Episode 17

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:00:00. > :01:04.Inside Out, We Are Always A Step Ahead.

:01:05. > :01:13.First, driving tired can be just as dangerous as string driving. A

:01:14. > :01:17.recent online survey of more than 1100 junior doctors, 41% admitted

:01:18. > :01:23.falling asleep behind the wheel following a night shift, so is it

:01:24. > :01:28.time we all woke up to the danger? I know of for colleagues who died

:01:29. > :01:35.within my first two years of qualifying. All were driving home

:01:36. > :01:39.after shifts. I have an 11-month-old daughter and I continually worry

:01:40. > :01:44.about having an accident. I was driving in the slow lane on the

:01:45. > :01:48.motorway, then woke up in the fast lane. These are genuine testimonies

:01:49. > :01:55.from junior doctors currently working in our NHS. I almost drove

:01:56. > :02:02.into the back of a lorry when I fell asleep briefly. I also drove up the

:02:03. > :02:05.curb, which woke me up. After seven consecutive nights, I fell asleep

:02:06. > :02:12.driving home and crashed my car into a concrete pillar. In the NHS as it

:02:13. > :02:15.is, there are greater pressures, fewer doctors and it is easy to just

:02:16. > :02:23.keep pushing yourself to the absolute limit until you break. A

:02:24. > :02:27.junior doctor in Oxford, Sammy is getting ready for a 13 hour night

:02:28. > :02:32.shift in intensive care. She often works four of these in a row. After

:02:33. > :02:37.only a few months on the job, she had a near miss driving home. Five

:02:38. > :02:42.minutes away from home, I was on one of the country roads and find myself

:02:43. > :02:47.on the opposite side of the road. Thank goodness, there was nothing

:02:48. > :02:51.coming the other way. In fact, only just last year, I was going to a

:02:52. > :02:58.night shift and I came across a coroner flipped in the road. It was

:02:59. > :03:05.another junior doctor coming back from the late shift. On that

:03:06. > :03:12.occasion, the driver escaped unhurt, but sadly, that's not always the

:03:13. > :03:15.case. When she came off the night shift, she phoned home and said she

:03:16. > :03:22.was leaving. She had a chat with her mum and explained the night shift

:03:23. > :03:26.had gone well. Brian borrows my daughter was driving home after her

:03:27. > :03:32.first ever night shift is a newly qualified doctor. She was a bit

:03:33. > :03:35.concerned about how things might go, because it was a new experience for

:03:36. > :03:40.her being in charge and she was feeling quite pleased with herself.

:03:41. > :03:49.Nevertheless, on the journey back home, she fell asleep. How did you

:03:50. > :03:59.find out something had gone wrong? Because we are expecting her home,

:04:00. > :04:06.we set off to find and while we were driving, we could see the accident

:04:07. > :04:09.on the other side of the road. At the time, junior doctors in Scotland

:04:10. > :04:16.could work up to seven night shift in a row. Brian has been campaigning

:04:17. > :04:22.and has helped cut this to five. I'm her voice now. She's not to speak

:04:23. > :04:27.for herself. I think that she did speak up initially. But wasn't able

:04:28. > :04:37.to carry that through. I'm trying to do it now. 18 months ago, after a

:04:38. > :04:46.run of night shift, a junior doctor from gospel was heading home to his

:04:47. > :04:50.pregnant wife. The doctor was travelling home after three night

:04:51. > :04:58.shift when his car collided... The doctor probably fell asleep... He

:04:59. > :05:02.was just 33 years old. Think it is almost just too easy to think that

:05:03. > :05:06.it won't happen to you, but I think that when you have tragedies are so

:05:07. > :05:11.close to home, like someone who's pretty much exactly like you, it

:05:12. > :05:17.really is scary. It's something that really does make me think. Keen to

:05:18. > :05:23.learn if she is right to be concerned, Sam has agreed to take a

:05:24. > :05:27.driving reactions test after working a 13 hour night shift. We'll find

:05:28. > :05:30.out later how she gone. It's estimated there are more than 3

:05:31. > :05:37.million of us regularly working through the night in all kinds of

:05:38. > :05:41.jobs. This doctor is a sleep consultant and teaches the

:05:42. > :05:44.importance of rest to newly recruited junior doctors. When the

:05:45. > :05:47.work at night, our brains think we should be asleep and that is like

:05:48. > :05:52.fighting against jet lag the whole time. The teaching that we do is all

:05:53. > :05:58.about making sure that we encourage our junior doctors, nursing

:05:59. > :06:01.colleagues, everybody waking at night, that it is not a sign of

:06:02. > :06:08.weakness at all to take resting breaks and we are working. There is

:06:09. > :06:11.very much a hero attitude in medicine and nursing that are only

:06:12. > :06:16.come second to the needs of the patient, but actually if you're

:06:17. > :06:19.overtired, fatigued, you are not able to give the best year patient.

