:00:13. > :00:14.Hello and welcome to Foxton Locks in Leicestershire.
:00:15. > :00:17.Here is what is coming up in the next half an hour.
:00:18. > :00:20.We are out with the sniffer dogs tracking down illegal
:00:21. > :00:24.I look at it as a game, they hide things, I have to go
:00:25. > :00:30.Why this teenager made a life-changing decision.
:00:31. > :00:34.As a trans person, this is not the body that I want, it's not mine,
:00:35. > :00:38.and I am making this big life decisions so I can live my life.
:00:39. > :00:42.And the community hospital facing closure.
:00:43. > :00:45.Are patients really better off at home?
:00:46. > :00:47.I would lie in front if a bulldozer comes.
:00:48. > :00:49.The stories that matter closer to home.
:00:50. > :01:05.I'm Lukwesa Burak and this is Inside Out in the East Midlands.
:01:06. > :01:09.First night, millions of pounds have been spent to get smokers to kick
:01:10. > :01:14.the habit but huge price hikes on a packet of cigarettes
:01:15. > :01:17.is fuelling a boom in the trade of illegal tobacco, usually sold
:01:18. > :01:30.We have been told that the East Midlands is a hotspot for this
:01:31. > :01:31.illicit activity so are criminals putting
:01:32. > :01:41.the final nail in the coffin for our legitimate corner shops?
:01:42. > :01:44.It is an illegal trade which is costing the UK economy
:01:45. > :01:53.Smuggled-in counterfeit tobacco being sold under the counter
:01:54. > :02:08.the West Midlands, the south coast, there are always links to Derby.
:02:09. > :02:11.It is a game of cat and mouse with sneaky shopkeepers finding
:02:12. > :02:13.crafty ways to hide their illegal tobacco and the authorities
:02:14. > :02:34.The problem is so widespread that the authorities are struggling
:02:35. > :02:37.to keep up and get the fakes off our streets and the corner
:02:38. > :02:43.shops playing by the book are being priced out.
:02:44. > :02:45.It is quite a high volume of illicit trade going through Derby
:02:46. > :02:48.so it is affecting us because sales are declining.
:02:49. > :02:50.The East Midlands is one of the worst regions in Britain
:02:51. > :02:53.when it comes to criminals selling illegal tobacco and this city
:02:54. > :03:06.But there is one man who the criminals can't fool.
:03:07. > :03:12.Meet Stuart Phillips and his sniffer dogs Scamp and Yo-yo.
:03:13. > :03:15.They are hired by Trading Standards across the country to raid suspected
:03:16. > :03:24.Nine times out of ten if you haven't got a search dog you won't find
:03:25. > :03:28.Disrupting the sale of illegal tobacco is one of Derby Trading
:03:29. > :03:34.Derby is one of the worst-hit areas for illicit tobacco and as such
:03:35. > :03:37.we will carry out an operation today to do with the illicit
:03:38. > :03:44.Before we started this sort of work you would find it out
:03:45. > :03:47.on the shelves there to purchase, so it is being hidden away,
:03:48. > :03:51.they have got more sophisticated in how they hide the product.
:03:52. > :03:54.Stuart and the dogs help us try and battle with it and we will carry
:03:55. > :04:00.on disrupting the trade as much as we can.
:04:01. > :04:02.Derby Trading Standards are targeting stores based
:04:03. > :04:09.on intelligence they have gathered and for one day we are following
:04:10. > :04:13.them and Stuart on the raids.
:04:14. > :04:16.We have put a camera on the sniffer dog Yo-yo to see what he finds.
:04:17. > :04:20.I look at it as a game and I play it up and down the country.
:04:21. > :04:26.They hide things and I have to go in with the dogs to find it.
:04:27. > :04:31.It is not long until Yo-yo picks up on a scent around this fridge
:04:32. > :04:35.and Stuart is convinced there is more than just
:04:36. > :04:39.As soon as he started circling I was pretty certain
:04:40. > :04:41.there was something concealed in the fridge.
:04:42. > :04:49.There is counterfeit Mayfair, counterfeit Richmond,
:04:50. > :04:51.and I would imagine some counterfeit Amber Leaf and Golden Virginia.
