Eric Knowles Matron, Medicine and Me: 70 Years of the NHS


Eric Knowles

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70 years ago, plans for a revolution took place

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that changed all our lives in Britain.

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We are out to improve the health of every family

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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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Adrenaline...

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That's six adrenaline...

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..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.

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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.

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It's quite emotional to see you. Thank you.

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Surprise!

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-ALL:

-Surprise!

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I'm Eric Knowles and when I was a child, I spent a lot of time

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in hospital, seriously ill.

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Today, I'll be making a return in a real antique of the road.

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It's a beast of a vehicle, isn't it?

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I'll finally find out what was wrong with me

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using the latest technology.

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-Oh, gosh.

-Cells which we call leukemic cells...

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And I will meet people who, while not being as fortunate as I was,

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are definitely a lot braver.

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You have your good days and your bad days, but eventually,

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time will get me back to where I was.

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'As one of the longest-serving experts on the Antiques Roadshow,

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'I get a lot of pleasure looking at the stuff that has

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'survived the test of time.'

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There is a good few cups in that...

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50 cups, 50 cups.

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I just turned 63 this year, so you might say I am well on my way

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to becoming an antique myself!

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But there was a time in my life, believe it or not,

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when it was thought that I might not even make my tenth birthday.

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'The reason I nearly didn't make it to my tenth birthday

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was that when I was nine, I was rushed to hospital

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with suspected leukaemia.

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It was a traumatic experience,

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and it's the memory of what I went through and how I was looked after

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that has prompted me to take part in this programme.

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The idea of getting behind the scenes in the NHS, erm...

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Well, to be frank with you, it's a wonderful opportunity.

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And I am just intrigued to know how things work.

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And, more importantly, I want to meet the people

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who make it work.

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My story of Matron, Medicine and Me starts here in Burnley.

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This is the area where I grew up and where I first got ill.

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On this very street, in fact.

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Well, we moved to the street in round about... I think about 1954

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or something like that and we stayed here until about 1970.

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So, this is our house.

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And it really is in the middle of the street.

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This is where I spent my formative years,

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from being a toddler, I suppose, all the way through

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to being a teenager and a little bit beyond.

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My bedroom, top left-hand corner - it might be described as cosy!

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We were quite blessed growing up in this part

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of north-east Lancashire.

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We would go on walks and, basically, you would get your duffel bag

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and a bottle of corporation pop,

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which, of course, translates into water.

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A few sandwiches.

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And your mother would say, "Don't come back before five o'clock."

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'In April 1962, those carefree days came abruptly to an end.

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'I started to feel really ill. I don't remember much,

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'but I do remember the whole street watching as I was taken to hospital

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'in an ambulance.

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'I would be there for six weeks.'

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The man who mostly looked after me while I was in hospital

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was a legendary Burnley paediatrician, now passed on,

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called Dr Winston Turner.

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'And it wasn't just me he cared for, it was also my parents,

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'who needed all the help they could get.'

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I remember my mum saying, "It will only be for a couple of days or so,"

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and all that sort of thing.

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And, obviously, she was being economic with the truth.

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How on earth my parents must have felt

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having been told there is a very strong chance

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that your lad has got leukaemia...

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Because, way back then...

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that was a death sentence, back in '62.

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'Being a dad myself, thinking about the worry my parents

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'must have suffered, is bringing back all sorts of feelings.

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'It's like being back in time.' SIREN WAILS

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'In fact, I think I'm hearing things!'

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SIREN WAILS

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What is that?

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'But, no, this is real.

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'A surprise laid on by the producers.'

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I don't believe it.

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Is that real?

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Is he real?

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You obviously haven't got a sat nav,

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because you're from Herefordshire County Council.

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-Hello, I'm Eric. Hello, what's your name?

-John.

-John.

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HE LAUGHS Well, nice to meet you!

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They say life is full of surprises.

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That's a monster machine.

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-Can I have a look around it?

-By all means.

-Thank you.

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By jingo, that was built to last, wasn't it?

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'Seeing inside the ambulance...' Wonderful.

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'..is bringing it all back.'

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Yes, I remember that bit. It is just the little things,

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only just.

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Ah, yeah.

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This is a posh one, because it has got lino.

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-It's getting worn out now.

-Yeah, I can see.

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'It's a cracking vehicle and totally authentic to the one

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'that transported me to hospital all those years ago.

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'But it's not just the ambulance that's the real thing -

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'John the driver is, as well.'

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So, you actually drove this type of ambulance yourself

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-in the 1960s?

-Yes.

-Really?

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In that uniform?

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It has changed a little bit, but, yes, basically, this uniform.

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I tell you what, I might be pushing my luck a bit here,

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-but any chance that we can take this out for a spin?

-Why not?

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Excellent.

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-What do you get to the gallon?

-About ten miles to the gallon.

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Ten miles to the gallon.

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My goodness me.

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The initial 1946 NHS Act required local authorities

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to provide ambulances rather than central government.

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Run by volunteers, the early ambulances' only purpose

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was transport, with no provision for medical treatment.

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Emergency first aid was often provided at the scene

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by doctors following close behind.

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-REPORTER:

-'This doctor set off hot on the heels of an ambulance

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'to a typical emergency call to an outlying farm.

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'And this is as far as the ambulance can get.

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'But these fellows, skilful and careful as they are,

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'will lose no time, for they, too, cover tremendous distances.'

