Episode 17 Inside Out


Episode 17

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Inside Out, We Are Always A Step Ahead.

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First, driving tired can be just as dangerous as string driving. A

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recent online survey of more than 1100 junior doctors, 41% admitted

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falling asleep behind the wheel following a night shift, so is it

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time we all woke up to the danger? I know of for colleagues who died

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within my first two years of qualifying. All were driving home

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after shifts. I have an 11-month-old daughter and I continually worry

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about having an accident. I was driving in the slow lane on the

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motorway, then woke up in the fast lane. These are genuine testimonies

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from junior doctors currently working in our NHS. I almost drove

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into the back of a lorry when I fell asleep briefly. I also drove up the

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curb, which woke me up. After seven consecutive nights, I fell asleep

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driving home and crashed my car into a concrete pillar. In the NHS as it

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is, there are greater pressures, fewer doctors and it is easy to just

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keep pushing yourself to the absolute limit until you break. A

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junior doctor in Oxford, Sammy is getting ready for a 13 hour night

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shift in intensive care. She often works four of these in a row. After

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only a few months on the job, she had a near miss driving home. Five

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minutes away from home, I was on one of the country roads and find myself

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on the opposite side of the road. Thank goodness, there was nothing

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coming the other way. In fact, only just last year, I was going to a

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night shift and I came across a coroner flipped in the road. It was

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another junior doctor coming back from the late shift. On that

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occasion, the driver escaped unhurt, but sadly, that's not always the

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case. When she came off the night shift, she phoned home and said she

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was leaving. She had a chat with her mum and explained the night shift

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had gone well. Brian borrows my daughter was driving home after her

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first ever night shift is a newly qualified doctor. She was a bit

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concerned about how things might go, because it was a new experience for

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her being in charge and she was feeling quite pleased with herself.

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Nevertheless, on the journey back home, she fell asleep. How did you

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find out something had gone wrong? Because we are expecting her home,

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we set off to find and while we were driving, we could see the accident

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on the other side of the road. At the time, junior doctors in Scotland

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could work up to seven night shift in a row. Brian has been campaigning

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and has helped cut this to five. I'm her voice now. She's not to speak

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for herself. I think that she did speak up initially. But wasn't able

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to carry that through. I'm trying to do it now. 18 months ago, after a

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run of night shift, a junior doctor from gospel was heading home to his

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pregnant wife. The doctor was travelling home after three night

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shift when his car collided... The doctor probably fell asleep... He

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was just 33 years old. Think it is almost just too easy to think that

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it won't happen to you, but I think that when you have tragedies are so

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close to home, like someone who's pretty much exactly like you, it

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really is scary. It's something that really does make me think. Keen to

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learn if she is right to be concerned, Sam has agreed to take a

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driving reactions test after working a 13 hour night shift. We'll find

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out later how she gone. It's estimated there are more than 3

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million of us regularly working through the night in all kinds of

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jobs. This doctor is a sleep consultant and teaches the

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importance of rest to newly recruited junior doctors. When the

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work at night, our brains think we should be asleep and that is like

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fighting against jet lag the whole time. The teaching that we do is all

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about making sure that we encourage our junior doctors, nursing

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colleagues, everybody waking at night, that it is not a sign of

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weakness at all to take resting breaks and we are working. There is

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very much a hero attitude in medicine and nursing that are only

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come second to the needs of the patient, but actually if you're

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overtired, fatigued, you are not able to give the best year patient.

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Even though there may be ten patients waiting to see you, if you

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take half an hour to take a break, to combat the fatigue that is, in

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this paperwork is absolutely important. In Oxford, Sam has just

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finished her nature. How are you feeling? Really tired. It was really

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busy, quite stressful. I cover intensive care and we had a full

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unit of patients. I managed to grab a cup of Coffey at about half three

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and I've been pretty much on the go the whole time. Before Sam can go

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home to bed, it's temporary driving reactions test at the transport

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research lab in Berkshire. If you'd like to come through to the

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simulator and take a seat. Simon is in charge of driver fatigue research

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and will be analysing her performance. Fatigue is a huge road

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safety problem. Our own perception tends to lack behind reality and by

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the time we have realised that, we could have made a serious mistake

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that could lead to a collision. We would like to is keep you below 60

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mph, please. Is one of those things, where if I'm tired, I would push the

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car. Sam has to drive along a virtual motorway for the next 90

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minutes. We are monitoring her reactions from the control room.

