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70 years ago, plans for a revolution took place | 0:00:02 | 0:00:05 | |
that changed all of our lives in Britain. | 0:00:05 | 0:00:07 | |
We're out to improve the health of | 0:00:07 | 0:00:10 | |
every family and the whole nation. | 0:00:10 | 0:00:12 | |
Its name - the National Health Service. | 0:00:12 | 0:00:15 | |
We're taking a look at the NHS then and now. | 0:00:17 | 0:00:20 | |
-MACHINES BEEP -Adrenaline! -He's had six adrenaline... | 0:00:20 | 0:00:24 | |
SIRENS WAIL To see how much it's changed... | 0:00:24 | 0:00:27 | |
Is that real? | 0:00:27 | 0:00:28 | |
..to meet staff and patients... | 0:00:29 | 0:00:31 | |
Let me help you out. Sorry, it's my first day here. | 0:00:31 | 0:00:34 | |
..with extraordinary medical stories. | 0:00:34 | 0:00:37 | |
-You died, basically? -For three minutes, yes. -0h! | 0:00:39 | 0:00:41 | |
It's quite emotional seeing you! Thank you. | 0:00:41 | 0:00:44 | |
-Surprise! -ALL: SURPRISE | 0:00:44 | 0:00:46 | |
I'm Myleene Klass and there's one | 0:00:46 | 0:00:49 | |
area of NHS care that means a lot to me - nursing. | 0:00:49 | 0:00:54 | |
I need a doctor! I need a nurse! | 0:00:54 | 0:00:56 | |
It means a lot to me personally because of one very special person. | 0:00:56 | 0:01:00 | |
My mum. She came here as a nurse 41 years ago. | 0:01:00 | 0:01:03 | |
You have so much courage. | 0:01:03 | 0:01:05 | |
I'm so proud of you. | 0:01:05 | 0:01:07 | |
-I love you, Myleene! -Oh! | 0:01:09 | 0:01:11 | |
I want to find out her story and the story of the millions of other | 0:01:11 | 0:01:14 | |
nurses who have made the NHS what it is today. | 0:01:14 | 0:01:17 | |
I'm starting my journey on the 10.36 service to Great Yarmouth. | 0:01:35 | 0:01:39 | |
But I'm not travelling alone. Joining me is my mum who worked as a | 0:01:40 | 0:01:43 | |
nurse in the NHS for eight years. | 0:01:43 | 0:01:47 | |
Aw! Look at you! | 0:01:47 | 0:01:49 | |
Look at the shoes! | 0:01:49 | 0:01:51 | |
Yeah, well, that's not exactly the | 0:01:51 | 0:01:54 | |
-uniform shoes but... -I can tell. | 0:01:54 | 0:01:56 | |
But I had just finished my shift | 0:01:56 | 0:01:58 | |
and then we were just about to go to a party. | 0:01:58 | 0:02:00 | |
And that uniform, was it nice to wear? | 0:02:00 | 0:02:03 | |
I liked the uniform but the shoes, I didn't like. | 0:02:03 | 0:02:07 | |
The shoes that we wear, I didn't like it one bit. | 0:02:07 | 0:02:10 | |
-TRAIN ANNOUNCER: -..To Great Yarmouth at 11.12. | 0:02:10 | 0:02:14 | |
We're actually going to the hospital where my mum first | 0:02:14 | 0:02:17 | |
came to in Great Yarmouth where she was training as a nurse... | 0:02:17 | 0:02:21 | |
-when you first came from the Philippines, right? -Yeah. | 0:02:21 | 0:02:23 | |
-Do you think you'll remember what it all looked like? -No, I don't. | 0:02:23 | 0:02:27 | |
I don't. I'm sort of expecting lots of changes, I think. | 0:02:27 | 0:02:31 | |
I mean you're talking about many years ago. | 0:02:32 | 0:02:35 | |
-TRAIN PA: -Final station is Great Yarmouth. | 0:02:35 | 0:02:38 | |
We're home! | 0:02:38 | 0:02:40 | |
It's always special coming back to Great Yarmouth. | 0:02:45 | 0:02:48 | |
This is where my mum settled when she arrived from the Philippines | 0:02:48 | 0:02:52 | |
and it's where she fell in love with my dad. | 0:02:52 | 0:02:55 | |
We lived here as a family and I went to school here, but the truth is, | 0:02:55 | 0:02:58 | |
I really don't know a lot about my mum's life as a nurse. | 0:02:58 | 0:03:03 | |
So today is my chance to fill in the blanks. | 0:03:03 | 0:03:06 | |
Mum worked in the town's Northgate Hospital. | 0:03:08 | 0:03:11 | |
Back in the '70s, it was a busy local hospital. | 0:03:11 | 0:03:13 | |
Today, it looks quite a bit different. | 0:03:13 | 0:03:15 | |
She hasn't been back here for over 30 years so I'm not sure how she'll be feeling. | 0:03:15 | 0:03:20 | |
SHE LAUGHS | 0:03:20 | 0:03:21 | |
Wow. Lots of change. This is new. | 0:03:23 | 0:03:27 | |
-This looks new. -Amazing. | 0:03:27 | 0:03:30 | |
-What about the smell? Does that smell the same? -Lovely smell. | 0:03:30 | 0:03:34 | |
-Better smell actually. -Better smell. Oh, God. | 0:03:34 | 0:03:37 | |
-I feel strange, I really do. -Are you getting upset? | 0:03:38 | 0:03:42 | |
Quiet but...nice. | 0:03:44 | 0:03:47 | |
Aw, come here! | 0:03:47 | 0:03:49 | |
I didn't think that I would feel it this way. 41 years ago. | 0:03:51 | 0:03:57 | |
You set me off now! Oh, my gosh. | 0:03:57 | 0:04:00 | |
It's clear that just being here is making the memories flood | 0:04:00 | 0:04:03 | |
-back for Mum. -Oh, this is the one. I remember this. | 0:04:03 | 0:04:07 | |
-Remember the rails? -Oh, my God! -Yep. | 0:04:07 | 0:04:10 | |
But her experience isn't unique. | 0:04:10 | 0:04:12 | |
That's right, now get the head well back, seal off the nose. | 0:04:15 | 0:04:19 | |
That's right. Put your mouth right the way around her mouth... | 0:04:19 | 0:04:23 | |
With a new dressing perhaps you'll sleep for a little while. | 0:04:23 | 0:04:26 | |
Thanks, Nurse. | 0:04:26 | 0:04:28 | |
In its early days, like now, the NHS was understaffed | 0:04:28 | 0:04:31 | |
and struggling to cope with demand. | 0:04:31 | 0:04:34 | |
-Nurse? -Nurse? -Nurse! -Come quickly, please! -Nurse! | 0:04:34 | 0:04:37 | |
-My children need you! -Nurse! | 0:04:37 | 0:04:40 | |
In response, the service looked to | 0:04:40 | 0:04:41 | |
recruit people from all over the world. | 0:04:41 | 0:04:43 | |
Many of the nurses working in our hospitals today | 0:04:43 | 0:04:46 | |
come from overseas and with the shortage of hospital staff | 0:04:46 | 0:04:49 | |
as it is, it would be very difficult to run our hospitals without them. | 0:04:49 | 0:04:52 | |
And thousands came from the Philippines, including my mum. | 0:04:52 | 0:04:57 | |
It can't have been easy as an ethnic | 0:04:57 | 0:04:59 | |
minority especially in very different times. | 0:04:59 | 0:05:02 | |
I know what it was like for me as, like, second-generational, being | 0:05:02 | 0:05:05 | |
a mixed race kid growing up in Norfolk, but for you as a first generation... | 0:05:05 | 0:05:10 | |
Yeah. Well, you can feel it. | 0:05:10 | 0:05:12 | |
You can feel inside you that they're a bit reluctant at first | 0:05:12 | 0:05:16 | |
but then, I am there to do a job so I have to approach them first | 0:05:16 | 0:05:21 | |
I have to inject myself to them | 0:05:21 | 0:05:23 | |
and, well, you know, if they accept me, fine. | 0:05:23 | 0:05:26 | |
If they don't accept me, I will still insist that they... | 0:05:26 | 0:05:29 | |
-You know, I have to do something. -"I'm GOING to help you!" | 0:05:29 | 0:05:32 | |
I'll have to do something for them to gain their trust, | 0:05:32 | 0:05:38 | |
that I am their friend to start with. | 0:05:38 | 0:05:40 | |
I like that they didn't know if you spoke English. | 0:05:40 | 0:05:42 | |
Yeah, well, they thought that, you know, I can't speak English, | 0:05:42 | 0:05:45 | |
until you open your mouth and say, "Hello everybody." | 0:05:45 | 0:05:48 | |
You used to be an English teacher so you probably speak the best English! | 0:05:48 | 0:05:52 | |
Yeah, but they don't know that, do they? | 0:05:52 | 0:05:54 | |