:04:52. > :04:57.It is a treat for Yo-yo, a caution for the shop worker,
:04:58. > :05:02.but the owner is nowhere to be found.
:05:03. > :05:09.Most of this illegal tobacco is smuggled from as far
:05:10. > :05:12.afield as Russia and China but what are buyers
:05:13. > :05:20.I decided it was time for me to buy some fake fags.
:05:21. > :05:24.After just visiting a few shops I've managed to get my hands on fake
:05:25. > :05:27.and counterfeit tobacco and smuggled tobacco.
:05:28. > :05:30.I'm taking my stash to a lab in South Derbyshire
:05:31. > :05:37.How does the genuine compare with the fake?
:05:38. > :05:44.The genuine was soft and smooth, where the counterfeit and the fakes
:05:45. > :05:52.Chemically the structure of the tobacco is very similar.
:05:53. > :05:59.In the past counterfeit tobacco has shown up to contain sawdust,
:06:00. > :06:01.even human excrement, but Paul has told me at the lab that
:06:02. > :06:05.what is in the genuine cigarettes is similar to what is in the fake
:06:06. > :06:08.so it is really hard to tell the difference.
:06:09. > :06:13.The illicit market thrives on selling product that smokers
:06:14. > :06:15.are addicted to at a price they can afford.
:06:16. > :06:18.4.5 million people alive and smoking today will be killed
:06:19. > :06:26.Putting the price up is a key way to encourage people to quit.
:06:27. > :06:28.It works everywhere but is completely undermined
:06:29. > :06:39.by the availability of illicit tobacco.
:06:40. > :06:45.Back on the raids and this time Stuart is using springer spaniel
:06:46. > :06:48.Scamp to track down more illegal tobacco and Scamp is already
:06:49. > :06:51.There is a whole host of ways these shops go
:06:52. > :06:56.Behind fridges, behind toilets, in ceilings.
:06:57. > :06:59.This particular shop, it was a very simple sliding
:07:00. > :07:03.Then all of a sudden the dog picked up on something
:07:04. > :07:06.and there was a utility box on the wall of the shop.
:07:07. > :07:11.This van is parked here for a reason.
:07:12. > :07:14.He just sat and started to bark, that was his indication to me
:07:15. > :07:16.that there was something in that utility box.
:07:17. > :07:24.With police permission, Stuart is allowed to break
:07:25. > :07:28.open the utility box and his hunch proved spot-on.
:07:29. > :07:32.We found all of these counterfeit cigarettes and tobacco in this
:07:33. > :07:36.concealment which was hidden away by this van.
:07:37. > :07:38.Stuart's theory is that many of these stores are set up
:07:39. > :07:41.with the sole purpose of selling illegal tobacco.
:07:42. > :07:46.On the shelves there will be six bottles of tomato ketchup
:07:47. > :07:58.A lot of them are just fronts for selling illegal tobacco.
:07:59. > :08:01.In the last two years four million cigarettes have been seized
:08:02. > :08:10.That is a loss of about ?1.5 million in tax revenue.
:08:11. > :08:19.We have 60-odd premises that we know or have known to sell illicit
:08:20. > :08:21.to sell illicit tobacco, and that is from retail
:08:22. > :08:26.we are not a big city in Derby, that is quite a lot of premises.
:08:27. > :08:29.But it isn't just about taxpayers losing money.
:08:30. > :08:31.For legitimate shopkeepers like Dee Sedani the illicit trade
:08:32. > :08:35.No words can express how I feel about these guys.
:08:36. > :08:40.They are ruining a profession, we are a profession,
:08:41. > :08:45.We are a convenience store, though we still rely on tobacco.
:08:46. > :08:57.You are putting jobs at risk, local community at risk,
:08:58. > :09:00.funding for government, NHS, so there is a lot to go
:09:01. > :09:03.Shopkeeper Dee has every right to be worried.
