Myleene Klass Matron, Medicine and Me: 70 Years of the NHS


Myleene Klass

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70 years ago, plans for a revolution took place

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that changed all of our lives in Britain.

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We're out to improve the health of

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every family and the whole nation.

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Its name - the National Health Service.

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We're taking a look at the NHS then and now.

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-MACHINES BEEP

-Adrenaline!

-He's had six adrenaline...

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SIRENS WAIL To see how much it's changed...

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Is that real?

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..to meet staff and patients...

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Let me help you out. Sorry, it's my first day here.

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..with extraordinary medical stories.

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-You died, basically?

-For three minutes, yes.

-0h!

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It's quite emotional seeing you! Thank you.

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-Surprise!

-ALL: SURPRISE

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I'm Myleene Klass and there's one

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area of NHS care that means a lot to me - nursing.

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I need a doctor! I need a nurse!

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It means a lot to me personally because of one very special person.

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My mum. She came here as a nurse 41 years ago.

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You have so much courage.

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I'm so proud of you.

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-I love you, Myleene!

-Oh!

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I want to find out her story and the story of the millions of other

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nurses who have made the NHS what it is today.

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I'm starting my journey on the 10.36 service to Great Yarmouth.

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But I'm not travelling alone. Joining me is my mum who worked as a

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nurse in the NHS for eight years.

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Aw! Look at you!

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Look at the shoes!

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Yeah, well, that's not exactly the

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-uniform shoes but...

-I can tell.

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But I had just finished my shift

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and then we were just about to go to a party.

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And that uniform, was it nice to wear?

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I liked the uniform but the shoes, I didn't like.

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The shoes that we wear, I didn't like it one bit.

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-TRAIN ANNOUNCER:

-..To Great Yarmouth at 11.12.

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We're actually going to the hospital where my mum first

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came to in Great Yarmouth where she was training as a nurse...

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-when you first came from the Philippines, right?

-Yeah.

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-Do you think you'll remember what it all looked like?

-No, I don't.

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I don't. I'm sort of expecting lots of changes, I think.

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I mean you're talking about many years ago.

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-TRAIN PA:

-Final station is Great Yarmouth.

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We're home!

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It's always special coming back to Great Yarmouth.

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This is where my mum settled when she arrived from the Philippines

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and it's where she fell in love with my dad.

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We lived here as a family and I went to school here, but the truth is,

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I really don't know a lot about my mum's life as a nurse.

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So today is my chance to fill in the blanks.

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Mum worked in the town's Northgate Hospital.

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Back in the '70s, it was a busy local hospital.

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Today, it looks quite a bit different.

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She hasn't been back here for over 30 years so I'm not sure how she'll be feeling.

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SHE LAUGHS

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Wow. Lots of change. This is new.

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-This looks new.

-Amazing.

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-What about the smell? Does that smell the same?

-Lovely smell.

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-Better smell actually.

-Better smell. Oh, God.

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-I feel strange, I really do.

-Are you getting upset?

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Quiet but...nice.

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Aw, come here!

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I didn't think that I would feel it this way. 41 years ago.

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You set me off now! Oh, my gosh.

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It's clear that just being here is making the memories flood

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-back for Mum.

-Oh, this is the one. I remember this.

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-Remember the rails?

-Oh, my God!

-Yep.

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But her experience isn't unique.

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That's right, now get the head well back, seal off the nose.

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That's right. Put your mouth right the way around her mouth...

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With a new dressing perhaps you'll sleep for a little while.

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Thanks, Nurse.

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In its early days, like now, the NHS was understaffed

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and struggling to cope with demand.

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-Nurse?

-Nurse?

-Nurse!

-Come quickly, please!

-Nurse!

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-My children need you!

-Nurse!

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In response, the service looked to

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recruit people from all over the world.

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Many of the nurses working in our hospitals today

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come from overseas and with the shortage of hospital staff

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as it is, it would be very difficult to run our hospitals without them.

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And thousands came from the Philippines, including my mum.

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It can't have been easy as an ethnic

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minority especially in very different times.

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I know what it was like for me as, like, second-generational, being

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a mixed race kid growing up in Norfolk, but for you as a first generation...

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Yeah. Well, you can feel it.

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You can feel inside you that they're a bit reluctant at first

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but then, I am there to do a job so I have to approach them first

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I have to inject myself to them

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and, well, you know, if they accept me, fine.

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If they don't accept me, I will still insist that they...

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-You know, I have to do something.

-"I'm GOING to help you!"

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I'll have to do something for them to gain their trust,

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that I am their friend to start with.

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I like that they didn't know if you spoke English.

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Yeah, well, they thought that, you know, I can't speak English,

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until you open your mouth and say, "Hello everybody."

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You used to be an English teacher so you probably speak the best English!

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Yeah, but they don't know that, do they?

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I know that you told me that you used to love working in paediatrics

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-with the babies and also geriatrics with the elderly.

-Yeah.

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But what was your hardest story?

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Well there's this couple and they are always together,

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always have their breakfast together, holding hands,

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and then one day, it was the woman who just turned up.

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And she was asking for her husband

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because they have to have breakfast at the same time.

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-So, he was a patient at the hospital?

-Both of them were patients.

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And after that, she was told that her husband passed away.

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And, a few hours later, she went as well.

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She didn't say a word. She just said, "That's it".

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But it really, really got me. I didn't...

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I didn't sleep for a few nights. It's hard.

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Because I've known them for a while.

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And after that,

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I asked for a day off because it's not easy to take in.

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Especially when you made friends with them and...

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But again I was told that it's all part of the parcel of your job.

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You have to accept it and be strong.

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-So you didn't get that day off?

-No, I didn't. They just gave me a cup of tea.

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-MYLEENE LAUGHS What, the nurses did?

-Yeah.

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It's been such an incredible day today, hanging out

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with my mum and just seeing her,

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come alive as she relives some of those tales from 41 years ago.

