Episode 2 Long Live Britain

Welcome to the Etihad Stadium in Manchester and to Britain's biggest ever health screening.

We're trying to add years to lots of people's lives.

We've been asking them to take action to avoid three silent killers,

type 2 diabetes, liver and heart disease.

All three can knock decades off life, but they can also be avoided.

We're here for one day only

and we've already taken hundreds of people through level one screening,

but we want to do hundreds more.

The conditions we're hunting down today

are three of Britain's biggest killers

and a fifth of us could be affected by them in the future.

Our team has been working flat out,

finding people with the warning signs

so we can help stop these diseases in their tracks.

You are 0.1 away from a diagnosis of diabetes.

And that could be a sign itself that you already have heart disease.

And we're giving everyone top tips to keep our silent killers at bay.

What I want you to remember is a rainbow.

Crissy is going to eat a rainbow.

Now Phil Tufnell will be heading over to our hospital test centre

to discover what happens when Angela and Wayne

face up to what's really going on inside their bodies.

I just can feel a little discomfort in my chest now.

We'll also be catching up with our three celebs

that our Long Live Britain GP,

Dr Phil Hammond, wants to get to grips with their health.

Try and find the waist first, that's a challenge in itself!

Jodie Prenger is battling to avoid type 2 diabetes.

When the doctor says to you you're at increased risk,

it is a wakeup call.

Ricky Grover is learning to love his liver.

-Do you treat all your patients like this?

-You are just a little bit tetchy, I can see that.

And Crissy Rock is waging war on heart disease.

I don't feel ill.

I don't feel like I've got anything wrong with me.

We'll discover what they now need to do

to get themselves off the at risk list.

-That is your pasty intake for four months.

-No.

And Dr Phil finally gets the measure

of whether they've managed to get their health back on track.

When I go for it, I really go for it. There's no in betweens with me.

It's either all or nothing.

We're now more than four hours into this,

Britain's biggest ever health screening,

and the people of Manchester are still streaming in thick and fast.

-Do you smoke at all?

-Yes.

-You do?

You are high risk within the heart disease,

-the diabetes and the alcoholic liver disease.

-Oh, right.

Our team is using our health questionnaire

and the latest medical tests

to help people avoid our three conditions

before they have a chance to take hold.

As well as doing our huge public screening here in Manchester,

Dr Phil has been working with three celebrities,

Ricky Grover, Jodie Prenger and Crissy Rock

to see if he can get their health back on track.

Welcome back, guys.

-Has he done a good job?

-Well, he has for me.

Do you know, the one thing I really, really have learnt,

believe it or not, is this thing, it's the moderation thing.

And I love excess.

The more excess, the better, but...just little and just not often.

Before, it was all or nothing.

I was either eating everything or I was eating nothing.

And this time, I've just slowed down the eating

and I've upped the exercise.

I suppose my top tip is, don't try and do it all in a week,

look at it over the year and sort of take your time with it.

For the past few weeks, our Long Live Britain GP, Dr Phil Hammond,

has been helping our three celebs each find ways to get themselves

off the at-risk list for our silent killers.

And it all started with a surprise invitation

to the city of London and a few home truths.

Today is about turning around your health and your lifestyle,

and we're going to kick off with a bit of a reality check.

This grand banqueting hall is normally home to wedding feasts

and haute cuisine, but what I've put on the menu today

is the sort of fare our celebs regularly like to tuck into.

OK, folks, come and have a look at this.

What do you reckon?

-Oh, my God.

-Based on what you've told us,

this is your current average weekly consumption.

Let's just take in the true splendour of Crissy's table.

-Oh, God.

-It makes you hungry.

Lots of pasties, loads of fried rice, loads of custard tarts.

Look at all that chocolate.

Crissy's often on tour with a show or gig and unfortunately,

I can see that life in the fast lane means lots of fast food.

-That is your pasty intake for four months.

-No.

-That's 104 pasties.

-Oh!

Each pasty contains 32 grams of saturated fat.

Your allowable daily intake of saturated fat is 20 grams.

Each one of these has 12 grams of extra saturated fat in there.

Your year's intake of saturated fat is here.

Three trays of it. Look at that.

You, on your pasties alone,

are taking this much extra than you need every year.

Feel that. Feel the weight of that.

That's the extra that you're putting on excess to requirements,

just in your pasties.