:09:04. > :09:06.It is estimated corner shops in the East Midlands have lost
:09:07. > :09:13.But Trading Standards often struggle to track down and prosecute shop
:09:14. > :09:15.owners so how is Her Majesty's Revenues and Customs
:09:16. > :09:21.Massive amounts of this illegal tobacco is getting into our country,
:09:22. > :09:40.Tobacco is getting in but you also have to bear in mind that we do see
:09:41. > :09:44.Tobacco is getting in but you also have to bear in mind that we do
:09:45. > :09:47.seize a massive amount of product before it gets to the streets.
:09:48. > :09:51.They should do because they are open to a number of sanctions,
:09:52. > :09:53.whether that be criminal prosecution, having goods
:09:54. > :09:57.But if they are not given a sentence how will this trade ever stop?
:09:58. > :10:01.We will continue to have an impact and we are having an impact
:10:02. > :10:04.and we see that in the market share of the illicit product.
:10:05. > :10:08.Remember when Yo-yo found those fake cigarettes on top of the fridge.
:10:09. > :10:12.When we went back to the store, three weeks on, guess what, I just
:10:13. > :10:18.We told Derby Trading Standards what we found and they have
:10:19. > :10:30.As most of us will remember, being a teenager can be an emotional
:10:31. > :10:33.roller-coaster at the best of times but for some it becomes
:10:34. > :10:41.Ciera Taylor believes she was born in the wrong body.
:10:42. > :10:46.For almost a year she has been living as a girl and at 16 she has
:10:47. > :10:49.made a film of her life as a teen and transgender.
:10:50. > :11:04.They've got New Look and Topshop and River Island, H over there.
:11:05. > :11:10.It's hard, I have to almost transition each morning
:11:11. > :11:22.to try to create a face that is presentable enough for me
:11:23. > :11:38.Only because of the effect that puberty has had on this face that's
:11:39. > :11:51.made a face that I can't really relate with any more.
:11:52. > :11:54.It's an eye-opener for somebody who is not trans because I guess
:11:55. > :11:55.you don't really think about your gender identity
:11:56. > :12:01.but for me personally as a trans person this is not the body that
:12:02. > :12:04.I want, it's not mine, and I am making this very, you know,
:12:05. > :12:22.As a young child I was very small, I was quite feminine-looking,
:12:23. > :12:28.so I think I felt a lot more comfortable back then,
:12:29. > :12:38.but when I look back at old pictures of me I kind of see someone
:12:39. > :12:40.that is not happy, probably smiling in
:12:41. > :12:47.because that person doesn't feel fulfilled in who they are.
:12:48. > :12:51.But I have come to realise now that I am female and being a boy is not
:12:52. > :12:57.who I am any more and I accept it was my childhood
:12:58. > :13:01.and I acknowledge and accept my past but from now on I just feel
:13:02. > :13:05.as though I need to start living as my true female self.
:13:06. > :13:08.The hardest part of my transition was telling my mum and add.
:13:09. > :13:11.That is the hardest part for any child.
:13:12. > :13:14.I'm not a grown adult that can do this by myself,
:13:15. > :13:22.I felt really guilty for them that they are going to have to hear
:13:23. > :13:25.this from me and hear that your child has been
:13:26. > :13:38.And I was grieving for my little boy.
:13:39. > :13:41.And as a mum you know that your child is going to take a certain
:13:42. > :13:44.path and you have their future mapped in your mind
:13:45. > :13:46.and now all of a sudden it has taken a completely
:13:47. > :14:01.And I knew that it was going to be a really, really hard journey.
:14:02. > :14:05.I just told them that everyone has things about themselves
:14:06. > :14:11.that they don't feel right and they don't feel comfortable
:14:12. > :14:14.and mine was a pretty serious one, that I had been
:14:15. > :14:19.I think I bottled up quite a lot of emotion.
:14:20. > :14:22.And it only came bursting out when she transitioned,
:14:23. > :14:27.the day she transitioned, which was March the 19th.
:14:28. > :14:44.you should have been born a girl, you are a girl.
:14:45. > :14:47.And actually, from that day onwards, a huge weight lifted off my
:14:48. > :15:03.I went into school on the 21st of March.
:15:04. > :15:09.People had known about a month before in my school,
:15:10. > :15:12.staff and pupils, probably from Facebook, that I was going
:15:13. > :15:27.We decided to have the assembly because obviously we have got Ciera
:15:28. > :15:29.with us and it was new for all of us.
