Episode 2 Secret Life of the Hospital Bed

Hospital beds in the NHS have never been under more pressure.

It's just unrelenting at the moment.

With more patients to care for than ever before,

and only 150,000 beds to go round.

It is a fast paced job. It's a nonstop conveyor belt.

In this series, we use special cameras on beds in four

very different hospitals...

Comfy bed.

..to see the world through the bed's eyes...

Left at the lights.

..as they share the most challenging...

Oh, it's coming again.

Ohhh...

Don't get upset, we'll look after you, OK?

Are you OK, pet?

..most intimate,

and most rewarding moments of our lives.

So, so happy.

Coming up on the hospital beds today,

in Birmingham, on day surgery bed 81,

31-year-old Matt faces an important procedure on his amputated leg.

This is hopefully going to be a bit of a life changer.

In Leicester, on maternity bed 5,

26-year-old Keisha struggles to give birth to a big baby.

Right, you've been pushing now nearly an hour, OK?

I think it might mean getting the doctors to come down and see you.

And in Barnsley, on A&E bed 12,

there's devastating news for 18-year-old Alisha.

I can't even hug you. Come on.

Bed's like, an extra member of staff, almost.

This is the secret life of the hospital bed.

At Birmingham's Queen Elizabeth Hospital, the day surgery unit's

medical team can care for up to 100 patients a day.

It is a fast-paced job, it isn't easy,

but our patients make it what it is.

I'm actually petrified on the inside.

Let me poke you in the ear.

It will be all right.

Oh, forget that.

Ha-ha! I feel like Norah Batty.

The 81 beds on this ward work 12-hour shifts,

caring for patients before and after surgery.

Day surgery bed 81 is on standby for its next patient.

Former marine, 31-year-old Matt, has come in with his wife Amy.

Comfy beds. They're actually amazing.

There's actually cobwebs in this.

-In these.

-Yeah, there is.

There's actually cobwebs in my slippers!

I don't know if that conforms with NHS health regulations.

Matt lost part of his lower leg whilst serving in Afghanistan.

He's here today for a procedure to make exercising on his

amputated leg more bearable.

2007 I took a gunshot wound to my ankle in Afghanistan.

A round went through my ankle and took most of it out the other side,

and a year later resulted in a below the knee amputation.

It's still got Christmas decorations on it.

So, my leg finishes about there,

and then that's the prosthesis that you get given.

It's a great bit of kit, you know, we get really well looked after

so I'm very lucky to get the care that I get, I think.

I always think about what guys got at the end of World War II compared

to what we get now, and you've got to be grateful for it, really.

Matt and wife Amy have been together for seven years.

I met Matt a year or so after, and actually on a charity bike ride

for Help For Heroes, so that was about seven years ago.

-Yeah.

-So yeah, I met Matt with a prosthetic so I don't know

anything else. Didn't know the leg before.

Yeah, you don't miss it.

Not like you do!

We've just cycled from San Diego to southern Florida,

which was about 3,200 miles over a couple of months.

Yeah, we obviously enjoy quite a lot of exercise

-and stuff together...

-Amy is a firefighter, so...

Yeah, I'm a firefighter by trade.

But the end of Matt's leg sweats excessively,

making exercise difficult.

On a hot day, you can literally take the liner that attaches

your prosthesis to your leg, and you can pour sweat out of it.

It's quite restrictive.

Today he's having a special procedure,

which the couple hope will stop the sweating.

Staying physical is like...

especially being ex-military, is quite an important thing,

so this is hopefully going to be a bit of a life changer.

It's exciting, but we don't know the outcome yet, obviously.

This is the first time.

Specialist registrar Mr Nizar will carry out the operation.

My name is Bafiq, I work with Colonel Jeffery,

so Prof Jeffery explained to you what we're doing?

Yes.

Matt's having botox injected into his leg,

which will involve using 250 needles.

This should stop the sweat glands on the end of his leg from working.

Is it one injection every square centimetre, something like that?

Hopefully that will relieve your symptoms. All right?

Yeah, nice to meet you.

Nurse Draxlbauer is caring for Matt on the ward today.

Hello.

One thing I forgot to do...

Anyone who's having a general anaesthetic,

we give them knee-high compression stockings.