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I feel really fired up now

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and I would like to speak to some staff and nurses who are working

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in the NHS today and hear what they have to say about their experiences.

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I especially want to see how things have changed from how it was

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then to what is now. So, I've decided to head to Belfast.

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The Trust here is one of the biggest employers in the NHS

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and I'm coming to one of its busiest hospitals -

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the Royal Victoria Hospital in the west of the city.

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The hospital was already well established

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when the NHS started but it's grown a lot.

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And today Belfast Trust hospitals and services care for over

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a million people a year.

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'I'll be based in Ward 4A. A fracture unit.

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'As with the early NHS, many of the staff here come from overseas

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'including quite a few from the Philippines.

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'And they seem to know my mum!' Did you hear that?!

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DID YOU HEAR THAT?!

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"How's your mum?" I know!

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Among the Filipino nurses on the ward is Leonila Agonia.

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-So, I have to ask you, when did you come over?

-2003. Way back in 2003.

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-13 years ago.

-So what made you come here?

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Oh, well, I just tried to take a chance, you know

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to widen the horizon of my nursing profession.

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-We don't have anything like the NHS in the Philippines.

-No.

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It's different, it's a big, big difference.

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Well, you have to be able to look after yourself and your family.

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You have to be able to find yourself over there, but here...

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The country looks after the country.

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My mum, when she came over, she wanted just to go somewhere cold.

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Why is that? Why would you want to be cold? We all want to be hot!

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-I'm second-generation though.

-I know, I know.

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Do you think that your mum still likes here after all these years?

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My mum can't cope with the heat.

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-Can't tolerate it any more. Me too. Me too.

-THE ACCENT!

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-Is she picking up the accent?

-Yeah!

-Oh, aye!

-Oh, aye!

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LAUGHTER

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Oh, aye.

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Ward 4A is part of a modern wing of the Royal Victoria.

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Everything around here is shiny bright but I want to see

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how the hospital would have looked before it was taken

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over by the NHS. So I've come deep into the old part of the hospital.

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Old Victorian wards like this were built in very different times.

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I'm just weary and fed up with it....

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And the cockroaches, well, till lately,

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they've been eating us alive.

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And I think it's downright shame that we should live under

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these conditions.

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Average life expectancy was around 50 and the

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main causes of death were infectious and respiratory in nature.

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Many poor house hospitals were seen more as gateways to the

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funeral parlour than places to get better.

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And that's only if you could get in.

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Prior to the NHS, medical treatment in places like the Royal

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would've been mainly for those who could afford it.

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I'm joining former surgeon Professor Richard Clarke in one

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of the original corridors.

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So we're obviously in the Victorian quarter of the hospital

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but when was this actually built?

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Well, it was built in 1900, 1901,

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and then it was finally opened in 1903.

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Ooft. They threw it up!

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What about all these arches that we see here with the names above them?

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These arches, there were originally 17 wards so

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the arches lead into to the 17 wards that were off the corridor.

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And then there were three more wards added later.

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Each ward had its own kitchen, its own operating theatre in the case

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of the surgical wards, but basically the wards had 20 patients in them,

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originally no curtains around the beds, they were just packed.

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-All in there together like sardines.

-Yes.

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When the 1946 NHS Act came into force,

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Victorian hospitals like the Royal were taken out of private hands

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and into control of the state.

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Nurses and doctors would now give their services to people

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free at the point of use.

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It was a breath of fresh air for patients of all social classes

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and in the case of the Royal, that meant in more ways than one

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as the hospital's revolutionary air conditioning system now

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became for the benefit of all.

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Today, the engineers have fired it up for me.

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It's smelly, noisy and kind of beautiful.

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How ahead of its time was this machine?

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Well, it was ahead in the sense that it was the first purpose-built

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air-conditioned hospital in the world.

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These engines drive enormous hand blades and they suck in the air

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from the street and the air is purified and humidified.

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Wow.

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-Wow!

-Yes. This is the van. Enormous, isn't it?

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It's huge!

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And freezing!

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-SHE LAUGHS

-Yes.

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Yes, Well, it takes a big fan to bring in enough air to

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-supply all those 20 wards.

-And it's still supplying now?

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-20 wards. No, no, because the wards have been pulled down now.

-Oh.

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-So this is not really used for that purpose at all.

-What's it used for now?

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Well, nothing, it's just ornamental.

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Huge ornament!

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Young men and small boys who like the look of it...

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-You've shown me one air con unit that's still running 100 years later.

-Yes.

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Being in the older part of the Royal Victoria Hospital,

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seeing the turbines,

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the plaques above the wards named after the great and the good that

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helped finance them, you get a real sense of history of the place.

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However, call me biased here, you

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can't help thinking that the back bone of this hospital,

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and actually all the hospitals across the UK, is down to this lot.

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Up on Ward 4A, it's nearly lunchtime.

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And the food is being plated up.

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It's a task carried out by those known as the domestic staff.

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They've been on the wards since before even my mum's time.

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-NEWSCASTER:

-Unless the team is complete with its domestic workers,

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it cannot function efficiently.

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Without their support, hospitals could not carry on.

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Already wards have had to be closed for lack of domestic help.

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Patients are waiting to come in,

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but unfortunately the matron has no alternative.

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This is really important work and a job you can be proud of doing.

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Please, come and help us.

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Today, I'll be doing just that.

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Reporting for duty. Hi, Sister!

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-Hello!

-Hi!

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-What do you think?

-Oh, looking well.

-Right.

-Are you ready for this?

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-I am ready.

-OK. Basically, you're just going to be

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asking for each one of them throughout that menu.

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Great, OK. Hi, Tita, please may I have a roast chicken...

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Roast chicken.

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With mashed carrot and turnips, and mashed potatoes with gravy.

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-This is Noreena.

-Is this my dinner, is it?

-Your dinner is coming.

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I've got your dinner. Let me help you out.

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Sorry, it's my first day here.

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You should take me glasses off...

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No, you're fabulous.