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'This changed in 1964, two years after my trip to hospital,

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'when the Miller Report recommended the Ambulance Service

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'should also provide emergency treatment.'

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Anybody see this happen?

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'In 1974, ambulances and staff came under central NHS control,

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'and by the '90s, staff with extended training

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're-qualified as paramedics.

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'The design of vehicles has also changed a lot, but in the '60s,

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'the Bedford J1 reigned supreme.'

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SIREN

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'This particular model is from 1967,

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'and it is still in perfect working order.'

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Bet Jenson Button hasn't got a gear stick like that.

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I bet he hasn't.

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Looks like I'm on direction duty.

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Right turn, right turn.

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There we go.

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Oh!

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Wow.

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-It doesn't have safety belt, this one, does it?

-No.

-No.

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Wow.

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'It's certainly not the smoothest of rides.'

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It's not as though you could ever put the radio on in here

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and listen to anything gentle.

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-We had to listen to that, though.

-Oh, this is your...?

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That was one of the original radios.

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-Z-Victor 1 to Z-Victor 2.

-Oh, you watched Z-Cars!

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We've got some villains going down the East Lancashire roads.

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-Intercept.

-Must be Yorkshiremen!

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Bandits. Bandits from Barnsley.

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What's the top speed?

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I mean, don't do it, but tell me, what is the top speed?

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-The top speed when they were new, we could get 70 no problem.

-Wow.

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They wobble a bit on the front.

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Then they vibrate in the back.

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-Yes.

-You get somebody who is really poorly-poorly,

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you know, broken bones and things, they don't want it vibrating.

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'I'm glad I went up front today.

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Last time I was actually in an ambulance like this,

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obviously I was lying in the back, so I don't remember the journey,

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but the journey that we are doing now

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is following exactly the same route.

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But as we get around this corner,

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we will be approaching where Marsden Hospital used to be.

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This is the entrance on our left now.

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And they now call this area Marsden Heights.

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What is going on there, what is that, I wonder?

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-Is that the old Marsden Hospital sign?

-Yeah, it looks like....

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We could go here, say we are looking for Marsden Hospital.

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We've been driving around since 1967.

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HE LAUGHS

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Marsden Hospital began as a workhouse infirmary back in 1899.

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It was taken over by the NHS in 1948

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and was closed in 1992.

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The land was sold to developers, and all that's left now

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is what I can only guess is one of the old window frames.

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The main hospital in Burnley today is Burnley General

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and it's where we are heading now.

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Slowly, and bumpily, and, if I'm honest, slightly scarily.

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'The main A&E for the area is now in Blackburn,

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'but there's an emergency care unit here

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'and, luckily, parked outside is a modern ambulance.'

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'Time to compare the beasts - with a paramedic of today,

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'Sandra Hartley, and my driver, John Howard Judson.'

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-Hello.

-Hello!

-That's quite an impressive machine.

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Can we do a deal?

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If you allow us to have a look around yours,

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you can have a look around... dare I say, ours.

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-Yes, that's fine.

-OK.

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Thank you.

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-Wow.

-There you go.

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State of the art, yes.

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It is an expensive piece of kit.

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-It is like a little mobile hospital, to be fair.

-I can imagine.

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-Yeah.

-What does that cost?

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-A fortune.

-A fortune?

-Yes.

-OK, all right.

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I can appreciate that. But it's all there, isn't it? You've got...

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We've got the stretcher

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and we've also got carry chairs and a wheelchair.

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A defibrillator there,

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so, obviously, somebody who's having a heart attack or whatever,

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we can revive them, bring them back to life, hopefully.

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Anything you want, bandages and splints and all sorts.

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-Well, having seen today, would you like to go back in time?

-Yes.

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Oh, my word.

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There's nothing in it!

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DOOR CRASHES

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'That'll take a few quid off the value.'

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There's nothing there!

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There is, honestly.

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What's in the box under there?

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-That's our resuscitator.

-Your resuscitator?

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-Yes.

-Ah. Have you got any drugs and things?

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-No drugs? No?

-No. We were allowed Entonox.

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What's in there?

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-It's splints.

-What? Some splints?

-Yeah.

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If you've got your broken leg...

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..that's where it goes.

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No!

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And eight bandages fasten it.

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'Now, time to do my Antiques Roadshow bit.'

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You know, I fully recognise that the modern ambulance today

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is state-of-the-art,

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but when I look back at a vehicle like this,

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and I look at the contours on it,

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it's almost a piece of sculpture,

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insofar as it's got more aesthetic appeal to me.

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And, of course, I'm always being accused of

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having my head in the past, it's what I do for a living,

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but in this case, I'm very grateful to this machine because without it,

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I might never have had a past.

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'After arriving in the ambulance, I would go on to spend

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'six weeks in hospital, being pricked and prodded

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'like an old vase, while they tried to work out what was wrong with me.

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'If I'm honest, hospitals back in the early '60s

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'weren't the best of places for kids.

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'Some hospitals did lay on special events but there was definitely

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'nothing as exciting as this going on at the Marsden.'

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All I remember is nurses in scary starch uniforms,

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stern-looking matrons and uncomfortable beds.

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This is the bed of today.

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It differs significantly from the bed I remember.

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This bed, I'm reliably informed,

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will set you back between £3,000 and £5,000 for a bed.

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Now, all I remember about my bed is it was painted metal,

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er, it was relatively high.

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I was in an isolation ward, and one big memory of hospital

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is being lonely and bored.