That's not even talking about your fried rice and your custard tarts.

That's the bad fat that gives you diabetes, has given you diabetes.

Lots of Ricky's favourite foods are actually pretty good

but he's being a bit over-generous when he's serving up.

Ricky, mate, talk us through your week's food.

-That's a breakfast...

-OK.

And these are my lunches, here, on the end.

You know, chicken, jacket potatoes

and maybe have something similar to that again later on.

-What's interesting is, the food you're eating is healthy.

-Yeah.

Some lettuce and tomato, which is great, and chicken is really good

-and baked potato is good, but you're having double the portion size.

-Yeah.

You've got to cut down your portion size of the good stuff

and you've got to cut out the stuff that's really bad for you.

Jodie's table looks like it would do a supermodel proud,

very healthy and very low fat.

The reason that concerns me slightly is, you have a history of yo-yo dieting.

I can't maintain that. That's boring.

Well, you need to lose it slowly and sensibly and maintain that.

-Yeah, I agree.

-But what I've found out is that alongside her diet,

Jodie likes to give herself a few well deserved treats -

three bars of chocolate and a bottle of champagne a week.

Here is your annual consumption of chocolate. Look at that.

This is the champagne that you will consume in a year.

-How about that?

-Is that for me?

-It's not for you. It's to make you think.

Now, if you took all of this on top of your healthy daily intake,

that would be the equivalent of an extra 60,000 calories a year.

Let's have a look at what that looks like in terms of fat.

You know, I laugh and I joke, but this is just,

-when you see it here, it's...

-If you're not burning this off,

this has to be stored in your body somehow.

-This is why you yo-yo.

-I know.

But now let's see if I've served up enough food for thought.

Diet is absolutely fundamental to your health,

it's absolutely fundamental

to your risk of getting these secret killer diseases,

but we know that if we change our diet,

we can dramatically reduce the risks.

-Are you prepared to change? Ricky?

-100%, yeah.

-Crissy?

-100%.

-Jodie?

Cross my heart. Yes.

It's time to put those good intentions into practice

and I've come up with some lifestyle changes

that I hope will give these guys many more years of quality life.

Step it up, yeah?

One of the best ways to tackle all three silent killers

is to fight the flab.

And that means a few less calories and a bit more exercise.

Good. And last one. Big lift.

Jodie's always on the road for work, so I've asked personal trainer

Matt Roberts to design a portable workout she can take with her.

The key thing with Jodie is to just make sure we get,

in a really short space of time, a punchy workout done

that she can do anywhere, any time, with zero excuses.

Down we go. Good, perfect. 12 of those for me.

Come on, two...three. Good, three. Excellent.

-Really strong, good power.

-Oh, watch my nails, watch my nails.

And here's some good news.

Jodie doesn't necessarily need to sweat it out for hours.

Doing bite-size ten minute chunks of exercise can also get great results.

Come on, my ten-year-old's faster than that! Let's go.

Well, apart from having hair like Dame Edna Everage

and my lips sticking to my teeth cos I'm thirsty, I quite enjoyed it.

But for Crissy, I'm suggesting walking rather than workouts.

A brisk stroll can burn up to 300 calories an hour

and it's a great way to catch up with mates.

I feel a lot fitter in a few weeks,

so if I feel like this in a few weeks,

what am I going to feel like next year?

When it comes to exercise,

I'm a great believer that it has to be something you enjoy.

So I'm encouraging Ricky to rediscover his passion for boxing.

As you see, when I go for it, I really go for it.

There's no in betweens with me.

It's either all or nothing and I had a really good session today.

It really pulled it out with me, you know.

But exercise alone won't do the job,

so I also want to help my celebs consume fewer calories.

I'd like Crissy to swap fast food for nutritious home cooking,

but somehow I think this could be tricky.

If it goes in the toaster or the microwave, that's it.

I wouldn't know peanut butter from pate. I just wouldn't.

Coming to the rescue is chef Sally Bee.

I'm going to show you how to make the most delicious,

most healthy vegetable pasty without the salt, without the fat,

without all the nasties.

What I want you to remember is a rainbow, OK?

That's got to be your mantra now.

Crissy's going to eat a rainbow, because every different colour

of fruit and vegetable will give you a different vitamin and mineral.

-Woo hoo!

-I wish this was like scratch and sniff.

It smells lovely.

But will it go down as well as the fast food version?