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Sewers was a blinking, sometimes you see those long blinks. After just a

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few minutes, Sam starts blinking rapidly. In a field attempt to

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increase her alertness. You can tell she is fighting it as well. There is

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a moment where she is tired and then lots of blinking. You can see the

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mouth movements as well. After 19 minutes, Sam's eyes start to blink

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more slowly. She is having micro sleeps. In Michael sleep is just a

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longer blink, to 15 seconds. It is usually an indicator that someone is

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disengaged from the task. She is getting quite bad now. At motorway

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speeds, if your eyes shut for a second, think about what you will

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miss. Sam is meant to stick to the inside lane for the whole journey,

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but she is struggling to stay on course. She just moved out there

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onto to berate and almost overcompensate to be back and be

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left. So my guess, that is quite typical when someone is fatigued,

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the impetus came to be quite exaggerated. She has glazed features

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and new muscle tone has started to slacken. Really long-sight closures.

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Hi, Sam. You can stop the vehicle. Please, bring it to a halt. The test

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is over and Simon has the results. One of the key indicators of fatigue

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is willing to purchase and today, 69 occasions he left the inside lane of

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mortuary. That meant that it was almost in 2.5 minutes he spent

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outside lane you're meant to be travelling in. What's really

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worrying is the number of times your reaction speed was slower than 1.5

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seconds and therefore dangerous. The work of occasions when you fail to

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respond quickly enough. On one instance, it was 5.5 seconds later.

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Was it really? Groomer guess. Howedes your new here that? That is

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really shocking. There is terrifying. There is really, really

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scary. Clearly, driving when this tired is dangerous. Across the

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country, junior doctors are working long high-intensity shifts, some

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clocking up 90 hours a week. Last year, the Health Secretary and their

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controversial new junior doctor contact reduce the number of

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consecutive night shift from seven to four. The working week for junior

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doctors was also cut. Tired doctors risk patient safety, so in the new

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contract the maximum number of virus can be worked in one week will be

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reduced from 91 to 72. I think he should be assumed about. Boasting

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about that. We are asking junior doctors to work nearly twice as much

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as the rest of the population and that is a boast? The Department of

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Health declined to be interviewed, but told us that someone they expect

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the NHS staff to be properly rested. Are going to be looking for 40 years

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of service junior doctor, but were not going to get if we are so

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exhausted and have accidents like like Lauren or otherwise. No one

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should leave their home and not return from work. Still to come, we

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see a fond for a welter and Oxford institution. All good things come to

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an end. Thank you much for your custom. As ever, we will love to

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hear reports about the show. You can drop me an Eno. -- e-mail. Next, the

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Land Rover defender, cult status with enthusiasts and car thieves.

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Glen Campbell investigates. Some of these Land Rover 's are worth more

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than ?50,000. Lovingly built and tinkered with over a decade, to

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their owners, these vehicles are more than just a car. The problem

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is, it organised gangs of car thieves, the Land Rover has become a

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top target. We have a couple of Facebook pages to give people

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information about the club, always somebody coming on there saying the

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Land Rover has been stolen. Housing is once a week. He is still in the

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land Rovers and why are they doing it? Where are they all going to?

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Samak had one still in 18 months ago. Just off the drive in the

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middle of the night, someone broke into it, disappeared in oversight

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again. The swimmers in my garage under lock and key. Everything out I

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have is well secured. Last Land Rover rolled up the production line

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in 2016 and since then the sky has become the second. Vehicle in

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England. Levi Land Rover, you're buying a hobby. The decoder people

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love, cherish, sometimes it's a guy that has been passed on to the

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family. The impact from the civil image had it stolen is like losing

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your dog. It's not nice. This Land Rover is the pride and joy of

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Leicestershire police and the thieves took it apart overnight. It

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was parried his heady local police station. All the stolen land Rovers

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have got to be going somewhere, is what exactly is happening to them?