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-Hugh.

-Hugh?

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Hello, sir. Dinner is served. And it looks good.

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You've got chicken, you've got mash, you've got turnip.

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You want custard? Do you know, I knew it.

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I'm going to get you some custard.

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-Extra.

-Hurry back.

-I will hurry back.

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-What's your name, Sir?

-Ray.

-Ray. Nice to meet you, I'm Myleene.

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-I will be serving your ice cream and jelly today.

-Lovely.

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Ice cream and jelly, I mean, stuff of dreams.

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-Stuff of dreams all right.

-Stuff of dreams.

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-Thank you, my darling, thank you very much.

-You are very welcome, sir.

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I mean, that looks amazing.

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Da-dada-da-dada-da!

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Stick to the piano.

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MYLEENE LAUGHS

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Did you hear that? "Stick to the piano," he said.

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The meals served in the Royal these days are made off-site

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and transported in on a daily basis.

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Back in the early days of the NHS, however, food would have all

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been cooked within the hospital itself where, it's fair to say,

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it gained a reputation for being less than scrumptious.

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So, how does this modern grub taste? Only one way to find out.

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I'm probably not supposed to do this but it looks so good!

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-Can I try the pudding?

-Yes, of course. Yeah.

-Oooh!

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-You like the custard?

-I love custard!

-Oh, very good.

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Hospital food rocks. Ta-da!

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Not that such praise will get me out of the washing up, of course.

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OK, so push in.

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Got it!

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I know that Ward 4A is very different in design to what

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wards would have been like when NHS first started.

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But I'm also wondering if the atmosphere was any different.

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Back then hospital wards were run by matrons

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and nurses worked under strict rules.

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I have to be honest, my knowledge of this era comes

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mostly from the Carry On movies, with Hattie Jacques terrorising

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Kenneth Williams and the gang.

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-Good morning, Doctor.

-Morning. Get your clothes off. I'll with you in a minute.

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I don't think that'll be necessary, thank you, Doctor.

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-Oh, I'm awfully sorry, I wasn't expecting you, Matron.

-Obviously.

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So how different is it today?

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In charge of Ward 4A isn't Matron, but Head Sister, Sinead Dalfarge.

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Sinead, you're the ward sister here. What's it like?

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-Do you rule with an iron fist?

-I wish I did. I wish I did.

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Then maybe the rest of them would just run with me, so they would.

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Unfortunately it's not that here.

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I have a great team of nurses behind me.

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Now, don't get me wrong we do have our bad days.

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Staffing can be an issue at times, as we well know.

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But I have to say that they do get on with it,

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they muck in, get-together work it out, so they do.

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-But generally overall, they're happy.

-We love you, Sister.

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-We love you!

-There you go.

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-There is clearly a lot of camaraderie here.

-There is.

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-A lot of banter.

-There is.

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But I have to say, they do get on very well

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there's a good team.

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My mum's a nurse and she's talked about how you get through

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the dark days together, like a couple that died within hours of

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each other, it's just something that I don't think you can ever forget.

0:18:170:18:20

Especially if somebody that's been here for weeks,

0:18:200:18:23

and say does get very unwell and unfortunately does pass

0:18:230:18:26

away you can see it with the nurses and it does really affect them.

0:18:260:18:29

-It does.

-That's why you all then just club together again.

-You do.

0:18:290:18:34

-As a big family.

-You do. Everybody's there to support each other.

0:18:340:18:38

Sentiments I think my mum would agree with.

0:18:380:18:41

As is Sinead's answer to my next question.

0:18:410:18:44

-What would you say is special about nursing?

-Helping patients.

0:18:440:18:48

I have to manage a ward, I have to manage staff,

0:18:480:18:50

but at the end of the day if you've got a patient and especially a

0:18:500:18:53

very ill patient and you manage to see them

0:18:530:18:55

through from the preoperative period right through operation,

0:18:550:18:58

postoperation, to seeing them go out the door, it really lifts it,

0:18:580:19:01

and that's what makes it all worthwhile.

0:19:010:19:03

The story of the kind of modern patient care

0:19:050:19:07

that Sinead is talking about began with a massive period of NHS

0:19:070:19:10

investment and expansion in the 1960s.

0:19:100:19:13

The hospitals built in Victorian times

0:19:130:19:15

and taken over by the NHS were seen as no longer fit for purpose.

0:19:150:19:19

-NEWSCASTER:

-Asbestos sheeting, corrugated iron, hardboard timber...

0:19:210:19:25

There's no longer any room for more.

0:19:250:19:27

It's hard to realise that this is a key hospital serving a large

0:19:270:19:31

area in 1958.

0:19:310:19:32

The health revolution actually started here, in Northern Ireland.

0:19:350:19:39

Up the road from Belfast, at Altnagelvin Hospital, in Londonderry.

0:19:390:19:43

Opened in 1960, it was the first entirely new hospital to be

0:19:430:19:47

built by the NHS.

0:19:470:19:49

Five decades on and they're

0:19:490:19:51

in the middle of building a brand-new cancer centre.

0:19:510:19:54

Patients will come in here, basically they'll go this way for radiotherapy

0:19:540:19:58

planning and treatment and they'll go this way into chemotherapy.

0:19:580:20:03

Historian, Sean Lucey has agreed to meet me here.

0:20:030:20:06

After our short tour he's taking me

0:20:060:20:08

through the hospital's original plans.

0:20:080:20:10

These are the original designs of the hospital dating from 1952.

0:20:120:20:15

And we can see here the multistorey aspect of the hospital

0:20:150:20:20

starting off with the operating theatres on the seventh floor,

0:20:200:20:23

the laboratories below that, two maternity wards on the

0:20:230:20:26

fifth and fourth floor, radiography, that's third floor.

0:20:260:20:30

So, just looking at it, it looks quite simplistic.

0:20:300:20:33

At the time was this something that was quite progressive?

0:20:330:20:36

At the time, this was highly revolutionary because it was

0:20:360:20:39

such an unusual building.