I know that you told me that you used to love working in paediatrics | 0:05:56 | 0:06:00 | |
-with the babies and also geriatrics with the elderly. -Yeah. | 0:06:00 | 0:06:04 | |
But what was your hardest story? | 0:06:04 | 0:06:07 | |
Well there's this couple and they are always together, | 0:06:07 | 0:06:11 | |
always have their breakfast together, holding hands, | 0:06:11 | 0:06:14 | |
and then one day, it was the woman who just turned up. | 0:06:14 | 0:06:19 | |
And she was asking for her husband | 0:06:20 | 0:06:22 | |
because they have to have breakfast at the same time. | 0:06:22 | 0:06:25 | |
-So, he was a patient at the hospital? -Both of them were patients. | 0:06:25 | 0:06:28 | |
And after that, she was told that her husband passed away. | 0:06:28 | 0:06:34 | |
And, a few hours later, she went as well. | 0:06:34 | 0:06:40 | |
She didn't say a word. She just said, "That's it". | 0:06:40 | 0:06:43 | |
But it really, really got me. I didn't... | 0:06:44 | 0:06:47 | |
I didn't sleep for a few nights. It's hard. | 0:06:50 | 0:06:54 | |
Because I've known them for a while. | 0:06:55 | 0:06:58 | |
And after that, | 0:06:58 | 0:07:01 | |
I asked for a day off because it's not easy to take in. | 0:07:01 | 0:07:07 | |
Especially when you made friends with them and... | 0:07:07 | 0:07:10 | |
But again I was told that it's all part of the parcel of your job. | 0:07:10 | 0:07:14 | |
You have to accept it and be strong. | 0:07:14 | 0:07:18 | |
-So you didn't get that day off? -No, I didn't. They just gave me a cup of tea. | 0:07:18 | 0:07:22 | |
-MYLEENE LAUGHS What, the nurses did? -Yeah. | 0:07:22 | 0:07:26 | |
It's been such an incredible day today, hanging out | 0:07:26 | 0:07:29 | |
with my mum and just seeing her, | 0:07:29 | 0:07:31 | |
come alive as she relives some of those tales from 41 years ago. | 0:07:31 | 0:07:34 | |
I feel really fired up now | 0:07:34 | 0:07:36 | |
and I would like to speak to some staff and nurses who are working | 0:07:36 | 0:07:39 | |
in the NHS today and hear what they have to say about their experiences. | 0:07:39 | 0:07:43 | |
I especially want to see how things have changed from how it was | 0:07:43 | 0:07:46 | |
then to what is now. So, I've decided to head to Belfast. | 0:07:46 | 0:07:50 | |
The Trust here is one of the biggest employers in the NHS | 0:07:50 | 0:07:53 | |
and I'm coming to one of its busiest hospitals - | 0:07:53 | 0:07:56 | |
the Royal Victoria Hospital in the west of the city. | 0:07:56 | 0:08:00 | |
The hospital was already well established | 0:08:00 | 0:08:01 | |
when the NHS started but it's grown a lot. | 0:08:01 | 0:08:04 | |
And today Belfast Trust hospitals and services care for over | 0:08:04 | 0:08:07 | |
a million people a year. | 0:08:07 | 0:08:09 | |
'I'll be based in Ward 4A. A fracture unit. | 0:08:10 | 0:08:14 | |
'As with the early NHS, many of the staff here come from overseas | 0:08:14 | 0:08:18 | |
'including quite a few from the Philippines. | 0:08:18 | 0:08:21 | |
'And they seem to know my mum!' Did you hear that?! | 0:08:21 | 0:08:23 | |
DID YOU HEAR THAT?! | 0:08:23 | 0:08:26 | |
"How's your mum?" I know! | 0:08:26 | 0:08:28 | |
Among the Filipino nurses on the ward is Leonila Agonia. | 0:08:29 | 0:08:33 | |
-So, I have to ask you, when did you come over? -2003. Way back in 2003. | 0:08:33 | 0:08:39 | |
-13 years ago. -So what made you come here? | 0:08:39 | 0:08:42 | |
Oh, well, I just tried to take a chance, you know | 0:08:42 | 0:08:46 | |
to widen the horizon of my nursing profession. | 0:08:46 | 0:08:50 | |
-We don't have anything like the NHS in the Philippines. -No. | 0:08:50 | 0:08:54 | |
It's different, it's a big, big difference. | 0:08:54 | 0:08:57 | |
Well, you have to be able to look after yourself and your family. | 0:08:57 | 0:09:00 | |
You have to be able to find yourself over there, but here... | 0:09:00 | 0:09:03 | |
The country looks after the country. | 0:09:03 | 0:09:06 | |
My mum, when she came over, she wanted just to go somewhere cold. | 0:09:06 | 0:09:10 | |
Why is that? Why would you want to be cold? We all want to be hot! | 0:09:10 | 0:09:14 | |
-I'm second-generation though. -I know, I know. | 0:09:14 | 0:09:16 | |
Do you think that your mum still likes here after all these years? | 0:09:16 | 0:09:19 | |
My mum can't cope with the heat. | 0:09:19 | 0:09:21 | |
-Can't tolerate it any more. Me too. Me too. -THE ACCENT! | 0:09:21 | 0:09:25 | |
-Is she picking up the accent? -Yeah! -Oh, aye! -Oh, aye! | 0:09:25 | 0:09:29 | |
LAUGHTER | 0:09:29 | 0:09:31 | |
Oh, aye. | 0:09:31 | 0:09:32 | |
Ward 4A is part of a modern wing of the Royal Victoria. | 0:09:34 | 0:09:37 | |
Everything around here is shiny bright but I want to see | 0:09:37 | 0:09:40 | |
how the hospital would have looked before it was taken | 0:09:40 | 0:09:43 | |
over by the NHS. So I've come deep into the old part of the hospital. | 0:09:43 | 0:09:47 | |
Old Victorian wards like this were built in very different times. | 0:09:47 | 0:09:51 | |
I'm just weary and fed up with it.... | 0:09:53 | 0:09:55 | |
And the cockroaches, well, till lately, | 0:09:55 | 0:09:58 | |
they've been eating us alive. | 0:09:58 | 0:10:00 | |
And I think it's downright shame that we should live under | 0:10:00 | 0:10:03 | |
these conditions. | 0:10:03 | 0:10:05 | |
Average life expectancy was around 50 and the | 0:10:05 | 0:10:07 | |
main causes of death were infectious and respiratory in nature. | 0:10:07 | 0:10:11 | |
Many poor house hospitals were seen more as gateways to the | 0:10:11 | 0:10:14 | |
funeral parlour than places to get better. | 0:10:14 | 0:10:17 | |
And that's only if you could get in. | 0:10:17 | 0:10:19 | |
Prior to the NHS, medical treatment in places like the Royal | 0:10:19 | 0:10:22 | |
would've been mainly for those who could afford it. | 0:10:22 | 0:10:25 | |
I'm joining former surgeon Professor Richard Clarke in one | 0:10:26 | 0:10:30 | |
of the original corridors. | 0:10:30 | 0:10:32 | |
So we're obviously in the Victorian quarter of the hospital | 0:10:32 | 0:10:35 | |
but when was this actually built? | 0:10:35 | 0:10:38 | |
Well, it was built in 1900, 1901, | 0:10:38 | 0:10:43 | |
and then it was finally opened in 1903. | 0:10:43 | 0:10:46 | |
Ooft. They threw it up! | 0:10:46 | 0:10:49 | |
What about all these arches that we see here with the names above them? | 0:10:49 | 0:10:52 | |
These arches, there were originally 17 wards so | 0:10:52 | 0:10:55 | |
the arches lead into to the 17 wards that were off the corridor. | 0:10:55 | 0:11:01 | |
And then there were three more wards added later. | 0:11:01 | 0:11:05 | |
Each ward had its own kitchen, its own operating theatre in the case | 0:11:05 | 0:11:09 | |
of the surgical wards, but basically the wards had 20 patients in them, | 0:11:09 | 0:11:14 | |
originally no curtains around the beds, they were just packed. | 0:11:14 | 0:11:19 | |
-All in there together like sardines. -Yes. | 0:11:19 | 0:11:21 | |
When the 1946 NHS Act came into force, | 0:11:23 | 0:11:26 | |
Victorian hospitals like the Royal were taken out of private hands | 0:11:26 | 0:11:29 | |
and into control of the state. | 0:11:29 | 0:11:32 | |
Nurses and doctors would now give their services to people | 0:11:32 | 0:11:35 | |