That is lovely.

-That's cooking. You've made this.

-That smells lovely.

I only put the bits in it, didn't I?

No, but that's cooking, that's it!

That's as complicated as it has to get, honestly.

The most surprising thing is how lovely the food tastes

and how quick and easy it was to make it.

Now a home visit for Ricky.

Will dietician Nigel Denby

be able to help him cut his portions down to size?

We've got a fairly typical Sunday roast here,

we've got roast chicken, a selection of vegetables.

And all I want you to do is just carve yourself some meat

and then dish up what you would have as a normal portion size for you.

OK. I tell you, I'm feeling a right pig doing this.

-OK, this is too big.

-OK.

Nigel has a very simple test to determine if you're piling on

the pounds because of how much you're piling on your plate.

Show me your hands cupped, like that.

You're lucky, you've got quite big hands.

-OK.

-All right?

-Yeah.

What I want you to start working on is your meal

needs to fit into those cupped hands.

Let's put the plate down, and if you look and see...

We've actually even got a job to fit the chicken into those cupped hands.

-Yeah. Keep going.

-Let alone the roasties, let alone the veggies,

let alone the roasted veg.

-Spillage.

-Yeah.

-We've gone overboard.

-Yeah.

-Shall I drop this or down it?

-HE LAUGHS

But I want Crissy to make the biggest lifestyle change of all -

she's been puffing through 20 cigarettes a day for over 30 years.

Two days ago I decided to give up smoking, cos I kept saying,

"Oh, I'm cutting down, I'm cutting down,"

so I thought to myself,

"Why cut down? If I'm going to stop, I'm going to stop."

It's not half-hearted, it's like...

And it really is hard.

Good. Power.

Every small change can make a big, big difference.

and I'm hoping my plan will help my celebs get off the at risk list and stay there.

Ricky, what did you find most difficult?

I'm finding, you know, every day difficult, really.

The days are quite good, it's getting through the night-times,

because when the day hits me in the morning I feel good,

I feel really enthusiastic about it

and when that night creeps in, all of a sudden

the little subliminal voice is in your head,

"Go on, just have a bit of chocolate. Start tomorrow."

This time, I know I can't.

I'm letting too many people down, so yeah, I'm doing all right.

Crissy? What did you find most difficult?

The most difficult was the non-smoking.

-And are we still there?

-Yeah.

-You must be thrilled she's quit?

I'm absolutely thrilled and she doesn't smell of cigarettes any more.

I've got a really good nose for fags,

on the kids, on you, and it doesn't smell. It's wonderful.

And that was the nicest thing anyone's ever said to me.

You don't smell like a cigarette?

"You don't smell like an ashtray."

And I went, "Oh, wasn't that lovely?"

Jodie, does the mobile exercise routine work?

Can you squeeze a little bit of exercise in strange places?

Well, that's the thing. With the lifestyle that I lead at the minute,

you're all over the shop, so I needed something that I could do

20 minutes here and 20 minutes there.

That has been really useful to me.

-It really has.

-Well, all impressive stuff.

The question is, how much fitter and healthier are they all now?

Well, in a little while, Dr Phil will be finding out.

But first it's back to Phil Tufnell,

who's catching up with some of the people we've met today

who are also at risk of one or more of these conditions.

-Emma, you're back from level two?

-Yeah.

-What did they say?

I've got type 2 diabetes,

and I've had a Fibroscan and I've got to go for a scan on my liver.

Hold on a minute.

-You've been actually diagnosed with diabetes today?

-Yes.

Why do you think, you've become a diabetic,

-was it diet, lifestyle?

-Lifestyle.

Too much alcohol, too much eating the wrong food

-and not enough exercise.

-Yeah.

'It's been a tough day for Emma.

'But with the right lifestyle changes and medication

'she should be able to manage her type 2 diabetes.'

It's also proving a revealing day for 38-year-old Angela.

She's concerned her drinking could be damaging her liver

and hopes a scan will give her the answer.

I know that I drink too much, but because it doesn't seem

to have a negative effect on my life,

like, I'm still able to go to work and do things,

I don't consider it a problem.

That's it. That's all done. Brilliant.

The tests aren't over for Angela.

Her liver could be damaged, but only a more detailed scan

at our hospital will let her know for sure.

I'm seeing more and more women like Angela who look healthy,

but because of their alcohol intake,

their inside might actually tell a different story.

