Episode 5 Keeping Britain Alive: The NHS in a Day


Episode 5

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This programme contains scenes which some viewers may find upsetting

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18th October, 2012.

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Across Britain, 100 cameras are filming the NHS on a single day.

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This change will be a disaster.

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On this day, more than 1.5 million of us will be treated.

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Three days ago you had a stroke.

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1,500 of us will die.

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2,000 will be born.

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The NHS is the largest public healthcare system in the world.

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We want that to be in your voice all of the time.

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Hello, we're going to help you.

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-We rely on it...

-Be really brave.

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-..complain about it...

-In the bin, that's because of you!

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..often we take it for granted.

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Lucas! Lucas!

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What we expect from the NHS is ever-increasing.

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The money to pay for it isn't.

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If we could see what this institution does in a single day...

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..what would it make us think?

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This entire series tells the story of one day.

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So, why isn't she waking up?

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100 cameras,

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capturing the NHS as you've never seen it before.

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Baby born at five to three.

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RADIO: 'A top temperature today of 12 degrees...'

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'Tayside and Fife have been badly affected...'

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'Sunshine and showers today...

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'Eastern parts of England...'

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'Clockwise between 23...'

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'Later on this afternoon we will see some showery outbreaks of rain

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'just spreading into East Anglia and the south-east of England.'

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'Why brains?

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'Well, first of all brains are beautiful, I have got to say that.

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'My father is a neurosurgeon

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'but I was quite keen on becoming an engineer.

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'Then there was a big tragedy'

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in Malta, which is where I grew up,

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there was a hijack and the hijacked plane was forced to land

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in Malta, and the terrorists were shooting passengers in the head

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every hour and demanding that the plane be refuelled.

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'But I remember quite vividly my father going into hospital

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'and coming back after two or three days,

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'having operated on five of these people who had suffered

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'horrific injuries and that three of them had survived.'

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So I just decided that I wanted to become a neurosurgeon.

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Today, Ludvic has two patients booked in for surgery.

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He specialises in deep brain stimulation,

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a surgical procedure used to treat extreme tremors.

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His first patient, 70-year-old Agnes, has a neurological disorder

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called dystonia and 67-year-old Rose has Parkinson's disease.

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Although both conditions are incurable,

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surgery could make a significant difference to the symptoms.

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Deep brain stimulation involves placing electrodes

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deep within the brain, so, just to give you a demonstration,

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this is the sort of thing that we are implanting,

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it's a very thin lead,

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which is about the size of an uncooked spaghetti,

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with four little contacts at the end.

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So, what we end up with is a lead that we put in the brain,

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connected to a battery which is implanted either underneath

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the collarbone or in the tummy.

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For some patients, like Agnes and Rose, it is less risky to have

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two separate operations, one for each side of the body.

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I had it done before because my right hand had a severe tremor.

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I just can't wait for the end result.

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I'm hoping it will be as successful as last year's operation.

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Agnes uses a remote control to switch on the electrode

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already implanted in her brain.

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That's on.

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When it goes on, I can feel a shot of electricity go into my brain.

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And this is the difference.

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In the last two years, Rose's tremors have become

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so violent she has lost two-and-a-half stone in weight.

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What are you most looking forward to after you have had the operation?

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Being able to slice and move a pan

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over to the other side without burning myself.

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Carrying a cup of tea and things like that, you know.

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She couldn't...

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Sometimes she might get there with it and sometimes she'll spill it.

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Then when I go to the post office and get my pension,

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I can't sign that.

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All the staff do it for me.

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Just simple things like that.

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It's going to be a new beginning. I am sure.

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Karen, it is lying breach at the minute, bottom down, OK?

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Mornings are good towards the end of the week

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but I quite like doing lates on a Monday, straight after the weekend.

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I think there's an element of putting a bit of a face on,

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yes, cos you don't want to, sort of, be blubbering all day

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and things like that.

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You have got to put a bit of a face on, like a bit of a smiley face,

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because you know, everyone has got issues, everyone has got their own

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problems that they have to come into work with and stuff like that, like,

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you know if you have had an argument in the morning you've still

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got to go in and smile at everyone when really you don't want to but...

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You know, it's just the way it is. It's just nursing, that.

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But that's like any job, though, isn't it?

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Giving chemo for the very first time is horrible for all involved

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really, just because this is...you're starting them off.

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They are always going to remember you, they are always going to

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remember you as the first person that ever gave them the chemo,

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which most of the time is a good thing, but sometimes,

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you know, you are always going to have that stigma of,

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"Oh, you were the first one, when I came to the Christie, you were the

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"first one that gave me treatment and made me feel really sick."

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Right, come on!

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Right, out.

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Now, come on.

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Move, come on!

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-A nice red colour for you.

-That'll be lovely, that, won't it?

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That is a change, isn't it?

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-This is the one that makes your hair come out.

-Right.

-All right?

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I had a haircut last week because I said it was less to drop out.

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Yes, it looks nice.

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-RADIO:

-'Rangers fans were going to buy these tickets...'

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Right, through we go then.

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Well done. You are doing really well.

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I have a patient on the island of Islay who has got schizophrenia.

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THEY SPEAK IN GAELIC

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Like all surgical patients,

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Agnes has been screened for superbugs such as MRSA.

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-So you know that your GP did a swab for you.

-Yes.

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That came back as negative.

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-Yes, I was clear.

-That was clear.

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-But the swap that they did yesterday came back as positive.

-MRSA?

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I don't think we should be taking risks with your health.

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-You are not going to do it?

-Not now.

-Oh!

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-Sorry.

-I had it last year.

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-But we cleared it before the operation.

-No!

-We did, we did.

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When it come back from the ward they put me in isolation.

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But we cleared it beforehand.

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-It doesn't make sense to do it now and take that extra risk.

-Yes.

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Rather than postponing it by a few weeks. So, I'm really sorry.

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-You were psyched up for this.

-I know. I'm very disappointed.

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-You have had a bit of an audience, as well.

-Yes.

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But I think we should do what is best for your health

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because the last thing... You won't thank me

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if we do the operation and the hardware gets infected...

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-That's right.

-..and we have to take both sides out.

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-I forget about that. I forgot.

-Do you understand?

-Yes, I do.

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-We've got to do the best for you, all right?

-Thank you.

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-I'll come back and have a chat.

-Thank you anyway.

-No worries.

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-See you later.

-OK, bye.

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I wasn't expecting that.

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-No?

-No.

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-I'm really sorry.

-I'm trying to keep brave about it.

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I was so hyped up.... to have this operation.

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As I said, I was looking forward to the end result

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and now to have to go through it all again...

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Just one of these things.

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But I just feel like crying.

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Now Agnes is going home, Rose is moved up the operating list.

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-Hi there.