free at the point of use. | 0:11:35 | 0:11:37 | |
It was a breath of fresh air for patients of all social classes | 0:11:37 | 0:11:40 | |
and in the case of the Royal, that meant in more ways than one | 0:11:40 | 0:11:43 | |
as the hospital's revolutionary air conditioning system now | 0:11:43 | 0:11:47 | |
became for the benefit of all. | 0:11:47 | 0:11:49 | |
Today, the engineers have fired it up for me. | 0:11:51 | 0:11:54 | |
It's smelly, noisy and kind of beautiful. | 0:11:54 | 0:11:59 | |
How ahead of its time was this machine? | 0:11:59 | 0:12:02 | |
Well, it was ahead in the sense that it was the first purpose-built | 0:12:02 | 0:12:06 | |
air-conditioned hospital in the world. | 0:12:06 | 0:12:09 | |
These engines drive enormous hand blades and they suck in the air | 0:12:09 | 0:12:14 | |
from the street and the air is purified and humidified. | 0:12:14 | 0:12:18 | |
Wow. | 0:12:27 | 0:12:28 | |
-Wow! -Yes. This is the van. Enormous, isn't it? | 0:12:30 | 0:12:35 | |
It's huge! | 0:12:37 | 0:12:39 | |
And freezing! | 0:12:39 | 0:12:41 | |
-SHE LAUGHS -Yes. | 0:12:41 | 0:12:43 | |
Yes, Well, it takes a big fan to bring in enough air to | 0:12:43 | 0:12:47 | |
-supply all those 20 wards. -And it's still supplying now? | 0:12:47 | 0:12:51 | |
-20 wards. No, no, because the wards have been pulled down now. -Oh. | 0:12:51 | 0:12:55 | |
-So this is not really used for that purpose at all. -What's it used for now? | 0:12:55 | 0:12:59 | |
Well, nothing, it's just ornamental. | 0:12:59 | 0:13:02 | |
Huge ornament! | 0:13:02 | 0:13:04 | |
Young men and small boys who like the look of it... | 0:13:04 | 0:13:07 | |
-You've shown me one air con unit that's still running 100 years later. -Yes. | 0:13:07 | 0:13:11 | |
Being in the older part of the Royal Victoria Hospital, | 0:13:13 | 0:13:16 | |
seeing the turbines, | 0:13:16 | 0:13:17 | |
the plaques above the wards named after the great and the good that | 0:13:17 | 0:13:20 | |
helped finance them, you get a real sense of history of the place. | 0:13:20 | 0:13:24 | |
However, call me biased here, you | 0:13:24 | 0:13:26 | |
can't help thinking that the back bone of this hospital, | 0:13:26 | 0:13:29 | |
and actually all the hospitals across the UK, is down to this lot. | 0:13:29 | 0:13:33 | |
Up on Ward 4A, it's nearly lunchtime. | 0:13:37 | 0:13:40 | |
And the food is being plated up. | 0:13:40 | 0:13:42 | |
It's a task carried out by those known as the domestic staff. | 0:13:42 | 0:13:46 | |
They've been on the wards since before even my mum's time. | 0:13:46 | 0:13:49 | |
-NEWSCASTER: -Unless the team is complete with its domestic workers, | 0:13:51 | 0:13:54 | |
it cannot function efficiently. | 0:13:54 | 0:13:56 | |
Without their support, hospitals could not carry on. | 0:13:56 | 0:13:59 | |
Already wards have had to be closed for lack of domestic help. | 0:14:01 | 0:14:04 | |
Patients are waiting to come in, | 0:14:04 | 0:14:06 | |
but unfortunately the matron has no alternative. | 0:14:06 | 0:14:09 | |
This is really important work and a job you can be proud of doing. | 0:14:09 | 0:14:13 | |
Please, come and help us. | 0:14:13 | 0:14:15 | |
Today, I'll be doing just that. | 0:14:15 | 0:14:17 | |
Reporting for duty. Hi, Sister! | 0:14:17 | 0:14:20 | |
-Hello! -Hi! | 0:14:20 | 0:14:22 | |
-What do you think? -Oh, looking well. -Right. -Are you ready for this? | 0:14:22 | 0:14:26 | |
-I am ready. -OK. Basically, you're just going to be | 0:14:26 | 0:14:30 | |
asking for each one of them throughout that menu. | 0:14:30 | 0:14:32 | |
Great, OK. Hi, Tita, please may I have a roast chicken... | 0:14:32 | 0:14:35 | |
Roast chicken. | 0:14:35 | 0:14:37 | |
With mashed carrot and turnips, and mashed potatoes with gravy. | 0:14:38 | 0:14:44 | |
-This is Noreena. -Is this my dinner, is it? -Your dinner is coming. | 0:14:45 | 0:14:49 | |
I've got your dinner. Let me help you out. | 0:14:49 | 0:14:53 | |
Sorry, it's my first day here. | 0:14:53 | 0:14:55 | |
You should take me glasses off... | 0:14:55 | 0:14:58 | |
No, you're fabulous. | 0:14:58 | 0:14:59 | |
-Hugh. -Hugh? | 0:14:59 | 0:15:01 | |
Hello, sir. Dinner is served. And it looks good. | 0:15:01 | 0:15:06 | |
You've got chicken, you've got mash, you've got turnip. | 0:15:06 | 0:15:09 | |
You want custard? Do you know, I knew it. | 0:15:10 | 0:15:12 | |
I'm going to get you some custard. | 0:15:12 | 0:15:14 | |
-Extra. -Hurry back. -I will hurry back. | 0:15:14 | 0:15:17 | |
-What's your name, Sir? -Ray. -Ray. Nice to meet you, I'm Myleene. | 0:15:18 | 0:15:22 | |
-I will be serving your ice cream and jelly today. -Lovely. | 0:15:24 | 0:15:28 | |
Ice cream and jelly, I mean, stuff of dreams. | 0:15:28 | 0:15:31 | |
-Stuff of dreams all right. -Stuff of dreams. | 0:15:31 | 0:15:33 | |
-Thank you, my darling, thank you very much. -You are very welcome, sir. | 0:15:33 | 0:15:37 | |
I mean, that looks amazing. | 0:15:42 | 0:15:43 | |
Da-dada-da-dada-da! | 0:15:45 | 0:15:47 | |
Stick to the piano. | 0:15:48 | 0:15:50 | |
MYLEENE LAUGHS | 0:15:50 | 0:15:53 | |
Did you hear that? "Stick to the piano," he said. | 0:15:53 | 0:15:58 | |
The meals served in the Royal these days are made off-site | 0:15:58 | 0:16:01 | |
and transported in on a daily basis. | 0:16:01 | 0:16:04 | |
Back in the early days of the NHS, however, food would have all | 0:16:04 | 0:16:07 | |
been cooked within the hospital itself where, it's fair to say, | 0:16:07 | 0:16:11 | |
it gained a reputation for being less than scrumptious. | 0:16:11 | 0:16:14 | |
So, how does this modern grub taste? Only one way to find out. | 0:16:14 | 0:16:19 | |
I'm probably not supposed to do this but it looks so good! | 0:16:19 | 0:16:22 | |
-Can I try the pudding? -Yes, of course. Yeah. -Oooh! | 0:16:22 | 0:16:26 | |
-You like the custard? -I love custard! -Oh, very good. | 0:16:26 | 0:16:29 | |
Hospital food rocks. Ta-da! | 0:16:37 | 0:16:41 | |
Not that such praise will get me out of the washing up, of course. | 0:16:41 | 0:16:45 | |
OK, so push in. | 0:16:45 | 0:16:48 | |
Got it! | 0:16:50 | 0:16:53 | |
I know that Ward 4A is very different in design to what | 0:16:53 | 0:16:56 | |
wards would have been like when NHS first started. | 0:16:56 | 0:16:59 | |
But I'm also wondering if the atmosphere was any different. | 0:16:59 | 0:17:02 | |
Back then hospital wards were run by matrons | 0:17:02 | 0:17:05 | |
and nurses worked under strict rules. | 0:17:05 | 0:17:08 | |
I have to be honest, my knowledge of this era comes | 0:17:08 | 0:17:11 | |
mostly from the Carry On movies, with Hattie Jacques terrorising | 0:17:11 | 0:17:14 | |
Kenneth Williams and the gang. | 0:17:14 | 0:17:16 | |
-Good morning, Doctor. -Morning. Get your clothes off. I'll with you in a minute. | 0:17:16 | 0:17:20 | |
I don't think that'll be necessary, thank you, Doctor. | 0:17:20 | 0:17:22 | |
-Oh, I'm awfully sorry, I wasn't expecting you, Matron. -Obviously. | 0:17:22 | 0:17:25 | |
So how different is it today? | 0:17:25 | 0:17:27 | |
In charge of Ward 4A isn't Matron, but Head Sister, Sinead Dalfarge. | 0:17:27 | 0:17:32 | |
Sinead, you're the ward sister here. What's it like? | 0:17:32 | 0:17:35 | |
-Do you rule with an iron fist? -I wish I did. I wish I did. | 0:17:35 | 0:17:38 | |