:15:30. > :15:32.I had worked with Keira ever since she was seven.
:15:33. > :15:34.A lot of transgender people, children's and adults, teenagers,
:15:35. > :15:39.They are not just bullied by their peers but also some people
:15:40. > :15:44.reported to Stonewall, the national LGBT charity,
:15:45. > :15:50.I know a lot of them have said, we don't know what to say to Ciera
:15:51. > :15:54.because we might upset her or say the wrong thing or it is awkward
:15:55. > :15:56.or we feel silly, but now they know the actual facts
:15:57. > :15:59.and it is an emotional thing that she needs to go through,
:16:00. > :16:01.they can help with that and support her.
:16:02. > :16:05.Not one person has come forward and said they have an issue with it,
:16:06. > :16:08.which is really good for the school and for Ciera.
:16:09. > :16:10.They look at me and they are like, 'ey-up, mate.
:16:11. > :16:13.And I hand them my licence and they see Miss in
:16:14. > :16:23.the name and they are, like, oh, sorry, love.
:16:24. > :16:30.I was not aware that there was anyone else like me and at the time
:16:31. > :16:32.that was what made me feel so different and feel
:16:33. > :16:36.As soon as I went to that centre and the first meeting,
:16:37. > :16:39.people were saying things that kind of clicked with me.
:16:40. > :16:41.I am thinking, oh, my God, there is somebody there like me.
:16:42. > :16:45.I want to live a normal life and not be labelled as a trans person.
:16:46. > :16:48.The youngest person I have supported is seven years
:16:49. > :16:53.old and the oldest is 18, although I have been contacted
:16:54. > :16:55.by organisations that are supporting three and four-year-olds out
:16:56. > :16:58.in the county and they have wanted advice as well.
:16:59. > :17:01.It is just like the whole written thing, like getting a passport,
:17:02. > :17:05.They know that when they come here they will be accepted
:17:06. > :17:13.for who they are, they will be given a space to express themselves,
:17:14. > :17:16.and when they go out into the big wide world all of them
:17:17. > :17:19.face discrimination all of the time so it is really
:17:20. > :17:24.I couldn't have done this without them and the people that
:17:25. > :17:25.are there and the acceptance and understanding there,
:17:26. > :17:35.Tonight I am meeting Paris Lees, who is an LGBT campaigner,
:17:36. > :17:37.a trans woman herself, and I am really excited
:17:38. > :17:41.to meet her tonight because she has been a role model to me
:17:42. > :17:49.I grew up in Hucknall, just down the road from here,
:17:50. > :17:52.and it was tough, and I often felt unsafe just to come
:17:53. > :18:02.People would call me a poofter and shout abuse in the streets.
:18:03. > :18:04.Kids who are not supported are much more likely
:18:05. > :18:05.to come into difficulties, whether homelessness,
:18:06. > :18:15.As a society we should be shamed when we know that 48% of young trans
:18:16. > :18:21.We have to support kids, it is really vital and it
:18:22. > :18:48.People will be thinking, how can I know this is right to me? If I was
:18:49. > :18:51.happy being a boy I would have been a boy. I know I will need surgery
:18:52. > :18:58.later for my personal well-being. All the things she has done since
:18:59. > :19:02.transitioning in March, it is almost overwhelming. We are so lucky
:19:03. > :19:13.because now we have our daughter and she is beautiful and she will be
:19:14. > :19:17.happy. I just hope that children like me,
:19:18. > :19:21.when they get to that age and they know that something is not right,
:19:22. > :19:27.that they can have a quicker and more easy way of figuring out what
:19:28. > :19:42.they need to do to feel like themselves.
:19:43. > :19:48.Finally tonight, when health care bosses in double shirt announced
:19:49. > :19:52.proposals for the closure of Bakewell Poles Community Hospital
:19:53. > :20:02.they knew they would not be popular but running a hospital is expensive
:20:03. > :20:07.and it is not only cheaper but better for elderly patients to be
:20:08. > :20:10.cared for at high. Our cameras have been following doctors at the nearby
:20:11. > :20:16.GP practice where they specialise in doing just that so what do they make
:20:17. > :20:27.of the proposals and as the UK population ages is this the future
:20:28. > :20:31.of the our NHS? -- for our. The NHS wants to shut two community
:20:32. > :20:37.hospitals in Derbyshire. This hospital in Bakewell was built
:20:38. > :20:42.to ring the rain of Queen Victoria. Now health bosses say it doesn't fit
:20:43. > :20:46.in the NHS of the 21st-century. People are shocked to I have spoken
:20:47. > :20:51.to today, they didn't see this coming.