Come towards the edge of the bed for me. There you go.

A few weeks ago, Ricky Grover got a serious wake-up call

when a scan showed him that fatty food was damaging his liver.

What this does suggest is that you have a little bit of inflammation

and perhaps a small amount of scarring.

Luckily, this damage is reversible.

But to show Ricky why he really does need to make some changes now,

Dr Phil wanted him to meet someone whose life has changed

for ever because of liver disease.

Lorraine's in the living room on the sofa.

39-year-old Lorraine Andrews

finds it hard to even move round the house.

Hiya, Ricky. You all right?

Fluid builds up in her abdomen

because her liver has been damaged by fatty food.

You're Lorraine, obviously. Yeah. Do you want to sit up?

-Shall I help you sit up?

-Yeah, please.

If you can stand over here, cos I'm used to a certain way of pulling up.

Like, you don't help me up,

I hold on to you and then use you as, like, a hoist to help up.

-OK. OK.

-Ready?

Lorraine has to go to hospital every fortnight

to have the fluid drained from her stomach.

Would you like to see what it's actually like

when we have the fluid there?

-Yeah.

-Yeah.

-All right. Let's have a look.

If I get up and I can show you,

cos it is a big difference compared to a normal, fat belly.

It's really...it is really sort of quite solid, isn't it?

You must be so relieved when they drain that.

As soon as they put it in and you can feel the fluid coming out,

your whole body seems to go, whoo.

It's like letting out a balloon, you know.

Of course. Do you know what, though, Lorraine?

I was thinking, you know, how clever they are nowadays,

you know, please God they can find you a liver

and get you sorted out and get your life back.

Just recently, out of the blue, I went and had an MOT if you like...

-Yeah.

-And one of the things that they said was wrong with me

is that I had scarring of the liver

and I may have some problems with my liver due to, you know,

compulsively overeating a lot of junk food and stuff like that.

Yeah, because I know with my condition, the fatty liver disease,

-it does start off with scarring on the liver...

-Right.

..but that can be turned round, as long as you change, like,

your eating habits and the way you see food as well,

and if I knew then what I know now, when I was a lot younger,

-I would have definitely done things a lot differently.

-Yeah.

Lorraine has to take lots of drugs to help control her condition.

But her only real hope now is a liver transplant.

Mine is tiny, minor to what...

But it's the start, how I started out.

-Which I didn't know at the time.

-It's the start. It is the start.

You're right, and it can happen so quickly as well, can't it?

Yeah, it can happen just like that.

You'll get to a certain stage where you've gone just over too much

and you'll be in the same situation as me,

-and I wouldn't want you to be there.

-No.

-I really wouldn't.

Cos you've seen what it does to my life,

what I have to keep doing to actually keep going, and it's not nice.

Ricky, what was it like to meet Lorraine?

It was really, really heart-breaking,

to be honest with you.

Every day, she's waiting for a phone call.

When her phone goes, if it's from the hospital,

she's just really on edge and it's a really hard situation to go through.

Although I've only sort of met her for five minutes

and I feel a bit emotional here,

but it is hard when you see someone that nice and that young.

You know, she's not even 40 yet, she's sort of 39

and she's living life on the edge and that's all down to food,

all down to overeating.

When you meet people who get quite sick, you say it's their fault.

That's wrong. You can't blame people for getting sick.

The beauty of the human condition is, we're all fallible.

We live stressful lives, so if people are further down the line, don't blame them.

You're not saying, "If you get sick it's your fault."

What we're saying is, there's an opportunity to reduce the risk of it happening

if you want to make changes, but that has to be your choice.

We're six hours in and we've now screened more than 250 people.

And, so far, it's type 2 diabetes

that we're finding most warning signs for.

59-year-old Wendy was concerned to discover she's at risk.

And it's something she's keen to check out,

particularly as she's also had heart problems in the past.

I think it's quite worrying.

At high risk of another heart attack

and a high risk of diabetes is a little bit scary. Very worrying.

Wendy. Hi, I'm Jonty.

But Wendy's in good hands with Dr Jonty Heaversedge.

You're taking all the right medicines,

in terms of managing your blood pressure,

your cholesterol and your heart disease,

but because you're a bit overweight there's a risk of diabetes.

And we know that type 2 diabetes

is a significant risk factor for heart disease.