0:20:390:20:41

It was initially described as, "a Mediterranean

0:20:410:20:43

-hotel" in the local press!

-THEY LAUGH

0:20:430:20:46

-Hugely progressive.

-Hugely progressive!

0:20:460:20:50

And highly reflective of the time period when people had

0:20:500:20:53

confidence in the future and had confidence in the capacity

0:20:530:20:56

for new technology, medical technology.

0:20:560:20:59

A new hospital building programme is underway...

0:21:050:21:08

It's amazing to think that my mum was beginning her NHS career

0:21:080:21:12

when all this incredible change was happening.

0:21:120:21:14

It was a period when the population was booming,

0:21:160:21:19

society was changing fast, and the NHS had to keep up.

0:21:190:21:23

We even saw the first computers.

0:21:230:21:26

-NEWSCASTER:

-At King's College hospital in London,

0:21:260:21:28

they're already trying out a prototype computer that can

0:21:280:21:31

not only help doctors decide on treatment, but also run a hospital.

0:21:310:21:35

-Logan, how is he?

-He's doing very well.

-Good.

0:21:360:21:40

Let's just have a look at this screen.

0:21:400:21:42

This is the sort of equipment we will be using in the years to come.

0:21:420:21:46

And in the next 20 years it will be a commonplace thing in all

0:21:460:21:49

hospitals in Great Britain.

0:21:490:21:51

So what impact did all this technological change

0:21:510:21:54

have on the nurses?

0:21:540:21:56

So things were progressing very quickly in the '60s.

0:21:560:21:59

All these buildings were being made,

0:21:590:22:01

but you need nurses to help facilitate them.

0:22:010:22:04

So, my mum got the call to come over from the Philippines in the '60s.

0:22:040:22:07

Of course! Because there was this whole new hospital plan introduced,

0:22:070:22:11

and there was this whole range of new hospitals developed like this.

0:22:110:22:16

So presumably, that must have been a really exciting time to be

0:22:160:22:19

working in the health service. How did this all affect nursing?

0:22:190:22:22

It actually affected nursing dramatically,

0:22:220:22:24

because there was this enhanced medical technology

0:22:240:22:26

and of course, the people who had to use the technology were the nurses.

0:22:260:22:31

Well, nurses always know more than the doctors. Fact.

0:22:310:22:34

-Of course they do!

-THEY LAUGH

0:22:340:22:37

And this was recognised in 1967 when one of the most significant

0:22:370:22:41

moments in nursing history took place.

0:22:410:22:43

The Salmon Report recommended a change to the senior nursing structure.

0:22:430:22:47

All nurses of the future

0:22:470:22:48

were to be given more contact with patients and greater responsibility.

0:22:480:22:52

-NEWSCASTER:

-A new kind of nurse, far from the Florence Nightingale image.

0:22:530:22:57

A medical technician with electronic as well as medical training

0:22:570:23:00

dealing with machines as well as people.

0:23:000:23:03

I'm meeting two ladies who were here right

0:23:040:23:06

when the hospital opened,

0:23:060:23:08

to find out how they reacted to these changes.

0:23:080:23:10

Ursula Clifford was just beginning her career

0:23:100:23:13

and was here before even the patients.

0:23:130:23:16

Kathleen Gallagher came from the local Ear, Nose and Throat Hospital

0:23:160:23:20

and arrived a few weeks later.

0:23:200:23:22

So, Kathleen, what have you got there?

0:23:220:23:24

I have got a cutting from the Belfast newsletter, February 2nd, 1960.

0:23:240:23:28

"Londonderry's new hospital."

0:23:280:23:30

This is the matron that we had then. Miss Betty Boyce.

0:23:300:23:33

-What kind of matron was she?

-She was just a lovely matron.

0:23:330:23:37

When she saw something on her ward rounds, she would have

0:23:370:23:40

come back up in the afternoon again to make sure it was looked about.

0:23:400:23:44

-And brought her little dog.

-Dog?!

-She had a dog, a Dachshund.

0:23:440:23:48

You're kidding me. On the wards? I don't know if that would be

0:23:480:23:50

-allowed now, would that be?

-Oh, not at all.

0:23:500:23:52

-And you've kept that all this time?

-Oh, I did of course, yes.

0:23:520:23:56

Sure, it's lovely to look back on these things.

0:23:560:23:58

Can you show me what you've brought? What have you got there, Ursula?

0:23:580:24:01

-Well, I really think that this is me here in the canteen.

-Oh, look!

0:24:010:24:05

Look at your uniform. It's lovely.

0:24:050:24:07

You had a dress, an apron, cuffs and a cap.

0:24:070:24:12

-It's lovely. So smart.

-And a collar.

0:24:120:24:15

And a collar. All stiffly starched.

0:24:150:24:18

So, did you spend all day having to clean your uniforms as well?

0:24:180:24:20

Oh, no, no, no, no, we'd the new big laundry over across the way.

0:24:200:24:25

-Of course, it was all new now!

-Oh, yes! Big, big laundry.

0:24:250:24:28

And everything, you packed up at the end of the each week.

0:24:280:24:30

You packed up your unclean uniforms and over they went

0:24:300:24:34

to the laundry and back they came

0:24:340:24:36

with your name on, all very nice and clean.

0:24:360:24:39

You could say you could face an army. It would give you great

0:24:390:24:42

encouragement when you had your cap on you.

0:24:420:24:44

My mum, however, was not a huge fan of the shoes.

0:24:470:24:51

Did you feel the same way?

0:24:510:24:52

Well, the thing is that you were supposed to wear sensible shoes

0:24:520:24:55

because you walked so much. And you had to make sure they were black.

0:24:550:25:01

-Yeah.

-And that they were shining.

0:25:010:25:03

So what were the biggest changes?

0:25:060:25:08

The thing for me as the most junior person in the hospital

0:25:080:25:13

was the bedpan washer. Marvellous invention!