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But despite suffering from something that would take weeks to diagnose,

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I don't remember being scared.

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There was a certain advantage I found of being in hospital,

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there was a definite perk, because people brought you toys.

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And I was deluged with some seriously good toys.

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I mean, for example, I've still got them today.

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Yes, I've kept them.

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This is Chipperfield Circus.

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I mean, you know, that's the sort of thing you would look at

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in a toy-shop window and dream about owning.

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I've just noticed there's an occupant.

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Here he is!

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That poor chap's been trapped in there for 50 years.

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I hid these, I slept with them under my bedclothes.

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In fact, it was quite a narrow bed.

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There wasn't much room for me to fit in that bed.

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Who knows? Maybe it was while I was in hospital playing with my toys

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that I became a budding antique dealer.

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But when I wasn't playing Circus, chances are I was being tested

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as they tried to work out why I had a constant fever

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and was losing so much weight.

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When I left hospital, I weighed just three stone.

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But there was good news.

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What they thought might be leukaemia turned out to be glandular fever.

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How they could mix up the two illnesses

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has always remained something of a medical mystery to me.

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So, I've come to the Royal Blackburn Hospital

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to visit the main blood-testing laboratory for the area.

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'I'm meeting consultant haematologist Dr Margaret Rokicka

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'to find out more about the science behind misdiagnosis

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'and whether such a worrying mistake could happen today.'

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So, why should it be, back in 1962, that glandular fever

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and something as serious as leukaemia

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would be mistaken for the other?

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Yeah, because they are very similar symptoms.

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You are very ill, you have temperature,

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you have enlarged glands and you have usually very sore throat.

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Now, we can test whether actually glandular fever,

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which is viral disease.

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-It takes five minutes.

-Five minutes?

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-Five minutes.

-I was in there for weeks!

-Yes.

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'It's blowing my mind that today a simple five-minute test

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'could've saved weeks of my parents' worrying.

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'Just five minutes to diagnose a virus and rule out leukaemia.'

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When you are ill, an infection you have,

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you will produce, your body will react with antibodies.

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So, this measures your body's reaction to the virus.

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Back in the '60s, most blood testing was carried out manually.

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Blood samples would be examined under a microscope

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by experienced haematologists.

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With the electron microscope,

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we can take pictures of most viruses.

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It was a laborious process but, by the end of the '60s,

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six years after my stay in hospital,

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the white heat of technological progress

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was poised to come to the rescue.

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-REPORTER:

-'This is a machine that could

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'make a great deal of difference to the nine out of ten people

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'who go for their treatment to a family doctor.

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'It finds out if anything's wrong with you by analysing your blood.

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'It's still being tested,

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'but it looks like being able to do in one hour

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'what a team of a dozen laboratory workers take a week to do.'

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Labs have come a long way since the '60s.

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Today, automation and fancy machines mean the team at Blackburn

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look at an average of 5,000 samples a day.

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Some of the machines here can carry out a complete analysis

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of a blood sample, from aspiration to result, in just one minute.

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Some work with microscopes is, of course, still necessary,

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so, while the glandular fever test continues to count down,

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Dr Rokicka is going through how my mix-up could have happened

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by showing me microscopic images of blood cells.

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These cells on the left is typical for glandular fever.

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OK.

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But there can be other nasty cells, which we will see now.

0:19:100:19:16

You can compare these glandular fever cells

0:19:160:19:21

with actually deadly acute leukaemia cells.

0:19:210:19:26

So, that was the way that diagnosis was made back in the '60s.

0:19:260:19:33

We only relied on the appearance of cells.

0:19:330:19:36

Since my time in hospital, it's obvious diagnosis has become

0:19:360:19:40

so much faster and more reliable.

0:19:400:19:43

Talking of speed, the five minutes

0:19:430:19:44

for our glandular-fever test is nearly up.

0:19:440:19:48

-BEEPING

-OK.

0:19:490:19:52

Here we are. We have a result,

0:19:520:19:55

and you can clearly see that there are two bars here,

0:19:550:19:59

which means that this is positive test

0:19:590:20:03

which means that the body and blood was infected by the virus.

0:20:030:20:08

Today has offered me almost a sense of closure on this issue,

0:20:110:20:17

because it was always in the back of the mind that maybe,

0:20:170:20:20

if things had gone the wrong way, I wouldn't be here today.

0:20:200:20:23

I was lucky, of course.

0:20:250:20:27

Back in 1962, if I HAD been diagnosed with childhood leukaemia,

0:20:270:20:32

it would have almost certainly have been a death sentence.

0:20:320:20:35

And yet, over the decades,

0:20:350:20:37

there's been a revolution not just in diagnosis,

0:20:370:20:40

but treatment, and even cure rates, too.

0:20:400:20:43

Not that it's an easy thing, by any means.

0:20:440:20:47

The treatment can still be long and painful.

0:20:470:20:50

And no-one knows this better than Jennifer Miller.

0:20:500:20:54

She was diagnosed last year, and she's been fighting ever since.

0:20:540:20:57

Initially, I was kept in for six weeks.

0:20:590:21:01

-Six weeks?

-Six weeks I was in isolation, yeah, I was in a room

0:21:010:21:05

and I wasn't allowed to leave.

0:21:050:21:06

-No?

-It makes you really, really poorly.

-Yeah.

0:21:060:21:09

And I just didn't eat. Sleep, that's all I wanted to do.

0:21:090:21:14

It's obviously something very difficult to come to terms with,

0:21:140:21:17

but how did you manage to deal with this mentally?