-Hi there.

-How are you?

-Very well, thank you.

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-All set?

-All set.

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How long has it been since we did the first operation?

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-17th of August last year.

-So just over a year.

-Yes.

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Let's have a look, how are we getting on? So what about the tremor here?

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Very good. Are you happy with that?

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-What are we going to do for you today?

-You are going to do this side.

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Absolutely. So we are going to put an electrode on this side of the head

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because it's this side of the brain that controls that side of the body.

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-But you are happy for us to go ahead.

-Oh, yes.

-Perfect.

-I have to do.

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-So we will see you downstairs very shortly.

-Please, God.

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-Thanks a million.

-We will do the very best for you.

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-Thank you.

-Take care.

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Hi, Fred.

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How are you?

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BABY CRIES

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Ladies and gentlemen, if you are here for chemotherapy today,

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please be aware there is a slight delay in getting blood results...

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Although cancer remains Britain's biggest killer,

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survival rates are better than ever.

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Two million people are now living with or beyond the disease.

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Hello there, Mike Whitaker. Thank you.

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Around 130 of them will come here today for chemotherapy.

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Some are hoping to be cured.

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Others know it can only buy them time.

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To get as far as the chemo treatment is absolutely brilliant.

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Because from what was said at the beginning, it wasn't looking good.

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-It wasn't looking good. I was going for... Is it the EMR scan?

-Yes.

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If that showed anything up then there was nothing he could do.

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Well, I have had so many tests since and I am down

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and I am here, so that is brilliant.

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Yes, that's the best thing, that's the best news, isn't it,

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that anyone can ask for?

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'The reasons I came into this job are still the same, you know,

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'cancer is always going to be there and I think, you know,'

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it's something, if you've got the chance to be on

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the other side of it and help, for as long as possible,

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then, why wouldn't you?

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'You know?

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'I want to be on this side of it so that I can see and help people'

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and, you know, make them smile a little bit, maybe.

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Sometimes.

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-Right, so this is your steroid.

-Okey-doke.

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Now this can give you a bit of a prickly bottom.

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Oh, right, OK.

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It only lasts for a couple of seconds.

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Don't make me laugh!

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Sorry!

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-Oh, dear.

-Some people say it feels like nettles.

-Oh, right.

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So that is pleasant for you(!)

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Barry has cancer of the oesophagus.

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He was first diagnosed two months ago.

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'This is my first treatment.'

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I've got three months' treatment, then an operation,

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and then a rest, and then three months' treatment after

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what they call mopping up.

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So, um, yes, I was wary about this morning but so far so good.

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He seems to be pretty straightforward. He knew

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exactly what he was doing, he knew what to expect and things like that.

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The only thing that he was worried about was his son.

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-How old is Liam then?

-24 in December, and a star.

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He is a magic lad, special needs, he is profoundly handicapped,

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-but he is like...

-Will you do anything for his birthday?

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We've nothing planned as yet because it has thrown things

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but we are fortunate, we've got a place in Wales

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so we can walk down the beach

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and because it's concrete you can walk about three miles

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in his wheelchair so that's brilliant.

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He just loves it down there.

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Especially when the tide's in, and it's coming over.

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We just have great fun.

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# Well they talk about me

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# But people don't really care... #

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Today, one in six of us is living with some kind of mental illness.

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# ..We're going to keep on going... #

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Terry is a patient in a secure psychiatric unit in Blackpool.

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As part of a programme to prepare patients for their return

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to the community they are sent on a supervised visit to the zoo.

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..bipolar yourself, I tell you, you're off your head!

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I will!

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'I think, just going outside, in the normal environment,'

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which they will be spending most of their life,

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see how they interact with people,

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see how they interact with the staff there,

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'how they manage their money,

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'basic safety measures like, you know, crossing the road,'

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whether they are able to

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handle themselves safely throughout the visit.

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Thanks, everybody, for sticking to road safety.

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THEY ALL LAUGH

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'You cannot cure mental illness,'

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but what we can do is there are different treatment regimes

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pharmacological, psychological and, you know, social treatments

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which would help to contain these symptoms.

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Terry has bipolar disorder. He's been at the unit for six weeks

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but is due to released at the end of today.

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Just grabbing hold of your fingers, that's what they want.

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Would you expect at some point you'll come back to the hospital?

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I can never really tell. If I go a bit high and I go too much,

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-I might have to.

-Yeah.

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But sometimes I remain all right for two years.

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Giraffes! Go and see my giraffes! I've seen the lions now so...

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And the tigers, so we are going to go and see the giraffes.

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Chris has a personality disorder,

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he's bipolar and suffers from delusions.

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He's been known to mental health services since he was 13.

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Mother, daddy and a baby.

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It is amazing, they are beautiful creatures, so, so sensitive.

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Wow!

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Oh!

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I was...

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I was a difficult child and I was abrupt and I was disobedient

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and very, very unsettled as a child.

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Apple.

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'I left my mother's home at the age of 14'

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and won the lottery at the age of 25...

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I'm 27 now so I won the lottery when I was 23.

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Wow.

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'I'm hoping the authorities have got it.

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'It was £10.7 million'

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and it was a lot of money -

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could have changed my life and many more lives.

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I wouldn't be here now,

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I'd maybe be travelling in Asia or travelling in America,

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on business, entrepreneurial business.

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What do you do with £10.7 million, what do you do with all that money?

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Buy a dog.

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I'd buy a dog, and buy a car

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and buy a home, somewhere nice.

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Dog first, I always wanted a dog.

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-TERRY:

-That's what they all say in Blackpool, they all call me Elvis.

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They say there is nobody as fluent as you singing Elvis.

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He said, "I always liked Elvis songs but you can sing exactly like him."

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-Christopher!

-Chris!

-Christopher!

-Chris!

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-TERRY:

-Christopher! Christopher!

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-You can get here this way.

-Christopher! Chris!

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-Chris, are you going that way?

-He reckons this way is quicker.

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No, we're not.

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SIRENS WAIL

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RADIO: 'Two accidents in West Yorkshire on the A1.

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'M1 northbound, lane out at junction 13 because of an accident.

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'If you are heading out of London, the A13 is closed eastbound.'

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Rose is about to undergo deep brain stimulation.

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Shall we come straight in?

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Hello.

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Fewer than one in ten Parkinson's patients

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are considered suitable for this life-changing treatment.

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'She started tremoring about May, 2006.'

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'It got worse all the time.

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'I couldn't walk from the sink'

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to the table.

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Oh, it was horrible. It really was horrible.

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Rose has really exhausted all the medical options

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for trying to help with the tremor.

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The tremor is becoming so bad,

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it really has progressed over the last year or so.

