29/10/2012 Inside Out East Midlands


29/10/2012

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Tonight, celebrating Sillitoe. We are at Nottingham Contemporary on

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the trail of one of the city's most famous writers. Also coming up:

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Paying the price for a medicine mix-up. He thought it was his

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medication and within a couple of days it had killed him.

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Plus the sickening attacks on the best of man's best friends. People

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have to be responsible. If their dog air attacks and assistance dog,

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they are taking a way that person's freedom. And the voice of the

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people. Sillitoe's story is on. hope we have taken a book and have

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been able to show lots of different ways you can imagine that book. It

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is really important people realise richer -- literature can be a way

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When researchers here in Nottingham started looking into prescriptions

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written by family doctors, they found that one in 20 contained an

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error. While most turned out to be minor, occasionally those errors

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can be life-threatening. We explore the human consequences of medicine

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Modern medicines save lives and we trust our GPs and pharmacists to

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get it right, but picking up your prescription can be a gamble.

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It was terrible. I really felt ale when I realised that the chemist

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had made a blunder. He took it thinking he was his medication and

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after a couple of days, it had killed him. It in England, we get

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through 2.5 million prescriptions a day, more than 900 million a year.

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That is billions and billions of pills. But you only have to browse

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your local papers to seek the scores of stories about minor mix-

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ups. There are some much more serious cases. For two years,

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Harold Moody's family from Lincolnshire have been fighting for

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answers. Now for the first time since his father's death, Philip

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has agreed to talk on camera. He wants to highlight the problem of

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medicine mix-ups in our hospitals. He went into ANA -- Accident and

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Emergency, was kept overnight and came home with somebody else's

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medication, two bottles of methadone. He took that over the

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weekend, thinking it was his medication, and that was it. Have

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you any idea how that methadone got mixed up with your father's

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medication. It had come from the hospital and had originally been

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prescribed for the person in the next threat to him. How my father

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has actually finished up with it, nobody is really clear. You just

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could not make it up. It sounds so far-fetched. In hospital where they

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are supposed to be trained professionals. It is tragic. You do

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not always check your medication. You expect, or I thought, as they

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had sent him home from hospital, the nurses had given the ambulance

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people his back and everything, so I've would have thought that at the

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age of 81 they would do it for him. So it is a tragic situation how it

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has turned out. It is still unclear how the mephedrone became mixed in

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with Harold's medication but the coroner reported the hospital

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should have stored the drugs securely, as was their policy. So

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the family fights for answers. Medicine mix-ups of this magnitude

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are thankfully rare but how common are minor errors? We put this

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question to the NHS. It is almost impossible to measure every mix-up

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in medicine, so we focused on prescribing. Our findings BA

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identified more than 1,200 incidents across England in 2011,

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more than half in hospitals. More than a third happened in the

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community pharmacies. The rest were in places like GP surgeries and

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community nursing. Most were minor errors. 63 caused some kind of harm

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and in the East Midlands, there were 89 incidents, two cause harm.

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Dr Tony Avery from Chillwell in Nottingham has carried out his own

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research for the General Medical Council. It suggests GPs are making

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too many mistakes when prescribing drugs to patients.

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Your research was about prescribing errors in GP surgeries and it found

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one in 20 there are problems with. That seems quite high. It is. I

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would like to reassure viewers that the vast majority of prescriptions

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are done safely and effectively. It is probably no different to what

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you would find in other parts of the world or even in a hospital.

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from all your research, how can things get better? There are

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several ways in which we think things can be improved. They can be

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improvements to our GP commuter system which are already very good

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but we can make them better. -- computer systems. To make sure that

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we do get alerts for the more serious things. Also there is GP

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training. Some of the young doctors in our study pointed out that they

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felt that while they have very good training overall, they felt they

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could have done with more attention to prescribing and prescribing

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safely, particularly prescribing for a patient with complex health

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needs or multiple medications. It is important for all of us to work

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together to try to reduce the risk of errors and get the number down

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substantially over time. While Tony's research is a concern,

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according to the NHS data we obtained, mistakes from your GP are

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small compared to mix-ups at community chemists. I am meeting

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Rita Parsons from Mansfield, whose supermarket pharmacy accidentally

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swapped the labels on her and her husband's medication, one for a

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heart condition, the other for advanced stages of cancer.

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Why defected did have on your husband? -- what effect did it have

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on your husband? He could hardly move because he had only got a few

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months left to live, and I do not think he knew what to do anyway.

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he was dying with cancer and you work, effectively, taking his

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medicine? Yes. It is shocking. What happened when he confronted the

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pharmacy? When I came out of hospital after ten days, she said

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it was not the same pharmacist, she said, these should not have hurt

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you. They are only iron tablets anyway. I said I want to speak to

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the manager because it should not have happened. Anyway, the manager

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promised an investigation. Did you get an apology? From him, yes. He

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said he would get in touch with head office and they sent me a

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bunch of flowers. But it was her attitude. She could not care less.