0:21:170:21:22

Not very well, really. It's hard to deal with.

0:21:220:21:25

When I was in hospital, I kind of plodded through

0:21:250:21:28

because I was in a hospital

0:21:280:21:30

and people were the same, but now, it's so hard.

0:21:300:21:34

It is so hard.

0:21:340:21:36

Like, people look at me and think, "You look good,

0:21:360:21:39

"you should be good," but...

0:21:390:21:41

I'm not.

0:21:410:21:43

-Not inside my head, I'm not.

-You're not?

-No.

0:21:430:21:46

And what other type of support have you been given?

0:21:460:21:49

On the unit we have a social worker and we are also given a named nurse.

0:21:490:21:53

The team, the nurses up there are just so...so good.

0:21:530:21:57

And they're able to talk to you and help you because they understand it.

0:21:570:22:04

So, there's music workshops that you can go to, and art workshops.

0:22:040:22:08

I personally like the music because I can go and that helps me

0:22:080:22:11

to forget, it helps.

0:22:110:22:14

You have your good days and your bad days

0:22:140:22:16

and you've just got to try and make the good days more than bad days.

0:22:160:22:21

-But, eventually, time will get me back to where I was.

-Excellent.

0:22:210:22:25

On that note, I'd just like to wish you

0:22:250:22:28

-lots and lots and lots and lots of good days.

-Thank you.

0:22:280:22:31

It was good to talk to Jen today, who can now look forward

0:22:320:22:35

to a brighter future.

0:22:350:22:37

When I was her age, my future was the bright lights of London.

0:22:390:22:42

My first job on the way to fulfilling my dream of working

0:22:450:22:48

with antiques was as a porter at Bonhams Auction House.

0:22:480:22:52

It was tough old work but it taught me

0:22:540:22:55

that if you want to see how a place really works,

0:22:550:22:57

then you need to talk to those on the ground,

0:22:570:23:00

and I'm reliably informed it's pretty much the same in hospitals.

0:23:000:23:04

So, that's what I'm going to do today back at Burnley General.

0:23:040:23:07

-Good morning, gentlemen.

-Morning, you must be Eric.

0:23:080:23:11

'It's quarter to seven in the morning

0:23:110:23:13

'and I've arrived bright and early

0:23:130:23:14

'to spend a shift with hospital porters Andy McHale and Steve Shaw.'

0:23:140:23:18

I'm here to learn, and the curve, I'm sure, is going to go like that.

0:23:180:23:21

-Brilliant.

-Yeah, very good.

-So, what next?

-First things first,

0:23:210:23:24

-the uniform.

-Uniform?

-Yes.

-All right.

0:23:240:23:28

So, what do you think, chaps?

0:23:310:23:32

-Very nice.

-Very smart, very smart.

0:23:320:23:35

Do you think I've got credibility now?

0:23:350:23:38

-You have, you have indeed.

-Excellent, excellent.

0:23:380:23:40

-So, what we're doing is we're taking these to the wards.

-OK.

0:23:400:23:43

'First job of the day, before my breakfast,

0:23:430:23:46

'is the patients' breakfasts.

0:23:460:23:48

'A lot of hungry people and not much time.'

0:23:480:23:51

So, how many of these trolleys do you do in the morning?

0:23:510:23:56

Just on the breakfast itself, probably 16, 17.

0:23:560:24:01

Morning, you all right?

0:24:010:24:03

'I'm already flagging after less than an hour.

0:24:030:24:05

'Steve and Andy have been here for 45 years between them.'

0:24:050:24:09

So, Andy, have you ever worked out

0:24:090:24:12

how many miles a day you walk around this hospital?

0:24:120:24:14

-About 12 mile, we average.

-12 miles?

0:24:140:24:17

On a five-day week, er, 60 miles a week.

0:24:170:24:21

400 a year plus the other two months, that's 2,088.

0:24:210:24:28

-LIFT:

-'Call in progress.'

0:24:320:24:34

Oh, call in progress, OK.

0:24:340:24:36

There are 43 porters at Burnley General

0:24:390:24:41

and, as I suspected,

0:24:410:24:43

they are as important here as they were at Bonhams.

0:24:430:24:46

But the cargo these guys have to shift

0:24:460:24:48

is a little bit different from what I'm used to.

0:24:480:24:51

-Limbs.

-Limbs?

-Yes, legs and arms and...

0:24:530:24:57

-They'll go in here?

-In one of these, yeah.

0:24:570:24:59

'It's been a long morning of fetching and carrying

0:24:590:25:03

'but I've worked hard enough to earn Andy and Steve's trust

0:25:030:25:06

'to collect a patient.'

0:25:060:25:08

LAUGHTER

0:25:080:25:10

-This is silly.

-Please don't run over the cameraman.

0:25:100:25:12

No, that's all right, this is seriously...

0:25:120:25:15

-I think it's just a knack, isn't it?

-It is.

0:25:150:25:17

-It's not as easy as it looks.

-No, it's not.

0:25:170:25:19

THEY LAUGH

0:25:210:25:23

I've told you, behave!

0:25:240:25:25

-OK.

-You all right with the chair, yeah?

0:25:250:25:28

Yeah, I'm getting more of the hang of it.

0:25:280:25:31

-There we go.

-Paul?

-Yeah, you all right?

0:25:310:25:34

I'm going to take you to ward six.