So you get to wear knee-high stockings.

It's not even the weekend!

You now have a valid excuse.

Not again. Not again!

I'll just measure your ankle.

You've still got tan marks.

Have I? I'm a small.

You are indeed a small.

Oh!

You need to get down the gym!

Chicken legs.

Chicken leg.

Oh, yeah, thanks for reminding me(!)

I'm sorry!

All right.

See, it don't get more beautiful than that.

Wow.

Matt's pretending that he's never worn tights

or knee-high stockings before!

As in... From his royal marine days!

Standard issue.

Yeah, and the dress, so it's all kind of...

Yeah, it's all coming together.

-And it's green.

-Wow, that's actually like...

No, don't - are you enjoying that?

I don't know, it feels nice.

OK!

It's time for bed 81 to take Matt to the operating theatre.

We'll rejoin him later

as he has hundreds of potentially life-changing injections.

All right, are you ready?

GTG. Good to go.

Right, I'll leave all this. See you later.

See you in a bit.

Fingers crossed! Sleep well.

Bye. See you later.

I know that it'll be a huge life changer.

He's dealt with so many other sort of crazy stuff going on

in his life that we just sort of go with the flow

and fingers crossed, really, and we'll see him on the other side.

At Leeds Children's Hospital,

the day surgery unit's 26 beds meet up to 140 children every week.

These beds are with children and parents both before,

and after surgery.

Today paediatric bed 3 is on standby for its next patient.

Just in this bed here.

Thank you.

Six-year-old Eve has come in for an MRI scan on her brain

to check a tumour that's been removed hasn't grown back.

What colour are you going to do her?

Blue.

Blue.

Shall I carry on? Do it really neat colouring.

Oh, I did it out the lines!

It's all right, we're going to cut it out, aren't we?

She's here with parents Philippa and Lee.

What other letters have we got?

That can be three zig zags.

-Three zig zags?

-Can I colour that?

Of course you can.

When she first had her surgery, we just told her she had monkey brains,

so they were getting rid of the monkeys in her brain.

She's been our strength, she's just marched through it,

just absolutely marched through it.

Yeah.

After her surgery, Eve needed chemotherapy.

She had real long Rapunzel hair.

The end of that first week, it fell out, it was that quick.

I was so upset when she lost her hair,

I didn't want her to feel lonely and isolated having no hair,

so I did mine.

For the MRI scan today, Eve needs a general anaesthetic

to make sure she stays completely still.

Whereabouts are they going to scan you? Do you know?

For my eyes to get better.

For your eyes to get better, yeah, that's right.

And what are you going in?

-You're going in a machine, aren't you?

-Spaceship.

-Spaceship.

And are you going to be awake or asleep when you go in the spaceship?

Awake.

Awake? You're not, you're going to be asleep.

I'm going to be awake!

OK?

All right then.

Dr Elliott is treating Eve.

Eve's having the MRI scan today to essentially check

that there's no evidence of the tumour growing back.

So it's really important that we know we've got

a good control of the tumour.

More than 80 MRI scans are carried out

at Leeds Children's Hospital every week.

Later, we'll rejoin Eve and bed 3...

HE SNORES

..as she has this important MRI scan.

In Leicester, the Royal Infirmary's maternity unit delivers

almost 6,000 babies a year.

Fantastic, congratulations!

Well done.

Its 16 maternity beds are with mums as they give birth.

But with the average labour lasting eight hours,

at times there just aren't enough beds for expectant mums.

Hello, it's the delivery suite.

She's mobilising now...

Ward manager Douglas is in charge of the beds today.

We've got no beds on the wards at the moment,

so what we will be planning to do is get discharges through as quick as

we possibly can to free up some space in the hospital.

Do you want to pop up onto this bed?

Maternity bed 5 is freed up just in time for 26-year-old Keisha,

who's in an advanced stage of labour with her second child.

Can I just get you to move up the bed a little bit, sweetheart,

just so that I can have a feel of your tummy?

Midwife Hewitt has been assigned to look after Keisha.

Pain-wise, I've offered her the Entonox, brilliant pain relief,

she's used it in her last pregnancy and her last labour.

OK, lift your head. Just go with it.

MUFFLED SPEECH

Put the blue bit back on that hole! Quick! Go for it!