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It's become so bad that her whole body shakes

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and I think if we can diminish that tremor,

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of course it would be lovely to get rid of it, but if we can improve it,

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then I think it would make a big effect on her quality of life.

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'I think if we didn't have this operation

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'she would have to cope as best she can with the symptoms.'

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The arduous procedure will take four hours,

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and Rose will be awake throughout.

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I'll take good care of her.

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-So, you remember this little fella?

-I do.

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-We are going to put that on the head.

-Yes.

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These little bars will go in your ears.

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You'll feel a bit of pressure for five minutes or so.

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If that becomes unbearable,

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-you let us know and we'll pull it out.

-Right.

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-Then we'll numb these four areas and put those little screws in.

-Right.

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-Then the frame will be on.

-Right.

-All right?

-Yes.

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Let's get it over and done with.

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This is the worst bit, you remember that.

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-In for a penny... TOGETHER:

-..in for a pound.

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Good luck. OK. Here we go.

0:20:450:20:47

'To start the procedure requires putting a frame on the head

0:20:480:20:51

'and getting an MRI scan which will be a personal map to Rose's brain.

0:20:510:20:56

'But if you look at any map,'

0:20:560:20:58

in order to navigate accurately,

0:20:580:20:59

you have to place a reference grid over it

0:20:590:21:02

and that is exactly what the frame does.

0:21:020:21:05

It allows us to have what we call coordinates, that guide us

0:21:050:21:09

to very precise locations within the brain

0:21:090:21:11

'with millimetric accuracy.'

0:21:110:21:13

-Just going into the ears, they'll feel a bit uncomfortable.

-Yes.

0:21:130:21:16

Do let us know if it becomes unbearable.

0:21:160:21:18

-The right one's a bit...

-It's a bit painful already, is it?

0:21:180:21:21

-Is it tight?

-Yes, very.

0:21:270:21:29

-Is it unbearable?

-Yes.

0:21:290:21:30

-Which side is worse?

-Left.

-The left?

0:21:300:21:32

-Top right is hurting.

-On the forehead?

-Yes.

0:21:320:21:36

OK, let that out a little bit.

0:21:360:21:38

Rob, could you hold her hand a little bit?

0:21:380:21:40

Just maybe help control the tremor a bit.

0:21:400:21:42

-It's really hurting me.

-The right? Here? Hold on.

0:21:420:21:46

-I'm sorry.

-You are being very good.

-The frame's moved this side.

0:21:550:21:59

-Are you all right, Rose?

-Yes.

0:21:590:22:01

Close your eyes for me.

0:22:020:22:04

A sharp scratch above your right eye. A little bit of burning.

0:22:040:22:08

Just behind your right ear again.

0:22:100:22:13

-And just behind your left.

-Yes.

0:22:130:22:15

-Have you got any pain anywhere at the moment?

-No.

-Good.

0:22:240:22:28

Get you lying down in just a second, OK?

0:22:280:22:30

Just going to tighten those things up a little bit more.

0:22:300:22:33

Good.

0:22:330:22:34

-I right deserve a brew.

-That does deserve a brew, absolutely!

0:22:340:22:39

We need something stronger in it!

0:22:390:22:42

-THEY LAUGH

-A wee drop of something!

0:22:420:22:45

OK. Take it easy.

0:22:470:22:50

Can you remember this plastic box that we put on top of everything?

0:22:500:22:53

-You can hear a bit of a click.

-Yes.

0:22:560:22:59

OK.

0:23:000:23:02

Good.

0:23:020:23:03

Good.

0:23:030:23:05

-OK, this is just going to come over you.

-OK.

0:23:050:23:08

All right? You can close your eyes if you want to.

0:23:130:23:16

-It's entirely up to you.

-ROSE'S COMMENT INDISTINCT

0:23:160:23:20

And then up a little bit.

0:23:200:23:22

'A lot of what doctors do is thought be life-saving'

0:23:250:23:32

and a lot of it is, of course it is an important part of what we do,

0:23:320:23:36

but I think quality of life is increasingly being recognised

0:23:360:23:40

over the decades as being one of the most important things

0:23:400:23:44

that we can do other than saving lives.

0:23:440:23:47

'The more technology that we have, the more we are spending

0:23:470:23:51

'to provide people with these increases in quality of life.

0:23:510:23:54

'So it is a big challenge,

0:23:540:23:55

'a big economic health challenge for the society at large to say,'

0:23:550:23:59

all right, how much are we prepared to invest

0:23:590:24:01

in a National Health Service, that is going to provide

0:24:010:24:04

quality of life which is important for us as human beings?

0:24:040:24:09

And what's that cut-off? Where do we have to say,

0:24:090:24:12

these are the resources that we have got and above that resource

0:24:120:24:16

we can't afford it and below that resource, we can?

0:24:160:24:19

There we go.

0:24:190:24:21

Mental health is one of the most complex challenges facing the NHS.

0:24:310:24:35

Treating mental health disorders

0:24:360:24:39

costs the NHS more than any other illness.

0:24:390:24:41

# He has the strength to move the tide

0:24:430:24:46

# Without his love you won't survive

0:24:460:24:49

# I'm singing praise together

0:24:490:24:52

# Sing together

0:24:520:24:54

# Pray with one mighty roar... #

0:24:540:24:57

This evening, Terry is due to be discharged from the unit

0:24:570:25:01

and will return to the care home he has lived in for nearly two years.

0:25:010:25:05

# ..Rejoice. #

0:25:050:25:07

Over the last week, the psychiatric team have been meeting to discuss

0:25:080:25:12

whether or not he is ready and safe to leave the unit.

0:25:120:25:16

Terry is around 63-years-old and more than half of his life

0:25:170:25:21

he has been dealing with this bipolar illness.

0:25:210:25:24

He has a 37 year history of this and he has had plenty of admissions.

0:25:240:25:31

When he came to us on this particular instance, Terry was demanding

0:25:310:25:35

and aggressive and agitated on the ward

0:25:350:25:37

'and he was singing lots of songs of Elvis Presley.'

0:25:370:25:41

-How do you cope with that? How do you cope when you are low?

-Well...

0:25:420:25:46

You know the best thing to do about it, when you are lying in bed

0:25:460:25:49

and you can't even motivate yourself to get up?

0:25:490:25:52

Force yourself to get up

0:25:520:25:53

and just make yourself get up and take up walking.

0:25:530:25:56

And as you're walking, look at the sea going out or coming in.

0:25:560:26:00

Walking is the best thing for depression.

0:26:000:26:03

'What tends to happen is Terry will come onto the ward

0:26:040:26:07

'and his physical health problems will be looked after.

0:26:070:26:10

'We sort of look into his medications'

0:26:100:26:12

and then he gradually starts to improve

0:26:120:26:14

and then he is at a point where all his abnormal beliefs,

0:26:140:26:18

they tend to retreat and his normal self

0:26:180:26:22

comes more and more into the front.