0:25:340:25:36

Paul, I need to ask you a question, are you fully insured?

0:25:360:25:39

-Yes, absolutely.

-Because you're going to need it with me.

0:25:390:25:41

-Fully comp.

-I'm a novice. I'm a novice on this one.

0:25:410:25:44

Well, I'm not going to get any prizes for guessing

0:25:440:25:47

what your problem has been.

0:25:470:25:50

-But do you want to elaborate?

-Yeah, I came in yesterday tea-time

0:25:500:25:58

with a really bad eye infection

0:25:580:26:01

and it was that bad that they wheeled me straight down

0:26:010:26:04

to the operating theatre and drained all the fluid off my eye.

0:26:040:26:07

Oh, my goodness.

0:26:070:26:09

-So, you've been in overnight, Paul, have you?

-I have, yeah.

0:26:090:26:12

I might be here tonight, as well.

0:26:120:26:14

Where are you going, Eric?

0:26:150:26:17

I can do it, I can do that, I can do that.

0:26:170:26:19

Turn round and go in backwards.

0:26:190:26:20

-Turn.

-OK, that's it.

-Don't worry, Paul.

0:26:200:26:23

We're all scared, don't worry. Here we go.

0:26:230:26:25

OK, yes.

0:26:250:26:27

Porters have been part of the NHS since its inception -

0:26:350:26:38

the unsung heroes who, over the years,

0:26:380:26:41

have struggled for fair recognition.

0:26:410:26:43

-REPORTER:

-'In a normal 40-hour week,

0:26:430:26:46

'Fred Wadsworth earns £21.56 gross.

0:26:460:26:48

'With overtime, he can earn £29.25.'

0:26:480:26:52

The satisfaction is that you're doing something for somebody.

0:26:520:26:55

At the same time, they appreciate it being done for them.

0:26:550:26:59

'It was hard work then, and this morning's taught me

0:26:590:27:02

'that it's hard work now.

0:27:020:27:04

'I'm wondering what Steve gets out of it today.'

0:27:040:27:06

-Do you enjoy your job?

-I do, I do, yeah, yeah, yeah.

0:27:080:27:10

I enjoy meeting the patients because they've got such funny stories.

0:27:100:27:13

Oh, especially the older ones,

0:27:130:27:16

because they tell you their age before you meet them.

0:27:160:27:19

-And you're a good listener?

-Oh, yes, definitely.

0:27:190:27:22

Yes, yes. Some of them are local and some of them are not, you see,

0:27:220:27:25

so you ask them where they come from and what they used to do

0:27:250:27:27

when they worked, when they used to work, or if they're retired.

0:27:270:27:30

And that's when they tell you their age.

0:27:300:27:32

They say, "I've been retired 30 years." "Never!"

0:27:320:27:35

But, yes, still enjoy it.

0:27:350:27:38

The downside is...bodies.

0:27:380:27:41

-Oh, right. The inanimate.

-Yes.

-The departed.

0:27:410:27:44

-Yes, the dear departed, yes.

-OK.

0:27:440:27:46

You're right, that must be hard.

0:27:480:27:49

-It's a bit of a tough call, isn't it?

-Well, it is, yeah, yeah.

0:27:490:27:52

But you've got to try and get over it, but I still remember them.

0:27:520:27:56

I have to admit, it's been something of a demanding day

0:27:580:28:01

insofar as I have walked quite a few miles

0:28:010:28:05

down never-ending corridors.

0:28:050:28:07

and it's slightly different to being a porter at Bonhams Auction House,

0:28:070:28:11

I'll tell you that.

0:28:110:28:13

But in another way, today I've been a very, very small cog

0:28:130:28:18

in an incredible machine and it's interesting to think

0:28:180:28:22

that I've made the tiniest of contributions

0:28:220:28:25

to an amazing organisation that is the NHS.

0:28:250:28:30

Coming from the North West means a lot to me

0:28:320:28:34

but it turns out I have a very specific NHS-related reason

0:28:340:28:38

to be proud of this area.

0:28:380:28:40

Just down the road in Manchester

0:28:400:28:42

is the first hospital where Health Minister Aneurin Bevan

0:28:420:28:46

officially launched the brand-new Health Service,

0:28:460:28:49

and that's where I'm off to now.

0:28:490:28:52

For many people, the launch of the NHS couldn't come soon enough.

0:28:530:28:57

The winter of 1947 was one of the coldest on record.

0:28:570:29:02

The UK was covered in snow and the Thames froze over,

0:29:020:29:06

and for people living in poor housing who couldn't afford heating,

0:29:060:29:09

infectious diseases were a real killer.

0:29:090:29:12

In this context, the NHS was seen as a bright new dawn.

0:29:120:29:16

-ADVERT:

-'It's all yours, whenever you want it,

0:29:160:29:19

'with your own choice of doctor.

0:29:190:29:21

'And that goes for the whole family.

0:29:210:29:24

'The scheme is comprehensive.

0:29:250:29:27

'It's not only to help you when you're ill

0:29:270:29:29

'but to help to keep you well.'

0:29:290:29:31

This is Trafford General today,

0:29:320:29:34

but back in 1948, it was the hospital

0:29:340:29:37

chosen for the PR launch of the NHS.

0:29:370:29:40

Bevan was treated like royalty

0:29:400:29:43

and was met here by a parade of NHS staff standing stiffly to attention.

0:29:430:29:48

I've downloaded some photos from the day

0:29:500:29:53

and, being a complete history nerd,

0:29:530:29:55

I'm determined to try and find the very spot

0:29:550:29:58

where it all started.

