 > 0:37:27certain times of the week, when you will get certain offences.
0:37:27 > 0:37:30We've already seen him catch a motorist breaking the law.
0:37:38 > 0:37:42Now John's on the prowl in Crickhowell for red-light jumpers.
0:37:42 > 0:37:45And one offending hot spot is the town's roadworks.
0:37:47 > 0:37:51I'm parked here at the moment, we've got traffic lights here.
0:37:51 > 0:37:54People tending... what I call amber gamblers,
0:37:54 > 0:37:57they tend to jump the red lights sometimes.
0:37:57 > 0:37:59I'm looking for people jumping the red lights.
0:37:59 > 0:38:01You've got a good view looking down into the cockpits of cars,
0:38:01 > 0:38:03and you see people on mobile phones,
0:38:03 > 0:38:08texting and speaking on the phones as they drive through.
0:38:13 > 0:38:15There are people with no insurance as well.
0:38:15 > 0:38:17That's quite a good offence
0:38:17 > 0:38:19because at the end of the day, if they crash into somebody,
0:38:19 > 0:38:23then it's the injured party who tend to be out of pocket,
0:38:23 > 0:38:24at the end of the day.
0:38:31 > 0:38:35And it's not long until a Honda hightails it through a red light.
0:38:47 > 0:38:51This car in front, this black Honda in front, just jumped the red light.
0:38:51 > 0:38:52Came through quite fast
0:38:52 > 0:38:55and obviously, with the light changing, went through.
0:39:09 > 0:39:12The reason I've stopped you is I was parked back there on the hill
0:39:12 > 0:39:14and you jumped the red light, OK?
0:39:14 > 0:39:16It was gone to red and you went through.
0:39:16 > 0:39:19You've gone past the sign, you came flying through there
0:39:19 > 0:39:21at quite a fair speed. I couldn't tell you what speed,
0:39:21 > 0:39:23but you jumped the red light, OK?
0:39:23 > 0:39:25- Unfortunately...- Sorry about that. - I've got a choice -
0:39:25 > 0:39:28I can either report you for summons, where you can attend court,
0:39:28 > 0:39:31or can offer you a fixed penalty, but the choice is yours.
0:39:31 > 0:39:33Um, the fixed penalty...?
0:39:33 > 0:39:36It's a £100 fine and three penalty points on your licence.
0:39:36 > 0:39:39I know I shouldn't have done that. I'm already on nine points.
0:39:39 > 0:39:42- Oh, right, that changes things. - I mean, the amount of miles I do,
0:39:42 > 0:39:45I mean, I've done 176,000 in this,
0:39:45 > 0:39:49and I'm on the road, you know, like, all the time,
0:39:49 > 0:39:52constantly, and how I don't get gunned...
0:39:52 > 0:39:53But I don't speed ALL the time.
0:39:53 > 0:39:56I'm late for this flipping golf thing now.
0:39:56 > 0:40:00That's the only reason. Normally I don't honestly go like a maniac.
0:40:00 > 0:40:03Unfortunately, because I've stopped you, you're going to be late again.
0:40:03 > 0:40:05Right, got a bit of a problem now, right,
0:40:05 > 0:40:07because you are on nine points,
0:40:07 > 0:40:09I can't offer you a fixed penalty, right,
0:40:09 > 0:40:11so I'm going to have to report you for summons.
0:40:11 > 0:40:15- I'll be off the road?- Possibly, yeah. You're up to 12 points.
0:40:15 > 0:40:18- Cos that's my job now, that's up the chute.- Yeah.
0:40:18 > 0:40:23- OK.- I genuinely don't race around like a loony, it's only that I'm...
0:40:24 > 0:40:28Three more points puts this driver at risk of losing his licence.
0:40:31 > 0:40:34And because his work relies on driving,
0:40:34 > 0:40:36his job could be at risk as well.
0:40:41 > 0:40:43Well, I thought, I know there's a delay between the lights
0:40:43 > 0:40:45quite a lot, isn't there?
0:40:45 > 0:40:48And I just went through and I shouldn't have, really.
0:40:48 > 0:40:49'I'm just late for something.'
0:40:50 > 0:40:52I haven't had a crash in the last 30 years,
0:40:52 > 0:40:53or anything like that,
0:40:53 > 0:40:56I'm not a lunatic driver, you know what I mean?
0:40:56 > 0:40:58Right, when I stopped you over there,
0:40:58 > 0:41:03I explained what you did, all right? And I cautioned you, yeah?
0:41:03 > 0:41:05After the caution you said, "I'm late for a golf meeting," yeah?
0:41:05 > 0:41:09- Yes.- Sign right at the end there so I can't add any more in.
0:41:09 > 0:41:12I'm formally reporting you for the question and consideration
0:41:12 > 0:41:16of prosecuting for the offence of contravening in a red light, OK?
0:41:16 > 0:41:19- Anything you want to say? - It's all right.
0:41:19 > 0:41:21All right.
0:41:22 > 0:41:24I do hundreds of miles every week.
0:41:24 > 0:41:26Hundreds of miles.
0:41:27 > 0:41:31I don't just potter around from shops, you know?
0:41:33 > 0:41:35It's just, er, I'm just not being careful enough, am I?
0:41:36 > 0:41:40The gentleman I stopped for contravening the red light,
0:41:40 > 0:41:42when he explained he had nine points on his licence,
0:41:42 > 0:41:44I could no longer give him a fixed penalty.
0:41:44 > 0:41:48The reason for that is, you're only allowed 12 points on your licence.
0:41:48 > 0:41:50It's called the totting-up scheme.
0:41:50 > 0:41:52He's totted up 12 points over a period of time
0:41:52 > 0:41:54by committing various traffic offences,
0:41:54 > 0:41:59and therefore potentially going to lose his licence, yeah.
0:41:59 > 0:42:02I try to treat people fairly, and the same.
0:42:02 > 0:42:04Cos everybody's got a story
0:42:04 > 0:42:07and everyone's got a problem in their life, yeah?
0:42:07 > 0:42:09I feel sorry for some people,
0:42:09 > 0:42:11others you think...
0:42:12 > 0:42:13..they're swinging the lead.
0:42:13 > 0:42:15But he's already had three chances...
0:42:15 > 0:42:17'before I stopped him today'
0:42:17 > 0:42:22and he's committed a further offence, so when is he going to learn?
0:42:25 > 0:42:26So that's my thought on that.
0:42:38 > 0:42:42No rest for the emergency services in Britain's countryside.
0:42:45 > 0:42:49Agnes stayed in Dumfries and Galloway Royal Infirmary overnight,
0:42:49 > 0:42:53but happily all her tests came back clear.
0:42:53 > 0:42:55The two drivers who got caught in the act
0:42:55 > 0:42:56await their day in court.
0:42:58 > 0:42:59Busted!
0:43:00 > 0:43:03And Lee's stitches came out two weeks later.
0:43:03 > 0:43:05He'll be back in the saddle as soon as his bike's mended -
0:43:05 > 0:43:07and his mum lets him!
0:43:10 > 0:43:13And you thought it was quiet in the countryside...