Today Keisha has her gran Sheila,

and sister Shannon with her for support.

She's four days over, so her waters broke this morning.

We came this morning and were sent back home.

I'm OK, I'm thirsty, but I'm OK.

Can you move that cup, please?

You're doing fab because you're fully dilated.

Ohhh! Ow!

Keisha's first baby was larger than average,

and she needed help with the delivery.

Amari was 8lb 13oz, which is quite big for a first baby, I'm told,

so I had to have a ventouse delivery, where they cut you and

attach, like, a suction to the back of the head to help you deliver.

And her second baby is predicted to be even bigger.

Women giving birth to large babies face

a greater risk of complications.

The baby's shoulder is more likely to get stuck during delivery.

I knew he was going to be big from day one, to be fair,

because he was always off the charts on the scans and things like that.

Keisha seems to struggle when she's passing the baby.

It's just the head, you know.

She's OK with the rest, but it's just the head,

so I think she'd be more calm and comfortable

if somebody gives her some help.

More women than ever in the UK are giving birth to babies

weighing 10 pounds or more.

They said that you had trouble getting your baby out with

your last labour, is that right?

The head, yeah, yeah.

So we think that you're not suitable for the birth centre.

OK.

So we need to get you down to delivery suite.

Maternity bed 5 and Keisha need to be moved

to a room in the delivery unit.

There, specialist doctors are on hand with equipment to deal

with any complications.

She's got quite a significant amount of water around baby.

Baby feels quite big too, and like she said before,

her last baby was quite big, and she said she had a bit of a problem

delivering before.

Now, we're just getting the notes reviewed.

Change of plan, we're staying here.

OK.

We'll pop you on the monitor here.

The delivery unit is full.

This is more of a high-risk situation now,

this woman should be on the delivery suite.

At the moment there isn't room and there's not the midwife there

to care for her, so I'm now with Keisha all the time.

For now, maternity bed 5 and Keisha will have to stay

in the birth centre.

We'll return to her later as she goes through the final stages

of this high-risk delivery.

Back in Birmingham, at the Queen Elizabeth Hospital,

Bed 81 is taking ex-marine Matt to theatre.

He's having 250 botox injections into his leg

to stop his amputation from sweating excessively.

Right then, so this is the anaesthetic room,

and what I'm going to do first is attach you to our monitors

if that's all right.

Yep.

It's the fourth procedure Matt's had to have,

since he was wounded in Afghanistan.

Oh, it's you two again.

Surgeon Lieutenant Colonel Professor Jeffery is overseeing the procedure.

Morning.

-Hello there. How are you getting on?

-I'm good, how are you?

-Fine, thanks.

-Nice to see you again.

It hasn't changed since last time I saw you, has it?

-No.

-OK. Do you know what's happening?

-Yes.

-OK, very good.

See you later.

Matt's wife Amy is waiting in the empty bay.

The stump in itself is very, very sensitive anyway on the skin,

so having needles placed into that area,

I imagine is quite a bit of a scary prospect.

I love this bit.

The going under part, yeah.

There's nothing better than falling asleep.

The operation will take around an hour.

Fingers crossed this is a success. See him on the other side.

Think of something nice and pleasant.

I'm going to take good care of you, sir, OK?

Oh, yeah. Oh, yeah.

With Matt sedated, the medical team prepare his leg for the injections.

People are more familiar with botox being used in the cosmetic industry

because it paralyses muscles, but it also paralyses your sweat glands,

so we're utilising that in this chap today.

So we want 25mls, 0.1ml in each square.

It will only last six months and then he'll have to have it repeated.

If you've had it repeated several times,

often the effect will then persist.

He won't ever complain or moan about the situation he's in,

it's testament to all the lads, especially in the marines.

I mean, I've met some of his friends,

they all have that kind of attitude.

It will be a massive step forward if this does help

and we can possibly go running together.

We want him to have as normal a life as possible,

and this is going to hopefully be part of that.

You want to inject it into the skin,

and then obviously, you're putting in your 0.1 of a ml.

There you go.

Later, we return to bed 81 and Matt,

as he's reunited with his wife after this life-changing procedure.

Coming up on The Secret Life of the Hospital Bed -

in Leeds, on paediatric bed 3, Eve faces a crucial MRI scan.