:06:20. > :06:27.Even though there may be ten patients waiting to see you, if you

:06:28. > :06:29.take half an hour to take a break, to combat the fatigue that is, in

:06:30. > :06:39.this paperwork is absolutely important. In Oxford, Sam has just

:06:40. > :06:46.finished her nature. How are you feeling? Really tired. It was really

:06:47. > :06:50.busy, quite stressful. I cover intensive care and we had a full

:06:51. > :06:54.unit of patients. I managed to grab a cup of Coffey at about half three

:06:55. > :06:59.and I've been pretty much on the go the whole time. Before Sam can go

:07:00. > :07:05.home to bed, it's temporary driving reactions test at the transport

:07:06. > :07:10.research lab in Berkshire. If you'd like to come through to the

:07:11. > :07:13.simulator and take a seat. Simon is in charge of driver fatigue research

:07:14. > :07:20.and will be analysing her performance. Fatigue is a huge road

:07:21. > :07:27.safety problem. Our own perception tends to lack behind reality and by

:07:28. > :07:30.the time we have realised that, we could have made a serious mistake

:07:31. > :07:36.that could lead to a collision. We would like to is keep you below 60

:07:37. > :07:44.mph, please. Is one of those things, where if I'm tired, I would push the

:07:45. > :07:48.car. Sam has to drive along a virtual motorway for the next 90

:07:49. > :07:53.minutes. We are monitoring her reactions from the control room.

:07:54. > :07:58.Sewers was a blinking, sometimes you see those long blinks. After just a

:07:59. > :08:05.few minutes, Sam starts blinking rapidly. In a field attempt to

:08:06. > :08:09.increase her alertness. You can tell she is fighting it as well. There is

:08:10. > :08:19.a moment where she is tired and then lots of blinking. You can see the

:08:20. > :08:25.mouth movements as well. After 19 minutes, Sam's eyes start to blink

:08:26. > :08:33.more slowly. She is having micro sleeps. In Michael sleep is just a

:08:34. > :08:37.longer blink, to 15 seconds. It is usually an indicator that someone is

:08:38. > :08:45.disengaged from the task. She is getting quite bad now. At motorway

:08:46. > :08:50.speeds, if your eyes shut for a second, think about what you will

:08:51. > :08:52.miss. Sam is meant to stick to the inside lane for the whole journey,

:08:53. > :08:59.but she is struggling to stay on course. She just moved out there

:09:00. > :09:03.onto to berate and almost overcompensate to be back and be

:09:04. > :09:07.left. So my guess, that is quite typical when someone is fatigued,

:09:08. > :09:14.the impetus came to be quite exaggerated. She has glazed features

:09:15. > :09:19.and new muscle tone has started to slacken. Really long-sight closures.

:09:20. > :09:26.Hi, Sam. You can stop the vehicle. Please, bring it to a halt. The test

:09:27. > :09:30.is over and Simon has the results. One of the key indicators of fatigue

:09:31. > :09:37.is willing to purchase and today, 69 occasions he left the inside lane of

:09:38. > :09:40.mortuary. That meant that it was almost in 2.5 minutes he spent

:09:41. > :09:45.outside lane you're meant to be travelling in. What's really

:09:46. > :09:49.worrying is the number of times your reaction speed was slower than 1.5

:09:50. > :09:57.seconds and therefore dangerous. The work of occasions when you fail to

:09:58. > :10:03.respond quickly enough. On one instance, it was 5.5 seconds later.