Then maybe the rest of them would just run with me, so they would. | 0:17:38 | 0:17:41 | |
Unfortunately it's not that here. | 0:17:41 | 0:17:43 | |
I have a great team of nurses behind me. | 0:17:43 | 0:17:45 | |
Now, don't get me wrong we do have our bad days. | 0:17:45 | 0:17:47 | |
Staffing can be an issue at times, as we well know. | 0:17:47 | 0:17:50 | |
But I have to say that they do get on with it, | 0:17:50 | 0:17:53 | |
they muck in, get-together work it out, so they do. | 0:17:53 | 0:17:56 | |
-But generally overall, they're happy. -We love you, Sister. | 0:17:56 | 0:18:00 | |
-We love you! -There you go. | 0:18:00 | 0:18:02 | |
-There is clearly a lot of camaraderie here. -There is. | 0:18:02 | 0:18:05 | |
-A lot of banter. -There is. | 0:18:05 | 0:18:07 | |
But I have to say, they do get on very well | 0:18:07 | 0:18:10 | |
there's a good team. | 0:18:10 | 0:18:11 | |
My mum's a nurse and she's talked about how you get through | 0:18:11 | 0:18:14 | |
the dark days together, like a couple that died within hours of | 0:18:14 | 0:18:17 | |
each other, it's just something that I don't think you can ever forget. | 0:18:17 | 0:18:20 | |
Especially if somebody that's been here for weeks, | 0:18:20 | 0:18:23 | |
and say does get very unwell and unfortunately does pass | 0:18:23 | 0:18:26 | |
away you can see it with the nurses and it does really affect them. | 0:18:26 | 0:18:29 | |
-It does. -That's why you all then just club together again. -You do. | 0:18:29 | 0:18:34 | |
-As a big family. -You do. Everybody's there to support each other. | 0:18:34 | 0:18:38 | |
Sentiments I think my mum would agree with. | 0:18:38 | 0:18:41 | |
As is Sinead's answer to my next question. | 0:18:41 | 0:18:44 | |
-What would you say is special about nursing? -Helping patients. | 0:18:44 | 0:18:48 | |
I have to manage a ward, I have to manage staff, | 0:18:48 | 0:18:50 | |
but at the end of the day if you've got a patient and especially a | 0:18:50 | 0:18:53 | |
very ill patient and you manage to see them | 0:18:53 | 0:18:55 | |
through from the preoperative period right through operation, | 0:18:55 | 0:18:58 | |
postoperation, to seeing them go out the door, it really lifts it, | 0:18:58 | 0:19:01 | |
and that's what makes it all worthwhile. | 0:19:01 | 0:19:03 | |
The story of the kind of modern patient care | 0:19:05 | 0:19:07 | |
that Sinead is talking about began with a massive period of NHS | 0:19:07 | 0:19:10 | |
investment and expansion in the 1960s. | 0:19:10 | 0:19:13 | |
The hospitals built in Victorian times | 0:19:13 | 0:19:15 | |
and taken over by the NHS were seen as no longer fit for purpose. | 0:19:15 | 0:19:19 | |
-NEWSCASTER: -Asbestos sheeting, corrugated iron, hardboard timber... | 0:19:21 | 0:19:25 | |
There's no longer any room for more. | 0:19:25 | 0:19:27 | |
It's hard to realise that this is a key hospital serving a large | 0:19:27 | 0:19:31 | |
area in 1958. | 0:19:31 | 0:19:32 | |
The health revolution actually started here, in Northern Ireland. | 0:19:35 | 0:19:39 | |
Up the road from Belfast, at Altnagelvin Hospital, in Londonderry. | 0:19:39 | 0:19:43 | |
Opened in 1960, it was the first entirely new hospital to be | 0:19:43 | 0:19:47 | |
built by the NHS. | 0:19:47 | 0:19:49 | |
Five decades on and they're | 0:19:49 | 0:19:51 | |
in the middle of building a brand-new cancer centre. | 0:19:51 | 0:19:54 | |
Patients will come in here, basically they'll go this way for radiotherapy | 0:19:54 | 0:19:58 | |
planning and treatment and they'll go this way into chemotherapy. | 0:19:58 | 0:20:03 | |
Historian, Sean Lucey has agreed to meet me here. | 0:20:03 | 0:20:06 | |
After our short tour he's taking me | 0:20:06 | 0:20:08 | |
through the hospital's original plans. | 0:20:08 | 0:20:10 | |
These are the original designs of the hospital dating from 1952. | 0:20:12 | 0:20:15 | |
And we can see here the multistorey aspect of the hospital | 0:20:15 | 0:20:20 | |
starting off with the operating theatres on the seventh floor, | 0:20:20 | 0:20:23 | |
the laboratories below that, two maternity wards on the | 0:20:23 | 0:20:26 | |
fifth and fourth floor, radiography, that's third floor. | 0:20:26 | 0:20:30 | |
So, just looking at it, it looks quite simplistic. | 0:20:30 | 0:20:33 | |
At the time was this something that was quite progressive? | 0:20:33 | 0:20:36 | |
At the time, this was highly revolutionary because it was | 0:20:36 | 0:20:39 | |
such an unusual building. | 0:20:39 | 0:20:41 | |
It was initially described as, "a Mediterranean | 0:20:41 | 0:20:43 | |
-hotel" in the local press! -THEY LAUGH | 0:20:43 | 0:20:46 | |
-Hugely progressive. -Hugely progressive! | 0:20:46 | 0:20:50 | |
And highly reflective of the time period when people had | 0:20:50 | 0:20:53 | |
confidence in the future and had confidence in the capacity | 0:20:53 | 0:20:56 | |
for new technology, medical technology. | 0:20:56 | 0:20:59 | |
A new hospital building programme is underway... | 0:21:05 | 0:21:08 | |
It's amazing to think that my mum was beginning her NHS career | 0:21:08 | 0:21:12 | |
when all this incredible change was happening. | 0:21:12 | 0:21:14 | |
It was a period when the population was booming, | 0:21:16 | 0:21:19 | |
society was changing fast, and the NHS had to keep up. | 0:21:19 | 0:21:23 | |
We even saw the first computers. | 0:21:23 | 0:21:26 | |
-NEWSCASTER: -At King's College hospital in London, | 0:21:26 | 0:21:28 | |
they're already trying out a prototype computer that can | 0:21:28 | 0:21:31 | |
not only help doctors decide on treatment, but also run a hospital. | 0:21:31 | 0:21:35 | |
-Logan, how is he? -He's doing very well. -Good. | 0:21:36 | 0:21:40 | |
Let's just have a look at this screen. | 0:21:40 | 0:21:42 | |
This is the sort of equipment we will be using in the years to come. | 0:21:42 | 0:21:46 | |
And in the next 20 years it will be a commonplace thing in all | 0:21:46 | 0:21:49 | |
hospitals in Great Britain. | 0:21:49 | 0:21:51 | |
So what impact did all this technological change | 0:21:51 | 0:21:54 | |
have on the nurses? | 0:21:54 | 0:21:56 | |
So things were progressing very quickly in the '60s. | 0:21:56 | 0:21:59 | |
All these buildings were being made, | 0:21:59 | 0:22:01 | |
but you need nurses to help facilitate them. | 0:22:01 | 0:22:04 | |
So, my mum got the call to come over from the Philippines in the '60s. | 0:22:04 | 0:22:07 | |
Of course! Because there was this whole new hospital plan introduced, | 0:22:07 | 0:22:11 | |
and there was this whole range of new hospitals developed like this. | 0:22:11 | 0:22:16 | |
So presumably, that must have been a really exciting time to be | 0:22:16 | 0:22:19 | |
working in the health service. How did this all affect nursing? | 0:22:19 | 0:22:22 | |
It actually affected nursing dramatically, | 0:22:22 | 0:22:24 | |
because there was this enhanced medical technology | 0:22:24 | 0:22:26 | |
and of course, the people who had to use the technology were the nurses. | 0:22:26 | 0:22:31 | |
Well, nurses always know more than the doctors. Fact. | 0:22:31 | 0:22:34 | |
-Of course they do! -THEY LAUGH | 0:22:34 | 0:22:37 | |
And this was recognised in 1967 when one of the most significant | 0:22:37 | 0:22:41 | |