0:26:220:26:24

Shall we get Terry in then? Yes.

0:26:240:26:26

-Hello.

-Sorry.

0:26:290:26:33

-Morning, Terry.

-Morning.

-You know all of us in the room here.

-Yes.

0:26:380:26:42

And, I get, you know, you think you are getting better now,

0:26:420:26:46

-you are on your road to recovery at the moment.

-I am, yes.

0:26:460:26:49

And I think we all share the same thing that Terry is showing

0:26:490:26:52

improvement. How do you feel about your medication?

0:26:520:26:55

It's done right. It's levelled out.

0:26:550:26:57

It is helping me, um, just be normal.

0:26:570:27:01

You know when you have not been well in the past,

0:27:010:27:04

-you have sometimes felt like life is not worth living.

-Yes.

0:27:040:27:07

-Has it happened recently when you have had such thoughts?

-No, no.

0:27:070:27:11

How would you feel about going back to this residential

0:27:110:27:15

accommodation you were at previously?

0:27:150:27:17

-Yes, I want to go back there. I think I am all right.

-Absolutely.

0:27:170:27:22

We are all in agreement of that, Terry.

0:27:220:27:24

I'll be all right in my care home anyway.

0:27:240:27:27

-Yes, you will.

-AROKIA:

-Well done, Terry.

0:27:270:27:29

Thank you very much. Thank you.

0:27:290:27:31

'Every time we turn around a patient's life I think that's

0:27:330:27:36

'the biggest satisfaction we get in our jobs.'

0:27:360:27:38

So I am really pleased that Terry has got better

0:27:380:27:41

and is able to go home today. I wish him well.

0:27:410:27:44

Sorry, just excuse me.

0:27:440:27:46

Unlike Terry, Chris is not ready to leave the unit.

0:27:470:27:50

Oh! Oh!

0:27:500:27:53

Excuse me.

0:27:560:27:57

Go on!

0:27:570:27:59

'Christopher was known to mental health services as a child.

0:27:590:28:02

'When he is low he is very depressed and when he is high,

0:28:020:28:05

'which he experiences a lot, he can experience delusions,'

0:28:050:28:09

you know,

0:28:090:28:11

mostly of a grandiose nature.

0:28:110:28:13

This is it.

0:28:160:28:17

This is my computer where I am doing all my work on at the moment.

0:28:170:28:20

I have got a dossier to type up, a couple of dossiers.

0:28:200:28:24

This is Bonnie Prince Charlie, he is a relative of mine,

0:28:240:28:27

back in the olden days, Culloden,

0:28:270:28:30

and he's now buried with the Pope in the Vatican City.

0:28:300:28:35

Charles Edward Stuart.

0:28:350:28:37

There is some issues I'd like to get off my chest

0:28:380:28:41

whilst you are filming within the NHS.

0:28:410:28:43

The services could be a lot better, given the better Government funding

0:28:450:28:49

and a lot of people miss out on the potential the NHS could reach.

0:28:490:28:55

The National Health Service of this nation could be an awful lot better

0:28:550:28:58

and Jeremy Hunt of the member of the Parliament...

0:28:580:29:01

Member of Parliament for Healthcare,

0:29:010:29:04

he knows that he has the money to transform the NHS,

0:29:040:29:08

the National Health Service of Great Britain,

0:29:080:29:10

and unfortunately he just won't.

0:29:100:29:13

Jeremy Hunt, Secretary of State for Health,

0:29:200:29:24

is in charge of the £105 billion NHS budget.

0:29:240:29:28

Now that over 15 million of us are living with long-term illness,

0:29:330:29:37

Jeremy Hunt has to find a way to finance the growing demand

0:29:370:29:41

this makes on the NHS.

0:29:410:29:43

At the moment demand in the NHS is rising by around 4% a year,

0:29:450:29:50

in some parts of the system it's more.

0:29:500:29:52

Admissions to A&E are going up by about 5% a year

0:29:520:29:55

and that is an increasing burden on public finances

0:29:550:30:00

which is why it's so important to have a strong economy,

0:30:000:30:03

because the public want us to be able to carry on investing

0:30:030:30:06

and it's top of their priorities in terms of the area

0:30:060:30:10

that they want to see the Government focusing on.

0:30:100:30:13

Today, Jeremy is visiting a cancer centre in central London

0:30:160:30:20

-which is partly charity funded.

-Thank you for coming.

-Pleasure.

0:30:200:30:24

-Robert Naylor, Chief Executive.

-Nice to meet you.

-Geoff Bellingan.

0:30:240:30:27

-Hello, Jeremy.

-Nice to meet you.

-Katherine Fenton.

0:30:270:30:31

Katherine, very nice to meet you.

0:30:310:30:32

-Right.

-All right?

-Yes.

0:30:370:30:39

I will take you to our ambulatory care unit,

0:30:390:30:42

so this is really a way in which we can treat patients with

0:30:420:30:45

complex chemotherapy regimes without needing to keep them in hospital.

0:30:450:30:49

-Is chemotherapy normally an injection?

-Well, it's a variety...

0:30:490:30:54

It is usually infusions.

0:30:540:30:56

Sometimes tablets, sometimes injections,

0:30:560:30:58

but usually it's a series of infusions maybe lasting an hour,

0:30:580:31:03

maybe a bit longer.

0:31:030:31:04

What do you mean by an infusion?

0:31:040:31:07

-Claire, do you have somebody who is having an infusion?

-Um, yes. I do.

0:31:070:31:12

No cuts in services!

0:31:120:31:14

Morning.

0:31:300:31:32

When we was going to the toilet, blood,

0:31:320:31:36

you have seen the adverts, diagnosed with bowel cancer.

0:31:360:31:40

Had the op in February, put me on the old chemo.

0:31:400:31:42

Then they tell me the chemo hasn't worked.

0:31:420:31:45

Then they tell me you have five or ten years left,

0:31:450:31:47

then I saw my main doctor a fortnight later,

0:31:470:31:50

she tells me, "No, it's not, it's one or two years."

0:31:500:31:54

I said, "Thanks!"

0:31:540:31:56

-Bottom line is, I say, you don't know.

-No.

-You don't know.

0:31:560:32:00

You don't know, you've just got to stay positive and, you know,

0:32:000:32:04

trying just keep plodding away.

0:32:040:32:08

Yes. Without doubt.

0:32:080:32:11

-Angela Newnan, please.

-See you in a bit.

0:32:110:32:14

-That other nurse, on here, she's got them...

-Chinchillas.

0:32:220:32:25

-That's it, yes.

-How many chinchillas has she got?

0:32:250:32:27

-I think she had five, one died.

-Oh, did it die?