-That's something else I think we ought to check today.

-OK.

-Let's check for the diabetes first of all.

-OK.

And at the same time, I may as well check your cholesterol,

-because we know that's important as well.

-OK.

-All right?

It's a tense wait for Wendy.

She hopes she is in the clear, as type 2 diabetes

could lead to more heart problems in the future.

In terms of your diabetes, the test result has come back,

not saying that you're diabetic, but you are very near to being diabetic.

You are 0.1 away from a diagnosis of diabetes, all right?

Really close.

I found out today that I am borderline diabetic.

I have got a particular condition,

which means that if I don't do something about it from today,

I will be diabetic.

Jodie Prenger's also coming to terms with the news that she could

develop type 2 diabetes if she doesn't do something now.

And to show her just what this condition can mean, Dr Phil

has arranged for her to meet someone who has been living with it

for more than 30 years.

61-year-old Chris Brown was diagnosed with type 2 diabetes

when he was just 25.

Now he must inject himself with insulin three times a day.

I've been a very naughty diabetic and as a result of that,

I've got some of the most hideous complications it's possible to have.

Hello, Jodie.

Type 2 diabetes can lead to serious complications,

such as nerve damage, if it's allowed to get out of control.

Right, there we go.

And Chris has lost sensation in whole areas of his body.

I don't have any feeling in this left foot until about there.

I can feel that, but I can't feel anything anywhere else,

because the nerves are all dead.

It's called neuropathy and your nerves die.

Well, effectively, when you've got diabetes

you've got too much glucose in your blood.

The sugar does a lot of damage to the fine capillaries in the body

and when it damages them, you no longer feel.

But type 2 diabetes can also make infections so difficult to fight

that surgery may be unavoidable.

Was this the only option you had, was to have your leg amputated?

Yeah, it happened because I got an infection in my big toe.

If a bug gets in there, it goes, "Whoopee! It's Christmas!"

All this sugary blood they've got, or glucose in the blood,

as it really is, and they multiply,

and they can multiply faster than the drugs can kill them.

They had to take the big toe off.

Then the infection spread into the foot

and it started to come up the foot.

-Was it hard to make that choice?

-No. God, no.

-No, was it not?

I spent two and a half years laying on that sofa with my right leg

elevated on the back of the settee. And it wouldn't heal, you see.

When you're a diabetic and you're not a good diabetic, things don't heal.

Chris can't work and getting around is difficult.

But one thing he still enjoys is driving to local beauty spots.

-Wow. This view's fantastic, isn't it?

-This is known as the Portway.

This is about all I can do, really.

I don't have the money to go tearing around all over the place

and so I come up here and enjoy the open space,

I have a little walk every day and that's really as much as I can do.

I honestly so admire your courage more than anything,

for going through what you've gone through

and still being such a lovely, lovely person inside and out.

I just want you to understand that I made a mess of it, really,

and I don't want that to happen to you.

I've learnt, as a result of meeting Chris today,

that it almost becomes a life sentence,

because you have to revolve your entire life

around your condition and I don't want to have that around my neck.

-Thank you very, very much.

-It's a pleasure. No problem.

Jodie, confronting people like this,

seeing people who are living with type 2 diabetes or heart disease,

whatever it might be, it's the most truthful reality for you, isn't it?

I always remember Chris opening the door

and my first reaction was, I thought he'd been in an accident

because I saw that, obviously, he'd lost one of his limbs. Yeah.

And then to find out that was related to type 2 diabetes

and also the other complications he'd had with type 2 diabetes,

he was so endearing, he was one of the most bravest people

I have ever met and he still kept the biggest smile on his face,

which is so commendable, but it really did...

Like I said, when you actually meet somebody,

when you see it there in your face,

it really does bring everything home to you, it does.

Mid afternoon, and our screening is now in full swing.

Most of the people our team is finding are at risk

had no idea they were in danger.

-Your blood pressure is high today. Your top figure is 189.

-Wow!

But a few have symptoms they want to get checked out,

like 58-year-old Wayne,

who's worried about the chest pains he's been having.

I'm at that critical age whereby things could be wrong

and you might not know that they're wrong.

I want some good advice, hopefully, to prolong your life, you know,

you got children and grandchildren, so...

If you give me your right hand.

There's good news when Dr Ellie Cannon

finds Wayne's cholesterol levels are normal.