moments in nursing history took place. | 0:22:41 | 0:22:43 | |
The Salmon Report recommended a change to the senior nursing structure. | 0:22:43 | 0:22:47 | |
All nurses of the future | 0:22:47 | 0:22:48 | |
were to be given more contact with patients and greater responsibility. | 0:22:48 | 0:22:52 | |
-NEWSCASTER: -A new kind of nurse, far from the Florence Nightingale image. | 0:22:53 | 0:22:57 | |
A medical technician with electronic as well as medical training | 0:22:57 | 0:23:00 | |
dealing with machines as well as people. | 0:23:00 | 0:23:03 | |
I'm meeting two ladies who were here right | 0:23:04 | 0:23:06 | |
when the hospital opened, | 0:23:06 | 0:23:08 | |
to find out how they reacted to these changes. | 0:23:08 | 0:23:10 | |
Ursula Clifford was just beginning her career | 0:23:10 | 0:23:13 | |
and was here before even the patients. | 0:23:13 | 0:23:16 | |
Kathleen Gallagher came from the local Ear, Nose and Throat Hospital | 0:23:16 | 0:23:20 | |
and arrived a few weeks later. | 0:23:20 | 0:23:22 | |
So, Kathleen, what have you got there? | 0:23:22 | 0:23:24 | |
I have got a cutting from the Belfast newsletter, February 2nd, 1960. | 0:23:24 | 0:23:28 | |
"Londonderry's new hospital." | 0:23:28 | 0:23:30 | |
This is the matron that we had then. Miss Betty Boyce. | 0:23:30 | 0:23:33 | |
-What kind of matron was she? -She was just a lovely matron. | 0:23:33 | 0:23:37 | |
When she saw something on her ward rounds, she would have | 0:23:37 | 0:23:40 | |
come back up in the afternoon again to make sure it was looked about. | 0:23:40 | 0:23:44 | |
-And brought her little dog. -Dog?! -She had a dog, a Dachshund. | 0:23:44 | 0:23:48 | |
You're kidding me. On the wards? I don't know if that would be | 0:23:48 | 0:23:50 | |
-allowed now, would that be? -Oh, not at all. | 0:23:50 | 0:23:52 | |
-And you've kept that all this time? -Oh, I did of course, yes. | 0:23:52 | 0:23:56 | |
Sure, it's lovely to look back on these things. | 0:23:56 | 0:23:58 | |
Can you show me what you've brought? What have you got there, Ursula? | 0:23:58 | 0:24:01 | |
-Well, I really think that this is me here in the canteen. -Oh, look! | 0:24:01 | 0:24:05 | |
Look at your uniform. It's lovely. | 0:24:05 | 0:24:07 | |
You had a dress, an apron, cuffs and a cap. | 0:24:07 | 0:24:12 | |
-It's lovely. So smart. -And a collar. | 0:24:12 | 0:24:15 | |
And a collar. All stiffly starched. | 0:24:15 | 0:24:18 | |
So, did you spend all day having to clean your uniforms as well? | 0:24:18 | 0:24:20 | |
Oh, no, no, no, no, we'd the new big laundry over across the way. | 0:24:20 | 0:24:25 | |
-Of course, it was all new now! -Oh, yes! Big, big laundry. | 0:24:25 | 0:24:28 | |
And everything, you packed up at the end of the each week. | 0:24:28 | 0:24:30 | |
You packed up your unclean uniforms and over they went | 0:24:30 | 0:24:34 | |
to the laundry and back they came | 0:24:34 | 0:24:36 | |
with your name on, all very nice and clean. | 0:24:36 | 0:24:39 | |
You could say you could face an army. It would give you great | 0:24:39 | 0:24:42 | |
encouragement when you had your cap on you. | 0:24:42 | 0:24:44 | |
My mum, however, was not a huge fan of the shoes. | 0:24:47 | 0:24:51 | |
Did you feel the same way? | 0:24:51 | 0:24:52 | |
Well, the thing is that you were supposed to wear sensible shoes | 0:24:52 | 0:24:55 | |
because you walked so much. And you had to make sure they were black. | 0:24:55 | 0:25:01 | |
-Yeah. -And that they were shining. | 0:25:01 | 0:25:03 | |
So what were the biggest changes? | 0:25:06 | 0:25:08 | |
The thing for me as the most junior person in the hospital | 0:25:08 | 0:25:13 | |
was the bedpan washer. Marvellous invention! | 0:25:13 | 0:25:17 | |
-Marvellous invention because before... -Hand? By hand? -Yeah! | 0:25:17 | 0:25:21 | |
-Of course. -And now you had this machine | 0:25:21 | 0:25:24 | |
and you walked in and you dumped it all in and pushed the door. Out came | 0:25:24 | 0:25:27 | |
-the... -Like a dishwasher? -Oh, beautiful! | 0:25:27 | 0:25:30 | |
So you're not doing the bedpans any more, what are the bigger changes? | 0:25:30 | 0:25:33 | |
You did away with the Nightingale wards. | 0:25:33 | 0:25:36 | |
The Nightingale wards where you | 0:25:36 | 0:25:37 | |
would have had a big, big, big ward full of beds. | 0:25:37 | 0:25:40 | |
Now you had four-bed wards, single rooms, | 0:25:40 | 0:25:42 | |
and the biggest ward was the six bedded ward. | 0:25:42 | 0:25:46 | |
So really there was more walking and looking after | 0:25:46 | 0:25:49 | |
the patients but their privacy was well improved. | 0:25:49 | 0:25:52 | |
Kathleen, what about you? What was the biggest difference between the | 0:25:52 | 0:25:56 | |
old school kind of nursing and then moving here? | 0:25:56 | 0:25:58 | |
The one thing that I thought about being theatres. | 0:25:58 | 0:26:02 | |
The patient came in the bed that they were in, in the ward | 0:26:02 | 0:26:06 | |
went into theatre, they were anaesthetised on their bed | 0:26:06 | 0:26:08 | |
and lifted onto the theatre table. | 0:26:08 | 0:26:11 | |
Now I had left a hospital where I had a canvas on my table | 0:26:11 | 0:26:14 | |
which we put two long poles into and two bars and you | 0:26:14 | 0:26:17 | |
rang a wee bell three times and a porter | 0:26:17 | 0:26:20 | |
and a nurse came in and they carried the patient upstairs or downstairs. | 0:26:20 | 0:26:24 | |
So let me get this right? You would | 0:26:24 | 0:26:26 | |
have to carry, manually, a stretcher up and down flights of stairs. | 0:26:26 | 0:26:30 | |
That's correct. | 0:26:30 | 0:26:31 | |
We were on the middle floor. Down one flight and up two flights. | 0:26:31 | 0:26:35 | |
Being introduced to the lifts here must have been like a dream come true. | 0:26:36 | 0:26:39 | |
Of course. And it was just you rolled a patient onto the bed. | 0:26:39 | 0:26:43 | |
There was no physical lifting. It was just lovely. | 0:26:43 | 0:26:47 | |
It was so lovely speaking to Ursula and Kathleen. | 0:26:49 | 0:26:52 | |
They are just like my mum. When they talk about nursing, they light up. | 0:26:52 | 0:26:56 | |
And to have been there at the start of a new era | 0:26:56 | 0:26:59 | |
in medicine, it must have been amazing for them. | 0:26:59 | 0:27:02 | |
Back in the 21st century at the Royal Victoria Hospital in | 0:27:04 | 0:27:08 | |
Belfast, Dr Paul Robinson has started his rounds. | 0:27:08 | 0:27:11 | |
It's a chance for me to delve a bit deep into life on Ward 4A. | 0:27:11 | 0:27:15 | |
-So, Paul, you're Junior Doctor here on the ward? -That's right, yeah. | 0:27:15 | 0:27:18 | |
Start of the day, what can I expect? What's happening here? | 0:27:18 | 0:27:21 | |
Well, basically, I'm from the medical team, so my job basically is to make sure that | 0:27:21 | 0:27:26 | |
all of the sick and elderly patients are sort of fit to go to theatre. | 0:27:26 | 0:27:30 | |
And this is primarily a word for fractures? | 0:27:30 | 0:27:32 | |
Yes, fracture unit. One of the fracture wards here. | 0:27:32 | 0:27:35 | |
-And how many patients do have at the moment here? -I think it's about 24. Thereabouts. | 0:27:35 | 0:27:39 | |
Is that busy? Is that a lot? | 0:27:39 | 0:27:41 | |
It is quite a lot. There's not very | 0:27:41 | 0:27:43 | |