0:32:270:32:30

-Yes, and then she got another one.

-Oh, bless.

-Now she is thinking...

0:32:300:32:33

-She is thinking of getting one.

-Yeah, I want one.

-Are you?

0:32:330:32:36

He is holding his head. THEY LAUGH

0:32:360:32:38

-You got another one to go?

-Yes, I've got another hour to go. Yes.

0:32:380:32:42

-No, you haven't.

-Serious!

0:32:420:32:44

No, no, no, no. This is the last. Don't have me on.

0:32:440:32:47

-We have got another hour to go.

-We haven't.

-We have.

0:32:470:32:50

'It's always there, isn't it?

0:32:500:32:52

'It's always at the back of your mind.

0:32:520:32:55

'How many people have cancer, but I think when you are faced with it

0:32:550:32:58

'on a day-to-day basis'

0:32:580:32:59

it does make you think a little bit more.

0:32:590:33:02

'I can't do this job and not spot signs or symptoms

0:33:020:33:06

'or things like that

0:33:060:33:08

'I think it makes you more aware of things that maybe aren't

0:33:080:33:11

'really there and you think, "Oh, well,'

0:33:110:33:13

-"I'll just go and check it out."

-Where do you go?

-GP.

0:33:130:33:17

Definitely. I think he has seen me more since I have started here

0:33:170:33:21

'than he's ever seen me before.

0:33:210:33:23

'He's never nasty. They're just sort of,'

0:33:230:33:26

"Where do you work?" "Christie's." "Right."

0:33:260:33:29

Hello! Good afternoon.

0:33:310:33:35

One biopsy there which is showing us the oesophagus.

0:33:530:33:58

This is a normal lining, perhaps a bit of inflammation,

0:33:580:34:02

but nothing too much to worry about.

0:34:020:34:04

Then we go on this higher magnification.

0:34:040:34:08

I've spotted

0:34:080:34:11

that the cells underneath the normal lining are quite worrying.

0:34:110:34:17

I can quite confidently say that this is a cancerous tumour.

0:34:170:34:21

And so what they have seen is definitely a malignancy.

0:34:230:34:29

Every two minutes, someone in the UK will be diagnosed with cancer.

0:34:310:34:36

This is a specimen from a middle-aged lady,

0:34:380:34:41

they did an ultrasound for her and they found that her uterus

0:34:410:34:44

is very big and there is a mass bulging from the uterus.

0:34:440:34:49

The tumour itself was 24 centimetres in maximum dimension.

0:34:490:34:55

The whole specimen was more than five kilograms.

0:34:550:34:58

-Is the patient still alive?

-Yes, she is still alive.

0:34:580:35:02

Michael Whitaker.

0:35:060:35:08

49-year-old Mike was diagnosed with bowel cancer two years ago.

0:35:100:35:14

-How are you today?

-Not too bad, thank you.

0:35:160:35:18

I have been battling through the traffic for the last hour or so.

0:35:180:35:22

Have you got anything planned this weekend?

0:35:220:35:25

The little ones are on half term

0:35:250:35:26

-so we will try and keep them entertained.

-Aw! Yes.

0:35:260:35:29

I don't go there with the, "Why me?"

0:35:330:35:36

Because I just like to get on with matters

0:35:360:35:39

and it's a case of what will be, will be. You know?

0:35:390:35:42

I look back on my lifestyle and think,

0:35:420:35:44

were there anything I could have changed? You know?

0:35:440:35:46

Did anything really contribute to this suddenly happening,

0:35:460:35:49

and no, there were nothing like that.

0:35:490:35:52

Never smoked all my life, drank in moderation,

0:35:520:35:55

never took drugs! No.

0:35:550:36:00

Some people say life's a lottery, you know? And what will be, will be.

0:36:010:36:06

Lovely, thank you.

0:36:070:36:09

'I have four boys I have twins at 12 and two elder guys at 21 and 23.

0:36:090:36:14

'They are both in the Army.'

0:36:140:36:16

Yes, yes.

0:36:160:36:18

'I have sat down with the elder two had a good chat about matters.'

0:36:180:36:22

The little ones are aware of my operation in February

0:36:220:36:25

and why Dad was going for the operation and since then,

0:36:250:36:30

obviously, them being 12,

0:36:300:36:32

we didn't want to rock the boat as such with their school life.

0:36:320:36:35

I'm going to let them enjoy Christmas and then, in the New Year,

0:36:370:36:41

probably we'll have the sit-down chat

0:36:410:36:44

regarding matters and my health.

0:36:440:36:47

When somebody tells you you've got 12 months to you left here,

0:36:490:36:53

you know, you've just got to stay as positive as possible

0:36:530:36:56

and, in a sense, in a funny sort of way, that's a challenge,

0:36:560:36:59

that's a challenge to me to prove people wrong.

0:36:590:37:02

'So I just try to live every day, you know, doing what I enjoy,

0:37:030:37:07

'and doing what we can do with the family, as much as possible,

0:37:070:37:11

'while I still have time here and that's how I look at matters.'

0:37:110:37:15

My wife wants the bedroom decorating for Christmas.

0:37:170:37:20

So she still has a little list of jobs for me, to keep me going.

0:37:200:37:25

I won't die of boredom if anything else.

0:37:250:37:28

Today, the NHS will spend over £6 million on emergency services.

0:37:400:37:46

The Midlands Air Ambulance is bringing in a 19-year-old girl

0:37:460:37:50

with burns to her face.

0:37:500:37:51

This is Sophie. She is 19.

0:37:580:38:00

She was attempting to do a poached egg in the microwave.

0:38:000:38:03

She opened the door of the microwave and it exploded in her face.

0:38:030:38:07

-Where are my glasses? Were they burning me?

-Yes.

0:38:070:38:10

-We'll sort out something for that.

-You all right?

0:38:100:38:12

-Lots of people around here.

-I know.

0:38:120:38:14

I know, the exciting bit now is we need to have a little look,

0:38:140:38:17

all right? Was the poached egg in some water in a glass jar, was it?

0:38:170:38:20

-Yes? Hot water.

-Boiled the kettle before I put it in the pot.

0:38:200:38:23

OK, so it was already going quite well?

0:38:230:38:25

And it exploded in your face as you opened the door, did it?

0:38:250:38:27

-I popped the cup out and...

-And it just exploded?

0:38:270:38:32

-Did the glass break at all?

-No. I didn't really look, I just ran.

0:38:320:38:37

-That is grand.

-Ow!

-No pressure, man.

0:38:390:38:42

There we go.

0:38:450:38:47

-That wasn't too bad, was it?

-Let me look at your face.

0:38:470:38:50

-Have you got any pain in your scalp at all?

-No.

-OK.

0:38:530:38:57

The burns look quite superficial. OK, that means it is not very deep.

