30/01/2017 Inside Out East Midlands

Hello and welcome to Foxton Locks in Leicestershire.

Here is what is coming up in the next half an hour.

We are out with the sniffer dogs tracking down illegal

I look at it as a game, they hide things, I have to go

Why this teenager made a life-changing decision.

As a trans person, this is not the body that I want, it's not mine,

and I am making this big life decisions so I can live my life.

And the community hospital facing closure.

Are patients really better off at home?

I would lie in front if a bulldozer comes.

The stories that matter closer to home.

I'm Lukwesa Burak and this is Inside Out in the East Midlands.

First night, millions of pounds have been spent to get smokers to kick

the habit but huge price hikes on a packet of cigarettes

is fuelling a boom in the trade of illegal tobacco, usually sold

We have been told that the East Midlands is a hotspot for this

illicit activity so are criminals putting

the final nail in the coffin for our legitimate corner shops?

It is an illegal trade which is costing the UK economy

Smuggled-in counterfeit tobacco being sold under the counter

the West Midlands, the south coast, there are always links to Derby.

It is a game of cat and mouse with sneaky shopkeepers finding

crafty ways to hide their illegal tobacco and the authorities

The problem is so widespread that the authorities are struggling

to keep up and get the fakes off our streets and the corner

shops playing by the book are being priced out.

It is quite a high volume of illicit trade going through Derby

so it is affecting us because sales are declining.

The East Midlands is one of the worst regions in Britain

when it comes to criminals selling illegal tobacco and this city

But there is one man who the criminals can't fool.

Meet Stuart Phillips and his sniffer dogs Scamp and Yo-yo.

They are hired by Trading Standards across the country to raid suspected

Nine times out of ten if you haven't got a search dog you won't find

Disrupting the sale of illegal tobacco is one of Derby Trading

Derby is one of the worst-hit areas for illicit tobacco and as such

we will carry out an operation today to do with the illicit

Before we started this sort of work you would find it out

on the shelves there to purchase, so it is being hidden away,

they have got more sophisticated in how they hide the product.

Stuart and the dogs help us try and battle with it and we will carry

on disrupting the trade as much as we can.

Derby Trading Standards are targeting stores based

on intelligence they have gathered and for one day we are following

them and Stuart on the raids.

We have put a camera on the sniffer dog Yo-yo to see what he finds.

I look at it as a game and I play it up and down the country.

They hide things and I have to go in with the dogs to find it.

It is not long until Yo-yo picks up on a scent around this fridge

and Stuart is convinced there is more than just

As soon as he started circling I was pretty certain

there was something concealed in the fridge.

There is counterfeit Mayfair, counterfeit Richmond,

and I would imagine some counterfeit Amber Leaf and Golden Virginia.

It is a treat for Yo-yo, a caution for the shop worker,

but the owner is nowhere to be found.

Most of this illegal tobacco is smuggled from as far

afield as Russia and China but what are buyers

I decided it was time for me to buy some fake fags.

After just visiting a few shops I've managed to get my hands on fake

and counterfeit tobacco and smuggled tobacco.

I'm taking my stash to a lab in South Derbyshire

How does the genuine compare with the fake?

The genuine was soft and smooth, where the counterfeit and the fakes

Chemically the structure of the tobacco is very similar.

In the past counterfeit tobacco has shown up to contain sawdust,

even human excrement, but Paul has told me at the lab that

what is in the genuine cigarettes is similar to what is in the fake

so it is really hard to tell the difference.

The illicit market thrives on selling product that smokers

are addicted to at a price they can afford.

4.5 million people alive and smoking today will be killed

Putting the price up is a key way to encourage people to quit.

It works everywhere but is completely undermined

by the availability of illicit tobacco.

Back on the raids and this time Stuart is using springer spaniel

Scamp to track down more illegal tobacco and Scamp is already

There is a whole host of ways these shops go

Behind fridges, behind toilets, in ceilings.

This particular shop, it was a very simple sliding

Then all of a sudden the dog picked up on something

and there was a utility box on the wall of the shop.

This van is parked here for a reason.

He just sat and started to bark, that was his indication to me

that there was something in that utility box.

With police permission, Stuart is allowed to break

open the utility box and his hunch proved spot-on.

We found all of these counterfeit cigarettes and tobacco in this

concealment which was hidden away by this van.

Stuart's theory is that many of these stores are set up

with the sole purpose of selling illegal tobacco.

On the shelves there will be six bottles of tomato ketchup

A lot of them are just fronts for selling illegal tobacco.

In the last two years four million cigarettes have been seized

That is a loss of about ?1.5 million in tax revenue.

We have 60-odd premises that we know or have known to sell illicit

to sell illicit tobacco, and that is from retail

we are not a big city in Derby, that is quite a lot of premises.

But it isn't just about taxpayers losing money.

For legitimate shopkeepers like Dee Sedani the illicit trade

No words can express how I feel about these guys.

They are ruining a profession, we are a profession,

We are a convenience store, though we still rely on tobacco.

You are putting jobs at risk, local community at risk,

funding for government, NHS, so there is a lot to go

Shopkeeper Dee has every right to be worried.