many staff between the 24 patients, so yeah, it is quite busy, you know. | 0:27:43 | 0:27:47 | |
-So, you're talking to the daughter of a nurse. -OK. -So, tread carefully. | 0:27:47 | 0:27:51 | |
I think I know what the answer is to that. | 0:27:51 | 0:27:53 | |
THEY LAUGH | 0:27:53 | 0:27:54 | |
Who's in charge? Because there kind of has always historically been the | 0:27:54 | 0:27:58 | |
doctors knowing more than the nurses but really the nurses knowing more than the doctors. | 0:27:58 | 0:28:02 | |
We like to think we're in charge but I think, really deep down, the nurses run the ward. | 0:28:02 | 0:28:07 | |
-They make sure we're doing our jobs. -Saved yourself. | 0:28:07 | 0:28:10 | |
You saved yourself because you're | 0:28:10 | 0:28:11 | |
outnumbered because there's a lot of nurses in that direction. | 0:28:11 | 0:28:14 | |
Most of the operations that take place on this word are pretty | 0:28:16 | 0:28:18 | |
routine. People who have experienced falls or nasty knocks. | 0:28:18 | 0:28:23 | |
But being here, I can't help thinking about the incredible | 0:28:23 | 0:28:25 | |
breakthroughs in surgery that have happened because of the NHS. | 0:28:25 | 0:28:30 | |
This was especially true from the 1960s onwards | 0:28:30 | 0:28:33 | |
when some real medical firsts took place. | 0:28:33 | 0:28:36 | |
The first modern hip replacement was carried out. | 0:28:36 | 0:28:39 | |
The first liver and kidney transplant, and in 1974, | 0:28:39 | 0:28:44 | |
the very first clinical use of a CT scan. | 0:28:44 | 0:28:47 | |
It must have been so exciting for the likes of my mum to | 0:28:49 | 0:28:51 | |
be around in those days. | 0:28:51 | 0:28:53 | |
And the patients on this part of the ward are exactly the sort | 0:28:53 | 0:28:57 | |
she would have looked after back in her day. | 0:28:57 | 0:29:00 | |
'So, I want to say hello to some of them.' How are you doing? | 0:29:01 | 0:29:04 | |
Oh, dear, Walter. What have you done? | 0:29:05 | 0:29:09 | |
I have slipped on grass and fell and broke my ankle. | 0:29:09 | 0:29:14 | |
I have a steel pin already in. | 0:29:14 | 0:29:16 | |
This leg, I broke this leg earlier. | 0:29:16 | 0:29:18 | |
So, really with those pins in there, you don't | 0:29:18 | 0:29:20 | |
really need a surgeon, you need a mechanic. | 0:29:20 | 0:29:22 | |
THEY LAUGH This leg's getting shorter and shorter. | 0:29:22 | 0:29:26 | |
-What's the giant R for on the other leg? -This is just to keep the surgeons right. | 0:29:26 | 0:29:30 | |
-To let them know it's this leg they need to operate on. -Oh, my gosh! | 0:29:30 | 0:29:35 | |
I'm an old soldier here. | 0:29:35 | 0:29:37 | |
So I've had a liver transplant here, I've been | 0:29:37 | 0:29:39 | |
about the wards for a while. | 0:29:39 | 0:29:41 | |
So, when you come back it's like a revolving door for you? The nurses must be like, "Him again." | 0:29:41 | 0:29:45 | |
It's first name terms with most of the staff. | 0:29:45 | 0:29:47 | |
Knock, knock! Hello! | 0:29:49 | 0:29:52 | |
Hi, Mary. How are you doing? | 0:29:52 | 0:29:54 | |
'Next door Mary has just come out of her operation. | 0:29:54 | 0:29:57 | |
'And she's still about woozy.' How are you feeling? | 0:29:57 | 0:29:59 | |
Feeling a bit better than I was. | 0:29:59 | 0:30:02 | |
So have they been looking after you here? | 0:30:02 | 0:30:05 | |
-Have they taken good care of you? -Oh, yes, they're really great. | 0:30:05 | 0:30:08 | |
The nurses and staff are good and the doctors are good. | 0:30:08 | 0:30:12 | |
So I can see you've got lots of lovely cards here, have your family been to see you? | 0:30:12 | 0:30:16 | |
Oh, yes. | 0:30:16 | 0:30:18 | |
On the face of it, | 0:30:18 | 0:30:20 | |
the Royal Victoria seems to be a very normal NHS hospital. | 0:30:20 | 0:30:24 | |
The type of which you'd see right across the UK. | 0:30:24 | 0:30:27 | |
But it's got a history that is anything but typical and | 0:30:28 | 0:30:31 | |
certainly nothing my mum would have faced in quiet old Great Yarmouth. | 0:30:31 | 0:30:34 | |
EXPLOSION | 0:30:34 | 0:30:35 | |
SIRENS | 0:30:39 | 0:30:40 | |
During the 1970s and '80s the Royal was at the centre | 0:30:45 | 0:30:48 | |
of a conflict that tested the nurses' caring to the limit. | 0:30:48 | 0:30:51 | |
The hospital played a crucial role in the troubles | 0:30:51 | 0:30:54 | |
when over 3,500 people were killed. | 0:30:54 | 0:30:57 | |
Many more were injured and in need of urgent hospital treatment. | 0:30:57 | 0:31:01 | |
Here in the centre of West Belfast, behind the barbed wire | 0:31:01 | 0:31:04 | |
and the soldiers, is, surprisingly, a hospital. | 0:31:04 | 0:31:07 | |
Its casualty department is in the thick of the fighting. | 0:31:07 | 0:31:10 | |
While I'm here, | 0:31:11 | 0:31:13 | |
I want to talk to some of the people who were on the front line. | 0:31:13 | 0:31:16 | |
Kay and Lorna were experienced | 0:31:16 | 0:31:18 | |
nurses and working as health visitors. | 0:31:18 | 0:31:21 | |
But Jean had only just begun to train as a nurse, along with | 0:31:21 | 0:31:24 | |
Horace here, at the Royal Victoria Hospital. | 0:31:24 | 0:31:26 | |
What was it like for them? | 0:31:26 | 0:31:28 | |
You were in a war zone, so right outside the walls the shooting | 0:31:30 | 0:31:36 | |
and the bombing was going on close to the hospital | 0:31:36 | 0:31:40 | |
and all too often that war would spill into the hospital. | 0:31:40 | 0:31:44 | |
A man and a girl had arrived at the entrance to the hospital. | 0:31:44 | 0:31:47 | |
He was taking his friend from an X-ray and a lone gunman | 0:31:47 | 0:31:50 | |
was waiting for them. He fired between three and five shots. | 0:31:50 | 0:31:53 | |
The man fell to the ground bleeding... | 0:31:53 | 0:31:55 | |
We were, most of us were 18, 19 years of age | 0:31:55 | 0:31:58 | |
and going back to the nurses homes and getting into a room | 0:31:58 | 0:32:02 | |
together with a cup of coffee, we really debriefed each other. | 0:32:02 | 0:32:06 | |
We didn't realise what we were doing in those days. | 0:32:06 | 0:32:09 | |
We'd just talked to each other and that was really what helped us to cope. | 0:32:09 | 0:32:12 | |
I think that as ward sisters we weren't feeling enough of how | 0:32:12 | 0:32:17 | |
young people of 18 felt with handling limbs, serious injuries | 0:32:17 | 0:32:23 | |
maybe being handed a dead... One nurse was handed a dead baby. | 0:32:23 | 0:32:28 | |
So, can I ask you, what part did the NHS's ethos | 0:32:28 | 0:32:33 | |
play in the neutrality of how patients were treated? | 0:32:33 | 0:32:36 | |
The neutrality came automatically. You didn't think about it. | 0:32:36 | 0:32:41 | |
We had a full range of political feelings among the nursing workforce. | 0:32:41 | 0:32:46 | |
And actually nurses from both those traditions recently have | 0:32:46 | 0:32:49 | |
gone on the record to say that | 0:32:49 | 0:32:52 | |
when they came to hospital they left their politics at the hospital door. | 0:32:52 | 0:32:57 | |
You just accepted that you are a nurse | 0:32:57 | 0:32:59 | |
and you are on their side, whatever it is, and you are on their side | 0:32:59 | 0:33:04 | |
in terms of health because that's what we were trying to deliver. | 0:33:04 | 0:33:07 | |
And that's something which I think our profession can be really | 0:33:07 | 0:33:11 | |