0:38:580:39:01

That is probably why it is very painful, all right?

0:39:010:39:04

We are also going to have a look in your eyes

0:39:040:39:06

to make sure that your eyes are OK, with some special dye.

0:39:060:39:08

We'll shine some bright lights in your face.

0:39:080:39:10

Did you do any first aid?

0:39:100:39:11

You ran out of the room, did you put anything on it?

0:39:110:39:14

-I ran my face under cold water.

-For ten minutes.

0:39:140:39:16

-OK, and you called the ambulance?

-I fainted. They called while I was...

0:39:160:39:19

-Where do you live?

-Stafford.

-Stafford!

-Yeah.

0:39:190:39:23

-Where am I?

-You're in Birmingham.

0:39:230:39:26

So big, deep breaths.

0:39:260:39:29

By the look of you, you've been very lucky.

0:39:290:39:31

Nothing we need to do an operation for, I don't think. All right?

0:39:310:39:34

You've basically got a bad sunburn and a bit of a burny nose.

0:39:340:39:37

We just need to have a look at your eyes though, all right?

0:39:370:39:40

Can I please ring my sister because she is on the way from Stafford.

0:39:400:39:43

Is she? We shall give her a call, shall we? All right.

0:39:430:39:45

If there is a burn to a face that affects your nostrils,

0:39:450:39:47

your mouth, whether it be a flame burn or steam burn in this case,

0:39:470:39:51

then it can cause the airway to swell and therefore stop patients

0:39:510:39:54

from breathing so it's more of an emergency. That's why

0:39:540:39:58

she would have been brought in by an air ambulance in this situation.

0:39:580:40:03

However, this young lady might have gone to her local hospital

0:40:030:40:07

which, in retrospect, would have been fine as well.

0:40:070:40:09

-What is this hospital called?

-Queen Elizabeth Hospital.

0:40:090:40:12

It's called Queen Elizabeth.

0:40:120:40:14

So, there we go. It is my first egg burn.

0:40:140:40:16

Gemma, will you come to me, I'm scared.

0:40:180:40:20

Do you want me to have a word with her?

0:40:200:40:22

Do you want the doctor to speak to you? Yeah?

0:40:220:40:25

You're all right, mate?

0:40:250:40:27

-What is your sister's name?

-Gemma.

-Hello, Gemma.

0:40:270:40:31

You are not allowed to cry in this hospital, OK?

0:40:310:40:35

-Are you all right?

-Yes.

0:40:350:40:38

No worries.

0:40:380:40:40

No, no. A bit of an injury to the face.

0:40:400:40:42

It is all sorted.

0:40:420:40:45

Any yoghurt?

0:40:460:40:47

She is a pickle.

0:40:490:40:51

There you go, love. Are you all right there? Can you manage?

0:40:530:40:55

Yes, I made it myself, it's gross.

0:40:570:40:59

-No, it's not, it's nice.

-Gross.

-It's like broccoli soup.

-It's gross.

0:41:020:41:07

You're going to hear a big noise now.

0:41:070:41:10

We're just going to make the little hole. It is very noisy,

0:41:100:41:12

-lots of vibration but no pain at all.

-All right.

0:41:120:41:15

DRILL WHIRRS

0:41:150:41:18

You're doing really well.

0:41:210:41:23

-That's it.

-I don't remember last one being like that.

0:41:260:41:30

No, you forget that sort of thing pretty quickly, don't you?

0:41:300:41:34

Ludvic needs to be sure that he doesn't damage the parts

0:41:340:41:38

of Rose's brain responsible for speech, movement and emotion.

0:41:380:41:42

-Here is the night train...

-Crossing the border.

-Crossing the border.

0:41:420:41:46

Bringing the cheques and the postal order.

0:41:460:41:48

Bringing the cheques and the postal order.

0:41:480:41:51

You sound like my three-year-old now, she likes copying everything

0:41:510:41:56

that everybody else says, she is going through that phase.

0:41:560:41:59

-I have a grandson.

-How old is he?

0:41:590:42:03

He's eight in February.

0:42:030:42:05

He rang me up on Sunday and said,

0:42:050:42:09

"Nana, has your shakes gone yet?"

0:42:090:42:14

And I said, "No, not yet, love." "Well, why?"

0:42:140:42:18

He's fabulous, he really is.

0:42:180:42:20

Right, can I have a new pair of gloves, please?

0:42:200:42:23

The electrodes, I think they cost around £2,000 each,

0:42:250:42:29

something like that.

0:42:290:42:31

I think it is important to realise that the amount of money

0:42:310:42:34

that's spent on medication,

0:42:340:42:36

the amount of money that's spent on care,

0:42:360:42:38

there's quite a lot of evidence out there to actually suggest,

0:42:380:42:41

and certainly for Parkinson's disease, if you do the surgery

0:42:410:42:44

in patients that are not responding to medication,

0:42:440:42:47

you actually start saving money after two-and-a-half years,

0:42:470:42:50

so it's a false economy not to offer it to people.

0:42:500:42:55

Of course, with the added benefit

0:42:550:42:57

of these people having a better quality of life.

0:42:570:42:59

-That is 101.

-101.

0:43:030:43:06

In an arc of...

0:43:060:43:09

66.9...

0:43:090:43:10

That's how the...

0:43:120:43:13

'The biggest risk of all is that we do the operation

0:43:130:43:16

'and it doesn't help.

0:43:160:43:18

'But at the end of the day,

0:43:180:43:19

'when you are doing an operation to help with function,

0:43:190:43:21

'the most important thing is that

0:43:210:43:23

'you don't leave your patients worse off.'

0:43:230:43:24

'Going back to the Hippocratic oath, "First, do no harm."

0:43:240:43:27

'But it is impossible to do any sort of surgery without risk.'

0:43:270:43:30

I'm 40, so I've got another 25 years plus,

0:43:330:43:37

if the Government gets its way, of doing this surgery,

0:43:370:43:41

and I hope I'm never faced with that knowledge

0:43:410:43:46

that I have left someone worse off than when I started.

0:43:460:43:49

And if I am in a position to say that I never have,

0:43:490:43:52

I think I'll be a very lucky man indeed.

0:43:520:43:54

-Rose?

-Yes.

-I don't know if you remember from last time

0:43:540:43:57

but do you remember we measured some of the electricity of the brain

0:43:570:44:00

-as we were doing the operation?

-Yes.

0:44:000:44:01

-Some of the music of the brain.

-Yes.

0:44:010:44:03

-We going to hear a little bit of that now, OK?

-Right.

0:44:030:44:06

-MUSICAL BEEPING

-That's fine, that's working well.

0:44:060:44:09

Before we do that, we want to test that all of our equipment

0:44:090:44:13

is working fine and ready for action.