It is estimated corner shops in the East Midlands have lost

But Trading Standards often struggle to track down and prosecute shop

owners so how is Her Majesty's Revenues and Customs

Massive amounts of this illegal tobacco is getting into our country,

Tobacco is getting in but you also have to bear in mind that we do see

Tobacco is getting in but you also have to bear in mind that we do

seize a massive amount of product before it gets to the streets.

They should do because they are open to a number of sanctions,

whether that be criminal prosecution, having goods

But if they are not given a sentence how will this trade ever stop?

We will continue to have an impact and we are having an impact

and we see that in the market share of the illicit product.

Remember when Yo-yo found those fake cigarettes on top of the fridge.

When we went back to the store, three weeks on, guess what, I just

We told Derby Trading Standards what we found and they have

As most of us will remember, being a teenager can be an emotional

roller-coaster at the best of times but for some it becomes

Ciera Taylor believes she was born in the wrong body.

For almost a year she has been living as a girl and at 16 she has

made a film of her life as a teen and transgender.

They've got New Look and Topshop and River Island, H over there.

It's hard, I have to almost transition each morning

to try to create a face that is presentable enough for me

Only because of the effect that puberty has had on this face that's

made a face that I can't really relate with any more.

It's an eye-opener for somebody who is not trans because I guess

you don't really think about your gender identity

but for me personally as a trans person this is not the body that

I want, it's not mine, and I am making this very, you know,

As a young child I was very small, I was quite feminine-looking,

so I think I felt a lot more comfortable back then,

but when I look back at old pictures of me I kind of see someone

that is not happy, probably smiling in

because that person doesn't feel fulfilled in who they are.

But I have come to realise now that I am female and being a boy is not

who I am any more and I accept it was my childhood

and I acknowledge and accept my past but from now on I just feel

as though I need to start living as my true female self.

The hardest part of my transition was telling my mum and add.

That is the hardest part for any child.

I'm not a grown adult that can do this by myself,

I felt really guilty for them that they are going to have to hear

this from me and hear that your child has been

And I was grieving for my little boy.

And as a mum you know that your child is going to take a certain

path and you have their future mapped in your mind

and now all of a sudden it has taken a completely

And I knew that it was going to be a really, really hard journey.

I just told them that everyone has things about themselves

that they don't feel right and they don't feel comfortable

and mine was a pretty serious one, that I had been

I think I bottled up quite a lot of emotion.

And it only came bursting out when she transitioned,

the day she transitioned, which was March the 19th.

you should have been born a girl, you are a girl.

And actually, from that day onwards, a huge weight lifted off my

I went into school on the 21st of March.

People had known about a month before in my school,

staff and pupils, probably from Facebook, that I was going

We decided to have the assembly because obviously we have got Ciera

with us and it was new for all of us.

I had worked with Keira ever since she was seven.

A lot of transgender people, children's and adults, teenagers,

They are not just bullied by their peers but also some people

reported to Stonewall, the national LGBT charity,

I know a lot of them have said, we don't know what to say to Ciera

because we might upset her or say the wrong thing or it is awkward

or we feel silly, but now they know the actual facts

and it is an emotional thing that she needs to go through,

they can help with that and support her.

Not one person has come forward and said they have an issue with it,

which is really good for the school and for Ciera.

They look at me and they are like, 'ey-up, mate.

And I hand them my licence and they see Miss in

the name and they are, like, oh, sorry, love.

I was not aware that there was anyone else like me and at the time

that was what made me feel so different and feel

As soon as I went to that centre and the first meeting,

people were saying things that kind of clicked with me.

I am thinking, oh, my God, there is somebody there like me.

I want to live a normal life and not be labelled as a trans person.

The youngest person I have supported is seven years

old and the oldest is 18, although I have been contacted

by organisations that are supporting three and four-year-olds out

in the county and they have wanted advice as well.

It is just like the whole written thing, like getting a passport,

They know that when they come here they will be accepted

for who they are, they will be given a space to express themselves,

and when they go out into the big wide world all of them

face discrimination all of the time so it is really

I couldn't have done this without them and the people that

are there and the acceptance and understanding there,

Tonight I am meeting Paris Lees, who is an LGBT campaigner,

a trans woman herself, and I am really excited

to meet her tonight because she has been a role model to me

I grew up in Hucknall, just down the road from here,

and it was tough, and I often felt unsafe just to come

People would call me a poofter and shout abuse in the streets.

Kids who are not supported are much more likely

to come into difficulties, whether homelessness,

As a society we should be shamed when we know that 48% of young trans

We have to support kids, it is really vital and it

People will be thinking, how can I know this is right to me? If I was

happy being a boy I would have been a boy. I know I will need surgery

later for my personal well-being. All the things she has done since

transitioning in March, it is almost overwhelming. We are so lucky

because now we have our daughter and she is beautiful and she will be

happy. I just hope that children like me,

when they get to that age and they know that something is not right,

that they can have a quicker and more easy way of figuring out what

they need to do to feel like themselves.