0:25:130:25:17

-Marvellous invention because before...

-Hand? By hand?

-Yeah!

0:25:170:25:21

-Of course.

-And now you had this machine

0:25:210:25:24

and you walked in and you dumped it all in and pushed the door. Out came

0:25:240:25:27

-the...

-Like a dishwasher?

-Oh, beautiful!

0:25:270:25:30

So you're not doing the bedpans any more, what are the bigger changes?

0:25:300:25:33

You did away with the Nightingale wards.

0:25:330:25:36

The Nightingale wards where you

0:25:360:25:37

would have had a big, big, big ward full of beds.

0:25:370:25:40

Now you had four-bed wards, single rooms,

0:25:400:25:42

and the biggest ward was the six bedded ward.

0:25:420:25:46

So really there was more walking and looking after

0:25:460:25:49

the patients but their privacy was well improved.

0:25:490:25:52

Kathleen, what about you? What was the biggest difference between the

0:25:520:25:56

old school kind of nursing and then moving here?

0:25:560:25:58

The one thing that I thought about being theatres.

0:25:580:26:02

The patient came in the bed that they were in, in the ward

0:26:020:26:06

went into theatre, they were anaesthetised on their bed

0:26:060:26:08

and lifted onto the theatre table.

0:26:080:26:11

Now I had left a hospital where I had a canvas on my table

0:26:110:26:14

which we put two long poles into and two bars and you

0:26:140:26:17

rang a wee bell three times and a porter

0:26:170:26:20

and a nurse came in and they carried the patient upstairs or downstairs.

0:26:200:26:24

So let me get this right? You would

0:26:240:26:26

have to carry, manually, a stretcher up and down flights of stairs.

0:26:260:26:30

That's correct.

0:26:300:26:31

We were on the middle floor. Down one flight and up two flights.

0:26:310:26:35

Being introduced to the lifts here must have been like a dream come true.

0:26:360:26:39

Of course. And it was just you rolled a patient onto the bed.

0:26:390:26:43

There was no physical lifting. It was just lovely.

0:26:430:26:47

It was so lovely speaking to Ursula and Kathleen.

0:26:490:26:52

They are just like my mum. When they talk about nursing, they light up.

0:26:520:26:56

And to have been there at the start of a new era

0:26:560:26:59

in medicine, it must have been amazing for them.

0:26:590:27:02

Back in the 21st century at the Royal Victoria Hospital in

0:27:040:27:08

Belfast, Dr Paul Robinson has started his rounds.

0:27:080:27:11

It's a chance for me to delve a bit deep into life on Ward 4A.

0:27:110:27:15

-So, Paul, you're Junior Doctor here on the ward?

-That's right, yeah.

0:27:150:27:18

Start of the day, what can I expect? What's happening here?

0:27:180:27:21

Well, basically, I'm from the medical team, so my job basically is to make sure that

0:27:210:27:26

all of the sick and elderly patients are sort of fit to go to theatre.

0:27:260:27:30

And this is primarily a word for fractures?

0:27:300:27:32

Yes, fracture unit. One of the fracture wards here.

0:27:320:27:35

-And how many patients do have at the moment here?

-I think it's about 24. Thereabouts.

0:27:350:27:39

Is that busy? Is that a lot?

0:27:390:27:41

It is quite a lot. There's not very

0:27:410:27:43

many staff between the 24 patients, so yeah, it is quite busy, you know.

0:27:430:27:47

-So, you're talking to the daughter of a nurse.

-OK.

-So, tread carefully.

0:27:470:27:51

I think I know what the answer is to that.

0:27:510:27:53

THEY LAUGH

0:27:530:27:54

Who's in charge? Because there kind of has always historically been the

0:27:540:27:58

doctors knowing more than the nurses but really the nurses knowing more than the doctors.

0:27:580:28:02

We like to think we're in charge but I think, really deep down, the nurses run the ward.

0:28:020:28:07

-They make sure we're doing our jobs.

-Saved yourself.

0:28:070:28:10

You saved yourself because you're

0:28:100:28:11

outnumbered because there's a lot of nurses in that direction.

0:28:110:28:14

Most of the operations that take place on this word are pretty

0:28:160:28:18

routine. People who have experienced falls or nasty knocks.

0:28:180:28:23

But being here, I can't help thinking about the incredible

0:28:230:28:25

breakthroughs in surgery that have happened because of the NHS.

0:28:250:28:30

This was especially true from the 1960s onwards

0:28:300:28:33

when some real medical firsts took place.

0:28:330:28:36

The first modern hip replacement was carried out.

0:28:360:28:39

The first liver and kidney transplant, and in 1974,

0:28:390:28:44

the very first clinical use of a CT scan.

0:28:440:28:47

It must have been so exciting for the likes of my mum to

0:28:490:28:51

be around in those days.

0:28:510:28:53

And the patients on this part of the ward are exactly the sort

0:28:530:28:57

she would have looked after back in her day.

0:28:570:29:00

'So, I want to say hello to some of them.' How are you doing?

0:29:010:29:04

Oh, dear, Walter. What have you done?

0:29:050:29:09

I have slipped on grass and fell and broke my ankle.

0:29:090:29:14

I have a steel pin already in.

0:29:140:29:16

This leg, I broke this leg earlier.

0:29:160:29:18

So, really with those pins in there, you don't

0:29:180:29:20

really need a surgeon, you need a mechanic.

0:29:200:29:22

THEY LAUGH This leg's getting shorter and shorter.

0:29:220:29:26

-What's the giant R for on the other leg?

-This is just to keep the surgeons right.

0:29:260:29:30

-To let them know it's this leg they need to operate on.

-Oh, my gosh!

0:29:300:29:35

I'm an old soldier here.

0:29:350:29:37

So I've had a liver transplant here, I've been

0:29:370:29:39

about the wards for a while.

0:29:390:29:41

So, when you come back it's like a revolving door for you? The nurses must be like, "Him again."