:20:52. > :20:58.Nearby at this health Centre the news has got everybody talking. It
:20:59. > :21:06.is a real shame because people rely on it. I think the elderly
:21:07. > :21:10.especially will be quite devastated. But some people think the idea of
:21:11. > :21:15.moving care out of hospital and into homes is a good one. I think it
:21:16. > :21:21.sounds marvellous if they will come to the house. I couldn't be more in
:21:22. > :21:28.favour. People are so passionate about the centre because it has been
:21:29. > :21:32.around for 150 years. Just about anybody you speak to will have had
:21:33. > :21:37.some bodywork here or have been admitted here. We have pressure on
:21:38. > :21:41.the finances and it is essential for us to do something differently to
:21:42. > :21:45.meet the needs of future generations.
:21:46. > :21:56.at home? Today Doctor Jordan has at home? Today Doctor Jordan has
:21:57. > :22:02.been called to visit Jill James, an elderly patient with dementia who is
:22:03. > :22:07.at risk of going into hospital. We are going to see a lady who is
:22:08. > :22:15.new to the practice so I have not met her, she is 79 and she has a
:22:16. > :22:21.Hello, I am Doctor Jordan. I Hello, I am Doctor Jordan. I
:22:22. > :22:26.gathered from your daughter you are not very well. Not feeling very
:22:27. > :22:38.well? Have you had anything to eat or drink today? No.
:22:39. > :22:42.She is very breathless, her temperature is high and she has a
:22:43. > :22:47.chest infection. She needs antibiotics. We have a couple of
:22:48. > :22:54.choices that they are not easy. We are going to get you sorted out.
:22:55. > :23:00.I was quite shocked by how unwell Jill was, I quickly tried to access,
:23:01. > :23:04.is this appropriate for going into hospital or is this something we can
:23:05. > :23:08.try to manage at home, which was clearly the wishes of the whole
:23:09. > :23:13.family. Hello, it is Doctor Jordan, I wonder
:23:14. > :23:17.if you can help me with some IV fluids and antibiotics to keep a
:23:18. > :23:23.lady at home. We have the on-call microbiologist
:23:24. > :23:28.at Chester Hospital. To move Jill into hospital bed would
:23:29. > :23:35.cause hundreds of pounds a night, putting a jigsaw of care in place is
:23:36. > :23:40.cheaper but can be complicated. You are the conductor of a large
:23:41. > :23:47.orchestra, trying to get services in very quickly.
:23:48. > :23:52.Hello, Kate speaking. It is Doctor Jordan, I was wondering if you could
:23:53. > :23:57.help me support a lady to stay at home who is quite unwell.
:23:58. > :24:02.Five phone calls later, carers and antibiotics are coming. Doctor
:24:03. > :24:08.Jordan is sure that keeping Jill out-of-hospital is best for her.
:24:09. > :24:16.Thank you so much. Phone me back if anything changes. Goodbye.
:24:17. > :24:25.It would have taken one phone call to return to hospital and in our
:24:26. > :24:32.time poor jobs that is so easy to do but the extra effort, maintained
:24:33. > :24:41.effort, but it is the right thing to do for that person and that family.
:24:42. > :24:51.patients in the Derbyshire Dales patients in the Derbyshire Dales
:24:52. > :24:55.since 1841. -- cared for. Elderly patients come here to get back on
:24:56. > :24:59.their feet with the help of specialist teams. The clinical
:25:00. > :25:02.commissioning group once those teams to visit people at home instead and
:25:03. > :25:12.they are asking the public what they think. But it is not just about
:25:13. > :25:16.specialists. Doctors are worried. If a hospital closes, who will feed and
:25:17. > :25:22.wash vulnerable patients when they are in their own homes? We haven't
:25:23. > :25:27.got enough carers and specifically not enough here in the Dales. Social
:25:28. > :25:31.services are being massively cut, won't be able to step up to put up
:25:32. > :25:36.the extra care to support these people at home.