:10:04. > :10:15.Was it really? Groomer guess. Howedes your new here that? That is

:10:16. > :10:24.really shocking. There is terrifying. There is really, really

:10:25. > :10:28.scary. Clearly, driving when this tired is dangerous. Across the

:10:29. > :10:36.country, junior doctors are working long high-intensity shifts, some

:10:37. > :10:40.clocking up 90 hours a week. Last year, the Health Secretary and their

:10:41. > :10:43.controversial new junior doctor contact reduce the number of

:10:44. > :10:49.consecutive night shift from seven to four. The working week for junior

:10:50. > :10:53.doctors was also cut. Tired doctors risk patient safety, so in the new

:10:54. > :11:05.contract the maximum number of virus can be worked in one week will be

:11:06. > :11:09.reduced from 91 to 72. I think he should be assumed about. Boasting

:11:10. > :11:12.about that. We are asking junior doctors to work nearly twice as much

:11:13. > :11:17.as the rest of the population and that is a boast? The Department of

:11:18. > :11:26.Health declined to be interviewed, but told us that someone they expect

:11:27. > :11:31.the NHS staff to be properly rested. Are going to be looking for 40 years

:11:32. > :11:35.of service junior doctor, but were not going to get if we are so

:11:36. > :11:42.exhausted and have accidents like like Lauren or otherwise. No one

:11:43. > :11:54.should leave their home and not return from work. Still to come, we

:11:55. > :11:58.see a fond for a welter and Oxford institution. All good things come to

:11:59. > :12:02.an end. Thank you much for your custom. As ever, we will love to

:12:03. > :12:14.hear reports about the show. You can drop me an Eno. -- e-mail. Next, the

:12:15. > :12:20.Land Rover defender, cult status with enthusiasts and car thieves.

:12:21. > :12:26.Glen Campbell investigates. Some of these Land Rover 's are worth more

:12:27. > :12:29.than ?50,000. Lovingly built and tinkered with over a decade, to

:12:30. > :12:35.their owners, these vehicles are more than just a car. The problem

:12:36. > :12:41.is, it organised gangs of car thieves, the Land Rover has become a

:12:42. > :12:45.top target. We have a couple of Facebook pages to give people

:12:46. > :12:52.information about the club, always somebody coming on there saying the

:12:53. > :12:56.Land Rover has been stolen. Housing is once a week. He is still in the

:12:57. > :13:02.land Rovers and why are they doing it? Where are they all going to?

:13:03. > :13:07.Samak had one still in 18 months ago. Just off the drive in the

:13:08. > :13:11.middle of the night, someone broke into it, disappeared in oversight

:13:12. > :13:22.again. The swimmers in my garage under lock and key. Everything out I

:13:23. > :13:26.have is well secured. Last Land Rover rolled up the production line

:13:27. > :13:32.in 2016 and since then the sky has become the second. Vehicle in

:13:33. > :13:38.England. Levi Land Rover, you're buying a hobby. The decoder people

:13:39. > :13:42.love, cherish, sometimes it's a guy that has been passed on to the

:13:43. > :13:46.family. The impact from the civil image had it stolen is like losing

:13:47. > :13:49.your dog. It's not nice. This Land Rover is the pride and joy of

:13:50. > :13:56.Leicestershire police and the thieves took it apart overnight. It

:13:57. > :13:59.was parried his heady local police station. All the stolen land Rovers

:14:00. > :14:04.have got to be going somewhere, is what exactly is happening to them?

:14:05. > :14:09.Because they stopped making them, the spare parts are few and far

:14:10. > :14:12.between. You could have won in its completely in an hour. There is no

:14:13. > :14:21.closer to most of the Pirates, is the appear on eBay and IC market for

:14:22. > :14:25.stolen parts. John Isner Land Rover mechanic from Sussex who was hit by

:14:26. > :14:33.the thieves last year. As someone who knows Land Rover is inside out,

:14:34. > :14:36.I have set him a challenge. The plan is to on-board powers of the Land

:14:37. > :14:47.Rover until we end up with a bigger pile of bits and as little Land

:14:48. > :14:50.Rover as we can finish work. John firmly believes his beloved Land

:14:51. > :14:55.Rover restoring order and cannibalise parts. With the clock

:14:56. > :15:02.ticking and multiple cameras running, we will check back in with

:15:03. > :15:06.him in a while. Henry is a mechanic on slightly larger vehicles. He's a

:15:07. > :15:14.steam train engineer. His Land Rover was special. It was his Reading car.

:15:15. > :15:23.I use it all the time and that was my first vehicle. Henry's Land Rover

:15:24. > :15:28.was stolen from the car park of the Kent and Sussex railway so if you

:15:29. > :15:33.have seen it, one steam engine driver would love to have her back.