0:29:410:29:45

It's first name terms with most of the staff.

0:29:450:29:47

Knock, knock! Hello!

0:29:490:29:52

Hi, Mary. How are you doing?

0:29:520:29:54

'Next door Mary has just come out of her operation.

0:29:540:29:57

'And she's still about woozy.' How are you feeling?

0:29:570:29:59

Feeling a bit better than I was.

0:29:590:30:02

So have they been looking after you here?

0:30:020:30:05

-Have they taken good care of you?

-Oh, yes, they're really great.

0:30:050:30:08

The nurses and staff are good and the doctors are good.

0:30:080:30:12

So I can see you've got lots of lovely cards here, have your family been to see you?

0:30:120:30:16

Oh, yes.

0:30:160:30:18

On the face of it,

0:30:180:30:20

the Royal Victoria seems to be a very normal NHS hospital.

0:30:200:30:24

The type of which you'd see right across the UK.

0:30:240:30:27

But it's got a history that is anything but typical and

0:30:280:30:31

certainly nothing my mum would have faced in quiet old Great Yarmouth.

0:30:310:30:34

EXPLOSION

0:30:340:30:35

SIRENS

0:30:390:30:40

During the 1970s and '80s the Royal was at the centre

0:30:450:30:48

of a conflict that tested the nurses' caring to the limit.

0:30:480:30:51

The hospital played a crucial role in the troubles

0:30:510:30:54

when over 3,500 people were killed.

0:30:540:30:57

Many more were injured and in need of urgent hospital treatment.

0:30:570:31:01

Here in the centre of West Belfast, behind the barbed wire

0:31:010:31:04

and the soldiers, is, surprisingly, a hospital.

0:31:040:31:07

Its casualty department is in the thick of the fighting.

0:31:070:31:10

While I'm here,

0:31:110:31:13

I want to talk to some of the people who were on the front line.

0:31:130:31:16

Kay and Lorna were experienced

0:31:160:31:18

nurses and working as health visitors.

0:31:180:31:21

But Jean had only just begun to train as a nurse, along with

0:31:210:31:24

Horace here, at the Royal Victoria Hospital.

0:31:240:31:26

What was it like for them?

0:31:260:31:28

You were in a war zone, so right outside the walls the shooting

0:31:300:31:36

and the bombing was going on close to the hospital

0:31:360:31:40

and all too often that war would spill into the hospital.

0:31:400:31:44

A man and a girl had arrived at the entrance to the hospital.

0:31:440:31:47

He was taking his friend from an X-ray and a lone gunman

0:31:470:31:50

was waiting for them. He fired between three and five shots.

0:31:500:31:53

The man fell to the ground bleeding...

0:31:530:31:55

We were, most of us were 18, 19 years of age

0:31:550:31:58

and going back to the nurses homes and getting into a room

0:31:580:32:02

together with a cup of coffee, we really debriefed each other.

0:32:020:32:06

We didn't realise what we were doing in those days.

0:32:060:32:09

We'd just talked to each other and that was really what helped us to cope.

0:32:090:32:12

I think that as ward sisters we weren't feeling enough of how

0:32:120:32:17

young people of 18 felt with handling limbs, serious injuries

0:32:170:32:23

maybe being handed a dead... One nurse was handed a dead baby.

0:32:230:32:28

So, can I ask you, what part did the NHS's ethos

0:32:280:32:33

play in the neutrality of how patients were treated?

0:32:330:32:36

The neutrality came automatically. You didn't think about it.

0:32:360:32:41

We had a full range of political feelings among the nursing workforce.

0:32:410:32:46

And actually nurses from both those traditions recently have

0:32:460:32:49

gone on the record to say that

0:32:490:32:52

when they came to hospital they left their politics at the hospital door.

0:32:520:32:57

You just accepted that you are a nurse

0:32:570:32:59

and you are on their side, whatever it is, and you are on their side

0:32:590:33:04

in terms of health because that's what we were trying to deliver.

0:33:040:33:07

And that's something which I think our profession can be really

0:33:070:33:11

proud because you saw the results of a bomb

0:33:110:33:14

and yet, you had to keep how you felt about that to yourself, get on,

0:33:140:33:19

do the job and look after the people who really needed you.

0:33:190:33:23

Jean, what was the hardest thing that you experienced? Or that you saw?

0:33:230:33:26

In my first year of nursing inside a very short period of time I was

0:33:260:33:30

asked to look after a dying soldier and stay with him until he died.

0:33:300:33:35

He was blown up very close to the hospital on was brought to theatre

0:33:350:33:38

and nothing could be done and he was brought to recovery room

0:33:380:33:41

and I had never stayed with anybody before who was dying

0:33:410:33:45

so I stayed with him,

0:33:450:33:47

screens were pulled round and I just tried to make him

0:33:470:33:50

aware that I was there and just wash off the dust of the bomb

0:33:500:33:55

and he looked physically strong but obviously had a lot of internal injuries.

0:33:550:34:00

And staying with him till he died...

0:34:000:34:02

And then, inside a short period of time

0:34:020:34:04

I was in another ward where I was asked to special, or be patient,

0:34:040:34:07

just one nurse to one patient, with a young man who had been making

0:34:070:34:12

a bomb and blew himself up.

0:34:120:34:15

-And he also was dying.

-Good Lord! You're kidding me?

0:34:150:34:19

So, here I was with two very different sets of circumstances

0:34:190:34:24

but knowing in my mind that there's no opt-out clause in nursing,

0:34:240:34:29

you do what you're asked to do.

0:34:290:34:31

The '70s were also an era

0:34:370:34:39

when another battle was taking place inside the Royal Victoria

0:34:390:34:42

and in hospitals throughout the whole of the UK.

0:34:420:34:45

A battle between the sexes.

0:34:450:34:47

Right up to the '70s, nursing was widely considered a female

0:34:480:34:52

occupation, there to serve the mostly male consultants.