:25:37. > :25:41.83-year-old Peter Warren hasn't been eating properly and is here after a
:25:42. > :25:49.fall. When he was weighed when he was admitted he was 40 kilo grams.
:25:50. > :25:55.New Homes has allowed him to rebuild his strength, the right diet and
:25:56. > :26:00.nurses to mother him, nearly. It is wonderful, the food is marvellous.
:26:01. > :26:09.There are number of people here who need care, the number is very large.
:26:10. > :26:14.And where else are they going to go. A Community Hospital is very
:26:15. > :26:24.important, particularly with such an ageing population.
:26:25. > :26:31.It is more than a month since Doctor Jordan put in the care package the
:26:32. > :26:37.Jill James. For weeks the family has been visited daily by nurses, care
:26:38. > :26:44.is good news. It is America what has is good news. It is America what has
:26:45. > :26:51.happened to mum. She is almost back to her normal self and she will be
:26:52. > :26:58.before. -- it is a miracle. Those before. -- it is a miracle. Those
:26:59. > :27:06.flowers are nice, when did they go up? It is a good quality of life she
:27:07. > :27:12.has gone back to. I haven't had a cough at all or a temperature so I
:27:13. > :27:15.guess I am OK. The best sort of local response is
:27:16. > :27:21.to support people in their own height. I would lie in front of a
:27:22. > :27:27.bulldozer comes. In Bakewell after a series of public meetings the
:27:28. > :27:30.consultation process has closed. All of the feedback we collect from the
:27:31. > :27:38.analysed. An announcement is analysed. An announcement is
:27:39. > :27:44.expected in a few weeks. Down the road in Matlock some health staff
:27:45. > :27:50.have already moved from New-home, said they are in the same building
:27:51. > :27:54.as social services. There is a lot of competition between social work
:27:55. > :27:59.and health care so hopefully being based on the same site will reduce
:28:00. > :28:03.some of that repetition. For doctors dealing with more and more elderly
:28:04. > :28:09.patients it is part of a much bigger picture. It is clear that for a
:28:10. > :28:12.sustainable future for an increasingly elderly population
:28:13. > :28:16.there has to be a much bigger acknowledgement of the need to
:28:17. > :28:26.probably fund and resource and integrate health and social care.
:28:27. > :28:31.We will continue to follow doctors and patients in the Peak Park. We
:28:32. > :28:34.will be bringing you special programmes, keep an eye out for
:28:35. > :28:40.those in the spring. That is it for this week, I hope you can join us
:28:41. > :28:47.next Monday. Here is what is coming up on the programme then.
:28:48. > :28:53.What really happened inside Aston Hall mental hospital? One-woman's
:28:54. > :28:58.campaign to know the truth. Everything has come together like a
:28:59. > :28:59.jigsaw, everything I have been saying is true. This proves people's
:29:00. > :29:05.horror stories. Hello, I'm Riz Lateef
:29:06. > :29:12.with your 90-second update. Protests in Downing Street tonight
:29:13. > :29:14.against Donald Trump's travel ban More than 1.4 million have now
:29:15. > :29:18.signed a petition calling for his state visit to Britain
:29:19. > :29:20.to be cancelled. There have also been
:29:21. > :29:22.protests in the States. President Trump insisted little more
:29:23. > :29:24.than a 100 travellers were affected over the weekend and blamed
:29:25. > :29:26.protestors for the A mosque in Canada has been
:29:27. > :29:31.subjected to a terrorist attack. Six worshippers were killed,
:29:32. > :29:34.five critically injured, Guilty - banker Lynden Scourfield
:29:35. > :29:41.was bribed by David Mills to provide Money was lavished on holidays,
:29:42. > :29:46.prostitutes and cars. The corruption cost Halifax Bank
:29:47. > :29:50.of Scotland hundreds of millions. Jennie Platt didn't
:29:51. > :29:54.like spikes put down to deter