But Wayne knows he's still not in the clear.

I'm concerned about these chest pains that you're having.

We have to investigate further

because you're having what doctors call chest pain on exertion,

and that could be a sign that you already have heart disease.

We're going to send you on for what we call a stress ECG,

to see if these chest pains you're getting are significant.

Wayne didn't have the catalogue of risk factors

that we were looking for

for heart disease, but he actually has one of the classic symptoms

of heart disease, which is chest pain on exercise,

so because of that symptom we've actually sent him off

for further testing to see whether or not

there is any heart disease already there.

Crissy Rock was taken aback

when she was told she was also at risk of heart disease.

To help her understand this condition better,

Dr Phil has arranged for her to see right inside the body

of someone who has early symptoms.

And this is going to happen

at the cardiac unit of London's Hammersmith Hospital.

I'm a walking time bomb for heart disease.

I've high cholesterol, I smoke and I have a very unhealthy lifestyle.

I want to find out how, if I don't change my life,

how it will affect me in the future.

Crissy is meeting up with cardiology consultant Dr Ghada Mikhail.

You let me know if you're uncomfortable. It's all going well.

She is going to watch an angiogram being performed on Hassan Abou Zaid.

Some pressure, please.

An angiogram involves putting dye into the body

to locate any blockages in the arteries

that can cause heart disease.

Can you see this pinching there,

compared to the top of the artery and the bottom of the artery?

-Yeah.

-There's a bit of narrowing in there, OK?

And that's what we need to assess, to see how important that is.

More important than that, right at the tree trunk

of the whole coronary tree, there's also some narrowing there.

Narrowings like this are caused by fatty deposits known as plaques.

And when Dr Ghada uses an ultrasound,

Crissy can see for the first time just what they look like.

All that white rim is all plaque inside the coronary artery.

You see, that is amazing to watch now,

because we were taken to the drains

and it's so unreal that it was exactly like that.

Crissy's relieved to discover that Hassan's been caught in time.

If he starts living more healthily he should be OK in the future.

He's definitely got plaque deposition already,

so what is important for him is,

he's got to really aggressively address

all his risk factors to prevent that from progressing.

But actually, heart disease is the biggest killer for a woman

and when you look at coronary disease,

coronary heart disease kills three times more women than breast cancer.

Does it make you feel different, Crissy, about your situation?

It was just like, this is like looking at my future

and I didn't want that and it looked horrendous,

what they were doing, even though he said he didn't feel any pain.

To me, it really has saved my life.

And it will prolong my life

and I just hope people out there are not selfish like I was and go,

"Oh, do it tomorrow."

You know, I looked at cigarettes as a substitute for food,

and now I'm going, "Do you know what? Go.

"Because you ain't doing me no favours."

It's late afternoon

and the rugby matches are still pulling in big crowds.

I'm out helping our hardworking charity volunteers

for one last push

to get as many people through our doors as possible.

It's getting busy. We're doing a massive health screening

down by the squash courts. What do you reckon?

OK. You're not nervous about it or anything?

-No, why not? It's all free.

-All right, no problem.

-Thanks very much.

-Cheers.

-Cheers. One sorted.

But how many of the people I'm helping pull in

have anything to worry about?

And how many years could we give back to them

if we stop these silent killers in their tracks?

Our team of statisticians has been busy crunching the numbers.

We've still got hundreds more people to screen here today.

There is no let-up for our incredible volunteer nurses, doing a terrific job.

Jen, back to you with the stats. Your favourite bit.

Where are we at now?

Yeah. My data processors have been working really hard so far.

We've found out that about a third of the people who have come

through the door are at an increased risk of heart disease within the next ten years.

Heart disease is one of those things

that is driven so much by age, though.

I mean if you are only in your thirties,

your risk of getting heart disease is obviously going to be pretty low.

But once you are getting towards 50, your chances of getting

heart disease actually does shoot up quite a lot.

That doesn't mean people under 50 aren't at any risk?

Oh, no, no. It just means that they're at a lower risk.

59-year-old Wendy had heart disease nine years ago and now she's worried

that she's at the tipping point for developing type 2 diabetes as well.

You are 0.1 away from a diagnosis of diabetes.

Really close.

Dr Jonty thinks it could help Wendy to see exactly

what it is that's putting her health at risk

and for Wendy, this means she's next at our mobile MRI scanner.

All right, we're going through now.