:15:34. > :15:37.I was never envisioning getting rid of it, it was going to be with me

:15:38. > :15:41.alive, handed down to my sanity with interested and so on and so. It is

:15:42. > :15:47.soul destroying when you have spent all that time with it and now it is

:15:48. > :15:51.just gone. Car crime is now a high-tech business, this garage is

:15:52. > :15:55.full of top and lower range roaders. The manufacture of the all of these

:15:56. > :15:58.cloud with at least one tracker for the benefit of their owners that the

:15:59. > :16:03.car gangs have a trick up their sleeves. They are now using one of

:16:04. > :16:09.these, a magic wand to snip the track and disable it. I just turn

:16:10. > :16:15.that up. They will know that there is something in the vehicle. A

:16:16. > :16:20.tracker. Now when people steal a car, they will block the signal, any

:16:21. > :16:23.signal coming out of the car, take it to somewhere safe, take it to a

:16:24. > :16:26.side road or leave it in a unit somewhere and when they feel safe,

:16:27. > :16:30.they will switch this unit on and try and find the tracking unit. As

:16:31. > :16:33.soon as they fight it, it will be disconnected. Being one step ahead

:16:34. > :16:39.of the thieves is the only way to catch them and the latest gadget

:16:40. > :16:43.does just that. A tiny, highly intelligent traffic that cannot be

:16:44. > :16:47.sniffed out by the magic wand. What is the product that you have come up

:16:48. > :16:52.with? What is the secret tracker? That is the I would love to tell you

:16:53. > :16:56.it and show you the device, we do not do that. It could be anything on

:16:57. > :17:00.the car. It is not one particular unit, it is well hidden, we do not

:17:01. > :17:05.talk about it. It could be in the headlight, anywhere. We don't want

:17:06. > :17:11.the thieves to get the upper hand on us. Neal's intelligence tracker is

:17:12. > :17:16.getting results. It can run from a signal from inside shipping

:17:17. > :17:21.container. Police are recovering land Rovers at Southampton docks

:17:22. > :17:26.just about to be shipped abroad. Back in John's barn, how its attempt

:17:27. > :17:34.at stripping a Land Rover in under an hour going? Was at a casing gone

:17:35. > :17:41.in 60 minutes? -- was it a case. Now you see it, now you do not. That

:17:42. > :17:45.is time. The Land Rover was stripped in 60 minutes. I use a price that

:17:46. > :17:51.you did it this quick? I am quite surprised, yes. I don't think I

:17:52. > :17:57.would want to do it as a business. Now put it back together. Thank you.

:17:58. > :18:01.That will take longer. Glen Campbell reporting there. Don't

:18:02. > :18:08.forget, we are on Twitter. You can find this out... I am resisting the

:18:09. > :18:16.urge to say that final story is a load of old cobblers. Here is James

:18:17. > :18:21.in Oxford. It's often said there's an awful lot

:18:22. > :18:30.you can tell about a person from their shoes. But then again, I would

:18:31. > :18:36.say that. I am a bespoke shoe maker. I have making shoes by hand for the

:18:37. > :18:43.past 20 years. From designing them to hand stitching them. And in the

:18:44. > :18:51.world of fast everything, I am proud to be a part of something much

:18:52. > :18:59.slower. In Oxford, they have been making shoes in a similar way since

:19:00. > :19:05.1988. But sadly, after nearly a years, it is closing. So when I

:19:06. > :19:08.found out such an iconic Schumacher is as Ducker Son was sorting up

:19:09. > :19:18.shop, I had to go for one last time before they close their doors

:19:19. > :19:23.forever. My name is James Tameka, apparently no relation. Both of our

:19:24. > :19:26.families from North Norfolk. -- Ducker. My namesake was an engineer

:19:27. > :19:34.before turning his hand to shoemaking. Bob Avery also change

:19:35. > :19:38.career. Before teaching himself shoemaking, he was a shoe repair at

:19:39. > :19:46.Woolworth and before that, a bus conductor. The legislator back to

:19:47. > :19:51.1910 and reveal history of the city and its shoes. So each one of those

:19:52. > :19:54.is in order for a pair of shoes? This is everything they have made an

:19:55. > :20:01.error count and the prices accordingly about time. In today's

:20:02. > :20:07.money, 140 stop ?1 each shillings and sixpence in old money. I have no

:20:08. > :20:14.idea what that means. Any particular style you are looking for colours? I

:20:15. > :20:18.love everything. This is an old-fashioned shop and a lot of the

:20:19. > :20:21.work ethics are still old-fashioned. You don't come in here at nine

:20:22. > :20:28.o'clock and start walking out the door at five. My wife is common into

:20:29. > :20:32.the shop and 9:30pm to as me if I have any intention of coming home.