0:29:580:29:59

I have to say, though, it's proving to be harder than I thought.

0:30:020:30:05

These are the right buildings, it's just that

0:30:070:30:11

the photograph's taken from a slightly different perspective.

0:30:110:30:13

But does it matter?

0:30:130:30:15

No, not really, because I know that I'm within spitting distance

0:30:150:30:18

of where this photograph was taken

0:30:180:30:21

on such a historic occasion in 1948.

0:30:210:30:24

And you might think me a bit weird,

0:30:240:30:27

but that gives me something of a buzz.

0:30:270:30:29

Inside the hospital, there's more evidence

0:30:310:30:33

of this illustrious day,

0:30:330:30:35

including a photo of a 13-year-old girl

0:30:350:30:37

that became known as the first-ever patient of the NHS.

0:30:370:30:41

Come and look at this. This is Sylvia Beckingham,

0:30:410:30:45

the first NHS patient, and 13 years of age in 1948

0:30:450:30:51

and, what's more, she returns.

0:30:510:30:56

By then she had become, it says here, Sylvia Diggory,

0:30:560:30:59

and she unveils a plaque 40 years later.

0:30:590:31:02

What's more, she actually gave an interview

0:31:020:31:05

and I've got that interview here.

0:31:050:31:07

There's the girl, here's the interview.

0:31:070:31:10

He was charming, absolutely charming.

0:31:100:31:13

He had a very nice, lilting voice.

0:31:130:31:16

He spoke to me, you know, not as a child,

0:31:160:31:19

there was no speaking down.

0:31:190:31:21

He was pleasant to everyone, and he was absolutely euphoric.

0:31:210:31:27

He was a very happy man.

0:31:270:31:29

It's even more remarkable to think that that lady was actually present

0:31:290:31:35

in this hospital on that day.

0:31:350:31:37

It was a day history was made.

0:31:370:31:40

It all seems like quite a rosy picture,

0:31:410:31:44

but I've been around long enough

0:31:440:31:46

to know there's probably another side to this story.

0:31:460:31:49

So, to find out what really happened,

0:31:490:31:51

I'm meeting up with social historian Nick Hayes.

0:31:510:31:54

For me, it's quite exciting to be in the very hospital

0:31:560:32:01

in which the NHS was launched all those years ago.

0:32:010:32:04

Yeah, I can understand that.

0:32:040:32:06

It was a big day in some ways.

0:32:060:32:09

But, at the same time, it's actually quite a low-key launch.

0:32:090:32:12

-No brass bands? No dancing in the street?

-No, no brass bands.

0:32:120:32:16

Lots of photographs in the press afterwards,

0:32:160:32:18

but the coverage is not as extensive as you would think.

0:32:180:32:21

The truth is that the NHS had quite a painful birth.

0:32:220:32:26

For years, there had been plans and drafts and proposals,

0:32:260:32:29

but nothing had really been done about it.

0:32:290:32:32

It wasn't until the war that things changed.

0:32:320:32:35

We've been doing some hard thinking lately

0:32:350:32:38

and we haven't got to stop when this job's finished.

0:32:380:32:41

No more dirty, filthy backstreets

0:32:410:32:44

and no more half-starved kids with no room to play in.

0:32:440:32:48

We've got to pack all them up

0:32:480:32:50

and get moving out into the brightness of the sun.

0:32:500:32:53

And yet, while the people may have wanted it,

0:32:540:32:57

the doctors were quite another matter.

0:32:570:32:59

They weren't sure about the NHS at all.

0:32:590:33:01

They had been independent as a profession for, well, decades, centuries.

0:33:030:33:08

So, what they don't want is to be

0:33:080:33:10

turned into salaried employees of the state.

0:33:100:33:14

They want to retain their professional independence

0:33:140:33:17

in trying to decide the terms under which doctors

0:33:170:33:19

are going to be employed. It becomes bitter.

0:33:190:33:23

It becomes very public.

0:33:230:33:25

These discussions aren't played out in darkened rooms,

0:33:250:33:28

they're played out over the airwaves.

0:33:280:33:31

Britain's doctors, hospitals and health centres

0:33:340:33:37

come under state control

0:33:370:33:38

in the £152-million-a-year National Health Service Bill,

0:33:380:33:42

soon to come on the statute book.

0:33:420:33:44

Critics of a new charter for professional people and patients

0:33:440:33:47

centre on Harley Street, home of British medicine.

0:33:470:33:50

Your doctor must be your friend and servant.

0:33:500:33:54

Your freedom means our freedom.

0:33:540:33:57

Eventually, a compromise was reached

0:33:570:33:59

where the doctors maintained independence

0:33:590:34:02

in return for their cooperation.

0:34:020:34:04

The triumph for Bevan is that he actually gets

0:34:040:34:07

a nationalised health system but, of course, this is played out

0:34:070:34:11

in history in terms of mythologies.

0:34:110:34:14

Everybody likes heroes, and Bevan - particularly for the Labour Party -

0:34:140:34:18

becomes one of those heroes.

0:34:180:34:19

-BEVAN:

-'The Health Service started in an atmosphere of friction,

0:34:210:34:26

'of controversy, of doubt and of great hopes.

0:34:260:34:30

'There has gone on, in the past, a vast amount of silent suffering,

0:34:310:34:35

'a vast amount of remediable pain.