The scanner will show how much inner fat Wendy has around her organs.

Going to get you to breathe in now.

This is important because it's this fat that is a major cause of type 2 diabetes.

If you look at the skin here, this is the skin surface here,

and this is the fat just below your skin's surface,

and that's the fat you can see in your body

when you look at yourself or you pinch yourself.

On the inside, there's a lot more than the fat on the outside.

I'd say it's moderate or a little bit more than moderate, really.

What we can tell on the scan is that the risk factors

for things like liver disease, heart disease and diabetes

are increased with this degree of fat deposition inside your tummy.

-Thank you very much for that.

-Lovely. It's a pleasure.

If Wendy manages to reduce the amount of internal fat she has,

through exercise and changes to her diet,

she could soon get herself off the at risk list.

It means that I will definitely do something about it,

I've now got the motivation to help me lead a healthier lifestyle.

Our screening is all about reversing the trend of these silent killers,

because a few small changes can stop them in their tracks.

Now it's time for Dr Phil to see if the valiant efforts our three celebs

have been making over the last few weeks have started paying dividends.

I'm about to recheck the measurements on all our celebs.

I'm slightly anxious because although they're the ones who put the work in,

I feel it also reflects on me as a doctor if we haven't got anywhere.

I shall be as excited or perhaps as disappointed as they are,

depending on the results.

Did Jodie's high power workouts tip the scales in her favour?

OK, so really good news, the thing that really delights me

is that your waist circumference has dropped by two inches.

And that fundamentally affects your risk of diabetes.

That's the fat on the inside. And that tends not to fluctuate.

Your weight will fluctuate during the day.

You've lost four or five pounds, which is good,

I know you wanted to lose more but actually,

waist circumference is the most telling thing.

-Two inches, you've gone down.

-Oh, I'm really happy.

And this is for life, not just for the camera?

This is the only time I've ever done this and slowly lost the weight,

exercising regime and not gone, lost seven pounds, put on eight,

lost five pounds, then put on three.

It's the only time I've ever done this, so I'm feeling...

Slow, steady, sensible and happy? Happy Jodie.

Yeah, I'm feeling really positive about this.

And have Ricky's new portion sizes

and boxing workouts made a dent in his waistline?

Ricky, I thought this was going to be really tough for you,

but you have lost three inches round your waist and that's win, win, win.

It's reduced your risk of liver disease,

there's less fat inside that liver.

It's dramatically improved your diabetic control

-and it's reduced your risk of heart disease.

-I'm well pleased.

That's more or less an inch a week, innit?

It is, three inches you've lost.

If I lose about another five inches, you reckon I'll be able to get one of these shiny shirts?

Well, I'll leave you this. I'll leave you this. That can be your target.

Five inches, you can wear Dr Phil's shiny shirt.

And finally, Crissy.

Has binning the fags and fast food done wonders for her cholesterol?

Your total cholesterol is now 6.71 and before that it was 7.2.

Wow. That has really gone down.

You've stopped smoking, which is just unbelievably brilliant, OK?

Your waist circumference has dropped by an inch and a half,

which is brilliant for diabetic control. How do you feel?

I feel brilliant! I feel more awake and I feel more active.

-Do you feel in control of your health?

-Yeah.

I'm really thinking, I go to the shops and I'm looking,

"Any fat in that?" and I go...

The other day I seen these biscuits and I was dying for a biscuit,

and I looked and I went,

"It's only two percent saturated fat! Yeah! I can have a biscuit!"

I couldn't be happier, because they've lost the right amount of weight.

They haven't suddenly gone whoomph, and stopped eating.

They look healthy, they look happy. It works!

We've just got one hour to go and we've now seen more than 300 people.

Our doctors and nurses are still busy doing assessments

and our stats team are preparing to crunch the final figures.

I'm now on my way to the Spire Hospital

on the other side of Manchester.

I'm going to check up on the people from our screening,

like Wayne and Angela, who were sent here for further tests.

How have they been getting on? Cheers, mate.

OK, just do some gentle, easy breathing for a start.

38-year-old Angela is nervously waiting for the results

of her ultrasound with Dr Rajashanker.

She's about to find out if regularly drinking twice the recommended limit

has done permanent damage to her liver.

There is some damage to the liver.

-OK.

-It's called fatty change.

-Right.

But the good news is, it's only a kind of temporary damage.