And Helen wants to take you downstairs

so we can take some special pictures.

Is it the space ship?

Yeah.

It is, yeah.

In Leicester, on maternity bed 5,

the pressure is on for Keisha to push her big baby out.

Oh, it's coming again!

Ohhhh!

And in Barnsley, on A&E bed 12,

18-year-old Alisha sustains multiple injuries

after coming off a motorbike.

-Can you feel me touching your little fingers?

-Yes!

Back at Leeds Children's Hospital, on the day surgery ward,

paediatric bed 3 has been looking after six-year-old Eve

for three hours now.

What do you like to do when you're in hospital?

Go home.

That's what I like to do.

What other things do you do? We watch some DVDs, don't we?

Go home. Yeah, go home.

It's boring.

Eve's here for an MRI scan on her brain to check a tumour

she's had surgically removed isn't starting to grow back.

Sister Nuttall has been caring for Eve on the ward.

Eve, hello.

This is my friend Helen, and Helen wants to take you downstairs

so we can take some special pictures.

Do you think that'd be OK?

-Are you ready?

-Is it the space ship?

-Yeah.

-It is, yeah.

Ha, mine's bigger than yours!

Oh! You won! Somebody's been doing good building, eh?

Come on then.

Eve must now leave the comfort of paediatric bed 3,

for the more mobile surgical bed 6.

Because Eve must be completely still for the scan,

she's been given a general anaesthetic.

Operating the MRI scanner is radiologist Ms Clapham.

She's having her head and her spine scanned,

and then they'll compare it to all the scans that she's had before

to see if the tumour's gone, or whether anything's come back.

Parents Philippa and Lee have to wait outside.

You're not allowed anywhere near when they're under anaesthetic,

so that bit's quite hard but the more times she has it,

the more I think we get... Well, it's less painful, isn't it?

Yeah. And then when they come around

you want to know all the answers straight away.

And you don't always get them straight away.

That's the hardest part.

They know that any re-growth of the tumour

would be a major setback to Eve's recovery.

I hope she's OK.

Yeah, she will be. She's in good hands, isn't she?

Course she is.

Eve's scan is complete, and as she begins to stir,

she's reunited with her parents.

She's fine, she's sleeping.

Hey diddle. You have a nice sleep?

Are you hungry?

Hello, darling.

You OK? Do you want to go back to sleep?

Surgical bed 6 takes Eve back to the ward to rejoin the more

comfortable paediatric bed 3...

..and await the results.

Is that OK, darling?

How are you feeling? Are you good?

Ready for some breakfast?

After a full day of fasting, it's time for a long overdue snack.

She's quite nice and alert already, eating her picnic

that Mum's brought, so she just needs to do an hour with us

basically, before she goes home.

Come on, sausage roll girl.

So did you manage to eat everything that your mum brought for you?

Look at those crumbs on my bed!

I know, she ate everything but her cheese sandwich.

Dr Elliot has the results of the MRI scan.

This is the large tumour that Eve had before she had her operation,

and then if you compare that with the latest scan that she's had,

you can see that there is a hole where she had the operation

but there is no evidence of the original tumour there.

Obviously we are pleased with that because we didn't want to see

any tumour coming back, and I'm sure that the family will be pleased

when we see them soon to talk about the results of this scan.

It's a big step for Eve and her parents.

Come on then.

The tumour is showing no signs of returning.

It's time to say goodbye to paediatric bed 3,

and Sister Nuttall.

Hopefully, we'll see you at some point whenever you find out

what scans are next.

Yeah, you will, I'm sure you will.

Can I have a high five, Eve? Do you want a sticker before you go?

Yes!

I've got some nice stickers. Which one do you think you might like?

-DAD:

-Smiley face.

-MUM:

-Ahh, definitely. That's Mummy's favourite colour.

So let's put that there.

-DAD:

-There you go.

Eve still faces further treatment, so there's no big celebration

just yet, but the news is extremely positive.

After a long day, the family can leave paediatric bed 3 behind,

and head home.

South Yorkshire, Barnsley Hospital.

Here in the A&E department, the 40 beds rarely get a break.

I think we really need to move them outright,

to go down to 29, they would then give a bed for the lady in A&E.