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These should not have hurt you. But they did. A simple error which may

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reach's final few months with her husband even harder. I am meeting

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Sibby Buckle. As well as a Nottingham pharmacist, she is on

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the board of the Royal Pharmaceutical Society. I want to

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know how patients can feel reassured? What sanctions can take

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place against a pharmacy who gets it wrong? There is the ultimate

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sanction. They can be struck off. You read about doctors being struck

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off be -- by the GMC. Somebody might not be allowed Sue practice

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for a period of time. We have to learn and we have to say, where can

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we make improvements? One is the transfer of care from hospital back

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into the community, back into your home, and secondly, shared care

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records. At the moment there are records in the GP's surgery and in

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the pharmacy that we do not share that information. Sharing patience'

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medical records is something we have to look at going forward

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because we will really start to move into that area you are talking

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about, which is we do not want errors to take place. Dennis Aucote

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was from South Derbyshire. His doctor mixed up as his surname with

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another patient and his pharmacist then failed to properly identify

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him, so he took her in the wrong tablets. Dennis died after an

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allergic reaction. Thankfully, areas like this are rare but the

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advice is pay close attention to the tablets in your hand and double

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check their of the one you have been prescribed. That way, you will

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reduce the odds of a medicine mix- Sound advice. Still to come, the

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small screen that is helping bring Sillitoe city closer to hand.

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Across the UK, there are more than 4,500 working guide dogs and for

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their own as they are absolute lifeline. But attacks against them

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are on the increase. Eight a month are set upon by other dogs. We sent

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Phil Upton to find out why and just to warn you, some of the images in

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his cell are disturbing. Richard Wise and his guide dog

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Scrumpy were paying a routine visit to their local post office. It is a

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journey they had made many times. They were not prepared for what was

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about to happen. There to that dog... It just locked on to Scrumpy

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under his neck and it seemed an eternity. It seemed he was locked

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on for an eternity. The stress that it was causing was considerable and

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Scrumpy was under a lot of stress as well. I could not see properly

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to see what was going on but I knew the other dog had locked on. These

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attacks are taking place all over the country. Here, captured on CCTV,

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a pit bull has sunk his teeth into a Labrador guide dog called any

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left. With a frenzy of kicks and punches, the pit bull owner

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eventually prizes his dog our way. -- away. Peter was on holiday with

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his dog Leo when a pit bull launched itself out of an open car

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window. Within seconds, Leo was pinned to the ground. When the dog

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was being attacked, you have a whole lot of things going through

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your mind. The main one is the fact that you think you have lost your

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doc. He is screaming as if there is no tomorrow and you are trying your

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best to get the dog off, to calm the dog, and you're in tears. To

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lose a guide dark, you have lost your mobility, your freedom, your

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independence. Your family lose some of that as well because you then

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have to stop relying on other people to take you places where the

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It may sound incredible, but the Guide Dogs for the Blind

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Association say the attacks on guide dogs have increased.

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can... Owners be so irresponsible? There of physical and psychological

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scars. Also, whilst the dog is not working, their owners become

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prisoners in their own homes. costs �50,000 to train a dog like

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this, but all of that investment can be lost after one attack. This

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is what happened to Lottie. She was attacked and became aggressive.

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was in her prime and now she has had to retire. The funds have been

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difficult to come by to train bees dogs. Both the animals and their

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owners live in constant fear of another attack. I live permanently

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with the fear of being attacked. The knock-on effect is it does

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affect my mobility. Richard has recently suffered a second attack,

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knocking him and Scrumpy to the ground. As you can see, he has stop

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working because he has seen a dog. In this situation, I normally ask

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the person holding the dock if it is on the lead. If it is restrained,

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up I will working through slowly which allows him to get his

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confidence back. That has only happened since the attack? Yes.

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When he is it on a harness and sees another at dog, he sees it as a

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threat and he thinks he is going to be attacked. It is almost

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impossible to imagine what Richard is going through, so the Guide Dogs

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for the Blind Association put me on a blind Aldwark, assisted by a

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labrador called Khyber. That was a very strange experience. -- called

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Iver. I thought I was going to walk into people. Added to that, a

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couple of other dogs and it becomes complicated. It's difficult because

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the guide dog doesn't know whether or not other dogs will attack.

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Jemma Brown's... Has been attacked six times. He was treated here

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after the worst of those attacks. If the wind was deeper, it could

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have injured be eyeball itself and there would have been tragic for

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Gus. It is thought that what makes dogs like Gus good at their jobs is

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making them vulnerable to attack because they are passive. He has

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been attacked on a number of occasions and his body language

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projects he is not confident around other box macro and perhaps that is

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why they keep attacking him. Guide Dogs for the Blind

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Association are causing for an urgent change in the law to stop

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these attacks which they say are creating a climate of fear.