At this stage, everything is reversible.

But if it carries on, say for another six months or a year,

it could lead to permanent damage.

You said that possible serious damage could be done

if I continue drinking the amount that I do?

-Within six months to a year, you said?

-I would think so.

The good news is, we've caught Angela just in time

for her to reverse any damage.

But she needs to start doing that now.

The black and the white of it is,

-I need to cut down on the alcohol I drink.

-Yeah.

You were saying earlier on that you actually just drink

-the same amount as your mates do, really?

-Yeah.

-Are you going to go and tell them what's been going on?

-I will do.

Absolutely, I will do.

And I'll encourage them to go get themselves checked out.

If you experience any chest pain or ache in the chest, just let us know.

58-year-old Wayne is here

because he's worried about the chest pains he's been having.

It's possible they could be a symptom of heart disease,

so he's being checked out.

-Are you OK?

-Yeah, fine.

Dr Ayub wants to see

if Wayne's heart beats irregularly as he exercises.

I can just feel a little discomfort in my chest now.

It's not too bad, just a slight...

To get Wayne's heart to work even harder,

the speed and slope of the treadmill are increased.

Is the chest pain getting bad?

I can feel it just at the top of my arm.

-Similar, just a little bit.

-OK.

It's just a slight discomfort, really.

Wayne's worst fears are confirmed.

Unfortunately, Dr Ayub thinks

he probably does have the beginnings of heart disease.

-How are you feeling now?

-Yeah, fine. Good.

-OK.

Well, from this test,

I can tell that what you are complaining of

is likely to be angina.

Angina is the furring up of the arteries and the heart,

so the artery just narrows sometimes

and what happens is, when you want to go up an incline,

your heart is put under extra stress, similar to what we did here,

and that time, your heart struggles for a bit of oxygen

-and that causes the pain and everything.

-Yes.

-You will need more investigations to confirm how much is the angina.

-Yes.

The good news is that now Wayne knows there's a problem,

living a bit more healthily could make all the difference.

I suppose I'm going to have to make some sort of changes to my diet.

-Yeah.

-I knew I was a little bit overweight.

Make some sort of changes to my diet

and probably a little bit more exercise.

Do you think it's been worthwhile, you know,

coming and finding this out? It's got to have been.

Definitely, definitely.

Because obviously, if I wouldn't have come here,

you'd probably carry on with your lifestyle and then, who knows?

Five years down the line, I could have had a big problem.

-A new beginning.

-A new beginning, yeah. A kick up the backside.

Back at the stadium, the rugby matches are just finishing

and fans are heading home.

And with our last people going through,

it's time to draw our incredible event to a close.

Thank you to everyone. Thank you to all of you nurses.

-Give yourselves a round of applause.

-CHEERING AND APPLAUSE

Very good job!

Jen, it's time for our final round of statistics.

In total, we've screened 387 people

and 73% have actually had to get referral forms to go to their GP,

because they're at an increased risk of one of our silent killers.

-Nearly three quarters of people?

-Yep, yep.

But which of our silent killers

posed the biggest threat to people here today?

Well, 28%, so over a quarter,

are being referred because they're at risk of heart disease,

42% for type 2 diabetes

but the biggest number is for alcohol-related liver disease.

47%, so nearly half.

And the stat that I've been itching to find out all day,

how many years have we potentially given back to people?

If we were to stop all of those people who have been referred

to their GP from getting one of our diseases,

we could potentially give back up to nearly 4,000 years of life.

4,000 years. Now, that is a stat to be proud of.

It's been a fantastic effort and a terrific result.

More than ten million of us

could be affected by these conditions in the future...

..but almost all of us could stop that happening

with a few small changes to our diet and a little bit more exercise.

It's a small price to pay for what could give many of us

over a decade more of healthy life.

Just one final very big thank you to all the volunteer nurses

and the charities who've made today possible.

It has been an incredible effort

and one that hopefully will change many lives for ever.

Jodie and Crissy, for people watching at home

who are slightly apprehensive about being screened or are concerned, what do you say to them?

-Well, I always say, as my nan would say, "Get, get."

-Get. Do it.

-Honestly, it's worth it.

-Do it today and not tomorrow.

Get out there and think selfish, think about yourself.

Remember, these diseases really are the silent killers,

so if you're concerned, talk to your doctor now.

It's good night from Manchester.

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