These beds work around the clock.

Today, the department is heaving.

As a last resort, it's patients on trolleys down here

unfortunately, which, you know, we never want to see,

but it's just unrelenting at the moment.

It's all about flow, and if it slows down...

Busy, busy.

Emergency department, with the doctors.

There's no let up.

An ambulance arrives with an emergency.

A&E bed 12 brings in 18-year-old Alisha,

who's had a serious motorbike accident.

Paramedics fear she's got multiple broken bones.

Basically, the back of my motorbike slid out,

and I've gone flying across the road.

Motorcyclists make up 1% of all road users,

but account for over 20% of all road deaths.

Left shoulder, I'm unable to move it cos it's dropped,

and my right wrist, it's a funny shape.

Police came, and then I ended up in the back of an ambulance.

End up in there for about half hour, trying to figure out

what were wrong with me.

They're full round there next door, they've got no beds.

But Alisha can't be examined by a doctor until a cubicle becomes free.

Unfortunately we have run out of rooms.

We can take a history on the corridor, with a patient's consent.

What we can't do is obviously examine somebody in a corridor

because it would be entirely inappropriate.

Alisha's mum Paula received a call and rushed straight in.

This lady told me that Alisha had had an accident,

and that she was going to go to hospital.

That's all I knew, I didn't know anything.

I'm getting a doctor to come and see me and she's putting

a thing in my arm for pain relief.

I don't like motorbikes in the first place.

You must feel like murdering me.

I do, yeah, I'd rather her be in a car.

As a priority, a cubicle is freed up.

A&E bed 12 moves Alisha.

She'll be examined by emergency registrar Dr Griffiths.

How fast were you going?

-Probably about 10, not even that.

-10 miles an hour.

Literally just the slowest possible going round a roundabout.

Which way did you go down?

I've, well, my body's twisted on the motorbike,

the motorbike's come flying over me from the left-hand side.

Were you wearing a helmet?

Yeah. That's destroyed.

What hurts now?

It's the left shoulder and my right wrist.

OK. No pain in your hips at all?

Nothing, no.

So it's sore there, yeah? Sore there?

Uh-huh! All the way down.

What about here?

It all hurts. And that definitely hurts.

OK, but compared to there, is that worse?

So if that's number one...

-No.

-That's number two...

-Definitely!

-And that's number three, which is worse?

Number two.

Can you feel me touching your little fingers?

Yes!

You can feel me touching you both sides, can you?

You didn't hit anything when you slid down the road?

I hit the kerb.

If I just try and bring it up?

SHE MOANS IN PAIN

Right, we'll get you some painkillers,

we'll get a gown on you and get you round for X-ray, OK?

Yeah.

But definitely nothing else hurting anywhere?

I feel like I'm going to be sick.

Alisha is suddenly hit by the reality of the situation,

and by the pain.

Hiya, she's crying, she's in agony.

We're just getting -

Vicky's just getting the painkillers at the moment, yep.

I'm quite a sensible driver, to be honest.

She is, aren't you?

She's telling people off, aren't you, to slow down.

I just don't like them, motorbikes, full stop,

and I didn't want her getting this bike.

It was £5,000,

it's just come straight from Shoreham, hasn't it, on finance.

Alisha's trying to build a career as a swimming coach,

and has a job interview tomorrow.

How am I going to attend my interview tomorrow?

I'm meant to be having an interview for a permanent position.

I've got to be honest and say I'm worried about it.

I obviously need my arms to teach.

So, I'd rather it have been a broken foot than two arms.

If it's owt worse, I'm looking at months to recover.

It's time for A&E bed 12 to take Alisha to X-ray.

Later, we'll return to find out if her injuries are as serious

as she fears.

At Birmingham's Queen Elizabeth Hospital,

day surgery bed 81 is transporting ex-marine Matt back to the ward.

He's just had 250 botox injections to stop the end of his leg

from sweating.

Thanks, guys.

Hi, hello.

Hello. Mmm, transformation!

I know! Are you all right?

I'm good. Are you all right?

You were quicker than I thought. How are you doing?

Good.

Feel all right?

Feel great!

Cool, not hurting, then?

No.

Oh, there are pin pricks.

Little pin pricks.

Two hundred and something-or-other.