0:34:520:34:56

But things were starting to change as this fantastic local news

0:34:560:34:59

report I'm showing the gang, demonstrates.

0:34:590:35:02

-Do you think of doctors as husbands?

-They're like any other men.

0:35:020:35:05

Big headed, selfish, conceited... You name it.

0:35:050:35:09

Well, I feel that a doctor treats a nurse as a machine,

0:35:090:35:11

you run to his beck and call, and if I was his wife

0:35:110:35:14

and I had to run to his beck and call, I don't I'd be too well pleased about it.

0:35:140:35:17

There was one consultant in particular

0:35:170:35:19

and when he entered the ward, everybody metaphorically,

0:35:190:35:23

and sometimes physically stood to attention.

0:35:230:35:25

And there had to be absolutely nothing going on.

0:35:250:35:28

If a patient badly wanted the bedpan, he would have to wait until he had gone.

0:35:280:35:32

So there was a very hierarchical structure at that time.

0:35:320:35:36

By the '70s, the consultant-led male hierarchy was on its way out.

0:35:380:35:43

And Lorna remembers being part of the revolution in a small way.

0:35:430:35:47

On Sunday morning, the nurses,

0:35:470:35:49

the new clean, white, fresh coats were put out for the consultants

0:35:490:35:54

and doctors in the clinical room and it was the nurse's job to

0:35:540:35:57

change the buttons, you know, from the dirty uniform.

0:35:570:36:01

And the first rebellion I did was,

0:36:010:36:02

I said, "You can change your own buttons."

0:36:020:36:05

From now on, nurses are not changing doctor's buttons on doctor's coats.

0:36:050:36:10

That is not nursing.

0:36:100:36:12

But it wasn't just the females questioning

0:36:120:36:15

the traditional roles of males in the NHS,

0:36:150:36:17

men were also increasingly moving into nursing.

0:36:170:36:20

Something once considered a newsworthy curiosity.

0:36:200:36:23

Male nurses do the same work as other nurses

0:36:260:36:28

and they have the same training

0:36:280:36:30

although they don't usually work in women's wards or study midwifery.

0:36:300:36:33

What sort of young men do you need in hospitals?

0:36:330:36:36

We need, I think first, people with common sense.

0:36:360:36:38

How does he react to pain and suffering?

0:36:380:36:41

Well, at first it's not very nice.

0:36:410:36:44

But one does get used to these things.

0:36:440:36:48

Horace was one of these heroic pioneers.

0:36:480:36:51

I want to know what his early days would have been like on the ward.

0:36:510:36:55

Your working colleagues were nurses. I didn't see them as females.

0:36:550:37:00

I saw them as nurses and colleagues.

0:37:000:37:03

So, it was nice.

0:37:030:37:07

Being surrounded by ladies. I didn't think of them in that context.

0:37:070:37:12

You all work together. It was a working environment, so,

0:37:120:37:16

I didn't see it as a male versus female thing.

0:37:160:37:19

I just want to say thank you so much for your time today.

0:37:190:37:22

I could talk to you all day. For hours.

0:37:220:37:26

It's been a fascinating visit to the Royal Victoria Hospital

0:37:260:37:30

seeing how it was then and now. But it but it's time for me

0:37:300:37:34

to say my goodbyes to the people I've met in Ward 4A.

0:37:340:37:38

It may have been a short visit, but I've met many people I won't forget.

0:37:380:37:41

-Especially Leonila.

-You're welcome!

0:37:410:37:45

-Thank you. Yeah, no, I'd love to come back.

-Aw! That's so nice.

0:37:450:37:49

-Have you enjoyed your stay?

-I've had a really, really, really amazing time.

0:37:490:37:53

-Oh, that's good.

-I really have.

0:37:530:37:55

One thing I didn't expect was how I'd feel about the generations

0:37:550:37:59

that had come before who'd paved the way for where we are now.

0:37:590:38:03

When you hear about how they made these amazing sacrifices

0:38:030:38:06

-and had to challenge themselves.

-Yeah.

0:38:060:38:08

When you think that they had to treat people that in normal life

0:38:080:38:13

-they wouldn't even speak to.

-That's right.

-And yet,

0:38:130:38:16

when you come into the hospital environment...

0:38:160:38:18

-You make a bond with them.

-Everybody's equal. Yeah.

0:38:180:38:21

-Patients are all that matter.

-Yeah, that's what they said!

-And these girls here are great.

0:38:210:38:25

My favourite!

0:38:250:38:27

-Am I allowed to eat them?

-Help yourself.

0:38:280:38:31

One, two, three, four, five boxes of chocolate!

0:38:310:38:34

-Yeah, every single day.

-Oh, my gosh.

0:38:340:38:37

My teeth would fall out if I worked here. Thank you for having me!

0:38:370:38:40

-No bother at all.

-Thank you.

-Thank you for coming.

-I have to do a photo with you!

0:38:400:38:45

OK, ready?

0:38:450:38:47

There, I can show my mum. Oh, my knee just went.

0:38:470:38:51

I need a doctor!

0:38:510:38:53

No, I need a nurse! MY KNEE JUST WENT!

0:38:530:38:55

-Hello! Hello, Walter what do you think of the scrubs?

-They suit you.

0:38:550:38:59

-They're good, aren't they?

-Super.

-Super!

0:38:590:39:01

"Sticks to ya where it hits ya"?

0:39:020:39:04

Yes, it's not the most flattering lines...

0:39:040:39:07

-I'm just going to leave it.

-Best of luck. Take care of yourself.

0:39:070:39:10

-Thank you very much for coming. Thank you.

-Cheerio.

0:39:100:39:13

"Fits ya where it hits ya."

0:39:150:39:16

There's something very humbling about seeing the work has been

0:39:170:39:20

carried out here today.

0:39:200:39:21

The lives of the patients have been changed by

0:39:210:39:24

the hard work that the nurses have put in on Ward 4A.