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Because they stopped making them, the spare parts are few and far

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between. You could have won in its completely in an hour. There is no

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closer to most of the Pirates, is the appear on eBay and IC market for

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stolen parts. John Isner Land Rover mechanic from Sussex who was hit by

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the thieves last year. As someone who knows Land Rover is inside out,

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I have set him a challenge. The plan is to on-board powers of the Land

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Rover until we end up with a bigger pile of bits and as little Land

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Rover as we can finish work. John firmly believes his beloved Land

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Rover restoring order and cannibalise parts. With the clock

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ticking and multiple cameras running, we will check back in with

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him in a while. Henry is a mechanic on slightly larger vehicles. He's a

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steam train engineer. His Land Rover was special. It was his Reading car.

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

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was stolen from the car park of the Kent and Sussex railway so if you

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have seen it, one steam engine driver would love to have her back.

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I was never envisioning getting rid of it, it was going to be with me

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alive, handed down to my sanity with interested and so on and so. It is

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soul destroying when you have spent all that time with it and now it is

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just gone. Car crime is now a high-tech business, this garage is

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full of top and lower range roaders. The manufacture of the all of these

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cloud with at least one tracker for the benefit of their owners that the

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car gangs have a trick up their sleeves. They are now using one of

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these, a magic wand to snip the track and disable it. I just turn

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that up. They will know that there is something in the vehicle. A

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tracker. Now when people steal a car, they will block the signal, any

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signal coming out of the car, take it to somewhere safe, take it to a

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side road or leave it in a unit somewhere and when they feel safe,

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they will switch this unit on and try and find the tracking unit. As

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soon as they fight it, it will be disconnected. Being one step ahead

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of the thieves is the only way to catch them and the latest gadget

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does just that. A tiny, highly intelligent traffic that cannot be

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sniffed out by the magic wand. What is the product that you have come up

:16:44.:16:47.

with? What is the secret tracker? That is the I would love to tell you

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it and show you the device, we do not do that. It could be anything on

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the car. It is not one particular unit, it is well hidden, we do not

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talk about it. It could be in the headlight, anywhere. We don't want

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the thieves to get the upper hand on us. Neal's intelligence tracker is

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getting results. It can run from a signal from inside shipping

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container. Police are recovering land Rovers at Southampton docks

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just about to be shipped abroad. Back in John's barn, how its attempt

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at stripping a Land Rover in under an hour going? Was at a casing gone

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in 60 minutes? -- was it a case. Now you see it, now you do not. That

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is time. The Land Rover was stripped in 60 minutes. I use a price that

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you did it this quick? I am quite surprised, yes. I don't think I

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would want to do it as a business. Now put it back together. Thank you.

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That will take longer. Glen Campbell reporting there. Don't

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forget, we are on Twitter. You can find this out... I am resisting the

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urge to say that final story is a load of old cobblers. Here is James

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in Oxford. It's often said there's an awful lot

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you can tell about a person from their shoes. But then again, I would

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say that. I am a bespoke shoe maker. I have making shoes by hand for the

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past 20 years. From designing them to hand stitching them. And in the

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world of fast everything, I am proud to be a part of something much

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slower. In Oxford, they have been making shoes in a similar way since

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1988. But sadly, after nearly a years, it is closing. So when I

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found out such an iconic Schumacher is as Ducker Son was sorting up

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shop, I had to go for one last time before they close their doors

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forever. My name is James Tameka, apparently no relation. Both of our

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families from North Norfolk. -- Ducker. My namesake was an engineer

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before turning his hand to shoemaking. Bob Avery also change

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career. Before teaching himself shoemaking, he was a shoe repair at

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Woolworth and before that, a bus conductor. The legislator back to

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1910 and reveal history of the city and its shoes. So each one of those

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is in order for a pair of shoes? This is everything they have made an

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error count and the prices accordingly about time. In today's