proud because you saw the results of a bomb | 0:33:11 | 0:33:14 | |
and yet, you had to keep how you felt about that to yourself, get on, | 0:33:14 | 0:33:19 | |
do the job and look after the people who really needed you. | 0:33:19 | 0:33:23 | |
Jean, what was the hardest thing that you experienced? Or that you saw? | 0:33:23 | 0:33:26 | |
In my first year of nursing inside a very short period of time I was | 0:33:26 | 0:33:30 | |
asked to look after a dying soldier and stay with him until he died. | 0:33:30 | 0:33:35 | |
He was blown up very close to the hospital on was brought to theatre | 0:33:35 | 0:33:38 | |
and nothing could be done and he was brought to recovery room | 0:33:38 | 0:33:41 | |
and I had never stayed with anybody before who was dying | 0:33:41 | 0:33:45 | |
so I stayed with him, | 0:33:45 | 0:33:47 | |
screens were pulled round and I just tried to make him | 0:33:47 | 0:33:50 | |
aware that I was there and just wash off the dust of the bomb | 0:33:50 | 0:33:55 | |
and he looked physically strong but obviously had a lot of internal injuries. | 0:33:55 | 0:34:00 | |
And staying with him till he died... | 0:34:00 | 0:34:02 | |
And then, inside a short period of time | 0:34:02 | 0:34:04 | |
I was in another ward where I was asked to special, or be patient, | 0:34:04 | 0:34:07 | |
just one nurse to one patient, with a young man who had been making | 0:34:07 | 0:34:12 | |
a bomb and blew himself up. | 0:34:12 | 0:34:15 | |
-And he also was dying. -Good Lord! You're kidding me? | 0:34:15 | 0:34:19 | |
So, here I was with two very different sets of circumstances | 0:34:19 | 0:34:24 | |
but knowing in my mind that there's no opt-out clause in nursing, | 0:34:24 | 0:34:29 | |
you do what you're asked to do. | 0:34:29 | 0:34:31 | |
The '70s were also an era | 0:34:37 | 0:34:39 | |
when another battle was taking place inside the Royal Victoria | 0:34:39 | 0:34:42 | |
and in hospitals throughout the whole of the UK. | 0:34:42 | 0:34:45 | |
A battle between the sexes. | 0:34:45 | 0:34:47 | |
Right up to the '70s, nursing was widely considered a female | 0:34:48 | 0:34:52 | |
occupation, there to serve the mostly male consultants. | 0:34:52 | 0:34:56 | |
But things were starting to change as this fantastic local news | 0:34:56 | 0:34:59 | |
report I'm showing the gang, demonstrates. | 0:34:59 | 0:35:02 | |
-Do you think of doctors as husbands? -They're like any other men. | 0:35:02 | 0:35:05 | |
Big headed, selfish, conceited... You name it. | 0:35:05 | 0:35:09 | |
Well, I feel that a doctor treats a nurse as a machine, | 0:35:09 | 0:35:11 | |
you run to his beck and call, and if I was his wife | 0:35:11 | 0:35:14 | |
and I had to run to his beck and call, I don't I'd be too well pleased about it. | 0:35:14 | 0:35:17 | |
There was one consultant in particular | 0:35:17 | 0:35:19 | |
and when he entered the ward, everybody metaphorically, | 0:35:19 | 0:35:23 | |
and sometimes physically stood to attention. | 0:35:23 | 0:35:25 | |
And there had to be absolutely nothing going on. | 0:35:25 | 0:35:28 | |
If a patient badly wanted the bedpan, he would have to wait until he had gone. | 0:35:28 | 0:35:32 | |
So there was a very hierarchical structure at that time. | 0:35:32 | 0:35:36 | |
By the '70s, the consultant-led male hierarchy was on its way out. | 0:35:38 | 0:35:43 | |
And Lorna remembers being part of the revolution in a small way. | 0:35:43 | 0:35:47 | |
On Sunday morning, the nurses, | 0:35:47 | 0:35:49 | |
the new clean, white, fresh coats were put out for the consultants | 0:35:49 | 0:35:54 | |
and doctors in the clinical room and it was the nurse's job to | 0:35:54 | 0:35:57 | |
change the buttons, you know, from the dirty uniform. | 0:35:57 | 0:36:01 | |
And the first rebellion I did was, | 0:36:01 | 0:36:02 | |
I said, "You can change your own buttons." | 0:36:02 | 0:36:05 | |
From now on, nurses are not changing doctor's buttons on doctor's coats. | 0:36:05 | 0:36:10 | |
That is not nursing. | 0:36:10 | 0:36:12 | |
But it wasn't just the females questioning | 0:36:12 | 0:36:15 | |
the traditional roles of males in the NHS, | 0:36:15 | 0:36:17 | |
men were also increasingly moving into nursing. | 0:36:17 | 0:36:20 | |
Something once considered a newsworthy curiosity. | 0:36:20 | 0:36:23 | |
Male nurses do the same work as other nurses | 0:36:26 | 0:36:28 | |
and they have the same training | 0:36:28 | 0:36:30 | |
although they don't usually work in women's wards or study midwifery. | 0:36:30 | 0:36:33 | |
What sort of young men do you need in hospitals? | 0:36:33 | 0:36:36 | |
We need, I think first, people with common sense. | 0:36:36 | 0:36:38 | |
How does he react to pain and suffering? | 0:36:38 | 0:36:41 | |
Well, at first it's not very nice. | 0:36:41 | 0:36:44 | |
But one does get used to these things. | 0:36:44 | 0:36:48 | |
Horace was one of these heroic pioneers. | 0:36:48 | 0:36:51 | |
I want to know what his early days would have been like on the ward. | 0:36:51 | 0:36:55 | |
Your working colleagues were nurses. I didn't see them as females. | 0:36:55 | 0:37:00 | |
I saw them as nurses and colleagues. | 0:37:00 | 0:37:03 | |
So, it was nice. | 0:37:03 | 0:37:07 | |
Being surrounded by ladies. I didn't think of them in that context. | 0:37:07 | 0:37:12 | |
You all work together. It was a working environment, so, | 0:37:12 | 0:37:16 | |
I didn't see it as a male versus female thing. | 0:37:16 | 0:37:19 | |
I just want to say thank you so much for your time today. | 0:37:19 | 0:37:22 | |
I could talk to you all day. For hours. | 0:37:22 | 0:37:26 | |
It's been a fascinating visit to the Royal Victoria Hospital | 0:37:26 | 0:37:30 | |
seeing how it was then and now. But it but it's time for me | 0:37:30 | 0:37:34 | |
to say my goodbyes to the people I've met in Ward 4A. | 0:37:34 | 0:37:38 | |
It may have been a short visit, but I've met many people I won't forget. | 0:37:38 | 0:37:41 | |
-Especially Leonila. -You're welcome! | 0:37:41 | 0:37:45 | |
-Thank you. Yeah, no, I'd love to come back. -Aw! That's so nice. | 0:37:45 | 0:37:49 | |
-Have you enjoyed your stay? -I've had a really, really, really amazing time. | 0:37:49 | 0:37:53 | |
-Oh, that's good. -I really have. | 0:37:53 | 0:37:55 | |
One thing I didn't expect was how I'd feel about the generations | 0:37:55 | 0:37:59 | |
that had come before who'd paved the way for where we are now. | 0:37:59 | 0:38:03 | |
When you hear about how they made these amazing sacrifices | 0:38:03 | 0:38:06 | |
-and had to challenge themselves. -Yeah. | 0:38:06 | 0:38:08 | |
When you think that they had to treat people that in normal life | 0:38:08 | 0:38:13 | |
-they wouldn't even speak to. -That's right. -And yet, | 0:38:13 | 0:38:16 | |
when you come into the hospital environment... | 0:38:16 | 0:38:18 | |
-You make a bond with them. -Everybody's equal. Yeah. | 0:38:18 | 0:38:21 | |
-Patients are all that matter. -Yeah, that's what they said! -And these girls here are great. | 0:38:21 | 0:38:25 | |
My favourite! | 0:38:25 | 0:38:27 | |
-Am I allowed to eat them? -Help yourself. | 0:38:28 | 0:38:31 | |
One, two, three, four, five boxes of chocolate! | 0:38:31 | 0:38:34 | |
-Yeah, every single day. -Oh, my gosh. | 0:38:34 | 0:38:37 | |