0:34:350:34:38

'And I believe, in Great Britain, we have made a great start.'

0:34:380:34:42

It's humbling to think that, just a few years later,

0:34:420:34:46

I would be one of the beneficiaries of the compromise that was reached.

0:34:460:34:50

But the passing decades have seen millions of people like me

0:34:500:34:54

right up to the present day.

0:34:540:34:55

I've come to the nearby Macmillan Wellbeing Centre

0:34:590:35:02

to meet Stella, her husband Michael, Celia and Murray

0:35:020:35:06

who each have been treated for cancer in the last few years.

0:35:060:35:09

I want to find out that little bit more about how things began,

0:35:110:35:14

how things progressed, and where we are today.

0:35:140:35:17

So, Celia, tell me, in your case, how did it all start?

0:35:170:35:23

I was diagnosed last July with breast cancer

0:35:230:35:27

after finding a lump that just kind of came out of the blue.

0:35:270:35:30

I was cross with myself because I thought,

0:35:300:35:32

"Should I have found this sooner?"

0:35:320:35:34

But then they just reassured me and said, "No, because, in essence,

0:35:340:35:39

"you found it in time and you did something about it."

0:35:390:35:45

It was early on this year, about March,

0:35:450:35:48

they sent me here for a scan to this hospital

0:35:480:35:51

and then it was like everything took off

0:35:510:35:54

because it was immediately diagnosed as blood cancer.

0:35:540:35:59

Lymphoma.

0:35:590:36:01

And it had gone so far, it would be incurable,

0:36:010:36:08

but was told straightaway it was eminently treatable,

0:36:080:36:11

so I had the horrible shock.

0:36:110:36:13

That's just the bad side.

0:36:130:36:15

The good side is the wonderful people I've met,

0:36:150:36:17

the other patients and the nurses and doctors.

0:36:170:36:21

And now, I feel better than I did before I got ill.

0:36:210:36:25

Me husband had been complaining of a sore throat.

0:36:250:36:29

What he hadn't told me was that he had been spitting out blood.

0:36:290:36:34

That's where your problems have been happening?

0:36:340:36:36

Yeah, yeah, throat cancer.

0:36:360:36:38

Which, traditionally, they were going to cut out

0:36:380:36:41

-and then they did it with six weeks of radiotherapy.

-Right.

0:36:410:36:45

The thing was, when he was diagnosed, here at the hospital,

0:36:450:36:49

the week after, I was told that I also had cancer.

0:36:490:36:54

I had bowel cancer and it took a little bit of getting used to

0:36:540:37:00

because it was just before Christmas, it was in December,

0:37:000:37:04

and we both said, "What a wonderful Christmas present(!)"

0:37:040:37:08

THEY CHUCKLE

0:37:080:37:10

Most of the group I have been talking to were treated

0:37:110:37:14

at the Christie in Manchester.

0:37:140:37:16

It's one of the largest cancer treatment centres in Europe

0:37:160:37:19

and has been at the forefront of care throughout the NHS's history.

0:37:190:37:23

This is from a film made in 1969.

0:37:230:37:26

-REPORTER:

-'There's no doubt that the reduction of other diseases

0:37:280:37:31

'in civilised society has highlighted cancer as a problem.

0:37:310:37:34

'And yet, apart from lung cancer amongst smokers,

0:37:340:37:38

'any individual's chance of surviving cancer

0:37:380:37:41

'at any particular age is better now than at any time in the past.'

0:37:410:37:45

Throughout its history, the NHS has made a big contribution

0:37:450:37:49

to the fight against cancer.

0:37:490:37:51

It was British doctors who proved the link between smoking

0:37:510:37:54

and lung cancer and, as treatments have been refined over the years,

0:37:540:37:58

the NHS has tried to keep up with advances,

0:37:580:38:01

although budgets are always an issue.

0:38:010:38:04

But in my experience, the treatment the Health Service gives

0:38:040:38:06

is only half the story.

0:38:060:38:08

It's the people that deliver it that count.

0:38:080:38:11

But, you know, the people who have been looking after you,

0:38:110:38:15

you know, we're talking NHS...

0:38:150:38:18

I mean, the NHS, for me,

0:38:180:38:20

is populated by countless superheroes.

0:38:200:38:24

I don't want to sound patronising, condescending.

0:38:240:38:28

No, the nurses at Christie's, they are specialists

0:38:280:38:31

and they're absolute angels, every one of them.

0:38:310:38:34

Right through from those on the reception desk,

0:38:340:38:39

doing the cleaning, right through to the consultant

0:38:390:38:43

was that caring aspect and even though they see so many people,

0:38:430:38:48

it feels as though you are that important one at that time

0:38:480:38:53

and you're special at that time.

0:38:530:38:55

The care has been beyond reproach. It's just...

0:38:550:39:00

I have to try and compare it with what the sort of care would be

0:39:000:39:04

if you were in a country where there wasn't national health.

0:39:040:39:07

With national health, you know they're not going to waste anything,

0:39:070:39:11

they're not going to make you think you need to have something done that doesn't,

0:39:110:39:15

so think of the utter faith you have and it works out.

0:39:150:39:20

So, it's obvious to me that all four of you,

0:39:200:39:23

you're well on this journey.

0:39:230:39:26

I just wanted to know,

0:39:260:39:28

what advice and encouragement are you able to offer?

0:39:280:39:31

No matter how bad your cancer is, or how, you know,

0:39:310:39:35

you just carry on with life, you've just got to carry on.