:20:33. > :20:36.Do think there's a little bit of you in every pair that goes out of the

:20:37. > :20:41.door? You put your mark on every single pair. These wooden mast of

:20:42. > :20:47.the starting point for the shoes ever made her, the footprints if you

:20:48. > :20:55.like over a century of loyal customers. My name is George. I have

:20:56. > :21:03.about nine or ten pairs of the shoes. I'm 97, you are now going to

:21:04. > :21:15.admire my agility. Nobody in my family has ever lived this long.

:21:16. > :21:20.These are my duties. -- beauties. Aren't they beautiful temperate

:21:21. > :21:31.shoes? These are very old, these are back into the 50s. Tremendous age. I

:21:32. > :21:38.came up to Christchurch in 1946, I wasn't at all rich but I got in a

:21:39. > :21:46.way of buying my shoes at Ducker and there is a little man working for

:21:47. > :21:55.Ducker and I had a pair of shoes one day and he said where'd you get your

:21:56. > :22:02.shoes from? She said if you can go to customers, you can afford to buy

:22:03. > :22:06.the shoes. I like the directness. Those are Ducker shoes, they must be

:22:07. > :22:10.50 years old. They're beautiful, aren't they? There's another but

:22:11. > :22:20.people in this world who have not been to Ducker, they should be

:22:21. > :22:24.imprisoned. There probably ten years old but they look as good as new as

:22:25. > :22:32.far as I am concerned. They look lovely. Are you a loyal customer? I

:22:33. > :22:35.am indeed. I first came here as an undergraduate, in 1976, I have been

:22:36. > :22:43.coming here ever since. How many pairs of Duckers do think you have?

:22:44. > :22:50.About 30 pairs, I think. This sum, it is the last chance to own a bit

:22:51. > :22:55.of Oxford's history. I just bought a pair of Duckers and I think you can

:22:56. > :22:58.tell a lot about a place you choose. In this case, Oxford is on offer in

:22:59. > :23:04.plane and there are generations of students and Fellows of colleges who

:23:05. > :23:07.have been used to walking in and out of colleges and college gardens and

:23:08. > :23:12.trampling on the Thames which is just over there and you have got

:23:13. > :23:14.this great proximity of city and countryside, it is one of the

:23:15. > :23:22.distinctive features of Oxford so the shoes but Doctor -- that Ducker

:23:23. > :23:29.is famous for, the Beeb that runs around the shoe, what they call a

:23:30. > :23:34.rustic grain which is the embossed look which is much more resistant to

:23:35. > :23:40.scratching. It is at home at town and in the

:23:41. > :23:44.countryside. Even though people walking, it is a lot more relaxed

:23:45. > :23:58.today. You never know who is going to walking. Baron did not pay his

:23:59. > :24:04.bill. He collected his shoes. Descendants of his came in 1989, the

:24:05. > :24:11.honoured the account. Is that what batters? That entry in bread there.

:24:12. > :24:20.There is another entry by which humane know who that is. The author,

:24:21. > :24:25.he was at Jesus College. Perhaps the most famous customer is Lord of the

:24:26. > :24:31.rings author JR Tolkien who studied English at Oxford. He played

:24:32. > :24:37.football. I have enjoyed every minute of it, I

:24:38. > :24:43.have reached an age where I am in God's time. I am not fed up of it.

:24:44. > :24:51.Thank you so much for so many years looking after me and my shoes. It

:24:52. > :24:57.comes with my great banks to so many years. -- my great banks. Thank you

:24:58. > :25:03.for your continued custom throughout the years. I'm a tiny part in this

:25:04. > :25:15.legend, best ago while everyone is cupping. -- best to go while

:25:16. > :25:20.everyone is clapping. I think it was Cinderella who said a

:25:21. > :25:33.shoe can change your life. As they turn the key here for the last time,

:25:34. > :25:38.Isabel and Bob would probably agree. James Ducker is reporting that.

:25:39. > :25:39.Always sad to see the old things disappear. Talking of which, I will

:25:40. > :26:18.see you next week. Goodbye. The progress now is being made to

:26:19. > :26:22.milder Atlantic air. The next few days for most of us will start to

:26:23. > :26:25.feel much milder with less froth that night, higher temperatures by

:26:26. > :26:26.day. It is going to be