My teeth would fall out if I worked here. Thank you for having me! | 0:38:37 | 0:38:40 | |
-No bother at all. -Thank you. -Thank you for coming. -I have to do a photo with you! | 0:38:40 | 0:38:45 | |
OK, ready? | 0:38:45 | 0:38:47 | |
There, I can show my mum. Oh, my knee just went. | 0:38:47 | 0:38:51 | |
I need a doctor! | 0:38:51 | 0:38:53 | |
No, I need a nurse! MY KNEE JUST WENT! | 0:38:53 | 0:38:55 | |
-Hello! Hello, Walter what do you think of the scrubs? -They suit you. | 0:38:55 | 0:38:59 | |
-They're good, aren't they? -Super. -Super! | 0:38:59 | 0:39:01 | |
"Sticks to ya where it hits ya"? | 0:39:02 | 0:39:04 | |
Yes, it's not the most flattering lines... | 0:39:04 | 0:39:07 | |
-I'm just going to leave it. -Best of luck. Take care of yourself. | 0:39:07 | 0:39:10 | |
-Thank you very much for coming. Thank you. -Cheerio. | 0:39:10 | 0:39:13 | |
"Fits ya where it hits ya." | 0:39:15 | 0:39:16 | |
There's something very humbling about seeing the work has been | 0:39:17 | 0:39:20 | |
carried out here today. | 0:39:20 | 0:39:21 | |
The lives of the patients have been changed by | 0:39:21 | 0:39:24 | |
the hard work that the nurses have put in on Ward 4A. | 0:39:24 | 0:39:27 | |
And when you think about it, right across the UK alone, today, | 0:39:27 | 0:39:30 | |
over 19,000 surgical procedures have been carried | 0:39:30 | 0:39:34 | |
out for free at the point of delivery, to those in need. | 0:39:34 | 0:39:37 | |
NHS! | 0:39:38 | 0:39:40 | |
ALL: NHS! | 0:39:40 | 0:39:42 | |
THEY LAUGH | 0:39:43 | 0:39:46 | |
These last few days have really given me | 0:39:48 | 0:39:50 | |
an insight into the how the NHS has evolved over the years. | 0:39:50 | 0:39:53 | |
'It's also helped me understand my mum a bit more, too. | 0:39:53 | 0:39:57 | |
'So, I've arranged one final treat for her. | 0:39:57 | 0:39:59 | |
'We're off to visit someone very special.' | 0:39:59 | 0:40:02 | |
Back in the 1960s, | 0:40:03 | 0:40:04 | |
my mum viewed fellow nurse Denise Albin as her mentor. | 0:40:04 | 0:40:08 | |
There were also best friends. | 0:40:08 | 0:40:10 | |
She was at my mum's wedding and when I was born, she became my godmother. | 0:40:10 | 0:40:14 | |
They haven't seen each other for a while, | 0:40:14 | 0:40:16 | |
so, I'm hoping it's a nice surprise. So, have you twigged yet? | 0:40:16 | 0:40:20 | |
-Have you figured out where we are? -Yeah, my friend's house! My word. | 0:40:20 | 0:40:26 | |
-Fantastic. Really can't believe it. -Getting all emotional on me again? | 0:40:26 | 0:40:31 | |
-Oh, my word. -Ring the bell. | 0:40:31 | 0:40:32 | |
'I just hope Denise is in.' | 0:40:35 | 0:40:37 | |
Hi! | 0:40:37 | 0:40:39 | |
You! | 0:40:39 | 0:40:41 | |
Oh, Bong! | 0:40:41 | 0:40:43 | |
THEY LAUGH | 0:40:43 | 0:40:45 | |
It's really nice to see you. | 0:40:45 | 0:40:46 | |
-It's good to see you too. -And you've not grown. | 0:40:46 | 0:40:49 | |
THEY LAUGH | 0:40:49 | 0:40:51 | |
No. Oh. | 0:40:51 | 0:40:52 | |
-Thank you. -Come in. -Thank you for having us. -Wow. | 0:40:54 | 0:40:58 | |
So, would you say you're like a family together? | 0:40:58 | 0:41:02 | |
Yeah, and we had a very good group... | 0:41:02 | 0:41:04 | |
-We had a good group on our ward, didn't we? -Yeah. It's just like teamwork. You know? | 0:41:04 | 0:41:10 | |
As soon as we are in the ward and that's it, we help each other. | 0:41:10 | 0:41:14 | |
My mum's first memory of you which she always tells me about, | 0:41:14 | 0:41:18 | |
is you leaving her in a room with a dead body. | 0:41:18 | 0:41:22 | |
I know, when anyone died on the ward, | 0:41:22 | 0:41:24 | |
because we used to lay bodies out, then, I used to | 0:41:24 | 0:41:28 | |
volunteer to do them because I used to want to do them fairly quickly. | 0:41:28 | 0:41:33 | |
I didn't want to be asked several hours after they'd died so... | 0:41:33 | 0:41:37 | |
Well, she said, "Wait for a while because I forgot something in the | 0:41:37 | 0:41:41 | |
"station, the nurse's station." And I said, "No, you're not going to leave me here." | 0:41:41 | 0:41:45 | |
So I followed her everywhere with my bucket. | 0:41:45 | 0:41:48 | |
-She's followed you around ever since? -Well, she didn't want to be | 0:41:48 | 0:41:52 | |
alone with a body so she's always followed me. | 0:41:52 | 0:41:55 | |
THEY LAUGH | 0:41:55 | 0:41:56 | |
Yeah. Fantastic. | 0:41:56 | 0:41:58 | |
I found this, and I'm sure that you had one | 0:41:59 | 0:42:03 | |
because I'm sure they were all filled in. | 0:42:03 | 0:42:05 | |
Yeah, it sounds familiar. | 0:42:05 | 0:42:07 | |
-It's actually got Care of the Dying in here. -Really? | 0:42:07 | 0:42:10 | |
And that would have been one of the procedures you had to do. | 0:42:10 | 0:42:14 | |
'I brought along something, too. | 0:42:14 | 0:42:15 | |
'Snaps of my time at the Royal Victoria Hospital in Belfast.' | 0:42:15 | 0:42:19 | |
I wonder if my mum prefers the modern fashion a bit more | 0:42:20 | 0:42:23 | |
-than the vintage getup she wore? -I like this a lot better. | 0:42:23 | 0:42:27 | |
Yeah, we always had dresses rather than trousers, didn't we? | 0:42:27 | 0:42:30 | |
-That's right, yeah, yeah. I like that too. -Yeah, that's smart. | 0:42:30 | 0:42:36 | |
The nurses I spoke to said that the pride that they had | 0:42:36 | 0:42:38 | |
when they put those uniforms on, they said it | 0:42:38 | 0:42:40 | |
was like putting on their armour for the day and they feel immense pride. | 0:42:40 | 0:42:44 | |
-Yeah. -Oh, yeah. -Is that how you felt? -Yeah. -It's nice. | 0:42:44 | 0:42:47 | |
My favourite bit of the uniform was the cloak. Did you have a cloak? | 0:42:47 | 0:42:51 | |
-Yeah, Florence Nightingale. I kept mine, actually. -Did you? -Where?! | 0:42:51 | 0:42:57 | |
I've been asking you! | 0:42:57 | 0:42:59 | |
You didn't cut it up and make something of it, did you? Because... She was always sewing, wasn't she? | 0:42:59 | 0:43:03 | |
-Yeah. -What did you do with the cloak? -Well... | 0:43:03 | 0:43:07 | |
THEY LAUGH | 0:43:07 | 0:43:09 | |
-I cut it because one of your plays. -What, I wore the cloak? You cut up your nurse's uniform? | 0:43:09 | 0:43:15 | |
-No, I did, yeah. Yeah. -You owe the national health. | 0:43:15 | 0:43:18 | |
I think you guys have more than paid back. I think it's OK. | 0:43:18 | 0:43:21 | |
Like, learning what I've learnt over the last few days, | 0:43:21 | 0:43:24 | |
you have so much courage. I'm so proud of you. | 0:43:24 | 0:43:27 | |
-I love you, Myleene! -OH! You are one strong lady. | 0:43:29 | 0:43:34 | |
I am, I'm proud of both of you. OK, so in honour of your work, not only | 0:43:34 | 0:43:43 | |
as a nurse, but of your services to fashion, I've got a present for you. | 0:43:43 | 0:43:49 | |
Oh, no, you're joking. | 0:43:49 | 0:43:53 | |
-Would you wear those? -No. | 0:43:53 | 0:43:56 | |
No way. | 0:44:00 | 0:44:02 | |
Seeing my mum and my auntie Denise, all those incredible nurses, | 0:44:02 | 0:44:07 | |
both past and present, | 0:44:07 | 0:44:09 | |
you realise just how much of themselves they give to our NHS. | 0:44:09 | 0:44:13 | |
Time, love, caring. | 0:44:13 | 0:44:15 | |
These nurses, they simply are incredible | 0:44:15 | 0:44:18 | |
and they should be celebrated. | 0:44:18 | 0:44:20 | |
Thank you. | 0:44:21 | 0:44:22 |