Finally tonight, when health care bosses in double shirt announced

proposals for the closure of Bakewell Poles Community Hospital

they knew they would not be popular but running a hospital is expensive

and it is not only cheaper but better for elderly patients to be

cared for at high. Our cameras have been following doctors at the nearby

GP practice where they specialise in doing just that so what do they make

of the proposals and as the UK population ages is this the future

of the our NHS? -- for our. The NHS wants to shut two community

hospitals in Derbyshire. This hospital in Bakewell was built

to ring the rain of Queen Victoria. Now health bosses say it doesn't fit

in the NHS of the 21st-century. People are shocked to I have spoken

to today, they didn't see this coming.

Nearby at this health Centre the news has got everybody talking. It

is a real shame because people rely on it. I think the elderly

especially will be quite devastated. But some people think the idea of

moving care out of hospital and into homes is a good one. I think it

sounds marvellous if they will come to the house. I couldn't be more in

favour. People are so passionate about the centre because it has been

around for 150 years. Just about anybody you speak to will have had

some bodywork here or have been admitted here. We have pressure on

the finances and it is essential for us to do something differently to

meet the needs of future generations.

at home? Today Doctor Jordan has at home? Today Doctor Jordan has

been called to visit Jill James, an elderly patient with dementia who is

at risk of going into hospital. We are going to see a lady who is

new to the practice so I have not met her, she is 79 and she has a

Hello, I am Doctor Jordan. I Hello, I am Doctor Jordan. I

gathered from your daughter you are not very well. Not feeling very

well? Have you had anything to eat or drink today? No.

She is very breathless, her temperature is high and she has a

chest infection. She needs antibiotics. We have a couple of

choices that they are not easy. We are going to get you sorted out.

I was quite shocked by how unwell Jill was, I quickly tried to access,

is this appropriate for going into hospital or is this something we can

try to manage at home, which was clearly the wishes of the whole

family. Hello, it is Doctor Jordan, I wonder

if you can help me with some IV fluids and antibiotics to keep a

lady at home. We have the on-call microbiologist

at Chester Hospital. To move Jill into hospital bed would

cause hundreds of pounds a night, putting a jigsaw of care in place is

cheaper but can be complicated. You are the conductor of a large

orchestra, trying to get services in very quickly.

Hello, Kate speaking. It is Doctor Jordan, I was wondering if you could

help me support a lady to stay at home who is quite unwell.

Five phone calls later, carers and antibiotics are coming. Doctor

Jordan is sure that keeping Jill out-of-hospital is best for her.

Thank you so much. Phone me back if anything changes. Goodbye.

It would have taken one phone call to return to hospital and in our

time poor jobs that is so easy to do but the extra effort, maintained

effort, but it is the right thing to do for that person and that family.

patients in the Derbyshire Dales patients in the Derbyshire Dales

since 1841. -- cared for. Elderly patients come here to get back on

their feet with the help of specialist teams. The clinical

commissioning group once those teams to visit people at home instead and

they are asking the public what they think. But it is not just about

specialists. Doctors are worried. If a hospital closes, who will feed and

wash vulnerable patients when they are in their own homes? We haven't

got enough carers and specifically not enough here in the Dales. Social

services are being massively cut, won't be able to step up to put up

the extra care to support these people at home.

83-year-old Peter Warren hasn't been eating properly and is here after a

fall. When he was weighed when he was admitted he was 40 kilo grams.

New Homes has allowed him to rebuild his strength, the right diet and

nurses to mother him, nearly. It is wonderful, the food is marvellous.

There are number of people here who need care, the number is very large.

And where else are they going to go. A Community Hospital is very

important, particularly with such an ageing population.

It is more than a month since Doctor Jordan put in the care package the

Jill James. For weeks the family has been visited daily by nurses, care

is good news. It is America what has is good news. It is America what has

happened to mum. She is almost back to her normal self and she will be

before. -- it is a miracle. Those before. -- it is a miracle. Those

flowers are nice, when did they go up? It is a good quality of life she

has gone back to. I haven't had a cough at all or a temperature so I

guess I am OK. The best sort of local response is

to support people in their own height. I would lie in front of a

bulldozer comes. In Bakewell after a series of public meetings the

consultation process has closed. All of the feedback we collect from the

analysed. An announcement is analysed. An announcement is

expected in a few weeks. Down the road in Matlock some health staff

have already moved from New-home, said they are in the same building

as social services. There is a lot of competition between social work

and health care so hopefully being based on the same site will reduce

some of that repetition. For doctors dealing with more and more elderly

patients it is part of a much bigger picture. It is clear that for a

sustainable future for an increasingly elderly population

there has to be a much bigger acknowledgement of the need to

probably fund and resource and integrate health and social care.

We will continue to follow doctors and patients in the Peak Park. We

will be bringing you special programmes, keep an eye out for

those in the spring. That is it for this week, I hope you can join us

next Monday. Here is what is coming up on the programme then.

What really happened inside Aston Hall mental hospital? One-woman's

campaign to know the truth. Everything has come together like a

jigsaw, everything I have been saying is true. This proves people's

horror stories. Hello, I'm Riz Lateef

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five critically injured, Guilty - banker Lynden Scourfield

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prostitutes and cars. The corruption cost Halifax Bank

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