250?

That's a pretty boring job for a world-class surgeon,

to just jab you for half an hour.

So this might mean I might sweat more elsewhere.

You might sweat as much as me.

Top lip.

Apparently your body has to sweat the same amount that it does,

everybody sweats differently.

So, because it doesn't now have that much surface area

instead of, you know, it used to have all that but now

it's that, it will go elsewhere or something? I don't know.

But nowadays it's quite a trendy thing to do, isn't it,

to prevent, like... Famous people have it in their feet,

and their armpits, so that when they're on TV they don't have, like,

sweat marks or they don't slip out of their shoes on the red carpet

and what have you.

-If you're into that sort of thing.

-Yeah, you're just so vain!

My stump's going to look so good!

An hour later, Matt is discharged.

All right?

Yeah, great. Looking forward to tomorrow.

I think everything went really well.

Everyone works so hard here, so - in all of the NHS.

Getting back from America and comparing that to this,

we should be really grateful with what we've got in the UK, so, yeah.

Bed 81 is on standby for its next patient.

Back at Barnsley Hospital,

18-year-old Alisha is on A&E Bed 12 waiting for an X-ray.

Doctors believe she may have multiple fractures after

coming off her motorbike.

Didn't want me to be on a motorbike,

she just thinks that it's a death trap.

The accident is bringing back painful memories for Alisha.

My dad were always...

loved the motorbikes, and back in 2009

it just went speeding off the road.

Ended up into concrete boulders. Instant death.

Obviously, that's why my mum don't like me on a motorbike.

Alisha's mum Paula is struggling to deal with what's happened.

Her brother's had accidents, her dad died in a motorbike accident,

so it is really worrying, isn't it?

I'm broken hearted because she's my little baby, isn't she?

This bike's like a death trap to me for her.

Nice and still there, please.

A&E bed 12 takes Alisha back to her cubicle.

I'll be very surprised if these come back clear. Very surprised.

Alisha fears any fractures might affect her planned career

as a swimming instructor.

Dr Griffiths has the results of Alisha's X-rays.

She's bust her right wrist and bust her left shoulder.

You've done a good job, so you've got a break in your right wrist,

and your left shoulder, it's that bone there, it's your humerus,

and it's the head of that which has got a fracture through it.

So I don't think there's anything we're going to do

in the department, but the orthopaedic doctors are going to

come and see you, and I don't know whether or not they're going to need

to do an operation on one or both of them.

They'll let you know. Any questions for me?

How long does it take to recover?

Er, that you'll have to speak to them about.

You're not going to be swimming any time soon, I don't think.

Alisha's due to attend an interview

for a permanent job as a swimming instructor tomorrow.

Let's just hope that it's not surgery, cos if it is,

there's no point in me going to that interview tomorrow.

Orthopaedic surgeon Mr Kalaf has studied Alisha's X-rays.

It will probably take about six months for you to be able to

function with that shoulder.

That means no working?

Well, that depends on what you do.

I'm a lifeguard and teacher.

Yes, it's going to be a while.

With regards to your wrist, the injury's also nasty.

You'll probably need a plate on that.

Well, I expected that.

We'll do this tomorrow morning.

And how long will that take to heal, then?

She'll be in a cast for about six weeks,

physiotherapy about another six weeks.

That's less than my arm.

Alisha won't be able to teach swimming for at least six months.

I'm going to have to cancel my interview.

Come on.

Come on.

Can't even hug you!

Come on. I know, come on.

Do you want me to ring Daneside up?

You're going to have to ring Hoyland and Daneside

and tell them I can't work.

Alisha's broken her right wrist,

and her upper arm close to the shoulder joint.

Does that feel OK? Yep?

She'll have surgery on her wrist tomorrow.

A&E bed 12 takes Alisha to the surgical ward.

I feel a bit better.

I hope she gets shot of the bike and gets a car.

A&E bed 12 is released.

Back at Leicester's Royal Infirmary, on maternity bed 5,

Keisha is in labour with her second child.

We need to move the bed just in case we need to get her

in a different position.

She's considered high risk.

Her scans have indicated that she's having a big baby.

Yep, just in case.

The room is lacking the equipment that we need now for

a high risk lady.