0:39:240:39:27

And when you think about it, right across the UK alone, today,

0:39:270:39:30

over 19,000 surgical procedures have been carried

0:39:300:39:34

out for free at the point of delivery, to those in need.

0:39:340:39:37

NHS!

0:39:380:39:40

ALL: NHS!

0:39:400:39:42

THEY LAUGH

0:39:430:39:46

These last few days have really given me

0:39:480:39:50

an insight into the how the NHS has evolved over the years.

0:39:500:39:53

'It's also helped me understand my mum a bit more, too.

0:39:530:39:57

'So, I've arranged one final treat for her.

0:39:570:39:59

'We're off to visit someone very special.'

0:39:590:40:02

Back in the 1960s,

0:40:030:40:04

my mum viewed fellow nurse Denise Albin as her mentor.

0:40:040:40:08

There were also best friends.

0:40:080:40:10

She was at my mum's wedding and when I was born, she became my godmother.

0:40:100:40:14

They haven't seen each other for a while,

0:40:140:40:16

so, I'm hoping it's a nice surprise. So, have you twigged yet?

0:40:160:40:20

-Have you figured out where we are?

-Yeah, my friend's house! My word.

0:40:200:40:26

-Fantastic. Really can't believe it.

-Getting all emotional on me again?

0:40:260:40:31

-Oh, my word.

-Ring the bell.

0:40:310:40:32

'I just hope Denise is in.'

0:40:350:40:37

Hi!

0:40:370:40:39

You!

0:40:390:40:41

Oh, Bong!

0:40:410:40:43

THEY LAUGH

0:40:430:40:45

It's really nice to see you.

0:40:450:40:46

-It's good to see you too.

-And you've not grown.

0:40:460:40:49

THEY LAUGH

0:40:490:40:51

No. Oh.

0:40:510:40:52

-Thank you.

-Come in.

-Thank you for having us.

-Wow.

0:40:540:40:58

So, would you say you're like a family together?

0:40:580:41:02

Yeah, and we had a very good group...

0:41:020:41:04

-We had a good group on our ward, didn't we?

-Yeah. It's just like teamwork. You know?

0:41:040:41:10

As soon as we are in the ward and that's it, we help each other.

0:41:100:41:14

My mum's first memory of you which she always tells me about,

0:41:140:41:18

is you leaving her in a room with a dead body.

0:41:180:41:22

I know, when anyone died on the ward,

0:41:220:41:24

because we used to lay bodies out, then, I used to

0:41:240:41:28

volunteer to do them because I used to want to do them fairly quickly.

0:41:280:41:33

I didn't want to be asked several hours after they'd died so...

0:41:330:41:37

Well, she said, "Wait for a while because I forgot something in the

0:41:370:41:41

"station, the nurse's station." And I said, "No, you're not going to leave me here."

0:41:410:41:45

So I followed her everywhere with my bucket.

0:41:450:41:48

-She's followed you around ever since?

-Well, she didn't want to be

0:41:480:41:52

alone with a body so she's always followed me.

0:41:520:41:55

THEY LAUGH

0:41:550:41:56

Yeah. Fantastic.

0:41:560:41:58

I found this, and I'm sure that you had one

0:41:590:42:03

because I'm sure they were all filled in.

0:42:030:42:05

Yeah, it sounds familiar.

0:42:050:42:07

-It's actually got Care of the Dying in here.

-Really?

0:42:070:42:10

And that would have been one of the procedures you had to do.

0:42:100:42:14

'I brought along something, too.

0:42:140:42:15

'Snaps of my time at the Royal Victoria Hospital in Belfast.'

0:42:150:42:19

I wonder if my mum prefers the modern fashion a bit more

0:42:200:42:23

-than the vintage getup she wore?

-I like this a lot better.

0:42:230:42:27

Yeah, we always had dresses rather than trousers, didn't we?

0:42:270:42:30

-That's right, yeah, yeah. I like that too.

-Yeah, that's smart.

0:42:300:42:36

The nurses I spoke to said that the pride that they had

0:42:360:42:38

when they put those uniforms on, they said it

0:42:380:42:40

was like putting on their armour for the day and they feel immense pride.

0:42:400:42:44

-Yeah.

-Oh, yeah.

-Is that how you felt?

-Yeah.

-It's nice.

0:42:440:42:47

My favourite bit of the uniform was the cloak. Did you have a cloak?

0:42:470:42:51

-Yeah, Florence Nightingale. I kept mine, actually.

-Did you?

-Where?!

0:42:510:42:57

I've been asking you!

0:42:570:42:59

You didn't cut it up and make something of it, did you? Because... She was always sewing, wasn't she?

0:42:590:43:03

-Yeah.

-What did you do with the cloak?

-Well...

0:43:030:43:07

THEY LAUGH

0:43:070:43:09

-I cut it because one of your plays.

-What, I wore the cloak? You cut up your nurse's uniform?

0:43:090:43:15

-No, I did, yeah. Yeah.

-You owe the national health.

0:43:150:43:18

I think you guys have more than paid back. I think it's OK.

0:43:180:43:21

Like, learning what I've learnt over the last few days,

0:43:210:43:24

you have so much courage. I'm so proud of you.

0:43:240:43:27

-I love you, Myleene!

-OH! You are one strong lady.

0:43:290:43:34

I am, I'm proud of both of you. OK, so in honour of your work, not only

0:43:340:43:43

as a nurse, but of your services to fashion, I've got a present for you.

0:43:430:43:49

Oh, no, you're joking.

0:43:490:43:53

-Would you wear those?

-No.

0:43:530:43:56

No way.

0:44:000:44:02

Seeing my mum and my auntie Denise, all those incredible nurses,

0:44:020:44:07

both past and present,

0:44:070:44:09

you realise just how much of themselves they give to our NHS.

0:44:090:44:13

Time, love, caring.

0:44:130:44:15

These nurses, they simply are incredible

0:44:150:44:18

and they should be celebrated.

0:44:180:44:20

Thank you.

0:44:210:44:22

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