0:44:130:44:16

Then once we are happy with that,

0:44:160:44:17

we will make a very small hole in the covering of the brain

0:44:170:44:20

and a very small hole on the surface and then pass that electrode

0:44:200:44:24

down, hopefully, to the spot that is going to affect the tremor.

0:44:240:44:27

'If the probe didn't end up where we wanted it to go,

0:44:380:44:41

'at the very least we wouldn't get the effect that we desire.

0:44:410:44:45

'If the probe is in the wrong place

0:44:450:44:47

'and you cause a bleed at that point, then you can cause a stroke.

0:44:470:44:52

'There's a lot that relies on us

0:44:520:44:53

'getting our probe at the right spot.'

0:44:530:44:55

-..Have you got that?

-Yes.

0:44:580:45:01

Thank you kindly.

0:45:020:45:04

-Suction here now, please.

-Suction down, please.

0:45:040:45:07

-There is no pain, right?

-No, no.

-Good.

0:45:070:45:09

MUSICAL BEEPING

0:45:090:45:11

Can you get that left hand out slowly...

0:45:140:45:17

and lift it up in the air?

0:45:170:45:20

Just leave it outstretched if you can. Just for about a minute.

0:45:240:45:28

Point to your chin. Then out again.

0:45:470:45:50

And then straighten your hand right out.

0:45:520:45:55

-Is that better?

-Yes.

0:45:550:45:56

Point to your chin.

0:45:560:45:58

Now straight out for us.

0:46:000:46:02

Well, do you know what? I think we have done the business.

0:46:020:46:04

Well done. Lovely.

0:46:040:46:07

-How different does it feel?

-It's very calm.

0:46:120:46:17

I have had it that long it doesn't seem real, it's not moving.

0:46:190:46:22

-So, Rose, we are just securing the electrode in place now.

-Right.

0:46:240:46:28

-The bed's not shaking any more.

-No! My hips aren't aching either.

0:46:280:46:33

-Good.

-I might put a bit of weight on now.

0:46:330:46:36

You couldn't really hope for more than that.

0:46:360:46:39

When we see patients who have such a good effect. Just by

0:46:390:46:42

implanting an electrode you get this very clear effect on the tremor,

0:46:420:46:46

and the outcome is usually good.

0:46:460:46:48

Almost there.

0:46:500:46:52

Just support her head from the back a bit.

0:46:520:46:55

-Oh, thank God for that.

-Free!

0:46:590:47:01

If I had to have that on my head again I don't think

0:47:020:47:05

-I could go through with that.

-So, it wasn't worth it then?

0:47:050:47:08

Oh, it was, yes! HE LAUGHS

0:47:080:47:11

As you say, it is half a day's discomfort for the rest of your life.

0:47:110:47:16

And if you had my life when I had them shakes, you do believe it.

0:47:160:47:21

That's very good. Very, very, very good.

0:47:210:47:25

-You can do neurosurgery now with these hands.

-Yes!

0:47:250:47:29

-I can strangle you as well!

-With some training. Some training.

0:47:290:47:33

Don't give me any ideas!

0:47:330:47:35

No. Oh, yeah!

0:47:350:47:36

Um, two small and two large.

0:47:420:47:45

Are you happy in this room?

0:47:510:47:53

I am brilliant in this room at the moment, yes.

0:47:530:47:55

Just looking for accommodation at the moment, looking for a nice home.

0:47:550:47:59

-Right. So when you leave here.

-When I leave here, nice home.

0:47:590:48:02

-Are you likely to be leaving fairly soon?

-Hopefully.

0:48:020:48:06

I am hoping to be leaving very soon.

0:48:060:48:09

I'd like to.

0:48:110:48:12

And how long have you been on this unit?

0:48:120:48:14

I have been on here for four months. Four months.

0:48:140:48:19

The staff have been brilliant with me.

0:48:190:48:21

Sometimes I can be very, very difficult. Sometimes...

0:48:210:48:25

I'm very, very charming and they're nice, brilliant to have around me

0:48:250:48:28

so cigarette time and down for a coffee.

0:48:280:48:33

How were you when you came in here then?

0:48:330:48:35

Cut off. I want get out of this room, I have been in here all day.

0:48:350:48:39

Over the last few days, the psychiatric team have been meeting

0:48:420:48:45

to discuss Chris's progress.

0:48:450:48:47

-Hi, Chris.

-Hello, how are you?

0:48:490:48:50

-I'm all right, and you? You know all of us in the room.

-I do, yes. Hello.

0:48:500:48:56

-Have a seat, Chris.

-Thank you very much.

0:48:560:48:58

Before you came into hospital, when you were unwell,

0:48:580:49:02

what was going on in your mind?

0:49:020:49:04

I guess I've never really fitted into regular society,

0:49:040:49:08

though it's quite an impossibility.

0:49:080:49:11

The National Health Service, to me,

0:49:110:49:13

has always been a solace for when I am not so good.

0:49:130:49:18

I am known to be a relative of Her Majesty, Her Royal Highness

0:49:180:49:21

Queen Anne I, the sickly queen of childbirth,

0:49:210:49:25

and people seem to think I am

0:49:250:49:31

brassed gold sovereignty

0:49:310:49:34

and it's just never really been that way.

0:49:340:49:36

I get a lot of support from an awful lot of people,

0:49:360:49:40

an awful lot of celebrities,

0:49:400:49:42

even the Pope messages now and again,

0:49:420:49:45

in his own way, so I am very, very blessed.

0:49:450:49:48

You have done quite well in the unit

0:49:480:49:51

and I am really pleased to hear from staff the progress you have made.

0:49:510:49:55

The nursing staff are great but these are faces that

0:49:550:49:58

I don't really want to see for ever. I need to go, I need to leave.

0:49:580:50:02

One day, and hopefully it is soon, I'll be in my home.

0:50:020:50:09

From this hospital environment, would you like to move to an accommodation

0:50:090:50:14

where you've your own space, your own room, and staff to support you?

0:50:140:50:19

I think until I find somewhere that I appreciate,

0:50:190:50:23

I think it will be an ample home and a happy home life,

0:50:230:50:28

a huge garden, with apple trees.

0:50:280:50:31

My frustrations in the community are sometimes too out of control

0:50:340:50:39

for support workers to deal with and, with that -

0:50:390:50:42

it doesn't just stem from money,

0:50:420:50:45

there's a lot of things, a lot of issues

0:50:450:50:48

and I discuss them with my doctors and my nurses,

0:50:480:50:51

though not into great detail like I should -

0:50:510:50:55

I don't let out enough steam as I should.

0:50:550:50:58

Here is solitude and it's where I can rest

0:50:580:51:04

and feel reassured that no-one can get in and no-one can watch me

0:51:040:51:09

and no-one can stalk me, if you will.