Keisha's labour's moving really fast,

so we need to make sure that we've got all this equipment in there,

and the staff, and the coordinator, and the other staff within the unit

know what's actually happening, which can be really quite difficult

in a situation when you're really overrun with women,

who are lacking staff.

It's just busy on the shop floor, basically.

Keisha's been in the birthing room

for only 30 minutes and is fully dilated.

I just want to get it over and done with.

Oh, it's coming again.

Ohhhh!

I can see some pressure there.

Ohh! Ohh!

She's doing very well.

Bit nervous but just saw the baby's head coming through.

Only a little bit but, you know, it's there, it's coming.

Baby's coming, we can see a part of baby's head.

So hopefully not too long,

this little boy's going to make an appearance.

When my daughter was pregnant with Keisha, I was there helping

when she was born, so I'll be seeing my great grandson born now.

Yes, very excited, really.

You know what, I actually think if we could get you changed position

a little bit, I think it would help this baby's head come down.

OK.

OK, fab. Do you feel better now you're on your knees?

Yeah, I do.

Yeah?

'I've just changed position'

because my legs feel a bit heavy

and I wasn't able to give him the room,

so, I'm trying... I'm trying this way instead.

Is he not coming now?

Yeah, he's coming. There's no going back now!

Six years ago, Keisha had complications with her first birth.

She needed special medical assistance to deliver

her larger than average baby.

Right, you've been pushing now nearly an hour, OK?

I'm just going to have a chat with Jo the midwife and it might mean

getting the doctors to come down and see you.

We'll see what sort of plan they want to do. Yeah?

I think it's time now that Keisha had that extra support

from the doctors just to make the decision on where we're going with this.

Ahhh!

Consultant Dr Agawal is drafted in from the delivery unit.

OK, you just push against that pain.

Ohhh! Ohhh!

I'm trying so hard!

You're doing really well.

You are going to deliver this baby yourself, OK?

You are doing so well, I'm going to give you a little bit more time.

OK.

So the doctor is happy that we can carry on pushing for at least

another 15 minutes.

Her last pregnancy, her last labour has made such an impact on

this one now, I'm kind of having to sort of,

encourage her and make her believe that she can do this.

Keisha, Keisha, your little boy's head's sitting there, OK?

The next few pushes, the baby's head's coming out.

I need you to listen to what I'm going to say,

because I'm going to tell you little pushes and blows.

Really control this baby's head out.

You are doing amazing, yeah?

I'm just so hot.

-I know.

-I'm too hot.

Little pushes, really controlled pushes.

Come on, you can do this.

Well done, that - little one, blow, blow, blow, blow, blow, blow.

That's it, just keep blowing.

It's so hard.

Right, I need you to give me the littlest push.

That's it.

With some coaching from Midwife Hewitt,

Keisha finally gives birth, naturally.

Thank you so much.

-You did it, yeah?

-Thank you.

I told you, didn't I?

You're amazing. Thank you.

Why is he so huge?

I don't know, you grew him!

I know!

Nan, are you OK? Are you crying?

Oh, no, I've stopped crying now that you've had him.

Keep him nice and warm, Keisha. He's got such massive hands.

Well done, you did really well.

Can I have a glass of wine now?

He's gorgeous, he's gorgeous.

Mummy's here.

I feel great. I'm on cloud nine.

I can't believe how big he is.

He's quite heavy.

Yeah, he's chunky.

-How big do you think the baby was?

-4.5?

5.04 kilos, 11 pound 2. Small second degree tear.

Amazing.

Mummy's here.

My biggest baby I've ever delivered.

His name's Arlo. He's lovely.

She done amazing, she was so good. I'm so proud of her.

Maternity bed 5 will stay with Keisha and baby Arlo

on the ward for observations.

Mummy's here. Mummy's here. It's OK, baby.

It's OK, your sister can't wait to see you.

Our hospital beds have given us intimate access to the work of the NHS.

Matt was able to go for a run with wife Amy

the day after his botox op.

He says it really has been life-changing.

Alisha's had a pin and plate fitted to her wrist.

She's also waiting to hear if she will need an operation

on her shoulder.

And Keisha's back at home with baby Arlo,

who's growing bigger by the day.

The beds are now back on their wards,

ready and waiting for their next round of patients.