0:39:350:39:40

It's a gobsmacking, you-need-to-sit-down-type situation.

0:39:400:39:44

Cos you never think it will happen to you.

0:39:440:39:47

I think it's a very individual thing because everybody's cancer

0:39:470:39:50

is different and everybody's diagnosis is different

0:39:500:39:53

and depending on where you are on that journey

0:39:530:39:55

can make a big difference to you.

0:39:550:39:57

Cancer isn't like it was when I was a child.

0:39:570:40:01

You didn't hear of it very often, but when you did,

0:40:010:40:04

it was next to a death sentence.

0:40:040:40:07

Whereas now, I'm sure more people recover now.

0:40:070:40:11

Talking to that brave group of people has made me think back again

0:40:130:40:17

to my treatment all those years ago

0:40:170:40:19

and my stay in Marsden Hospital in Burnley.

0:40:190:40:22

It's been a fascinating few days finding out more about the NHS

0:40:220:40:26

then and now and revisiting that time.

0:40:260:40:29

This is the route I was taken on.

0:40:290:40:34

Before I finish this journey,

0:40:340:40:36

there is one person I would love to meet -

0:40:360:40:39

the paediatric doctor who looked after me,

0:40:390:40:41

Dr Winston Turner.

0:40:410:40:44

As a nine-year-old boy in the '60s, hospital was pretty lonely,

0:40:440:40:48

but he made a real difference.

0:40:480:40:51

It would be great to be able to say thank you.

0:40:510:40:54

'Unfortunately, he's no longer alive but, a few years ago,

0:40:540:40:58

'I did meet his daughter at an antique-glass event.'

0:40:580:41:01

-Hello, lovely to see you.

-Lovely to see you.

0:41:010:41:04

'So, to finish off my personal odyssey,

0:41:040:41:07

'I have arranged to call in for a quick coffee.'

0:41:070:41:10

The image of your father has never left my mind.

0:41:100:41:14

Unlike all the other doctors,

0:41:140:41:17

I don't remember him actually wearing a long white coat.

0:41:170:41:21

He hated white coats.

0:41:210:41:23

I mean, there is one photo there -

0:41:230:41:26

that is the only photo we've got of him in a white coat.

0:41:260:41:30

He knew children would be scared enough in hospital

0:41:300:41:34

and he didn't want to add to their stress.

0:41:340:41:37

I mean, everybody loved him.

0:41:370:41:39

Everybody knew him and it did make it difficult for me

0:41:400:41:44

when I was trying to go into pubs when I was underage

0:41:440:41:47

because people would know who I was

0:41:470:41:49

and word would get back to Mummy and Daddy

0:41:490:41:52

before I did.

0:41:520:41:53

THEY CHUCKLE

0:41:530:41:55

Which, you know, you didn't appreciate.

0:41:550:41:57

I think, sometimes, he saw his patients more

0:41:570:41:59

than he saw his children,

0:41:590:42:01

but he involved us in his work often.

0:42:010:42:04

I mean, at Christmas, we always used to go

0:42:040:42:08

round the hospitals in the morning.

0:42:080:42:12

We would open stockings here,

0:42:120:42:14

Mummy would put the turkey in the oven,

0:42:140:42:17

and then we would go out and take presents

0:42:170:42:21

to all the wards and he would make sure that every child

0:42:210:42:27

who was in hospital was all right over Christmas

0:42:270:42:30

because he didn't like them being in hospital.

0:42:300:42:33

If he could sort of let them home for Christmas, he would do.

0:42:330:42:37

So, what year did your father actually qualify?

0:42:370:42:39

He qualified in 1937.

0:42:390:42:42

That's a good few years before the National Health Service

0:42:420:42:47

was up and running.

0:42:470:42:48

I mean, how did he react,

0:42:480:42:50

somebody who was already in the system?

0:42:500:42:53

He was passionate about the NHS.

0:42:530:42:56

It had to be better - that people didn't have to count to see

0:42:560:42:59

if they've got enough money to see the doctor or to go to hospital.

0:42:590:43:04

I was thinking, I'd like to just give you a little bit of something,

0:43:040:43:10

which is a personal memento from me to you.

0:43:100:43:15

It's something which is very relevant

0:43:150:43:21

to my arrival in hospital.

0:43:210:43:24

I'll let you take it out of the bag.

0:43:240:43:27

Oh, thank you!

0:43:270:43:29

Oh, it's wonderful.

0:43:290:43:31

That is a very-near-looking model

0:43:310:43:34

of the very same ambulance that took me in

0:43:340:43:38

and, thankfully, brought me back from hospital.

0:43:380:43:42

And much of that, I know for a fact, is all down to the efforts

0:43:430:43:47

of your father and I will be forever grateful for everything that he did

0:43:470:43:53

for me and my parents.

0:43:530:43:56

Thank you so much.

0:43:560:43:58

Thank you so much for sharing a little bit more of your dad with me.

0:43:580:44:01

Well, thank you, it's been a pleasure to talk to you.

0:44:010:44:04

Well, the last few days have been both interesting and fascinating.

0:44:070:44:12

In my business, there's a lot to be said about knowing

0:44:120:44:15

the price of everything and the value of nothing.

0:44:150:44:18

But, as far as the NHS is concerned, one thing I have learned,

0:44:180:44:22

and that is, when it comes to value,

0:44:220:44:25

it really is a priceless organisation.

0:44:250:44:30

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