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money, 140 stop ?1 each shillings and sixpence in old money. I have no

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idea what that means. Any particular style you are looking for colours? I

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love everything. This is an old-fashioned shop and a lot of the

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work ethics are still old-fashioned. You don't come in here at nine

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o'clock and start walking out the door at five. My wife is common into

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

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Do think there's a little bit of you in every pair that goes out of the

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door? You put your mark on every single pair. These wooden mast of

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the starting point for the shoes ever made her, the footprints if you

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like over a century of loyal customers. My name is George. I have

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about nine or ten pairs of the shoes. I'm 97, you are now going to

:20:56.:21:03.

admire my agility. Nobody in my family has ever lived this long.

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These are my duties. -- beauties. Aren't they beautiful temperate

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

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came up to Christchurch in 1946, I wasn't at all rich but I got in a

:21:32.:21:38.

way of buying my shoes at Ducker and there is a little man working for

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Ducker and I had a pair of shoes one day and he said where'd you get your

:21:47.:21:55.

shoes from? She said if you can go to customers, you can afford to buy

:21:56.:22:02.

the shoes. I like the directness. Those are Ducker shoes, they must be

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50 years old. They're beautiful, aren't they? There's another but

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people in this world who have not been to Ducker, they should be

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imprisoned. There probably ten years old but they look as good as new as

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far as I am concerned. They look lovely. Are you a loyal customer? I

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am indeed. I first came here as an undergraduate, in 1976, I have been

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coming here ever since. How many pairs of Duckers do think you have?

:22:36.:22:43.

About 30 pairs, I think. This sum, it is the last chance to own a bit

:22:44.:22:50.

of Oxford's history. I just bought a pair of Duckers and I think you can

:22:51.:22:55.

tell a lot about a place you choose. In this case, Oxford is on offer in

:22:56.:22:58.

plane and there are generations of students and Fellows of colleges who

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have been used to walking in and out of colleges and college gardens and

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trampling on the Thames which is just over there and you have got

:23:08.:23:12.

this great proximity of city and countryside, it is one of the

:23:13.:23:14.

distinctive features of Oxford so the shoes but Doctor -- that Ducker

:23:15.:23:22.

is famous for, the Beeb that runs around the shoe, what they call a

:23:23.:23:29.

rustic grain which is the embossed look which is much more resistant to

:23:30.:23:34.

scratching. It is at home at town and in the

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countryside. Even though people walking, it is a lot more relaxed

:23:41.:23:44.

today. You never know who is going to walking. Baron did not pay his

:23:45.:23:58.

bill. He collected his shoes. Descendants of his came in 1989, the

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honoured the account. Is that what batters? That entry in bread there.

:24:05.:24:11.

There is another entry by which humane know who that is. The author,

:24:12.:24:20.

he was at Jesus College. Perhaps the most famous customer is Lord of the

:24:21.:24:25.

rings author JR Tolkien who studied English at Oxford. He played

:24:26.:24:31.

football. I have enjoyed every minute of it, I

:24:32.:24:37.

have reached an age where I am in God's time. I am not fed up of it.

:24:38.:24:43.

Thank you so much for so many years looking after me and my shoes. It

:24:44.:24:51.

comes with my great banks to so many years. -- my great banks. Thank you

:24:52.:24:57.

for your continued custom throughout the years. I'm a tiny part in this

:24:58.:25:03.

legend, best ago while everyone is cupping. -- best to go while

:25:04.:25:15.

everyone is clapping. I think it was Cinderella who said a

:25:16.:25:20.

shoe can change your life. As they turn the key here for the last time,

:25:21.:25:33.

Isabel and Bob would probably agree. James Ducker is reporting that.

:25:34.:25:38.

Always sad to see the old things disappear. Talking of which, I will

:25:39.:25:39.

see you next week. Goodbye. The progress now is being made to

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milder Atlantic air. The next few days for most of us will start to

:26:19.:26:22.

feel much milder with less froth that night, higher temperatures by

:26:23.:26:25.

day. It is going to be

:26:26.:26:26.

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