0:51:090:51:12

I get a lot of that.

0:51:120:51:14

This is also the culprit that makes your hair fall out.

0:51:260:51:29

-So it just starts coming out in clumps?

-Yes.

-Yes.

0:51:290:51:33

But it is entirely up to you, some ladies like to take it

0:51:330:51:35

all off themselves and some like to just wait and see what happens.

0:51:350:51:38

'I would be lying if I said it didn't affect me,

0:51:380:51:42

'in the way that you take stuff home with you, and there is always

0:51:420:51:47

'somebody that you carry home with you on a daily basis.'

0:51:470:51:51

You know, you can't be sentimental all the time,

0:51:510:51:53

you've got a job to do, you have to do it.

0:51:530:51:55

'These people are expecting you to treat them

0:51:550:51:58

'to make them better, to let them go home.'

0:51:580:52:02

You know, we have 130 patients,

0:52:020:52:04

that's 130 stories that are going to break your heart if you let it

0:52:040:52:08

so you have got to just carry on, really.

0:52:080:52:11

Eight years ago, Sandra was diagnosed with breast cancer.

0:52:140:52:18

-Hats, hats.

-Very stylish.

-Yes.

0:52:190:52:23

-She's the queen of hats.

-Hats.

0:52:230:52:25

Every time I come I have a different hat on, nearly,

0:52:250:52:29

and everybody always comments on my hats.

0:52:290:52:32

I do it to detract from everything else.

0:52:320:52:34

Everybody is looking at my hat and not my steroid filled face.

0:52:340:52:39

-Is that what it feels like?

-Yes.

0:52:390:52:43

Because my cancer is secondary cancers now, so I did have a bit of

0:52:430:52:47

a reprieve after my initial diagnosis, and treatment,

0:52:470:52:53

and chemo, and radiotherapy, and that seemed to do OK

0:52:530:52:57

and I just went onto a daily chemo and...

0:52:570:53:03

that stopped working and I wasn't feeling as well.

0:53:030:53:08

I found a lump myself

0:53:080:53:11

and then we knew it had turned into secondaries. So...

0:53:110:53:15

You don't have as much chance with secondaries

0:53:150:53:18

once you've got those. They've just kept reappearing and reappearing

0:53:180:53:22

up until this year and I have brain tumours now,

0:53:220:53:27

so it has spread to my brain now.

0:53:270:53:29

This controls the pain, nothing controls the cancer now.

0:53:320:53:36

-Really nice to meet you.

-OK.

-Really nice to meet you. All the very best.

0:53:390:53:43

Health secretary Jeremy Hunt

0:53:470:53:49

must oversee savings of up to £20 billion within the NHS by 2015.

0:53:490:53:53

What we've got here is the very best in cancer care.

0:53:550:53:58

It's very exciting to see the NHS offering

0:53:580:54:03

really the very best in the world

0:54:030:54:06

and talking to patients about what it was like to

0:54:060:54:10

actually have their cancer care in a completely different environment

0:54:100:54:14

where they are able to stay at a hotel that's run by the hospital

0:54:140:54:18

and not feel that they are an inpatient.

0:54:180:54:22

Those stories I think are very striking.

0:54:220:54:25

But I've also had some pretty crunchy discussions

0:54:250:54:28

about the challenges facing hospitals in London,

0:54:280:54:31

and the fact that admissions to A&E are going up by 5% every year,

0:54:310:54:35

the pressure that's putting on the system and...

0:54:350:54:39

and I'm going to have some pretty big decisions to take

0:54:390:54:42

in the spring and it's been very useful background for that.

0:54:420:54:46

One of the interesting things I think for a politician is that

0:54:460:54:49

the NHS is a political hot potato,

0:54:490:54:52

but when you come inside a hospital, it's an ideology free zone -

0:54:520:54:55

no-one's really interested in left or right,

0:54:550:54:58

they just want to talk about what's better for the patients

0:54:580:55:01

and I think that's incredibly motivating.

0:55:010:55:04

Are you there?

0:55:180:55:20

-Better.

-Yes.

0:55:250:55:27

Good.

0:55:270:55:29

It's all over.

0:55:310:55:33

Are you OK there, Rose? You did very well, OK.

0:55:350:55:37

-LUDVIC:

-'Rose's operation would have cost around £18,000.

0:55:440:55:48

'I think it would be a very sad day'

0:55:480:55:51

if, as a country,

0:55:510:55:53

we said we can't afford to do deep brain stimulation on the NHS.

0:55:530:55:57

'I think it would be very sad for patients.

0:55:570:56:00

'This is a condition which is seriously affecting Rose's life.'

0:56:000:56:04

We have a very effective

0:56:040:56:06

and cost-effective way of helping the tremor

0:56:060:56:09

and so I can't see any reason why the NHS shouldn't offer surgery.

0:56:090:56:15

-Hello.

-How are you?

-Very well.

-You're showing off now.

0:56:150:56:19

-Good.

-We got there.

-We did. Got a bit emotional there, at the end.

0:56:210:56:25

-Yes.

-Yes.

-Yes. I suppose that was relief.

0:56:250:56:30

-It is all over. Wasn't it?

-Yes.

0:56:300:56:35

-It is a big thing to go through.

-Well, yes.

0:56:350:56:38

-I wouldn't like to do it again.

-I don't blame you.

0:56:380:56:42

I got my cup of tea.

0:56:420:56:44

-You did, did you?

-I did.

0:56:440:56:46

-I held him to it.

-With three sugars.

-Three sugars!

0:56:460:56:50

-Very good. You were an absolute star today, well done.

-Thank you.

0:56:520:56:55

A lot of it goes over to you.

0:56:550:56:58

-Goodbye.

-Thank you very much.

-Bye. See you.

0:56:580:57:02

How much better can you have than that?

0:57:040:57:07

You can't.

0:57:070:57:10

No matter where you go, you won't get doctors like that. Lovely.

0:57:100:57:14

'It's one of the problems, if you like, with healthcare,

0:57:190:57:22

'is that in to some degree it's a bottomless pit.

0:57:220:57:24

'But as Aneurin Bevan said so many years ago,'

0:57:240:57:27

"You can tell how civilised a culture is

0:57:270:57:29

"by how they look after their old and their sick."

0:57:290:57:32

Once we stop looking after these people,

0:57:320:57:36

then perhaps we have lost a little bit of humanity.

0:57:360:57:39

To order your free copy of the Open University's booklet,

0:58:220:58:26

Working To Save Lives, which accompanies this series,

0:58:260:58:29

call this number:

0:58:290:58:33

Or you can go to the website:

0:58:330:58:36

Follow the links to the OU.

0:58:360:58:39

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0:58:580:59:02

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