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would like to see changes in the law to see attacks on assistance

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box macro treated as a serious crime. -- Assistance dogs. Attacks

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on guide dogs mostly for outside the law because it is a dog on dog

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attack and not on the person. However, this man at seen kicking

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his dog and was sentenced. However, this is only because his pitbull

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was a breed that had been banned. We will use the legislation we have

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and any further legislation to bring these people to pass and to

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make sure for Honourable people have their trust in the police

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restored. Guide Dogs for the Blind Association are hoping that new

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laws will be pushed through, so does Peter. He is my eyes and my

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peers. You do not have the ban dog, you have a bad owner. People need

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to realise that if their dog attacks and assistance stock, they

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are taking a way that person's independence. -- Assistance dog.

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Finally, Alan Sillitoe's Saturday Night, Sunday Morning was about

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working-class people in our region. Now the book is part of a massive

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website project and from today, you can follow in Sillitoe's footsteps

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with an app that is being launched today. Alan Sillitoe wrote himself

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into a list of literature grades. The places and people he knew

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featured strongly in his work. He put Nottingham and Raleigh bikes in

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-- on the man. Now there is a phone app and anyone can do his tour of

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Nottingham. We have taken themes, locations, we have looked at 1958

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when it was published. There are lots of different layers to have

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that particular novel. For the last six months the Arts Council and the

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BBC have funded a project called the Space where Saturday Night,

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Sunday Morning is explore to see how relevant it is today. It is the

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only legitimate venture on the site outside London. Sillitoe is still

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causing a stir outside the capital. I discovered Saturday Night, Sunday

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Morning and I could not believe it. It completely changed my perception

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of what authority and rebellion meant and what I could do with my

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life. I picked up the book in the library. It was a collection of

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short stories. I read one of them and it opened with local dialect

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and profanity. To a 13-year-old boy, there was something else. It also

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validated what was going on around me in my own village in

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Nottinghamshire. No. 1 in the locations is Old Market Square,

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Slab Square. It is the centre of Nottingham and the history of

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rebellion there is incredible. Sillitoe was for the underdog and

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the downtrodden. The Occupy movement leave just as we started

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the project. We looked at whether or not Alan Sillitoe as a writer

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had broken through. Raleigh is so significant to Alan Sillitoe's

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history, and Nottingham's that it was bound to feature. I have had

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testimonies from actual workers at Raleigh. It is important because we

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wanted to see whether Sillitoe did capture what it was like to be a

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Raleigh worker. I know he worked there and so did many members of

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his family. The people we interviewed had worked there for 40,

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50 years and it was important that we listen to them. Here are some of

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those retired Raleigh workers. Bingo and chat, all with their own

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tails to complement the one Sillitoe's told. As part of the

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Space project, Pete Davies is here to tell his story. On Christmas Day

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I got a gold collards Raleigh. It was the most beautiful thing I had

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ever seen. I found out years later that my dad had got it one piece at

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the time. I have to say, I rode around for years on stolen goods!

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The project is about the present and the future as well. Here, art

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students at New College Nottingham are tasked with coming up for a

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design for the mobile phone app. was going along with the theme of

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Alan Sillitoe's famous saying. didn't know that much, to be fair.

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I had heard of him, but I did know of the novel as such. I did know of

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the film though. The point of the project is to raise awareness and I

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have enjoyed watching the film. Sadly I haven't read the book, but

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it is on my eight to do list. app allows you to visit the

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locations. You can also read the text and look at the pictures.

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students or pick up the theme of drinking and the importance of pubs

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as community places in Sillitoe's literature. There was an urban

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legend behind the Lions in that they crowd whenever a virgin or

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walk past. We have tried to make them look alive. There is a pint of

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beer inside its stomach to represent the night life around

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market square. Drinking is a theme on the Space website through allah

:25:52.:26:02.
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macro. -- through Al Needham. think Arthur's Seat and was -- I

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think the main character was fantastic. If he went into a pub

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now, he would be horrified to. Solitude is something Alan Sillitoe

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used a fine weather going for a bike ride or fishing. Today, it is

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something very hard to find. wanted to betray the sense that his

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solitude possible in the digital age? Is it possible to detach

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yourself from the world today when we have so many different things.

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There is a poem about YouTube youth. They have forgotten how to speak,

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Tyne-Tees conversations, he is a proper little geek. -- types his

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conversations. There is a lot of content to read and that is the

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message that they want to pass on - it is important to read as well as

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embracing all the new ways of doing that. Weeding is important.

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Sillitoe's father was illiterate. Literature is a great way of

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escaping. A freak way of escaping. They are also raising money for a

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Sillitoe memorial in the centre of Nottingham. Something else for

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people to come and see. We want to generate tourism in Nottingham.

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There is more to life than London. And here is a special book to mark

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the completion of Sillitoe's Nottingham Then And Now. You can

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also find the places he wrote about with the new app. That's it for now.

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Goodbye. Next week, the incredible story of Claire Lomas, whose

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